CN106691596A - Stripping subtype nervus motorius monitoring probe - Google Patents
Stripping subtype nervus motorius monitoring probe Download PDFInfo
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- CN106691596A CN106691596A CN201510779764.XA CN201510779764A CN106691596A CN 106691596 A CN106691596 A CN 106691596A CN 201510779764 A CN201510779764 A CN 201510779764A CN 106691596 A CN106691596 A CN 106691596A
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- head
- flat
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- shaped
- arc portion
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Abstract
The stripping subtype nervus motorius monitoring probe, which is capable of reducing operation procedures, operation time and operation risks, comprises a handle(3), a wire is mounted through the handle(5), the front end of the handle is connected with a mental club head(1), the cup joint part(14) in the back end of the club head is connected with the wire in the handle, the front end of the club head is a flat-curve section(11), the front and of the flat and curve section is an arc, the outer side of the club head, except the cup joint part and the part of the front end of the flat-carve section, is covered with insulating layer, which leads the part of the front end of the flat-carve section to be the exposed surface of the insulating layer; the length of the club head is 40-200mm, the diameter of the biggest diameter section of the club head is 3-6mm, the length of the handle is 40-200mm, the diameter is 5-15mm. The stripping subtype nervus motorius monitoring probe is utilized to monitor the nervus motorius in the surgical operation.
Description
Technical field
The present invention relates to a kind of surgical instrument, kinesitherapy nerve guards supporting apparatus in particularly performing the operation.
Background technology
The NIM kinesitherapy nerves patient monitor of Medtronic Inc. (Medtronic, Inc.) is used for department of general surgery, particularly
Kinesitherapy nerve monitoring in thyroid surgery art.The instrument is realized in art by monitoring neural electromyographic signal
Kinesitherapy nerve is positioned and functional assessment.Needle-like nerve probe insertion in instrument needs the nerve of monitoring to be arranged
Muscle group in, by constantly transmitting pulse electrical signal, through motor nerve conduction to receiving electrode after, using soft
Part analyzes related data, and then realizes the positioning and functional assessment of relative motion nerve.Kinesitherapy nerve in operation
Position and direction of travel are accurately positioned, and are conducive to avoiding in art to motorial damage, reduce or eliminate
Postoperative complication.The motorial detection monitoring in various head neck operation arts, especially in small otch
The detection monitoring of recurrent nerve and external branch in mirror auxiliary thyroid operation art, existing NIM motions god
Can not be despised through the function of patient monitor.But because the nerve probe of this patient monitor is needle probe, do not have
Standby surgical procedures function, the probe detection determines the position of nerve and walks backward in operation, also needs to change other
Apparatus carries out the anatomical isolation of nerve, it is to avoid neurotrosis in art, thereby increases apparatus and substitutes frequency, from
And increase operating difficulty, extend operating time.On the other hand, due to having substituted apparatus, nerve is being carried out
In anatomical isolation operation, lack nerve monitoring in real time, can also increase the risk of neurotrosis.Therefore, it is former
With the NIM kinesitherapy nerve monitor systems including needle-like nerve probe be a kind of interruption, unitary function it is outer
Section's aid, it is impossible to which the real-time monitoring and this apparatus of anatomical isolation for meeting minimally invasive surgery to nerve are multi-functional
Requirement.
The content of the invention
The invention solves the problems that nerve location monitoring is adopted in department of general surgery's particularly thyroid surgery in the prior art
With special NIM kinesitherapy nerve patient monitors, used without the neurotomy work of separation so that subdivision is conciliate in monitoring
Apparatus need to be substituted from protection, is operated step by step, so as to cause to increase operating procedure, extend operating time, no
Beneficial to operation safety, increase the problem of equipment expenditure, visited for this provides a kind of stripping minor kinesitherapy nerve monitoring
Head.This probe had both had the nerve probe function of prior art, and with the work(of traditional neural elevator
Can, can be done in operation nerve location detection, can do again neurotomy separation so that reduce operating procedure with
Time, the neurotrosis equivalent risk that operation is caused is greatly reduced, save cost of equipment.
To solve the above problems, the technical solution adopted by the present invention is provided with handle, has been placed in handle and led
Line, the handle front end is socketed with metallic pole head, leading in the socket part of the head rear end and the handle
Line is electrically connected, and it is characterized in that the nose portion for flat-shaped arc portion, the front end of the flat-shaped arc portion
It is arc, head outer wall is coated with addition to the part of the front end face of the part and flat-shaped arc portion of the socket part
Insulating barrier, the part for making the front end face of flat-shaped arc portion is the exposed surface of insulating barrier；The head is long by 40-
200mm, head maximum gauge section diameter be 3-6mm, the handle 40-200mm long, diameter 5-
15mm。
It is appropriate that 15-25mm of the flat-shaped curved arc minister, flat-shaped arc portion its maximum width is wide by 3-
6mm, flat-shaped arc portion curved arc radius of curvature is not less than 19.4mm.
Preferably described head has taper and isometrical portion, is connected as a single entity before and after taper and isometrical portion, gradually
Thin portion extends forward tapered, and taper front end is connected in the flat-shaped arc portion, and isometrical portion rear end is connected in the set
Socket part.
The cavity that there is forward end to open for preferably described handle leading section, the head being socketed with handle
Socket part is inserted in the cavity of handle leading section.
Preferably embedding there are the metal nipple that is connected with the wire, the bar in the cavity axial direction bottom of the handle
The socket part rear end of head is inserted in the metal nipple.
It is cased with fixing female connector in the cavity leading section of preferably described handle, is worn in the socket part of the head
Through the fixation female connector.
Preferably described head 54-100mm long, head maximum gauge section diameter is 3.5-4.5mm；
More preferably 17-22mm of the flat-shaped curved arc minister, flat-shaped arc portion its maximum width is wide by 3.5-
4.5mm, flat-shaped arc portion radius of curvature is 22-27mm.
Further, the head 72-82mm long, head maximum gauge section diameter is 3.8-4.2mm,
The flat-shaped curved arc minister 18.5-20.5mm, flat-shaped arc portion the widest part 3.8-4.2mm wide, flat-shaped curved arc
Portion's radius of curvature is 23.5-25.5mm.
Further, head 77mm long, head maximum gauge section diameter is 4mm, described flat-shaped
Curved arc minister 19mm, flat-shaped arc portion the widest part 4mm wide, flat-shaped arc portion radius of curvature is 24.3mm.
Most preferred the handle 127.5mm long, handle diameters 7mm.
The front end of flat-shaped arc portion of the present invention is arc, and the front end face of the flat-shaped arc portion is at least part of
To remove the exposed surface of insulating barrier, particularly relate to be at front end face arc top insulating barrier exposed surface.
It should be noted that 15-25mm of the flat-shaped curved arc minister, refers to the straight line of arc portion two ends connection
The length on rectangle side long during Duan Zuowei rectangle diagonal.
The head in the present invention, outer likeness in form traditional neural elevator, is made of metal.Head is except front portion
The part of flat-shaped arc portion front end face and the socket part at rear portion and the connecting position of wires outside, applied by insulation
Layer is covered.The exposed metal of flat-shaped arc portion front end face is the position for discharging electric pulse, therefore, the present invention
Can be while making to separate dissection to tissue with flat-shaped arc portion, using the exposed gold of flat-shaped arc portion front end face
Release electric pulse in category part carries out the Detection location of nerve.
Gripped when handle in the present invention is operated for doctor, due to being provided with wire, wire and bar in handle
Head electrical connection, the wire other end can be connected with the nerve monitor main frame, therefore handle is also head and main frame
The peripheral hardware part of electrical connecting wire, its inner conductors are used to transmit pulse signal.The material selection of handle can be repeatedly
The medical H59 materials of sterilization.Handle cross-section can be circular, or be adapted to facilitate holding operation
Polygon, preferably sets anti-slip veins anti-skidding in handle surfaces.
Fixed female connector of the present invention plays maintenance between head and handle, and head and hand are adapted in its profile
Handle, its material should be able to receive repeatedly sterilization, and ensure have certain plasticity and in profile without larger stress
Deformation, can continue to provide the retention of stabilization.
The handle in the present invention its construction can seemingly be same as existing Medtronic Inc. NIM kinesitherapy nerves monitoring
The handle of instrument monitoring probe, and the head in the present invention is then brand-new design, with complete with prior art
Complete different technical characteristic simultaneously has new function.
Head in the present invention removes part and rear portion and the connecting position of wires of its flat-shaped arc portion front end face
Outward, remaining surface is coated with insulating coating, it is therefore an objective to by insulating coating by the point of release of pulse electrical signal office
Limit is concentrated at the one of flat-shaped arc portion front end face, such as at end arc top, such as thus increases nerve positioning essence
Degree, and avoid unnecessary signal from disturbing.
Present invention is especially suited for the special operational demand of minimally invasive Thyroid Surgery, and it is adapted to interior arthroscopic diagnosis behaviour
Make.
The present invention can adapt to various nerve monitors of the NIM series being widely used at present, existing for replacing
There is the needle-like monitoring probe of technology.The separation solution that user can be organized while neuroprobe is positioned
Cut open, realize that neuroprobe appears with nerve, separates completion simultaneously, significantly reduce surgical operation step, save
Save substantial amounts of operating time.While nerve is appeared, real-time detection nervous function, so as to significantly improve hand
Art security, damages for the recurrent nerve in thyroid operation energy maximum possible reduction art with external branch
Wound.In addition, the head tip radian adjusted according to endoscopic surgery feature, with operating environment under scope highly
Adapt to, be more beneficial for endoscopic Micro-operation.By adjusting head length, the present invention can be suitably used for various
The thyroid gland endoscopic surgery of type, including small otch scope most widely used at present is aided in and Cavity Injection is complete
Endoscopic Thyroidectomy.If further adjustment handle specification, can also be expanded to the scope of application of the present invention and adopt
With on the various neural custodial care facility of similar principles.Therefore the present invention has height suitability first, can reduce use
Spending of the family in fixing equipment.
Brief description of the drawings
Fig. 1 is the head appearance schematic diagram in the present invention；
Fig. 2 is the top view of Fig. 1；
Fig. 3 is the fixed female connector schematic diagram in the present invention；
Fig. 4 is A-A sectional views of Fig. 3；
Fig. 5 is the handle contours figure in the present invention；
Fig. 6 is a kind of sectional view of the handle in the present invention together with built-in part；
Fig. 7 is that the partial structurtes including handle, fixed female connector and head socket part point in the present invention are illustrated
Figure.
Specific embodiment
Embodiment one
Minor kinesitherapy nerve monitoring probe is peeled off, wire 5 has been placed with handle 3, in handle, before handle 3
End is socketed with metallic head 1, and head rearward end is socket part 14, and there is the leading section of handle 3 forward end to open
Logical cavity 31, cavity axial direction bottom is embedding a metal nipple 4 being connected with wire 5, head it is described
The rear end of socket part 14 is inserted in the metal nipple 4 and is electrically connected with wire 5；Nose portion is flat-shaped curved arc
Portion 11, the front end of the flat-shaped arc portion is arc, part and flat-shaped curved arc of the head outer wall except the socket part
Outside the part on the front end face arc top in portion, insulating barrier is coated with, makes the part on the front end face arc top of flat-shaped arc portion
To remove the exposed surface of insulating barrier；Typical one is：The 77mm long of head 1, head maximum gauge section diameter is
4mm, flat-shaped arc portion 11 19mm long, the widest part of flat-shaped arc portion 11 4mm wide, flat-shaped arc portion 11
The radius of curvature of curved arc is 24.3mm, handle 3 127.5mm long, handle diameters 7mm；The head 1
With taper 12 and isometrical portion 13, it is connected as a single entity before and after taper and isometrical portion, taper extends forward gradually
Carefully, taper front end is connected in flat-shaped arc portion 11, and isometrical portion rear end is connected in socket part 14；It is typically：Socket
Minister 17.5mm, isometrical minister 15mm, tapered minister 25.5mm；The other end of the wire 5 is stretched out in
Handle rear end simultaneously extends and can be connected with the main frame of the NIM kinesitherapy nerve patient monitors of Medtronic Inc..
Embodiment two
This example peels off minor kinesitherapy nerve monitoring probe, and that be different from example is the 42mm long of head 1, and head is most
The a diameter of 3.8mm of diameter portion, the 15mm long of flat-shaped arc portion 11, the widest part of flat-shaped arc portion 11 is wide
3.8mm, the radius of curvature of the curved arc of flat-shaped arc portion 11 is 19.4mm, the 40mm long of handle 3, handle diameters
5mm；Socket part, isometrical portion and taper overall length 27mm, further feature are identical with upper example.
Embodiment three
This example peels off minor kinesitherapy nerve monitoring probe, and that be different from example one is the 198mm long of head 1, head
Maximum gauge section diameter is 4.2mm, the 25mm long of flat-shaped arc portion 11, the widest part of flat-shaped arc portion 11
4.2mm wide, the radius of curvature of the curved arc of flat-shaped arc portion 11 is 300mm, the 198mm long of handle 3, handle
Diameter 15mm；Socket part, isometrical portion and taper overall length 173mm, further feature are identical with example one.
Claims (10)
1. minor kinesitherapy nerve monitoring probe is peeled off, with handle (3), wire (5) has been placed in handle,
Handle front end is socketed with metallic pole head (1), in the socket part (14) of the head rear end and the handle
Wire electrical connection, it is characterized in that the nose portion be flat-shaped arc portion (11), the flat-shaped curved arc
The front end in portion is arc, and head outer wall is except the portion of the front end face of the part and flat-shaped arc portion of the socket part
Insulating barrier is exceptionally coated with, the part for making the front end face of flat-shaped arc portion is the exposed surface of insulating barrier；Institute
Head 40-200mm long is stated, head maximum gauge section diameter is 3-6mm, and the handle is long
40-200mm, diameter 5-15mm.
2. it is as claimed in claim 1 to pop one's head in, it is characterized in that the flat-shaped curved arc minister 15-25mm,
Flat-shaped arc portion the widest part 3-6mm wide, flat-shaped arc portion curved arc radius of curvature is not less than 19.4mm.
3. probe as claimed in claim 2, it is characterized in that the head have taper (12) and
Isometrical portion (13), is connected as a single entity before and after taper and isometrical portion, and taper extends forward tapered, tapered
Portion front end is connected in the flat-shaped arc portion, and isometrical portion rear end is connected in the socket part.
4. the probe as described in claim 1,2 or 3, it is characterized in that the handle leading section have to
The cavity (31) that front end is opened, the socket part with the head of handle socket is inserted in handle leading section
The cavity.
5. it is as claimed in claim 4 to pop one's head in, it is characterized in that the cavity axial direction bottom of the handle is embedding
There is the metal nipple (4) being connected with the wire (5), the socket part rear end of the head is inserted in this
Metal nipple.
6. it is as claimed in claim 5 to pop one's head in, it is characterized in that being cased with the cavity leading section of the handle
Fixed female connector (2), the socket part inner sleeve of the head passes the fixation female connector.
7. as claimed in claim 6 to pop one's head in, it is characterized in that head 54-100mm long, head is most
Diameter portion a diameter of 3.5-4.5mm, the flat-shaped curved arc minister 17-22mm, flat-shaped arc portion is most
Width 3.5-4.5mm at width, flat-shaped arc portion radius of curvature is 22-27mm.
8. as claimed in claim 7 to pop one's head in, it is characterized in that head 72-82mm long, head is most
Diameter portion a diameter of 3.8-4.2mm, the flat-shaped curved arc minister 18.5-20.5mm, flat-shaped arc portion
The widest part 3.8-4.2mm wide, flat-shaped arc portion radius of curvature is 23.5-25.5mm.
9. as claimed in claim 8 to pop one's head in, it is characterized in that head 77mm long, head maximum is directly
Path portion a diameter of 4mm, the flat-shaped curved arc minister 19mm, flat-shaped arc portion the widest part 4mm wide,
Flat-shaped arc portion radius of curvature is 24.3mm.
10. probe as claimed in claim 9, it is characterized in that handle 127.5mm long, handle is straight
Footpath 7mm.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510779764.XA CN106691596A (en) | 2015-11-13 | 2015-11-13 | Stripping subtype nervus motorius monitoring probe |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510779764.XA CN106691596A (en) | 2015-11-13 | 2015-11-13 | Stripping subtype nervus motorius monitoring probe |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN106691596A true CN106691596A (en) | 2017-05-24 |
Family
ID=58931420
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201510779764.XA Pending CN106691596A (en) | 2015-11-13 | 2015-11-13 | Stripping subtype nervus motorius monitoring probe |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN106691596A (en) |
Citations (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101115440A (en) * | 2005-01-31 | 2008-01-30 | 华沙整形外科股份有限公司 | Electrically insulated surgical probing tool |
| CN205215311U (en) * | 2015-11-13 | 2016-05-11 | 谢磊 | Peel off minor kinesitherapy nerve guardianship probe |
-
2015
- 2015-11-13 CN CN201510779764.XA patent/CN106691596A/en active Pending
Patent Citations (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101115440A (en) * | 2005-01-31 | 2008-01-30 | 华沙整形外科股份有限公司 | Electrically insulated surgical probing tool |
| CN205215311U (en) * | 2015-11-13 | 2016-05-11 | 谢磊 | Peel off minor kinesitherapy nerve guardianship probe |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| PB01 | Publication | ||
| PB01 | Publication | ||
| SE01 | Entry into force of request for substantive examination | ||
| WD01 | Invention patent application deemed withdrawn after publication |
Application publication date: 20170524 |
|
| WD01 | Invention patent application deemed withdrawn after publication |