CN105520773A - Solid guide rod for lumbar vertebrae percutaneous transforaminal endoscopic operation - Google Patents
Solid guide rod for lumbar vertebrae percutaneous transforaminal endoscopic operation Download PDFInfo
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- CN105520773A CN105520773A CN201610021838.8A CN201610021838A CN105520773A CN 105520773 A CN105520773 A CN 105520773A CN 201610021838 A CN201610021838 A CN 201610021838A CN 105520773 A CN105520773 A CN 105520773A
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/14—Surgical saws ; Accessories therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B2017/564—Methods for bone or joint treatment
Abstract
The invention provides a solid guide rod for a lumbar vertebrae percutaneous transforaminal endoscopic operation. The solid guide rod is a solid cone, and is 22 cm in length and 0.5 mm in cone diameter; scales are marked on the cone. In operation, an operator can be better assisted while adopting the ''solid guide rod'' to enter a working sleeve, bypass superior articular process and reach the needle inserting depth of the nucleus pulposus protrusion position. The solid guide rod is a guiding catheter auxiliary instrument used for guiding a percutaneous transforaminal endoscopic operative instrument to bypass superior articular process osseous tissue of lumbar vertebrae and entering the operative area to finish the lumbar vertebrae protrusion discectomy on the premise of retaining the superior articular process osseous tissue; the operation time can be shortened, injure and bleeding amount of a patient in operation can be reduced, and the incidence rates of nerve injury in operation, lumbago after operation, and the like, of the patient can also be reduced. The solid guide rod is reasonable in design, simple and convenient in structure and low in production cost, the incidence rates of nerve root injury and other complications are reduced, and the safety in operation is further improved.
Description
Technical field
The invention belongs to medical auxiliary equipment, relate to a kind of assistive device in the foramen intervertebrale lens technology being used for the treatment of prolapse of lumbar intervertebral disc, lumbar spinal stenosis etc. clinically, particularly relate in a kind of lumbar vertebra percutaneous foramen intervertebrale lens art and lead rod with solid.The incidence rate that the complication such as intraoperative hemorrhage and nerve root injury was destroyed, reduced to corrective surgery time, the damage of minimizing joint of vertebral column and stability can be shortened.
Background technology
Lumbar intervertebral disc goes out disease (Lumbardischerniation, LDH), straitness of lumbar vertebrae (Lumbarspinalstenosissyndrome, etc. LSSS) be cause the common lumbar spondylosis cause of disease such as lumbago and lumbago and skelalgia, patient Chang Yin lumbago and adjoint lower limb pain, gradual unable, numb, difficulty in walking etc. have a strong impact on quality of life, even cause patient's DB and have a strong impact on quality of life.These are all study hotspots of field of spinal surgery, and most of patient can be cured by expectant treatment or take a turn for the better, if expectant treatment cannot obtain desirable curative effect, usually needs surgical intervention.For a long time, conventional open posterior lumbar intercalated disc resection of nucleus pulposus (OpenLumbarDiscectomy, OLD) be the main method that field of spinal surgery treats prolapse of lumbar intervertebral disc always, the tissues such as outstanding vertebral pulp, hypertrophy sclerotin, ossified ligament are exposed by cut-out vertebral plate in art, the means such as parallel decompression, fixing, fusion, thus reach nerve decompression, remove the object of pain.But this art formula operation wound is large, post-operative complication is many, post-operative recovery time is long, costly, research both at home and abroad finds that excision vertebral plate and partial joint tissue of dashing forward can increase vertebral body rear unstability etc. more than 1/3, and patient compliance is not high.Therefore, find the joint demand that a kind of Minimally invasive procedure technology is this field clinician and patient!
In recent years, vertebral column minimally invasive surgical intervention achieves larger development and progress, the two kinds of foramen intervertebrale lens technical forms the most often used clinically, be respectively the YESS (Yeungendoscopicspinesystem) proposed by Yeung etc., and TESSYS (transforaminalendoscopicspinesystem) the foramen intervertebrale lens technology proposed by Hoogland improved on this basis, the latter applies more general clinically, and conventional percutaneous foramen intervertebrale lens technology is the one belonging to TESSYS technology.Current clinical conventional modus operandi for keep patient awoke under local anaesthesia, by surgical work conduit is directly put into canalis spinalis by diameter 6-8mm wound, remove part superior articular process's sclerotin and expand intervertebral foramina, remove by intervertebral foramina direct view under endoscope vertebral pulp of giving prominence to or prolapse and also can detect the tissue such as lateral crypt, intervertebral foramina, to removing, patients' neural is oppressed, reduction of patient lumbago and skelalgia symptom, compared with conventional open art formula have wound less, go out the advantages such as insufficiency of blood, spinal stabilization structural deterioration be relatively little; In addition, patient can link up with patient in operation process, carries out continued evaluation to patients symptomatic, reduce iatrogenic nerve root injury incidence rate.Existing increasing doctor and patient select to adopt percutaneous foramen intervertebrale lens technology to treat the lumbar disc diseases such as LDH, LSSS clinically.
In sum, percutaneous foramen intervertebrale lens more traditional OLD modus operandi in lumbar disc disease such as treatment LDH, LSSS etc. significantly can shorten the corrective surgery time, reduces operation wound and intraoperative hemorrhage, promotes patient's advantage such as out-of-bed activity early.
However; percutaneous foramen intervertebrale lens technology is still among updating; before as placed in operation in the past, working column is placed into intervertebral foramina place; need be most advanced and sophisticated to superior articular process by Kirschner wire top; superior articular process's sclerotin is inserted to intervertebral foramina internal orifice in Kirschner wire tip, then inserts trepan through protective casing, and excision superior articular process medial border is to the bone tissue of intervertebral foramina internal orifice; inserting after extracting trepan and Kirschner wire " hollow lead rod ", arriving nucleus pulposus extrusion position for guiding working column in lower step.This not only extends operating time, also increases the incidence rate of the complication such as nerve injury in damage in operation in patients, amount of bleeding, art to a certain extent.
Summary of the invention
The object of invention to be to provide in a kind of lumbar vertebra percutaneous foramen intervertebrale lens art with " solid lead rod ", is that a kind of Guided Percutaneous foramen intervertebrale lens operating theater instruments is walked around superior articular process of lumbar vertebra bone tissue, entered operative region complete the guide catheter assistive device that lumbar vertebra gives prominence to resection of nucleus pulposus under the prerequisite of reservation superior articular process bone tissue.
Be a solid cone with solid rod of leading in a kind of lumbar vertebra percutaneous foramen intervertebrale lens art provided by the invention, overall length is 22cm, cone diameter is 0.5mm, scale is being indicated every 0.5cm between the sharp 10cm to 15cm of cone, indicating scale respectively from sharp 16cm, 18cm, 20cm, 22cm place of cone, every lattice length is 2.0cm.These scales can help operator to adopt " solid lead rod " to enter working column better in art, walk around depth of needle when superior articular process arrives Nucleus pulposus position.
The present invention adopts titanium alloy material.Conduit quality is solid, is in order to avoid bringing into intraspinal tube by the tissue come off in piercing process, shortens the incidence rate of the complication such as operating time and minimizing nerve root injury.
The present invention needs excision superior articular process bone tissue before surgical work sleeve pipe enters intervertebral aperture in early stage percutaneous foramen intervertebrale lens technology, increase the corrective surgery time, damage and amount of bleeding in art, even easily there is the problem such as nerve injury and postoperative infection occurrence risk in art, relate to and provide a kind of solid guiding to lead rod as assistive device, under the prerequisite not affecting surgical effect, " solid lead rod " is adopted to guide working column enter surgical work district and do not excise superior articular process's bone tissue, greatly reduce the corrective surgery time, in art damage and hemorrhage, do not destroy spinal stability, reduce the incidence rate such as nerve root injury and Lumbar pain after operation in art.
Of the present inventionly solidly lead rod, pull out expansion rod at different levels in operation process after, in not resection operation corresponding sections intervertebral disc superior articular process sclerotin situation, insert and solidly lead rod, walk around superior articular process, intervertebral spinal fusion mirror arrives the corresponding sections nucleus pulposus extrusion position of operation, to greatly reduce in operating time, operation in patients the incidence rate of the complication such as nerve injury in damage, amount of bleeding, art.More existing percutaneous intervertebral foramina technology shortens the situation such as patient's spinal cord injury and stability destruction, intraoperative hemorrhage in operating time, art greatly, reduces the incidence rate such as nerve root injury, Lumbar pain after operation, increases operation safety further.
Accompanying drawing explanation
Fig. 1 is structural representation of the present invention.
Fig. 2 is the development figure in using.
The structural representation that Fig. 3 is " hollow lead rod ".
Detailed description of the invention
The present invention is further described in conjunction with the accompanying drawings and embodiments.
Embodiment 1
See Fig. 1, be a solid cone 1 with " solid lead rod " in a kind of lumbar vertebra percutaneous foramen intervertebrale lens art provided by the invention, overall length is 22cm, cone diameter is 0.5mm, scale is being indicated every 0.5cm between the sharp 10cm to 15cm of cone, indicating scale respectively from sharp 16cm, 18cm, 20cm, 22cm place of cone, every lattice length is 2.0cm.These scales can help operator to adopt " solid lead rod " to enter working column better in art, walk around depth of needle when superior articular process arrives Nucleus pulposus position.
The present invention adopts titanium alloy material to make.Conduit quality is solid, is in order to avoid bringing the tissue come off in piercing process to intraspinal tube into, thus shortens the incidence rate of the complication such as operating time or minimizing nerve root injury.
Embodiment 2 operation instruction
After completing local anesthesia, skin is cut to the superficial fascia degree of depth along seal wire with knife blade, diameter is about 6-8mm, with one-level expand rod be inserted into corresponding operated level lumbar intervertebral disc superior articular process position along seal wire, then along one-level expand rod insert successively secondary, three grades, level Four expand rod and working column; Exit expansion at different levels rod and seal wire, put into " solid lead rod " (length expands excellent identical with at different levels, and diameter expands excellent identical with three grades).
Then under DSA, consecutive tracking is carried out to leading excellent position, " solid lead rod " walks around superior articular process, intervertebral spinal fusion arrives nucleus pulposus highlight (in this process can according to " solid lead rod " high scale determination penetration depth), working column is put to Nucleus pulposus position along " solid lead rod ", extracts " solid lead rod " and connect intervertebral foramina endoscope afterwards.
See Fig. 2, when not excising superior articular process's sclerotin in operation process, " solid lead rod " is walked around superior articular process and enters development figure under the DSA at the Nucleus pulposus place in corresponding intervertebral disc stage, development figure under DSA when wherein left figure is patient's lateral position, development figure (right figure) under DSA when right figure is patient lies prone position.
Embodiment 3 the present invention uses and illustrates
1, case is selected: (1) inclusive criteria: 1) prolapse of lumbar intervertebral disc or straitness of lumbar vertebrae diagnosis are clearly, starting or recurrence; 2) Imageology such as CT, MRI conforms to clinical manifestation, show prolapse of lumbar intervertebral disc or canalis spinalis bone narrow; 3) through regular expectant treatment March or more, symptom is not alleviated and is even added severe one.
(2) exclusion standard: 1) the obvious deformation patients of vertebra; 2) lumbar disease of lumbago and skelalgia caused by non-lumbar vertebra spinal canal stenosis, as lumbar muscle strain, simple prolapse of lumbar intervertebral disc, spinal instability etc.; 3) there is serious underlying diseases can not tolerate surgery person; 4) suffer from serious psychology, mental sickness, can not operator be coordinated.
2, preoperative pain Index Assessment:
Carrying out pain visual imitation assessment (VisiualAnalogScale, VAS) in the preoperative to including patient in, adopting Oswestry Disability index questionnaire scale (OswestryDisabilityIndex, ODI) to carry out index evaluation.
3, patient's informed consent
Inform conditions of patients, and provide the therapeutic choice such as expectant treatment, traditional open posterior formula operative treatment mode and percutaneous lumbar intervertebral aperture mirror minimal invasive operation mode, by patient from main separation.As patient selects " percutaneous lumbar intervertebral aperture mirror " Minimally Invasive Surgery mode, give the explanation situation such as operation process and art risk, complication, patient understands and signs " operation informed consent " after agreeing to.All flow processs meet Ethical Demand.
The percutaneous foramen intervertebrale lens operation of 4, not excising superior articular process is passed through
(1) Preoperative Method: preoperative quiet antibiotic is with prevention infection.Patient gets strong lateral position, waist bolster, ensures that patient is in comfortable posture as far as possible, is beneficial to patient compliance in art.Preoperative employing puncture needle is localizing objects intervertebral disc under DSA perspective, labelling point of puncture and puncture direction.After routine disinfection drape, carry out point of puncture local infiltration anesthesia with 0.7% lignocaine, adopt proceeds posterolateral operative approach, the lower puncture of perspective.
(2) Needle localization: puncture angle is general is determine under 10-20 °, DSA have an X-rayed that whether puncture needle is direct through the next vertebral body superior articular process tip with level.Extract puncture needle core, in puncture needle, inject 0.7% lignocaine 20ml, insert seal wire (seal wire diameter is identical with puncture needle core), exit puncture needle.
(3) Qie Pi and enlarging: adopt knife blade, skin is cut to the superficial fascia degree of depth along seal wire, diameter is about 6-8mm, with one-level expand rod be inserted into corresponding operated level lumbar intervertebral disc superior articular process position along seal wire, then along one-level expand rod insert successively secondary, three grades, level Four expand rod and working column; Exit expansion at different levels rod and seal wire, put into " solid lead rod " (length expands excellent identical with at different levels, and diameter expands excellent identical with three grades).
(4) locate solid lead rod and be connected endoscope: under DSA, carry out consecutive tracking to leading excellent position, " solid lead rod " walks around superior articular process, and intervertebral spinal fusion arrives nucleus pulposus highlight (in this process can according to " solid lead rod " high scale determination penetration depth).See Fig. 2, when not excising superior articular process's sclerotin in operation process, " solid lead rod " is walked around superior articular process and enters development figure under the DSA at the Nucleus pulposus place in corresponding intervertebral disc stage, development figure under DSA when wherein left figure is patient's lateral position, development figure (right figure) under DSA when right figure is patient lies prone position.Then working column is put to Nucleus pulposus position along " solid lead rod ", extract " solid lead rod " and connect intervertebral foramina endoscope afterwards.
(5) extract the tissues such as outstanding vertebral pulp: adopt nucleus pulposus clamp to take out degeneration nucleus pulposus by display, adopt power planing system to remove sclerotic tissue and hypertrophy sclerotin if desired, remove the stimulation to nerve root and compressing.Detect after determining that nerve root decompression fully, adopt 0.9% sodium chloride injection repeatedly to rinse otch and passage, extract apparatus, sew up 1 pin.The situation incidence rates such as record patient operating time, nerve root injury, Lumbar pain after operation, estimation intraoperative blood loss.
(6) postoperative work: postoperative quiet antibiotic, with prevention infection, advises the flat bed rest of patient can wear waistline appropriateness of leaving the bed after 3 hours movable.
Embodiment 4: " hollow lead rod " operation instruction
One " hollow lead rod " can be used in process " adopting the percutaneous foramen intervertebrale lens modus operandi of trepan polishing superior articular process "; this rod of leading in art, adopts trepan to excise superior articular process's bone organize tailing edge protective casing to insert, and play a part to insert for positioning operation district, guiding working column.In operation process, do not play a part to guide working column to walk around superior articular process wait bone tissue.
Fig. 3 is one " hollow the lead rod " structural representation adopting and use in the percutaneous foramen intervertebrale lens operation process of trepan polishing superior articular process.This to lead rod 2 be a hollow cone, and stainless steel, overall length 24cm, cone outside diameter is 0.5mm, and interior circular diameter is 0.2mm, between the sharp 19.5cm to 20cm of cone, indicating a scale every 0.25cm.Due to this lead rod mark scale very few, because which limit puncture person's judgement for paracentesis depth in piercing process.Because this leads rod for hollow, can bringing into intraspinal tube leading in excellent position fixing process the sclerotin that the superior articular process that polished by trepan comes off, having the risk extending operating time and increase the complication such as nerve root injury.
1, case is selected: (1) inclusive criteria: 1) prolapse of lumbar intervertebral disc or straitness of lumbar vertebrae diagnosis are clearly, starting or recurrence; 2) Imageology such as CT, MRI conforms to clinical manifestation, show prolapse of lumbar intervertebral disc or canalis spinalis bone narrow; 3) through regular expectant treatment March or more, symptom is not alleviated and is even added severe one.
(2) exclusion standard: 1) the obvious deformation patients of vertebra; 2) lumbar disease of lumbago and skelalgia caused by non-lumbar vertebra spinal canal stenosis, as lumbar muscle strain, simple prolapse of lumbar intervertebral disc, spinal instability etc.; 3) there is serious underlying diseases can not tolerate surgery person; 4) suffer from serious psychology, mental sickness, can not operator be coordinated.
2, preoperative pain Index Assessment:
Carrying out pain visual imitation assessment (VisiualAnalogScale, VAS) in the preoperative to including patient in, adopting Oswestry Disability index questionnaire scale (OswestryDisabilityIndex, ODI) to carry out index evaluation.
3, patient's informed consent
Inform conditions of patients, and provide the therapeutic choice such as expectant treatment, traditional open posterior formula operative treatment mode and percutaneous lumbar intervertebral aperture mirror minimal invasive operation mode, by patient from main separation.As patient selects " percutaneous lumbar intervertebral aperture mirror " Minimally Invasive Surgery mode, give the explanation situation such as operation process and art risk, complication, patient understands and signs " operation informed consent " after agreeing to.All flow processs meet Ethical Demand.
4, the percutaneous foramen intervertebrale lens operation of trepan polishing superior articular process is adopted to pass through
(1) Preoperative Method: percutaneous foramen intervertebrale lens art patient is carried out Preoperative Method, quiet antibiotic is with prevention infection.Patient gets strong lateral position, waist bolster, ensures that patient is in comfortable posture as far as possible, is beneficial to patient compliance in art.Preoperative employing puncture needle is localizing objects intervertebral disc under DSA perspective, labelling point of puncture and puncture direction.After routine disinfection drape, carry out point of puncture local infiltration anesthesia with 0.5% lignocaine, adopt proceeds posterolateral operative approach, the lower puncture of perspective.
(2) Needle localization: the general and level of puncture angle is 10-20 °, after determining to enter Lumbar intervertebral disc protrusion or intervertebral space in the whether direct intervertebral spinal fusion of puncture needle under DSA perspective, pull out puncture needle core, inject 0.7% lignocaine 20ml to anaesthetize, insert seal wire (seal wire diameter is identical with puncture needle core), exit puncture needle.
(3) Qie Pi and enlarging: adopt knife blade; skin is cut to the superficial fascia degree of depth along seal wire; diameter is about 6-8mm; with one-level expand rod be inserted into corresponding operated level lumbar intervertebral disc superior articular process position along seal wire, along one-level expand rod insert successively secondary, three grades, level Four expand rod and protective casing (protecting trepan in protective casing Rhizoma Atractylodis Macrocephalae).
(4) excise superior articular process's bone tissue: exit expansion at different levels rod and seal wire, put into Kirschner wire, its most advanced and sophisticated insertion superior articular process is most advanced and sophisticated, through sclerotin to intervertebral foramina internal orifice; Trepan is inserted through protective casing along Kirschner wire, and with trepan excision superior articular process medial border to intervertebral foramina internal orifice bone tissue.
(5) " hollow lead rod " and insertion working column is located: after having excised; pull out trepan and Kirschner wire; insert " hollow lead rod "; under DSA, consecutive tracking is carried out to " hollow lead rod " position; extract protective casing after determining to arrive intervertebral foramina internal orifice, put into working column, and be inserted into intervertebral disk hernia position along " hollow lead rod "; after extract " hollow lead rod ", insert intervertebral foramina endoscope along working column.
(6) extract the tissues such as outstanding vertebral pulp: adopt nucleus pulposus clamp to take out degeneration nucleus pulposus by display, adopt power planing system to remove sclerotic tissue and hypertrophy sclerotin if desired, remove the stimulation to nerve root and compressing.Detect after determining that nerve root decompression fully, adopt 0.9% sodium chloride injection repeatedly to rinse otch and passage, extract apparatus, sew up 1 pin.The situations such as essential record corrective surgery time, intraoperative hemorrhage, nerve root injury and Lumbar pain after operation.
(7) postoperative work: postoperative quiet antibiotic, with prevention infection, advises the flat bed rest of patient can wear waistline appropriateness of leaving the bed after 3 hours movable.
Embodiment 5
With reference to embodiment 3, the attached second hospital's Pain Management of Wenzhou Medical University has done more than 800 examples, adds up nerve root injury in wherein 60 routine corrective surgery times, art and Lumbar pain after operation incidence rate.
With reference to embodiment 4, the attached second hospital's Pain Management of Wenzhou Medical University has done more than 1200 examples, adds up nerve root injury in wherein 60 routine corrective surgery times, art and Lumbar pain after operation incidence rate.
In two kinds of modus operandis, in operating time, art, the index such as nerve root injury and Lumbar pain after operation incidence rate is compared by table 1.
Table 1
Indicate: operating time data are because not meeting normal distribution, therefore adopt nonparametric statistics mode to carry out adding up (Wilcoxon rank test), * * represents P0.01.
Nerve root injury incidence rate adopts χ
2statistical analysis is carried out in inspection, and because 2 have cell 1T5, adopt Fisher exact method method to add up, P=0.027, * represent P0.05.
Lumbar pain after operation incidence rate adopts χ
2statistical analysis is carried out in inspection, and because 2 have cell 1T5, adopt Fisher exact method method to add up, P=0.003, * * represents P0.01.
Because carrying out continual rinsing with 0.9% sodium chloride to surgical field of view therefore accurately cannot calculate intraoperative blood loss in operation, only estimate it, do not excise in the foramen intervertebrale lens art formula of superior articular process at this, amount of bleeding seldom, is only about 2ml; Adopt in the foramen intervertebrale lens art formula of trepan excision superior articular process, the comparatively front a kind of superior articular process's art formula that retains of amount of bleeding increases, and amount of bleeding is at 10-15ml.Exactly because use " solid lead rod ", except greatly shortening the Needle localization time, intraoperative hemorrhage is few, and visual area is clear, also accelerates procedure further.
Under " solid conduit " of the present invention does not excise the prerequisite of the bone such as superior articular process tissue in art, greatly shorten operating time, enter and guide working column to enter surgical work district and complete subsequent procedures operation, reduce damage and amount of bleeding in operation in patients, the incidence rate such as nerve root injury, Lumbar pain after operation in art.Except above except some, " solid lead rod " use in art also has following advantage: 1, lead caput end and become " sub warhead " sample most advanced and sophisticated, solid, can not the tissue come off in piercing process be brought into intraspinal tube, contribute to reducing the generation of the complication such as nerve root injury in art; 2, this is led rod and is marked with scale, and operator can be helped better to control in Needle localization process and determine depth of needle.In sum, due to use of the present invention, the generation of nerve root injury and Lumbar pain after operation in operating time, art can be reduced, therefore, in the technological improvement of percutaneous foramen intervertebrale lens, serve important function.
Claims (4)
1. lead a rod with solid in lumbar vertebra percutaneous foramen intervertebrale lens art, it is characterized in that, this solid rod of leading is a solid cone, and long is 22cm, and cone diameter is 0.5mm, is marked with scale vertebral body.
2. lead rod with solid in a kind of lumbar vertebra percutaneous foramen intervertebrale lens art according to claim 1, it is characterized in that, between the sharp 10cm to 15cm of cone, indicate scale every 0.5cm.
3. lead rod with solid in a kind of lumbar vertebra percutaneous foramen intervertebrale lens art according to claim 1, it is characterized in that, indicating scale respectively from sharp 16cm, 18cm, 20cm, 22cm place of cone, every lattice length is 2.0cm.
4. lead rod with solid in a kind of lumbar vertebra percutaneous foramen intervertebrale lens art according to claim 1, it is characterized in that, adopt the preparation of titanium alloy material.
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| CN201610021838.8A CN105520773A (en) | 2016-01-13 | 2016-01-13 | Solid guide rod for lumbar vertebrae percutaneous transforaminal endoscopic operation |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108992131A (en) * | 2018-07-11 | 2018-12-14 | 刘垒 | A kind of foramen intervertebrale lens operation solid threaded bar and its application method |
Citations (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5752969A (en) * | 1993-06-17 | 1998-05-19 | Sofamor S.N.C. | Instrument for the surgical treatment of an intervertebral disc by the anterior route |
| US5976146A (en) * | 1997-07-11 | 1999-11-02 | Olympus Optical Co., Ltd. | Surgical operation system and method of securing working space for surgical operation in body |
| US20030036763A1 (en) * | 1999-03-16 | 2003-02-20 | Mohit Bhatnagar | Apparatus and method for fixation of osteoporotic bone |
| WO2007000654A2 (en) * | 2005-06-29 | 2007-01-04 | Ldr Medical | Instrumentation and methods for inserting an intervertebral disc prosthesis |
| CN201168027Y (en) * | 2008-03-26 | 2008-12-24 | 长沙高新开发区长福医疗器械有限公司 | Kirschner wire |
| CN201350102Y (en) * | 2009-02-17 | 2009-11-25 | 张文军 | Novel kirschner wire |
| US7740635B2 (en) * | 2004-09-29 | 2010-06-22 | The Cleveland Clinic Foundation | Minimally invasive method and apparatus for placing facet screws and fusing adjacent vertebrae |
| CN202589630U (en) * | 2012-06-26 | 2012-12-12 | 张雷 | Indirect fracture restorer |
| CN104970864A (en) * | 2015-06-02 | 2015-10-14 | 吕军 | Intervertebral foramen puncture outfit |
-
2016
- 2016-01-13 CN CN201610021838.8A patent/CN105520773A/en active Pending
Patent Citations (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5752969A (en) * | 1993-06-17 | 1998-05-19 | Sofamor S.N.C. | Instrument for the surgical treatment of an intervertebral disc by the anterior route |
| US5976146A (en) * | 1997-07-11 | 1999-11-02 | Olympus Optical Co., Ltd. | Surgical operation system and method of securing working space for surgical operation in body |
| US20030036763A1 (en) * | 1999-03-16 | 2003-02-20 | Mohit Bhatnagar | Apparatus and method for fixation of osteoporotic bone |
| US7740635B2 (en) * | 2004-09-29 | 2010-06-22 | The Cleveland Clinic Foundation | Minimally invasive method and apparatus for placing facet screws and fusing adjacent vertebrae |
| WO2007000654A2 (en) * | 2005-06-29 | 2007-01-04 | Ldr Medical | Instrumentation and methods for inserting an intervertebral disc prosthesis |
| CN201168027Y (en) * | 2008-03-26 | 2008-12-24 | 长沙高新开发区长福医疗器械有限公司 | Kirschner wire |
| CN201350102Y (en) * | 2009-02-17 | 2009-11-25 | 张文军 | Novel kirschner wire |
| CN202589630U (en) * | 2012-06-26 | 2012-12-12 | 张雷 | Indirect fracture restorer |
| CN104970864A (en) * | 2015-06-02 | 2015-10-14 | 吕军 | Intervertebral foramen puncture outfit |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108992131A (en) * | 2018-07-11 | 2018-12-14 | 刘垒 | A kind of foramen intervertebrale lens operation solid threaded bar and its application method |
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