CN203169231U

CN203169231U - Expanding forceps for percutaneous tracheostomy surgery

Info

Publication number: CN203169231U
Application number: CN 201320167465
Authority: CN
Inventors: 秦东泽
Original assignee: Shanxi Medical University
Current assignee: Shanxi Medical University
Priority date: 2013-04-07
Filing date: 2013-04-07
Publication date: 2013-09-04
Anticipated expiration: 2023-04-07

Abstract

The utility model belongs to the technical field of instruments used in surgery, and provides a pair of expanding forceps for percutaneous tracheostomy surgery, which can control the maximum expansion rate. The adopted technical scheme is that a left limb handle and a right limb handle are provided with a locking mechanism for controlling the maximum expansion of a left limb elbow and a right limb elbow; the structure of the locking mechanism comprises an expansion ruler and a buckle; the expansion ruler is uniformly provided with a plurality of lock holes; one end of the expansion ruler is fixedly arranged on the left limb handle; the other end of the expansion ruler penetrates through a sleeve hole which is formed in the right limb handle; and the buckle is arranged on the expansion ruler on a lock hole outside the included angle of the lift limb handle and the right limb handle. According to the expanding forceps, the handle part is provided with the locking mechanisms for controlling the maximum expansion of the elbows, so that the handle part expands in a certain range, tissue injury, bleeding and sleeve falling caused by overlarge cut, the need of repeated expansion caused by over-small cut and the like are avoided, accurate expansion is achieved, and the collateral injury is reduced.

Description

Percutaneous bronchotomu stretching pliers

Technical field

This utility model percutaneous bronchotomu stretching pliers belongs to surgical operation and uses the technique with the apparatus field, is specifically related to a kind of stretching pliers for percutaneous expansion tracheotomy.

Background technology

At present, two kinds of common Tracheostoma tracheotomy methods are surgery tracheotomy and percutaneous expansion tracheotomy.With respect to the conventional surgical tracheotomy, the percutaneous tracheotomy has shown that it is simple, fast and the few characteristics of complication, severe complication such as massive hemorrhage appear in its art, suffocate, pneumothorax and esophageal injury etc. obviously reduce, because otch is little, attractive in appearance, healing time is short, and tissue injury is few, go out insufficiency of blood, the tissue that exposes is few, reduced the chance that infects, and a people can finish, rescue in time, be convenient to carry out tracheotomy at the critical patient bedside, be suitable for ICU or bedside and carry out, avoided moving critical patient, low to qualification requirement, trained emergency treatment doctor or ICU doctor can operate.But stretching pliers is when repeatedly expanding, and each expansion back seal wire separates with pincers, needs seal wire is inserted the stretching pliers channeling conduct repeatedly again, incurs loss through delay rescue time.And because the percutaneous tracheotomy is not to carry out under photopic vision, its operation has certain blindness, cause the insufficient or overextended of trachea antetheca expansion easily, expand insufficient meeting and make sleeve pipe be difficult for inserting trachea, incur loss through delay rescue time, the repeatable operation number of times increases, the surrounding tissue damage is increased, also may cause putting the pipe rear gasbag and break, overextended can cause the trachea antetheca seriously to tear, and hemorrhage, subcutaneous emphysema etc. occurs.The distinctive complication of percutaneous tracheotomy is the damage of trachea rear wall, even perforation, still can not avoid fully at present.

The utility model content

This utility model overcomes the deficiency that prior art exists, and technical problem to be solved provides a kind of percutaneous bronchotomu stretching pliers that can control elbow portion maximum extension degree.

In order to solve the problems of the technologies described above, the technical scheme that this utility model adopts is: percutaneous bronchotomu stretching pliers, comprise the claw beam left side limb and the right limb of claw beam that connect by pivot pin, the right limb of claw beam left side limb and claw beam is the structure of an end handle one end elbow, the setting of working in coordination of a left side limb elbow and right limb elbow, a left side limb handle and right limb handle are symmetrical arranged, left limb elbow and right limb elbow opposed inside face end is equipped with the seal wire groove and two seal wire grooves match;

The retaining mechanism of the maximum opening width of the left limb elbow of control and right limb elbow is installed on described left limb handle and the right limb handle, the structure of described retaining mechanism is: comprise opening width scale and buckle, evenly have a plurality of lockholes on the opening width scale, one end of opening width scale is fixed on the left limb handle, the other end of opening width scale passes set trepanning on the right limb handle, and buckle is installed on the lockhole that is positioned on the opening width scale outside left limb handle and the right limb handle angle.

Described right limb elbow inside is provided with for the seal wire down-the-hole of seal wire through the seal wire groove.

The filament inlet of described seal wire down-the-hole one end is located on the lateral surface of right limb elbow, and the filament mouth of the seal wire down-the-hole other end is communicated with the seal wire groove.

Be equipped with anti-slip tank on described left limb elbow and the right limb elbow opposed inside face.

Described left limb elbow and right limb elbow all have at least a lateral surface to be provided with to go deep into graduation mark.

Described opening width scale is provided with and opens graduation mark.

This utility model is compared with prior art has following beneficial effect.

1, this utility model is provided with the retaining mechanism of the maximum opening width of control elbow at the handle position, it is expanded within the specific limits, avoid otch excessive cause tissue injury, hemorrhage, sleeve pipe comes off or otch is too small causes expanding repeatedly etc., has reached accurate expansion, has reduced secondary damage.

2, this utility model arranges a seal wire down-the-hole in the elbow inside that is provided with the seal wire groove, and seal wire feeds the seal wire groove from the seal wire down-the-hole, when stretching pliers is repeatedly expanded, can prevent that seal wire from separating with stretching pliers, saved rescue time.

3, this utility model gos deep into graduation mark bend part setting, can clearly understand the degree of depth that elbow enters trachea when operation, avoids damaging the trachea rear wall.

Description of drawings

The utility model is described in further detail below in conjunction with accompanying drawing.

Fig. 1 is structural representation of the present utility model.

Fig. 2 is the structural representation of right limb elbow in this utility model.

Fig. 3 is the cutaway view of right limb elbow in this utility model.

Among the figure: 1 is claw beam left side limb, and 2 is the right limb of claw beam, and 3 is left limb elbow, and 4 is right limb elbow, and 5 is the seal wire groove, 6 is the seal wire down-the-hole, and 7 is filament inlet, and 8 is filament mouth, and 9 for going deep into graduation mark, and 10 is retaining mechanism, 11 is the opening width scale, and 12 is buckle, and 13 is lockhole, and 14 for opening graduation mark.

The specific embodiment

Below embodiment of the present utility model is done and specify.

Shown in Fig. 1-3, percutaneous bronchotomu stretching pliers, comprise the claw beam left side limb 1 and the right limb 2 of claw beam that connect by pivot pin, the right limb 2 of claw beam left side limb 1 and claw beam is the structure of an end handle one end elbow, the setting of working in coordination of a left side limb elbow 3 and right limb elbow 4, left side limb handle and right limb handle are symmetrical arranged, left side limb elbow 3 and right limb elbow 4 opposed inside face ends are equipped with seal wire groove 5 and two seal wire grooves 5 match, the retaining mechanism 10 of the left limb elbow 3 of control and right limb elbow 4 maximum opening widths is installed on described left limb handle and the right limb handle, the structure of described retaining mechanism 10 is: comprise opening width scale 11 and buckle 12, evenly have a plurality of lockholes 13 on the opening width scale 11, one end of opening width scale 11 is fixed on the left limb handle, the other end of opening width scale 11 passes set trepanning on the right limb handle, and buckle 12 is installed on the lockhole 13 that is positioned on the opening width scale 11 outside left limb handle and the right limb handle angle.

Described right limb elbow 4 inside are provided with for the seal wire down-the-hole 6 of seal wire through seal wire groove 5.

The filament inlet 7 of described seal wire down-the-hole 6 one ends is located on the lateral surface of right limb elbow 4, and the filament mouth 8 of seal wire down-the-hole 6 other ends is communicated with seal wire groove 5.

Be equipped with anti-slip tank 15 on described left limb elbow 3 and the right limb elbow 4 opposed inside faces.

Described left limb elbow 3 and right limb elbow 4 all have at least a lateral surface to be provided with to go deep into graduation mark 9.The bending section of described left limb elbow 3 and right limb elbow 4 is 3cm, and be provided with and go deep into graduation mark 9, the angle that the 2cm at left side limb elbow 3 and right limb elbow 4 close handle positions and the extension line of corresponding handle form is 120 °-135 °, the angle that the 1cm of left side limb elbow 3 and right limb elbow 4 ends and the extension line of corresponding handle form is 100 °-120 °, such angle makes elbow of the present utility model portion form natural torsion, can prevent from damaging the trachea rear wall in the operation of tracheaectasy.

Described opening width scale 11 is provided with and opens graduation mark 14.

According to the external diameter of tracheal casing pipe different model, the graduation mark 14 that opens on the described opening width scale 11 begins at marking 2cm place, is provided with a lockhole 13 every 3mm.

Using method:

Before operation, calculate the degree that elbow of the present utility model portion should expand according to the external diameter size of the tracheal casing pipe of selecting in advance, buckle 12 is installed in the corresponding lockhole 13 elbow portion maximum extension degree is locked, prevent in the operation because the hands mistake causes the insufficient or overextended of expansion; Seal wire is penetrated in the seal wire down-the-hole 6 from the filament inlet 7 on the right limb elbow 4, and stretch out from filament mouth 8 and to enter seal wire groove 5, make seal wire can not break away from right limb elbow 4, as long as left limb elbow 3 and right limb elbow 4 closed end, seal wire will enter seal wire groove 5 very easily, make this utility model be convenient to repeatedly expand, avoid repeating to allow seal wire penetrate the elbow guiding again, for the critical patient saves rescue time; At any time note going deep into graduation mark 9 on left limb elbow 3 and the right limb elbow 4 in operation, clear and definite elbow enters the degree of depth of trachea, avoids damaging the trachea rear wall under the guiding of seal wire.

By reference to the accompanying drawings embodiment of the present utility model has been done detailed description above, but this utility model is not limited to above-described embodiment, in the ken that those of ordinary skills possess, can also under the prerequisite that does not break away from this utility model aim, make various variations.

Claims

1. percutaneous bronchotomu stretching pliers, comprise the claw beam left side limb (1) and the right limb (2) of claw beam that connect by pivot pin, claw beam left side limb (1) and the right limb of claw beam (2) are the structure of an end handle one end elbow, the setting of working in coordination of a left side limb elbow (3) and right limb elbow (4), left side limb handle and right limb handle are symmetrical arranged, left side limb elbow (3) and right limb elbow (4) opposed inside face end is equipped with seal wire groove (5) and two seal wire grooves (5) match is characterized in that:

The retaining mechanism (10) of control left limb elbow (3) and the maximum opening width of right limb elbow (4) is installed on described left limb handle and the right limb handle, the structure of described retaining mechanism (10) is: comprise opening width scale (11) and buckle (12), evenly have a plurality of lockholes (13) on the opening width scale (11), one end of opening width scale (11) is fixed on the left limb handle, the other end of opening width scale (11) passes set trepanning on the right limb handle, and buckle (12) is installed on the lockhole (13) that is positioned on the opening width scale (11) outside left limb handle and the right limb handle angle.

2. percutaneous bronchotomu stretching pliers according to claim 1 is characterized in that: described right limb elbow (4) inside is provided with for the seal wire down-the-hole (6) of seal wire through seal wire groove (5).

3. percutaneous bronchotomu stretching pliers according to claim 2, it is characterized in that: the filament inlet (7) of described seal wire down-the-hole (6) one ends is located on the lateral surface of right limb elbow (4), and the filament mouth (8) of seal wire down-the-hole (6) other end is communicated with seal wire groove (5).

4. percutaneous bronchotomu stretching pliers according to claim 1 and 2 is characterized in that: be equipped with anti-slip tank (15) on described left limb elbow (3) and right limb elbow (4) the opposed inside face.

5. percutaneous bronchotomu stretching pliers according to claim 1 and 2 is characterized in that: described left limb elbow (3) and right limb elbow (4) all have at least a lateral surface to be provided with to go deep into graduation mark (9).

6. percutaneous bronchotomu stretching pliers according to claim 1 and 2, it is characterized in that: described opening width scale (11) is provided with and opens graduation mark (14).