CN202397553U - Minimally invasive integrated acupotomology mirror - Google Patents
Minimally invasive integrated acupotomology mirror Download PDFInfo
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- CN202397553U CN202397553U CN2011205713844U CN201120571384U CN202397553U CN 202397553 U CN202397553 U CN 202397553U CN 2011205713844 U CN2011205713844 U CN 2011205713844U CN 201120571384 U CN201120571384 U CN 201120571384U CN 202397553 U CN202397553 U CN 202397553U
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Abstract
The utility model discloses a minimally invasive integrated acupotomology mirror which comprises a microtome integrated light microscope assembly, a microtome integrated tube core assembly and a microtome integrated hard sleeve assembly, wherein the microtome integrated light microscope assembly comprises a lens, a lens holder and a light guide tube, the microtome integrated tube core assembly comprises a microtome tube core, the microtome integrated hard sleeve assembly comprises a microtome tube, the light guide tube is inserted in the microtome tube core, and the microtome tube core is inserted in the microtome tube. The minimally invasive integrated acupotomology mirror can be operated visually and can complete the whole diagnosis and treatment process by forming one channel. The minimally invasive integrated acupotomology mirror has the advantages of good operation flexibility, less treatment side effect, less bleeding, quick recovery and the like.
Description
Technical field
This utility model relates to a kind of armarium, and particularly a kind of Wicresoft gathers a body acupuncture cutter mirror.
Background technology
At present; The Arthroscopic Treatment art is widely used; But mainly there is following defective in it: Arthroscopic Treatment will be opened passage more than three or three with handled easily at operative site usually, is organized as the master with the mucosa of wiping out or exploiting damage, cartilage etc. in the therapeutic process, and wound is relatively large; Hemorrhage many, recovery time is longer relatively.
The utility model content
The purpose of this utility model provides a kind of Wicresoft and gathers a body acupuncture cutter mirror, and operative incision is little, can realize visual operation simultaneously, opens one and utilizes passage can accomplish whole diagnosis and treatment process; Have flexible operation, treatment side effect little, go out insufficiency of blood, recover advantage such as fast.
The technical scheme of this utility model is: a kind of Wicresoft gathers a body acupuncture cutter mirror, comprises the fit light microscopic assembly of mirror cutter, the fit tube core assembly of mirror cutter and the fit hard sleeve assembly of mirror cutter; The fit light microscopic assembly of described mirror cutter comprises camera lens, objective carrier and light pipe; The fit tube core assembly of described mirror cutter comprises cutter pipe tube core; The fit hard sleeve assembly of described mirror cutter comprises the cutter pipe; Described light pipe is plugged on the cutter pipe tube core, and described cutter pipe tube core is plugged on the cutter pipe.
This utility model can be done following improvement, and the part of inserting in the cutter pipe on the described cutter pipe tube core is provided with two autonomous channels, and wherein a passage is as the instrumentation passage that holds therapeutic device, and the camera lens passage of light pipe is held in another conduct.
The described cutter pipe of this utility model is provided with anterior cannula, and described cutter pipe tube core is provided with rear sleeve, and described anterior cannula and rear sleeve connect; Also be provided with the connection separating sheet on the described anterior cannula, described connection separating sheet is located between anterior cannula and the rear sleeve.
This utility model can also be done following improvement, and described instrumentation passage extends out to outside the described rear sleeve, and the external part of instrumentation passage is provided with the instrumentation channel valve.
This utility model can also be done following further improvement, also is provided with the knife edge pipe that stretches out to the objective carrier direction on the described rear sleeve, and described knife edge pipe and cutter pipe tube core parallel.
The described camera lens of this utility model is located at the outermost end of objective carrier, and described objective carrier is provided with the cold light source joint that is used to insert light source.
Be equipped with into water passage pipe on the rear sleeve of the anterior cannula of said cutter pipe and cutter pipe tube core, each is gone into water passage pipe and is provided with the entry channel valve.
The beneficial effect of this utility model is:
(1) ultra micro wound operation: the Wicresoft of this utility model gathers a body acupuncture cutter mirror, and its operation is the basis with the miniature incision.Therapeutic effect obviously is superior to traditional Arthroscopic Treatment art formula; To rheumatismal characteristics, open one and utilize passage can accomplish whole diagnosis and treatment process less than 0.5cm by otch when the operation treatment for this utility model; In therapeutic process through peeling off, dredge joint and pathological tissues and articular cavity lavation; To remove adhesion, diminish inflammation restore funcitons.Wound is less relatively in the art, and postoperative can carry out functional exercise on the 2nd day.
(2) visual operation: different with the blind ruling by law treatment of small needle knife or acupuncture needle, this Wicresoft gathers a body acupuncture cutter mirror and utilizes image documentation equipment to carry out visual operation, and complicated and dangerous position uses operating walk way, has reduced the danger of performing the operation, has improved the success rate of operation.Its therapentic part is deeply peeled off and is dredged thoroughly, also is that small needle knife and milli needle treatment are incomparable.
(3) simplified control: it is relatively low to the operating room environment requirement that this Wicresoft gathers a body acupuncture cutter mirror, can in minor operation room or in-patient department district, operating room carry out.Take local infiltration anesthesia, need not join special anaesthetist, reduce workflow.Operating walk way can compatible multiple apparatus, and multi-mode operation such as in a passage, can do inspection, lavation, inject, insert, melt is oversimplified complex operations.
(4) the treatment side effect is little, recovery is fast: this Wicresoft gathers a body acupuncture cutter mirror and treats out insufficiency of blood, after treatment, in 12～24 hours, sense of heaviness and mild pain is arranged, and fades away later on, can carry out the functional rehabilitation sexual activity after 24 hours.
(5) be widely used: be applicable to that obstinate joint, soft tissue swell and ache.Operate to rheumatismal intraarticular cartilage, synovial membrane, synovial bursa etc.; Also can extract the ligamenta flava and the hyperplastic tissue of outstanding nucleus pulposus, plumpness; Also can carry out the visual interventional therapy of whole body multi-section position, also can operate, like neck, shoulder, the back of the body, extremity soft tissue etc. to no lacuna soft tissue; Also be fit to handle the illness of special lacunas such as ell, canalis carpi.The joint appears in intractable rheumatism such as rheumatoid arthritis, systemic lupus erythematosus (sle), ankylosing spondylitis etc., flesh muscle local intractable swells and ache.
Below further prove the beneficial effect of this utility model through the clinical experiment case:
Case 1: the patient poplar * *, the man, 37 years old, the patient was because of double knee joint red and swollen heat pain 3 months; Two lower limb exercises are limited, the prescription on individual diagnosis of can't take care of oneself, and the patient does not have obvious inducement and double knee joint occurs and swell and ache joint stuffiness; Stiff about 1 hour of knee joint morning, obey non-steroidal drug certainly, curative effect is not obvious, and double knee joint the carrying out property of symptom that swells and ache increases the weight of; Can not walk, squat down, come me institute to go to a doctor, look into X-ray film and show: the slight osteoporosis of double knee joint; Soft tissue swelling, joint space are not narrow, and a small amount of hyperosteogeny of joint margins forms.Be admitted to hospital after detailed inspection still can not be made a definite diagnosis, conventional therapy can not disease controlling, and patient and family members are anxiety very, after being admitted to hospital 10 days, for clarifying a diagnosis and strengthening topical therapeutic, decision row double knee joint " Wicresoft gathers a body acupuncture cutter mirror art ".Find in the art that this patient's knee joint-effusion is faint yellow, do not have obviously thread or purulent secretion; The synovium of joint hypertrophy is plump, and obviously congested, a large amount of pannuss all appear in the medial and lateral synovial membrane; The part pannus has been invaded and cartilage, causes cartilage joint cake lamellar or coralliform to destroy.Be typical " rheumatoid arthritis " performance.According to finding in the art, promptly be diagnosed as rheumatoid arthritis at that time, carry out the synovial membrane cleaning, peel off adhesion, repair articular surface, processing such as articular cavity high capacity flushing, keep somewhere in the general slow releasing agent of postoperative preparation benefit match joint.Second day after operation, the knee joint local pyrexia disappears, and arthroncus alleviates 1/3.Postoperative one all arthralgia disappear basically, and postoperative was left hospital in 10 days, followed up a case by regular visits to February after leaving hospital, stable disease, and the movable nothing of two knee joints is obviously limited.
Case 2: the patient is old * *, the woman, 31 years old, the patient swelled and ache half a year because of double knee joint repeatedly; Two lower limb exercises are limited, and difficulty in walking is gone to a doctor, the patient because of half a year before no obvious inducement begin to occur double knee joint and swell and ache joint stuffiness; About 1 hour of knee joint deadlock in morning, local joint skin temperature increases, and obeys non-steroidal drug certainly, and curative effect is not obvious; And engender that two lower limb exercises are limited, and can not walk, squat down, be diagnosed as " rheumatoid arthritis " on inspection; The arthrocsopic surgery that carries out treatment cooperates Drug therapy and local physical therapy, and the postoperative patient double knee joint swells and ache still more obvious; It is not too obvious that joint motion improves, still need can walk by crutch, after always at outpatient service row Drug therapy and local naturopathy.
Description of drawings
Fig. 1 is the package assembly sketch map of this utility model embodiment;
Fig. 2 is that A among Fig. 1 is to the end face enlarged diagram;
Fig. 3 is the assembling perspective structure sketch map of Fig. 1;
Fig. 4 is the fit light microscopic assembly of the mirror cutter sketch map of this utility model embodiment;
Fig. 5 is the fit tube core assembly of the mirror cutter sketch map of this utility model embodiment;
Fig. 6 is the fit hard sleeve assembly of the mirror cutter sketch map of this utility model embodiment.
The specific embodiment
Below in conjunction with accompanying drawing this utility model is described further.
The specific embodiment of this utility model such as Fig. 1-shown in Figure 6, a kind of Wicresoft gathers a body acupuncture cutter mirror, comprises the fit light microscopic assembly of mirror cutter, the fit tube core assembly of mirror cutter and the fit hard sleeve assembly of mirror cutter; The fit light microscopic assembly of mirror cutter comprises camera lens 1, objective carrier 2 and light pipe 3; The fit tube core assembly of mirror cutter comprises cutter pipe tube core 4; The fit hard sleeve assembly of mirror cutter comprises cutter pipe 6; Light pipe 3 is plugged on the cutter pipe tube core 4, and cutter pipe tube core 4 is plugged on the cutter pipe 6.
In the present embodiment, the part of inserting in the cutter pipe 6 on the cutter pipe tube core 4 is provided with two autonomous channels, and wherein a passage is as the instrumentation passage that holds therapeutic device, and the camera lens passage of light pipe 3 is held in another conduct.Cutter pipe 6 is provided with anterior cannula 7, and cutter pipe tube core 4 is provided with rear sleeve 8, and anterior cannula 7 connects with rear sleeve 8; Also be provided with connection separating sheet 9 on the anterior cannula 7, connect separating sheet 9 and be located between anterior cannula 7 and the rear sleeve 8.The instrumentation passage extends out to outside the rear sleeve 8, and the external part of instrumentation passage is provided with instrumentation channel valve 5.The part that stretches out in outside the cutter pipe 6 on the cutter pipe tube core 4 only is provided with the camera lens passage, and this camera lens passage is straight line with the camera lens passage that is positioned at cutter pipe 6.The section of stretching out of instrumentation passage is bending, to avoid instrumentation channel valve 5 and to be positioned at the camera lens passage interference outside the cutter pipe 6.Also be provided with the knife edge pipe 10 that stretches out to objective carrier 2 directions on the rear sleeve 8, knife edge pipe 10 parallels with cutter pipe tube core 4.Camera lens 1 is located at the outermost end of objective carrier 2, and objective carrier 2 is provided with the cold light source joint 13 that is used to insert light source.Be equipped with into water passage pipe 11 on the rear sleeve 8 of the anterior cannula 7 of cutter pipe 6 and cutter pipe tube core 4, each is gone into water passage pipe 11 and is provided with entry channel valve 12.The rear end of cutter pipe tube core 4 is provided with jointing, and this jointing and objective carrier 2 are suitable.The end of cutter pipe 6 is provided with the pin cutter head of wedge shape end face.Also be provided with a plurality of apertures on the sidewall of cutter pipe 6 ends, above-mentioned aperture can make water get into articular cavity quickly, forms the full articular cavity of pressure and is beneficial to operation.
The Wicresoft that uses this utility model gathers a body acupuncture cutter mirror, and to carry out the operating process of knee surgery following:
Anesthesia method: local infiltration anesthesia.
Operation position: the clinostatism of making even, and according to the difference of diseased region, lower limb can stretch or flexing; The patient is positioned at Ipsilateral, is beneficial to conversion joint position and bend and stretch, rotate kneed.
Operating procedure: the patient gets dorsal position, suffers from limb and goes down on one's knees 60 °, gets the preceding outside of knee joint approach; Be positioned near kneecap tendon outer rim, 2mm place, outside plate in August anterior angle top, body surface is equivalent to thumbtip by the position to Gerdy tuberosity (lateral of tibia tuberosity) top depression; Left hand thumb forefinger is tightened fixed point place skin, and the right hand is held the operation sharp knife, and blade upwards; Thrust knee joint cavity through above-mentioned position, the about 3mm of otch.Before after outside approach cuts, keep and go down on one's knees 60 °, the right hand hold straight knife gradually percutaneous incision undertissue to knee joint cavity, after change blunt nosed detacher and peel off soft tissue, blunt nosed detacher is extracted in expansion operation mouthful.The Wicresoft that the right hand is held this utility model gathers knife edge pipe 10 places of a body acupuncture cutter mirror; Approach inserts knee joint through the preceding outside with pin cutter mirror; Open entry channel valve 12 full articular cavity, detect the outer side clearance of side clearance and back in suprapatellar bursa, patellofemoral joint, inboard shin thigh gap, intercondylar fossa, shin thigh gap, the outside, knee joint lateral sulcus, the back successively.
At first discern the suprapatellar bursa top, straighten knee joint is pushed ahead through pin cutter mirror; Being connected of quadratus and knee joint synovial membrane before the visible femur of suprapatellar bursa turns to the inboard with pin cutter minute surface after the suprapatellar bursa top is confirmed, on one side slowly after withdraw of the needle cutter mirror; Observe on one side; It is thus clear that inboard pleat on the kneecap after the inboard plica synovialis inspection of suprapatellar bursa finishes, is positioned over the patellofemoral joint gap through pin cutter mirror; Observe the utmost point to the patella through front and back advance and retreat pin cutter mirror from SPP, rotate minute surface to show whole patella and below femur cartilage surface.In the face of condyle cartilage surface in the femur, slowly the flexing knee joint moves down camera lens along cartilage surface with pin cutter mirror minute surface, until getting into inboard shin thigh gap, observes medial meniscus and synovial membrane junction, transverse ligament of knee and femur cartilage surface.Pin cutter lens head is positioned over the medial tibial platform, observes anterior cruciate ligament, posterior cruciate ligament, the kneecap inferior synovial membrane pleat of intercondylar fossa the inside and be positioned at the fat pad in the place ahead.Facies artieularis malleolaris in the pin cutter lens head femur inboard near intercondylar fossa; The upwards translation earlier along inside edge, intercondylar fossa the place ahead; Outwards move to the femoral lateral condyle articular surface after crossing the mucosa ligament, the downward translation of outer ledge along intercondylar fossa the place ahead again gets into shin thigh gap, the outside to the lateral of tibia platform; Observe the lateral of tibia platform, lateral meniscus and meniscus and synovial membrane junction.Turn over knee joint in slight, pin cutter lens head by the further outwards translation of shin thigh gap, the outside, is got between knee joint lateral wall and the lateral meniscus, i.e. knee joint lateral sulcus gap.The interior side clearance in back can get into by the past outside approach, discerns the medial meniscus relief angle earlier, and pin cutter lens head is placed between ligamentaum cruciatum and the interior condyle of femur; Go down on one's knees 30-45 °; Promote pin cutter mirror gently backward, can feel that pin cutter lens head jumps into side clearance in the back, in case get into side clearance in the back; Go down on one's knees 90 ° to increase the gap internal pressure; And then side clearance in after the expansion, corner edge and posterior joint capsule synovial membrane behind the interior condyle rear of the visible femur of interior side clearance, back, the medial meniscus, posterior cruciate ligament is covered by sheath here.When getting into, the outer side clearance in back does to turn in the slight knee joint; To with pin cutter lens head end subtend lateral meniscus relief angle; Through between femoral lateral condyle and anterior cruciate ligament, insert again, can show femoral lateral condyle rear, lateral meniscus relief angle, posterior cruciate ligament and posterior joint capsule synovial membrane.
When each gap of knee joint is observed; Instrumentation passage entering probe through pin cutter mirror is detected the performances such as quality, tension force, elasticity and degree of excursion that understanding is observed tissue, thus physiology, the pathological condition of knee joint intrinsic articulation cartilage, meniscus, ligament and synovial tissue's (comprising plica synovialis) is made comprehensive assessment.Cartilage, meniscus, ligament and synovial tissue to pathological changes adopt synechotome, foreign body finger pincers, adhesion to shear mis instruments such as soft cutter, Wicresoft's adhesion shears, medicine for treatment of adhesion cutting knife; Instrumentation passage through pin cutter mirror is peeled off and is dredged; Carry out the articular cavity lavation simultaneously; To remove adhesion, diminish inflammation, recover function of joint.
The above embodiments are merely the preferred embodiment of this utility model, can not limit the interest field of this utility model with this, and therefore, the equivalent variations according to this utility model claim is done still belongs to the scope that this utility model is contained.
Claims (8)
1. a Wicresoft gathers a body acupuncture cutter mirror, it is characterized in that comprising the fit light microscopic assembly of mirror cutter, the fit tube core assembly of mirror cutter and the fit hard sleeve assembly of mirror cutter; The fit light microscopic assembly of described mirror cutter comprises camera lens (1), objective carrier (2) and light pipe (3); The fit tube core assembly of described mirror cutter comprises cutter pipe tube core (4); The fit hard sleeve assembly of described mirror cutter comprises cutter pipe (6); Described light pipe (3) is plugged on the cutter pipe tube core (4), and described cutter pipe tube core (4) is plugged on the cutter pipe (6).
2. Wicresoft according to claim 1 gathers a body acupuncture cutter mirror; It is characterized in that the part that described cutter pipe tube core (4) is gone up in the insertion cutter pipe (6) is provided with two autonomous channels; Wherein a passage is as the instrumentation passage that holds therapeutic device, and the camera lens passage of light pipe (3) is held in another conduct.
3. Wicresoft according to claim 2 gathers a body acupuncture cutter mirror, it is characterized in that described cutter pipe (6) is provided with anterior cannula (7), and described cutter pipe tube core (4) is provided with rear sleeve (8), and described anterior cannula (7) connects with rear sleeve (8); Also be provided with connection separating sheet (9) on the described anterior cannula (7), described connection separating sheet (9) is located between anterior cannula (7) and the rear sleeve (8).
4. Wicresoft according to claim 3 gathers a body acupuncture cutter mirror, it is characterized in that described instrumentation passage extends out to outside the described rear sleeve (8), and the external part of instrumentation passage is provided with instrumentation channel valve (5).
5. Wicresoft according to claim 4 gathers a body acupuncture cutter mirror, it is characterized in that also being provided with on the described rear sleeve (8) the knife edge pipe (10) that stretches out to objective carrier (2) direction, and described knife edge pipe (10) parallels with cutter pipe tube core (4).
6. Wicresoft according to claim 5 gathers a body acupuncture cutter mirror, it is characterized in that described camera lens (1) is located at the outermost end of objective carrier (2), and described objective carrier (2) is provided with the cold light source joint (13) that is used to insert light source.
7. Wicresoft according to claim 6 gathers a body acupuncture cutter mirror; It is characterized in that being equipped with into water passage pipe (11) on the rear sleeve (8) of anterior cannula (7) and cutter pipe tube core (4) of said cutter pipe (6), each is gone into water passage pipe (11) and is provided with entry channel valve (12).
8. Wicresoft according to claim 7 gathers a body acupuncture cutter mirror, it is characterized in that the end of said cutter pipe (6) is provided with the pin cutter head of wedge shape end face.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2011205713844U CN202397553U (en) | 2011-12-30 | 2011-12-30 | Minimally invasive integrated acupotomology mirror |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2011205713844U CN202397553U (en) | 2011-12-30 | 2011-12-30 | Minimally invasive integrated acupotomology mirror |
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| Publication Number | Publication Date |
|---|---|
| CN202397553U true CN202397553U (en) | 2012-08-29 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN2011205713844U Expired - Lifetime CN202397553U (en) | 2011-12-30 | 2011-12-30 | Minimally invasive integrated acupotomology mirror |
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| CN (1) | CN202397553U (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102429632A (en) * | 2011-12-30 | 2012-05-02 | 广州市亿福迪医疗器械有限公司 | Minimally invasive collective integral acupotomy scope and operation method thereof |
-
2011
- 2011-12-30 CN CN2011205713844U patent/CN202397553U/en not_active Expired - Lifetime
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102429632A (en) * | 2011-12-30 | 2012-05-02 | 广州市亿福迪医疗器械有限公司 | Minimally invasive collective integral acupotomy scope and operation method thereof |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C14 | Grant of patent or utility model | ||
| GR01 | Patent grant | ||
| AV01 | Patent right actively abandoned | ||
| AV01 | Patent right actively abandoned | ||
| AV01 | Patent right actively abandoned |
Granted publication date: 20120829 Effective date of abandoning: 20140326 |
|
| AV01 | Patent right actively abandoned |
Granted publication date: 20120829 Effective date of abandoning: 20140326 |