TWM596049U - Scraper - Google Patents

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Publication number
TWM596049U
TWM596049U TW109200600U TW109200600U TWM596049U TW M596049 U TWM596049 U TW M596049U TW 109200600 U TW109200600 U TW 109200600U TW 109200600 U TW109200600 U TW 109200600U TW M596049 U TWM596049 U TW M596049U
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TW
Taiwan
Prior art keywords
scraping
scraper
grip
diameter
body portion
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TW109200600U
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Chinese (zh)
Inventor
牛自健
黃淯寧
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冠亞生技股份有限公司
牛自健
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Application filed by 冠亞生技股份有限公司, 牛自健 filed Critical 冠亞生技股份有限公司
Priority to TW109200600U priority Critical patent/TWM596049U/en
Publication of TWM596049U publication Critical patent/TWM596049U/en

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Abstract

本新型係有關於一種刮除器,其主要包括本體部、握持部、及刮除部;而握持部係連接於本體部之一端,且刮除部係連接本體部上遠離握持部之另一端;其中,刮除部相對於本體部以一特定角度彎折,刮除部上遠離本體部之端面包括一刮除刃,而刮除刃係自刮除部之相對應二側端朝高度之方向漸縮。據此,本新型之刮除部可輕易伸入椎間孔內活動並變換方向,而可輕易除去椎體後緣、硬膜囊前側、或神經根下方的椎體等傳統椎間孔鏡或一般骨鑿所無法觸及之骨贅或鈣化的椎間盤組織。 The present invention relates to a scraper, which mainly includes a body part, a grip part, and a scraping part; the grip part is connected to one end of the body part, and the scraping part is connected to the body part away from the grip part The other end; wherein, the scraping portion is bent at a specific angle with respect to the body portion, the end surface of the scraping portion away from the body portion includes a scraping blade, and the scraping blade is from the corresponding two side ends of the scraping portion Taper towards height. According to this, the new type of scraping part can easily extend into the intervertebral foramen to move and change direction, and can easily remove the traditional intervertebral foramen such as the posterior edge of the vertebral body, the anterior side of the dural sac, or the vertebral body under the nerve root or Osteophytes or calcified intervertebral disc tissue that cannot be reached by general osteotomies.

Description

刮除器 Scraper

本新型係關於一種刮除器,尤指一種適用於脊椎手術用的器械。 The present invention relates to a scraper, especially an instrument suitable for spine surgery.

每相鄰兩個脊椎骨間都有一對關節突關節,而關節突關節也構成了椎間孔的一部份,且頸部和腰部的神經根從關節突關節的前方通過。因此,當椎間盤或關節突關節發生退變增生而出現骨刺時,就容易壓迫神經根,使病人疼痛難忍。 There is a pair of facet joints between every two adjacent vertebrae, and the facet joints also form part of the intervertebral foramen, and the nerve roots of the neck and waist pass through the front of the facet joints. Therefore, when degenerative hyperplasia of the intervertebral disc or articular process joints and bone spurs appear, it is easy to compress the nerve roots, making the patient painful.

目前常見利用椎間孔鏡的微創手術來去除骨刺或突出的椎間盤,不過因為椎間孔相當狹窄,且孔內曲折不平,並非直通之通道,對於利用椎間孔鏡之操作而言也非易事。此外,如果欲去除之組織或骨刺是位於某些特定位置,如椎體後緣增生的骨贅或鈣化的椎間盤組織靠近椎管前正中時,一般骨鑿或磨鑽亦無法觸及,故而也只能望而興嘆。這是因為不論磨鑽或骨鑿都是整合於椎間孔鏡內部,而椎間孔鏡為剛性結構,當磨鑽或骨鑿插入孔鏡後,其工作頭端的活動度甚小,雖然有些設計將磨鑽或骨鑿頭端稍稍彎曲,但是彎曲的程度仍然有限,仍然無法有效去除骨刺。 Currently, minimally invasive surgery using intervertebral foramen to remove bone spurs or protruding discs is common, but because the intervertebral foramen are quite narrow and the holes in the holes are not straight, they are not straight-through channels. Easy things. In addition, if the tissue or bone spur to be removed is located at a specific location, such as the osteophyte at the posterior edge of the vertebral body or the calcified intervertebral disc tissue near the anterior midline of the spinal canal, it is generally not reachable by bone chisels or grinding drills. Can sigh with hope. This is because whether the grinding drill or osteotome is integrated inside the intervertebral foramen, and the intervertebral foramina is a rigid structure, when the grinding drill or the bone chisel is inserted into the hole mirror, the working head end has little activity, although some The design bends the tip of the grinding drill or chisel slightly, but the degree of bending is still limited, and it is still impossible to effectively remove bone spurs.

另一方面,目前習知骨鑿大多是按照鑿除位於硬膜囊後外側的椎板、關節突的需求而設計的,且骨鑿頭端多呈方形的刃狀。然而,如果欲除去之骨刺是位於硬膜囊前側和神經根下 方的椎體時,由於操作空間相當有限,採用習知骨鑿恐有損傷脊髓、神經根和硬膜囊的風險。此外,習知骨鑿呈筆直狀,實難以在狹窄空間內變換方向,故習知骨鑿的頭端往往無法達到預期的深度和角度,導致無法確實除去骨刺。 On the other hand, most of the current osteotomies are designed according to the requirements of cutting out the lamina and articular processes located at the posterolateral side of the dural sac, and the head ends of the osteotomies are mostly square blades. However, if the bone spur to be removed is located on the anterior side of the dura sac and under the nerve root For the square vertebral body, due to the limited operation space, the use of conventional bone chiseling may risk damage to the spinal cord, nerve roots, and dural sac. In addition, the conventional osteotome is straight, and it is difficult to change the direction in a narrow space, so the tip of the conventional osteotome often cannot reach the expected depth and angle, resulting in the fact that the bone spur cannot be removed reliably.

本新型之主要目的係在提供一種刮除器,俾能於椎間孔內活動並變換方向,而可輕易除去脊椎骨所增生的骨贅或鈣化的椎間盤組織,特別是一般椎間孔鏡或一般骨鑿所無法觸及之處,例如椎體後緣、硬膜囊前側、或神經根下方的椎體。 The main purpose of the present invention is to provide a scraper that can move in the intervertebral foramen and change the direction, and can easily remove the osteophytes or calcified intervertebral disc tissues of the vertebrae, especially the general intervertebral foramen or general Where bone chisels cannot reach, such as the posterior edge of the vertebral body, the anterior side of the dural sac, or the vertebral body below the nerve root.

為達成上述目的,本新型提供一種刮除器,其主要包括:一本體部、一握持部、及一刮除部;而握持部係連接於本體部之一端,且刮除部係連接本體部上遠離握持部之另一端;其中,刮除部相對於本體部以一特定角度彎折,刮除部上遠離本體部之端面包括一刮除刃;刮除刃係自刮除部之相對應二側端朝高度之方向漸縮。 To achieve the above object, the present invention provides a scraper, which mainly includes: a body portion, a grip portion, and a scraping portion; the grip portion is connected to one end of the body portion, and the scraping portion is connected The other end of the body portion away from the grip portion; wherein the scraping portion is bent at a specific angle with respect to the body portion, the end surface of the scraping portion away from the body portion includes a scraping blade; the scraping blade is from the scraping portion Correspondingly, the two side ends taper toward the height.

據此,本新型藉由將刮除部相對於本體部以一特定角度彎折,且於刮除部上遠離本體部之端面設有刮除刃,故刮除部可輕易伸入椎間孔內活動並變換方向,而可輕易除去椎體後緣、硬膜囊前側、或神經根下方的椎體等傳統椎間孔鏡或一般骨鑿所無法觸及之骨贅或鈣化的椎間盤組織。 According to this, the present invention bends the scraping portion at a specific angle with respect to the body portion, and the scraping portion is provided with a scraping blade on the end surface away from the body portion, so the scraping portion can easily extend into the intervertebral foramen Internal movement and change direction, and can easily remove the posterior edge of the vertebral body, the anterior side of the dural sac, or the vertebral body under the nerve root and other traditional intervertebral foramen or general osteotome can not reach osteophytes or calcified intervertebral disc tissue.

較佳的是,本新型之刮除部可相對於本體部呈90度或其他任意之預設角度彎折,故可順應於所欲除去之骨贅或鈣化組織的特定位置,而可觸及並輕易去除之。 Preferably, the scraping part of the present invention can be bent at a 90-degree angle or any other predetermined angle with respect to the body part, so it can conform to the specific position of the osteophyte or calcified tissue to be removed, and can touch and Remove it easily.

再者,本新型之刮除刃可自刮除部之相對應二側端各以一弧面朝高度之方向漸縮,而弧面之曲率半徑可介於1mm 至3mm之間,且刮除刃之高度可佔刮除部高度之一半。而且,刮除部上與刮除刃遙遙相對之面係一平坦表面,故本新型之刮除部可減少碰觸其他脊椎骨組織而阻礙手術進行之機率。 Furthermore, the scraping blade of the present invention can be tapered from the corresponding two side ends of the scraping portion with an arc surface toward the height direction, and the radius of curvature of the arc surface can be between 1mm Between 3mm, and the height of the scraping blade can account for half of the height of the scraping part. Moreover, the surface of the scraping portion that is remotely opposed to the scraping blade is a flat surface, so the new scraping portion can reduce the chance of touching other vertebral bone tissues and hindering the operation.

此外,本新型之刮除刃的本體部可呈一圓桿狀,其直徑可朝刮除部方向漸縮;而本體部上與刮除部連接處之直徑可小於本體部上與握持部連接處之直徑的二分之一;且刮除部之長度可大於本體部上與握持部連接處之直徑;又,刮除部之長度可介於本體部上與握持部連接處之直徑的1倍至2倍之間。 In addition, the body portion of the scraping blade of the present invention may be in the shape of a round rod, and its diameter may gradually decrease toward the scraping portion; and the diameter of the connection between the body portion and the scraping portion may be smaller than that of the body portion and the gripping portion The diameter of the part is half; and the length of the scraping part can be greater than the diameter of the connection between the body and the grip; the length of the scraping part can be between the diameter of the connection between the body and the grip Between 1 and 2 times.

2‧‧‧本體部 2‧‧‧Body

3‧‧‧握持部 3‧‧‧ Grip

4‧‧‧刮除部 4‧‧‧Scraping Department

31‧‧‧弧形槽 31‧‧‧Curved slot

41‧‧‧刮除刃 41‧‧‧Scraping blade

D1‧‧‧本體部上與刮除部連接處之直徑 D1‧‧‧The diameter of the connection between the body and the scraper

D2‧‧‧本體部上與握持部連接處之直徑 D2‧‧‧The diameter of the connection between the body and the grip

H‧‧‧刮除刃之高度 H‧‧‧Height of scraping blade

L‧‧‧刮除部之長度 L‧‧‧Length of scraping part

T‧‧‧刮除部之高度 T‧‧‧Height of scraping part

圖1係本新型一較佳實施例之立體圖。 FIG. 1 is a perspective view of a preferred embodiment of the present invention.

圖2係本新型一較佳實施例之刮除部的放大立體圖。 Fig. 2 is an enlarged perspective view of a scraping portion of a preferred embodiment of the present invention.

圖3係本新型一較佳實施例之俯視圖。 FIG. 3 is a top view of a preferred embodiment of the present invention.

圖4係本新型一較佳實施例之刮除部的剖視圖。 4 is a cross-sectional view of a scraping portion of a preferred embodiment of the present invention.

本新型刮除器在本實施例中被詳細描述之前,要特別注意的是,以下的說明中,類似的元件將以相同的元件符號來表示。再者,本新型之圖式僅作為示意說明,其未必按比例繪製,且所有細節也未必全部呈現於圖式中。 Before the new scraper is described in detail in this embodiment, it is important to note that in the following description, similar elements will be represented by the same element symbol. Furthermore, the drawings of the present invention are for illustrative purposes only, they are not necessarily drawn to scale, and not all details are necessarily presented in the drawings.

請同時參閱圖1至圖4,圖1係本新型刮除器一較佳實施例之立體圖,圖2係本新型刮除器一較佳實施例之刮除部的放大立體圖,圖3係本新型刮除器一較佳實施例之俯視圖,圖4係本新型刮除器一較佳實施例之刮除部的剖視圖。 Please also refer to FIGS. 1 to 4, FIG. 1 is a perspective view of a preferred embodiment of the new scraper, FIG. 2 is an enlarged perspective view of a scraping portion of a preferred embodiment of the new scraper, and FIG. 3 is a A top view of a preferred embodiment of the new scraper. FIG. 4 is a cross-sectional view of the scraping portion of a preferred embodiment of the new scraper.

如圖中所示,本實施例之刮除器主要包括一本體部2、一握持部3、及一刮除部4,而握持部3係連接於本體部2之 一端,且刮除部4係連接於本體部2中遠離握持部3之另一端。其中,本體部2係呈一圓桿狀,其直徑朝刮除部4方向漸縮,且本體部2上與刮除部4連接處之直徑D1係小於本體部2上與握持部3連接處之直徑D2的二分之一。在本實施例中,本體部2的直徑D2為6.5mm,本體部2上與刮除部4連接處之直徑D1為3mm。 As shown in the figure, the scraper of this embodiment mainly includes a body part 2, a grip part 3, and a scraper part 4, and the grip part 3 is connected to the body part 2 One end, and the scraping portion 4 is connected to the other end of the body portion 2 away from the grip portion 3. Wherein, the body portion 2 is in the shape of a round rod, the diameter of which is tapered toward the scraping portion 4, and the diameter D1 of the connection between the body portion 2 and the scraping portion 4 is smaller than the connection between the body portion 2 and the grip portion 3 The diameter D2 is half. In this embodiment, the diameter D2 of the body portion 2 is 6.5 mm, and the diameter D1 of the connection between the body portion 2 and the scraping portion 4 is 3 mm.

再者,本實施例之刮除器的總長度為215mm,且在握持部3上間隔地設有多個弧形槽31,每一個弧形槽31的曲率半徑約為25mm。據此,本實施例藉由弧形槽31之設置可讓使用者握持上更為牢固,且不易滑動或轉動。 Furthermore, the total length of the scraper of this embodiment is 215 mm, and a plurality of arc-shaped grooves 31 are provided at intervals on the grip portion 3, and the radius of curvature of each arc-shaped groove 31 is about 25 mm. According to this, the arrangement of the arc-shaped groove 31 in this embodiment allows the user to hold it more firmly, and it is not easy to slide or rotate.

又如圖中所示,刮除部4相對於本體部2以一特定角度彎折,本實施例係採90度彎折,但本新型應不限於此,該特定角度可因應各種需求或手術的位置不同而設定為任意角度。另外,刮除部4中遠離本體部2之端面一體設置一刮除刃41,而刮除刃41係自刮除部4之相對應二側端朝高度H之方向漸縮。 As shown in the figure, the scraping portion 4 is bent at a specific angle with respect to the body portion 2. This embodiment adopts a 90-degree bend, but the new type should not be limited to this, the specific angle can be adapted to various needs or operations Is set to any angle depending on the position. In addition, a scraping blade 41 is integrally provided on the end surface of the scraping portion 4 away from the body portion 2, and the scraping blade 41 is tapered from the corresponding two side ends of the scraping portion 4 toward the height H direction.

進一步說明,本實施例之刮除刃41係自刮除部4之相對應二側端各以一弧面朝高度H之方向漸縮,而該弧面之曲率半徑R為1.5mm,又刮除刃41之高度H約佔刮除部4高度T之一半,且刮除部4上與刮除刃41遙遙相對之面係一平坦表面。然而,藉由上述刮除刃41的相關特徵界定,可以讓本實施例之刮除器輕易刮除或鑿除骨贅或鈣化的椎間盤組織。 To further explain, the scraping blade 41 of this embodiment is tapered from the corresponding two side ends of the scraping portion 4 toward the height H with an arc surface, and the radius of curvature R of the arc surface is 1.5 mm, and then scraped The height H of the scraping blade 41 occupies about half of the height T of the scraping portion 4, and the surface of the scraping portion 4 that is remotely opposed to the scraping blade 41 is a flat surface. However, by defining the relevant characteristics of the scraping blade 41, the scraper of this embodiment can easily scrape or chisel osteophyte or calcified intervertebral disc tissue.

此外,本實施例之刮除部4的長度L大於本體部2上與握持部3連接處之直徑D2,而且刮除部4之長度L介於本體部2中與握持部3連接處之直徑D2的1至2倍之間,本實 施例之刮除部4的長度L為11.5mm。據此,藉由上述的尺寸界定可以讓本實施例之刮除器輕易伸入椎間孔內活動並變換方向;而且,在手術的過程中,也可以輕巧地活動於狹小的孔隙中,較不容易受到脊椎骨、硬膜囊或神經根之阻礙,更可顯著降低因非預期的碰撞而損及神經等手術風險。 In addition, the length L of the scraping portion 4 of this embodiment is larger than the diameter D2 of the connection portion of the body portion 2 with the grip portion 3, and the length L of the scraping portion 4 is interposed between the body portion 2 and the grip portion 3 Between 1 and 2 times the diameter D2 The length L of the scraping part 4 of the embodiment is 11.5 mm. According to this, the above-mentioned size definition allows the scraper of this embodiment to easily move into the intervertebral foramen and change its direction; moreover, it can also move lightly in narrow pores during the operation It is not easily blocked by the vertebrae, dura sac or nerve roots, and it can significantly reduce the risk of surgical damage to nerves due to unexpected collisions.

上述實施例僅係為了方便說明而舉例而已,本新型所主張之權利範圍自應以申請專利範圍所述為準,而非僅限於上述實施例。 The above-mentioned embodiments are only examples for the convenience of description. The scope of the rights claimed by the present invention should be subject to the scope of the patent application, and not limited to the above-mentioned embodiments.

2‧‧‧本體部 2‧‧‧Body

3‧‧‧握持部 3‧‧‧ Grip

4‧‧‧刮除部 4‧‧‧Scraping Department

41‧‧‧刮除刃 41‧‧‧Scraping blade

L‧‧‧刮除部之長度 L‧‧‧Length of scraping part

Claims (10)

一種刮除器,包括: A scraper, including: 一本體部; A body part; 一握持部,其係連接於該本體部之一端;以及 A grip portion connected to one end of the body portion; and 一刮除部,其係連接於該本體部上遠離該握持部之另一端; A scraping part connected to the other end of the body part away from the grip part; 其中,該刮除部相對於該本體部以一特定角度彎折,該刮除部上遠離該本體部之端面包括一刮除刃;該刮除刃係自該刮除部之相對應二側端朝高度之方向漸縮。 Wherein, the scraping portion is bent at a specific angle with respect to the body portion, and the end surface of the scraping portion away from the body portion includes a scraping blade; the scraping blade is from two corresponding sides of the scraping portion The end tapers towards the height. 如請求項1之刮除器,其中,該刮除部相對於該本體部呈90度彎折。 The scraper of claim 1, wherein the scraping portion is bent at 90 degrees with respect to the body portion. 如請求項1之刮除器,其中,該刮除刃係自該刮除部之相對應二側端各以一弧面朝高度之方向漸縮。 The scraper according to claim 1, wherein the scraping blade is tapered from the corresponding two side ends of the scraping portion toward the height in an arc surface. 如請求項3之刮除器,其中,該弧面之曲率半徑係介於1mm至3mm之間。 The scraper of claim 3, wherein the radius of curvature of the arc surface is between 1 mm and 3 mm. 如請求項3之刮除器,其中,該刮除刃之高度佔該刮除部高度之一半。 The scraper according to claim 3, wherein the height of the scraping blade occupies half of the height of the scraping portion. 如請求項1之刮除器,其中,該本體部係呈一圓桿狀,其直徑朝該刮除部方向漸縮。 The scraper according to claim 1, wherein the body portion is in the shape of a round rod, and its diameter gradually decreases toward the scraper portion. 如請求項6之刮除器,其中,該本體部上與該刮除部連接處之直徑係小於該本體部上與該握持部連接處之直徑的二分之一。 The scraper of claim 6, wherein the diameter of the connection between the main body and the scraper is less than half of the diameter of the connection between the main body and the grip. 如請求項6之刮除器,其中,該刮除部之長度大於該本體部上與該握持部連接處之直徑。 The scraper of claim 6, wherein the length of the scraping portion is greater than the diameter of the connection between the body portion and the grip portion. 如請求項8之刮除器,其中,該刮除部之長度係介於該本體部上與該握持部連接處之直徑的1倍至2倍之間。 The scraper of claim 8, wherein the length of the scraping portion is between 1 and 2 times the diameter of the connection between the body portion and the grip portion. 如請求項1之刮除器,其中,該刮除部上與該刮除刃遙遙相對之面係一平坦表面。 The scraper of claim 1, wherein the surface of the scraping portion remotely opposite to the scraping blade is a flat surface.
TW109200600U 2020-01-15 2020-01-15 Scraper TWM596049U (en)

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