CN108720900A - A kind of articulatio cricoary tenoidea reduction forceps - Google Patents

A kind of articulatio cricoary tenoidea reduction forceps Download PDF

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Publication number
CN108720900A
CN108720900A CN201810728737.3A CN201810728737A CN108720900A CN 108720900 A CN108720900 A CN 108720900A CN 201810728737 A CN201810728737 A CN 201810728737A CN 108720900 A CN108720900 A CN 108720900A
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China
Prior art keywords
section
vice body
clamp
linkage section
ligation
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Pending
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CN201810728737.3A
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Chinese (zh)
Inventor
于振坤
张庆翔
胡慧英
何双八
倪会
刘亚群
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Individual
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Individual
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Priority to CN201810728737.3A priority Critical patent/CN108720900A/en
Publication of CN108720900A publication Critical patent/CN108720900A/en
Priority to PCT/CN2018/113897 priority patent/WO2020006949A1/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8866Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices for gripping or pushing bones, e.g. approximators
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2926Details of heads or jaws

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Ophthalmology & Optometry (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses a kind of articulatio cricoary tenoidea reduction forceps, including upper vice body and lower vice body, the upper vice body includes clamp handle, linkage section and clamp section, the linkage section includes Ligation in vitro section and internal linkage section, there is linkage section bending angle clamp handle to be made to be located at direction downward in the Ligation in vitro section opposite bank, the tail end of the clamp handle and Ligation in vitro section is hinged, the clamp section and the front end of internal linkage section are hinged, and clamp section is that level bends right and left shape with respect to the plane where linkage section, the internal linkage section is equipped with close to one end of clamp section and upwarps section;The lower vice body is integrally formed design, and has clamp handle compatible with upper vice body, linkage section and clamp section;The upper vice body forms four-bar mechanism with lower vice body by hinged block so that drives upper vice body that can be opened and closed along the translation of lower vice body to make the clamp section of upper vice body be formed with the clamp section of lower vice body when stepping up clamp handle;It is additionally provided with slide block assembly between the upper vice body and the linkage section of lower vice body.

Description

A kind of articulatio cricoary tenoidea reduction forceps
Technical field
The invention belongs to medical instruments fields, more particularly to reset the articulatio cricoary tenoidea used through visual anesthesia articulatio cricoary tenoidea and answer Position pincers.
Background technology
Articulatio cricoary tenoidea is that arytenoid is connect with the plane articulation that annular cartilage is formed in cavum laryngis, supports the movement of vocal cords. Arytenoid on lamina of cricoid cartilage other than having the sliding of front and back, preceding outside to rear inside, it is also inclined across rotation to from inside to outside Rotation is made, and opening and the closing function of glottis is executed, to realize the sounding of larynx, swallow protection and respiratory function.Articulatio cricoary tenoidea Dislocation is mostly since throat's wound causes, including trachea cannula damage and throat's contusion injuries, wherein iatrogenic trachea cannula causer It is most common.It is main to cause the reactions such as patient's sound is hoarse, swallow pain, cough of choking, patients ' life quality is seriously affected, can also be caused Medical tangle hidden danger, often needs positive treatment.Articulatio cricoary tenoidea reset is main therapy, but special, reliable due to lacking Reduction instrument, the repositioning method of Clinical practice is varied, and reset effect is mostly imprecise, thus can not form unified standard , reliable repositioning method.Due to lacking special equipment, doctor generally selects larynx section foreign body forceps, stirs steel bar, even fiber larynx Mirror, direct laryngoscope etc. are used for stirring for the arytenoid of Dislocation of cricoarytenoid joint, are unable to reach thoroughly clamping arytenoid, realize true Positive embolia operation.And these operations can only carry out under local anaesthesia mostly, and patient has Nausea and vomiting reaction, pain Greatly, therefore fitness is poor.There are articulatio cricoary tenoidea reduction forceps of the application to patent, but design structure is still the doctor of patient's end sitting position Operation, and a degree of can only stir arytenoid, all with common foreign body forceps, stir steel bar etc. and there is no essential distinction, because This, doctor is selected to use less.
Invention content
In view of the deficiencies in the prior art and technical problem, the present invention provides a kind of articulatio cricoary tenoidea reduction forceps, energy Convenient stable holding accurately is carried out to the irregular left and right articulatio cricoary tenoidea of form, so as to realize precisely smoothly translation, rotation Homing action.
In order to solve the above technical problems, present invention employs following technical schemes:A kind of articulatio cricoary tenoidea reduction forceps, including it is upper Vice body and lower vice body, the upper vice body include clamp handle, linkage section and clamp section, and the linkage section includes Ligation in vitro section and in vivo Linkage section, there is linkage section bending angle clamp handle to be made to be located at direction downward, the clamp handle and body in the Ligation in vitro section opposite bank The tail end of outer linkage section is hinged, and the clamp section and the front end of internal linkage section are hinged, and clamp section is with respect to where linkage section Plane is that level bends right and left shape, and the internal linkage section is equipped with close to one end of clamp section and upwarps section;The lower vice body is It is integrally formed design, and there is clamp handle compatible with upper vice body, linkage section and clamp section;The upper vice body passes through with lower vice body Hinged block forms four-bar mechanism so that drives upper vice body that can be translated along lower vice body to make the clamp of upper vice body when stepping up clamp handle Section and the clamp section of lower vice body are formed and are opened and closed;It is additionally provided with slide block assembly between the upper vice body and the linkage section of lower vice body.
Preferably, the Ligation in vitro section of the linkage section of the upper vice body and lower vice body, internal linkage section and upwarp section it Between for arc connect.
Preferably, the slide block assembly include the sliding block for being located at vice body linkage section, be located at lower vice body and with upper vice body The corresponding empty window in slide position, the sliding block are fastened in sky window, and can be limited and be slided along empty window.
Preferably, the clamp section includes bending section and the binding clip of front end, the binding clip is ring-type, and binding clip is opposite Sandwich serface is equipped with the flank of tooth, and due to using the cricoid binding clip of snakehead, when stepping up cartilaginous tissue, soft tissue can be packed in ring-type Cartilaginous tissue is more effectively clamped in heart hole interior energy, while improving firm grip degree by the flank of tooth of smooth arc-shaped surface, improves and resets effect Rate.
Preferably, the periphery of the upper vice body and lower vice body is cambered surface, to avoid clamp from damaging airway tissue.
Preferably, the bending angle between the Ligation in vitro section and internal linkage section is 110~135 °.
Preferably, the clamp section is 25~35 ° with respect to the horizontal curvature angle of linkage section.
Preferably, the angle for upwarping linkage section in section opposite bank is 120~160 °.
Preferably, the Ligation in vitro segment length is 2~4cm, the internal connection segment length is 8~12cm, described It is 1~2cm to upwarp segment length, and the clamp segment length is 3~5cm.
Advantageous effect:Compared with the existing technology, the present invention under anesthesia induction for combining visible anesthetic laryngoscope to carry out ring spoon Embolia art, linkage section and clamp section be flat at, and with the radian that mutually agrees with arytenoid, can grasp spoon without Damaging mucosal and cartilage, left and right articulatio cricoary tenoidea can be accurately clamped by being not required in addition to configure the attaching materials such as silica gel sheath, and These attaching materials are easy to fall off to cause the operations such as foreign body in airpassage unexpected.
Description of the drawings
Fig. 1 is the structural schematic diagram of articulatio cricoary tenoidea reduction forceps described in the use of the new type;
Fig. 2 is the structural schematic diagram of clamp section in articulatio cricoary tenoidea reduction forceps of the present invention;
Fig. 3 is the enlarged drawing at A in Fig. 1;
Fig. 4 is the enlarged drawing at B in Fig. 1;
Fig. 5 is the cross section structure schematic diagram of slide block assembly in the invention articulatio cricoary tenoidea reduction forceps.
Wherein, upper vice body 1, clamp handle 11, linkage section 12, Ligation in vitro section 121, internal linkage section 122, upwarp section 123, hinge Connect block 124, sliding block 125, clamp section 13, bending section 131, binding clip 132, the flank of tooth 133, lower vice body 2, empty window 21.
Specific implementation mode
Below in conjunction with the accompanying drawings and with specific embodiment, the present invention is furture elucidated.It should be understood that these embodiments are only used for It the bright present invention rather than limits the scope of the invention, after having read the present invention, those skilled in the art are to of the invention The modification of various equivalent forms falls within the application range as defined in the appended claims.
Articulatio cricoary tenoidea is the flexible multiaxis synovial joint of an activity, and forms of motion is extremely complex.In vocal cord movement process In, no matter vocal fold adduction or abduction, swing, sliding and the rotational action of arytenoid all link up, synchronously complete, and are not only It is vertical, successively occur.So Dislocation of cricoarytenoid joint is typically also multiaxis, complicated dislocation when occurring, it is not single direction Dislocation.In addition, articulatio cricoary tenoidea face is small, glenoid is shallow, and position cannot achieve deeply and accurately handle touch reset.
As shown in figures 1-4, the special reduction forceps of the application can effectively, to be held fixedly the irregular spoon shape of form soft Bone, so as to realize precisely smoothly translation, rotational action.Include mainly upper vice body and lower vice body, wherein lower vice body is to fix Portion, upper vice body are movable part;The two is for flat pattern, and periphery is placed using cambered surface and is inserted into bottleneck throat and damages software group It knits.Wherein upper vice body includes clamp handle, linkage section and clamp section, and the linkage section includes Ligation in vitro section and internal linkage section, institute Stating linkage section in Ligation in vitro section opposite bank, there is bending angle clamp handle to be made to be located at direction downward, the clamp handle and Ligation in vitro section Tail end is hinged, and the clamp section and the front end of internal linkage section are hinged, and the internal linkage section is equipped with close to one end of clamp section Section is upwarped, and clamp section is leftward or rightward bending with respect to the plane where linkage section.The lower vice body is integrally formed Design, and there is clamp handle compatible with upper vice body, linkage section and clamp section;The upper vice body passes through hinged block group with lower vice body At four-bar mechanism so that drive upper vice body that can translate the clamp section for making upper vice body and lower pincers along lower vice body when stepping up clamp handle The clamp section of body forms folding.In order to make upper vice body along the smooth translation of lower vice body, the bending part of the linkage section of vice body everywhere uses Arc-shaped transition connects.
In addition slide block assembly is set between the upper vice body and the linkage section of lower vice body, including is located at vice body linkage section Sliding block, be located at lower vice body and empty window corresponding with upper vice body slide position, the sliding block are fastened in sky window, and can be along empty window Limit sliding.
It is further improved, clamp section is made of the binding clip of bending section and front end, and bending section is to left or right with 30 ° or so The binding clip of horizontal arc curvature, front end is cyclic annular using snakehead, and the smooth flank of tooth is arranged on opposite folding face.Due to adopting With the cricoid binding clip of snakehead, when stepping up cartilaginous tissue, soft tissue can be packed in ring center hole interior energy be more effectively clamped it is soft Bone tissue, while firm grip degree is improved by the flank of tooth of smooth arc-shaped surface, it improves and resets efficiency.
Preferably, the bending angle between the Ligation in vitro section and internal linkage section is 110~135 °.The clamp section The horizontal curvature angle of opposite linkage section is 25~35 °.The angle for upwarping linkage section in section opposite bank is 120~160 °. The Ligation in vitro segment length is 2~4cm, and the internal connection segment length is 8~12cm, it is described upwarp segment length for 1~ 2cm, the clamp segment length are 3~5cm.
Existing articulatio cricoary tenoidea reset is mostly used instead by other surgical clamps, these surgical clamp ends are in smooth Plane, coincideing with the arytenoid face of irregular shape, property is poor, these surgical clamps are when stirring to unstable, the hand of arytenoid force Art, which clamps, to be easy to slip between end and arytenoid, seriously affects reset effect, and be easy to cause the damage of articulatio cricoary tenoidea surface mucous. The object of the present invention is to provide a kind of more identical with arytenoid contact surface, contact more stable, articulatio cricoary tenoidea reset effect is more Good, the articulatio cricoary tenoidea reset used time is shorter, and the articulatio cricoary tenoidea of damage will not be caused to stir pincers to articulatio cricoary tenoidea.
The present invention flat reduction forceps, can effectively, be held fixedly the irregular arytenoid of form, so as to realize It precisely smoothly translates, rotational action.Whole body material selection alloy material, matter are unlikely to deform firmly, and using lasting, surface is using dark Line designs, and not will produce reflective, influences surgical field of view.

Claims (9)

1. a kind of articulatio cricoary tenoidea reduction forceps, it is characterised in that:Including upper vice body and lower vice body, the upper vice body includes clamp handle, connects Section and clamp section are connect, the linkage section includes Ligation in vitro section and internal linkage section, is connected in the Ligation in vitro section opposite bank There is section bending angle clamp handle to be made to be located at direction downward, and the tail end of the clamp handle and Ligation in vitro section is hinged, the clamp Duan Yuti The front end of interior linkage section is hinged, and clamp section bends right and left shape with respect to the plane where linkage section for level, described to connect in vivo Connect section close to one end of clamp section be equipped with upwarp section;The lower vice body is integrally formed design, and with being adapted with upper vice body Clamp handle, linkage section and clamp section;The upper vice body forms four-bar mechanism with lower vice body by hinged block so that steps up clamp handle When drive upper vice body that can translate the clamp section of upper vice body be made to be formed with the clamp section of lower vice body along lower vice body to open and close;On described It is additionally provided with slide block assembly between vice body and the linkage section of lower vice body.
2. articulatio cricoary tenoidea reduction forceps according to claim 1, it is characterised in that:The linkage section of the upper vice body and lower vice body Ligation in vitro section, internal linkage section and upwarping is connected for arc between section.
3. articulatio cricoary tenoidea reduction forceps according to claim 2, it is characterised in that:The slide block assembly includes being located at vice body company The sliding block of section is connect, lower vice body is located at and empty window corresponding with upper vice body slide position, the sliding block are fastened in sky window, and can edge Empty window limit sliding.
4. articulatio cricoary tenoidea reduction forceps according to claim 2, it is characterised in that:The clamp section includes bending section and front end Binding clip, the binding clip is ring-type, and the opposite sandwich serface of binding clip is equipped with the flank of tooth.
5. articulatio cricoary tenoidea reduction forceps according to claim 2, it is characterised in that:The periphery of the upper vice body and lower vice body is equal For cambered surface.
6. articulatio cricoary tenoidea reduction forceps according to claim 2, it is characterised in that:The Ligation in vitro section and internal linkage section it Between bending angle be 110~135 °.
7. articulatio cricoary tenoidea reduction forceps according to claim 2, it is characterised in that:Horizontal curved of the clamp section with respect to linkage section Bent angle is 25~35 °.
8. articulatio cricoary tenoidea reduction forceps according to claim 2, it is characterised in that:The folder for upwarping linkage section in section opposite bank Angle is 120~160 °.
9. articulatio cricoary tenoidea reduction forceps according to claim 2, it is characterised in that:The Ligation in vitro segment length is 2~4cm, The internal connection segment length is 8~12cm, and the segment length that upwarps is 1~2cm, and the clamp segment length is 3~5cm.
CN201810728737.3A 2018-07-05 2018-07-05 A kind of articulatio cricoary tenoidea reduction forceps Pending CN108720900A (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
CN201810728737.3A CN108720900A (en) 2018-07-05 2018-07-05 A kind of articulatio cricoary tenoidea reduction forceps
PCT/CN2018/113897 WO2020006949A1 (en) 2018-07-05 2018-11-05 Cricoarytenoid joint reduction forceps

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CN201810728737.3A CN108720900A (en) 2018-07-05 2018-07-05 A kind of articulatio cricoary tenoidea reduction forceps

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2020006949A1 (en) * 2018-07-05 2020-01-09 于振坤 Cricoarytenoid joint reduction forceps

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Publication number Priority date Publication date Assignee Title
US20060030880A1 (en) * 2004-08-04 2006-02-09 James Tylke Anesthesia intubating forceps
CN201389055Y (en) * 2009-04-10 2010-01-27 上海市杨浦区中心医院 Lengthening corner laryngeal forceps
CN202086552U (en) * 2011-06-01 2011-12-28 桐庐洲济医疗器械有限公司 Throat forceps for taking out fishbone
CN202960666U (en) * 2012-12-29 2013-06-05 张家辉 Thoracoscope oval forceps
CN203953745U (en) * 2014-07-12 2014-11-26 李桃根 A kind of laryngeal forceps for the treatment of laryngopharyngeal diseases
CN204049760U (en) * 2014-07-08 2014-12-31 华中科技大学同济医学院附属同济医院 Clamp forceps for tunnel behind liver
CN205697935U (en) * 2016-04-06 2016-11-23 李丽娟 A kind of arc larynx tissue forceps
CN206463039U (en) * 2016-07-06 2017-09-05 曹隆和 Articulatio cricoary tenoidea reduction forceps
CN107773295A (en) * 2017-12-04 2018-03-09 林志宏 Articulatio cricoary tenoidea stirs pincers
CN208974019U (en) * 2018-07-05 2019-06-14 于振坤 A kind of articulatio cricoary tenoidea reduction forceps

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GB2465615A (en) * 2008-11-19 2010-06-02 Mid Essex Hospital Services Nhs Trust Surgical device for grasping tissue
CN108720900A (en) * 2018-07-05 2018-11-02 于振坤 A kind of articulatio cricoary tenoidea reduction forceps

Patent Citations (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20060030880A1 (en) * 2004-08-04 2006-02-09 James Tylke Anesthesia intubating forceps
CN201389055Y (en) * 2009-04-10 2010-01-27 上海市杨浦区中心医院 Lengthening corner laryngeal forceps
CN202086552U (en) * 2011-06-01 2011-12-28 桐庐洲济医疗器械有限公司 Throat forceps for taking out fishbone
CN202960666U (en) * 2012-12-29 2013-06-05 张家辉 Thoracoscope oval forceps
CN204049760U (en) * 2014-07-08 2014-12-31 华中科技大学同济医学院附属同济医院 Clamp forceps for tunnel behind liver
CN203953745U (en) * 2014-07-12 2014-11-26 李桃根 A kind of laryngeal forceps for the treatment of laryngopharyngeal diseases
CN205697935U (en) * 2016-04-06 2016-11-23 李丽娟 A kind of arc larynx tissue forceps
CN206463039U (en) * 2016-07-06 2017-09-05 曹隆和 Articulatio cricoary tenoidea reduction forceps
CN107773295A (en) * 2017-12-04 2018-03-09 林志宏 Articulatio cricoary tenoidea stirs pincers
CN208974019U (en) * 2018-07-05 2019-06-14 于振坤 A kind of articulatio cricoary tenoidea reduction forceps

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2020006949A1 (en) * 2018-07-05 2020-01-09 于振坤 Cricoarytenoid joint reduction forceps

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Application publication date: 20181102