CN202173384U - Multifunctional adjustable support laryngoscope - Google Patents

Multifunctional adjustable support laryngoscope Download PDF

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Publication number
CN202173384U
CN202173384U CN2011202738604U CN201120273860U CN202173384U CN 202173384 U CN202173384 U CN 202173384U CN 2011202738604 U CN2011202738604 U CN 2011202738604U CN 201120273860 U CN201120273860 U CN 201120273860U CN 202173384 U CN202173384 U CN 202173384U
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China
Prior art keywords
handle
mirror sheath
laryngoscope
fixed
sheath
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CN2011202738604U
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Chinese (zh)
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申屠建林
李五一
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HANGZHOU TONGLU JIANGNAN MEDICAL-OPICS FACTORY
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HANGZHOU TONGLU JIANGNAN MEDICAL-OPICS FACTORY
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Abstract

The utility model relates to a multifunctional adjustable support laryngoscope which is used for the treatment of laryngeal diseases of the human body. Currently, no multifunctional adjustable support laryngoscope which has a reasonable structure design, is convenient to use and has good surgical effect is available. The multifunctional adjustable support laryngoscope comprises a handle and is characterized by also comprising a laryngoscope sheath moving device, a laryngoscope sheath fine tuning device, a movable laryngoscope sheath and a fixed laryngoscope sheath, wherein the fixed laryngoscope sheath is fixed at the front end of the handle, the fine tuning device is arranged on the handle through the laryngoscope sheath moving device, the movable laryngoscope sheath is fixed on the laryngoscope sheath fine tuning device, and a device channel is arranged between the movable laryngoscope sheath and the fixed laryngoscope sheath. The multifunctional adjustable support laryngoscope has a reasonable structural design, is simple to operate, is convenient to use and has good surgical effects; the laryngoscope sheath moving device drives the movable laryngoscope sheath to move forward or backward so as to adjust the size of the device channel; and the laryngoscope sheath fine tuning device is used for adjusting the movable laryngoscope sheath so as to ensure that the distance between the movable laryngoscope sheath and the front end of the fixed laryngoscope sheath is enlarged to achieve the purpose of propping the laryngeal of a patient open.

Description

Multi-functional adjustable supports laryngoscope
Technical field
This utility model relates to a kind of multi-functional adjustable supports laryngoscope, is mainly used in the treatment throat diseases of human body, belongs to the medical device technology mechanical field.
Background technology
Medical circle is in the throat diseases treatment, because the specificity of human body throat physiological location, in the clinical treatment operation, carrying out throat's Minimally Invasive Surgery is a relatively project of difficulty.The tubular support laryngoscope that uses in the clinical treatment now all is the laryngoscope of early stage design usually, and this laryngoscope is made up of handle and an instrument channel of hollow; The handle of hollow is connected with instrument channel, and the apparatus of operation usefulness passes handle and instrument channel gets into patient throat, exists certain defective during use; Can not regulate the degree of strutting of patient throat; Be difficult to fully expose lesions position, the operating theater instruments turnover is also inconvenient, is difficult to the surgical effect that reaches good.In the operation on larynx therapeutic process, exist reasons such as the operation technique space is narrow and small, carrying out of Minimally Invasive Surgery there is significant limitation.Exposure to patient's epiglottis and positions such as before uniting is relatively more difficult; Operative doctor will spend a lot of time and efforts to accomplish operation; Especially to the patient of special obesity; Expose lesions position even the doctor has spent long time and energy also to be difficult to accomplish, just treatment brings very big risk to Minimally Invasive Surgery for this.If take the expectant treatment method, relapse rate is very high, and therapeutic effect is very undesirable.Sometimes can only carry out traditional open focus excising operation clinically, this just brings spirit and economic double burden to the patient.
Some laryngoscopes are relatively preferably also arranged at present, are on 01 05th, 2011 as disclosing day, and publication number is in the Chinese patent of CN201691897U; Disclose a kind of disposable laryngoscope, this disposable laryngoscope comprises support chip, led light source and handle, and support chip comprises the last support chip and following support chip that can slide relatively; Last support chip is provided with led light source, and handle comprises the upper handle and the lower handle that can slide relatively, and last support chip is connected with upper handle; The junction in obtuse angle, following support chip is connected with lower handle, the junction is rectangular; The lower handle upper end is provided with projection a; The upper handle upper end is provided with chute, and chute be able to hold the upper and lower therein slip of projection a, and the upper handle lower end is provided with power supply.Though this laryngoscope can be regulated the size that struts of throat,, the degree of accuracy of adjusting is relatively poor, uses very inconvenient; Easily patient throat is produced injury, in addition, this laryngoscope is disposable products; Improved the operation cost greatly, resource is difficult to be fully used, and is unfavorable for energy-conserving and environment-protective.Open for another example day is on November 24th, 2010, and publication number is in the Chinese patent of CN201641958U, discloses a kind of visual laryngoscope; Visual laryngoscope comprises eyepiece component, objective lens unit and image transfer element, and objective lens unit connects eyepiece component through the image transfer element, and the image transfer element is a fibre-optic bundle; Eyepiece component is adjustable eyepiece component; Eyepiece component is provided with led light source, and visual laryngoscope also comprises DV, and DV is connected with eyepiece component; Visual laryngoscope also comprises first termination, and objective lens unit is arranged in the first termination.The structure of this visual laryngoscope is comparatively complicated; Function ratio is more single, and applicable surface is narrower, can only observe and diagnoses patient's throat; Can not carry out other operation techniques; Hospital also need be equipped with the laryngoscope of other functions, has not only increased the input cost of equipment, and also operation is made troubles to operation on larynx.
In sum, also there is not a kind of reasonable in design at present, simple to operate, easy to use, the multi-functional adjustable supports laryngoscope of good operation effect, this brings greater inconvenience just for the treatment throat diseases of human body.
The utility model content
The purpose of this utility model is to overcome the above-mentioned deficiency that exists in the prior art, and a kind of reasonable in design is provided, and is simple to operate, easy to use, the multi-functional adjustable supports laryngoscope of good operation effect.
This utility model addresses the above problem the technical scheme that is adopted: this multi-functional adjustable supports laryngoscope comprises handle; Its characteristics are: also comprise mirror sheath mobile device, mirror sheath micromatic setting, flexible mirror sheath and fixed mirror sheath; Said fixed mirror sheath is fixed on the front end of handle; Said mirror sheath micromatic setting is installed on the handle through mirror sheath mobile device, and said flexible mirror sheath is fixed on the mirror sheath micromatic setting, forms instrument channel between this flexible mirror sheath and the fixed mirror sheath.Feasible thus can the drive through mirror sheath mobile device moved after mirror sheath micromatic setting moves forward perhaps; Drive by mirror sheath micromatic setting again and move after the flexible mirror sheath moves forward perhaps; Thereby change the spacing between flexible mirror sheath and the fixed mirror sheath, realize the purpose of adjusting instrument channel sized; Before multi-functional adjustable supports laryngoscope need insert patient throat; Move after with mirror sheath micromatic setting earlier through mirror sheath mobile device; Through moving behind the mirror sheath micromatic setting drive flexible mirror sheath; Thereby make flexible mirror sheath and fixed mirror sheath closed, the instrument channel between flexible mirror sheath and the fixed mirror sheath is narrowed down to minimum, just can multi-functional adjustable supports laryngoscope be inserted patient throat then and operate; After multi-functional adjustable supports laryngoscope inserts patient throat; Through mirror sheath mobile device mirror sheath micromatic setting is moved forward; Drive the reach of flexible mirror sheath through mirror sheath micromatic setting, thereby make the flexible mirror sheath separate with the fixed mirror sheath, the instrument channel between flexible mirror sheath and the fixed mirror sheath enlarges; Reach the purpose that struts patient throat, operating theater instruments just can get into lesions position through instrument channel then; If after being advanced to the flexible mirror sheath foremost under the effect of mirror sheath mobile device; Instrument channel between flexible mirror sheath and the fixed mirror sheath is big not enough; Patient's throat struts not in place, throat to strut insufficient amplitude big, when operating theater instruments is difficult to through instrument channel lesions position operated; Can regulate flexible mirror sheath and fixed mirror sheath through mirror sheath micromatic setting; Make the distance of front end of flexible mirror sheath and fixed mirror sheath enlarge, thereby reach the purpose that struts patient throat, make the degree of strutting of patient throat reach the requirement of being convenient to the operating theater instruments operation.
This utility model also comprises the apparatus gatherer, and said apparatus gatherer is fixed on the fixed mirror sheath, and this apparatus gatherer is connected with instrument channel.Make the operating theater instruments such as light pipe or endoscope of used for throat surgery to get in the instrument channel between flexible mirror sheath and the fixed mirror sheath thus through the apparatus gatherer; And then entering patient throat; In carrying out the operation on larynx process, other operating theater instruments directly get into patient throat through instrument channel, can effectively avoid the interference between other operating theater instruments and light pipe or the endoscope; Guarantee to perform the operation and carry out more smoothly, make operation can reach good effect.
Be provided with handle passage in the said handle of this utility model; Said mirror sheath mobile device comprises gear and tooth bar, and said rack tube is contained in the handle passage, and said gear is installed on the handle; This wheel and rack is meshed, and said mirror sheath micromatic setting is connected with tooth bar.Make thus through transmitting gear just can control that tooth bar moves forward in handle passage and after move; Through tooth bar moving in handle passage drives that mirror sheath micromatic setting moves forward and after move; Again by mirror sheath micromatic setting drive the flexible mirror sheath move forward with after move, thereby make the size that flexible mirror sheath and fixed mirror sheath carry out clutch and change instrument channel between flexible mirror sheath and the fixed mirror sheath.This mirror sheath mobile device simple in structure, reasonable in design, scientific arrangement is convenient to regulate, and helps carrying out smoothly of operation on larynx operation.
The said mirror sheath of this utility model micromatic setting comprises travel(l)ing rest, support nut and adjusting screw(rod); Said travel(l)ing rest is connected with mirror sheath mobile device; Said support nut is fixed on the travel(l)ing rest; Said adjusting screw(rod) is installed in the support nut, matches with handle in the bottom of this adjusting screw(rod).Make thus and just can make the front portion of travel(l)ing rest rise through rotating adjusting screw(rod); Thereby enlarge the distance of flexible mirror sheath and fixed mirror sheath front end; Match with handle in the bottom of adjusting screw(rod); The bottom of adjusting screw(rod) withstands on the handle, and the rear portion of travel(l)ing rest can be rotated on mirror sheath mobile device.When needs enlarge flexible mirror sheath and fixed mirror sheath front end apart from the time; Rotate adjusting screw(rod),, make the front portion of travel(l)ing rest rise because the bottom of adjusting screw(rod) withstands on the handle; Thereby driving the flexible mirror sheath rises; And the rear portion of travel(l)ing rest rotating certain angle on mirror sheath mobile device makes that the distance between the front end of front end and fixed mirror sheath of flexible mirror sheath enlarges, and reaches the purpose of adjusting instrument passage front end size.
The said mirror sheath of this utility model mobile device also comprises the pintle hook lock handle; The front end of this pintle hook lock handle is provided with the pintle hook lock head; This pintle hook lock head is embedded in the teeth groove of gear; The leading flank of said pintle hook lock head contacts with front face in the teeth groove, leaves the gap between the trailing flank of this pintle hook lock head and the rear surface in the teeth groove.Make that thus the use of this utility model is convenient; The location that helps instrument channel, clamped in the teeth groove of gear the time when the pintle hook lock head, the leading flank of pintle hook lock head contacts with front face in the teeth groove; Leave the gap between the trailing flank of pintle hook lock head and the rear surface in the teeth groove; Make gear to rotate along the direction that instrument channel enlarges, this gear can't rotate along the direction that instrument channel is dwindled, thereby plays the effect that instrument channel is positioned; Prevent patient throat and shrink and change the situation of instrument channel size, help operation process and carry out more smoothly.When needs dwindle instrument channel, only need pin the pintle hook lock handle, make the pintle hook lock head break away from the teeth groove of gear, so just can the backward rotation gear, make distance shrinkage between flexible mirror sheath and the fixed mirror sheath to reach the purpose of dwindling instrument channel.
The said mirror sheath of this utility model mobile device also comprises alignment pin, is provided with locating hole in the said handle, and said alignment pin cross-under is in the locating hole of handle.Make thus on handle, to position the easier for installation of mirror sheath mobile device, be convenient to installation and removal through alignment pin.
The middle part of handle passage and rear portion are the profiled holes structure in the said handle of this utility model, and said tooth bar matches with handle passage.Make the easier for installation of tooth bar thus, be convenient to tooth bar and in handle passage, position, help installation and removal.
The said mirror sheath of this utility model micromatic setting also comprises stop screw, and said stop screw is fixed on the bottom of adjusting screw(rod), and this stop screw matches with handle.It is spacing to make that thus adjusting screw(rod) can carry out on the support nut, prevents adjusting screw(rod) and back-outs and be shed to the intraoral phenomenon of patient from the support nut, and wall generation malpractice has been guaranteed safety and the reliability in the operative process.
The said mirror sheath of this utility model micromatic setting also comprises sliding sleeve; Be provided with handle runner in the said handle, the length of said sliding sleeve is greater than the thickness of handle, and this sliding sleeve cross-under is in handle runner; Said travel(l)ing rest is fixed on the two ends of sliding sleeve, and said sliding sleeve is connected with mirror sheath mobile device.Make that thus the rotation of travel(l)ing rest is more flexible, travel(l)ing rest can be not stuck with handle, generally, between the big 0.05-0.2mm of thickness of the length of sliding sleeve than handle, under the situation of guaranteeing the overall structure firmness, improved whole performance greatly.
The said mirror sheath of this utility model micromatic setting also comprises stage clip and press spring base, and said press spring base is fixed on the support nut, and an end of said stage clip is fixed on the bottom of press spring base, and the other end of this stage clip withstands on the mirror sheath mobile device.Adjusting screw(rod) and stage clip make that thus resetting of adjusting screw(rod) is convenient, under the elastic force effect of stage clip, can the front portion of travel(l)ing rest be pressed down, and the flexible mirror sheath also descends thereupon, thereby dwindle the distance between the front end of front end and fixed mirror sheath of flexible mirror sheath.
This utility model compared with prior art has the following advantages and effect: simple in structure, reasonable in design; Be convenient to operation; Can drive the flexible mirror sheath through mirror sheath mobile device and carry out translation, thereby the size of control device passage can be controlled the top of flexible mirror sheath and rise or descend around the fulcrum of mirror sheath micromatic setting through mirror sheath micromatic setting; Thereby the size of control device passage front end; Can be applicable to different patients colony, operate, effectively enlarge applicable surface according to patient's actual needs.
This utility model has increased the operative space of laryngoscope front end, can expose epiglottis easily, preceding unite etc. be difficult to the operative site that exposes originally.The parallel expansion of mirror sheath mobile device adjustable mirror sheath can increase the operative space of whole throat, for throat diseases is created a good surgical environments with laser operations under operating microscope.Can design endoscope's tapered end at the fixed mirror sheath, can be supporting with endoscope easily, can under the support of light, electricity, imaging technique, guarantee the safety of performing the operation.The angle and parallel reach of ability flexible flexible mirror sheath, method for using is simple, effective, meets the requirement that the doctor grasps the treatment throat diseases of human body.
In the treatment throat diseases of human body; After multi-functional adjustable supports laryngoscope inserts human body throat; Angle through can regulating the flexible mirror sheath on the mirror sheath micromatic setting to be increasing throat's exposure range and operative space, thereby reaches the best exposed state that operation needs, and guarantees that operation carries out smoothly.Can regulate the parallel reach of flexible mirror sheath through mirror sheath mobile device, increase operative space, also can with mirror sheath micromatic setting fit adjustment simultaneously, can expose lesions position more fully, guarantee carrying out smoothly of operation, create conditions for utilizing laser therapy.
This utility model can be designed with endoscope's tapered end on the fixed mirror sheath; Can utilize the photoelectronic imaging technical application looking the screen operation technique, carrying out carrying out of projects such as remote medical consultation with specialists, teaching; Not only alleviated doctor's labor intensity; And help guaranteeing the safety of performing the operation reaching good surgical effect.This utility model can combine operating microscope work, carries out the high accuracy operation technique at microscopically, reaches the further lifting of throat diseases operation.This utility model adopts material manufacture such as rustless steel, aluminium alloy, silicone rubber, optical fibers, optical glass to form, can cleaning and sterilizing, also can use HTHP 135 degree high temperature routine disinfections, and it is very convenient to sterilize.
Description of drawings
Fig. 1 is the structural representation of multi-functional adjustable supports laryngoscope among this utility model embodiment.
Fig. 2 is the structural representation after the multi-functional adjustable supports laryngoscope among Fig. 1 moves forward the flexible mirror sheath through mirror sheath mobile device.
Fig. 3 is the structural representation after the multi-functional adjustable supports laryngoscope among Fig. 2 rises the flexible mirror sheath through mirror sheath micromatic setting.
Fig. 4 is the plan structure sketch map of Fig. 1.
Fig. 5 is the A-A face sectional structure sketch map after the translation butterfly handle among Fig. 4 rotates 90 degree.
Fig. 6 be among this utility model embodiment in the handle profiled holes structure analyse and observe the structure for amplifying sketch map.
Fig. 7 be among Fig. 4 the B-B face analyse and observe the structure for amplifying sketch map.
Fig. 8 is installed in interior sliding sleeve of handle runner and the structure for amplifying sketch map between the steady pin screw rod among this utility model embodiment.
Fig. 9 be in 4 the C-C face analyse and observe the structure for amplifying sketch map.
Figure 10 is the structural representation between handle among this utility model embodiment, gear, tooth bar, spring leaf, pintle hook lock handle and the alignment pin.
Figure 11 is the structural representation after amplify at the A place among Figure 10.
Figure 12 is the structural representation between handle among this utility model embodiment, gear, tooth bar, spring leaf, pintle hook lock handle, alignment pin, sliding sleeve, steady pin screw rod, stage clip and the press spring base.
Figure 13 is the structural representation of this utility model embodiment middle rack.
Figure 14 is that tooth bar, sliding sleeve and the steady pin screw rod among this utility model embodiment is installed in the structural representation in the handle.
Figure 15 is the structural representation of the multi-functional adjustable supports laryngoscope among this utility model embodiment when cooperating the breast holder with the light pipe use.
Figure 16 is the structural representation of this utility model embodiment mesothorax holder.
Figure 17 is the structural representation of light pipe among this utility model embodiment.
Figure 18 is the schematic flow sheet when adopting multi-functional adjustable supports laryngoscope among this utility model embodiment to undergo surgery operation.
The specific embodiment
Below in conjunction with accompanying drawing and through embodiment this utility model is done further to specify, following examples are to the explanation of this utility model and this utility model is not limited to following examples.
Embodiment.
Referring to Fig. 1 to Figure 18; Multi-functional adjustable supports laryngoscope in the present embodiment comprises handle 1, mirror sheath mobile device 2, mirror sheath micromatic setting 3, apparatus gatherer 4, flexible mirror sheath 5 and fixed mirror sheath 6, wherein, is tubular structure in the handle 1; Be provided with handle passage 11, handle runner 12, locating hole, gear hole and stage clip through hole in this handle 1; Handle runner 12 is slotted hole shape structure with the stage clip through hole, can be provided with the handle hook in the rear end of handle 1, is convenient to pick and place.The front portion of handle passage 11 is the circular port structure in the present embodiment, and the middle part of this handle passage 11 and rear portion are the profiled holes structure.
Fixed mirror sheath 6 in the present embodiment is fixed by welding in the front end of handle 1, and the angle between this fixed mirror sheath 6 and the handle 1 between the 60-85 degree, is preferably 75 degree usually, and the groove of arcuate structure is arranged in the fixed mirror sheath 6 in the present embodiment.Apparatus gatherer 4 in the present embodiment comprises tapered end 41 and conduit 42, and tapered end 41 is fixed on the top of conduit 42, and conduit 42 is fixed in the fixed mirror sheath 6, and this conduit 42 is connected with the groove of arcuate structure in the fixed mirror sheath 6.
Mirror sheath mobile device 2 in the present embodiment comprises gear 21, tooth bar 22, spring leaf 23, pintle hook lock handle 24, alignment pin 25, four flat-bed machine screws 26, pinion stand 27 and translation butterfly handles 28; Wherein, The shape of tooth bar 22 matches with the handle passage 11 of profiled holes structure; This tooth bar 22 just can cross-under in the handle passage 11 of profiled holes structure, be convenient to installation and removal, help easily tooth bar 22 being positioned.
Have sliding sleeve installing hole 221, compression spring hole 223 and rack bore 224 in the tooth bar 22 of present embodiment; Be provided with toothing 222 at the top of rack bore 224; This toothing 222 matches with gear 21, and when gear 21 cross-under in rack bore 224 were, gear 21 was meshed with toothing 222.The front portion of pintle hook lock handle 24 is provided with pintle hook lock head 241 in the present embodiment; This pintle hook lock head 241 matches with gear 21; When pintle hook lock head 241 is embedded in the teeth groove of gear 21; The leading flank of pintle hook lock head 241 contacts with front face in the teeth groove, leaves gap 242 between the trailing flank of this pintle hook lock head 241 and the rear surface in the teeth groove, thereby makes 241 pairs of gears 21 of pintle hook lock head play positioning action.
Tooth bar 22 cross-under in the present embodiment are in the handle passage 11 of handle 1; This tooth bar 22 matches with the middle part of handle passage 11 and the profiled holes structure at rear portion; Can prevent effectively that tooth bar 22 from rotating at the middle part and the rear portion of handle passage 11; Help location, prevent that tooth bar 22 from rotating in handle passage 11, be convenient to installation such as gear 21 parts such as grade is installed with installation tooth bar 22 accurately mutually tooth bar 22.When tooth bar 22 is arranged in the handle passage 11 of handle 1; Rack bore 224 in the tooth bar 22 aligns with the gear hole in the handle 1; Sliding sleeve installing hole 221 in the tooth bar 22 aligns with the handle runner 12 in the handle 1, and the compression spring hole 223 in the tooth bar 22 aligns with the stage clip through hole in the handle 1.Gear 21 is installed on the pinion stand 27; Pintle hook lock handle 24 is installed on the pinion stand 27 through alignment pin 25; Pintle hook lock head 241 on this pintle hook lock handle 24 matches with gear 21; Pintle hook lock head 241 is embedded in the teeth groove of gear 21, and the leading flank of pintle hook lock head 241 contacts with front face in the teeth groove, leaves gap 242 between the trailing flank of this pintle hook lock head 241 and the rear surface in the teeth groove.The upper end of spring leaf 23 is fixed on the rear portion of pintle hook lock handle 24; The lower end of spring leaf 23 withstands on the pinion stand 27, and after applying external force and pressing pintle hook lock handle 24, the pintle hook lock head 241 on the pintle hook lock handle 24 is separated with gear 21; This moment, gear 21 can freely rotate; After laying down the power that is applied on the pintle hook lock handle 24, pintle hook lock handle 24 resets under the effect of spring leaf 23, and pintle hook lock handle 24 forward pintle hook lock heads 241 still are embedded in the teeth groove of gear 21.
Translation butterfly handle 28 in the present embodiment is installed on the pinion stand 27, and this translation butterfly handle 28 is connected with gear 21, can rotate by driven gear 21 through rotational translation butterfly handle 28.Pinion stand 27 in the present embodiment is installed on the handle 1 through four flat-bed machine screws 26, and the alignment pin 25 in the mirror sheath mobile device 2 just in time cross-under in the locating hole of handle 1, mirror sheath mobile device 2 is played good positioning function, be convenient to install.After pinion stand 27 is installed on the handle 1; Gear 21 successively cross-under in the rack bore 224 of the gear hole of handle 1 and tooth bar 22; This gear 21 is meshed with toothing 222 in the tooth bar 22; Just can drive tooth bar 22 through transmitting gear 21 and move forward and backward, as rotate counterclockwise gear 21 and can drive tooth bar 22 reach, clockwise rotate and move after gear 21 can drive tooth bar 22 along the handle passage in the handle 1 11.
Mirror sheath micromatic setting 3 in the present embodiment comprises sliding sleeve 31, travel(l)ing rest 32, steady pin screw rod 33, stage clip 34, press spring base 312, support nut 35, adjusting screw(rod) 36, fine setting butterfly handle 37 and stop screw 38; Wherein, the travel(l)ing rest in the present embodiment 32 is the bigger U font structure in bottom.The top of flexible mirror sheath 5 is weldingly fixed on the front portion of travel(l)ing rest 32 in the present embodiment; Because the sliding sleeve installing hole 221 in the tooth bar 22 aligns with the handle runner 12 in the handle 1; Sliding sleeve 31 cross-under are in the handle runner 12 of sliding sleeve installing hole of tooth bar 22 221 and handle 1; The length of sliding sleeve 31 is bigger than the thickness of handle 1 in the present embodiment, and generally, the length of sliding sleeve 31 is than the big 0.05-0.2mm of thickness of handle 1; Be preferably 0.08-0.1mm, make the two ends of sliding sleeve 31 stretch out left side and right side respectively at handle 1.Can drive sliding sleeve 31 through moving of tooth bar 22 and to carry out same moved further, this sliding sleeve 31 can freely rotate in the handle runner 12 of the sliding sleeve installing hole 221 of tooth bar 22 and handle 1.
The rear portion of travel(l)ing rest 32 is fixed on the sliding sleeve 31 through steady pin screw rod 33 in the present embodiment; These steady pin screw rod 33 cross-under are in sliding sleeve 31; The front end of steady pin screw rod 33 can be screwed on the travel(l)ing rest 32 through screw thread; Make the right ends of sliding sleeve 31 all withstand on the travel(l)ing rest 32, travel(l)ing rest 32 can rotate with sliding sleeve 31.After travel(l)ing rest 32 is installed on the sliding sleeve 31; Just formed an instrument channel 56 between flexible mirror sheath 5 and the fixed mirror sheath 6, can change the size of instrument channel 56, reached the purpose that struts patient throat according to actual needs through regulating flexible mirror sheath 5; Very easy to use; After strutting patient throat, the apparatus that is used to perform the operation just can get into patient's throat through instrument channel 56, and lesions position is diagnosed and operation technique.Because the length of the sliding sleeve 31 in the present embodiment is bigger than the thickness of handle 1; Make and all have certain clearance between left side and the right side of travel(l)ing rest 32 and handle 1; Though the size in this gap is usually between 0.025-0.1mm; But also can make travel(l)ing rest 32 in rotation process, can not contact with the right side, guarantee that travel(l)ing rest 32 can rotate with sliding sleeve 31 flexibly synchronously, is convenient to the size of accurate adjusting instrument passage 56 with the left side of handle 1; Improved the overall performance of laryngoscope, helping performing the operation reaches good effect.
Support nut 35 in the present embodiment is weldingly fixed on the medium position of travel(l)ing rest 32, and this support nut 35 is positioned at the top of handle 1, and adjusting screw(rod) 36 is installed in the support nut 35, and this adjusting screw(rod) 36 can rotate in support nut 35.Stop screw 38 in the present embodiment is fixed on the bottom of adjusting screw(rod) 36; Stop screw 38 can prevent that adjusting screw(rod) 36 from back-outing from support nut 35; Adjusting screw(rod) 36 is played position-limiting action; Improved the security performance in the operation process, prevented that adjusting screw(rod) 36 from falling and get in patient's body in operation process.Adjusting screw(rod) 36 in the present embodiment all matches with handle 1 with stop screw 38; Stop screw 38 can withstand on the handle 1; Fine setting butterfly handle 37 in the present embodiment is installed in the top of adjusting screw(rod) 36; Just can drive adjusting screw(rod) 36 and rotate through rotating fine setting butterfly handle 37, withstand on the handle 1 in various degree, raise the travel(l)ing rest 32 anterior travel(l)ing rest 32 forward purposes that perhaps reduce thereby reach thereby can control stop screw 38.
The front portion of press spring base 312 is weldingly fixed on the support nut 35 in the present embodiment; Because the compression spring hole 223 in the tooth bar 22 aligns with the stage clip through hole in the handle 1; The rear portion of press spring base 312 be positioned at compression spring hole 223 directly over; The upper end of stage clip 34 withstands on the rear portion of press spring base 312, and the lower end of this stage clip 34 withstands in the compression spring hole 223 in the tooth bar 22.Stop screw 38 in the present embodiment is between stage clip 34 and flexible mirror sheath 5; When turning adjusting screw(rod) 36 downwards; The stop screw 38 that is positioned at adjusting screw(rod) 36 bottoms withstands on the handle 1, and the steady pin screw rod 33 of travel(l)ing rest 32 in sliding sleeve 31 rotates, and rises in the front portion of travel(l)ing rest 32; The rear portion of travel(l)ing rest 32 presses down, thereby stage clip 34 is played compression; When upwards turning adjusting screw(rod) 36, under the effect of stage clip 34, with the rear portion of travel(l)ing rest 32 to rising, and with the front portion of travel(l)ing rest 32 to pressing down, under the effect of stage clip 34, be convenient to travel(l)ing rest 32 and reset.
When turning adjusting screw(rod) 36 downwards; The stop screw 38 that is positioned at adjusting screw(rod) 36 bottoms withstands on the handle 1; The steady pin screw rod 33 of travel(l)ing rest 32 in sliding sleeve 31 rotates, and rises in the front portion of travel(l)ing rest 32, rises thereby drive the flexible mirror sheath 5 that is fixed on the travel(l)ing rest 32.Owing to rotate around steady pin screw rod 33 in flexible mirror sheath 5 uphill process; Make flexible mirror sheath 5 in the process that rises; Distance between the front end of the front end of flexible mirror sheath 5 and fixed mirror sheath 6 enlarges, and strutting of patient throat played the effect of fine setting, thereby helps better strutting according to practical situation patient's throat; Help lesions position and better be exposed in the visual field, help operation and carry out more smoothly.When upwards turning adjusting screw(rod) 36; The front portion of travel(l)ing rest 32 is pressed downward, and the steady pin screw rod 33 of travel(l)ing rest 32 in sliding sleeve 31 rotates the distance shrinkage between the front end of the front end of flexible mirror sheath 5 and fixed mirror sheath 6; Help performing the operation and dwindle the size of instrument channel 56 after finishing; When through mirror sheath micromatic setting 3 with the distance shrinkage between the front end of the front end of flexible mirror sheath 5 and fixed mirror sheath 6 time the minimum, when promptly flexible mirror sheath 5 and fixed mirror sheath 6 are parastate basically, carry out translation through 2 pairs of flexible mirror sheaths of mirror sheath mobile device 5 again; Make flexible mirror sheath 5 and fixed mirror sheath 6 closures; At this moment, instrument channel 56 narrows down to minimum state, is convenient to flexible mirror sheath 5 is taken out with the throat of fixed mirror sheath 6 from the patient.
Multi-functional adjustable supports laryngoscope in this utility model is mainly used in the treatment throat diseases of human body; During use, cooperate breast holder 7 and light pipe 8 to use, breast holder 7 comprises rubber ring 71, support bar 72, worm gear 73, adjusting handle 74 and fixed screw 75; Light pipe 8 comprises light guide bundles interface 81, directed card 82 and optical fibers 83; Breast holder 7 is fixed on the handle 1, and light pipe 8 inserts in the conduit 42 of apparatus gatherer 4, and with tapered end 41 light pipe 8 is located; Breast holder 7 in this utility model is prior art with light pipe 8, no longer details here.During use, earlier breast holder 7 is navigated to patient's chest, under the state of flexible mirror sheath 5 and fixed mirror sheath 6 closures; Flexible mirror sheath 5 and fixed mirror sheath 6 are inserted throat from patient's oral cavity,, make that the instrument channel 56 between flexible mirror sheath 5 and the fixed mirror sheath 6 enlarges then through mirror sheath mobile device 2 translation flexible mirror sheaths 5; If when mirror sheath mobile device 2 is adjusted to maximum, instrument channel 56 is big not enough, and the degree that struts of patient throat is not yet in place; Lesions position also is not exposed under the visual field fully, then regulates flexible mirror sheaths 5 through mirror sheath micromatic setting 3, makes that the distance between the front end of front end and fixed mirror sheath 6 of flexible mirror sheath 5 enlarges; Make the front end of instrument channel 56 enlarge; Thereby reach the purpose that fully struts patient throat, then to the operation that undergos surgery of patient throat, operating theater instruments gets into patient throat through instrument channel; In the aforesaid operations process, can as required light pipe 8 be replaced with endoscope of throat.After operation is accomplished; Regulate mirror sheath micromatic setting 3 earlier; Make distance shrinkage between the front end of front end and fixed mirror sheath 6 of flexible mirror sheath 5, regulate mirror sheath mobile device 2 then, make flexible mirror sheath 5 and fixed mirror sheath 6 closures; This moment, instrument channel 56 was in minimum state, then flexible mirror sheath 5 and fixed mirror sheath 6 was extracted from patient throat.Multi-functional adjustable supports laryngoscope in this utility model can be treated the treatment of throat diseases easily, can cooperate the operation that undergos surgery of multiple operation on larynx apparatus, and the related surgical flow chart is referring to Figure 18.
In addition; Need to prove; Multi-functional adjustable supports laryngoscope in this utility model can cooperate multiple operation on larynx apparatus to carry out the treatment of throat diseases; Can cooperate the operations that undergo surgery such as endoscope, laser equipment, microscope device, have multiple function, thus in the patent name of this utility model titled with " multi-functional " three words.
Multi-functional adjustable supports laryngoscope in this utility model is through the clinic trial of how tame large hospital, and clinical effectiveness is following.
Join the polyp enucleation before the total institute of Shanghai Changhai Hospital carries out, the operation reflection is good.
BJ Union Hospital carries out epiglottis fibroma enucleation and has obtained completing success.
The attached First Academy of Peking University produces a desired effect to the polyp of vocal cord enucleation.
Dalian central hospital undergos surgery to epiglottis and produces a desired effect.
The People's Hospital carries out the polyp of vocal cord enucleation, produces a desired effect.
The vocal nodule enucleation is carried out in the Jiangsu Prov. People's Hospital, produces a desired effect.
Breathe out second Affiliated Hospital of medical university, the epiglottis tumor operation has reached Expected Results.
In addition, need to prove, the specific embodiment described in this description, its zero, the shape of parts, institute's title of being named etc. can be different, the above content described in this description only is to be illustrated what this utility model structure did.Allly conceive the equivalence that described structure, characteristic and principle do according to this utility model patent and change or simple change, include in the protection domain of this utility model patent.This utility model person of ordinary skill in the field can make various modifications or replenishes or adopt similar mode to substitute described specific embodiment; Only otherwise depart from the structure of this utility model or surmount the defined scope of these claims, all should belong to the protection domain of this utility model.

Claims (10)

1. multi-functional adjustable supports laryngoscope; Comprise handle; It is characterized in that: also comprise mirror sheath mobile device, mirror sheath micromatic setting, flexible mirror sheath and fixed mirror sheath, said fixed mirror sheath is fixed on the front end of handle, and said mirror sheath micromatic setting is installed on the handle through mirror sheath mobile device; Said flexible mirror sheath is fixed on the mirror sheath micromatic setting, forms instrument channel between this flexible mirror sheath and the fixed mirror sheath.
2. multi-functional adjustable supports laryngoscope according to claim 1 is characterized in that: also comprise the apparatus gatherer, said apparatus gatherer is fixed on the fixed mirror sheath, and this apparatus gatherer is connected with instrument channel.
3. multi-functional adjustable supports laryngoscope according to claim 1 and 2; It is characterized in that: be provided with handle passage in the said handle; Said mirror sheath mobile device comprises gear and tooth bar, and said rack tube is contained in the handle passage, and said gear is installed on the handle; This wheel and rack is meshed, and said mirror sheath micromatic setting is connected with tooth bar.
4. multi-functional adjustable supports laryngoscope according to claim 1 and 2; It is characterized in that: said mirror sheath micromatic setting comprises travel(l)ing rest, support nut and adjusting screw(rod); Said travel(l)ing rest is connected with mirror sheath mobile device; Said support nut is fixed on the travel(l)ing rest, and said adjusting screw(rod) is installed in the support nut, matches with handle in the bottom of this adjusting screw(rod).
5. multi-functional adjustable supports laryngoscope according to claim 3; It is characterized in that: said mirror sheath mobile device also comprises the pintle hook lock handle; The front end of this pintle hook lock handle is provided with the pintle hook lock head; This pintle hook lock head is embedded in the teeth groove of gear, and the leading flank of said pintle hook lock head contacts with front face in the teeth groove, leaves the gap between the trailing flank of this pintle hook lock head and the rear surface in the teeth groove.
6. multi-functional adjustable supports laryngoscope according to claim 3 is characterized in that: said mirror sheath mobile device also comprises alignment pin, is provided with locating hole in the said handle, and said alignment pin cross-under is in the locating hole of handle.
7. multi-functional adjustable supports laryngoscope according to claim 3, it is characterized in that: the middle part of handle passage and rear portion are the profiled holes structure in the said handle, and said tooth bar matches with handle passage.
8. multi-functional adjustable supports laryngoscope according to claim 4 is characterized in that: said mirror sheath micromatic setting also comprises stop screw, and said stop screw is fixed on the bottom of adjusting screw(rod), and this stop screw matches with handle.
9. multi-functional adjustable supports laryngoscope according to claim 4; It is characterized in that: said mirror sheath micromatic setting also comprises sliding sleeve; Be provided with handle runner in the said handle, the length of said sliding sleeve is greater than the thickness of handle, and this sliding sleeve cross-under is in handle runner; Said travel(l)ing rest is fixed on the two ends of sliding sleeve, and said sliding sleeve is connected with mirror sheath mobile device.
10. multi-functional adjustable supports laryngoscope according to claim 4; It is characterized in that: said mirror sheath micromatic setting also comprises stage clip and press spring base; Said press spring base is fixed on the support nut; One end of said stage clip is fixed on the bottom of press spring base, and the other end of this stage clip withstands on the mirror sheath mobile device.
CN2011202738604U 2011-07-30 2011-07-30 Multifunctional adjustable support laryngoscope Withdrawn - After Issue CN202173384U (en)

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Application Number Priority Date Filing Date Title
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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102273999A (en) * 2011-07-30 2011-12-14 杭州市桐庐江南医光总厂 Multifunctional adjustable self-retaining laryngoscope
CN106821291A (en) * 2017-03-17 2017-06-13 温州市人民医院 Laryngoscope
CN110313884A (en) * 2019-07-16 2019-10-11 杭州科锐特医疗设备有限公司 A kind of supporting laryngoscope

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102273999A (en) * 2011-07-30 2011-12-14 杭州市桐庐江南医光总厂 Multifunctional adjustable self-retaining laryngoscope
CN106821291A (en) * 2017-03-17 2017-06-13 温州市人民医院 Laryngoscope
CN110313884A (en) * 2019-07-16 2019-10-11 杭州科锐特医疗设备有限公司 A kind of supporting laryngoscope

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