CN102273999B - Multifunctional adjustable self-retaining laryngoscope - Google Patents
Multifunctional adjustable self-retaining laryngoscope Download PDFInfo
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Abstract
The invention relates to a multifunctional adjustable self-retaining laryngoscope for diagnosing human laryngeal diseases. At present, a multifunctional adjustable self-retaining laryngoscope with reasonable structure design, convenience in use and good performance in surgeries is not yet developed. The multifunctional adjustable self-retaining laryngoscope comprises a handle; and is characterized in that the self-retaining laryngoscope also comprises a laryngoscope sheath moving device, a laryngoscope sheath fine adjustment device, a movable laryngoscope sheath and a fixed laryngoscope sheath, wherein the fixed laryngoscope sheath is fixed at the front end of the handle, the laryngoscope sheath fine adjustment device is mounted on the handle through the laryngoscope sheath moving device, the movable laryngoscope sheath is fixed on the laryngoscope sheath fine adjustment device, and an implement passage is formed between the movable laryngoscope sheath and the fixed laryngoscope sheath. The multifunctional adjustable self-retaining laryngoscope provided by the invention has reasonable structure design, convenience in use and good performance in surgeries; and can drive the movable laryngoscope sheath to move forwardly or backwardly through the laryngoscope sheath moving device to adjust the size of the implement passage, and adjust the movable laryngoscope sheath through the laryngoscope sheath fine adjustment device to increase the distance between the front ends of the movable laryngoscope sheath and the fixed laryngoscope sheath, achieving the purpose of pushing open the throat of a patient.
Description
Technical field
The present invention relates to a kind of multi-functional adjustable supports laryngoscope, be mainly used in treating throat diseases of human body, belong to the medical device technology mechanical field.
Background technology
Medical circle is in the throat diseases treatment, because the specificity of human body throat physiological location, in the clinical treatment operation, carrying out throat's Minimally Invasive Surgery is a relatively project of difficulty.The tubular support laryngoscope that uses in the present clinical treatment, usually all be the laryngoscope of early stage design, this laryngoscope is made up of handle and an instrument channel of hollow, the handle of hollow is connected with instrument channel, and the apparatus of operation usefulness passes handle and instrument channel enters patient throat, exists certain defective during use, can not regulate the degree of strutting of patient throat, be difficult to fully expose lesions position, the operating theater instruments turnover is also inconvenient, is difficult to the surgical effect that reaches good.In the operation on larynx therapeutic process, exist reasons such as the operation technique space is narrow and small, carrying out of Minimally Invasive Surgery there is significant limitation.Exposure to patient's epiglottis and positions such as before uniting is relatively more difficult, operative doctor will spend a lot of time and efforts to finish operation, especially to the patient of special obesity, even the doctor has spent long time and energy also to be difficult to finish the exposure lesions position, just treatment brings very big risk to Minimally Invasive Surgery for this.If take the expectant treatment method, relapse rate is very high, and therapeutic effect is very undesirable.Sometimes can only carry out traditional open focus excising operation clinically, this just brings spirit and economic double burden to the patient.
Some laryngoscopes are relatively preferably also arranged at present, as openly day is on 01 05th, 2011, publication number is in the Chinese patent of CN201691897U, a kind of disposable laryngoscope is disclosed, this disposable laryngoscope comprises support chip, led light source and handle, support chip comprises upper support sheet and the lower support sheet that can slide relatively, the upper support sheet arranges led light source, handle comprises upper handle and the lower handle that can slide relatively, the upper support sheet is connected with upper handle, the junction in obtuse angle, the lower support sheet is connected with lower handle, the junction is rectangular, the lower handle upper end arranges projection a, the upper handle upper end arranges chute, and chute be able to hold projection a and go up therein, lower slider, the upper handle lower end arranges power supply.Though this laryngoscope can be regulated the size that struts of throat,, the degree of accuracy of adjusting is relatively poor, uses very inconvenient, easily patient throat is produced injury, in addition, this laryngoscope is disposable products, improved the operation cost greatly, resource is difficult to be fully used, and is unfavorable for energy-conserving and environment-protective.Open day is on November 24th, 2010 for another example, publication number is in the Chinese patent of CN201641958U, a kind of visual laryngoscope is disclosed, visual laryngoscope comprises eyepiece component, objective lens unit and image transfer element, objective lens unit connects eyepiece component by the image transfer element, the image transfer element is fibre-optic bundle, eyepiece component is adjustable eyepiece component, eyepiece component is provided with led light source, visual laryngoscope also comprises DV, DV is connected with eyepiece component, and visual laryngoscope also comprises first termination, and objective lens unit is arranged in the first termination.The structure of this visual laryngoscope is comparatively complicated, function ratio is more single, applicable surface is narrower, can only observe and diagnose patient's throat, can not carry out other operation techniques, hospital also needs to be equipped with the laryngoscope of other functions, has not only increased the input cost of equipment, and also operation is made troubles to operation on larynx.
In sum, also there is not a kind of reasonable in design at present, simple to operate, easy to use, the multi-functional adjustable supports laryngoscope of good operation effect, this brings greater inconvenience just for the treatment throat diseases of human body.
Summary of the invention
The objective of the invention is to overcome above shortcomings in the prior art, and a kind of reasonable in design is provided, simple to operate, easy to use, the multi-functional adjustable supports laryngoscope of good operation effect.
The present invention addresses the above problem the technical scheme that adopts: this multi-functional adjustable supports laryngoscope comprises handle, its characteristics are: also comprise mirror sheath mobile device, mirror sheath micromatic setting, flexible mirror sheath and fixed mirror sheath, described fixed mirror sheath is fixed on the front end of handle, described mirror sheath micromatic setting is installed on the handle by mirror sheath mobile device, described flexible mirror sheath is fixed on the mirror sheath micromatic setting, forms instrument channel between this flexible mirror sheath and the fixed mirror sheath.Make thus by mirror sheath mobile device can drive that mirror sheath micromatic setting moves forward or after move, drive by mirror sheath micromatic setting that the flexible mirror sheath moves forward again or after move, thereby change the spacing between flexible mirror sheath and the fixed mirror sheath, realize the purpose of adjusting instrument channel sized; Before multi-functional adjustable supports laryngoscope need insert patient throat, move after with mirror sheath micromatic setting by mirror sheath mobile device earlier, by moving behind the mirror sheath micromatic setting drive flexible mirror sheath, thereby make flexible mirror sheath and fixed mirror sheath closure, instrument channel between flexible mirror sheath and the fixed mirror sheath is narrowed down to minimum, just multi-functional adjustable supports laryngoscope can be inserted patient throat then and operate; After multi-functional adjustable supports laryngoscope inserts patient throat, by mirror sheath mobile device mirror sheath micromatic setting is moved forward, drive the reach of flexible mirror sheath by mirror sheath micromatic setting, thereby make the flexible mirror sheath separate with the fixed mirror sheath, instrument channel between flexible mirror sheath and the fixed mirror sheath enlarges, reach the purpose that struts patient throat, operating theater instruments just can enter lesions position by instrument channel then; If after being advanced to the flexible mirror sheath foremost under the effect of mirror sheath mobile device, instrument channel between flexible mirror sheath and the fixed mirror sheath is big not enough, patient's throat struts not in place, throat to strut insufficient amplitude big, when operating theater instruments is difficult to by instrument channel lesions position be operated, can regulate flexible mirror sheath and fixed mirror sheath by mirror sheath micromatic setting, make the distance of front end of flexible mirror sheath and fixed mirror sheath enlarge, thereby reach the purpose that struts patient throat, make the degree of strutting of patient throat reach the requirement of being convenient to the operating theater instruments operation.
The present invention also comprises the apparatus gatherer, and described apparatus gatherer is fixed on the fixed mirror sheath, and this apparatus gatherer is connected with instrument channel.Make operating theater instruments such as the light pipe of used for throat surgery or endoscope to enter in the instrument channel between flexible mirror sheath and the fixed mirror sheath by the apparatus gatherer thus, and then enter patient throat, in carrying out the operation on larynx process, other operating theater instruments directly enter patient throat by instrument channel, can effectively avoid the interference between other operating theater instruments and light pipe or the endoscope, guarantee to perform the operation and carry out more smoothly, make operation can reach good effect.
Be provided with handle passage in the handle of the present invention, described mirror sheath mobile device comprises gear and tooth bar, and described rack tube is contained in the handle passage, and described gear is installed on the handle, and this wheel and rack is meshed, and described mirror sheath micromatic setting is connected with tooth bar.Make thus by transmitting gear just can control tooth bar in handle passage, move forward with after move, by the movement of tooth bar in handle passage drive mirror sheath micromatic setting move forward and after move, drive by mirror sheath micromatic setting that the flexible mirror sheath moves forward again and after move, thereby make the size that flexible mirror sheath and fixed mirror sheath carry out clutch and change instrument channel between flexible mirror sheath and the fixed mirror sheath.This mirror sheath mobile device simple in structure, reasonable in design, scientific arrangement is convenient to regulate, and is conducive to carrying out smoothly of operation on larynx operation.
Mirror sheath micromatic setting of the present invention comprises travel(l)ing rest, support nut and adjusting screw(rod), described travel(l)ing rest is connected with mirror sheath mobile device, described support nut is fixed on the travel(l)ing rest, and described adjusting screw(rod) is installed in the support nut, matches with handle in the bottom of this adjusting screw(rod).Make thus and just can make the front portion of travel(l)ing rest rise by rotating adjusting screw(rod), thereby enlarge the distance of flexible mirror sheath and fixed mirror sheath front end, match with handle in the bottom of adjusting screw(rod), the bottom of adjusting screw(rod) withstands on the handle, and the rear portion of travel(l)ing rest can be rotated at mirror sheath mobile device.When needs enlarge flexible mirror sheath and fixed mirror sheath front end apart from the time, rotate adjusting screw(rod), because the bottom of adjusting screw(rod) withstands on the handle, make the front portion of travel(l)ing rest rise, thereby driving the flexible mirror sheath rises, and the rear portion of travel(l)ing rest rotating certain angle on mirror sheath mobile device makes that the distance between the front end of the front end of flexible mirror sheath and fixed mirror sheath enlarges, and reaches the purpose of adjusting instrument passage front end size.
Mirror sheath mobile device of the present invention also comprises the pintle hook lock handle, the front end of this pintle hook lock handle is provided with the pintle hook lock head, this pintle hook lock head is embedded in the teeth groove of gear, and the leading flank of described pintle hook lock head contacts with front face in the teeth groove, leaves the gap between the trailing flank of this pintle hook lock head and the rear surface in the teeth groove.Make that thus use of the present invention is convenient, the location that is conducive to instrument channel, when the pintle hook lock head clamped in the teeth groove of gear the time, the leading flank of pintle hook lock head contacts with front face in the teeth groove, leave the gap between the trailing flank of pintle hook lock head and the rear surface in the teeth groove, make gear to rotate along the direction that instrument channel enlarges, this gear can't rotate along the direction that instrument channel is dwindled, thereby play the effect that instrument channel is positioned, prevent that patient throat shrinks and the situation that changes the instrument channel size is conducive to operation process and carries out more smoothly.When needs dwindle instrument channel, only need pin the pintle hook lock handle, make the pintle hook lock head break away from the teeth groove of gear, so just can the backward rotation gear, make that the distance between flexible mirror sheath and the fixed mirror sheath is dwindled, reach the purpose of dwindling instrument channel.
Mirror sheath mobile device of the present invention also comprises alignment pin, is provided with locating hole in the described handle, and described alignment pin cross-under is in the locating hole of handle.Make thus the easier for installation of mirror sheath mobile device to position by alignment pin at handle, be convenient to installation and removal.
The middle part of handle passage and rear portion are the profiled holes structure in the handle of the present invention, and described tooth bar matches with handle passage.Make the easier for installation of tooth bar thus, be convenient to tooth bar and in handle passage, position, be conducive to installation and removal.
Mirror sheath micromatic setting of the present invention also comprises stop screw, and described stop screw is fixed on the bottom of adjusting screw(rod), and this stop screw matches with handle.It is spacing to make that thus adjusting screw(rod) can carry out at the support nut, prevents adjusting screw(rod) and back-outs and be shed to the intraoral phenomenon of patient from the support nut, and wall generation malpractice has been guaranteed safety and the reliability in the operative process.
Mirror sheath micromatic setting of the present invention also comprises sliding sleeve, be provided with handle runner in the described handle, the length of described sliding sleeve is greater than the thickness of handle, and this sliding sleeve cross-under is in handle runner, described travel(l)ing rest is fixed on the two ends of sliding sleeve, and described sliding sleeve is connected with mirror sheath mobile device.Make that thus the rotation of travel(l)ing rest is more flexible, travel(l)ing rest can be not stuck with handle, generally, between the big 0.05-0.2mm of thickness of the length of sliding sleeve than handle, under the situation of guaranteeing the overall structure firmness, improved whole performance greatly.
Mirror sheath micromatic setting of the present invention also comprises stage clip and press spring base, and described press spring base is fixed on the support nut, and an end of described stage clip is fixed on the bottom of press spring base, and the other end of this stage clip withstands on the mirror sheath mobile device.Adjusting screw(rod) and stage clip make that thus resetting of adjusting screw(rod) is convenient, under the elastic force effect of stage clip, the front portion of travel(l)ing rest can be pressed down, and the flexible mirror sheath also descends thereupon, thereby dwindle the distance between the front end of the front end of flexible mirror sheath and fixed mirror sheath.
The present invention compared with prior art, have the following advantages and effect: simple in structure, reasonable in design, be convenient to operation, can drive the flexible mirror sheath by mirror sheath mobile device and carry out translation, thereby the size of control device passage, can control the top of flexible mirror sheath rises or descends around the fulcrum of mirror sheath micromatic setting by mirror sheath micromatic setting, thereby the size of control device passage front end, can be applicable to different patient colonies, actual needs according to the patient is operated, and has effectively enlarged applicable surface.
The present invention has increased the operative space of laryngoscope front end, can expose epiglottis easily, preceding unite etc. be difficult to the operative site that exposes originally.The parallel expansion of mirror sheath mobile device adjustable mirror sheath can increase the operative space of whole throat, for throat diseases is created a good surgical environments with laser operations under operating microscope.Can design endoscope's tapered end at the fixed mirror sheath, can be supporting with endoscope easily, can under the support of light, electricity, imaging technique, guarantee the safety of performing the operation.The angle and parallel reach of energy flexible flexible mirror sheath, using method is simple, effective, meets the requirement that the doctor grasps the treatment throat diseases of human body.
In the treatment throat diseases of human body, after multi-functional adjustable supports laryngoscope inserts human body throat, angle by can regulating the flexible mirror sheath on the mirror sheath micromatic setting to be increasing throat's exposure range and operative space, thereby reaches the best exposed state that operation needs, and guarantees that operation carries out smoothly.Can regulate the parallel reach of flexible mirror sheath by mirror sheath mobile device, increase operative space, also can with mirror sheath micromatic setting fit adjustment simultaneously, can expose lesions position more fully, guarantee carrying out smoothly of operation, create conditions for utilizing laser therapy.
The present invention can have endoscope's tapered end in the design of fixed mirror sheath, can utilize the photoelectronic imaging technology to be applied in the screen operation technique, carry out carrying out of projects such as remote medical consultation with specialists, teaching, not only alleviated doctor's labor intensity, and be conducive to guarantee the safety of performing the operation reach good surgical effect.The present invention can carry out the high accuracy operation technique at microscopically in conjunction with operating microscope work, reaches the further lifting of throat diseases operation.The present invention adopts material manufacture such as rustless steel, aluminium alloy, silicone rubber, optical fibers, optical glass to form, can cleaning and sterilizing, also can be with High Temperature High Pressure 135 degree high temperature routine disinfections, and it is very convenient to sterilize.
Description of drawings
Fig. 1 is the structural representation of multi-functional adjustable supports laryngoscope in the embodiment of the invention.
Fig. 2 is the structural representation after the multi-functional adjustable supports laryngoscope among Fig. 1 moves forward the flexible mirror sheath by mirror sheath mobile device.
Fig. 3 is the structural representation after the multi-functional adjustable supports laryngoscope among Fig. 2 rises the flexible mirror sheath by mirror sheath micromatic setting.
Fig. 4 is the plan structure sketch map of Fig. 1.
Fig. 5 is the A-A face sectional structure sketch map after the translation butterfly handle among Fig. 4 rotates 90 degree.
Fig. 6 be in the embodiment of the invention in the handle profiled holes structure analyse and observe the structure for amplifying sketch map.
Fig. 7 be among Fig. 4 the B-B face analyse and observe the structure for amplifying sketch map.
Fig. 8 is installed in the interior sliding sleeve of handle runner and the structure for amplifying sketch map between the steady pin screw rod in the embodiment of the invention.
Fig. 9 be in 4 the C-C face analyse and observe the structure for amplifying sketch map.
Figure 10 is the structural representation between handle in the embodiment of the invention, gear, tooth bar, spring leaf, pintle hook lock handle and the alignment pin.
Figure 11 is the structural representation after amplify at the A place among Figure 10.
Figure 12 is the structural representation between handle in the embodiment of the invention, gear, tooth bar, spring leaf, pintle hook lock handle, alignment pin, sliding sleeve, steady pin screw rod, stage clip and the press spring base.
Figure 13 is the structural representation of embodiment of the invention middle rack.
Figure 14 is that tooth bar, sliding sleeve and the steady pin screw rod in the embodiment of the invention is installed in the structural representation in the handle.
Figure 15 is the structural representation of the multi-functional adjustable supports laryngoscope in the embodiment of the invention when cooperating breast holder and light pipe to use.
Figure 16 is the structural representation of embodiment of the invention mesothorax holder.
Figure 17 is the structural representation of light pipe in the embodiment of the invention.
Figure 18 is the schematic flow sheet when adopting multi-functional adjustable supports laryngoscope in the embodiment of the invention to undergo surgery operation.
The specific embodiment
The present invention is described in further detail below in conjunction with accompanying drawing and by embodiment, and following examples are explanation of the invention and the present invention is not limited to following examples.
Embodiment.
Referring to Fig. 1 to Figure 18, multi-functional adjustable supports laryngoscope in the present embodiment comprises handle 1, mirror sheath mobile device 2, mirror sheath micromatic setting 3, apparatus gatherer 4, flexible mirror sheath 5 and fixed mirror sheath 6, wherein, it is tubular structure in the handle 1, be provided with handle passage 11, handle runner 12, locating hole, gear hole and stage clip through hole in this handle 1, handle runner 12 and stage clip through hole are slotted hole shape structure, can be provided with the handle hook in the rear end of handle 1, are convenient to pick and place.The front portion of handle passage 11 is the circular port structure in the present embodiment, and the middle part of this handle passage 11 and rear portion are the profiled holes structure.
Fixed mirror sheath 6 in the present embodiment is fixed by welding in the front end of handle 1, and the angle between this fixed mirror sheath 6 and the handle 1 between the 60-85 degree, is preferably 75 degree usually, and the groove of arcuate structure is arranged in the fixed mirror sheath 6 in the present embodiment.Apparatus gatherer 4 in the present embodiment comprises tapered end 41 and conduit 42, and tapered end 41 is fixed on the top of conduit 42, and conduit 42 is fixed in the fixed mirror sheath 6, and this conduit 42 is connected with the groove of arcuate structure in the fixed mirror sheath 6.
Mirror sheath mobile device 2 in the present embodiment comprises gear 21, tooth bar 22, spring leaf 23, pintle hook lock handle 24, alignment pin 25, four flat-bed machine screws 26, pinion stand 27 and translation butterfly handles 28, wherein, the shape of tooth bar 22 matches with the handle passage 11 of profiled holes structure, this tooth bar 22 just can cross-under in the handle passage 11 of profiled holes structure, be convenient to installation and removal, be conducive to easily tooth bar 22 be positioned.
Have sliding sleeve installing hole 221, compression spring hole 223 and rack bore 224 in the tooth bar 22 of present embodiment, be provided with toothing 222 at the top of rack bore 224, this toothing 222 matches with gear 21, and when gear 21 cross-under in rack bore 224 were, gear 21 was meshed with toothing 222.The front portion of pintle hook lock handle 24 is provided with pintle hook lock head 241 in the present embodiment, this pintle hook lock head 241 matches with gear 21, when pintle hook lock head 241 is embedded in the teeth groove of gear 21, the leading flank of pintle hook lock head 241 contacts with front face in the teeth groove, leave gap 242 between the trailing flank of this pintle hook lock head 241 and the rear surface in the teeth groove, thereby make 241 pairs of gears 21 of pintle hook lock head play positioning action.
Mirror sheath micromatic setting 3 in the present embodiment comprises sliding sleeve 31, travel(l)ing rest 32, steady pin screw rod 33, stage clip 34, press spring base 312, support nut 35, adjusting screw(rod) 36, fine setting butterfly handle 37 and stop screw 38, wherein, the travel(l)ing rest in the present embodiment 32 is the bigger U font structure in bottom.The top of flexible mirror sheath 5 is weldingly fixed on the front portion of travel(l)ing rest 32 in the present embodiment, because the sliding sleeve installing hole 221 in the tooth bar 22 aligns with the handle runner 12 in the handle 1, sliding sleeve 31 cross-under are in the handle runner 12 of the sliding sleeve installing hole 221 of tooth bar 22 and handle 1, the length of sliding sleeve 31 is bigger than the thickness of handle 1 in the present embodiment, generally, the length of sliding sleeve 31 is than the big 0.05-0.2mm of thickness of handle 1, be preferably 0.08-0.1mm, make the two ends of sliding sleeve 31 stretch out left side and the right side at handle 1 respectively.Movement by tooth bar 22 can drive sliding sleeve 31 and carry out same moved further, and this sliding sleeve 31 can freely rotate in the handle runner 12 of the sliding sleeve installing hole 221 of tooth bar 22 and handle 1.
The rear portion of travel(l)ing rest 32 is fixed on the sliding sleeve 31 by steady pin screw rod 33 in the present embodiment, these steady pin screw rod 33 cross-under are in sliding sleeve 31, the front end of steady pin screw rod 33 can be screwed on the travel(l)ing rest 32 by screw thread, make the two ends, the left and right sides of sliding sleeve 31 all withstand on the travel(l)ing rest 32, travel(l)ing rest 32 can rotate with sliding sleeve 31.After travel(l)ing rest 32 is installed on the sliding sleeve 31, just formed an instrument channel 56 between flexible mirror sheath 5 and the fixed mirror sheath 6, can change the size of instrument channel 56 by adjusting flexible mirror sheath 5, reach the purpose that struts patient throat according to actual needs, very easy to use, after strutting patient throat, the apparatus that is used for operation just can enter patient's throat by instrument channel 56, and lesions position is diagnosed and operation technique.Because the length of the sliding sleeve 31 in the present embodiment is bigger than the thickness of handle 1; make and all have certain clearance between the left side of travel(l)ing rest 32 and handle 1 and the right side; though the size in this gap is usually between 0.025-0.1mm; but also can make travel(l)ing rest 32 in rotation process, can not contact with the right side with the left side of handle 1; guarantee that travel(l)ing rest 32 can rotate with sliding sleeve 31 flexibly synchronously; be convenient to the size of accurate adjusting instrument passage 56; improved the overall performance of laryngoscope, being conducive to perform the operation reaches good effect.
The front portion of press spring base 312 is weldingly fixed on the support nut 35 in the present embodiment, because the compression spring hole 223 in the tooth bar 22 aligns with the stage clip through hole in the handle 1, the rear portion of press spring base 312 be positioned at compression spring hole 223 directly over, the upper end of stage clip 34 withstands on the rear portion of press spring base 312, and the lower end of this stage clip 34 withstands in the compression spring hole 223 in the tooth bar 22.Stop screw 38 in the present embodiment is between stage clip 34 and flexible mirror sheath 5, when turning adjusting screw(rod) 36 downwards, the stop screw 38 that is positioned at adjusting screw(rod) 36 bottoms withstands on the handle 1, the steady pin screw rod 33 of travel(l)ing rest 32 in sliding sleeve 31 rotates, rise in the front portion of travel(l)ing rest 32, the rear portion of travel(l)ing rest 32 presses down, thereby stage clip 34 is played compression; When upwards turning adjusting screw(rod) 36, under the effect of stage clip 34, with the rear portion of travel(l)ing rest 32 to rising, and with the front portion of travel(l)ing rest 32 to pressing down, under the effect of stage clip 34, be convenient to travel(l)ing rest 32 and reset.
When turning adjusting screw(rod) 36 downwards, the stop screw 38 that is positioned at adjusting screw(rod) 36 bottoms withstands on the handle 1, the steady pin screw rod 33 of travel(l)ing rest 32 in sliding sleeve 31 rotates, and rises in the front portion of travel(l)ing rest 32, rises thereby drive the flexible mirror sheath 5 that is fixed on the travel(l)ing rest 32.Owing to rotate around steady pin screw rod 33 in flexible mirror sheath 5 uphill process, make flexible mirror sheath 5 in the process that rises, distance between the front end of the front end of flexible mirror sheath 5 and fixed mirror sheath 6 enlarges, strutting of patient throat played the effect of fine setting, thereby be conducive to better strut according to practical situation patient's throat, be conducive to lesions position and better be exposed in the visual field, be conducive to operation and carry out more smoothly.When upwards turning adjusting screw(rod) 36, the front portion of travel(l)ing rest 32 is pressed downward, the steady pin screw rod 33 of travel(l)ing rest 32 in sliding sleeve 31 rotates, distance between the front end of the front end of flexible mirror sheath 5 and fixed mirror sheath 6 is dwindled, be conducive to perform the operation and dwindle the size of instrument channel 56 after finishing, when by mirror sheath micromatic setting 3 distance between the front end of the front end of flexible mirror sheath 5 and fixed mirror sheath 6 being narrowed down to minimum the time, be that flexible mirror sheath 5 is when being parastate substantially with fixed mirror sheath 6, carry out translation by 2 pairs of flexible mirror sheaths of mirror sheath mobile device 5 again, make flexible mirror sheath 5 and fixed mirror sheath 6 closures, at this moment, instrument channel 56 narrows down to minimum state, is convenient to flexible mirror sheath 5 is taken out with the throat of fixed mirror sheath 6 from the patient.
Multi-functional adjustable supports laryngoscope among the present invention is mainly used in treating throat diseases of human body, during use, cooperate breast holder 7 and light pipe 8 to use, breast holder 7 comprises rubber ring 71, support bar 72, worm gear 73, adjusting handle 74 and fixed screw 75, light pipe 8 comprises light guide bundles interface 81, directed card 82 and optical fibers 83, breast holder 7 is fixed on the handle 1, light pipe 8 inserts in the conduit 42 of apparatus gatherer 4, and with tapered end 41 with light pipe 8 location, breast holder 7 and light pipe 8 among the present invention are prior art, no longer describe in detail herein.During use, earlier breast holder 7 is navigated to patient's chest, under the state of flexible mirror sheath 5 and fixed mirror sheath 6 closures, flexible mirror sheath 5 and fixed mirror sheath 6 are inserted throat from patient's oral cavity, then by mirror sheath mobile device 2 translation flexible mirror sheaths 5, make the instrument channel 56 between flexible mirror sheath 5 and the fixed mirror sheath 6 enlarge, if when mirror sheath mobile device 2 is adjusted to maximum, instrument channel 56 is big not enough, the degree that struts of patient throat is not yet in place, lesions position also is not exposed under the visual field fully, then regulate flexible mirror sheath 5 by mirror sheath micromatic setting 3, make the distance between the front end of the front end of flexible mirror sheath 5 and fixed mirror sheath 6 enlarge, make the front end of instrument channel 56 enlarge, thereby reach the purpose that fully struts patient throat, then to the operation that undergos surgery of patient throat, operating theater instruments enters patient throat by instrument channel, in the aforesaid operations process, can as required light pipe 8 be replaced with endoscope of throat.After operation is finished, regulate mirror sheath micromatic setting 3 earlier, make the distance between the front end of the front end of flexible mirror sheath 5 and fixed mirror sheath 6 dwindle, regulate mirror sheath mobile device 2 then, make flexible mirror sheath 5 and fixed mirror sheath 6 closures, this moment, instrument channel 56 was in minimum state, then flexible mirror sheath 5 and fixed mirror sheath 6 was extracted from patient throat.Multi-functional adjustable supports laryngoscope among the present invention can be treated the treatment of throat diseases easily, can cooperate the operation that undergos surgery of multiple operation on larynx apparatus, and the related surgical flow chart is referring to Figure 18.
In addition, need to prove, multi-functional adjustable supports laryngoscope among the present invention can cooperate multiple operation on larynx apparatus to carry out the treatment of throat diseases, can cooperate the operations that undergo surgery such as endoscope, laser equipment, microscope device, have multiple function, thus in patent name of the present invention titled with " multi-functional " three words.
Multi-functional adjustable supports laryngoscope among the present invention is by the clinic trial of how tame large hospital, and clinical effectiveness is as follows.
Connection polyp enucleation before the total institute of Shanghai Changhai Hospital carries out, the operation reflection is good.
BJ Union Hospital carries out epiglottis fibroma enucleation and has obtained completing success.
The attached First Academy of Peking University produces a desired effect to the polyp of vocal cord enucleation.
Dalian central hospital undergos surgery at epiglottis and produces a desired effect.
The People's Hospital carries out the polyp of vocal cord enucleation, produces a desired effect.
The vocal nodule enucleation is carried out in the Jiangsu Prov. People's Hospital, produces a desired effect.
Breathe out second Affiliated Hospital of medical university, the epiglottis tumor operation has reached Expected Results.
In addition, need to prove, the specific embodiment described in this description, its zero, the shape of parts, institute's title of being named etc. can be different, the above content described in this description only is to structure example of the present invention explanation.Allly conceive equivalence variation or the simple change that described structure, feature and principle are done according to patent of the present invention, be included in the protection domain of patent of the present invention.Those skilled in the art can make various modifications or replenish or adopt similar mode to substitute described specific embodiment; only otherwise depart from structure of the present invention or surmount the defined scope of these claims, all should belong to protection scope of the present invention.
Claims (8)
1. multi-functional adjustable supports laryngoscope, comprise handle, it is characterized in that: also comprise mirror sheath mobile device, mirror sheath micromatic setting, flexible mirror sheath and fixed mirror sheath, described fixed mirror sheath is fixed on the front end of handle, described mirror sheath micromatic setting is installed on the handle by mirror sheath mobile device, described flexible mirror sheath is fixed on the mirror sheath micromatic setting, forms instrument channel between this flexible mirror sheath and the fixed mirror sheath; Be provided with handle passage in the described handle, described mirror sheath mobile device comprises gear, tooth bar and pintle hook lock handle, and described rack tube is contained in the handle passage, and described gear is installed on the handle, this wheel and rack is meshed, and described mirror sheath micromatic setting is connected with tooth bar; The front end of described pintle hook lock handle is provided with the pintle hook lock head, and this pintle hook lock head is embedded in the teeth groove of gear, and the leading flank of described pintle hook lock head contacts with front face in the teeth groove, leaves the gap between the trailing flank of this pintle hook lock head and the rear surface in the teeth groove.
2. multi-functional adjustable supports laryngoscope according to claim 1, it is characterized in that: also comprise the apparatus gatherer, described apparatus gatherer is fixed on the fixed mirror sheath, and this apparatus gatherer is connected with instrument channel.
3. multi-functional adjustable supports laryngoscope according to claim 1 and 2, it is characterized in that: described mirror sheath micromatic setting comprises travel(l)ing rest, support nut and adjusting screw(rod), described travel(l)ing rest is connected with mirror sheath mobile device, described support nut is fixed on the travel(l)ing rest, described adjusting screw(rod) is installed in the support nut, matches with handle in the bottom of this adjusting screw(rod).
4. multi-functional adjustable supports laryngoscope according to claim 1, it is characterized in that: described mirror sheath mobile device also comprises alignment pin, is provided with locating hole in the described handle, and described alignment pin cross-under is in the locating hole of handle.
5. multi-functional adjustable supports laryngoscope according to claim 1, it is characterized in that: the middle part of handle passage and rear portion are the profiled holes structure in the described handle, and described tooth bar matches with handle passage.
6. multi-functional adjustable supports laryngoscope according to claim 3, it is characterized in that: described mirror sheath micromatic setting also comprises stop screw, and described stop screw is fixed on the bottom of adjusting screw(rod), and this stop screw matches with handle.
7. multi-functional adjustable supports laryngoscope according to claim 3, it is characterized in that: described mirror sheath micromatic setting also comprises sliding sleeve, be provided with handle runner in the described handle, the length of described sliding sleeve is greater than the thickness of handle, this sliding sleeve cross-under is in handle runner, described travel(l)ing rest is fixed on the two ends of sliding sleeve, and described sliding sleeve is connected with mirror sheath mobile device.
8. multi-functional adjustable supports laryngoscope according to claim 3, it is characterized in that: described mirror sheath micromatic setting also comprises stage clip and press spring base, described press spring base is fixed on the support nut, one end of described stage clip is fixed on the bottom of press spring base, and the other end of this stage clip withstands on the mirror sheath mobile device.
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| Application Number | Priority Date | Filing Date | Title |
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| CN 201110216061 CN102273999B (en) | 2011-07-30 | 2011-07-30 | Multifunctional adjustable self-retaining laryngoscope |
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| CN 201110216061 CN102273999B (en) | 2011-07-30 | 2011-07-30 | Multifunctional adjustable self-retaining laryngoscope |
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| CN102273999A CN102273999A (en) | 2011-12-14 |
| CN102273999B true CN102273999B (en) | 2013-07-03 |
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| CN 201110216061 Active CN102273999B (en) | 2011-07-30 | 2011-07-30 | Multifunctional adjustable self-retaining laryngoscope |
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Families Citing this family (11)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN103799955B (en) * | 2014-02-19 | 2015-09-02 | 浙江天松医疗器械股份有限公司 | A kind of adjustment laryngoscope |
| CN103799954B (en) * | 2014-02-19 | 2015-10-28 | 浙江天松医疗器械股份有限公司 | A kind of two dynamic adjustment laryngoscope |
| CN106236001B (en) * | 2016-08-25 | 2017-11-03 | 辜春霖 | Integrated flexible continuously moves degree laryngoscope blade |
| CN107049225B (en) * | 2017-06-15 | 2019-05-14 | 杭州桐庐江南医疗器械有限公司 | A kind of adjustable preceding joint supporting laryngoscope |
| CN107340596A (en) * | 2017-08-22 | 2017-11-10 | 衍视电子科技（上海）有限公司 | A kind of micromatic setting of achievable eyeglass rotation |
| US11617502B2 (en) | 2019-09-11 | 2023-04-04 | William Miguel Hasbun | Adjustable laryngoscope system and method of use |
| CN111297314B (en) * | 2020-02-18 | 2022-08-12 | 杨茹 | Neonate laryngoscope system |
| CN111248845A (en) * | 2020-02-24 | 2020-06-09 | 自贡市第四人民医院(自贡市急救中心) | Expandable support laryngoscope |
| CN111216145B (en) * | 2020-03-12 | 2024-10-29 | 苏州点合医疗科技有限公司 | Artificial intelligent type double-arm robot for collecting respiratory tract specimens |
| CN114176497B (en) * | 2021-12-23 | 2024-10-01 | 上海市嘉定区中心医院 | Movable laryngeal cavity opening guide device and moving method thereof |
| CN114052623B (en) * | 2022-01-12 | 2022-04-15 | 珠海维尔康生物科技有限公司 | Single-hole double-channel variable-angle electronic endoscope |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| US5092314A (en) * | 1990-05-08 | 1992-03-03 | Zeitels Steven M | Adjustable supraglottiscope and methods therefor |
| US5938591A (en) * | 1998-06-09 | 1999-08-17 | Minson; Matthew Alan | Self retaining laryngoscope |
| DE19954442A1 (en) * | 1999-11-11 | 2001-06-13 | Storz Karl Gmbh & Co Kg | Expandable medical instrument, especially a laryngoscope |
| DE102004045502A1 (en) * | 2004-09-20 | 2006-04-06 | Karl Storz Gmbh & Co. Kg | Expandable medical instrument for endoscopic procedures |
| CN202036308U (en) * | 2011-03-16 | 2011-11-16 | 申屠康源 | Adjustable suspension laryngoscope frame |
| CN202173384U (en) * | 2011-07-30 | 2012-03-28 | 杭州市桐庐江南医光总厂 | Multifunctional adjustable support laryngoscope |
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