CN204121160U - Inverted cone microscopy endoscopic mirror system - Google Patents
Inverted cone microscopy endoscopic mirror system Download PDFInfo
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- CN204121160U CN204121160U CN201420342028.9U CN201420342028U CN204121160U CN 204121160 U CN204121160 U CN 204121160U CN 201420342028 U CN201420342028 U CN 201420342028U CN 204121160 U CN204121160 U CN 204121160U
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- endoscope
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- inverted cone
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Abstract
A kind of microscopy endoscopic mirror system, inverted cone microscopy endoscopic mirror system, belongs to surgical operating instrument field.The mechanism that this inverted cone microscopy endoscopic mirror system invented is made up of working column, fixing stand for endoscope and endoscope three part.It is characterized in that working column is hollow pipeline, in inverted cone, the internal diameter of its upper end open is greater than its lower ending opening internal diameter; The upper part of working column is shorter, is less than or equal to the height of fixing stand for endoscope; Ring for fixing can not opening below the endoscope's slot in shutoff fixing stand for endoscope; Endoscope lens inserts the hollow slot being positioned at working column tube wall, neither affects the observation of endoscope, can increase again the working place of operating theater instruments in working column; Fixing stand for endoscope is in " one " font.During application inverted cone micro-endoscope system operation, the convenience increasing surgical instrument operation and the object expanding patient's surgical field of view can be reached.
Description
Technical field
The invention belongs to surgery Minimally Invasive Surgery instrument field, specifically, invent a kind of inverted cone microscopy endoscopic mirror system, effectively can improve current microscopy endoscopic mirror system to there is the patient visual field and be subject to the shortcomings such as endoscope tail end stops and the simple operation of operation technique apparatus is poor, make microscopy endoscopic mirror system can meet the needs of clinical position better.
Background technology
Microendoscopic minimally invasive spinal surgery operation technique, microscopy endoscopic mirror system used mainly contains: MED
[1,2]and METRx
[3,4]endoscope system etc.But, there is many shortcomings in endoscope system used at present, as the working column of MED system, its upper/lower terminal opening inside diameter size is the same, its surface is with ring for fixing, ring for fixing is oversize etc. with upper part, thus during the microscopy endoscopic mirror system causing application current, and the patient visual field is by the shortcoming such as stopping obviously and the simple operation of operating theater instruments is poor.
Be described for existing MED endoscope system (hereinafter referred to as MED system) below.MED system is made up of MED working column, MED fixing stand for endoscope and endoscope.MED working column is circular hollow metallic conduit, and internal diameter of the pipeline is not expansible and its upper end open is the same with the internal diameter size of lower ending opening, and conventional internal diameter is 18mm.There is a ring for fixing on MED working column surface, MED working column is divided into top and bottom two parts, because ring for fixing and the fixed handle adhered on it can not enter in operative incision, therefore, the length of MED working column end portion is effective working column length, and upper part is only used for fixing MED fixing stand for endoscope.When carrying out operation technique in MED working column, except with except endoscope, patient often need detect by an unaided eye operative region.So, 3 factors affect the degree that the simple operation of the operating theater instruments of MED system and the patient visual field stop below: 1, the longitudinal axis angulation size of the operation technique apparatus such as rongeur and MED working column.Angulation its simple operation larger is higher, and the degree stopped the patient visual field is less, and 2, the size of endoscope tail end distance MED working column upper end open center of circle distance in the horizontal and vertical directions.In horizontal direction, distance is larger, and the distance in vertical direction is less, and its simple operation is higher, stops that degree is less to the patient visual field.3, the size of MED working column total length.Under the prerequisite that effective working column length is identical, MED working column total length is less, then its simple operation is higher, and the degree stopped the patient visual field is less.
According to above-mentioned 3 influence factors, there is following shortcoming in MED system: one, the internal diameter of its upper end open of MED working column is too small.Upper end open internal diameter is too small, the increase of operation technique apparatus and MED working column longitudinal axis angulation can be limited, also can limit levels Wei Shang endoscope tail end and MED working column upper end open distance of center circle from increase, thus reduce the convenience of surgical instrument operation and hinder patient to the observation of operative region.Two, the ring for fixing on MED working column surface is too wide, and ring for fixing is long with upper part.Ring for fixing is too wide, and the lower opening of the endoscope's slot in meeting shutoff MED fixing stand for endoscope, hinders endoscope's plug to move down, and causes endoscope's tail end in vertical direction large apart from the distance change in the MED working column upper end open center of circle; Ring for fixing is long with upper part, and making, when identical effective working column length, can increase the total length of MED working column.Three, endoscope inserts in MED working column.When performing the operation with MED working column, endoscope lens need be inserted in MED working column, because the sectional area of MED working column itself is limited, can reduce effective operation technique space like this, also can hinder the observation to surgical field of view.Four, MED fixing stand for endoscope is too high.Current MED fixing stand for endoscope side is seen L-shaped, its vertical portion branch increases the height of MED fixing stand for endoscope, cause MED working column upper part long, under the prerequisite of the effective working column of equal length, the total length of MED working column can be increased; Also can cause in vertical direction, endoscope's tail end becomes large apart from the distance in the MED working column upper end open center of circle simultaneously, thus affects the simple operation of operating theater instruments and hinder patient to the observation of operative region.
Summary of the invention
Goal of the invention: the inverted cone microscopy endoscopic mirror system of this invention, under the prerequisite substantially not increasing operative incision, improves current microscopy endoscopic mirror system (MED
[1,2]and METRx
[3,4]endoscope system) shortcoming, make surgical instrument operation more convenient, the visual field of patient is broader.
Detailed description of the present invention: a kind of microscopy endoscopic mirror system, inverted cone microscopy endoscopic mirror system, the mechanism be made up of working column, fixing stand for endoscope and endoscope three part, it is characterized in that working column is hollow pipeline, in inverted cone, the internal diameter of its upper end open is greater than its lower ending opening internal diameter, the upper part of working column is shorter, ring for fixing width is less, and endoscope lens inserts the slot being positioned at working column tube wall, and fixing stand for endoscope is in " one " font.
Working column part is that boundary is divided into upper part and end portion with ring for fixing, and ring for fixing is connected with fixed handle.Fixing stand for endoscope central part hollow, for placing working column; There is endoscope's fixed slot of hollow fixing stand for endoscope one end, for the locking-type plug of deploying endoscope; Fixing stand for endoscope opposite side has one piece of fixed screw, fixing stand for endoscope can be fixed on working column or unclamp from working column by rotary screw.
Inverted cone microscopy endoscopic mirror system is characterized in that described working column is hollow pipeline, and in inverted cone, the internal diameter of its upper end open is greater than its lower ending opening internal diameter.
Inverted cone microscopy endoscopic mirror system, is characterized in that described working column ring for fixing is less than or equal to the height of fixing stand for endoscope with the length of upper part.
Inverted cone microscopy endoscopic mirror system is characterized in that the width of the ring for fixing of described working column is less, can not the lower opening of endoscope's slot in shutoff fixing stand for endoscope.
Inverted cone microscopy endoscopic mirror system is characterized in that endoscope lens inserts the hollow slot being positioned at working column tube wall, neither affects the observation of endoscope, can increase again the working place of operating theater instruments in working column.
Inverted cone microscopy endoscopic mirror system is characterized in that fixing stand for endoscope from the side, in " one " font, contributes to reducing its height.
According to the shortcoming that the above-mentioned current MED system analyzed exists, neoteric inverted cone microscopy endoscopic mirror system has following advantage,
One, suitably expand upper end open internal diameter, add the longitudinal axis angulation of operation technique apparatus and working column, increase the distance between endoscope's tail end and the working column upper end open center of circle on horizontal position.Two, the width of working column surface ring for fixing is reduced, reduce the length of working column upper end, the minimizing of ring for fixing width, make it can not the lower opening of endoscope's slot in shutoff fixing stand for endoscope, be conducive to endoscope's locking-type plug to move down, reduce the distance in endoscope's tail end distance working column upper end open center of circle in vertical direction; Reduce working column upper end length, so under the prerequisite of identical effective working column length, the total length of working column can be reduced.Three, endoscope lens is inserted the slot being positioned at working column tube wall, certain point of the tube wall of working column opens a groove, art region in one's hands will be inserted in endoscope lens from then on groove, do not affect the observation of endoscope to operative region, can make again to move outside whole endoscope, both can increase the working place of operating theater instruments in working column, the distance in endoscope's tail end distance working column upper end open center of circle in vertical direction can have been increased again.Four, reduce the height of fixing stand for endoscope, make it become " one " shape from " L " shape, the height of endoscope's tail end can be reduced like this.
The invention has the beneficial effects as follows, by above-mentioned improvement, when making application inverted cone micro-endoscope system operation, the convenience of surgical instrument operation can be increased, also can reduce the stop in the patient visual field simultaneously.
Accompanying drawing explanation
Accompanying drawing 1 is working column schematic diagram; Accompanying drawing 2 is fixing stand for endoscope schematic diagram; Accompanying drawing 3 is endoscope's schematic diagram; Accompanying drawing 4 is inverted cone micro-endoscope entire system schematic diagram, and accompanying drawing 5 is inverted cone micro-endoscope entire system longitudinal cross-section schematic diagram.In figure:
1 is the ring for fixing on working column surface;
2 for being attached to the fixed handle of ring for fixing;
3 is the upper end open of working column;
4 for being positioned at the slot of working column tube wall, hollow, for deploying endoscope camera lens;
5 is the compensating roller screw of fixing stand for endoscope;
6 is fixing stand for endoscope central part, and hollow, for placing working column;
7 is endoscope's slot of fixing stand for endoscope, and hollow, for deploying endoscope locking-type plug;
8 is endoscope's locking-type plug, inserts in endoscope's slot of fixing stand for endoscope;
9 is endoscope lens;
10 is the tail end of endoscope.
Detailed description of the invention
Below in conjunction with accompanying drawing, patent of the present invention is further described.Embodiment is that metal alloy compositions makes.
Inverted cone microscopy endoscopic mirror system is divided into working column (accompanying drawing 1), fixing stand for endoscope (accompanying drawing 2) and endoscope's (accompanying drawing 3) three parts.Working column surface is with a ring for fixing (1), ring for fixing (1) is connected with fixed handle (2), fixed handle (2) is for fixing whole inverted cone microscopy endoscopic mirror system, working column is divided into top and bottom two parts by ring for fixing (1), the internal diameter of the upper end open (3) of working column is a bit larger tham the lower ending opening internal diameter of working column, be positioned at the slot (4) of working column tube wall, hollow, for deploying endoscope camera lens (9).There is compensating roller screw (5) fixing stand for endoscope side, for fixing stand for endoscope being fixed on working column (or unclamping from working column), fixing stand for endoscope central part (6), hollow, for placing working column, the opposite side of fixing stand for endoscope has endoscope's slot (7), hollow, for deploying endoscope locking-type plug (8); Endoscope's locking-type plug (8) is inserted in endoscope's slot (7) of fixing stand for endoscope, and endoscope lens (9) inserts the slot (4) being positioned at working column wall, the tail end that (10) are endoscope.
Inverted cone microscopy endoscopic mirror system has following advantage (accompanying drawing 4,5): one, suitably expand upper end open (3) internal diameter.Add the longitudinal axis angulation of operation technique apparatus and working column, increase the distance between endoscope's tail end (10) and working column upper end open (3) center of circle on horizontal position.Two, reduce the width of working column surface ring for fixing (1), reduce working column upper end length.The minimizing of ring for fixing (1) width, make it can not the lower opening of endoscope's slot (7) in shutoff fixing stand for endoscope, be conducive to endoscope's locking-type plug (8) to move down, reduce the distance in endoscope's tail end (10) distance working column upper end open (3) center of circle in vertical direction; Also can reduce the length of working column upper part, so under the prerequisite of identical effective working column length, the total length of working column can be reduced.Three, endoscope lens (9) is inserted the slot (4) being positioned at working column wall, instead of insert in working column.Do not affect the observation of endoscope to operative region, can make again to move outside whole endoscope, both can increase the working place of operating theater instruments in working column, the distance in endoscope's tail end (10) distance working column upper end open (3) center of circle in horizontal direction can have been increased again.Four, the height of fixing stand for endoscope is reduced.Make it become " one " shape from " L " shape, the height of endoscope's tail end (10) can be reduced like this.
By above-mentioned improvement, make inverted cone microscopy endoscopic mirror system energy: the longitudinal axis angulation one, increasing the operation technique apparatuses such as rongeur and working column; Two, increase endoscope's tail end (10) apart from working column upper end open (3) center of circle distance in the horizontal direction, reduce endoscope's tail end (10) apart from working column upper end open (3) center of circle distance in vertical direction; Three, under the prerequisite of identical effective active length, the total length of working column is reduced.During such application inverted cone microscopy endoscopic mirror system, just can realize the convenience increasing surgical instrument operation, also can expand the surgical field of view of patient simultaneously.
List of references
[1] Ding Xiaochuan, Liu Xuanwen, Liu Desheng. micro-endoscope systematic treating 200 cases of lumbar intervertebral disc herniation is reported. Sichuan medical science .2004. (05): 544-545.
[2], in Japanese plum, Li Xiaoguang, Li Liang .MED treats old single segmental lumbar spinal stenosis 16 example. and Aged in China magazine .2011. (09): 1678-1679.
[3] Li Chunhai, Liu Shangli, Huang Dongsheng, Ding Yue, He Jiemin. application METRx MED treatment Far lateral lumbar disc herniation. Chinese surgical magazine .2006.44 (4): 235-237.
[4] Yang great Zhi, Yi Weihong, Wang Ertian, Wang Min, Liu Cheng .METRx MED Cervical vertebra way of escape intervertebral foramina facetectomy effectiveness study. Clinical Surgery magazine .2012.20 (7): 503-504.
Claims (6)
1. a microscopy endoscopic mirror system, inverted cone microscopy endoscopic mirror system, the mechanism be made up of working column, fixing stand for endoscope and endoscope three part, it is characterized in that working column is hollow pipeline, in inverted cone, the internal diameter of its upper end open (3) is greater than its lower ending opening internal diameter, the upper part of working column is shorter, ring for fixing (1) width is less, endoscope lens (9) inserts the slot (4) being positioned at working column tube wall, and fixing stand for endoscope is in " one " font.
2. inverted cone microscopy endoscopic mirror system as claimed in claim 1, it is characterized in that described working column is hollow pipeline, in inverted cone, the internal diameter of its upper end open (3) is greater than its lower ending opening internal diameter.
3. inverted cone microscopy endoscopic mirror system as claimed in claim 1, is characterized in that described working column ring for fixing (1) is less than or equal to the height of fixing stand for endoscope with the length of upper part.
4. inverted cone microscopy endoscopic mirror system as claimed in claim 1, is characterized in that the width of the ring for fixing (1) of described working column is less, can not the lower opening of endoscope's slot (7) in shutoff fixing stand for endoscope.
5. inverted cone microscopy endoscopic mirror system as claimed in claim 1, it is characterized in that endoscope lens (9) inserts the hollow slot (4) being positioned at working column tube wall, neither affect the observation of endoscope, the working place of operating theater instruments in working column can be increased again.
6. inverted cone microscopy endoscopic mirror system as claimed in claim 1, is characterized in that fixing stand for endoscope from the side, in " one " font, contributes to reducing its height.
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CN201420342028.9U CN204121160U (en) | 2014-06-26 | 2014-06-26 | Inverted cone microscopy endoscopic mirror system |
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CN201420342028.9U CN204121160U (en) | 2014-06-26 | 2014-06-26 | Inverted cone microscopy endoscopic mirror system |
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Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN108542439A (en) * | 2018-05-14 | 2018-09-18 | 浙江大学医学院附属第医院 | Expander and surgical instrument |
CN110063799A (en) * | 2019-04-26 | 2019-07-30 | 张宗恒 | Percutaneous backbone scope helps control device |
WO2022062484A1 (en) * | 2020-09-28 | 2022-03-31 | 上海市第十人民医院 | Two-channel working cannula |
-
2014
- 2014-06-26 CN CN201420342028.9U patent/CN204121160U/en not_active Expired - Fee Related
Cited By (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN108542439A (en) * | 2018-05-14 | 2018-09-18 | 浙江大学医学院附属第医院 | Expander and surgical instrument |
CN108542439B (en) * | 2018-05-14 | 2024-06-25 | 浙江大学医学院附属第一医院 | Dilator and surgical instrument |
CN110063799A (en) * | 2019-04-26 | 2019-07-30 | 张宗恒 | Percutaneous backbone scope helps control device |
CN110063799B (en) * | 2019-04-26 | 2024-06-11 | 张宗恒 | Percutaneous spinal endoscope auxiliary controller |
WO2022062484A1 (en) * | 2020-09-28 | 2022-03-31 | 上海市第十人民医院 | Two-channel working cannula |
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GR01 | Patent grant | ||
CF01 | Termination of patent right due to non-payment of annual fee | ||
CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20150128 Termination date: 20170626 |