CN205215311U - Peel off minor kinesitherapy nerve guardianship probe - Google Patents

Peel off minor kinesitherapy nerve guardianship probe Download PDF

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Publication number
CN205215311U
CN205215311U CN201520905736.3U CN201520905736U CN205215311U CN 205215311 U CN205215311 U CN 205215311U CN 201520905736 U CN201520905736 U CN 201520905736U CN 205215311 U CN205215311 U CN 205215311U
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China
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flat
handle
arc portion
head
bar head
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Expired - Fee Related
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CN201520905736.3U
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Chinese (zh)
Inventor
谢磊
周亮
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Individual
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Individual
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Abstract

The the operation step with time is shortened, reducing the peel off minor kinesitherapy nerve guardianship probe of operation risk, having handle (3), wear to have put wire (5) in the handle, the handle front end has cup jointed metallic pole head (1), the portion of cup jointing (14) of this pole head rear end with electrical connection wire in the handle, the tip is flat form bended -arc portion (11) before the pole head, and the front end of this flat form bended -arc portion is the arc, and pole head outer wall removes the outer coating of part of the preceding terminal surface of the flat form bended -arc portion of subtotal of the portion of cup jointing has the insulating layer, makes the bare surface of part for removing the insulating layer of the preceding terminal surface of flat form bended -arc portion, pole head length 40 -200mm, pole head maximum diameter part diameter are 3 -6mm, the long 40 -200mm of handle, diameter 5 -15mm. The utility model is used for kinesitherapy nerve guardianship in the surgery operation.

Description

Peel off minor nervus motorius monitoring probe
Technical field
This utility model relates to a kind of surgical instrument, and particularly in operation, nervus motorius guards supporting apparatus.
Background technology
The NIM nervus motorius monitor of Medtronic Inc. (Medtronic, Inc.) is used for nervus motorius monitoring in department of general surgery, particularly thyroid surgery art.This instrument realizes nervus motorius location and functional assessment in art by the monitoring Neuromuscular signal of telecommunication.Needle-like nerve probe in instrument inserts in the muscle group needing the nerve of monitoring to arrange, by the continuous transmitted pulse signal of telecommunication, after motor nerve conduction to collecting electrode, utilize software analysis related data, and then realize location and the functional assessment of relative motion nerve.The accurate location of nervus motorius position and direction of travel in operation, to be conducive to avoiding in art, to motorial damage, reducing or eliminating postoperative complication.For detection monitoring motorial in various head neck operation art, especially minimal incision * scope assists the detection of recurrent laryngeal nerve and external branch in thyroid operation art to guard, and the function of existing NIM nervus motorius monitor can not be despised.Because the nerve probe of this monitor is needle probe, do not possess surgical procedures function, in operation, this probe detection is determined neural position and walks backward, also need to change other apparatuses and carry out neural anatomical isolation, avoid nerve injury in art, thereby increase apparatus and substitute frequency, thus increase operating difficulty, extend operating time.On the other hand, owing to having substituted apparatus, carrying out, in neural anatomical isolation operation, lacking real-time nerve monitoring, also increasing the risk of nerve injury.Therefore, the NIM nervus motorius monitor system that first wife comprises needle-like nerve probe is the surgical assist tools of a kind of interruption, function singleness, cannot meet minimally invasive surgery to the Real-Time Monitoring of nerve and the multi-functional requirement of this apparatus of anatomical isolation.
Summary of the invention
This utility model to solve department of general surgery in prior art particularly in thyroid surgery nerve location monitoring adopt special NIM nervus motorius monitor; not there is the neuro anatomy work of separation use; monitoring and anatomical isolation protection is made to substitute apparatus; operate step by step; thus cause increasing operating procedure, extend operating time, be unfavorable for operation safety; the problem of increase equipment expenditure, provides a kind of for this reason and peels off minor nervus motorius monitoring probe.This probe had both had the nerve probe function of prior art, there is again the function of traditional neural elevator, nerve location detection can be done in operation, neuro anatomy can be done again be separated, thus reduce operating procedure and time, greatly reduce the nerve injury equivalent risk of performing the operation and causing, save cost of equipment.
For solving the problem, the technical solution adopted in the utility model is provided with handle, wire has been placed in handle, described handle front end sleeve is connected to metallic pole head, the socket part of this bar head rear end is electrically connected with the wire in described handle, its special character is described nose portion is flat-shaped arc portion, the front end of this flat-shaped arc portion is arc, bar head outer wall is coated with insulating barrier except the part of the part of described socket part and the front end face of flat-shaped arc portion, makes the part of the front end face of flat-shaped arc portion for removing the exposed surface of insulating barrier; Long 40-the 200mm of described bar head, bar head maximum gauge section diameter is 3-6mm, described handle long 40-200mm, diameter 5-15mm.
It is appropriate that described flat-shaped curved arc minister 15-25mm, the wide 3-6mm of flat-shaped arc portion its maximum width, flat-shaped arc portion curved arc radius of curvature is not less than 19.4mm.
Preferably described bar head has taper and isometrical portion, is connected as a single entity before and after taper and isometrical portion, and taper extends forward gradually thin, and taper front end is connected in described flat-shaped arc portion, and rear end, isometrical portion is connected in described socket part.
Preferably described handle leading section has the cavity that forward end is opened, and the socket part of the described bar head be socketed with handle is inserted in the described cavity of handle leading section.
Embeddingly bottom the cavity of described handle is axial should have the metal nipple be connected with described wire, the rear end, socket part of described bar head is inserted in this metal nipple.
Preferably the cavity leading section inner sleeve of described handle has fixing female connector, and the socket part inner sleeve of described bar head passes this fixing female connector.
The preferably long 54-100mm of described bar head, bar head maximum gauge section diameter is 3.5-4.5mm;
Be more preferably described flat-shaped curved arc minister 17-22mm, the wide 3.5-4.5mm of flat-shaped arc portion its maximum width, flat-shaped arc portion radius of curvature is 22-27mm.
Further, the long 72-82mm of described bar head, bar head maximum gauge section diameter is 3.8-4.2mm, described flat-shaped curved arc minister 18.5-20.5mm, and the wide 3.8-4.2mm of flat-shaped arc portion the widest part, flat-shaped arc portion radius of curvature is 23.5-25.5mm.
Further again, the long 77mm of described bar head, bar head maximum gauge section diameter is 4mm, and described flat-shaped curved arc minister 19mm, the wide 4mm of flat-shaped arc portion the widest part, flat-shaped arc portion radius of curvature is 24.3mm.
The long 127.5mm of most preferred described handle, handle diameters 7mm.
The front end of flat-shaped arc portion described in the utility model is arc, and the front end face of described flat-shaped arc portion, at least partly for removing the exposed surface of insulating barrier, refers to that front end face arc top place is the exposed surface of insulating barrier especially.
It should be noted that described flat-shaped curved arc minister 15-25mm, refer to straightway that these arc portion two ends the connect length as this rectangle long limit during rectangle diagonal.
Described bar head in this utility model, outer likeness in form traditional neural elevator, is made of metal.Bar head except the flat-shaped part of arc portion front end face of front portion and the socket part at rear portion and described connecting position of wires, all cover by insulating coating.The metal that flat-shaped arc portion front end face is exposed is the position of release electric pulse, therefore, this utility model while doing to be separated dissection with flat-shaped arc portion to tissue, can utilize the exposed metallic member of flat-shaped arc portion front end face to discharge electric pulse and does to carry out neural Detection location.
Handle in this utility model is used for gripping when doctor operates, owing to being provided with wire in handle, wire is electrically connected with bar head, and the wire other end can be connected with described nerve monitor main frame, therefore handle is also the peripheral hardware part of bar head and main frame electrical connecting wire, its inner conductors is for transmitting pulse signal.The medical H59 material that the material selection of handle can be sterilized repeatedly.Handle cross-section can be circular, also can be the polygon being applicable to facilitating holding operation, should arrange anti-slip veins anti-skidding in handle surfaces.
Fixing female connector described in the utility model plays maintenance effect between bar head and handle, adapter rod head and handle in its profile, its material should be able to accept repeatedly to sterilize, and ensures to have certain plasticity and without larger stress deformation in profile, can continue to provide stable retention.
Its structure of described handle in this utility model seemingly can be same as the handle of existing Medtronic Inc. NIM nervus motorius monitor monitoring probe, described bar head in this utility model is then brand-new design, has the diverse technical characteristic with prior art and has new function.
Bar head in this utility model is except the part of its flat-shaped arc portion front end face and rear portion and described connecting position of wires, remaining surface is coated with insulating coating, object is the place by insulating coating, the point of release of pulse electrical signal limitation being concentrated on flat-shaped arc portion front end face, as end arc top place, as increased nerve positioning precision thus, and avoid unnecessary signal disturbing.
This utility model is particularly suitable for the special operational demand of Wicresoft's Thyroid Surgery, and arthroscopic diagnosis operation in being applicable to.
This utility model can adapt to the multiple nerve monitor of the NIM series of current extensive use, for replacing the needle-like monitoring probe of prior art.User can carry out the separation organized and dissect while neuroprobe location, realizes neuroprobe and appears with nerve, is separated and completes simultaneously, significantly reduce surgical operation step, save a large amount of operating times.While appearing nerve, real-time detection function of nervous system, thus significantly improve operation safety, the recurrent laryngeal nerve in thyroid operation energy maximum possible reduction art and external branch are damaged.In addition, the most advanced and sophisticated radian of the bar head that adjusts according to endoscopic surgery feature, and operates environment high and adapts under scope, be more conducive to endoscopic Micro-operation.By adjusting lever head length, this utility model can be applicable to various types of thyroid endoscopic surgery, comprises the auxiliary and full Endoscopic Thyroidectomy of Cavity Injection of the minimal incision * scope of at present most extensive use.If adjustment handle specification further, also can make this utility model scope of application expand on the various neural custodial care facility of employing similar principles.Therefore first this utility model has height suitability, can reduce the spending of user on fixing device.
Accompanying drawing explanation
Fig. 1 is the bar head appearance schematic diagram in this utility model;
Fig. 2 is the top view of Fig. 1;
Fig. 3 is the fixing female connector schematic diagram in this utility model;
Fig. 4 is A-A sectional view of Fig. 3;
Fig. 5 is the handle contours figure in this utility model;
Fig. 6 is the sectional view of a kind of handle in this utility model together with built-in part;
Fig. 7 is that comprise handle, fixing female connector and the head cover in this utility model connects partial structurtes schematic diagram partly.
Detailed description of the invention
Embodiment one
Peel off minor nervus motorius monitoring probe, there is handle 3, wire 5 has been placed in handle, handle 3 front end sleeve is connected to metallic pole head 1, bar head rearward end is socket part 14, handle 3 leading section has the cavity 31 that forward end is opened, and the axial bottom of this cavity is embedding the metal nipple 4 be connected with wire 5, and the rear end, described socket part 14 of bar head is inserted in this metal nipple 4 and is electrically connected with wire 5; Nose portion is flat-shaped arc portion 11, the front end of this flat-shaped arc portion is arc, bar head outer wall, except the part on the part of described socket part and the front end face arc top of flat-shaped arc portion, being coated with insulating barrier, making the part on the front end face arc top of flat-shaped arc portion for removing the exposed surface of insulating barrier; Typical one is: the long 77mm of bar head 1, and bar head maximum gauge section diameter is 4mm, the long 19mm of flat-shaped arc portion 11, the wide 4mm of flat-shaped arc portion 11 the widest part, and the radius of curvature of flat-shaped arc portion 11 curved arc is 24.3mm, the long 127.5mm of handle 3, handle diameters 7mm; Described bar head 1 has taper 12 and isometrical portion 13, is connected as a single entity before and after taper and isometrical portion, and taper extends forward gradually thin, and taper front end is connected in flat-shaped arc portion 11, and rear end, isometrical portion is connected in socket part 14; Be typically: socket minister 17.5mm, isometrical minister 15mm, the long 25.5mm of taper; Described wire 5 other end stretches out in handle rear end and extends and can be connected with the main frame of the NIM nervus motorius monitor of Medtronic Inc..
Embodiment two
This example peels off minor nervus motorius monitoring probe, that be different from example is the long 42mm of bar head 1, bar head maximum gauge section diameter is 3.8mm, the long 15mm of flat-shaped arc portion 11, the wide 3.8mm of flat-shaped arc portion 11 the widest part, the radius of curvature of flat-shaped arc portion 11 curved arc is 19.4mm, the long 40mm of handle 3, handle diameters 5mm; Socket part, isometrical portion and taper overall length 27mm, further feature is identical with upper example.
Embodiment three
This example peels off minor nervus motorius monitoring probe, that be different from example one is the long 198mm of bar head 1, bar head maximum gauge section diameter is 4.2mm, the long 25mm of flat-shaped arc portion 11, the wide 4.2mm of flat-shaped arc portion 11 the widest part, the radius of curvature of flat-shaped arc portion 11 curved arc is 300mm, the long 198mm of handle 3, handle diameters 15mm; Socket part, isometrical portion and taper overall length 173mm, further feature is identical with example one.

Claims (10)

1. peel off minor nervus motorius monitoring probe, there is handle (3), wire (5) has been placed in handle, handle front end sleeve is connected to metallic pole head (1), the socket part (14) of this bar head rear end is electrically connected with the wire in described handle, it is characterized in that described nose portion is flat-shaped arc portion (11), the front end of this flat-shaped arc portion is arc, bar head outer wall is coated with insulating barrier except the part of the part of described socket part and the front end face of flat-shaped arc portion, makes the part of the front end face of flat-shaped arc portion for removing the exposed surface of insulating barrier; The long 40-200mm of described bar head, bar head maximum gauge section diameter is 3-6mm, the long 40-200mm of described handle, diameter 5-15mm.
2. pop one's head in as claimed in claim 1, it is characterized in that described flat-shaped curved arc minister 15-25mm, the wide 3-6mm of flat-shaped arc portion the widest part, flat-shaped arc portion curved arc radius of curvature is not less than 19.4mm.
3. pop one's head in as claimed in claim 2, it is characterized in that described bar head has taper (12) and isometrical portion (13), be connected as a single entity before and after taper and isometrical portion, taper extends forward gradually thin, taper front end is connected in described flat-shaped arc portion, and rear end, isometrical portion is connected in described socket part.
4. the probe as described in claim 1,2 or 3, is characterized in that the cavity (31) that described handle leading section has forward end and opens, and the socket part of the described bar head be socketed with handle is inserted in the described cavity of handle leading section.
5. pop one's head in as claimed in claim 4, it is characterized in that the axial bottom of the cavity of described handle is embedding has the metal nipple (4) be connected with described wire (5), and the rear end, socket part of described bar head is inserted in this metal nipple.
6. pop one's head in as claimed in claim 5, it is characterized in that the cavity leading section inner sleeve of described handle has fixing female connector (2), the socket part inner sleeve of described bar head passes this fixing female connector.
7. pop one's head in as claimed in claim 6, it is characterized in that the long 54-100mm of described bar head, bar head maximum gauge section diameter is 3.5-4.5mm, described flat-shaped curved arc minister 17-22mm, the wide 3.5-4.5mm of flat-shaped arc portion the widest part, flat-shaped arc portion radius of curvature is 22-27mm.
8. pop one's head in as claimed in claim 7, it is characterized in that the long 72-82mm of described bar head, bar head maximum gauge section diameter is 3.8-4.2mm, described flat-shaped curved arc minister 18.5-20.5mm, the wide 3.8-4.2mm of flat-shaped arc portion the widest part, flat-shaped arc portion radius of curvature is 23.5-25.5mm.
9. pop one's head in as claimed in claim 8, it is characterized in that the long 77mm of described bar head, bar head maximum gauge section diameter is 4mm, and described flat-shaped curved arc minister 19mm, the wide 4mm of flat-shaped arc portion the widest part, flat-shaped arc portion radius of curvature is 24.3mm.
10. pop one's head in as claimed in claim 9, it is characterized in that the long 127.5mm of described handle, handle diameters 7mm.
CN201520905736.3U 2015-11-13 2015-11-13 Peel off minor kinesitherapy nerve guardianship probe Expired - Fee Related CN205215311U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201520905736.3U CN205215311U (en) 2015-11-13 2015-11-13 Peel off minor kinesitherapy nerve guardianship probe

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Application Number Priority Date Filing Date Title
CN201520905736.3U CN205215311U (en) 2015-11-13 2015-11-13 Peel off minor kinesitherapy nerve guardianship probe

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106691596A (en) * 2015-11-13 2017-05-24 谢磊 Stripping subtype nervus motorius monitoring probe

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106691596A (en) * 2015-11-13 2017-05-24 谢磊 Stripping subtype nervus motorius monitoring probe

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

Granted publication date: 20160511

Termination date: 20191113