Anterior cervical ACDF operation water flushing, sucking and visualizing device

By designing the water flushing and visual device for the anterior cervical ACDF surgery, the unscientific problem of water injection is solved, the intervertebral space water pressure is controlled and the visual field is clear, the risk of infection and spinal cord injury during surgery is reduced, and the risk of infection and spinal cord injury is improved. The safety of the surgery.

CN222130120UActive Publication Date: 2024-12-10HAINAN WEIRONGJI TECH CO LTD
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Patent Information

Application Number
CN202323642054.1
Authority / Receiving Office
CN · China
Patent Type
Utility models(China)
Current Assignee / Owner
Filing Date
2023-12-29
Publication Date
2024-12-10
Estimated Expiration
2033-12-29

AI Technical Summary

Technical Problem

In the anterior cervical vertebra ACDF surgery, the existing water injection process is not scientific enough and cannot properly control the intervertebral space water pressure, resulting in excessive bleeding, unclear vision, unsafe operation, and complex spinal endoscopy installation, which increases the risk of infection and spinal cord injury potential dangers.

Method used

A water flushing and visual device for the front neck ACDF surgical procedure is designed, including a flushing and suction visual component, an electronic mirror and a water flushing and suction circuit. The insertion distance of the electronic mirror is adjusted through the moving component and the limiting ring, and the rotation and 360° are set. The up and down movement function is used, and the water absorption circuit is used to rinse the dirty blood to ensure clear and safe vision.

Benefits of technology

Effective water pressure control of the intervertebral space is achieved, reducing bleeding, improving visual field clarity and operational safety, and reducing the risk of infection and the possibility of spinal cord injury.

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Abstract

The utility model discloses an anterior cervical ACDF operation water flushing, sucking and visualizing device which comprises a cervical vertebra water flushing, sucking and visualizing assembly and a water flushing and visualizing assembly. The water flushing, sucking and visual assembly can be rapidly installed and covered on the upper cervical vertebra body and the lower cervical vertebra body to seal the intervertebral space, a middle cavity of the water flushing, sucking and visual assembly is communicated with the intervertebral space, and the visual electron mirror penetrates through the moving assembly and extends into the intervertebral space to observe a target area; the water flushing, sucking and visible assembly is provided with a flushing and sucking water path; bleeding can be reduced under water flushing and suction of the water seal, observation of the electron mirror is clearer, visible operation is carried out by inserting instruments such as bone rongeur forceps for orthopedic surgery through a through hole in the electron mirror, the electron mirror and the through hole in the water flushing and suction and visible assembly can be inclined by 360 degrees up and down and move left and right through a spherical structure, and the water flushing and suction and visible assembly is suitable for treatment under different conditions. And the anterior cervical ACDF operation quality is improved.
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Description

Technical Field

[0001] The utility model relates to the field of medical instruments, in particular to a water flushing, suction and visualization device for anterior cervical ACDF surgery. Background Art

[0002] In the ACDF surgery of the anterior cervical spine, the spinal endoscope is now added for visual operation in conjunction with the application of traditional cervical spine surgical instruments. Due to the injection of physiological saline and the magnification of the visual field, the ACDF surgery can reduce bleeding, be more accurate and safer. However, there is no corresponding supporting instrument for this method at present. The water injection process is not scientific enough, and the water pressure in the intervertebral space cannot be properly controlled to achieve the purpose of further controlling and reducing bleeding, clearer visual field, easier operation and safer operation. The existing water injection process is open and completed by assistants, which interferes with the surgeon's operation in the surgical area and overflows around the injection, causing water accumulation and contamination of the surrounding tissues. It takes time to install the spinal endoscope, and the installation and connection of various interfaces increase the chance of infection. The decompression process in the anterior cervical spine surgery will directly expose the spinal cord. When the spinal endoscope and instruments are used, there is no limit on the insertion distance. When the surgeon is accidentally hit by the surrounding personnel, there is a potential risk of spinal cord injury. Utility Model Content

[0003] The utility model aims to solve the shortcomings in the prior art and proposes a water flushing, suction and visualization device for anterior cervical ACDF surgery.

[0004] In order to achieve the above-mentioned purpose, the utility model adopts the following technical scheme: a water flushing, suction and visualization device for anterior cervical ACDF surgery, comprising:

[0005] Punch and suck visual components;

[0006] The visual flushing and suction component is installed in the target area, so that the intervertebral space between the target areas is connected with the middle cavity of the visual flushing and suction component;

[0007] A movable component is embedded in one side of the visual flushing and suction component;

[0008] An electronic mirror, which penetrates the flushing and suction visual component and extends into the middle cavity of the flushing and suction visual component to observe the target area;

[0009] The flushing and suction visual component or the electronic mirror is provided with a flushing and suction water path.

[0010] As a further description of the above technical solution: the middle cavity of the visual flushing and suction component is opened through a straight slot, so that the electronic mirror can rotate 360 ​​degrees, move up and down, or swing in the middle cavity.

[0011] As a further description of the above technical solution: a number of U-shaped slots are opened on both sides of the visual flushing and suction component, and the U-shaped slots cooperate with the expansion screws to fix the visual flushing and suction component on the target area. A soft gasket is provided under the visual flushing and suction component, and a fixing component for applying pressure is provided above the expansion screw, which is a rotating screw or a quick buckle, and the expansion screw is provided with corresponding threads or slots.

[0012] As a further description of the above technical solution: the flushing and suction water circuit includes a first pipeline, which is arranged on the top or side of the flushing and suction visual component, and second pipelines connected to the first pipeline and the outer wall are opened at the end faces on both sides of the middle cavity of the flushing and suction visual component, and a sealing plug is removably provided on the outer side of the second pipeline.

[0013] As a further description of the above technical solution: the outer side of the electronic mirror is provided with an external thread, which is connected to the first limiting ring. The first limiting ring is connected to the second limiting ring through a spring. Rotating the first limiting ring can adjust the position of the second limiting ring set on the outer side of the electronic mirror.

[0014] As a further description of the above technical solution: the electronic scope includes a visible lens and a circular hole for an operation channel. After extending into the intervertebral space, it only contains the electronic lens part. An external device is connected behind the visible lens. A third pipeline is provided behind the electronic scope. The third pipeline is located on one side of the visible lens, and water is injected and flushed through the third pipeline.

[0015] As a further description of the above technical solution: the movable component is a sealing plate, and the sealing plate is arranged in the flushing and suction visual component through a slide groove. A through hole is opened on the sealing plate, so that the electronic mirror or spinal endoscope passes through the sealing plate and extends into the middle cavity of the flushing and suction visual component for observation and operation.

[0016] As a further description of the above technical solution: the movable component is a rotating sphere, one side of the rotating sphere is integrally connected to a rotating sleeve, a conveying cavity is opened between the rotating sleeve and the rotating sphere, and the conveying cavity is an ellipse that is wider on the left and right in the sphere, so that the electronic mirror can move left and right, and the electronic mirror passes through the conveying cavity and extends into the middle cavity of the flushing and suction visual component.

[0017] As a further description of the above technical solution: the inner side of the rotating sleeve is a stepped conveying cavity, which cooperates with the second limit ring to limit the distance that the electronic mirror extends into the gap between the middle cavity inside the suction visual component and the target area.

[0018] As a further description of the above technical solution: the visual flushing and suction component and the sealing plate are made of transparent polymer materials.

[0019] The above technical solution has the following advantages or beneficial effects:

[0020] 1. By arranging a moving component on the visual component of the suction and impaction, the electronic mirror is inserted through the moving component and extends to the target area below the visual component of the suction and impaction, and the adjustment of the extension distance of the electronic mirror is achieved through the limit cooperation between the visual component of the suction and impaction and the electronic mirror.

[0021] 2. A flushing and suction water channel is provided on the flushing and suction visual component, and the dirty blood is flushed through water circulation with the outside world, which is convenient for observation and visual operation through the electronic microscope. BRIEF DESCRIPTION OF THE DRAWINGS

[0022] Figure 1 This is a schematic diagram of the structure of the visual and flushing device proposed by the utility model;

[0023] Figure 2 A three-dimensional diagram of the visual flushing and suction assembly proposed by the utility model;

[0024] Figure 3 This is a cross-sectional view of the visual flushing and suction component proposed by the utility model.

[0025] Legend:

[0026] 1. Visual flushing and suction component; 11. U-shaped slot; 12. Spreading screw; 13. Soft gasket; 14. Fixing component; 15. First pipeline; 16. Second pipeline; 17. Sealing plug; 2. Target area; 3. Electronic mirror; 31. External thread; 32. First limiting ring; 33. Spring; 34. Second limiting ring; 35. Third pipeline; 4. Sealing plate; 41. Through hole; 5. Rotating sphere; 6. Rotating sleeve. DETAILED DESCRIPTION

[0027] The following will be combined with the drawings in the embodiments of the utility model to clearly and completely describe the technical solutions in the embodiments of the utility model. Obviously, the described embodiments are only part of the embodiments of the utility model, not all of the embodiments. Based on the embodiments in the utility model, all other embodiments obtained by ordinary technicians in this field without creative work are within the scope of protection of the utility model.

[0028] Reference Figure 1-Figure 3 The utility model provides an embodiment: a water flushing and suction and visualization device for anterior cervical ACDF surgery, comprising: a flushing and suction visualization component 1; the flushing and suction visualization component 1 is installed in the target area 2, so that the gap between the target area 2 is connected to the middle cavity of the flushing and suction visualization component 1; a moving component is embedded in one side of the flushing and suction visualization component 1; an electronic mirror 3 penetrates the flushing and suction visualization component 1 and extends to the middle cavity of the flushing and suction visualization component 1 to observe the target area 2; the flushing and suction visualization component 1 or the electronic mirror 3 is provided with a flushing and suction water path.

[0029] In this embodiment, the flushing and suction visual component 1 is quickly covered and installed on the target area 2, and the target area 2 is the cervical vertebrae and intervertebral space. The two sides of the flushing and suction visual component 1 are respectively installed on two cervical vertebrae spreaders. The middle cavity of the flushing and suction visual component 1 is connected with the intervertebral space of the cervical spine. The electronic mirror 3 is inserted into the moving component on the flushing and suction visual component 1, so that the electronic mirror 3 penetrates the flushing and suction visual component 1 and extends into the intervertebral space of the target area 2 through the middle cavity. Visual operation is achieved through the electronic mirror 3. A flushing and suction water path is provided at the top of the flushing and suction visual component 1 or the handle of the electronic mirror 3, which is used to pass physiological saline for cleaning and flushing away the dirty blood on the outside of the mirror surface of the electronic mirror 3 to avoid affecting the visual operation.

[0030] The middle cavity of the visual flushing and suction component 1 is opened through a straight slot, so that the electronic mirror 3 can rotate 360 ​​degrees, move up and down, or swing in the middle cavity.

[0031] In this embodiment, the middle cavity of the visual flushing and suction component 1 is shaped like a straight slot, and the electronic mirror 3 can be rotated after insertion to adjust the angle of the visual operation; or the front end of the electronic mirror 3 can be swung with the insertion point as the swing center to adjust the direction of the visual operation; or the electronic mirror 3 can be pushed to move the component left and right in the elliptical through hole to adjust the position of the electronic mirror 3.

[0032] A plurality of U-shaped slots 11 are provided on both sides of the visual flushing and suction component 1. The U-shaped slots 11 cooperate with the expansion screws 12 to fix the visual flushing and suction component 1 on the target area 2. A soft gasket 13 is provided below the visual flushing and suction component 1, and a fixing component 14 for applying pressure is provided above the expansion screws 12.

[0033] In this embodiment, the flushing and suction visual component 1 is convex in shape, and a plurality of U-shaped slots 11 are respectively provided on both sides. The lengths of the U-shaped slots 11 can be the same or different, and are used to adapt to the size of the target area 2 of different groups of people. The flushing and suction visual component 1 is positioned by the expansion screw 12, and the expansion screw 12 is a common screw for cervical spine surgery. During operation, the expansion screw 12 is first installed on the target area 2, and a soft gasket 13 is placed on the target area 2. The shape of the soft gasket 13 is the same as the shape of the bottom surface of the flushing and suction visual component 1. The flushing and suction visual component 1 is pressed in from above so that the U-shaped slots 11 cooperate with the expansion screws 12 to cover the target area 2 for water sealing, and then the fixing component 14 is installed on the expansion screws 12 to fix the flushing and suction visual component 2 to prevent the flushing and suction visual component 1 from falling off. The fixing component 14 can be a nut or a quick buckle.

[0034] The flushing and suction water circuit includes a first pipeline 15, which is arranged on the top or side of the flushing and suction visual component 1. Second pipelines 16 connected to the first pipeline 15 and the outer wall are opened at the end faces on both sides of the middle cavity of the flushing and suction visual component 1. A sealing plug 17 is detachably provided on the outer side of the second pipeline 16. The first pipelines 15 on the left and right sides can perform water injection and suction functions respectively.

[0035] In this embodiment, two first pipelines 15 are provided at the top of the flushing and suction visual component 1, and the first pipeline 15 is connected to the second pipeline 16. One side of the second pipeline 16 is connected to the middle cavity, and the other side passes through the flushing and suction visual component 1 and is connected to the outside. By setting a sealing plug 17, the circulation flow direction of the flushing and suction water circuit is adjusted. By opening the sealing plug 17, the second pipeline 16 can be connected through a water absorber to carry out water absorption treatment.

[0036] The outer side of the electronic mirror 3 is provided with an external thread 31 connected to a first limiting ring 32 . The first limiting ring 32 is connected to a second limiting ring 34 via a spring 33 . The position of the second limiting ring 34 on the outer side of the electronic mirror 3 can be adjusted by rotating the first limiting ring 32 .

[0037] In this embodiment, an external thread is provided on the side of the electronic mirror 3 close to the handle, and the first limiting ring 32 is arranged on the outside of the electronic mirror 3 and is connected by engaging with the external thread. The first limiting ring 32 is connected to the second limiting ring 34 through a spring 33. The first limiting ring 32 is rotated and axially moved at the same time, driving the spring 33 to move, and then driving the second limiting ring 34 to move, so that the position of the second limiting ring 34 can be adjusted.

[0038] The electronic mirror 3 includes a visible lens and a circular working channel. An external device is connected behind the visible lens. A third pipeline 35 is provided behind the electronic mirror 3. The third pipeline 35 is located on one side of the visible lens. Water is injected and flushed through the third pipeline 35.

[0039] In this embodiment, a third pipeline 35 is provided at the handle behind the electronic scope 3, and the third pipeline 35 is connected to the delivery cavity of the electronic scope 3. Physiological saline can be passed from the electronic scope 3 to between the middle cavity of the flushing and suction visual component 1 and the target area for flushing after the electronic scope 3 is inserted.

[0040] The movable component is a rotating sphere 5, one side of the rotating sphere 5 is integrally connected to the rotating sleeve 6, and a delivery cavity is opened between the rotating sleeve 6 and the rotating sphere 5. The delivery cavity is an elliptical hole with widened left and right diameters, which facilitates the electronic mirror 3 to move left and right through the delivery cavity. The electronic mirror 3 passes through the delivery cavity and extends to the middle cavity of the suction visual component 1 to enter the intervertebral space.

[0041] In this embodiment, the movable component is a rotating sphere 5, which forms a ball valve structure with the flushing and suction visual component 1 and can rotate 360°. A rotating sleeve 6 is integrated on one side of the rotating sphere 5. The electronic mirror 3 passes through the rotating sleeve 6 and the rotating sphere 5, and extends into the middle cavity of the flushing and suction visual component 1 to observe the target area.

[0042] At this time, the flushing and suction water path is the third pipeline 35 at the handle behind the electronic mirror 3.

[0043] The inner side of the rotating sleeve 6 is a stepped delivery cavity, which cooperates with the second limiting ring 34 to limit the distance from the electronic mirror 3 to the inner middle cavity of the flushing and suction visual component 1 to the intervertebral space.

[0044] In this embodiment, a stepped delivery cavity is provided inside the rotating sleeve 6. When the electronic mirror 3 is inserted, the second limiting ring 34 is clamped with the inside of the delivery cavity for limiting purpose. The electronic mirror 3 is buffered by the spring 33 to prevent the electronic mirror 3 from extending too far and damaging the spinal cord.

[0045] The flushing and suction visual component 1 is made of a transparent polymer material. During the visualization operation, direct observation can be performed through the flushing and suction visual component 1 .

[0046] Example 2

[0047] When the movable component is a sealing plate 4, the sealing plate 4 is arranged in the flushing and suction visual component 1 through a slide groove. A through hole 41 is opened on the sealing plate 4, which can be used in conjunction with the current spinal endoscope. The spinal endoscope can penetrate the sealing plate 4 and extend into the intervertebral space.

[0048] The sealing plate 4 is made of a transparent polymer material. In this embodiment, the sealing plate 4 may be made of polymethyl methacrylate (PMMA) or a transparent soft silicone plate. The sealing plate 4 can be directly observed.

[0049] In this embodiment, the endoscope is inserted into the through hole 41 in the middle of the sealing plate 4. When performing visual operations, the endoscope can rotate on the sealing soft plate 4 and move left and right along the direction of the slide groove. At this time, the flushing and suction water circuit flushes the first pipeline 15 and the second pipeline 16 on the flushing and suction visual component 1.

[0050] Finally, it should be noted that the above is only a preferred embodiment of the present invention and is not intended to limit the present invention. Although the present invention has been described in detail with reference to the aforementioned embodiments, those skilled in the art can still modify the technical solutions described in the aforementioned embodiments or make equivalent substitutions for some of the technical features therein. Any modifications, equivalent substitutions, improvements, etc. made within the spirit and principles of the present invention should be included in the protection scope of the present invention.

Claims

1. A water flushing, suction and visualization device for anterior cervical ACDF surgery. It is characterized in that include: Flushing and suction visual component (1); The visual flushing and suction component (1) is installed in the target area (2), so that the intervertebral space between the target area (2) is connected to the middle cavity of the visual flushing and suction component (1); A movable component is embedded in one side of the visual flushing and suction component (1); An electronic mirror (3) passes through the visual flushing and inhalation component (1) and extends into the middle cavity of the visual flushing and inhalation component (1) to observe the target area (2); The flushing and suction visual component (1) or the electronic mirror (3) is provided with a flushing and suction water path.

2. The water flushing, suction and visualization device for anterior cervical ACDF surgery according to claim 1, Features: The middle cavity of the visual flushing and suction component (1) is opened through a straight slot, so that the electronic mirror (3) can rotate 360 ​​degrees, move up and down, or swing in the middle cavity.

3. The water flushing, suction and visualization device for anterior cervical ACDF surgery according to claim 1, Features: A plurality of U-shaped slots (11) are provided on both sides of the visual flushing and suction component (1). The U-shaped slots (11) cooperate with the expansion screws (12) to fix the visual flushing and suction component (1) on the target area (2). A soft gasket (13) is provided below the visual flushing and suction component (1). A fixing component (14) for applying pressure is provided above the expansion screw (12). The fixing component is a rotating screw or a quick buckle. The expansion screw (12) is provided with a corresponding thread or slot.

4. The water flushing, suction and visualization device for anterior cervical ACDF surgery according to claim 1, Features: The flushing and suction water circuit comprises a first pipeline (15) arranged on the top or side of the flushing and suction visual component (1); second pipelines (16) communicating with the first pipeline (15) and the outer wall are provided at the end surfaces on both sides of the middle cavity of the flushing and suction visual component (1); and a sealing plug (17) is detachably provided on the outer side of the second pipeline (16).

5. The water flushing, suction and visualization device for anterior cervical ACDF surgery according to claim 1, Features: The outer side of the electronic mirror (3) is provided with an external thread (31) which is connected to a first limiting ring (32); the first limiting ring (32) is connected to a second limiting ring (34) via a spring (33); the first limiting ring (32) can be rotated to adjust the position of the second limiting ring (34) on the outer side of the electronic mirror (3).

6. The water flushing, suction and visualization device for anterior cervical ACDF surgery according to claim 1, Features: The electronic scope (3) comprises a visual lens and a circular hole for an operation channel. After being inserted into the intervertebral space, only the electronic lens portion is included. An external device is connected behind the visual lens. A third pipeline (35) is provided behind the electronic scope (3). The third pipeline (35) is located on one side of the visual lens, and water is injected and flushed through the third pipeline (35).

7. The water flushing, suction and visualization device for anterior cervical ACDF surgery according to claim 1, Features: The movable component is a sealing plate (4), and the sealing plate (4) is arranged in the flushing and suction visual component (1) through a slide groove. A through hole (41) is opened on the sealing plate (4), so that the electronic mirror (3) or the spinal endoscope passes through the sealing plate (4) and extends into the middle cavity of the flushing and suction visual component (1) for observation and operation.

8. The water flushing, suction and visualization device for anterior cervical ACDF surgery according to claim 5, Features: The movable component is a rotating sphere (5), one side of which is integrally connected to a rotating sleeve (6), a conveying cavity is provided between the rotating sleeve (6) and the rotating sphere (5), and the conveying cavity is an ellipse in the sphere that is wider on the left and right, so that the electronic mirror (3) can move left and right. The electronic mirror (3) passes through the conveying cavity and extends to the middle cavity of the visual flushing and suction component (1).

9. The water flushing, suction and visualization device for anterior cervical ACDF surgery according to claim 8, Features: The inner side of the rotating sleeve (6) is a stepped delivery cavity, which cooperates with the second limiting ring (34) to limit the distance that the electronic mirror (3) can penetrate into the gap between the inner middle cavity of the suction visual component (1) and the target area (2).

10. The water flushing, suction and visualization device for anterior cervical ACDF surgery according to claim 7, Features: The flushing and suction visual component (1) and the sealing plate (4) are made of transparent polymer materials.