WO2010057979A1 - Surgical instrument for operations on the spinal column - Google Patents

Surgical instrument for operations on the spinal column Download PDF

Info

Publication number
WO2010057979A1
WO2010057979A1 PCT/EP2009/065558 EP2009065558W WO2010057979A1 WO 2010057979 A1 WO2010057979 A1 WO 2010057979A1 EP 2009065558 W EP2009065558 W EP 2009065558W WO 2010057979 A1 WO2010057979 A1 WO 2010057979A1
Authority
WO
WIPO (PCT)
Prior art keywords
surgical instrument
spinal column
operations
muscles
gauze
Prior art date
Application number
PCT/EP2009/065558
Other languages
French (fr)
Inventor
Giuseppe Calvosa
Miria Tenucci
Renato Casella
Original Assignee
N.B.R. New Biotechnology Research
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 N.B.R. New Biotechnology Research filed Critical N.B.R. New Biotechnology Research
Priority to PL09755912T priority Critical patent/PL2381853T3/en
Priority to EP09755912.4A priority patent/EP2381853B1/en
Priority to US12/812,490 priority patent/US8663101B2/en
Priority to SI200931406A priority patent/SI2381853T1/en
Priority to ES09755912.4T priority patent/ES2567720T3/en
Priority to CA2744305A priority patent/CA2744305C/en
Priority to DK09755912.4T priority patent/DK2381853T3/en
Publication of WO2010057979A1 publication Critical patent/WO2010057979A1/en
Priority to US14/179,359 priority patent/US8888694B2/en
Priority to HRP20160371TT priority patent/HRP20160371T1/en
Priority to SM201600105T priority patent/SMT201600105B/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00—Bandages or dressings; Absorbent pads
    • A61F13/15—Absorbent pads, e.g. sanitary towels, swabs or tampons for external or internal application to the body; Supporting or fastening means therefor; Tampon applicators
    • A61F13/36—Surgical swabs, e.g. for absorbency or packing body cavities during surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • 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
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B2017/320044—Blunt dissectors

Definitions

  • the present invention relates to a surgical instrument for operations on the spinal column. More particularly, the invention relates to a surgical instrument that allows to expose portions of spinal column on which for example prostheses or screws are to be implanted subsequently.
  • the muscle bundles separate from the spinal column, allowing the surgeon to have free access to the spinal column in order to implant fixation screws, prostheses and the like.
  • the aim of the present invention is to provide a surgical instrument for operations on the spinal column that allows the surgeon to part easily the muscles from the spinal column while minimizing bleeding.
  • an object of the present invention is to provide a surgical instrument for operations on the spinal column that allows the surgeon, with a combined action of his hands, to avoid the use of the periosteal elevator except in the initial step for parting the muscles from the spinal column.
  • Another object of the present invention is to provide a surgical instrument that is highly reliable, relatively simple to provide and at competitive costs.
  • a surgical instrument for operations on the spinal column characterized in that it comprises a handle body which ends, at one end, with a substantially flat portion which blends with the body of the instrument, said substantially flat portion being adapted to push on a gauze for tamponing a wound.
  • Figure 1 is a perspective view of a first embodiment of the surgical instrument according to the present invention.
  • Figure 2 is a side view of the surgical instrument according to the present invention
  • Figure 3 is a perspective view of a second embodiment of the surgical instrument
  • Figure 4 is a perspective view of a gauze adapted to be used with the surgical instrument according to the present invention.
  • FIG. 5 illustrates the operating sequence of use of the surgical instrument according to the present invention. Ways of carrying out the Invention
  • a surgical instrument generally designated by the reference numeral 1 , comprises a handle 2 constituted by a plate-like body that has a substantially curved or rectilinear shape which ends at one end with a portion that has two curvilinear parts 3 a, 3b which blend with the body portion, laterally thereto, and end substantially with a flat portion 4 that blends the two curvilinear parts 3a, 3b.
  • the end portion In a side view, the end portion, generally designated by the reference numeral 5, has a substantially wedge-like shape and tapers therefore toward the portion that lies furthest from the handle 2.
  • the rectilinear portion 4 can have a set of teeth 6, as shown in Figure 3.
  • the surgical instrument according to the invention is adapted to be used with gauzes 7 of the cylindrical type, as shown in Figure 4, which have different sizes and are in any case adapted to roll on the bone, parting and separating the overlying muscles.
  • the surgical instrument 1 allows to insert the gauze 7 or a cylindrical support on which a gauze is rolled, pushing it within the slit created by the scalpel and/or periosteal elevator during the resection of the muscles of the spinal column, and to then push the gauze downward, advantageously parting the muscles from the remaining part of the spinal column, acting directly with the surgical instrument, without the aid of the scalpel and/or periosteal elevator.
  • the surgeon by acting with the surgical instrument 1, pushes the gauze 7 downward, adjacent to the spinal column, between the column and the muscles to be parted, thus parting the remaining portion of muscles that had not been parted beforehand by the action of the scalpel.
  • This operation can be performed more easily by using two surgical instruments according to the invention simultaneously, one held in each hand, and by performing a combined and alternating action of the two instruments, so as to push the gauze 7 within the slit created by the scalpel
  • the possibility to insert the gauze 7 directly in the slit created by the action of the scalpel by means of the surgical instrument according to the invention allows to part the muscles from the bone and absorb most of the blood that exits due to the parting of the muscles from the spinal column, at the same time performing hemostasis by direct compression and by indirect action, thanks to the substances with which the gauze can be impregnated, 5 i.e., platelet gel, fibrin glue or other hemostatic substance.
  • this step of the surgical operation is far easier to perform for the surgeon and substantially less invasive for the patient.
  • 0 allows to part the muscles from the spinal column by using the scalpel only initially, subsequently resorting to a mechanical action of pushing the gauze into the slit created by the scalpel.
  • the materials used may be any according to requirements and to the state of the art.

Abstract

A surgical instrument (1) for operations on the spinal column, comprising a handle body (2) which ends, at one end, with a substantially flat portion (5) which blends with the body of the instrument (1), the substantially flat portion (5) being adapted to push on a gauze (7) for tamponing a wound.

Description

STJRGICAL INSTRUMENT FOR OPERATIONS ON THE SPINAL COLUMN
Technical field
The present invention relates to a surgical instrument for operations on the spinal column. More particularly, the invention relates to a surgical instrument that allows to expose portions of spinal column on which for example prostheses or screws are to be implanted subsequently. Background Art
As is known, operations on the spinal column, particularly for implanting prostheses, screws and the like, require parting the muscles from the spinal column by using a periosteal elevator, which allows to cut the muscles closely in contact with the spinal column so as to be able to then part it completely from the column.
In this manner, the muscle bundles separate from the spinal column, allowing the surgeon to have free access to the spinal column in order to implant fixation screws, prostheses and the like.
Currently, the technique for parting muscles from the spinal column therefore entails using a scalpel to cut the muscles at the region of contact of the muscles with the spinal column and the periosteal elevator to separate the muscles from the bone. This procedure is highly invasive, since parting of the muscles by resecting and parting it entails considerable bleeding. Disclosure of the Invention
The aim of the present invention is to provide a surgical instrument for operations on the spinal column that allows the surgeon to part easily the muscles from the spinal column while minimizing bleeding.
Within this aim, an object of the present invention is to provide a surgical instrument for operations on the spinal column that allows the surgeon, with a combined action of his hands, to avoid the use of the periosteal elevator except in the initial step for parting the muscles from the spinal column. Another object of the present invention is to provide a surgical instrument that is highly reliable, relatively simple to provide and at competitive costs.
This aim, these objects and others which will become better apparent hereinafter are achieved by a surgical instrument for operations on the spinal column, characterized in that it comprises a handle body which ends, at one end, with a substantially flat portion which blends with the body of the instrument, said substantially flat portion being adapted to push on a gauze for tamponing a wound. Brief description of the drawings
Further characteristics and advantages of the invention will become better apparent from the following detailed description of some preferred but not exclusive embodiments of the surgical instrument according to the present invention, illustrated by way of non-limiting example in the accompanying drawings, wherein:
Figure 1 is a perspective view of a first embodiment of the surgical instrument according to the present invention;
Figure 2 is a side view of the surgical instrument according to the present invention; Figure 3 is a perspective view of a second embodiment of the surgical instrument;
Figure 4 is a perspective view of a gauze adapted to be used with the surgical instrument according to the present invention;
Figure 5 illustrates the operating sequence of use of the surgical instrument according to the present invention. Ways of carrying out the Invention
With reference to the figures, a surgical instrument according to the present invention, generally designated by the reference numeral 1 , comprises a handle 2 constituted by a plate-like body that has a substantially curved or rectilinear shape which ends at one end with a portion that has two curvilinear parts 3 a, 3b which blend with the body portion, laterally thereto, and end substantially with a flat portion 4 that blends the two curvilinear parts 3a, 3b.
In a side view, the end portion, generally designated by the reference numeral 5, has a substantially wedge-like shape and tapers therefore toward the portion that lies furthest from the handle 2.
Conveniently, the rectilinear portion 4 can have a set of teeth 6, as shown in Figure 3.
Conveniently, the surgical instrument according to the invention is adapted to be used with gauzes 7 of the cylindrical type, as shown in Figure 4, which have different sizes and are in any case adapted to roll on the bone, parting and separating the overlying muscles.
Advantageously, the surgical instrument 1 allows to insert the gauze 7 or a cylindrical support on which a gauze is rolled, pushing it within the slit created by the scalpel and/or periosteal elevator during the resection of the muscles of the spinal column, and to then push the gauze downward, advantageously parting the muscles from the remaining part of the spinal column, acting directly with the surgical instrument, without the aid of the scalpel and/or periosteal elevator. Substantially, the surgeon, by acting with the surgical instrument 1, pushes the gauze 7 downward, adjacent to the spinal column, between the column and the muscles to be parted, thus parting the remaining portion of muscles that had not been parted beforehand by the action of the scalpel.
This operation can be performed more easily by using two surgical instruments according to the invention simultaneously, one held in each hand, and by performing a combined and alternating action of the two instruments, so as to push the gauze 7 within the slit created by the scalpel
(Figure 5).
The possibility to insert the gauze 7 directly in the slit created by the action of the scalpel by means of the surgical instrument according to the invention allows to part the muscles from the bone and absorb most of the blood that exits due to the parting of the muscles from the spinal column, at the same time performing hemostasis by direct compression and by indirect action, thanks to the substances with which the gauze can be impregnated, 5 i.e., platelet gel, fibrin glue or other hemostatic substance.
In this manner, this step of the surgical operation is far easier to perform for the surgeon and substantially less invasive for the patient.
In practice it has been found that the surgical instrument according to the present invention fully achieves the intended aim and objects, since it
0 allows to part the muscles from the spinal column by using the scalpel only initially, subsequently resorting to a mechanical action of pushing the gauze into the slit created by the scalpel.
The surgical instrument thus conceived is susceptible of numerous modifications and variations, all of which are within the scope of the 5 appended claims; all the details may further be replaced with other technically equivalent elements.
In practice, the materials used, as well as the contingent shapes and dimensions, may be any according to requirements and to the state of the art.
»0 The disclosures in Italian Patent Application No. MI2008A002078 from which this application claims priority are incorporated herein by reference.
Where technical features mentioned in any claim are followed by reference signs, those reference signs have been included for the sole
>5 purpose of increasing the intelligibility of the claims and accordingly, such reference signs do not have any limiting effect on the interpretation of each element identified by way of example by such reference signs.

Claims

1. A surgical instrument (1) for operations on the spinal column, characterized in that it comprises a handle body (2) which ends, at one end, with a substantially flat portion (4) which blends with the body (2) of the instrument, said substantially flat portion (4) being adapted to push on a gauze for tamponing a wound.
2. The surgical instrument according to claim 1 , characterized in that said substantially flat portion (4) blends with said body (2) of the instrument with two curvilinear portions (3a, 3b).
3. The surgical instrument according to claim 1, characterized in that said body (2) is a plate-like element with a substantially curved configuration.
4. The surgical instrument according to one or more of the preceding claims, characterized in that said substantially flat portion (4) has a set of teeth (6).
5. The surgical instrument according to one or more of the preceding claims, characterized in that said portion (4) of said surgical instrument that is adapted to push said gauze is substantially wedge-shaped in transverse cross-section.
PCT/EP2009/065558 2008-11-21 2009-11-20 Surgical instrument for operations on the spinal column WO2010057979A1 (en)

Priority Applications (10)

Application Number Priority Date Filing Date Title
PL09755912T PL2381853T3 (en) 2008-11-21 2009-11-20 Surgical instrument for operations on the spinal column
EP09755912.4A EP2381853B1 (en) 2008-11-21 2009-11-20 Surgical instrument for operations on the spinal column
US12/812,490 US8663101B2 (en) 2008-11-21 2009-11-20 Surgical instrument for operations on the spinal column
SI200931406A SI2381853T1 (en) 2008-11-21 2009-11-20 Surgical instrument for operations on the spinal column
ES09755912.4T ES2567720T3 (en) 2008-11-21 2009-11-20 Surgical instrument for spinal operations
CA2744305A CA2744305C (en) 2008-11-21 2009-11-20 Surgical instrument for operations on the spinal column
DK09755912.4T DK2381853T3 (en) 2008-11-21 2009-11-20 Surgical instruments for operations on the spine
US14/179,359 US8888694B2 (en) 2008-11-21 2014-02-12 Surgical instrument and method for operations on the spinal column
HRP20160371TT HRP20160371T1 (en) 2008-11-21 2016-04-12 Surgical instrument for operations on the spinal column
SM201600105T SMT201600105B (en) 2008-11-21 2016-04-13 SURGICAL INSTRUMENT FOR OPERATIONS ON THE VERTEBRAL 5 COLUMN

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
ITMI2008A002078A IT1391794B1 (en) 2008-11-21 2008-11-21 SURGICAL INSTRUMENT FOR INTERVENTIONS ON THE VERTEBRAL COLUMN.
ITMI2008A002078 2008-11-21

Related Child Applications (2)

Application Number Title Priority Date Filing Date
US12/812,490 A-371-Of-International US8663101B2 (en) 2008-11-21 2009-11-20 Surgical instrument for operations on the spinal column
US14/179,359 Continuation US8888694B2 (en) 2008-11-21 2014-02-12 Surgical instrument and method for operations on the spinal column

Publications (1)

Publication Number Publication Date
WO2010057979A1 true WO2010057979A1 (en) 2010-05-27

Family

ID=41226230

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/EP2009/065558 WO2010057979A1 (en) 2008-11-21 2009-11-20 Surgical instrument for operations on the spinal column

Country Status (13)

Country Link
US (2) US8663101B2 (en)
EP (1) EP2381853B1 (en)
CA (1) CA2744305C (en)
CY (1) CY1117366T1 (en)
DK (1) DK2381853T3 (en)
ES (1) ES2567720T3 (en)
HR (1) HRP20160371T1 (en)
HU (1) HUE028750T2 (en)
IT (1) IT1391794B1 (en)
PL (1) PL2381853T3 (en)
SI (1) SI2381853T1 (en)
SM (1) SMT201600105B (en)
WO (1) WO2010057979A1 (en)

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DE102004032103A1 (en) * 2004-07-01 2006-01-19 Grünenthal GmbH Anti-abuse, oral dosage form
US9119644B2 (en) 2010-08-21 2015-09-01 New York Society For The Ruptured And Crippled Maintaining The Hospital For Special Surgery Instruments for use in femoroacetabular impingement procedures
WO2015138317A1 (en) 2014-03-10 2015-09-17 Stryker Corporation Limb positioning system
US9951904B2 (en) 2015-03-24 2018-04-24 Stryker Corporation Rotatable seat clamps for rail clamp
US10716896B2 (en) 2015-11-24 2020-07-21 Insulet Corporation Wearable automated medication delivery system

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US6500206B1 (en) * 2000-09-15 2002-12-31 Donald W. Bryan Instruments for inserting spinal vertebral implant
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US7442195B1 (en) * 2005-09-12 2008-10-28 Behrens Alfred F Apparatus and method for the reduction of bone fractures
WO2008153732A1 (en) * 2007-05-22 2008-12-18 Vg Innovations, Llc Method and apparatus for spinal facet fusion

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US7537565B2 (en) * 2005-09-27 2009-05-26 Daniel Bass Surgical retractor with rotating blades

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Publication number Priority date Publication date Assignee Title
US4686972A (en) * 1986-04-30 1987-08-18 Kurland Kenneth Z Surgical deflector and drilling guide
WO2000044320A1 (en) * 1999-02-01 2000-08-03 Lin Paul S Intervertebral implant
US6500206B1 (en) * 2000-09-15 2002-12-31 Donald W. Bryan Instruments for inserting spinal vertebral implant
WO2005077288A1 (en) * 2004-02-09 2005-08-25 Depuy Spine, Inc. Systems and methods for spinal surgery
US7442195B1 (en) * 2005-09-12 2008-10-28 Behrens Alfred F Apparatus and method for the reduction of bone fractures
WO2008153732A1 (en) * 2007-05-22 2008-12-18 Vg Innovations, Llc Method and apparatus for spinal facet fusion

Also Published As

Publication number Publication date
CA2744305C (en) 2018-12-11
ES2567720T3 (en) 2016-04-26
CA2744305A1 (en) 2010-05-27
US20140163450A1 (en) 2014-06-12
CY1117366T1 (en) 2017-04-26
SI2381853T1 (en) 2016-09-30
SMT201600105B (en) 2016-04-29
EP2381853A1 (en) 2011-11-02
EP2381853B1 (en) 2016-01-13
IT1391794B1 (en) 2012-01-27
PL2381853T3 (en) 2016-08-31
HUE028750T2 (en) 2016-12-28
HRP20160371T1 (en) 2016-05-20
DK2381853T3 (en) 2016-04-18
US20110028930A1 (en) 2011-02-03
US8888694B2 (en) 2014-11-18
ITMI20082078A1 (en) 2010-05-22
US8663101B2 (en) 2014-03-04

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