CN209048360U - It is a kind of for treating the device of huge rotator cuff tear - Google Patents

It is a kind of for treating the device of huge rotator cuff tear Download PDF

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Publication number
CN209048360U
CN209048360U CN201820909891.6U CN201820909891U CN209048360U CN 209048360 U CN209048360 U CN 209048360U CN 201820909891 U CN201820909891 U CN 201820909891U CN 209048360 U CN209048360 U CN 209048360U
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China
Prior art keywords
injection
sacculus
rotator cuff
tube
sleeve
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Expired - Fee Related
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CN201820909891.6U
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Chinese (zh)
Inventor
张正文
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Nanchang Renren Medical Technology Co Ltd
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Nanchang Renren Medical Technology Co Ltd
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Abstract

The utility model discloses a kind of for treating the device of huge rotator cuff tear, which includes pressurizing device, Highpressure Tee device, handle device and balloon-system, and is sequentially connected;Principle is rebuild using upper joint capsule, self tendon or Heterogeneous tendon are substituted using balloon structure, for treating huge rotator cuff tear, especially supraspinatus and its tendon tearing;Sacculus is packed between humerus head and acromion, instead of the tendon being torn, is avoided humerus head from hitting acromion and is caused to have an intense pain, repaired the spherical reticular structure of rotator cuff.The sacculus of the utility model can be mass, and solve the problems, such as self tendon or Heterogeneous tendon source deficiency;The utility model can be not only used for open surgery, and can be used for minimally invasive arthrocsopic surgery;It when for minimally invasive arthrocsopic surgery, can greatly mitigate patient's operation wound, reduce patient's surgical recovery time;The utility model is easy to operate, is easy in clinical use.

Description

It is a kind of for treating the device of huge rotator cuff tear
Technical field
The utility model belongs to medical instruments field more particularly to a kind of for treating the device of huge rotator cuff tear.
Background technique
Shoulder joint is one and constitutes ball-mortar joint by humerus head and shallow Scapula glenoid.Four pieces of muscle, i.e., under supraspinatus, ridge Flesh, teres minor and omoplate flesh are gathered together in the form of tendon and are covered on formation one spherical reticular structure around humerus head It is rotator cuff.The effect of rotator cuff is so that humerus head is maintained in Scapula glenoid.Rotator cuff by humerus docile on shoulder blade, to shoulder joint Normal activity plays a very important role.When the tearing of one or more rotator cuff tendons, tendon is no longer attached to humerus completely On head.Most of tearings occur in supraspinatus and its tendon, and the other parts of rotator cuff are it can also happen that tearing.In many cases, Tendon tearing is by abrasion, with damage progress, it may occur however that be completely torn apart, develop into huge tearing by small tearing.
Because most of rotator cuff tears are mostly normal wear tearings, tear with aging and occur, so 40 years old or more People's rotator cuff tear is very risky.Those do repeatability and lift weight object or excessive movable people, also there is the risk that rotator cuff tear occurs.Fortune Mobilization is especially susceptible to that excessive usability tearing occurs, such as tennis player and pitcher.Painter, carpenter and other do it is excessive The people of work, the risk of rotator cuff tear are also very big.Although excessively also being occurred using tearing caused by sports or excessive work Compared with younger patient, but most tearings of younger patient are caused by wound as fallen.
In supraspinatus and its tendon, quite a few is unrepairable for the huge most common generation of rotator cuff tear.Hand The main purpose that art treats the huge rotator cuff tear of such unrepairable is to eliminate, relieve pain.After such tearing occurs, humerus Head moves up, and deviates normal anatomy position, and humerus head, which hits acromion, to be caused to have an intense pain.It treats in such tearing operation, there is one kind Method calls joint capsule reconstruction, i.e., is replaced at huge rotator cuff tear using self tendon (such as fascia late), Heterogeneous tendon, push the upper arm Bone is returned to normal anatomical position, avoids humerus head from hitting acromion and causes to have an intense pain, to make above Glenohumeral joint Stability is restored again, and shoulder joint rotation center returns to original position.But there are two bigger defects for this treatment method:
(1) it if using self tendon, needing to cut other position tendons of patient, performs the operation extremely complex, operation wound is big, The patients ' recovery time is long.
(2) if using Heterogeneous tendon, need to exclude very much infection risk, rejection, and Heterogeneous tendon source with caution It is very limited system.
Utility model content
In view of the above shortcomings of the prior art, the utility model provides a kind of for treating the dress of huge rotator cuff tear It sets, rebuilds principle using upper joint capsule and self tendon or Heterogeneous tendon are substituted using balloon structure, for treating huge rotator cuff Tearing, especially supraspinatus and its tendon tearing;Sacculus is packed between humerus head and acromion, instead of the flesh being torn Tendon avoids humerus head from hitting acromion and causes to have an intense pain, repaired the spherical reticular structure of rotator cuff.
To achieve the goals above, the utility model is achieved through the following technical solutions:
It is a kind of for treating the device of huge rotator cuff tear, the device include pressurizing device, Highpressure Tee device, handle dress It sets and balloon-system, and is sequentially connected;
The pressurizing device includes sleeve, spanner and pressure gauge, is equipped with piston and piston sleeve, the set in the sleeve One end of cylinder is equipped with nut, and the other end is equipped with connecting tube, and the pressure gauge is located on the side wall of sleeve, and the spanner is equipped with tooth Item, and rack gear protrudes into sleeve, and the screw thread formation with nut is threadedly engaged, and is additionally provided on the spanner and is injected bar, described to pull It hand and injects and is equipped with spring between bar, when spring has precommpression after mounting, there is elasticity, push the rack gear and nut of spanner Screw thread engagement, inject bar and rotate clockwise, inject forward, counterclockwise rotate, shrink back;When hold with a firm grip spanner and compressed spring, The screw thread of rack gear and nut on spanner is detached from, and can inject bar by pull rapidly at this time, quick extracting medium or is vacuumized to sacculus; One end of the connecting tube is connect by connecting pipe fitting with Highpressure Tee device;
The handle device includes injection pipe fitting, injection-tube and handle, and the taper knob is on injection-tube, and handle One end is threadedly connect with injection pipe fitting, and one end of the injection-tube and injection pipe fitting are connected by injection molding manner It connects, the other end passes through handle, is cased with casing head and casing on one end of the handle, one end of the handle device passes through injection Pipe fitting is connect with Highpressure Tee device;
The balloon-system includes check valve and sacculus, and the sacculus is equipped with a nozzle structure, the nozzle structure It is connected to the inside and outside of sacculus, the check valve is located in the nozzle structure of sacculus, and an end cap of described sleeve pipe is in nozzle knot On structure, and injection-tube passes through check valve and enters balloon interior.
As a preferred embodiment of the above technical solution, described sleeve pipe head is conical horn mouth structure, is worn after facilitating sacculus to fold Sleeve is crossed, the end of described sleeve pipe is equipped with inner cylinder face chamfering structure, will not scratch sacculus using the structure, and de- conducive to sacculus Out.
As a preferred embodiment of the above technical solution, the end lateral wall of the injection-tube is equipped with indent circular ring structure, described Check valve inner sidewall is equipped with evagination circular ring structure, when injection-tube is connect with check valve, indent circular ring structure and evagination annulus Structure forms male-female engagement.
As a preferred embodiment of the above technical solution, one end of the check valve is equipped with blade construction, when injection-tube and check valve It is detached from, blade is closed under own resilient.If medium of the balloon interior filled with certain pressure, pressure act on blade four Week, further closed check valve entrance realize balloon interior complete seal.
As a preferred embodiment of the above technical solution, the sacculus is using absorbable or nonabsorable medical high polymer material.
As a preferred embodiment of the above technical solution, the sleeve is equipped with containing mark.
Working principle of the utility model is: spanner of holding with a firm grip, makes spring-compressed on earth, and spanner is pulled to vacuumize, by sacculus Interior air is sucked out and folds, and becomes cylindric, and is entangled sacculus completely with casing.When vacuumizing herein, because single There is certain elasticity to valve, and form male-female engagement with injection-tube, there is sealing function, so can preferably vacuumize;It is closing When saving videoendoscopic surgery, arthrocsopic surgery service aisle is first passed through, casing is placed in Balloon tamponade position, utilizes the good view of arthroscope Open country, the position for casing of having good positioning, slowly detaches casing, exposes the sacculus of folding, and pressurizing device extracts a certain amount of Jie in advance Matter connects Highpressure Tee device, starts slowly to rotate clockwise and injects bar, medium is injected into sacculus;Sacculus is in medium Under the action of expansion, expansion, cylindric revert to thin cushion by what is be folded into.Pressure gauge can show the pressure of balloon interior, Scale on sleeve can show the dielectric capacity of injection balloon interior.When the pressure of balloon interior and suitable capacity, Stop continuing injected media.Check valve is withstood in handle device distal end, and rotary injection pipe fitting counterclockwise, injection-tube and check valve are de- From balloon-system, which stays in, need to clog position;Check valve is closed under the effect of balloon interior pressure medium.
The utility model is on the basis of studying rotator cuff structure, for the main happening part of the huge tearing of rotator cuff, i.e. ridge Upper flesh and its tendon tearing, by using balloon-system, instead of the tendon being torn, the balloon-system is by macromolecule medical plastic Material is made, and has good biocompatibility, can be non-absorbing material, be also possible to absorbable material, have good Soft, elasticity, surface is smooth, rubs small, can bear pressure in rotator cuff and not rupture, and shape is thin cushion, can be bonded rotator cuff Interior physiological structure, while balloon-system is equipped with one-way valve structures, which has certain elasticity, and medium can be from sacculus mouth Balloon interior is flowed into, on the contrary it is not all right, there is self-sealing function;In addition, the utility model keeps it same by being equipped with pressurizing device When be used for open surgery and arthrocsopic surgery;Sacculus can use pressurizing device forvacuum before being implanted into rotator cuff, fold curling, body Product is minimum, is suitable for minimally invasive service aisle under arthrocsopic surgery;When being placed in rotator cuff appropriate location, by pressurizing device, toward sacculus Interior certain medium of injection, such as physiological saline make balloon inflation, expansion;Pressurizing device has a containing mark, while with pressure gauge, It can control injected media capacity and pressure.The utility model is additionally provided with handle device, and handle device one end is connect with sacculus, separately One end is connect by Highpressure Tee device with pressurizing device.
The beneficial effects of the utility model are:
(1) sacculus of the utility model can be mass, and solve the problems, such as self tendon or Heterogeneous tendon source deficiency.
(2) the utility model can be not only used for open surgery, and can be used for minimally invasive arthrocsopic surgery.For minimally invasive arthroscope It when operation, can greatly mitigate patient's operation wound, reduce patient's surgical recovery time.
(3) the utility model is easy to operate, is easy in clinical use.
Detailed description of the invention
In conjunction with attached drawing, and by reference to following detailed description, it will more easily have to the utility model more complete Understand and its adjoint advantage and feature be more easily to understand, in which:
Fig. 1 is the structural schematic diagram of the utility model;
Fig. 2 is the cross-sectional view of pressurizing device in the utility model;
Fig. 3 is the structural schematic diagram of handle device in the utility model;
Fig. 4 is the structural schematic diagram of balloon-system in the utility model;
Fig. 5 is the partial sectional view of balloon-system in the utility model;
1-pressurizing device, 101-sleeves, 102-spanners, 103-pressure gauges, 104-pistons, 105-piston sleeves, 106-nuts, 107-connecting tubes, 108-rack gears, 109-inject bar, 110-springs, 111-connection pipe fittings, 2-high pressures Three-way device, 3-handle devices, 301-injection pipe fittings, 302-injection-tubes, 303-handles, 304-casing heads, 305- Casing, 306-indent circular ring structures, 4-balloon-systems, 401-check valves, 402-sacculus, 403-nozzle structures, 404- Evagination circular ring structure, 405-blades.
Specific embodiment
To keep the content of the utility model more clear and easy to understand, below in conjunction with Figure of description, in the utility model Appearance is described further.Certain the utility model is not limited to the specific embodiment, known to those skilled in the art It is general replacement be also covered by it is within the protection scope of the present utility model.Secondly, the utility model has been carried out in detail using schematic diagram Statement, when the example of the utility model is described in detail, for ease of description, schematic diagram is not partially enlarged in proportion to the general scale, and is not answered In this, as the restriction to the utility model.
It should be noted that in following embodiments, using the schematic diagram of Fig. 1~5 to by a kind of use of the utility model Detailed statement has been carried out in the device for treating huge rotator cuff tear.When the embodiments of the present invention is described in detail, in order to just In explanation, schematic diagram do not draw and carried out according to general proportion partial enlargement and omission processing, therefore, should be avoided in this, as Restriction to the utility model.
As shown in Fig. 1~5, the utility model provides a kind of for treating the device of huge rotator cuff tear, the device packet Pressurizing device 1, Highpressure Tee device 2, handle device 3 and balloon-system 4 are included, and is sequentially connected;
Pressurizing device 1 includes sleeve 101, spanner 102 and pressure gauge 103, is equipped with piston 104 and piston bush in sleeve 101 Cylinder 105, one end of sleeve 101 are equipped with nut 106, and the other end is equipped with connecting tube 107;Sleeve 101 is equipped with containing mark, pressure Table 103 is located on the side wall of sleeve 101, and spanner 102 is equipped with rack gear 108, and rack gear 108 protrudes into sleeve 101, with nut 106 screw thread formation be threadedly engaged, be additionally provided on spanner 102 and inject bar 109, spanner 102 and inject between bar 109 be equipped with spring 110, when there is precommpression after mounting in spring 110, with elasticity, the rack gear 108 of promotion spanner 102 and the screw thread of nut 106 Engagement, injects bar 109 and rotates clockwise, inject forward, rotates, shrinks back counterclockwise.When hold with a firm grip spanner 102 and compressed spring, The screw thread of rack gear 108 on spanner 102 and nut 106 is detached from, and can inject bar 109 by pull rapidly at this time, quick extracting medium or Sacculus 402 is vacuumized;One end of connecting tube 107 is connect by connecting pipe fitting 111 with Highpressure Tee device 2;
Handle device 3 includes injection pipe fitting 301, injection-tube 302 and handle 303,303 sets of handle on injection-tube 302, And 303 one end of handle is threadedly connect with injection pipe fitting 301, one end of injection-tube 302 and injection pipe fitting 301 It is connected by injection molding manner, the other end passes through handle 303, is cased with casing head 304 and casing 305, casing on one end of handle 303 First 304 be conical horn mouth structure, and sleeve is passed through after facilitating sacculus to fold, and the end of casing 305 is equipped with inner cylinder face chamfering Structure will not scratch sacculus 402 using the structure, and be conducive to sacculus 402 and deviate from;One end of handle device 3 is connect by injection-tube First 301 connect with Highpressure Tee device 2;
Balloon-system 4 includes check valve 401 and sacculus 402, and sacculus 402 is equipped with a nozzle structure 403, nozzle structure 403 are connected to the inside and outside of sacculus 402, and check valve 401 is located in the nozzle structure 403 of sacculus 402, one end of casing 305 It covers on nozzle structure 403, and injection-tube 302 passes through check valve 401 and enters inside sacculus 402;Outside the end of injection-tube 302 Side wall be equipped with indent circular ring structure 306,401 inner sidewall of check valve be equipped with evagination circular ring structure 404, the one of check valve 401 End is equipped with blade construction, when injection-tube 302 is connect with check valve 401, indent circular ring structure 306 and evagination circular ring structure 404 Male-female engagement is formed, the blade 405 of check valve 401 is injected pipe 302 and struts, and display check valve 401 is in the open state, medium It can be injected inside sacculus 402;When injection-tube 302 and check valve 401 are detached from, blade 405 is closed under own resilient.If ball Filled with the medium of certain pressure inside capsule 402, then pressure acts on 404 surrounding of blade, further 401 entrance of closed check valve, Realize 402 inside complete seal of sacculus.
The external cylindrical surface of check valve 401 passes through Nian Jie, thermal welding, ultrasonic bonding with the inner cylinder face of nozzle structure 403 Or the method for laser welding is assembled;
It injects pipe fitting 301 and uses medical high polymer material, injection-tube 302 uses medical stainless steel material, casing head 304 Using medical plastic material, casing 305 uses medical stainless steel material, and sacculus 402 and the use of check valve 401 can absorb or can not Absorb medical high polymer material.
Working principle: spanner 102 of holding with a firm grip makes spring 110 be compressed to bottom, and spanner 102 is pulled to vacuumize, by sacculus 402 Interior air is sucked out and folds, and becomes cylindric, and is entangled sacculus 402 completely with casing 305.When vacuumizing herein, Because check valve 401 has certain elasticity, and forms male-female engagement with injection-tube 302, there is sealing function, so can be preferably It vacuumizes;In arthrocsopic surgery, arthrocsopic surgery service aisle is first passed through, casing 305 is placed in sacculus 402 and clogs position, Using the good visual field of arthroscope, the position for casing 305 of having good positioning slowly detaches casing 305, exposes the sacculus 402 of folding, Pressurizing device 1 extracts a certain amount of medium in advance, connects Highpressure Tee device 2, starts slowly to rotate clockwise and injects bar 109, medium is injected into sacculus 402;Sacculus 402 expands under the action of medium, is unfolded, by the cylindric recovery being folded into For thin cushion.Pressure gauge 103 can show the pressure inside sacculus 402, and the scale on sleeve 305 can show injection sacculus Dielectric capacity inside 402.When pressure and suitable capacity inside sacculus 402, stop continuing injected media.Handle dress It sets 3 ends and withstands check valve 401, rotary injection pipe fitting 301 counterclockwise, injection-tube 302 and check valve 401 are detached from, sacculus dress Position need to be clogged by setting 4 and staying in;Check valve 401 is closed under the effect of 402 interior media pressure of sacculus.
The utility model is on the basis of studying rotator cuff structure, for the main happening part of the huge tearing of rotator cuff, i.e. ridge Upper flesh and its tendon tearing, by using balloon-system 4, instead of the tendon being torn, the balloon-system 4 is by macromolecule medical plastic Material material is made, and has good biocompatibility, can be non-absorbing material, be also possible to absorbable material, have good Softness, elasticity, surface is smooth, rub it is small, pressure can be born in rotator cuff and do not ruptured, shape be thin cushion, shoulder can be bonded Physiological structure in tucking inside the sleeve, while balloon-system 4 is equipped with 401 structure of check valve, which has certain elasticity, and medium can To flow into balloon interior from 402 mouth of sacculus, on the contrary it is not all right, there is self-sealing function;In addition, the utility model is by being equipped with pressurising Device 1 makes it that can be used for open surgery and arthrocsopic surgery simultaneously;Sacculus 402 can be pre- with pressurizing device 1 before being implanted into rotator cuff It vacuumizes, folds curling, volume is minimum, is suitable for minimally invasive service aisle under arthrocsopic surgery;When being placed in rotator cuff appropriate location, lead to Pressurizing device 1 is crossed, certain medium, such as physiological saline are injected in sacculus 402, makes the expansion of sacculus 402, expansion;Pressurizing device 1 There is containing mark, while with pressure gauge 103, can control injected media capacity and pressure.
Although above-described embodiment is not it is understood that the utility model has been disclosed in the preferred embodiments as above To limit the utility model.For any person skilled in the art, the utility model technical side is not being departed from Under case ambit, many possible variations all are made to technical solutions of the utility model using the technology contents of the disclosure above And modification or equivalent example modified to equivalent change.Therefore, all contents without departing from technical solutions of the utility model, According to the technical essence of the utility model any simple modifications, equivalents, and modifications made to the above embodiment, still belong to In the range of technical solutions of the utility model protection.

Claims (6)

1. a kind of for treating the device of huge rotator cuff tear, which is characterized in that the device includes pressurizing device, Highpressure Tee dress It sets, handle device and balloon-system, and is sequentially connected;
The pressurizing device includes sleeve, spanner and pressure gauge, is equipped with piston and piston sleeve in the sleeve, the sleeve One end is equipped with nut, and the other end is equipped with connecting tube, and the pressure gauge is located on the side wall of sleeve, and the spanner is equipped with rack gear, And rack gear protrudes into sleeve, is threadedly engaged with the formation of the screw thread of nut, is additionally provided on the spanner and injects bar, the spanner with It injects and is equipped with spring between bar, one end of the connecting tube is connect by connecting pipe fitting with Highpressure Tee device;
The handle device includes injection pipe fitting, injection-tube and handle, and the taper knob is on injection-tube, and handle one end It is threadedly connect with injection pipe fitting, one end of the injection-tube is connect with injection pipe fitting by injection molding manner, separately One end passes through handle, is cased with casing head and casing on one end of the handle, one end of the handle device is connect by injection-tube Head is connect with Highpressure Tee device;
The balloon-system includes check valve and sacculus, and the sacculus is equipped with a nozzle structure, the nozzle structure connection Sacculus it is inside and outside, the check valve is located in the nozzle structure of sacculus, an end cap of described sleeve pipe on nozzle structure, And injection-tube passes through check valve and enters balloon interior.
2. as described in claim 1 for treating the device of huge rotator cuff tear, which is characterized in that described sleeve pipe head is circular cone The end of shape bell-mouth structure of air, described sleeve pipe is equipped with inner cylinder face chamfering structure.
3. as described in claim 1 for treating the device of huge rotator cuff tear, which is characterized in that the end of the injection-tube Lateral wall is equipped with indent circular ring structure, and the check valve inner sidewall is equipped with evagination circular ring structure, when injection-tube and check valve When connection, indent circular ring structure and evagination circular ring structure form male-female engagement.
4. as described in claim 1 for treating the device of huge rotator cuff tear, which is characterized in that one end of the check valve Equipped with blade construction.
5. as described in claim 1 for treating the device of huge rotator cuff tear, which is characterized in that the sacculus use can inhale The medical high polymer material of receipts or nonabsorable.
6. as described in claim 1 for treating the device of huge rotator cuff tear, which is characterized in that the sleeve, which is equipped with, to be held Measure scale.
CN201820909891.6U 2018-06-13 2018-06-13 It is a kind of for treating the device of huge rotator cuff tear Expired - Fee Related CN209048360U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201820909891.6U CN209048360U (en) 2018-06-13 2018-06-13 It is a kind of for treating the device of huge rotator cuff tear

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201820909891.6U CN209048360U (en) 2018-06-13 2018-06-13 It is a kind of for treating the device of huge rotator cuff tear

Publications (1)

Publication Number Publication Date
CN209048360U true CN209048360U (en) 2019-07-02

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CN201820909891.6U Expired - Fee Related CN209048360U (en) 2018-06-13 2018-06-13 It is a kind of for treating the device of huge rotator cuff tear

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Granted publication date: 20190702

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