CN110384542A - One kind being exclusively used in twolip stndon sheath part exsector - Google Patents

One kind being exclusively used in twolip stndon sheath part exsector Download PDF

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Publication number
CN110384542A
CN110384542A CN201910805815.XA CN201910805815A CN110384542A CN 110384542 A CN110384542 A CN 110384542A CN 201910805815 A CN201910805815 A CN 201910805815A CN 110384542 A CN110384542 A CN 110384542A
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CN
China
Prior art keywords
blade
stndon sheath
twolip
exsector
exclusively used
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.)
Pending
Application number
CN201910805815.XA
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Chinese (zh)
Inventor
田恒
王玉发
瞿文瑞
朱哲
刘军
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Jilin University
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Jilin University
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Jilin University filed Critical Jilin University
Priority to CN201910805815.XA priority Critical patent/CN110384542A/en
Publication of CN110384542A publication Critical patent/CN110384542A/en
Pending legal-status Critical Current

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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
    • A61B17/3205Excision instruments
    • 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
    • A61B17/3213Surgical scalpels, knives; Accessories therefor with detachable blades

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

Abstract

The invention discloses one kind to be exclusively used in twolip stndon sheath part exsector, including blade, first blade, second blade and connecting pin, blade upper end is symmetrically arranged with the first blade and the second blade, the end of blade is connected with connecting pin, head end of the working end of first blade and the second blade towards blade, blade is arc groove structure, first blade and the second edge structure are identical, mounting groove is provided on connecting pin, the configuration of the present invention is simple, original general surgery knife handle is cooperated to use, only need once safety, fast, effective cut-out stndon sheath, it is needed when solving the use of original knife blade repeatedly big in small space operation difficulty, by specification transverse incision improper cutting at " mistake " Notch Problems of similar " 10 " word, the potential risk of tendon neural blood vessel damage is eliminated simultaneously, the zigzag incision of mistake is avoided to cause scar contraction The medical tangle of the initiations such as numbness, limitation of activity caused by contracting, pain and tendon neurotrosis adhesion.

Description

One kind being exclusively used in twolip stndon sheath part exsector
Technical field
The present invention relates to hand surgical knife technical field, in particular to one kind is exclusively used in twolip stndon sheath part exsector.
Background technique
In the prior art, finger when the narrow stndon sheath of cut-out hand using coventional scalpel prior to stndon sheath middle part surface Take a row notch on skin, cut skin and it is subcutaneous, appear stndon sheath, then first longitudinally cut to remote, proximal end respectively with scalpel Narrow stndon sheath is opened, is distinguished again at the width at the stndon sheath edge, excision stndon sheath as needed that are then cut again with vessel forceps clamping Xiang Yuan, the longitudinal each incision in proximal end are primary, can achieve the purpose that part stndon sheath is cut off.Often because small notch exposure is limited, patient helps Hand channel tests that insufficient, coventional scalpel blade is longer, move under water in Limited eyeshot cut twice, longitudinally slit stndon sheath while by skin Skin is also cut, and make to design originally becomes like " 10 " word structure " mistake " notch, two along the row specification notch of dermatoglyph Secondary excision is cumbersome, operating difficulty increases, while having longitudinal splitting tendon to cause tendon injury, increase adhesion, accidentally injure neural blood The risk of tube bank, cause postoperative wound scar pain, even contracture, the recurrence of adhesion of tendon card pressure, wound unsightly, it is even medical Dispute.
Summary of the invention
The purpose of the present invention is to solve the deficiencies in background technique, provide one kind and are exclusively used in the excision of twolip stndon sheath part Knife.
One kind being exclusively used in twolip stndon sheath part exsector, including blade, the first blade, the second blade and connecting pin, blade Upper end is symmetrically arranged with the first blade and the second blade, and the end of blade is connected with connecting pin, the first blade and the second blade Head end of the working end towards blade;
The blade is arc groove structure;
First blade and the second edge structure is identical;
Mounting groove is provided on the connecting pin;
The blade width A is 7.5-8mm.
Included angle B between the blade two sides and horizontal plane is 8~12 °.
Angle F between first blade and horizontal plane is between 75 °~85 °.
Preferably, the blade width A is 7mm.
Preferably, the included angle B between the blade two sides and horizontal plane is 10 °.
Preferably, the distance between first blade and blade head end C are 3mm.
Preferably, the distance between first blade and blade end D are 15mm.
Preferably, the height E of first blade is 3mm.
Preferably, the angle F between first blade and horizontal plane is 80 °.
Preferably, the distance between first blade and the second blade G are 3mm.
Preferably, first blade and blade edge distance H are 1mm.
Preferably, the thickness of first blade and the second blade is 1mm.
Beneficial effects of the present invention:
The configuration of the present invention is simple cooperates original general surgery knife handle to use, it is only necessary to once safety, quick, effectively excision Part stndon sheath, needed when solving the use of original knife blade repeatedly small space operation difficulty it is big, by specification transverse incision not When being cut into " mistake " Notch Problems of similar " 10 " word while eliminating the potential risk of tendon neural blood vessel damage, keep away Numbness, limitation of activity caused by zigzag incision cause cicatricial contracture, pain and tendon neurotrosis adhesion that fault-avoidance misses etc. draws The medical tangle of hair.
Detailed description of the invention
Fig. 1 is stereoscopic schematic diagram of the invention.
Fig. 2 is main view of the invention.
Fig. 3 is top view of the invention.
Fig. 4 is the left view of blade of the present invention.
Specific embodiment
Shown in please referring to Fig.1 to Fig.4, one kind is exclusively used in twolip stndon sheath part exsector, including blade 1, the first blade 2, Second blade 3 and connecting pin 4,1 upper end of blade are symmetrically arranged with the first blade 2 and the second blade 3, and the end of blade 1 is connected with Head end of the working end of connecting pin 4, the first blade 2 and the second blade 3 towards blade 1;
The blade 1 is arc groove structure;
First blade 2 is identical with 3 structure of the second blade;
Mounting groove 5 is provided on the connecting pin 4;
The 1 width A of blade is 7.5-8mm.
Included angle B between 1 two sides of blade and horizontal plane is 8~12 °.
Angle F between first blade 2 and horizontal plane is between 75 °~85 °.
Preferably, the 1 width A of blade is 7mm.
Preferably, the included angle B between 1 two sides of blade and horizontal plane is 10 °.
Preferably, the distance between first blade 2 and 1 head end of blade C are 3mm.
Preferably, the distance between first blade 2 and 1 end of blade D are 15mm.
Preferably, the height E of first blade 2 is 3mm.
Preferably, the angle F between first blade 2 and horizontal plane is 80 °.
Preferably, the distance between first blade 2 and the second blade 3 G are 3mm.
Preferably, first blade 2 and 1 edge distance H of blade are 1mm.
Preferably, the thickness of first blade 2 and the second blade 3 is 1mm.
The working principle of the invention and use process:
Shown in please referring to Fig.1 to Fig.4, in use, first by the mounting groove 5 and general surgery knife handle on 1 connecting pin 4 of blade Connection, after the completion of connection.The row notch along dermatoglyph is taken on finger skin prior to the quasi- stndon sheath middle part surface cut, is used General surgery blade percutaneous incision skin and subcutaneous, separation appear stndon sheath, separate subcutaneous tissue with drag hook drawing or vessel forceps, with common Part stndon sheath about 8mm immediately below knife blade transection notch, then 1 head end of blade of the invention is split from the stndon sheath cut Mouth is first proximally facing, is inserted into below stndon sheath, tendon superficial surface, proximally pushes away along stndon sheath direction, the first blade 2 and the second blade 3 The proximal part stndon sheath of width about G will be cut off as needed simultaneously;Blade 1 of the invention is exited again, the stndon sheath that head end is cut certainly Breach is re-directed towards distal end, insertion stndon sheath lower section, tendon superficial surface, and Xiang Yuanduan is pushed away along stndon sheath direction, the first blade 2 and the second blade 3 by the distal portions stndon sheath of excision width about G, completion are performed the operation as needed simultaneously.
Firstly, because usual by largely autopsy research and the clinical practice of conventional therapy observation, discovery The stndon sheath length for needing to cut generally in 30mm, and we perform the operation in select along dermatoglyph notch and the first blade 2 with The initial cut location of second blade 3 generally in the middle part of sheath, therefore the first blade 2, the second blade 3 and 1 end of blade it Between distance D be 15mm;The distance between the first blade 2, the second blade 3 and 1 head end of blade C are 3mm, make blade 1 simultaneously Head end is from after the stndon sheath insertion of first partial cut, the first blade 2 is increased with the distance between 1 head end of blade C portion blade by deep Hyperplasia stndon sheath that thick tendon and shallow-layer is not cut, which is stablized, to be blocked so as to cut direction controllability more preferable, therefore, the first blade 2, The distance between second blade 3 and 1 head end of blade C are 3mm, the distance between the first blade 2, the second blade 3 and 1 end of blade D is 15mm, as 1 total length of blade about 20mm.
Secondly, in view of good passability when blade 1 is placed in from stndon sheath breach, pushing away the flexing resistance needed when cutting and attached Add the feasibility of the first blade 2,3 integrally casting shaping of the second blade, while to prevent blade the first blade 2, the second blade 3 too Thin dissection is poor, technique realize it is difficult and have fracture cause foreign matter residual, even cause medical tangle may, we are by blade 1 Width A be designed as between 6.5mm~7.5mm, blade is designed as the folder of the first blade 2, the second blade 3 between horizontal plane Angle F is between 75 °~85 °, height E is 2.5mm~3.5mm, with a thickness of 1mm, the first blade 2, the second blade 3 away from blade edge Distance H be distance G between 1mm, the first blade 2, the second blade 3 be 3mm.And for avoid blade 1 push away cut stndon sheath during, The tendon in frictionally damage deep, we by the cross section of blade 1 be designed as arc groove structure, 1 two sides of blade and horizontal plane it Between included angle B be 8~12 ° and chamfered have been done to edge.
Finally, the size of mounting groove 5 is performed the operation referring to national standard because blade 1 will connect use with existing general surgery knife handle Knife handle distal end card slot size;Simultaneously in view of the obstruction of horizontal direction upper limb body during avoiding blade from pushing needs knife handle and water Plane has certain angle, in conjunction with patient using other similar surgical instrument convenient and habit angle, connecting pin 4 and horizontal plane it Between angle be 50 °~70 °.

Claims (10)

1. one kind is exclusively used in twolip stndon sheath part exsector, it is characterised in that: including blade (1), the first blade (2), the second knife Sword (3) and connecting pin (4), blade (1) upper end are symmetrically arranged with the first blade (2) and the second blade (3), the end of blade (1) It is connected with connecting pin (4), the head end of the working end of the first blade (2) and the second blade (3) towards blade (1);
The blade (1) is arc groove structure;
First blade (2) is identical with the second blade (3) structure;
Mounting groove (5) are provided on the connecting pin (4);
Blade (1) the width A is 7.5~8mm.
Included angle B of the blade (1) between two sides and horizontal plane is 8~12 °.
Angle F between first blade (2) and horizontal plane is between 75 °~85 °.
2. one kind according to claim 1 is exclusively used in twolip stndon sheath part exsector, it is characterised in that: the blade (1) width A is 7mm.
3. one kind according to claim 1 is exclusively used in twolip stndon sheath part exsector, it is characterised in that: the blade (1) included angle B between two sides and horizontal plane is 10 °.
4. one kind according to claim 1 is exclusively used in twolip stndon sheath part exsector, it is characterised in that: first knife The distance between sword (2) and blade (1) head end C are 3mm.
5. one kind according to claim 1 is exclusively used in twolip stndon sheath part exsector, it is characterised in that: first knife The distance between sword (2) and blade (1) end D are 15mm.
6. one kind according to claim 1 is exclusively used in twolip stndon sheath part exsector, it is characterised in that: first knife The height E of sword (2) is 3mm.
7. one kind according to claim 1 is exclusively used in twolip stndon sheath part exsector, it is characterised in that: first knife Angle F between sword (2) and horizontal plane is 80 °.
8. one kind according to claim 1 is exclusively used in twolip stndon sheath part exsector, it is characterised in that: first knife The distance between sword (2) and the second blade (3) G are 3mm.
9. one kind according to claim 1 is exclusively used in twolip stndon sheath part exsector, it is characterised in that: first knife Sword (2) is 1mm with blade (1) edge distance H.
10. one kind according to claim 1 is exclusively used in twolip stndon sheath part exsector, it is characterised in that: described first Blade (2) and the thickness of the second blade (3) are 1mm.
CN201910805815.XA 2019-08-29 2019-08-29 One kind being exclusively used in twolip stndon sheath part exsector Pending CN110384542A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201910805815.XA CN110384542A (en) 2019-08-29 2019-08-29 One kind being exclusively used in twolip stndon sheath part exsector

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201910805815.XA CN110384542A (en) 2019-08-29 2019-08-29 One kind being exclusively used in twolip stndon sheath part exsector

Publications (1)

Publication Number Publication Date
CN110384542A true CN110384542A (en) 2019-10-29

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CN201910805815.XA Pending CN110384542A (en) 2019-08-29 2019-08-29 One kind being exclusively used in twolip stndon sheath part exsector

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Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4239045A (en) * 1979-04-04 1980-12-16 Schlein Allen P Surgical knife
US5026385A (en) * 1990-04-03 1991-06-25 Schutte Michael J Double-bladed scalpel
CN2378007Y (en) * 1998-04-08 2000-05-17 吕丙亭 Special surgical knife for treating stenosing tenovaginitis
US6685717B1 (en) * 2001-08-15 2004-02-03 Flovector, L.L.C. Scalpel system for treating carpal tunnel syndrome
CN202313621U (en) * 2011-11-25 2012-07-11 孙云胜 Novel minimally invasive scalpel
CN204500884U (en) * 2015-02-12 2015-07-29 李树明 Hook cutting edge is used in operation
CN209074791U (en) * 2018-03-11 2019-07-09 哈励逊国际和平医院 Ligamentum carpi transversum cutter
CN210962223U (en) * 2019-08-29 2020-07-10 吉林大学 Special double-edge tendon sheath partial excision knife

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4239045A (en) * 1979-04-04 1980-12-16 Schlein Allen P Surgical knife
US5026385A (en) * 1990-04-03 1991-06-25 Schutte Michael J Double-bladed scalpel
CN2378007Y (en) * 1998-04-08 2000-05-17 吕丙亭 Special surgical knife for treating stenosing tenovaginitis
US6685717B1 (en) * 2001-08-15 2004-02-03 Flovector, L.L.C. Scalpel system for treating carpal tunnel syndrome
CN202313621U (en) * 2011-11-25 2012-07-11 孙云胜 Novel minimally invasive scalpel
CN204500884U (en) * 2015-02-12 2015-07-29 李树明 Hook cutting edge is used in operation
CN209074791U (en) * 2018-03-11 2019-07-09 哈励逊国际和平医院 Ligamentum carpi transversum cutter
CN210962223U (en) * 2019-08-29 2020-07-10 吉林大学 Special double-edge tendon sheath partial excision knife

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