CN215129539U - Skeleton, soft tissue tunnel preparation and integrative instrument of line - Google Patents

Skeleton, soft tissue tunnel preparation and integrative instrument of line Download PDF

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Publication number
CN215129539U
CN215129539U CN202120587721.2U CN202120587721U CN215129539U CN 215129539 U CN215129539 U CN 215129539U CN 202120587721 U CN202120587721 U CN 202120587721U CN 215129539 U CN215129539 U CN 215129539U
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CN
China
Prior art keywords
groove
handle
locator
line
extension arm
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Expired - Fee Related
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CN202120587721.2U
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Chinese (zh)
Inventor
陈先帅
凡有非
邢东明
夏胜
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Individual
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Individual
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Priority to CN202120587721.2U priority Critical patent/CN215129539U/en
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Anticipated expiration legal-status Critical

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Abstract

The utility model discloses an integrated tool for manufacturing skeleton and soft tissue tunnels and threading, which comprises a handle, an extension arm, a sleeve, a threading needle and a positioner, wherein the left end of the extension arm is connected in a sliding groove in a sliding way, a limiting bulge on the side edge of the left end of the extension arm is connected in a corresponding limiting groove in a sliding way, and a locking screw rod is screwed on the right side edge of the handle; the positioner is arranged in a cylindrical shape, and a positioning hole is formed in the middle of the positioner; the tubular handheld handle is provided with a wire passing ring; one side of the joint of the locator and the tubular handheld handle is respectively provided with a first wire passing groove and a second wire passing groove, and the other side of the locator is provided with a third wire passing groove. The utility model discloses can make the location in bone tunnel more accurate, the suture pass more high efficiency, and the simple operation, required operation incision is littleer, and it is lower to peel off and harm soft tissue on every side, is favorable to helping the doctor to accomplish shoulder joint dislocation more high-efficiently and resets and take the fixed operation of tong "pan" steel sheet, promotes the operation effect.

Description

Skeleton, soft tissue tunnel preparation and integrative instrument of line
Technical Field
The utility model relates to the technical field of medical equipment, specifically be a skeleton, soft tissue tunnel preparation and integrative instrument of line.
Background
In the operation of fixing the acromioclavicular dislocation reduction belt loop steel plate, the clavicle and the beak convex bone tunnel need to be manufactured by hands, and the loop (line) of the loop steel plate needs to pass through the clavicle, the beak convex bone tunnel and soft tissues between the clavicle and the beak convex bone tunnel respectively. The peripheral gaps are deep, and important vascular nerves exist around the bone tunnel, so that the safe area of the operation is narrow, the operation range is very limited, the bone tunnel and the thread passing method adopted at present are inconvenient to operate, inaccurate in positioning, poor in safety, large in wound and low in thread passing efficiency, the operation efficiency is reduced, and the operation difficulty is increased.
If there is a preparation bone tunnel and the integrative device of line of crossing, can make the location in bone tunnel more accurate through rational design, cross the line more high efficiency, and the simple operation, then can help the doctor to accomplish the fixed operation of acromioclavicular dislocation reduction belt loop steel sheet more high-efficiently, shorten operation time and expense, reduce tissue damage and infection risk on every side, promote the operation effect. Therefore, an integrated tool for manufacturing the bone tunnel and the soft tissue tunnel and threading is needed to be designed, the bone tunnel can be accurately manufactured, the threading is accurate and quick, and doctors must obtain the optimal operation efficiency and operation effect.
SUMMERY OF THE UTILITY MODEL
An object of the utility model is to provide a skeleton, soft tissue tunnel preparation and integrative instrument of line to solve the problem that proposes in the above-mentioned background art.
In order to achieve the above object, the utility model provides a following technical scheme: a bone and soft tissue tunnel manufacturing and threading integrated tool comprises a handle, an extension arm, a sleeve, a threading needle and a positioner, wherein a sliding groove is formed in the right side of the handle, the left end of the extension arm is connected in the sliding groove in a sliding manner, a limiting groove is formed in the side wall of the sliding groove, a limiting bulge on the side edge of the left side of the extension arm is connected in the corresponding limiting groove in a sliding manner, a locking screw is screwed on the side edge of the right side of the handle, and the upper end of the locking screw is connected with a knob;
the sleeve penetrates through the opening at the left end of the handle, the bottom of the thread passing needle penetrates through the interior of the sleeve and extends out, a barb groove for hooking a suture is formed in the lower end of the thread passing needle, a groove is formed in the surface of the upper portion of the thread passing needle, the groove and the barb groove are located on the same side, and the depth of the groove is smaller than that of the barb groove;
the locator is arranged in a cylindrical shape, a locating hole is formed in the middle of the locator, limiting holes communicated with the locating hole are formed in the two ends of the locator, the diameter of one end, connected with the locating hole, of each limiting hole is smaller than that of the other end of each limiting hole, and the diameter of one end, connected with the locating hole, of each limiting hole is consistent with that of each limiting hole;
one side of the locator is connected with a tubular handheld handle, a thread passing ring for a suture to pass through is arranged on the tubular handheld handle, a connecting block is arranged at the right end of the extension arm, a first connecting hole and a second connecting hole for the tubular handheld handle to be inserted into are arranged on the connecting block, and lines for increasing the friction force between the tubular handheld handle and the first connecting hole and between the tubular handheld handle and the second connecting hole are arranged on the surface of the tubular handheld handle;
the portable handheld locator is characterized in that a first wire passing groove and a second wire passing groove are respectively arranged on one side of the joint of the locator and the tubular handheld handle, a third wire passing groove is arranged on the other side of the locator, the first wire passing groove and the second wire passing groove are respectively positioned above and below the tubular handheld handle, and the first wire passing groove and the second wire passing groove are communicated with the third wire passing groove.
As a further optimization of the technical scheme, the top of the sleeve is provided with a limiting ring, and the surface of the sleeve is provided with external threads for increasing friction force.
As a further optimization of the technical scheme, the surface of the handle is provided with scales positioned on the side edge of the sliding groove, and the inner side of the handle is provided with an arc-shaped groove used for being conveniently held.
Compared with the prior art, the beneficial effects of the utility model are that: the utility model discloses can make the location in bone tunnel more accurate, the suture pass more high efficiency, and the simple operation, required operation incision is littleer, and it is lower to peel off and harm soft tissue on every side, is favorable to helping the doctor to accomplish the fixed operation of acromioclavicular joint dislocation reset belt tong "pan" steel sheet more high-efficiently, shortens operation time and expense, reduces tissue damage and infection risk on every side, promotes the operation effect.
Drawings
FIG. 1 is a schematic view of the overall exploded structure of the present invention;
FIG. 2 is a schematic view of the three-dimensional structure of the utility model in the combined use state;
FIG. 3 is a schematic side sectional view of the threading needle of the present invention;
FIG. 4 is a schematic view of the connection between the tubular handle and the positioner;
FIG. 5 is a schematic cross-sectional view taken along line A-A of FIG. 4 according to the present invention;
FIG. 6 is a schematic cross-sectional view of the suture thread wound through the first thread passing groove to the third thread passing groove;
FIG. 7 is a schematic top view of the connection between the tubular handle and the positioner of the present invention;
fig. 8 is a schematic perspective view of the suture thread of the present invention passing through the first thread passing groove and winding to the third thread passing groove;
fig. 9 is the perspective structure diagram of the suture thread of the present invention when the suture thread is wound to the third thread passing groove through the second thread passing groove.
In the figure: the wire guide device comprises a handle 1, a sliding groove 2, a limiting ring 3, a sleeve 4, a wire guide needle 5, a limiting groove 6, an arc-shaped groove 7, a knob 8, a locking screw rod 9, a limiting protrusion 10, an extension arm 11, a connecting block 12, a first connecting hole 121, a second connecting hole 122, a tubular handheld handle 14, a locator 15, a wire guide ring 16, a groove 17, a barb groove 18, a suture wire 19, a second wire guide groove 20, a scale 21, a positioning hole 22, a limiting hole 23, a third wire guide groove 24 and a first wire guide groove 25.
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 creative work belong to the protection scope of the present invention.
Referring to fig. 1-9, the present invention provides a technical solution: an integrated tool for manufacturing a skeleton and soft tissue tunnel and threading comprises a handle 1, an extension arm 11, a sleeve 4, a threading needle 5 and a positioner 15, wherein a sliding groove 2 is arranged inside the right side of the handle 1, the left end of the extension arm 11 is connected in the sliding groove 2 in a sliding manner, a limiting groove 6 is arranged on the side wall of the sliding groove 2, a limiting bulge 10 on the side edge of the left end of the extension arm 11 is connected in the corresponding limiting groove 6 in a sliding manner, a locking screw 9 is screwed on the side edge of the right side of the handle 1, and the upper end of the locking screw 9 is connected with a knob 8;
the sleeve 4 penetrates through the opening at the left end of the handle 1, the bottom of the thread passing needle 5 penetrates through the inside of the sleeve 4 and extends out, the lower end of the thread passing needle 5 is provided with a barb groove 18 for hooking a suture 19, the surface of the upper part of the thread passing needle 5 is provided with a groove 17, the groove 17 and the barb groove 18 are positioned on the same side, the depth of the groove 17 is smaller than that of the barb groove 18, the depth of the barb groove 18 needs to meet the requirement that 2-4 sutures 19 can be hooked at the same time, and the hooked sutures 19 cannot fall off;
because the lower end of the threading needle 5 is in the muscle and the bone canal during the operation process, the direction of the barb groove 18 cannot be seen, so that the groove 17 needs to be arranged at the upper part of the threading needle 5 (namely the handheld part of the threading needle 5), and the arrangement of the groove 17 is convenient for a user to identify the direction of the barb groove 18 so as to accurately hook the suture 19 through the barb groove 18;
the locator 15 is arranged in a cylindrical shape, the middle part of the locator is provided with a locating hole 22, the diameter of the locating hole 22 is 3.0mm, two ends of the locator 15 are respectively provided with a limiting hole 23 communicated with the locating hole 22, the diameter of one end, connected with the locating hole 22, of the limiting hole 23 is smaller than that of the other end of the limiting hole 23, and the diameter of one end, connected with the locating hole 22, of the limiting hole 23 is consistent with that of the limiting hole 23;
through the arrangement of the limiting hole 23, the drill bit can accurately enter the positioning hole 22 as long as the drill bit can extend into the limiting hole 23 within a certain error range along with the continuous extension of the drill bit, so that the positioner 15 has a good positioning effect on the drill bit, and after the drill bit accurately enters the positioning hole 22, the damage of the drill bit to the side wall of the positioning hole 22 is reduced, and therefore chips generated due to the damage of the drill bit to the side wall of the positioning hole 22 are reduced or avoided;
a tubular handheld handle 14 is connected to one side of the positioner 15, and an included angle between the positioner 15 and the tubular handheld handle 14 is 90 degrees, since the positioner 15 is not eccentric, when the positioner 15 needs to be applied on the left side, the tubular handheld handle 14 is on the outer side thereof, and the suture 19 needs to be wound to a third thread passing groove 24 through a first thread passing groove 25 (a winding position shown in fig. 8); when the locator 15 needs to be applied to the right side, the suture 19 needs to be wound to the third wire passing groove 24 through the second wire passing groove 20 (the winding position is shown in fig. 9), and the locator 15 is turned over, so that the tubular handle 14 is still at the outer side, and thus, one locator 15 is applied to the operation positions on the left side and the right side at the same time;
the tubular hand-held handle 14 is provided with a thread passing ring 16 for passing a suture thread 19, the right end of the extension arm 11 is provided with a connecting block 12, the connecting block 12 is provided with a first connecting hole 121 and a second connecting hole 122 for inserting the tubular hand-held handle 14, and the surface of the tubular hand-held handle 14 is provided with grains for increasing the friction force between the tubular hand-held handle 14 and the first connecting hole 121 and the second connecting hole 122;
a first wire passing groove 25 and a second wire passing groove 20 are respectively arranged on one side of the joint of the locator 15 and the tubular handheld handle 14, a third wire passing groove 24 is arranged on the other side of the locator 15, the first wire passing groove 25 and the second wire passing groove 20 are respectively positioned above and below the tubular handheld handle 14, and the first wire passing groove 25 and the second wire passing groove 20 are both communicated with the third wire passing groove 24.
Specifically, the top of sleeve 4 is equipped with spacing ring 3, the surface of sleeve 4 is equipped with the external screw thread that increases frictional force. The cannula 4 is a k-wire cannula and may have an inner diameter of 2.5mm or 2.0 mm.
Specifically, the surface of handle 1 is equipped with scale 21 that is located spout 2 side, handle 1 inboard is equipped with the arc wall 7 that is used for conveniently gripping.
Specifically, when in use, as shown in fig. 8, after one end of the suture 19 passes through the thread passing ring 16, the suture passes through the first thread passing groove 25 and then is wound to the third thread passing groove 24, and finally passes out of the thread passing ring 16, and then two thread ends of the suture 19 are tightened, so that the suture 19 is tightly clamped in the third thread passing groove 24 of the first thread passing groove 25, and then the winding of the suture 19 and the positioner 15 is completed;
as shown in fig. 9, after one end of the suture 19 passes through the thread passing ring 16, the suture passes through the second thread passing groove 20 to be wound to the third thread passing groove 24, and finally passes out of the thread passing ring 16, and then two thread ends of the suture 19 are tightened, so that the suture 19 is tightly clamped in the third thread passing groove 24 of the second thread passing groove 20, and then the winding of the suture 19 and the positioner 15 is completed;
the positioner 15 which is wound is held by the tubular hand-held handle 14, the positioner 15 is inserted into a proper position, and the tubular hand-held handle 14 is hollow, so that a 2.0 Kirschner wire can be just allowed to pass through the tubular hand-held handle, and the 2.0 Kirschner wire is inserted onto the scapula to complete the fixation of the positioner 15;
then, the handle 1 is held, the tubular handle 14 is inserted into the first connecting hole 121 or the second connecting hole 122 on the connecting block 12, the integrated tool for threading is placed above the acromioclavicular joint, the distance between the handle 1 and the extension arm 11 can be adjusted because the left end of the extension arm 11 is slidingly connected in the sliding groove 2, and the extension arm 11 is fixed by the locking screw 9 by rotating the knob 8 after the handle 1 moves to a proper position;
the extension arm 11 is clamped at the front upper part of the acromioclavicular joint, the sleeve 4 is pushed to the acromioclavicular joint until the bottom of the sleeve 4 is propped against the upper surface of the clavicle at the inner side of the acromioclavicular joint, then the drill bit is extended in through the sleeve 4 until the drill bit sequentially perforates the clavicle, soft tissues between the coracoid process of the clavicle and the coracoid process, the drill bit is accurately extended into the positioning hole 22 after extending into the limiting hole 23 to form a bone tunnel, the drill bit is taken out, the bottom of the suture passing needle 5 is penetrated and extended out through the inner part of the sleeve 4, so that the bottom of the suture passing needle 5 extends out through the clavicle bone tunnel, the clavicle coracoid interosseous soft tissue tunnel and the coracoid bone tunnel, the suture 19 on the locator 15 is picked out by a vascular clamp or a hook, the suture 19 is hooked by the barb groove 18, at this time, the threading needle 5 is drawn out, so that the suture 19 can pass through the coracoid bone tunnel, the coracoid interclavicular soft tissue tunnel and the clavicle bone tunnel, and other operation operations can be carried out.
Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.

Claims (3)

1. The utility model provides a skeleton, soft tissue tunnel preparation and integrative instrument of line, includes handle (1), extension arm (11), sleeve pipe (4), line needle (5) and locator (15), its characterized in that cross: a sliding groove (2) is formed in the right side of the handle (1), the left end of the extension arm (11) is connected into the sliding groove (2) in a sliding mode, a limiting groove (6) is formed in the side wall of the sliding groove (2), a limiting bulge (10) on the side edge of the left end of the extension arm (11) is connected into the corresponding limiting groove (6) in a sliding mode, a locking screw rod (9) is connected to the right side edge of the handle (1) in a threaded mode, and the upper end of the locking screw rod (9) is connected with a knob (8);
the sleeve (4) penetrates through the opening at the left end of the handle (1), the bottom of the thread passing needle (5) penetrates through the interior of the sleeve (4) and extends out, a barb groove (18) for hooking a suture (19) is formed in the lower end of the thread passing needle (5), a groove (17) is formed in the surface of the upper portion of the thread passing needle (5), the groove (17) and the barb groove (18) are located on the same side, and the depth of the groove (17) is smaller than that of the barb groove (18);
the locator (15) is arranged in a cylindrical shape, the middle of the locator is provided with a locating hole (22), two ends of the locator (15) are respectively provided with a limiting hole (23) communicated with the locating hole (22), the diameter of one end, connected with the locating hole (22), of the limiting hole (23) is smaller than that of the other end of the limiting hole (23), and the diameter of one end, connected with the locating hole (22), of the limiting hole (23) is consistent with that of the limiting hole (23);
one side of the positioner (15) is connected with a tubular handheld handle (14), a thread passing ring (16) for a suture thread (19) to pass through is arranged on the tubular handheld handle (14), a connecting block (12) is arranged at the right end of the extension arm (11), a first connecting hole (121) and a second connecting hole (122) for the tubular handheld handle (14) to be inserted into are arranged on the connecting block (12), and grains for increasing the friction force between the tubular handheld handle (14) and the first connecting hole (121) and between the tubular handheld handle and the second connecting hole (122) are arranged on the surface of the tubular handheld handle (14);
the utility model discloses a line, including locator (15) and tubulose handheld handle (14), one side of locator and tubulose handheld handle (14) junction is equipped with first line groove (25) and second line groove (20) of crossing respectively, the opposite side of locator (15) is equipped with third line groove (24), first line groove (25) of crossing and second line groove (20) are located the upper and lower side of tubulose handheld handle (14) respectively, first line groove (25) of crossing and second line groove (20) all cross line groove (24) with the third and communicate.
2. A bone, soft tissue tunneling and threading integrated tool, according to claim 1, characterized by: the top of sleeve pipe (4) is equipped with spacing ring (3), the surface of sleeve pipe (4) is equipped with the external screw thread that increases frictional force.
3. A bone, soft tissue tunneling and threading integrated tool, according to claim 1, characterized by: the surface of handle (1) is equipped with scale (21) that are located spout (2) side, handle (1) inboard is equipped with arc wall (7) that are used for conveniently gripping.
CN202120587721.2U 2021-03-23 2021-03-23 Skeleton, soft tissue tunnel preparation and integrative instrument of line Expired - Fee Related CN215129539U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202120587721.2U CN215129539U (en) 2021-03-23 2021-03-23 Skeleton, soft tissue tunnel preparation and integrative instrument of line

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202120587721.2U CN215129539U (en) 2021-03-23 2021-03-23 Skeleton, soft tissue tunnel preparation and integrative instrument of line

Publications (1)

Publication Number Publication Date
CN215129539U true CN215129539U (en) 2021-12-14

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Application Number Title Priority Date Filing Date
CN202120587721.2U Expired - Fee Related CN215129539U (en) 2021-03-23 2021-03-23 Skeleton, soft tissue tunnel preparation and integrative instrument of line

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN116747001A (en) * 2023-06-07 2023-09-15 江苏省苏北人民医院 Positioning, drilling and threading integrated guide for coracoid process and use method

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN116747001A (en) * 2023-06-07 2023-09-15 江苏省苏北人民医院 Positioning, drilling and threading integrated guide for coracoid process and use method
CN116747001B (en) * 2023-06-07 2023-12-15 江苏省苏北人民医院 Positioning, drilling and threading integrated guide for coracoid process and use method

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Granted publication date: 20211214