CN209984189U - Working sleeve matched with spinal endoscope for use - Google Patents

Working sleeve matched with spinal endoscope for use Download PDF

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Publication number
CN209984189U
CN209984189U CN201920463198.5U CN201920463198U CN209984189U CN 209984189 U CN209984189 U CN 209984189U CN 201920463198 U CN201920463198 U CN 201920463198U CN 209984189 U CN209984189 U CN 209984189U
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China
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cylinder
inner cylinder
side wall
depth
extension
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CN201920463198.5U
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Inventor
贾志强
荣雪芹
贺西京
范仲凯
卢振和
李刚
高凯
乔伟强
孟会强
陈晨
朱媛媛
李锡岚
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HENAN UNIVERSITY OF SCIENCE AND TECHNOLOGY SECOND AFFILIATED Hospital
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贾志强
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Abstract

In order to solve the problem that the working sleeve in the prior art is easy to slip off after long operation time, the utility model provides a working sleeve used in cooperation with a spinal endoscope, which comprises a body, a depth-limiting cylinder and an extension cylinder, wherein the body comprises an inner cylinder, an outer cylinder coaxially arranged outside the inner cylinder and an annular plate arranged between the inner cylinder and the outer cylinder and used for connecting the inner cylinder and the outer cylinder; the depth-limiting cylinder is arranged on the outer side wall of the inner cylinder and can move up and down; the extension cylinder is arranged on the inner side wall of the inner cylinder and can move up and down. The utility model discloses extend a section of thick bamboo setting in the incision of performing the operation, prevent through the body that sets up in the incision of performing the operation outside that the working sleeve pipe is because muscle tension weakens and landing in to the incision of performing the operation. When in use, medical accidents caused by the sliding of the working sleeve can be avoided.

Description

Working sleeve matched with spinal endoscope for use
Technical Field
The utility model relates to a backbone scope auxiliary device field of medical instrument especially relates to a work sleeve pipe that cooperation backbone scope used.
Background
With the aging of the population of China, the number of the people suffering from the spinal degenerative diseases and the incidence rate of the spinal degenerative diseases are in a continuously increasing trend. Conservative treatment and surgical treatment can be adopted for treating the disease at present. Some patients may experience some relief from conservative treatment, while some patients may be less effective and surgical treatment is another option for treating these conditions. With the progress and development of medical technology and surgical technology, the spine surgery has been developed dramatically, the spine surgery of today is quite different from the traditional spine surgery in the past, and the spine surgery has unconsciously entered the spine minimally invasive age. The spine endoscopic surgery is to use a small incision to puncture to reach the diseased part, establish a working channel by means of a blunt dilating cannula, accurately treat the diseased part and solve the disease of a patient.
With the improvement and development of the spinal endoscope technology, some problems are found in clinical application: 1. the existing working sleeve is mainly kept stable by the contraction force of the muscle of a patient and the holding of an operator after puncturing, expanding and forming a working channel, but for a heavier patient with narrow spinal canal, the number of places to be treated in the operation is more, the time is longer, the contraction force of the muscle around the sleeve of the patient is weaker and weaker, the operator holds the wrist and the arm of the working sleeve system of the spinal endoscope for a long time, and the wrist and the arm are uncomfortable, so that the operation can be influenced, and sometimes even the phenomenon that the working sleeve falls off in a small range can occur. 2. Under-the-scope trepan or bone drill are often used for processing in spinal endoscopic surgery, and when processing target tissues around nerve roots and spinal cords, an operator considers the safety of the surgery and needs to limit the depth of a spinal endoscopic system. Currently, depth-limiting devices are used on the rods of individual instruments such as trephines, bone drills and bone files, and each instrument needs to be adjusted to limit the depth before being placed into a working cannula, so that the operation increases the operation workload of surgical assistants. 3. The spinal endoscope system working sleeve pipe that uses at present is the fixed length, though divide into 3 grades according to length, is applicable to different spinal column sections and different crowds, but to different fat and thin patients, because fine setting can not be accomplished to current working sleeve pipe, sometimes also can bring the inconvenience of operation.
SUMMERY OF THE UTILITY MODEL
In order to solve the problem that the working sleeve pipe is inconvenient to operate in long easy landing of operation time and the art among the prior art, the utility model provides a working sleeve pipe that cooperation backbone scope used has simple structure, prevents that the working sleeve pipe from landing in to the incision, and the limit is dark, adjustable advantage.
The working sleeve matched with the spinal endoscope for use has the technical scheme that: the device comprises a body, a depth limiting barrel and an extension barrel, wherein the body comprises an inner barrel, an outer barrel coaxially arranged outside the inner barrel and an annular plate arranged between the inner barrel and the outer barrel and used for connecting the inner barrel and the outer barrel; the depth-limiting cylinder is arranged on the outer side wall of the inner cylinder and can move up and down; the extension cylinder is arranged on the inner side wall of the inner cylinder and can move up and down.
The outer side wall of the inner cylinder is provided with an external thread; the inner side wall of the depth limiting cylinder is provided with an internal thread corresponding to the external thread of the inner cylinder.
The inner side wall of the inner cylinder is provided with internal threads; the outer side wall of the extension cylinder is provided with an external thread corresponding to the internal thread of the inner cylinder.
A horizontal fixing plate is arranged on the side wall of one end of the inner cylinder, which is far away from the extension cylinder; a horizontal fixed seat is arranged on the side wall of one end of the outer cylinder, which is far away from the extension cylinder; a cavity with an opening at the top is arranged in the horizontal fixing seat; a triangular elastic sheet is arranged in the cavity; the bottom edge of the triangular elastic sheet is contacted with the bottom of the cavity, and the vertex angle of the triangular elastic sheet protrudes out of the plane of the horizontal fixed seat and faces the horizontal fixed plate through the opening of the cavity; a groove corresponding to the protruding part of the triangular elastic sheet is formed in the plane of the horizontal fixing plate facing the horizontal fixing seat; the extending direction of the groove is vertical to the axis of the inner cylinder.
The utility model discloses the beneficial effect who brings does: the utility model discloses extend a section of thick bamboo setting in the incision of performing the operation, prevent through the body that sets up in the incision of performing the operation outside that the working sleeve pipe is because muscle tension weakens and landing in to the incision of performing the operation. When in use, medical accidents caused by the sliding of the working sleeve can be avoided. The design of the depth limiting cylinder reduces the operation of adjusting the depth limit by placing the instrument each time. For patient groups with different fatness and thinness, the design of the extension tube can be used for fine adjustment of the working sleeve so as to facilitate operation in the operation.
Drawings
Fig. 1 is a front view of the present invention in use.
Fig. 2 is a view of a portion of fig. 1.
Fig. 3 is an enlarged view of fig. 1 at E.
Fig. 4 is a schematic view of the present invention when fully retracted.
Fig. 5 is a schematic view of the scale of the present invention.
Detailed Description
The technical solutions in the embodiments of the present invention will be described clearly and completely with reference to the accompanying drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only some embodiments of the present invention, not all embodiments. Based on the embodiments in the present invention, all other embodiments obtained by a person skilled in the art without any creative effort belong to the protection scope of the present invention.
As shown in figure 1 ~ 4, the working cannula used with the spinal endoscope comprises a body 1, a depth-limiting barrel 2 and an extension barrel 3, and the technical scheme is that the body 1 comprises an inner barrel 101, an outer barrel 102 coaxially arranged outside the inner barrel 101 and an annular plate 103 arranged between the inner barrel 101 and the outer barrel 102 and used for connecting the inner barrel 101 and the outer barrel 102, external threads are arranged on the outer side wall of the inner barrel 101, internal threads corresponding to the external threads of the inner barrel 101 are arranged on the inner side wall of the depth-limiting barrel 2, the extension barrel 3 is arranged in a surgical incision, the working cannula is prevented from sliding into the surgical incision due to weakened muscle tension through the body 1 with a larger diameter arranged outside the surgical incision, and the defects in the prior art are overcome.
Meanwhile, in order to prevent the problem that the depth of screwing-in of the depth-limiting cylinder 2 is too large to cause the problem that the depth cannot be taken out when the depth-limiting cylinder is screwed off to be close to the body 1, a horizontal fixing plate 1A is arranged on the side wall of one end of the inner cylinder 101, which is far away from the extension cylinder 3; a horizontal fixed seat 3A is arranged on the side wall of one end of the outer cylinder 102 far away from the extension cylinder 3; a cavity 30 with an opening at the top is arranged in the horizontal fixing seat 3A; a triangular spring plate 31 is arranged in the cavity 30; the bottom edge of the triangular elastic sheet 31 is contacted with the bottom of the cavity 30, and the vertex angle of the triangular elastic sheet 31 protrudes out of the plane of the horizontal fixed seat 3A towards the horizontal fixed plate 1A through the opening of the cavity; a groove 10 corresponding to the protruding part of the triangular elastic sheet 31 is formed in the plane of the horizontal fixing plate 1A facing the horizontal fixing seat 3A; the grooves 10 extend in a direction perpendicular to the axis of the inner cylinder 101.
Similarly, the outer cylinder 102 may be a rotary body having an L-shaped cross section, and may be coaxially disposed outside the inner cylinder 101, to have a configuration as shown in fig. 1.
As shown in fig. 2, since the depth-limiting cylinder 2 is connected to the inner cylinder 101 through a thread, in order to prevent the looseness between the horizontal fixing seat 3A and the horizontal fixing plate 1A, two or three or more grooves 10 may be provided in the horizontal fixing plate 1A for cooperating with the triangular spring plate 31. Taking three grooves 10 as an example, when the triangular elastic piece 31 contacts the horizontal fixing plate 1A, because the depth limiting cylinder 2 is screwed downwards, the triangular elastic piece 31 is deformed, the depth limiting cylinder 2 drives the horizontal fixing plate 1A to only be screwed downwards, when the triangular elastic piece contacts the groove 10, the medical staff can not screw any more, and the vertex angle of the triangular elastic piece 31 enters the nearest groove 10, so that the limiting structure is formed. However, if the medical staff is not relieved, the medical staff may worry about the situation of the limit being not tight, and the medical staff can continue to screw, and when the medical staff reaches the adjacent second groove 10, the limit force between the triangular spring plate 31 and the groove 10 is strengthened. If not reassuring, it can be screwed again until a third groove 10 of maximum restraining force is reached.
Aiming at special patients, such as obese patients, the fat of the patients is thick, and the inner side wall of the inner cylinder 101 is provided with internal threads; the outer side wall of the extension cylinder 3 is provided with an external thread corresponding to the internal thread of the inner cylinder 101, so that the extension cylinder 3 can be vertically moved on the inner side wall of the inner cylinder 101, and the visual field adjustment operation in the operation is facilitated.
It is to be understood that: as shown in fig. 5, the outside of the depth stop 2 may be provided with a scale as required to express the raised height of the depth stop 2.
It is to be understood that: the triangular spring 31 can be made of phosphor bronze, tin bronze, 65mn, 55Si2Mn, 60Si2MnA, 55 simmnvb, 55 simmnmov, 60CrMn, 60CrMnB, 302, 316 and other brands of flat steel strips.
The foregoing is considered as illustrative and not restrictive, and all changes that come within the spirit and principles of the invention and any equivalents thereto are intended to be embraced therein.

Claims (4)

1. The utility model provides a work sleeve pipe that cooperation backbone scope used, includes body (1), a depth-limiting cylinder (2) and an extension section of thick bamboo (3), its characterized in that: the body (1) comprises an inner cylinder (101), an outer cylinder (102) coaxially arranged outside the inner cylinder (101) and an annular plate (103) arranged between the inner cylinder (101) and the outer cylinder (102) and used for connecting the inner cylinder and the outer cylinder;
wherein, the depth-limiting cylinder (2) can be arranged on the outer side wall of the inner cylinder (101) in a way of moving up and down; the extension cylinder (3) is arranged on the inner side wall of the inner cylinder (101) and can move up and down.
2. A working cannula for use with a spinal endoscope as recited in claim 1, further comprising: the outer side wall of the inner cylinder (101) is provided with an external thread; the inner side wall of the depth-limiting cylinder (2) is provided with an internal thread corresponding to the external thread of the inner cylinder (101).
3. A working cannula for use with a spinal endoscope as recited in claim 1, further comprising: the inner side wall of the inner cylinder (101) is provided with internal threads; the outer side wall of the extension cylinder (3) is provided with an external thread corresponding to the internal thread of the inner cylinder (101).
4. A working cannula for use with a spinal endoscope as recited in claim 1, further comprising: a horizontal fixing plate (1A) is arranged on the side wall of one end of the inner cylinder (101) far away from the extension cylinder (3); a horizontal fixed seat (3A) is arranged on the side wall of one end of the outer cylinder (102) far away from the extension cylinder (3);
a cavity (30) with an opening at the top is arranged in the horizontal fixed seat (3A); a triangular spring plate (31) is arranged in the cavity (30); the bottom edge of the triangular elastic sheet (31) is contacted with the bottom of the cavity (30), and the vertex angle of the triangular elastic sheet (31) protrudes out of the plane of the horizontal fixed seat (3A) towards the horizontal fixed plate (1A) through the opening of the cavity;
a groove (10) corresponding to the protruding part of the triangular elastic sheet (31) is formed in the plane of the horizontal fixing plate (1A) facing the horizontal fixing seat (3A); the extending direction of the groove (10) is vertical to the axis of the inner cylinder (101).
CN201920463198.5U 2019-04-08 2019-04-08 Working sleeve matched with spinal endoscope for use Active CN209984189U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201920463198.5U CN209984189U (en) 2019-04-08 2019-04-08 Working sleeve matched with spinal endoscope for use

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201920463198.5U CN209984189U (en) 2019-04-08 2019-04-08 Working sleeve matched with spinal endoscope for use

Publications (1)

Publication Number Publication Date
CN209984189U true CN209984189U (en) 2020-01-24

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114010277A (en) * 2021-10-25 2022-02-08 河北医科大学第三医院 Adjustable channel of nucleus pulposus enucleation under unilateral binary channels mirror

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114010277A (en) * 2021-10-25 2022-02-08 河北医科大学第三医院 Adjustable channel of nucleus pulposus enucleation under unilateral binary channels mirror

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GR01 Patent grant
GR01 Patent grant
TR01 Transfer of patent right

Effective date of registration: 20210729

Address after: 471000 No.80 Jinguyuan Road, Xigong District, Luoyang City, Henan Province

Patentee after: HENAN UNIVERSITY OF SCIENCE AND TECHNOLOGY SECOND AFFILIATED Hospital

Address before: 471000 No.80 Jinguyuan Road, Xigong District, Luoyang City, Henan Province

Patentee before: Jia Zhiqiang

TR01 Transfer of patent right