CN111920467A - Skin retractor for laparoscope thyroid - Google Patents

Skin retractor for laparoscope thyroid Download PDF

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Publication number
CN111920467A
CN111920467A CN202011027832.4A CN202011027832A CN111920467A CN 111920467 A CN111920467 A CN 111920467A CN 202011027832 A CN202011027832 A CN 202011027832A CN 111920467 A CN111920467 A CN 111920467A
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CN
China
Prior art keywords
traction
retractor
plate
skin
neck
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Pending
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CN202011027832.4A
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Chinese (zh)
Inventor
耿金宏
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Individual
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Individual
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Priority to CN202011027832.4A priority Critical patent/CN111920467A/en
Publication of CN111920467A publication Critical patent/CN111920467A/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
    • A61B17/0218Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
    • 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
    • A61B17/0293Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors with ring member to support retractor elements
    • 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
    • A61B2017/0212Cushions or pads, without holding arms, as tissue retainers, e.g. for retracting viscera

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

Abstract

The invention discloses a skin retractor for a laparoscopic thyroid, which comprises an adhesive plate, a retractor line, a retractor ring, a retractor rubber strip, a metal plate and a fixing ring; this skin tractive ware is used to peritoneoscope thyroid gland, adopt this invention type apparatus, when carrying out the thyroid gland operation under the peritoneoscope, can be crooked patient neck radian shape of becoming with the metal sheet, will paste the board and paste the neck before patient's thyroid gland, carry out neck tractive operation through the tractive ring, expose the thyroid gland operation space, through clinical use, this surgical instruments uses convenient operation, quick, nimble tractive thyroid gland neck skin tissue, be favorable to the exposure in space before the neck more, effectual saving operation time, the security of improving the operation.

Description

Skin retractor for laparoscope thyroid
Technical Field
The invention relates to the technical field of laparoscopic surgery application, in particular to a skin retractor for laparoscopic thyroid.
Background
The development of modern medicine, minimally invasive surgery has been the development direction of surgical operation at present, and minimally invasive surgery has the advantages of small wound, quick recovery and less pain, and has become the object and the direction which are jointly pursued by modern medicine. Laparoscopic techniques are in some respects gradually replacing traditional surgery. Laparoscopic thyroid surgery is a cosmetic surgery advocated in recent years, namely, a puncture incision is made on bilateral nipples or below lips, and the incision has the effect of hiding a surgical wound. The puncture sleeve pipe makes the space, carries out the thyroidectomy, on reaching the operation formula basis that the thyroid gland needs, the neck can not increase the operation scar, and the scar is hidden in chest and lower lip department, reaches the operation treatment thyroid disease completely, can play cosmetic effect again. When doing laparoscopic thyroid surgery, because the space is little, can increase the operation degree of difficulty, often need suspend neck skin in midair, increase operation position operating space, but present suspension means is mostly neck suture skin, carry out the neck tractive, because suture tractive mode need sew up skin at the neck, be invasive mode, and the tractive is punctiform tractive, suture department can carry out the tractive promptly, other positions skin outside the suture point can be sunken, cause the operation in-process, the tractive is inhomogeneous, simultaneously after the operation, the neck has the condition such as skin suture department hemorrhage, extravasated blood, edema to take place, bring the puzzlement that needs to solve for doctor and patient.
Contents of the invention
The invention aims to provide a skin retractor for a laparoscopic thyroid, which can effectively solve the problems in the background art.
In order to achieve the purpose, the invention provides the following technical scheme: a skin retractor for a laparoscopic thyroid comprises an adhesive plate, a retractor line, a retractor ring, a retractor rubber strip, a metal plate and a fixing ring; the method is characterized in that: the front and back sides of the sticking plate and the traction plate are connected; one end of the pulling wire is connected with the metal plate, and the other end of the pulling wire is connected with the fixing ring; one end of the traction rubber strip is connected with the fixing ring, and the other end of the traction rubber strip is connected with the traction ring; the metal plate is fixedly connected with the traction plate.
Furthermore, the adhesive plate is an adhesive plate surface capable of being adhered to the skin.
Furthermore, the traction plate is a plate surface of the adhesive plate with a metal plate fixed in the middle of the reverse side.
Furthermore, the pulling lines are four inelastic pulling lines fixed between the metal plate and the fixing ring.
Furthermore, the traction rubber strip is an elastic rubber strip fixed between the traction ring and the fixing ring.
Furthermore, the traction ring is a circular ring which can be connected with a bracket on an operating room or an operating bed.
Further, the metal plate is a flat plate made of metal material which can be folded and bent at will according to requirements.
Compared with the prior art, the skin retractor for the laparoscopic thyroid adopts the apparatus of the invention, when the thyroid surgery is performed under the laparoscope, the apparatus can perform the traction of the skin in front of the thyroid neck without wound, so that the space of the thyroid surgery area is obviously increased, and the operation doctor is convenient to operate. During the use, it is crooked according to patient's neck radian, bend into patient's neck radian structure with the metal sheet of apparatus, then will paste the board, paste in patient skin department before through, suspend the traction ring in the operating room, on the fixed bolster on the operation table, under the elasticity traction effect of traction rubber banding, can get up skin tractive before the neck, because paste the board for the tractive of the whole face of neck skin before the neck, the tractive is even, it is clear to expose, increase operation operator operating space, it is the higher medical material of pasting of viscidity to paste the board, be difficult for droing, the metal sheet is in the centre of traction board, therefore the tractive in-process, can not pull the board of pasting, and after the operation, after getting off and pasting the board, patient neck skin is complete, there is not obvious wound, compare with current aspirator, this apparatus is safe and effective, the tractive is swift convenient. Obviously improves the safety and the convenience in the operation process.
Drawings
FIG. 1 is a schematic view of the overall structure of the present invention;
in the reference symbols: the traction device comprises an adhesive plate 1, a traction plate 2, a traction line 3, a traction ring 4, a traction rubber strip 5, a metal plate 6 and a fixing ring 7.
Detailed Description
The technical solutions in the embodiments of the present invention will be described clearly and completely with reference to the accompanying drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments of the invention without making any creative effort, fall within the protection scope of the invention.
Referring to fig. 1, the present invention provides a technical solution: a skin retractor for a laparoscope thyroid comprises an adhesive plate 1, a retractor plate 2, a retractor wire 3, a retractor ring 4, a retractor rubber strip 5, a metal plate 6 and a fixing ring 7; the method is characterized in that: the front and back sides of the sticking plate 1 and the traction plate 2 are connected; one end of the pulling wire 3 is connected with the metal plate 6, and the other end is connected with the fixing ring 7; one end of the traction rubber strip 5 is connected with the fixing ring 7, and the other end of the traction rubber strip is connected with the traction ring 4; the metal plate 6 is fixedly connected with the traction plate 2.
Further, the adhesive plate 1 is an adhesive plate surface capable of being adhered to the skin.
Further, the pulling plate 2 is a plate surface of the adhesive plate 1 with the metal plate 6 fixed in the middle of the reverse surface.
Furthermore, the pulling wires 3 are four inelastic pulling wires 3 fixed between the metal plate 6 and the fixing ring 7.
Further, the pulling rubber strip 5 is an elastic rubber strip fixed between the pulling ring 4 and the fixing ring 7.
Furthermore, the traction ring 4 is a circular ring which can be connected with a bracket on an operating room or an operating bed.
Further, the metal plate 6 is a flat plate made of a metal material that can be arbitrarily folded and bent as needed.
The specific connecting structure of the instrument of the invention is as follows: the apparatus is a laparoscope thyroid traction plate, the connection structure of each part is that an adhesive plate 1 is a sticky rectangular plate surface which can be adhered to the skin in front of the neck, the reverse side of the adhesive plate is a traction plate 2, the traction plate 2 and the adhesive plate 1 are tightly adhered together, a metal plate 6 is fixed at the central part of the traction plate 2, the metal plate 6 is a thin metal plate surface which can be bent and folded randomly, four inelastic traction wires 3 are arranged around the metal plate 6 and are uniformly fixed around the metal plate 6, the other end of each traction wire 3 is connected with a fixing ring 7, the far end of each fixing ring 7 is connected with a traction rubber strip 5, each traction rubber strip 5 is a rubber strip with an elastic structure, and the other end of each traction rubber strip 5 is connected with a traction ring.
The invention has the advantages that: when laparoscopic thyroid surgery is performed, because the operation space of the neck thyroid is small, the skin is often required to be suspended in front of the neck to increase the operation space, and the current common method is that the suture is pulled at the skin needing to be pulled in front of the neck, so that the conditions of tissue bleeding, edema, blood stasis and the like can occur after the surgery. This skin tractive ware is used to peritoneoscope thyroid gland, only need be in the front of the neck, the regional department that the thyroid surgery region needs the tractive, skin pastes in the front of carrying out the neck, because metal sheet 6 is the face of the metal material that can bend wantonly, folding, can adapt to various neck radian patients, paste board 1 for having the viscidity material of stronger bonding material, skin in the front of the bonding neck that can be convenient, metal sheet 6 is in the central authorities department of tractive board, so when the tractive, can not drop, 3 even distributions of tractive line are around metal sheet 6, can guarantee that the pulling force of 3 tractive of tractive line is even, unanimous, tractive rubber banding 5 is for fixing between solid fixed ring 7 and tractive ring 4, have elastic rubber material's structure, can guarantee the tractive in-process, the pulling force of tractive is unanimous, even. This apparatus is the plane tractive, promptly, can carry out the tractive with even, the unanimous strength of neck the place ahead skin, guarantees that the dynamics of tractive is unanimous, and is even, exposes more clearly, and through clinical use, this skin tractive ware for peritoneoscope thyroid gland, convenient to use, noninvasive, tractive are nimble, obviously improved the security among the operation process.
The specific use and operation method of the invention is as follows: during laparoscopic thyroidectomy and surgical operation, the instrument can be used for performing noninvasive traction in front of thyroid tissues, and the specific using method comprises the following steps: before operation, B ultrasonic positioning is firstly carried out, the position of an operation part and the position of a thyroid are determined, then an adhesive plate 1 of the instrument is adhered to the skin in front of the thyroid of the neck of a patient, when the adhesive plate is adhered, the curvature of a metal plate 6 can be adjusted, the metal plate 6 is bent into a radian structure of the neck of the patient and is more fit with the radian of the neck of the patient, then a traction ring 4 of the instrument is suspended on a bracket on an operating bed, the height of the bracket on the operating bed is adjusted according to the space required by traction, so that a traction rubber strip 5 has certain elasticity, at the moment, the traction rubber strip 5 can tightly suspend a traction fixing ring 7, the fixing ring 7 can upwards draw a traction line 3, the traction line 3 is fixed on the metal plate 6, namely, an upwards traction force is exerted on the metal plate 6, finally, under the traction action of the traction ring 4, the adhesive plate 1 is upwards drawn to connect, the operation safety is improved, the operation time is reduced, and the method is worthy of clinical popularization.
Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.

Claims (7)

1. A skin retractor for a laparoscopic thyroid comprises an adhesive plate, a retractor line, a retractor ring, a retractor rubber strip, a metal plate and a fixing ring; the method is characterized in that: the front and back sides of the sticking plate and the traction plate are connected; one end of the pulling wire is connected with the metal plate, and the other end of the pulling wire is connected with the fixing ring; one end of the traction rubber strip is connected with the fixing ring, and the other end of the traction rubber strip is connected with the traction ring; the metal plate is fixedly connected with the traction plate.
2. The skin retractor for laparoscopic thyroid gland according to claim 1, wherein: the adhesive plate is an adhesive plate surface capable of being adhered to the skin.
3. The skin retractor for laparoscopic thyroid gland according to claim 1, wherein: the traction plate is a plate surface of the adhesive plate with a metal plate fixed in the middle of the reverse side.
4. The skin retractor for laparoscopic thyroid gland according to claim 1, wherein: the pulling lines are four inelastic pulling lines fixed between the metal plate and the fixing ring.
5. The skin retractor for laparoscopic thyroid gland according to claim 1, wherein: the traction rubber strip is an elastic rubber strip fixed between the traction ring and the fixing ring.
6. The skin retractor for laparoscopic thyroid gland according to claim 1, wherein: the traction ring is a circular ring which can be connected with a bracket on an operating room or an operating bed.
7. The skin retractor for laparoscopic thyroid gland according to claim 1, wherein: the metal plate is a flat plate made of metal and can be folded and bent at will according to requirements.
CN202011027832.4A 2020-09-26 2020-09-26 Skin retractor for laparoscope thyroid Pending CN111920467A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202011027832.4A CN111920467A (en) 2020-09-26 2020-09-26 Skin retractor for laparoscope thyroid

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202011027832.4A CN111920467A (en) 2020-09-26 2020-09-26 Skin retractor for laparoscope thyroid

Publications (1)

Publication Number Publication Date
CN111920467A true CN111920467A (en) 2020-11-13

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Family Applications (1)

Application Number Title Priority Date Filing Date
CN202011027832.4A Pending CN111920467A (en) 2020-09-26 2020-09-26 Skin retractor for laparoscope thyroid

Country Status (1)

Country Link
CN (1) CN111920467A (en)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113197602A (en) * 2021-04-09 2021-08-03 南昌大学第二附属医院 Skin traction device for laparoscopic thyroid
CN114191008A (en) * 2022-01-07 2022-03-18 华中科技大学同济医学院附属协和医院 Adhesive liver and stomach fixing device and using method thereof

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113197602A (en) * 2021-04-09 2021-08-03 南昌大学第二附属医院 Skin traction device for laparoscopic thyroid
CN113197602B (en) * 2021-04-09 2022-08-12 南昌大学第二附属医院 Skin traction device for laparoscopic thyroid
CN114191008A (en) * 2022-01-07 2022-03-18 华中科技大学同济医学院附属协和医院 Adhesive liver and stomach fixing device and using method thereof

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