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CN109620359A - A kind of tenosynovitis operation knife assembly - Google Patents

A kind of tenosynovitis operation knife assembly Download PDF

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Publication number
CN109620359A
CN109620359A CN201910019205.7A CN201910019205A CN109620359A CN 109620359 A CN109620359 A CN 109620359A CN 201910019205 A CN201910019205 A CN 201910019205A CN 109620359 A CN109620359 A CN 109620359A
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CN
China
Prior art keywords
cutter hub
blade
inner core
knife
cutter
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CN201910019205.7A
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Chinese (zh)
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CN109620359B (en
Inventor
王海生
张敏
胡斌
秦宏玖
马涛
夏江
徐磊
胡才智
王寅泽
周林杰
宋岳
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First Affiliated Hospital of Wannan Medical College
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Individual
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Priority to CN201910019205.7A priority Critical patent/CN109620359B/en
Publication of CN109620359A publication Critical patent/CN109620359A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/3209Incision instruments
    • A61B17/3211Surgical scalpels, knives; Accessories therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/320016Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes

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

Abstract

The invention discloses a kind of tenosynovitis operation knife assemblies, including cutter hub, are in hollow tubular;Cutter head is fixedly installed on the top of the cutter hub, and the cutter head has the first blade and knife spine, and first blade is located at the side on the cutter head close to the cutter hub, and the knife spine is located at the side on the cutter head far from the cutter hub;Inner core is protected, the outer diameter of the protection inner core is not more than the internal diameter of the cutter hub, and the protection inner core is set in the cutter hub, and can be moved along the direction that the cutter hub limits, and one end of the protection inner core has the accommodation groove for accommodating first blade.The present invention can either complete minimally invasive stndon sheath of loosening, while protect surrounding soft tissue to greatest extent to the greatest extent in operation, avoid serious blood vessel, neurotrosis, and in addition production is simple and convenient to operate, and can be efficiently modified defect when current needle knife " blind view " operation.

Description

A kind of tenosynovitis operation knife assembly
Technical field
The present invention relates to field of medical technology, specifically a kind of tenosynovitis operation knife assembly.
Background technique
Stndon sheath is divided into fibrous layer and stratum synoviale, and fibrous layer is located at outer layer, is thickened and formed by deep fascia, slided to tendon Effect of contraction;Stratum synoviale is located in the fibrous sheath of tendon, is two-double cylinder sheath, contains a small amount of synovia between two layers, play lubrication and battalion Support the effect of tendon.For entire vagina synovialis internal layer packet on the surface of tendon, outer layer is attached to fibrous sheath of tendon inner face, thus constitutes close It closes, potential gap-synovial membrane chamber.Since hand rubs strain or general disease influences repeatedly, local stndon sheath tissue is caused to occur Ischemic, oedema, inflammation, local stndon sheath hyperplasia is plump, and stndon sheath inner surface becomes crude, forms tenosynovitis, so make tendon sliding by Resistance, tendon are pressed by card, oedema, thickening can occur, there is impression on surface, bends and stretches finger activity Shi Keyou Caton phenomenon, passive flexion and extension can To hear snap sound, therefore stenosing tendon synovitis of flexor is also known as " stuck-finger " or " stuck-finger ", and how slow clinical onset is, common It is common with thumb, fourth finger, middle finger in mechanic, it shows as metacarpophalangeal joints moving obstacle, localized pain, pull with bending and stretching With the characteristics of press proof movement and snap.
The invalid tenosynovitis of conservative therapy mainly uses small needle knife to carry out minimal invasive operation, the operation skin incision at present It is small, by directly cutting plump, narrow, incarceration the coaster of hyperplasia due to chronic inflammation stimulation, release its to the card pressure of tendon, glue Even, local stenosis is released, restores tendon flexion-extension motion, achieved the purpose that eliminate pain, improved function.
Applicant have discovered that in the prior art at least there is following lack in small needle knife used in tenosynovitis Minimally Invasive Surgery Point:
Since needle knife is operated under opposite " blind depending on ", need repeatedly to detect diseased region repeatedly in puncture process, by Lack edge safeguard measure in small needle knife in the prior art, easily cause bad accident in puncture process, such as refers to nerve, refers to Arterial injury detects cutting stndon sheath repeatedly and causes postoperative local scar hyperplasia, the severe complications such as tendon injury posterior synechia.
Summary of the invention
According to the above-mentioned deficiencies of the prior art, the invention proposes tenosynovitis operation knife assembly, it is dedicated to solving aforementioned back One of technical problem in scape technology.
The present invention solves its technical problem using following technical scheme to realize:
A kind of tenosynovitis operation knife assembly, including
Cutter hub is in hollow tubular;
Cutter head, is fixedly installed on the top of the cutter hub, and the cutter head has the first blade and knife spine, first blade Close to the side of the cutter hub on the cutter head, the knife spine is located at the side on the cutter head far from the cutter hub;
Inner core is protected, the outer diameter of the protection inner core is not more than the internal diameter of the cutter hub, and the protection inner core is set to institute It states in cutter hub, and can be moved along the direction that the cutter hub limits, one end of the protection inner core, which has, accommodates first blade Accommodation groove.
As a kind of optional embodiment of the invention, the protection inner core has the end of the accommodation groove at least Side has an inclined surface, and the side wall of the inclined surface and the escape groove forms the second blade, under installation condition, second knife Height of the height of sword lower than the knife spine of the cutter head.
As a kind of optional embodiment of the invention, the tail end of the cutter hub is provided with anti-slip section, the anti-slip section On be provided with anti-skid chequer.
As a kind of optional embodiment of the invention, the other end of the protection inner core is provided with positioning region, described Positioning region is located at the outside of the cutter hub.
As a kind of optional embodiment of the invention, the knife spine is in arc-shaped.
As a kind of optional embodiment of the invention, the cutter head and the cutter hub are integrally formed.
As a kind of optional embodiment of the invention, the end of first blade protrudes to form blade tip.
As a kind of optional embodiment of the invention, the length of the cutter hub is 15-20cm, the width of the cutter hub For 3-5mm.
The beneficial effects of the present invention are:
In the present invention, by protect inner core end accommodation groove setting, can " blind view " stage by the first blade with Tissue isolation after the completion of " blind view " operation, extracts protection inner core, exposes the first blade, target can be completed using the first blade Tissue cutting.The present invention can either complete minimally invasive stndon sheath of loosening, while to the greatest extent to greatest extent soft group of protection surrounding in operation It knits, avoids serious blood vessel, neurotrosis, in addition production is simple and convenient to operate, and can be efficiently modified current needle knife " blind view " behaviour Defect when making.
Detailed description of the invention
Present invention will be further explained below with reference to the attached drawings and examples.
Fig. 1 is the main view of present embodiment;
Fig. 2 is the main view of the protection inner core of present embodiment;
Fig. 3 is the A direction view of Fig. 1;
Fig. 4 is the fragmentary detail view of cutter head;
Fig. 5 is the B direction view of Fig. 4;
Fig. 6 is the fragmentary detail view of accommodation groove;
Fig. 7 is the schematic perspective view of accommodation groove.
In figure, 1- cutter hub, 11- anti-slip section, 2- cutter head, the first blade of 21-, 21a- blade tip, 22- knife spine, 3- protection inner core, The positioning region 31-, 32- accommodation groove, the second blade of 33-.
Specific embodiment
Below by the description to embodiment, the shape of for example related each component of a specific embodiment of the invention, structure It makes, the mutual alignment between each section and connection relationship, the effect of each section and working principle, manufacturing process and the side of operating with Method etc., is described in further detail, completeer to help those skilled in the art to have inventive concept of the invention, technical solution Whole, accurate and deep understanding.
As a kind of specific embodiment of the invention, as shown in figs. 1-3 and 5, a kind of tenosynovitis scalpel is provided Component, including
Cutter hub 1 is in hollow tubular;
Cutter head 2 is fixedly installed on the top of the cutter hub 1, and the cutter head 2 has the first blade 21 and knife spine 22, described First blade 21 is located at the side on the cutter head 2 close to the cutter hub 1, and the knife spine 22 is located on the cutter head 2 far from institute State the side of cutter hub 1;
Inner core 3 is protected, the outer diameter of the protection inner core 3 is not more than the internal diameter of the cutter hub 1, and the protection inner core 3 is arranged It in the cutter hub 1, and can be moved along the direction that the cutter hub 1 limits, one end of the protection inner core 3, which has, accommodates described the The accommodation groove 32 of one blade 21.
Under installation condition, protection inner core 3 is inserted in cutter hub 1, and the first blade 21 of cutter head 2 is contained in accommodation groove 32, Keep tenosynovitis operation knife assembly integrally in the shape of a rod, and without exposed sharp position.In the present invention, protection inner core 3 can give knife First 2 provide and form protection well, when operation, when the cutter head 2 of tenosynovitis operation knife assembly pass through the mini-incision of patient into After entering interior tissue, when carrying out " blind depending on " operation to detect diseased region, since the first blade 21 is contained in the accommodation groove 32 It is interior, it is not contacted with tissue, the vital tissues such as blood vessel, nerve will not be scratched, and knife spine 22 can carry out blunt separation around scabbard Adhesion organization avoids " blind view " operation damage peripheral vessels, nerve, tendon.It is completed when " blind view " operates, finds diseased region When, protection inner core 3 is extracted outward, keeps the first blade 21 exposed, is then cut off diseased region using the first blade 21, is completed micro- Create stndon sheath of loosening.In the present invention, the setting of the accommodation groove 32 by protecting 3 end of inner core can be in " blind view " stage by first Blade 21 is isolated with tissue, after the completion of " blind view " operation, is extracted protection inner core 3, is exposed the first blade 21, use the first blade 21 I.e. cut-off diseased region.The present invention can either complete minimally invasive stndon sheath of loosening, while protect to greatest extent to the greatest extent in operation Surrounding soft tissue avoids serious blood vessel, neurotrosis, and in addition production is simple and convenient to operate, and can be efficiently modified current needle knife Defect when " blind view " operates.
Due to need to first do a skin incision in tenosynovitis surgical procedure, to facilitate tenosynovitis operation knife assembly that can wear It crosses skin and carries out organization internal.As an alternative embodiment, the protection inner core 3 has as shown in Fig. 1,3,6 and 7 At least side of the end of the accommodation groove 32 has inclined surface, side wall the second knife of formation of the inclined surface and the escape groove Sword 33, under installation condition, the height of the height of second blade 33 lower than the knife spine 22 of the cutter head 2.Surgical procedure In, protection inner core 3 is extracted out from cutter hub 1 first, is then cut using the second blade 33 in skin suitable location, to generate Suitable mini-incision.Preferably, the length of mini-incision can be the outer diameter of 1-1.5 times of cutter hub 1, in order to the tenosynovitis Operation knife assembly enters in tissue and carries out " blind view " operation.After the completion of mini-incision manufacture, inner core 3 will protected to be inserted in cutter hub It inside 1, and is contained in the first blade 21 in accommodation groove 32, cutter head 2 is then passed through into the mini-incision and enters fascia superficialis layer, then Carry out subsequent operation.By the way that the second blade 33 is arranged on the top of protection inner core 3, make the tenosynovitis Minimally Invasive Surgery without it His instrument, it will be able to the operation for manufacturing mini-incision on the skin is completed, it is simple and convenient.In addition, due to the second blade 33 by The side wall of escape groove and inclined surface are constituted, when the first blade 21 of cutter head 2 is contained in accommodation groove 32, the one of the second blade 33 Cutter head 2 is close in side, and the height of the second blade 33 is lower than the height of cutter head 2, at this point, the first blade 21 is by 3 end of protection inner core Accommodating cavity isolation, the second blade 33 be close to cutter head 2, the first blade 21 and the second blade 33 constitute the effect mutually protected, " blind Depending on " operation under, will not injury tissue.
As an alternative embodiment, as shown in Figure 1, the tail end of the cutter hub 1 is provided with anti-slip section 11, it is described anti- Anti-skid chequer is provided in sliding section 11.The setting of anti-skid chequer facilitates operator to the gripping of the scalpel, prevents from skidding.
As an alternative embodiment, the other end of the protection inner core 3 is provided with positioning region 31, the positioning region 31 are located at the outside of the cutter hub 1.Specifically, positioning region 31 can be positioning ring.On the one hand the setting of positioning region 31 can make Operator holds the positioning region 31, facilitates it that protection inner core 3 is installed into cutter hub 1 or is extracted out of cutter hub 1, another party Face can prevent knife by observing positioning region 31 when cutter head 2, which is inserted into mini-incision, enters organization internal with auxiliary positioning cutter head 2 First 2 generate deflection around the central axes of cutter hub 1.
As an alternative embodiment, as shown in figure 4, the knife spine 22 carries out blunt in arc-shaped when facilitating operation Property separation of synechia tissue, avoid " blind view " operation damage peripheral vessels, nerve, tendon.
As an alternative embodiment, the cutter head 2 is integrally formed with the cutter hub 1, the cutter hub 1 and cutter head 2 It can be shaped by casting or die casting mode, reduce its preparation cost.
As an alternative embodiment, as shown in figure 4, the end of first blade 21 protrudes to form blade tip 21a.By the setting of blade tip 21a, when finding diseased region accurately, can effectively prevent in pathological tissues cutting-off process Tissue slips, and improves cutting effect.
As an alternative embodiment, the width that the length of the cutter hub 1 is cutter hub 1 described in 15-20cm is 3- 5mm。
Using the operating method of Minimally Invasive Surgery of the invention specifically: trouble is referred to and stretches fixation, the tenosynovitis after taking sterilizing Operation knife assembly, routine disinfection skin, at proximal end (or distal end) about 1cm of scleroma, the central axes of metacarpophalangeal joints facies palmaris are Inlet point scratches skin using the second blade 33 of protection inner core 3 and subcutaneous, formation mini-incision, the width of mini-incision is 1-1.5 times of 1 width of cutter hub;Then tenosynovitis operation knife assembly is assembled,
Cutter head 2 is passed through into mini-incision insertion organization internal and carries out blunt separation, arrives at stndon sheath A1 coaster surface rear-inclined Tail end separates peritendinal tissue, detects cutting position, pays attention to that protection inner core handle is kept to withstand blade forward, avoids the first knife Sword 21 is detached from accommodation groove 32;After confirmation clearly cuts starting point, keep cutter head 2 perpendicular to flesh by the indicative function of positioning region 31 Tendon surface, extraction protection inner core 3,1 tail portion of cutter hub suitably tilt outward, make longitudinal cut by proximad distal end along tendon direction of travel Cut, when cutting, can feel there is " click click " sound and apparent Cutting Drag sense, be cut to resistance sense disappearance, trouble refer to bends and stretches from Such as, no snap and " trigger refers to " are success of loosening;Wound sterilizes again, and after five minutes, medical cotton covering applies for hemostasis by compression Wrapping.
In the present invention, the setting of the accommodation groove 32 by protecting 3 end of inner core can be in " blind view " stage by the first blade 21 are isolated with tissue, after the completion of " blind view " operation, extract protection inner core 3, expose the first blade 21, use the first blade 21 Cut off diseased region.The present invention can either complete minimally invasive stndon sheath of loosening, while protect surrounding to greatest extent to the greatest extent in operation Soft tissue avoids serious blood vessel, neurotrosis, and in addition production is simple and convenient to operate, and it is " blind can be efficiently modified current needle knife Depending on " operation when defect.
The present invention is exemplarily described above, it is clear that present invention specific implementation is not subject to the restrictions described above, As long as using the improvement for the various unsubstantialities that the inventive concept and technical scheme of the present invention carry out, or not improved this is sent out Bright conception and technical scheme directly apply to other occasions, within the scope of the present invention.Protection of the invention Range should be determined by the scope of protection defined in the claims.

Claims (8)

  1. The knife assembly 1. a kind of tenosynovitis is performed the operation, it is characterised in that: including
    Cutter hub is in hollow tubular;
    Cutter head is fixedly installed on the top of the cutter hub, and the cutter head has the first blade and knife spine, and first blade is located at Close to the side of the cutter hub on the cutter head, the knife spine is located at the side on the cutter head far from the cutter hub;
    Inner core is protected, the outer diameter of the protection inner core is not more than the internal diameter of the cutter hub, and the protection inner core is set to the knife In vivo, it and can be moved along the direction that the cutter hub limits, one end of the protection inner core has the appearance for accommodating first blade Set slot.
  2. The knife assembly 2. tenosynovitis according to claim 1 is performed the operation, it is characterised in that: the protection inner core has the accommodating At least side of the end of slot has inclined surface, and side wall the second blade of formation of the inclined surface and the escape groove installs shape Under state, the height of second blade is lower than the height of the knife spine of the cutter head.
  3. The knife assembly 3. tenosynovitis according to claim 1 is performed the operation, it is characterised in that: the tail end of the cutter hub is provided with anti-skidding Section, anti-skid chequer is provided in the anti-slip section.
  4. The knife assembly 4. tenosynovitis according to claim 1 is performed the operation, it is characterised in that: the other end setting of the protection inner core There is positioning region, the positioning region is located at the outside of the cutter hub.
  5. The knife assembly 5. tenosynovitis according to claim 1 is performed the operation, it is characterised in that: the knife spine is in arc-shaped.
  6. The knife assembly 6. tenosynovitis according to claim 1 is performed the operation, it is characterised in that: the cutter head and cutter hub one at Type.
  7. The knife assembly 7. tenosynovitis according to claim 1 is performed the operation, it is characterised in that: protrude the end of first blade Form blade tip.
  8. The knife assembly 8. tenosynovitis according to claim 1 is performed the operation, it is characterised in that: the length of the cutter hub is 15-20cm, The width of the cutter hub is 3-5mm.
CN201910019205.7A 2019-01-09 2019-01-09 Tenosynovitis scalpel assembly Active CN109620359B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201910019205.7A CN109620359B (en) 2019-01-09 2019-01-09 Tenosynovitis scalpel assembly

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201910019205.7A CN109620359B (en) 2019-01-09 2019-01-09 Tenosynovitis scalpel assembly

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CN109620359A true CN109620359A (en) 2019-04-16
CN109620359B CN109620359B (en) 2024-06-18

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114767222A (en) * 2022-03-29 2022-07-22 北京博海康源医疗器械有限公司 Tendon loosening push broach

Citations (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5957944A (en) * 1995-11-07 1999-09-28 Biomet, Inc. Method for treatment of trigger finger
JP2000333964A (en) * 1999-05-28 2000-12-05 Yasushi Nakao Kit for separating peritenon from musculotendinous retinaculum
US20070112366A1 (en) * 2005-11-14 2007-05-17 Welborn Kenneth M Apparatus and method for releasing tendon sheath
CN202283269U (en) * 2011-06-23 2012-06-27 上海长征医院 Push knife for treating tenosynovitis
CN202365865U (en) * 2011-12-14 2012-08-08 王丽 Multipurpose needle knife
CN202397558U (en) * 2011-12-29 2012-08-29 窦彦军 Surgical needle-knife special for stenosing tendinitis
CN103153215A (en) * 2010-08-18 2013-06-12 若译·迪尼斯·卡尔莫 Surgical instrument set for precision cutting
CN103156668A (en) * 2011-12-17 2013-06-19 西安交大京盛科技发展有限公司 Tendon sheath push broach
US8608765B1 (en) * 2009-10-15 2013-12-17 SonicSurg Innovations, LLC Device for minimally invasive tendon sheath release
CN206102707U (en) * 2016-06-30 2017-04-19 高旭东 Surpass multi -functional needle sword of wicresoft
US9901365B1 (en) * 2013-03-15 2018-02-27 PenBlade, Inc. Set of safety scalpels
CN207654202U (en) * 2017-03-23 2018-07-27 柳松 A kind of needle knife for treating stenosing tendon synovitis of flexor
CN209713070U (en) * 2019-01-09 2019-12-03 王海生 A kind of tenosynovitis operation knife assembly

Patent Citations (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5957944A (en) * 1995-11-07 1999-09-28 Biomet, Inc. Method for treatment of trigger finger
JP2000333964A (en) * 1999-05-28 2000-12-05 Yasushi Nakao Kit for separating peritenon from musculotendinous retinaculum
US20070112366A1 (en) * 2005-11-14 2007-05-17 Welborn Kenneth M Apparatus and method for releasing tendon sheath
US8608765B1 (en) * 2009-10-15 2013-12-17 SonicSurg Innovations, LLC Device for minimally invasive tendon sheath release
CN103153215A (en) * 2010-08-18 2013-06-12 若译·迪尼斯·卡尔莫 Surgical instrument set for precision cutting
CN202283269U (en) * 2011-06-23 2012-06-27 上海长征医院 Push knife for treating tenosynovitis
CN202365865U (en) * 2011-12-14 2012-08-08 王丽 Multipurpose needle knife
CN103156668A (en) * 2011-12-17 2013-06-19 西安交大京盛科技发展有限公司 Tendon sheath push broach
CN202397558U (en) * 2011-12-29 2012-08-29 窦彦军 Surgical needle-knife special for stenosing tendinitis
US9901365B1 (en) * 2013-03-15 2018-02-27 PenBlade, Inc. Set of safety scalpels
CN206102707U (en) * 2016-06-30 2017-04-19 高旭东 Surpass multi -functional needle sword of wicresoft
CN207654202U (en) * 2017-03-23 2018-07-27 柳松 A kind of needle knife for treating stenosing tendon synovitis of flexor
CN209713070U (en) * 2019-01-09 2019-12-03 王海生 A kind of tenosynovitis operation knife assembly

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114767222A (en) * 2022-03-29 2022-07-22 北京博海康源医疗器械有限公司 Tendon loosening push broach

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