CN110403650B - Tissue compression and displacement device for transaxillary endoscopic thyroid surgery - Google Patents
Tissue compression and displacement device for transaxillary endoscopic thyroid surgery Download PDFInfo
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- CN110403650B CN110403650B CN201910668070.7A CN201910668070A CN110403650B CN 110403650 B CN110403650 B CN 110403650B CN 201910668070 A CN201910668070 A CN 201910668070A CN 110403650 B CN110403650 B CN 110403650B
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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
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
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Abstract
The invention discloses a transaxillary endoscopic thyroid surgery tissue compression and displacement device, which comprises a handle, a connecting rod and a compression device, wherein one end of the handle is connected with one end of the connecting rod, the connecting rod is in a columnar shape with openings at two ends, one end of the compression device is connected with the other end of the connecting rod, and a chute opening is arranged at the joint of the connecting rod and the handle; the compression device comprises a fixed rod, a push rod, a sliding block, a first connecting rod, a second connecting rod, a third connecting rod, a fourth connecting rod, a first compression plate, a second compression plate, a third compression plate and a fourth compression plate, wherein a first elastic sheet and a second elastic sheet are arranged between the first compression plate and the third compression plate and between the second compression plate and the fourth compression plate respectively. Has the advantages of convenient pressing of the tissues blocking the sight of the doctor and convenient operation of the doctor.
Description
Technical Field
The invention relates to the technical field of medical treatment, in particular to a tissue compression and displacement device through an axillary endoscopic thyroid surgery.
Background
Thyroid cancer is a malignant tumor whose incidence rate of solid tumors has risen most rapidly in recent years, and the incidence rate in recent 30 years is increasing with a striking number of 3.6% per year on average. According to the global cancer data of 2018, the incidence rate of thyroid cancer is 6.7/100000, and the incidence rate of thyroid cancer is raised to the fifth position of female malignant tumor, while the incidence rate of thyroid cancer is already the first position of female malignant tumor incidence in partial areas of China. Thyroid cancer is different from other tumors, has characteristics of sex and age, and women of 30-50 years old become the highest incidence age group of diseases. Then, some of them are treated while the neck scars caused by the traditional operation are avoided.
With the introduction of the concept of thyroid endoscopy in Huscher et al 1997, which is as short as 20 years, the thyroid endoscopy became mature day by day in the field of thyroid surgery, and different surgical approaches, such as areola approach, axillary approach, retroauricular approach, and oral approach, were developed in succession, achieving favorable cosmetic effects. However, as the endoscopic operation technology is becoming mature, the improvement and invention of the endoscopic operation apparatus and the auxiliary apparatus become the core factor for improving the operation effect.
Disclosure of Invention
In order to solve the problems in the prior art, the invention provides a transaxillary endoscopic thyroid surgery tissue compression and displacement device which has the advantages of being convenient for pressing down the tissue blocking the sight of a doctor and being convenient for the doctor to operate.
In order to achieve the purpose, the invention adopts the technical scheme that: a transaxillary endoscopic thyroid surgery tissue compression and displacement device comprises a handle, a connecting rod and a compression device, wherein one end of the handle is connected with one end of the connecting rod, the connecting rod is in a columnar shape with openings at two ends, one end of the compression device is connected with the other end of the connecting rod, and a chute opening is formed in the joint of the connecting rod and the handle; the pressing device comprises a fixed rod, a push rod, a slide block, a first connecting rod, a second connecting rod, a third connecting rod and a fourth connecting rod, one end of the fixed rod is fixed with the inner side wall of the connecting rod, the other end of the connecting rod is connected with the handle, the slide block is arranged on the fixed rod, one end of the push rod is connected with the slide block, the other end of the push rod is provided with a shifting block, the shifting block is exposed out through the opening of the chute, the first connecting rod is hinged to one side of the slide block, the second connecting rod is hinged to the other side of the slide block, the middle part of the third connecting rod is hinged to the middle part of the fourth connecting rod, one end of the third connecting rod is hinged to one end of the first connecting rod, one end of the fourth connecting rod is hinged to the second connecting rod, and the ends of the third connecting rod and the fourth connecting rod, which are far away from the first connecting rod and the second connecting rod, are respectively provided with a first pressing plate and a second pressing plate, a third compression plate and a fourth compression plate are respectively arranged at the bottoms of the first compression plate and the second compression plate, one ends of the third compression plate and the fourth compression plate are respectively hinged with the first compression plate and the second compression plate, a first elastic sheet and a second elastic sheet are respectively arranged between the first compression plate and the third compression plate and between the second compression plate and the fourth compression plate, one end of the first elastic sheet is connected with the first compression plate, and the other end of the first elastic sheet is connected with the third compression plate; one end of the second elastic sheet is connected with the second compression plate, and the other end of the second elastic sheet is connected with the fourth compression plate.
When the medical compression plate is used, the first compression plate and the second compression plate which are arranged on the third connecting rod and the fourth connecting rod are pushed by the shifting block to extend out towards one end far away from the handle, the first compression plate and the second compression plate are completely opened after extending out, and the third compression plate and the fourth compression plate below the first compression plate and the second compression plate are opened downwards under the action of the elastic pieces, so that the third compression plate and the fourth compression plate can press down tissues blocking sight lines, and the medical staff can operate conveniently in the operation.
Preferably, the first elastic sheet and the second elastic sheet comprise a first connecting portion, a second connecting portion and a third connecting portion, one end of the first connecting portion is connected with one end of the second connecting portion, an included angle between the first connecting portion and the second connecting portion is an obtuse angle, the other end of the second connecting portion is connected with one end of the third connecting portion, and an included angle between the second connecting portion and the third connecting portion is an obtuse angle.
The first elastic sheet and the second elastic sheet are both in 3-part structures, so that the elastic sheets are conveniently arranged between the two compression plates.
Preferably, the first elastic sheet and the second elastic sheet are made of titanium alloy.
The first elastic sheet and the second elastic sheet are both made of titanium alloy, and are corrosion resistant and heat resistant, so that the later-stage disinfection and reuse are facilitated.
Preferably, the edges of the first compression plate, the second compression plate, the third compression plate and the fourth compression plate are all provided with round chamfers.
The edges of the first compression plate, the second compression plate, the third compression plate and the fourth compression plate are all provided with round chamfers so as to avoid secondary damage to patients when in use.
Preferably, each corner connection part of the pressing device is provided with a fillet.
All set up the fillet with each corner junction of oppression device is in order to prevent that the corner from causing the secondary damage to the patient.
Preferably, the inner side wall of the connecting rod is provided with a plurality of limiting parts for limiting the fixing rod.
Set up the locating part on the inside wall of connecting rod, prevent that the dead lever from the condition of disalignment from appearing in the use, influencing medical staff's operation.
The invention has the beneficial effects that:
(1) when the medical compression plate is used, the first compression plate and the second compression plate which are arranged on the third connecting rod and the fourth connecting rod are pushed by the shifting block to extend out towards one end far away from the handle, the first compression plate and the second compression plate are completely opened after extending out, and the third compression plate and the fourth compression plate below the first compression plate and the second compression plate are opened downwards under the action of the elastic pieces, so that the third compression plate and the fourth compression plate can press down tissues blocking sight lines, and the medical staff can operate conveniently in the operation.
(2) The first elastic sheet and the second elastic sheet are both in 3-part structures, so that the elastic sheets are conveniently arranged between the two compression plates.
(3) The first elastic sheet and the second elastic sheet are both made of titanium alloy, and are corrosion resistant and heat resistant, so that the later-stage disinfection and reuse are facilitated.
(4) The edges of the first compression plate, the second compression plate, the third compression plate and the fourth compression plate are all provided with round chamfers so as to avoid secondary damage to patients when in use.
(5) All set up the fillet with each corner junction of oppression device is in order to prevent that the corner from causing the secondary damage to the patient.
(6) Set up the locating part on the inside wall of connecting rod, prevent that the dead lever from the condition of disalignment from appearing in the use, influencing medical staff's operation.
Drawings
FIG. 1 is a schematic diagram of a full-section configuration of an embodiment of a transaxillary endoscopic thyroid surgery tissue compression displacement device according to the present invention;
FIG. 2 is a schematic view of a partial cross-sectional configuration of a main view of an embodiment of a transaxillary endoscopic thyroid surgery tissue compression displacement apparatus according to the present invention;
FIG. 3 is a schematic rear view of an embodiment of a transaxillary endoscopic thyroid surgery tissue compression displacement device according to the present invention;
FIG. 4 is a schematic structural view of the spring plate of the embodiment of the transaxillary endoscopic thyroid surgery tissue compression displacement device of the present invention;
FIG. 5 is an enlarged partial schematic view of FIG. 3 at A;
description of reference numerals:
1. a handle; 2. a connecting rod; 3. a compression device; 2-1, opening the sliding chute; 3-1, fixing a rod; 3-2, a push rod; 3-3, a sliding block; 3-4, a first connecting rod; 3-5, a second connecting rod; 3-6, a third connecting rod; 3-7, a fourth connecting rod; 3-8, a shifting block; 3-9, a first compression plate; 3-10, a second compression plate; 3-11, a third compression plate; 3-12, a fourth compression plate; 4. a first spring plate; 5. a second elastic sheet; 4-1, a first connection portion; 4-2, a second connection portion; 4-3, a third connecting part; 2-2 and a limiting piece.
Detailed Description
Embodiments of the present invention will be described in detail below with reference to the accompanying drawings.
Example 1:
as shown in fig. 1-5, a transaxillary endoscopic thyroid surgery tissue compression and displacement device comprises a handle 1, a connecting rod 2 and a compression device 3, wherein one end of the handle 1 is connected with one end of the connecting rod 2, the connecting rod 2 is in a column shape with openings at two ends, one end of the compression device 3 is connected with the other end of the connecting rod 2, and a chute opening 2-1 is arranged at the joint of the connecting rod 2 and the handle 1; the pressing device 3 comprises a fixed rod 3-1, a push rod 3-2, a slide block 3-3, a first connecting rod 3-4, a second connecting rod 3-5, a third connecting rod 3-6 and a fourth connecting rod 3-7, one end of the fixed rod 3-1 is fixed with the inner side wall of the connecting rod 2, the other end of the connecting rod 2 is connected with the handle 1, the slide block 3-3 is arranged on the fixed rod 3-1, one end of the push rod 3-2 is connected with the slide block 3-3, the other end of the push rod 3-2 is provided with a shifting block 3-8, the shifting block 3-8 is exposed out through the chute opening 2-1, the first connecting rod 2 is hinged to one side of the slide block 3-3, the second connecting rod 2 is hinged to the other side of the slide block 3-3, the middle part of the third connecting rod 2 is hinged with the middle part of the fourth connecting rod 2, one end of the third connecting rod 3-6 is hinged with one end of the first connecting rod 3-4, one end of the fourth connecting rod 3-7 is hinged with the second connecting rod 3-5, the ends of the third connecting rod 3-6 and the fourth connecting rod 3-7 far away from the first connecting rod 3-4 and the second connecting rod 3-5 are respectively provided with a first compression plate 3-9 and a second compression plate 3-10, the bottoms of the first compression plate 3-9 and the second compression plate 3-10 are respectively provided with a third compression plate 3-11 and a fourth compression plate 3-12, one end of the third compression plate 3-11 and one end of the fourth compression plate 3-12 are respectively hinged with the first compression plate 3-9 and the second compression plate 3-10, a first elastic sheet 4 and a second elastic sheet 5 are respectively arranged between the first compression plate 3-9 and the third compression plate 3-11 and between the second compression plate 3-10 and the fourth compression plate 3-12, one end of the first elastic sheet 4 is connected with the first compression plate 3-9, and the other end of the first elastic sheet 4 is connected with the third compression plate 3-11; one end of the second elastic sheet 5 is connected with the second compression plate 3-10, and the other end of the second elastic sheet 5 is connected with the fourth compression plate 3-12.
When the medical operation pressing plate is used, the first pressing plate 3-9 and the second pressing plate 3-10 arranged on the third connecting rod 3-6 and the fourth connecting rod 3-7 are pushed by the shifting block 3-8 to extend towards one end far away from the handle 1, after the first pressing plate 3-9 and the second pressing plate 3-10 are completely opened, the third pressing plate 3-11 and the fourth pressing plate 3-12 below the first pressing plate 3-9 and the second pressing plate 3-10 are opened downwards under the action of the elastic sheet, so that the third pressing plate 3-11 and the fourth pressing plate 3-12 press tissues blocking sight downwards, and operation in an operation process of medical staff is facilitated.
Example 2:
as shown in fig. 4, in this embodiment, on the basis of embodiment 1, the first elastic sheet 4 and the second elastic sheet 5 include a first connecting portion 4-1, a second connecting portion 4-2 and a third connecting portion 4-3, one end of the first connecting portion 4-1 is connected to one end of the second connecting portion 4-2, an included angle between the first connecting portion and the second connecting portion is an obtuse angle, the other end of the second connecting portion 4-2 is connected to one end of the third connecting portion 4-3, and an included angle between the second connecting portion 4-2 and the third connecting portion 4-3 is an obtuse angle.
The first elastic sheet 4 and the second elastic sheet 5 are both in 3-part structures, so that the elastic sheets are conveniently arranged between the two compression plates.
Example 3:
as shown in fig. 4, in this embodiment, on the basis of embodiment 1, the first elastic sheet 4 and the second elastic sheet 5 are both made of titanium alloy.
The first elastic sheet 4 and the second elastic sheet 5 are both made of titanium alloy, so that the corrosion resistance and the heat resistance are realized, and the later-stage disinfection and reuse are facilitated.
Example 4:
as shown in FIG. 1, in this embodiment, on the basis of embodiment 1, the edges of the first compression plate 3-9, the second compression plate 3-10, the third compression plate 3-11 and the fourth compression plate 3-12 are all provided with rounded corners.
The edges of the first compression plate 3-9, the second compression plate 3-10, the third compression plate 3-11 and the fourth compression plate 3-12 are all provided with round chamfers to avoid secondary injury to patients in use.
Example 5:
in this embodiment, on the basis of embodiment 1, each corner connection of the pressing device 3 is provided with a rounded corner.
All set up the fillet with each corner junction of oppression device 3 is in order to prevent that the corner from causing the secondary damage to the patient.
Example 6:
as shown in fig. 2, in this embodiment, on the basis of embodiment 1, a plurality of limiting members 2-2 for limiting the fixing rod 3-1 are disposed on an inner side wall of the connecting rod 2.
The limiting piece 2-2 is arranged on the inner side wall of the connecting rod 2, so that the situation that the fixed rod 3-1 is not coaxial in the using process is prevented, and the operation of medical staff is prevented from being influenced.
The above-mentioned embodiments only express the specific embodiments of the present invention, and the description thereof is more specific and detailed, but not construed as limiting the scope of the present invention. It should be noted that, for a person skilled in the art, several variations and modifications can be made without departing from the inventive concept, which falls within the scope of the present invention.
Claims (6)
1. A transaxillary endoscopic thyroid surgery tissue compression and displacement device is characterized by comprising a handle, a connecting rod and a compression device, wherein one end of the handle is connected with one end of the connecting rod, the connecting rod is in a columnar shape with openings at two ends, one end of the compression device is connected with the other end of the connecting rod, and a sliding groove opening is formed in the joint of the connecting rod and the handle; the pressing device comprises a fixed rod, a push rod, a slide block, a first connecting rod, a second connecting rod, a third connecting rod and a fourth connecting rod, one end of the fixed rod is fixed with the inner side wall of the connecting rod, the other end of the connecting rod is connected with the handle, the slide block is arranged on the fixed rod, one end of the push rod is connected with the slide block, the other end of the push rod is provided with a shifting block, the shifting block is exposed out through the opening of the chute, the first connecting rod is hinged to one side of the slide block, the second connecting rod is hinged to the other side of the slide block, the middle part of the third connecting rod is hinged to the middle part of the fourth connecting rod, one end of the third connecting rod is hinged to one end of the first connecting rod, one end of the fourth connecting rod is hinged to the second connecting rod, and the ends of the third connecting rod and the fourth connecting rod, which are far away from the first connecting rod and the second connecting rod, are respectively provided with a first pressing plate and a second pressing plate, a third compression plate and a fourth compression plate are respectively arranged at the bottoms of the first compression plate and the second compression plate, one ends of the third compression plate and the fourth compression plate are respectively hinged with the first compression plate and the second compression plate, a first elastic sheet and a second elastic sheet are respectively arranged between the first compression plate and the third compression plate and between the second compression plate and the fourth compression plate, one end of the first elastic sheet is connected with the first compression plate, and the other end of the first elastic sheet is connected with the third compression plate; one end of the second elastic sheet is connected with the second compression plate, and the other end of the second elastic sheet is connected with the fourth compression plate.
2. The transaxillary endoscopic thyroid surgery tissue compression and displacement device according to claim 1, wherein the first and second elastic sheets comprise a first connecting portion, a second connecting portion and a third connecting portion, one end of the first connecting portion is connected to one end of the second connecting portion, an included angle between the first and second connecting portions is an obtuse angle, the other end of the second connecting portion is connected to one end of the third connecting portion, and an included angle between the second and third connecting portions is an obtuse angle.
3. The transaxillary endoscopic thyroid surgery tissue compression displacement device of claim 2, wherein said spring plate is made of titanium alloy.
4. The transaxillary endoscopic thyroid surgery tissue compression displacement device of claim 1, wherein the edges of the first, second, third and fourth compression plates are each provided with a rounded chamfer.
5. The transaxillary endoscopic thyroid surgery tissue compression displacement device of claim 1, wherein each corner junction of the compression device is rounded.
6. The transaxillary endoscopic thyroid surgery tissue compression displacement device according to claim 1, wherein the inner sidewall of the connecting rod is provided with a plurality of position-limiting members for limiting the position of the fixing rod.
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| Application Number | Priority Date | Filing Date | Title |
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| CN201910668070.7A CN110403650B (en) | 2019-07-23 | 2019-07-23 | Tissue compression and displacement device for transaxillary endoscopic thyroid surgery |
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| CN201910668070.7A CN110403650B (en) | 2019-07-23 | 2019-07-23 | Tissue compression and displacement device for transaxillary endoscopic thyroid surgery |
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| CN110403650A CN110403650A (en) | 2019-11-05 |
| CN110403650B true CN110403650B (en) | 2022-07-29 |
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| CN112807036B (en) * | 2021-01-11 | 2022-04-05 | 刘赟 | Drag hook for thyroid surgery |
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| JP2007196023A (en) * | 1996-12-17 | 2007-08-09 | Olympus Corp | Cavity retaining tool for surgical operation and cavity retaining system for surgical operation |
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| US5174279A (en) * | 1991-03-06 | 1992-12-29 | Duke University Medical Center | Iris retractor for use in operations on the eye of a living creature |
| WO2003077808A2 (en) * | 2002-03-11 | 2003-09-25 | Spinal Concepts, Inc. | Instrumentation and procedure for implanting spinal implant devices |
| CN2801073Y (en) * | 2005-05-25 | 2006-08-02 | 邵彤 | Retrosigmoidal locking hole enterring route declinator |
| CN102670353A (en) * | 2012-05-23 | 2012-09-19 | 中山市人民医院 | Eyelid opening device |
| CN203290974U (en) * | 2013-06-17 | 2013-11-20 | 中国人民解放军第三军医大学第一附属医院 | Thyroid tumor gripping tongs |
| CN205072926U (en) * | 2015-09-25 | 2016-03-09 | 泸州医学院附属医院 | Intestinal and nethike embrane separation ware under peritoneoscope |
| CN205947835U (en) * | 2016-05-03 | 2017-02-15 | 浙江省肿瘤医院 | Neural protection separation plier |
| CN106725656B (en) * | 2016-12-22 | 2019-01-08 | 中国人民解放军第二军医大学 | Through skin traction sting device |
| US20180303603A1 (en) * | 2017-04-25 | 2018-10-25 | Jeffry Melsheimer | Medical Devices, Tissue Manipulators, Tissue Fixation Systems, and Associated Methods and Kits |
| CN207693605U (en) * | 2017-05-27 | 2018-08-07 | 四川省肿瘤医院 | Head Neck Surgery notch pulls auxiliary device |
| CN208339543U (en) * | 2017-08-22 | 2019-01-08 | 徐州市中心医院 | Novel thoracoscope gear lung device |
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| JP2007196023A (en) * | 1996-12-17 | 2007-08-09 | Olympus Corp | Cavity retaining tool for surgical operation and cavity retaining system for surgical operation |
| EP2124823A1 (en) * | 2007-03-01 | 2009-12-02 | Protip Sas | Universal implant for thyroplasty |
| CN105286929A (en) * | 2014-07-10 | 2016-02-03 | 张自雄 | Device for creating cavities during endoscopic surgery |
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