CN2666358Y - Larynx sounding reproducer - Google Patents
Larynx sounding reproducer Download PDFInfo
- Publication number
- CN2666358Y CN2666358Y CN 200320124107 CN200320124107U CN2666358Y CN 2666358 Y CN2666358 Y CN 2666358Y CN 200320124107 CN200320124107 CN 200320124107 CN 200320124107 U CN200320124107 U CN 200320124107U CN 2666358 Y CN2666358 Y CN 2666358Y
- Authority
- CN
- China
- Prior art keywords
- cutting
- stitching
- trigger
- push rod
- base plate
- 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 - Lifetime
Links
- 210000000867 larynx Anatomy 0.000 title claims description 11
- 206010016717 Fistula Diseases 0.000 abstract description 11
- 230000003890 fistula Effects 0.000 abstract description 11
- 238000000034 method Methods 0.000 abstract description 8
- 206010023825 Laryngeal cancer Diseases 0.000 abstract 1
- 206010023841 laryngeal neoplasm Diseases 0.000 abstract 1
- 206010044310 Tracheo-oesophageal fistula Diseases 0.000 description 6
- 208000005864 Tracheoesophageal Fistula Diseases 0.000 description 6
- 208000016274 isolated tracheo-esophageal fistula Diseases 0.000 description 6
- 201000005264 laryngeal carcinoma Diseases 0.000 description 4
- 230000006870 function Effects 0.000 description 3
- 230000002980 postoperative effect Effects 0.000 description 3
- 230000008859 change Effects 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 210000003800 pharynx Anatomy 0.000 description 2
- 230000009747 swallowing Effects 0.000 description 2
- 206010027336 Menstruation delayed Diseases 0.000 description 1
- 230000003872 anastomosis Effects 0.000 description 1
- 201000007201 aphasia Diseases 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 230000002950 deficient Effects 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 230000003993 interaction Effects 0.000 description 1
- 230000002045 lasting effect Effects 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 230000001568 sexual effect Effects 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
- 210000003437 trachea Anatomy 0.000 description 1
- 210000005092 tracheal tissue Anatomy 0.000 description 1
- 230000001755 vocal effect Effects 0.000 description 1
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- Surgical Instruments (AREA)
Abstract
A laryngeal voice rehabilitation device is characterized in that, the utility model includes a cutting suture trigger, a bottom board of the cutting suture trigger, a push rod cylinder, a spiral push rod, a cutting suture bottom board and a cutting suture instrument, the bottom board of the cutting suture trigger is fixedly connected with the push rod cylinder to from a pistol-shaped structure, the spiral push rod is arranged in the push rod cylinder, and the top end is connected with the cutting suture instrument; the cutting suture bottom board is arranged at a head frame of the cutting suture instrument which is fixedly connected at the top end of the push rod cylinder to be corresponding to location of the cutting suture instrument; the cutting suture trigger is arranged at the front surface of the bottom board of the cutting suture trigger, and one end of the cutting suture trigger is articulated with the spiral push rod. Compared with the prior art, the utility model can carry out the voice rehabilitation by the method of functional tracheoesophageal shunt after the total laryngectomy of the patients with laryngeal cancer, the operating time is short, which only needs two to three minutes and is simple and easy; the cutting and the suture are effective, which can not happen the situations of closure caused by small fistula and fistula caused by big fistula of the manual operation, thus, the utility model can greatly reduce the uncertainty of the manual operation.
Description
Technical field:
This utility model relates to a kind of medical apparatus and instruments, is specifically related to a kind of pronounce reconstruction is carried out in patients with laryngeal carcinoma total laryngectomy operation back with functional tracheo esophageal fistula method larynx pronounce reconstruction device that is used for.
Background technology:
Total laryngectomy is applicable to the laryngeal carcinoma in late period, because postoperative causes aphasia to bring great inconvenience to the patient, the foundation that how to recover language function preferably and be the pronounce reconstruction device is the emphasis of this area research at present.Vocal rehabilitation after laryngectomy mainly contains three kinds of methods at present:
(1) breathe one's last pipe pronunciation.This method small number of patients can natural pronunciation, but most of must be through training.The pronunciation success rate is about 30%-40% to 97%, and general volume is lower;
(2) wear artificial larynx.Artificial larynx is existing multiple, must be dominated by hand when speaking, rather inconvenience, pronounce for the metal music very unmelodious;
(3) by the operation pronounce reconstruction.It mainly comprises again:
1, trachea pharynx anastomosis.This art formula fails all to realize recovering pronunciation, swallowing and air-breathing three big functional requirements.
2, fistula pronunciation (tracheo esophageal fistula).This art volume that formula is sent and tonequality are all relatively good, and at this moment esophageal voice can be similar to normal articulation.Mistake is swallowed phenomenon and the fistula gradual change is narrow but can often produce, and manual operations is time-consuming, and technical difficulty is bigger.
3, functional tracheo esophageal fistula.This art formula has following advantage:
(1) do not change the intrinsic art formula of total laryngectomy, do not influence the radical correction excision, the operation first phase is finished.
(2) because tracheal tissue's lobe ploughs under to esophageal lumen, can close when swallowing and the fistula mouth, not cause the mistake pharynx.
(3) cross over the fistula mouth because of tissue flap, can prevent that the fistula road voice effect that narrows down is lasting.
(4) each one of pronouncing: do not need special training, tonequality and amount are excellent than esophageal phonation.
But aforesaid way must reach 1～2 hour by experienced doctor's operation is also time-consuming.
The utility model content:
Technical problem to be solved in the utility model is the defective that overcomes above-mentioned prior art, provides a kind of patients with laryngeal carcinoma total laryngectomy postoperative that is used for to carry out the operating theater instruments of pronounce reconstruction with the method for functional tracheo esophageal fistula, to remedy the deficiency of existing method.
This utility model is to solve the problems of the technologies described above by following technical scheme.It is characterized in that it comprises cutting and stitching trigger, cutting and stitching trigger base plate, push rod tube, screw propulsion rod, cutting and stitching base plate and stapler, described cutting and stitching trigger base plate and push rod tube are fixedly connected into the pistol-shaped structure, screw propulsion rod is located in its push rod tube, and the top links to each other with stapler; Described cutting and stitching base plate be loaded on the affixed stapler head frame in push rod tube top on, corresponding with the stapler position; Cutting and stitching trigger is loaded on cutting and stitching trigger base plate front, and an end is articulated on the screw propulsion rod.Offer two row V-arrangement suturing nail grooves on the described cutting and stitching base plate, between this two row suturing nail groove the cutter groove is arranged; Stapler and cutting and stitching base plate are oppositely arranged, and which is provided with corresponding with suturing nail groove and cutter groove position respectively suturing nail and cutting blade; Stapler and cutting and stitching base plate upper and lower end are respectively equipped with locating hole and cutting and stitching prelocalization hole after the cutting and stitching, and two locating rods that link to each other with screw propulsion rod are corresponding with two position of positioning hole.Between cutting and stitching trigger and cutting and stitching trigger base plate, also be provided with the cutting and stitching trigger insurance, the push rod tube outer surface is equipped with the propelling meter, links to each other with screw propulsion rod.
This utility model compared with prior art, when being used for patients with laryngeal carcinoma total laryngectomy postoperative and carrying out pronounce reconstruction with the method for functional tracheo esophageal fistula, operation time is short, only needs 2～3 minutes and simple; The young situation that causes closure and fistula mouth to cause fistula greatly of fistula of manually-operated can not take place in cutting and stitching conscientiously, can significantly reduce manual uncertainty.
Description of drawings:
Fig. 1 is this utility model structural front view;
Fig. 2 is that the A of this utility model Fig. 1 is to view;
Fig. 3 is that the B of this utility model Fig. 1 is to view;
Fig. 4 is the front view after this utility model partly cut-away;
Fig. 5 is this utility model cutting and stitching bottom plan view;
Fig. 6 is the C-C view of this utility model Fig. 5;
Fig. 7 is this utility model stapler view;
Fig. 8 is the D-D view of this utility model Fig. 7;
Fig. 9 is this utility model cutting and stitching base plate and stapler assembled view.
Among the figure:
1-screw propulsion button; 2-stapler base; The 3-locating rod;
The 4-cutting and stitching trigger; 5-cutting and stitching trigger base plate; 6-stapler head frame;
7-advances meter; The insurance of 8-cutting and stitching trigger; 9-cutting and stitching base plate;
The 10-stapler; 11-cutting and stitching prelocalization hole; Locating hole after the 12-cutting and stitching;
The 13-suturing nail; The 14-cutting blade; 15-suturing nail groove;
16-cutter groove; The 17-screw propulsion rod; 18-cutting and stitching trigger joint;
19-push rod tube.
The specific embodiment:
As Fig. 1, shown in Figure 4, this utility model is when with the operation method of making function sexual type tracheo esophageal fistula patient being carried out the larynx pronounce reconstruction, a kind of operating theater instruments of using in operation process comprises cutting and stitching trigger 4, cutting and stitching trigger base plate 5, push rod tube 19, screw propulsion rod 17, cutting and stitching base plate 9 and stapler 10, described cutting and stitching trigger base plate 5 is fixedly connected into the pistol-shaped structure with push rod tube 19, can make overall structure.Screw propulsion rod 17 is located at its push rod tube 19 inner chambers, the bottom links to each other with screw propulsion button 1, can drive by this screw propulsion button 1 and rotate, screw propulsion rod 17 tops link to each other with stapler 10 by stapler base 2, and stapler 10 can move forward and backward under the drive of screw propulsion rod 17.On push rod tube 19 tops, a fixedly connected stapler head frame 6, cutting and stitching base plate 9 dresses are thereon, and are corresponding with stapler 10 positions, can realize cutting and sew up function by the interaction with stapler 10.Described cutting and stitching trigger 4 is loaded on cutting and stitching trigger base plate 5 fronts, and both form the X-type structure, and the one end is articulated on the screw propulsion rod 17 by cutting and stitching trigger joint 18, also can drive screw propulsion rod 17 and move forward.
As Fig. 2, Fig. 5, shown in Figure 6, offer two row V-arrangement suturing nail grooves 15 on this utility model cutting and stitching base plate 9, symmetric position offers cutter groove 16 between this two row suturing nail groove 15.As Fig. 3, Fig. 7, shown in Figure 8, described stapler 10 is provided with corresponding with cutting and stitching base plate 9, and both central lines which is provided with corresponding with suturing nail groove 15 and cutter groove 16 positions respectively suturing nail 13 and cutting blade 14.As shown in Figure 9, when pulling trigger, suturing nail 13 and cutting blade 14 can insert suturing nail groove 15 and cutter groove 16 respectively, cut simultaneously and sew up.
This utility model also is provided with cutting and stitching trigger insurance 8 between cutting and stitching trigger 4 and cutting and stitching trigger base plate 5, can guarantee cutting, suture location accurate positioning, avoids occurring misoperation.
For indicating screw propulsion rod 17 passing distances, push rod tube 19 outer surfaces are equipped with one and advance meter 7, link to each other with screw propulsion rod 17, when these propelling meter 7 scales are zero, can represent that cutting and stitching base plate 9 and stapler 10 fit.
For making stapler 10 and 9 para-positions of cutting and stitching base plate accurate, prevent to depart from, locating hole 12 and cutting and stitching prelocalization hole 11 after stapler 10 and cutting and stitching base plate 9 upper and lower ends are respectively equipped with cutting and stitching, two locating rods 3 that link to each other with screw propulsion rod 17 are corresponding with two position of positioning hole, can insert in it.
During stitching, advance button 1 by rotating screw, the stapler 10 that screw propulsion rod 17 is promoted on the stapler base 2 travels forward, under the location of locating hole 12 after locating rod 3, cutting and stitching prelocalization hole 11 and the cutting and stitching, suturing nail 13 on the stapler 10 and cutting blade 14 and suturing nail groove 15, cutter groove 16 on the cutting and stitching base plate 9 are matched, advance meter 7 to be shown as this moment at 0 o'clock, open cutting and stitching trigger insurance 8, pull cutting and stitching trigger 4 with hands, cutting, stitching are once finished, and use very simple.
Claims (5)
1, a kind of larynx pronounce reconstruction device, it is characterized in that it comprises cutting and stitching trigger (4), cutting and stitching trigger base plate (5), push rod tube (19), screw propulsion rod (17), cutting and stitching base plate (9) and stapler (10), described cutting and stitching trigger base plate (5) is fixedly connected into the pistol-shaped structure with push rod tube (19), screw propulsion rod (17) is located in its push rod tube (19), and the top links to each other with stapler (10); Described cutting and stitching base plate (9) be loaded on the affixed stapler head frame (6) in push rod tube (19) top on, corresponding with stapler (10) position; Cutting and stitching trigger (4) is loaded on cutting and stitching trigger base plate (5) front, and an end is articulated on the screw propulsion rod (17).
2, larynx pronounce reconstruction device according to claim 1 is characterized in that offering on the described cutting and stitching base plate (9) two row V-arrangement suturing nail grooves (15), between this two row suturing nail groove (15) cutter groove (16) is arranged; Described stapler (10) is oppositely arranged with cutting and stitching base plate (9), which is provided with corresponding with suturing nail groove (15) and cutter groove (16) position respectively suturing nail (13) and cutting blade (14).
3, larynx pronounce reconstruction device according to claim 1 and 2 is characterized in that being provided with between cutting and stitching trigger (4) and the cutting and stitching trigger base plate (5) cutting and stitching trigger insurance (8).
4, larynx pronounce reconstruction device according to claim 1 and 2 is characterized in that push rod tube (19) outer surface is equipped with propelling meter (7), links to each other with screw propulsion rod (17).
5, larynx pronounce reconstruction device according to claim 2, it is characterized in that stapler (10) and cutting and stitching base plate (9) upper and lower end are respectively equipped with locating hole (12) and cutting and stitching prelocalization hole (11) after the cutting and stitching, two locating rods (3) that link to each other with screw propulsion rod (17) are corresponding with two position of positioning hole.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN 200320124107 CN2666358Y (en) | 2003-12-29 | 2003-12-29 | Larynx sounding reproducer |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN 200320124107 CN2666358Y (en) | 2003-12-29 | 2003-12-29 | Larynx sounding reproducer |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN2666358Y true CN2666358Y (en) | 2004-12-29 |
Family
ID=34348942
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN 200320124107 Expired - Lifetime CN2666358Y (en) | 2003-12-29 | 2003-12-29 | Larynx sounding reproducer |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN2666358Y (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN1969771B (en) * | 2005-11-21 | 2011-07-20 | 张敬人 | Suture device for pharyngeal operation |
-
2003
- 2003-12-29 CN CN 200320124107 patent/CN2666358Y/en not_active Expired - Lifetime
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN1969771B (en) * | 2005-11-21 | 2011-07-20 | 张敬人 | Suture device for pharyngeal operation |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C14 | Grant of patent or utility model | ||
| GR01 | Patent grant | ||
| C56 | Change in the name or address of the patentee |
Owner name: (DINGHUISI)BEIJINGZHONGLIUYI YARD, NO. 52, FUCHENG Free format text: FORMER NAME OR ADDRESS: ROOM 601, UNIT 3, YARD 19, JIA, YONGDING ROAD, HAIDIAN DISTRICT, BEIJING CITY, 100039 |
|
| CP03 | Change of name, title or address |
Patentee address after: 100036 Beijing city Haidian District Fuchengmen Road No. 52 (Temple) Beijing Cancer Hospital Patentee address before: 100039, room 3, unit 19, 601 Yongding Road, Beijing, Haidian District |
|
| AV01 | Patent right actively abandoned |
Effective date of abandoning: 20060517 |
|
| AV01 | Patent right actively abandoned |
Effective date of abandoning: 20060517 |
|
| C25 | Abandonment of patent right or utility model to avoid double patenting |