CN111616757A - A strut ware for oral tumor excision - Google Patents

A strut ware for oral tumor excision Download PDF

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Publication number
CN111616757A
CN111616757A CN202010513145.7A CN202010513145A CN111616757A CN 111616757 A CN111616757 A CN 111616757A CN 202010513145 A CN202010513145 A CN 202010513145A CN 111616757 A CN111616757 A CN 111616757A
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CN
China
Prior art keywords
opening
jaw
rod
spreader
distractor
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Granted
Application number
CN202010513145.7A
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Chinese (zh)
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CN111616757B (en
Inventor
何悦
李晓光
杨燕君
唐晓
祝奉硕
刘忠龙
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Ninth Peoples Hospital Shanghai Jiaotong University School of Medicine
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Ninth Peoples Hospital Shanghai Jiaotong University School of Medicine
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Publication of CN111616757A publication Critical patent/CN111616757A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/10Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
    • A61B90/14Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins
    • A61B90/16Bite blocks

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

Abstract

The invention discloses a spreader for oral tumor excision, which comprises: the right part of the spreader and the left part of the spreader are symmetrically arranged; the spreader right part with the spreader left part includes: the oral cavity is provided with a slot; the primary opening rod is connected to the lower end of the oral cavity opening groove; the secondary opening rod is fixedly connected with the primary opening rod; the opening handle is fixedly connected with the secondary opening rod; the telescopic structure is positioned in the center of the oral cavity opening groove; the protective sleeve is sleeved on the outer surface of the oral cavity opening groove; the right part of the spreader and the left part of the spreader are connected in a cross way through a secondary connecting shaft. The invention is beneficial to completely and radically treating the tumor by the main knife by fully exposing the primary focus, and can reduce the additional damage caused by artificial over-traction.

Description

A strut ware for oral tumor excision
Technical Field
The invention relates to the field of oral, maxillofacial and head-neck tumor operations, in particular to a spreader for oral tumor excision.
Background
At present, the mandible needs to be temporarily disconnected in the radical operation of oral, maxillofacial and head-neck tumors, especially the radical operation of tongue cancer, oral-fundus cancer and oropharyngeal cancer. To fully expose the primary tumor, more than two hands are often needed to pull the primary tumor to both sides with thyroid retractor, and the mouth is opened with mouth gag. Because oral cavity maxillofacial region operation field of vision is narrow and small, too many assistants influence the operation field of vision of main sword on the contrary, and the manual drawing thyroid gland drag hook dynamics when exposing the operation field can not evenly be controlled, and excessive hard often can cause tearing of local muscle, brings extra damage for the patient, and the dynamics is too light can not fully expose the operation field again, influences the radical cure dynamics of main sword to the tumour. In addition, after the mandible is cut, the mandible and the maxilla are not in the same plane, and the conventional mouth gag can not support the mandible and the maxilla well.
Therefore, those skilled in the art are dedicated to develop a spreader for oral tumor resection to fully expose the primary focus, so as to facilitate the primary knife to completely cure the tumor and reduce the extra injury caused by artificial over-traction.
Disclosure of Invention
In view of the above defects in the prior art, the technical problem to be solved by the present invention is how to fully expose the primary focus, so that the primary focus is in a stable state during the operation, thereby facilitating the primary knife to completely cure the tumor, and reducing the extra damage caused by manual operation.
In order to achieve the above object, the present invention provides a spreader for oral tumor resection, comprising:
the right part of the spreader and the left part of the spreader are symmetrically arranged;
the spreader right part with the spreader left part includes:
the oral cavity is provided with a slot;
the primary opening rod is connected to the lower end of the oral cavity opening groove;
the secondary opening rod is fixedly connected with the primary opening rod;
the opening handle is fixedly connected with the secondary opening rod;
the telescopic structure is positioned in the center of the oral cavity opening groove;
the protective sleeve is sleeved on the outer surface of the oral cavity opening groove;
the right part of the spreader and the left part of the spreader are connected in a cross way through a secondary connecting shaft.
Furthermore, the cross connection position of the right part of the spreader and the left part of the spreader is located on the second-level spreading rod and close to one end of the first-level spreading rod.
Further, the first-stage opening rod is connected with the oral cavity opening groove shaft through a first-stage connecting shaft.
Further, the first-stage spreader bar and the second-stage spreader bar are integrally formed.
Further, still include:
the clamping groove is axially connected to the middle position of the secondary opening rod on the left part of the opener;
and the fixture block is adsorbed on the surface position of the secondary opening rod on the right part of the opener.
Further, still include:
the handheld ring is arranged on the opening handle.
Further, still include:
the second-stage connecting shaft is fixed on the arc-shaped sliding groove;
the vertical fixing bracket is connected with the arc-shaped sliding chute into a whole;
the jaw horizontal fixing bracket is connected with the vertical fixing bracket through a jaw sliding bracket;
the jaw bone fixing and opening rod is connected with the jaw bone horizontal fixing bracket;
jaw is fixed to prop the ring-opening, jaw is fixed prop the ring-opening with jaw is fixed to prop the opening rod and links to each other.
Further, still include:
the jaw bone movable opening rod is fixed on the jaw bone sliding support through a sleeve;
jaw activity props the ring-opening, jaw activity prop the ring-opening with jaw activity props the opening rod and links to each other.
Furthermore, the jaw bone fixing and opening ring and the jaw bone moving and opening ring are symmetrically arranged.
Further, still include:
and the positioning knob is fixed on the jaw bone movable opening rod through the knob.
One or more technical solutions provided in the embodiments of the present invention have at least the following technical effects or advantages:
1. the jaw activity props the ring through having designed and can fully prop the jaw and expose the art wild according to the requirement of art wild, has saved the human cost, and the dynamics is even controllable moreover.
2. Also can prop open the jaw on the oral cavity through the design when strutting the jaw, the vertical space after the jaw disconnection still can maintain the powerful support of oral cavity inclined plane and jaw horizontal plane simultaneously after changing, fully exposes oral cavity and mouth end space to fully expose primary focus, do benefit to the complete radical cure tumour of main sword, and can reduce the extra damage that artificial excessive tractive brought.
The conception, the specific structure and the technical effects of the present invention will be further described with reference to the accompanying drawings to fully understand the objects, the features and the effects of the present invention.
Drawings
Fig. 1 is a schematic overall structure diagram of a preferred embodiment of the present invention.
Wherein, 1-oral cavity opening groove, 2-first connecting shaft, 3-first opening rod, 4-second connecting shaft, 5-second opening rod, 6-clamping groove, 7-clamping block, 8-opening handle, 9-hand ring, 10-telescopic structure, 11-protective sleeve, 12-arc chute, 13-vertical fixed bracket, 14-jaw movable opening ring, 15-jaw movable opening rod, 16-sleeve, 17-positioning knob, 18-jaw fixed opening ring, 19-jaw fixed opening rod, 20-jaw sliding bracket, 21-jaw horizontal fixed bracket.
Detailed Description
The technical contents of the preferred embodiments of the present invention will be more clearly and easily understood by referring to the drawings attached to the specification. The present invention may be embodied in many different forms of embodiments and the scope of the invention is not limited to the embodiments set forth herein.
In the drawings, structurally identical elements are represented by like reference numerals, and structurally or functionally similar elements are represented by like reference numerals throughout the several views. The size and thickness of each component shown in the drawings are arbitrarily illustrated, and the present invention is not limited to the size and thickness of each component. The thickness of the components may be exaggerated where appropriate in the figures to improve clarity.
Example one
As shown in fig. 1, the distractor for oral tumor resection provided in the embodiment of the present invention includes an oral cavity distraction module, which specifically includes:
the spreader right part and the spreader left part which are symmetrically arranged have the same basic structure, and only one is positioned on the left side and the other is positioned on the right side.
Strut ware right part and strut ware left part and include:
an oral cavity opening groove 1; the oral cavity opening groove 1 is arc-shaped;
the primary opening rod 3 is connected with the lower end of the oral cavity opening groove 1;
the secondary opening rod 5 is fixedly connected with the primary opening rod 3;
the opening handle 8 is fixedly connected with the second-stage opening rod 5; the hand is held and is propped 8 effort in the ware of strutting, loops through second grade distraction pole 5 and one-level distraction pole 3 and conducts power to the oral cavity and props fluting 1, and the guide oral cavity props fluting 1 and expands greatly or reduce.
The telescopic structure 10 is positioned in the center of the oral cavity opening groove 1; the expansion or contraction of the oral cavity opening slot 1 is the movement generated by the telescopic structure 10.
Lag 11, lag 11 cup joint and prop grooved 1's surface at the oral cavity, protect patient's oral cavity soft tissue, lag 11 and jaw broken end inner wall direct contact avoid rigid contact, cause the tissue damage on every side.
The right part of the spreader and the left part of the spreader are connected in a cross way through a secondary connecting shaft 4.
Example two
On the basis of the first embodiment, the cross connection position of the right part and the left part of the spreader is positioned at one end, close to the first-stage spreading rod 3, of the second-stage spreading rod 5.
The first-level opening rod 3 is connected with the oral cavity opening groove 1 through a first-level connecting shaft 2.
The first-stage opening rod 3 and the second-stage opening rod 5 are fixedly connected and can be integrally formed or connected in a welding mode, a hinging mode and the like.
The spreader for oral tumor resection provided by the embodiment of the invention further comprises:
the clamping groove 6 is axially connected to the middle position of the secondary spreader rod 5 on the left part of the spreader;
and the fixture block 7 is adsorbed on the surface position of the secondary spreader lever 5 on the right part of the spreader.
Further comprising:
the hand-held ring 9, the hand-held ring 9 sets up on strutting the handle 8.
Two arc oral cavities on one-level distraction rod 3 prop fluting 1 to both sides contact jaw broken end, then the adjustment struts the distance between the handle 8 to two arc oral cavities of adjustment prop the distance between the fluting 1, adjust jaw promptly and prop the aperture, expose the operation field of vision. After the distance between the two arc-shaped oral cavity support grooves 1 reaches the required distance, the two arc-shaped oral cavity support grooves are fixed in the clamping groove 6 through the clamping block 7, so that the stable support is maintained.
EXAMPLE III
On the basis of the first embodiment and the second embodiment, the jaw distracting module further comprises:
the arc-shaped sliding chute 12 is fixed on the arc-shaped sliding chute 12 by the secondary connecting shaft 4;
the vertical fixing bracket 13, the vertical fixing bracket 13 and the arc-shaped chute 12 are connected into a whole;
a jaw horizontal fixing bracket 21, wherein the jaw horizontal fixing bracket 21 is connected with the vertical fixing bracket 13 through a jaw sliding bracket 20;
the jaw bone fixing and opening rod 19 is connected with the jaw bone horizontal fixing bracket 21;
jaw bone is fixed to prop open-loop 18, and jaw bone is fixed to prop open-loop 18 and is propped open-rod 19 and be linked to each other with jaw bone is fixed.
The jaw bone movable opening rod 15, the jaw bone movable opening rod 15 is fixed on the jaw bone sliding bracket 20 through a sleeve 16;
jaw activity props ring 14, and jaw activity props ring 14 and links to each other with jaw activity struts pole 15.
The jaw bone fixing and expanding ring 18 and the jaw bone movable and expanding ring 14 are symmetrically arranged.
And the positioning knob 17 is fixed on the jaw bone movable opening rod 15 through a knob 17.
The secondary connecting shaft 4 is fixed on the arc-shaped sliding chute 12 and can move and be fixed according to the positions of the upper jaw dentition and the lower jaw dentition; the jaw opening part is moved to a required distance by a sleeve 16 of the jaw movable opening ring 14; prop open 14 and the jaw is fixed to prop the disconnected end that open 18 fixed struts the mandible of ring through jaw activity, prop open 15 on jaw sliding support 20 through the fixed jaw activity of location knob 17 to prop open when reaching oral cavity and mandible.
The jaw bone can be fully opened to expose the surgical field according to the requirement of the surgical field by designing the sliding gear, so that the labor cost is saved, the force is uniform and controllable, and the mouth gag is designed to open the oral cavity after the jaw bone is disconnected, so that the continuous opening of two disconnected ends is maintained, and oral tumors are better exposed.
The foregoing detailed description of the preferred embodiments of the invention has been presented. It should be understood that numerous modifications and variations could be devised by those skilled in the art in light of the present teachings without departing from the inventive concepts. Therefore, the technical solutions available to those skilled in the art through logic analysis, reasoning and limited experiments based on the prior art according to the concept of the present invention should be within the scope of protection defined by the claims.

Claims (10)

1. A distractor for oral tumor resection, comprising:
the right part of the spreader and the left part of the spreader are symmetrically arranged;
the spreader right part with the spreader left part includes:
the oral cavity is provided with a slot;
the primary opening rod is connected to the lower end of the oral cavity opening groove;
the secondary opening rod is fixedly connected with the primary opening rod;
the opening handle is fixedly connected with the secondary opening rod;
the telescopic structure is positioned in the center of the oral cavity opening groove;
the protective sleeve is sleeved on the outer surface of the oral cavity opening groove;
the right part of the spreader and the left part of the spreader are connected in a cross way through a secondary connecting shaft.
2. The distractor of claim 1 wherein the cross-connection of the right portion of the distractor and the left portion of the distractor is located at an end of the secondary distraction rod adjacent to the primary distraction rod.
3. The distractor of claim 1 wherein said primary distraction rod is pivotally connected to said oral distraction groove by a primary connecting shaft.
4. The distractor of claim 1 wherein said primary distraction rod is integrally formed with said secondary distraction rod.
5. The distractor of claim 1 for oral tumor resection, further comprising:
the clamping groove is axially connected to the middle position of the secondary opening rod on the left part of the opener;
and the fixture block is adsorbed on the surface position of the secondary opening rod on the right part of the opener.
6. The distractor of claim 1 for oral tumor resection, further comprising:
the handheld ring is arranged on the opening handle.
7. The distractor of any one of claims 1-6, further comprising:
the second-stage connecting shaft is fixed on the arc-shaped sliding groove;
the vertical fixing bracket is connected with the arc-shaped sliding chute into a whole;
the jaw horizontal fixing bracket is connected with the vertical fixing bracket through a jaw sliding bracket;
the jaw bone fixing and opening rod is connected with the jaw bone horizontal fixing bracket;
jaw is fixed to prop the ring-opening, jaw is fixed prop the ring-opening with jaw is fixed to prop the opening rod and links to each other.
8. The distractor of claim 7 for oral tumor resection, further comprising:
the jaw bone movable opening rod is fixed on the jaw bone sliding support through a sleeve;
jaw activity props the ring-opening, jaw activity prop the ring-opening with jaw activity props the opening rod and links to each other.
9. The distractor of claim 8, wherein the jaw bone fixation distracting ring and the jaw bone movable distracting ring are symmetrically arranged.
10. The distractor of claim 8 further comprising:
and the positioning knob is fixed on the jaw bone movable opening rod through the knob.
CN202010513145.7A 2020-06-08 2020-06-08 A strut ware for oral tumor excision Active CN111616757B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202010513145.7A CN111616757B (en) 2020-06-08 2020-06-08 A strut ware for oral tumor excision

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Application Number Priority Date Filing Date Title
CN202010513145.7A CN111616757B (en) 2020-06-08 2020-06-08 A strut ware for oral tumor excision

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CN111616757A true CN111616757A (en) 2020-09-04
CN111616757B CN111616757B (en) 2022-10-14

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Citations (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4099521A (en) * 1975-06-16 1978-07-11 Nestor Engineering Associates, Inc. Surgical retractor adjustable mounting apparatus
US4806100A (en) * 1987-12-14 1989-02-21 Herbert Schainholz Mandible manipulation device
US7931591B2 (en) * 2004-09-03 2011-04-26 Mccarthy Patrick M Surgical retractor
CN203914985U (en) * 2014-06-26 2014-11-05 中国人民解放军第三军医大学第一附属医院 Internal organs pull device
CN205054154U (en) * 2015-10-19 2016-03-02 闫磊 Oral cavity jaw off -plate branch of academic or vocational study struts ware
CN206324812U (en) * 2016-10-12 2017-07-14 上海交通大学医学院附属上海儿童医学中心 A kind of double dilators of rib
CN107518869A (en) * 2017-10-15 2017-12-29 从佳乐 A kind of Medical oral cavity dilator
CN108175637A (en) * 2017-12-20 2018-06-19 上海微创骨科医疗科技有限公司 Temporomandibular joint tractor and temporomandibular joint press device
CN209315832U (en) * 2018-05-17 2019-08-30 宋燕燕 A kind of extension fixture used for stomatological repair
CN209951213U (en) * 2019-01-29 2020-01-17 杨富贵 Oral surgery struts ware
CN110720886A (en) * 2019-10-22 2020-01-24 青岛大学 Oral cavity maxillofacial surgery struts ware
CN210228214U (en) * 2019-04-09 2020-04-03 中国医学科学院整形外科医院 Jaw face retractor
CN210300929U (en) * 2019-04-12 2020-04-14 张文忠 Adjustable oral cavity supporter
CN213217302U (en) * 2020-06-08 2021-05-18 上海交通大学医学院附属第九人民医院 A strut ware for oral tumor excision

Patent Citations (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4099521A (en) * 1975-06-16 1978-07-11 Nestor Engineering Associates, Inc. Surgical retractor adjustable mounting apparatus
US4806100A (en) * 1987-12-14 1989-02-21 Herbert Schainholz Mandible manipulation device
US7931591B2 (en) * 2004-09-03 2011-04-26 Mccarthy Patrick M Surgical retractor
CN203914985U (en) * 2014-06-26 2014-11-05 中国人民解放军第三军医大学第一附属医院 Internal organs pull device
CN205054154U (en) * 2015-10-19 2016-03-02 闫磊 Oral cavity jaw off -plate branch of academic or vocational study struts ware
CN206324812U (en) * 2016-10-12 2017-07-14 上海交通大学医学院附属上海儿童医学中心 A kind of double dilators of rib
CN107518869A (en) * 2017-10-15 2017-12-29 从佳乐 A kind of Medical oral cavity dilator
CN108175637A (en) * 2017-12-20 2018-06-19 上海微创骨科医疗科技有限公司 Temporomandibular joint tractor and temporomandibular joint press device
CN209315832U (en) * 2018-05-17 2019-08-30 宋燕燕 A kind of extension fixture used for stomatological repair
CN209951213U (en) * 2019-01-29 2020-01-17 杨富贵 Oral surgery struts ware
CN210228214U (en) * 2019-04-09 2020-04-03 中国医学科学院整形外科医院 Jaw face retractor
CN210300929U (en) * 2019-04-12 2020-04-14 张文忠 Adjustable oral cavity supporter
CN110720886A (en) * 2019-10-22 2020-01-24 青岛大学 Oral cavity maxillofacial surgery struts ware
CN213217302U (en) * 2020-06-08 2021-05-18 上海交通大学医学院附属第九人民医院 A strut ware for oral tumor excision

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