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CN203953720U - A kind of device of building chamber and be suitable for cervical region endoscopic surgery by Magnetic force tracting activity - Google Patents

A kind of device of building chamber and be suitable for cervical region endoscopic surgery by Magnetic force tracting activity Download PDF

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Publication number
CN203953720U
CN203953720U CN201420377802.XU CN201420377802U CN203953720U CN 203953720 U CN203953720 U CN 203953720U CN 201420377802 U CN201420377802 U CN 201420377802U CN 203953720 U CN203953720 U CN 203953720U
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support arm
skin
magnetic
cervical region
activity
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张自雄
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Abstract

This utility model relates to a kind of device of being built chamber and be suitable for cervical region endoscopic surgery by Magnetic force tracting activity.It is characterized in that building chamber device and form by being located at the magnetic means (1) on skin (2) surface and being located at the lower support arm of skin (2) layer, the magnetic means (1) that is located at skin (2) surface attracts to be located at support arm under skin (2) layer foundation cavity of performing the operation that outwards moves; Described support arm is lived and is connected by rivet (4) with lower floor support arm (6) by upper layer bracket arm (3); Described support arm is by being made by the material of magnetic attraction.The beneficial effects of the utility model are: the little otch in the relative shelter of cervical region, and operative approach and postoperative drainage are dual-purpose, have reached cosmetic result; Reach Minimally Invasive Surgery object; Reduce operation wound; The selection part of operative incision can have larger degree of freedom.

Description

A kind of device of building chamber and be suitable for cervical region endoscopic surgery by Magnetic force tracting activity
Technical field
This utility model relates to a kind of device of being built chamber and be suitable for cervical region endoscopic surgery by Magnetic force tracting activity.
Background technology
At present, thyroid tumors sickness rate is higher, be more common in women, be wherein no lack of youth or social active women, operation is unique way of these diseases for the treatment of, for postoperative aesthetic, thyroid operation under scope or scope are auxiliary arises at the historic moment, and the essential condition of carrying out endoscopic surgery is exactly to set up enough, stable lacuna, but cervical region lacks nature passage and potential lacuna, need artificial manufacture, pass through and have two kinds of methods at present: the one, fill CO 2build chamber, the 2nd, chamber is built in apparatus traction.Although the former lacuna is satisfied, the CO of pressurized filling 2may bring a series of complication: as hypercapnia, subcutaneous mediastinal emphesema, air embolism etc., and it is time-consuming to build chamber process, and wound is larger; The latter is because need apparatus traction, so otch cannot be accomplished hidden and Wicresoft, simultaneously because the existence of traction device affects the working place of operating theater instruments, more regrettably builds chamber feel embarrassed to mention satisfaction, deficient in stability and motility.The two respectively has pluses and minuses, but is not a perfect scheme.
Summary of the invention
The technical problems to be solved in the utility model has been to provide a kind of device of being built chamber and be suitable for cervical region endoscopic surgery by Magnetic force tracting activity.
The technical solution of the utility model is: a kind of device of being built chamber and be suitable for cervical region endoscopic surgery by Magnetic force tracting activity, it is characterized in that building chamber device and be made up of the support arm that is located at the surperficial magnetic means (1) of skin (2) and be located under skin (2) layer, the support arm that the magnetic means (1) that is located at skin (2) surface attracts to be located under skin (2) layer outwards draws foundation operation lacuna; Described support arm is lived and is connected by rivet (4) with lower floor support arm (6) by upper layer bracket arm (3); Described support arm is by being made by the material of magnetic attraction.
This utility model is built chamber and is suitable for the device of cervical region endoscopic surgery by Magnetic force tracting activity, it is characterized in that described magnetic means (1) is made up of electric magnet or Magnet.
This utility model is built chamber and is suitable for the device of cervical region endoscopic surgery by Magnetic force tracting activity, it is characterized in that described support arm is by being made by the metal material of magnetic attraction.
This utility model is built chamber and is suitable for the device of cervical region endoscopic surgery by Magnetic force tracting activity, it is characterized in that described upper layer bracket arm (3) and lower floor support arm (6) are provided with can be to the elastic support sheet of external extension (5).
This utility model is built chamber and is suitable for the device of cervical region endoscopic surgery by Magnetic force tracting activity, it is characterized in that described upper layer bracket arm (3) and lower floor support arm (6) are provided with the chute for elastic support sheet (5) telescopic moving, elastic support sheet (5) is arranged in the chute on upper layer bracket arm (3) or lower floor support arm (6).
This utility model is built chamber and is suitable for the device of cervical region endoscopic surgery by Magnetic force tracting activity, it is characterized in that the magnetic attracting force size scalable of described magnetic means (1).
This utility model is the CO that fills that builds chamber for current Endoscopic Thyroidectomy 2build the traction of chamber and apparatus and build two kinds, chamber main device, time-consuming, wound is large, may develop complications that many, lower cervical incision is grown, the not good not perfect shortcoming in chamber of simultaneously building of cosmetic result, design a kind of device that is applicable to the subcutaneous magnetic force of cervical region endoscopic surgery and builds chamber, this device only needs cervical region small and concealed incision, have subcutaneously build that chamber is quick and easy, art chamber stable satisfied and can be along with operation deeply adjust the advantages such as change in good time.
Irony support (support arm of rotation mutually, the elastic support sheet front and back that are embedded in support arm chute are extended and can descend compressive strain under external force) two parts of magnetic means (electric magnet or permanent strong magnet) outside this utility model skin and the distortion of the scalable of Intradermal.
This utility model adopts the little otch of cervical region concealment part (2cm) approach, and hypodermic tunnel is set up the visual lacuna of the needed operation of endoscopic surgery after arriving operative site.
This utility model adopts magnetic attraction to set up stable operation lacuna, abandon inflation or apparatus traction and build chamber, by attracting subcutaneous irony support traction to form lacuna, magnetic means can also drive subcutaneous support to slide in the slip of skin surface, can in operation, change at any time the needs that lacuna adapts to operation.
The holder device that this utility model comprises a kind of scalable distortion, two support arms that comprise mutual rotation, are embedded in the elastic support sheet that in two support arm chutes, slide in front and back.Scalable distortion comprises three aspects: the one, and the support arm rotating freely taking rivet as fulcrum, can freely adjust in subcutaneous plane, changes support scope; The 2nd, be arranged in the elastic support sheet of support arm chute because can freely extend, thereby the scope that expanded stent arm supports more can adapt to the demand of the irregular support of lacuna in art; The 3rd, can be under the effect of the external force lower compressive strain of the elastic support sheet being free to slide, even can be in three dimensions Free Transform meet the demand of surgery Yezhong privileged sites.
This utility model builds by Magnetic force tracting activity the device using method that chamber is suitable for cervical region endoscopic surgery: 1. support is implanted: the little otch of cervical region concealment part, dark and platysma, and separation forms certain space under platysma, implant the support of closure state, magnetic means attracts support to form suitable pull strength.2. art medium-height trestle movement and distortion: mobile: by means of the stable attraction relation of Magnet and the formation of irony support, the outer artificial movement of magnetic means of skin can drive support under platysma, to make corresponding position change, use electric knife to separate below platysma simultaneously, progressively move to operative region, form tunnel and operative region operating clearance under platysma.Distortion: form below platysma behind operation gap, process of passing through tunnel imports endoscope, by operating theater instruments, the shape of support is made to corresponding adjustment, i.e. the folding of support arm and elastic support sheet telescopic slide under direct-view.Skin external magnet rotates or can realize by the passing of operating theater instruments the folding of support arm, expands support scope and forms better surgical field of view.Under endoscope direct-view, can utilize operating theater instruments as elevator, suction pump etc. by support arm below the elastic support sheet of chute release, and can press down elastic support sheet and change the direction and the scope that support, meet the needs of accurate operation in particular procedure space.3. support takes out: after operation finishes, remove after magnetic pull, under endoscope's direct-view, make support arm closure by holding forceps, and take out from the tunnel of platysma below.
The beneficial effects of the utility model are: (1) this utility model is that a kind of magnetic force that is applicable to cervical region endoscopic surgery is built chamber device, by the cervical region one little otch in relative shelter, after forming tunnel, insert irony support, outside skin, under the attraction of magnetic means, form operation lacuna.Patient is benefited and mainly contains: the one, and cervical region concealment part cuts, and is single small incision, and operative approach and postoperative drainage are dual-purpose, have reached cosmetic result; The 2nd, single shorter tunnel arrives operation destination, and subcutaneous tissue separates shoots the arrow at the target, and has reached Minimally Invasive Surgery object; The 3rd, in deformable support art, adjust and form perfect visual area in good time, be conducive to shorten operating time, reduce operation wound; The 4th, this chamber mode of building can also be suitable for other operations of most of cervical regions, and the selection part of operative incision can have larger degree of freedom.(2) the present invention is method and the device that a kind of cervical region endoscopic surgery magnetic force is built chamber, the irony support of its subcutaneous implantation has stronger deformability and adjustable function, can be in three dimensions free adjustment, the position change of the outer magnetic means of cooperation skin can comprehensive covering operation on neck open country.Be in particular in: the one, the integrated moving of magnetic attraction device, forms effective operation lacuna at the keypoint part of operation, and that has avoided that inflation builds chamber builds that chamber is not enough or to build chamber excessive; The 2nd, adjustable support arm and elastic support sheet can be used for emphasis and support ongoing operative site, and do corresponding fine setting along with operation process; The 3rd, the elastic support sheet of freedom of movement maximum uses in can performing the operation flexibly, neck dissection level is more, the visual lacuna of performing the operation can only be based upon below platysma, after other anatomical layers in operation separate, can utilize elastic support sheet to draw to form the gap of further operation.
Brief description of the drawings
Motion view when accompanying drawing 1 is the use of building chamber device by Magnetic force tracting activity;
Traction state schematic diagram when accompanying drawing 2 is the use of building chamber device by Magnetic force tracting activity;
Accompanying drawing 3 is structural representations while building the closure state in vivo of chamber device by Magnetic force tracting activity;
Structural representation when accompanying drawing 4 is the using state unlatching of building chamber device by Magnetic force tracting activity;
Structural representation when accompanying drawing 5 is the using state elastic support sheet unlatching of building chamber device by Magnetic force tracting activity;
Structural representation when support arm is all opened when accompanying drawing 6 is the using state of building chamber device by Magnetic force tracting activity;
Accompanying drawing 7 is to build by Magnetic force tracting activity the schematic diagram that the using state of chamber device is opened by operating theater instruments in vivo;
In accompanying drawing: 1-is magnetic means; 2-is skin; 3-is upper layer bracket arm; 4-is rivet; 5-is elastic support sheet; 6-is lower floor support arm; 7-is operating theater instruments.
Detailed description of the invention
Below in conjunction with drawings and Examples, this utility model is further illustrated.
Embodiment 1:
A kind of device of building chamber and be suitable for cervical region endoscopic surgery by Magnetic force tracting activity, build chamber device and be made up of the support arm that is located at the magnetic means 1 on skin 2 surfaces and be located under 2 layers of skins, the magnetic means 1 that is located at skin 2 surfaces attracts to be located at support arm under 2 layers of skins and outwards moves and set up operation cavity; Described support arm is lived and is connected by rivet 4 with lower floor support arm 6 by upper layer bracket arm 3; Described support arm is by being made by the material of magnetic attraction.Magnetic means 1 is made up of electric magnet.Support arm is by being made by the metal material of magnetic attraction.Upper layer bracket arm 3 and lower floor support arm 6 are provided with can be to the elastic support sheet of external extension 5.Upper layer bracket arm 3 and lower floor support arm 6 are provided with the chute for elastic support sheet 5 telescopic movings, and elastic support sheet 5 is arranged in the chute on upper layer bracket arm 3 or lower floor support arm 6.The magnetic attracting force size scalable of magnetic means 1.
Magnetic means drives subcutaneous support to slide in the slip of skin surface, can in operation, change at any time the needs that lacuna adapts to operation.The support of scalable distortion, two support arms that comprise mutual rotation, are embedded in the elastic support sheet that in two support arm chutes, slide in front and back.Scalable distortion comprises three aspects: the one, and the support arm rotating freely taking rivet as fulcrum, can freely adjust in subcutaneous plane; The 2nd, be arranged in the elastic support sheet of support arm chute because can freely extend, thereby the scope that expanded stent arm supports more can adapt to the demand of the irregular support of postoperative lacuna; The 3rd, can be under the effect of the external force lower compressive strain of the elastic support sheet being free to slide, even can be in three dimensions freely-movable meet the demand of surgery Yezhong privileged sites.
Use magnetic force as the pull strength of building chamber, there is no other wound at skin of neck, this untouchable traction simultaneously also ensures the freely movable of its below support to greatest extent.Magnetic force is the electric magnet that can regulate, and can keep suitable suction to subcutaneous support.Support is irony, can be by magnetic attraction, and two support arms can rivet be that fulcrum rotates freely.Can be under the effect of the external force lower compressive strain of the elastic support sheet being free to slide, even can freely-movable in three dimensions, and elastic support sheet itself does not possess magnetic simultaneously.
This utility model builds by Magnetic force tracting activity the device using method that chamber is suitable for cervical region endoscopic surgery: 1. support is implanted: cervical region concealment part is cut osculum, dark and platysma, and separation forms certain space under platysma, the support of implanting closure state, magnetic means 1 attracts support to form suitable pull strength.2. art medium-height trestle movement and distortion: mobile: by means of the stable attraction relation of Magnet and the formation of irony support, attracting to be located at support arm under 2 layers of skins at the magnetic means 1 on skin 2 surfaces outwards moves and sets up operation cavity, the outer artificial movement of magnetic means of skin can drive support under platysma, to make corresponding position change, use operating theater instruments 7 (electric knife) to separate below platysma simultaneously, progressively move to operative region, form tunnel and operative region operating clearance under platysma.Distortion: form below platysma behind postoperative gap, process of passing through tunnel imports endoscope, direct-view is lower makes corresponding adjustment by operating theater instruments 7 to the shape of support, i.e. the folding of support arm and elastic support sheet 5 telescopic slide.Skin external magnet rotates or can realize by the passing of operating theater instruments 7 folding of support arm, expands support scope and forms better surgical field of view.Under endoscope direct-view, can utilize operating theater instruments 7 as elevator, suction pump etc. by support arm below the elastic support sheet 5 of chute release, and can press down elastic support sheet 5 and change direction and the scope of supports, meet the needs of accurate operation in particular procedure space.3. support takes out: after operation finishes, remove after magnetic pull, under endoscope's direct-view, make support arm closure by holding forceps, and take out from the tunnel of platysma below.
Embodiment 2:
A kind of device of building chamber and be suitable for cervical region endoscopic surgery by Magnetic force tracting activity, build chamber device and be made up of the support arm that is located at the magnetic means 1 on skin 2 surfaces and be located under 2 layers of skins, the magnetic means 1 that is located at skin 2 surfaces attracts to be located at support arm under 2 layers of skins and outwards moves and set up operation cavity; Described support arm is lived and is connected by rivet 4 with lower floor support arm 6 by upper layer bracket arm 3; Described support arm is by being made by the material of magnetic attraction.Magnetic means 1 is made up of Magnet.Support arm is by being made by the metal material of magnetic attraction.Upper layer bracket arm 3 and lower floor support arm 6 are provided with can be to the elastic support sheet of external extension 5.Upper layer bracket arm 3 and lower floor support arm 6 are provided with the chute for elastic support sheet 5 telescopic movings, and elastic support sheet 5 is arranged in the chute on upper layer bracket arm 3 or lower floor support arm 6.The magnetic attracting force size scalable of magnetic means 1.
Magnetic means drives subcutaneous support to slide in the slip of skin surface, can in operation, change at any time the needs that lacuna adapts to operation.The support of scalable distortion, two support arms that comprise mutual rotation, are embedded in the elastic support sheet that in two support arm chutes, slide in front and back.Scalable distortion comprises three aspects: the one, and the support arm rotating freely taking rivet as fulcrum, can freely adjust in subcutaneous plane; The 2nd, be arranged in the elastic support sheet of support arm chute because can freely extend, thereby the scope that expanded stent arm supports more can adapt to the demand of the irregular support of postoperative lacuna; The 3rd, can be under the effect of the external force lower compressive strain of the elastic support sheet being free to slide, even can be in three dimensions freely-movable meet the demand of surgery Yezhong privileged sites.
Use magnetic force as the pull strength of building chamber, there is no other wound at skin of neck, this untouchable traction simultaneously also ensures the freely movable of its below support to greatest extent.Magnetic force is permanent strong magnet, is the electric magnet that can regulate, and can keep suitable suction to subcutaneous support.Support is irony, can be by magnetic attraction, and two support arms can rivet be that fulcrum rotates freely.Can be under the effect of the external force lower compressive strain of the elastic support sheet being free to slide, even can freely-movable in three dimensions, and elastic support sheet itself does not possess magnetic simultaneously.
Embodiment 3 (zoopery):
Zoopery and operation place, apparatus and medicine
Buy domestic dog by oneself as experimental subject, body weight is in 15kg left and right.Laboratory and animal feeding place provide by zoopery center, Enshi, and animal feeding room (20-25 DEG C, environment cleaning) is disposed and met animal ethics requirement animal in whole experimentation.
Main experimental apparatus and material:
1, routine operation apparatus, operating coat and aseptic dressing bag
2,10,11,15, No. 22 aseptic operation blades of gold ring board
3, various medical suture needles
4, the skryker U.S. produces conchoscope and light-source system thereof
5, An Er iodine III type skin and mucous membrane disinfection agent
6,0.9% sodium chloride injection
7, ketaject injection
8, electric knife and bipolar coagulation
9, alnico magnets and irony holder device
Concrete implementation step
One, animal grouping
This experiment is divided into four groups, every group of dog.First group adopts the perpendicular otch of cervical region, the conventional neck structure of dissecting, and position, form and the periphery of specifying dog thyroid adjoin structure; Second group adopts dog thyroid below 5cm otch, under scope and under magnetic bracket support, completes hands art; The 3rd group adopts dog thyroid below 10cm otch, under scope and under magnetic bracket support, completes hands art; The 4th group adopts dog thyroid top 5cm otch, under scope and under magnetic bracket support, completes operation.
Two, specifically implement:
1, the preoperative fasting of domestic dog 12 hours, first use 200mg ketalar intramuscular injection induced anesthesia, 0.3mg scopolamine subcutaneous injection, after 10min, anaesthetize onset, beasle dog dorsal position is fixed on operating-table, set up venous access, the during continuous intravenous infusion 0.1% ketalar solution that instils maintains anesthesia, dosage is 10-15mg/Kg/h, entirely with intravenous anesthesia, does not do tracheal intubation.Shave except throat field of operation hair routine disinfection drape.
2, dog one: throat medisection skin, upper to thyroid cartilage lower edge, down to the 5th annulus trachealis, separate subcutaneous tissue, muscles,ribbon, to lamina praetrachealis, cuts off sternothyroid, exposure is positioned at the thyroid of trachealgia ditch, cricoid cartilage lower edge, determines approximate location and the form of dog thyroid.
3, the premenstrual center of dog two: a thyroid below 5cm walks crosswise otch, the about 2-3cm of length, percutaneous incision undertissue, electric coagulation hemostasis, after subcutaneous separation sufficient space, implant irony distortion support, form stable attraction relation with the alnico magnets outside skin, and keep certain pull strength to form the operative space of support below.B imports conchoscope from incision, under photopic vision, below platysma, cut separation with electric knife, Magnet outside mobile skin also drives subcutaneous support to slide to thyroid region, form the hypodermic tunnel of otch to region thyreoidea, reach region thyreoidea tailing edge support periphery and separate gap under the appropriate platysma of formation, the support arm of simultaneously passing below with electric knife head, causes two supports to open shape angle in 90 °, so far forms satisfied subcutaneous operation lacuna.C helps hand-held endoscope, and operator person uses the free bilateral muscles,ribbon of long handle electric knife, manifest thyroid part gland leaf.D releases the elastic support sheet in support arm chute with suction aspirator tip, press down the below that is placed on the free muscles,ribbon of part, coordinate the adjustment of the captivation direction of Magnet to whole support, muscles,ribbon is formed to good draw, be conducive to the further free and manifest thyroid of muscles,ribbon.E, under scope photopic vision, progressively separates along fibrous capsule of thyroid gland, after complete free whole thyroid, excises, and Same Way completes offside operation.The f rear solution of having performed the operation is allowanced for bark outer attraction, and whole support drops in art chamber, utilizes holding forceps and mosquito forceps that support is returned to closure state, takes out from hypodermic tunnel.
4, dog three: before adopting, thyroid below 10cm in center walks crosswise otch, the about 2-3cm of length, concrete the same dog two of modus operandi.
5, dog four: before adopting, thyroid top 5cm in center walks crosswise otch, the about 2-3cm of length, concrete the same dog two of modus operandi.
Three, operating body meeting:
1, Magnet and irony support can form stable attraction relation across skin, subcutaneous tissue and platysmamyoides thickness, and can maintain certain tension force, keep the pull strength of subcutaneous space.
2, the movement of skin external magnet can drive whole support in subcutaneous movement, is conducive to the position of adjusting pole at any time.
3,, under the photopic vision of endoscope, by means of the pushing of operating theater instruments, can make corresponding distortion to support, that is: the movement in chute of the folding of support arm, spring leaf and the position of adjustment bullet free-end.
4, utilize this device can form desirable subcutaneous operation lacuna, and can adjust rational operation lacuna and visual area along with the progress of operation in good time.
5,, under the assistance of this device, all can complete smoothly the thyroid excision of dog class by scope from different operative incisions.
Embodiment 4 (clinical practice):
Objective for implementation male patient, 60 years old, finds more than Diagnosis of Cervical Masses January.Substantive enclosed mass in outpatient service color ultrasound prompting right thyroid, peplos is complete, and big or small about 3*2*2 size, has no calcification in it, and cervical region has no enlarged lymph node, and benign thyroid lesions is considered in the sick inspection of puncture, has no malignant tumor cell.After being admitted to hospital, improve the relevant auxiliary inspection of whole body without general anesthesia operation contraindication.Obtaining patient and family members agrees to and signs and implement afterwards this operation.
One, main experimental apparatus and material:
1, routine operation apparatus, operating coat and aseptic dressing bag
2, conventional thyroid operation bag
3, endoscope-assistant surgery apparatus
4, the skryker U.S. produces conchoscope, imaging system and light-source system thereof
5, the special ultrasound knife of thyroid operation
6, electric knife and bipolar coagulation
7, alnico magnets and irony holder device
Two, operating procedure:
1, routine disinfection drape after general anesthesia success.
2, a gets sternal notch below 3cm and walks crosswise otch, the about 3cm of length, percutaneous incision undertissue, electric coagulation hemostasis, cut big envelope fascia and thereunder upstream after going out sufficient space, insert irony support, alnico magnets attract support from skin, and keep certain tension force to form support to corresponding skin and hypodermic pull strength.B assistant holds mirror and imports from incision, under photopic vision, towing bracket also separates under platysma with electric knife, Magnet outside mobile skin drives subcutaneous support to slide to thyroid region simultaneously, form the hypodermic tunnel of otch to region thyreoidea, reach region thyreoidea tailing edge support periphery and separate gap under the appropriate platysma of formation, the support arm of simultaneously passing below with electric knife head, causes two supports to open shape angle in 90 °, so far forms satisfied subcutaneous operation lacuna.Under c photopic vision, operator person cuts linea alba cervicalis with ultrasound knife, manifest thyroid isthmus, and free right side muscles,ribbon, appears right thyroid enclosed mass and part gland leaf.D releases the elastic support sheet in support arm chute with suction aspirator tip, press down and be placed on the below of free muscles,ribbon, coordinate the adjustment of the captivation direction of Magnet to whole support, muscles,ribbon is formed to good draw, be conducive to the further free and manifest thyroid of muscles,ribbon.E is under scope photopic vision, ultrasound knife is from disconnected tracheotomy, progressively separate along fibrous capsule of thyroid gland, coagulation is from disconnected inferior thyroid artery, and free along rear under thyroid, solution cuts recurrent laryngeal nerve, adjusting pole is moving to Ghandler motion on thyroid, coagulation is from complete resection right thyroid gland leaf and enclosed mass after disconnected superior thyroid artery, hauls out after cut-out is packed by self-control rubber bag in tunnel, completes right thyroid gland leaf and excises.The f rear solution of having performed the operation is allowanced for bark outer attraction, and whole support drops in art chamber, utilizes holding forceps and mosquito forceps that support is returned to closure state, takes out from hypodermic tunnel, and flush operation chamber, places negative-pressure drainage tube, sews up the incision, and operation finishes.
Three, operating body meeting:
1, utilize Magnet to form enough pull strengths to the captivation of irony support, add that skin of neck has certain elasticity, can form satisfied endoscopic surgery gap in platysma below.
2, whole subcutaneous support can change smoothly position under the drive of skin external magnet, can simple and fast in subcutaneous formation tunnel and operation gap.
3, under the photopic vision of endoscope, by means of the pushing of operating theater instruments, support can be made corresponding distortion, that is: the movement in chute of the folding of support arm, elastic support sheet and the position of adjustment elastic support sheet free-end.
4, the elastic support sheet that range of activity is larger can contribute to carrying out smoothly of operation to the traction of other anatomical layers of cervical region in operation, has reduced the auxiliary of interior other apparatuses of lacuna, does not more need the pulling equipment of percutaneous puncture.
5, under the assistance of this device, can complete smoothly the excision of thyroid gland leaf and enclosed mass by scope, in art, build chamber and comparatively save time, visual area is well stable, Operation cooperation is satisfied, in art damage less, hands postoperative wound is hidden, has reached the object of beauty treatment, Wicresoft.

Claims (6)

1. build chamber and be suitable for the device of cervical region endoscopic surgery by Magnetic force tracting activity for one kind, it is characterized in that building chamber device and form by being located at the magnetic means (1) on skin (2) surface and being located at the lower support arm of skin (2) layer, the magnetic means (1) that is located at skin (2) surface attracts to be located at support arm under skin (2) layer foundation cavity of performing the operation that outwards moves; Described support arm is lived and is connected by rivet (4) with lower floor support arm (6) by upper layer bracket arm (3); Described support arm is by being made by the material of magnetic attraction.
2. according to the device of building chamber and be suitable for cervical region endoscopic surgery by Magnetic force tracting activity claimed in claim 1, it is characterized in that described magnetic means (1) is made up of electric magnet or Magnet.
3. according to the device of building chamber and be suitable for cervical region endoscopic surgery by Magnetic force tracting activity claimed in claim 1, it is characterized in that described support arm is by being made by the metal material of magnetic attraction.
4. according to the device of being built chamber and be suitable for cervical region endoscopic surgery by Magnetic force tracting activity claimed in claim 1, it is characterized in that described upper layer bracket arm (3) and lower floor support arm (6) are provided with can be to the elastic support sheet of external extension (5).
5. according to the device of building chamber and be suitable for cervical region endoscopic surgery by Magnetic force tracting activity claimed in claim 4, it is characterized in that described upper layer bracket arm (3) and lower floor support arm (6) are provided with the chute for elastic support sheet (5) telescopic moving, elastic support sheet (5) is arranged in the chute on upper layer bracket arm (3) or lower floor support arm (6).
6. according to the device of building chamber and be suitable for cervical region endoscopic surgery by Magnetic force tracting activity claimed in claim 1, it is characterized in that the magnetic attracting force size scalable of described magnetic means (1).
CN201420377802.XU 2014-07-10 2014-07-10 A kind of device of building chamber and be suitable for cervical region endoscopic surgery by Magnetic force tracting activity Expired - Fee Related CN203953720U (en)

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CN104055548A (en) * 2014-07-10 2014-09-24 张自雄 Device capable of being pulled by magnetic force to movably build cavity and suitable for neck endoscopic surgery
EP3282923A4 (en) * 2015-04-13 2018-12-26 Levita Magnetics International Corp. Retractor systems, devices, and methods for use
CN109288549A (en) * 2018-11-27 2019-02-01 上海安翰医疗技术有限公司 Minimally Invasive Surgery auxiliary device and its control method
US10537348B2 (en) 2014-01-21 2020-01-21 Levita Magnetics International Corp. Laparoscopic graspers and systems therefor
US10905511B2 (en) 2015-04-13 2021-02-02 Levita Magnetics International Corp. Grasper with magnetically-controlled positioning
US11020137B2 (en) 2017-03-20 2021-06-01 Levita Magnetics International Corp. Directable traction systems and methods
US11357525B2 (en) 2013-03-12 2022-06-14 Levita Magnetics International Corp. Grasper with magnetically-controlled positioning
US11413025B2 (en) 2007-11-26 2022-08-16 Attractive Surgical, Llc Magnaretractor system and method
US12262971B2 (en) 2016-01-08 2025-04-01 Levita Magnetics International Corp. One-operator surgical system and methods of use

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