CN112401819A - Auxiliary examination device for artificial auditory ossicle installation - Google Patents

Auxiliary examination device for artificial auditory ossicle installation Download PDF

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Publication number
CN112401819A
CN112401819A CN202011294819.5A CN202011294819A CN112401819A CN 112401819 A CN112401819 A CN 112401819A CN 202011294819 A CN202011294819 A CN 202011294819A CN 112401819 A CN112401819 A CN 112401819A
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CN
China
Prior art keywords
installation
ossicle
artificial
handle
battery
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CN202011294819.5A
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Chinese (zh)
Inventor
魏波
郑艳
周鹏
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West China Hospital of Sichuan University
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West China Hospital of Sichuan University
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Priority to CN202011294819.5A priority Critical patent/CN112401819A/en
Publication of CN112401819A publication Critical patent/CN112401819A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/227Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for ears, i.e. otoscopes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/04Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances
    • A61B1/05Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biomedical Technology (AREA)
  • Optics & Photonics (AREA)
  • Pathology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Biophysics (AREA)
  • Engineering & Computer Science (AREA)
  • Physics & Mathematics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)

Abstract

The invention discloses an auxiliary examination device for artificial ossicle installation, which comprises an outer shell, wherein the front end of the outer shell is provided with a funnel-shaped tip end, and the outer shell is provided with a handle; a penetrating telescopic channel is arranged in the tip end, the telescopic channel is of a square structure, a square column is arranged in the telescopic channel, a bendable spring tube is arranged at the front end of the square column, and a placing ball is arranged at the end part of the spring tube; the front end of the placing ball is provided with an installation cavity, and a fiber lens is installed in the installation cavity; the tail part of the square column is connected with a screw rod, and the screw rod is driven to rotate by a motor. This scheme is used for installing artifical ossicle postoperative, inspects artifical ossicle, and whether artifical ossicle shifted is judged with the relative position of ossicle chain to doctor's accessible, ensures that patient's postoperative resumes well.

Description

Auxiliary examination device for artificial auditory ossicle installation
Technical Field
The invention relates to the technical field of medical instruments, in particular to an auxiliary examination device for artificial ossicle installation.
Background
The acoustic energy received by the external auditory canal is transmitted to the inner ear mainly through the ossicular chain and then to the auditory center through the auditory nerve. Wherein the ossicular chain includes the malleus, incus, and stapes. Auditory chain sound transmission dysfunction is often caused by middle ear development deformity, temporal bone fracture, middle ear cholesteatoma, otosclerosis and the like, and a fully artificial auditory bone prosthesis or a partially artificial auditory bone prosthesis needs to be used for tympanoplasty to replace the sound transmission function. The rehabilitation after the tympanoplasty is very important, the patient needs to rest in bed, the severe exercise and the heavy physical work are avoided, the head and the ear are prevented from being impacted by external force, and the external auditory canal is kept dry. In the process of postoperative review, it is necessary to know whether the position of the artificial ossicle is changed. However, the existing ear endoscope can not determine the positions of the artificial ossicle and the ossicle chain, and only depends on the imaging data and audiological examination to roughly know the postoperative effect. For suspected ossicular chain displacement or dislocation, tympanogram exploration is required, and the existing examination means cannot meet the requirement of conveniently and quickly knowing the position of the artificial ossicular chain.
Disclosure of Invention
In view of the above-mentioned disadvantages of the prior art, the present invention provides an auxiliary device for artificial ossicular installation, which can image the artificial ossicle and ossicular chain through the tympanic membrane.
In order to achieve the purpose of the invention, the technical scheme adopted by the invention is as follows:
the auxiliary examination device for the artificial auditory ossicle installation comprises an outer shell, wherein a funnel-shaped tip is arranged at the front end of the outer shell, and a handle is arranged on the outer shell; a penetrating telescopic channel is arranged in the tip end, the telescopic channel is of a square structure, a square column is arranged in the telescopic channel, a bendable spring tube is arranged at the front end of the square column, and a placing ball is arranged at the end part of the spring tube; the front end of the placing ball is provided with an installation cavity, a fiber lens is installed in the installation cavity, and the front end of the installation cavity is packaged through a transparent cover plate; the tail part of the square column is connected with a screw rod, a bearing is sleeved outside the screw rod, the inner wall of an inner ring of the bearing is in threaded connection with the screw rod, and the bearing is fixed in the tip end;
the inner ring of the bearing is provided with a plurality of connecting blocks which are uniformly distributed on the circumference of the inner ring, the end parts of the connecting blocks are connected with a connecting plate, and the connecting plate is arranged on a rotating shaft of the motor; the length of connecting block is greater than the flexible length of screw rod, and the afterbody of handle is provided with the battery, is provided with data socket, extension button and the button that contracts of contracting on the handle, and data socket, extension button, the button that contracts, battery, motor and fibre camera lens all are connected with the controller electricity.
The invention has the beneficial effects that: this scheme is used for installing artifical ossicle postoperative, inspects artifical ossicle. Insert in the external auditory canal through most advanced, the motor rotation drives the screw rod and extends, further drives to put into in the ball gos deep into the duct, is close the tympanic membrane, sees through the tympanic membrane to shooting artifical ossicle and ossicle chain, and whether the artifical ossicle of doctor's accessible and ossicle chain's relative position judgement shifts, ensures that patient's postoperative resumes well.
The structure of the adaptable external auditory canal of spring pipe is crooked and is out of shape to can promote to put into the ball and advance in to the external auditory canal, the surface of putting into the ball does not have sharp-pointed structure, can not cause the injury to the external auditory canal, and is more slick and sly simultaneously, conveniently puts into the ear. The rotatory inner ring drives the screw rod and stretches out and draws back to the screw rod is avoided rotatory with flexible passageway's cooperation to square post, makes the ball of putting into simultaneously and removes stably.
Drawings
Fig. 1 is a structural view of an artificial ossicular installation auxiliary examination device.
Fig. 2 is a side view of an artificial ossicular mounting auxiliary examination device.
Fig. 3 is a front view of the artificial ossicular mounting auxiliary examination device.
Fig. 4 is a structural view of the front end of the tip.
The device comprises a battery cover 1, a battery cover 2, a battery 3, a handle 4, an air bag 5, a gap 6, an outer shell 7, an air pressure sensor 8, a motor 9, a connecting plate 10, a screw rod 11, a connecting block 12, an image display screen 13, a universal joint 14, a bearing 15, a telescopic channel 16, a tip 17, a square column 18, an air pipe 19, a spring pipe 20, an air guide ring 21, an embedded ball 22, a fiber lens 23, a cold light source lamp belt 24, an air pressure display screen 25, a cold light source lamp 26 and an air outlet.
Detailed Description
The following description of the embodiments of the present invention is provided to facilitate the understanding of the present invention by those skilled in the art, but it should be understood that the present invention is not limited to the scope of the embodiments, and it will be apparent to those skilled in the art that various changes may be made without departing from the spirit and scope of the invention as defined and defined in the appended claims, and all matters produced by the invention using the inventive concept are protected.
As shown in fig. 1 to 4, the auxiliary examination device for artificial ossicle installation in the scheme comprises an outer shell 6, wherein a funnel-shaped tip 16 is arranged at the front end of the outer shell 6, the outer surface of the tip 16 adopts an arc surface transition, and a handle 3 is arranged on the outer shell 6; a penetrating telescopic channel 15 is arranged in the tip 16, the telescopic channel 15 is of a square structure, a square column 17 is arranged in the telescopic channel 15, a bendable spring tube 19 is arranged at the front end of the square column 17, the size of the spring tube 19 is smaller than that of the telescopic channel 15, and an embedding ball 21 is arranged at the end part of the spring tube 19; the front end of the placing ball 21 is provided with an installation cavity, a fiber lens 22 is installed in the installation cavity, and the front end of the installation cavity is packaged through a transparent cover plate; the tail of the square column 17 is fixedly connected with the screw rod 10, a bearing 14 is sleeved outside the screw rod 10, the inner wall of the inner ring of the bearing 14 is in threaded connection with the screw rod 10, and the outer ring of the bearing 14 is fixed in the tip 16.
A plurality of connecting blocks 11 are arranged on the inner ring of the bearing 14, the connecting blocks 11 are uniformly distributed on the circumference of the inner ring, the end parts of the connecting blocks 11 are fixedly connected with a connecting plate 9, and the connecting plate 9 is arranged on a rotating shaft of the motor 8; according to the scheme, three connecting blocks 11 are preferably arranged on the inner ring of the bearing 14, and the three connecting blocks 11 are distributed along the circumference of the inner ring.
The length of connecting block 11 is greater than the flexible length of screw rod 10, and the afterbody of handle 3 is provided with battery 2, is provided with data socket, extension button and the button that contracts on the handle 3, and data socket, extension button, the button that contracts, battery 2, motor 8 and fibre camera lens 22 all are connected with the controller electricity.
The doctor holds the handle 3 to operate, and controls the extension and the retraction of the imbedding ball 21 by pressing the extension button and the retraction button, and the operation is convenient and simple. The data socket is used for connecting a data line and transmitting the image collected by the fiber lens 22 to a computer, and the battery 2 supplies power for the whole device.
This scheme is used for installing artifical ossicle postoperative, inspects artifical ossicle. Insert in the external auditory canal through pointed end 16, motor 8 is rotatory to drive screw rod 10 and extends, further drives to put into ball 21 and deepens in the duct, is close the tympanic membrane, sees through the tympanic membrane and shoots artificial ossicle and ossicular chain, and whether the artificial ossicle of doctor's accessible is judged with the relative position of ossicle chain and is shifted, ensures that the patient postoperative resumes well.
The spring tube 19 can be adapted to the structure of the external auditory canal to bend and deform, and can push the placing ball 21 to move forward towards the external auditory canal, and the surface of the placing ball 21 has no sharp structure, so that the external auditory canal cannot be injured, and meanwhile, the spring tube is more smooth and convenient to place in the ear. The inner ring of the rotating bearing 14 drives the screw 10 to extend and retract, and the square column 17 is matched with the extension channel 15 to prevent the screw 10 from rotating and stabilize the embedded ball 21 in movement.
A circle of air guide ring 20 is arranged in the front end of the tip 16, a plurality of air outlet holes 26 communicated with the air guide ring 20 are arranged at the front end of the air guide ring 20, the handle 3 is provided with an air bag 4, the air bag 4 is wrapped on a gap 5 arranged on the handle 3, and the air guide ring 20 is communicated with the air bag 4 through a catheter. In operation, the physician can press the air bag 4 on the handle 3 to intermittently blow air into the external ear canal to inflate the tympanic membrane, thereby facilitating imaging of the fiberscope 22.
The air pipe 18 is provided with an air pressure sensor 7, the air pressure sensor 7 is electrically connected with an air pressure display screen 24 through a controller, and the air pressure display screen 24 is installed at the tail part of the outer shell 6. The air pressure sensor 7 is used for detecting the air pressure of the air bag 4 for inflating the external auditory canal, so that the control of a doctor is facilitated, and discomfort of a patient caused by overlarge air pressure is avoided.
The front end of the placing ball 21 is provided with a circle of cold light source lamp strip 23, the front end of the pointed end 16 is provided with a plurality of cold light source lamps 25, and the cold light source lamps 25 and the cold light source lamp strip 23 are both electrically connected with the controller. The cold light source lamp strip 23 provides a light source for the fiber lens 22, so that the image is clear, and the cold light source lamp 25 can provide a light source for the external auditory canal, thereby facilitating the operation. The front end of the tip 16 is provided with four cold light source lamps 25, the four cold light source lamps 25 are respectively distributed on four edges of the telescopic passage 15, and the four cold light sources enable the light sources to be uniformly distributed.
An image display screen 12 is arranged on the outer shell 6, and a universal joint 13 is arranged between the image display screen 12 and the outer shell 6. The images taken by the fiber lens 22 can be directly displayed on the image display screen 12, and during the operation of the doctor, the images can be directly acquired, the implantation operation is convenient,
the battery 2 is arranged in a battery 2 groove at the tail part of the handle 3, the battery 2 groove is encapsulated by a battery cover 1, the battery cover 1 is in threaded connection with the handle 3, a spring for extruding the battery 2 is arranged on the battery cover 1, and the battery 2 can be detached and replaced.

Claims (8)

1. An auxiliary examination device for artificial auditory ossicle installation is characterized by comprising an outer shell, wherein the front end of the outer shell is provided with a funnel-shaped tip end, and a handle is arranged on the outer shell; a penetrating telescopic channel is arranged in the tip end, the telescopic channel is of a square structure, a square column is arranged in the telescopic channel, a bendable spring tube is arranged at the front end of the square column, and an embedding ball is arranged at the end part of the spring tube; the front end of the placing ball is provided with an installation cavity, a fiber lens is installed in the installation cavity, and the front end of the installation cavity is packaged through a transparent cover plate; the tail part of the square column is connected with a screw rod, a bearing is sleeved outside the screw rod, the inner wall of an inner ring of the bearing is in threaded connection with the screw rod, and the bearing is fixed in the tip end;
the inner ring of the bearing is provided with a plurality of connecting blocks which are uniformly distributed on the circumference of the inner ring, the end parts of the connecting blocks are connected with a connecting plate, and the connecting plate is arranged on a rotating shaft of the motor; the length of connecting block is greater than the flexible length of screw rod, the afterbody of handle is provided with the battery, be provided with data socket, extension button and the button that contracts of retracting on the handle, data socket, extension button, the button that contracts, battery, motor and fibre camera lens all are connected with the controller electricity.
2. The auxiliary inspection device for the installation of the artificial ossicle as claimed in claim 1, wherein the front end of the tip is provided with a circle of air guide ring, the front end of the air guide ring is provided with a plurality of air outlet holes communicated with the air guide ring, the handle is provided with an air bag, the air bag is wrapped on a gap arranged on the handle, and the air guide ring is communicated with the air bag through a conduit.
3. The auxiliary inspection device for the installation of the artificial ossicle as defined in claim 2, wherein the air tube is provided with an air pressure sensor, the air pressure sensor is electrically connected with an air pressure display screen through a controller, and the air pressure display screen is installed at the tail part of the outer shell.
4. The auxiliary inspection device for the installation of the artificial ossicle as defined in claim 1, wherein a circle of cold light source lamp strip is arranged at the front end of the insertion ball, a plurality of cold light source lamps are arranged at the front end of the tip, and both the cold light source lamps and the cold light source lamp strip are electrically connected with the controller.
5. The auxiliary inspection device for the installation of the artificial ossicle as defined in claim 4, wherein the front end of the tip is provided with four cold light source lamps, and the four cold light source lamps are respectively distributed on four sides of the telescopic channel.
6. The auxiliary inspection device for artificial ossicular installation according to claim 1, wherein an image display screen is provided on the outer casing, and a universal joint is provided between the image display screen and the outer casing.
7. The artificial ossicular installation auxiliary inspection device according to claim 1, wherein the battery is installed in a battery slot at a rear portion of the handle, the battery slot is enclosed by a battery cover, the battery cover is threadedly coupled to the handle, and a spring pressing the battery is provided on the battery cover.
8. The artificial ossicular installation auxiliary examination device according to claim 1, wherein three connection blocks are provided on an outer ring of the bearing, and are distributed along a circumference of the inner ring.
CN202011294819.5A 2020-11-18 2020-11-18 Auxiliary examination device for artificial auditory ossicle installation Pending CN112401819A (en)

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Application Number Priority Date Filing Date Title
CN202011294819.5A CN112401819A (en) 2020-11-18 2020-11-18 Auxiliary examination device for artificial auditory ossicle installation

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202011294819.5A CN112401819A (en) 2020-11-18 2020-11-18 Auxiliary examination device for artificial auditory ossicle installation

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CN112401819A true CN112401819A (en) 2021-02-26

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2023150154A1 (en) * 2022-02-03 2023-08-10 Massachusetts Institute Of Technology A fully differential piezoelectric microphone and amplifier system for cochlear implants and other hearing devices

Citations (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN203749376U (en) * 2014-03-16 2014-08-06 陈樱 Pneumatic electric otoscope
CN107361732A (en) * 2017-08-22 2017-11-21 杨杰 A kind of Portable multifunctional medical otoscope
CN108209850A (en) * 2017-11-29 2018-06-29 无锡市儿童医院 A kind of novel electric auriscope
CN207679421U (en) * 2017-05-03 2018-08-03 张成华 A kind of ear nose larynx peephole
CN109014645A (en) * 2018-10-08 2018-12-18 绵阳晶凯圣生物科技有限公司 A kind of production method of air-blowing otoscope
CN109157183A (en) * 2018-10-08 2019-01-08 绵阳晶凯圣生物科技有限公司 Multi-functional pneumatic otoscope for ear canal Integrated Checkout
CN109157184A (en) * 2018-10-08 2019-01-08 绵阳晶凯圣生物科技有限公司 A kind of multifunctional examining otoscope of one-handed performance
CN208524826U (en) * 2017-09-06 2019-02-22 丁丹 A kind of otology inspection mirror
CN209252804U (en) * 2018-08-30 2019-08-16 河北工程大学附属医院 A kind of ear nose larynx inspection mirror
CN210494020U (en) * 2019-03-11 2020-05-12 徐茂林 Otolaryngology endoscope equipment

Patent Citations (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN203749376U (en) * 2014-03-16 2014-08-06 陈樱 Pneumatic electric otoscope
CN207679421U (en) * 2017-05-03 2018-08-03 张成华 A kind of ear nose larynx peephole
CN107361732A (en) * 2017-08-22 2017-11-21 杨杰 A kind of Portable multifunctional medical otoscope
CN208524826U (en) * 2017-09-06 2019-02-22 丁丹 A kind of otology inspection mirror
CN108209850A (en) * 2017-11-29 2018-06-29 无锡市儿童医院 A kind of novel electric auriscope
CN209252804U (en) * 2018-08-30 2019-08-16 河北工程大学附属医院 A kind of ear nose larynx inspection mirror
CN109014645A (en) * 2018-10-08 2018-12-18 绵阳晶凯圣生物科技有限公司 A kind of production method of air-blowing otoscope
CN109157183A (en) * 2018-10-08 2019-01-08 绵阳晶凯圣生物科技有限公司 Multi-functional pneumatic otoscope for ear canal Integrated Checkout
CN109157184A (en) * 2018-10-08 2019-01-08 绵阳晶凯圣生物科技有限公司 A kind of multifunctional examining otoscope of one-handed performance
CN210494020U (en) * 2019-03-11 2020-05-12 徐茂林 Otolaryngology endoscope equipment

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2023150154A1 (en) * 2022-02-03 2023-08-10 Massachusetts Institute Of Technology A fully differential piezoelectric microphone and amplifier system for cochlear implants and other hearing devices

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Application publication date: 20210226