CN217186399U - Binocular locator under arthroscope - Google Patents

Binocular locator under arthroscope Download PDF

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Publication number
CN217186399U
CN217186399U CN202220274242.XU CN202220274242U CN217186399U CN 217186399 U CN217186399 U CN 217186399U CN 202220274242 U CN202220274242 U CN 202220274242U CN 217186399 U CN217186399 U CN 217186399U
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CN
China
Prior art keywords
binocular
hollow tube
hollow
hollow pipe
positioner
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Expired - Fee Related
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CN202220274242.XU
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Chinese (zh)
Inventor
陈伯健
吕阳
李静
刘洪亮
黄泽鑫
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Guangdong Hospital of Traditional Chinese Medicine
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Guangdong Hospital of Traditional Chinese Medicine
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Priority to CN202220274242.XU priority Critical patent/CN217186399U/en
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Abstract

The utility model relates to a binocular locator under arthroscope, which comprises a fixed plate, wherein the edges of two sides of the fixed plate are respectively provided with a first hollow tube and a second hollow tube, the axes of the first hollow tube and the second hollow tube are positioned on the same plane, the first hollow tube is movably provided with a exchanging rod, and the locator also comprises a probing hook which is movably inserted in the first hollow tube and used for fixing labrum; the first hollow pipe is a round hole square pipe, the second hollow pipe is a round hole round pipe, and the axial length of the first hollow pipe is larger than that of the second hollow pipe. According to the binocular positioner under the arthroscope, the problems that the existing binocular fixed positioner under the arthroscope is easy to position and shift and cannot be completely fixed due to rotation of the binocular positioner can be effectively solved.

Description

Binocular locator under arthroscope
Technical Field
The utility model relates to the technical field of medical auxiliary equipment, concretely relates to under shoulder arthroscope dual-cylinder positioning and aiming device for Laterjet operation.
Background
Labral injuries to the shoulder joint are a common disease, often caused by habitual dislocation of the shoulder joint. Most patients develop habitual dislocation after the first dislocation caused by movement or external force. Glenoid labial repair (Bankart repair) is the most common surgical procedure for anterior instability of the shoulder joint, but has a high risk of recurrent dislocation in patients with severe bone defects in the anterior margin of the shoulder. The coracoid shift Latarjet procedure provides a solution for this type of patient and achieves good results, particularly for young patients. With the development of open surgery characterized by 'large wound' to minimally invasive surgery characterized by 'small wound', exploring a new generation of minimally invasive surgical instruments facing natural orifices has become a necessary trend, and arthroscopic downlink Latarjet surgery gradually becomes a clinical hot point and difficulty. In the conventional procedure of the coracoid displacement Latarjet operation, the positioning of the cut coracoid is difficult, and since there is no special surgical instrument under an arthroscope for positioning or drilling the coracoid under an arthroscope, the open operation is required at present, the resulting incision largely affects the beauty, and the monitoring function under an arthroscope is lacked, and only the operation experience of the operator himself/herself is relied on, a special facility for the endoscopic cartilage transplantation is required, thereby reducing the trauma to the patient. The latarjet surgical instrument firstly needs to solve the problem of fixing the coracoid process under the arthroscope, and the coracoid process is difficult to fix at a proper position of the glenoid under the arthroscope due to various defects of the current coracoid process kirschner wire drilling positioner under the arthroscope. So, the final bone path position may be partially deviated and the final operation effect may be affected by the drilling of the bone path depending on the experience of the surgeon.
The inventor discloses a double-loop fixed locator under a shoulder joint dislocation arthroscope in 2016, which comprises a locating device and a fixing device, wherein the locating device comprises a fixing plate, the edges of two sides of the fixing plate are respectively provided with a first hollow tube and a second hollow tube which are fixedly connected, the axes of the second hollow tubes of the first hollow tube are arranged on the same plane, and a movably connected exchange rod is arranged in the first hollow tube; the fixing device is an exchange rod fixing fork used for fixing the exchange rod, and a fork head is arranged at one end head of the exchange rod fixing fork. However, the positioning is still inconvenient in clinical use, and especially when the positioning is performed under a microscope, the positioning is easy to be deviated due to the rotation of the double-cylinder positioner, or the positioning is deviated due to the micro-movement of the double-cylinder positioner because the double-cylinder positioner cannot be completely fixed in the use process. Therefore, the inventors have further improved the structure.
SUMMERY OF THE UTILITY MODEL
The utility model aims at providing a binocular locator under arthroscope can effectively solve under the current arthroscope two tong "pan" fixed locator and have the problem that leads to positioning deviation, unable complete fixation because of the binocular locator is rotatory easily.
In order to solve the technical problem, the utility model discloses a following technical scheme:
a binocular locator under arthroscope comprises a fixing plate, wherein a first hollow tube and a second hollow tube are respectively arranged on the edges of two sides of the fixing plate, the axes of the first hollow tube and the second hollow tube are positioned on the same plane, an exchange rod is movably arranged in the first hollow tube, and the locator also comprises a probe hook which is movably inserted in the first hollow tube and used for fixing labrum; the first hollow pipe is a round hole square pipe, the second hollow pipe is a round hole round pipe, and the axial length of the first hollow pipe is larger than that of the second hollow pipe.
Preferably, the fixing plate is a flat plate, and the axes of the first hollow pipe and the second hollow pipe are both in the same plane as the fixing plate.
Preferably, the inner diameter of the first hollow pipe is 4.5mm, and the inner diameter of the second hollow pipe is 2.5 mm.
Preferably, the first hollow tube is arranged flush with one end of the second hollow tube, and the first hollow tube is 4cm longer than the second hollow tube.
Preferably, the feeler hook comprises a hook handle section and a hook section which are integrally formed; the hook handle section is provided with a plurality of limiting columns at intervals, the limiting columns are provided with eccentric holes along the axial direction, and the hook handle section of the detection hook penetrates through the eccentric holes and is fixedly connected with the limiting columns.
Preferably, both ends of the exchange rod are in a conical shape, and the ends are smooth and blunt circles; the diameter of the exchange rod is 4.0mm, the total radial length of the feeler hook is 4.0mm, and the diameter of the Kirschner wire passing through the second hollow tube is 2.4 mm.
Preferably, the first hollow tube, the second hollow tube and the fixing plate are of an integrally formed structure.
The arthroscopic binocular positioner comprises a first hollow tube and a second hollow tube which are arranged on two sides of a fixing plate, wherein the first hollow tube is a round-hole square tube, and the axial length of the first hollow tube is greater than that of the second hollow tube; the first hollow tube of the round hole square tube can better lean against the labrum to maintain the correct position of the double-cylinder positioner, and the problem of deviation of the glenoid drilling position caused by rotation and displacement of the double-cylinder positioner is avoided; and simultaneously, the utility model discloses still include with supporting exchange rod and the hook of using of binocular locator, after the binocular locator is confirmed during the use, use the hook left-hand thread to the side labrum to realize the stability after the binocular locator location once more. The utility model has the advantages of simple structure, minimal invasion, simple operation and reliable fixation, can be operated under arthroscope, can recover quickly after operation, and does not need secondary operation; the problem that the double-loop fixing positioner under the existing arthroscope is easy to position and shift and cannot be completely fixed due to the rotation of the double-tube positioner can be effectively solved.
Drawings
Fig. 1 is a schematic structural view of a binocular lower positioner of an arthroscope of the present invention;
fig. 2 is a schematic structural view of the exchange rod of the present invention;
FIG. 3 is a schematic structural view of the probe hook according to embodiment 1;
FIG. 4 is a schematic view of the structure of the exchange rod described in example 2.
In the figure: 1. a fixing plate; 11. a first hollow tube; 12. a second hollow tube; 2. exchanging the rods; 3. a feeler hook; 31. a hook handle section; 32. a hook section; 33. a limiting post; 331. an eccentric hole.
Detailed Description
In order to make the objects and advantages of the present invention more apparent, the present invention will be described in detail with reference to the following embodiments. It is to be understood that the following text is only intended to describe one or several particular embodiments of the invention, and does not strictly limit the scope of the claims specifically claimed.
Example 1
The technical scheme adopted by the embodiment is as shown in fig. 1-3, and the arthroscopic binocular positioner comprises a fixing plate 1, wherein a first hollow tube 11 and a second hollow tube 12 are respectively arranged at the edges of two sides of the fixing plate 1, the axes of the first hollow tube 11 and the second hollow tube 12 are positioned on the same plane, an exchange rod 2 made of a medical metal material is movably arranged in the first hollow tube 11, and the arthroscopic binocular positioner further comprises a hook 3 which is movably inserted in the first hollow tube 11 and used for fixing a labrum; the first hollow pipe 11 is a round hole square pipe, the second hollow pipe 12 is a round hole round pipe, and the axial length of the first hollow pipe 11 is greater than that of the second hollow pipe 12.
As shown in fig. 1, the fixing plate 1 is a flat plate, and the axes of the first hollow tube 11 and the second hollow tube 12 are both located in the same plane as the fixing plate 1; first hollow tube 11, second hollow tube 12 and fixed plate 1 are the integrated into one piece structure, and make by medical metal material, and the poor problem of firm in connection degree that the integrated into one piece structure can avoid leading to because of the welding.
Specifically, the inner diameter of the first hollow tube 11 of the embodiment is 4.5mm, the inner diameter of the second hollow tube 12 is 2.5mm, the first hollow tube 11 is arranged flush with one end of the second hollow tube 12, and the first hollow tube 11 is 4cm longer than the second hollow tube; first hollow tube adopts round hole side pipe and stretches out in one section distance of second hollow tube, and this structure can guarantee that binocular locator can stably lean on the labrum, maintains the accurate position of binocular locator, prevents to lead to glenoid drilling position deviation because of binocular locator is rotatory and shift, improves the location accuracy.
In addition, the present embodiment further includes the exchange rod shown in fig. 2 and the hook shown in fig. 3, the exchange rod 2 is inserted into the first hollow tube to be used in cooperation with the first hollow tube, the diameter of the exchange rod is 4.0mm, both ends of the exchange rod are conical, and the ends of the exchange rod are rounded, so as to prevent the first hollow tube from being inserted into a trauma patient or a patient; the feeler hook 3 comprises a hook handle section 31 and a hook section 32 which are integrally formed, and the total radial length of the feeler hook is 4.0 mm; in addition, the Kirschner wire diameter through the second hollow tube 12 was 2.4 mm.
Example 2
The technical scheme adopted by the embodiment is as shown in fig. 1, fig. 2 and fig. 4, the arthroscopic binocular lower positioner comprises a fixing plate 1, wherein a first hollow tube 11 and a second hollow tube 12 are respectively arranged at the edges of two sides of the fixing plate 1, the axes of the first hollow tube 11 and the second hollow tube 12 are positioned on the same plane, an exchange rod 2 made of medical metal material is movably arranged in the first hollow tube 11, and the arthroscopic binocular lower positioner further comprises a probe 3 which is movably inserted in the first hollow tube 11 and used for fixing a labrum; the first hollow pipe 11 is a round hole square pipe, the second hollow pipe 12 is a round hole round pipe, and the axial length of the first hollow pipe 11 is greater than that of the second hollow pipe 12.
As shown in fig. 1, the fixing plate 1 is a flat plate, and the axes of the first hollow tube 11 and the second hollow tube 12 are both located in the same plane as the fixing plate 1; first hollow tube 11, second hollow tube 12 and fixed plate 1 are the integrated into one piece structure, and make by medical metal material, and the poor problem of firm in connection degree that the integrated into one piece structure can avoid leading to because of the welding.
Specifically, the inner diameter of the first hollow tube 11 is 4.5mm, and the inner diameter of the second hollow tube 12 is 2.5 mm; the first hollow pipe 11 and one end of the second hollow pipe 12 are arranged in parallel, and the first hollow pipe 11 is 4cm longer than the second hollow pipe; first hollow tube adopts round hole side pipe and stretches out in one section distance of second hollow tube, and this structure can guarantee that binocular locator can stably lean on the labrum, maintains the accurate position of binocular locator, prevents to lead to glenoid drilling position deviation because of binocular locator is rotatory and shift, improves the location accuracy.
In addition, the present embodiment further includes the exchanging rod shown in fig. 2, the probe hook shown in fig. 4, and a kirschner wire (not shown, the diameter of which is 2.4mm) used in cooperation with the second hollow tube 12, the diameter of the exchanging rod 2 is 4.0mm used in cooperation with the diameter of the first hollow tube, both ends of the exchanging rod 2 are conical, the end portion is round and blunt, and the end portion is round and blunt, so that it can prevent an operator or a patient from being injured when inserting the first hollow tube.
The probe hook 3 of the present embodiment includes a hook shank section 31 and a hook section 32 which are integrally formed; the total radial length of the feeler hook 3 is 4.0mm, the diameter of the hook handle section is 1mm, a plurality of limiting columns 33 are arranged on the hook handle section 31 at intervals, the diameter of each limiting column is 4mm, the limiting columns 33 are axially provided with eccentric holes 331, and the hook handle section 31 of the feeler hook 3 penetrates through the eccentric holes 331 and is fixedly connected with the limiting columns 33; because the diameter of the handle section is smaller, a larger moving space is formed in the first hollow tube, which may affect the fixation of the labrum.
The method of use of example 1 and example 2 is as follows:
the exchange rod is tightly attached to the glenoid, the first hollow tube on the arthroscopic double-tube positioner is sleeved on the exchange rod through a rear approach, the arthroscopic double-tube positioner is pushed forwards along the exchange rod to the middle lower part of the glenoid position behind the shoulder joint and is about 7mm away from the surface of the glenoid, the double-tube positioner can be stably leaned on the glenoid lip due to the fact that the first hollow tube is in a square tube shape, the exchange rod can be taken out at the moment, the probing hook 3 is used for entering from the first hollow tube and reversely buckling the glenoid lip, so that the double-tube positioner is tightly attached to the glenoid lip, the 2.4mm Kirschner needle is used for penetrating into the second hollow tube of the arthroscopic double-tube positioner at the moment, a bone tunnel is drilled until the front lower glenoid cavity is drilled, and a number 0 PDS wire is implanted from the rear part for standby after being reamed by a 4.5mm hollow drill.
The above detailed description of the embodiments of the present invention has been provided with reference to the accompanying drawings, but the present invention is not limited to the above embodiments, and those skilled in the art can make several equivalent transformations and substitutions without departing from the principles of the present invention after learning the contents of the present invention.

Claims (9)

1. The utility model provides a binocular locator under arthroscope, includes the fixed plate, the both sides edge of fixed plate is equipped with first hollow tube and second hollow tube respectively, and the axis of first hollow tube and second hollow tube is located the coplanar, the activity is equipped with exchange stick, its characterized in that in the first hollow tube: the spittoon fixing device also comprises a probe hook which is movably inserted in the first hollow tube and used for fixing the labrum; the first hollow pipe is a round hole square pipe, the second hollow pipe is a round hole round pipe, and the axial length of the first hollow pipe is larger than that of the second hollow pipe.
2. The arthroscopic binocular positioner of claim 1, wherein: the fixed plate is a flat plate, and the axes of the first hollow pipe and the second hollow pipe are located in the same plane with the fixed plate.
3. The arthroscopic binocular positioner of claim 1, wherein: the inner diameter of the first hollow pipe is 4.5mm, and the inner diameter of the second hollow pipe is 2.5 mm.
4. The arthroscopic binocular positioner of claim 1, wherein: the first hollow pipe and one end of the second hollow pipe are arranged in parallel and level, and the first hollow pipe is longer than the second hollow pipe by 4.0 cm.
5. The arthroscopic binocular positioner of claim 1, wherein: the feeler hook comprises a hook handle section and a hook bending section which are integrally formed.
6. The arthroscopic binocular positioner of claim 5, wherein: the hook handle section is provided with a plurality of limiting columns at intervals, the limiting columns are provided with eccentric holes along the axial direction, and the hook handle section of the detection hook penetrates through the eccentric holes and is fixedly connected with the limiting columns.
7. The arthroscopic binocular positioner of claim 1, wherein: the two ends of the exchange rod are both conical, and the end part of the exchange rod is smooth and blunt round.
8. The arthroscopic binocular positioner of claim 1, wherein: the first hollow pipe, the second hollow pipe and the fixing plate are of an integrally formed structure.
9. The arthroscopic binocular positioner of claim 1, wherein: the diameter of the exchange rod is 4.0mm, the total radial length of the feeler hook is 4.0mm, and the diameter of the Kirschner wire passing through the second hollow tube is 2.4 mm.
CN202220274242.XU 2022-02-10 2022-02-10 Binocular locator under arthroscope Expired - Fee Related CN217186399U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202220274242.XU CN217186399U (en) 2022-02-10 2022-02-10 Binocular locator under arthroscope

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202220274242.XU CN217186399U (en) 2022-02-10 2022-02-10 Binocular locator under arthroscope

Publications (1)

Publication Number Publication Date
CN217186399U true CN217186399U (en) 2022-08-16

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ID=82796430

Family Applications (1)

Application Number Title Priority Date Filing Date
CN202220274242.XU Expired - Fee Related CN217186399U (en) 2022-02-10 2022-02-10 Binocular locator under arthroscope

Country Status (1)

Country Link
CN (1) CN217186399U (en)

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Granted publication date: 20220816