CN204671200U - A kind of lacunula endoscopic surgery drag hook - Google Patents

A kind of lacunula endoscopic surgery drag hook Download PDF

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Publication number
CN204671200U
CN204671200U CN201520222059.5U CN201520222059U CN204671200U CN 204671200 U CN204671200 U CN 204671200U CN 201520222059 U CN201520222059 U CN 201520222059U CN 204671200 U CN204671200 U CN 204671200U
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China
Prior art keywords
drag hook
hook body
lacunula
hole
bar
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CN201520222059.5U
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Chinese (zh)
Inventor
杨璟辉
裘年存
林文波
杨鹏
傅志仁
江道振
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Second Military Medical University SMMU
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Second Military Medical University SMMU
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Abstract

This utility model relates to technical field of medical instruments, specifically a kind of lacunula endoscopic surgery drag hook, comprise drag hook body, drag hook bar and drag hook handle, wherein: described drag hook body is bending tubular structure, drag hook body is provided with the first through hole along its axial running through, and drag hook body offers the auxiliary suction hole be communicated with this first through hole; One end of described drag hook body is free end, the port conically structure of this free end, and the other end of drag hook body is link; Described drag hook bar is provided with the second through hole along its axial running through, and one end of drag hook bar is connected on the link of drag hook body, and the first through hole and the second through hole are interconnected; Drag hook handle installed by described drag hook bar.The beneficial effects of the utility model are, in foundation with maintain while transluminal operation space, achieve controllable type suction, and due to caliber less, going out after hook skin can without suture, meets the developing direction of " a tool multipotency " and Wicresoft principle attractive in appearance.

Description

A kind of lacunula endoscopic surgery drag hook
Technical field
This utility model relates to technical field of medical instruments, specifically a kind of lacunula endoscopic surgery drag hook.
Background technology
Endoscopic surgery technology obtains tremendous development at chest and abdominal surgery field, but just at the early-stage in the research of non-natural lacuna endoscopic technic, such as arthroscope, newborn chamber mirror, Endoscopic Thyroidectomy.Lacunula endoscopic surgery is developed so far, and operation pathway change is various, and for Endoscopic Thyroidectomy, the path according to operation can be divided into the little cicatrix Endoscopic Thyroidectomy of cervical region and cervical region without cicatrix Endoscopic Thyroidectomy; Complete Endoscopic Thyroidectomy (total endoscopicapproaches) and scope is divided into assist thyroid operation (video assissted endoscopic approahes) according to modus operandi.Scope operation on neck requires that operation is meticulous, particularly prevent recurrent laryngeal nerve, superior laryngeal nerve, parathyroid gland, cervical region Major Vessels and neural place equivalent damage, from initial breastbone upper cut pathway develop gradually become reach cosmetic result, cervical region No-scar surgery pathway cicatrix moved to neck, the foundation of its working place and maintenance, and how to keep the clear visual field in operation technique space most important for the success or not of operation.
Electric knife and ultrasound knife are apparatuses conventional in endoscope-assistant surgery, but when being separated, cutting and organizing, easy generation vaporization water smoke, smog etc., the mirror visual field, obvious interference chamber, now, patient can only introduce suction pump and aspirate, or suspends operation, opening puncture casing makes chamber air circulate, until visual area recovers clear.Further, for all lacunula endoscopic surgeries, apparatus is many in fan-shaped concentrated area, not only be unprofitable to operation, and " chopsticks interference " effect can be there is, be namely difficult to multi-faceted harmonious in small space, and change the fluency that apparatus can affect operation continually.Therefore, the inexorable trend that " a tool multipotency " is the development of lacunula endoscopic surgery is realized.
Application number is " 200420052593.8 ", Authorization Notice No. is " CN 2745517 Y ", name is called that the Chinese utility model patent of " cavity mirror thyroid operation retractor " discloses a kind of cavity mirror thyroid operation retractor, described cavity mirror thyroid operation retractor is formed through bending process by tinsel, drag hook body is " V " font at the wide end, the front end of drag hook body is needle point, the near wide bottom of drag hook body both arms is to bending about 150 ° of angles, direction of drag hook bar, the plane of drag hook body and drag hook bar are 90 ° of angular distortions, and drag hook handle is arc.In use, thrust with the skin of needle point outside cervical region of drag hook, then through over-rotation drag hook, whole drag hook is inserted thyroid intracavity, under the assistance of chamber mirror elastic separating plier, with the coupler body of drag hook, the Anterior jugular muscles separated is pulled to outside, reach and expose thyroid object.In this utility model, the top of drag hook body is sharp keen needle point, after entering intracavity, there is the potential risk puncturing carotid arteries when adjusting drag hook position; This drag hook only can realize the function setting up and maintain cavity space, and functionality is little.
Application number is " 200920050459.7 ", Authorization Notice No. is " CN 201346219 Y ", name is called that the Chinese utility model patent of " cavity mirror thyroid operation retractor and auxiliary puncture guide " discloses a kind of cavity mirror thyroid operation retractor and auxiliary puncture guide, be made up of three-piece, there is handle one end, described auxiliary puncture guide is pipe body, front end is the hollow needle point of cutting, cavity mirror thyroid operation retractor is elongated filament, and front end is " V " font drag hook.During operation, determine the site of puncture that needs operate, with puncture guide hollow needle point in site of puncture slowly inserting needle penetrate skin, subcutaneous tissue comes into view under endoscopic views, escape leading device hollow needle point is a little, make a guide hollow needle point part stay in body, a part expose to body surface formed one by guide hollow needle point produce connection body surface and body in passage; Drag hook main body being rotated counterclockwise along passage enters in body, escape leading device; The muscle group in throat can be pulled to outside by the drag hook entered in body, and thyroid is fully exposed; Unclamp the tissue that drag hook draws after art finishes, the angle along coupler body front end produces clockwise.The venipuncture difficulty of this utility model patent is large, it is high to require, large to the requirement of strength of " V " font drag hook, the dynamics difficulty of control is grasped, and puncture guide only can realize setting up this simple function of cavity space, and functionality is little.
Utility model content
The purpose of this utility model is to overcome the deficiencies in the prior art, there is provided a kind of simple to operate, can set up and maintain stable transluminal operation space, the vaporization water smoke, smog etc. that produce when ultrasound knife or electric knife work can be pumped out, to recover rapidly the drag hook for using in lacunula endoscopic surgery of clear visual area again.
In order to achieve the above object, this utility model provides a kind of lacunula endoscopic surgery drag hook, comprises drag hook body, drag hook bar and drag hook handle, wherein:
Described drag hook body is bending tubular structure, and drag hook body is provided with the first through hole along its axial running through, and drag hook body offers the auxiliary suction hole be communicated with this first through hole;
One end of described drag hook body is free end, the port conically structure of this free end, and the other end of drag hook body is link;
Described drag hook bar is provided with the second through hole along its axial running through, and one end of drag hook bar is connected on the link of drag hook body, and the first through hole and the second through hole are interconnected;
Drag hook handle installed by described drag hook bar.One end of described drag hook bar is connected with drag hook body, and the other end of drag hook bar is connected with extraneous vacuum extractor.The free end port of described drag hook body is conical structure and the free end port of drag hook body and auxiliary suction hole are all passivity mouth, and this design can reduce to thrust skin because of drag hook or regulate during drag hook position at intracavity and surprisingly punctures the probability of intracavity trunk; Described auxiliary suction hole is then supplementary to suction function and scope one, and especially when the tissue occlusion that the free end port of drag hook body is embedded into because of tractive, auxiliary suction hole can proceed to attract.
Preferably, described drag hook body comprises the horizontal segment, vertical section and the tilting section that connect successively, wherein:
Described link is the port of horizontal segment, and free end is the port of tilting section, and the angular range of vertical section and tilting section is 60 ~ 120 °.Described drag hook body can be integral structure, is formed through bending process by thin metal suction catheter.
Preferably, the inwall at described drag hook body link place is provided with female thread structure;
The described drag hook bar one end outer wall that connect corresponding to this drag hook body is provided with the external thread structure matched with this female thread structure.
Preferably, the outer wall at described drag hook body link place is provided with external thread structure;
The described drag hook bar one end inwall that connect corresponding to this drag hook body is provided with the female thread structure matched with this external thread structure.When lacunula endoscopic surgery drag hook blocks for some reason, spiral junction point can be unscrewed and carry out dismantling and respectively the auxiliary suction hole in drag hook body, drag hook bar, the first through hole and the second through hole dredged, and be conducive to postoperative sterilization.
Preferably, described drag hook body and drag hook bar are integral type structure.
Preferably, described auxiliary suction hole is opened in the port of the free end of drag hook body.
Preferably, described channel section is provided with barometric control unit.After being connected with suction device by this drag hook, described barometric control unit can realize controllable type to the attraction degree of drag hook and regulate.
Preferably, the external diameter of described drag hook body is 2 ~ 4mm;
The external diameter of described drag hook bar is 2 ~ 4mm, and length is 80 ~ 120mm.
Described lacunula endoscopic surgery can be Endoscopic Thyroidectomy, newborn chamber mirror, osteoarthrosis intracavity operation etc.
The beneficial effects of the utility model are, thrust skin by the opening of external preparation for skin drag hook body and pass through to rotate drag hook handle, make drag hook body, drag hook enters operation technique intracavity, under the assistance of chamber mirror apparatus, adjust the position of drag hook body and drag hook bar and tractive is carried out to muscle group tissue, facilitating the multi-direction abundant exposure operation technique visual field; In the process of ultrasound knife or electric knife chorista, when producing vaporization water smoke, smog interference visual area, regulating by the attraction degree of barometric control unit to vacuum extractor, recovering the clear visual field rapidly, thus shortening operating time.Described lacunula endoscopic surgery drag hook is in foundation and maintain while transluminal operation space, achieves controllable type suction, and due to caliber less, going out after hook skin can without suture, meets the developing direction of " a tool multipotency " and Wicresoft principle attractive in appearance.
Accompanying drawing explanation
Fig. 1 is structural representation of the present utility model;
Fig. 2 is the structural representation of another angle of the present utility model;
Fig. 3 is the structural representation that in this utility model, drag hook body divides;
Fig. 4 is the structural representation of drag hook bar in this utility model.
Wherein:
1-drag hook body 11-first through hole 12-assists suction hole
13-horizontal segment 14-vertical section 15-tilting section
2-drag hook bar 21-second through hole 3-drag hook handle
4-barometric control unit
Detailed description of the invention
Below in conjunction with the drawings and specific embodiments, this utility model is described further.
Embodiment 1:
A kind of lacunula endoscopic surgery drag hook as shown in Figure 1 to 4, comprises drag hook body 1, drag hook bar 2 and drag hook bar 3, wherein:
Described drag hook body 1 is bending tubular structure, and drag hook body 1 is provided with the first through hole 11 along its axial running through, and drag hook body 1 offers the auxiliary suction hole 12 be communicated with this first through hole 11;
One end of described drag hook body 1 is free end, the port conically structure of this free end, and the other end of drag hook body 1 is link;
Described drag hook bar 2 is provided with the second through hole 21 along its axial running through, and one end of drag hook bar 2 is connected on the link of drag hook body 1, and the first through hole 11 and the second through hole 21 are interconnected;
Drag hook handle 3 installed by described drag hook bar 2.
One end of described drag hook bar 2 is connected with drag hook body 1, and the other end of drag hook bar 2 is connected with extraneous vacuum extractor.The free end port of described drag hook body 1 is conical structure and the free end port of drag hook body and auxiliary suction hole are all passivity mouth, and this design can reduce to thrust skin because of drag hook or regulate during drag hook position at intracavity and surprisingly punctures the probability of intracavity trunk; Described auxiliary suction hole is then supplementary to suction function and scope one, and especially when the tissue occlusion that the free end port of drag hook body is embedded into because of tractive, described auxiliary suction hole can proceed to attract.
Described drag hook body 1 comprises the horizontal segment 13, vertical section 14 and the tilting section 15 that connect successively, and wherein said link is the port of horizontal segment 13, and free end is the port of tilting section 15, and the angular range of vertical section 14 and tilting section 15 is 60 °.Described drag hook body 1 can be integral structure, is formed through bending process by thin metal suction catheter.
The inwall at described drag hook body 1 link place is provided with female thread structure; The described drag hook bar 2 one end outer wall that connect corresponding to this drag hook body 1 is provided with the external thread structure matched with this female thread structure.When lacunula endoscopic surgery drag hook blocks for some reason, spiral junction point can be unscrewed and carry out dismantling and respectively the auxiliary suction hole in drag hook body, drag hook bar, the first through hole and the second through hole dredged, and be conducive to postoperative sterilization.
Described auxiliary suction hole 12 is opened in the port of the free end of drag hook body 1.When lacunula endoscopic surgery drag hook blocks for some reason, spiral junction point can be unscrewed and carry out dismantling and respectively auxiliary suction hole 12, first through hole 11 in drag hook body 1, drag hook bar 2 and the second through hole 21 dredged, and be conducive to postoperative sterilization.
Described drag hook bar 2 is provided with barometric control unit 4, and this barometric control unit 4 is located on the drag hook handle 3 of drag hook bar 2.Described barometric control unit can realize controllable type to drag hook and regulate, in the process of ultrasound knife or electric knife chorista, when producing vaporization water smoke, smog interference visual area, attraction degree by barometric control unit 4 pairs of vacuum extractors regulates, the clear visual field of rapid recovery, thus shorten operating time.
The external diameter of described drag hook body is 3mm; The external diameter of described drag hook bar is 3mm, and length is 120mm.
Actual example:
During use, first carry out guiding puncture with injection needle, thrust skin by the opening of external preparation for skin drag hook body 1 and pass through to rotate drag hook handle 3, make drag hook body 1, drag hook bar 2 enters operation technique intracavity, under the assistance of chamber mirror apparatus, adjust the position of drag hook body 1 and drag hook bar 2 and tractive is carried out to muscle group tissue, facilitating the multi-direction abundant exposure operation technique visual field.In the process of ultrasound knife or electric knife chorista, when producing vaporization water smoke, smog interference visual area, the attraction degree by barometric control unit 4 pairs of vacuum extractors regulates, and recovers the clear visual field rapidly, thus shortens operating time.Described lacunula endoscopic surgery drag hook is in foundation and maintain while transluminal operation space, achieves controllable type suction, and due to caliber less, going out after hook skin can without suture, meets the developing direction of " a tool multipotency " and Wicresoft principle attractive in appearance.
Below the preferred embodiment that this utility model is created is illustrated, but this utility model is created and is not limited to described embodiment, those of ordinary skill in the art can also make all equivalent modification or replacement under the prerequisite without prejudice to this utility model creative spirit, and these equivalent modifications or replacement are all included in the application's claim limited range.

Claims (9)

1. a lacunula endoscopic surgery drag hook, is characterized in that: comprise drag hook body (1), drag hook bar (2) and drag hook handle (3), wherein:
Described drag hook body (1) is bending tubular structure, drag hook body (1) is provided with the first through hole (11) along its axial running through, and drag hook body (1) offers the auxiliary suction hole (12) be communicated with this first through hole (11);
One end of described drag hook body (1) is free end, the port conically structure of this free end, and the other end of drag hook body (1) is link;
Described drag hook bar (2) is provided with the second through hole (21) along its axial running through, one end of drag hook bar (2) is connected on the link of drag hook body (1), and the first through hole (11) and the second through hole (21) are interconnected;
Described drag hook bar (2) is upper installs drag hook handle (3).
2. a kind of lacunula endoscopic surgery drag hook according to claim 1, it is characterized in that: described drag hook body (1) comprises the horizontal segment (13), vertical section (14) and the tilting section (15) that connect successively, wherein:
Described link is the port of horizontal segment (13), and free end is the port of tilting section (15), and the angular range of vertical section (14) and tilting section (15) is 60 ~ 120 °.
3. a kind of lacunula endoscopic surgery drag hook according to claim 1, is characterized in that: the inwall at described drag hook body (1) link place is provided with female thread structure;
Described drag hook bar (2) one end outer wall that connect corresponding to this drag hook body (1) is provided with the external thread structure matched with this female thread structure.
4. a kind of lacunula endoscopic surgery drag hook according to claim 1, is characterized in that: the outer wall at described drag hook body (1) link place is provided with external thread structure;
Described drag hook bar (2) one end inwall that connect corresponding to this drag hook body (1) is provided with the female thread structure matched with this external thread structure.
5. a kind of lacunula endoscopic surgery drag hook according to claim 1, is characterized in that: described drag hook body (1) and drag hook bar (2) are integral type structure.
6. a kind of lacunula endoscopic surgery drag hook according to claim 1, is characterized in that: described auxiliary suction hole (12) is opened in the port of the free end of drag hook body (1).
7. a kind of lacunula endoscopic surgery drag hook according to claim 1, is characterized in that: described drag hook bar (2) is provided with barometric control unit (4).
8. a kind of lacunula endoscopic surgery drag hook according to claim 7, is characterized in that: described barometric control unit (4) is located on the drag hook handle (3) of drag hook bar (2).
9. a kind of lacunula endoscopic surgery drag hook according to claim 1, is characterized in that: the overall diameter of described drag hook body (1) is 2 ~ 4mm;
The overall diameter of described drag hook bar (2) is 2 ~ 4mm, and length is 80 ~ 120mm.
CN201520222059.5U 2015-04-14 2015-04-14 A kind of lacunula endoscopic surgery drag hook Active CN204671200U (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106264629A (en) * 2016-11-04 2017-01-04 山东大学第二医院 Scope skull base surgery drag hook and method
CN109820552A (en) * 2019-03-20 2019-05-31 中国医学科学院北京协和医院 A kind of arthroscope finger pin of the manual control with attraction channel
CN110393557A (en) * 2019-07-23 2019-11-01 四川省肿瘤医院 Oral approach Undergoing Endoscopic Thyroidectomy lacuna tractor

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106264629A (en) * 2016-11-04 2017-01-04 山东大学第二医院 Scope skull base surgery drag hook and method
CN109820552A (en) * 2019-03-20 2019-05-31 中国医学科学院北京协和医院 A kind of arthroscope finger pin of the manual control with attraction channel
CN110393557A (en) * 2019-07-23 2019-11-01 四川省肿瘤医院 Oral approach Undergoing Endoscopic Thyroidectomy lacuna tractor

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