Adjustable type sawing resection device for intervertebral disc under spinal endoscope

文档序号:1927742 发布日期:2021-12-07 浏览:20次 中文

阅读说明:本技术 一种可调型脊柱内镜下椎间盘的锯性切除装置 (Adjustable type sawing resection device for intervertebral disc under spinal endoscope ) 是由 马学晓 于 2021-08-11 设计创作,主要内容包括:本发明提供一种可调型脊柱内镜下椎间盘的锯性切除装置,涉及医疗器械技术领域,解决了现有的在对患者患病切口位置进行手术的时候需要多名医护人员进行辅助固定仪器及患者背部创口扩张,在增加人力资源消耗的同时使得手术环境的空间减小,影响医生手术时候的活动范围的问题。一种可调型脊柱内镜下椎间盘的锯性切除装置,包括局限架;所述局限架整体为矩形形状,且局限架后端位置设置有夹槽,局限架底部左右两侧位置设置有L形状的接板,局限架底部与局限架接板连接处设置有三角形状的角板。由于切除件设置在升降架底部中间位置,且切除件为线切割,切除件在对患者创口内的病源位置进行切除的时候处于静止状态将不会对患者造成二次伤害。(The invention provides an adjustable sawing device for intervertebral discs under a spinal endoscope, relates to the technical field of medical instruments, and solves the problems that a plurality of medical workers are required to assist in fixing instruments and expanding back wounds of patients when the patients are subjected to operations on diseased incision positions, the space of an operation environment is reduced while the consumption of human resources is increased, and the moving range of doctors during operations is influenced. An adjustable type intervertebral disc sawing resection device under a spinal endoscope comprises a limit frame; the whole limiting frame is rectangular, a clamping groove is formed in the rear end of the limiting frame, L-shaped connecting plates are arranged on the left side and the right side of the bottom of the limiting frame, and triangular corner plates are arranged at the connecting positions of the bottom of the limiting frame and the connecting plates of the limiting frame. Because the excision piece sets up in crane bottom intermediate position, and the excision piece is the line cutting, and the excision piece will not cause the secondary damage to the patient in quiescent condition when excising the intraoral sick source position of patient wound.)

1. The utility model provides an intervertebral disc's sawing resection device under adjustable backbone scope which characterized in that: comprises a limiting frame;

the limiting frame is integrally rectangular, a clamping groove is formed in the rear end of the limiting frame, L-shaped connecting plates are arranged on the left side and the right side of the bottom of the limiting frame, triangular corner plates are arranged at the connecting positions of the bottom of the limiting frame and the limiting frame connecting plates, and the bottom of the limiting frame is connected with the top of the expansion seat; the limiting frame comprises:

the pulling plate is provided with two positions, the two pulling plates are respectively arranged at the upper end positions of the connecting plates at the two sides of the limiting frame, and a strip-shaped groove is formed in the middle of each pulling plate.

2. The adjustable type spinal endoscopic discectomy device according to claim 1, wherein: the limiting frame comprises:

the rear position of the top end face of the lug is provided with a slide rail, the upper position of the front end face of the lug is provided with a slide rail, and the rear end of the lug is fixedly connected to the middle position of the front end of the limiting frame.

3. The adjustable type spinal endoscopic discectomy device according to claim 1, wherein: the expansion seat is integrally in a cuboid shape, a through square groove is formed in the middle of the expansion seat, sliding grooves are formed in the front end position and the rear end position of the bottom of the expansion seat, a handle is arranged at the front end of the expansion seat, a bearing groove is formed in the left side position of the sliding groove at the front end of the expansion seat, and a bearing groove is formed in the right side of the sliding groove at the rear end of the expansion seat.

4. The adjustable type spinal endoscopic discectomy device according to claim 3, wherein: the expansion seat comprises:

fagging A, fagging A top are provided with the slide rail, and fagging A slide rail sliding connection is in expanding seat rear end spout, and fagging A right-hand member position rotates and is connected with the screw rod, and the screw rod is located the bearing groove on expansion seat rear end spout right side.

5. The adjustable type spinal endoscopic discectomy device according to claim 3, wherein: the expansion seat comprises:

fagging B, fagging B top are provided with the slide rail, and fagging B slide rail sliding connection is in expanding seat front end spout, and fagging B left end position rotates and is connected with the screw rod, and the screw rod is located the left bearing groove of expansion seat front end spout, and fagging B is the symmetry setting with fagging A.

6. The adjustable type spinal endoscopic discectomy device according to claim 1, wherein: also comprises an adjusting bracket; the adjusting frame is T-shaped, two triangular ear plates are arranged at the rear end of the top of the adjusting frame, a sliding block is arranged at the rear end of the bottom of the adjusting frame, a sliding block is arranged at the front end of the inner side of the adjusting frame, the sliding block at the rear end of the bottom of the adjusting frame is clamped with a sliding rail at the rear end of the top end face of the convex block to slide, and the sliding block at the front end of the inner side of the adjusting frame is clamped with the sliding rail at the upper part of the front end face of the convex block to slide.

7. The adjustable type spinal endoscopic discectomy device of claim 6, wherein: the adjusting bracket comprises:

the cylinder, the cylinder setting is provided with the slide rail at alignment jig front end intermediate position, and cylinder front end intermediate position.

8. The adjustable type spinal endoscopic discectomy device according to claim 1, wherein: also comprises a lifting frame; the lifting frame is L-shaped, a sliding groove is formed in the rear end of the lifting frame, the sliding groove of the lifting frame is connected with the sliding rail of the air cylinder in a sliding mode, and the lifting frame is located right above the square groove of the expansion seat; the crane includes:

the cutting part is arranged in the middle of the bottom of the lifting frame and is cut linearly.

9. The adjustable type spinal endoscopic discectomy device according to claim 1, wherein: the device also comprises an endoscope; the endoscope is rotatably connected in the clamping groove at the rear end of the limiting frame, and the bottom of the endoscope is positioned at the rear position between the supporting plate A and the supporting plate B.

Technical Field

The invention belongs to the technical field of medical instruments, and particularly relates to an adjustable type sawn resection device for intervertebral discs under a spinal endoscope.

Background

The damage of waist easily makes nucleus pulposus and damaged fibrous ring tissue to back-out to cause lumbar disc herniation, adopt the excision to treat at present treatment in-process, repair patient's intervertebral disc position, play the radical cure effect postoperative and need the patient to take exercise the back of the body muscle and avoid carrying the heavy object and lead to the state of an illness relapse.

Similar to the present intervertebral disc surgical excision of patients, the following defects also exist:

one is that need a plurality of medical personnel to carry out supplementary fixed instrument and patient's back wound expansion when carrying out the operation to sick incision position of patient, increase manpower resources's consumption, on the other hand makes the space of operation environment reduce when many people fix resection device in coordination, the home range when influence doctor's operation.

Therefore, in view of the above, research and improvement are made for the existing structure and deficiency, and an adjustable type sawing device for intervertebral disc under spinal endoscope is provided, so as to achieve the purpose of more practical value.

Disclosure of Invention

In order to solve the technical problems, the invention provides an adjustable sawing device for intervertebral discs under a spinal endoscope, which aims to solve the problems that a plurality of medical workers are required to assist in fixing instruments and expanding back wounds of patients when the patients are subjected to operations on diseased incision positions, the space of an operation environment is reduced while the consumption of manpower resources is increased, and the moving range of doctors during operations is influenced.

The invention relates to an adjustable intervertebral disc sawing resection device under a spinal endoscope, which is realized by the following specific technical means:

an adjustable type intervertebral disc sawing resection device under a spinal endoscope comprises a limit frame; the whole limiting frame is rectangular, a clamping groove is formed in the rear end of the limiting frame, L-shaped connecting plates are arranged on the left side and the right side of the bottom of the limiting frame, triangular corner plates are arranged at the joint of the bottom of the limiting frame and the connecting plates of the limiting frame, the bottom of the limiting frame is connected with the top of the expansion seat, the expansion seat is cuboid, a through square groove is formed in the middle of the expansion seat, sliding grooves are formed in the front end and the rear end of the bottom of the expansion seat, a handle is arranged at the front end of the expansion seat, a bearing groove is formed in the left side position of the sliding groove in the front end of the expansion seat, and a bearing groove is formed in the right side of the sliding groove in the rear end of the expansion seat; the limiting frame comprises: the two pulling plates are respectively arranged at the upper end positions of the connecting plates at the two sides of the limiting frame, and a strip-shaped groove is formed in the middle of each pulling plate; the rear position of the top end face of the lug is provided with a slide rail, the upper position of the front end face of the lug is provided with a slide rail, and the rear end of the lug is fixedly connected to the middle position of the front end of the limiting frame.

Further, the expansion seat comprises: the supporting plate A is provided with a sliding rail at the top, the sliding rail of the supporting plate A is connected in a sliding groove at the rear end of the expansion seat in a sliding manner, the right end of the supporting plate A is rotatably connected with a screw rod, and the screw rod is positioned in a bearing groove on the right side of the sliding groove at the rear end of the expansion seat; fagging B, fagging B top are provided with the slide rail, and fagging B slide rail sliding connection is in expanding seat front end spout, and fagging B left end position rotates and is connected with the screw rod, and the screw rod is located the left bearing groove of expansion seat front end spout, and fagging B is the symmetry setting with fagging A.

Furthermore, the device also comprises an adjusting frame; the adjusting frame is T-shaped, two triangular ear plates are arranged at the rear end of the top of the adjusting frame, a sliding block is arranged at the rear end of the bottom of the adjusting frame, a sliding block is arranged at the front end of the inner side of the adjusting frame, the sliding block at the rear end of the bottom of the adjusting frame is clamped with a sliding rail at the rear of the top end face of the lug to slide, and the sliding block at the front end of the inner side of the adjusting frame is clamped with the sliding rail at the upper part of the front end face of the lug to slide; the adjusting bracket comprises: the cylinder, the cylinder setting is provided with the slide rail at alignment jig front end intermediate position, and cylinder front end intermediate position.

Furthermore, the device also comprises a lifting frame; the lifting frame is L-shaped, a sliding groove is formed in the rear end of the lifting frame, the sliding groove of the lifting frame is connected with the sliding rail of the air cylinder in a sliding mode, and the lifting frame is located right above the square groove of the expansion seat; the crane includes: the cutting part is arranged in the middle of the bottom of the lifting frame and is cut linearly.

Furthermore, the device also comprises an endoscope; the endoscope is rotatably connected in the clamping groove at the rear end of the limiting frame, and the bottom of the endoscope is positioned at the rear position between the supporting plate A and the supporting plate B.

Compared with the prior art, the invention has the following beneficial effects:

because the slider of adjusting bracket bottom rear end slides with lug top terminal surface rear side slide rail block, the inboard front end slider of adjusting bracket slides with lug front end terminal surface top slide rail block, when making the adjusting bracket carry out transverse position's slip with the lug, avoid the adjusting bracket front end to carry the weight of crane, play the effect that the two positions were supported, on the other hand two triangle-shaped otic placodes of adjusting bracket avoid the adjusting bracket to lead to the adjusting bracket to appear the condition of deformation in the live time overlength, cause the crane to appear the slope and make the circumstances that excision piece inclines appear when excision piece cuts patient's wound position.

Because the endoscope rotates to be connected in the clamping groove at the rear end of the limit frame, the bottom of the endoscope is positioned at the middle rear position of the supporting plate A and the supporting plate B, the endoscope can be locally disassembled after the operation is finished, the disinfection and cleaning are carried out, the situation that the bacteria remained in the comprehensive cleaning process during the traditional cleaning process is avoided, and the situation of secondary cross infection is caused to a patient.

Because the excision piece sets up in crane bottom intermediate position, and the excision piece is the line cutting, and the excision piece will not cause the secondary damage to the patient in quiescent condition when excising the intraoral sick source position of patient wound.

Because fagging B is the symmetry with fagging A and sets up, after fagging B and fagging A and the expansion of patient back position laminating, reducible personnel occupy fixed locating rack, increase medical personnel's operation operating range, improve the excision efficiency of operation.

Drawings

Fig. 1 is a schematic view of the structure of the main view state of the present invention.

Fig. 2 is a left-side view structural diagram of the present invention.

Fig. 3 is a schematic top view of the present invention.

Fig. 4 is a side view structural schematic diagram of the present invention.

Fig. 5 is a partial enlarged structural view of the invention at a in fig. 4.

Fig. 6 is a side view of the stent and stent combination of the present invention.

Fig. 7 is a side view of the expandable seat of the present invention.

Fig. 8 is a side view of the combination of the adjusting bracket and the lifting bracket of the invention.

In the drawings, the corresponding relationship between the component names and the reference numbers is as follows:

1. a limiting frame; 101. pulling a plate; 102. a bump;

2. an expansion seat; 201. a supporting plate A; 202. a supporting plate B;

3. an adjusting bracket; 301. a cylinder;

4. a lifting frame; 401. cutting off the part;

5. an endoscope.

Detailed Description

The embodiments of the present invention will be described in further detail with reference to the drawings and examples. The following examples are intended to illustrate the invention but are not intended to limit the scope of the invention.

In the description of the present invention, "a plurality" means two or more unless otherwise specified; the terms "upper", "lower", "left", "right", "inner", "outer", "front", "rear", "head", "tail", and the like, indicate orientations or positional relationships based on the orientations or positional relationships shown in the drawings, are only for convenience in describing and simplifying the description, and do not indicate or imply that the device or element referred to must have a particular orientation, be constructed in a particular orientation, and be operated, and thus, should not be construed as limiting the invention. Furthermore, the terms "first," "second," "third," and the like are used for descriptive purposes only and are not to be construed as indicating or implying relative importance.

In the description of the present invention, it is to be noted that, unless otherwise explicitly specified or limited, the terms "connected" and "connected" are to be interpreted broadly, e.g., as being fixed or detachable or integrally connected; can be mechanically or electrically connected; may be directly connected or indirectly connected through an intermediate. The specific meanings of the above terms in the present invention can be understood in specific cases to those skilled in the art.

Example (b):

as shown in figures 1 to 8:

the invention provides an adjustable type intervertebral disc sawing resection device under a spinal endoscope, which comprises: a limiter frame 1; the whole limiting frame 1 is rectangular, a clamping groove is formed in the rear end of the limiting frame 1, L-shaped connecting plates are arranged on the left side and the right side of the bottom of the limiting frame 1, triangular corner plates are arranged at the connecting positions of the bottom of the limiting frame 1 and the connecting plates of the limiting frame 1, and the bottom of the limiting frame 1 is connected with the top of the expansion seat 2; the limiting frame 1 comprises: the limiting frame comprises pull plates 101, wherein the pull plates 101 are arranged at two positions, the two pull plates 101 are respectively arranged at the upper ends of connecting plates at two sides of the limiting frame 1, and a strip-shaped groove is formed in the middle of each pull plate 101; lug 102, the rear position of lug 102 top terminal surface is provided with the slide rail, and the top position of lug 102 front end face is provided with the slide rail, lug 102 rear end fixed connection is at the intermediate position of locating rack 1 front end, fagging A201 bottom and fagging B202's bottom position will laminate with patient's back position, adjust fagging A201 right side screw rod next, it makes fagging A201 whole to left side position shift in expansion seat 2 to rotate fagging A201 screw rod, it slides to the right side position to make fagging B202 whole in expansion seat 2 to rotate fagging B202 screw rod again, fagging A201 and fagging B202 expand patient back position.

The expansion seat 2 is integrally cuboid-shaped, a through square groove is formed in the middle of the expansion seat 2, sliding grooves are formed in the front end and the rear end of the bottom of the expansion seat 2, a handle is arranged at the front end of the expansion seat 2, a bearing groove is formed in the left side of the sliding groove in the front end of the expansion seat 2, and a bearing groove is formed in the right side of the sliding groove in the rear end of the expansion seat 2; the expansion seat 2 comprises: a sliding rail is arranged at the top of the supporting plate A201, the sliding rail of the supporting plate A201 is connected in a sliding groove at the rear end of the expansion seat 2 in a sliding manner, a screw rod is rotatably connected at the right end of the supporting plate A201, and the screw rod is positioned in a bearing groove on the right side of the sliding groove at the rear end of the expansion seat 2; fagging B202, fagging B202 top is provided with the slide rail, and fagging B202 slide rail sliding connection is in expanding 2 front end spouts of seat, fagging B202 left end position rotates and is connected with the screw rod, the screw rod is located the left bearing groove of 2 front end spouts of expansion seat, fagging B202 is the symmetry setting with fagging A201, after fagging B202 and fagging A201 and the laminating expansion of patient back position, reducible personnel occupy fixed locating frame 1, increase medical personnel's operation operating range, the excision efficiency of operation is improved.

Wherein, also comprises an adjusting bracket 3; alignment jig 3 is T font form, and 3 top rear end positions of alignment jig are provided with two triangle-shaped otic placodes, 3 bottom rear ends of alignment jig are provided with the slider, and 3 inboard front end positions of alignment jig are provided with the slider, 3 bottom rear end sliders of alignment jig slide with lug 102 top terminal surface rear slide rail block, 3 inboard front end sliders of alignment jig slide with lug 102 preceding terminal surface top slide rail block, when making alignment jig 3 and lug 102 carry out the slip of lateral position, avoid 3 front ends of alignment jig to carry on the weight of crane 4, play the effect that the two positions supported, on the other hand two triangle-shaped otic placodes of alignment jig 3 avoid alignment jig 3 to lead to the condition that deformation appears in alignment jig 3 at the live time overlength, cause the condition that the slope appears in crane 4, alignment jig 3 including: the cylinder 301, the cylinder 301 sets up in alignment jig 3 front end intermediate position, and cylinder 301 front end intermediate position is provided with the slide rail.

Wherein, also comprises a lifting frame 4; the lifting frame 4 is L-shaped, a sliding groove is formed in the rear end of the lifting frame 4, the sliding groove of the lifting frame 4 is connected with a sliding rail of the air cylinder 301 in a sliding mode, and the lifting frame 4 is located right above the square groove of the expansion seat 2; the crane 4 comprises:

the cutting part 401 is arranged at the middle position of the bottom of the lifting frame 4, and the cutting part 401 is used for linear cutting.

Wherein, also comprises an endoscope 5; the endoscope 5 is rotatably connected in the back end clamping groove of the limit frame 1, and the bottom of the endoscope 5 is positioned at the back position between the supporting plate A201 and the supporting plate B202.

When in use:

firstly, two strip grooves of the pulling plates 101 at two sides of the limit frame 1 penetrate through the abdominal belt with a tight structure, then the limit frame 1 is bound to the back position of a patient through the cooperation of the abdominal belt, the position placing process of the limit frame 1 is completed, the square groove of the expansion seat 2 is positioned right above the wound position of the patient, at the moment, the bottom of the supporting plate A201 and the bottom of the supporting plate B202 are attached to the back position of the patient, then the right screw rod of the supporting plate A201 is adjusted, the screw rod of the supporting plate A201 is rotated to enable the whole supporting plate A201 to move to the left side position in the expansion seat 2, then the screw rod of the supporting plate B202 is rotated to enable the whole supporting plate B202 to slide to the right side position in the expansion seat 2, the supporting plate A201 and the supporting plate B202 expand the back position of the patient, the wound position of the patient is prevented from being in a contraction state, the whole transverse position of the adjusting frame 3 is adjusted on the next step, and the adjusting frame 3 is positioned right above the wound position of the patient, the cylinder 301 is started next step, the cylinder 301 drives the lifting frame 4 to move downwards until the cutting part 401 enters the position of the wound of the patient to cut the diseased position of the patient, the angle of the endoscope 5 in the clamping groove at the rear end of the limiting frame 1 is adjusted simultaneously, the position of the cutting part 401 in the wound of the patient is observed, the auxiliary operation of a plurality of medical staff is omitted when the back of the patient is expanded through the operation, and the number of staff participating in the operation range of the medical staff is reduced.

The embodiments of the present invention have been presented for purposes of illustration and description, and are not intended to be exhaustive or limited to the invention in the form disclosed. Many modifications and variations will be apparent to those of ordinary skill in the art. The embodiment was chosen and described in order to best explain the principles of the invention and the practical application, and to enable others of ordinary skill in the art to understand the invention for various embodiments with various modifications as are suited to the particular use contemplated.

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