TWI672119B - Percutaneous endoscope disc positioning device - Google Patents
Percutaneous endoscope disc positioning device Download PDFInfo
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- TWI672119B TWI672119B TW107140965A TW107140965A TWI672119B TW I672119 B TWI672119 B TW I672119B TW 107140965 A TW107140965 A TW 107140965A TW 107140965 A TW107140965 A TW 107140965A TW I672119 B TWI672119 B TW I672119B
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Abstract
一種經皮內視鏡椎間盤定位裝置,具有:一橫樑,其中間處具有一定位部,該橫樑之長度係依一病患之一X光斷層掃描影像中之兩側髖骨之間距決定,且該定位部具有複數個縱向穿孔以供至少一定位針穿入該病患之至少一脊椎骨上;以及與該橫樑連接之一第一側邊腳座及一第二側邊腳座,其中,該第二側邊腳座具有一導引部,該導引部具有複數個導引穿孔,且所述複數個導引穿孔的假想延長線係會合在該病患之一待手術處理的椎間盤上;於操作時,一內視鏡手術器械係經由所述複數個導引穿孔中之一導引穿孔觸及並處理該待手術處理的椎間盤。A percutaneous endoscopic disc positioning device includes: a beam with a positioning portion in the middle; the length of the beam is determined by the distance between two hip bones in an X-ray tomographic image of a patient; and The positioning portion has a plurality of longitudinal perforations for at least one positioning pin to penetrate into at least one vertebra of the patient; and a first side leg and a second side leg connected to the beam, wherein, the The second side leg has a guide portion, the guide portion has a plurality of guide perforations, and the imaginary extension lines of the plurality of guide perforations meet on one of the patients' intervertebral discs to be surgically treated; During operation, an endoscopic surgical instrument touches and processes the intervertebral disc to be surgically processed through one of the plurality of guiding perforations.
Description
本發明係有關於一種經皮內視鏡椎間盤定位裝置,特別是一種可方便手術操作者以微創的方式精準鎖定一椎間盤,以進行經皮內視鏡椎間盤手術的定位裝置。The invention relates to a percutaneous endoscopic disc positioning device, in particular to a positioning device that can facilitate a surgical operator to precisely lock an intervertebral disc in a minimally invasive manner for percutaneous endoscopic disc operation.
傳統的椎間盤手術多依靠手術者的經驗來判斷手術的切入位置,因而易造成偏離或定位不準的情況,而可能傷及脊椎骨周圍的血管和神經組織,造成嚴重的併發症。另外,反復調切入位置也會延長手術時間。Traditional intervertebral disc surgery mostly relies on the experience of the operator to determine the incision position of the operation, so it is easy to cause deviation or inaccurate positioning, and may damage the blood vessels and nerve tissue around the spine, causing serious complications. In addition, repeatedly adjusting the incision position will also prolong the operation time.
此外,在傳統的椎間盤手術過程中,由於術中需要照射X光,病患與醫護人員會有放射線暴露的風險。為了避免此風險,醫院乃須花費高額費用購買導航與術中影像設備。In addition, during the traditional intervertebral disc surgery, patients need to be irradiated with X-rays during the operation. Therefore, patients and medical personnel may be exposed to radiation. In order to avoid this risk, hospitals have to pay high costs for navigation and intraoperative imaging equipment.
為解決上述問題,本領域亟需一新穎的經皮內視鏡椎間盤定位裝置。In order to solve the above problems, a novel percutaneous endoscope disc positioning device is urgently needed in the art.
本發明之一目的在於揭露一種經皮內視鏡椎間盤定位裝置,其可提供高精準度之定位作業,從而產生良好的椎間盤手術效果。One object of the present invention is to disclose a percutaneous endoscopic disc positioning device which can provide a high-precision positioning operation, thereby generating a good disc operation result.
本發明之另一目的在於揭露一種經皮內視鏡椎間盤定位裝置,其可提供微創方式減小手術切口並可避免損傷脊椎骨周圍重要的血管和神經組織。Another object of the present invention is to disclose a percutaneous endoscopic disc positioning device which can provide a minimally invasive way to reduce surgical incisions and avoid damage to important blood vessels and nerve tissues around the spine.
本發明之又一目的在於揭露一種經皮內視鏡椎間盤定位裝置,其可提供多個不同方位的手術器械導引路徑,以方便手術的進行,從而縮短手術時間。Another object of the present invention is to disclose a percutaneous endoscopic disc positioning device, which can provide a plurality of surgical instrument guide paths with different orientations to facilitate the operation and shorten the operation time.
為達前述目的,一種經皮內視鏡椎間盤定位裝置乃被提出,其具有:To achieve the aforementioned object, a percutaneous endoscopic disc positioning device has been proposed, which has:
一橫樑,具有延伸於一第一水平方向之一長度,且其中間處具有延伸於一第二水平方向之一定位部,該第二水平方向垂直於該第一水平方向,其中,該長度係依一病患之一X光斷層掃描影像中之兩側髖骨之間距決定,且該定位部具有複數個縱向穿孔以供至少一定位針穿入該病患之至少一脊椎骨上;A beam has a length extending in a first horizontal direction, and a middle portion has a positioning portion extending in a second horizontal direction. The second horizontal direction is perpendicular to the first horizontal direction. The length is Determined according to the distance between two hip bones in an X-ray tomographic image of a patient, and the positioning portion has a plurality of longitudinal perforations for at least one positioning needle to penetrate at least one spine of the patient;
一第一側邊腳座,具有一第一縱向架體及一第一水平腳座,該第一縱向架體之一上端係與該橫樑之一第一側連接,且該第一縱向架體之一下端係與該第一水平腳座連接,其中,該第一水平腳座係用以放置在一手術檯上;以及A first side leg has a first longitudinal frame and a first horizontal leg. An upper end of the first longitudinal frame is connected to a first side of the beam, and the first longitudinal frame. A lower end is connected to the first horizontal foot, wherein the first horizontal foot is used to be placed on an operating table; and
一第二側邊腳座,具有一第二縱向架體及一第二水平腳座,該第二縱向架體之一上端係與該橫樑之一第二側連接,且該第二縱向架體之一下端係與該第二水平腳座連接,其中,該第二水平腳座係用以放置在該手術檯上,該第二縱向架體具有一導引部,該導引部具有複數個導引穿孔,且所述複數個導引穿孔的假想延長線係會合在該病患之一待手術處理的椎間盤上;A second side leg with a second longitudinal frame body and a second horizontal leg. An upper end of the second longitudinal frame body is connected to a second side of the beam and the second longitudinal frame body. A lower end is connected to the second horizontal foot, wherein the second horizontal foot is used to be placed on the operating table, the second longitudinal frame body has a guide portion, and the guide portion has a plurality of Guided perforation, and the imaginary extension lines of the plurality of guided perforations meet on one of the patients' intervertebral discs to be surgically treated;
於操作時,一內視鏡手術器械係經由所述複數個導引穿孔中之一導引穿孔觸及並處理該待手術處理的椎間盤。During operation, an endoscopic surgical instrument touches and processes the intervertebral disc to be surgically processed through one of the plurality of guiding perforations.
在一實施例中,所述之經皮內視鏡椎間盤定位裝置係一一體成形的裝置。In one embodiment, the percutaneous endoscopic disc positioning device is an integrated device.
在一實施例中,所述之經皮內視鏡椎間盤定位裝置係由3D列印產生。In one embodiment, the percutaneous endoscopic disc positioning device is generated by 3D printing.
在一實施例中,所述定位針係由鋼或鈦合金製成。In one embodiment, the positioning pin is made of steel or a titanium alloy.
為使 貴審查委員能進一步瞭解本發明之結構、特徵及其目的,茲附以圖式及較佳具體實施例之詳細說明如後。In order to enable the expensive review committee to further understand the structure, characteristics and purpose of the present invention, the detailed description of the drawings and preferred embodiments are attached as follows.
請參照圖1,其為本發明經皮內視鏡椎間盤定位裝置一較佳實施例之分解示意圖。Please refer to FIG. 1, which is an exploded view of a preferred embodiment of a percutaneous endoscopic disc positioning device according to the present invention.
如圖1所示,該經皮內視鏡椎間盤定位裝置包括一橫樑100、一第一側邊腳座110以及一第二側邊腳座120。As shown in FIG. 1, the percutaneous endoscope disc positioning device includes a beam 100, a first side leg 110 and a second side leg 120.
橫樑100具有延伸於一第一水平方向之一長度,且其中間處具有延伸於一第二水平方向之一定位部101,該第二水平方向垂直於該第一水平方向,其中,該長度係依一病患之一X光斷層掃描影像中之兩側髖骨200之間距決定,且定位部101具有複數個縱向穿孔101a以供至少一定位針300穿入該病患之至少一脊椎骨210上。The beam 100 has a length extending in a first horizontal direction, and a middle portion thereof has a positioning portion 101 extending in a second horizontal direction. The second horizontal direction is perpendicular to the first horizontal direction. The length is It is determined according to the distance between two hip bones 200 in an X-ray tomographic image of a patient, and the positioning portion 101 has a plurality of longitudinal perforations 101a for at least one positioning needle 300 to penetrate at least one spine 210 of the patient. .
第一側邊腳座110具有一第一縱向架體111及一第一水平腳座112,第一縱向架體111之一上端係與橫樑100之一第一側連接,且第一縱向架體111之一下端係與第一水平腳座112連接,其中,第一水平腳座112係用以放置在一手術檯400上。The first leg frame 110 has a first longitudinal frame body 111 and a first horizontal leg frame 112. An upper end of the first longitudinal frame body 111 is connected to a first side of the beam 100, and the first longitudinal frame body A lower end of one of 111 is connected to the first horizontal foot 112, wherein the first horizontal foot 112 is used to be placed on an operating table 400.
第二側邊腳座120具有一第二縱向架體121及一第二水平腳座122,第二縱向架體121之一上端係與橫樑100之一第二側連接,且第二縱向架體121之一下端係與第二水平腳座122連接,其中,第二水平腳座122係用以放置在手術檯400上,第二縱向架體121具有一導引部1211,導引部1211具有複數個導引穿孔1211a,且所述複數個導引穿孔1211a的方位係依據該X光斷層掃描影像決定,以使各導引穿孔1211a的假想延長線會合在該病患之一待手術處理的椎間盤211上。也就是說,透過使各個導引穿孔1211a都指向待手術處理的椎間盤211,一手術操作者便可在手術過程中,使一內視鏡手術器械500選擇一方便、適當的導引穿孔1211a以觸及並處理待手術處理的椎間盤211,從而縮短手術時間。The second side leg 120 has a second longitudinal frame 121 and a second horizontal leg 122. One upper end of the second longitudinal frame 121 is connected to a second side of the beam 100, and the second longitudinal frame A lower end of one of 121 is connected to the second horizontal foot 122, wherein the second horizontal foot 122 is used to be placed on the operating table 400. The second longitudinal frame 121 has a guide portion 1211, and the guide portion 1211 has The plurality of guide perforations 1211a, and the orientation of the plurality of guide perforations 1211a are determined according to the X-ray tomographic image, so that the imaginary extension line of each guide perforation 1211a meets in one of the patients to be surgically treated. Intervertebral disc 211. That is, by directing each guide perforation 1211a to the intervertebral disc 211 to be surgically treated, an operator can make an endoscopic surgical instrument 500 select a convenient and appropriate guide perforation 1211a during the operation. The intervertebral disc 211 to be treated is touched and processed, thereby shortening the operation time.
另外,本發明的經皮內視鏡椎間盤定位裝置可為一一體成形的裝置,可由例如(但不限於)3D列印產生,且定位針300可由鋼或鈦合金製成。In addition, the percutaneous endoscopic disc positioning device of the present invention may be an integrally formed device, which may be generated by, for example, but not limited to, 3D printing, and the positioning needle 300 may be made of steel or titanium alloy.
另外,有關本發明經皮內視鏡椎間盤定位裝置的操作流程請參照圖2-圖5,其中,圖2為將本發明的經皮內視鏡椎間盤定位裝置跨在一病患之兩側髖骨外緣的示意圖;圖3為圖2的經皮內視鏡椎間盤定位裝置相對該病患之部分脊椎的示意圖;圖4為將兩個定位針300固定在兩個脊椎骨210上的示意圖;以及圖5為將一內視鏡手術器械500穿過一導引穿孔1211a以觸及並處理待手術處理的椎間盤211的示意圖。In addition, for the operation flow of the percutaneous endoscopic disc positioning device of the present invention, please refer to FIG. 2 to FIG. 5, wherein FIG. 2 shows the percutaneous endoscopic disc positioning device of the present invention straddling both hips of a patient. A schematic diagram of the outer edge of the bone; FIG. 3 is a schematic diagram of the percutaneous endoscopic disc positioning device of FIG. 2 with respect to a part of the spine of the patient; FIG. 4 is a schematic diagram of fixing two positioning pins 300 on the two vertebrae 210; and FIG. 5 is a schematic diagram of passing an endoscopic surgical instrument 500 through a guide perforation 1211a to access and process the intervertebral disc 211 to be surgically processed.
藉由前述所揭露的設計,本發明乃具有以下的優點:With the design disclosed above, the present invention has the following advantages:
1.本發明的經皮內視鏡椎間盤定位裝置可提供高精準度之定位作業,從而產生良好的椎間盤手術效果。1. The percutaneous endoscopic disc positioning device of the present invention can provide a high-precision positioning operation, thereby producing a good disc operation result.
2.本發明的經皮內視鏡椎間盤定位裝置可提供微創方式以減小手術切口並可避免損傷脊椎骨周圍重要的血管和神經組織。2. The percutaneous endoscopic disc positioning device of the present invention can provide a minimally invasive way to reduce the surgical incision and avoid damage to important blood vessels and nerve tissues around the spine.
3.本發明的經皮內視鏡椎間盤定位裝置可提供多個不同方位的手術器械導引路徑,以方便手術的進行,從而縮短手術時間。3. The percutaneous endoscopic disc positioning device of the present invention can provide a plurality of surgical instrument guide paths with different orientations to facilitate the operation and thereby shorten the operation time.
本案所揭示者,乃較佳實施例,舉凡局部之變更或修飾而源於本案之技術思想而為熟習該項技藝之人所易於推知者,俱不脫本案之專利權範疇。What is disclosed in this case is a preferred embodiment. For example, those who have partial changes or modifications that are derived from the technical ideas of this case and are easily inferred by those skilled in the art, do not depart from the scope of patent rights in this case.
綜上所陳,本案無論目的、手段與功效,皆顯示其迥異於習知技術,且其首先發明合於實用,確實符合發明之專利要件,懇請 貴審查委員明察,並早日賜予專利俾嘉惠社會,是為至禱。To sum up, regardless of the purpose, means and effect of this case, this case shows that it is very different from the conventional technology, and its first invention is practical, and it really meets the patent requirements of the invention. We kindly ask your reviewing committee to make a clear observation and give the patent 俾 Jiahui Society is for supreme prayer.
100‧‧‧橫樑100‧‧‧ beam
101‧‧‧定位部 101‧‧‧Positioning Department
101a‧‧‧縱向穿孔 101a‧‧‧longitudinal perforation
110‧‧‧第一側邊腳座 110‧‧‧first side foot
111‧‧‧第一縱向架體 111‧‧‧first longitudinal frame
112‧‧‧第一水平腳座 112‧‧‧The first horizontal foot
120‧‧‧第二側邊腳座 120‧‧‧Second Side Foot
121‧‧‧第二縱向架體 121‧‧‧Second longitudinal frame
122‧‧‧第二水平腳座 122‧‧‧Second level foot
200‧‧‧髖骨 200‧‧‧ Hip
210‧‧‧脊椎骨 210‧‧‧Spine
211‧‧‧椎間盤 211‧‧‧Intervertebral Disc
300‧‧‧定位針 300‧‧‧ positioning pin
400‧‧‧手術檯 400‧‧‧Operating table
500‧‧‧內視鏡手術器械 500‧‧‧Endoscopic surgical instruments
1121‧‧‧導引部 1121‧‧‧Guide
1211a‧‧‧導引穿孔 1211a‧‧‧Guiding perforation
圖1為本發明經皮內視鏡椎間盤定位裝置一較佳實施例之分解示意圖。 圖2為將本發明的經皮內視鏡椎間盤定位裝置跨在一病患之兩側髖骨外緣的示意圖。 圖3為圖2的經皮內視鏡椎間盤定位裝置相對該病患之部分脊椎的示意圖。 圖4為將兩個定位針固定在兩個脊椎骨上的示意圖。 圖5為將一內視鏡手術器械穿過一導引穿孔以觸及並處理待手術處理的椎間盤的示意圖。FIG. 1 is an exploded view of a preferred embodiment of a percutaneous endoscopic disc positioning device according to the present invention. FIG. 2 is a schematic diagram of a transcutaneous endoscopic disc positioning device of the present invention straddling the outer edges of the hip bone on both sides of a patient. FIG. 3 is a schematic view of a part of the spine of the patient with the percutaneous endoscopic disc positioning device of FIG. 2. FIG. 4 is a schematic diagram of fixing two positioning pins on two vertebrae. FIG. 5 is a schematic view of passing an endoscopic surgical instrument through a guide perforation to access and process an intervertebral disc to be surgically treated.
Claims (4)
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CN201921323511.1U CN211094770U (en) | 2018-11-19 | 2019-08-15 | Intervertebral disc positioning device through percutaneous endoscope |
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CN201076499Y (en) * | 2008-01-07 | 2008-06-25 | 广州市番禺区大岗人民医院 | Improved biliary tract |
WO2015023513A1 (en) * | 2013-08-14 | 2015-02-19 | Intuitive Surgical Operations, Inc. | Endoscope control system |
WO2015033910A1 (en) * | 2013-09-03 | 2015-03-12 | 富士フイルム株式会社 | Endoscopic surgical device and outer sleeve |
JPWO2015033910A1 (en) | 2013-09-03 | 2017-03-02 | 富士フイルム株式会社 | Endoscopic surgical apparatus and mantle tube |
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