CN114041837A - Special opener equipment for thyroid - Google Patents

Special opener equipment for thyroid Download PDF

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Publication number
CN114041837A
CN114041837A CN202111340175.3A CN202111340175A CN114041837A CN 114041837 A CN114041837 A CN 114041837A CN 202111340175 A CN202111340175 A CN 202111340175A CN 114041837 A CN114041837 A CN 114041837A
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shaped
traction
fixedly connected
micro
strip
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CN202111340175.3A
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CN114041837B (en
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张进军
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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
    • A61B17/0293Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors with ring member to support retractor elements

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  • Life Sciences & Earth Sciences (AREA)
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Abstract

The present disclosure discloses a special dilator device for thyroid, comprising: the device comprises a device body and a control device, wherein the device body comprises a sleeve pipe and a thin rope, the sleeve pipe is provided with an inner pipe cavity, the thin rope is positioned in the sleeve pipe and sleeved with a plurality of micro disks, the thin rope extends out of a longer section outside the sleeve pipe, and the diameter of each micro disk is smaller than the inner diameter of the sleeve pipe, so that the thin rope can carry the micro disks to slide and move in the inner pipe cavity; draw gear, it includes a fixed bolster and sets up the traction disc mounting bracket on the fixed bolster, traction disc mounting bracket downside is provided with a plurality of traction discs, and is a plurality of the traction disc is all through first adjusting part and traction disc mounting bracket fixed connection, simultaneously the traction disc mounting bracket passes through second adjusting part and fixed bolster fixed connection. The device can effectively pull and open an operation space for the thyroid position of a patient in the thyroid operation, and has higher stability and applicability.

Description

Special opener equipment for thyroid
Technical Field
The invention relates to a thyroid surgery instrument, in particular to a special thyroid dilator device.
Background
The thyroid operation mainly refers to a thyroidectomy operation, and the majority of the thyroidectomy is an effective means for treating simple goiter, hyperthyroidism, thyroid cyst and the like. In the process of performing the thyroid gland excision operation, a wound for operation needs to be cut at the skin of the thyroid gland position of a patient to meet the requirement of the thyroid gland excision, so that a long scar can be left at the neck position of the patient after the operation, and some patients have the beauty requirement and are not satisfied with the scar residue. At present, an endoscopic thyroid surgery method exists, which is used for amplifying and displaying a surgery visual field by means of a high-definition imaging system so as to assist surgery, and has various paths such as a full-mammary areola approach, a breast milk approach, a peroral approach and a subclavian approach, and endoscopic thyroid surgery which is popular in recent years and is accessed through armpits, and the like.
Meanwhile, when the thyroid resection operation is performed, an operation space needs to be established at the thyroid position, so that the thyroid resection operation is convenient. Currently, the inflation method is a common thyroid surgery space maintaining technology, which is used for maintaining enough surgery operation space by filling carbon dioxide gas after skin flap separation, but the method can generate respiratory acidosis or hypercapnia, and can affect jugular vein reflux, so that intracranial pressure is increased. In order to solve the above problem, there is a suspension expanding method for maintaining an operation space, which uses different suspension articles, such as silk threads or skin forceps, but the basic principle is to use a structure to puncture and fix the skin, and pull the operation position in vitro. It is conceivable that this technique is used for inflation-free distraction in current endoscopic thyroid surgery, and has a certain expected effect. However, the inventor finds that the technology still has a plurality of problems in practical implementation, for example, the suspension structure needs to be fixed with the skin, the skin is damaged in a generally adopted mode, the stress surface is small, the damage is easily caused in the suspension process, and the stability of the operation space is poor.
Disclosure of Invention
In view of the above problems in the prior art, an object of the present invention is to provide a special thyroid dilator device applicable to the establishment of a thyroid surgery space, which can effectively pull and distract a surgery space at a thyroid position, and has characteristics of inflation-free, high stability and high practicability.
In order to achieve the above object, an embodiment of the present invention provides a thyroid gland-dedicated distractor device, including:
the device comprises a device body and a control device, wherein the device body comprises a sleeve pipe and a thin rope, the sleeve pipe is provided with an inner pipe cavity, the thin rope is positioned in the sleeve pipe and sleeved with a plurality of micro disks, the thin rope extends out of a longer section outside the sleeve pipe, and the diameter of each micro disk is smaller than the inner diameter of the sleeve pipe, so that the thin rope can carry the micro disks to slide and move in the inner pipe cavity;
draw gear, it includes a fixed bolster and sets up the traction disc mounting bracket on the fixed bolster, traction disc mounting bracket downside is provided with a plurality of traction discs, and is a plurality of the traction disc is all through first adjusting part and traction disc mounting bracket fixed connection, simultaneously the traction disc mounting bracket passes through second adjusting part and fixed bolster fixed connection.
Preferably, the mini disc is of a metal disc structure wrapped with medical rubber, and the traction disc is of an electromagnet structure.
Preferably, one end of the sleeve is fixedly sleeved with a holding handle, the thin rope penetrates through the sleeve, one end of the sleeve is fixedly connected with a miniature disc, the thin rope is further sleeved with a plurality of miniature discs in a sliding mode, the contact positions of the miniature discs and the thin rope are provided with limiting assemblies, and a blocking assembly is arranged in an opening in one end of the sleeve.
Preferably, the limiting assembly comprises two grooves symmetrically arranged on the side wall of the through hole of the miniature disc, two limiting clamping blocks are arranged in the grooves in a sliding mode, the end faces of the two limiting clamping blocks, which deviate from each other, are fixedly connected with the bottom wall of the groove through a plurality of first springs, and the end faces, which are close to each other, of the two limiting clamping blocks are arc-shaped and provided with a plurality of anti-skidding grooves.
As preferred, it includes the embedded pipe of an embedded cover intraductal to stop the subassembly, the internal cross-section of embedded pipe is the platykurtic, the symmetry is provided with two wedge grooves on the embedded pipe one end inner wall, still be provided with two bar chambeies that communicate with the wedge groove in the embedded pipe inner wall, the limiting plate of bending is provided with in the wedge groove, limiting plate one end of bending extends to the bar intracavity, the bar intracavity slides and is provided with the removal strip, it rotates and is connected with the connecting strip to remove the strip, the connecting strip other end rotates with the limiting plate of bending to be connected, the bar intracavity is provided with the second spring, second spring both ends respectively with remove strip and bar intracavity wall fixed connection, simultaneously the fixed flexure strip that bends that is provided with in the wedge inslot.
As preferred still be provided with the control structure that controls that blocks the subassembly on the sleeve pipe, it includes that a slip cap establishes the annular piece on the sleeve pipe, be provided with two sliding chamber in the embedded inside pipe wall, two the sliding chamber is the equal slip of sliding chamber is provided with the control block, two the sliding chamber communicates through two pores with two bar chambeies respectively, two all be provided with the string rope in the pore, string rope one end and removal strip fixed connection, the string rope other end and control block fixed connection, the upper and lower both sides of sleeve pipe and embedded pipe all are provided with the inside bar opening of intercommunication, two the control block is all through passing two bar open-ended connecting blocks and annular piece fixed connection.
As preferred, first adjusting part include with the coaxial fixed connection's of terminal surface montant under the traction disc mounting bracket, it is equipped with a plurality of rocking arms to rotate the cover on the montant, and is a plurality of the equal fixedly connected with bull stick of one end upside that the montant was kept away from to the rocking arm, it is provided with a plurality of arc openings, and a plurality of to surround on the traction disc mounting bracket arc opening upside all corresponds and is provided with the control shifting block, and is a plurality of the bull stick runs through a plurality of arc openings respectively and respectively with a plurality of control shifting block fixed connection, be provided with the bar on the rocking arm and run through the mouth, the bar is run through and is provided with the sliding block in the mouth, and the sliding block slides in the bar runs through the mouth, run through on the sliding block and set up the telescopic link, still match on the telescopic link and be provided with its flexible positioning bolt of restriction, the flexible end setting of telescopic link is at the downside and with traction disc fixed connection.
Preferably, the second adjusting component comprises a deep groove formed in the fixed support, a moving column is vertically arranged in the deep groove in a sliding mode, the moving column is of a hollow structure, two abutting blocks limiting the moving column are symmetrically and fixedly arranged on two inner walls of the deep groove, a transverse frame is fixedly connected to the upper end of the moving column, a transverse arm is arranged on the upper side of the transverse frame in a sliding mode, the lower side of one end of the transverse arm is fixedly connected with the traction disc mounting frame through a connecting rod, a bar-shaped seat is fixedly arranged on the lower end face of the transverse arm, a sliding groove matched with the bar-shaped seat is formed in the upper end face of the transverse frame, and a clamping bolt limiting the sliding of the bar-shaped seat is arranged on the upper end face of the bar-shaped seat in a penetrating mode.
Preferably, a vertical lifting assembly for the moving column is arranged in the deep groove and comprises a screw rod vertically arranged in the moving column, the lower end of the screw rod extends into the deep groove and is rotatably connected with the inner bottom wall of the deep groove, a moving plate is fixedly arranged in the moving column and is sleeved on the screw rod in a threaded manner, a driven bevel gear is further arranged in the deep groove and is fixedly sleeved on the screw rod, a driving bevel gear meshed with the driven bevel gear is further arranged in the deep groove, a rotating handle is rotatably arranged on the outer wall of the fixed support and penetrates through the fixed support and is coaxially and fixedly connected with the driving bevel gear.
Preferably, the thin rope is braided into a rope shape by using a plurality of titanium alloy thin wires with the diameter of less than 0.3 mm, and the diameter of the thin rope is 2-2.5 mm.
Compared with the prior art, the special thyroid spreader equipment provided by the invention can be arranged under the skin of a thyroid operation position for traction, has an inflation-free effect while guaranteeing that an operation space is spread, and has higher stability compared with the existing external silk thread hanging mode. The device can adjust the traction position and the traction height aiming at different patients, and has better traction and stretching effect and higher applicability. Compared with a common endoscope thyroid gland dilator, the endoscope thyroid gland dilator has the characteristics of convenience in operation, stable traction effect, no inflation and high applicability.
It is to be understood that both the foregoing general description and the following detailed description are exemplary and explanatory only and are not restrictive of the disclosure.
This document provides an overview of various implementations or examples of the technology described in this disclosure, and is not a comprehensive disclosure of the full scope or all features of the disclosed technology.
Drawings
Fig. 1 is a schematic perspective view of a thyroid gland-dedicated distracter device according to the present invention.
Fig. 2 is a schematic side view perspective structure view of a device body of the thyroid gland special distractor device of the present invention.
Fig. 3 is a schematic perspective view (half-section parts) of a traction device of a thyroid gland special distractor device of the present invention.
Fig. 4 is a schematic perspective view of a first adjustment assembly of a thyroid-specific distractor apparatus of the present invention.
Fig. 5 is a schematic perspective view of a blocking assembly of a thyroid gland-dedicated distractor device according to the present invention.
Fig. 6 is a schematic perspective view of a manipulation structure of the thyroid gland-dedicated distractor device according to the present invention.
Fig. 7 is a schematic perspective view of a limiting assembly of the thyroid gland-dedicated distractor device of the present invention.
Fig. 8 is a schematic perspective view of a vertical lift assembly of a thyroid specific distractor apparatus of the present invention.
The main reference numbers:
1 … device body; 11 … a sleeve; 12 … a string; 2 … traction device; 21 … fixing bracket; 22 … a fifth wheel mounting bracket; 23 … traction disc; 24 … a first adjustment assembly; 25 … a second adjustment assembly; 111 … inner lumen; 112 … grip handles; 113 … blocking the assembly; 114 … handling the structure; 121 … mini disk; 241 … vertical bars; 242 … swivel arm; 243 … rotary rod; 244 … control the paddle; 245 … sliding blocks; 246 … telescoping rods; 247 … positioning bolts; 251 … moving the column; 252 …, a blocker; 253 … transverse frame; 254 … cross-arm; 255 … connecting rods; 256 … bar-shaped seats; 257 … clamp the bolt; 258 … vertical lift assembly; 1131 … embedding a tube; 1132 … bending limit plate; 1133 … moving the strip; 1134 … connecting strip; 1135 … a second spring; 1136 … bending the elastic sheet; 1141 … annular block; 1142 … control block; 1143 … a fine pull rope; 1144 … connecting block; 1145 … bending the short rod; 1211 … limiting member; 2581 … screw; 2582, 2582 … move the board; 2583 … driven bevel gear; 2584 … drive bevel gear; 2585 … stems; 12111 … grooves; 12112 … limit the clipping block; 12113 … a first spring; 12114 … are non-slip slotted.
Detailed Description
In order to make the objects, technical solutions and advantages of the embodiments of the present disclosure more clear, the technical solutions of the embodiments of the present disclosure will be described below clearly and completely with reference to the accompanying drawings of the embodiments of the present disclosure.
It is to be understood that the described embodiments are only a few embodiments of the present disclosure, and not all embodiments. All other embodiments, which can be derived by a person skilled in the art from the described embodiments of the disclosure without any inventive step, are within the scope of protection of the disclosure.
Unless otherwise defined, technical or scientific terms used herein shall have the ordinary meaning as understood by one of ordinary skill in the art to which this disclosure belongs. The use of the word "comprising" or "comprises", and the like, in this disclosure is intended to mean that the elements or items listed before that word, include the elements or items listed after that word, and their equivalents, without excluding other elements or items. The terms "connected" or "coupled" and the like are not restricted to physical or mechanical connections, but may also include electrical connections, whether direct or indirect. "upper", "lower", "left", "right", and the like are used merely to indicate relative positional relationships, and when the absolute position of the object being described is changed, the relative positional relationships may also be changed accordingly.
To maintain the following description of the embodiments of the present disclosure clear and concise, a detailed description of known functions and known components have been omitted from the present disclosure.
As shown in fig. 1 to 8, an embodiment of the present invention provides a thyroid gland-dedicated distractor device, including: the device comprises a device body 1, wherein the device body 1 comprises a sleeve 11 and a string 12, the sleeve 11 is provided with an inner tube cavity 111, the string 12 is positioned in the sleeve 11 and sleeved with a plurality of micro disks 121, the string 12 extends out of a longer section of the sleeve 11, and the diameter of each micro disk 121 is smaller than the inner diameter of the sleeve 11, so that the string 12 can slide and move in the inner tube cavity 111 along with the micro disks 121; generally speaking, because of the traceless effect required by the endoscopic thyroid surgery, the surgical instruments are all inserted through hidden positions such as armpits, areola, gum and the like, but at present, when the endoscopic thyroid surgery is carried out, the skin flap is separated, and then the carbon dioxide gas is filled to maintain enough operation space, which is dangerous, at this moment, the inflation-free external traction device 2 is required to carry out traction to maintain the operation space at the position of the thyroid, in the invention, the traction device 2 is arranged at the upper side of the throat of a patient in the operation and comprises a fixed bracket 21 fixed on an operation table (not shown) and a traction disc mounting bracket 22 arranged on the fixed bracket 21, aiming at the traction and distraction mode that the silk thread is simply hung down and widely adopted by the existing inflation-free distraction device for the thyroid surgery, and the situation that the stress point of the silk thread and the skin is only small is avoided, therefore, the operation space maintaining effect is poor, the plurality of traction discs 23 are arranged on the lower side of the traction disc mounting frame 22, the traction and distraction functions are realized on the outer portion by arranging the plurality of traction discs 23 on the upper side of the throat of a patient, meanwhile, the contact surface of the traction discs 23 and the skin is larger than that of a pure silk thread, so that the maintenance effect on the thyroid operation space is higher, the plurality of traction discs 23 are fixedly connected with the traction disc mounting frame 22 through the first adjusting component 24, the positions of the traction discs 23 are arranged according to the position of the thyroid of the patient and the situation around the thyroid of the patient, so that the traction positions and directions are determined according to the physiological conditions of different patients, the optimal distraction operation space is ensured, meanwhile, the traction disc mounting frame 22 is fixedly connected with the fixed support 21 through the second adjusting component 25, and the positions of the traction disc mounting frame 22 can be changed according to the actual situation, aiming at the actual operation requirement and the condition of the operating personnel, the operation is convenient to carry out. In order to achieve the traction effect of the traction disc 23 on the skin of the thyroid operation site, it is necessary to ensure the fixing effect between the traction disc 23 and the skin of the operation site, in this embodiment, the mini disc 121 is a metal disc structure wrapped with medical rubber, and correspondingly, the traction disc 23 is an electromagnet structure, the traction discs 23 are all electrically connected to an external power supply to form a plurality of parallel circuits, a control switch is respectively arranged corresponding to each traction disc 23, each traction disc 23 can be independently powered on or powered off, the mini disc 121 is placed under the skin of the thyroid operation site, the mini disc 121 is adsorbed by the traction disc 23, so that the traction disc 23 can traction the skin of the thyroid operation site, then the positions of the first adjusting assembly and the second adjusting assembly are fixed, and the thyroid operation space for traction and distraction is maintained, thus not only avoiding the use of a carbon dioxide inflation distraction method, the problem of instability of the hanging of the silk thread is solved.
Fig. 2 shows a schematic perspective view of a sleeve except for a thyroid-specific distractor device suitable for use in the present invention. As shown in fig. 2, in some embodiments, unlike a general endoscopic surgical instrument, since several micro disks 121 need to be respectively sent to a proper position under the thyroid gland, in an actual operation, the traction disk 23 may be attached to the skin at the traction point, then one of the micro disks 121 is pushed to the position of one of the traction disks 23 to be adsorbed and fixed by the traction disk 23, then the cannula 11 is sequentially moved to utilize the adsorption and fixing effects of the first micro disk 121 and the traction disk 23 to pull out the other micro disks 121 from the cannula 11, and the cannula 11 pushes the micro disks 121 to the positions of the other traction disks 23, and then the micro disks 121 are sequentially adsorbed and fixed by the traction disk 23, so that the traction disk 23 can have a traction effect on the skin at the thyroid gland. Therefore, the cannula 11 suitable for the present invention is provided with a grip handle 112 at one end, the string 12 is fixedly sleeved with the inside of the cannula 11, one end of the string 12 is fixedly connected with a micro disc 121, the string 12 is further slidably sleeved with a plurality of micro discs 121, the contact positions of the micro discs 121 and the string 12 are all provided with a limiting component 1211, the micro discs 121 and the string 12 move synchronously when the resistance is small, the micro discs 121 and the string 12 move relatively when the resistance is large, in order to realize the pushing action on the string 12 and the micro discs 121, in some embodiments, unlike the general cannula 11, a blocking component 113 is arranged in an opening at one end of the cannula 11, when the string 12 is sleeved in the cannula 11, the micro discs 121 fixedly connected at one end are pulled to the outside, the micro discs 121 are limited by the blocking component 113, and then the cannula 11 is inserted into the body of the patient to the thyroid gland position, the pushing action of the mini discs 121 and the strings 12 can be completed, when a plurality of mini discs 121 are sequentially pushed, if the distance between two mini discs 11 needs to be prolonged, the subsequent mini discs 11 are blocked by the blocking component 113 while the sleeve 11 is moved, the blocking force exceeds the friction force generated by the limiting component 1211, so that the subsequent mini discs 11 can move, when the position is proper, the blocking effect of the blocking component 113 is removed, the mini discs 121 are led out from the sleeve 11 by moving the sleeve 11, and the mini discs 121 at different positions can be sequentially deployed by repeated operation. In the invention, as shown in fig. 7, the limiting assembly 1211 includes two grooves 12111 symmetrically disposed on the side walls of the through hole of the micro disc 121, two limiting blocks 12112 are slidably disposed in the two grooves 12111, the end surfaces of the two limiting blocks 12112 facing away from each other are fixedly connected to the bottom wall of the grooves 12111 through a plurality of first springs 12113, the end surfaces of the two limiting blocks 12112 close to each other are arc-shaped and provided with a plurality of anti-slip slots 12114, the limiting blocks 12112 are ejected out of the grooves 12111 by the elastic force of the plurality of first springs 12113, and the two limiting blocks 12112 have a certain friction force to the string 12 passing through the through hole;
as mentioned above, the blocking assembly 113 serves to block the microdisk 11, but at the same time, it should have a certain clamping effect on the microdisk 121, when clamping, the microdisk 121 is limited outside the casing 11, so that the end of the casing 11 can determine the position of the microdisk 11, thereby ensuring the corresponding position of the microdisk 11 and the traction disk 23, and stable adsorption, in the present invention, as shown in fig. 5, the blocking assembly 113 includes an embedded pipe 1131 embedded in the casing 11, the internal cross section of the embedded pipe 1131 is flat, two wedge-shaped grooves are symmetrically arranged on the inner wall of one end of the embedded pipe 1131, two strip-shaped cavities communicated with the wedge-shaped cavities are further arranged in the inner wall of the embedded pipe 1131, a slope is arranged at the lower part of the position where the strip-shaped cavities are communicated with the wedge-shaped grooves, a bending limiting plate 1132 is arranged in the wedge-shaped groove, one end of the bending limiting plate 1132 extends into the strip-shaped cavity, a moving bar 1133 is arranged in the bar cavity in a sliding manner, the moving bar 1133 is rotatably connected with a connecting bar 1134, the other end of the connecting bar 1134 is rotatably connected to the bending limit plate 1132, a second spring 1135 is disposed in the bar cavity, two ends of the second spring 1135 are respectively and fixedly connected with the moving bar 1133 and the inner wall of the bar-shaped cavity, under the action of the second spring 1135, the moving bar 1133 in the bar-shaped cavity is ejected out towards the wedge-shaped slot, because of the connecting bar 1134, the bending limit plate 1132 is pushed out towards the outside of the wedge-shaped groove, and at the same time, the bending elastic piece 1136 is fixedly arranged in the wedge-shaped groove, when the bending limiting plate 1132 is ejected towards the outside of the wedge-shaped groove, the bending limiting plate 1132 is guided, so that the bending limiting plate 1132 is ensured to be ejected out and seal the inside of the embedded pipe 1131, and the two bending limiting plates 1132 are both ejected out and abutted against each other, so that a blocking effect can be achieved on the mini disc 121; in the present invention, the micro disc 121 drives the string 12 to move when moving, and if the micro disc 121 is limited and the string 12 is clamped, the arrangement of the micro disc 121 at the operation position is affected, so that the ends of the two bending limit plates 1132 close to each other are both provided with arc-shaped slots, according to actual conditions, a gap may also be provided between the ends of the two bending limit plates 1132 close to each other, and the string 12 can be clamped when the limitation of the micro disc 121 is removed.
In view of the above, in the present invention, the blocking assembly 113 is a main component for arranging the micro disc 121 at a suitable traction position, and should have convenience in operation at any time, so as to facilitate the operation of the doctor when arranging the micro disc 121 at the surgical site, in order to achieve the function of conveniently operating the blocking assembly 113, preferably, as shown in fig. 6, the cannula 11 is further provided with a control structure 114 for controlling the blocking assembly 113, which includes an annular block 1141 slidably fitted over the cannula 11, the inner wall of the embedded tube 1131 is provided with two sliding cavities, each of the two sliding cavities is slidably provided with a control block 1142, the two sliding cavities are respectively communicated with the two bar-shaped cavities through two pores, each of the two pores is provided with a thin pulling rope 1143, one end of the thin pulling rope 1143 is fixedly connected with the moving bar 1133, and the other end of the thin pulling rope 1143 is fixedly connected with the control block 1142, the upper and lower sides of the sleeve 11 and the embedded tube 1131 are both provided with strip-shaped openings communicating the inside, the two control blocks 1142 are both fixedly connected with the annular block 1141 through a connecting block 1144 penetrating through the two strip-shaped openings, the two control blocks 1142 can be driven to move by shifting the annular block 1141, the two control blocks 1142 pull the two moving strips 1133 through a thin pull rope 1143 to realize the action of pulling back the two bending limit plates 1132, the limit action of the blocking component 113 on the micro disc 121 is released, the annular block 1141 is released, the moving strips 1133 reset again under the action of the second spring 1135, so that an operator can conveniently control the opening and closing of the blocking component 113 externally, the lower end of the annular block 1141 can also be fixedly connected with a bending short rod 1145 to increase the stress point of the annular block 1141, thereby facilitating the operation of people, the grip handle 112 is provided with two annular structures for the middle finger and thumb of the user to penetrate through, the user can now operate the cannula 11, and the index finger of the user just rests on the bent short bar 1145, which can operate the blocking member 113 simultaneously.
In the present invention, the traction device 2, as a component mainly realizing the traction distraction function, should have applicability to different patients and operation conditions, so as to ensure the promotion effect on the operation, in the present invention, in order to realize the position adjustment of the plurality of traction discs 23, the main reason of the position adjustment is that the thyroid gland position of the patient is not flat and different conditions of different people, so that the initial traction position and the height of the traction discs 23 need to be adjustable, preferably, as shown in fig. 4, the plurality of traction discs 23 are all fixed by a first adjusting component 24, the first adjusting component 24 comprises a vertical rod 241 coaxially and fixedly connected with the lower end surface of the traction disc mounting frame 22, the vertical rod 241 is rotatably sleeved with a plurality of rotating arms 242, the plurality of rotating arms 242 are arranged in the vertical direction, and the upper side of one end of the plurality of rotating arms 242 far away from the vertical rod 241 is fixedly connected with a rotating rod 243, a plurality of arc-shaped openings are arranged on the traction disc mounting frame 22 in a surrounding manner, the upper sides of the plurality of arc-shaped openings are correspondingly provided with control shifting blocks 244, the diameter of each control shifting block 244 should be larger than the width of the arc-shaped opening, so that the control shifting blocks 244 have a certain limiting effect on the rotating rods 243, the plurality of rotating rods 243 respectively penetrate through the plurality of arc-shaped openings and are respectively and fixedly connected with the plurality of control shifting blocks 244, the rotating rods 242 are provided with strip-shaped through openings, sliding blocks 245 are arranged in the strip-shaped through openings in a sliding manner, the sliding blocks 245 slide in the strip-shaped through openings, the two side walls of the sliding blocks are fixedly provided with limiting sliding blocks, the two inner walls of each strip-shaped through opening are respectively provided with sliding grooves matched with the limiting sliding blocks, the sliding blocks 245 are limited in the freedom degree in the vertical direction while sliding, telescopic rods 246 are arranged on the sliding blocks 245 in a penetrating manner, and positioning bolts 247 used for limiting the extension and retraction of the telescopic rods 246 are also arranged on the telescopic rods 246 in a matching manner, the telescopic end of the telescopic rod 246 is arranged at the lower side and fixedly connected with the traction disc 23, the rotating arm 242 can be rotated by toggling the control shifting block 244, the sliding block 245 slides in the strip-shaped through hole, the position of the traction disc 23 can be adjusted in a certain horizontal area, the vertical height of the traction disc 23 can be adjusted by the telescopic action of the telescopic rod 246, the traction disc 23 can be fixed in the vertical direction by the existence of the positioning bolt 247, before the mini disc 121 is placed in a human body, the plurality of traction discs 23 are arranged at proper positions at the thyroid gland of a patient according to the condition of the patient and slightly fit with the skin of the patient, the mini disc 121 placed in the patient can be directly adsorbed and fixed after the follow-up traction disc 23 is electrified, when the traction disc 23 is arranged, the horizontal direction freedom degree of the traction disc 23 is also limited, therefore, limiting structures for the sliding block 245 and the control shifting block 244 should also be provided in the present invention, and in some embodiments, bolts (not shown) for fixing may be provided between the sliding block 245 and the rotating arm 242 and between the control shifting block 244 and the traction wheel mounting frame 22, and the structures are similar to the positioning bolts 247;
furthermore, as mentioned above, in the present invention, the position of the traction disc mounting bracket 22 may be adjusted according to actual conditions, the position adjustment of the traction disc mounting bracket 22 is mainly the adjustment in the vertical direction and the horizontal direction, and the position error generated when the fixing bracket 21 is installed ensures that the traction disc mounting bracket 22 can be kept at the upper side of the thyroid gland position of the patient, and drives the plurality of traction discs 23 to move upwards when traction is needed, so as to ensure the traction effect, preferably, as shown in fig. 3 and 8, the second adjusting assembly 25 includes a deep groove arranged on the fixing bracket 21, a moving column 251 is vertically and slidably arranged in the deep groove, the moving column 251 adopts a hollow structure, the upper end of the moving column 251 extends out of the deep groove, two abutting blocks 252 for limiting the moving column 251 are symmetrically and fixedly arranged on two inner walls of the deep groove, the upper end of the moving column 251 is fixedly connected with a transverse frame 253, the upper side of the transverse frame 253 is provided with a transverse arm 254 in a sliding manner, the lower side of one end of the transverse arm 254 is fixedly connected with the traction disc mounting frame 22 through a connecting rod 255, the lower end face of the transverse arm 254 is fixedly provided with a strip-shaped seat 256, the upper end face of the transverse frame 253 is provided with a sliding slot matched with the strip-shaped seat 256, the strip-shaped seat 256 slides in the sliding slot, the cross sections of the strip-shaped seat 256 and the sliding slot are inverted T-shaped, a clamping bolt 257 for limiting the strip-shaped seat 256 to slide is arranged on the strip-shaped seat 256 in a penetrating manner in a threaded manner, the transverse arm 254 is provided with a circular opening corresponding to the position of the clamping bolt 257, the clamping bolt 257 can be conveniently operated through the circular opening, and the strip-shaped seat 256 can slide in the sliding slot when the clamping bolt 257 is unscrewed, so that the horizontal position of the traction disc mounting frame 22 is controlled; meanwhile, the moving column 251 needs to be capable of moving in a vertical direction to drive the traction disc mounting rack 22 to move vertically, so as to ensure a traction effect, in some embodiments, as shown in fig. 8, a vertical lifting assembly 258 for the moving column 251 is disposed in the deep groove, and includes a screw 2581 vertically disposed in the moving column 251, a lower end of the screw 2581 extends into the deep groove and is rotatably connected with an inner bottom wall of the deep groove, a moving plate 2582 is fixedly disposed in the moving column 251, the moving plate 2582 is threadedly sleeved on the screw 2581, a driven bevel gear 2583 is further disposed in the deep groove, the driven bevel gear 2583 is fixedly sleeved on the screw 2581, a driving bevel gear 2584 engaged with the driven bevel gear 2583 is further disposed in the deep groove, a rotating handle 2585 is rotatably disposed on an outer wall of the fixed support 21, the rotating handle 2585 penetrates through the fixed support 21 and is coaxially and fixedly connected with the driving bevel gear 2584, when the traction disk mounting frame 22 needs to be moved upwards and the plurality of traction disks 23 are driven, the rotating handle 2585 is rotated, so that the screw 2581 is driven to rotate, the moving plate 2582 is driven to vertically move by utilizing the thread structure, the moving column 251 is driven to vertically move, the plurality of traction disks 23 adsorb the subcutaneous micro disk 121 and move upwards, and an operation space is pulled and opened aiming at the thyroid gland position of a patient.
As described above, in the present invention, the string 12 is a member that can operate the micro disc 121 inside the human body, except the traction device 2, after the operation is finished, all the micro discs 121 placed inside the human body need to be taken out, after other instruments operated in the operation are pulled out, the cannula 11 is inserted into the human body along the string 21 again, then the adsorption and fixation of the plurality of micro discs 121 by the plurality of traction discs 23 are released, the traction discs 23 are directly powered off by the adsorption and fixation being released, then the blocking function of the blocking component 113 is released and the string 12 is pulled, because one end of the string 12 is fixedly provided with one micro disc 121, all the micro discs 121 placed inside can be pulled into the cannula 11 by the function of the micro disc 121, then the blocking component 113 has the blocking effect again, and then the cannula 11 is pulled out from the human body, finishing the ending work after the operation; in the process of performing the operation, the cannula 11 is not inserted into the pierced through hole, but only a string is reserved in the through hole, and the surgeon can insert other surgical instruments through the through hole to perform the operation, thereby avoiding the need of additionally piercing through holes to place a plurality of micro disks 121 into the human body, therefore, in the invention, the string 12 is in a hemp rope shape woven by a plurality of titanium alloy thin wires with the diameter less than 0.3 mm, and the diameter of the string is 2-2.5 mm. The toughness is ensured, and the subsequent surgical instruments entering the human body through the same puncture hole are prevented from being influenced.
The above embodiments are only exemplary embodiments of the present invention, and are not intended to limit the present invention, and the scope of the present invention is defined by the claims. Various modifications and equivalents may be made by those skilled in the art within the spirit and scope of the present invention, and such modifications and equivalents should also be considered as falling within the scope of the present invention.

Claims (10)

1. A thyroid-specific distractor device comprising:
the device comprises a device body and a control device, wherein the device body comprises a sleeve pipe and a thin rope, the sleeve pipe is provided with an inner pipe cavity, the thin rope is positioned in the sleeve pipe and sleeved with a plurality of micro disks, the thin rope extends out of a longer section outside the sleeve pipe, and the diameter of each micro disk is smaller than the inner diameter of the sleeve pipe, so that the thin rope can carry the micro disks to slide and move in the inner pipe cavity;
draw gear, it includes a fixed bolster and sets up the traction disc mounting bracket on the fixed bolster, traction disc mounting bracket downside is provided with a plurality of traction discs, and is a plurality of the traction disc is all through first adjusting part and traction disc mounting bracket fixed connection, simultaneously the traction disc mounting bracket passes through second adjusting part and fixed bolster fixed connection.
2. The device of claim 1, wherein said micro-disc is a metal disc structure coated with medical rubber, and said traction disc is an electromagnet structure.
3. The device as claimed in claim 1, wherein the sleeve has a grip at one end, the string is threaded inside the sleeve, a micro disc is fixedly connected to one end of the string, a plurality of micro discs are slidably sleeved on the string, a position of contact between each micro disc and the string is provided with a limiting component, and a blocking component is arranged in an opening at one end of the sleeve.
4. The device according to claim 3, wherein the limiting component comprises two symmetrical grooves formed in the side walls of the passing hole of the micro disc, two limiting blocks are slidably arranged in each groove, the end surfaces of the two limiting blocks, which face away from each other, are fixedly connected with the bottom wall of each groove through a plurality of first springs, and the end surfaces of the two limiting blocks, which are close to each other, are arc-shaped and provided with a plurality of anti-slip slots.
5. The device according to claim 4, wherein the blocking component comprises an embedded pipe embedded in the sleeve, the inner cross section of the embedded pipe is flat, two wedge-shaped grooves are symmetrically formed in the inner wall of one end of the embedded pipe, two bar-shaped cavities communicated with the wedge-shaped grooves are further formed in the inner wall of the embedded pipe, bending limiting plates are arranged in the wedge-shaped grooves, one end of each bending limiting plate extends into each bar-shaped cavity, a moving strip is slidably arranged in each bar-shaped cavity and is rotatably connected with a connecting strip, the other end of each connecting strip is rotatably connected with the corresponding bending limiting plate, a second spring is arranged in each bar-shaped cavity, two ends of each second spring are fixedly connected with the corresponding moving strip and the inner wall of each bar-shaped cavity respectively, and meanwhile bending elastic pieces are fixedly arranged in the wedge-shaped grooves.
6. The device of claim 5, further comprising a control structure for controlling the blocking component, the control structure comprises a ring-shaped block slidably disposed on the sleeve, two sliding cavities are disposed in the inner wall of the embedded pipe, two control blocks are slidably disposed in the two sliding cavities, the two sliding cavities are respectively communicated with the two bar-shaped cavities through two pores, a thin pull rope is disposed in each pore, one end of the thin pull rope is fixedly connected with the movable bar, the other end of the thin pull rope is fixedly connected with the control block, the upper and lower sides of the sleeve and the embedded pipe are respectively provided with a bar-shaped opening communicated with the interior, and the two control blocks are fixedly connected with the ring-shaped block through a connecting block passing through the two bar-shaped openings.
7. The device as claimed in claim 1, wherein the first adjusting assembly comprises a vertical rod coaxially and fixedly connected with the lower end surface of the traction disc mounting rack, a plurality of rotating arms are rotatably sleeved on the vertical rod, and the upper sides of the ends of the rotating arms far away from the vertical rod are fixedly connected with rotating rods, a plurality of arc-shaped openings are arranged on the traction disc mounting rack in a surrounding manner, the upper sides of the plurality of arc-shaped openings are correspondingly provided with control shifting blocks, the plurality of rotating rods respectively penetrate through the plurality of arc-shaped openings and are respectively fixedly connected with the plurality of control shifting blocks, the rotating arm is provided with a strip-shaped through hole, a sliding block is arranged in the strip-shaped through hole in a sliding manner, the sliding block slides in the strip-shaped through hole, the sliding block is provided with a telescopic rod in a penetrating mode, the telescopic rod is further provided with a positioning bolt for limiting the telescopic rod to stretch, and the telescopic end of the telescopic rod is arranged on the lower side and fixedly connected with the traction disc.
8. The device as claimed in claim 1, wherein the second adjusting component comprises a deep groove arranged on the fixed support, a moving column is vertically slidably arranged in the deep groove, the moving column is of a hollow structure, two abutting blocks for limiting the moving column are symmetrically and fixedly arranged on two inner walls of the deep groove, a transverse frame is fixedly connected to the upper end of the moving column, a transverse arm is slidably arranged on the upper side of the transverse frame, the lower side of one end of the transverse arm is fixedly connected with the traction disc mounting frame through a connecting rod, a strip-shaped seat is fixedly arranged on the lower end face of the transverse arm, a sliding slot matched with the strip-shaped seat is arranged on the upper end face of the transverse frame, and a clamping bolt for limiting the sliding of the strip-shaped seat is arranged on the strip-shaped seat in a threaded manner.
9. The device as claimed in claim 8, wherein a vertical lifting assembly for the moving column is disposed in the deep groove, and comprises a screw rod vertically disposed in the moving column, the lower end of the screw rod extends into the deep groove and is rotatably connected with the inner bottom wall of the deep groove, a moving plate is fixedly disposed in the moving column, the moving plate is screwed on the screw rod, a driven bevel gear is further disposed in the deep groove, the driven bevel gear is fixedly sleeved on the screw rod, a driving bevel gear meshed with the driven bevel gear is further disposed in the deep groove, a rotating handle is rotatably disposed on the outer wall of the fixed support, and the rotating handle penetrates through the fixed support and is coaxially and fixedly connected with the driving bevel gear.
10. The device of claim 1, wherein said string is braided into a twine shape with a diameter of 2-2.5 mm using a plurality of titanium alloy thin wires with a diameter of less than 0.3 mm.
CN202111340175.3A 2021-11-12 2021-11-12 Special struts ware equipment of thyroid gland Active CN114041837B (en)

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US6090042A (en) * 1998-01-23 2000-07-18 Rullo; Janice Lee Surgical support apparatus with adjustable rake and adjustable cable lifting disk
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