CN115568829A - Deep tissue exploration and depth protection device for intervertebral disc under percutaneous endoscope - Google Patents

Deep tissue exploration and depth protection device for intervertebral disc under percutaneous endoscope Download PDF

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CN115568829A
CN115568829A CN202211365961.3A CN202211365961A CN115568829A CN 115568829 A CN115568829 A CN 115568829A CN 202211365961 A CN202211365961 A CN 202211365961A CN 115568829 A CN115568829 A CN 115568829A
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box
intervertebral disc
fixedly connected
gear
stereoplasm
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CN115568829B (en
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肖宇翔
唐若夫
赵腾飞
刘超
吴琼华
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Zhejiang University ZJU
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Zhejiang University ZJU
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/45For evaluating or diagnosing the musculoskeletal system or teeth
    • A61B5/4538Evaluating a particular part of the muscoloskeletal system or a particular medical condition
    • A61B5/4566Evaluating the spine
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/05Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves 
    • A61B5/053Measuring electrical impedance or conductance of a portion of the body
    • A61B5/0538Measuring electrical impedance or conductance of a portion of the body invasively, e.g. using a catheter
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6847Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
    • A61B5/6848Needles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/08Detecting organic movements or changes, e.g. tumours, cysts, swellings
    • A61B8/0833Detecting organic movements or changes, e.g. tumours, cysts, swellings involving detecting or locating foreign bodies or organic structures
    • A61B8/085Detecting organic movements or changes, e.g. tumours, cysts, swellings involving detecting or locating foreign bodies or organic structures for locating body or organic structures, e.g. tumours, calculi, blood vessels, nodules
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/08Detecting organic movements or changes, e.g. tumours, cysts, swellings
    • A61B8/0875Detecting organic movements or changes, e.g. tumours, cysts, swellings for diagnosis of bone
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/08Accessories or related features not otherwise provided for
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/08Accessories or related features not otherwise provided for
    • A61B2090/0801Prevention of accidental cutting or pricking
    • A61B2090/08021Prevention of accidental cutting or pricking of the patient or his organs

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Abstract

The invention relates to a device for probing and protecting depth of deep tissues of intervertebral discs under percutaneous endoscopy, which relates to the technical field of spinal endoscopy operations and comprises a detection box, wherein a holding handle is fixedly connected to the lower side of one end of the detection box, a protection baffle is fixedly connected between the holding handle and the detection box, a hard needle tube is rotatably embedded in the front side of the detection box, a direction adjusting component is connected between the hard needle tube and the detection box in a transmission manner, a locking structure is connected between the direction adjusting component and the outer wall of the detection box, the holding handle is held by a hand through the arrangement of the hard needle tube, a detection probe, a display screen and a processing terminal, the hard needle tube can be conveniently placed into the deep part of an intervertebral disc channel, the hard needle tube can provide protection for the detection probe in the placing process, the safety range of an umbrella sleeve is preset according to the lumbar intervertebral disc structure of a patient, the umbrella sleeve can be adjusted to move along external threads by screwing, and the excessive damage of the lumbar intervertebral disc structure caused by excessive placing of the hard needle tube can be prevented.

Description

Deep tissue exploration and depth protection device for intervertebral disc under percutaneous endoscope
Technical Field
The invention relates to the technical field of spinal endoscopic surgery, in particular to a device for probing deep tissues of intervertebral disc and protecting depth under percutaneous endoscopy
Background
The spine endoscopic surgery can not visualize all the steps and is limited by the shape and the size of a lens, the operation in a deep intervertebral disc is usually invisible, for example, when lumbar vertebra is fused under an endoscope, and when lumbar intervertebral disc infection is debrided and drained under a percutaneous endoscope, the deep intervertebral disc treatment is often needed, the periphery of the intervertebral disc is a denser fibrous ring, the outside of the fibrous ring is a lumbar paravertebral space, and the fibrous ring is provided with a psoas major muscle, a nerve root, arteriovenous, ureter, sympathetic plexus, peritoneum and organs in an abdominal cavity are distributed around the intervertebral disc;
at present, the limitation requirement of invisible deep intervertebral disc is ensured clinically mainly depending on the hand feeling of an operator and the radio-vision evaluation depth in the operation, the former is not completely reliable when peripheral tissues such as a fibrous ring and the like are damaged due to various reasons, the dependency on the experience of the operator is large, the latter possibly needs to be subjected to repeated radio-vision for many times, the radiation amount in the operation of a patient is increased, the operation time is prolonged, the risk of infection in the operation is increased, and the operation is not facilitated, so that the design of the device for exploring the deep intervertebral disc tissue and protecting the depth under the percutaneous endoscope is significant.
Disclosure of Invention
The invention aims to overcome the limitation requirement that the prior art is clinically mainly dependent on the hand feeling of an operator and the intraoperative radiology evaluation depth to ensure the invisible deep part of the intervertebral disc, the former is not completely reliable when peripheral tissues such as an annulus fibrosus and the like are damaged due to various reasons, the dependence on the experience of the operator is large, and the latter possibly needs to be subjected to repeated fluoroscopy for multiple times, so that the intraoperative radiation amount of a patient is increased, the operation time is prolonged, the intraoperative infection risk is increased, and the operation is not facilitated.
In order to solve the technical problems, the device for probing deep tissues of intervertebral discs and protecting the depth under the percutaneous endoscope comprises a detection box, wherein a holding handle is fixedly connected to the lower side of one end of the detection box, a protection baffle is fixedly connected between the holding handle and the detection box, a hard needle tube is rotatably embedded in the front side of the detection box, a direction adjusting assembly is connected between the hard needle tube and the detection box in a transmission manner, a locking structure is connected between the direction adjusting assembly and the outer wall of the detection box, the detection assembly is installed at a position, opposite to the protection baffle, of the lower side of the detection box, and the detection assembly penetrates through the hard needle tube and then is connected with a detection probe to control the detection probe to directionally stretch.
Preferably, the accent is to the subassembly and is included the knob shell, the knob shell rotates to inlay and establishes between detection box front end face and stereoplasm needle tubing outer wall, ring gear in the fixedly connected with on the knob shell internal perisporium, be provided with sun gear in the ring gear, the fixed cover of sun gear is established at stereoplasm needle tubing outer wall, the meshing transmission has a plurality of intermediate gears between sun gear, the ring gear, intermediate gear's chi wheel radius is unanimous and sets up around the intermediate gear equidistance, the middle part of intermediate gear is all fixed to be inlayed and is equipped with the pivot, the pivot is all rotated and is inlayed and establish and detecting box front side, the knob shell is provided with a plurality of lockholes towards one side edge equidistance of detecting the box, just the knob shell outside is provided with the angle scale.
Preferably, the locking structure includes the spout, the spout sets up the front end upside of surveying the box, sliding fit is equipped with the slider in the spout, one side fixedly connected with lock pipe of slider, the one end of lock pipe is passed and is surveyed the box and set up with the lockhole is corresponding, sliding fit is equipped with the gag lever post in the other end of lock pipe, gag lever post fixed connection is on one side inner wall of spout, just the outside of gag lever post just is located and overlaps between slider, the spout and is equipped with first spring, the upside fixedly connected with of slider pushes away the handle, it stretches out the spout setting to push away the handle top.
Preferably, the detection subassembly includes the guide arm, the guide arm slides to inlay and establishes in the stereoplasm syringe, the one end fixedly connected with cable wire of guide arm, cable wire and test probe fixed connection, the other end upside of guide arm is provided with the tooth's socket, the tip downside fixedly connected with lug of guide arm, the fixed block setting is passed to the one end of lug, the downside fixed connection of fixed block is on surveying the box diapire, just the outside of guide arm just is located and is equipped with the second spring between fixed block and the lug.
Preferably, the below of guide arm is provided with first cross axle, first cross axle rotates to inlay and establishes between the both sides inner wall of surveying the box, the fixed cover in the outside of first cross axle is equipped with sector gear, sector gear's bottom fixedly connected with handle, the top of guide arm is provided with the second cross axle, the second cross axle rotates to inlay and establishes between the both sides inner wall of surveying the box, the fixed cover in the outside of second cross axle is equipped with gear wheel and pinion, wherein, the gear wheel is connected with the tooth's socket meshing, the pinion is connected with sector gear meshing, the one end of first cross axle stretches out and surveys box fixedly connected with pointer.
Preferably, the one end that the detection box was kept away from to stereoplasm needle tubing is fusiformis structural design, stereoplasm needle tubing tip one side is provided with the opening, be provided with arc domatic between opening and the stereoplasm needle tubing inner wall, the outside of stereoplasm needle tubing is provided with the external screw thread, and the outside threaded connection of external screw thread has the chute boot, the cross-section of chute boot is toper structural design.
Preferably, the upper side fixedly connected with two splint of probing box, two it is equipped with the display panel to rotate to inlay between the splint, one side of display panel is fixed to be inlayed and is equipped with the screen, splint and display panel interference fit, the rear side of probing box is fixed to be inlayed and is equipped with the transmission pencil, the transmission pencil is connected between screen, test probe and processing terminal, wherein test probe can be any one of current test probe, video acquisition probe or ultrasonic probe.
Preferably, the downside of surveying the box is provided with uncovered, uncovered internalization is provided with the handle, just one side of surveying the box is provided with the arc scale, the centre of a circle and the first cross axle coincidence setting mutually of arc scale.
Has the beneficial effects that:
according to the device for probing and protecting the deep tissues of the intervertebral disc under the percutaneous endoscope, the hard needle tube, the detection probe, the display screen and the processing terminal are arranged, the holding handle is held by hands, the holding handle is large in size, so that the hard needle tube can be conveniently placed into the deep part of an intervertebral disc channel, the hard needle tube can provide protection for the detection probe in the placing process, the safety range of the umbrella cover is preset according to the lumbar intervertebral disc structure of a patient, the umbrella cover can be screwed to adjust the safety range to move along the external thread, the excessive damage of the lumbar intervertebral disc structure caused by the excessive placement of the hard needle tube can be prevented, after the fusiform end part of the hard needle tube reaches the deep tissues of the intervertebral disc, the detection probe can collect pathological information of the deep tissues of the intervertebral disc, the experience requirements of an operator can be reduced due to the use of the probe, the damage of radioscopy to the patient in the operation can be reduced, the operation time can be shortened, and the risk of the damage of the adjacent structures of the intervertebral disc can be reduced;
through the arrangement of the direction adjusting assembly and the locking assembly, the push handle is pulled back, the first spring is compressed, the knob shell is rotated, the upward angle scale of the knob shell can prompt a deflection angle, the inner gear ring is meshed with the transmission intermediate gear to rotate, the intermediate gear is meshed with the transmission central gear to rotate, the rotating speed of the central gear can be effectively reduced, the accuracy of direction adjustment of the hard needle tube is improved, after the direction of an opening is changed to a desired position, the push handle is loosened, under the action of the elastic force of the first spring, the first spring pushes the sliding block to linearly slide along the limiting rod, the end part of the lock tube is rightly inserted into the corresponding lock hole, the knob shell is prevented from deflecting, the direction of the opening can be locked, after the hard needle tube is placed into deep tissues of an intervertebral disc, the ejecting direction of the detection probe can be determined in advance, and the detectable range of the detection probe can be further improved;
through surveying the subassembly, the setting of arc scale, the handle is detained to the thumb, the handle drives sector gear and rotates certain angle, sector gear meshing transmission pinion, pinion drive second cross axle rotates, the second cross axle drives the gear wheel and rotates, the gear wheel can mesh the tooth's socket like this, make the guide arm push away the cable wire and stretch out from the opening, control test probe orientation reachs the detection position, the pointer is for the deflection angle of arc scale, can indicate test probe's the length of stretching out, can detect focus department, adopt the cable wire of flexible structure, with the detection of convenient different directions, the simple operation, test probe's detection precision design is the millimeter level, safety range when can effectively appraise under the non-visual intervertebral disc deep operation, make intervertebral disc deep operation go on in safety range.
Drawings
FIG. 1 is an external view of the deep intervertebral disc tissue exploration and depth protection device under percutaneous endoscopy;
FIG. 2 is a side sectional view of the deep intervertebral disc tissue exploration and depth protection device under percutaneous endoscopy;
FIG. 3 is an enlarged view of the structure at the position A in FIG. 2 of the deep tissue probing and depth protecting device for intervertebral disc under percutaneous endoscopy of the present invention;
FIG. 4 is an enlarged view of the deep intervertebral disc tissue exploring and depth protecting device of the present invention under percutaneous endoscope at the position B in FIG. 2;
fig. 5 is a front cross-sectional view of the deep intervertebral disc tissue exploration and depth protection device under the percutaneous endoscope.
The reference numbers are as follows:
1. a detection box; 2. a hard needle tube; 3. a direction adjusting component; 4. a locking structure; 5. a detection component; 6. detecting a probe; 11. a grip; 12. a protective baffle; 13. a splint; 14. a display panel; 15. a screen; 16. opening the mouth; 17. transmitting the wire harness; 18. arc-shaped scales; 21. an opening; 22. an umbrella cover; 31. a knob housing; 32. an inner gear ring; 33. a sun gear; 34. an intermediate gear; 35. a rotating shaft; 36. angle scales; 41. a chute; 42. a slider; 43. locking the tube; 44. a limiting rod; 45. a first spring; 46. a push handle; 51. a guide bar; 52. a steel cord; 53. a tooth socket; 54. a bump; 55. a fixed block; 56. a second spring; 57. a first lateral axis; 58. a sector gear; 59. a handle; 510. a second lateral axis; 511. a bull gear; 512. a pinion gear; 513. a pointer.
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.
The invention will be further illustrated with reference to the following figures 1 to 5 and examples:
referring to fig. 1-5, intervertebral disc deep tissue explores and degree of depth protection device under percutaneous scope, including surveying box 1, survey the one end downside fixedly connected with of box 1 and grip handle 11, grip handle 11 and survey fixedly connected with guard shield 12 between the box 1, the front side of surveying box 1 rotates to inlay and is equipped with stereoplasm needle tubing 2, the transmission is connected with between stereoplasm needle tubing 2 and the survey box 1 and transfers to subassembly 3, just transfer to subassembly 3 and survey and be connected with locking structure 4 between the box 1 outer wall, install on the position that surveys 1 downside of box and guard shield 12 and survey subassembly 5, survey subassembly 5 and pass stereoplasm needle tubing 2 after be connected with test probe 6, be used for control test probe 6 directional flexible.
In this embodiment, when using, the user is with the thumb laminating in the 12 front sides of guard flap, guard flap 12 can prevent operator's thumb maloperation, handheld handle 11 that grips, can improve the comfort level of operation, it feels through stereoplasm needle tubing 2 to put into, it spreads into the operator hand to survey box 1, the execution operation is felt to the make full use of body, it can adjust the direction of stereoplasm needle tubing 2 to transfer to subassembly 3, locking structure 4 can fix a position the direction of stereoplasm needle tubing 2, prevent to deflect and cause the accidental injury, the directional extension of steerable test probe 6 of operation detection subassembly 5, can reduce art person's experience requirement, and reduce the damage of radioscopy to the patient in the art, shorten operating time, reduce the risk of the neighbouring structure damage of intervertebral disc.
Further, it includes knob shell 31 to transfer to subassembly 3, knob shell 31 rotates to inlay and establishes between 1 front end face of detection box and 2 outer walls of stereoplasm needle tubing, ring gear 32 in the fixedly connected with on the 31 internal perisporium of knob shell, be provided with sun gear 33 in the ring gear 32, the fixed cover of sun gear 33 is established at 2 outer walls of stereoplasm needle tubing, the meshing transmission has a plurality of intermediate gears 34 between sun gear 33, the ring gear 32, intermediate gear 34's tape measure wheel radius is unanimous and sets up around intermediate gear 34 equidistance, intermediate gear 34's middle part is all fixed to be inlayed and is equipped with pivot 35, pivot 35 all rotates to inlay and establishes at detection box 1 front side, knob shell 31 is provided with a plurality of lockholes towards one side edge equidistance of detecting box 1, just the knob shell 31 outside is provided with angle scale 36.
In this embodiment, the rotation of the knob shell 31, the angle scale 36 right above the knob shell 31 can indicate the deflection angle, the inner gear ring 32 is meshed with the transmission intermediate gear 34 to rotate, the intermediate gear 34 is meshed with the transmission central gear 33 to rotate, the rotating speed of the central gear 33 can be effectively reduced, and the accuracy of the direction adjustment of the hard needle tube 2 is improved.
Further, locking structure 4 includes spout 41, spout 41 sets up the front end upside of surveying box 1, sliding fit is equipped with slider 42 in spout 41, one side fixedly connected with lock pipe 43 of slider 42, the one end of lock pipe 43 is passed and is surveyed box 1 and the corresponding setting of lockhole, the sliding sleeve is equipped with gag lever post 44 in the other end of lock pipe 43, gag lever post 44 fixed connection is on one side inner wall of spout 41, just the outside of gag lever post 44 just is located and overlaps between slider 42, the spout 41 and is equipped with first spring 45, slider 42's upside fixedly connected with pushes away handle 46, it stretches out spout 41 setting to push away the handle 46 top.
In this embodiment, the pushing handle 46 is pulled back, the first spring 45 is compressed, the lock tube 43 is pulled out of the lock hole, so that the knob housing 31 can rotate, the pushing handle 46 is loosened, the first spring 45 pushes the sliding block 42 to slide linearly along the limiting rod 44 under the action of the elastic force of the first spring 45, the end of the lock tube 43 is inserted into the corresponding lock hole, and the knob housing 31 is prevented from deflecting, so as to position the opening 21 of the hard needle tube 2 to face.
Further, the detection assembly 5 includes a guide rod 51, the guide rod 51 is slidably embedded in the hard needle tube 2, one end of the guide rod 51 is fixedly connected with a steel cable 52, the steel cable 52 is fixedly connected with the detection probe 6, a tooth groove 53 is formed in the upper side of the other end of the guide rod 51, a bump 54 is fixedly connected to the lower side of the end of the guide rod 51, one end of the bump 54 penetrates through a fixing block 55, the lower side of the fixing block 55 is fixedly connected to the bottom wall of the detection box 1, and a second spring 56 is sleeved on the outer side of the guide rod 51 and between the fixing block 55 and the bump 54.
In this embodiment, after the handle 59 is released, the handle 59 drives the sector gear 58 to rotate by a certain angle, the guide rod 51 is reset under the action of the elastic force of the second spring 56, so that the guide rod 51 slides linearly along the rigid needle tube 2, the guide rod 51 pulls the steel cable 52 to retract from the opening 21, the tooth space 53 can be engaged with the large gear 511, the large gear 511 drives the second transverse shaft 510 to rotate, the second transverse shaft 510 drives the small gear 512 to rotate, and the small gear 512 is engaged with the sector gear 58 to rotate by a certain angle, so that the handle 59 can be restored again, and the control operation is convenient.
Further, the below of guide arm 51 is provided with first cross axle 57, first cross axle 57 rotates to inlay and establishes between the both sides inner wall of surveying box 1, the fixed cover in the outside of first cross axle 57 is equipped with sector gear 58, the bottom fixedly connected with handle 59 of sector gear 58, the top of guide arm 51 is provided with second cross axle 510, second cross axle 510 rotates to inlay and establishes between the both sides inner wall of surveying box 1, the fixed cover in the outside of second cross axle 510 is equipped with gear wheel 511 and pinion 512, wherein, gear wheel 511 is connected with the tooth's socket 53 meshing, pinion 512 is connected with sector gear 58 meshing, the one end of first cross axle 57 is stretched out and is surveyed box 1 fixedly connected with pointer 513.
In this embodiment, the handle 59 is buckled by the thumb, the handle 59 drives the sector gear 58 to rotate for a certain angle, the sector gear 58 is meshed with the transmission pinion 512, the pinion 512 drives the second transverse shaft 510 to rotate, the second transverse shaft 510 drives the large gear 511 to rotate, so that the large gear 511 can be meshed with the tooth space 53, the guide rod 51 can slide linearly along the hard needle tube 2, the guide rod 51 pushes the steel cable 52 to extend out of the opening 21, and the detection probe 6 is controlled to reach the detection position in an oriented manner.
Further, the one end that surveys box 1 is kept away from to stereoplasm needle tubing 2 is fusiformis structural design, 2 tip one side of stereoplasm needle tubing is provided with opening 21, it is domatic to be provided with the arc between opening 21 and the 2 inner walls of stereoplasm needle tubing, the outside of stereoplasm needle tubing 2 is provided with the external screw thread, and the outside threaded connection of external screw thread has chute boot 22, the cross-section of chute boot 22 is toper structural design.
In this embodiment, the shuttle-shaped end of the hard needle tube 2 is aligned with the lumbar intervertebral disc channel of the patient and is inserted, the hard needle tube 2 can provide protection for the detection probe 6, the safety range of the umbrella sleeve 22 is preset according to the lumbar intervertebral disc structure of the patient, the umbrella sleeve 22 can be adjusted to move along the external thread by screwing, the hard needle tube 2 can be prevented from being excessively inserted to cause excessive damage to the lumbar intervertebral disc structure, and the operation is safe and easy.
Further, the upper side of the detection box 1 is fixedly connected with two clamping plates 13, a display plate 14 is rotatably embedded between the two clamping plates 13, a screen 15 is fixedly embedded on one side of the display plate 14, the clamping plates 13 are in interference fit with the display plate 14, a transmission wire harness 17 is fixedly embedded on the rear side of the detection box 1, the transmission wire harness 17 is connected among the screen 15, the detection probe 6 and the processing terminal, and the detection probe 6 can be any one of a current test probe, a video acquisition probe or an ultrasonic probe.
In the embodiment, the display panel 14 is opened, the display panel 14 is perpendicular to the detection box 1, so that the display information on the screen 15 can be visually checked, an operator can conveniently execute the next operation, and optionally, when the detection probe 6 is a current test probe, the detection probe 6 can detect the conductive capacity of the deep tissue of the lower intervertebral disc so as to judge the biological characteristics of the deep tissue of the lower intervertebral disc; when the detection probe 6 is a video acquisition probe, the detection probe 6 can detect the color and the transparent characteristic of the deep tissue of the lower intervertebral disc; when the detection probe 6 is an ultrasonic probe, the detection probe 6 can detect the local graphic information of the deep tissue of the lower intervertebral disc, so that the structural characteristics of the deep tissue of the lower intervertebral disc can be conveniently solved.
Further, the lower side of the detection box 1 is provided with an opening 16, a handle 59 is movably arranged in the opening 16, an arc scale 18 is arranged on one side of the detection box 1, and the circle center of the arc scale 18 is overlapped with the first transverse shaft 57.
In this embodiment, the opening 16 can meet the swing requirement of the handle 59, the arc-shaped scale 18 and the pointer 513 are correspondingly arranged, and when the pointer 513 points to different readings of the arc-shaped scale 18, different extension lengths of the steel cable 52 can be represented, so that an operator can conveniently and visually know whether the detection probe 6 extends out.
The working principle is as follows: when in use, the holding handle 11 is held by hand, the shuttle-shaped end part of the hard needle tube 2 is aligned with the lumbar disc channel of a patient to be placed, the safety range of the umbrella sleeve 22 is preset according to the lumbar disc structure of the patient, the umbrella sleeve 22 can be adjusted to move along the external thread by screwing, the excessive damage of the lumbar disc structure caused by the excessive placement of the hard needle tube 2 can be prevented, when the shuttle-shaped end part of the hard needle tube 2 reaches the deep tissue of the intervertebral disc, the pushing handle 46 is pulled back, the first spring 45 is compressed, the knob shell 31 is rotated, the angle scale 36 right above the knob shell 31 can prompt the deflection angle, the internal gear ring 32 is meshed with the transmission intermediate gear 34 to rotate, the intermediate gear 34 is meshed with the transmission central gear 33 to rotate, the rotating speed of the central gear 33 can be effectively reduced, the accuracy of the direction adjustment of the hard needle tube 2 is improved, after the orientation of the opening 21 is changed to the ideal position, the push handle 46 is loosened, the first spring 45 pushes the sliding block 42 to slide linearly along the limiting rod 44 under the action of the elastic force of the first spring 45, the end of the lock tube 43 is inserted into the corresponding lock hole in a facing manner, the knob shell 31 is prevented from deflecting, then the handle 59 is buckled by the thumb, the handle 59 drives the sector gear 58 to rotate for a certain angle, the sector gear 58 is meshed with the transmission pinion 512, the pinion 512 drives the second transverse shaft 510 to rotate, the second transverse shaft 510 drives the large gear 511 to rotate, the large gear 511 can be meshed with the tooth groove 53, the guide rod 51 slides linearly along the hard needle tube 2, the guide rod 51 pushes the steel cable 52 to extend out of the opening 21, the detection probe 6 is controlled to reach a detection position in an oriented manner, the pointer 513 deflects relative to the arc scale 18, the extending length of the detection probe 6 can be prompted, and the detection of the focus can be carried out.
The embodiments of the present invention are disclosed as the preferred embodiments, but not limited thereto, and those skilled in the art can easily understand the spirit of the present invention and make various extensions and changes without departing from the spirit of the present invention.

Claims (8)

1. Intervertebral disc deep tissue explores and degree of depth protection device under percutaneous scope, including surveying box (1), its characterized in that, the one end downside fixedly connected with handle (11) of surveying box (1), handle (11) and survey fixedly connected with guard flap (12) between box (1), the front side of surveying box (1) rotates to inlay and is equipped with stereoplasm needle tubing (2), the transmission is connected with between stereoplasm needle tubing (2) and the surveying box (1) transfers to subassembly (3), just transfer to subassembly (3) and be connected with locking structure (4) between the outer wall of surveying box (1), install on the position that surveys box (1) downside and guard flap (12) are relative and survey subassembly (5), it is connected with test probe (6) to survey subassembly (5) after passing stereoplasm needle tubing (2), is used for control test probe (6) directional flexible.
2. The percutaneous endoscopic deep intervertebral disc tissue exploration and depth protection device of claim 1, wherein: transfer to subassembly (3) including knob shell (31), knob shell (31) are rotated the inlay and are established between detection box (1) front side end face and stereoplasm needle tubing (2) outer wall, ring gear (32) in fixedly connected with on knob shell (31) internal perisporium, be provided with sun gear (33) in ring gear (32), sun gear (33) fixed cover is established at stereoplasm needle tubing (2) outer wall, the meshing transmission has a plurality of intermediate gear (34) between sun gear (33), ring gear (32), the tape wheel radius of intermediate gear (34) is unanimous and sets up around intermediate gear (34) equidistance, the middle part of intermediate gear (34) is all fixed the inlay and is equipped with pivot (35), pivot (35) are all rotated the inlay and are established and are detecting box (1) front side, knob shell (31) are provided with a plurality of lockholes towards one side edge equidistance of detecting box (1), just knob shell (31) outside is provided with angle scale (36).
3. The percutaneous endoscopic deep intervertebral disc tissue exploration and depth protection device of claim 1, wherein: locking structure (4) include spout (41), spout (41) set up the front end upside of surveying box (1), sliding fit is equipped with slider (42) in spout (41), one side fixedly connected with lock pipe (43) of slider (42), the one end of lock pipe (43) is passed and is surveyed box (1) and the corresponding setting of lockhole, sliding sleeve is equipped with gag lever post (44) in the other end of lock pipe (43), gag lever post (44) fixed connection is on one side inner wall of spout (41), just the outside of gag lever post (44) just is located and is equipped with first spring (45) between slider (42), spout (41), the upside fixedly connected with of slider (42) pushes away handle (46), push away handle (46) top and stretch out spout (41) setting.
4. The percutaneous endoscopic deep intervertebral disc tissue exploration and depth protection device of claim 1, wherein: survey subassembly (5) including guide arm (51), guide arm (51) slip inlays and establishes in stereoplasm needle tubing (2), one end fixedly connected with cable wire (52) of guide arm (51), cable wire (52) and test probe (6) fixed connection, the other end upside of guide arm (51) is provided with tooth's socket (53), the tip downside fixedly connected with lug (54) of guide arm (51), fixed block (55) setting is passed to the one end of lug (54), the downside fixed connection of fixed block (55) is on surveying box (1) diapire, just the outside of guide arm (51) just is located and is equipped with second spring (56) between fixed block (55) and lug (54).
5. The percutaneous endoscopic deep intervertebral disc tissue exploration and depth protection device of claim 4, wherein: the below of guide arm (51) is provided with first cross axle (57), first cross axle (57) rotate to inlay and establish between the both sides inner wall of surveying box (1), the outside fixed cover of first cross axle (57) is equipped with sector gear (58), the bottom fixedly connected with handle (59) of sector gear (58), the top of guide arm (51) is provided with second cross axle (510), second cross axle (510) rotate to inlay and establish between the both sides inner wall of surveying box (1), the outside fixed cover of second cross axle (510) is equipped with gear wheel (511) and pinion (512), wherein, gear wheel (511) and tooth's socket (53) meshing are connected, pinion (512) and sector gear (58) meshing are connected, the one end of first cross axle (57) stretches out and surveys box (1) fixedly connected with pointer (513).
6. The percutaneous endoscopic deep intervertebral disc tissue exploration and depth protection device of claim 1, wherein: the one end that surveys box (1) is kept away from in stereoplasm needle tubing (2) is fusiformis structural design, stereoplasm needle tubing (2) tip one side is provided with opening (21), it is domatic to be provided with the arc between opening (21) and stereoplasm needle tubing (2) inner wall, the outside of stereoplasm needle tubing (2) is provided with the external screw thread, and the outside threaded connection of external screw thread has chute boot (22), the cross-section of chute boot (22) is toper structural design.
7. The percutaneous endoscopic deep intervertebral disc tissue exploration and depth protection device of claim 1, wherein: survey two splint (13) of upside fixedly connected with of box (1), two it inlays and is equipped with display panel (14) to rotate between splint (13), one side of display panel (14) is fixed to be inlayed and is equipped with screen (15), splint (13) and display panel (14) interference fit, the fixed transmission pencil (17) that is equipped with of inlaying in rear side of surveying box (1), transmission pencil (17) are connected between screen (15), test probe (6) and processing terminal, wherein test probe (6) can be any kind among current test probe, video acquisition probe or the ultrasonic transducer.
8. The percutaneous endoscopic deep intervertebral disc tissue exploration and depth protection device of claim 1, wherein: the lower side of the detection box (1) is provided with an opening (16), a handle (59) is movably arranged in the opening (16), an arc scale (18) is arranged on one side of the detection box (1), and the circle center of the arc scale (18) is overlapped with a first transverse shaft (57).
CN202211365961.3A 2022-10-31 Deep tissue exploration and depth protection device for intervertebral disc under percutaneous endoscope Active CN115568829B (en)

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CN202211365961.3A CN115568829B (en) 2022-10-31 Deep tissue exploration and depth protection device for intervertebral disc under percutaneous endoscope

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Application Number Priority Date Filing Date Title
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CN115568829B CN115568829B (en) 2024-06-25

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Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20020156530A1 (en) * 1999-08-18 2002-10-24 Lambrecht Gregory H. Intervertebral diagnostic and manipulation device
JP2005013369A (en) * 2003-06-25 2005-01-20 Aloka Co Ltd Operating probe for puncture
CN105286775A (en) * 2015-10-12 2016-02-03 程细高 Flexible transforaminal endoscope provided with telescopic sheath
CN110693572A (en) * 2019-10-17 2020-01-17 徐州市中心医院 Universal multi-angle nucleus pulposus residue prevention exploration curet under spinal endoscope
CN111631817A (en) * 2020-06-05 2020-09-08 温州医科大学附属第二医院、温州医科大学附属育英儿童医院 Real-time ultrasonic imaging system under spinal endoscopy and use method thereof
CN114305615A (en) * 2022-01-05 2022-04-12 中国医学科学院北京协和医院 Single-channel electronic neuroendoscopy system for subdural lesion in vertebral canal

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20020156530A1 (en) * 1999-08-18 2002-10-24 Lambrecht Gregory H. Intervertebral diagnostic and manipulation device
JP2005013369A (en) * 2003-06-25 2005-01-20 Aloka Co Ltd Operating probe for puncture
CN105286775A (en) * 2015-10-12 2016-02-03 程细高 Flexible transforaminal endoscope provided with telescopic sheath
CN110693572A (en) * 2019-10-17 2020-01-17 徐州市中心医院 Universal multi-angle nucleus pulposus residue prevention exploration curet under spinal endoscope
CN111631817A (en) * 2020-06-05 2020-09-08 温州医科大学附属第二医院、温州医科大学附属育英儿童医院 Real-time ultrasonic imaging system under spinal endoscopy and use method thereof
CN114305615A (en) * 2022-01-05 2022-04-12 中国医学科学院北京协和医院 Single-channel electronic neuroendoscopy system for subdural lesion in vertebral canal

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