CN209032468U - A kind of telescopic cavity mirror thyroid operation retractor easy to adjust - Google Patents

A kind of telescopic cavity mirror thyroid operation retractor easy to adjust Download PDF

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Publication number
CN209032468U
CN209032468U CN201721686740.0U CN201721686740U CN209032468U CN 209032468 U CN209032468 U CN 209032468U CN 201721686740 U CN201721686740 U CN 201721686740U CN 209032468 U CN209032468 U CN 209032468U
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China
Prior art keywords
rod
pulling
piece
drag hook
sawtooth
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Active
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CN201721686740.0U
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Chinese (zh)
Inventor
葛明华
兰霞斌
郑传铭
徐加杰
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Hangzhou Kangji Medical Instrument Co Ltd
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Zhejiang Cancer Hospital
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Priority to CN201721686740.0U priority Critical patent/CN209032468U/en
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Abstract

The utility model relates to the field of medical instrument technology, disclose a kind of telescopic cavity mirror thyroid operation retractor easy to adjust.The hook for surgery operation includes pull rod and the first drag hook and the second drag hook that pull rod two sides are parallel to each other is arranged in, it further include the sawtooth telescopic rod and compression bar below the second drag hook, the pull rod is fixedly connected with the tie point of the second drag hook with the upper end of sawtooth telescopic rod, the lower end of the sawtooth telescopic rod is fixedly connected with the right end of compression bar, the compression bar, the first drag hook and the second drag hook are respectively positioned on the left side of sawtooth telescopic rod, and second drag hook includes the body of rod, is located at the pulling-on piece head of body of rod left end and is located at the manipulation device of body of rod right end.The utility model hook for surgery operation is adjusted simply, easy to operate, and the size in changeable surgical procedure space is needed according to surgical procedure space.

Description

A kind of telescopic cavity mirror thyroid operation retractor easy to adjust
Technical field
The utility model relates to the field of medical instrument technology, can increase surgical procedure more particularly, to one kind with Telescopic rotating The novel armpit approach cavity mirror thyroid operation retractor in space and field range.
Background technique
For conventional open thyroid operation usually because doing row notch in neck, postoperative neck scar pimple hyperplasia influences beauty See, perplex the life of patient, with minimally invasive theory continuous expansion extensively, the update of laparoscopic operation method and instrument it is continuous into Step, neck are gradually appeared without the operation of keloid.The development that past more than ten years device for endoscopic thyroid surgery is advanced by leaps and bounds, There are various art formulas, such as full breast areola approach, armpit mammary areola pathway, single hole mammary areola pathway, armpit assisted laparoscope etc..Closely It successively reports over year and performs the operation through axillary approach device for endoscopic thyroid single hole, use U-shaped in the operation of axillary approach device for endoscopic thyroid single hole The drag hook of shape is by epidermal tissue's pull-up of the armpit of patient to neck.
China Patent Publication No. is that CN205379323 discloses a kind of goitre retractor with antiskid function, including draws Bar and the first drag hook and the second drag hook that pull rod both ends are set, if the inner surface of first drag hook and the second drag hook is provided with Convex grain is done, the first drag hook, the second drag hook and convex grain are made of one piece.In surgical procedure, it is attached that the second drag hook protrudes into patient's armpit In close surgical aperture, the first drag hook is above mentioned, the second drag hook is by epidermal tissue's pull-up of the armpit of patient to neck, thus shape At surgical procedure space, facilitates doctor to be inserted into surgical instrument and the surgical procedures such as shear, clamp, but human cuticular tissue It is limited to pull up rise, causes surgical procedure narrow space, surgical procedure difficulty is larger, is easy to appear fault.
Summary of the invention
The utility model is the hardly possible of surgical procedure caused by order to overcome prior art armpit approach surgical procedure narrow space Larger problem is spent, to provide one kind can expand armpit approach surgical procedure space, facilitate doctor is subsequent to be operated Thyroid surgery wire retractor.
To achieve the goals above, the utility model uses following technical scheme: including pull rod and being arranged in pull rod two sides The first drag hook and the second drag hook being parallel to each other further include sawtooth telescopic rod and compression bar below the second drag hook, the drawing Bar is fixedly connected with the tie point of the second drag hook with the upper end of sawtooth telescopic rod, the lower end of the sawtooth telescopic rod and the right side of compression bar End is fixedly connected, and the compression bar, the first drag hook and the second drag hook are respectively positioned on the left side of sawtooth telescopic rod, and second drag hook includes The body of rod, the pulling-on piece head for being located at body of rod left end and the manipulation device for being located at body of rod right end.
Second drag hook can be adjusted according to the needs the size of the pulling-on piece head of body of rod left end, and the second drag hook enters armpit opening operation Before mouthful, the open area of pulling-on piece head is transferred to minimum, pulling-on piece head is facilitated to enter operation opening, the second drag hook enters armpit operation After opening, the area of pulling-on piece head is increased into suitable size as needed, pulling-on piece head connects with the epidermal tissue above mentioned is pulled up Contacting surface product increases, to increase surgical procedure space, doctor is facilitated to implement operation;First drag hook is for hanging entire lifting hook device It rises;The effect of sawtooth telescopic rod is the size for reducing patient tissue damage and can freely adjusting surgical procedure space, and second draws Before hook and compression bar protrude into patient's armpit operation opening, shortens sawtooth telescopic rod, make between the second drag hook being parallel to each other and compression bar Distance reduce, facilitate doctor that the second drag hook and compression bar are protruded into patient's armpit operation opening, reducing patient body tissue need not After the damage wanted, the second drag hook and compression bar protrude into patient's armpit operation opening, can according to the needs in surgical operation space, The field range at musculature rear below space size and the epidermal tissue between the second drag hook and compression bar is freely adjusted, it is convenient Doctor carries out implementation operation.
Preferably, the pulling-on piece head includes the first strip pulling-on piece, the second strip pulling-on piece, first support bar and the second support Bar, one end of the first strip pulling-on piece, which longitudinally extends, is equipped with the first pulling-on piece handle, and one end of the second strip pulling-on piece, which longitudinally extends, to be set There is the second pulling-on piece handle, the tie point of the first strip pulling-on piece and the first pulling-on piece handle is articulated with the second strip pulling-on piece and the second pulling-on piece The tie point of handle is equipped with spring, the other end of the first pulling-on piece handle and the between the first pulling-on piece handle and the second pulling-on piece handle One end of one support rod is hinged, and the other end of the second pulling-on piece handle and one end of second support bar are hinged, and the left end of the body of rod is hung down Directly fixing axle, the other end of the first support bar other end and second support bar are equipped in the in-plane where pulling-on piece head Hinged by fixing axle, the plane where the pulling-on piece head is perpendicular to pull rod.
It constitutes between first strip pulling-on piece and the second strip pulling-on piece hingedly, according to operation required in operative process Space size adjusts the size of angle between the first strip pulling-on piece and the second strip pulling-on piece, to change the distracted face of pulling-on piece head Product.
Preferably, the body of rod includes the interior body of rod and is sheathed on the outer body of rod being slidably matched outside interior bar body and with it, The manipulation device includes screw rod, shell and elastic rod, and the screw rod is sheathed on the right end of the outer body of rod and is integrally formed with it, described Screw flight is set on screw rod outer wall, and the outer wall of the screw rod is equipped with the nut matched with screw thread, the right side of the screw rod Perpendicular to the first elastic rod is fixed on the direction of screw rod, the shell is sheathed on the outside of screw rod and is slidably matched with it at end, The nut is located at the left end of shell and shell is stopped to slide to the left, and the fixing axle is located at the left end of the interior body of rod, the interior bar The right end of body passes through the right end that screw rod is fixed on shell, and the left end of the shell is fixed with corresponding with the first elastic rod second Elastic rod is equipped with groups of springs between first elastic rod and the second elastic rod.
Fixing axle is located at the left end of the interior body of rod, and the first support bar other end is hinged by fixing axle with second support bar, outside The body of rod is sheathed on the outside of the interior body of rod and is slidably matched with it, when needing to reduce between the first strip pulling-on piece and the second strip pulling-on piece When angle, the outer body of rod is slided to the left relative to the interior body of rod, tends to be mutual between the first support bar other end and second support bar It is overlapped and is progressed into the inside of the outer body of rod, the angle between the first support bar other end and second support bar is made to become smaller, thus It drives the first strip pulling-on piece and the second strip pulling-on piece to rotate, becomes the angle between the first strip pulling-on piece and the second strip pulling-on piece It is small;When needing to increase angle between big first strip pulling-on piece and the second strip pulling-on piece, to the right relative to the interior body of rod by the outer body of rod Sliding, due to being equipped with spring between the first pulling-on piece handle and the second pulling-on piece handle, the first pulling-on piece handle and the second pulling-on piece handle are by elastic force Effect struts the first pulling-on piece handle with the second pulling-on piece, increases angle between the first strip pulling-on piece and the second strip pulling-on piece.Manipulation Device can control the sliding between the interior body of rod and the outer body of rod, and when rotating clockwise nut, nut moves to right on screw rod, due to The barrier effect of shell is moved to the left the outer body of rod gradually relative to the interior body of rod, and when rotating counterclockwise nut, nut is in screw rod On move to left, due between the first elastic rod and the second elastic rod groups of springs elastic force effect, make the outer body of rod gradually relative to the interior body of rod to It moves right.The size of angle between the first strip pulling-on piece and the second strip pulling-on piece, side easy to operate are adjusted by rotating nuts Just.
Preferably, the sawtooth telescopic rod includes saw teeth bars and the loop bar that is sheathed on outside saw teeth bars, the saw teeth bars Outer wall longitudinal direction is equipped with sawtooth, and screw hole and the compatible screw of screw hole are equipped on the outside of the loop bar, and the screw passes through spiral shell Hole is connected in the sawtooth in saw teeth bars.
When needing to extend sawtooth telescopic rod, after the screw on the outside of loop bar is unscrewed, saw teeth bars and loop bar is stretched, sawtooth is stretched Contracting bar is elongated to suitable length, then tightens screw, is clamped screw mutually with the sawtooth in saw teeth bars, stretches to play fixation The effect of contracting saw teeth bars.By stretching the mutual cooperation sliding of saw teeth bars and loop bar, the freedom of Lai Shixian sawtooth length of telescopic bar It adjusts,
Preferably, the angle α between the first strip pulling-on piece and the second strip pulling-on piece is 0 ~ 120 °.
When angle α between first strip pulling-on piece and the second strip pulling-on piece is 0 ~ 120 °, rationally controls pulling-on piece head and prop up The size of epidermal tissue's area, construction one operating space to operation advantageously.
Preferably, being equipped with the Smoking pipe (6) parallel with the second drag hook between second drag hook and compression bar.
Smoking pipe is used to be discharged the smog that operation generates, and keeps surgical field of view clear.
Therefore, the utility model has the following beneficial effects: (1) increases surgical procedure space and field range;(2) basis Surgical procedure space needs the size in changeable surgical procedure space;(3) hook for surgery operation is adjusted simple, easy to operate.
Detailed description of the invention
Fig. 1 is a kind of structural schematic diagram of the utility model.
Fig. 2 is the structural schematic diagram of drag hook.
Fig. 3 is the structural schematic diagram of sawtooth telescopic rod.
Appended drawing reference
Pull rod 1, the first drag hook 2, the second drag hook 3, sawtooth telescopic rod 4, compression bar 5, Smoking pipe 6, the body of rod 31, pulling-on piece head 32, Manipulation device 33, the first strip pulling-on piece 321, the second strip pulling-on piece 322, first support bar 323, second support bar 324, first are drawn Piece handle 325, the second pulling-on piece handle 326, spring 327, fixing axle 313, the interior body of rod 311, the outer body of rod 312, screw rod 331, shell 332, Elastic rod 333, nut 334, groups of springs 337, saw teeth bars 41, loop bar 42, sawtooth 43, screw hole 44, screw 45.
Specific embodiment
Below by specific embodiment, the technical solution of the utility model is described further.
Embodiment 1
Such as a kind of structural schematic diagram that Fig. 1 is the utility model, a kind of telescopic device for endoscopic thyroid surgery easy to adjust Including pull rod 1 and the first drag hook 2 and the second drag hook 3 that pull rod two sides are parallel to each other is arranged in drag hook, pull rod, the first drag hook and Second drag hook forms U-shape, and second drag hook includes the body of rod 31, the pulling-on piece head 32 for being located at body of rod left end and is located at body of rod right end Manipulation device 33, the pulling-on piece head includes the first strip pulling-on piece 321, the second strip pulling-on piece 322, first support bar 323 and the Two support rods 324, one end of the first strip pulling-on piece, which longitudinally extends, is equipped with the first pulling-on piece handle 325, and the one of the second strip pulling-on piece Longitudinal extend is equipped with the second pulling-on piece handle 326 at end, and it is long that the tie point of the first strip pulling-on piece and the first pulling-on piece handle is articulated with second The tie point of pulling-on piece and the second pulling-on piece handle, is equipped with spring 327 between the first pulling-on piece handle and the second pulling-on piece handle, and described first The other end of pulling-on piece handle and one end of first support bar are hinged, and the other end of the second pulling-on piece handle and one end of second support bar are cut with scissors It connects, the angle α between the first strip pulling-on piece and the second strip pulling-on piece is 0 °, and the body of rod includes the interior body of rod 311 and is arranged The outer body of rod 312 being slidably matched outside interior bar body and with it, the manipulation device includes screw rod 331, shell 332 and elastic rod 333, the screw rod is sheathed on the right end of the outer body of rod and is integrally formed with it, and the screw flight is set on screw rod outer wall, institute The outer wall for stating screw rod is equipped with the nut 334 matched with screw thread, and the right end of the screw rod is perpendicular to fixed on the direction of screw rod Equipped with the first elastic rod 335, the shell is sheathed on the outside of screw rod and is slidably matched with it, and the nut is located at the left end of shell And shell is stopped to slide to the left, the left end of the interior body of rod is equipped with the fixing axle vertical with plane where pulling-on piece head, first support The bar other end and the other end of second support bar are hinged by fixing axle, and the plane where the pulling-on piece head is perpendicular to pull rod, institute The right end for stating the interior body of rod passes through the right end that screw rod is fixed on shell, and the left end of the shell is fixed with corresponding with the first elastic rod The second elastic rod 336, between first elastic rod and the second elastic rod be equipped with groups of springs 337;The Thyroid surgery wire retractor also wraps The sawtooth telescopic rod 4 and compression bar 5 being set to below the second drag hook are included, the sawtooth telescopic rod includes saw teeth bars 41 and is sheathed on sawtooth Loop bar 42 outside bar, the saw teeth bars outer wall longitudinal direction are equipped with sawtooth 43, are equipped with screw hole 44 and spiral shell on the outside of the loop bar The compatible screw 45 in hole, the screw pass through screw hole and are connected in the sawtooth in saw teeth bars, the company of the pull rod and the second drag hook Contact is fixedly connected with the upper end of loop bar, and the lower end of the saw teeth bars is fixedly connected with the right end of compression bar, and the compression bar, first are drawn Hook and the second drag hook are respectively positioned on the left side of sawtooth telescopic rod, and the smoking parallel with the second drag hook is equipped between the second drag hook and compression bar Pipe 6.
Operation consent is being carried out using the utility model drag hook, the length for first shortening sawtooth telescopic rod turns to most short with clockwise Dynamic nut, facilitates shortening sawtooth telescopic rod and the second drag hook to enter operation opening, rotating clockwise nut makes nut on screw rod It moves to right, due to the barrier effect of shell, is moved to the left the outer body of rod gradually relative to the interior body of rod, the first support bar other end and Tend to be overlapped between two support rods and progress into the inside of the outer body of rod, makes the first support bar other end and second support bar Between angle become smaller, to drive the first strip pulling-on piece and the rotation of the second strip pulling-on piece, make the first strip pulling-on piece and second long Angle between pulling-on piece becomes smaller, and the first strip pulling-on piece and the second strip pulling-on piece are overlapped, in addition, shortening sawtooth telescopic rod Length keeps the distance between the second drag hook being parallel to each other and compression bar minimum, enables the second drag hook and compression bar from disease to most short It is protruded into the lesser operation opening of people, the second drag hook and compression bar enter in operation opening after suitable depth, flexible using sawtooth The distance between muscle below the adjustable epidermal tissue of bar and epidermal tissue increases operation and implements operating space;Use second The area of the adjustable first strip pulling-on piece of drag hook and the second strip pulling-on piece pull-up epidermal tissue, rotates counterclockwise nut, nut It is moved to left on screw rod, due to the elastic force effect of groups of springs between the first elastic rod and the second elastic rod, makes the outer body of rod gradually relative to interior The body of rod moves right, and the outer body of rod slides to the right relative to the interior body of rod, due to being equipped with bullet between the first pulling-on piece handle and the second pulling-on piece handle Spring, effect of the first pulling-on piece handle with the second pulling-on piece handle by elastic force strut the first pulling-on piece handle with the second pulling-on piece, make the first strip Angle increases between pulling-on piece and the second strip pulling-on piece, to make the first strip pulling-on piece and the second strip pulling-on piece pull-up epidermal tissue Area increases, and increases operation and implements operating space.
Embodiment 2
Embodiment 2 is the difference from embodiment 1 is that the angle α between the first strip pulling-on piece and the second strip pulling-on piece is 60 °.
Embodiment 3
The difference of embodiment 3 and embodiment 1,2 is that the angle α between the first strip pulling-on piece and the second strip pulling-on piece is 120°。
The above descriptions are merely preferred embodiments of the present invention, not makees in any form to the utility model Limitation be not intended to limit the utility model although the utility model has been disclosed with preferred embodiment as above, it is any ripe Professional and technical personnel is known, is not being departed within the scope of technical solutions of the utility model, when in the technology using the disclosure above Hold the equivalent embodiment made a little change or be modified to equivalent variations, but all without departing from technical solutions of the utility model Hold, any simple modification, equivalent change and modification made by the above technical examples according to the technical essence of the present invention, still It is within the scope of the technical solutions of the present invention.

Claims (6)

1. a kind of telescopic cavity mirror thyroid operation retractor easy to adjust, including pull rod (1) and it is arranged mutual in pull rod two sides Parallel the first drag hook (2) and the second drag hook (3), which is characterized in that further include the sawtooth telescopic rod below the second drag hook (4) it is fixedly connected with compression bar (5), the pull rod with the tie point of the second drag hook with the upper end of sawtooth telescopic rod, the sawtooth is stretched The lower end of contracting bar is fixedly connected with the right end of compression bar, and the compression bar, the first drag hook and the second drag hook are respectively positioned on sawtooth telescopic rod Left side, second drag hook include the body of rod (31), the pulling-on piece head (32) for being located at body of rod left end and the manipulation for being located at body of rod right end dress Set (33).
2. one kind according to claim 1 telescopic cavity mirror thyroid operation retractor easy to adjust, which is characterized in that institute Stating pulling-on piece head includes the first strip pulling-on piece (321), the second strip pulling-on piece (322), first support bar (323) and second support bar (324), one end of the first strip pulling-on piece, which longitudinally extends, is equipped with the first pulling-on piece handle (325), and one end of the second strip pulling-on piece is vertical It is equipped with the second pulling-on piece handle (326) to extending, the tie point of the first strip pulling-on piece and the first pulling-on piece handle is articulated with the second strip The tie point of pulling-on piece and the second pulling-on piece handle is equipped with spring (327) between the first pulling-on piece handle and the second pulling-on piece handle, and described first The other end of pulling-on piece handle and one end of first support bar are hinged, and the other end of the second pulling-on piece handle and one end of second support bar are cut with scissors It connects, the left end of the body of rod is equipped with fixing axle (313) perpendicular to the in-plane where pulling-on piece head, and the first support bar is another The other end of one end and second support bar is hinged by fixing axle, and the plane where the pulling-on piece head is perpendicular to pull rod.
3. one kind according to claim 2 telescopic cavity mirror thyroid operation retractor easy to adjust, which is characterized in that institute It states the body of rod to include the interior body of rod (311) and be sheathed on the outer body of rod (312) being slidably matched outside interior bar body and with it, the manipulation fills Set including screw rod (331), shell (332) and elastic rod (333), the screw rod be sheathed on the right end of the outer body of rod and with its one at Type, the screw flight are set on screw rod outer wall, and the outer wall of the screw rod is equipped with the nut (334) matched with screw thread, For the right end of the screw rod perpendicular to being fixed on the direction of screw rod the first elastic rod (335), the shell is sheathed on the outer of screw rod Portion is simultaneously slidably matched with it, and the nut is located at the left end of shell and shell is stopped to slide to the left, and the fixing axle is located at interior bar The left end of body, the right end of the interior body of rod pass through the right end that screw rod is fixed on shell, and the left end of the shell is fixed with and the Corresponding second elastic rod (336) of one elastic rod is equipped with groups of springs (337) between first elastic rod and the second elastic rod.
4. the telescopic device for endoscopic thyroid surgery easy to adjust of one kind described in any claim is drawn according to claim 1 ~ 3 Hook, which is characterized in that the sawtooth telescopic rod includes saw teeth bars (41) and the loop bar (42) being sheathed on outside saw teeth bars, the saw Ratch outer wall longitudinal direction is equipped with sawtooth (43), and screw hole (44) and the compatible screw of screw hole are equipped on the outside of the loop bar (45), the screw passes through screw hole and is connected in the sawtooth in saw teeth bars.
5. one kind according to claim 2 or 3 telescopic cavity mirror thyroid operation retractor easy to adjust, feature exist In the angle α between the first strip pulling-on piece and the second strip pulling-on piece is 0 ~ 120 °.
6. the telescopic device for endoscopic thyroid surgery easy to adjust of one kind described in any claim is drawn according to claim 1 ~ 3 Hook, which is characterized in that the Smoking pipe (6) parallel with the second drag hook is equipped between second drag hook and compression bar.
CN201721686740.0U 2017-12-06 2017-12-06 A kind of telescopic cavity mirror thyroid operation retractor easy to adjust Active CN209032468U (en)

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CN201721686740.0U CN209032468U (en) 2017-12-06 2017-12-06 A kind of telescopic cavity mirror thyroid operation retractor easy to adjust

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Application Number Priority Date Filing Date Title
CN201721686740.0U CN209032468U (en) 2017-12-06 2017-12-06 A kind of telescopic cavity mirror thyroid operation retractor easy to adjust

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111067581A (en) * 2019-12-27 2020-04-28 武汉半边天微创医疗技术有限公司 Inflation-free thyroid retractor

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111067581A (en) * 2019-12-27 2020-04-28 武汉半边天微创医疗技术有限公司 Inflation-free thyroid retractor

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GR01 Patent grant
GR01 Patent grant
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TR01 Transfer of patent right

Effective date of registration: 20201120

Address after: Tonglu County Tonglu Chunjiang Road Economic Development Zone, Hangzhou city of Zhejiang Province, No. 1668 311500

Patentee after: HANGZHOU KANGJI MEDICAL INSTRUMENT Co.,Ltd.

Address before: 310022 No. 1 Shandong Road, Gongshu District, Zhejiang, Hangzhou

Patentee before: ZHEJIANG CANCER Hospital