CN204428087U - A kind of for peeling off the Multifunction operating appliances with tractive thyroid gland leaf - Google Patents

A kind of for peeling off the Multifunction operating appliances with tractive thyroid gland leaf Download PDF

Info

Publication number
CN204428087U
CN204428087U CN201420823710.XU CN201420823710U CN204428087U CN 204428087 U CN204428087 U CN 204428087U CN 201420823710 U CN201420823710 U CN 201420823710U CN 204428087 U CN204428087 U CN 204428087U
Authority
CN
China
Prior art keywords
handle
operate portions
tractive
peeling
thyroid gland
Prior art date
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
Application number
CN201420823710.XU
Other languages
Chinese (zh)
Inventor
李永平
凌瑞
李南林
易军
王廷
贠军
吕勇刚
王辉
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Fourth Military Medical University FMMU
Original Assignee
Fourth Military Medical University FMMU
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Fourth Military Medical University FMMU filed Critical Fourth Military Medical University FMMU
Priority to CN201420823710.XU priority Critical patent/CN204428087U/en
Application granted granted Critical
Publication of CN204428087U publication Critical patent/CN204428087U/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Landscapes

  • Surgical Instruments (AREA)

Abstract

The utility model discloses a kind of for peeling off the Multifunction operating appliances with tractive thyroid gland leaf, comprise operate portions and handle, described operate portions is connected by connecting rod with handle, the lateral cross section of operate portions is arc-shaped, linkage is provided with in operate portions, linkage is connected internally to the positioning button be arranged on handle by connecting rod by bracing wire, rotation positioning button can change the angle between operate portions and handle.This utility model structure is simple, and easy to operate, doctor only needs to be undertaken operating by its handle; Except peeling off, supporting role can be played to thyroid gland leaf, ensure that the stable of traction process, be convenient to the operation of doctor.

Description

A kind of for peeling off the Multifunction operating appliances with tractive thyroid gland leaf
Technical field
This utility model relates to a kind of medical surgical instrument, be specifically related to a kind of in operation for peeling off the operating theater instruments with tractive thyroid gland leaf, the operation of assist physician.
Background technology
Thyroid is the maximum endocrine gland of human body, two leaves about point, middle connected, in H-shaped, be positioned at the front side of hypolarynx upper tracheal, be covered with fibrous capsule outward, be called capsula glandulae thyreoideae, this capsule stretches into glandular tissue prize body of gland and is divided into the lobule differed in size, capsule outsourcing energetically deep fascia, filling between cartilage at thyroid individual lobe and ring often has the connective tissue of ligament sample to be connected, and when swallowing, thyroid can move up and down with swallowing.
Due to be adjacent around thyroid or organizing of connecting more, for avoiding causing damage to remaining tissue during operation, when performing the operation to thyroid, as thyroid lobectomy, need first the tissue that thyroid gland leaf connects from it slowly to be separated, and carry out certain tractive, then excision operation is carried out to gland leaf.
But, thyroid gland leaf body constitution is softer frangible, easily hemorrhage in art, traditional means adopt drag hook, vascular forceps to carry out clamp tractive or with tractive after suturing with thread management, because it all can not play carrying effect to gland leaf, therefore in traction process, gland leaf easily comes off, make tractive effect undesirable, and operating process is easily hemorrhage.
Inventor proposed a kind of for peeling off the apparatus with tractive thyroid gland leaf early stage, it reaches good effect in actual applications, but this operating theater instruments is when doing neck lymphadenectomy, can not tractive trachea with neuroprotective and blood vessel, therefore the scope of application is subject to a definite limitation; But current operation technique is particular about meticulous and Wicresoft, this just has higher requirement to tractive, stripping apparatus.
Summary of the invention
For above-mentioned problems of the prior art, the purpose of this utility model is, provides a kind of for peeling off the Multifunction operating appliances with tractive thyroid gland leaf, and energy conveniently adjusting angle, to adapt to different operation demands.
In order to realize above-mentioned task, this utility model by the following technical solutions:
A kind of for peeling off the operating theater instruments with tractive thyroid gland leaf, comprise operate portions and handle, described operate portions is connected by connecting rod with handle, the lateral cross section of operate portions is arc-shaped, linkage is provided with in operate portions, linkage is connected internally to the positioning button be arranged on handle by connecting rod by bracing wire, rotation positioning button can change the angle between operate portions and handle.
Further, central angle corresponding to described lateral cross section is 150 ° ~ 180 °, and the leading section of operate portions is sharp and not sharp, and operate portions smooth surface, is beneficial to protection surrounding tissue, clamp can be replaced to play scratch pulling out, stop, pushing effect.
Further, the width of described operate portions is no more than 2cm, can stop trachea, neuroprotective and blood vessel.
Further, described linkage comprises the fixed pulley be fixedly installed in operate portions sidewall, described bracing wire one end is fixed in operate portions inwall, then the spacing bucket walked around fixed pulley and arrange in the sidewall, positioning button is connected internally to through connecting rod, the stiff end of bracing wire in operate portions sidewall is between fixed pulley and spacing bucket, and fixed pulley is near the front end of operate portions.
Further, be provided with bull stick in described handle, bull stick one end passes handle and is connected with positioning button, and the other end is movable to be arranged on the fixing head of handle inner; Positioning button is connected with bracing wire by bull stick, and bracing wire end winding support is on bull stick.
Further, described bull stick penetrates handle from handle side, can moving axially along handle; The bull stick of handle outer is symmetrically arranged with locator card, handle side is provided with the stopper slot coordinated with locator card, when being promoted vertically by bull stick to make locator card be arranged in stopper slot, bull stick can not rotate.
Further, the edge of described operate portions is sharp and not sharp round edge.
Further, handle is provided with the depression being convenient to grip.
This utility model compared with prior art has following technical characterstic:
1. structure is simple, and easy to operate, doctor only needs to be undertaken operating by its handle;
2. the design of handle part meets the physiological structure of hand when human body grips, and makes doctor be more prone to operation and long-time gripping, and makes apparatus in operating process more stable;
3. this apparatus toe angle can regulate easily according to the angle etc. of operative approach position, all the other apparatuses, and adjustment process is simple, makes assist physician all can effectively carry out peeling off and tractive in different positions, is convenient to the operation of performing the operation;
4, this apparatus front end is blunt nosed round edge, while playing good stripping, can not damage normal bodily tissue;
5. except peeling off, supporting role can be played to thyroid gland leaf, ensure that the stable of traction process, be convenient to the excision work of doctor.
6. this device can push-and-pull trachea, protection and tractive nerve and blood vessel.
Accompanying drawing explanation
Fig. 1 is overall structure schematic diagram of the present utility model;
Fig. 2 is longitudinal sectional view of the present utility model;
Fig. 3 is the structural representation of handle inner;
Number in the figure represents: 1-operate portions, 2-connecting rod, 3-depression, 4-handle, 5-locator card, 6-positioning button, 7-bull stick, 8-fixed pulley, 9-bracing wire, 10-spacing bucket, 11-fixing head;
Detailed description of the invention
For Minimally Invasive Surgery, the most important thing is under the prerequisite of Wicresoft, utilize limited space to complete operation, to alleviate sufferer misery, be beneficial to recovery; And to operations such as Thyreoidines, as excessive in its otch, larger cicatrix certainly will be left during healing, bring psychological burden to patient.Therefore, in operation process, apparatus with the use of extremely important, how accurately, promptly to operate under limited space, just further requirement proposed to operating theater instruments.
The operating theater instruments of this stripping proposed in this utility model and tractive thyroid gland leaf, as shown in the figure, the work of stripping, tractive gland leaf can be completed in operation simultaneously, and traditional apparatus is peeled off and tractive separates, this just needs more space to leave instrumentation for, need more doctor's auxiliary operation simultaneously, increase operating difficulty undoubtedly.
This operating theater instruments, comprise operate portions 1 and handle 4, described operate portions 1 is connected by connecting rod 2 with handle 4, the lateral cross section of operate portions 1 is arc-shaped, linkage is provided with in operate portions 1, linkage is connected internally to the positioning button 6 be arranged on handle 4 by connecting rod 2 by bracing wire 9, modulation position button 6 can change the angle between operate portions 1 and handle 4.
Operate portions 1 and handle 4 form T-shaped structure after utilizing connecting rod 2 to be connected, and not only convenient operation doctor grips, and is more prone to exert all one's strength, and contributes to long operation technique.Operate portions 1 lateral cross section is arc, i.e. tiles structure, and this structure can utilize its marginal portion to peel off thyroid gland leaf carefully, and can with its cave in 3 position gland leaf held and supports, play traction action.
Be subject to the restriction of operation opening position and operating doctor operation, for the operation doctor of auxiliary pulling thyroid gland leaf, the space left and position are abundant not, so for operating theater instruments, just require that it can coordinate doctor to operate as far as possible easily.In this programme, consider the practical problem run in operation process, be provided with the structure of adjustable angle between operate portions 1 and connecting rod 2, namely for operation doctor, regardless of its position, all by the angle between adjustment operate portions 1 and handle 4, carry out effective tractive to gland leaf, this has just left sufficient space to the position of operation doctor.
Consider the actual environment of operation, positioner can not be very complicated, and apparatus outer surface is more simple better, therefore for the adjustment of angle, can conveniently be realized by the positioning button 6 on handle 4.Positioning button 6 controls linkage by bracing wire 9, and when rotating positioning button 6 and making bracing wire 9 tighten up, linkage drives operate portions 1 to move towards near the direction of connecting rod 2, just changes the angle between operate portions 1 and connecting rod 2.
This utility model proposes following prioritization scheme further:
The central angle of lateral cross section is 150 ° ~ 180 °.
Because the lateral cross section of operate portions 1 is arc-shaped, and circular arc correspond to certain central angle.For operate portions 1, the shape of its depression 3 should limit within the specific limits, too small then can not tractive gland leaf effectively, excessive then bad stripping.Consider, in conjunction with inventor's practical application, the central angle that circular arc is corresponding should be advisable with 150 ° ~ 180 °, and namely the both sides of the edge of operate portions tilt slightly, and edge is sharp and not sharp; Sharp and not sharply refer to that edge is the disc of convergent, not sharply, but be convenient to carry out strip operation; And operate portions smooth surface, be beneficial to protection surrounding tissue, clamp can be replaced to play scratch pulling out, stop, pushing effect.
The width of operate portions 1 is no more than 2cm, and the width of operate portions 1 refers to the chord length of the circular arc cross-sections of operate portions 1 correspondence.This width is beneficial to the operations of operate portions 1, as stopped trachea, neuroprotective and blood vessel etc.
Linkage comprises the fixed pulley 8 be fixedly installed in operate portions 1 sidewall, described bracing wire 9 one end is fixed in operate portions 1 inwall, then the spacing bucket 10 walked around fixed pulley 8 and arrange in the sidewall, positioning button 6 is connected internally to through connecting rod 2, the stiff end of bracing wire 9 in operate portions 1 sidewall is between fixed pulley 8 and spacing bucket 10, and fixed pulley 8 is near the front end of operate portions 1.
This linked manner herein proposed, its principle is, because bracing wire 9 is nonflexible lines, when at one end tightening up, it can not stretch, and utilizes this structure formed, and in the non-shrinking situation of bracing wire 9, bracing wire 9 can drive operate portions 1 to move to a direction.As shown in Figure 2, if carry out cutting vertically from the center of operate portions 1, the operate portions 1 so contacted with cutting plane during cutting is the sidewall of operate portions 1, and this nested structure is just arranged in the sidewall.Be fixed pulley 8 foremost, middle part is the stiff end of bracing wire 9, then after be spacing bucket 10, and bracing wire 9 stiff end and fixed pulley 8 are preferably arranged in the position of operate portions 1 front end 1/3rd.When adjusting angle, the other end of bracing wire 9 tightens up, and stiff end limits through the position of vicarious, the spacing bucket 10 of fixed pulley 8, so now fixed pulley 8 is subject to the power along bracing wire 9 direction, can be analyzed to and is parallel to connecting rod 2 direction and two component perpendicular to connecting rod 2 direction.Component perpendicular to connecting rod 2 direction is cancelled due to the restriction of connecting portion (rotating shaft), the power being parallel to connecting rod 2 direction then drives operate portions 1 front end to move towards near the direction of connecting rod 2, realizes with this function adjusting angle between operate portions 1 and connecting rod 2.
Be provided with bull stick 7 in handle 4, bull stick 7 one end passes handle 4 and is connected, on the movable fixing head 11 being arranged on handle 4 inside of the other end with positioning button 6; Positioning button 6 is connected with bracing wire 9 by bull stick 7, and bracing wire 9 end winding support is on bull stick 7.
For the adjustment process of handle 4 end, tighten up bracing wire 9 in this programme by a bull stick 7, when rotating positioning button 6, positioning button 6 drives bull stick 7 to rotate, and bull stick 7 rotates and bracing wire 9 is wrapped on bull stick 7, and realizes the contraction of this end bracing wire 9.
Bull stick 7 penetrates handle 4 from handle 4 side, can moving axially along handle 4; The bull stick 7 of handle 4 outside is symmetrically arranged with locator card 5, handle 4 side is provided with the stopper slot coordinated with locator card 5, when being promoted vertically by bull stick 7 to make locator card 5 be arranged in stopper slot, bull stick 7 can not rotate.
After adjusting position, a fixed form comparatively easily should be had.Be provided with locator card 5 and stopper slot structure in this programme, wherein stopper slot can arrange multipair, rounded distribution, and locator card 5 can be able to be fixed in each position.Time fixing, after only needing to tighten up bracing wire 9, make locator card 5 aim at stopper slot, promote bull stick 7; When needing again to adjust, extract locator card 5 and rotate positioning button 6, position is fixed after adjusting again.
In operating process, scratch its hetero-organization of health, this operate portions 1 edge is sharp and not sharp round edge, and edge reduces, and thickness is slightly less than the thickness of other parts, can play good stripping effect; And handle 4 is provided with the depression 3 being convenient to grip, just coincide when gripping with staff, be convenient to doctor hand-held, anti-skidding effect can be played simultaneously.

Claims (8)

1. one kind for peeling off the Multifunction operating appliances with tractive thyroid gland leaf, comprise operate portions (1) and handle (4), it is characterized in that, described operate portions (1) is connected by connecting rod (2) with handle (4), the lateral cross section of operate portions (1) is arc-shaped, operate portions is provided with linkage in (1), linkage is connected internally to the positioning button (6) be arranged on handle (4) by connecting rod (2) by bracing wire (9), rotation positioning button (6) can change the angle between operate portions (1) and handle (4).
2. as claimed in claim 1 for peeling off the Multifunction operating appliances with tractive thyroid gland leaf, it is characterized in that, the central angle that described circular arc is corresponding is 150 ° ~ 180 °.
3. as claimed in claim 1 for peeling off the Multifunction operating appliances with tractive thyroid gland leaf, it is characterized in that, described linkage comprises the fixed pulley (8) be fixedly installed in operate portions (1) sidewall, described bracing wire (9) one end is fixed in operate portions (1) inwall, then the spacing bucket (10) walked around fixed pulley (8) and arrange in the sidewall, positioning button (6) is connected internally to through connecting rod (2), the stiff end of bracing wire (9) in operate portions (1) sidewall is positioned between fixed pulley (8) and spacing bucket (10), and fixed pulley (8) is near the front end of operate portions (1).
4. as claimed in claim 1 for peeling off the Multifunction operating appliances with tractive thyroid gland leaf, it is characterized in that, bull stick (7) is provided with in described handle (4), bull stick (7) one end passes handle (4) and is connected with positioning button (6), and the other end is movable to be arranged on the inner fixing head (11) of handle (4); Positioning button (6) is connected with bracing wire (9) by bull stick (7), and bracing wire (9) end winding support is on bull stick (7).
5. as claimed in claim 4 for peeling off the Multifunction operating appliances with tractive thyroid gland leaf, it is characterized in that, described bull stick (7) penetrates handle (4) from handle (4) side, can moving axially along handle (4); The bull stick (7) that handle (4) is outside is symmetrically arranged with locator card (5), handle (4) side is provided with the stopper slot coordinated with locator card (5), when being promoted vertically by bull stick (7) to make locator card (5) be arranged in stopper slot, bull stick (7) can not rotate.
6. as claimed in claim 1 for peeling off the Multifunction operating appliances with tractive thyroid gland leaf, it is characterized in that, the edge of described operate portions (1) is round edge.
7. as claimed in claim 1 for peeling off the Multifunction operating appliances with tractive thyroid gland leaf, it is characterized in that, handle (4) is provided with the depression (3) being convenient to grip.
8. as claimed in claim 1 for peeling off the Multifunction operating appliances with tractive thyroid gland leaf, it is characterized in that, the width of described operate portions (1) is no more than 2cm.
CN201420823710.XU 2014-12-19 2014-12-19 A kind of for peeling off the Multifunction operating appliances with tractive thyroid gland leaf Expired - Fee Related CN204428087U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201420823710.XU CN204428087U (en) 2014-12-19 2014-12-19 A kind of for peeling off the Multifunction operating appliances with tractive thyroid gland leaf

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201420823710.XU CN204428087U (en) 2014-12-19 2014-12-19 A kind of for peeling off the Multifunction operating appliances with tractive thyroid gland leaf

Publications (1)

Publication Number Publication Date
CN204428087U true CN204428087U (en) 2015-07-01

Family

ID=53596020

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201420823710.XU Expired - Fee Related CN204428087U (en) 2014-12-19 2014-12-19 A kind of for peeling off the Multifunction operating appliances with tractive thyroid gland leaf

Country Status (1)

Country Link
CN (1) CN204428087U (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109480942A (en) * 2018-12-29 2019-03-19 郑州壹毫米医药科技有限公司 Skin drawing device and the skin drawing system for using the skin drawing device

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109480942A (en) * 2018-12-29 2019-03-19 郑州壹毫米医药科技有限公司 Skin drawing device and the skin drawing system for using the skin drawing device
CN109480942B (en) * 2018-12-29 2024-03-19 郑州壹毫米医药科技有限公司 Skin retractor and skin retraction system using the same

Similar Documents

Publication Publication Date Title
CN202554060U (en) Surgical instrument with sharp plier heads special for endoscopic mucosal stripping
CN209529194U (en) A kind of tumor biopsy surgical clamp
CN204428087U (en) A kind of for peeling off the Multifunction operating appliances with tractive thyroid gland leaf
US20100030247A1 (en) Varicose vein removal device
CN204562245U (en) Special drag hook in the newborn resection operation of a kind of pair
CN202554057U (en) Surgical instrument accompanied with unilateral scissors special for endoscopic mucosal resection
CN202554059U (en) Special surgical instrument with diagonal cup-shaped pliers heads for endoscopic submucosal dissection
CN207400778U (en) A kind of novel tumor extirpation forceps
CN204158483U (en) A kind of wire introducer
CN202554058U (en) Operative apparatus special for endoscopic mucosal resection provided with ball needle type incision knife
CN201617904U (en) Operating forceps for removing blood stasis in nails
CN208988976U (en) Dilating drainage external member
CN202096240U (en) Suture tying forceps
CN201642212U (en) Submaxillary gland vessel gripper
CN205041539U (en) Body surface tumour excision positioner
CN202554101U (en) Special surgical instrument of endoscopic mucosa resection attached with hooked scissors
CN104997554B (en) For the cutter of Hysterectomy
CN204618393U (en) A kind of orthopedic kirschner pin extractor
CN203724178U (en) Varicose venin stripping forceps with light source
CN202198630U (en) Puncture tractor for laparoscope
CN202554102U (en) Special surgical instrument of endoscopic mucosa resection attached with shield needle shaped incision knife
CN201701242U (en) Medicine coating biopsy forceps
CN201595897U (en) Extraction forceps for tumor operations
CN202932979U (en) Adjustable vessel clamping pliers for surgical operation
CN201019803Y (en) Jaw clamp for curing atrial fibrillation

Legal Events

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

Granted publication date: 20150701

Termination date: 20171219