CN109744989A - Oral cavity draw hook system and its application method - Google Patents

Oral cavity draw hook system and its application method Download PDF

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Publication number
CN109744989A
CN109744989A CN201910188604.6A CN201910188604A CN109744989A CN 109744989 A CN109744989 A CN 109744989A CN 201910188604 A CN201910188604 A CN 201910188604A CN 109744989 A CN109744989 A CN 109744989A
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China
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soft tissue
oral cavity
connector
strutting
hole
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CN201910188604.6A
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Chinese (zh)
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CN109744989B (en
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杨进城
陈建庭
马向阳
潘志新
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Individual
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Abstract

The invention discloses a kind of oral cavity draw hook system and its application methods, wherein the oral cavity draw hook system includes oral cavity lifting hook device, palate hoos device and pharynx rear wall soft tissue device for spreading, oral cavity lifting hook device includes pressure tongue component, the first adjustment portion and upper tooth strutting assembly, pressure tongue component and upper tooth strutting assembly are connected with the first adjustment portion, and the first adjustment portion adjusts pressure tongue component and upper tooth strutting assembly struts lower jaw and the upper jaw;Pharynx rear wall soft tissue device for spreading is located at the top of oral cavity lifting hook device, the second adjustment portion that rear wall soft tissue device for spreading includes two soft tissue strutting assemblies and is connected with two soft tissue strutting assemblies is swallowed, the second adjustment portion adjusts two soft tissue strutting assemblies and struts pharynx rear wall soft tissue;Palate hoos device is located between two soft tissue strutting assemblies, which struts oral cavity and be relatively easy to, and is presented in oral cavity pharynx rear wall maximumlly in face of operator as far as possible, keeps the well stable operation visual field, meet the needs of operator.

Description

Oral cavity draw hook system and its application method
Technical field
The present invention relates to medical instruments fields, more specifically, be it is a kind of when performing an operation by oral cavity for strut oral cavity, Tongue body is pushed, soft palate is strutted and swallows the oral cavity draw hook system and its application method of rear wall soft tissue.
Background technique
When doing the operation of direct oral cavity Hang Qian road atlas and axis, for the ease of surgical procedure, needs to strut oral cavity, pushes tongue body, Larger range appears the pharynx rear wall in front of basis cranii and upper cervical spine as much as possible, and generally using at present is codman draw hook system, Codman draw hook system relies primarily on the hand strength of operator when strutting oral cavity drop-down tongue body, and the oral cavity size of different patients And oral cavity Surrounding muscles strength is different, causes the oral cavity expanding of some patientss more difficult, operating space appears not after oral cavity expanding Foot is excessively narrow, is unable to satisfy operational requirements.
Summary of the invention
The purpose of the present invention is to provide a kind of oral cavity draw hook system and its application method, which struts mouth Chamber is relatively easy to, and is maximized oral cavity as far as possible and is steadily presented in face of operator, and the good operation visual field is kept, and meets operation The demand of person.
Its technical solution is as follows:
The present invention discloses a kind of oral cavity draw hook system, including soft group of rear wall of oral cavity lifting hook device, palate hoos device and pharynx Device for spreading is knitted, the oral cavity lifting hook device includes pressure tongue component, the first adjustment portion and upper tooth strutting assembly, the pressure tongue component And the upper tooth strutting assembly is connected with first adjustment portion, first adjustment portion adjusts the pressure tongue component and described Upper tooth strutting assembly struts the upper jaw, lower jaw and tongue body;The pharynx rear wall soft tissue device for spreading is located at the oral cavity lifting hook device Top, the pharynx rear wall soft tissue device for spreading includes two soft tissue strutting assemblies and strutting group with two soft tissues The second connected adjustment portion of part, second adjustment portion adjust two soft tissue strutting assemblies and strut pharynx rear wall soft tissue; The palate hoos device is located between two soft tissue strutting assemblies.
The pressure tongue component is spatula, the spatula and the oval laminated structure of tongue body contact surface, the pressure tongue It is located at the tip of the tongue one end on plate and is equipped with the first connector, first connector is vertical setting with the spatula, and described first Connector extends to spatula and tongue body contact surface side, and first connector is equipped with the first connecting column, and described first Connecting column is equipped with the first kidney-shaped groove, and the first fixation hole is equipped in the first kidney-shaped groove, is set in first fixation hole There is the first fixing piece for protruding from the first fixation hole opposite sides.
The upper tooth strutting assembly includes two upper tooth hooks and the second connector, the top part of two upper tooth hooks It is not connected with second connector, and is located at the opposite both ends of second connector, two upper tooth hooks It is L-shaped structure, to its inside, obliquely downward extends for the bottom of two upper tooth hooks, and second connector is equipped with Second connecting column, second connecting column are equipped with the second kidney-shaped groove, are equipped with the second fixation hole in the second kidney-shaped groove, The second fixing piece for protruding from the second fixation hole opposite sides is equipped in second fixation hole.
First adjustment portion includes third connector, the 4th connector, the first adjusting rod, the first regulating part and the second tune Part is saved, first adjusting rod is equipped with the first rotating hole, after the top of the third connector passes through first rotating hole It is connected with first regulating part, the bottom of the third connector is equipped with to be connect with first connecting column matched first Hole, the opposite two sides of first connecting hole are respectively equipped with the first card slot, and the both ends of first fixing piece are located at institute It states in the first card slot;The top of 4th connector is connected with the second regulating part, the bottom of the 4th connector be equipped with Matched second connecting hole of second connecting column, the opposite two sides of second connecting hole are respectively equipped with the second card slot, institute The both ends for stating the second fixing piece are located in second card slot.
First regulating part includes that cap, the third connector are pulled in the first rotary shaft, the second rotary shaft and the first rotation It is connected after first rotating hole with the second rotary shaft, first rotary shaft is connected with second rotary shaft, described First rotation is pulled cap and is fixed in first rotary shaft, and second rotary shaft is in contact with first adjusting rod, described Multiple positioning beads are equipped in second rotary shaft with the contact surface of first adjusting rod, are rotated on first adjusting rod with second The contact surface of axis is equipped with to be located on same circular arc with the matched locating slot of positioning bead, the positioning bead and the locating slot, described The first limiting slot is additionally provided on first adjusting rod, second rotary shaft is equipped with the first limited post, first limited post position In in first limiting slot.
Second regulating part include the first sliding sleeve, first rotation gear, the first postive stop baffle, the first press section and First elastic component, first sliding sleeve are sheathed on first adjusting rod, first sliding sleeve and the described 4th Connector is connected, and first sliding sleeve is equipped with the second rotating hole, and the first rotation gear is located at second rotation In hole, the first rotation gear is equipped with multiple first latching tooths, and first adjusting rod is equipped with multiple second latches, described First latching tooth is in contact with second latch, and the first latching tooth is meshed with second latch;First sliding The first limit hole is additionally provided on casing, first postive stop baffle is located in first limit hole, the first press section with it is described First postive stop baffle is connected, and the first elastic component is located at the lower section of first press section, and the first press section and first bullet Property part is hinged.
Two soft tissue strutting assemblies are oppositely arranged, and two soft tissue strutting assemblies include multiple oblique type teeth Hook, soft tissue baffle and connection round bar, multiple oblique type hooks are fixed on one end of the soft tissue baffle, and are located at middle part The oblique type hook length be greater than two sides the oblique type hook length, on the soft tissue baffle with the oblique type tooth The opposite other end of hook is connected with the connection round bar, the connection round bar be curved arcuate structure, the connection round bar and Second adjustment portion is connected, and the one end being connected on the connection round bar with second adjustment portion is first end, the connection The one end being connected on round bar with the soft tissue baffle is second end, the of the connection round bar of two soft tissue strutting assemblies The distance between one end is greater than the distance between second end.
Two second adjustment portions include the 5th connector, the second sliding sleeve, the second rotation gear, the second limit Baffle, the second press section, the second elastic component and the second adjusting rod, the connection round bar is connected with the 5th connector, described Second sliding sleeve is sheathed on second adjusting rod, and second sliding sleeve is connected with the 5th connector, described Second sliding sleeve is equipped with third rotating hole, and the second rotation gear is located in the third rotating hole, second rotation Rotating disk be equipped with multiple third latches, second adjusting rod be equipped with multiple 4th latches, the third latch with it is described 4th latch is in contact, and the third latch is meshed with the 4th latch;Is additionally provided on second sliding sleeve Two limit holes, second postive stop baffle are located in second limit hole, the second press section and the second postive stop baffle phase Even, the second elastic component is located at the lower section of second press section, and the second press section is hinged with second elastic component.
The palate hoos device is two, and two palate hoos devices include palate hoos baffle, lower tooth extension Hook baffle, interconnecting piece and support portion, described interconnecting piece one end are connected with the palate hoos baffle, the interconnecting piece other end with The support portion is connected, and the support portion is connected with the lower tooth drag hook baffle, and the support portion is semi-circular elastic construction.
Invention additionally discloses a kind of oral cavity draw hook system application methods, comprising:
Oral cavity lifting hook device is placed in oral cavity, pressure tongue component is placed in above tongue body, and upper tooth strutting assembly is placed in It is arranged below tooth on the upper jaw;
By adjusting the first adjustment portion, make that tongue component is pressed to push tongue body, upper tooth strutting assembly struts the upper jaw, pull open the upper jaw with The distance between lower jaw appears pharynx rear wall;
Palate hoos device is placed in oral cavity, soft palate and uvula are strutted;
After cutting pharynx rear wall, pharynx rear wall soft tissue device for spreading is placed in oral cavity, and two soft tissues are strutted into group Part is respectively placed in front of atlas and axis at pharynx rear wall soft tissue incision;
By adjusting two the second adjustment portions respectively, the pharynx rear wall soft tissue of oral cavity two sides is strutted.
It should be understood that
Aforementioned " first, second, third ... " is only used for the differentiation for title, does not represent specific quantity and suitable Sequence.
Advantages of the present invention or principle are illustrated below:
1, the first pressure tongue component of oral cavity lifting hook device is adjusted by the first adjustment portion pushes tongue body, while adjusting by first The adjusting in section portion struts the upper jaw and lower jaw, pushes tongue body, appears pharynx rear wall, strut oral cavity and do not need the hand for being completely dependent on operator Portion's strength can gradually strut one millimeter by one millimeter oral cavity by the adjusting of adjustment portion, push tongue body, and oral cavity, which is opened, more to hold Easily and stablize, meanwhile, it struts oral cavity and appears the stable state that pharynx rear wall operative field can be kept to appear after pharynx rear wall, avoid oral cavity Moving up for closure, tongue body and root of the tongue portion stops pharynx rear wall again again;Palate hoos device struts soft palate and uvula in oral cavity, Expand the range of exposure of pharynx rear wall;After cutting pharynx rear wall soft tissue merging pharynx rear wall soft tissue device for spreading, rear wall soft tissue is swallowed Device for spreading by the adjusting of the second adjustment portion, can gradually stable opening soft tissue strutting assembly, so that soft tissue be made to strut Component pulls open soft tissue and scar in front of atlas and axis centrum, preferably appears atlas and axis Lateral mass joint, keeps good operation view It is wild.
2, spatula and the oval laminated structure of tongue body contact surface, tongue body uniform force when spatula pushes tongue body, make It is integrally moved down after tongue body stress, the first connector being connected with spatula, for connecting spatula and the first adjustment portion, just In adjusting of first adjustment portion to spatula, the first connector extends to spatula with tongue body contact surface side, under spatula After pressing tongue body, the first connector is placed in above lower jaw, can avoid surgical field of view, while the first connector can strut downwards lower jaw.
3, being connected and fixed for the first connector and the first adjustment portion of the first connecting column on the first connector, the first company It connects after column is placed in the first connecting hole of adjustment portion, the first fixing piece on the first connecting column is placed in the first card slot of first connecting portion It is interior, spatula is mutually fixed with first connecting portion, increases the stability of spatula, prevents spatula from moving in the course of surgery.
4, the upper tooth hook of two of upper tooth strutting assembly is L-shaped structure, and the bottom of two upper tooth hooks is into it Extend below skew back, two upper tooth hooks are designed according to the arrangement shape of row's tooth upper in oral cavity, make tooth hook preferably button The row's of living in tooth avoids tooth hook from loosening after fastening with upper row's tooth;Meanwhile second to be connected with upper tooth hook connects Column is connect, for upper tooth hook to be fixed on the first adjustment portion, after the second connecting column is placed in the second connecting hole, on the second connecting column The second connector be located in the second card slot and fix the second connecting column, prevent tooth hook movement.
5, the first regulating part is connected by third connector with spatula, and the first rotary shaft is connected with the second rotary shaft, is led to The first rotation crossed in the first rotary shaft of rotation pulls cap and rotates the first rotary shaft, and the first rotary shaft drives the rotation of the second rotary shaft, And then the rotation of third connector is driven, position and the angle of spatula, further expansion are adjusted by the rotation of third connector Swallow the range of exposure of rear wall;
Second rotary shaft is equipped with multiple positioning beads, can set the angle between the center of circle of two adjacent positioning beads, leads to It crosses and rotates different positioning beads to locating slot, can control the rotation angle of the second rotary shaft, and then accurately control spatula Adjusting angle, the first limited post in the second rotary shaft can prevent the rotation of the second rotary shaft excessive.
6, the first rotation of rotation gear, the first rotation gear band move the first sliding sleeve and slide on the first adjusting rod, the One sliding sleeve drives the 4th connector mobile, and then drives upper tooth strutting assembly mobile, and upper tooth strutting assembly is in mobile mistake Oral cavity is gradually opened in journey, by the first rotation of rotation gear can gradually stable opening oral cavity, in the opening procedure of oral cavity not It needs to fully rely on the hand strength of operator, it is stably and controllable to open oral cavity, and oral cavity can be strutted to greatest extent, obtain more preferable The operation visual field, while can avoid causing temporomandibular joint dislocation;After upper tooth strutting assembly struts oral cavity, pass through the first limiting block The engaging of plate and the second latch limits the first sliding sleeve, prevents the first sliding sleeve mobile, with the first press section phase The first elastic component even can make the first postive stop baffle keep stable state, prevent upper tooth during performing an operation from strutting group Part is mobile suddenly to increase operation risk.
7, the length of the oblique type hook at the middle part of soft tissue strutting assembly is greater than the length of the oblique type hook of two sides, soft tissue After strutting assembly protrudes into oral cavity, when the oblique type hook when two sides touches the cortical bone in front of the pivot of extensive region, the oblique type hook at middle part can The soft tissue and scar of joint between main atlas and axis body are grasped, the soft tissue residual strutted when appearing is reduced, more preferably appears extensive region pivot Loosen between the lateral mass of vertebra two sides, reset and bone grafting fusion region.
8, the connection round bar being connected with soft tissue baffle is curved cambered design, and simultaneously arc outward, can for small volume The operation visual field is blocked with reducing as far as possible, while the influence to the nucleus of operating space can be reduced, convenient for operator's Operation.
9, the second adjustment portion is connected with soft tissue strutting assembly, the second rotation gear in the second adjustment portion of rotation, and second Rotation gear band moves the second sliding sleeve and moves on the second adjusting rod, and then gradually stable opening soft tissue strutting assembly, To pull open the soft tissue and scar in front of atlas and axis;After second postive stop baffle engages with the 4th latch, to the second sliding sleeve It is limited, prevents the second sliding sleeve mobile.
10, the palate hoos baffle of palate hoos device is for strutting soft palate and uvula, and interconnecting piece is for connecting support Portion and palate hoos baffle, lower tooth hook baffle are placed on lower row's tooth, provide supporting point for support portion, support portion is semi-ring Shape band elastic construction, support portion can provide the tension of continual and steady outside top, make palate hoos baffle by soft palate upwards Traction.
11, the second adjustment portion on the lifting hook device of oral cavity the distance of one millimeter of adjusting proximity gradually can strut oral cavity every time, It struts the upper jaw and lower jaw is stably and controllable.
Detailed description of the invention
Fig. 1 is the structure chart of the embodiment of the present invention;
Fig. 2 is the working state figure of the embodiment of the present invention;
Fig. 3 is the structural schematic diagram of the oral cavity lifting hook device of the embodiment of the present invention;
Fig. 4 is the explosive view of the oral cavity lifting hook device of the embodiment of the present invention;
Fig. 5 is the structural schematic diagram of the pressure tongue component of the embodiment of the present invention;
Fig. 6 is the structural schematic diagram of the upper tooth strutting assembly of the embodiment of the present invention;
Fig. 7 is the structural schematic diagram of the pharynx rear wall soft tissue device for spreading of the embodiment of the present invention;
Fig. 8 is the explosive view of the pharynx rear wall soft tissue device for spreading of the embodiment of the present invention;
Fig. 9 is the structural schematic diagram of the soft tissue strutting assembly of the embodiment of the present invention;
Figure 10 is the structural schematic diagram of the palate hoos device of the embodiment of the present invention;
Description of symbols:
100, oral cavity lifting hook device;200, palate hoos device;300, rear wall soft tissue device for spreading is swallowed;110, tongue group is pressed Part;120, upper tooth strutting assembly;111, the first connector;112, the first connecting column;113, the first kidney-shaped groove;114, first is solid Determine hole;121, upper tooth hook;122, the second connector;123, the second connecting column;124, the second kidney-shaped groove;125, second is fixed Hole;400, third connector;500, the 4th connector;600, the first adjusting rod;700, the first regulating part;800, it second adjusts Part;410, first connecting rod;420, the second connecting rod;430, third connecting rod;610, the first rotating hole;431, the first connection Hole;432, the first card slot;510, the 4th connecting rod;520, the 5th connecting rod;530, the 6th connecting rod;531, the second connecting hole; 532, the second card slot;710, the first rotary shaft;720, the second rotary shaft;730, cap is pulled in the first rotation;721, the 4th rotating hole; 711, the 5th rotating hole;810, the first sliding sleeve;820, the first rotation gear;830, the first postive stop baffle;840, it first presses Splenium;850, the first elastic component;811, the second rotating hole;821, third rotary shaft;822, cap is pulled in the second rotation;812, the first limit Position hole;310, soft tissue strutting assembly;320, the second adjustment portion;311, oblique type hook;312, soft tissue baffle;313, connection circle Bar;321, the 5th connector;322, the second sliding sleeve, the 323, second rotation gear;324, the second postive stop baffle;325, second Press section;326, the second elastic component;3211, the 7th connecting rod;3212, the 8th connecting rod;3213, the 9th connecting rod;3214, Three location holes;3215, third card slot;314, third connecting column;315, third kidney-shaped groove;316, third fixation hole;3221, Three rotating holes;327, the 4th rotary shaft;328, cap is pulled in third rotation;3222, the second limit hole;210, palate hoos baffle; 220, lower tooth links up with baffle;230, interconnecting piece;240, support portion;330, the second adjusting rod.
Specific embodiment
The embodiment of the present invention is described in detail below.
As shown in Figure 1 and Figure 2, the present embodiment discloses a kind of oral cavity draw hook system, including oral cavity lifting hook device 100, soft palate are drawn Hook device 200 and pharynx rear wall soft tissue device for spreading 300, wherein oral cavity lifting hook device 100 for depressing tongue body, strut the upper jaw, Lower jaw, pharynx rear wall soft tissue device for spreading 300 are used to strut the pharynx rear wall soft tissue of oral cavity two sides, and palate hoos device 200 is Two, two palate hoos devices 200 are for strutting soft palate and uvula;
As shown in Figure 3, Figure 4, the oral cavity lifting hook device 100 of the present embodiment include pressure tongue component 110, the first adjustment portion and on Tooth strutting assembly 120 presses tongue component 110 and upper tooth strutting assembly 120 to be connected with the first adjustment portion, as shown in figure 5, pressure tongue group Part 110 is spatula, spatula and the oval laminated structure of tongue body contact surface, oval laminated structure and tongue body upper surface shape Shape matches, and spatula makes tongue body uniform force when being pressed downward tongue body, move down tongue body can integrally, the pressure of the present embodiment It is located at the tip of the tongue one end on hyoplastron gradually to diminution among spatula, and is located at the tip of the tongue one end and is equipped with the first connector 111, first connects Fitting 111 extends and is bent into right angle with tongue body contact surface side to spatula, and the first connector 111 is equipped with the first connection Column 112, the first connecting column 112 are equipped with the first kidney-shaped groove 113, are equipped with the first fixation hole 114 in the first kidney-shaped groove 113, The the first fixing piece (not shown) for protruding from 114 opposite sides of the first fixation hole is equipped in first fixation hole 114;
As shown in fig. 6, the upper tooth strutting assembly 120 of the present embodiment includes two upper tooth hooks 121 and the second connector 122, the top of two upper tooth hooks 121 is connected with the second connector 122 respectively, and is located at the phase of the second connector 122 Pair both ends, two upper teeth hooks 121 are L-shaped structure, and to its inside, obliquely downward is prolonged for the bottoms of two upper teeth hooks 121 It stretches, the second connector 122 is equipped with the second connecting column 123, and the second connecting column 123 is equipped with the second kidney-shaped groove 124, the second waist It is equipped with the second fixation hole 125 in connected in star 124, is equipped in the second fixation hole 125 and protrudes from 125 opposite sides of the second fixation hole Second fixing piece (not shown);
As shown in figure 3, first adjustment portion of the present embodiment includes third connector 400, the 4th connector 500, first tune Pole 600, the first regulating part 700 and the second regulating part 800, wherein as shown in figure 4, third connector 400 includes the first connection Bar 410, the second connecting rod 420, third connecting rod 430, the second connecting rod 420 are located at first connecting rod 410 and third connecting rod Between 430, and the top of the second connecting rod 420 and the bottom of first connecting rod 410 are hinged, the bottom of the second connecting rod 420 It is hinged with the top of third connecting rod 430, the first adjusting rod 600 is equipped with the first rotating hole 610, first connecting rod 410 Top is connected after passing through the first rotating hole 610 with the first regulating part 700, and the bottom of third connecting rod 430 is equipped with to be connect with first Matched first connecting hole 431 of column 112, the opposite two sides of the first connecting hole 431 are respectively equipped with the first card slot 432, and first is solid The both ends for determining part are located in the first card slot 432, and the design of the third connector 400 of the present embodiment makes third connector 400 Both the rotation of the first regulating part 700 can have been conducted, spatula can also have been pushed again after spatula pushes tongue body, take spatula Note lower jaw reduces spatula and at a distance from hovering, reduces spatula during operation to the influence of operator between lower jaw;4th connects Fitting 500 includes the 4th connecting rod 510, the 5th connecting rod 520 and the 6th connecting rod 530, and the 5th connecting rod 520 is located at the 4th and connects Between extension bar 510 and the 6th connecting rod 530, the top of the 5th connecting rod 520 and the bottom of the 4th connecting rod 510 are hinged, the The bottom of five connecting rods 520 and the top of the 6th connecting rod 530 are hinged, the top of the 4th connecting rod 510 and the second regulating part 800 are connected, and the bottom of the 6th connecting rod 530 is equipped with and matched second connecting hole 531 of the second connecting column 123, the second connecting hole 531 opposite two sides are respectively equipped with the second card slot 532, and the both ends of the second fixing piece are located in the second card slot 532;
First regulating part 700 of the present embodiment includes that cap is pulled in the first rotary shaft 710, the second rotary shaft 720 and the first rotation 730, the second rotary shaft 720 is equipped with the 4th rotating hole 721 of the second rotary shaft 720 of perforation, and the first rotary shaft 710 is equipped with the Five rotating holes 711, the top of first connecting rod 410 are fixed on after sequentially passing through the first rotating hole 610, the 4th rotating hole 721 In five rotating holes 711, the upper surface of the second rotary shaft 720 is in contact with the lower surface of the first rotary shaft 710, and cap is pulled in the first rotation 730 are fixed on the top of the first rotary shaft 710, and the lower surface of the second rotary shaft 720 is in contact with the first adjusting rod 600, and second Opposite two sides on the lower surface of rotary shaft 720 positioned at the 4th rotating hole 721 are respectively equipped with three positioning beads, the phase of the same side The angle of the center of circle to the two articles of straight lines between the center of circle of the 4th rotating hole 721 of adjacent two positioning beads is 20 degree, the first adjusting rod On 600 with the contact surface of the second rotary shaft 720 be equipped with the matched locating slot of positioning bead, locating slot be two, two locating slots The opposite two sides of the first rotating hole 610 are located at, positioning bead and locating slot are located on same circular arc, pass through the second rotation of rotation Shaft 720 can rotate positioning bead to locating slot, and rotation angle can be controlled by positioning bead, and rotation is excessive in order to prevent, It is additionally provided with the first limiting slot on first adjusting rod 600 of the present embodiment, the second rotary shaft 720 is equipped with the first limited post, and first Limited post is located in the first limiting slot;
Second regulating part 800 of the present embodiment includes that the first sliding sleeve 810, first rotates gear 820, the first limiting block Plate 830, the first press section 840 and the first elastic component 850, the first sliding sleeve 810 are sheathed on the first adjusting rod 600, and the 4th The top of connecting rod 510 is connected with the first sliding sleeve 810, the first sliding sleeve 810 be equipped with the second rotating hole 811, first Rotation gear 820 is located in the second rotating hole 811, and one end of the first rotation gear 820 is equipped with third rotary shaft 821, third rotation Shaft 821 is equipped with the second rotation and pulls cap 822, and the first rotation gear 820 is equipped with multiple first latching tooths, the first adjusting rod 600 Multiple second latches are equipped with, first latching tooth is in contact with the second latch, and first latching tooth is meshed with the second latch;First is sliding It is additionally provided with the first limit hole 812 on dynamic casing 810, the first postive stop baffle 830 is located in the first limit hole 812, the first press section 840 are connected with the first postive stop baffle 830, and the first press section 840 is located at the top of the first sliding sleeve 810, the first elastic component 850 Positioned at the lower section of the first press section 840, and the first press section 840 is hinged with the first elastic component 850, by pressing press section, Press section can drive the first postive stop baffle 830 to move up and down, make the first postive stop baffle 830 be located at two adjacent the second latches it Between fix the first sliding sleeve 810, first elastic component 850 of the present embodiment is spring.
As shown in Figure 7 to 9, pharynx rear wall soft tissue device for spreading 300 is located at the top of oral cavity lifting hook device 100, after pharynx Wall soft tissue device for spreading 300 includes 330, two soft tissue strutting assemblies 310 of the second adjusting rod and struts with two soft tissues The second connected adjustment portion 320 of component 310, two soft tissue strutting assemblies 310 be oppositely arranged on the second adjusting rod 330, two A soft tissue strutting assembly 310 includes three oblique type hooks 311, soft tissue baffle 312 and connection round bar 313, three oblique types Hook 311 is fixed on one end of soft tissue baffle 312, and the length for being located at the oblique type hook 311 at middle part is greater than the oblique type of two sides The length of hook 311, and the one end for being located at the oblique hook of upside extends to the top of soft tissue baffle 312, positioned at downside One end of oblique hook extends to the lower section of soft tissue baffle 312, opposite with oblique type hook 311 another on soft tissue baffle 312 One end is connected with round bar 313 is connect, and connection round bar 313 is connected with the second adjustment portion 320, and connection round bar 313 is curved arc Structure, connecting one end for being connected with the second adjustment portion 320 on round bar 313 is first end, on connection round bar 313 with soft tissue baffle 312 connected one end are second end, and the distance between first end of connection round bar 313 of two soft tissue strutting assemblies 310 is big In the distance between second end;Two the second adjustment portions 320 include the 5th connector 321, the second sliding sleeve 322, second Rotate gear 323, the second postive stop baffle 324, the second press section 325 and the second elastic component 326, wherein the 5th connector 321 packet The 7th connecting rod 3211, the 8th connecting rod 3212 and the 9th connecting rod 3213 are included, the 8th connecting rod 3212 is located at the 7th connecting rod 3211 and the 9th between connecting rod 3213, and the top of the 8th connecting rod 3212 and the bottom of the 7th connecting rod 3211 are hinged, and The bottom of eight connecting rods 3212 and the top of the 9th connecting rod 3213 are hinged, and the bottom of the 9th connecting rod 3213 is fixed equipped with third Position hole 3214, the opposite two sides of third location hole 3214 are respectively equipped with third card slot 3215, connection round bar 313 be equipped with The matched third connecting column 314 of third location hole 3214, third connecting column 314 are equipped with third kidney-shaped groove 315, third kidney-shaped Groove 315 is equipped with third fixation hole 316, is equipped in third fixation hole 316 and protrudes from 316 opposite sides side of third fixation hole Third fixing piece, third connecting column 314 are located in third location hole 3214, and third fixing piece is located in third card slot 3215, the Two sliding sleeves 322 are sheathed on the second adjusting rod 330, and the second sliding sleeve 322 is connected with the 5th connector 321, and second is sliding Dynamic casing 322 is equipped with third rotating hole 3221, and the second rotation gear 323 is located in third rotating hole 3221, the second rotary teeth 323 one end are taken turns equipped with the 4th rotary shaft 327, the 4th rotary shaft 327 is equipped with third rotation and pulls cap 328, the second rotation gear 323 Multiple third latches are equipped with, the second adjusting rod 330 is equipped with multiple 4th latches, and third latch is in contact with the 4th latch, And third latch is meshed with the 4th latch;The second limit hole 3222, the second postive stop baffle are additionally provided on second sliding sleeve 322 324 are located in the second limit hole 3222, and the second press section 325 is connected with the second postive stop baffle 324, and the second elastic component 326 is located at The lower section of second press section 325, and the second press section 325 is hinged with the second elastic component 326.
As shown in Figure 10, palate hoos device 200 is located between two soft tissue strutting assemblies 310, palate hoos device 200 be two, and two palate hoos devices 200 include palate hoos baffle 210, lower tooth hook baffle 220, interconnecting piece 230 And support portion 240,230 one end of interconnecting piece are connected with palate hoos baffle 210,230 other end of interconnecting piece and 240 phase of support portion Even, support portion 240 is connected with lower tooth hook baffle, and support portion 240 is semi-circular elastic construction.
A kind of oral cavity draw hook system application method is also disclosed in the present embodiment, comprising:
Oral cavity lifting hook device 100 is placed in oral cavity, pressure tongue component 110 is placed in above tongue body, upper tooth strutting assembly 120 are placed on the upper jaw below row's tooth;
By adjusting the first adjustment portion, make that tongue component 110 is pressed to push tongue body, upper tooth strutting assembly 120 struts the upper jaw, pulls open The distance between the upper jaw and lower jaw appear pharynx rear wall;
Palate hoos device 200 is placed in oral cavity, it is supporting point that lower tooth, which links up with 220 or less baffle and arranges tooth, is utilized The natural elasticity of the semi-circular elastic construction of support portion 240 acts on, and is held by interconnecting piece connection function in palate hoos baffle 210 It is continuous steadily to strut soft palate and uvula;
Pharynx rear wall is cut, pharynx rear wall soft tissue device for spreading 300 is placed in oral cavity, and two soft tissues are strutted into group Part 310 is respectively placed in front of atlas and axis at pharynx rear wall soft tissue incision, and oblique type hook is placed in cortical bone in front of atlas and axis;
By adjusting two the second adjustment portions 320 respectively, the pharynx rear wall soft tissue of oral cavity two sides is strutted;
The advantages of below to the present embodiment or principle are illustrated:
1, the first pressure tongue component 110 of oral cavity lifting hook device 100 is adjusted by the first adjustment portion pushes tongue body, passes through simultaneously The adjusting of first adjustment portion struts the upper jaw and lower jaw, pushes tongue body, appears pharynx rear wall, struts oral cavity and do not need to be completely dependent on operation The hand strength of person can gradually strut one millimeter by one millimeter oral cavity by the adjusting of adjustment portion, push tongue body, and oral cavity is opened Be relatively easy to and stablize, meanwhile, strut oral cavity appear pharynx rear wall after can keep pharynx rear wall operative field stable state, avoid mouth Chamber is closed again, tongue body and moving up for the root of the tongue is avoided to stop pharynx rear wall again;Palate hoos device 200 strut in oral cavity soft palate and Uvula expands the range of exposure of pharynx rear wall;After cutting pharynx rear wall soft tissue merging pharynx rear wall soft tissue device for spreading 300, pharynx Rear wall soft tissue device for spreading 300, can gradually stable opening soft tissue strutting assembly by the adjusting of the second adjustment portion 320 310, so that soft tissue strutting assembly 310 be made to pull open soft tissue and scar in front of atlas and axis centrum, preferably appear atlas and axis side Block joint keeps good operation visual area.
2, spatula and the oval laminated structure of tongue body contact surface, tongue body uniform force when spatula pushes tongue body, make It integrally moves down after tongue body stress, the first connector 111 being connected with spatula, is adjusted for connecting spatula and first Portion, the adjusting convenient for the first adjustment portion to spatula, the first connector 111 extend to spatula with tongue body contact surface side, After spatula pushes tongue body, the first connector 111 is placed in above lower jaw, can avoid surgical field of view, while the first connector 111 can Lower jaw is strutted downwards.
3, the first connecting column 112 on the first connector 111 is solid for the connection of the first connector 111 and the first adjustment portion Fixed, after the first connecting column 112 is placed in the first connecting hole 431 of adjustment portion, the first fixing piece on the first connecting column 112 is placed in the In first card slots 432 of one interconnecting piece 230, spatula and 230 phase of first connecting portion are fixed, the stability of spatula is increased, Prevent spatula from moving in the course of surgery.
4, the upper tooth hook 121 of two of upper tooth strutting assembly 120 is L-shaped structure, the bottom of two upper tooth hooks 121 To its inside, obliquely downward extends, and two upper tooth hooks 121 are designed according to the arrangement shape of row's tooth upper in oral cavity, hangs tooth The better row's of the clasping tooth of hook 121 avoids tooth hook 121 from loosening after fastening with upper row's tooth;Meanwhile with upper tooth The second connected connecting column 123 of hook 121, for upper tooth hook 121 to be fixed on the first adjustment portion, the second connecting column 123 After being placed in the second connecting hole 531, the second connector 122 on the second connecting column 123, which is located in the second card slot 532, fixes the second company Column 123 is connect, prevents tooth hook 121 mobile.
5, the first regulating part 700 is connected by third connector 400 with spatula, the first rotary shaft 710 and the second rotation Axis 720 is connected, and pulls cap 730 by the first rotation in the first rotary shaft 710 of rotation and rotates the first rotary shaft 710, the first rotation Axis 710 drives the rotation of the second rotary shaft 720, and then third connector 400 is driven to rotate, and passes through the rotation of third connector 400 Position and the angle of spatula are adjusted, further expansion swallows the range of exposure of rear wall;
Second rotary shaft 720 is equipped with multiple positioning beads, can set the angle between the center of circle of two adjacent positioning beads, By rotating different positioning beads to locating slot, the rotation angle of the second rotary shaft 720 can control, and then accurately control pressure The adjusting angle of hyoplastron, the first limited post in the second rotary shaft 720 can prevent the second rotary shaft 720 from rotating excessively.
6, the first rotation of rotation gear 820, the first rotation gear 820 drive the first sliding sleeve 810 in the first adjusting rod It being slided on 600, the first sliding sleeve 810 drives the 4th connector 500 mobile, and then drives upper tooth strutting assembly 120 mobile, on Tooth strutting assembly 120 is gradually opened oral cavity in the process of moving, gradually stable can be beaten by the first rotation of rotation gear 820 Atrium does not need the hand strength for fully relying on operator in the opening procedure of oral cavity, and opening oral cavity is stably and controllable, and can be most Limits strut oral cavity, obtain the preferably operation visual field, while can avoid causing temporomandibular joint dislocation;Upper tooth strutting assembly After 120 strut oral cavity, by the engaging of the first postive stop baffle 830 and the second latch, the first sliding sleeve 810 is limited, Prevent the first sliding sleeve 810 mobile, the first elastic component 850 being connected with the first press section 840 can make the first postive stop baffle 830 keep stable state, prevent upper tooth strutting assembly 120 is mobile suddenly during performing an operation from increasing operation risk.
7, the length of the oblique type hook 311 at the middle part of soft tissue strutting assembly 310 is greater than the length of the oblique type hook 311 of two sides Degree, after soft tissue strutting assembly 310 protrudes into oral cavity, when the oblique type hook 311 when two sides touches the cortical bone in front of the pivot of extensive region, in The oblique type hook 311 in portion can grasp the soft tissue and scar of joint between main atlas and axis body, reduce the soft tissue strutted when appearing Residual more preferably appears and loosens between the lateral mass of atlas and axis two sides, resets and the region of bone grafting fusion cage.
8, the connection round bar 313 being connected with soft tissue baffle 312 is curved cambered design, small volume, Ke Yijin It is likely to reduced and the operation visual field is blocked, while the influence to the nucleus of operating space can be reduced, convenient for the operation of operator.
9, the second adjustment portion 320 is connected with soft tissue strutting assembly 310, rotates the second rotation in the second adjustment portion 320 Gear 323, the second rotation gear 323 drive the second sliding sleeve 322 to move on the second adjusting rod 330, and then gradually stable Opening soft tissue strutting assembly 310, to pull open the soft tissue and scar in front of atlas and axis;Second postive stop baffle 324 and After the engaging of four latches, the second sliding sleeve 322 is limited, prevents the second sliding sleeve 322 mobile.
10, for strutting soft palate and uvula, interconnecting piece 230 is used for the palate hoos baffle 210 of palate hoos device 200 Support portion 240 and palate hoos baffle 210 are connected, lower tooth hook baffle 220 is placed on lower row's tooth, mentions for support portion 240 For supporting point, support portion 240 is semicircular configuration, and support portion 240 can provide continual and steady tension, make palate hoos baffle 210 draw soft palate upwards.
11, the second adjustment portion on oral cavity lifting hook device 100 distance of one millimeter of adjusting proximity gradually can strut mouth every time Chamber, struts the upper jaw and lower jaw is stably and controllable.
The above is only specific embodiments of the present invention, are not limited the scope of protection of the present invention with this;Do not violating this hair Made any replacement and improvement, category protection scope of the present invention on the basis of bright design.

Claims (10)

1. oral cavity draw hook system, which is characterized in that strutted including oral cavity lifting hook device, palate hoos device and pharynx rear wall soft tissue Device, the oral cavity lifting hook device include pressure tongue component, the first adjustment portion and upper tooth strutting assembly, the pressure tongue component and described Upper tooth strutting assembly is connected with first adjustment portion, and first adjustment portion adjusts the pressure tongue component and the upper tooth support It opens component and struts the upper jaw, lower jaw and tongue body;The pharynx rear wall soft tissue device for spreading is located at the top of the oral cavity lifting hook device, The pharynx rear wall soft tissue device for spreading includes two soft tissue strutting assemblies and is connected with two soft tissue strutting assemblies The second adjustment portion, second adjustment portion adjusts two soft tissue strutting assemblies and struts pharynx rear wall soft tissue;It is described soft Palate hook device is located between two soft tissue strutting assemblies.
2. oral cavity draw hook system as described in claim 1, which is characterized in that the pressure tongue component is spatula, the spatula With the oval laminated structure of tongue body contact surface, the tip of the tongue one end is located on the spatula and is equipped with the first connector, described first Connector is vertical setting with the spatula, and first connector extends to spatula with tongue body contact surface side, institute The first connector is stated equipped with the first connecting column, first connecting column is equipped with the first kidney-shaped groove, and first kidney-shaped is recessed It is equipped with the first fixation hole in slot, is fixed in first fixation hole equipped with protrude from the first fixation hole opposite sides first Part.
3. oral cavity draw hook system as claimed in claim 2, which is characterized in that the upper tooth strutting assembly includes two upper tooth hooks And second connector, the top of two upper teeth hooks are connected with second connector respectively, and are located at described the The opposite both ends of two connectors, two upper teeth hooks are L-shaped structure, the bottom of two upper teeth hooks to Its inside obliquely downward extends, and second connector is equipped with the second connecting column, and second connecting column is equipped with the second kidney-shaped Groove, the second kidney-shaped groove is interior to be equipped with the second fixation hole, and second fixation hole is interior fixed equipped with protruding from described second Second fixing piece of hole opposite sides.
4. oral cavity draw hook system as claimed in claim 3, which is characterized in that first adjustment portion includes third connector, Four connectors, the first adjusting rod, the first regulating part and the second regulating part, first adjusting rod are equipped with the first rotating hole, institute The top for stating third connector is connected after first rotating hole with first regulating part, the bottom of the third connector Portion be equipped with matched first connecting hole of first connecting column, the opposite two sides of first connecting hole are respectively equipped with first Card slot, the both ends of first fixing piece are located in first card slot;It is adjusted with second at the top of 4th connector It saves part to be connected, the bottom of the 4th connector is equipped with to be connected with matched second connecting hole of second connecting column, described second The opposite two sides for connecing hole are respectively equipped with the second card slot, and the both ends of second fixing piece are located in second card slot.
5. oral cavity draw hook system as claimed in claim 4, which is characterized in that first regulating part includes the first rotary shaft, the Cap is pulled in two rotary shafts and the first rotation, and the third connector is connected after passing through first rotating hole with the second rotary shaft, institute It states the first rotary shaft to be connected with second rotary shaft, first rotation is pulled cap and is fixed in first rotary shaft, described Second rotary shaft is in contact with first adjusting rod, and the contact surface in second rotary shaft with first adjusting rod is equipped with Multiple positioning beads, be equipped with the contact surface of the second rotary shaft on first adjusting rod with the matched locating slot of positioning bead, it is described Positioning bead and the locating slot are located on same circular arc, and the first limiting slot, second rotation are additionally provided on first adjusting rod Shaft is equipped with the first limited post, and first limited post is located in first limiting slot.
6. oral cavity draw hook system as claimed in claim 4, which is characterized in that second regulating part include the first sliding sleeve, First rotation gear, the first postive stop baffle, the first press section and the first elastic component, first sliding sleeve are sheathed on described the On one adjusting rod, first sliding sleeve is connected with the 4th connector, and first sliding sleeve is equipped with the second rotation Turn hole, the first rotation gear are located in second rotating hole, and the first rotation gear is equipped with multiple first latching tooths, First adjusting rod is equipped with multiple second latches, and the first latching tooth is in contact with second latch, and described first Latch is meshed with second latch;The first limit hole, first postive stop baffle are additionally provided on first sliding sleeve In first limit hole, the first press section is connected with first postive stop baffle, and the first elastic component is located at described first The lower section of press section, and the first press section is hinged with first elastic component.
7. the oral cavity draw hook system as described in any one of claim 1 to 6, which is characterized in that two soft tissue strutting assemblies It is oppositely arranged, two soft tissue strutting assemblies include multiple oblique type hooks, soft tissue baffle and connection round bar, Duo Gesuo One end that oblique type hook is fixed on the soft tissue baffle is stated, and the length for being located at the oblique type hook at middle part is greater than two sides The length of the oblique type hook, the other end opposite with the oblique type hook and the connection round bar phase on the soft tissue baffle Even, the connection round bar is curved arcuate structure, and the connection round bar is connected with second adjustment portion, the connection round bar Upper one end being connected with second adjustment portion is first end, the one end being connected on the connection round bar with the soft tissue baffle For second end, the distance between the first end of the connection round bar of two soft tissue strutting assemblies be greater than between second end away from From.
8. oral cavity draw hook system as claimed in claim 7, which is characterized in that two second adjustment portions include the 5th connection Part, the second sliding sleeve, the second rotation gear, the second postive stop baffle, the second press section, the second elastic component and the second adjusting rod, The connection round bar is connected with the 5th connector, and second sliding sleeve is sheathed on second adjusting rod, described Second sliding sleeve is connected with the 5th connector, and second sliding sleeve is equipped with third rotating hole, second rotation Rotating disk is located in the third rotating hole, and the second rotation gear is equipped with multiple third latches, second adjusting rod Multiple 4th latches are equipped with, the third latch is in contact with the 4th latch, and the third latch and the described 4th Latch is meshed;The second limit hole is additionally provided on second sliding sleeve, second postive stop baffle is located at second limit In the hole of position, the second press section is connected with second postive stop baffle, and the second elastic component is located at the lower section of second press section, and Second press section is hinged with second elastic component.
9. the oral cavity draw hook system as described in any one of claim 1 to 6, which is characterized in that the palate hoos device is two, Two palate hoos devices include palate hoos baffle, lower tooth hook baffle, interconnecting piece and support portion, the interconnecting piece One end is connected with the palate hoos baffle, and the interconnecting piece other end is connected with the support portion, the support portion with it is described Lower tooth links up with baffle and is connected, and the support portion is semi-circular elastic construction.
10. oral cavity draw hook system application method characterized by comprising
Oral cavity lifting hook device is placed in oral cavity, pressure tongue component is placed in above tongue body, and upper tooth strutting assembly is placed in the upper jaw Below upper row's tooth;
By adjusting the first adjustment portion, make that tongue component is pressed to push tongue body, upper tooth strutting assembly struts the upper jaw, pulls open the upper jaw and lower jaw The distance between;
Palate hoos device is placed in oral cavity, soft palate and uvula are strutted;
Pharynx rear wall is cut, pharynx rear wall soft tissue device for spreading is placed in oral cavity, and two soft tissue strutting assemblies are distinguished It is placed at atlas and axis pharynx rear wall soft tissue incision;
By adjusting two the second adjustment portions respectively, the pharynx rear wall soft tissue of oral cavity two sides is strutted.
CN201910188604.6A 2019-03-13 2019-03-13 Oral retractor system and method of use Active CN109744989B (en)

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