CN209499797U - Dura mater closed system under a kind of scope - Google Patents
Dura mater closed system under a kind of scope Download PDFInfo
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- CN209499797U CN209499797U CN201822029411.XU CN201822029411U CN209499797U CN 209499797 U CN209499797 U CN 209499797U CN 201822029411 U CN201822029411 U CN 201822029411U CN 209499797 U CN209499797 U CN 209499797U
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- dura mater
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Abstract
Dura mater closed system under a kind of scope, it is acted on dura mater notch (6) by endoscope passage (7), including padding (1), artificial dura mater (2), hold down assembly and medical wire (5), the padding (1) is filled in dura mater notch (6), and artificial dura mater (2) is placed outside dura mater notch (6)；The medical wire (5) sequentially passes through padding (1), dura mater notch (6), artificial dura mater (2) and holds down assembly；It is described to hold down assembly positioned at the upper surface of artificial dura mater (2), after padding (1) and artificial dura mater (2) are installed in place, it is held down assembly by tweezers promotion and artificial dura mater (2) is pressed on dura mater notch (6), a relatively reliable approach is provided to be closed dura mater under scope, guarantee padding (1) is fitted closely with dura mater notch (6), and operation is convenient.
Description
Technical field
The utility model relates to a kind of surgical systems, more particularly to dura mater closed system under scope.
Background technique
Suture anatomical reduction is generally required for dura mater damage in neurosurgery, such as the damage of endocranium and endorchis
When hurting, but operating in scope, due to scope narrow space, the difficulty of doctor's manual suture is too big, therefore most of doctor uses
The mode of plug filling chock material is repaired, and is generally comprised following three kinds: 1, being clogged with gelfoam merely；2, medical glue with
The mode that gelfoam combines is clogged；3, it is clogged with body fat.Although the above method is simple, lead to the problem of
Also more, comprising: 1, effect is inaccurate after filling, if the gelfoam of filling is excessively loose, it is multiple to may result in postoperative cerebrospinal
Hair；2, it needs engineer to clog when in conjunction with glue, operates more complex；If 3, needing to increase other portions using fat obliteration
Bit loss wound.The filling of dura mater notch is temporarily used for without professional tool currently on the market.
Utility model content
To solve the above-mentioned problems, the utility model provides dura mater closed system under a kind of scope, is tied in advance by filling in
Artificial dura mater outside the padding and dura mater notch of compression, the interaction to hold down assembly are tied up, padding is tightened in dura mater notch
On, guarantee the effect of filling, prevent postoperative cerebrospinal from recurring, when operation need to only tense connecting line, then will hold down assembly and be pressed onto people
It is very convenient on work dura mater.
The purpose of this utility model is achieved through the following technical solutions.
Dura mater closed system under a kind of scope, is acted on dura mater notch, dura mater is closed under the scope by endoscope passage
It includes padding, artificial dura mater that collaboration, which is united, hold down assembly and medical wire, the padding are filled in dura mater notch, and dura mater lacks
Mouth is external to place artificial dura mater；The medical wire sequentially passes through padding, dura mater notch, artificial dura mater and holds down assembly；Institute
It states and holds down assembly positioned at the upper surface of artificial dura mater, glide along medical wire and artificial dura mater is pressed on dura mater notch.
Dura mater closed system under scope as described above, the dura mater notch are endocranium notch or endorchis notch, people
Work dura mater is artificial dura mater or artificial endorchis.
Dura mater closed system under scope as described above, the padding are the medical gelatin sea dedicated for dura mater notch
It is continuous.
Preferably, the padding is the medical gelatin sponge of two right-angled intersections, in advance with medical wire in its cross
Crossover sites are bundled, and are then folded, thin-film package.
Further, the prepackage of the medical gelatin sponge and medical wire divides in advance according to the size of general dura mater notch
Class packaging.
Dura mater closed system under scope as described above, the medical wire be can voluntarily degradation-type silk thread, quantity one
Root or more, length is greater than the length of common endoscope passage, after bundle padding, wears through artificial dura mater with holding down assembly
Out.
Dura mater closed system under scope as described above, the artificial dura mater outer dimension are less than endoscope passage, and centre is opened
The aperture that medical wire passes through can be held by having.
Preferably, the artificial dura mater is circular piece, can be fabricated to different diameter specifications, is suitable for different size of hard
Film notch, meanwhile, facilitate batch making.
Dura mater closed system under scope as described above, described hold down assembly includes: supporter and fixing clamp, the support
Object and fixing clamp can glide along medical wire under the promotion of professional tool and be pressed on artificial dura mater.
Further, the fixed frame is ligation clip, supporter can be pushed to glide simultaneously along medical wire by means of Clip Applier
It is pressed on artificial dura mater, is then fixed on medical wire under the action of Clip Applier, prevent artificial dura mater from loosening.
Dura mater closed system under scope as described above, described hold down assembly includes: supporter and silk thread connector, the silk
Wire terminal is the movable joint of at least two strands of silk threads composition, and supporter can be pushed to glide along medical wire and be pressed on artificial hard
On film.
Further, above support is the claw-type structure of elastic metallic yarn composition, and internal arc-shaped, centre is provided with threading
Hole, can be after touching artificial dura mater, and allowing artificial dura mater under the pulling force effect of medical wire, internally circular arc is tightened, and is allowed artificial
Dura mater surrounding more close to dura mater notch, prevents alice.
Preferably, above support material is the claw-type structure of titanium alloy wires composition.
Dura mater closed system under scope as described above, each component are assembled in advance or are partly assembled, can directly take
To use.
In conclusion the utility model has the following beneficial effects:
1, dura mater closed system under a kind of scope described in the utility model, padding and connecting line are to be pre-installed in advance
, it is time saving and energy saving, conveniently take.
2, dura mater closed system under a kind of scope described in the utility model, under the tensioning function of connecting line, padding
It is bonded with dura mater notch closer, effect is more preferable.
Detailed description of the invention
By reading the following detailed description of the preferred embodiment, the scheme of the application and advantage skill common for this field
Art personnel will become clear.The drawings are only for the purpose of illustrating a preferred embodiment, and is not considered as practical new to this
The limitation of type.In the accompanying drawings:
Fig. 1 is a kind of structural schematic diagram of the utility model embodiment 1.
Fig. 2 is the pre-installation figure of the utility model embodiment 1.
Fig. 3 is a kind of structural schematic diagram of the utility model embodiment 2.
Fig. 4 is the pre-installation figure of the utility model embodiment 2.
Fig. 5 is the enlarged drawing of silk thread connector in Fig. 4.
Fig. 6 is that padding (by taking gelfoam as an example) employed in the utility model embodiment 1 and embodiment 2 is pre-assembled
Schematic diagram.
Fig. 7 is a kind of claw-type structure supporter employed in the utility model embodiment 1 and embodiment 2 before and after locking
Structural schematic diagram.
Component representated by each appended drawing reference in figure are as follows:
1, padding, 2, artificial dura mater, 3, supporter, 4, fixing clamp, 5, medical wire, 6, dura mater notch, 7, scope it is logical
Road, 8, silk thread connector.
Specific embodiment
The illustrative embodiments of the disclosure are more fully described below in conjunction with attached drawing.It is to be appreciated that providing these realities
The mode of applying is to be able to thoroughly understand the disclosure, and the scope of the present disclosure can be communicated completely to this field
Technical staff may be realized in various forms the disclosure, without that should be limited by the embodiments set forth herein.
It should be appreciated that the noun of locality that " upper and lower, top, bottom " etc. is included in the term is only in the case where not doing opposite explanation
Represent orientation of the term under normal service condition, or be those skilled in the art understand that be commonly called as, and be not construed as to this
The limitation of term.
Embodiment 1
Referring to Fig. 1 and Fig. 2, Fig. 1 and Fig. 2 is dura mater closed system under a kind of scope of the present embodiment, passes through endoscope passage 7
It acts on dura mater notch 6, including padding 1, artificial dura mater 2, holds down assembly and medical wire 5, each component is pre- in advance
It installs, wherein the padding 1 is filled in dura mater notch 6, and artificial dura mater 2 is placed outside dura mater notch 6；The medical wire 5
It sequentially passes through padding 1, dura mater notch 6, artificial dura mater 2 and holds down assembly；It is described to hold down assembly positioned at the upper of artificial dura mater 2
Face, for artificial dura mater 2 to be pressed on dura mater notch 6.
Dura mater closed system is the dura mater closed system acted at endocranium under the scope of the present embodiment, wherein described
Padding 1 is the medical gelatin sponge dedicated for dura mater notch 6, and the artificial dura mater 2 is artificial dura mater, and the dura mater lacks
Mouth 6 is dura mater notch.
Preferably, the padding 1 be two right-angled intersections medical gelatin sponge, in advance with medical wire 5 its ten
Word crossover sites are bundled, and are then folded, thin-film package, and pre-assembled process is as shown in fig. 6, preferably, fold medical bright
When gelatin sponge, the medical gelatin sponge quadrangle that cross stretches out direction is folded to wherein one jiao, not increase excessive unnecessary folding
Folded number；In use, outer film is removed, since sponge is squeezed for a long time, within a period of time for just removing film, sponge is not
It can be unfolded immediately.
Further, when making padding 1, different size of medical gelatin sea can be selected according to general dura mater notch size
The prepackage of silk floss, the medical gelatin sponge and medical wire 5 shifts to an earlier date class wrapping according to the size of general dura mater notch.
Dura mater closed system under the scope of the present embodiment, the medical wire 5 are the medical wire 5 that can voluntarily degrade, number
Amount is one or more, and length is greater than the length of common endoscope passage 7, after having bundled padding 1, through artificial dura mater and pressure
Tight component is pierced by.
Dura mater closed system under the scope of the present embodiment, the artificial dura mater outer dimension is less than endoscope passage 7, intermediate
The aperture that medical wire 5 passes through can be held by being provided with.
Preferably, artificial dura mater used is circular piece in the present embodiment, can be fabricated to different diameter specifications, be suitable for
Different size of dura mater notch, meanwhile, facilitate batch making.
Dura mater closed system under the scope of the present embodiment, described hold down assembly includes: supporter 3 and fixing clamp 4, the branch
Support object 3 is connect with medical wire 5, and positioned at the top of artificial dura mater, the fixing clamp 4 is ligation clip, is individually taken, can be by
It pushes supporter 3 to glide along medical wire 5 in Clip Applier and is pressed on artificial dura mater, then block under the action of Clip Applier
Tightly on medical wire 5, prevent artificial dura mater from loosening.
Further, above support 3 is the claw-type structure of titanium silk composition, forms metal cage as shown in Figure 7
Shape, internal arc-shaped, centre are provided with threading hole, after supporter 3 touches artificial dura mater, make in the pulling force of medical wire 5
Artificial dura mater can be allowed to tighten to the inside circular arc of supporter 3 with lower, allow artificial dura mater surrounding to be more adjacent to dura mater and lack
Mouthful, alice is prevented, supporter 3 is shown in Fig. 7 before not oppressing dura mater and oppresses postdural state vs.
Referring to fig. 2, when in use, dura mater closed system under the scope crossed by disinfecting is first fetched, by medical gelatin
Sponge and artificial dura mater are separated by a distance, the film then torn outside medical gelatin sponge, with tweezers that medical gelatin is extra large
Silk floss is put into dura mater indentation, there, and physiological saline is added, and waits the expansion of medical gelatin sponge, and then drawing allows gelfoam backward
Dura mater notch is blocked, continues to be snapped down to artificial dura mater on dura mater notch along medical wire 5 with tweezers, and guarantee
Artificial dura mater is covered on dura mater notch, then clamps ligation clip with Clip Applier and pushes 3 one pieces of supporter to be snapped down to
On artificial dura mater, clamping ligation clip is finally cut medical wire 5 using set core scissors at ligation clip.
Embodiment 2
Referring to Fig. 3 and Fig. 4, Fig. 3 and Fig. 4 are dura mater closed system under a kind of scope of the present embodiment 2, wherein the pressure
Tight component includes: supporter 3 and silk thread connector 8, and the silk thread connector 8 is the removable tieing of two strands of medical wires 5 composition, such as
Shown in Fig. 5, wherein being equipped with connector on a medical wire 5, another medical wire 5 is extend into the connector, works as medical gelatin
After sponge and artificial dura mater are installed in place, it can push this connector that supporter 3 is driven to be snapped down to together along medical wire 5 with tweezers
On artificial dura mater, two strands of medical wires 5 are tensed, it is made to compress supporter 3 and artificial dura mater, it finally will using set core scissors
Medical wire 5 is cut two bursts of 5 joints of medical wire.
Other unmentioned features of the present embodiment, can be same as Example 1, repeats no more.
The preferable specific embodiment of the above, only the utility model, but the protection scope of the utility model is not
It is confined to this, anyone skilled in the art within the technical scope disclosed by the utility model, can readily occur in
Change or replacement, should be covered within the scope of the utility model.Therefore, the protection scope of the utility model should be with
Subject to the scope of protection of the claims.
Claims (9)
1. dura mater closed system under a kind of scope is acted on dura mater notch (6), it is characterised in that: institute by endoscope passage (7)
Dura mater closed system under scope is stated to include padding (1), artificial dura mater (2), hold down assembly and medical wire (5), the filling
Object (1) is filled in dura mater notch (6), and artificial dura mater (2) is placed outside dura mater notch (6)；The medical wire (5) sequentially passes through
It padding (1), dura mater notch (6), artificial dura mater (2) and holds down assembly；It is described to hold down assembly positioned at the upper of artificial dura mater (2)
Face glides along medical wire (5) and artificial dura mater (2) is pressed on dura mater notch (6).
2. dura mater closed system under a kind of scope according to claim 1, which is characterized in that the dura mater notch (6) is
Endocranium notch or endorchis notch, artificial dura mater (2) are artificial dura mater or artificial endorchis.
3. dura mater closed system under a kind of scope according to claim 1 or 2, which is characterized in that the padding (1) is
Dedicated for the medical gelatin sponge of dura mater notch (6).
4. dura mater closed system under a kind of scope according to claim 3, which is characterized in that the padding (1) is two
The medical gelatin sponge of root right-angled intersection is bundled with medical wire (5) at its right-angled intersection position in advance, then fold,
Thin-film package.
5. dura mater closed system under a kind of scope according to claim 1 or 2, which is characterized in that the medical wire (5)
Can degradation-type silk thread, quantity to be voluntarily one or more, length be greater than the length of endoscope passage, is bundling padding (1)
Afterwards, it is pierced by through artificial dura mater (2) and holding down assembly.
6. dura mater closed system under a kind of scope according to claim 1 or 2, which is characterized in that the artificial dura mater (2)
Outer dimension is less than endoscope passage (7) internal diameter, and centre, which is provided with, can hold the aperture that medical wire (5) passes through.
7. dura mater closed system under a kind of scope according to claim 1, which is characterized in that described hold down assembly include:
Supporter (3) and fixing clamp (4), above support (3) and fixing clamp (4) can be under the promotions of professional tool along medical wire
(5) it glides and is pressed on artificial dura mater (2).
8. dura mater closed system under a kind of scope according to claim 1, which is characterized in that described hold down assembly include:
Supporter (3) and silk thread connector (8), the silk thread connector (8) are the movable joint of at least two strands of silk threads composition, can push branch
Support object (3) is glided along medical wire (5) and is pressed on artificial dura mater (2).
9. dura mater closed system under any scope according to claim 7 or 8, which is characterized in that above support (3)
For the claw-type structure of elastic metallic yarn composition, internal arc-shaped, centre is provided with threading hole, can after touching artificial dura mater (2),
Allowed under the pulling force effect of medical wire (5) artificial dura mater (2) internally circular arc tighten, allow artificial dura mater (2) surrounding more to stick on
Nearly dura mater notch (6), prevents alice.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201822029411.XU CN209499797U (en) | 2018-12-05 | 2018-12-05 | Dura mater closed system under a kind of scope |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201822029411.XU CN209499797U (en) | 2018-12-05 | 2018-12-05 | Dura mater closed system under a kind of scope |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN209499797U true CN209499797U (en) | 2019-10-18 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN201822029411.XU Active CN209499797U (en) | 2018-12-05 | 2018-12-05 | Dura mater closed system under a kind of scope |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109464172A (en) * | 2018-12-05 | 2019-03-15 | 江研伟 | Dura mater closed system and its application method under a kind of scope |
-
2018
- 2018-12-05 CN CN201822029411.XU patent/CN209499797U/en active Active
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109464172A (en) * | 2018-12-05 | 2019-03-15 | 江研伟 | Dura mater closed system and its application method under a kind of scope |
| CN109464172B (en) * | 2018-12-05 | 2024-01-09 | 江研伟 | Endoscopic dura mater closing system and application method thereof |
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