CN105963024A - Nerve root protective endoscope working channel - Google Patents
Nerve root protective endoscope working channel Download PDFInfo
- Publication number
- CN105963024A CN105963024A CN201610255055.6A CN201610255055A CN105963024A CN 105963024 A CN105963024 A CN 105963024A CN 201610255055 A CN201610255055 A CN 201610255055A CN 105963024 A CN105963024 A CN 105963024A
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- CN
- China
- Prior art keywords
- plectrum
- nerve root
- sleeve pipe
- service aisle
- sleeve
- 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.)
- Granted
Links
- 210000005036 nerve Anatomy 0.000 title claims abstract description 62
- 230000001681 protective effect Effects 0.000 title abstract 2
- 239000000203 mixture Substances 0.000 claims description 28
- 239000002699 waste material Substances 0.000 abstract description 2
- 238000001356 surgical procedure Methods 0.000 abstract 1
- 230000006378 damage Effects 0.000 description 9
- 208000027418 Wounds and injury Diseases 0.000 description 6
- 208000014674 injury Diseases 0.000 description 6
- 238000003756 stirring Methods 0.000 description 6
- 230000000694 effects Effects 0.000 description 5
- 238000000034 method Methods 0.000 description 4
- 230000003068 static effect Effects 0.000 description 2
- 230000007306 turnover Effects 0.000 description 2
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 238000002674 endoscopic surgery Methods 0.000 description 1
- 238000003384 imaging method Methods 0.000 description 1
- 238000002372 labelling Methods 0.000 description 1
- 230000003902 lesion Effects 0.000 description 1
- 239000013307 optical fiber Substances 0.000 description 1
- 238000005498 polishing Methods 0.000 description 1
- 230000000007 visual effect Effects 0.000 description 1
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- Prostheses (AREA)
- Infusion, Injection, And Reservoir Apparatuses (AREA)
Abstract
The invention discloses a nerve root protective endoscope working channel, aiming at improving problems of labor waste and relatively high risks in an existing intervertebral disc surgery. The working channel comprises a sleeve, a guide groove which is formed in the inner wall of the sleeve and a pushing sheet which is detachably arranged in the guide groove and is capable of extending out of the sleeve. According to the working channel disclosed by the invention, nerve roots can be pushed away, and moreover, the operation (pushing away the nerve roots) can be completed by one doctor without assistance of others; the working channel, since the nerve roots can be pushed away and subsequent surgical operations can be completed by one person, can greatly reduce labor; and meanwhile, since the operations are independently completed by one person, the problem of mutual influence between two persons who conduct the operations can be avoided, and operation efficiency can be improved.
Description
Technical field
The invention belongs to medical instruments field, be specifically related to a kind of nerve root protectiveness scope service aisle.
Background technology
MED technology (MED) is a kind of lumbar vertebra endoscopic surgery through way of escape lamina gap, is characterized in completing whole operation technique by the service aisle of a diameter 1.5～18cm under Endoscope-assisted.Its operation principle is, by optical fiber, light beam is passed to endoscope lens front end, illuminates observed object, then relies on the imaging of lens, amplifies to obtain image clearly, thus observes deep minute lesion.Native system has observes performance, the most stable fixing device and well-designed operating theater instruments the most clearly, it is simple to doctor carries out treatment smoothly, efficiently.
But, in operation process, in order to manifest prominent intervertebral disc, need nerve root is pushed side, provide the bigger visual field and working place for doctor, and reduce operation risk；When the most current carrying out is performed the operation, it is required for someone and helps nerve root is pushed, then performed the operation by doctor；So operation wastes manpower, and two people's operations simultaneously interact, inefficient, and risk is higher.
Summary of the invention
In order to improve the problems referred to above, it is an object of the invention to provide a kind of nerve root protectiveness scope service aisle.
To achieve these goals, the technical solution used in the present invention is as follows:
Nerve root protectiveness scope service aisle, including sleeve pipe, is arranged at the gathering sill of internal surface of sleeve pipe, and in being removably mounted at gathering sill and the plectrum of sleeve pipe can be stretched out.
Selecting as one, described gathering sill is the groove being arranged at internal surface of sleeve pipe.When using this kind of mode, described plectrum is positioned at groove, and can move back and forth by confronting grooves；The cross section of described groove can be set to " U " type, it is possible to is set to trapezoidal.
Further, block piece can be set in groove such that it is able to stop that plectrum departs from groove.
Alternatively, described gathering sill is made up of two blend stops being arranged at internal surface of sleeve pipe；The gap moved back and forth for plectrum is left between two baffle plates.On the one hand by arranging two blend stops, it is possible to by plectrum card within it, guide for plectrum, on the other hand can clamping plectrum, it is to avoid it is to cannula center skew.
Further, described blend stop side is additionally provided with block；Described block is positioned at two relative sides of blend stop.This block can offset to cannula center by stop plectrum further, thus avoids affecting medical worker's operation when performing the operation.
Yet further, the bottom terminal ends of described plectrum is arc-shaped, and top is provided with the Handheld Division being connected with plectrum.Plectrum end end is set to arc-shaped, can farthest reduce plectrum bottom injury tissue or nerve root.Arranging Handheld Division is to be installed in gathering sill by plectrum for convenience, and is conveniently taken out in gathering sill by plectrum.
Further, described plectrum cross section is arc.By plectrum is arranged to arc, it is possible to match with internal surface of sleeve pipe, more convenient turnover sleeve pipe, simultaneously when stirring nerve root, is that arc surface contacts with nerve root, it is possible to farthest reduce plectrum injury nerve root.
It addition, the bottom of described plectrum is arc shape.By bottom is arranged to arc shape, it is possible to preferably stoping nerve root to occur at sleeve opening, simultaneously when stirring nerve root, this nerve root is at arc, thus during stirring, it is possible to prevent nerve root from separating with plectrum.
Further, the side on described plectrum top is additionally provided with the card article being connected with plectrum；Gap is there is between described plectrum and card article.This card article can fix plectrum further, and time fixing, casing wall is placed exactly between plectrum and card article, and card article then can clamp sleeve pipe, thus is fixed by plectrum at another, further increasing the stability of plectrum.
Yet further, described sleeve outer wall is socketed with fixture；Described fixture is made up of the collar being socketed on sleeve outer wall and the union joint being connected with the collar.This fixture is for being fixed with external equipment by sleeve pipe, thus facilitates follow-up operation, is mainly attached with external equipment or support by union joint, this makes it possible to fixed sleeving position, and it is convenient to improve for surgical.
It addition, described sleeve outer wall is provided with two collars being parallel to each other；The described collar is between two collars.This collar is to move up and down to limit collar facing sleeve.
The present invention compared with prior art, has the following advantages and beneficial effect:
Nerve root can pushed aside by the present invention, and only needs one people of doctor just can accomplish, it is not necessary to other people help, and a people can complete to push nerve root and follow-up operation technique aside, greatly reduce manpower；Simultaneously because can complete alone, avoid two people and operate the generation of interactional problem, improve the efficiency of operation；It addition, operate apparatus in operation process will not touch nerve root, it is ensured that the safety of nerve root, ensure that the safety of whole operation, greatly reduce risk.
Accompanying drawing explanation
Fig. 1 is the top view of the present invention-embodiment 1 middle sleeve.
Fig. 2 is the top view of the present invention-embodiment 2 middle sleeve.
Fig. 3 is the top view of the present invention-embodiment 3 middle sleeve.
Fig. 4 is the top view of the present invention-embodiment 4 middle sleeve.
Fig. 5 is the top view of the present invention-embodiment 5 middle sleeve.
Fig. 6 is the top view of the present invention-embodiment 6 middle sleeve.
Fig. 7 is the structural representation of the present invention-embodiment 7.
Fig. 8 is the structural representation one of plectrum in the present invention.
Fig. 9 is the structural representation two of plectrum in the present invention.
Figure 10 is the structural representation three of plectrum in the present invention.
Wherein, the parts that in accompanying drawing, labelling is corresponding are entitled: 1-sleeve pipe, 2-plectrum, 3-groove, 4-blend stop, 5-block, 6-Handheld Division, 7-card article, the 8-collar, 9-union joint, 10-collar, 11-block piece.
Detailed description of the invention
The invention will be further described with embodiment below in conjunction with the accompanying drawings, and embodiments of the present invention include but not limited to the following example.
Embodiment 1
As it is shown in figure 1, nerve root protectiveness scope service aisle, including sleeve pipe 1, it is arranged at the gathering sill of internal surface of sleeve pipe, and in being removably mounted at gathering sill and the plectrum 2 of sleeve pipe can be stretched out.Wherein, described gathering sill is the groove 3 being arranged at internal surface of sleeve pipe.When actually used; first sleeve pipe is extend in tissue; specifically it extend into needs and carry out at operation; then plectrum is inserted in sleeve pipe along groove; and stretching out from cannula tip, this makes it possible to, by plectrum, nerve root is toggled it to sleeve pipe mouth of pipe side, doctor is when performing the operation; then will not touch nerve root, the most well serve the effect of protection nerve root.And by arranging plectrum on sleeve pipe, doctor can complete to push nerve root and operation aside alone, it is not necessary to other people help, and are saved greatly human cost.
What deserves to be explained is, gathering sill is axially arranged along sleeve pipe, and extends to the two ends of sleeve pipe.And plectrum inserts in groove, will not offset to cannula center, because the width of the width of plectrum and groove matches.
Such as Fig. 8, the plectrum bottom terminal ends of the present embodiment is arc-shaped, and top is provided with the Handheld Division 6 being connected with plectrum.By arranging Handheld Division, doctor is when operating, it is possible to be inserted in gathering sill by plectrum easily, it is possible to taken out in gathering sill by plectrum easily.It addition, plectrum bottom terminal ends is arc-shaped, it is possible to reducing the plectrum injury to nerve root to greatest extent, because being circular arc with nerve root contact position, will not come to harm.
Embodiment 2
As in figure 2 it is shown, the difference of the present embodiment and embodiment 1 is, in described groove, it is provided with block piece 11.By arranging block piece, it is possible to stop plectrum to offset to cannula center further.Double from insurance so that when operation, plectrum can preferably play and push nerve root aside, the effect of protection nerve root.
Embodiment 3
As it is shown on figure 3, nerve root protectiveness scope service aisle, including sleeve pipe 1, it is arranged at the gathering sill of internal surface of sleeve pipe, and in being removably mounted at gathering sill and the plectrum 2 of sleeve pipe can be stretched out.Wherein, described gathering sill is made up of two blend stops 4 being arranged at internal surface of sleeve pipe；The gap moved back and forth for plectrum is left between two baffle plates.
By said apparatus, plectrum is then inserted between two blend stops, is fixed by plectrum by blend stop.The blend stop of this embodiment is parallel to each other, and owing to the width of the distance between blend stop with plectrum matches, so blend stop can be good at being fixed plectrum, is prevented from plectrum simultaneously and offsets to cannula center.
What deserves to be explained is, blend stop is axially arranged along sleeve pipe, can extend to the two ends of sleeve pipe, it is possible to only arrange one end, as long as can playing fixing plectrum and guiding.
Specifically, described sleeve outer wall is socketed with fixture；Described fixture is made up of the collar 8 being socketed on sleeve outer wall and the union joint 9 being connected with the collar.Described sleeve outer wall is provided with two collars being parallel to each other 10；The described collar is between two collars.
By arranging the collar and union joint, the sleeve pipe of the present invention can be fixed with external equipment or support, after sleeve position is adjusted, only need to be fixed with external equipment or support by union joint, now sleeve pipe change maintains static, and this is that doctor can be operated.
Such as Fig. 8, the plectrum bottom terminal ends of the present embodiment is arc-shaped, and top is provided with the Handheld Division 6 being connected with plectrum.By arranging Handheld Division, doctor is when operating, it is possible to be inserted in gathering sill by plectrum easily, it is possible to taken out in gathering sill by plectrum easily.It addition, plectrum bottom terminal ends is arc-shaped, it is possible to reducing the plectrum injury to nerve root to greatest extent, because being circular arc with nerve root contact position, will not come to harm.
Embodiment 4
As shown in Figure 4, the present embodiment is with the difference of embodiment 3, and described blend stop side is additionally provided with block 5；Described block is positioned at two relative sides of blend stop.By arranging block, it is possible to stop plectrum to offset to cannula center further.Double from insurance so that when operation, plectrum can preferably play and push nerve root aside, the effect of protection nerve root.
Embodiment 5
As it is shown in figure 5, the difference of the present embodiment and embodiment 3 is, two blend stops are not parallel to each other, but there is certain angle, particularly narrower near cannula center one end, wider near one end of internal surface of sleeve pipe.So arranging, being the formation of a cross section is trapezoidal gathering sill, and after plectrum inserts, owing to the one end near cannula center is narrower, now plectrum then will not be partial to cannula center, and blend stop can be good at playing the effect of fixing plectrum.
Embodiment 6
As shown in Figure 6, the present embodiment is with the difference of embodiment 5, and described blend stop side is additionally provided with block 5；Described block is positioned at two relative sides of blend stop.By arranging block, it is possible to stop plectrum to offset to cannula center further.Double from insurance so that when operation, plectrum can preferably play and push nerve root aside, the effect of protection nerve root.
As shown in Figure 10, the plectrum bottom terminal ends of the present embodiment is arc-shaped, and top is provided with the Handheld Division 6 being connected with plectrum.By arranging Handheld Division, doctor is when operating, it is possible to be inserted in gathering sill by plectrum easily, it is possible to taken out in gathering sill by plectrum easily.It addition, plectrum bottom terminal ends is arc-shaped, it is possible to reducing the plectrum injury to nerve root to greatest extent, because being circular arc with nerve root contact position, will not come to harm.And the plectrum cross section of this enforcement is arc, by plectrum is arranged to arc, it is possible to match with internal surface of sleeve pipe, more convenient turnover sleeve pipe, simultaneously when stirring nerve root, is that arc surface contacts with nerve root, it is possible to farthest reduce plectrum injury nerve root.
Embodiment 7
As it is shown in fig. 7, nerve root protectiveness scope service aisle, including sleeve pipe 1, it is arranged at the gathering sill of internal surface of sleeve pipe, and in being removably mounted at gathering sill and the plectrum 2 of sleeve pipe can be stretched out.Wherein, described gathering sill is made up of two blend stops 4 being arranged at internal surface of sleeve pipe；The gap moved back and forth for plectrum is left between two baffle plates.
By said apparatus, plectrum is then inserted between two blend stops, is fixed by plectrum by blend stop.The blend stop of this embodiment is parallel to each other, and owing to the width of the distance between blend stop with plectrum matches, so blend stop can be good at being fixed plectrum, is prevented from plectrum simultaneously and offsets to cannula center.
What deserves to be explained is, blend stop is axially arranged along sleeve pipe, can extend to the two ends of sleeve pipe, it is possible to only arrange one end, as long as can playing fixing plectrum and guiding.
Specifically, described sleeve outer wall is socketed with fixture；Described fixture is made up of the collar 8 being socketed on sleeve outer wall and the union joint 9 being connected with the collar.Described sleeve outer wall is provided with two collars being parallel to each other 10；The described collar is between two collars.
By arranging the collar and union joint, the sleeve pipe of the present invention can be fixed with external equipment or support, after sleeve position is adjusted, only need to be fixed with external equipment or support by union joint, now sleeve pipe change maintains static, and this is that doctor can be operated.
And, doctor is when performing the operation, and a people can complete push nerve root aside and be operated, it is not necessary to as existing situation, it is desirable to have people helps to carry out pushing aside of nerve root, and during operation is carried out, this assistant needs to push aside nerve root always；Use the present invention then without assistant, greatly reduce human cost.
As shown in Figure 8, the present embodiment is with the difference of embodiment 7, and the bottom of described plectrum is arc shape.By bottom is arranged to arc shape, it is possible to preferably stoping nerve root to occur at sleeve opening, simultaneously when stirring nerve root, this nerve root is at arc, thus during stirring, it is possible to prevent nerve root from separating with plectrum.
Embodiment 8
As it is shown in figure 9, the difference of the present embodiment and embodiment 7 is, the side on described plectrum top is additionally provided with the card article 7 being connected with plectrum；Gap is there is between described plectrum and card article.This card article can fix plectrum further, and time fixing, casing wall is placed exactly between plectrum and card article, and card article then can clamp sleeve pipe, thus is fixed by plectrum at another, further increasing the stability of plectrum.
According to above-described embodiment, the present invention just can be realized well.What deserves to be explained is; on the premise of designing based on said structure, for solving same technical problem, even if some made in the present invention are without substantial change or polishing; the essence of the technical scheme used is still as the present invention, therefore it should also be as within the scope of the present invention.
Claims (10)
1. nerve root protectiveness scope service aisle, it is characterised in that include sleeve pipe (1), is arranged at the gathering sill of internal surface of sleeve pipe, and in being removably mounted at gathering sill and the plectrum (2) of sleeve pipe can be stretched out.
Nerve root protectiveness scope service aisle the most according to claim 1, it is characterised in that described gathering sill is the groove (3) being arranged at internal surface of sleeve pipe.
Nerve root protectiveness scope service aisle the most according to claim 1, it is characterised in that described gathering sill is made up of two blend stops (4) being arranged at internal surface of sleeve pipe；The gap moved back and forth for plectrum is left between two baffle plates.
Nerve root protectiveness scope service aisle the most according to claim 3, it is characterised in that described blend stop side is additionally provided with block (5)；Described block is positioned at two relative sides of blend stop.
Nerve root protectiveness scope service aisle the most according to claim 1, it is characterised in that the bottom terminal ends of described plectrum is arc-shaped, top is provided with the Handheld Division (6) being connected with plectrum.
Nerve root protectiveness scope service aisle the most according to claim 1, it is characterised in that described plectrum cross section is arc.
Nerve root protectiveness scope service aisle the most according to claim 1, it is characterised in that the bottom of described plectrum is arc shape.
Nerve root protectiveness scope service aisle the most according to claim 1, it is characterised in that the side on described plectrum top is additionally provided with the card article (7) being connected with plectrum；Gap is there is between described plectrum and card article.
9. according to the nerve root protectiveness scope service aisle described in any one of claim 1～8, it is characterised in that described sleeve outer wall is socketed with fixture；Described fixture is made up of the collar (8) being socketed on sleeve outer wall and the union joint (9) being connected with the collar.
Nerve root protectiveness scope service aisle the most according to claim 9, it is characterised in that described sleeve outer wall is provided with two collars being parallel to each other (10)；The described collar is between two collars.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610255055.6A CN105963024B (en) | 2016-04-21 | 2016-04-21 | Nerve root protectiveness scope service aisle |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610255055.6A CN105963024B (en) | 2016-04-21 | 2016-04-21 | Nerve root protectiveness scope service aisle |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN105963024A true CN105963024A (en) | 2016-09-28 |
| CN105963024B CN105963024B (en) | 2019-01-18 |
Family
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201610255055.6A Expired - Fee Related CN105963024B (en) | 2016-04-21 | 2016-04-21 | Nerve root protectiveness scope service aisle |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN105963024B (en) |
Citations (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP0807415B1 (en) * | 1996-05-09 | 2003-12-03 | Olympus Optical Co., Ltd. | A cavity retaining tool for bone surgery, a cavity retaining tool for general surgery, an endoscopic surgery system involving the use of a cavity retaining tool |
| CN2617315Y (en) * | 2003-01-20 | 2004-05-26 | 中国人民解放军第二军医大学 | Aid device for endoscopic operation |
| US20040176763A1 (en) * | 1996-03-22 | 2004-09-09 | Foley Kevin T. | Methods for percutaneous surgery |
| CN2698277Y (en) * | 2004-05-20 | 2005-05-11 | 林斌 | Auxiliary device for intervertebral disk scope working channel used in upper cervical vertebra anterior surgery |
| US20080033251A1 (en) * | 2006-06-30 | 2008-02-07 | Ali Araghi | Surgical retractor and method of use |
| CN103181813A (en) * | 2011-12-27 | 2013-07-03 | 金晓锋 | Dual channel micro endoscopic discectomy instrument |
| CN203841742U (en) * | 2014-05-28 | 2014-09-24 | 丽水市中心医院 | Suction type nerve root dragging hook convenient to clean |
| CN104083140A (en) * | 2013-04-02 | 2014-10-08 | 池永龙 | CYL-inverted conical microendoscope system |
| CN205924187U (en) * | 2016-04-21 | 2017-02-08 | 周强 | Nerve root protectiveness scope service aisle |
-
2016
- 2016-04-21 CN CN201610255055.6A patent/CN105963024B/en not_active Expired - Fee Related
Patent Citations (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20040176763A1 (en) * | 1996-03-22 | 2004-09-09 | Foley Kevin T. | Methods for percutaneous surgery |
| EP0807415B1 (en) * | 1996-05-09 | 2003-12-03 | Olympus Optical Co., Ltd. | A cavity retaining tool for bone surgery, a cavity retaining tool for general surgery, an endoscopic surgery system involving the use of a cavity retaining tool |
| CN2617315Y (en) * | 2003-01-20 | 2004-05-26 | 中国人民解放军第二军医大学 | Aid device for endoscopic operation |
| CN2698277Y (en) * | 2004-05-20 | 2005-05-11 | 林斌 | Auxiliary device for intervertebral disk scope working channel used in upper cervical vertebra anterior surgery |
| US20080033251A1 (en) * | 2006-06-30 | 2008-02-07 | Ali Araghi | Surgical retractor and method of use |
| CN103181813A (en) * | 2011-12-27 | 2013-07-03 | 金晓锋 | Dual channel micro endoscopic discectomy instrument |
| CN104083140A (en) * | 2013-04-02 | 2014-10-08 | 池永龙 | CYL-inverted conical microendoscope system |
| CN203841742U (en) * | 2014-05-28 | 2014-09-24 | 丽水市中心医院 | Suction type nerve root dragging hook convenient to clean |
| CN205924187U (en) * | 2016-04-21 | 2017-02-08 | 周强 | Nerve root protectiveness scope service aisle |
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| Publication number | Publication date |
|---|---|
| CN105963024B (en) | 2019-01-18 |
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Granted publication date: 20190118 |