KR20000072714A - Mandibular angle retractor - Google Patents

Mandibular angle retractor Download PDF

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Publication number
KR20000072714A
KR20000072714A KR1020000055521A KR20000055521A KR20000072714A KR 20000072714 A KR20000072714 A KR 20000072714A KR 1020000055521 A KR1020000055521 A KR 1020000055521A KR 20000055521 A KR20000055521 A KR 20000055521A KR 20000072714 A KR20000072714 A KR 20000072714A
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South Korea
Prior art keywords
neck
lens
retractor
reflector
handle
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KR1020000055521A
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Korean (ko)
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KR100402822B1 (en
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이희영
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이희영
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C3/00—Dental tools or instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C1/00—Dental machines for boring or cutting ; General features of dental machines or apparatus, e.g. hand-piece design
    • A61C1/08—Machine parts specially adapted for dentistry
    • A61C1/088—Illuminating devices or attachments

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Surgery (AREA)
  • Dentistry (AREA)
  • Epidemiology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)
  • Endoscopes (AREA)

Abstract

PURPOSE: A lower jaw tractor is provided which includes a lighting device and a sight identification device in a tractor structure so that it is helpful in securing enough eye vision in examination. CONSTITUTION: The lower jaw tractor comprises the parts of: a neck part(2) which is formed to be projected from a grip and bended at a fixed angle to contain a first bending part(2a), a second bending part and a common hole; a ring for traction(3) which is formed at the edge of the neck part; a lighting device(4) which is placed to be irradiated inside the ring for traction; and a sight identification device which is placed to identify the interior side of the ring for traction.

Description

하악각 견인기{MANDIBULAR ANGLE RETRACTOR}MANDIBULAR ANGLE RETRACTOR}

본 발명은 구강내 수술시 사용하는 하악 견인기에 관한 것으로, 상세히는 견인과 동시에 시야 확인이 가능하도록 구성한 견인기에 관한 것이다.The present invention relates to a mandibular retractor for use in intraoral surgery, and more particularly, to a retractor configured to be able to check the visual field simultaneously with the traction.

견인기는 손잡이로 부터 돌출되는 절곡된 형태의 목부와 목부의 단부에 형성된 견인용 고리 형태로 이루어져 고리를 골조직이나 신체부위에 걸고 끌어당겨 수술이나 진단에 필요한 공간확보나 자료 수집을 위하여 사용되는 것으로 수술부위에 따라 다양한 형태의 견인기가 사용되고 있다.The retractor consists of a curved neck that protrudes from the handle and a tow hook formed at the end of the neck, and is used to secure space or collect data necessary for surgery or diagnosis by hooking the hook to bone tissue or body parts. Various types of retractors are used depending on the part.

이와 같은 종래의 견인기는 단순한 견인기능위주로 구성된 것으로 시야확보를 위해서 별도의 수술용거울이나 외부조명을 필요로 하며, 개복이나 절개후 특정 부위를 수술할 경우 대부분 충분한 공간이 확보된 상태에서 수술이 이루어 지기 때문에 조명과 수술용거울을 사용한 시야확보에 무리가 없으나 구강내와 같이 좁은 공간에서 골절단이나 접합술을 시행할 경우에는 수술용거울이나 외부조명장치를 운용하기가 곤란하고 이들 기구에 의해서도 충분한 시야확보가 이루어 지지 않는 한계가 있다.Such a conventional retractor is composed of simple traction functions, and requires a separate surgical mirror or external illumination to secure a field of vision, and when surgery is performed on a specific part after opening or cutting, most of the surgery is performed with sufficient space. It is easy to secure the field of vision using illumination and surgical mirrors, but it is difficult to operate surgical mirrors or external lighting devices when bone cutting or splicing is performed in a narrow space such as in the oral cavity. There is a limit that cannot secure visibility.

또한, 구강내 골절부의 금속판 고정이나 골절단등을 위한 수술일 경우에는 좁은 공간상에서 견인과 동시에 드라이버, 골절단용 톱등의 수술기구를 투입하여 조작하여야 하고, 외부조명 및 수술용거울과 함께 사용되어야 함으로 시야확보가 더욱 곤란해지며, 특히 하악각 측면과 같이 일반 수술용 거울의 시야가 미치지 못하는 구석진 부위의 수술시에는 시야확보에 따르는 어려움이 가중되어 실제 수술에 소요되는 시간보다 수술에 필요한 기구를 조작하고 수술상태를 확인하는 등의 시간이 더 소요되는 등 수술에 많은 어려움이 있었다.In addition, in the case of surgery for fixing the metal plate or fracture of intraoral fracture, it should be operated by inserting surgical instruments such as driver and fracture saw at the same time as traction in a narrow space, and should be used with external lighting and surgical mirror. It becomes more difficult to secure the field of vision, especially in the operation of the corners where the field of view of the general surgical mirror does not reach, which increases the difficulty of securing the field of vision. There was a lot of difficulty in the operation, such as taking more time to check the operation status.

본 발명은 좁은 공간인 구강내의 수술이나 하악각 측면 절개에 의한 수술에 특히 유용한 견인기를 제시함으로서 좁은 공간에서 효과적인 공간활용이 가능하게 하고, 견인기능과 함께 시야확보가 가능하고, 더 나아가 수술이나 골절단시 발생하는 이물질을 제거하기 위해 수술을 자주 중단해야 하는 불편을 해소할 수 있는 하악각 견인기를 새로이 제시하기 위한 것이다.The present invention provides an effective retractor in a narrow space oral surgery or surgery by mandibular lateral incision to enable effective space utilization in a narrow space, to secure a field of view with a traction function, furthermore surgery or bone cutting The purpose of this article is to propose a new mandibular retractor that can solve the inconvenience of having to stop the operation frequently in order to remove foreign substances generated during the operation.

이를 위하여 본 발명은 손잡이와 목부 및 견인용고리로 이루어지는 하악각 견인기 구조에 조명장치와 시야확인장치가 포함되도록 하여 견인과 함께 수술부위의 시야확인이 가능하게 하고, 별도의 세척장치를 구비하여 수술시 발생하는 이물질을 세척하고 외부로 배출시킴으로서 지속적인 수술이 이루어 지도록 하는 하악각 견인기를 제시한다.To this end, the present invention is to include a lighting device and the field of view confirmation device in the mandibular angle retractor structure consisting of a handle, a neck and a traction ring to enable visual confirmation of the surgical site with the traction, and equipped with a separate cleaning device during surgery We present a mandibular retractor that allows continuous surgery by cleaning and discharging foreign objects.

도1은 본 발명에 의한 하악각 견인기의 기본 구조도1 is a basic structural diagram of the mandible angle retractor according to the present invention

도2는 반사경을 사용한 하악각 견인기의 실시례도Figure 2 is an embodiment of the mandible angle retractor using a reflector

도3은 렌즈와 반사경을 함께 구성한 본 발명의 실시례도Figure 3 is an embodiment of the present invention configured with a lens and a reflector

도4는 세척장치를 포함시킨 본 발명의 실시례도Figure 4 is an embodiment of the present invention including a washing device

도5는 목부의 상세구조도5 is a detailed structural diagram of the neck

도6은 목부의 내부 구성도Figure 6 is an internal configuration of the neck

도7은 본 발명의 사용 상태도Figure 7 is a use state diagram of the present invention

*주요부호의 설명* Description of the major symbols

1.손잡이 2.목부 2a.1차절곡부1.Handle 2.Neck 2a.First Bending

2b.2차절곡부 2c.공동구 3.견인용 고리2b.Secondary bend 2c.Communal tool 3.Traction ring

4.조명장치 4a.램프 4b.전원4.Lighting device 4a.Lamp 4b.Power supply

4c.스위치 4d.배선 5.시야확인장치4c switch 4d wiring 5.field checking device

51.렌즈 및 그 구성체 51a.렌즈 51b.광케이블51 Lens and its construction 51a Lens 51b Optical cable

51c.접속잭 51d.외부화상장치51c.Connection Jack 51d.External Imager

52.반사경 52a.절첩구52. Reflector 52a.

6.세척장치 61.물분사장치 61.공기분사장치6.Washing device 61.Water jet device 61.Air jet device

63.흡입장치63.Suction device

본 발명은 손잡이로 부터 돌출되어 일정각도로 절곡되는 목부가 형성되고 목부의 단부에 견인을 위한 고리가 형성되는 구조의 하악각 견인기에 적용된다.The present invention is applied to the mandible angle retractor of the structure is formed from the neck protruding from the handle to be bent at a certain angle and a ring for traction is formed at the end of the neck.

본 발명은 상기한 구조의 하악각 견인기에 조명장치와 시야확인장치를 결합하는 구성을 특징으로 하며, 또한, 별도의 세척장치가 함께 구비되는 구성을 특징으로 한다.The present invention is characterized in that the combination of the illumination device and the viewing device to the mandible angle retractor of the above-described structure, and also characterized in that the configuration provided with a separate cleaning device.

조명장치는 수술부위를 조명하여 시야확인을 위한 것으로 견인고리의 내측으로 조사되도록 목부상에 설치한 조명램프와 구동회로로 이루어 진다.The lighting device is used to illuminate the surgical area and to check the field of vision, and is composed of an illumination lamp and a driving circuit installed on the neck to be irradiated to the inside of the towing ring.

시야 확인장치는 견인상태에서 견인부의 측면을 확인할 수 있는 위치의 목부상에 반사경을 설치하여 시야에 의해 직접 확인 할 수 있도록 하는 구성과, 목부상에 렌즈를 설치하고 이에 광케이블 및 외부 화상장치를 연결하여 실시간으로 모니터 할 수 있도록 하는 구성을 선택적으로 설치하거나 또는 동시에 설치하는 구성으로 이루어진다.The visual field checking device is configured to install the reflector on the neck at the position where the side of the towing unit can be checked while being pulled, so that the visual field can be directly checked by the field of view, and the lens is installed on the neck to connect the optical cable and the external image device. By selectively installing or simultaneously installing the configuration to monitor in real time.

세척장치는 렌즈 또는 반사경을 구비한 경우에 입김에 의한 거울면이 흐려지는 것을 방지하고 수술시 발생하는 피나 골조각등에 의해 렌즈 또는 반사경이 오염되는 것을 방지하기 위해 설치되는 것으로 반사경 또는 렌즈 방향으로 물을 분사시켜 세척하기 위한 물분사장치와, 반사경 또는 렌즈의 물기를 제거하기 위해 공기를 분사시키기 위한 공기분사장치, 세척수와 수술시 발생하는 이물질의 외부 배출을 위한 흡입장치로 이루어진다.The cleaning device is provided to prevent the mirror surface from being blurred when the lens or the reflector is provided and to prevent the lens or the reflector from being contaminated by blood or bone fragments generated during surgery. It is composed of a water spray device for spraying and washing, an air spraying device for spraying air to remove water from the reflector or lens, and an inhalation device for external discharge of washing water and foreign substances generated during surgery.

이하 첨부된 도면에 의한 구체적 실시례에 의해 본 발명을 상세히 설명하면 다음과 같다.Hereinafter, the present invention will be described in detail with reference to specific embodiments of the accompanying drawings.

도1은 본 발명의 간단한 실시형태를 도시한 것으로, 손잡이(1)와 목부(2) 및 목부의 선단에 형성되는 견인용 고리(3)로 견인기 본체가 구성되고 조명장치(4)와 렌즈 및 그 구성체(51)로 이루어지는 시야확인장치(5)가 포함되는 구성을 갖는다.1 shows a simple embodiment of the present invention, in which a retractor body is composed of a handle 1, a neck 2, and a tow hook 3 formed at the tip of the neck, and includes a lighting device 4 and a lens and It has the structure that the visual field confirmation apparatus 5 which consists of the structure 51 is contained.

목부(2)는 손잡이(1)로 부터 약간 벗어난 위치에서 대략 90°내외의 각도로 하향으로 절곡시킨 1차절곡부(2a)와, 목부의 선단부에서 1차절곡부의 연장선에 대하여 반시계 방향으로 대략 20°내외의 각도로 완만하게 절곡시킨 2차절곡부(2b)로 이루어 지고, 목부내측에는 조명장치등의 배선을 위한 공동구(2c)가 형성된다.The neck 2 has a primary bent portion 2a bent downward at an angle of about 90 ° from a position slightly away from the handle 1 and counterclockwise with respect to the extension of the primary bent portion at the tip of the neck. It consists of a secondary bent part 2b gently bent at an angle of about 20 degrees, and a cavity 2c for wiring such as a lighting device is formed inside the neck.

견인용 고리(3)는 목부의 선단부에서 타원형태로 끝부분을 말아 목부와 연속된 구조로 형성된다.Traction ring (3) is formed in a continuous structure with the neck by rolling the end of the elliptical shape at the front end of the neck.

조명장치(4)를 구성하는 램프(4a)는 1차절곡부와 2차절곡부의 경계부에 형성하여 견인용 고리의 안쪽으로 조사되도록 하고, 조명장치를 구성하는 구동회로 손잡이내에 전원(4b)과 스위치(4c)를 형성하여 목부내부의 공동구를 통하여 배선(4d)이 조명램프에 연결되도록 구성한다.The lamp 4a constituting the lighting device 4 is formed at the boundary between the primary bent portion and the secondary bent portion so that the lamp 4a is irradiated to the inside of the towing ring, and the power supply 4b and The switch 4c is formed so that the wiring 4d is connected to the lighting lamp through the cavity inside the neck.

시야확인장치(5)인 렌즈 및 그 구성체(51)은 목부의 2차절곡부 조명램프 아래 부분에 설치한 렌즈(51a)와 상기 목부의 공동구를 통하여 상기 렌즈에 연결되고 손잡이의 외측으로 형성된 접속잭(5c)에 연결시킨 광케이블(51b) 및 상기 접속잭에 의해 연결되어 렌즈를 통한 화상을 실시간 출력시키는 외부화상장치(51d)로 이루어 진다.The lens, which is the field of view confirmation device 5, and its structure 51 are connected to the lens through a cavity 51 of the neck and the lens 51a installed under the lighting lamp of the secondary bent portion of the neck, and formed to the outside of the handle. It consists of an optical cable 51b connected to the jack 5c and an external image device 51d connected by the connecting jack to output an image through a lens in real time.

상기한 시야확인장치로서 내시경 검사에 사용하는 내시경렌즈와 그 구성요소를 사용함으로서 기존의 내시경 검사장치를 활용할 수 있고, 렌즈와 광케이블 및 광학적으로 이루어지는 화상확대장치를 사용할 수 있으며 이 경우 경제적으로 시야확인장치를 구성할 수 있게 된다.By using the endoscope lens and its components used for endoscopy as the field of view confirmation device, it is possible to utilize the existing endoscope inspection device, and to use the image magnification device consisting of a lens, an optical cable, and optically. The device can be configured.

상기 구성은 1차절곡부에 의해 입술과 같은 구강진입시의 장애물을 당겨 입구를 충분히 넓힐 수 있고, 2차절곡부가 구강내측을 압박하여 견인상태에서 수술에 필요한 충분한 공간이 확보될 수 있도록 작용하여 하악각 견인시 매우 유용한 구조가 된다.The configuration can be widened the entrance by pulling the obstacles in the mouth, such as the lips by the primary bent portion, the second bent portion to press the inside of the oral cavity to act to ensure sufficient space for surgery in the traction state mandible angle It is a very useful structure for towing.

하악각이 견인된 상태에서 조명장치를 작동시키고 외부화상장치를 작동시키면 화상확인에 필요한 조명이 제공된 상태에서 수술과정과 수술상태를 실시간으로 확인할 수 있고 모니터할 수 있게 된다.When the lighting device is operated while the mandibular angle is towed and the external image device is operated, the operation process and the operation status can be checked and monitored in real time while the lighting required for image confirmation is provided.

상기 구성은 하악각 견인기만을 사용하여 견인기능과 조명기능 및 시야확인기능을 동시에 수행할 수 있게 되는 잇점을 갖게 된다.The above configuration has the advantage of being able to simultaneously perform the traction function, the illumination function, and the visual confirmation function using only the mandible angle retractor.

따라서, 별도의 외부조명장치 및 수술용거울의 삽입에 따른 공간이 절약되어 드릴이나 톱등 수술기구의 조작이 쉽게 이루어지고, 시선에 의한 직접적인 시야확보도 보다 용이해지며, 종래 확인이 어려웠던 하악각 측면상태도 화상장치를 통하여 쉽게 확인할 수 있는 효과를 갖는다.Therefore, the space is saved according to the insertion of a separate external lighting device and a surgical mirror, so that the operation of a surgical instrument such as a drill or a saw can be easily performed, and the direct field of view can be more easily secured by the line of sight, and the mandible angle state of the mandible which was difficult to confirm conventionally Also, it has an effect that can be easily confirmed through the image device.

도2에 의한 실시례는 시야확인장치(5)로 반사경(52)을 사용한 구성을 보인 것으로 반사경은 대략 장방형 형태로서 목부의 2차 절곡부 내측에 경사각 조절이 가능하도록 절첩구(52a)에 의해 결합된다.2 shows a configuration in which the reflector 52 is used as the visual field confirming device 5, and the reflector has a substantially rectangular shape, and is folded by the fold opening 52a to allow the inclination angle to be adjusted inside the secondary bent portion of the neck. Combined.

상기 반사경은 하악각의 측면이나 저면을 시선을 통하여 직접 확인 할 수 있도록 하는 장치로 실제 형태로 투영되기 때문에 견인상태에서 수술기구의 조작상태를 직접 확인해 가면서 수술을 할 수 있는 잇점이 있다.The reflector is an apparatus that allows the side or bottom of the mandibular angle to be directly identified through a line of sight so that the reflector can be operated while directly checking the operating state of the surgical instrument in the traction state.

상기한 실시형태는 렌즈 및 그 구성체에 의한 시야확인장치에 비하여 간단하고 경제적으로 실시할 수 있으나 수술과정을 외부에서 모니터하거나 수술보조자에게 까지 시야확보가 이루어 지지 못하고, 수술부위를 광각으로 확인할 수 없는 단점이 있다.The above embodiment can be implemented in a simple and economical way compared to the field of view confirmation device by the lens and its structure, but the field of vision cannot be secured to the surgical assistant or the surgical assistant, and the surgical site cannot be identified at a wide angle. There are disadvantages.

도3에 의한 실시례는 이러한 단점을 해소하기 위해서는 반사경(52)에 의한 시야확인장치와 렌즈 및 그 구성체에 의한 시야확인장치를 동시에 형성하는 구성을 제시한다.The embodiment according to Fig. 3 suggests a configuration for simultaneously forming a visual confirmation device by a reflector 52 and a visual confirmation device by a lens and its structure in order to solve this disadvantage.

상기 구성은 반사경에 의해 직접 시야를 확보한 상태에서 렌즈 및 그 구성체에 의해 반사경에 의해 확인 곤란한 부분까지 확인할 수 있고, 수술과정을 외부에서 모니터할 수 있는 효과를 갖는다.The above configuration can be confirmed up to the part difficult to be confirmed by the reflector by the lens and its structure in a state of securing a direct view by the reflector, and has an effect of monitoring the surgical procedure from the outside.

도4는 상기한 각 실시례에 의한 구성에 있어서 세척장치를 함께 구성한 실시례를 도시한 것으로,세척장치(6)는 골조직의 절단이나 하악각 측면등의 절개시 발생하는 피나 골조각등을 신속히 제거하고, 반사경이나 렌즈에 묻은 얼룩을 신속히 제거하여 수술상태를 계속적으로 관측할 수 있도록 하기 위한 것으로 물분사장치(61),공기분사장치(62) 및 흡입장치(63)로 이루어 진다.Figure 4 shows an embodiment configured with a washing device in the configuration according to each embodiment described above, the washing device 6 is to quickly remove the blood or bone fragments, etc. generated during cutting of bone tissue or cutting of the mandibular side, etc. And, to remove the stains on the reflector or lens quickly to be able to observe the surgical state consists of a water spraying device 61, air spraying device 62 and the suction device (63).

물분사장치(61)은 반사경 또는 렌즈면을 향하도록 목부의 2차 절곡부상에 형성한 노즐(61a)과, 목부내부의 공동구상에 설치하여 한쪽끝은 노즐과 연결되고, 다른 쪽 끝은 손잡이를 경유하여 손잡이 외측에 형성한 연결잭(61b)에 연결되는 튜브(61c) 및 튜브에 연결되어 물을 공급하기 위한 외부 물공급장치(61d)로 이루어진다.The water spraying device 61 is provided on the nozzle 61a formed on the secondary bent portion of the neck so as to face the reflector or lens surface, and is installed on the cavity inside the neck, and one end is connected to the nozzle, and the other end is handled. It consists of a tube (61c) connected to the connecting jack (61b) formed on the outside of the handle via an external water supply device (61d) for supplying water.

공기분사장치(62)는 반사경 또는 렌즈면을 향하도록 목부의 2차 절곡부상에 형성한 공기노즐(62a)과, 목부내부의 공동구상에 설치하여 한쪽 끝은 노즐과 연결되고 다른 쪽 끝은 손잡이를 경유하여 손잡이 외측에 형성한 연결잭(62b)에 연결되는 튜브(62c) 및 튜브에 연결되어 공기를 공급하기 위한 외부 공기공급장치(62d)로 이루어진다.The air injector 62 is installed on the secondary bent portion of the neck so as to face the reflector or lens surface, and is installed on the cavity inside the neck so that one end is connected to the nozzle and the other end is gripped. It consists of a tube (62c) is connected to the connecting jack 62b formed on the outside of the handle via the outer air supply device 62d for supplying air.

흡입장치(63)는 렌즈 또는 반사경의 세척을 위해 분사시킨 물과, 수술시 발생하는 피 및 골조각등을 외부로 배출시키기 위한 것으로 반사경의 끝쪽 하부 및 렌즈하부에 흡입구(63a)를 형성하고 목부내부의 공동구상에 설치하여 한쪽 끝은 흡입구와 연결되고 다른 쪽 끝은 손잡이를 경유하여 손잡이 외측에 형성한 연결잭(63b)에 연결되는 튜브(63c)를 설치하여 외부 흡입장치(64d)와 연결시키는 구성으로 이루어진다.The suction device 63 is for discharging the water sprayed for cleaning the lens or the reflector and the blood and bone fragments generated during surgery to the outside, and the suction port 63a is formed at the lower end of the reflector and the lower lens. It is installed on the inner cavity, and one end is connected to the suction port, and the other end is connected to the external suction device 64d by installing a tube 63c connected to the connection jack 63b formed on the outside of the handle via the handle. Consists of the configuration.

세척장치를 구성하는 공기분사장치,물분사장치 및 흡입장치의 튜브는 각기 손잡이에 형성한 스위치밸브(61e)(62e)(63e)에 의해 개폐되도록 구성하며, 이와 같은 구성에 의해 각각의 스위치 밸브를 조작함으로서 물분사,공기분사 및 흡입장치가 동작하여 세척 및 이물질 배출동작을 수행하게 된다.The tube of the air spraying device, the water spraying device, and the suction device constituting the washing device are configured to be opened and closed by switch valves 61e, 62e, and 63e formed on the handles, respectively. By operating the water injection, air injection and suction device is performed to perform the washing and the foreign matter discharge operation.

상기에서 렌즈 및 구성체와 반사경을 동시에 형성한 경우에 목부의 일측에 공기분사노즐을 설치하고, 다른측에는 물분사노즐을 설치하며, 각각의 공기분사노즐과 물분사노즐은 단일노즐에 2개의 분사구를 형성하여 각각 반사경 및 렌즈를 향하여 분사되도록 형성한 구조로 실시된다.In the case where the lens, the structure, and the reflector are formed at the same time, an air spray nozzle is installed on one side of the neck, a water spray nozzle is installed on the other side, and each air spray nozzle and the water spray nozzle have two nozzles in a single nozzle. It is formed in a structure formed so as to be sprayed toward the reflector and the lens, respectively.

상구 구성에 의한 세척장치는 수술부위와 반사경 또는 렌즈를 세척하여 항상 깨끗한 상태를 유지시키며, 수술시 발생하는 피나 이물질을 신속히 배출시켜 수술부위의 시야를 지속적으로 유지시킬 수 있게 된다.The cleaning device by the upper mouth configuration is always kept clean by washing the surgical site and the reflector or lens, it is possible to maintain the view of the surgical site by quickly discharging the blood or foreign substances generated during surgery.

도5는 견인기 선단부의 상세 구조를 도시한 것이며, 도6은 목부의 단면구조를 도시한 것으로 각각의 노즐 및 흡입구에 연결되는 튜브와 렌즈에 연결되는 광케이블 및 조명램프에 연결되는 배선이 목부상에 형성된 공동구를 통하여 설치됨을 보인 것이다.Fig. 5 shows the detailed structure of the tip of the retractor, and Fig. 6 shows the cross-sectional structure of the neck, and a tube connected to each nozzle and an inlet and an optical cable connected to a lens and a wire connected to an illumination lamp are placed on the neck. It will be shown through the formed hollow sphere.

도면중 미설명 부호 10은 하악을 표시한 것이다.In the drawing, reference numeral 10 denotes a mandible.

이상의 구성에 의한 본 발명은 도6에 도시된 바와 같이 구강으로 삽입하여 견인용 고리에 하악등의 견인부위를 걸고 당김으로서 1,2차 절곡부에 의해 둘려싸인 공간부가 형성되며, 상기 공간부를 통하여 골의 절단, 접합등의 수술을 행하게 된다.The present invention according to the above configuration is inserted into the oral cavity as shown in Figure 6 by hanging the traction site of the lower jaw and the like in the towing ring is formed by the first and second bent portion surrounded by the space portion, Surgery such as bone cutting, splicing is performed.

수술은 반사경에 직접 확보된 시야에 의해 이루어지고, 부분적으로 렌즈 및 그 구성체를 통하여 외부화상장치에 투영된 실물화상을 참조하고 모니터하면서 다양한 각도에서 시야확인이 가능해진다.Surgery is performed by a field of view secured directly to the reflector, and the field of view can be checked at various angles while referring to and monitoring the real image projected onto the external imager through the lens and its structure.

수술과정에서 발생하는 이물질이나 피 또는 입김등에 의해 렌즈 및 반사경표면이 흐려질 때는 밸브스위치를 조작하여 물과 공기를 분사시켜 세척하고, 흡입장치를 사용하여 이물질을 외부로 배출시킴으로서 지속적인 수술이 이루어지게 된다.When the lens and reflector surface is blurred due to foreign substances, blood or breathing occurring during the operation, the valve switch is operated to spray water and air to clean it, and the suction device is used to discharge foreign substances to the outside for continuous operation. .

이상의 구성에 의한 본 발명은 공간이 협소한 하악각 수술시에 사용하는 견인기류에 사용함으로서 매우 유용하나 시야확보가 곤란하고 좁은 공간에서 이루어지는 기타의 수술시에도 매우 유용한 것으로 본 발명은 이러한 사용형태를 배제하지 않는다.The present invention by the above configuration is very useful for use in the retractor used in the mandibular surgery of the narrow space, but difficult to secure the field of vision and very useful for other surgery performed in a narrow space, the present invention excludes this use form I never do that.

본 발명은 거울 또는 렌즈구성체로 이루어지는 시야확인장치와 자체조명장치에 의해 다양한 각도의 시야가 확인된 상태에서 견인이 이루어 짐으로 구강내와 같이 좁은 공간에서 이루어지는 수술에 매우 유용하게 사용되고, 수술시 렌즈를 통한 화상장치에 의해 수술과정을 외부에서 모니터 할 수 있는 효과를 갖는다.The present invention is very useful for surgery performed in a narrow space, such as in the oral cavity by the traction is made by the field of view confirmation device and the self-illumination device is confirmed by various angles of view by the mirror or lens structure, the lens during surgery It has the effect of monitoring the surgery process from the outside by the imaging device through.

또한, 본 발명은 세척장치에 의해 수술과정에서 발생하는 이물질이 시야를 방해하는 것을 방지하여 지속적인 수술이 가능하고, 동시에 사용하는 수술기구의 수가 감소됨으로 공간을 효과적으로 활용할 수 있어 수술에 소요되는 시간을 단축시킬 수 있는 효과를 갖는다.In addition, the present invention prevents foreign substances generated during the surgery process by the cleaning device to obstruct the field of vision, it is possible to continue the operation, and at the same time the number of surgical instruments to be used can effectively utilize the space to reduce the time required for surgery It has an effect that can be shortened.

Claims (5)

손잡이(1)로 부터 돌출되어 일정각도로 절곡되는 목부(2)가 형성되고 목부의 단부에 견인을 위한 견인용 고리(3)가 형성되는 구조의 하악각 견인기에 있어 견인용 고리 내측으로 조사되도록 설치된 조명장치(4)와 견인용고리 안쪽을 확인할 수 있도록 설치한 시야확인장치를 포함하는 구성을 특징으로 하는 하악각 견인기.Protruding from the handle (1) is formed so that the neck portion (2) is bent at a certain angle is formed in the mandible angle retractor of the structure that is formed towing hook (3) for towing at the end of the neck installed to be irradiated inside the towing hook Mandibular retractor, characterized in that it comprises a lighting device (4) and a visual field confirmation device installed to check the inside of the towing ring. 제1항에 있어서, 목부(2)는 손잡이(1)로 부터 약간 벗어난 위치에서 대략 90°내외의 각도로 하향으로 절곡시킨 1차절곡부(2a)와, 목부의 선단부에서 1차절곡부의 연장선에 대하여 반시계 방향으로 대략 20°내외의 각도로 완만하게 절곡시킨 2차절곡부(2b)로 이루어 지고, 목부내측에는 조명장치등의 배선을 위한 공동구(2c)가 설치된 것을 특징으로 하는 하악각 견인기.The neck portion (2) according to claim 1, wherein the neck portion (2) has a primary bend portion (2a) bent downward at an angle of approximately 90 degrees at a position slightly away from the handle (1), and an extension line of the primary bend portion at the tip of the neck portion. Mandibular retractor, characterized in that the secondary bent portion (2b) gently bent at an angle of about 20 ° counterclockwise with respect to the neck, and the inside of the neck is provided with a cavity (2c) for wiring of lighting devices, etc. . 제2항에 있어서, 조명장치(4)를 구성하는 램프(4a)는 1차절곡부와 2차절곡부의 경계부에 형성하여 견인용 고리의 안쪽으로 조사되도록 하고,손잡이내에 전원(4b)과 스위치(4c)를 형성하여 목부내부의 공동구를 통하여 배선(4d)이 조명램프에 연결되도록 이루어 지고, 시야확인장치(5)는 목부의 2차절곡부 조명램프 아래 부분에 설치한 렌즈(51a)와 상기 목부의 공동구를 통하여 상기 렌즈에 연결되고 손잡이의 외측으로 형성된 접속잭(5c)에 연결시킨 광케이블(51b) 및 상기 접속잭에 의해 연결되어 렌즈를 통한 화상을 실시간 출력시키는 외부화상장치(51d)로 이루어 지는 렌즈 및 그 구성체(51)로 구성한 것을 특징으로 하는 하악각 견인기.The lamp 4a constituting the lighting device 4 is formed at the boundary between the primary bent portion and the secondary bent portion so that the lamp 4a is irradiated to the inside of the towing ring, and the power supply 4b and the switch within the handle. (4c) is formed so that the wiring (4d) is connected to the lighting lamp through the cavity inside the neck, the visual field confirmation device (5) and the lens 51a installed in the lower portion of the lighting lamp of the second bend of the neck and An optical cable 51b connected to the lens through the cavity of the neck and connected to a connection jack 5c formed outside the handle, and an external image device 51d connected by the connection jack to output an image through the lens in real time. Mandibular retractor, characterized in that consisting of a lens made of a 51 and its structure. 제2항에 있어서,조명장치(4)를 구성하는 램프(4a)는 1차절곡부와 2차절곡부의 경계부에 형성하여 견인용 고리의 안쪽으로 조사되도록 하고,시야 확인장치(5)는 반사경(52)을 사용하며, 상기 반사경은 목부의 2차 절곡부 내측에 경사각 조절이 가능하도록 절첩구(52a)에 의해 결합되도록 하는 것을 특징으로 하는 하악각 견인기.The lamp 4a constituting the lighting device 4 is formed at the boundary between the primary bent portion and the secondary bent portion so as to be irradiated to the inside of the towing ring, and the visual field checking device 5 is a reflector. (52), the reflector is a mandible angle retractor, characterized in that coupled to the fold opening (52a) to be able to adjust the inclination angle inside the secondary bent portion of the neck. 제1항,제2항,제3항 또는 제4항중 어느 한 항에 있어서, 시야확인장치를 구성하는 반사경 또는 렌즈면을 향하여 물과 공기를 분사시킬 수 있게 구성한 물분사장치(61) 및 공기분사장치(62)와, 분사된 물과 수술시의 이물질을 손잡이 외부로 배출시킬 수 있도록 목부상에 흡입구를 형성하여 손잡이 외부로 배출시킬 수 있도록 흡입장치(63)로 이루어지는 세척장치(6)을 포함하는 것을 특징으로 하는 하악각 견인기.The water spraying device 61 and the air according to any one of claims 1, 2, 3, and 4, wherein water and air can be sprayed toward the reflector or lens surface constituting the visual field checking device. Injector 62, and the cleaning device 6 consisting of a suction device 63 to form a suction port on the neck to discharge the sprayed water and foreign matter during surgery to the outside of the handle Mandibular retractor, characterized in that it comprises.
KR10-2000-0055521A 2000-09-21 2000-09-21 Mandibular angle retractor KR100402822B1 (en)

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