CN114129199B - Endoscope channel for posterior spinal minimally invasive surgery - Google Patents
Endoscope channel for posterior spinal minimally invasive surgery Download PDFInfo
- Publication number
- CN114129199B CN114129199B CN202111314757.4A CN202111314757A CN114129199B CN 114129199 B CN114129199 B CN 114129199B CN 202111314757 A CN202111314757 A CN 202111314757A CN 114129199 B CN114129199 B CN 114129199B
- Authority
- CN
- China
- Prior art keywords
- channel
- instrument channel
- endoscope
- instrument
- axis
- Prior art date
- 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.)
- Active
Links
Images
Classifications
-
- 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
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/08—Accessories or related features not otherwise provided for
-
- 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
- A61B2017/00238—Type of minimally invasive operation
-
- 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
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B2017/564—Methods for bone or joint treatment
Abstract
The invention relates to a spine posterior minimally invasive surgery endoscope channel which is characterized in that: the side wall of the instrument channel is in an open tubular shape or a closed tubular shape, the side wall of the open tubular instrument channel can be longitudinally provided with a notch for increasing an operation space in the tube, so that a vertebral plate forceps, a nucleus pulposus forceps and a drag hook can be inserted, the top end of the closed tubular instrument channel can be inserted with a first water sealing cap or a second water sealing cap, the bottom ends of an endoscope channel and a water pipe are obliquely inserted into the instrument channel, the axis of the endoscope channel and the water pipe and the axis of the instrument channel form an included angle of 4 degrees, the axis of the endoscope channel and the axis of the water pipe radially rotate at an included angle of 4 degrees in a left direction on the horizontal plane of the instrument channel, the top end of the endoscope channel is provided with a clamping groove, and the top end of the water pipe is provided with a spiral port.
Description
Technical Field
The invention relates to a spinal posterior minimally invasive surgery endoscope channel.
Background
In recent years, spinal endoscopic surgery has been greatly developed. The operation technique has the advantages of small wound surface, clear visual field, less bleeding, etc. But the application range of the technology is greatly limited due to the limitation of equipment and technology. Under the common efforts of the generation of minimally invasive spine surgery, the continuous improvement of the spine technology and the expansion of indications from the simple discectomy to more surgical forms are also achieved.
At present, a spine minimally invasive endoscope has a longer working channel, the shortest length is 20cm, the inner diameter is smaller, the largest length is 7.1mm, the surgical operation space is limited, the technical difficulty of surgical operation is increased, special surgical instruments are required, the spine minimally invasive endoscope is easy to damage, the surgical time is long, and the surgical learning curve of the spine endoscope is prolonged. The existing UBE technology operation method has short learning curve and quick operation, but needs two incisions and removes a plurality of tissues with serious damage.
Disclosure of Invention
The invention provides a spine posterior minimally invasive surgery endoscope channel which is short in instrument working channel, large in inner diameter, capable of being operated by a traditional instrument, small in mutual interference between the endoscope and the instrument and convenient to operate.
In order to achieve the purpose, the invention adopts the technical scheme that:
the utility model provides a posterior spine way minimal access surgery scope passageway which characterized in that: the side wall of the instrument channel is in an open tubular shape or a closed tubular shape and is used for inserting surgical instruments;
the side wall of the open tubular instrument channel can be longitudinally provided with a notch for increasing the operating space in the tube, so that vertebral plate forceps, nucleus pulposus forceps and a draw hook can be inserted, and the top end of the closed tubular instrument channel can be provided with a first water sealing cap or a second water sealing cap in a pluggable manner;
the bottom ends of an endoscope channel and a water pipe are obliquely inserted into the instrument channel, the channels of the endoscope channel and the water pipe are obliquely arranged relative to the inner and outer axes, the left and right sides of the axis of the instrument channel and are fused with the side wall of the instrument channel, the axes of the endoscope channel and the water pipe and the axis of the instrument channel form an included angle of 4 degrees, the axes of the endoscope channel and the water pipe radially rotate at an included angle of 4 degrees in a left direction on the horizontal plane of the instrument channel, the top end of the endoscope channel is provided with a clamping groove, the clamping groove is connected with an endoscope in a locking manner, the top end of the water pipe is provided with a spiral port, and the spiral port is connected with an infusion apparatus for introducing cleaning saline water;
the second water sealing cap comprises an outlet end, a telescopic pipe and an inlet end, wherein the outlet end is inserted into the top end of the instrument channel, the outlet end is connected with the inlet end through the telescopic pipe, an insertion opening is formed in the inlet end, the insertion opening is sleeved on a surgical instrument, and the telescopic pipe moves in a telescopic mode to enable the surgical instrument to move axially in the instrument channel.
The posterior spinal minimally invasive surgery endoscope channel comprises: the bottom end of the instrument channel can be arranged into a tongue shape, an S shape and an oblique opening.
The invention has the beneficial effects that: in practical application, the complete tubular instrument is easier to pass in and out, the tissue damage is less, and the interference of the tissue to an operation area is small. The outer end of the instrument channel can be provided with a water sealing cap, the instrument channel can be a complete tube type or a partial tube type, the operation space is further enlarged, and instruments such as a draw hook and the like are placed. The internal end of apparatus passageway can be the tongue type, S type, the bevel connection, scope and water pipe channel are for the inside and outside off-axis of apparatus passageway axis, left and right side slope is arranged, fuse with the apparatus passageway wall, water pipe and scope passageway wall fuse, reduce occupation space, the apparatus is business turn over more easily, scope and water pipe channel that the slope was arranged can give way the space for the apparatus operation, the water pipe of slope can wash the camera lens, and make things convenient for the business turn over of apparatus, the partial disappearance of passageway, can place apparatus operations such as drag hook, also make things convenient for operations such as rotatory slope of passageway, the water seal cap can increase water pressure, hemostasis, reduce the use amount that washes the salt solution. Can use ordinary apparatus, the apparatus bigger and shorter than ordinary scope apparatus in the close incision of big passageway scope, convenient operation, raise the efficiency. The multifunctional endoscope has the advantages that the damage to tissues caused by repeated passing in and out of instruments can be reduced, the size of the working cavity and the removal amount of the tissues can be reduced, the endoscope channel and the water pipe can be used as handle operation channels, the number of movable parts is small, the channel structure is simple, the operation is convenient, the multifunctional endoscope is designed to be changed into channels with different lengths and shapes to complete more functions, the channels with different specifications are matched for use so as to facilitate the completion of complex operations, the number of disinfection instruments during use is reduced, the maintenance cost of the damaged endoscope is reduced, the price is low, the use and maintenance cost is reduced, the learning curve is short, and the multifunctional endoscope can be widely popularized in hospitals at all levels.
Drawings
Fig. 1 is a closed structure diagram of an endoscope channel of a posterior minimally invasive spine surgery.
Fig. 2 is a closed top view structural diagram of an endoscope channel in the spinal posterior minimally invasive surgery.
Fig. 3 is a closed front view structural diagram of an endoscope channel in the posterior spinal minimally invasive surgery.
Fig. 4 is a closed rear view structural diagram of an endoscope channel of the posterior spinal minimally invasive surgery.
Fig. 5 is an open-close structure view of an endoscope channel of the posterior minimally invasive spine surgery.
FIG. 6 is a water sealing cap structure diagram of a spinal posterior minimally invasive surgery endoscope channel.
Description of the reference numerals: 1-an instrument channel; 2-endoscope channel; 3-a water pipe; 4-a first water sealing cap; 5-a clamping groove; 6-a screw opening; 7-an outlet end; 8-a telescopic tube; 9-an inlet end; 10-insertion opening; 11-an opening; and a second water sealing cap.
Detailed Description
As shown in fig. 1 to 6, the endoscope channel for posterior minimally invasive spine surgery is characterized in that: the side wall of the instrument channel 1 is in an open tubular shape or a closed tubular shape for inserting surgical instruments.
The side wall of the open tubular instrument channel 1 can be longitudinally provided with a gap 11 for increasing the operating space in the tube, and the vertebral plate forceps, the nucleus pulposus forceps and the draw hook can be inserted.
The top end of the closed tubular instrument channel 1 can be plugged with a first water sealing cap 4 or a second water sealing cap 12, the top end of the first water sealing cap 4 is provided with an insertion gap for plugging and unplugging surgical instruments, the second water sealing cap 12 comprises an outlet end 7, a telescopic pipe 8 and an inlet end 9, the outlet end 7 is inserted into the top end of the instrument channel 1, the outlet end 7 is connected with the inlet end 9 through the telescopic pipe 8, the inlet end 9 is provided with an insertion hole 10, the insertion hole 10 is sleeved on the surgical instrument, the telescopic pipe 8 moves in a telescopic mode to enable the surgical instruments to move axially in the instrument channel 1, and the bottom end of the instrument channel 1 can be arranged into a tongue shape, an S shape and an inclined opening.
The bottom slope of scope passageway 2 and water pipe 3 inserts in the apparatus passageway 1, scope passageway 2 reaches the axis of water pipe 3 with the axis of apparatus passageway 1 is 4 contained angles, scope passageway 2 reaches the axis of water pipe 3 is still radial 4 contained angles of left rotation on the horizontal plane of apparatus passageway 1, the top of scope passageway 2 sets up draw-in groove 5, draw-in groove 5 is connected with the scope locking, the top of water pipe 3 sets up spiral mouth 6, spiral mouth 6 is connected with the transfusion system, supplies to introduce the washing salt solution.
In the example shown, the closed tubular instrument channel 1 has a diameter of 1.1cm, a tubular channel length of about 8.5cm, the bottom end of the instrument channel 1 can be arranged in a tongue shape, an S shape and an oblique opening, different types can be selected according to the actual operation condition, the bottom ends of the endoscope channel 2 and the water pipe 3 are obliquely inserted into the instrument channel 1, the axis of the instrument channel 1 forms an included angle of 4 degrees with the axis of the endoscope channel 2 and the water pipe 3, the axial lines of the endoscope channel 2 and the water pipe 3 radially rotate at an included angle of 4 degrees on the horizontal plane of the instrument channel 1 to the left, so that a space can be made for instrument operation, and is convenient for the in and out of the apparatus, the top end of the endoscope channel 2 is provided with a clamping groove 5, the clamping groove 5 is connected with the tail end of the endoscope in a locking way, the endoscope enters the instrument channel 1 through the endoscope channel 2, the top end of the water pipe 3 is provided with a screw port 6, the spiral port 6 is connected with an infusion apparatus, and cleaning saline can enter the instrument channel 1 through the water pipe 3, thereby being capable of flushing the endoscope, the top end of the instrument channel 1 is provided with a water sealing cap 4 or a second water sealing cap 12, the top end of the first water sealing cap 4 is provided with an insertion gap for inserting and pulling out surgical instruments, the second water sealing cap 12 comprises an outlet end 7, an extension tube 8 and an inlet end 9, the outlet end 7 is inserted into the top end of the instrument channel 1, the outlet end 7 is connected with the inlet end 9 through the telescopic pipe 8, an insertion opening 10 is arranged on the inlet end 9, the second water sealing cap 12 is sleeved on the surgical instrument through the insertion opening 10, the telescopic tube 8 is telescopically movable, and the surgical instrument is axially movable in the instrument channel 1 via the telescopic tube 8.
The side wall of the open tubular instrument channel 1 can be longitudinally provided with a notch 11, so that the operating space can be increased, and the surgical instrument with larger volume can be conveniently inserted into the instrument channel 1, such as vertebral plate forceps, nucleus pulposus forceps, a draw hook and the like.
The invention has the advantages that:
in practical application, the complete tubular instrument is easier to pass in and out, the tissue damage is less, and the interference of the tissue to an operation area is small. The outer end of the instrument channel can be provided with a water sealing cap, the instrument channel can be a complete tube type or a partial tube type, the operation space is further enlarged, and instruments such as a draw hook and the like are placed. The internal end of apparatus passageway can be the tongue type, S type, the bevel connection, scope passageway and water piping channel are for the inside and outside off-axis of apparatus passageway axis, the slope of left and right sides is arranged, fuse with the apparatus passageway wall, water pipe and scope passageway wall fuse, reduce occupation space, the apparatus is business turn over more easily, scope and water piping channel that the slope was arranged can give way the space for the apparatus operation, the water pipe of slope can wash the camera lens, and make things convenient for the business turn over of apparatus, the partial disappearance of passageway, can place apparatus operations such as drag hook, also make things convenient for operations such as the rotatory slope of passageway, the water seal cap can increase water pressure, hemostasis, the reduction washes the use amount of salt solution. Can use ordinary apparatus, the bigger shorter apparatus than ordinary scope apparatus in the big passageway scope is close in the incision, convenient operation, raise the efficiency. The endoscope channel and the water pipe can be used as handle operation channels, the number of movable parts is small, the channel structure is simple, the operation is convenient, the endoscope channel and the water pipe are designed into an endoscope, the channels with different lengths and shapes can complete more functions, the channels with different specifications are matched for use so as to be beneficial to completing complex operations, the number of disinfection instruments during use is reduced, the maintenance cost after the endoscope is damaged is reduced, the price is low, the use and maintenance cost is reduced, the learning curve is short, and the endoscope channel can be widely popularized in hospitals at all levels.
The foregoing description is intended to be illustrative rather than limiting, and it will be appreciated by those skilled in the art that many modifications, variations or equivalents may be made without departing from the spirit and scope of the invention as defined in the appended claims.
Claims (2)
1. The utility model provides a way minimal access surgery scope passageway behind backbone which characterized in that: the side wall of the instrument channel (1) is in an open tubular shape or a closed tubular shape and is used for inserting surgical instruments;
the side wall of the open tubular instrument channel (1) can be longitudinally provided with a notch (11) for increasing the operating space in the tube, so that the vertebral plate forceps, the nucleus pulposus forceps and the draw hook can be inserted, and the top end of the closed tubular instrument channel (1) can be provided with a first water sealing cap (4) or a second water sealing cap (12) in a pluggable manner;
the bottom ends of an endoscope channel (2) and a water pipe (3) are obliquely inserted into the instrument channel (1), the channels of the endoscope channel (2) and the water pipe (3) are obliquely arranged relative to the axis of the instrument channel (1) in an off-axis manner, and the left side and the right side of the axis of the instrument channel (1) and are fused with the side wall of the instrument channel (1), the axis of the endoscope channel (2) and the water pipe (3) forms an included angle of 4 degrees with the axis of the instrument channel (1), the axis of the endoscope channel (2) and the water pipe (3) radially rotates at an included angle of 4 degrees in a left direction on the horizontal plane of the instrument channel (1), the top end of the endoscope channel (2) is provided with a clamping groove (5), the clamping groove (5) is in locking connection with an endoscope, the top end of the water pipe (3) is provided with a spiral port (6), and the spiral port (6) is connected with an infusion apparatus for introducing cleaning saline water;
the second water sealing cap (12) comprises an outlet end (7), a telescopic pipe (8) and an inlet end (9), the outlet end (7) is inserted into the top end of the instrument channel (1), the outlet end (7) is connected with the inlet end (9) through the telescopic pipe (8), an insertion opening (10) is formed in the inlet end (9), the surgical instrument is sleeved with the insertion opening (10), and the telescopic pipe (8) moves in a telescopic mode to enable the surgical instrument to move axially in the instrument channel (1).
2. The posterior spinal minimally invasive surgical endoscopic channel of claim 1, wherein: the bottom end of the instrument channel (1) can be arranged into a tongue shape, an S shape and an inclined opening.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202111314757.4A CN114129199B (en) | 2021-11-08 | 2021-11-08 | Endoscope channel for posterior spinal minimally invasive surgery |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202111314757.4A CN114129199B (en) | 2021-11-08 | 2021-11-08 | Endoscope channel for posterior spinal minimally invasive surgery |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN114129199A CN114129199A (en) | 2022-03-04 |
| CN114129199B true CN114129199B (en) | 2022-12-16 |
Family
ID=80393241
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202111314757.4A Active CN114129199B (en) | 2021-11-08 | 2021-11-08 | Endoscope channel for posterior spinal minimally invasive surgery |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN114129199B (en) |
Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104545781A (en) * | 2015-01-27 | 2015-04-29 | 吴雨 | Intervertebral foramen mirror |
| CN205831755U (en) * | 2016-01-22 | 2016-12-28 | 姚蔼晟 | Many instrument channel spinal endoscopes |
| CN110477970A (en) * | 2019-08-08 | 2019-11-22 | 上海市第十人民医院 | A kind of operating walk way device for vertebral column minimally invasive scope |
| CN113017540A (en) * | 2021-04-20 | 2021-06-25 | 张洪杰 | Coaxial double-cavity aqueous medium posterior spinal endoscope channel system |
Family Cites Families (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US8504134B2 (en) * | 2009-10-01 | 2013-08-06 | Intuitive Surgical Operations, Inc. | Laterally fenestrated cannula |
| CN203539321U (en) * | 2013-09-25 | 2014-04-16 | 武汉优都易科技有限公司 | Disposable sheath for urethral and vesical flexible endoscopes |
| KR102149676B1 (en) * | 2018-03-20 | 2020-09-04 | 가톨릭대학교 산학협력단 | Openable spinal endoscope apparatus |
| CN213910344U (en) * | 2020-11-02 | 2021-08-10 | 江苏萨格瑞尔医疗科技有限公司 | Thoracoscope incision expander |
-
2021
- 2021-11-08 CN CN202111314757.4A patent/CN114129199B/en active Active
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104545781A (en) * | 2015-01-27 | 2015-04-29 | 吴雨 | Intervertebral foramen mirror |
| CN205831755U (en) * | 2016-01-22 | 2016-12-28 | 姚蔼晟 | Many instrument channel spinal endoscopes |
| CN110477970A (en) * | 2019-08-08 | 2019-11-22 | 上海市第十人民医院 | A kind of operating walk way device for vertebral column minimally invasive scope |
| CN113017540A (en) * | 2021-04-20 | 2021-06-25 | 张洪杰 | Coaxial double-cavity aqueous medium posterior spinal endoscope channel system |
Also Published As
| Publication number | Publication date |
|---|---|
| CN114129199A (en) | 2022-03-04 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| US7396329B2 (en) | Endoscopic retractor instrument and associated method | |
| US20130150674A1 (en) | Thoracic scope port sponge cleaner | |
| US20200289159A1 (en) | Devices, systems, and methods for large tissue specimen removal | |
| JP2020511236A (en) | System for minimally invasive endoluminal treatment | |
| EP2978381A1 (en) | Stone fragment suction device | |
| WO2018111780A1 (en) | Endoscope and method of use | |
| US8460178B2 (en) | Method and system for minimizing leakage of a distending medium during endoscopic procedures | |
| CN110087526A (en) | System for chamber minimally-invasive treatment | |
| CN114129199B (en) | Endoscope channel for posterior spinal minimally invasive surgery | |
| US11529170B2 (en) | Expandable surgical access port | |
| CN113768556A (en) | Built-in micro balloon joint distraction device | |
| CN112754416A (en) | Micro endoscope | |
| CN215457885U (en) | Series choledochoscope cap | |
| CN103932672A (en) | Intervertebral foramen mirror | |
| CN210250851U (en) | Detachable balloon | |
| CN209236355U (en) | It is a kind of to strut bone filling mesh bag in advance | |
| CN215777987U (en) | Detection device and micro-endoscope | |
| CN112336424A (en) | Submersible double-channel working sleeve | |
| CN212853734U (en) | External-mirror visual lumbar fusion instrument | |
| CN208958078U (en) | Side view lateral openings ureterorenoscope | |
| CN216136530U (en) | double-J pipe extractor | |
| CN217118404U (en) | Oviduct and pelvic endoscope system | |
| CN112294396A (en) | Thrombus stirring device | |
| CN215838976U (en) | Automatic washing type intervertebral foramen mirror | |
| CN112294397A (en) | Thrombus removing system |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| PB01 | Publication | ||
| PB01 | Publication | ||
| SE01 | Entry into force of request for substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| GR01 | Patent grant | ||
| GR01 | Patent grant |