CN207768438U - A kind of semilune long-neck instrument feeder for complicated arthrocsopic surgery - Google Patents

A kind of semilune long-neck instrument feeder for complicated arthrocsopic surgery Download PDF

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Publication number
CN207768438U
CN207768438U CN201720625929.2U CN201720625929U CN207768438U CN 207768438 U CN207768438 U CN 207768438U CN 201720625929 U CN201720625929 U CN 201720625929U CN 207768438 U CN207768438 U CN 207768438U
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China
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sleeve
long
semilune
complicated
swing arm
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CN201720625929.2U
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朱伟民
崔家鸣
陆伟
王大平
熊建义
陈康
李瑛�
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Abstract

The utility model discloses a kind of semilune long-neck instrument feeders for complicated arthrocsopic surgery, it includes sleeve, slide construction, handle, the slide construction is arranged along the axis direction of sleeve on the lateral wall of sleeve, and the handle is arranged in the end of sleeve.When the utility model is used, it holds handle sleeve is inserted into operative incision, long-neck instrument is slided into operative incision until at shoulder joint bony defect area along slide construction;The apparatus structure is simple, easy to operate, and without being put into long-neck instrument by rule of thumb, procedure efficiency is high, operation wound is small, and be worth promoting use.

Description

A kind of semilune long-neck instrument feeder for complicated arthrocsopic surgery
Technical field
The utility model belongs to the field of medical instrument technology, and in particular to a kind of semilune for complicated arthrocsopic surgery Long-neck instrument feeder.
Background technology
It is fixed the most frequently used of shoulder joint anterior instability that glenoid bone defective bone, which blocks prosthetic (Latarjet prosthetics), Modus operandi, but it is higher for the risk dislocated there are the Patients on Recurrence of the serious bony defect of shoulder broad-mouthed receptacle for holding liquid leading edge.Coracoid displacement Latarjet operations provide solution for this kind of patient, and obtain good effect, especially for young patient, so And in such operation, it is often necessary to subscapular muscle is detached, but since there are many important for the surface of subscapular muscle and surrounding Nerve and blood vessel, separation when for surgical doctor experience and operation require;Even but high seniority chief physician, it is right In separation subscapular muscle, it is also desirable to it is extremely careful, it is careless slightly, i.e., it can damage important nervus vasculairs.
During carrying out latarjet operations, the processus coracoideus under intercepting needs to be fixed on cavitas glenoidalis bone defective region, Then bone block is to be placed on glenoid correct position across subscapular muscle by front, but this position fixing process is according to existing skill The very difficult complexity of art needs then to draw back exchange stick, then with warp first using the subscapular muscle for exchanging stick positioning front from rear Test and be put into expansion instrument, and this just make twice to enter paths inconsistent, slowly and easy damaged neural blood vessel to process, and Final surgical effect is influenced, or even jeopardizes patient vitals' safety.
Utility model content
In view of this, the main purpose of the utility model is to provide a kind of semilune for complicated arthrocsopic surgery is long Neck instrument feeder, solves that operating process in the prior art is cumbersome slowly, easy damaged neural blood vessel, procedure efficiency is low asks Topic.
In order to achieve the above objectives, the technical solution of the utility model is realized in:One kind is for complicated arthroscope hand The semilune long-neck instrument feeder of art comprising sleeve, slide construction, handle, axis of the slide construction along sleeve Direction is arranged on the lateral wall of sleeve, and the handle is arranged in the end of sleeve;It holds the handle and sleeve is inserted into operation In notch, long-neck instrument is slided into operative incision until at shoulder joint bony defect area along slide construction.
Preferably, the slide construction is a straight slot, and the straight slot is arranged along the axis direction of sleeve in the outside of sleeve On wall.
Preferably, the slide construction is a notch, and the notch is extended on sleeve along the axis direction of sleeve On side wall.
Preferably, the barrel forward end setting is tapered.
Preferably, it is provided at least one through-hole on the handle.
Preferably, the long-neck instrument is expander, and the straight slot and expander are connected, and the expander includes the One curved support plate, the second curved support plate, connection traversing mechanism, raised line, the first curved support plate are rotated by connecting Mechanism is connected with the second curved support plate, and the raised line is set to the first curved support plate close to one end of connection traversing mechanism Or second curved support plate close to one end of connection traversing mechanism, the straight slot is matched with raised line.
Preferably, the connection traversing mechanism includes sleeve, swing arm, and the sleeve is sheathed on swing arm, on the sleeve It is provided with the hollow out for appearing swing arm, the first curved support plate is fixed on sleeve on the lateral wall of hollow out, described Second curved support plate is fixed on swing arm corresponding with the hollow out.
Preferably, the connection traversing mechanism includes sleeve, swing arm, and the sleeve is sheathed on swing arm, on the sleeve It is provided with the hollow out for appearing swing arm, the first curved support plate is fixed on swing arm corresponding with the hollow out, institute It states the second curved support plate and is fixed on sleeve on the lateral wall of hollow out.
Preferably, further include the first revolving fragment, the second revolving fragment, first revolving fragment is set to the outer of barrel end On side wall, second revolving fragment is set on the side wall of swing arm end.
Preferably, the length of the swing arm is more than the length of sleeve.
Preferably, the handle and sleeve are L-shaped.
Preferably, the front end setting of the sleeve is tapered.
Compared with prior art, when the utility model is used, it holds handle sleeve is inserted into operative incision, then will grow Neck instrument (expander) is slided into operative incision to complete to send to shoulder joint bony defect area long-neck instrument along slide construction Place;The apparatus structure is simple, easy to operate, and without being put into long-neck instrument by rule of thumb, procedure efficiency is high, operation wound is small, is worth big Power is promoted the use of.
Description of the drawings
Fig. 1 is the first of a kind of semilune long-neck instrument feeder for complicated arthrocsopic surgery of the utility model The structural schematic diagram of embodiment;
Fig. 2 is the sectional view of embodiment 1;
Fig. 3 is second of a kind of semilune long-neck instrument feeder for complicated arthrocsopic surgery of the utility model The structural schematic diagram of the small notch of width in embodiment;
Fig. 4 is the sectional view of Fig. 3;
Fig. 5 is second of a kind of semilune long-neck instrument feeder for complicated arthrocsopic surgery of the utility model The structural schematic diagram of the notch of embodiment Plays width;
Fig. 6 is the sectional view of Fig. 5;
Fig. 7 is second of a kind of semilune long-neck instrument feeder for complicated arthrocsopic surgery of the utility model The structural schematic diagram of the big notch of width in embodiment;
Fig. 8 is the sectional view of Fig. 7;
Fig. 9 is the structural schematic diagram of expander.
Specific implementation mode
In order to make the purpose of the utility model, technical solutions and advantages more clearly understood, below in conjunction with attached drawing and implementation Example, the present invention will be further described in detail.It should be appreciated that specific embodiment described herein is only used to explain The utility model is not used to limit the utility model.
The utility model provides a kind of semilune long-neck instrument feeder for complicated arthrocsopic surgery, such as Fig. 1- Shown in 8 comprising sleeve 1, slide construction 2, handle 3, slide construction 2 are arranged along the axis direction of sleeve 1 in the outside of sleeve 1 On wall, handle 3 is arranged in the end of sleeve 1;In use, sleeve 1 is inserted into operative incision by the hand-held handle 3, pass through by Long-neck instrument is slided into operative incision until at shoulder joint bony defect area along slide construction 2;The apparatus structure is simple, easily grasps Make, without being put into long-neck instrument by rule of thumb, procedure efficiency is high, operation wound is small, and be worth promoting use.
Further, slide construction 2 is a straight slot 21, and straight slot 21 is arranged along the axis direction of sleeve 1 in the outside of sleeve 1 On wall;When slide construction 2 is straight slot 21, it is only capable of transmission and is equipped with the raised line to match with straight slot 21 or convex block (being not drawn into figure) Long-neck instrument, and to be sheathed on sleeve 1 completely outer or be built in sleeve 1 for the long-neck instrument overall structure.
Further, as shown in figures 3-8, slide construction 2 is a notch 22, and notch 22 extends along the axis direction of sleeve 1 It is arranged on the side wall of sleeve 1;Wherein the width of notch 22 can be fabricated to different sizes according to the shape of long-neck instrument end, Such as the small notch of width, the notch of width criteria and the big notch of width.
Further, it is provided at least one through-hole 31 on handle 3;Handle 3 and sleeve 1 are L-shaped;It is convenient for patient's in this way It is affectedly bashful and operates.
Further, the front end setting of sleeve 1 is tapered;Setting design in this way is inserted into convenient for sleeve 1 in operative incision.
Further, as shown in figure 9, long-neck instrument is expander 4, straight slot 21 is connected with expander 4, expander 4 Including the first curved support plate 41, the second curved support plate 42, connection traversing mechanism 43, raised line 44, the first curved support plate 41 It is connected with the second curved support plate 42 by connection traversing mechanism 43, the raised line 44 is set to the first curved support plate 41 and leans on One end of nearly connection traversing mechanism 43 or the second curved support plate 42 close to one end of connection traversing mechanism 43, straight slot 21 with it is convex Item 44 matches.
Further, raised line 44 can also slide in notch 22.
Further, connection traversing mechanism 43 includes sleeve 431, swing arm 432, and sleeve 431 is sheathed on swing arm 432, is covered The hollow out for appearing swing arm 432 is provided on cylinder 431, the first curved support plate 41 is fixed on sleeve 431 close to the outer of hollow out On side wall, the second curved support plate 42 is fixed on swing arm corresponding with the hollow out 432.
Further, connection traversing mechanism 43 includes sleeve 431, swing arm 432, and sleeve 431 is sheathed on swing arm 432, is covered The hollow out for appearing swing arm 432 is provided on cylinder 431, the first curved support plate 41 is fixed on swing arm corresponding with hollow out On 433, the second curved support plate 42 is fixed on sleeve 431 on the lateral wall of hollow out.
Further, further include the first revolving fragment 4311, the second revolving fragment 4321, the first revolving fragment 4311 is set to On the lateral wall of 431 end of sleeve, the second revolving fragment 4321 is set on the side wall of 432 end of swing arm;By at 431 end of sleeve First revolving fragment 4311 is set on the lateral wall at end and the second revolving fragment 4321 is set on the end side wall of swing arm 432, is convenient for Doctor patient rotates when being strutted to subscapular muscle, and progress of performing the operation in this way is fast, while decreasing the pain of patient.
Further, the length of swing arm 432 is more than the length of sleeve 431;Setting carries out swing arm 432 convenient for patient in this way Rotation.
As shown in Figure 1, Figure 2, shown in Fig. 3, Fig. 4 and Fig. 9, the use process of the first embodiment of the utility model is:1) it will hand over Change stick (separately matching, be not drawn into figure) be inserted into operative incision in and subscapular muscle of having good positioning;2) sleeve 1 is sleeved on and is exchanged outside stick simultaneously It pushes in sleeve 1 to operative incision;3) by the straight slot 21 or notch 22 on 44 the utility model of raised line being arranged on expander 4 (gap bridge device as shown in Figure 3 can be used when the width of notch 22 is matched with the thickness of raised line 44) with merging along straight slot 21 or Notch 22 is slided into notch so that expander 4 is sent at shoulder joint bony defect area.
As shown in figures 3-8, the use process of second of embodiment of the utility model is:1) stick will be exchanged (separately to match, in figure not Draw) be inserted into operative incision in and subscapular muscle of having good positioning;2) sleeve 1 is sleeved on and exchanges outside stick and sleeve 1 to operation is pushed to cut In mouthful;3) extract exchange stick, take long-neck instrument (being not drawn into figure) to be built in sleeve 1, and along notch 22 (when long-neck instrument without Gap bridge device as shown in figure 5 and figure 7 can be used when raised line 21) direction send to shoulder joint bony defect area.
Compared with the existing technology, when the utility model is used, hold handle sleeve 1 is inserted into operative incision, then will Long-neck instrument is slided into operative incision to complete to send to shoulder joint bony defect area long-neck instrument along slide construction 2;It should Apparatus structure is simple, easy to operate, and without being put into long-neck instrument by rule of thumb, procedure efficiency is high, operation wound is small, is worth promoting It uses.
The above, the only preferred embodiment of the utility model, are not intended to limit the protection of the utility model Range.

Claims (10)

1. a kind of semilune long-neck instrument feeder for complicated arthrocsopic surgery, which is characterized in that it includes sleeve, cunning Dynamic structure, handle, the slide construction are arranged along the axis direction of sleeve on the lateral wall of sleeve, and the handle setting is covering The end of cylinder;It holds the handle sleeve is inserted into operative incision, long-neck instrument is sliding into operative incision along slide construction It moves until at shoulder joint bony defect area.
2. a kind of semilune long-neck instrument feeder for complicated arthrocsopic surgery according to claim 1, special Sign is that the slide construction is a straight slot, and the straight slot is arranged along the axis direction of sleeve on the lateral wall of sleeve.
3. a kind of semilune long-neck instrument feeder for complicated arthrocsopic surgery according to claim 1, special Sign is that the slide construction is a notch, and the notch is extended on along the axis direction of sleeve on the side wall of sleeve.
4. a kind of semilune long-neck instrument feeder for complicated arthrocsopic surgery according to claim 2 or 3, It is characterized in that, the front end setting of the sleeve is tapered.
5. a kind of semilune long-neck instrument feeder for complicated arthrocsopic surgery according to claim 4, special Sign is, at least one through-hole is provided on the handle.
6. a kind of semilune long-neck instrument feeder for complicated arthrocsopic surgery according to claim 2, special Sign is that the long-neck instrument is expander, and the straight slot is connected with expander;The expander includes the first arc branch Fagging, the second curved support plate, connection traversing mechanism, raised line, the first curved support plate pass through connection traversing mechanism and Two curved support plates are connected, and the raised line is set to the first curved support plate close to one end of connection traversing mechanism or second Curved support plate is matched close to one end of connection traversing mechanism, the straight slot with raised line.
7. a kind of semilune long-neck instrument feeder for complicated arthrocsopic surgery according to claim 6, special Sign is that the connection traversing mechanism includes sleeve, swing arm, and the sleeve is sheathed on swing arm, is arranged on the sleeve useful In the hollow out for appearing swing arm, the first curved support plate is fixed on sleeve on the lateral wall of hollow out, second arc Support plate is fixed on swing arm corresponding with the hollow out.
8. a kind of semilune long-neck instrument feeder for complicated arthrocsopic surgery according to claim 6, special Sign is that the connection traversing mechanism includes sleeve, swing arm, and the sleeve is sheathed on swing arm, is arranged on the sleeve useful In the hollow out for appearing swing arm, the first curved support plate is fixed on swing arm corresponding with the hollow out, second arc Shape support plate is fixed on sleeve on the lateral wall of hollow out.
9. a kind of semilune long-neck instrument feeder for complicated arthrocsopic surgery according to claim 7 or 8, It is characterized in that, further includes the first revolving fragment, the second revolving fragment, first revolving fragment is set to the lateral wall of barrel end On, second revolving fragment is set on the side wall of swing arm end.
10. a kind of semilune long-neck instrument feeder for complicated arthrocsopic surgery according to claim 9, special Sign is that the length of the swing arm is more than the length of sleeve.
CN201720625929.2U 2017-06-01 2017-06-01 A kind of semilune long-neck instrument feeder for complicated arthrocsopic surgery Active CN207768438U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201720625929.2U CN207768438U (en) 2017-06-01 2017-06-01 A kind of semilune long-neck instrument feeder for complicated arthrocsopic surgery

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201720625929.2U CN207768438U (en) 2017-06-01 2017-06-01 A kind of semilune long-neck instrument feeder for complicated arthrocsopic surgery

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108969028A (en) * 2017-06-01 2018-12-11 崔家鸣 Gap bridge device for arthroscopic shoulder surgery long-neck instrument
CN109223161A (en) * 2018-11-21 2019-01-18 济南市儿童医院(山东大学齐鲁儿童医院) Minimally invasive surgery guiding instrument for bone joints

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108969028A (en) * 2017-06-01 2018-12-11 崔家鸣 Gap bridge device for arthroscopic shoulder surgery long-neck instrument
CN108969028B (en) * 2017-06-01 2023-12-05 崔家鸣 Bridge crossing device for long neck instrument in shoulder arthroscopy operation
CN109223161A (en) * 2018-11-21 2019-01-18 济南市儿童医院(山东大学齐鲁儿童医院) Minimally invasive surgery guiding instrument for bone joints
CN109223161B (en) * 2018-11-21 2021-07-06 安徽医科大学第一附属医院 Minimally invasive surgery guiding instrument for bone joints

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