CN110477976A - A kind of artificial cochlea's surgical skin flap drag hook of included suction device - Google Patents
A kind of artificial cochlea's surgical skin flap drag hook of included suction device Download PDFInfo
- Publication number
- CN110477976A CN110477976A CN201910724329.5A CN201910724329A CN110477976A CN 110477976 A CN110477976 A CN 110477976A CN 201910724329 A CN201910724329 A CN 201910724329A CN 110477976 A CN110477976 A CN 110477976A
- Authority
- CN
- China
- Prior art keywords
- drag hook
- artificial cochlea
- suction device
- skin flap
- surgical skin
- 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
- 210000003477 cochlea Anatomy 0.000 title claims abstract description 31
- 210000000988 bone and bone Anatomy 0.000 claims abstract description 13
- 210000003582 temporal bone Anatomy 0.000 claims abstract description 7
- 239000013307 optical fiber Substances 0.000 claims description 8
- 239000000835 fiber Substances 0.000 claims description 5
- 230000000007 visual effect Effects 0.000 abstract description 6
- 230000006378 damage Effects 0.000 abstract description 5
- 238000004519 manufacturing process Methods 0.000 abstract description 4
- 230000006870 function Effects 0.000 description 6
- 238000002513 implantation Methods 0.000 description 6
- 238000010586 diagram Methods 0.000 description 5
- 239000007943 implant Substances 0.000 description 5
- 229940036811 bone meal Drugs 0.000 description 4
- 239000002374 bone meal Substances 0.000 description 4
- 238000000034 method Methods 0.000 description 4
- 230000000740 bleeding effect Effects 0.000 description 3
- 230000008569 process Effects 0.000 description 3
- 150000003839 salts Chemical class 0.000 description 3
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 3
- 206010011878 Deafness Diseases 0.000 description 2
- 241000237858 Gastropoda Species 0.000 description 2
- 208000032984 Intraoperative Complications Diseases 0.000 description 2
- 239000003814 drug Substances 0.000 description 2
- 238000003780 insertion Methods 0.000 description 2
- 230000037431 insertion Effects 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 206010011891 Deafness neurosensory Diseases 0.000 description 1
- 206010028851 Necrosis Diseases 0.000 description 1
- 208000009966 Sensorineural Hearing Loss Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000002146 bilateral effect Effects 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 210000000860 cochlear nerve Anatomy 0.000 description 1
- 231100000895 deafness Toxicity 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 238000009826 distribution Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000002682 general surgery Methods 0.000 description 1
- 208000016354 hearing loss disease Diseases 0.000 description 1
- 238000005286 illumination Methods 0.000 description 1
- 230000001771 impaired effect Effects 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 238000009434 installation Methods 0.000 description 1
- 230000003902 lesion Effects 0.000 description 1
- 210000001595 mastoid Anatomy 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 238000004377 microelectronic Methods 0.000 description 1
- 230000017074 necrotic cell death Effects 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 230000035479 physiological effects, processes and functions Effects 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 238000003825 pressing Methods 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 238000005096 rolling process Methods 0.000 description 1
- 231100000879 sensorineural hearing loss Toxicity 0.000 description 1
- 208000023573 sensorineural hearing loss disease Diseases 0.000 description 1
- 238000011421 subcutaneous treatment Methods 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 230000001360 synchronised effect Effects 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F11/00—Methods or devices for treatment of the ears or hearing sense; Non-electric hearing aids; Methods or devices for enabling ear patients to achieve auditory perception through physiological senses other than hearing sense; Protective devices for the ears, carried on the body or in the hand
- A61F11/20—Ear surgery
- A61F11/202—Surgical middle-ear ventilation or drainage, e.g. permanent; Implants therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2217/00—General characteristics of surgical instruments
- A61B2217/002—Auxiliary appliance
- A61B2217/005—Auxiliary appliance with suction drainage system
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Animal Behavior & Ethology (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Physics & Mathematics (AREA)
- Acoustics & Sound (AREA)
- Biophysics (AREA)
- Otolaryngology (AREA)
- Psychology (AREA)
- Vascular Medicine (AREA)
- Prostheses (AREA)
Abstract
A kind of artificial cochlea's surgical skin flap drag hook of included suction device of the present invention, artificial cochlea's surgical skin flap drag hook includes handle end, drag hook end and attraction pipeline;The handle end and the drag hook end are integrally L-shaped, and the attraction pipeline is set to the side at the drag hook end and the drag hook end is followed to go deep into the bone slot of side temporal bone.Skin of the invention, which does drag hook, can sufficiently expose visual area, improve degree of getting a clear view, and reduce the influence to doctor's sight, avoid damage to flap, convenient for production bone slot.
Description
Technical field
Invention is related to medical instruments field, artificial cochlea's surgical skin flap drag hook of especially a kind of included suction device.
Background technique
Artificial cochlea is a kind of electronic bio device developed according to cochlea physiology principle, is medicine, biomedicine, hearing
, materialogy, microelectronics, mechanics combine across multi-disciplinary new high-tech product.Artificial cochlea can replace lesion
Impaired hearing organ is passed to the ear of human body by the electric signal that external speech processor converts sound into certain coding form
Snail, by the acoustic fibers of the electrode system distribution of stimuli that implants there, directly excitement auditory nerve, Lai Huifu or again
Build the auditory function of deaf person.Artificial cochlea is one of important achievement of modern medicine, for severe or pole severe deafness, artitificial ear
The implantation of snail is unique the having that can make bilateral severe or the recovery sense of hearing of pole severe patients with sensorineural hearing loss internationally recognized at present
Imitate device.
Implantation process, that is, artitificial ear implantation of artificial cochlea.Artificial cochlear implant is the important operation in otology field,
In cochlear implant implantation process, the processor of cochlear implant should be placed on the bone slot of implantation side temporal bone.After not expanding ear
The temporal bone that mastoid process back upper place is sufficiently exposed under conditions of notch is particularly important.Artificial cochlea perform the operation cochlea electric drill production receive/
During stimulator bone bed, drill speed is exceedingly fast and very sharp, easy sliding in operating process, thus above the bone slot of damage
Flap, cause flap bleeding even postoperative necrosis;In addition, since surgical field of view deep light is difficult to reach, in addition boring mill cranium
The electric drill of bone can generate a large amount of bone meal, cause surgical field of view poor, seriously affect the accuracy and efficiency of surgical procedure.At present
Such drag hook equipment of clinical use is department of general surgery's routine drag hook, and volume is larger, is difficult in limited operative space effectively sudden and violent
Dew is easy to influence the visual field of doctor;And do not have synchronous attraction function, need more hand operations that can realize.
Summary of the invention
The technical problems to be solved by the invention are exactly to be in view of the deficiency of the prior art, to provide one kind and be convenient for
Sufficiently exposure electric drill makes receiving/stimulator bone bed, and can protect temporalis flap, reduces surgical injury and bleeding.Lead to simultaneously
The salt water for rinsing bone meal can be rapidly and accurately sucked out with adequate illumination, included suction tube by crossing fiber plant, be not only convenient for
Surgical exposure visual area is clear, has the function of saving power again according further to the telescoping handle that patient is voluntarily adjusted, reduces overexertion
And cause artificial cochlea's surgical skin flap drag hook of the included suction device of patient trauma.
The technical solution adopted by the present invention to solve the technical problems is: a kind of artificial cochlea's operation of included suction device
With flap drag hook, artificial cochlea's operation retractor includes handle end, drag hook end and attraction pipeline;The handle end and the drag hook
End is whole L-shaped, and the attraction pipeline is set to the side at the drag hook end and the drag hook end is followed to go deep into the bone of side temporal bone
Slot.
The drag hook end includes linkage section, first straight line section, the first arc end, second straight line section and the second arc end;Institute
It states linkage section to connect with the handle end, one end of the first straight line section is connect with the linkage section, the first straight line section
The other end connect with first arc end, second straight line section one end is connect with first arc end, described second
The other end of straightway is connect with second arc end.
The end face of second arc end is passivity scarf.
The inside at the handle end and drag hook end is hollow pipeline, and hollow pipeline is internally provided with optical fiber, the optical fiber
External connection be provided with laser fiber indicator.
The hollow pipeline diameter at second camber line end is less than the linkage section, first straight line section, the first arc end or the
The diameter of the hollow pipeline of two straightways.
The drag hook end is structure as a whole with the handle end.
The drag hook end can extend relative to the handle end.
It is provided with telescopic end in the first straight line section, is provided with sliding end in the handle end;The telescopic end insertion
The handle end is simultaneously flexible relative to the sliding end.
The sliding end includes sliding groove, slide-and-guide rail and slide-and-guide pearl;The slide-and-guide pearl is led by sliding
The two sides of the slide-and-guide slot are set to pearl mounting base and are fixedly connected with the sliding groove;Described in the telescopic end insertion
In sliding groove, the two sides of the telescopic end are contacted with the slide-and-guide pearl.
The telescopic end is integrally in several fonts, and the telescopic end two sides are equipped with recessed portion, the lower part of the telescopic end be to
Outer expansion shape.
Compared with prior art, it the beneficial effects of the present invention are: skin of the invention, which does drag hook, can sufficiently expose visual area, mentions
Height degree of getting a clear view reduces the influence to doctor's sight, avoids damage to flap, convenient for production bone slot;Skin of the invention does drag hook
Included suction function, while the salt water for rinsing bone meal can be rapidly and accurately sucked out in included attraction pipeline, be convenient for surgical exposure
Visual area is clear, is had the function of saving power according to the telescoping handle that patient is voluntarily adjusted, and reduces overexertion and causes the damage of patient
Wound.
Detailed description of the invention
Fig. 1 show overall structure diagram one of the invention;
Fig. 2 show overall structure diagram two of the invention;
Fig. 3 show optical fiber scheme of installation of the invention;
Fig. 4 show drag hook end and split type one schematic diagram of embodiment of the handle end of the invention;
Fig. 5 show drag hook end and split type two schematic diagram of embodiment of the handle end of the invention;
Fig. 6 show drag hook end and split type two schematic cross-sectional view of embodiment of the handle end of the invention;
Fig. 7 show slide-and-guide pearl mounting base and sliding groove mounting structure schematic diagram of the invention.
Specific embodiment
Below in conjunction with specific embodiment, invention is further described in detail.It should be appreciated that described herein specific
Embodiment is only used to explain the present invention, is not intended to limit the present invention.
As shown in Figure 1, a kind of artificial cochlea's surgical skin flap drag hook of included suction device, artificial cochlea's surgical skin flap
Drag hook includes handle end 1, drag hook end 2 and attraction pipeline 3;The handle end 1 and whole L-shaped, the attraction in the drag hook end 2
Pipeline 3 is set to the side at the drag hook end 2 and the drag hook end 2 is followed to go deep into the bone slot of side temporal bone;This artificial cochlea operation
Electric drill production receiving/stimulator bone bed can be sufficiently exposed with flap drag hook, and can protect temporalis flap, reduces surgical injury
With bleeding for pulling open temporalis flap;The salt water for rinsing bone meal can be rapidly and accurately sucked out in included suction tube 3 simultaneously, not only
It is clear convenient for surgical exposure visual area, and have the function of saving power, it reduces overexertion and causes the damage of patient.
As shown in Fig. 2, the drag hook end 2 includes linkage section 21, first straight line section 22, the first arc end 23, second straight line
Section 24 and the second arc end 25;The linkage section 21 is connect with the handle end 1, one end of the first straight line section 22 with it is described
Linkage section 21 connects, and the other end of the first straight line section 22 is connect with first arc end 23, the second straight line section 24
One end is connect with first arc end 23, and the other end of the second straight line section 24 is connect with second arc end 25, In
In above-described embodiment, the bone slot of side temporal bone is goed deep at the drag hook end 2 for convenience, and the linkage section 21 arrives the first straight line section
Diameter between 22 is greater than 23 diameter that the first straight line section 22 arrives first arc end;Second arc end 25
End face is passivity scarf.
In order to facilitate the position of drag hook in observation artificial cochlea's operation, as shown in figure 3, the handle end 1 and drag hook end 2
Inside is hollow pipeline 4, and hollow pipeline is internally provided with optical fiber 5, and the external connection of the optical fiber 5 is provided with laser light delicate fingers
Show instrument (attached to be not shown in the figure).When in use, the visible light issued by laser fiber indicator is through optical fiber 5, into institute's drag hook
End 2 forms head end bright spot through the second arc end 25, for judging whether the drag hook end 2 reaches designated position.
For the ease of the optically focused at second camber line end 25,4 diameter of hollow pipeline at second camber line end 25 is less than institute
State linkage section 21, first straight line section 22, the first arc end 23 or second straight line section 24 hollow pipeline 4 diameter;Preferred institute
It is straight for the linkage section 21, first straight line section 22, the first arc end 23 or second to state the hollow pipeline diameter at the second camber line end 25
The half of 4 diameter of hollow pipeline of line segment 24.
In the above-described embodiments, the drag hook end 2 and the handle end 1 are integral type or split type.
When the drag hook end 2 is integral type with the handle end 1, the drag hook end 2 is embedded in the handle end 1, institute
Stating handle end 1 can be vulcanie material;Be also possible to drag hook end 2 welded with the handle end 1 it is integral.
When the drag hook end 2 is split type with the handle end 1;
Embodiment one, as shown in figure 4, the drag hook end 2 can extend relative to the handle end 1;The first straight line section 22
On be provided with external screw thread, be provided on the handle end 1 with external screw thread cooperation internal screw thread;Pass through the outer of drag hook end described in knob
Threaded adjustment realizes the prolonging relative to the handle end 1 of first straight line section 22 in the position of the internal screw thread of the handle end 1
It is long.
Embodiment two, as shown in figure 5, the drag hook end 2 can extend relative to the handle end 1;The first straight line
It is provided with telescopic end 221 in section 22, is provided with sliding end 11 in the handle end 1;The telescopic end 221 is embedded in the handle end
1 and flexible relative to the sliding end 11.
In the above-described embodiments, the sliding end 11 includes sliding groove 111, slide-and-guide rail 112 and slide-and-guide pearl
113;The slide-and-guide pearl 113 by slide-and-guide pearl mounting base 114 be arranged in the slide-and-guide slot 112 two sides and with
The sliding groove 111 is fixedly connected;The telescopic end 221 is embedded in the sliding groove 111, the two sides of the telescopic end with it is described
Slide-and-guide pearl 113 contacts.
The whole telescopic end 221 is in several fonts, and 221 two sides of telescopic end are equipped with recessed portion, the telescopic end 221
Lower part is to expand outwardly shape;When in use, rolling guiding pearl 113 is caught in recessed portion, and the lower part of telescopic end 221 is to extending out
The inner wall of the slide-and-guide slot 111 is held out against at, and then plays fixed effect;When need to adjust telescopic end 221 relative to
When the position of the sliding end 11, pressing 221 lower part of telescopic end expands outwardly place, inwardly or outwardly pull drag hook end 2, for adjusting
Distance of the whole telescopic end 221 relative to the sliding end, and then change position of the drag hook end 2 relative to the handle end 1,
It is also in several fonts that the slide-and-guide rail 112 is whole simultaneously, can be convenient for the guiding of telescopic end 221.
In the above-described embodiments, it is additionally provided with non-slip groove on the handle end 1, medical staff is facilitated to take.
Above-mentioned artificial cochlea's surgical skin flap drag hook height and width can according to implantation cochlear implant subcutaneous treatment
Device is sized for multiple types.
The above is only a preferred embodiment of the present invention, it is noted that for the common skill of the art
For art personnel, various improvements and modifications may be made without departing from the principle of the present invention, these improvements and modifications
Also it should be regarded as protection scope of the present invention.
Claims (10)
1. a kind of artificial cochlea's surgical skin flap drag hook of included suction device, it is characterised in that: artificial cochlea's surgical skin flap
Drag hook includes handle end (1), drag hook end (2) and attraction pipeline (3);The handle end (1) and the drag hook end (2) are integrally in L
Type, the attraction pipeline (3) are set to the side of the drag hook end (2) and the drag hook end (2) are followed to go deep into the bone of side temporal bone
Slot.
2. artificial cochlea's surgical skin flap drag hook according to claim 1 with suction device, it is characterised in that: the drawing
Hook end (2) includes linkage section (21), first straight line section (22), the first arc end (23), second straight line section (24) and the second arc
It holds (25);The linkage section (21) connect with the handle end (1), one end of the first straight line section (22) and the linkage section
(21) it connects, the other end of the first straight line section (22) is connect with first arc end (23), the second straight line section
(24) one end is connect with first arc end (23), the other end of the second straight line section (24) and second arc end
(25) it connects.
3. artificial cochlea's surgical skin flap drag hook according to claim 2 with suction device, it is characterised in that: described
The end face of two arc ends (25) is passivity scarf.
4. artificial cochlea's surgical skin flap drag hook according to claim 2 with suction device, it is characterised in that: the hand
The inside of pommel (1) and drag hook end (2) is hollow pipeline (4), and hollow pipeline (4) is internally provided with optical fiber (5), the optical fiber
(5) external connection is provided with laser fiber indicator.
5. artificial cochlea's surgical skin flap drag hook according to claim 2 with suction device, it is characterised in that: described
Hollow pipeline (4) diameter at two camber line ends (25) is less than the linkage section (21), first straight line section (22), the first arc end (23)
Or the diameter of the hollow pipeline (4) of second straight line section (24).
6. artificial cochlea's surgical skin flap drag hook according to claim 1 with suction device, it is characterised in that: the drawing
Hook end (2) is structure as a whole with the handle end (1).
7. artificial cochlea's surgical skin flap drag hook according to claim 2 with suction device, it is characterised in that: the drawing
Hook end (2) can extend relative to the handle end (1).
8. artificial cochlea's surgical skin flap drag hook according to claim 2 with suction device, it is characterised in that: described
It is provided on one straightway (22) telescopic end (221), is provided with sliding end (11) in the handle end (1);The telescopic end
(221) it is embedded in the handle end (1) and stretches relative to the sliding end (11).
9. artificial cochlea's surgical skin flap drag hook according to claim 8 with suction device, it is characterised in that: the cunning
Moved end (11) includes sliding groove (111), slide-and-guide rail (112) and slide-and-guide pearl (113);The slide-and-guide pearl (113)
Consolidate by slide-and-guide pearl mounting base (114) setting in the two sides of the slide-and-guide slot (112) and with the sliding groove (111)
Fixed connection;The telescopic end (221) is embedded in the sliding groove (111), the two sides of the telescopic end and the slide-and-guide pearl
(113) it contacts.
10. artificial cochlea's surgical skin flap drag hook according to claim 9 with suction device, it is characterised in that: described
Telescopic end (221) is integrally in several fonts, and telescopic end (221) two sides are equipped with recessed portion, and the lower part of the telescopic end (221) is
Expand outwardly shape.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN201910724329.5A CN110477976A (en) | 2019-08-07 | 2019-08-07 | A kind of artificial cochlea's surgical skin flap drag hook of included suction device |
Applications Claiming Priority (1)
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CN201910724329.5A CN110477976A (en) | 2019-08-07 | 2019-08-07 | A kind of artificial cochlea's surgical skin flap drag hook of included suction device |
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ID=68550006
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CN201910724329.5A Pending CN110477976A (en) | 2019-08-07 | 2019-08-07 | A kind of artificial cochlea's surgical skin flap drag hook of included suction device |
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