CN208974019U - A kind of articulatio cricoary tenoidea reduction forceps - Google Patents

A kind of articulatio cricoary tenoidea reduction forceps Download PDF

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CN208974019U
CN208974019U CN201821058030.8U CN201821058030U CN208974019U CN 208974019 U CN208974019 U CN 208974019U CN 201821058030 U CN201821058030 U CN 201821058030U CN 208974019 U CN208974019 U CN 208974019U
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section
vice body
clamp
linkage section
ligation
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CN201821058030.8U
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于振坤
张庆翔
胡慧英
何双八
倪会
刘亚群
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Abstract

The utility model discloses a kind of articulatio cricoary tenoidea reduction forceps, including upper vice body and lower vice body, the upper vice body includes clamp handle, linkage section and clamp section, the linkage section includes Ligation in vitro section and internal linkage section, there is linkage section bending angle clamp handle to be made to be located at downward in the Ligation in vitro section opposite bank, the tail end of the clamp handle and Ligation in vitro section is hinged, the clamp section and the front end of internal linkage section are hinged, and clamp section is that level bends right and left shape with respect to the plane where linkage section, the internal linkage section is equipped with close to one end of clamp section and upwarps section;The lower vice body is integrally formed design, and has clamp handle compatible with upper vice body, linkage section and clamp section;The upper vice body and lower vice body enable and upper vice body are driven to translate that the clamp section of upper vice body and the clamp section of lower vice body is made to be formed and be opened and closed along lower vice body when stepping up clamp handle by hinged block composition four-bar mechanism;Slide block assembly is additionally provided between the upper vice body and the linkage section of lower vice body.

Description

A kind of articulatio cricoary tenoidea reduction forceps
Technical field
The utility model belongs to medical instruments field, more particularly to resets the ring spoon used through visual anesthesia articulatio cricoary tenoidea and close Save reduction forceps.
Background technique
Articulatio cricoary tenoidea is that arytenoid is connect with the plane articulation that annular cartilage is formed in cavum laryngis, supports the movement of vocal cords. For arytenoid on lamina of cricoid cartilage other than having the sliding of front and back, preceding outside to rear inside, there are also inclined across rotation to from inside to outside Rotation is made, and opening and the closing function of glottis is executed, to realize the sounding of larynx, swallow protection and respiratory function.Articulatio cricoary tenoidea Dislocation is mostly since throat's wound causes, including trachea cannula damage and throat's contusion injuries, wherein iatrogenic trachea cannula causer It is most common.Mainly cause the reactions such as patient's sound is hoarse, swallow pain, cough of choking, seriously affects patients ' life quality, also will cause Medical tangle hidden danger, often needs positive treatment.Articulatio cricoary tenoidea reset is main treatment method, but dedicated, reliable due to lacking Reduction instrument, the repositioning method of clinical use is varied, and reset effect is mostly inaccurate, thus can not form unified standard , reliable repositioning method.Due to lacking special equipment, doctor generally selects larynx section foreign body forceps, stirs steel bar, even fiber larynx Mirror, direct laryngoscope etc. are used for stirring for the arytenoid of Dislocation of cricoarytenoid joint, are unable to reach thoroughly clamping arytenoid, realize true Positive embolia operation.And these operations can only carry out under local anaesthesia mostly, and patient has Nausea and vomiting reaction, pain Greatly, therefore fitness is poor.There is application to arrive the articulatio cricoary tenoidea reduction forceps of patent, but design structure is still the doctor of patient's end sitting position Operation, and a degree of can only stir arytenoid, all with common foreign body forceps, stir steel bar etc. without essential distinction, because This, doctor is selected to use less.
Summary of the invention
In view of the deficiencies in the prior art and technical problem, the utility model provide a kind of articulatio cricoary tenoidea reset Pincers accurately can carry out convenient stable holding to the irregular left and right articulatio cricoary tenoidea of form, thus be able to achieve precisely smoothly translation, The homing action of rotation.
In order to solve the above technical problems, the utility model uses a kind of following technical scheme: articulatio cricoary tenoidea reduction forceps, packet Include vice body and lower vice body, the upper vice body includes clamp handle, linkage section and clamp section, the linkage section include Ligation in vitro section and Internal linkage section, there is linkage section bending angle clamp handle to be made to be located at downward, the clamp handle in the Ligation in vitro section opposite bank Hinged with the tail end of Ligation in vitro section, the clamp section and the front end of internal linkage section are hinged, and clamp section is with respect to linkage section institute Plane be that level bends right and left shape, the internal linkage section is equipped with close to one end of clamp section and upwarps section;The lower pincers It is designed as being integrally formed, and there is clamp handle compatible with upper vice body, linkage section and clamp section;The upper vice body and lower vice body Four-bar mechanism is formed by hinged block, enables and upper vice body is driven to translate to make upper vice body along lower vice body when stepping up clamp handle Clamp section and the clamp section of lower vice body, which are formed, to be opened and closed;Slide block assembly is additionally provided between the upper vice body and the linkage section of lower vice body.
Preferably, the Ligation in vitro section of the linkage section of the upper vice body and lower vice body, internal linkage section and upwarp section it Between for arc connect.
Preferably, the slide block assembly include the sliding block for being located at vice body linkage section, be located at lower vice body and with upper vice body The corresponding empty window in slide position, the sliding block is fastened in sky window, and can be limited and be slided along empty window.
Preferably, the clamp section includes the binding clip of bending section and front end, the binding clip is ring-type, and binding clip is opposite Sandwich serface is equipped with the flank of tooth, and due to using the cricoid binding clip of snakehead, when stepping up cartilaginous tissue, soft tissue can be packed in ring-type Cartilaginous tissue can be more effectively clamped in heart hole, while firm grip degree is improved by the flank of tooth of smooth arc-shaped surface, improved and resetted effect Rate.
Preferably, the periphery of the upper vice body and lower vice body is cambered surface, so that clamp be avoided to damage airway tissue.
Preferably, the bending angle between the Ligation in vitro section and internal linkage section is 110~135 °.
Preferably, the clamp section is 25~35 ° with respect to the horizontal curvature angle of linkage section.
Preferably, the angle for upwarping linkage section in section opposite bank is 120~160 °.
Preferably, the Ligation in vitro segment length is 2~4cm, the internal connection segment length is 8~12cm, described Upwarping segment length is 1~2cm, and the clamp segment length is 3~5cm.
The utility model has the advantages that compared with the existing technology, the utility model is used to combine visible anesthetic laryngoscope to carry out under anesthesia induction Articulatio cricoary tenoidea reduction, linkage section and clamp section are flat at and having the radian that mutually agrees with arytenoid, can grasp spoon Without damaging mucosal and cartilage, left and right articulatio cricoary tenoidea can accurately be pressed from both sides by being not required in addition to configure the attaching materials such as silica gel sheath It holds, and these attaching materials are easy to fall off causes the operations such as foreign body in airpassage unexpected.
Detailed description of the invention
Fig. 1 is the structural schematic diagram of articulatio cricoary tenoidea reduction forceps described in the use of the new type;
Fig. 2 is the structural schematic diagram of clamp section in articulatio cricoary tenoidea reduction forceps described in the utility model;
Fig. 3 is the enlarged drawing in Fig. 1 at A;
Fig. 4 is the enlarged drawing in Fig. 1 at B;
Fig. 5 is the cross section structure schematic diagram of slide block assembly in articulatio cricoary tenoidea reduction forceps described in utility model.
Wherein, upper vice body 1, clamp handle 11, linkage section 12, Ligation in vitro section 121, internal linkage section 122, upwarp section 123, hinge Connect block 124, sliding block 125, clamp section 13, bending section 131, binding clip 132, the flank of tooth 133, lower vice body 2, empty window 21.
Specific embodiment
With reference to the accompanying drawing and with specific embodiment, the utility model is furtherd elucidate.It should be understood that these embodiments are only used In illustrate the utility model rather than limitation the scope of the utility model, after having read the utility model, this field skill Art personnel fall within the application range as defined in the appended claims to the modification of the various equivalent forms of the utility model.
Articulatio cricoary tenoidea is the flexible multiaxis synovial joint of an activity, and forms of motion is extremely complex.In vocal cord movement process In, no matter vocal fold adduction or outreach, it is not only that swing, sliding and the rotational action of arytenoid, which all link up, synchronously complete, It is vertical, successively occur.So Dislocation of cricoarytenoid joint is typically also multiaxis, complicated dislocation when occurring, it is not single direction Dislocation.In addition, articulatio cricoary tenoidea face is small, glenoid is shallow, and position cannot achieve deeply and accurately handle touch reset.
As shown in figures 1-4, the special reduction forceps of the application can effectively, to be held fixedly the irregular spoon shape of form soft Bone, to be able to achieve precisely smoothly translation, rotational action.It mainly include upper vice body and lower vice body, wherein lower vice body is to fix Portion, upper vice body are movable part;The two is for flat pattern, and periphery places insertion bottleneck throat using cambered surface and damages software group It knits.Wherein upper vice body includes clamp handle, linkage section and clamp section, and the linkage section includes Ligation in vitro section and internal linkage section, institute Stating linkage section in Ligation in vitro section opposite bank, there is bending angle clamp handle to be made to be located at downward, the clamp handle and Ligation in vitro section Tail end is hinged, and the clamp section and the front end of internal linkage section are hinged, and the internal linkage section is equipped with close to one end of clamp section Section is upwarped, and clamp section is leftward or rightward bending with respect to the plane where linkage section.The lower vice body is integrally formed Design, and there is clamp handle compatible with upper vice body, linkage section and clamp section;The upper vice body and lower vice body pass through hinged block group At four-bar mechanism, enables and upper vice body is driven to translate the clamp section for making upper vice body and lower pincers along lower vice body when stepping up clamp handle The clamp section of body forms folding.In order to make upper vice body along the smooth translation of lower vice body, the bending part of the linkage section of vice body everywhere is used Arc-shaped transition connection.
In addition slide block assembly is set between the upper vice body and the linkage section of lower vice body, including is located at vice body linkage section Sliding block, be located at lower vice body and empty window corresponding with upper vice body slide position, the sliding block are fastened in sky window, and can be along empty window Limit sliding.
It is further improved, clamp section is made of the binding clip of bending section and front end, and bending section is to left or right with 30 ° or so The binding clip of horizontal arc curvature, front end is cyclic annular using snakehead, and the smooth flank of tooth is arranged on opposite folding face.Due to adopting With the cricoid binding clip of snakehead, when stepping up cartilaginous tissue, soft tissue can be packed in ring center hole can more effectively clamp it is soft Bone tissue, while firm grip degree is improved by the flank of tooth of smooth arc-shaped surface, it improves and resets efficiency.
Preferably, the bending angle between the Ligation in vitro section and internal linkage section is 110~135 °.The clamp section The horizontal curvature angle of opposite linkage section is 25~35 °.The angle for upwarping linkage section in section opposite bank is 120~160 °. The Ligation in vitro segment length is 2~4cm, and the internal connection segment length is 8~12cm, it is described upwarp segment length for 1~ 2cm, the clamp segment length are 3~5cm.
Existing articulatio cricoary tenoidea resets the excessively other surgical clamps of multi-pass and is used instead, these surgical clamp ends are in smooth Plane, coincideing with the arytenoid face of irregular shape, property is poor, these surgical clamps are when stirring to unstable, the hand of arytenoid force Art, which clamps, to be easy to slip between end and arytenoid, seriously affects reset effect, and articulatio cricoary tenoidea surface mucous is be easy to cause to damage. The object of the present invention is to provide a kind of more identical with arytenoid contact surface, contact is more stable, and articulatio cricoary tenoidea reset effect is more Good, the articulatio cricoary tenoidea reset used time is shorter, and the articulatio cricoary tenoidea of damage will not be caused to stir pincers to articulatio cricoary tenoidea.
Flat reduction forceps of the invention, can effectively, be held fixedly the irregular arytenoid of form, to be able to achieve Precisely smoothly translation, rotational action.Whole body material selection alloy material, matter is unlikely to deform firmly, long-lasting use, and surface is using dark Line design, will not generate reflective, influence surgical field of view.

Claims (9)

1. a kind of articulatio cricoary tenoidea reduction forceps, it is characterised in that: including upper vice body and lower vice body, the upper vice body includes clamp handle, connects Section and clamp section are connect, the linkage section includes Ligation in vitro section and internal linkage section, connection in the Ligation in vitro section opposite bank There is section bending angle clamp handle to be made to be located at downward, and the tail end of the clamp handle and Ligation in vitro section is hinged, the clamp Duan Yuti The front end of interior linkage section is hinged, and clamp section is that level bends right and left shape with respect to the plane where linkage section, described to connect in vivo Connect section close to one end of clamp section be equipped with upwarp section;The lower vice body is integrally formed design, and has and be adapted with upper vice body Clamp handle, linkage section and clamp section;The upper vice body and lower vice body are by hinged block composition four-bar mechanism, so that stepping up clamp handle When drive upper vice body that can translate the clamp section and lower vice body that make upper vice body along lower vice body clamp section formed and open and close;On described Slide block assembly is additionally provided between vice body and the linkage section of lower vice body.
2. articulatio cricoary tenoidea reduction forceps according to claim 1, it is characterised in that: the linkage section of the upper vice body and lower vice body Ligation in vitro section, internal linkage section and upwarp between section for arc connect.
3. articulatio cricoary tenoidea reduction forceps according to claim 2, it is characterised in that: the slide block assembly includes being located at vice body company The sliding block of section is connect, lower vice body is located at and empty window corresponding with upper vice body slide position, the sliding block are fastened in sky window, and can edge Empty window limit sliding.
4. articulatio cricoary tenoidea reduction forceps according to claim 2, it is characterised in that: the clamp section includes bending section and front end Binding clip, the binding clip is ring-type, and the opposite sandwich serface of binding clip is equipped with the flank of tooth.
5. articulatio cricoary tenoidea reduction forceps according to claim 2, it is characterised in that: the periphery of the upper vice body and lower vice body is equal For cambered surface.
6. articulatio cricoary tenoidea reduction forceps according to claim 2, it is characterised in that: the Ligation in vitro section and internal linkage section it Between bending angle be 110~135 °.
7. articulatio cricoary tenoidea reduction forceps according to claim 2, it is characterised in that: horizontal curved of the clamp section with respect to linkage section Bent angle is 25~35 °.
8. articulatio cricoary tenoidea reduction forceps according to claim 2, it is characterised in that: the folder for upwarping linkage section in section opposite bank Angle is 120~160 °.
9. articulatio cricoary tenoidea reduction forceps according to claim 2, it is characterised in that: the Ligation in vitro segment length is 2~4cm, The internal connection segment length is 8~12cm, and the segment length that upwarps is 1~2cm, and the clamp segment length is 3~5cm.
CN201821058030.8U 2018-07-05 2018-07-05 A kind of articulatio cricoary tenoidea reduction forceps Active CN208974019U (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108720900A (en) * 2018-07-05 2018-11-02 于振坤 A kind of articulatio cricoary tenoidea reduction forceps

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108720900A (en) * 2018-07-05 2018-11-02 于振坤 A kind of articulatio cricoary tenoidea reduction forceps
WO2020006949A1 (en) * 2018-07-05 2020-01-09 于振坤 Cricoarytenoid joint reduction forceps

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