CN210644095U - Puncture traction device for thyroid operation with three-dimensional directional endoscope - Google Patents
Puncture traction device for thyroid operation with three-dimensional directional endoscope Download PDFInfo
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- CN210644095U CN210644095U CN201921057178.4U CN201921057178U CN210644095U CN 210644095 U CN210644095 U CN 210644095U CN 201921057178 U CN201921057178 U CN 201921057178U CN 210644095 U CN210644095 U CN 210644095U
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- outer frame
- fixing
- traction device
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- draw hook
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Abstract
The puncture traction device for the stereotactic endoscopic thyroid surgery comprises an outer frame, 2 drag hook fixing assemblies, 2 shoulder fixing frames, 2 head fixing assemblies and drag hooks; the 2 drag hook fixing components are matched with the sliding blocks and are arranged on two sides of the two arc-shaped plates of the outer frame through screws; the 2 shoulder fixing frames are of U-shaped structures and are symmetrically fixed on two sides of the lower part of the outer frame through bolt connection; the 2 head fixing components are inclined at 120 degrees, comprise head fixing plates, threaded columns, rubber discs and fastening ear pieces with threads, and are fixed on two sides of the upper part of the outer frame through screws; the draw hook is arranged in a round hole of the draw hook fixing plate and is fastened by screws through threaded holes in the side wall.
Description
The technical field is as follows:
the utility model belongs to the technical field of medical instrument and specifically relates to three-dimensional directional chamber mirror thyroid surgery puncture draw gear.
Technical background:
the laparoscopic thyroid surgery is usually operated in a mode that an operation channel is established in a mucous membrane area of a areola or an oral cavity vestibule and a hidden position of a neck, and an endoscope and an endoscopic surgical instrument are arranged. The general method is to maintain the operation space of the cavity gap around the thyroid gland through carbon dioxide, the exposure of the operation field is particularly important, and the operation space is expanded by matching with a puncture drag hook or a frame drag hook.
Because the continuous use of carbon dioxide can cause complications such as hypercapnia, subcutaneous emphysema, gas embolism and the like, the fixed position of a common draw hook is not suitable to be adjusted, the exposure is not sufficient, and the operation of the operation is influenced; meanwhile, a professional assistant is required to take charge of continuously pulling the draw hook, so that the operation of a doctor is influenced; therefore, it is very important to design an endoscopic thyroid surgery traction device which fully exposes the visual field of the surgical operation, continuously adjusts the traction direction according to the surgical operation process and does not need a specially-assigned person.
The utility model has the following contents:
the utility model discloses to among the laparoscopic thyroid surgery surgical field space little, the professional assistant is more, drag hook fixed position should not adjust the scheduling problem, provided the utility model discloses a. The content is as follows:
a puncture traction device for a stereotactic endoscopic thyroid surgery comprises an outer frame, 2 drag hook fixing components, 2 shoulder fixing frames, 2 head fixing components and drag hooks.
The 2 drag hook fixing components are matched with the sliding blocks and are arranged on two sides of the two arc-shaped plates of the outer frame through screws; the 2 shoulder fixing frames are symmetrically fixed on two sides of the lower part of the outer frame through bolt connection; the 2 head fixing components are fixed on two sides of the upper part of the outer frame through screws; the draw hook is arranged in the through hole of the draw hook fixing plate and is fastened by screws.
Furthermore, the outer frame is of an arch structure, and two arc-shaped plates at the middle part are provided with long slotted holes; the flat plates on the two sides of the outer frame are sequentially provided with 4 threaded holes, 1 vertical runway hole and 2 rows of transverse runway holes from top to bottom.
Furthermore, the drag hook fixing assembly comprises a drag hook fixing plate, a drag hook fixing screw, a drag hook fixing plate fastening screw and a sliding block; the two ends of the drag hook fixing plate are respectively provided with 1 threaded hole, the middle of the drag hook fixing plate is provided with a row of equidistant through holes for installing drag hooks, and the corresponding through hole side wall is provided with threaded holes.
Furthermore, the whole shoulder fixing frame (3) is of a U-shaped structure, 4 through holes are formed in a flat plate at the end part, and the end part of the U-shaped elbow is welded to the center of the surface of the flat plate.
Further, the head fixing assembly comprises a head fixing plate, a threaded column, a rubber disc and a fastening lug with threads; the head fixing plate is inclined at an angle of 120 degrees, 4 through holes are formed in the end flat plate, and the other end of the end flat plate is connected with a threaded column; the rubber disc and the fastening ear piece with the screw thread are respectively installed on two sides of the screw thread column, and the center of the frame is symmetrical outside the 2 head fixing components.
Furthermore, the draw hook comprises a push-pull handle, a cylindrical sleeve, a circular ring rubber block, a draw hook guide shaft, a pin shaft, a clamping jaw and a telescopic spring; the lower part of the cylindrical sleeve is in an inclined opening shape, and a circular step is arranged inside the cylindrical sleeve; the outer side of the upper part of the cylindrical sleeve is provided with two symmetrical ear pieces which are convenient to hold by hands; the circular ring rubber block is arranged on the inner wall of the cylindrical sleeve, and a circular hole is formed in the middle of the circular ring rubber block for mounting a drag hook guide shaft; the upper end of the drag hook guide shaft is connected with the push-pull handle through threads, the lower end of the drag hook guide shaft is connected with the clamping jaws through pin shafts, and the telescopic springs are arranged between the clamping jaws to realize opening and closing actions.
Description of the drawings:
FIG. 1 is a schematic view of the overall structure of the present invention;
FIG. 2 is a schematic diagram of an outer frame structure;
FIG. 3 is a schematic view of a hook fastening assembly;
FIG. 4 is a schematic view of a shoulder fixing frame;
FIG. 5 is a schematic view of a head restraint assembly;
FIG. 6 is a schematic view of the retractor;
fig. 7 is an enlarged view of a portion of the retractor.
1-outer frame, 2-drag hook fixing component, 3-shoulder fixing rack, 4-head fixing component and 5-drag hook;
11-a long slotted hole, 12-a threaded hole, 13-a vertical runway hole and 14-a transverse runway hole;
21-a hook fixing plate, 22-a hook fixing screw, 23-a hook fixing plate fastening screw and 24-a sliding block;
31-flat plate, 32-U-bend;
41-head fixing plate, 42-thread column, 43-rubber disc, 44-fastening ear piece with thread;
51-push-pull handle, 52-cylindrical sleeve, 53-symmetrical ear-bearing, 54-circular rubber block, 55-drag hook guide shaft, 56-circular step, 57-clamping jaw, 58-pin shaft, and 59-expansion spring.
The specific implementation mode is as follows:
the invention will be further described with reference to the following embodiments and drawings:
a puncture traction device for a stereotactic endoscopic thyroid surgery comprises an outer frame 1, 2 drag hook fixing components 2, 2 shoulder fixing frames 3, 2 head fixing components 4 and drag hooks 5.
The 2 drag hook fixing components 2 are matched with the sliding blocks 24 and are arranged on two sides of two circular arc-shaped plates of the outer frame 1 through screws; the 2 shoulder fixing frames 3 are symmetrically fixed on two sides of the lower part of the outer frame 1 through bolt connection; the 2 head fixing components 4 are fixed on two sides of the upper part of the outer frame 1 through screws; the draw hook 5 is arranged in a through hole of the draw hook fixing plate 21 and is fastened by screws.
Furthermore, the outer frame 1 is of an arch structure, and two arc-shaped plates in the middle are provided with long slotted holes; the flat plates on the two sides of the outer frame are sequentially provided with 4 threaded holes, 1 vertical runway hole and 2 rows of transverse runway holes from top to bottom.
Furthermore, the hook fixing assembly 2 comprises a hook fixing plate 21, hook fixing screws 22, hook fixing plate fastening screws 23 and a sliding block 24; the two ends of the drag hook fixing plate 21 are respectively provided with 1 threaded hole, the middle of the drag hook fixing plate is provided with a row of equidistant through holes for installing drag hooks 5, and the corresponding through hole side wall is provided with threaded holes.
Furthermore, the whole shoulder fixing frame 3 is in a U-shaped structure, 4 through holes are formed in the end flat plate 31, and the end of the U-shaped elbow 32 is welded to the center of the surface of the flat plate 31.
Further, the head fixing assembly 4 comprises a head fixing plate 41, a threaded column 42, a rubber disc 43, a fastening ear piece 44 with threads; the head fixing plate 41 has an inclination angle of 120 degrees, 4 through holes are formed in the end flat plate, and the other end of the end flat plate is connected with a threaded column 42; the two sides of the threaded column 42 are respectively provided with a rubber disc 43 and a fastening ear piece 44 with threads, and 2 head fixing components are in central symmetry with the outer frame 1.
Furthermore, the draw hook 5 comprises a push-pull handle 51, a cylindrical sleeve 52, an annular rubber block 54, a draw hook guide shaft 55, a pin shaft 58, a clamping jaw 57 and a telescopic spring 59; the lower part of the cylindrical sleeve 52 is in a bevel shape, and a circular step 56 is arranged inside the cylindrical sleeve; the outer side of the upper part of the cylindrical sleeve 52 is provided with two symmetrical ear pieces 53 which are convenient for holding by hands; the circular ring rubber block 54 is arranged on the inner wall of the cylindrical sleeve 52, and a circular hole is arranged in the middle of the circular ring rubber block 54 for installing a draw hook guide shaft 55; the upper end of the drag hook guide shaft 55 is connected with the push-pull handle 51 through threads, the lower end of the drag hook guide shaft is connected with the clamping jaws 57 through pin shafts 58, and the telescopic springs 59 are arranged between the clamping jaws 57 to realize opening and closing actions.
The specific operation engineering is as follows:
before operation: firstly, mounting 2 head fixing components 4 on an outer frame 1 through screws, and mounting 2 drag hook fixing components 2 on two sides of two arc-shaped plates of the outer frame 1 through drag hook fastening screws 23; after the operation patient lies down the operation table, the U-shaped elbow 32 can be conveniently inserted into the armpit of the patient by adjusting the position between the 2 shoulder fixing frames 3 and is fixedly connected to the two rows of runway holes 14 at the lower part of the outer frame 1 by bolts; then the whole device is fixed on an operating table by screws through vertical runway holes 13 in the middle parts of two sides of the outer frame 1; the head fixation is performed by adjusting the amount of the threaded post 42 of the head fixation assembly 4 to allow the puck 44 to contact the patient's head and then tighten the locking position of the threaded ear piece 43.
During operation: after the neck puncture position of the patient is determined, the position of the drag hook fixing plate 21 is adjusted by pushing the sliding block 24, the drag hook fixing plate is fastened by the drag hook fixing plate fastening screw 23, the clamping jaw 57 of the drag hook 5 is received in the cylindrical sleeve 52, the drag hook 5 is completely penetrated into the corresponding through hole of the drag hook fixing plate, the skin is punctured, and the push-pull handle 51 is pushed to enable the clamping jaw 57 to be opened under the action of the telescopic spring 59; the cylinder sleeve 52 is pushed to force the clamping jaw 57 to close and grab muscle tissue, the circular ring rubber block 54, the guide shaft 55 and the circular through sleeve 52 are in tight fit structures and cannot loosen, after the muscle tissue is grabbed, the proper position is adjusted by means of the symmetrical ear pieces 53 of the cylinder sleeve 52, and the hook position is fixed by screwing the hook fixing screw 22.
After the operation: after the operation, the device needs to be dismantled, the wire loosens the hook fixing screw 22 to push the push-pull handle 51 to ensure that the clamping jaw 57 loosens the muscle tissue, and the hook 5 is taken down; then, the threaded post 42 of the head fixing assembly 4 is operated to move the puck 43 away from the press on the head; and finally, screwing down the screws for fixing the fixed outer frame 1 on the operating table, and taking down the whole device.
Claims (6)
1. A puncture traction device for a stereotactic endoscopic thyroid surgery comprises an outer frame (1), 2 drag hook fixing assemblies (2), 2 shoulder fixing frames (3), 2 head fixing assemblies (4) and drag hooks (5); the method is characterized in that: the 2 drag hook fixing components (2) are matched with the sliding blocks (24) and are arranged on two sides of the two circular arc-shaped plates of the outer frame (1) through screws; the 2 shoulder fixing frames (3) are symmetrically fixed on two sides of the lower part of the outer frame (1) through bolt connection; the 2 head fixing components (4) are fixed on two sides of the upper part of the outer frame (1) through screws; the draw hook (5) is arranged in a through hole of the draw hook fixing plate (21) and is fastened by screws.
2. The puncture traction device for the stereotactic endoscopic thyroid surgery according to claim 1, which is characterized in that: the outer frame (1) is of an arch structure, and two arc-shaped plates at the middle part are provided with long slotted holes; the flat plates on the two sides of the outer frame are sequentially provided with 4 threaded holes, 1 vertical runway hole and 2 rows of transverse runway holes from top to bottom.
3. The puncture traction device for the stereotactic endoscopic thyroid surgery according to claim 1, which is characterized in that: the draw hook fixing assembly (2) comprises a draw hook fixing plate (21), a draw hook fixing screw (22), a draw hook fixing plate fastening screw (23) and a sliding block (24); the two ends of the drag hook fixing plate (21) are respectively provided with 1 threaded hole, the middle of the drag hook fixing plate is provided with a row of equidistant through hole installation drag hooks (5), and the corresponding through hole side wall is provided with threaded holes.
4. The puncture traction device for the stereotactic endoscopic thyroid surgery according to claim 1, which is characterized in that: the whole shoulder fixing frame (3) is of a U-shaped structure, 4 through holes are formed in the end flat plate (31), and the end of the U-shaped bent pipe (32) is welded to the center of the surface of the flat plate (31).
5. The puncture traction device for the stereotactic endoscopic thyroid surgery according to claim 1, which is characterized in that: the head fixing component (4) comprises a head fixing plate (41), a threaded column (42), a rubber disc (43) and a fastening ear piece (44) with threads; the head fixing plate (41) is inclined at an angle of 120 degrees, 4 through holes are formed in the end flat plate, and the other end of the end flat plate is connected with a threaded column (42); rubber discs (43) and fastening ear pieces (44) with threads are respectively arranged on two sides of the threaded column (42), and the 2 head fixing components are in central symmetry with the outer frame (1).
6. The puncture traction device for the stereotactic endoscopic thyroid surgery according to claim 1, which is characterized in that: the draw hook (5) comprises a push-pull handle (51), a cylindrical sleeve (52), a circular ring rubber block (54), a draw hook guide shaft (55), a pin shaft (58), a clamping jaw (57) and a telescopic spring (59); the lower part of the cylindrical sleeve (52) is in an inclined opening shape, and a circular step (56) is arranged inside the cylindrical sleeve; two symmetrical ear pieces (53) are arranged on the outer side of the upper part of the cylindrical sleeve (52) and are convenient to hold by hands; a circular ring rubber block (54) is arranged on the inner wall of the cylindrical sleeve (52), and a circular hole is formed in the middle of the circular ring rubber block (54) for installing a draw hook guide shaft (55); the upper end of the drag hook guide shaft (55) is connected with the push-pull handle (51) through threads, the lower end of the drag hook guide shaft is connected with the clamping jaws (57) through pin shafts (58), and telescopic springs (59) are arranged between the clamping jaws (57) to realize opening and closing actions.
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
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CN201920308586 | 2019-03-12 | ||
CN2019203085866 | 2019-03-12 |
Publications (1)
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CN210644095U true CN210644095U (en) | 2020-06-02 |
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CN201921057178.4U Expired - Fee Related CN210644095U (en) | 2019-03-12 | 2019-07-08 | Puncture traction device for thyroid operation with three-dimensional directional endoscope |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN113413222A (en) * | 2021-06-22 | 2021-09-21 | 昆明市延安医院 | Micro-root tip is 3D for operation to print drag hook |
-
2019
- 2019-07-08 CN CN201921057178.4U patent/CN210644095U/en not_active Expired - Fee Related
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN113413222A (en) * | 2021-06-22 | 2021-09-21 | 昆明市延安医院 | Micro-root tip is 3D for operation to print drag hook |
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GR01 | Patent grant | ||
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: 20200602 Termination date: 20210708 |