CN220089654U - Multifunctional mouth gag bracket - Google Patents

Multifunctional mouth gag bracket Download PDF

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Publication number
CN220089654U
CN220089654U CN202321375309.XU CN202321375309U CN220089654U CN 220089654 U CN220089654 U CN 220089654U CN 202321375309 U CN202321375309 U CN 202321375309U CN 220089654 U CN220089654 U CN 220089654U
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China
Prior art keywords
fixed block
fixing
frame
endoscope
aspirator
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CN202321375309.XU
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Chinese (zh)
Inventor
陈永正
吴春萍
徐成志
高春丽
龚洪立
陶磊
赵亚诺
杨怡雯
陈婕茹
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Eye and ENT Hospital of Fudan University
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Eye and ENT Hospital of Fudan University
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Abstract

The utility model relates to a multifunctional mouth gag bracket which comprises an octagonal fixing frame main body, an oral cavity lateral spreader component, an aspirator fixer component, an endoscope fixer component and a tooth hook, wherein the oral cavity lateral spreader component, the aspirator fixer component, the endoscope fixer component and the tooth hook are connected with the octagonal fixing frame main body; the octagonal fixing frame comprises two straight strip-shaped frame top edges, two frame bottom edges and two frame side edges, wherein at least one tooth hook is connected to the middle of each frame top edge in a sliding manner, and oral cavity lateral spreader assemblies, aspirator fixer assemblies and endoscope fixer assemblies are respectively arranged on the two frame side edges; a handle is fixedly arranged in the middle of the bottom edge of the frame; the advantages are as follows: the utility model has simple structure and convenient operation, can effectively and laterally prop open the oral cavity of a patient in operation, can better expose the tumor on the side wall of the oropharynx while expanding the operation space, is favorable for fully exposing the operation area, and is especially suitable for the area which is difficult to expose the operation area.

Description

Multifunctional mouth gag bracket
Technical Field
The utility model relates to the technical field of medical appliances, in particular to a multifunctional mouth gag bracket.
Background
In the technical field of ear, nose, throat and neck surgery, the excision of oropharynx and parapharyngeal gap tumors by using a da vinci surgical robot has become a gold standard for minimally invasive excision of the existing oropharynx cancer and parapharyngeal gap tumors, so that satisfactory survival rate can be obtained by accurately cutting off the tumors, huge wounds caused by traditional operations such as mandibular incision and the like can be avoided, damage to peripheral important blood vessels and nerves is reduced, and the life quality of patients after operation is obviously improved.
However, the fourth generation surgical robots, which are the most advanced in China at present, are obviously limited in clinical application, mainly because the intraoperative oral operation space is reduced, and no dedicated opener for robotic surgery is provided.
The existing mouth gag has no endoscope fixing component and aspirator fixing component, the lateral opening device is only limited to one side and the other side, and the mouth gag is inconvenient to detach; the surgical retractor also needs to be manually operated by an assistant to help the main cutter to expose the excision part during operation, particularly in operation of tumor beside pharynx, the exposure of the oropharynx side wall is particularly important, when the wound surface after excision of partial tumor or after excision of tumor is stopped, the retractor needs to be additionally added to expose the wound surface or bleeding position, correspondingly, the additionally added retractor also needs to be manually operated by the assistant, and further the operation of the assistant matched with the main cutter is greatly limited.
Chinese patent application: CN210871468U discloses a novel medical endoscope, its structure includes body, turning hole, pivot, endoscope tube, stomatoscope, tongue depressor fixing device and stomatoscope installation mechanism, this device has set up tongue depressor fixing device and stomatoscope installation mechanism respectively through tongue depressor and body mounted position and stomatoscope mounted position, make stomatoscope and tongue depressor become the part that can independently dismantle, can take off the stomatoscope and disinfect through the stomatoscope installation mechanism after the endoscope finishes using, and open tongue depressor fixing device and change tongue depressor, has reached and has changed the tongue depressor fast, avoid producing cross infection's beneficial effect; however, the device cannot effectively expose the visual field of the oropharynx when being implemented again, which is not beneficial to the operation of the surgery.
Therefore, in view of the above, there is a need for a multifunctional mouth gag stand that is convenient to use, has high operability, and can be used for exposing the oropharyngeal side wall and the tumor wound surface of a complex structure. However, no report is made on the novel multifunctional mouth gag bracket at present.
Disclosure of Invention
The present utility model aims to solve the above-mentioned problems, and to provide a multifunctional mouth gag holder for this purpose.
In order to achieve the above purpose, the technical scheme adopted by the utility model is as follows:
a multifunctional mouth gag bracket comprises an octagonal fixing frame main body, an oral cavity lateral spreader component, an aspirator fixer component, an endoscope fixer component and a tooth hook, wherein the oral cavity lateral spreader component, the aspirator fixer component, the endoscope fixer component and the tooth hook are connected with the octagonal fixing frame main body; the octagonal fixing frame comprises two straight strip-shaped frame top edges, two frame bottom edges and two frame side edges, wherein at least one tooth hook is connected to the middle of each frame top edge in a sliding manner, and oral cavity lateral spreader assemblies, aspirator fixer assemblies and endoscope fixer assemblies are respectively arranged on the two frame side edges; a handle is also fixedly arranged in the middle of the bottom edge of the frame.
The multifunctional mouth gag bracket provided by the utility model can also have the following technical characteristics: the oral cavity side spreader component, the aspirator fixer component and the endoscope fixer component all comprise fixing components with the same structure; the fixing assembly comprises a fixing block A, a fixing block B, a fixing bolt A, a fixing bolt B and a primary-secondary hasp; a notch is formed in one side of the fixed block A and horizontally penetrates through the fixed block A;
the upper part of the fixed block A is also provided with a threaded hole, the threaded hole sequentially extends from the fixed block A to the fixed block B, the fixed bolt A is in threaded connection with the fixed block B through the threaded hole on the fixed block A, and the distance between the fixed block A and the fixed block B can be adjusted by loosening the fixed bolt A; through holes for accommodating the side edges of the frame are formed in the fixed block A and the fixed block B; the primary and secondary buckles for fixing the fixed block A and the fixed block B are further arranged on one side edge of the fixed block A and one side edge of the fixed block B; the other side edges of the fixed block A and the fixed block B are also provided with a thread groove hole B which is communicated with the groove opening and is vertically arranged; and a fixing bolt B is further arranged on the threaded slotted hole B, and the structure of the fixing bolt B is matched with that of the fixing bolt A.
The multifunctional mouth gag bracket provided by the utility model can also have the following technical characteristics: the primary and secondary hasp of fixed block A is connected with fixed block A in a rotating way, and the primary and secondary hasp on fixed block B is fixedly connected with fixed block B.
The multifunctional mouth gag bracket provided by the utility model can also have the following technical characteristics: the oral cavity side spreader component, the aspirator fixer component and the notch of the endoscope fixer component are respectively and correspondingly provided with a side draw hook, an aspirator and an endoscope.
The multifunctional mouth gag bracket provided by the utility model can also have the following technical characteristics: the lateral drag hook is of a 7-shaped structure.
The multifunctional mouth gag bracket provided by the utility model can also have the following technical characteristics: the fixing bolt A is provided with a rotating rod A for rotating the fixing bolt A, and the rotating rod A is hinged with the fixing bolt A; the fixing bolt B is provided with a rotating rod B for rotating the fixing bolt B, and the rotating rod B is hinged with the fixing bolt B.
The multifunctional mouth gag bracket provided by the utility model can also have the following technical characteristics: the handle is also provided with a metal spring plate.
The multifunctional mouth gag bracket provided by the utility model can also have the following technical characteristics: the tooth hooks are of a 6-shaped structure.
The utility model has the advantages that:
the utility model has simple structure and convenient operation, can effectively and laterally prop open the oral cavity of a patient in operation, can better expose the tumor on the side wall of the oropharynx while expanding the operation space, is favorable for fully exposing the operation area, and is especially suitable for the area which is difficult to expose the operation area.
In addition, the device optimizes the structure of the mouth gag, and the mouth gag is convenient to detach by using the hasp and the fixing bolt, and the lateral drag hook is convenient to add when needed, so that the exposure of the oropharynx side wall and the tumor wound surface with the complex structure can be realized; meanwhile, the fixing mode of the endoscope in the operation is changed, the use of a mechanical arm of the endoscope of the robot is omitted, and the operation space in the operation is effectively increased.
Correspondingly, the device also increases the aspirator fixing component, reduces manual operation of an assistant, releases two hands and improves the working efficiency; meanwhile, the device can also be matched with the existing tonsil Davis opening device tongue depressor or a tongue depressor with similar structure.
Drawings
Fig. 1 is a schematic structural view of a multifunctional mouth gag bracket in an embodiment of the present utility model.
Fig. 2 is a schematic structural view of an octagonal fixing frame body in an embodiment of the present utility model.
Fig. 3 is a schematic structural view of a metal spring on a handle according to an embodiment of the present utility model.
Fig. 4 is a schematic view of the oral side distractor assembly according to an embodiment of the utility model in various configurations.
Fig. 5 is a schematic view of the structure of the aspirator holder assembly in the embodiment of the present utility model.
Fig. 6 is a schematic view of an endoscope holder assembly in accordance with an embodiment of the present utility model.
Detailed Description
The utility model is further described below in conjunction with the detailed description. It is to be understood that these examples are illustrative of the present utility model and are not intended to limit the scope of the present utility model. Further, it is understood that various changes and modifications of the present utility model may be made by those skilled in the art after reading the description of the present utility model, and such equivalents are intended to fall within the scope of the utility model as defined in the appended claims.
Reference numerals and components referred to in the drawings are as follows:
1. an octagonal fixing frame body; 11. a top edge of the frame; 12. a frame bottom edge; 13. a frame side; 14. tooth hooks;
2. an oral lateral distractor assembly; 3. an aspirator holder assembly; 4. an endoscope holder assembly;
5. a handle; 6. a metal spring plate;
7. a fixing assembly;
71. a fixed block A; 711. a notch; 712. a threaded slot B; 713. a threaded hole; 714. a through hole;
72. a fixed block B;
73. a fixing bolt A; 731. rotating the rod A;
74. a fixing bolt B; 741. rotating the rod B;
75. a primary-secondary hasp; 751. a sub-buckle; 752. a female buckle;
8. a lateral drag hook; 9. an aspirator; 10. an endoscope;
examples
Referring to fig. 1-6, fig. 1 is a schematic structural diagram of a multifunctional mouth gag bracket according to an embodiment of the present utility model. Fig. 2 is a schematic structural view of an octagonal fixing frame body in an embodiment of the present utility model. Fig. 3 is a schematic structural view of a metal spring on a handle according to an embodiment of the present utility model. Fig. 4 is a schematic view of the oral side distractor assembly according to an embodiment of the utility model in various configurations. Fig. 5 is a schematic view of the structure of the aspirator holder assembly in the embodiment of the present utility model. Fig. 6 is a schematic view of an endoscope holder assembly in accordance with an embodiment of the present utility model.
The device mainly optimizes the structure of the mouth gag, thereby being convenient for realizing exposure of the side wall of the oropharynx with a complex structure and the wound surface of the tumor, and particularly designs a multifunctional mouth gag bracket which can be matched with the operation of the existing operation robot; the mouth gag mainly comprises an octagonal fixing frame body 1, and an oral cavity side spreader assembly 2, an aspirator fixer assembly 3, an endoscope fixer assembly 4 and a tooth hook 14 which are connected with the octagonal fixing frame body 1;
the octagonal fixing frame main body 1 comprises two straight frame top edges 11, a frame bottom edge 12 and two frame side edges 13, wherein the frame side edges 13 are of a [ ] -shaped structure, and the frame top edges 11 and the frame bottom edge 12 are connected with the two frame side edges 13 in an end-to-end mode respectively; a handle 5 is also fixedly arranged in the middle of the frame bottom edge 12, a metal spring plate 6 is also arranged on the handle 5, the metal spring plate 6 can be pressed to release the tongue depressor, and the tongue depressor can be fixed after being released.
At least one tooth hook 14 is slidably connected to the middle of the top edge 11 of the frame, in this embodiment, 2 tooth hooks 14 are preferable, and the tooth hooks 14 are 6-shaped and can slide left and right on the top edge 11 of the frame to support the upper teeth of the patient, so that the patient can be conveniently opened.
In addition, the two frame side edges 13 are respectively provided with an oral cavity lateral spreader assembly 2, an aspirator fixer assembly 3 and an endoscope fixer assembly 4; wherein, the oral cavity side spreader component 2, the aspirator fixer component 3 and the endoscope fixer component 4 are internally provided with fixing components 7 with the same structure; the fixing components 7 of different instruments are respectively provided with a lateral draw hook 8, an aspirator 9 and an endoscope 10, and the lateral draw hook 8, the aspirator 9 and the endoscope 10 are respectively correspondingly connected with the fixing components 7 in the oral cavity lateral spreader component 2, the aspirator fixer component 3 and the endoscope fixer component 4; the method comprises the following steps:
in the present embodiment, the fixing assembly 7 includes a fixing block a71, a fixing block B72, a fixing bolt a73, a fixing bolt B74, and a primary-secondary buckle 75; and the fixed block A71 and the fixed block B72 are both in cuboid structures.
Wherein, one side of the fixed block A71 is provided with a notch 711 for placing a lateral drag hook, and the notch 711 horizontally penetrates through the fixed block A71; correspondingly, a thread groove hole B712 is also arranged on one side of the groove 711, and the thread groove hole B712 is arranged on the fixed block A71, is communicated with the groove hole on the fixed block A71 and is vertically arranged; the fixing bolt B74 for fixing the lateral drag hook is arranged on the threaded slotted hole B712, and the lateral drag hook 8 in the slot can be fixed by rotating the fixing bolt B74, so that the operation and the stretching are convenient; meanwhile, the loose fixing bolt B74 can slide the lateral drag hook back and forth in the notch, so that the comfort of the patient is improved when the patient is adjusted to a proper length according to different patients.
In addition, a threaded hole 713 is further formed above the fixed block A71, the threaded hole 713 sequentially extends from the fixed block A to the fixed block B, the fixed bolt A73 is in threaded connection with the fixed block B through the threaded hole 713 in the fixed block A, and the distance between the fixed block A71 and the fixed block B72 can be adjusted by loosening the fixed bolt A73, so that the fixed block A is stably fixed on the side edge of the frame, and the fixed block A is convenient to detach and fix.
Correspondingly, through holes 714 for accommodating the side edges of the frames are formed in the fixed blocks A71 and B72; in use, the fixing blocks A71 and B72 are placed on the side edges of the frame respectively, the through holes of the fixing blocks A71 and B72 are matched with the side edges of the frame stably, and then the fixing bolts A73 of the fixing blocks A71 and B72 are used for pressurizing the side edges of the frame between the fixing blocks A and B, so that the fixing is realized.
In order to further increase the stability of fixation between the fixing block A71, the fixing block B72 and the frame side, a primary-secondary buckle 75 for fixing the fixing block A71 and the fixing block B72 is arranged on one side of the fixing block A71 and one side of the fixing block B72; wherein, a sub-snap 751 is arranged on the fixed block A71, and the sub-snap 751 is rotationally connected with the fixed block A; correspondingly, a female buckle 752 is arranged on the fixed block B, and the female buckle 752 is fixedly connected with the fixed block B; during fixing, the sub-buckle 751 on the fixing block A and the female buckle 752 on the fixing block B can be buckled up and down, so that the fixing block A71, the fixing block B72 and the frame side edges are fixed.
In this embodiment, the structure of the fixing bolt B74 is the same as that of the fixing bolt a73, and is a conventional metal bolt with external threads.
In this embodiment, the lateral retractor 8 has a 7-shaped structure, one end of which hooks the inner wall of the lateral face of the patient, and the other end of which is pulled, so that the lateral pulling of the patient can be facilitated.
In addition, in order to facilitate fixing the fixing bolt a73 and the fixing bolt B74, a rotation rod a731 for rotating the fixing bolt a73 is provided on the fixing bolt a73, and the rotation rod a731 is hinge-coupled with the fixing bolt a 73; correspondingly, a rotating rod B741 for rotating the fixed bolt B is arranged on the fixed bolt B74, and the rotating rod B741 is hinged with the fixed bolt B74; when the rotary rod is used, the corresponding fixing bolt can be easily rotated by rotating the rotary rod A731 on the fixing bolt A73 and the rotary rod B741 on the fixing bolt B74, tightness and fixation are realized, and the rotary rod is convenient to operate and simple to use.
In this embodiment, since the structures of the fixing components in the oral cavity side spreader assembly 2, the aspirator fixing component 3 and the endoscope fixing component 1 are the same, the oral cavity side spreader assembly, the aspirator fixing component and the endoscope fixing component can be formed by placing the side draw hook 8, the aspirator 9 and the endoscope 10 on the corresponding fixing components 7; thus being respectively fixable to the two frame sides 13 by means of the fixing assembly 7; wherein the "oral side distractor assembly" and the "aspirator retainer assembly" may be secured to the same side frame side 13; correspondingly, the "endoscope holder assembly" is fixed to the frame side 13 on the other side;
the components are mutually matched, so that the oral cavity of a patient can be effectively and longitudinally and laterally expanded, and especially in the pharyngeal tumor surgery of the Davinci robot in otorhinolaryngology, the oral cavity of the patient can be effectively and laterally expanded by adjusting the angle or changing different lateral draw hooks, and the oropharynx side wall tumor can be better exposed while the operation space is enlarged; the aspirator fixing component can release the hands of an assistant, so that the operation of the main knife is better assisted; through using the fixed subassembly of endoscope, adjust endoscope position, cooperate the angle endoscope, can provide the operation field of view of special angle in the art, most importantly, can vacate a mechanical arm that reaches the control endoscope of vinci robot, reduce the steric hindrance between endoscope mechanical arm and the two operation arms at ordinary times, furthest enlarged operation space.
The application method of the utility model comprises the following steps: in the operation of tumor beside pharynx, can be earlier fixed oral cavity side direction struts ware group, aspirator fixer subassembly, endoscope fixer subassembly respectively on corresponding frame side, then put the device into the patient's mouth, utilize the side direction drag hook on the oral cavity side direction struts ware group to expose surface of a wound or bleeding position, and cooperate aspirator and the endoscope on aspirator fixer subassembly, the endoscope fixer subassembly to carry out visual operation and effectively attract the liquid in bloodletting place, thereby can be better expose oropharynx lateral wall tumor, do benefit to the abundant of operation district and show, be convenient for carry out operation to the patient.
It should be noted that: the utility model has simple structure and convenient operation, can effectively and laterally prop open the oral cavity of a patient in operation, can better expose the tumor on the side wall of the oropharynx while expanding the operation space, is favorable for fully exposing the operation area, and is especially suitable for the area which is difficult to expose the operation area.
In addition, the device optimizes the structure of the mouth gag, and the mouth gag is convenient to detach by using the hasp and the fixing bolt, and the lateral drag hook is convenient to add when needed, so that the exposure of the oropharynx side wall and the tumor wound surface with the complex structure can be realized; meanwhile, the fixing mode of the endoscope in the operation is changed, the use of a mechanical arm of the endoscope of the robot is omitted, and the operation space in the operation is effectively increased.
Correspondingly, the device also increases the aspirator fixing component, reduces manual operation of an assistant, releases two hands and improves the working efficiency; meanwhile, the device can also be matched with the existing tonsil Davis opening device tongue depressor or a tongue depressor with similar structure.
The foregoing is merely a preferred embodiment of the present utility model and it should be noted that modifications and additions to the present utility model may be made by those skilled in the art without departing from the principles of the present utility model and such modifications and additions are to be considered as well as within the scope of the present utility model.

Claims (8)

1. The multifunctional mouth gag bracket is characterized by comprising an octagonal fixing frame main body, an oral cavity lateral spreader component, an aspirator fixer component, an endoscope fixer component and a tooth hook, wherein the oral cavity lateral spreader component, the aspirator fixer component, the endoscope fixer component and the tooth hook are connected with the octagonal fixing frame main body;
the octagonal fixing frame comprises two straight strip-shaped frame top edges, two frame bottom edges and two frame side edges, wherein at least one tooth hook is connected to the middle of each frame top edge in a sliding manner, and oral cavity lateral spreader assemblies, aspirator fixer assemblies and endoscope fixer assemblies are respectively arranged on the two frame side edges; a handle is also fixedly arranged in the middle of the bottom edge of the frame.
2. The multi-functional mouth gag stand of claim 1, wherein the oral lateral distractor assembly, the aspirator holder assembly and the endoscope holder assembly each comprise a structurally identical holding assembly therein;
the fixing assembly comprises a fixing block A, a fixing block B, a fixing bolt A, a fixing bolt B and a primary-secondary hasp;
a notch is formed in one side of the fixed block A and horizontally penetrates through the fixed block A;
the upper part of the fixed block A is also provided with a threaded hole, the threaded hole sequentially extends from the fixed block A to the fixed block B, the fixed bolt A is in threaded connection with the fixed block B through the threaded hole on the fixed block A, and the distance between the fixed block A and the fixed block B can be adjusted by loosening the fixed bolt A;
through holes for accommodating the side edges of the frame are formed in the fixed block A and the fixed block B; the primary and secondary buckles for fixing the fixed block A and the fixed block B are further arranged on one side edge of the fixed block A and one side edge of the fixed block B;
the other side edges of the fixed block A and the fixed block B are also provided with threaded slotted holes which are communicated with the slots and are vertically arranged; and a fixing bolt B is further arranged on the threaded slotted hole, and the structure of the fixing bolt B is matched with that of the fixing bolt A.
3. The multifunctional mouth gag bracket according to claim 2, wherein the primary and secondary buckles of the fixed block a are rotatably connected with the fixed block a, and the primary and secondary buckles on the fixed block B are fixedly connected with the fixed block B.
4. The multi-functional mouth gag stand of claim 2, wherein the oral lateral distractor assembly, the aspirator holder assembly and the endoscope holder assembly are correspondingly placed in the notches of the lateral drag hook, the aspirator and the endoscope, respectively.
5. The multi-purpose mouth gag stand of claim 4, wherein the lateral drag hook is of a 7-shaped configuration.
6. The multifunctional mouth gag bracket according to claim 2, wherein a rotating rod a for rotating the fixing bolt a is provided on the fixing bolt a, and the rotating rod a is hinged with the fixing bolt a; the fixing bolt B is provided with a rotating rod B for rotating the fixing bolt B, and the rotating rod B is hinged with the fixing bolt B.
7. The multi-function mouth gag stand of claim 1, wherein the handle is further provided with a metal spring.
8. The multi-purpose mouth gag stand of claim 1, wherein the tooth hooks are 6-shaped in configuration.
CN202321375309.XU 2023-06-01 2023-06-01 Multifunctional mouth gag bracket Active CN220089654U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202321375309.XU CN220089654U (en) 2023-06-01 2023-06-01 Multifunctional mouth gag bracket

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202321375309.XU CN220089654U (en) 2023-06-01 2023-06-01 Multifunctional mouth gag bracket

Publications (1)

Publication Number Publication Date
CN220089654U true CN220089654U (en) 2023-11-28

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CN202321375309.XU Active CN220089654U (en) 2023-06-01 2023-06-01 Multifunctional mouth gag bracket

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Country Link
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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN118121332A (en) * 2024-05-10 2024-06-04 生一科技(北京)有限公司 Mouth gag

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN118121332A (en) * 2024-05-10 2024-06-04 生一科技(北京)有限公司 Mouth gag

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