CN113208670B - Space maintaining device for endoscopic thyroid surgery - Google Patents
Space maintaining device for endoscopic thyroid surgery Download PDFInfo
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- CN113208670B CN113208670B CN202110469701.XA CN202110469701A CN113208670B CN 113208670 B CN113208670 B CN 113208670B CN 202110469701 A CN202110469701 A CN 202110469701A CN 113208670 B CN113208670 B CN 113208670B
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- support frame
- pull rope
- clamping piece
- straight rod
- hook
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- 210000001685 thyroid gland Anatomy 0.000 title claims abstract description 20
- 238000001356 surgical procedure Methods 0.000 title claims abstract description 16
- 230000002093 peripheral effect Effects 0.000 claims abstract description 16
- 210000003491 skin Anatomy 0.000 claims description 14
- 210000002615 epidermis Anatomy 0.000 claims description 7
- 238000004804 winding Methods 0.000 claims description 7
- CURLTUGMZLYLDI-UHFFFAOYSA-N Carbon dioxide Chemical compound O=C=O CURLTUGMZLYLDI-UHFFFAOYSA-N 0.000 description 22
- 229910002092 carbon dioxide Inorganic materials 0.000 description 11
- 239000001569 carbon dioxide Substances 0.000 description 11
- 238000000034 method Methods 0.000 description 7
- 206010020591 Hypercapnia Diseases 0.000 description 5
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 5
- 229910052760 oxygen Inorganic materials 0.000 description 5
- 239000001301 oxygen Substances 0.000 description 5
- 238000007920 subcutaneous administration Methods 0.000 description 5
- 241001484259 Lacuna Species 0.000 description 4
- 238000000605 extraction Methods 0.000 description 4
- 230000000747 cardiac effect Effects 0.000 description 3
- 230000002490 cerebral effect Effects 0.000 description 3
- 201000010099 disease Diseases 0.000 description 3
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 3
- 210000004556 brain Anatomy 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 210000001519 tissue Anatomy 0.000 description 2
- 206010001526 Air embolism Diseases 0.000 description 1
- 208000032544 Cicatrix Diseases 0.000 description 1
- 210000000683 abdominal cavity Anatomy 0.000 description 1
- 238000010521 absorption reaction Methods 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 210000004204 blood vessel Anatomy 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 239000006185 dispersion Substances 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 239000007789 gas Substances 0.000 description 1
- 238000012423 maintenance Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 206010033675 panniculitis Diseases 0.000 description 1
- 230000004796 pathophysiological change Effects 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 238000005096 rolling process Methods 0.000 description 1
- 231100000241 scar Toxicity 0.000 description 1
- 230000037387 scars Effects 0.000 description 1
- 210000004304 subcutaneous tissue Anatomy 0.000 description 1
- 210000000115 thoracic cavity Anatomy 0.000 description 1
- 210000000779 thoracic wall Anatomy 0.000 description 1
- 230000000007 visual effect Effects 0.000 description 1
Images
Classifications
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- 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
- A61B17/0218—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
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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 an endoscope thyroid surgery space maintaining device which comprises a supporting frame and a traction device, wherein the traction device comprises a pull rope and a supporting hook, the supporting hook comprises a straight rod and a bent rod, two ends of the pull rope are respectively connected with the supporting frame and the straight rod, the end part of the straight rod, which is opposite to the pull rope, is connected to the outer peripheral surface of the bent rod, the bent rod is provided with a connecting hole and a hook head, the hook head is provided with a lock hole, the connecting hole is provided with a locking block, the straight rod is provided with a control piece, medical personnel can control the locking block to enter the lock hole through the control piece to enable the two connected supporting hooks to be mutually fixed, then the pull rope is pulled upwards, the skin of a patient can be supported by the supporting hook, and a cavity gap can be formed under the skin of the patient.
Description
Technical Field
The invention relates to a medical appliance, in particular to a space maintaining device for an endoscopic thyroid surgery.
Background
The space maintenance of the endoscopic thyroid surgery mostly adopts a method of injecting carbon dioxide subcutaneously, but a series of pathophysiological changes of the organism also arouse the attention of a plurality of researchers along with the prolonging of the operation time, the influence on the organism is deeply explored, the carbon dioxide is found to have the advantages of nonflammability, high solubility, quick absorption and small possibility of forming air embolism, but the carbon dioxide is easy to absorb and is also the defect of the carbon dioxide, because the neck and the chest wall do not have natural cavities such as abdominal cavity and thoracic cavity, the operation cavity needs to be artificially established between loose tissue layers during the operation, because the loose tissue layer area is large, the gas dispersion is quick, especially when the set pressure in the operation is high, the carbon dioxide is easy to absorb and causes complications such as hypercapnia, rapid heartbeat, unbalanced brain oxygen supply and demand balance and the like, particularly under the condition that blood vessels are damaged, the carbon dioxide is easy to enter the circulatory system more quickly, leading to the occurrence of the above complications.
Therefore, how to replace a method of injecting carbon dioxide subcutaneously to maintain an artificial lacuna and avoid the occurrence of complications becomes an urgent problem to be solved in the field of endoscopic thyroid surgery.
Disclosure of Invention
The invention aims to provide an endoscope thyroid surgery space maintaining device, which can be used for supporting the epidermis of a patient through a mechanical device, so that cavities can be formed under the skin of the patient, and the artificial cavities can be maintained by replacing a method of injecting carbon dioxide under the skin, thereby avoiding the occurrence of complications such as hypercapnia, cardiac rapidness, imbalance of cerebral oxygen supply and demand balance and the like.
In order to realize the purpose of the invention, the invention adopts the following technical scheme: an endoscope thyroid operation space maintaining device comprises a support frame and a traction device, wherein two ends of the support frame are respectively connected to two sides of an operation bed, the traction device is connected to the support frame, the traction device is positioned in the direction of the operation bed back to the ground, the traction device comprises a pull rope and a support hook, the support hook comprises a straight rod and a bent rod, two ends of the pull rope are respectively connected with the support frame and the straight rod, the end part of the straight rod back to the pull rope is connected to the outer peripheral surface of the bent rod, the end part of the bent rod, facing towards the straight rod, is provided with a hook head, the outer peripheral surface of the hook head is provided with a lock hole, the inner wall of the lock hole is provided with a lock block, when the two support hooks are connected, the hook heads are arranged in the lock hole, the lock block enters the lock hole, the two support hooks form a closed ring shape after being connected, the outer peripheral surface of the straight rod is provided with a control piece, and medical personnel can enter the lock hole by controlling the control piece, the two connected support hooks are mutually fixed, then the pull rope is pulled upwards, the epidermis of a patient can be supported by the support hooks, and cavities can be formed under the skin of the patient, so that the method for infusing carbon dioxide under the skin is replaced to maintain artificial cavities, and the occurrence of diseases such as hypercapnia, rapid cardiac motion, cerebral oxygen supply and demand balance imbalance and the like is avoided.
Preferably, the traction device further comprises a rope storage device, a winding mechanism is arranged in the rope storage device, a telescopic hole is formed in the outer peripheral face of the rope storage device, the pull rope is telescopic in the telescopic hole, and is wound in the rope storage device through the winding mechanism, the pull rope does not need to be manually pulled up by medical staff, the occupied space is reduced, and the working strength of the medical staff is reduced.
Preferably, the drawing device is detachably connected with the support frame, the end part of the drawing device, facing the support frame, is provided with a clamping piece, the clamping piece is provided with an opening and is fixed on the support frame through a bolt, and when the clamping piece is connected with the support frame, the inner circumferential surface of the clamping piece is attached to the outer circumferential surface of the support frame, so that the position of the drawing device on the support frame can be changed.
Preferably, the control member is provided at an outer circumferential surface thereof with an anti-slip member, which increases friction between the finger and the control member to enable easier rotation of the control member.
Preferably, the clamping piece is provided with a protruding piece, and the protruding piece is circumferentially arranged on the inner circumferential surface of the clamping piece, so that the friction force between the clamping piece and the supporting frame is increased, and the clamping piece is prevented from sliding on the supporting frame.
Compared with the prior art, the endoscope thyroid surgery space maintaining device adopting the technical scheme has the following beneficial effects:
firstly, by adopting the endoscope thyroid surgery space maintaining device, medical staff can make the hook heads on the two support hooks puncture the epidermis of a patient to enable the bent rod to completely enter the subcutaneous part of the patient, then observe the subcutaneous part of the patient through an endoscope, place the hook head on one support hook in the connecting hole on the other support hook to enable the two support hooks to be connected to form a closed ring, rotate the control piece to control the locking piece to enter the locking hole to enable the two support hooks to be mutually fixed to enable the two support hooks to form a ring-shaped supporting structure, finally pull up the pull rope upwards to support the epidermis of the patient, enable the subcutaneous part of the patient to form a cavity to replace a method of injecting carbon dioxide to maintain an artificial cavity, and avoid the occurrence of diseases such as hypercapnia, rapid heartbeat, balance imbalance of cerebral oxygen supply and demand and the like.
And when the epidermis is lifted, the two supporting hooks have only 2 puncture holes, so that the wound is relatively small, the postoperative recovery is fast, and scars are not easy to leave.
And the annular lifting structure formed by the two lifting hooks draws the skin of the neck where the thyroid is located upwards, so that the skin and the subcutaneous tissue in the thyroid operation area are maximally separated, and a large enough activity space and a large enough visual field are provided for the operation.
And the contact area between the annular lifting structure and the skin is larger, no sharp edge is hooked, and the damage to the skin caused by traction is smaller.
Drawings
FIG. 1 is a schematic structural view of an embodiment of an endoscopic thyroid surgery space maintaining device according to the present invention.
Fig. 2 is a schematic structural diagram of the pulling device in the embodiment.
Fig. 3 is a schematic structural view of the rope storage device in the embodiment.
FIG. 4 is a schematic structural diagram of the clip connecting support frame according to the embodiment.
FIG. 5 is a sectional view of the member in the example.
FIG. 6 is a sectional view of the member in the example.
Reference numerals: 1. a support frame; 2. a pulling device; 3. a support hook; 30. connecting holes; 31. a hook head; 32. a lock hole; 34. a control member; 35. an anti-slip member; 36. a negative pressure air exhaust port; 4. pulling a rope; 40. a telescopic hole; 41. a rope storage device; 5. a clamp; 50. a bolt; 52. and a protrusion member.
Detailed Description
The invention is further described below with reference to the accompanying drawings.
As shown in fig. 1 to 6, the space maintaining device for endoscopic thyroid surgery comprises a support frame 1 and a pulling device 2, two ends of the support frame 1 are respectively connected to two sides of an operating bed, the pulling device 2 is connected to the support frame 1, the pulling device 2 is located in a direction opposite to the ground of the operating bed, the pulling device 2 comprises a pulling rope 4 and a support hook 3, the support hook 3 comprises a straight rod and a curved rod, two ends of the pulling rope 4 are respectively connected to the support frame 1 and the straight rod, an end portion of the straight rod opposite to the pulling rope 4 is connected to an outer circumferential surface of the curved rod, a connecting hole 30 is arranged at an end portion of the curved rod facing towards the straight rod, a hook head 31 is arranged at an end portion of the curved rod opposite to the straight rod, a lock hole 32 is arranged at an outer circumferential surface of the hook head 31, a lock block is arranged at an inner wall of the connecting hole 30, when the two support hooks 3 are connected, the hook head 31 is placed in the connecting hole 32, and the two support hooks 3 form a closed ring shape, the control piece 34 is arranged on the outer peripheral surface of the straight rod, the anti-slip piece 35 is arranged on the control piece 34, the anti-slip piece 35 is circumferentially arranged on the outer peripheral surface of the control piece 34, the anti-slip piece 35 increases friction force between fingers and the control piece 34, the control piece 34 can be rotated more easily, medical staff can control the locking block to enter the locking hole 32 through the control piece 34, so that the two connected support hooks 31 are mutually fixed, then the pull rope 4 is pulled upwards, the skin of a patient can be supported by the support hooks 31, and cavities can be formed under the skin of the patient, so that a method of injecting carbon dioxide under the skin is replaced to maintain artificial cavities, and the occurrence of diseases such as hypercapnia, rapid cardiac motion, unbalanced brain oxygen supply and demand is avoided.
Wherein, draw-off gear 2 still includes rope storage 41, is equipped with winding mechanism in the rope storage 41, and the outer peripheral face of rope storage 41 is equipped with telescopic hole 40, and stay cord 4 stretches out and draws back in telescopic hole 40, and through winding mechanism with stay cord 4 rolling in rope storage 41, need not medical personnel manual pull-up stay cord 4, has not only reduced occupation space, has still alleviateed medical personnel's working strength.
The drawing device 2 is detachably connected with the support frame 1, the clamping piece 5 is arranged at the end, facing the support frame 1, of the drawing device 2, the clamping piece 5 is provided with an opening, the clamping piece 5 is fixed on the support frame 1 through a bolt 50, when the clamping piece 5 is connected with the support frame 1, the inner peripheral surface of the clamping piece 5 is attached to the outer peripheral surface of the support frame 1, the inner peripheral surface of the clamping piece 5 is provided with the protruding pieces 52, the protruding pieces 52 are circumferentially arranged on the inner peripheral surface of the clamping piece 5, friction force between the clamping piece 5 and the support frame 1 is increased, and the clamping piece 5 is prevented from sliding on the support frame 1.
Wherein, be equipped with a plurality of negative pressure extraction opening 36 on the support hook 3, be equipped with airflow channel in the support hook 3, airflow channel and negative pressure extraction opening 36 intercommunication, medical personnel can produce smog in the lacuna when doing the chamber mirror thyroid gland operation, and smog can flow in airflow channel through negative pressure extraction opening 36, then smog upwards flows along airflow channel to the smog in the extraction lacuna avoids medical personnel to receive smog when observing the condition in the lacuna and hinders.
The method comprises the following steps:
1. the hook heads 31 of the two support hooks 3 are sequentially aligned with the affected part to puncture the epidermis, so that the bent rods of the two support hooks 3 completely enter the subcutaneous part of the patient.
2. The subcutaneous part of a patient is observed through the endoscope, the hook head 31 on one supporting hook 3 is placed in the connecting hole 30 on the other supporting hook 3, and the two supporting hooks 31 are connected to form a closed ring.
3. The control piece 34 on the rotating straight rod controls the locking piece to enter the locking hole 32, so that the two support hooks 3 are mutually fixed.
4. The pull rope 4 is wound towards the rope storage device 41 through the winding mechanism, and the pull rope 4 can drive the support hook 3 to vertically pull up the skin of the patient, so that a cavity gap can be formed under the skin of the patient.
The foregoing is a preferred embodiment of the present invention, and it will be apparent to those skilled in the art that various changes and modifications may be made without departing from the spirit of the invention, and these should be considered to be within the scope of the invention.
Claims (5)
1. Chamber mirror thyroid surgery space maintaining device which characterized in that: comprises a support frame (1) and a traction device (2) for supporting the epidermis of a patient, wherein two ends of the support frame (1) are respectively connected with two sides of an operating bed, the traction device (2) is connected on the support frame (1), and the traction device (2) is positioned in the direction of the operating bed back to the ground,
the traction device (2) comprises a pull rope (4) and a support hook (3), the support hook (3) comprises a straight rod and a curved rod, two ends of the pull rope (4) are respectively connected with the support frame (1) and the straight rod, the end part of the straight rod, which is back to the pull rope (4), is connected to the outer peripheral surface of the curved rod, the end part of the curved rod, which faces the straight rod, is provided with a connecting hole (30), the end part of the curved rod, which is back to the straight rod, is provided with a hook head (31) for puncturing the skin surface of a patient,
the outer peripheral surface of the hook head (31) is provided with a lock hole (32), the inner wall of the connecting hole (30) is provided with a locking block, when two support hooks (3) are connected, the hook head (31) is placed in the connecting hole (30), the locking block enters the lock hole (32), and the two support hooks (3) are connected to form a closed ring shape;
the outer peripheral surface of the straight rod is provided with a control piece (34) for controlling the locking block to enter and exit the locking hole (32).
2. The laparoscopic thyroid surgery space maintaining apparatus according to claim 1, wherein: the traction device (2) further comprises a rope storage device (41) used for storing the pull rope (4), a winding mechanism used for winding the pull rope (4) is arranged in the rope storage device (41), a telescopic hole (40) is formed in the peripheral surface of the rope storage device (41), and the pull rope (4) stretches in the telescopic hole (40) and is wound in the rope storage device (41).
3. The laparoscopic thyroid surgery space maintaining apparatus according to claim 1, wherein: the drawing device (2) is detachably connected with the support frame (1), a clamping piece (5) is arranged at the end part, facing the support frame (1), of the drawing device (2), the clamping piece (5) is provided with an opening, the clamping piece (5) is fixed on the support frame (1) through a bolt (50), and when the clamping piece (5) is connected with the support frame (1), the inner circumferential surface of the clamping piece (5) is attached to the outer circumferential surface of the support frame (1).
4. The laparoscopic thyroid surgery space maintaining apparatus according to claim 1, wherein: the periphery of the control part (34) is provided with an anti-slip part (35) which is convenient for rotating the control part (34).
5. The laparoscopic thyroid surgery space maintaining apparatus according to claim 3, wherein: the inner circumferential surface of the clamping piece (5) is provided with a convex piece (52) for preventing the clamping piece (5) from sliding on the support frame (1).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202110469701.XA CN113208670B (en) | 2021-04-28 | 2021-04-28 | Space maintaining device for endoscopic thyroid surgery |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202110469701.XA CN113208670B (en) | 2021-04-28 | 2021-04-28 | Space maintaining device for endoscopic thyroid surgery |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN113208670A CN113208670A (en) | 2021-08-06 |
| CN113208670B true CN113208670B (en) | 2022-04-01 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN202110469701.XA Active CN113208670B (en) | 2021-04-28 | 2021-04-28 | Space maintaining device for endoscopic thyroid surgery |
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Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN2745517Y (en) * | 2004-07-24 | 2005-12-14 | 张金成 | Cavity mirror thyroid operation retractor |
| JP2009247796A (en) * | 2008-04-10 | 2009-10-29 | Kagoshima Univ | Percutaneous puncture-type muscle retractor and instrument thereof |
| CN102762155A (en) * | 2009-10-08 | 2012-10-31 | 外科创新有限公司 | Reformable endoscopic surgical instruments |
| JP2014064609A (en) * | 2012-09-24 | 2014-04-17 | Kagoshima Univ | Percutaneous puncture-type detachable steel wire muscle retractor, and muscle retractor instrument |
| CN206518571U (en) * | 2016-11-16 | 2017-09-26 | 中国人民解放军总医院第一附属医院 | A kind of cavity mirror thyroid operation retractor |
| CN209826819U (en) * | 2018-12-27 | 2019-12-24 | 深圳市人民医院 | Thyroid endoscopic surgery retractor |
| CN209984247U (en) * | 2019-01-16 | 2020-01-24 | 福建医科大学附属协和医院 | U-shaped needle type retractor for endoscopic thyroid surgery |
| CN110731802A (en) * | 2018-07-20 | 2020-01-31 | 南微医学科技股份有限公司 | traction device |
-
2021
- 2021-04-28 CN CN202110469701.XA patent/CN113208670B/en active Active
Patent Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN2745517Y (en) * | 2004-07-24 | 2005-12-14 | 张金成 | Cavity mirror thyroid operation retractor |
| JP2009247796A (en) * | 2008-04-10 | 2009-10-29 | Kagoshima Univ | Percutaneous puncture-type muscle retractor and instrument thereof |
| CN102762155A (en) * | 2009-10-08 | 2012-10-31 | 外科创新有限公司 | Reformable endoscopic surgical instruments |
| JP2014064609A (en) * | 2012-09-24 | 2014-04-17 | Kagoshima Univ | Percutaneous puncture-type detachable steel wire muscle retractor, and muscle retractor instrument |
| CN206518571U (en) * | 2016-11-16 | 2017-09-26 | 中国人民解放军总医院第一附属医院 | A kind of cavity mirror thyroid operation retractor |
| CN110731802A (en) * | 2018-07-20 | 2020-01-31 | 南微医学科技股份有限公司 | traction device |
| CN209826819U (en) * | 2018-12-27 | 2019-12-24 | 深圳市人民医院 | Thyroid endoscopic surgery retractor |
| CN209984247U (en) * | 2019-01-16 | 2020-01-24 | 福建医科大学附属协和医院 | U-shaped needle type retractor for endoscopic thyroid surgery |
Non-Patent Citations (2)
| Title |
|---|
| 腔镜甲状腺手术拉钩的研制;张金成等;《医师进修杂志》;20051031;第28卷(第10期);全文 * |
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| CN113208670A (en) | 2021-08-06 |
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