CN201150529Y - Visible laryngoscope instrument - Google Patents

Visible laryngoscope instrument Download PDF

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Publication number
CN201150529Y
CN201150529Y CNU2007200752827U CN200720075282U CN201150529Y CN 201150529 Y CN201150529 Y CN 201150529Y CN U2007200752827 U CNU2007200752827 U CN U2007200752827U CN 200720075282 U CN200720075282 U CN 200720075282U CN 201150529 Y CN201150529 Y CN 201150529Y
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CN
China
Prior art keywords
petiole
operating theater
theater instruments
centimetre
throat
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Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Fee Related
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CNU2007200752827U
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Chinese (zh)
Inventor
赵霞
崔西栋
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Huashan Hospital of Fudan University
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Huashan Hospital of Fudan University
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Priority to CNU2007200752827U priority Critical patent/CN201150529Y/en
Application granted granted Critical
Publication of CN201150529Y publication Critical patent/CN201150529Y/en
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Expired - Fee Related legal-status Critical Current

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Abstract

The utility model belongs to the medical appliance field, which relates to the appliance for laryngoscope surgery. The appliance is formed by a visible throat expansion lens and a matched appliance, wherein the visible throat expansion lens is made into an upper lobe and a lower lobe, wherein the upper lobe is extended and connected with an upper vane through an upper petiole, the lower lobe is formed by a lower petiole, a lower leaf bow and a lower vane, wherein the lower leaf bow is connected with the lower petiole and the lower vane. The appliance for visual laryngoscope surgery can overcome the shortcoming of the existing laryngoscope, which is designed according to the anatomical characteristics of a throat natural cavity and the operation habits of operative doctors, a throat can be fully exposed under the premise of maximally avoiding damaging teeth and cervical vertebrae, and various fine throat operations are finished under an endoscopic video frequency through matching with a matched surgical apparatus. The appliance for laryngoscope surgery can improve the security, efficiency and easy operation of illness operation treatments in pharyngolaryngeal cavities.

Description

Visual laryngoscope operating theater instruments
Technical field
This utility model belongs to medical instruments field, relates to the laryngoscope surgery instrument, is specifically related to be used for the visual throat expansion mirror and the supporting apparatus thereof of arthroscopic diagnosis in the cavum laryngis.
Background technology
The operation of carrying out the vocal cords pathological changes under the laryngoscope is that clinical hals,Nasen und Ohrenheilkunde is very practical and be the most normal operation of carrying out, it can carry out in cavum laryngis, avoided cervical incision, along with the fast development of related surgical apparatus, this modus operandi has begun to be used for the excision of some early stage laryngeal neoplasm.Practice shows, various relevant modus operandis all have its limitation at present, has in the time of clinically because of exposing the not good complication etc. that causes operative failure and produce tooth, cervical vertebra.
Clinical laryngoscope modus operandi commonly used has following several at present: 1) laryngeal mirror: major advantage is easy.During operation, patient's seat under the laryngopharynx surface anesthesia, utilizes laryngeal mirror, and by reflective demonstration laryngeal structure, the patient utilizes various curved larynx operating forcepies to operate.But need the patient to cooperate when operating on the one hand, short at patient's cervical region, when throat is responsive, usually can not fully expose; The patient operates under the illuminator picture on the other hand, and operating habit is different down with direct-view, and difficult the grasp so be mainly used in patient examination and taking foreign body at present, can't be done delicate procedure.2) hard tube laryngendoscope: major advantage is to pass through graphical presentation system record check result, but the same laryngeal mirror of basic principle of operation is mainly used in outpatient service replenishing as laryngeal mirror at present.3) fiber laryngendoscope: major advantage is can be crooked, when can not fully exposing, laryngeal mirror and hard tube laryngendoscope use, expose laryngeal structure, but the strength of supporting laryngeal forceps and openings of sizes etc. can't satisfy the requirement that laryngeal pathological process is handled, so also be mainly used in inspection at present.4) direct laryngoscope: be the classical modus operandi of throat diseases intracavity operation, carry out under the general general anesthesia.Its advantage is to expose laryngeal structure under direct laryngoscope, and the patient can handle various vocal cords pathological changes under direct-view.But during this laryngoscope operation patient's tooth is had compressing, damage tooth happens occasionally; And owing to patient's cervical region layback patient fat and that neck is short, especially need be had the patient of cervical spondylosis, owing to can not brute force allow its layback, in case dislocation of cervical vertebra, fracture (the extremely high paraplegia that is caused), expose not good so that pathological changes can't be handled or handle not exclusively.In addition, because the collar extension diameter of existing direct laryngoscope is less, inconvenience during some operating theater instruments operation, the general anesthesia tracheal intubation is slided, and makes troubles to operation technique.
Summary of the invention
The purpose of this utility model is the defective that overcomes prior art, and a kind of visual laryngoscope operating theater instruments is provided, and is specifically related to a kind of visual throat expansion mirror and supporting apparatus thereof, is used for the intracavity operation of throat diseases.
Operating theater instruments described in the utility model is upper bent type, for complying with the tapered throat dilator of arc.
The visual laryngoscope operating theater instruments of this utility model comprises visual throat expansion mirror and supporting apparatus thereof.
Described visual throat expansion mirror: adopting medical metal material is the basic material of making, and improves on the dilator basis, oral cavity that routine is used, and makes the last leaf and the inferior lobe of visual laryngoscope.
The described leaf of going up extends connection blade 2 by last petiole 1.The long 14-18 of described blade centimetre, be and comply with the camber of oral cavity to laryngopharynx, be the 100-140 degree with last petiole and be connected, the connecting portion of blade and last petiole is wide to be 3-4 centimetre, phases down closely to throat, width is 1.6-2.2 centimetre.It is camber that nearly handle 8-11 centimetre section is seen in its side of described blade, radius 8-11 centimetre, arc length 8-11 centimetre, comply with the radian of human oral cavity to the root of the tongue to cavum laryngopharyngeum, thick 0.6-0.9 centimetre of described radian section includes leaded light and image and receives cable, the connecting portion anterior view is provided with the joint 3 that connects external equipment, its both sides are made poroid, can utilize existing equipment, insert fiber cold light source commonly used and fiberoptic laryngoscope etc.Establishing image apart from connecting portion 8-11 centimeters receives and photoconduction mouth 4.6-7 centimetre of the prolongation segment length of coupling part, basic journey linearity becomes the 165-185 angle with the center line of above-mentioned camber.The end of last petiole is established adjustable supports sheet 5, is used for fixing on bracing frame, and the handle body of last petiole is established the draw-in groove 6 of spring card, fixing after being used to expand.
Described inferior lobe is by petiole, inferior lobe bow and lower blade are formed down.The structure of following petiole 1 wherein, spring stator 2 and inferior lobe bow 3 is substantially with the mouth-gag of prior art.The one side both sides of following petiole are established flange 7 and are used to insert petiole, and another side is established spring leaf and had fixed opening width, and the inferior lobe bow is used to connect described handle and sheet.The thick 1.5-2 millimeter of lower blade sheet, its first section 4, be bent upwards from bow and stride across central incisor, the camber that is 1.5 centimetres of radiuses, arc length 1-1.5 centimetre are seen in the side; Second section 5 face as the compressing hard palate, after first section, camber bending downwards is the dome shape that radius is 1.8-2.2, and wide 2.5-3.2 centimetre, arc length 2.7-3.5 centimetre, long 2-2.5 centimetre, the about 2.2-2.7 of arc length; The 3rd section 6 from second section, long 6-8 centimetre, make the scrobicula shape at the pharynx rear surface, holding tracheal intubation, its width of lower blade from first section 2.5-3.2 centimetre gradually excessively to 2.2-2.5 centimetre of far-end.
This utility model is furnished with supporting apparatus, described supporting apparatus is the laryngeal mirror that the laryngeal mirror of prior art is changed into upper bent type, its direction of laryngeal mirror after the improvement is opposite with former indirect laryngoscopic surgery apparatus, and the camber of its radian and laryngoscope of the present utility model are complementary.
The visual laryngoscope operating theater instruments of this utility model, its visual throat expansion mirror, can overcome the defective of existing laryngoscope, design according to the anatomical features in human body throat nature chamber and the operating habit of operative doctor, under the prerequisite of farthest avoiding tooth, cervical spine injury, can fully expose throat, cooperate the operating theater instruments that adapts, under the scope video, finish the operation of various meticulous larynx section, compared with the prior art, have following outstanding advantage:
(1) expanding blade camber does not need patient's cervical region excessively to face upward, and avoids the cervical vertebra problem;
(2) damage tooth is avoided at hard palate in mouthful interior pressurized position;
(3) expansible closing up, it is convenient to place;
(4) collar extension is big, and operating theater instruments is easy to operate;
(5) but the tracheal intubation relative fixed reduce to slide;
(6) go up rotatable, the locking of petiole end support sheet, when inserting laryngoscope, can turn to the collision between minimizing and the bracing frame.
This utility model can adopt present widely used intranasal mirror video operation technique pattern, positive operation, study and grasp easily, can improve the safety, effectiveness, ease for operation of disease surgery treatment in the pharyngolaryngeal cavity etc., be laryngoscope notional breakthrough of performing the operation, its application will have a brand-new prospect.
Description of drawings
Fig. 1 is the last leaf sketch map of this visual laryngoscope, wherein,
1: go up petiole, 2: blade, 3: visible system link, 4: leaded light and image receiving terminal, 5: adjustable supports sheet, 6: the draw-in groove of spring card.
Fig. 2 is visual laryngoscope inferior lobe part sketch map, wherein,
7: following petiole, 8: the spring stator, 9: the inferior lobe bow, 10: lower blade is crossed the part of central incisor, and 11: the part of lower blade compressing hard palate, 12: lower blade far-end pharynx rear surface, dash area is a scrobicula.
Fig. 3 goes up curved larynx operating theater instruments sketch map,
Wherein, the apparatus direction used with conventional laryngeal mirror is opposite, with intranasal videoendoscopic surgery weapon exercises seemingly.
Fig. 4 is visual laryngoscope operator scheme sketch map, wherein,
13: go up the leaf part, 14: inferior lobe part, 15: upward curved larynx operating theater instruments, 16: go up central incisor, 17: hard palate, 18: cushion, 19: cavum laryngis, 20: cervical vertebra, 21: bracing frame.
The specific embodiment
Below in conjunction with drawings and Examples this utility model is further specified.
Embodiment 1
Adopting medical metal material is basic make material, the last leaf and the inferior lobe of making visual laryngoscope.The described leaf of going up extends connection blade 2 by last petiole 1, blade is camber and complies with the oral cavity to laryngopharynx, being 85 degree with last petiole is connected, its cross section is decurved camber, be used for guide instrument and arrive visual position, radius is 1.8 centimetres, arc length is 3 centimetres at connecting portion, be gradually reduced to 1.6 centimetres of nearly throat, both sides increase slightly slightly, make poroid leaded light and image receiving terminal 4, one side content fiber cold light source is as light source for surgery, one side content fiber waveguide beam is accepted throat's image, or is built-in light source and optical fiber, need make socket to connect external equipment in importing place; The nearly handle section in the side of blade is made camber, 8 centimetres of radiuses, and 10 centimetres of arc length are complied with the radian of human body mouth → root of the tongue → larynx, and the center line of extension and arc forms 165 angles, long 6 centimetres.The top of last petiole is provided with visible system link 3, and the end of last petiole is made belt, establishes adjustable supports sheet 5, can insert laryngoscope support bar commonly used.The handle body of last petiole is provided with the draw-in groove 6 of spring card; The leaf of going up of the present utility model does not need mechanical adjustment owing to there not being too hightension, as long as just can reach ideal fixing in a little dressing of elastic tape underlay of support bar.
Preparation comprises petiole 7 down, spring stator 8, and inferior lobe bow 9, lower blade is crossed the part 10 of central incisor, the part 11 of lower blade compressing hard palate, the inferior lobe of the scrobicula 12 of lower blade far-end pharynx rear surface:
Thick 1.5 millimeters of lower blade sheet, first section: be bent upwards from bow and stride across tooth, the side is the camber of 1.5 centimetres of radiuses, 1 centimetre of arc length; Second section: from first section, camber bending downwards then as the face of compressing hard palate, is radius and is 1.8 dome shape, and is wide 2.5 centimetres, 2.7 centimetres of arc length, long 2 centimetres, 2.2 centimetres of arc length; The 3rd section: from second section, long 7 centimetres, the cross section is the arc of 2 centimetres of radiuses, 2.2 centimetres of arc length, and the middle part is upwards slightly outstanding to hold tracheal intubation, and width is from 2.5 centimetres of 1.5 centimetres of carrying out the transition to nearly larynx end.
Prepared operating theater instruments, operating theater instruments for upper bent type, can overcome the defective of prior art laryngoscope, design according to the anatomical features in human body throat nature chamber and the operating habit of operative doctor, under the prerequisite of farthest avoiding tooth, cervical spine injury, can fully expose throat, cooperate the operating theater instruments adapt, under the scope video, finish the operation of various meticulous larynx section.
Embodiment 2
Adopting medical metal material is basic make material, the last leaf and the inferior lobe of making visual laryngoscope.The described leaf of going up extends connection blade 2 by last petiole 1, blade is camber and complies with the oral cavity to laryngopharynx, being 95 degree with last petiole is connected, its cross section is decurved camber, be used for guide instrument and arrive visual position, radius is 2.2 centimetres, arc length is 4 centimetres at connecting portion, be gradually reduced to 2.2 centimetres of nearly throat, both sides are thick slightly, make poroid leaded light and image receiving terminal 4, one side content fiber cold light source is as light source for surgery, one side content fiber waveguide beam is accepted throat's image, or is built-in light source and optical fiber, need make socket to connect external equipment in importing place; The nearly handle section in the side of blade is made camber, 11 centimetres of radiuses, and 12 centimetres of arc length are complied with the radian of human body mouth → root of the tongue → larynx, and the center line of extension and arc forms 185 angles, long 7 centimetres.The top of last petiole is provided with visible system link 3, and the end of last petiole is made belt, establishes adjustable supports sheet 5, can insert laryngoscope support bar commonly used.The handle body of last petiole is provided with the draw-in groove 6 of spring card; The leaf of going up of the present utility model does not need mechanical adjustment owing to there not being too hightension, as long as just can reach ideal fixing in a little dressing of elastic tape underlay of support bar.
Preparation comprises petiole 7 down, spring stator 8, and inferior lobe bow 9, lower blade is crossed the part 10 of central incisor, the part 11 of lower blade compressing hard palate, the inferior lobe of the scrobicula 12 of lower blade far-end pharynx rear surface:
Thick 2 millimeters of lower blade sheet, first section: be bent upwards from bow and stride across tooth, the side is the camber of 1.5 centimetres of radiuses, 1.5 centimetres of arc length; Second section: from first section, camber bending downwards then as the face of compressing hard palate, is radius and is 2.2 centimetres dome shape, and is wide 3.2 centimetres, 3.5 centimetres of arc length, long 2.5 centimetres, 2.7 centimetres of arc length; The 3rd section: from second section, long 11 centimetres, the cross section is the arc of 2 centimetres of radiuses, 3 centimetres of arc length, and the middle part is upwards slightly outstanding to hold tracheal intubation, and width is from 3.2 centimetres of 2.2 centimetres of carrying out the transition to nearly larynx end.

Claims (10)

1, visual laryngoscope operating theater instruments is made up of visual throat expansion mirror and supporting apparatus, it is characterized in that, described visual throat expansion mirror is made leaf and inferior lobe; The described leaf of going up extends connection blade (2) by last petiole (1), and described inferior lobe is by petiole (7), inferior lobe bow (9) and lower blade (10,11,12) are formed the connection of inferior lobe bow described petiole and lower blade down down.
2, by the described visual laryngoscope operating theater instruments of claim 1, it is characterized in that, the long 14-18 of described blade centimetre, be and comply with the camber of oral cavity to laryngopharynx, be 85 degree or 95 with last petiole and spend and be connected, the connecting portion of blade and last petiole is wide to be 3-4 centimetre; To throat's width be 1.6-2.2 centimetre.
3, by the described visual laryngoscope operating theater instruments of claim 1, it is characterized in that the nearly handle 8-11 centimetre section in its side of described blade is a camber, radius 8-11 centimetre, arc length 8-11 centimetre.
4,, it is characterized in that it is the thick 0.6-0.9 of radian section centimetre of camber described blade, includes leaded light and image and receives cable by the described visual laryngoscope operating theater instruments of claim 1.
By the described visual laryngoscope operating theater instruments of claim 1, it is characterized in that 5, described upward petiole is connected the joint of external equipment with the connecting portion setting of blade, its both sides are made poroid.
6, by the described visual laryngoscope operating theater instruments of claim 1, it is characterized in that the extension of described connecting portion is linearly, long 6-7 centimetre.
By the described visual laryngoscope operating theater instruments of claim 1, it is characterized in that 7, the described end of going up petiole is established adjustable supports sheet (5), the handle body of last petiole is established draw-in groove (6).
By the described visual laryngoscope operating theater instruments of claim 1, it is characterized in that 8, flange is established in the described one side both sides of petiole down, another side is established spring leaf.
9, by claim 1 or 8 described visual laryngoscope operating theater instruments, it is characterized in that, the thick 1.5-2 millimeter of described lower blade sheet, its first section is camber, second section downward camber bending, be dome shape, the 3rd section the pharynx rear surface make the scrobicula shape, its width of lower blade is from 2.5 centimetres of 1.5 centimetres of carrying out the transition to nearly rear end.
10, by the described visual laryngoscope operating theater instruments of claim 1, it is characterized in that described supporting apparatus is the laryngeal mirror of upper bent type.
CNU2007200752827U 2007-09-30 2007-09-30 Visible laryngoscope instrument Expired - Fee Related CN201150529Y (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CNU2007200752827U CN201150529Y (en) 2007-09-30 2007-09-30 Visible laryngoscope instrument

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Application Number Priority Date Filing Date Title
CNU2007200752827U CN201150529Y (en) 2007-09-30 2007-09-30 Visible laryngoscope instrument

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CN201150529Y true CN201150529Y (en) 2008-11-19

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN116672006A (en) * 2023-06-01 2023-09-01 江西诺捷科技股份有限公司 Visual expander

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN116672006A (en) * 2023-06-01 2023-09-01 江西诺捷科技股份有限公司 Visual expander
CN116672006B (en) * 2023-06-01 2024-02-06 江西诺捷科技股份有限公司 Visual expander

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C14 Grant of patent or utility model
GR01 Patent grant
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20081119

Termination date: 20140930

EXPY Termination of patent right or utility model