TW201318595A - A release kit for digital pulley - Google Patents

A release kit for digital pulley Download PDF

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Publication number
TW201318595A
TW201318595A TW100140362A TW100140362A TW201318595A TW 201318595 A TW201318595 A TW 201318595A TW 100140362 A TW100140362 A TW 100140362A TW 100140362 A TW100140362 A TW 100140362A TW 201318595 A TW201318595 A TW 201318595A
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Taiwan
Prior art keywords
section
main body
blocking portion
isolation
surgical tool
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TW100140362A
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Chinese (zh)
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TWI474800B (en
Inventor
Fong-Chin Su
tai-hua Yang
I-Ming Jou
Cheng-Chun Cheng
Wei-Jr Lin
Li-Chieh Kuo
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Univ Nat Cheng Kung
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Priority to TW100140362A priority Critical patent/TWI474800B/en
Publication of TW201318595A publication Critical patent/TW201318595A/en
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Publication of TWI474800B publication Critical patent/TWI474800B/en

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Abstract

A release kit for digital pulley, it includes a main body, a fixed element and a knife body, wherein one end of the main body is a separation section, the other end is a grip section, and it forms a barrier on the top of the spacer section by bending the spacer section; The fixed element is inserted to the barrier of the spacer section from the grip section of the main body; It sets a groove which is connected to two end of the knife body, and forms two cutting blade on one end of the knife body, and the knife body is inserted to the barrier of the spacer section from the grip section of the main body to make the two cutting blade are stopped by the barrier, and the fixed element are covered by the groove, then the pulley cut from the finger is to observe by removing with the surgical knife, and it is to reduce the possibility of nerve damage by inserting the surgical knife to the affected area of the finger from the direction of the finger to the palm.

Description

滑車手術刀具Block surgical knife

  本發明係有關於一種滑車手術刀具,特別是指用於切開滑車,而適用於治療扳機指手術之刀具。The present invention relates to a tackle surgical knife, and more particularly to a cutter for cutting a pulley and for treating a trigger finger surgery.

  由於每個人於日常生活中使用到手指動作的機會相當多,例如工作、打電腦、使用掌型電器用品、傳簡訊、作家事、運動等,均會容易造成手指過度使用而產生有「扳機指」等病變,其常發生之位置約在掌骨與近端指骨之間的關節掌側處,各手指都可能發生,而發生的原因是肌腱發炎後滑車因增厚而變得狹窄或肌腱有結節狀膨出,使得肌腱在關節處的滑車內自由滑動出現阻礙,而產生疼痛,並隨病程之惡化,導致手指無法任意平順地伸直或彎曲,嚴重者則必需進行手術處理,以改善扳機指之症狀。Because everyone has a lot of opportunities to use finger movements in daily life, such as work, computer, palm-type electrical appliances, text messaging, writers, sports, etc., it is easy to cause excessive finger use and trigger The lesions often occur at the volar side of the joint between the metacarpal and the proximal phalanx. Each finger may occur, and the cause is that the stenosis becomes thicker or the tendon has nodules after the tendon is inflamed. The bulging bulge causes the tendon to slide freely in the trochlear joint at the joint, causing pain, and as the disease progresses, the finger cannot straighten or bend smoothly. In severe cases, surgery must be performed to improve the trigger finger. Symptoms.

  目前常見用於治療扳機指的手術刀具有中華民國新型第M302351號「微創扳機手術刀結構」,包括一套殼、一連動刀座、一驅動件及一刀具;該套殼的前端具有一鉤形元件,該連動刀座係設置於該套殼的內部,該驅動件與該連動刀座進行作動連接,該刀具連接於該連動刀座的前端;以該鉤形元件將A1滑車勾起,然後以該驅動件驅動該連動刀座連同該刀具一同前進,達成有效定位,進而使該刀具切割A1滑車完成手術,然而:The scalpel currently used to treat the trigger finger has the "Mini-Invasive Trigger Surgical Knife Structure" of the Republic of China No. M302351, comprising a set of shells, a linkage knife seat, a driving member and a cutter; the front end of the casing has a a hook-shaped member, the interlocking knife seat is disposed inside the casing, the driving member is movably connected to the interlocking blade seat, the cutter is connected to the front end of the interlocking blade seat; and the hook member is used to hook the A1 pulley Then, the driving piece drives the interlocking knife holder to advance together with the cutter to achieve effective positioning, so that the cutter cuts the A1 pulley to complete the operation, however:

  雖然其具有可對進刀量作定位之功效,但對於切割角度仍然無法做精確的定位,依然需輔助儀器或醫生的經驗;另外,其切割滑車時,係相同於一般微創的滑車手術刀具,僅將滑車切割開,但是當滑車過於增厚,使得肌腱與滑車之間過於狹窄,若僅將滑車切開,改善效果將不符期待,此時,仍需利用傳統手術方式,將患部皮膚切開,以對患部進行部份的切除,導致有傳統手術方式傷口過大,復原時間較久,而且容易傷害手部神經或組織之缺失。Although it has the effect of positioning the infeed amount, it still has no need to accurately position the cutting angle. It still needs the experience of the auxiliary instrument or the doctor. In addition, when cutting the pulley, it is the same as the general minimally invasive tackle surgical tool. Cut the pulley only, but when the pulley is too thick, the tendon and the pulley are too narrow. If the pulley is only cut, the improvement effect will not be expected. At this time, the traditional surgical method is still needed to cut the affected part of the skin. Partial resection of the affected part results in a traditional surgical procedure with excessive wounds, a long recovery time, and easy damage to the missing nerves or tissues of the hand.

  爰此,本發明之目的即在於改善前述缺失。Accordingly, it is an object of the present invention to improve the aforementioned deficiency.

  根據本發明上述目的,因此本發明人基於不斷創新研發之精神,而開發出一種滑車手術刀具,包括:According to the above object of the present invention, the present inventors have developed a tackle surgical tool based on the spirit of continuous innovation and research and development, including:

  一主體,具有相對二端,其中一端為隔離段,另外一端為握持段,該隔離段端部彎折形成一阻擋部;一固定元件,由該主體之握持段伸入至該隔離段之阻擋部;一刀體,係呈長條型,其上設置ㄧ連通二端之凹槽,並在其中一端形成二切割片,該刀體由該主體之握持段伸入至該隔離段之阻擋部,使該二切割片受該阻擋部阻擋,並使該固定元件受該凹槽包覆。a main body having opposite ends, one end of which is an isolation section, and the other end is a holding section, the end of the isolation section is bent to form a blocking portion; a fixing component is extended from the holding section of the main body to the isolation section a blocking portion; a body having a long strip shape with a groove connecting the two ends, and forming a two cutting piece at one end thereof, the body extending from the holding portion of the body into the isolation portion The blocking portion blocks the two cutting pieces from the blocking portion and causes the fixing member to be covered by the groove.

  進一步,該阻擋部之彎折角度為30度至50度,該刀體之二切割片形成相同彎折角度,而貼抵該阻擋部。Further, the blocking portion has a bending angle of 30 degrees to 50 degrees, and the two cutting pieces of the cutter body form the same bending angle and are attached to the blocking portion.

  進一步,該主體之握持段設置二個定位穿孔,供該固定元件及該刀體分別由該二個定位穿孔伸入至該隔離段。Further, the holding portion of the main body is provided with two positioning through holes, and the fixing member and the cutter body respectively extend from the two positioning through holes to the isolation portion.

  進一步,該主體之隔離段上具有一導槽,使該固定元件伸入該隔離段時受該導槽導引,而位在該導槽上。Further, the isolation section of the main body has a guiding groove, so that the fixing component is guided by the guiding groove when extending into the isolation section, and is located on the guiding groove.

  進一步,該隔離段之阻擋部具有一透孔,該固定元件之端部則形成一圓錐段,該圓錐段穿過該透孔,使該固定元件抵止於該透孔周緣。Further, the blocking portion of the isolation portion has a through hole, and the end portion of the fixing member forms a conical section, and the conical section passes through the through hole, so that the fixing member abuts against the periphery of the through hole.

  本發明主要功效在於:The main effects of the present invention are:

  1.本發明手術刀具由手指-手掌交界橫紋位置往手掌方向伸入至患部,不會接觸神經較多的手掌,侵入性低,將手術過程所受阻力以及手掌神經受損的可能性降至最低。1. The surgical knives of the present invention extend from the finger-hand boundary to the affected part, and do not contact the palm of the nerve. The invasiveness is low, and the resistance to the surgery and the possibility of damage to the palm nerve are reduced. To the lowest.

  2.本發明利用主體穿過肌腱與滑車之間,再配合固定元件壓住欲切除之患部,使刀體可精確切除患部,且由於將肌腱與滑車分隔開,不會傷害到肌腱,手術精確度高,不易復發。2. The invention utilizes the main body to pass between the tendon and the trochle, and then cooperates with the fixing component to press the affected part to be removed, so that the body can accurately remove the affected part, and since the tendon is separated from the trochle, the tendon is not damaged, and the operation is performed. High precision and not easy to relapse.

  3.手術完成後,可將切除之患部連同手術刀具一併取出,方便再對患部作病理上的切片觀察。3. After the operation is completed, the affected part can be taken out together with the surgical tool to facilitate the pathological observation of the affected part.

  綜合上述技術特徵,本發明主要功效將可於下述實施例清楚呈現。Combining the above technical features, the main effects of the present invention will be clearly shown in the following embodiments.

  請參閱第一圖及第二圖所示,係為一種滑車手術刀具,其包括一主體(1)、一固定元件(2)及一刀體(3),再請配合參閱第三圖及第四圖所示,係配合使用方式說明如下:Referring to the first and second figures, the utility model relates to a sliding surgical tool, which comprises a main body (1), a fixing component (2) and a cutter body (3), and then please refer to the third figure and the fourth figure. As shown in the figure, the instructions are as follows:

  該主體(1)具有相對二端,其中一端為隔離段(11),另外一端為握持段(12),該隔離段(11)上具有一導槽(111),並在該隔離段(11)端部彎折約為30度至50度而形成一阻擋部(112),該阻擋部(112)上則具有一透孔(113),進一步在該握持段(12)上設置二個定位穿孔(121),手術時,先在手指(A)的患部位置前端切開一可供該主體(1)之隔離段(11)伸入該手指(A)的小缺口(A1),之後將該主體(1)之隔離段(11)由該小缺口伸入手指(A)患部,使該隔離段(11)穿過肌腱(A2)與滑車(A3)之間,藉此,將肌腱(A2)與滑車(A3)隔開,使後續切除動作不會傷害肌腱(A2),同時,由手指(A)位置往手掌方向伸入至患部,不會接觸神經較多的手掌,侵入性低,將手術過程所受阻力以及手掌神經受損的可能性降至最低。The main body (1) has opposite ends, one end of which is an isolation section (11), and the other end is a holding section (12) having a guiding groove (111) on the isolation section (11), and in the isolation section ( 11) The end portion is bent at about 30 degrees to 50 degrees to form a blocking portion (112), the blocking portion (112) has a through hole (113), and further disposed on the holding portion (12) Positioning the perforation (121), during surgery, first cutting a small gap (A1) for the isolated section (11) of the body (1) into the front end of the affected part of the finger (A), after which The isolation section (11) of the main body (1) is extended from the small gap into the affected part of the finger (A), and the isolation section (11) is passed between the tendon (A2) and the pulley (A3), thereby applying the tendon (A2) is separated from the pulley (A3) so that the subsequent resection does not damage the tendon (A2). At the same time, the finger (A) position extends into the affected part of the palm, and does not touch the palm of the nerve. Low, minimizing the resistance to surgery and the possibility of damage to the palmar nerves.

  該固定元件(2)之端部形成一圓錐段(21),當該主體(1)之隔離段(11)進入手指(A)患部後,將該固定元件(2)由該握持段(12)之二個定位穿孔(121)其中之一伸入該隔離段(11),並受該導槽(111)導引,以正確將該固定元件(2)伸入至該隔離段(11)的阻擋部(112),並使該圓錐段(21)穿過該透孔(113),使該固定元件(2)抵止於該透孔(113)周緣,藉此可使該固定元件(2)穩固的對欲切除之患部做為固定以及定位之作用。The end of the fixing element (2) forms a conical section (21). When the isolation section (11) of the main body (1) enters the affected part of the finger (A), the fixing element (2) is supported by the holding section (2) 12) One of the two positioning perforations (121) projects into the isolation section (11) and is guided by the guide groove (111) to correctly extend the fixing element (2) into the isolation section (11) a blocking portion (112), and passing the conical section (21) through the through hole (113), so that the fixing member (2) abuts against the periphery of the through hole (113), whereby the fixing member can be made (2) Stable to the affected part to be removed as a fixation and positioning.

  該刀體(3)則呈長條型,其上並設置ㄧ連通二端之凹槽(31),並在其中一端形成二切割片(32),該二切割片(32)形成相同該阻擋部(112)之彎折角度,當該固定元件(2)伸入該手指(A)患部,並對欲切除之患部做固定以及定位之後,則將該刀體(3)由該握持段(12)另一個定位穿孔(121)伸入至該隔離段(11)之阻擋部(112),使該二切割片(32)受該阻擋部(112)阻擋而貼抵該阻擋部(112),並使該固定元件(2)受該凹槽(31)包覆,該刀體(3)則藉此受該固定元件(2)導引,正確伸入至該隔離段(11)的阻擋部(112)。The cutter body (3) is of a long strip shape, and is provided with a groove (31) communicating with the two ends, and a second cutting piece (32) is formed at one end thereof, and the two cutting pieces (32) form the same block. The bending angle of the portion (112), when the fixing member (2) protrudes into the affected portion of the finger (A) and fixes and positions the affected portion to be removed, the blade body (3) is grasped by the holding portion (12) Another positioning through hole (121) extends into the blocking portion (112) of the isolation portion (11) such that the two cutting pieces (32) are blocked by the blocking portion (112) and abut against the blocking portion (112). And the fixing element (2) is covered by the groove (31), whereby the body (3) is guided by the fixing element (2) and correctly protrudes into the isolation section (11) Blocking portion (112).

  請參閱第四圖及第五圖所示,最後,將該主體(1)連同該固定元件(2)及刀體(3)一同緩慢由該手指(A)抽取出,此時,該刀體(3)之二切割片(32)會將該滑車(A3)所欲切除部分切除,而一併由該手指(A)內取出,方便再作病理上的切片觀察。Referring to the fourth and fifth figures, finally, the main body (1) is slowly extracted from the finger (A) together with the fixing member (2) and the body (3). At this time, the body is (3) The second cutting piece (32) will cut off the part to be cut off by the pulley (A3), and is taken out from the finger (A) for convenient pathological observation.

(1)...主體(1). . . main body

(11)...隔離段(11). . . Isolated segment

(111)...導槽(111). . . Guide slot

(112)...阻擋部(112). . . Blocking

(113)...透孔(113). . . Through hole

(12)...握持段(12). . . Grip segment

(121)...定位穿孔(121). . . Positioning perforation

(2)...固定元件(2). . . Fixed component

(21)...圓錐段(twenty one). . . Conical section

(3)...刀體(3). . . Knife body

(31)...凹槽(31). . . Groove

(32)...切割片(32). . . Cutting piece

(A)...手指(A). . . finger

(A1)...小缺口(A1). . . Small gap

(A2)...肌腱(A2). . . tendon

(A3)...滑車(A3). . . pulley

  第一圖係為本發明之立體分解圖。The first figure is a perspective exploded view of the present invention.

  第二圖係為本發明之立體組合圖。The second figure is a three-dimensional combination diagram of the present invention.

  第三圖係為本發明使用狀態示意圖(一)。The third figure is a schematic diagram (1) of the state of use of the present invention.

  第四圖係為本發明使用狀態示意圖(二)。The fourth figure is a schematic diagram of the state of use of the invention (2).

  第五圖係為手術完成後手指滑車之示意圖。The fifth picture is a schematic diagram of the finger block after the operation is completed.

(1)...主體(1). . . main body

(11)...隔離段(11). . . Isolated segment

(111)...阻擋部(111). . . Blocking

(112)...導槽(112). . . Guide slot

(113)...透孔(113). . . Through hole

(12)...握持段(12). . . Grip segment

(121)...定位穿孔(121). . . Positioning perforation

(2)...固定元件(2). . . Fixed component

(21)...圓錐段(twenty one). . . Conical section

(3)...刀體(3). . . Knife body

(31)...凹槽(31). . . Groove

(32)...切割片(32). . . Cutting piece

Claims (6)

一種滑車手術刀具,包括:
  一主體,具有相對二端,其中一端為隔離段,另外一端為握持段,該隔離段端部彎折形成一阻擋部;
  一固定元件,由該主體之握持段伸入至該隔離段之阻擋部;
  一刀體,係呈長條型,其上設置ㄧ連通二端之凹槽,並在其中一端形成二切割片,該刀體由該主體之握持段伸入至該隔離段之阻擋部,使該二切割片受該阻擋部阻擋,並使該固定元件受該凹槽包覆。
A tackle surgical tool comprising:
a main body having opposite ends, one end of which is an isolation section, and the other end is a holding section, and the end of the isolation section is bent to form a blocking portion;
a fixing member extending from the grip portion of the main body to the blocking portion of the isolation portion;
a cutter body having a long strip shape with a groove connecting the two ends and forming a two cutting piece at one end thereof, the cutter body extending from the grip portion of the main body to the blocking portion of the isolation portion, so that The two cutting pieces are blocked by the blocking portion and the fixing member is covered by the groove.
如申請專利範圍第1項所述之滑車手術刀具,進一步該阻擋部之彎折角度為30度至50度。The utility model of the utility model as claimed in claim 1, wherein the blocking portion has a bending angle of 30 degrees to 50 degrees. 如申請專利範圍第1項或第2項所述之滑車手術刀具,進一步該刀體之二切割片形成相同該阻擋部之彎折角度,而貼抵該阻擋部。In the shovel surgical tool according to the first or the second aspect of the invention, the two dicing pieces of the shank are formed to have the same bending angle of the blocking portion and are attached to the blocking portion. 如申請專利範圍第1項所述之滑車手術刀具,進一步該主體之握持段上設置二個定位穿孔,供該固定元件及該刀體分別由該二個定位穿孔伸入至該隔離段。For example, in the sliding surgical tool of the first aspect of the invention, two positioning perforations are provided on the gripping section of the main body, and the fixing component and the cutter body respectively protrude from the two positioning perforations into the isolation section. 如申請專利範圍第4項所述之滑車手術刀具,進一步該主體之隔離段上具有一導槽,使該固定元件伸入該隔離段時受該導槽導引,而位在該導槽上。The pulley surgical tool according to claim 4, further comprising a guiding groove on the isolation section of the main body, so that the fixing component is guided by the guiding groove when extending into the isolation section, and is located on the guiding groove. . 如申請專利範圍第5項所述之滑車手術刀具,進一步該隔離段之阻擋部具有一透孔,該固定元件之端部則形成一圓錐段,該圓錐段穿過該透孔,使該固定元件抵止於該透孔周緣。The block surgical tool according to claim 5, wherein the blocking portion of the isolation portion has a through hole, and the end portion of the fixing member forms a conical section, and the conical section passes through the through hole to fix the fixing The element abuts against the periphery of the through hole.
TW100140362A 2011-11-04 2011-11-04 A release kit for digital pulley TWI474800B (en)

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TWI474800B TWI474800B (en) 2015-03-01

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106037888A (en) * 2016-07-28 2016-10-26 创生医疗器械(中国)有限公司 Guiding-type cutting knife assembly and guiding device thereof

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5176695A (en) * 1991-07-08 1993-01-05 Davinci Medical, Inc. Surgical cutting means
US5643305A (en) * 1994-11-18 1997-07-01 Al-Tameem; Moshin Device for excision of a fistula

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106037888A (en) * 2016-07-28 2016-10-26 创生医疗器械(中国)有限公司 Guiding-type cutting knife assembly and guiding device thereof

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