CN114391902A - An expandable channel for minimally invasive spine surgery - Google Patents
An expandable channel for minimally invasive spine surgery Download PDFInfo
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- 238000001356 surgical procedure Methods 0.000 title claims abstract description 21
- 239000013307 optical fiber Substances 0.000 claims abstract description 15
- 238000002324 minimally invasive surgery Methods 0.000 claims abstract description 9
- 230000000694 effects Effects 0.000 abstract description 6
- 238000000034 method Methods 0.000 abstract description 6
- 208000027418 Wounds and injury Diseases 0.000 abstract 1
- 208000014674 injury Diseases 0.000 abstract 1
- 230000008733 trauma Effects 0.000 abstract 1
- 238000010586 diagram Methods 0.000 description 3
- 239000000835 fiber Substances 0.000 description 2
- 230000003902 lesion Effects 0.000 description 2
- 238000004806 packaging method and process Methods 0.000 description 2
- 210000001519 tissue Anatomy 0.000 description 2
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 230000005489 elastic deformation Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 230000000451 tissue damage Effects 0.000 description 1
- 231100000827 tissue damage Toxicity 0.000 description 1
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- A—HUMAN NECESSITIES
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- A61B17/00—Surgical instruments, devices or methods
- A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
- A61B17/0218—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors for minimally invasive surgery
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Abstract
Description
技术领域technical field
本发明涉及医疗辅助器械技术领域,更具体地说,它涉及一种脊柱微创外科用可扩张通道。The invention relates to the technical field of medical auxiliary instruments, and more particularly, to an expandable channel for minimally invasive spine surgery.
背景技术Background technique
脊柱微创手术中需要将组织扩开以形成一个手术通道,目前使用的扩张通道具有以下缺陷:1、目前多数通道扩张时支撑力臂过长,撑开时弹性形变较大;2、角度张开时固定不牢容易回弹,影响手术;3、圆形通道扩张后肌肉容易进入伤口阻挡视线;4、脊柱微创手术操作区域为椭圆形或矩形区域,目前全封闭通道多为圆形或接近圆形,与一次性扩张通道或锥形封闭通道底部扩张过大,组织损伤相对较大。In minimally invasive spine surgery, the tissue needs to be expanded to form a surgical channel. The currently used expansion channels have the following defects: 1. At present, most channels have too long supporting arms when they are expanded, and the elastic deformation is large when they are opened; 2. When the angle is opened If the fixation is not firm, it is easy to rebound, which affects the operation; 3. After the expansion of the circular channel, the muscle can easily enter the wound and block the sight; The shape of the one-time expansion channel or the bottom of the conical closed channel is too large, and the tissue damage is relatively large.
发明内容SUMMARY OF THE INVENTION
为解决上述技术问题,本发明提供一种脊柱微创外科用可扩张通道,能够有效解决上述技术问题。In order to solve the above technical problems, the present invention provides an expandable channel for spinal minimally invasive surgery, which can effectively solve the above technical problems.
本发明的上述技术目的是通过以下技术方案得以实现的:The above-mentioned technical purpose of the present invention is achieved through the following technical solutions:
一种脊柱微创外科用可扩张通道,包括第一扩张板和第二扩张板,第一扩张板和第二扩张板均为弧形板,第一扩张板抱合第二扩张板形成扩张通道;第一扩张板的外侧壁上转动设有螺栓限位装置,第二扩张板外侧壁上转动设有螺帽,第一扩张板和第二扩张板通过螺栓连接实现扩张通道的大小调节;第一扩张板和第二扩张板上均设有光纤孔。An expandable channel for spinal minimally invasive surgery, comprising a first expansion plate and a second expansion plate, wherein the first expansion plate and the second expansion plate are arc-shaped plates, and the first expansion plate hugs the second expansion plate to form an expansion channel; The outer side wall of the first expansion plate is rotatably provided with a bolt limiting device, and the outer side wall of the second expansion plate is rotated with a nut, and the first expansion plate and the second expansion plate are connected by bolts to realize the size adjustment of the expansion channel; Both the expansion plate and the second expansion plate are provided with optical fiber holes.
在上述方案中,第一扩张板和第二扩张板的弧形板包括长方形部分和弧形部分,然后将第二扩张板卡和在第一扩张板内,使得第一扩张板抱合第二扩张板形成封闭式的通道;通过拧紧螺栓的过程中,第二扩张板继续向第一扩张板移动,使得扩张通道变小;在螺栓固定后,对第一扩张板和第二扩张板的顶部的两个极限远端点处固定,然后第一扩张板和第二扩张板可以以固定点为圆心,实现转动,使得第一扩张板和第二扩张板的下端区域再次扩张,以便于对脊柱中病灶的位置进行操作;在转动过程中,螺栓限位装置和螺帽分别相对第一扩张板外侧壁和第二扩张板外侧壁转动,使得螺栓仍能够正常工作,保持第一扩张板和第二扩张板的相对距离;光纤孔用于插入冷光源光纤头。In the above solution, the arc-shaped plates of the first expansion plate and the second expansion plate include a rectangular part and an arc-shaped part, and then the second expansion plate is clamped in the first expansion plate, so that the first expansion plate hugs the second expansion plate The plate forms a closed channel; in the process of tightening the bolts, the second expansion plate continues to move toward the first expansion plate, so that the expansion channel becomes smaller; after the bolts are fixed, the top of the first expansion plate and the second expansion plate The two extreme distal points are fixed, and then the first expansion plate and the second expansion plate can be rotated with the fixed point as the center, so that the lower end regions of the first expansion plate and the second expansion plate are expanded again, so as to facilitate the alignment of the spine. The position of the lesion is operated; during the rotation process, the bolt limiting device and the nut are respectively rotated relative to the outer wall of the first expansion plate and the outer wall of the second expansion plate, so that the bolt can still work normally and keep the first expansion plate and the second expansion plate. The relative distance of the expansion plate; the fiber hole is used to insert the cold light source fiber head.
作为一种优选方案,第一扩张板和第二扩张板通过独立的螺栓实现螺栓连接,螺栓限位装置为具有通孔设置的限位台。As a preferred solution, the first expansion plate and the second expansion plate are bolted through independent bolts, and the bolt limiting device is a limiting platform provided with a through hole.
在上述优选方案中,通过独立螺栓实现螺栓连接,便于包装。In the above preferred solution, the bolt connection is realized by independent bolts, which is convenient for packaging.
作为一种优选方案,螺栓限位装置为一端开口的空腔,螺栓头截面尺寸小于空腔开口,螺栓头与螺栓限位装置活动设置。As a preferred solution, the bolt limiting device is a cavity with one end open, the cross-sectional size of the bolt head is smaller than the opening of the cavity, and the bolt head and the bolt limiting device are movably arranged.
在上述优选方案中,螺栓头限位于空腔内,使得整个螺栓始终不脱离第一扩张板,同时,螺栓在转动连接第二扩张板时,螺栓头在空腔内可以转动,能够实现螺栓连接,上述优选方案不会出现脱落情况,同时也便于医护人员的单手操作。In the above preferred solution, the bolt head is limited to the cavity, so that the entire bolt never leaves the first expansion plate. At the same time, when the bolt is rotated to connect the second expansion plate, the bolt head can be rotated in the cavity, and the bolt connection can be realized. , the above preferred solution will not fall off, and it is also convenient for medical staff to operate with one hand.
作为一种优选方案,第一扩张板顶部设有横板,横板上设有若干通孔,第二扩张板顶部靠近内侧壁设有支撑板,通孔位置位于支撑板上方。As a preferred solution, the top of the first expansion plate is provided with a transverse plate, and the transverse plate is provided with a number of through holes, and the top of the second expansion plate is provided with a support plate near the inner side wall, and the position of the through holes is located above the support plate.
在上述优选方案中,需要对第一扩张板和第二扩张板下端进行扩张时,通过通孔向下顶支撑板,实现下端扩张,下顶的方式可使用专用的顶棒,使用镊子等物品也可实现下顶的效果。In the above preferred solution, when the lower ends of the first expansion plate and the second expansion plate need to be expanded, the support plate is pushed downward through the through hole to realize the expansion of the lower end. The way of lowering can use a special ejector rod, tweezers and other items. A bottom-up effect can also be achieved.
作为一种优选方案,横板上的通孔为螺纹孔,第一扩张板上设有与螺纹孔匹配的螺丝钉。As a preferred solution, the through holes on the horizontal plate are threaded holes, and the first expansion plate is provided with screws matching the threaded holes.
在上述优选方案中,通过螺丝钉实现下顶的动作,螺丝钉便于操作,同时方便调节螺丝钉的深度,并在具体深度固定,进而使得第一扩张板和第二扩张板下端的扩张程度进行限位。In the above preferred solution, the action of lowering the top is realized by screws, the screws are easy to operate, and it is convenient to adjust the depth of the screws and fix them at a specific depth, thereby limiting the expansion degree of the lower ends of the first expansion plate and the second expansion plate.
作为一种优选方案,第一扩张板上的光纤孔设于横板上,第二扩张板上的光纤孔设于支撑板上。As a preferred solution, the optical fiber holes on the first expansion plate are arranged on the horizontal plate, and the optical fiber holes on the second expansion plate are arranged on the support plate.
在上述优选方案中,光纤孔通过横板和支撑板设置,其设置位置不影响螺丝钉下顶动作即可,位置可任意设置。In the above preferred solution, the optical fiber holes are arranged through the horizontal plate and the support plate, and the arrangement position does not need to affect the lowering action of the screw, and the position can be arbitrarily arranged.
作为一种优选方案,横板的厚度为0.3-0.5mm。As a preferred solution, the thickness of the transverse plate is 0.3-0.5mm.
作为一种优选方案,第一扩张板外侧壁上设有连接柄。As a preferred solution, a connecting handle is provided on the outer side wall of the first expansion plate.
综上所述,本发明具有以下有益效果:To sum up, the present invention has the following beneficial effects:
(1)本发明提供的一种脊柱微创外科用可扩张通道便于对脊柱手术过程中对创口进行扩张,且不易发生形变;(1) A kind of expandable channel for spinal minimally invasive surgery provided by the present invention is convenient for expanding the wound during spinal surgery, and is not easily deformed;
(2)本发明提供的一种脊柱微创外科用可扩张通道固定效果好不易回弹;(2) An expandable channel for minimally invasive spine surgery provided by the present invention has a good fixation effect and is not easy to rebound;
(3)本发明提供的一种脊柱微创外科用可扩张通道不易阻挡视线;(3) An expandable channel for minimally invasive spine surgery provided by the present invention is not easy to block sight;
(4)本发明提供的一种脊柱微创外科用可扩张通道不会对组织产生较大损伤;(4) The expandable channel for minimally invasive spine surgery provided by the present invention will not cause great damage to the tissue;
(5)本发明提供的一种脊柱微创外科用可扩张通道结构简单,使用效果好,具有很好的经济性和实用性。(5) The expandable channel for spinal minimally invasive surgery provided by the present invention is simple in structure, good in use effect, and has good economy and practicability.
附图说明Description of drawings
图1是本发明实施例的脊柱微创外科用可扩张通道的结构示意图;1 is a schematic structural diagram of an expandable channel for minimally invasive spine surgery according to an embodiment of the present invention;
图2是本发明实施例的脊柱微创外科用可扩张通道的状态图;2 is a state diagram of an expandable channel for minimally invasive spine surgery according to an embodiment of the present invention;
图3是本发明实施例的脊柱微创外科用可扩张通道不同实施例的结构示意图;3 is a schematic structural diagram of different embodiments of an expandable channel for minimally invasive spine surgery according to an embodiment of the present invention;
图4是本发明实施例的脊柱微创外科用可扩张通道的俯视图;4 is a top view of an expandable channel for minimally invasive spine surgery according to an embodiment of the present invention;
附图标记:Reference number:
1、第一扩张板;2、第二扩张板;3、螺栓限位装置;4、螺帽;5、光纤孔;6、横板;7、通孔;8、支撑板;9、螺丝钉;10、连接柄。1. The first expansion plate; 2. The second expansion plate; 3. The bolt limiting device; 4. The nut; 5. The optical fiber hole; 6. The horizontal plate; 7. The through hole; 10. Connection handle.
具体实施方式Detailed ways
本说明书及权利要求并不以名称的差异来作为区分组件的方式,而是以组件在功能上的差异来作为区分的准则。如在通篇说明书及权利要求当中所提及的“包括”为一开放式用语,故应解释成“包括但不限定于”。“大致”是指在可接受的误差范围内,本领域技术人员能够在一定误差范围内解决所述技术问题,基本达到所述技术效果。The description and claims do not use the difference in name as a way to distinguish components, but use the difference in function of the components as a criterion for distinguishing. As mentioned throughout the specification and claims, "including" is an open-ended term and should be interpreted as "including but not limited to". "Approximately" means that within an acceptable error range, those skilled in the art can solve the technical problem within a certain error range, and basically achieve the technical effect.
本说明书及权利要求的上下左右等方位名词,是结合附图以便于进一步说明,使得本申请更加方便理解,并不对本申请做出限定,在不同的场景中,上下、左右、里外均是相对而言。Orientation terms such as up and down, left and right in this description and the claims are combined with the accompanying drawings for the convenience of further description, making the application more convenient to understand, and do not limit the application. Relatively speaking.
以下结合附图对本发明作进一步详细说明。The present invention will be further described in detail below with reference to the accompanying drawings.
一种脊柱微创外科用可扩张通道,包括第一扩张板1和第二扩张板2,第一扩张板1和第二扩张板2均为弧形板,第一扩张板1抱合第二扩张板2形成扩张通道;第一扩张板1的外侧壁上转动设有螺栓限位装置3,第二扩张板2外侧壁上转动设有螺帽4,第一扩张板1和第二扩张板2通过螺栓连接实现扩张通道的大小调节;第一扩张板1和第二扩张板2上均设有光纤孔5。An expandable channel for spinal minimally invasive surgery, comprising a
在上述实施例中,第一扩张板1和第二扩张板2的弧形板包括长方形部分和弧形部分,然后将第二扩张板2卡和在第一扩张板1内,使得第一扩张板1抱合第二扩张板2形成封闭式的通道;通过拧紧螺栓的过程中,第二扩张板2继续向第一扩张板1移动,使得扩张通道变小;在螺栓固定后,对第一扩张板1和第二扩张板2的顶部的两个极限远端点处固定,然后第一扩张板1和第二扩张板2可以以固定点为圆心,实现转动,使得第一扩张板1和第二扩张板2的下端区域再次扩张,以便于对脊柱中病灶的位置进行操作;在转动过程中,螺栓限位装置3和螺帽4分别相对第一扩张板1外侧壁和第二扩张板2外侧壁转动,使得螺栓仍能够正常工作,保持第一扩张板1和第二扩张板2的相对距离;光纤孔5用于插入冷光源光纤头。In the above embodiment, the arc-shaped plates of the
作为一种优选实施例,第一扩张板1和第二扩张板2通过独立的螺栓实现螺栓连接,螺栓限位装置3为具有通孔7设置的限位台。As a preferred embodiment, the
在上述优选实施例中,通过独立螺栓实现螺栓连接,便于包装。In the above preferred embodiment, the bolt connection is realized by independent bolts, which is convenient for packaging.
作为一种优选实施例,螺栓限位装置3为一端开口的空腔,螺栓头截面尺寸小于空腔开口,螺栓头与螺栓限位装置3活动设置。As a preferred embodiment, the
在上述优选实施例中,螺栓头限位于空腔内,使得整个螺栓始终不脱离第一扩张板1,同时,螺栓在转动连接第二扩张板2时,螺栓头在空腔内可以转动,能够实现螺栓连接,上述优选实施例不会出现脱落情况,同时也便于医护人员的单手操作。In the above-mentioned preferred embodiment, the bolt head is limited to the cavity, so that the entire bolt never leaves the
作为一种优选实施例,第一扩张板1顶部设有横板6,横板6上设有若干通孔7,第二扩张板2顶部靠近内侧壁设有支撑板8,通孔7位置位于支撑板8上方。As a preferred embodiment, the top of the
在上述优选实施例中,需要对第一扩张板1和第二扩张板2下端进行扩张时,通过通孔7向下顶支撑板8,实现下端扩张,下顶的方式可使用专用的顶棒,使用镊子等物品也可实现下顶的效果。In the above preferred embodiment, when the lower ends of the
作为一种优选实施例,横板6上的通孔7为螺纹孔,第一扩张板1上设有与螺纹孔匹配的螺丝钉9。As a preferred embodiment, the through
在上述优选实施例中,通过螺丝钉9实现下顶的动作,螺丝钉9便于操作,同时方便调节螺丝钉9的深度,并在具体深度固定,进而使得第一扩张板1和第二扩张板2下端的扩张程度进行限位。In the above preferred embodiment, the action of lowering the top is realized by the screw 9, the screw 9 is easy to operate, and at the same time it is convenient to adjust the depth of the screw 9 and fix it at a specific depth, thereby making the lower ends of the
作为一种优选实施例,第一扩张板1上的光纤孔5设于横板6上,第二扩张板2上的光纤孔5设于支撑板8上。As a preferred embodiment, the optical fiber holes 5 on the
在上述优选实施例中,光纤孔5通过横板6和支撑板8设置,其设置位置不影响螺丝钉9下顶动作即可,位置可任意设置。In the above-mentioned preferred embodiment, the
作为一种优选实施例,横板6的厚度为0.3-0.5mm。As a preferred embodiment, the thickness of the
作为一种优选实施例,第一扩张板1外侧壁上设有连接柄10。As a preferred embodiment, a connecting
工作原理:使用第一扩张板1将第二扩张板2抱合,形成封闭的扩张通道,然后通过螺栓调节第一扩张板1和第二扩张板2的相对距离;然后将扩张通道进行位置调节,到达手术操作位置后,将第一扩张板1和第二扩张板2的上端的远端进行固定,通过第一扩张板1上横板6的螺栓孔,向下拧螺丝钉9,螺丝钉9下顶支撑板8使得第二扩张板2转动,实现扩张通道的下端的扩张程度的调节。Working principle: use the
本具体实施例仅仅是对本发明的解释,其并不是对本发明的限制,本领域技术人员在阅读完本说明书后可以根据需要对本实施例做出没有创造性贡献的修改,但只要在本发明的权利要求范围内都受到专利法的保护。This specific embodiment is only an explanation of the present invention, and it does not limit the present invention. Those skilled in the art can make modifications without creative contribution to the present embodiment as required after reading this specification, but as long as the rights of the present invention are used All claims are protected by patent law.
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20040002629A1 (en) * | 2002-06-26 | 2004-01-01 | Branch Charles L. | Instruments and methods for minimally invasive tissue retraction and surgery |
| US20100081885A1 (en) * | 2008-09-30 | 2010-04-01 | Aesculap Implant Systems, Inc. | Tissue retractor system |
| US20120232352A1 (en) * | 2010-07-14 | 2012-09-13 | Shanghai Linjing Medical Equipment Co., Ltd. | Vaginal dilator having side blades or having upper and lower blades comprising accessorial blades |
-
2022
- 2022-01-14 CN CN202210040666.4A patent/CN114391902A/en active Pending
Patent Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20040002629A1 (en) * | 2002-06-26 | 2004-01-01 | Branch Charles L. | Instruments and methods for minimally invasive tissue retraction and surgery |
| US20100081885A1 (en) * | 2008-09-30 | 2010-04-01 | Aesculap Implant Systems, Inc. | Tissue retractor system |
| US20120232352A1 (en) * | 2010-07-14 | 2012-09-13 | Shanghai Linjing Medical Equipment Co., Ltd. | Vaginal dilator having side blades or having upper and lower blades comprising accessorial blades |
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