Surgical instrument for repairing cartilage tear
A surgical instrument for repairing a cartilage tear, of the present invention, can simply and safely fix a first fixing piece ( 501 ) and a second fixing piece ( 502 ) to a torn cartilage through a very simple method for sequentially discharging the first fixing piece ( 501 ) and the second fixing piece ( 502 ) provided to be connected to suture threads ( 10 ) through a needle ( 411 ) at the tip of a push rod guide ( 410 ) while selectively moving a push rod ( 200 ) a predetermined width forward in multiple stages by means of an operation of pressing and lowering a push button ( 300 ), which is inserted into a button coupling hole ( 120 ) of an instrument body ( 100 ) so as to receive the elastic repulsive force of a spring ( 310 ), or releasing and lifting the pressed button. In addition, since the present invention definitively divides the operations of discharging the first fixing piece ( 501 ) and the second fixing piece ( 5020 ), a safety pin ( 600 ) is inserted into the push button after an operator has discharged the first fixing piece ( 501 ) so that the push button ( 300 ) is not pressed unless the push button ( 300 ) is unlocked again, thereby preventing an erroneous operatio in which the second fixing piece ( 502 ) is discharged to another position instead of the correct position by mistake.
1. A surgical instrument for repairing a cartilage tear, comprising:
a hollow tool body ( 100 ) having a tube body coupling hole ( 110 ) formed at a front surface, a button coupling hole ( 120 ) formed on a top of a front portion, and a grip ( 130 ) formed on an outer surface behind the button coupling hole ( 120 );
a push rod ( 200 ) having a rear end portion that is inserted in the tool body ( 100 ) to receive an elastic reaction force of a spring ( 210 ) and a front end portion that protrudes forward through the tube body coupling hole ( 110 );
a push button ( 300 ) inserted in the button coupling hole ( 120 ) of the tool body ( 100 ) to receive an elastic reaction force of a spring ( 310 ) and coupled to and operated with the push rod ( 200 ) to selectively move forward the push rod ( 200 ) in multiple steps;
a push rod guide ( 410 ) coupled to the tube body coupling hole ( 110 ) of the tool body ( 100 ), surrounding an outer surface of a front end of the push rod ( 200 ), and having a needle ( 411 ) having a cut portion ( 411 a ) at a front end thereof; and
a gauge tube body ( 400 ) having a gauge tube holder ( 420 ) that can selectively move forward and rearward a gauge tube ( 421 ) surrounding an outer surface of the push rod guide ( 410 ).
2. The surgical instrument of claim 1 , wherein the push button ( 300 ) is composed of a lower body ( 300 a ) and an upper body ( 300 b ) integrated to each other, and a first stopper ( 320 ) and a third stopper ( 340 ) that protrude upward are formed at front and rear portions of the lower body ( 300 a );
a second stopper ( 330 ) protruding downward to be positioned between the first stopper ( 320 ) and the third stopper ( 340 ) is formed at the upper body ( 300 b );
a locking protrusion ( 200 a ) of the push rod ( 200 ) is blocked by the first stopper ( 320 ) is configured not to move forward in an initial state; wherein,
when the push button ( 300 ) is pressed, the first stopper ( 320 ) and the second stopper ( 330 ) are both moved down, whereby the locking protrusion ( 200 a ) of the push rod ( 200 ) is moved forward only to the second stopper ( 330 ) over the first stopper ( 320 ), and wherein, when the push button ( 300 ) is released, the second stopper ( 330 ) and the third stopper ( 340 ) are both moved up, the locking protrusion ( 200 a ) of the push rod ( 200 ) is moved to the third stopper ( 340 ) over the second stopper ( 330 ), and a first fixing member ( 501 ) protrudes through the needle ( 411 ) at the front end of the push rod guide ( 410 ); and wherein,
when the push button ( 300 ) fully moved up is pressed again, the third stopper ( 340 ) is moved down, the locking protrusion ( 200 a ) of the push rod ( 200 ) is moved forward over the third stopper ( 340 ) by elastic compressive reaction force of the spring ( 210 ), and a stepped portion ( 201 ) or a locking projection ( 202 ) formed on the push rod ( 200 ) is blocked by a wall ( 401 ) in the gauge tube body ( 400 ) or a wall ( 101 ) in the tool body ( 100 ), whereby the push rod ( 200 ) is moved only by a predetermined distance and the second fixing member ( 502 ) protrudes through the needle ( 411 ) at the front end of the push rod guide ( 410 ).
3. The surgical instrument of claim 1 , further comprising a safety pin ( 600 ) that controls pressing of the push button ( 300 ).
4. The surgical instrument of claim 3 , wherein the safety pin ( 600 ) has a front end portion inserted in the push button ( 300 ) to receive an elastic reaction force of a spring and a rear end portion further protruding out of the button coupling hole ( 120 ); wherein
the push button ( 300 ) is locked and cannot be pressed by the safety pin ( 600 ) normal times; and wherein,
when the safety pin ( 600 ) is fully inserted inside the push button ( 300 ), locking protrusions ( 601 ) formed on both sides of the safety pin ( 600 ) are moved forward and blocked and fixed by locking steps ( 301 ) formed on both sides inside the push button ( 300 ), whereby the push button ( 300 ) is unlocked to be able to be pressed.
5. The surgical instrument of claim 4 , wherein the safety pin ( 600 ) has safety pin release members ( 121 ) that are vertically installed in the button coupling hole ( 120 ) of the tool body ( 100 ) such that the locking protrusions ( 601 ) are unlocked from the locking steps ( 301 ) by the safety pin release members ( 121 ) and pushed rearward by the elastic reaction force of the compressed spring ( 610 ) to release the safety pin ( 600 ) when the safety pin ( 600 ) is moved down with the locking protrusions ( 601 ) coupled and fixed to the locking steps ( 301 ) of the push button ( 300 ).