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CN117814878A - Carpal tunnel ligament incises sword - Google Patents

Carpal tunnel ligament incises sword Download PDF

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Publication number
CN117814878A
CN117814878A CN202211407137.XA CN202211407137A CN117814878A CN 117814878 A CN117814878 A CN 117814878A CN 202211407137 A CN202211407137 A CN 202211407137A CN 117814878 A CN117814878 A CN 117814878A
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China
Prior art keywords
knife
center
ligament
carpal tunnel
column
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Pending
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CN202211407137.XA
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Chinese (zh)
Inventor
田思宇
李梅
赵红芳
田德虎
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Third Hospital of Hebei Medical University
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Third Hospital of Hebei Medical University
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Priority to CN202211407137.XA priority Critical patent/CN117814878A/en
Publication of CN117814878A publication Critical patent/CN117814878A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/32Surgical cutting instruments
    • A61B17/3209Incision instruments
    • A61B17/3211Surgical scalpels, knives; Accessories therefor

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses a carpal tunnel ligament incision knife; relates to the field of carpal tunnel syndrome treatment; the device comprises a handle, a center column and a knife, wherein the upper side of the handle is fixedly connected with the center column, a center groove is formed in the middle of the center column, the knife is fixedly connected to the center groove at the upper side of the center column, and the knife edge of the knife is upward; the center groove structure formed by the center pillar is attached to the ligament, so that the round blunt end and the round corner edge at the upper end of the center pillar with the center groove are separated from nerves around the ligament, the ligament is cut under the action of the knife, the space of the center groove after the ligament is cut holds the ligament after the ligament is cut along with the propelling action, the ligament is prevented from extruding the nerves around, and the iatrogenic injury of damage to the nerve caused by the lotus root during the operation is avoided.

Description

一种腕管韧带切开刀Carpal tunnel ligament incision knife

技术领域Technical Field

本发明涉及腕管综合征治疗领域,具体的涉及一种腕管韧带切开刀。The invention relates to the field of carpal tunnel syndrome treatment, and in particular to a carpal tunnel ligament incision knife.

背景技术Background technique

腕管综合征(Carpal Tunnel Syndrome)是最常见的周围神经卡压性疾患,也是手外科医生最常进行手术治疗的疾患,主要表现为腕前部疼痛及手部麻木无力,与患者的职业工作性质存在一定关系;当保守治疗方案不能缓解患者的症状,或大鱼际肌萎缩、感觉消失,需要进行手术治疗,包括各种切开手术、小切口减压及内窥镜手术等,如腕横韧带切开腕管减压术,切开皮肤及皮下组织,纵向切开增厚的前臂远侧深筋膜,于钩骨钩处尽量近腕横韧带尺侧切断腕横韧带,并向远侧切开直至掌浅弓周围的脂肪;Carpal tunnel syndrome is the most common peripheral nerve entrapment disease and the disease most commonly treated by hand surgeons. It is mainly manifested by pain in the front of the wrist and numbness and weakness in the hand, which is related to the nature of the patient's occupation. When conservative treatment cannot relieve the patient's symptoms, or the thenar muscle atrophies and the sensation disappears, surgical treatment is required, including various incisions, small incision decompression and endoscopic surgery, such as transverse carpal ligament incision carpal tunnel decompression, incision of the skin and subcutaneous tissue, longitudinal incision of the thickened distal deep fascia of the forearm, and cutting the transverse carpal ligament as close to the ulnar side of the transverse carpal ligament at the hook of the hamate bone, and incision distally to the fat around the superficial palmar arch;

综上所述,目前手部韧带切开过程存在以下技术问题:腕横韧带下正中神经位置表浅,操作不当易造成正中神经损伤,为此我们设计一种刀具,隐含于固定装置内,刀割腕横韧带全程,刀与正中神经无接触,避免医源性正中神经损伤;In summary, the current hand ligament cutting process has the following technical problems: the median nerve is located superficially under the transverse carpal ligament, and improper operation can easily cause median nerve injury. For this reason, we designed a knife hidden in the fixing device. The knife cuts the transverse carpal ligament without contacting the median nerve, thus avoiding iatrogenic median nerve injury.

发明内容Summary of the invention

针对现有技术存在的上述问题,本发明提供了一种腕管韧带切开刀。In view of the above problems existing in the prior art, the present invention provides a carpal tunnel ligament incision knife.

为实现上述技术目的,达到上述技术效果,本发明是通过以下技术方案实现:In order to achieve the above technical objectives and the above technical effects, the present invention is implemented through the following technical solutions:

一种腕管韧带切开刀,包括手柄、中柱和刀具,所述手柄上侧固定连接有中柱,所述中柱中间开有中槽,所述中柱在上侧中槽位置固定连接有刀具,所述刀具的刀刃向上。A carpal tunnel ligament cutting knife comprises a handle, a middle column and a knife. The upper side of the handle is fixedly connected to the middle column, a middle groove is opened in the middle of the middle column, and the knife is fixedly connected to the middle column at the upper middle groove position, and the blade of the knife faces upward.

进一步的,所述中柱长度为6-8cm;所述手柄长度与中柱长度一致。Furthermore, the length of the middle column is 6-8 cm; the length of the handle is consistent with the length of the middle column.

进一步的,所述中柱呈圆柱形,所述中柱直径为5mm,所述中槽长度为5-6cm,所述中槽高度为3mm,所述刀具距离中柱上端距离为2mm,所述中柱上端设有圆钝头结构,所述中柱在中槽位置边缘设置圆角边结构。Furthermore, the middle column is cylindrical, the diameter of the middle column is 5mm, the length of the middle groove is 5-6cm, the height of the middle groove is 3mm, the distance between the tool and the upper end of the middle column is 2mm, the upper end of the middle column is provided with a rounded blunt head structure, and the middle column is provided with a rounded edge structure at the edge of the middle groove position.

进一步的,所述刀具的刀刃向下侧凹陷。Furthermore, the blade of the tool is recessed downward.

进一步的,所述刀具呈C型。Furthermore, the tool is C-shaped.

进一步的,所述刀具呈U型。Furthermore, the cutter is U-shaped.

进一步的,所述刀具呈V型。Furthermore, the cutter is V-shaped.

进一步的,所述刀具下端延伸至中柱的中槽底部。Furthermore, the lower end of the tool extends to the bottom of the middle groove of the middle column.

进一步的,所述手柄上固定连接有防滑纹。Furthermore, the handle is fixedly connected with anti-slip grooves.

进一步的,所述手柄上固定连接有握持柄。Furthermore, a gripping handle is fixedly connected to the handle.

本发明的有益效果:Beneficial effects of the present invention:

一种腕管韧带切开刀,通过中柱开有的中槽结构与韧带位置贴合,使开有中槽的中柱上端圆钝头和圆角边分离开韧带周围的神经,在刀具的作用下,对韧带进行切割,在切割后中槽的空间随推进动作容纳切割后的韧带,避免韧带挤压周围神经,避免手术过程对炸藕为神经造成损害的医源性损伤。A carpal tunnel ligament cutting knife has a middle groove structure on the middle column that fits the position of the ligament, so that the round blunt head and the rounded edge on the upper end of the middle column with the middle groove separate the nerves around the ligament. Under the action of the knife, the ligament is cut, and after cutting, the space in the middle groove accommodates the cut ligament with the advancement action, so as to avoid the ligament squeezing the surrounding nerves and avoid iatrogenic damage to the carpal tunnel nerves during the operation.

当然,实施本发明的任一产品并不一定需要同时达到以上所述的所有优点。Of course, any product implementing the present invention does not necessarily need to achieve all of the above-mentioned advantages at the same time.

附图说明BRIEF DESCRIPTION OF THE DRAWINGS

为了更清楚地说明本发明实施例的技术方案,下面将对实施例描述所需要使用的附图作简单地介绍,显而易见地,下面描述中的附图仅仅是本发明的一些实施例,对于本领域普通技术人员来讲,在不付出创造性劳动的前提下,还可以根据这些附图获得其他的附图。In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the accompanying drawings required for describing the embodiments will be briefly introduced below. Obviously, the accompanying drawings described below are only some embodiments of the present invention. For ordinary technicians in this field, other accompanying drawings can be obtained based on these accompanying drawings without paying creative work.

图1为本发明实施例所述腕管韧带切开刀具的整体结构示意图;FIG1 is a schematic diagram of the overall structure of a carpal tunnel ligament cutting tool according to an embodiment of the present invention;

图2为本发明实施例所述中柱上端局部和刀具的结构连接示意图;FIG2 is a schematic diagram of the structural connection between the upper end of the center column and the cutter according to an embodiment of the present invention;

图3为本发明实施例1所述中柱局部和刀具侧视图结构示意图;FIG3 is a schematic diagram of a side view of a portion of a center column and a tool according to Embodiment 1 of the present invention;

图4为本发明实施例2所述中柱局部和刀具侧视图结构示意图;FIG4 is a schematic diagram of a side view of a portion of a center column and a tool according to Embodiment 2 of the present invention;

图5为本发明实施例3所述中柱局部和刀具侧视图结构示意图;FIG5 is a schematic diagram of a side view of a portion of a center column and a tool according to Embodiment 3 of the present invention;

图6为本发明实施例4所述中柱局部和刀具的结构示意图;FIG6 is a schematic structural diagram of a portion of a center column and a cutter according to Embodiment 4 of the present invention;

图7为本发明实施例4所述中柱局部和刀具侧视图结构示意图;FIG7 is a schematic diagram of a side view of a portion of a center column and a tool according to Embodiment 4 of the present invention;

图8为本发明实施例5所述中柱局部和刀具侧视图结构示意图;FIG8 is a schematic structural diagram of a partial side view of a center column and a tool according to Embodiment 5 of the present invention;

图9为本发明实施例6所述中柱局部和刀具侧视图结构示意图;FIG9 is a schematic diagram of a side view of a portion of a center column and a tool according to Embodiment 6 of the present invention;

图10为本发明实施例7所述手柄的结构示意图;FIG10 is a schematic diagram of the structure of the handle according to Embodiment 7 of the present invention;

图11为本发明实施例8所述手柄的结构示意图。FIG. 11 is a schematic diagram of the structure of the handle described in Example 8 of the present invention.

附图中,各标号所代表的部件列表如下:In the accompanying drawings, the components represented by the reference numerals are listed as follows:

1-手柄,101-防滑纹,102-握持柄,2-中柱,201-中槽,202-圆钝头,203-圆角边,3-刀具。1-handle, 101-anti-slip pattern, 102-grip handle, 2-middle column, 201-middle groove, 202-blunt head, 203-rounded edge, 3-knife.

具体实施方式Detailed ways

下面将结合本发明实施例中的附图,对本发明实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本发明一部分实施例,而不是全部的实施例。基于本发明中的实施例,本领域普通技术人员在没有作出创造性劳动前提下所获得的所有其它实施例,都属于本发明保护的范围。The following will be combined with the drawings in the embodiments of the present invention to clearly and completely describe the technical solutions in the embodiments of the present invention. Obviously, the described embodiments are only part of the embodiments of the present invention, not all of the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by ordinary technicians in this field without creative work are within the scope of protection of the present invention.

实施例1Example 1

如图1-3所示As shown in Figure 1-3

本发明所述一种腕管韧带切开刀(3),包括手柄(1)、中柱(2)和刀具(3),所述手柄(1)上侧固定连接有中柱(2),所述中柱(2)中间开有中槽(201),形成韧带通过的空间,所述中柱(2)在上侧中槽(201)位置固定连接有刀具(3),所述刀具(3)的刀刃向上,形成配合推进切割的结构;The carpal tunnel ligament cutting knife (3) of the present invention comprises a handle (1), a middle column (2) and a cutting tool (3); the middle column (2) is fixedly connected to the upper side of the handle (1); a middle groove (201) is opened in the middle of the middle column (2) to form a space for the ligament to pass through; the cutting tool (3) is fixedly connected to the middle column (2) at the upper middle groove (201); the blade of the cutting tool (3) faces upwards to form a structure for cooperating with the cutting tool;

所述中柱(2)长度为6-8cm;所述手柄(1)长度与中柱(2)长度一致,使握持手柄和中柱达到稳定控制,避免手柄或中柱过长过短导致不易控制的问题;The length of the middle column (2) is 6-8 cm; the length of the handle (1) is consistent with the length of the middle column (2), so that the handle and the middle column can be held stably and the problem of difficulty in control caused by the handle or the middle column being too long or too short can be avoided;

所述中柱(2)呈圆柱形,所述中柱(2)直径为5mm,所述中槽(201)长度为5-6cm,所述中槽(201)高度为3mm,所述刀具(3)距离中柱(2)上端距离为2mm,所述中柱(2)上端设有圆钝头(202)结构,所述中柱(2)在中槽(201)位置边缘设置圆角边(203)结构,通过尺寸限定,满足术者需求,并贴合生理结构;The middle column (2) is cylindrical, the diameter of the middle column (2) is 5 mm, the length of the middle groove (201) is 5-6 cm, the height of the middle groove (201) is 3 mm, the distance between the tool (3) and the upper end of the middle column (2) is 2 mm, the upper end of the middle column (2) is provided with a round blunt head (202) structure, and the edge of the middle column (2) at the position of the middle groove (201) is provided with a rounded edge (203) structure, and the size is limited to meet the needs of the surgeon and fit the physiological structure;

所述刀具(3)的刀刃向下侧凹陷,对韧带切割过程保证推进动作;The blade of the knife (3) is recessed downward to ensure a pushing action during the ligament cutting process;

所述刀具(3)呈C型,在推进时,作用在韧带上;The cutter (3) is C-shaped and acts on the ligament when advancing;

中柱开有中槽的结构分离神经和韧带,通过韧带周围空间,对刀具进行遮挡,不会接触其他组织。The structure with a middle groove in the middle column separates the nerves and ligaments, and shields the knife through the space around the ligament without contacting other tissues.

实施例2Example 2

如图4所示As shown in Figure 4

所述刀具(3)呈U型;The cutter (3) is U-shaped;

在推进过程中,与韧带配合,对韧带顺利切割;During the advancement process, it cooperates with the ligament to cut the ligament smoothly;

实施例3Example 3

如图5所示As shown in Figure 5

所述刀具(3)呈V型;The tool (3) is V-shaped;

在推进过程中,与韧带配合,对韧带顺利切割;During the advancement process, it cooperates with the ligament to cut the ligament smoothly;

实施例4Example 4

如图6、7所示As shown in Figures 6 and 7

所述刀具(3)下端延伸至中柱(2)的中槽(201)底部,所述刀具(3)呈C型;The lower end of the tool (3) extends to the bottom of the middle groove (201) of the middle column (2), and the tool (3) is C-shaped;

在推进过程中,将韧带顺利分割后,使韧带处于中槽内;During advancement, the ligament is smoothly divided so that it is in the middle groove;

实施例5Example 5

如图8所示As shown in Figure 8

所述刀具(3)下端延伸至中柱(2)的中槽(201)底部,所述刀具(3)呈U型;The lower end of the tool (3) extends to the bottom of the middle groove (201) of the middle column (2), and the tool (3) is U-shaped;

在推进过程中,将韧带顺利分割后,使韧带处于中槽内;During advancement, the ligament is smoothly divided so that it is in the middle groove;

实施例6Example 6

如图9所示As shown in Figure 9

所述刀具(3)下端延伸至中柱(2)的中槽(201)底部,所述刀具(3)呈V型;The lower end of the tool (3) extends to the bottom of the middle groove (201) of the middle column (2), and the tool (3) is V-shaped;

在推进过程中,将韧带顺利分割后,使韧带处于中槽内;During advancement, the ligament is smoothly divided so that it is in the middle groove;

实施例7Example 7

如图10所示As shown in Figure 10

所述手柄(1)上固定连接有防滑纹(101);The handle (1) is fixedly connected with an anti-slip pattern (101);

保证术者握持舒适,控制过程稳定。Ensure that the operator holds the device comfortably and the control process is stable.

实施例8Example 8

如图11所示As shown in Figure 11

所述手柄(1)上固定连接有握持柄(102)。A grip handle (102) is fixedly connected to the handle (1).

保证术者握持舒适,控制过程稳定。Ensure that the operator holds the device comfortably and the control process is stable.

综上所述,本发明一种腕管韧带切开刀,通过中柱开有的中槽结构与韧带位置贴合,使开有中槽的中柱上端圆钝头和圆角边分离开韧带周围的神经,在刀具的作用下,对韧带进行切割,在切割后中槽的空间随推进动作容纳切割后的韧带,避免韧带挤压周围神经,避免手术过程对炸藕为神经造成损害的医源性损伤。In summary, the carpal tunnel ligament cutting knife of the present invention fits the position of the ligament through the middle groove structure of the middle column, so that the rounded blunt head and the rounded edge of the upper end of the middle column with the middle groove separate the nerves around the ligament. Under the action of the tool, the ligament is cut, and the space in the middle groove after cutting accommodates the cut ligament with the pushing action, so as to avoid the ligament squeezing the surrounding nerves and avoid iatrogenic damage to the nerves during the operation.

在本说明书的描述中,参考术语“一个实施例”、“示例”、“具体示例”等的描述意指结合该实施例或示例描述的具体特征、结构、材料或者特点包含于本发明的至少一个实施例或示例中。在本说明书中,对上述术语的示意性表述不一定指的是相同的实施例或示例。而且,描述的具体特征、结构、材料或者特点可以在任何的一个或多个实施例或示例中以合适的方式结合。In the description of this specification, the description with reference to the terms "one embodiment", "example", "specific example", etc. means that the specific features, structures, materials or characteristics described in conjunction with the embodiment or example are included in at least one embodiment or example of the present invention. In this specification, the schematic representation of the above terms does not necessarily refer to the same embodiment or example. Moreover, the specific features, structures, materials or characteristics described can be combined in any one or more embodiments or examples in a suitable manner.

以上公开的本发明优选实施例只是用于帮助阐述本发明。优选实施例并没有详尽叙述所有的细节,也不限制该发明仅为所述的具体实施方式。显然,根据本说明书的内容,可作很多的修改和变化。本说明书选取并具体描述这些实施例,是为了更好地解释本发明的原理和实际应用,从而使所属技术领域技术人员能很好地理解和利用本发明。本发明仅受权利要求书及其全部范围和等效物的限制。The preferred embodiments of the present invention disclosed above are only used to help illustrate the present invention. The preferred embodiments do not describe all the details in detail, nor do they limit the invention to the specific implementation methods described. Obviously, many modifications and changes can be made according to the content of this specification. This specification selects and specifically describes these embodiments in order to better explain the principles and practical applications of the present invention, so that those skilled in the art can understand and use the present invention well. The present invention is limited only by the claims and their full scope and equivalents.

Claims (9)

1. A carpal tunnel ligament incision knife, characterized in that: the novel knife comprises a handle, a center column and a knife, wherein the center column is fixedly connected to the upper side of the handle, a center groove is formed in the middle of the center column, the knife is fixedly connected to the center column at the position of the center groove on the upper side of the center column, and the knife edge of the knife is upward.
2. The carpal tunnel ligament incision as in claim 1, wherein: the length of the middle column is 6-8cm; the length of the handle is consistent with the length of the center pillar; the center pillar is cylindrical, the center pillar diameter is 5mm, center groove length is 5-6cm, center groove height is 3mm, sword is apart from center pillar upper end distance to be 2mm, center pillar upper end is equipped with circle blunt end structure, center pillar sets up the fillet structure at center groove position edge.
3. The carpal tunnel ligament incision as in claim 1, wherein: the blade edge of the knife is recessed toward the lower side.
4. The carpal tunnel ligament incision as in claim 5, wherein: the knife is C-shaped.
5. The carpal tunnel ligament incision as in claim 5, wherein: the knife is U-shaped.
6. The carpal tunnel ligament incision as in claim 5, wherein: the knife is V-shaped.
7. The carpal tunnel ligament incision as in claim 1, wherein: the lower end of the knife extends to the bottom of the middle groove of the middle column.
8. The carpal tunnel ligament incision as in claim 1, wherein: and the handle is fixedly connected with anti-skid patterns.
9. The carpal tunnel ligament incision as in claim 1, wherein: the handle is fixedly connected with a holding handle.
CN202211407137.XA 2022-11-10 2022-11-10 Carpal tunnel ligament incises sword Pending CN117814878A (en)

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Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH11299800A (en) * 1998-04-23 1999-11-02 Senko Medical Instr Mfg Co Ltd Levator and knife for carpal canal opening operation
US20130144318A1 (en) * 2010-08-18 2013-06-06 José Dinis Carmo Surgical set of instruments for precision cutting
US20160128714A1 (en) * 2014-11-12 2016-05-12 Manuel F. DaSilva Systems, methods, and devices for endoscopic nerve release
CN216257314U (en) * 2021-09-10 2022-04-12 太原市中心医院 Transverse carpal ligament push broach for minimally invasive carpal tunnel syndrome

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH11299800A (en) * 1998-04-23 1999-11-02 Senko Medical Instr Mfg Co Ltd Levator and knife for carpal canal opening operation
US20130144318A1 (en) * 2010-08-18 2013-06-06 José Dinis Carmo Surgical set of instruments for precision cutting
US20160128714A1 (en) * 2014-11-12 2016-05-12 Manuel F. DaSilva Systems, methods, and devices for endoscopic nerve release
CN216257314U (en) * 2021-09-10 2022-04-12 太原市中心医院 Transverse carpal ligament push broach for minimally invasive carpal tunnel syndrome

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