CN106725465A - Kinesitherapy nerve mechanism for monitoring - Google Patents
Kinesitherapy nerve mechanism for monitoring Download PDFInfo
- Publication number
- CN106725465A CN106725465A CN201611183318.3A CN201611183318A CN106725465A CN 106725465 A CN106725465 A CN 106725465A CN 201611183318 A CN201611183318 A CN 201611183318A CN 106725465 A CN106725465 A CN 106725465A
- Authority
- CN
- China
- Prior art keywords
- needle electrode
- monitoring
- fluting
- box body
- electrode
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
- 210000005036 nerve Anatomy 0.000 title claims abstract description 29
- 238000012544 monitoring process Methods 0.000 title claims abstract description 27
- 230000007246 mechanism Effects 0.000 title claims abstract description 12
- 238000009966 trimming Methods 0.000 claims description 11
- 230000000306 recurrent effect Effects 0.000 abstract description 16
- 210000001685 thyroid gland Anatomy 0.000 abstract description 9
- 208000028389 Nerve injury Diseases 0.000 abstract description 6
- 230000008764 nerve damage Effects 0.000 abstract description 6
- 230000009286 beneficial effect Effects 0.000 abstract description 2
- 239000007787 solid Substances 0.000 abstract description 2
- 206010002091 Anaesthesia Diseases 0.000 description 6
- 230000037005 anaesthesia Effects 0.000 description 6
- 230000003444 anaesthetic effect Effects 0.000 description 3
- 230000008859 change Effects 0.000 description 3
- 230000001537 neural effect Effects 0.000 description 3
- 210000001260 vocal cord Anatomy 0.000 description 3
- 235000008331 Pinus X rigitaeda Nutrition 0.000 description 2
- 235000011613 Pinus brutia Nutrition 0.000 description 2
- 241000018646 Pinus brutia Species 0.000 description 2
- 230000002146 bilateral effect Effects 0.000 description 2
- 230000006378 damage Effects 0.000 description 2
- 230000005611 electricity Effects 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 210000003437 trachea Anatomy 0.000 description 2
- 238000002627 tracheal intubation Methods 0.000 description 2
- 208000000059 Dyspnea Diseases 0.000 description 1
- 206010013975 Dyspnoeas Diseases 0.000 description 1
- 241000196324 Embryophyta Species 0.000 description 1
- 206010028980 Neoplasm Diseases 0.000 description 1
- 238000001949 anaesthesia Methods 0.000 description 1
- 230000004888 barrier function Effects 0.000 description 1
- 210000000845 cartilage Anatomy 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 230000007831 electrophysiology Effects 0.000 description 1
- 238000002001 electrophysiology Methods 0.000 description 1
- 239000000835 fiber Substances 0.000 description 1
- 238000002695 general anesthesia Methods 0.000 description 1
- 210000004907 gland Anatomy 0.000 description 1
- 201000010536 head and neck cancer Diseases 0.000 description 1
- 230000008676 import Effects 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 239000003158 myorelaxant agent Substances 0.000 description 1
- 210000002990 parathyroid gland Anatomy 0.000 description 1
- 238000005424 photoluminescence Methods 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 229920006395 saturated elastomer Polymers 0.000 description 1
- 230000004936 stimulating effect Effects 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 210000000534 thyroid cartilage Anatomy 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
- A61B5/316—Modalities, i.e. specific diagnostic methods
- A61B5/389—Electromyography [EMG]
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/05—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/40—Detecting, measuring or recording for evaluating the nervous system
- A61B5/4029—Detecting, measuring or recording for evaluating the nervous system for evaluating the peripheral nervous systems
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
- A61B5/6847—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
- A61B5/6848—Needles
Abstract
The invention discloses a kind of kinesitherapy nerve mechanism for monitoring, monitor is provided with, the monitoring line that one end is electrically connected with the monitor, including box body and fluting, the fluting is arranged in the box body；Needle electrode is additionally provided with, the needle electrode up and down can be arranged in the fluting, and one end of the needle electrode stretches out in the bottom surface of the box body；The needle electrode is electrically connected with the other end of the monitoring line.Beneficial effect of the present invention is, simple structure, easy to adjust；The early warning recurrent nerve in thyroid operation art, it is to avoid recurrent nerve injury, shortens operating time, and expense is cheap, for thyroid operation avoids recurrent nerve injury from providing solid guarantee.
Description
Technical field
The present invention relates to the Neural monitoring field in Head and neck tumour operation, and in particular to a kind of kinesitherapy nerve mechanism for monitoring.
Background technology
Need to dissect recurrent nerve and to adequately protect in thyroid gland, parathyroid gland operation, but protect anyway,
The damage of recurrent nerve is still present, and this is one of complication of thyroid operation most serious, and unilateral damage causes sounding hoarse,
Bilateral is damaged causes expiratory dyspnea.And the birth of recurrent nerve monitor is carried for the thyroid operation recurrent nerve that adequately protects in art
The progress of revolution is supplied, the incidence of recurrent nerve injury in art has been greatly reduced, in can assisting art：
1) Intraoperative position nerve, judges nerve and its trend；
2) auxiliary separates nerve and tumour, and nerve is protected to greatest extent；
3) situation of patient's postoperative nerve function can be predicted in art.
But, current recurrent nerve monitor management is cumbersome, and disturbing factor is more, be such as also noted that in art depth of anesthesia,
Flesh pine time, Body Position Change influence anesthetic intubate electrode etc..
1st, electrode trachea cannula involves great expense：The electrode stimulating of recurrent nerve monitoring needs one in the related surgicals such as thyroid gland
Special anesthetic intubate is planted, the pipe is import disposable product, expensive.
2nd, need to carry out seamless connection with department of anesthesia：Needed during anesthesia under visible laryngoscope or intubation and ensured under electrolaryngoscope
Anesthesia pipe electrode is contacted with bilateral room band like clockwork.
3rd, complex management, disturbing factor is more：Flesh pine requires to need to stop using muscle relaxant in very high or even art for anesthesia, once art
The factors such as middle position chanP are easy to cause the dislocation of electrode cause Neural monitoring to fail with vocal cords loose contact.
As long as any one factor causes vocal cords to may result in monitoring failure with trachea cannula electrode loose contact.This gives first
The management of recurrent nerve monitoring brings many uncertain disturbing factors in shape gland surgery, while the disposable fiber crops of costliness
Liquor-saturated electrode intubation also limits its extensive utilization to a certain degree.
The content of the invention
In view of the defect of prior art, it is contemplated that in a kind of kinesitherapy nerve mechanism for monitoring is provided, can by what is set
Mode needle-like electrode, without the management of anesthetic intubate electrode system and its complexity, the early warning recurrent nerve in thyroid operation art,
Avoid recurrent nerve injury.
To achieve these goals, the technical solution adopted by the present invention is as follows：
Kinesitherapy nerve mechanism for monitoring, is provided with monitor, the monitoring line that one end is electrically connected with the monitor, including box body
With fluting, the fluting is arranged in the box body；Needle electrode is additionally provided with, the needle electrode up and down can be arranged at institute
State in fluting, one end of the needle electrode stretches out in the bottom surface of the box body；The needle electrode is another with the monitoring line
One end is electrically connected.
It should be noted that the fluting includes region and lower region, the upper region is provided with thread surface, the pin
The other end of formula electrode is bolted in the upper region；It is provided with for adjusting it described at the top of the needle electrode other end
The trimming part that region moves up and down；The surface in the lower region is shiny surface.
As a kind of perferred technical scheme, it is necessary to explanation, the trimming part is knob.
As another preferred technical scheme, it is necessary to explanation, the trimming part is including being arranged at the pin type electricity
The cross pit on the surface at the top of the pole other end, and the spiral shell knife matched with the cross pit.
As a kind of perferred technical scheme, it is necessary to explanation, the both sides of the box body are provided with the elastic of adjustable-length
Band.
Beneficial effect of the present invention is, simple structure, easy to adjust；Early warning recurrent nerve, keeps away in thyroid operation art
Exempt from recurrent nerve injury, shorten operating time, expense is cheap, for thyroid operation avoids recurrent nerve injury from providing solid guarantor
Barrier.
In addition to it can fully avoid above-mentioned disturbing factor；Also electrode can be placed under local anaesthesia, also can at any time be put in general anesthesia patients
Put, not by anaesthetizing and position is influenceed, convenient management in monitoring process, disturbing factor greatly reduces.
Brief description of the drawings
Fig. 1 is structural representation of the invention.
Fig. 2 is the enlarged diagram in A portions in Fig. 1.
Specific embodiment
It is lower by with reference to accompanying drawing the invention will be further described, it is necessary to explanation, the present embodiment is with the technical program
Premised on, detailed implementation method and specific operating process is given, but protection scope of the present invention is not limited to this implementation
Example.
As illustrated, the present invention is a kind of kinesitherapy nerve mechanism for monitoring, monitor is provided with, one end is electric with the monitor
The monitoring line of connection, including box body 1 and fluting 11, the fluting 11 are arranged in the box body 1；It is additionally provided with needle electrode 2, institute
Stating needle electrode 2 up and down can be arranged in the fluting 11, and one end of the needle electrode 2 stretches out in the box body 1
Bottom surface；The needle electrode 2 is electrically connected with the other end of the monitoring line.
It should be further stated that, the needle electrode is at least 2, and the quantity of the fluting should be with the pin type
Electrode pair should.
As shown in Fig. 2 the fluting 11 includes upper region 3 and lower region, the upper region 3 is provided with thread surface, described
The other end of needle electrode 2 is bolted in the upper region 3；Be provided with the top of the other end of the needle electrode 2 for adjust its
The trimming part that the upper region 3 moves up and down；The surface in the lower region is shiny surface.
As a kind of perferred technical scheme, it is necessary to explanation, the trimming part is knob.
As another preferred technical scheme, it is necessary to explanation, the trimming part is including being arranged at the pin type electricity
The cross pit on the surface at the top of the pole other end, and the spiral shell knife matched with the cross pit.
As a kind of perferred technical scheme, it is necessary to explanation, the both sides of the box body are provided with the elastic of adjustable-length
Band.
It should be further stated that, application of the invention can be made up of two box bodys according to certain spacing, i.e.,
It is provided simultaneously with 4 needle electrodes.
Embodiment 1
First, needle electrode is located at initial position in box body and should be connected in Neural monitoring instrument, then by pin type
Lower 1/3 intersection in part before electrode piercing thyroid cartilage, per each crosspointer in side；After piercing, can be by needle electrode top
The depth that is pierced into of trimming part adjustment, specifically, because the part of needle electrode and the upper region of fluting are to be threadedly coupled, because
This can be such that needle electrode is rotated in fluting in turn trimming part, while in order to ensure that needle electrode is moved in the scope for allowing
It is dynamic, the threaded portion in the upper region that can control to slot；Further, after needle electrode is pierced into, it passes through cartilage and touches vocal cords
Flesh, using electro physiology principle, by electro photoluminescence kinesitherapy nerve in art, forms nerve impulse and conduction to domination muscle produces flesh
Electric signal, forms electromyogram waveform and prompt tone, and then judge the integrality of nervous function.
Further, in order to ensure that the Body Position Change of patient to be caused to monitor error in art, can be in box body
Both sides elastic band is set, and be worn on the neck of patient so as to realize fixing.
Embodiment 2
It is substantially the same manner as Example 1, but needle electrode is single needle structure, specifically, in box body is provided only with 1 pin type
Electrode, further, box body with another 1 needle electrode is used with simultaneously.
For a person skilled in the art, technical scheme that can be as described above and design, make other each
Plant corresponding change and deform, and all these changes and deforms the protection model that should all belong to the claims in the present invention
Within enclosing.
Claims (5)
1. kinesitherapy nerve mechanism for monitoring, is provided with monitor, and the monitoring line that one end is electrically connected with the monitor, its feature exists
In, including box body and fluting, the fluting is arranged in the box body；Needle electrode is additionally provided with, the needle electrode can be upper and lower
It is movably set in the fluting, one end of the needle electrode stretches out in the bottom surface of the box body；The needle electrode and institute
State the other end electrical connection of monitoring line.
2. kinesitherapy nerve mechanism for monitoring according to claim 1, it is characterised in that described, the fluting includes region
With lower region, the upper region is provided with thread surface, and the other end of the needle electrode is bolted in the upper region；The pin type
It is provided with the top of the electrode other end for adjusting the trimming part that its region on described moves up and down；The surface in the lower region is
Shiny surface.
3. kinesitherapy nerve mechanism for monitoring according to claim 2, it is characterised in that the trimming part is knob.
4. kinesitherapy nerve mechanism for monitoring according to claim 2, it is characterised in that the trimming part includes being arranged at described
The cross pit on the surface at the top of the needle electrode other end, and the spiral shell knife matched with the cross pit.
5. kinesitherapy nerve mechanism for monitoring according to claim 1, it is characterised in that the both sides of the box body are provided with adjustable length
The elastic band of degree.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201611183318.3A CN106725465A (en) | 2016-12-20 | 2016-12-20 | Kinesitherapy nerve mechanism for monitoring |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201611183318.3A CN106725465A (en) | 2016-12-20 | 2016-12-20 | Kinesitherapy nerve mechanism for monitoring |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN106725465A true CN106725465A (en) | 2017-05-31 |
Family
ID=58889574
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201611183318.3A Pending CN106725465A (en) | 2016-12-20 | 2016-12-20 | Kinesitherapy nerve mechanism for monitoring |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN106725465A (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107468237A (en) * | 2017-08-24 | 2017-12-15 | 郭铮蔚 | A kind of Multifunctional nerve monitoring investigation system and its implementation |
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|---|---|---|---|---|
| CN101528302A (en) * | 2006-09-01 | 2009-09-09 | 心脏起搏器股份公司 | Neural stimulation system with laryngeal activity sensor |
| US20100286554A1 (en) * | 2009-05-11 | 2010-11-11 | Timothy Taylor Davis | Neurologic monitoring system and method |
| CN201840472U (en) * | 2010-09-14 | 2011-05-25 | 福建师范大学 | Temperature distribution real-time detecting device for acupoint subcutaneous tissue space |
| US20130134546A1 (en) * | 2011-11-30 | 2013-05-30 | International Business Machines Corporation | High density multi-electrode array |
| WO2014063163A1 (en) * | 2012-10-19 | 2014-04-24 | Block Jonathan D | Systems and methods for nerve mapping and monitoring |
| US20150174401A1 (en) * | 2012-06-25 | 2015-06-25 | Pharmasens Ag | Sub-epidermal electric warning device |
| CN204428030U (en) * | 2014-12-01 | 2015-07-01 | 邵志辉 | Butterfly bone electrode needle |
| US20150223894A1 (en) * | 2014-02-09 | 2015-08-13 | John E Burbank | Neuromonitoring needle-cartridge gun system |
| CA2944622A1 (en) * | 2014-03-31 | 2015-10-08 | Gordon D. DONALD III | Neuromonitoring probe systems and methods |
| CN205268163U (en) * | 2015-12-23 | 2016-06-01 | 中国医学科学院肿瘤医院 | Exempt from flesh pine interference type recurrent laryngeal nerve monitor |
| CN206603769U (en) * | 2016-12-20 | 2017-11-03 | 杨洪 | Kinesitherapy nerve mechanism for monitoring |
-
2016
- 2016-12-20 CN CN201611183318.3A patent/CN106725465A/en active Pending
Patent Citations (11)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101528302A (en) * | 2006-09-01 | 2009-09-09 | 心脏起搏器股份公司 | Neural stimulation system with laryngeal activity sensor |
| US20100286554A1 (en) * | 2009-05-11 | 2010-11-11 | Timothy Taylor Davis | Neurologic monitoring system and method |
| CN201840472U (en) * | 2010-09-14 | 2011-05-25 | 福建师范大学 | Temperature distribution real-time detecting device for acupoint subcutaneous tissue space |
| US20130134546A1 (en) * | 2011-11-30 | 2013-05-30 | International Business Machines Corporation | High density multi-electrode array |
| US20150174401A1 (en) * | 2012-06-25 | 2015-06-25 | Pharmasens Ag | Sub-epidermal electric warning device |
| WO2014063163A1 (en) * | 2012-10-19 | 2014-04-24 | Block Jonathan D | Systems and methods for nerve mapping and monitoring |
| US20150223894A1 (en) * | 2014-02-09 | 2015-08-13 | John E Burbank | Neuromonitoring needle-cartridge gun system |
| CA2944622A1 (en) * | 2014-03-31 | 2015-10-08 | Gordon D. DONALD III | Neuromonitoring probe systems and methods |
| CN204428030U (en) * | 2014-12-01 | 2015-07-01 | 邵志辉 | Butterfly bone electrode needle |
| CN205268163U (en) * | 2015-12-23 | 2016-06-01 | 中国医学科学院肿瘤医院 | Exempt from flesh pine interference type recurrent laryngeal nerve monitor |
| CN206603769U (en) * | 2016-12-20 | 2017-11-03 | 杨洪 | Kinesitherapy nerve mechanism for monitoring |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107468237A (en) * | 2017-08-24 | 2017-12-15 | 郭铮蔚 | A kind of Multifunctional nerve monitoring investigation system and its implementation |
| CN107468237B (en) * | 2017-08-24 | 2024-02-13 | 郭铮蔚 | Multifunctional nerve monitoring exploration system and implementation method thereof |
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| PB01 | Publication | ||
| PB01 | Publication | ||
| SE01 | Entry into force of request for substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| RJ01 | Rejection of invention patent application after publication | ||
| RJ01 | Rejection of invention patent application after publication |
Application publication date: 20170531 |