DE3225620A1 - Microsurgical instrument - Google Patents
Microsurgical instrumentInfo
- Publication number
- DE3225620A1 DE3225620A1 DE19823225620 DE3225620A DE3225620A1 DE 3225620 A1 DE3225620 A1 DE 3225620A1 DE 19823225620 DE19823225620 DE 19823225620 DE 3225620 A DE3225620 A DE 3225620A DE 3225620 A1 DE3225620 A1 DE 3225620A1
- Authority
- DE
- Germany
- Prior art keywords
- handle
- support shaft
- instrument
- microsurgical instrument
- instruments
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Ceased
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/3209—Incision instruments
- A61B17/3211—Surgical scalpels, knives; Accessories therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/30—Surgical pincettes without pivotal connections
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
Description
MIKROCHIRURGIS CHES INSTRUMENT Die Erfindung betrifft ein mikrochirurgisches Instrument, bestehend aus einer vorzugsweise zylinderförmigen Handhabe, einem sich von der Handhabe nach vorn erstreckenden Arbeitserde und einem sich von der Handhabe nach rückwärts erstreckenden Auflageschaft. MICROSURGERY INSTRUMENT The invention relates to a microsurgical instrument Instrument, consisting of a preferably cylindrical handle, a self from the handle forwardly extending working earth and one from the handle to the rearwardly extending support shaft.
Chirurgische Mikro-Instrumente werden z.B. für G»TäB-, Nerv- oder ähnliche Operationen verwendet, bei denen mit Lupe oder Mikroskop gearbeitet wird. Es sind neben .sogenannten flFlachgrj ffinstrumenten und sogenannten l'Rundgriffinstrumenten" auch Mikroinstrumente der eingangs genannten Art {G 80 24 453.7) bekannt.Surgical micro-instruments are used e.g. for G »TäB, nerve or used similar operations that involve working with a magnifying glass or microscope. In addition to so-called flat-handle instruments and so-called round-handle instruments " also known as micro-instruments of the type mentioned (G 80 24 453.7).
Nachteilig ist bei diesen bekannten Instrumenten, daß sie entweder nicht ergonomisch gestaltet sind, d.h., daß sie den Operations ablauf erschweren undZoder daß sie bei besonders tiefen Eingriffen, z.B. in der Neurochirurg e, mit äußerst begrenzten Arbeitsverhältnissen in der Länge nicht ausreichend sind und/oder stark ermüdend wirken; Ferner erschweren diese Instrumente die Arbeit unter dem Mikroskop und sie schränken in den meisten Fällen das Blickfeld des Operateurs ein.The disadvantage of these known instruments is that they either Are not ergonomically designed, i.e. they complicate the surgical process andZor that they are involved in particularly deep interventions, e.g. in the neurosurgeon extremely limited employment relationships are insufficient in length and / or appear very tiring; Furthermore, these instruments make working under the Microscope and in most cases they limit the surgeon's field of vision.
Die bekannten Mikro-Instrumente (DE-GM 80 24 453.7) sind bereits für periphere mikrochirurgische Eingriffe konstruiert Sie haben aber den Nachteil, daß mit Ihnen in der Tiefe nicht gearbeitet werden kann. Diese Instrumente sind hierfür ungeeignet, weil durch sie das Blickfeld durch das über der Operationsstelle stehende Mikroskop eingeschränkt wird.The well-known micro-instruments (DE-GM 80 24 453.7) are already for peripheral microsurgical interventions designed but they have the disadvantage that you cannot work with them in depth. These tools are for this unsuitable because it allows the field of vision to be seen through what is above the surgical site Microscope is restricted.
Es sind auch abgekröpfte gerade Instrumente bekannt. Auch diese Instrumente haben aber den Nachteil/ daß das Cewicht des Instrumentes von den das Instrument bedienenden Fingern gehalten werden muß, wodurch die Bedienung erschwert wird Der Erfindung liegt die Aufgabe zugrunde, ein mikrochirurgisches Instrument der eingangs genannten Art zu schaffen, welches ein weitgehend ermüdungsfreies Arbeiten ermöglicht und welches das Blickfeld des Operateurs möglichst wenig einschränkt. Dies wird erfindungsgemäß bei einem Instrument der eingangs genannten Art dadurch erreicht, daß das Arbeitsende gegen die Handhabe mit Auflageschaft abgewinkelt ist. Hierdurch läßt sich das Instrument, das zwischen Arbeitsende und Auflageschaft so ausbalanciert ist, daß sein Schwerpunkt in der Handhabe liegt, leicht und ermüdungsfrei halten. Das Gewicht- des Instruments wirkt nicht auf die Instrurnentenspitze und muß nicht von den das Instrument betätigenden Fingerspitzen ständig gehalten werden, was sehr ermüdend ist, sondern es liegt ei auf der ohnehin aufgelegten Hand. Dies ermöglicht erstmals ein wirklich entspanntes Arbeiten, wobei das ständige Risiko, daS das Instrument aus den Fingern gleitet, vermieden ist. Das Instrument kann ohne jede Kraftanstrengung gesteuert werden. Durch die schräg nach hinten verlaufende Handhabe und den Auflageschaft ist die Arbeit durch das Objektiv des über der Operationsstelle stehenden Mikroskops nicht beeinträchtigt, und es wird das Blickfeld nicht eingeschränkt.Straight cranked instruments are also known. These instruments too but have the disadvantage / that the weight of the instrument differs from that of the instrument operating fingers must be held, making operation difficult will The invention is based on the object of a microsurgical instrument of To create the type mentioned at the beginning, which is largely fatigue-free work and which restricts the surgeon's field of vision as little as possible. According to the invention, this is achieved in an instrument of the type mentioned at the outset achieved that the working end is angled against the handle with support shaft. This allows the instrument between the working end and the support shaft so it is balanced so that its focus is on the handle, light and fatigue-free keep. The weight of the instrument does not affect the tip of the instrument and does not have to be constantly held by the fingertips operating the instrument, which is very tiring, but it lies on the hand that is already on the table. this enables really relaxed work for the first time, with the constant risk of that the instrument slides out of the fingers is avoided. The instrument can do without every effort can be controlled. Due to the sloping backwards Handle and the support shaft is the work through the lens of the above the surgical site The standing microscope is not impaired and the field of view is not restricted.
Dadurch, daS die Ebene der Trennfuge zwischen den beiden Teilen der Handhabe gegenüber der Ebene der Trennfuge zwischen den beiden Branchen - von Auflageschaft her gesehen - verdreht, vorzugsweise im Gegenuhrzeigersinn verdreht, angeordnet ist, wird eine optimale ergonomische Anordnung der Handhabe zwischen den Fingern des Operateurs gewahrleiste.Because the plane of the parting line between the two parts of the Handle opposite the plane of the parting line between the two branches - from the support shaft seen from here - twisted, preferably twisted counterclockwise, arranged is, an optimal ergonomic arrangement of the handle between the fingers of the surgeon.
Die Erfindung ist im folgenden anhand der Zeichnung an Ausfuhrungsbeispielen näher erläutert. In der Zeichnung zeigen: Fig. 1 eine Seitenansicht eines Nadelhalters (Schere entsprechend) Fig. 2 eine Seiten- und Draufsicht einer Pinzette Fig. 3 eine Seitenansicht eines Dissectors.The invention is illustrated below with reference to the drawings of exemplary embodiments explained in more detail. The drawings show: FIG. 1 a side view of a needle holder (Scissors accordingly) Fig. 2 is a side and top view of a pair of tweezers 3 is a side view of a dissector.
Fig. 1 zeigt einen Nadelhalter. Mit 1 ist der Auf lageschaft bezeichnet, der sich von der Handhabe 2a und 2b nach rückwärts erstreckt. Am Vorderende der hier zweiteiligen Handhabe 2a und 2b sind die Branchen 3a und 3b winkelförmig angeordnet, welche durch ein Schloß miteinander verbunden sind und am vorderen Ende die Maulhälften 5a und 5b haben. Die zweiteilige Handhabe 2a; 2b wird gegen eine dazwischen befindliche Feder zusammengedrückt und ist im zusammengedrückten Zustand zylindrisch Die auf der Handhabe aufgebrachten Rillen (Längsrändel) sollen ein Abrutschen verhindern.Fig. 1 shows a needle holder. With 1 of the stock is referred to, which extends rearward from the handle 2a and 2b. At the front end of the Here two-part handle 2a and 2b, the branches 3a and 3b are arranged at an angle, which are connected by a lock and at the front end the halves of the mouth 5a and 5b have. The two-part handle 2a; 2b is against an intermediate The spring is compressed and is cylindrical when compressed The grooves applied to the handle (longitudinal knurl) are intended to prevent slipping.
Durch die in einem Winkel zueinander angeordnete Handhabe mit Auflageschaft und Branchen wird jede Sichtbehinderung verhindert. Auch eine räumliche Beeinträchtigung durch das Operationsmikroskop ist nicht mehr gegeben, weil Handhabe und Auflageschaft schräg nach hinten am Operationsmikroskop vorbeiführen.Thanks to the handles with support shaft, which are arranged at an angle to one another and industries, any visual obstruction is prevented. Also a spatial impairment through the surgical microscope is no longer given because the handle and support shaft Move it diagonally back past the surgical microscope.
Fig. 2 zeigt eine Pinzette mit im wesentlichen denselben merkmalen und Vorteilen des in Fig. 1 gezeigten Nadelhalters. Die Federwirkung auf die Branchen erfolgt hier durch eine mittels einer Einkerbung 6 erreichten Feder im Auflageschaft 1. Es ist durchaus möglich auch beiden tige Einkerbungen anzubringen.Fig. 2 shows a pair of tweezers with essentially the same features and advantages of the needle holder shown in FIG. The spring effect on the industries takes place here by means of a notch 6 reached spring in the support shaft 1. It is entirely possible to make both-term notches.
Die Draufsicht (A) zeigt deutlich die gegen Schaft und Branchen (1; 3> verdrehten Teile der Handhabe.The top view (A) clearly shows the against the shaft and branches (1; 3> twisted parts of the handle.
Fig. 3 zeigt die Seitenansicht eines Dissectors. Dieser ist in der Regel ohne bewegliche Teile ausgeführt und besteht aus dem Auflageschaft 1, der einteiligen Handhabe 2, der Branche 3 und der Dissectorspitze 7.Fig. 3 shows the side view of a dissector. This is in the Usually executed without moving parts and consists of the support shaft 1, the one-piece handle 2, the branch 3 and the dissector tip 7.
Es ist auch durchaus denkbar, die Branche 3 gegenüber der Handhabe drehbar anzuordnen, wodurch eine Anzahl in verschiedene Richtungen weisende Dissectoren eingespart werden könnten.It is also quite conceivable that branch 3 versus handle to be rotatably arranged, whereby a number in different directions pointing dissectors could be saved.
Wesenlich ist auch die vorbestimmte und gleiche oder ähnliche Bemaßung der verschiedenen Instrumerte, so daß alle Instrumente in der Handhabung ähnlich sind. Der Operateur hat dadurch ein gleichbleibendes Gefühl beim Arbeiten.The predetermined and identical or similar dimensions are also essential of the different instruments, so that all instruments are similar in use are. This gives the surgeon a consistent feeling while working.
Ebenfalls von wesentlicher Bedeutung ist die in einem vorbestimmten Winkel schräg nach hinten verlaufende Handhabe mit Auflageschaft, wodurch das Instrument absolut rutschsicher und gut ausbalanciert in der Hand liegt.Also of essential importance is that in a predetermined one Angle sloping back handle with support shaft, making the instrument absolutely non-slip and well balanced in the hand.
Wichtig ist auch, daß bei zweiteiligen Handhaben (2a; 2b) durch die starre Verbindung der einen Handhabe (2s) mit dem Auflageschaft (1) ein akurates Arbeiten erleichtert ist. Nur der Teil der Arbeitsspritzen bewegt sich bei Betätigung der Handhabe (2), welcher mit der beweglichen Handhabe fest verbunden ist, während der andere Teil der Arbeitsspitzen sich unter dem Mikroskop nicht bewegt. Dies erleichtert das Arbeiten unter Mikroskop sehr wesentlich, weil das ständige Lagekorrigieren der Arbeitsspitzen wegfällt.It is also important that with two-part handles (2a; 2b) by the rigid connection of one handle (2s) with the support shaft (1) an accurate Working is made easier. Only the part of the working syringes moves when activated the handle (2), which is firmly connected to the movable handle, while the other part of the working tips does not move under the microscope. This makes it easier Working under the microscope is very important because you have to constantly correct your position the work peaks are eliminated.
Mit dem erfindungsgemäßen Instrument wurde erstmals ein Instrument erfunden, mit dem ermüdungsfrei gearbeitet werden kann, welches das Sichtfeld des Operateurs nicht einschränkt, welches ausbalanciert in der Hand liegt, deren Arbeitsspitzen bei Betätigung der Handhabe am Arbeitspunkt verweilen, deren Konstruktionsprinzip bzw. Design auf sämtliche für mikrochirurgische Operations abläufe erforderlichen Instrumente anwendbar ist Die gegenüber den Branchen (3a; 3b) verdreht angeordneten zweiteiligen Handhaben gewäurleisten eine besonders gun stige Lage der Finger des Operateurs auf der Handhabe.An instrument was created for the first time with the instrument according to the invention invented, with which fatigue-free work can be carried out, which is the field of vision of the Do not restrict the surgeon, which is balanced in the hand, their work peaks stay at the operating point when operating the handle, its design principle or design on all required for microsurgical operation processes Instruments applicable is those arranged in a twisted manner with respect to the branches (3a; 3b) two-part handle to give a particularly favorable position of the fingers of the Surgeons on the handle.
Auch dies ist für ein reibungsloses. Arbeiten eminent wichtigAgain, this is for a smooth run. Work is extremely important
Claims (3)
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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DE19823225620 DE3225620A1 (en) | 1981-07-11 | 1982-07-08 | Microsurgical instrument |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
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DE3127474 | 1981-07-11 | ||
DE19823225620 DE3225620A1 (en) | 1981-07-11 | 1982-07-08 | Microsurgical instrument |
Publications (1)
Publication Number | Publication Date |
---|---|
DE3225620A1 true DE3225620A1 (en) | 1983-02-03 |
Family
ID=25794518
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
DE19823225620 Ceased DE3225620A1 (en) | 1981-07-11 | 1982-07-08 | Microsurgical instrument |
Country Status (1)
Country | Link |
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DE (1) | DE3225620A1 (en) |
Cited By (64)
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US4579116A (en) * | 1984-10-15 | 1986-04-01 | Catalano J Denis | Ocular muscle hook |
EP0259482A4 (en) * | 1986-03-13 | 1989-06-14 | Micrins Surgical Instr Ltd | Hand held surgical tool. |
EP1415601A1 (en) * | 2002-10-31 | 2004-05-06 | Mani, Inc. | Blood vessel knife |
US7658751B2 (en) | 2006-09-29 | 2010-02-09 | Biomet Sports Medicine, Llc | Method for implanting soft tissue |
US7749250B2 (en) | 2006-02-03 | 2010-07-06 | Biomet Sports Medicine, Llc | Soft tissue repair assembly and associated method |
US7857830B2 (en) | 2006-02-03 | 2010-12-28 | Biomet Sports Medicine, Llc | Soft tissue repair and conduit device |
US7905904B2 (en) | 2006-02-03 | 2011-03-15 | Biomet Sports Medicine, Llc | Soft tissue repair device and associated methods |
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Cited By (178)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4579116A (en) * | 1984-10-15 | 1986-04-01 | Catalano J Denis | Ocular muscle hook |
EP0259482A4 (en) * | 1986-03-13 | 1989-06-14 | Micrins Surgical Instr Ltd | Hand held surgical tool. |
EP1415601A1 (en) * | 2002-10-31 | 2004-05-06 | Mani, Inc. | Blood vessel knife |
US7264626B2 (en) | 2002-10-31 | 2007-09-04 | Mani, Inc. | Blood vessel knife |
US8221454B2 (en) | 2004-02-20 | 2012-07-17 | Biomet Sports Medicine, Llc | Apparatus for performing meniscus repair |
US8128658B2 (en) | 2004-11-05 | 2012-03-06 | Biomet Sports Medicine, Llc | Method and apparatus for coupling soft tissue to bone |
US8137382B2 (en) | 2004-11-05 | 2012-03-20 | Biomet Sports Medicine, Llc | Method and apparatus for coupling anatomical features |
US9504460B2 (en) | 2004-11-05 | 2016-11-29 | Biomet Sports Medicine, LLC. | Soft tissue repair device and method |
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US9572655B2 (en) | 2004-11-05 | 2017-02-21 | Biomet Sports Medicine, Llc | Method and apparatus for coupling soft tissue to a bone |
US8551140B2 (en) | 2004-11-05 | 2013-10-08 | Biomet Sports Medicine, Llc | Method and apparatus for coupling soft tissue to bone |
US8840645B2 (en) | 2004-11-05 | 2014-09-23 | Biomet Sports Medicine, Llc | Method and apparatus for coupling soft tissue to a bone |
US10265064B2 (en) | 2004-11-05 | 2019-04-23 | Biomet Sports Medicine, Llc | Soft tissue repair device and method |
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