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CN1061842C - Complete surgical instruments for removal of percutaneous mdrrow nucleus pulposus - Google Patents

Complete surgical instruments for removal of percutaneous mdrrow nucleus pulposus Download PDF

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Publication number
CN1061842C
CN1061842C CN 91106767 CN91106767A CN1061842C CN 1061842 C CN1061842 C CN 1061842C CN 91106767 CN91106767 CN 91106767 CN 91106767 A CN91106767 A CN 91106767A CN 1061842 C CN1061842 C CN 1061842C
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CN
China
Prior art keywords
spring
trephine
inner tube
percutaneous
mdrrow
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Expired - Fee Related
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CN 91106767
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Chinese (zh)
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CN1058142A (en
Inventor
刘加林
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Individual
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Individual
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Priority to CN 91106767 priority Critical patent/CN1061842C/en
Publication of CN1058142A publication Critical patent/CN1058142A/en
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Publication of CN1061842C publication Critical patent/CN1061842C/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

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Abstract

The present invention relates to a special medical appliance for treating prolapse of lumbar intervertebral disc, which is composed of 20 pieces of tools divided into 16 classes: three discography needles, three outer sleeve needles, a Kirschner steel needle, sword-shaped dermatotome, an outer barrel, a barrel core, an annular drill of an inner barrel, a probe rod, a spiral hook, a pair of biopsy forceps, a guide device, a needle holder, a pair of pointed forceps, a cup and a cotton applicator. A complete set of surgical instruments has the advantages of complete class, easy operation, improved surgical quality, shortened time for surgical operation and patients' pain alleviation.

Description

Complete surgical instruments for removal of percutaneous mdrrow nucleus pulposus
The present invention relates to a kind of medical apparatus and instruments, be adapted to the operating theater instruments of percutaneous Nuclectomy especially.
Removal of percutaneous mdrrow nucleus pulposus is a kind of new method of treatment prolapse of lumbar intervertebral disc.This method is between operative therapy and non-operative treatment.Can obtain the effect of operative therapy, and not bear the painful and dangerous of operative therapy.The non-operative treatment that compares, curative effect obviously improves, than operative therapy, safety coefficient obviously increases.I am according to for many years clinical experience, research design the medical machinery of special-purpose removal of percutaneous mdrrow nucleus pulposus.
The object of the invention provides a kind of apparatus of percutaneous Nuclectomy operation, to satisfy the treatment needs to the prolapse of lumbar intervertebral disc patient medical.
Technical scheme of the present invention is such: it is by three pieces of nucleus angiography needles, three pieces of outer casing needles, the Ke Shi draw point, urceolus, the tube core, inner tube trephine, biopsy forceps, needle holder, the point tweezer, cup, the cotton applicator instrument, be characterized in having invented sword shape dermatotome, feeler lever, snail hook, the pliability biopsy forceps, the guider instrument is to form 16 kinds of 20 cover instruments, said sword shape dermatotome is whole as sword shape, have through hole on the axis of cutter with Ke Shi draw point coupling, said feeler lever is the stainless steel strip of a diameter 2mm, be carved with length mark on the steel bar, one end is provided with annular hand grip, total length equates with inner tube trephine, the chimoto part such as the helical form of said snail hook, the spiral revolution was 1.5 weeks, hook end and shank total length equate with inner tube trephine, the supporting use of this snail hook and inner tube trephine, said pliability biopsy forceps is to set up the spring that a segment length is 30-40mm between existing biopsy claw beam and jaw, said guider is by guide post, guide sub, pull bar, spring, Spring Card constitutes, the bottom of guide post and guide sub hinge connection, spring is contained in the rearward end of guide post, Spring Card is contained on the guide post to withstand spring, pull bar one end is connected with Spring Card, and the other end is connected with guide sub.
Below in conjunction with accompanying drawing the present invention is carried out detailed narration:
Accompanying drawing 1 is the nucleus angiography needle structural representation in the complete surgical instruments for removal of percutaneous mdrrow nucleus pulposus.
Accompanying drawing 2 is the sketch map of the outer casing needle in the complete surgical instruments for removal of percutaneous mdrrow nucleus pulposus.
Accompanying drawing 3 is the Ke Shi draw point structural representation in the complete surgical instruments for removal of percutaneous mdrrow nucleus pulposus.
Accompanying drawing 4 is the sword shape dermatotome structural representation in the complete surgical instruments for removal of percutaneous mdrrow nucleus pulposus.
Accompanying drawing 5 is the structural representation of the urceolus in the complete surgical instruments for removal of percutaneous mdrrow nucleus pulposus.
Accompanying drawing 6 is the structural representation of the tube core in the complete surgical instruments for removal of percutaneous mdrrow nucleus pulposus.
Accompanying drawing 7 is the structural representation of the inner tube trephine in the complete surgical instruments for removal of percutaneous mdrrow nucleus pulposus.
Accompanying drawing 8 is the feeler lever sketch map in the complete surgical instruments for removal of percutaneous mdrrow nucleus pulposus.
Accompanying drawing 9 is the snail hook structural representation in the complete surgical instruments for removal of percutaneous mdrrow nucleus pulposus.
Biopsy forceps structural representation in accompanying drawing 10 complete surgical instruments for removal of percutaneous mdrrow nucleus pulposus.
Pliability biopsy forceps structural representation in accompanying drawing 11 complete surgical instruments for removal of percutaneous mdrrow nucleus pulposus.
Accompanying drawing 12 is the structural representation of the guider in the complete surgical instruments for removal of percutaneous mdrrow nucleus pulposus.
Accompanying drawing 13 is the needle holder tool structural representation in the complete surgical instruments for removal of percutaneous mdrrow nucleus pulposus.
Accompanying drawing 14 is the sharp tweezer structural representation in the complete surgical instruments for removal of percutaneous mdrrow nucleus pulposus.
Accompanying drawing 15 is the cup sketch map in the complete surgical instruments for removal of percutaneous mdrrow nucleus pulposus.
Accompanying drawing 16 is the cotton applicator sketch map in the complete surgical instruments for removal of percutaneous mdrrow nucleus pulposus.
With reference to the accompanying drawings shown in the 1-16, the complete surgical instruments for removal of percutaneous mdrrow nucleus pulposus of invention by three pieces of nucleus angiography needles, 3 pieces of outer casing needles, Ke Shi draw point, sword shape dermatotome, urceolus, tube core, inner tube trephine, feeler lever, snail hook biopsy forceps, pliability biopsy forceps, guider, special pin device, sharp tweezer, cup, cotton applicator totally 16 kinds of 20 instruments form.These 16 kinds of 20 instruments have constituted the medical apparatus and instruments that the treatment prolapse of lumbar intervertebral disc adapts to.Have 11 kinds to be the product of the U.S. or Japan and other countries public offering in these 16 kinds of 20 instruments, but it does not satisfy the needs of doing removal of percutaneous mdrrow nucleus pulposus.My basis clinical experience for many years.Trial production repeatedly, New Development is understood three kinds of instruments such as sword shape dermatotome, feeler lever, snail hook such as Fig. 4, Fig. 8, shown in Figure 9.Two kinds of instruments such as pliability biopsy forceps, pliers guider such as Figure 11, shown in Figure 12 have been invented in improvement.Like this, the medical instrument of the treatment prolapse of lumbar intervertebral disc of existing public offering in the world and use has been carried out replenishing and perfect.Bring convenience to the medical personnel, for therapist palliates the agonizing sufferings.
The sword shape dermatotome of invention, whole as sword shape as shown in Figure 4, have through hole on the axis of cutter with Ke Shi draw point coupling.This cutter is cut skin and is used, during use, sword shape dermatotome is enclosed within on the Ke Shi draw point, thrust along the Ke Shi draw point, cut skin, dark sarolemma,, then sword shape dermatotome is taken off with the rupture of membranes sense that feel has twice resistance as can be known and stings, promptly cutting one on the skin is the 0.5cm otch at center with the Ke Shi draw point, on the dark sarolemma same otch is arranged also.
The feeler lever of invention, as shown in Figure 8, feeler lever is the stainless steel strip of a diameter 2mm, be carved with length mark on the steel bar, total length equates with inner tube trephine, one end is provided with annular hand grip, its using method is: finish inner tube trephine drilling fibrous ring in operation process after, feeler lever is stretched into from the inner tube trephine centre bore, when feeling resistance, watch inner tube trephine to remain the length of feeler lever outward, equate (1.7cm) as length difference with inner tube trephine, urceolus, the fibrous ring piece of tissue of filling capacity in the inner tube trephine then is described, oneself finishes the operation of drilling fibrous ring.As when watching inner tube trephine to remain feeler lever curtailment (1.7cm) at home and abroad, illustrating does not have the fibrous ring of capacity piece of tissue in the inner tube trephine.
The snail hook of invention, as shown in Figure 9, snail hook end parts such as helical form, external diameter is 0.4cm, and internal diameter is 0.2cm, and tooth pitch is 0.6cm, the spiral revolution was 1.5 weeks, length is 1.0cm, and the shank diameter is 0.1cm, and length is 14cm, hook end and shank total length equate with inner tube trephine, handle portion length 4.0cm, moment brachium 1.5cm, moving sleeve internal diameter 1.6mm, external diameter 2.0mm, the supporting use of this snail hook and inner tube trephine when inner tube trephine drilling fibrous ring operation is finished, and proves the success of drilling through using feeler lever to detect, pull out feeler lever, snail hook is stretched into from the inner tube trephine centre bore, after running into the resistance that the fibrous ring piece of tissue stops, the rocking-turn spiral neck of hook along clockwise direction, and inwardly compress, can be with fibrous tissue piece bolt-lock in inner tube trephine, then with the spiral shell hook, inner tube trephine, the fibrous tissue piece is extracted from urceolus together, shift out external, can once finish the boring on the fibrous ring smoothly, this is simple and quick, accurately and reliably.
The pliability biopsy forceps of invention, as shown in figure 11, these pincers are to improve invention on the basis of biopsy forceps (Figure 10), its main points are to set up the spring 2 that a segment length is 30-40mm between the claw beam 1 of existing biopsy forceps and jaw 3.
The guider of invention as shown in figure 12.Constitute by guide post 4, guide sub 6, pull bar 5, spring 7, Spring Card 8, the bottom of guide post 4 and guide sub 6 hinge connection, spring 7 is contained in the rearward end of guide post 4, Spring Card 8 is contained on the guide post 4 to withstand spring 7, pull bar 5 one ends are connected with Spring Card 8, and the other end is connected with guide sub 6.
Pliability biopsy forceps and guider coupling are used.During use guider is stretched into from urceolus, go deep into length 15cm, see through the most advanced and sophisticated 2.2cm of urceolus, in guider, insert the pliability biopsy forceps this moment again, 1.0cm can be stretched out from side opening in the pliers tip, crooked 30 ° of pliability biopsy forcepss picked-up guider side nucleus pulposus, as Spring Card 8 is pulled back, and be stuck on the guide post 4, the side guider gos deep into 3mm forward, and guide end is to bent 30 ° of perforate lateral bending, camber addition with the guiding side opening, can make the total camber of spring lever portion of pliability biopsy forceps reach 50-60 °, the nucleus pulposus of pliability biopsy forceps picked-up guider side, working range promptly enlarges.During EO, need first pull-off spring card 8, take out the pliability biopsy forceps, just can go out to get guider then.
The percutaneous Nuclectomy operation rig of invention, great variety of goods, easy to use, can improve the operation quality, shorten operating time, alleviate patient's misery.

Claims (1)

  1. A kind of apparatus of percutaneous Nuclectomy operation, it comprises three pieces of nucleus angiography needles, three pieces of outer casing needles, the Ke Shi draw point, urceolus, the tube core, inner tube trephine, biopsy forceps, needle holder, the point tweezer, cup, the cotton applicator instrument, its feature also comprises sword shape dermatotome, feeler lever, snail hook, the pliability biopsy forceps, the guider instrument is to form 16 kinds of 20 cover instruments, said sword shape dermatotome is whole as sword shape, have through hole on the axis of cutter with Ke Shi draw point coupling, said feeler lever is the stainless steel strip of a diameter 2mm, be carved with length mark on the steel bar, one end is provided with annular hand grip, total length equates with inner tube trephine, the chimoto part such as the helical form of said snail hook, the spiral revolution was 1.5 weeks, hook end and shank total length equate with inner tube trephine, the supporting use of this snail hook and inner tube trephine, set up the spring that a segment length is 30-40mm (2) between claw beam of said pliability biopsy forceps (1) and the jaw (3), said guider is by guide post (4), guide sub (6), pull bar (5), spring (7), Spring Card (8) constitutes, the bottom of guide post (4) and guide sub (6) hinge connection, spring (7) is contained in the rearward end of guide post (4), Spring Card (8) is contained in guide post (4) and goes up to withstand spring (7), pull bar (5) one ends are connected with Spring Card (8), and the other end is connected with guide sub (6).
CN 91106767 1991-08-03 1991-08-03 Complete surgical instruments for removal of percutaneous mdrrow nucleus pulposus Expired - Fee Related CN1061842C (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN 91106767 CN1061842C (en) 1991-08-03 1991-08-03 Complete surgical instruments for removal of percutaneous mdrrow nucleus pulposus

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN 91106767 CN1061842C (en) 1991-08-03 1991-08-03 Complete surgical instruments for removal of percutaneous mdrrow nucleus pulposus

Publications (2)

Publication Number Publication Date
CN1058142A CN1058142A (en) 1992-01-29
CN1061842C true CN1061842C (en) 2001-02-14

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CN 91106767 Expired - Fee Related CN1061842C (en) 1991-08-03 1991-08-03 Complete surgical instruments for removal of percutaneous mdrrow nucleus pulposus

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CA2698200C (en) 2007-09-04 2015-03-24 Strathmore Industries Inc. Method and apparatus for aspiration
CN115530957B (en) * 2022-09-29 2025-05-30 任晓春 Elastic intramedullary nail closed extractor

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C14 Grant of patent or utility model
GR01 Patent grant
C15 Extension of patent right duration from 15 to 20 years for appl. with date before 31.12.1992 and still valid on 11.12.2001 (patent law change 1993)
OR01 Other related matters
C19 Lapse of patent right due to non-payment of the annual fee
CF01 Termination of patent right due to non-payment of annual fee