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CN205268232U - Wire Saw Catheter Introducer - Google Patents

Wire Saw Catheter Introducer Download PDF

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Publication number
CN205268232U
CN205268232U CN201520913627.6U CN201520913627U CN205268232U CN 205268232 U CN205268232 U CN 205268232U CN 201520913627 U CN201520913627 U CN 201520913627U CN 205268232 U CN205268232 U CN 205268232U
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China
Prior art keywords
hand
catheter
held sleeve
wire saw
wire
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Expired - Fee Related
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CN201520913627.6U
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Chinese (zh)
Inventor
吴昕峰
夏庆福
杨春露
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Individual
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Individual
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Abstract

本实用新型涉及一种线锯导管导引器,包括手持套筒和导引钢丝。线锯导管导引器的顶端封闭,导引钢丝位于手持套筒中心,导引钢丝的起始部与手持套筒顶端连接,在接近手持套筒出口处,设置有一个推送窗口,手持套筒的末端逐渐缩窄,使得缩窄部分与手持套筒主体部分呈35度。本实用新型的优点是简单实用,能够安全、准确地将颈椎后路手术应用的线锯导管置入椎管内的导引器,降低硬膜囊及脊髓损伤等风险。

The utility model relates to a wire saw catheter guider, which comprises a hand-held sleeve and a guide steel wire. The top of the wire saw catheter guide is closed, the guide steel wire is located in the center of the hand-held sleeve, the starting part of the guide wire is connected to the top of the hand-held sleeve, and a push window is set near the exit of the hand-held sleeve, and the hand-held sleeve The end of the tapered end gradually narrows so that the narrowed part is 35 degrees from the main part of the hand sleeve. The utility model has the advantages of being simple and practical, and can safely and accurately insert the wire saw catheter used in the posterior cervical surgery into the introducer in the spinal canal, reducing the risks of dural sac and spinal cord injury.

Description

线锯导管导引器Wire Saw Catheter Introducer

技术领域 technical field

本实用新型涉及一种医疗器械,特别是一种线锯导管导引器。 The utility model relates to a medical device, in particular to a wire saw catheter guider.

背景技术 Background technique

在临床工作中,脊柱外科医师在做颈椎后路双开门手术时,常需要将线锯置入椎管,将棘突沿中线锯开。因椎管后方空间狭小,加之患者椎管狭窄因素,使安全操作空间更为减少。为保证安全,一般需要首先将线锯导管置入后,再通过导管置入线锯。由于线锯导管为软质高分子材料,用镊子或组织钳夹持置入过程中不容易控制导管的走向,常发生导管穿行困难,卷曲,进入硬膜侧方或前方,增加手术时间和风险。特别是对于临床经验较少的初学者更是如此。所以,开发出一种新的便于操作的线锯导管导引器是极其必要的。 In clinical work, spine surgeons often need to place a wire saw into the spinal canal to saw the spinous process along the midline when performing double-door surgery on the posterior cervical spine. Due to the narrow space behind the spinal canal and the stenosis of the patient's spinal canal, the space for safe operation is further reduced. In order to ensure safety, it is generally necessary to insert the wire saw catheter first, and then insert the wire saw through the catheter. Since the wire saw catheter is made of soft polymer material, it is not easy to control the direction of the catheter during the insertion process with tweezers or tissue forceps. Difficulty in passing the catheter often occurs, curling, and entering the side or front of the dura mater, which increases the operation time and risk. . This is especially true for beginners with less clinical experience. Therefore, it is extremely necessary to develop a new wire saw catheter guider that is easy to operate.

实用新型内容 Utility model content

本实用新型的目的是提供一种颈椎后路手术线锯导管导引器,本实用新型采用的技术方案是:一种线锯导管导引器,包括手持套筒和导引钢丝,其特征在于:线锯导管导引器的顶端封闭,导引钢丝位于手持套筒中心,导引钢丝的起始部与手持套筒顶端连接,在接近手持套筒出口处,设置有一个推送窗口,手持套筒的末端逐渐缩窄,使得缩窄部分与手持套筒主体部分呈35度。 The purpose of this utility model is to provide a wire saw catheter guide for posterior cervical surgery. The technical solution adopted by the utility model is: a wire saw catheter guide, including a hand-held sleeve and a guide wire, which is characterized in that : The top of the wire saw catheter guide is closed, the guide steel wire is located at the center of the hand-held sleeve, the starting part of the guide wire is connected to the top of the hand-held sleeve, and a push window is arranged near the exit of the hand-held sleeve, and the hand-held sleeve The end of the barrel tapers so that the narrowing is at 35 degrees to the main body of the handle sleeve.

本实用新型的技术效果是:由于本发明所述线锯导管导引器采用了导引钢丝加手持套筒的结构,导管套在钢丝上后,可将线锯导管很好地控制、把持。从根本上解决现在颈椎后路手术棘突纵割时,线锯导管置入时穿行困难、硬膜囊和脊髓损伤等问题。在同样的手术条件下,利用我们设计的线锯导管导引器可明显缩短手术时间,提高手术安全性,降低手术风险。 The technical effect of the utility model is: since the wire saw catheter guider of the present invention adopts the structure of a guiding steel wire and a hand-held sleeve, the wire saw catheter can be well controlled and held after the catheter is set on the steel wire. It fundamentally solves the problems such as the difficulty in passing through the wire saw catheter when inserting the spinous process, the dural sac and spinal cord injury during the longitudinal section of the spinous process in the posterior cervical spine surgery. Under the same surgical conditions, using the wire saw catheter introducer designed by us can significantly shorten the operation time, improve the safety of the operation, and reduce the risk of the operation.

附图说明 Description of drawings

下面将结合附图对本实用新型作进一步详细说明。 The utility model will be described in further detail below in conjunction with accompanying drawing.

图1是本实用新型的结构正视图; Fig. 1 is a structural front view of the utility model;

图2是本实用新型的侧视图; Fig. 2 is a side view of the utility model;

附图标记如下:1、手持套筒2、导引钢丝3、推送窗口。 Reference signs are as follows: 1. Hand-held sleeve 2. Guide steel wire 3. Push window.

具体实施方式 detailed description

如图1所示,本实用新型的技术方案是一种线锯导管导引器,包括手持套筒和导引钢丝,线锯导管导引器的顶端封闭,导引钢丝位于手持套筒中心,导引钢丝的起始部与手持套筒顶端连接,在接近手持套筒出口处,设置有一个推送窗口,手持套筒的末端逐渐缩窄,使得缩窄部分与手持套筒主体部分呈35度。在手持套筒的末端采用逐渐缩窄的结构,可保证导管在进入椎管内起始行走方向准确,将其准确、顺利置入椎管。在接近手持套筒出口处设置一个椭圆形的推送窗口,便于用手指将套在导引钢丝上的线锯导管推送至椎管内。 As shown in Figure 1, the technical solution of the utility model is a wire saw catheter guide, including a hand-held sleeve and a guide wire, the top of the wire saw catheter guide is closed, and the guide wire is located in the center of the hand-held sleeve. The starting part of the guide wire is connected to the top of the hand-held sleeve, and a push window is set near the outlet of the hand-held sleeve, and the end of the hand-held sleeve is gradually narrowed, so that the narrowed part is 35 degrees to the main part of the hand-held sleeve . The gradually narrowing structure is adopted at the end of the hand-held sleeve, which can ensure that the catheter starts to walk in the correct direction when entering the spinal canal, and can be accurately and smoothly inserted into the spinal canal. An elliptical push window is set near the outlet of the hand-held sleeve, so that the wire saw catheter covered on the guide wire can be pushed into the spinal canal with fingers.

所述线锯导管导引器也可以设置为内部中空结构,所述手持套筒中心即将导引钢丝插入手持套筒内,所述推送窗口的下沿低于导引钢丝的水平位置。 The wire saw catheter guider can also be set as an internal hollow structure, the center of the hand-held sleeve is about to insert the guide wire into the handle sleeve, and the lower edge of the push window is lower than the horizontal position of the guide wire.

本实用新型的使用方法如下:颈椎后路双开门手术时,切口暴露,线锯导管在椎管后方的出入口准备完毕后,首先将线锯导管套在导引钢丝上,并逆行推入把持手持套筒。安装完毕后,首先将导引器前方导引钢丝(末端与导管前端平行)从椎管后壁入口伸入椎管,控制好方向后,把持住导引器,通过手持套筒上的推送窗口将导管用手指逐步向前推送,直至从出口处引出后,退出导引器。线锯导管置入成功之后沿导管置入线锯,进行棘突切割。 The method of using the utility model is as follows: during the posterior double-door operation of the cervical spine, the incision is exposed, and after the preparation of the entrance and exit of the wire saw catheter at the back of the spinal canal is completed, firstly, the wire saw catheter is placed on the guide wire, and pushed retrogradely into the hand-held sleeve. After the installation is completed, firstly insert the guide wire in front of the introducer (the end is parallel to the front end of the catheter) from the entrance of the back wall of the spinal canal into the spinal canal. After controlling the direction, hold the introducer and push through the push window on the hand sleeve Push the catheter forward step by step with your fingers until it is drawn out from the outlet, and then withdraw from the introducer. After the wire saw catheter is successfully inserted, the wire saw is placed along the catheter to cut the spinous process.

本实用新型的优点及积极的技术效果是:由于本发明所述线锯导管导引器采用了导引钢丝加手持套筒的结构,导管套在钢丝上后,可将线锯导管很好地控制、把持。手持套筒上设置的椭圆形推送窗口,可方便地将套在导引钢丝上的导管向前推送,手持套筒末端与主体部分成角35度,使用时首先进入椎管,由于导引钢丝长度与导管一致,因此保证了钢丝不与硬膜接触,既控制了导管前进方向,又避免了脊髓损伤等严重并发症。本发明可使线锯置入时间明显缩短,减少了神经组织副损伤的机率,使用起来方便、可靠。 The advantages and positive technical effects of the utility model are: since the wire saw catheter guider of the present invention adopts the structure of a guide steel wire and a hand-held sleeve, after the catheter is placed on the steel wire, the wire saw catheter can be well control, control. The elliptical push window set on the hand-held sleeve can conveniently push the catheter covered on the guide wire forward. The end of the hand-held sleeve is at an angle of 35 degrees to the main body. When in use, it enters the spinal canal first. Because the guide wire The length is the same as that of the catheter, thus ensuring that the steel wire does not come into contact with the dura mater, which not only controls the forward direction of the catheter, but also avoids serious complications such as spinal cord injury. The invention can significantly shorten the insertion time of the wire saw, reduce the probability of nerve tissue secondary damage, and is convenient and reliable to use.

Claims (1)

1. a scroll saw conduit introducer, comprise hand-held sleeve and guide wire, it is characterized in that: the top closure of scroll saw conduit introducer, guide wire is positioned at hand-held bushing core, the initial part of guide wire is connected with hand-held sleeve top, close to hand-held sleeve outlet place, is being provided with one and is pushing window, the end of hand-held sleeve constriction gradually so that narrowed portion and hand-held sleeve main body section are 35 degree.
CN201520913627.6U 2015-11-17 2015-11-17 Wire Saw Catheter Introducer Expired - Fee Related CN205268232U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201520913627.6U CN205268232U (en) 2015-11-17 2015-11-17 Wire Saw Catheter Introducer

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201520913627.6U CN205268232U (en) 2015-11-17 2015-11-17 Wire Saw Catheter Introducer

Publications (1)

Publication Number Publication Date
CN205268232U true CN205268232U (en) 2016-06-01

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Application Number Title Priority Date Filing Date
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Country Status (1)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112773480A (en) * 2021-03-10 2021-05-11 北京积水潭医院 Sleeve guide for cervical vertebra spinous process longitudinal cutting type spinal canal enlarging and forming operation

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112773480A (en) * 2021-03-10 2021-05-11 北京积水潭医院 Sleeve guide for cervical vertebra spinous process longitudinal cutting type spinal canal enlarging and forming operation
CN112773480B (en) * 2021-03-10 2025-06-06 北京积水潭医院 Cannula guide for cervical spinous process longitudinal cutting laminoplasty

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C14 Grant of patent or utility model
GR01 Patent grant
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20160601

Termination date: 20161117

CF01 Termination of patent right due to non-payment of annual fee