CN112587177A - Temporomandibular arthroscope instrument matched with temporomandibular arthroscope for use - Google Patents

Temporomandibular arthroscope instrument matched with temporomandibular arthroscope for use Download PDF

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Publication number
CN112587177A
CN112587177A CN202011447383.9A CN202011447383A CN112587177A CN 112587177 A CN112587177 A CN 112587177A CN 202011447383 A CN202011447383 A CN 202011447383A CN 112587177 A CN112587177 A CN 112587177A
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CN
China
Prior art keywords
sleeve
temporomandibular
arthroscope
probe
handle
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Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN202011447383.9A
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Chinese (zh)
Inventor
邢彦军
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Beijing Shitong Ruitai Medical Instrument Co ltd
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Beijing Shitong Ruitai Medical Instrument Co ltd
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Priority to CN202011447383.9A priority Critical patent/CN112587177A/en
Publication of CN112587177A publication Critical patent/CN112587177A/en
Pending legal-status Critical Current

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/0034—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means adapted to be inserted through a working channel of an endoscope
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A61B2017/3433—Cannulas with different outer diameters of the cannula

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Pathology (AREA)
  • Endoscopes (AREA)

Abstract

The invention discloses a temporomandibular arthroscope instrument matched with a temporomandibular arthroscope for use, which comprises a sleeve, a flushing pipe, a probe and a handle, wherein the probe is movably inserted inside the sleeve and the flushing pipe; one side of the handle is communicated with a flushing pipe access opening, the interior of the flushing pipe access opening is communicated with a flushing pipe, and one end of the flushing pipe is communicated with a filling pipe. The invention mainly comprises a sleeve, a flushing pipe, a probe, a handle and other components, wherein the probe punctures a hole on the skin, forcibly expands the hole, is inserted into the temporomandibular joint to the deep part, is taken out and can be inserted into an endoscope for operation, and if the used sleeve is not thick enough, the probe needs to be used for expanding the hole, and the sleeve needs to be replaced, thereby facilitating the operation of the temporomandibular joint.

Description

Temporomandibular arthroscope instrument matched with temporomandibular arthroscope for use
Technical Field
The invention relates to the technical field of medical instruments, in particular to a temporomandibular arthroscope instrument matched with a temporomandibular arthroscope for use.
Background
An arthroscope is a rod-like optical instrument with a diameter of about 5mm for observing the internal structure of a joint, and is an endoscope for diagnosing and treating joint diseases. The arthroscope is provided with a lens at the end part of a thin tube, the thin tube is inserted into the joint, and the structure in the joint is displayed on a monitor.
With the vigorous development of sports medicine, arthroscopic surgery for treating various joint diseases is vigorously developed, when the arthroscopic surgery is carried out, instruments are needed to puncture the skin so as to facilitate the endoscope probe to extend into the skin for observation, and the existing puncture instruments are complex in structure and inconvenient to operate and bring inconvenience to the arthroscopic surgery.
Disclosure of Invention
The invention aims to provide a temporomandibular arthroscope instrument matched with a temporomandibular arthroscope for use, wherein a hole is punctured on skin by a probe, and the hole is expanded forcibly, and meanwhile, the probe is inserted into the temporomandibular joint deeply, the probe is taken out and can be inserted into an endoscope for operation, if a used sleeve is not thick enough, the probe is required to be used for expanding the hole, and the sleeve is required to be replaced, so that the problems in the background technology are solved.
In order to achieve the purpose, the invention provides the following technical scheme: a temporomandibular arthroscope instrument used in cooperation with a temporomandibular arthroscope comprises a sleeve, a flushing pipe, a probe and a handle, wherein the probe is movably inserted into the sleeve and the flushing pipe;
one side of the handle is communicated with a flushing pipe access opening, the interior of the flushing pipe access opening is communicated with a flushing pipe, and one end of the flushing pipe is communicated with a filling pipe;
the handle is arranged on the adjustable bracket;
when the temporomandibular arthroscope instrument is used, the temporomandibular arthroscope instrument comprises the following steps:
s1, the endoscope enters the skin position of the temporomandibular joint at the temporomandibular joint, a hole is punctured in the skin by using the probe, and the hole is expanded forcibly and is inserted into the temporomandibular joint deeply;
s2, the first sleeve is sleeved along one end of the probe, and is slightly expanded into the skin and the temporomandibular joint,
s3, taking out the probe, and inserting the endoscope probe for operation;
s4, if the used sleeve is not thick enough, the probe needs to be used for reaming;
s5, reinserting the probe into the sleeve, and simultaneously performing reaming operation by using the first sleeve and the probe;
s6, after reaming, replacing the sleeve, replacing the first sleeve with the second sleeve, and when inserting the second sleeve, slightly exerting force to perform reaming so as to enable the sleeve to enter the skin and the temporomandibular joint;
s7, at this time, the probe is drawn out, and the operation of the endoscope probe can be executed;
s8, if the second cannula is still not thick enough, the reaming operation is continued, the probe is inserted again, and the operations from S5 to S7 are repeated, wherein the second cannula needs to be replaced by a third cannula.
Preferably, the sleeve comprises a first sleeve, a second sleeve and a third sleeve, and the diameters of the first sleeve, the second sleeve and the third sleeve are gradually increased.
Preferably, the outer surfaces of the first sleeve, the second sleeve and the third sleeve are provided with annular marking rings.
Preferably, the support includes base, branch, handle clamp and glues the first screw, branch fixed connection is in the top of base, one side of handle clamp seted up with glue first screw assorted screw hole, the inside of branch seted up with glue first screw assorted bar hole.
Preferably, the base is arranged to be of a cross structure, and the bottom of the base is provided with the roller.
Preferably, the first sleeve, the second sleeve and the third sleeve are connected to the end of the handle through a quick coupling.
Preferably, the outer diameter of the first sleeve is 2.8, and the inner diameter is 2.1;
the outer diameter of the second sleeve is 3.0, and the inner diameter of the second sleeve is 2.3;
the outer diameter of the third sleeve is 3.0, and the inner diameter of the third sleeve is 2.8; the working length of the first sleeve, the second sleeve and the third sleeve is 44 mm.
Preferably, the annular marking rings are provided with at least three groups, and the three groups of annular marking rings respectively represent depths of 25 mm, 30 mm and 35mm
Compared with the prior art, the invention has the beneficial effects that:
the invention mainly comprises a sleeve, a flushing pipe, a probe, a handle and other components, wherein the probe punctures a hole on the skin, forcibly expands the hole, is inserted into the temporomandibular joint to the deep part, is taken out and can be inserted into an endoscope for operation, and if the used sleeve is not thick enough, the probe needs to be used for expanding the hole, and the sleeve needs to be replaced, thereby facilitating the operation of the temporomandibular joint.
Drawings
FIG. 1 is a schematic structural view of the present invention;
FIG. 2 is a schematic front view of the stand according to the present invention;
FIG. 3 is a schematic cross-sectional view of the stent of the present invention.
In the figure: 1. a sleeve; 2. a flush tube; 3. a probe; 4. a handle; 5. a length compensator; 6. a perfusion tube; 7. an annular marker ring; 8. an endoscopic probe; 9. a flushing pipe access port; 10. a first sleeve; 11. a second sleeve; 12. a third sleeve; 13. a support; 14. a base; 15. a strut; 16. a handle clip; 17. a rubber head screw; 18. and (4) strip-shaped holes.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
Referring to fig. 1 to 3, the present invention provides a technical solution: a temporomandibular arthroscope instrument matched with a temporomandibular arthroscope comprises a sleeve 1, a washing tube 2, a probe 3, a handle 4, a bracket 13 and other parts.
The sleeve pipe 1 includes first sleeve pipe 10, second sleeve pipe 11 and third sleeve pipe 12, and the diameter of first sleeve pipe 10, second sleeve pipe 11 and third sleeve pipe 12 is grow gradually, and the size of listing first sleeve pipe 10, second sleeve pipe 11 and third sleeve pipe 12 in this embodiment is respectively: the first sleeve 10 has an outer diameter of 2.8 and an inner diameter of 2.1; the outer diameter of the second sleeve 11 is 3.0, and the inner diameter is 2.3; the third sleeve 12 has an outer diameter of 3.0 and an inner diameter of 2.8, and a working length of 44 mm.
The flushing pipe 2 is communicated with a flushing machine and used for flushing or dosing in an operation, and the flushing force is greatly enhanced by the flushing pipe.
After the washing tube is used, the probe 3 needs to be communicated by the probe due to the thin tube cavity so as to prevent the blockage of the cavity channel and the communication of the sleeve, the thick probe is inserted into the handle and the sleeve to be communicated, the communication of the side channel of the handle is realized, and the communication of the side channel of the handle is realized by the thin probe.
The support 13 is used for supporting the handle 4, mainly comprise base 14, fulcrum bar 15, handle clamp 16 and glue the head screw 17 to form, the fulcrum bar 15 is fixedly connected to the top of the base 14, one side of the handle clamp 16 offers the threaded hole matched with glue the head screw 17, offer the bar hole 18 matched with glue the head screw 17 inside the fulcrum bar 15, the handle clamp 16 is used for grasping the handle 4, and fix on fulcrum bar 15 through gluing the head screw 17, meanwhile, can carry on the angle, height of the adjustable handle 4, offer the convenience for operation;
furthermore, the base 14 is arranged to be of a cross-shaped structure, and the bottom of the base 14 is provided with the roller, so that the whole body can be conveniently moved.
The connection relationship and the positional relationship between the components in the present embodiment will be described below;
the probe 3 is movably inserted in the sleeve 1 and the flushing pipe 2, the sleeve 1 is communicated with one end of the handle 4, the other end of the handle 4 is communicated with the length compensator 5, and the endoscope probe 8 is movably inserted in the length compensator 5; one side of the handle 4 is communicated with a flushing pipe access opening 9, the interior of the flushing pipe access opening 9 is communicated with a flushing pipe 2, and one end of the flushing pipe 2 is communicated with a filling pipe 6;
the handle 4 is mounted on an adjustable bracket 13.
The outer surfaces of the first sleeve 10, the second sleeve 11 and the third sleeve 12 are all provided with annular marking rings 7 which are marked as red lines, and three groups are arranged, and the working ends are divided into 25 mm, 30 mm and 35mm by the red lines; the operator can conveniently know the length of the end in the patient body, and the first sleeve 10, the second sleeve 11 and the third sleeve 12 are connected to the end part of the handle 4 through quick joints, so that the replacement is convenient.
The working principle is as follows: before operation;
1) an endoscope enters the skin position of the temporomandibular joint at the temporomandibular joint, a hole is punctured in the skin by using the probe 3, and the hole is expanded forcibly and is inserted into the temporomandibular joint deeply;
2) the first sleeve 10 is sleeved along one end of the probe 3, and is slightly and forcefully reamed into the skin and the temporomandibular joint,
3) the probe 3 is taken out and the endoscope probe 8 can be inserted for operation;
4) if the used sleeve 1 is not thick enough, the probe 3 needs to be used for reaming;
5) reinserting the probe 3 into the cannula 1, and performing reaming operation simultaneously with the probe 3 by using the first cannula;
6) after reaming, the sleeve 1 is replaced, the second sleeve 12 is used for replacing the first sleeve 11, and when the second sleeve 12 is inserted, slight force is needed to ream so as to enable the sleeve to enter the skin and the temporomandibular joint;
7) at this time, the operation of the endoscope probe 8 can be performed by withdrawing the probe 3;
8) if the second cannula 11 is still not thick enough, the reaming operation is continued, the probe 3 is reinserted, and the operations 5) to 7) are repeated, which requires the second cannula 11 to be replaced by a third cannula 13.
Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.

Claims (8)

1. The utility model provides a temporomandibular arthroscope apparatus that cooperation temporomandibular arthroscope used, includes sleeve pipe (1), flushing pipe (2), probe (3) and handle (4), probe (3) activity is pegged graft in the inside of sleeve pipe (1) and flushing pipe (2), its characterized in that: the sleeve (1) is communicated with one end of the handle (4), the other end of the handle (4) is communicated with a length compensator (5), and an endoscope probe (8) is movably inserted in the length compensator (5);
one side of the handle (4) is communicated with a flushing pipe access opening (9), the interior of the flushing pipe access opening (9) is communicated with a flushing pipe (2), and one end of the flushing pipe (2) is communicated with a filling pipe (6);
the handle (4) is arranged on the adjustable bracket (13).
When the temporomandibular arthroscope instrument is used, the temporomandibular arthroscope instrument comprises the following steps:
s1, the endoscope enters the skin position of the temporomandibular joint at the temporomandibular joint, a hole is punctured in the skin by using the probe, and the hole is expanded forcibly and is inserted into the temporomandibular joint deeply;
s2, the first sleeve is sleeved along one end of the probe, and is slightly expanded into the skin and the temporomandibular joint,
s3, taking out the probe, and inserting the endoscope probe for operation;
s4, if the used sleeve is not thick enough, the probe needs to be used for reaming;
s5, reinserting the probe into the sleeve, and simultaneously performing reaming operation by using the first sleeve and the probe;
s6, after reaming, replacing the sleeve, replacing the first sleeve with the second sleeve, and when inserting the second sleeve, slightly exerting force to perform reaming so as to enable the sleeve to enter the skin and the temporomandibular joint;
s7, at this time, the probe is drawn out, and the operation of the endoscope probe can be executed;
s8, if the second cannula is still not thick enough, the reaming operation is continued, the probe is inserted again, and the operations from S5 to S7 are repeated, wherein the second cannula needs to be replaced by a third cannula.
2. A temporomandibular arthroscope apparatus for use with a temporomandibular arthroscope as claimed in claim 1, wherein: the sleeve (1) comprises a first sleeve (10), a second sleeve (11) and a third sleeve (12), and the diameters of the first sleeve (10), the second sleeve (11) and the third sleeve (12) are gradually increased.
3. A temporomandibular arthroscope apparatus for use with a temporomandibular arthroscope as claimed in claim 2, wherein: the outer surfaces of the first sleeve (10), the second sleeve (11) and the third sleeve (12) are all provided with annular marking rings (7).
4. A temporomandibular arthroscope apparatus for use with a temporomandibular arthroscope as claimed in claim 1, wherein: support (13) include base (14), branch (15), handle clamp (16) and glue first screw (17), branch (15) fixed connection is in the top of base (14), one side of handle clamp (16) is seted up with gluey first screw (17) assorted screw hole, the inside of branch (15) is seted up with gluey first screw (17) assorted bar hole (18).
5. A temporomandibular arthroscope apparatus for use with a temporomandibular arthroscope as claimed in claim 4, wherein: the base (14) is of a cross-shaped structure, and the bottom of the base (14) is provided with rollers.
6. A temporomandibular arthroscope apparatus for use with a temporomandibular arthroscope as claimed in claim 2, wherein: the first sleeve (10), the second sleeve (11) and the third sleeve (12) are connected to the end of the handle (4) through quick connectors.
7. A temporomandibular arthroscope apparatus for use with a temporomandibular arthroscope as claimed in claim 1, wherein: the outer diameter of the first sleeve (10) is 2.8, and the inner diameter is 2.1;
the outer diameter of the second sleeve (11) is 3.0, and the inner diameter is 2.3;
the outer diameter of the third sleeve (12) is 3.0, and the inner diameter is 2.8; the working length of the first sleeve (10), the second sleeve (11) and the third sleeve (12) is 44 mm.
8. A temporomandibular arthroscope apparatus for use with a temporomandibular arthroscope as claimed in claim 3, wherein: the annular marking rings (7) are at least provided with three groups, and the three groups of annular marking rings (7) respectively represent the depths of 25 mm, 30 mm and 35 mm.
CN202011447383.9A 2020-12-09 2020-12-09 Temporomandibular arthroscope instrument matched with temporomandibular arthroscope for use Pending CN112587177A (en)

Priority Applications (1)

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CN202011447383.9A CN112587177A (en) 2020-12-09 2020-12-09 Temporomandibular arthroscope instrument matched with temporomandibular arthroscope for use

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202011447383.9A CN112587177A (en) 2020-12-09 2020-12-09 Temporomandibular arthroscope instrument matched with temporomandibular arthroscope for use

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5735867A (en) * 1995-08-23 1998-04-07 Golser; Karl Working cannula for arthroscopy
CN106137345A (en) * 2016-09-09 2016-11-23 上海交通大学医学院附属第九人民医院 Remporomandibular joint mirror puncture instrument
CN208808574U (en) * 2018-04-17 2019-05-03 陆文忠 A kind of preceding road hollow screw operation auxiliary Path Setup device of upper cervical spine
CN110464432A (en) * 2019-09-05 2019-11-19 北京积水潭医院 A kind of surgical instrument being used cooperatively with arthroscope
CN111481397A (en) * 2020-04-20 2020-08-04 济南生发堂生物科技股份有限公司 Hair follicle stem cell culture injection device and use method

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5735867A (en) * 1995-08-23 1998-04-07 Golser; Karl Working cannula for arthroscopy
CN106137345A (en) * 2016-09-09 2016-11-23 上海交通大学医学院附属第九人民医院 Remporomandibular joint mirror puncture instrument
CN208808574U (en) * 2018-04-17 2019-05-03 陆文忠 A kind of preceding road hollow screw operation auxiliary Path Setup device of upper cervical spine
CN110464432A (en) * 2019-09-05 2019-11-19 北京积水潭医院 A kind of surgical instrument being used cooperatively with arthroscope
CN111481397A (en) * 2020-04-20 2020-08-04 济南生发堂生物科技股份有限公司 Hair follicle stem cell culture injection device and use method

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Application publication date: 20210402