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CN215018122U - Thyroid endoscopic surgical instrument - Google Patents

Thyroid endoscopic surgical instrument Download PDF

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Publication number
CN215018122U
CN215018122U CN202023148876.0U CN202023148876U CN215018122U CN 215018122 U CN215018122 U CN 215018122U CN 202023148876 U CN202023148876 U CN 202023148876U CN 215018122 U CN215018122 U CN 215018122U
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pulling end
tissue
external
pulling
cylindrical body
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邹贤
程慧
罗花南
马思敬
张青青
谢萌
郭瑞昕
王红莉
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Jiangsu Institute of Nuclear Medicine
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Jiangsu Institute of Nuclear Medicine
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Abstract

本实用新型涉及一种甲状腺腔镜手术器械,其包括柱状本体,所述柱状本体上设置有体外牵拉端和组织牵拉端;进入腔体前,所述体外牵拉端和组织牵拉端收缩在柱状本体内;进入腔体后,所述体外牵拉端和组织牵拉端从所述柱状本体上张开并和柱状本体之间形成夹角,所述体外牵拉端背向柱状本体一端设置为尖端;其中,所述体外牵拉端所在的轴向平面与所述组织牵拉端所在的轴向平面不平行,本实用新型具有方便进入到操作腔内,在甲状腺腔镜手术中,避免组织损伤,在免充气腔镜手术中,牵拉皮瓣的效果。

Figure 202023148876

The utility model relates to a thyroid endoscopic surgical instrument, which comprises a columnar body on which an in vitro pulling end and a tissue pulling end are arranged; before entering a cavity, the in vitro pulling end and the tissue pulling end are retracted in the columnar body; after entering the cavity, the in vitro pulling end and the tissue pulling end spread out from the columnar body and form an angle with the columnar body, and the in vitro pulling end faces away from the columnar body One end is set as a tip; wherein, the axial plane where the external pulling end is located is not parallel to the axial plane where the tissue pulling end is located, the utility model has the advantages of convenient entry into the operation cavity, and is used in thyroid endoscopic surgery. , to avoid tissue damage, in the air-free endoscopic surgery, the effect of pulling the skin flap.

Figure 202023148876

Description

Thyroid endoscopic surgical instrument
Technical Field
The utility model relates to the technical field of medical equipment, concretely relates to thyroid endoscope surgical instrument.
Background
Conventional thyroid surgery leaves a large scar in the neck of a patient, causing a very large psychological trauma to the patient. Endoscopic minimally invasive surgery with no scars on the neck was subsequently developed to treat thyroid disorders. In recent years, in the field of surgical treatment of thyroid diseases, endoscopic thyroid surgery has the advantages of small incision and hidden neck, no incision scar on the neck after the operation, and the like, and is gradually applied to clinic at home and abroad.
Surgical field exposure is a necessary condition for successful surgery during surgical procedures. The visual field is well exposed, good operation experience can be brought to an operator, unnecessary damage can be reduced, and the operation process is accelerated; poor visual field exposure can affect the surgical procedure, cause unnecessary side damage, and even cause serious adverse consequences.
In the process of an operation, a thyroid endoscope surgical instrument is required to be used for expanding the visual field of the operation, so that the success rate of the operation is improved, the existing endoscope surgical instrument needs to enter an operation cavity, the tip end needs to be punctured and enters the operation cavity at the moment, the sharp tip end needs to be arranged, but when the operation cavity is adjusted, the tip end is located in the operation cavity, if the tip end is directly downward, surrounding tissues are easily damaged, even important blood vessels on the neck are damaged, and adverse results are caused.
SUMMERY OF THE UTILITY MODEL
Therefore, the to-be-solved technical problem of the utility model lies in overcoming the most advanced position among the prior art and being located the body, when the adjustment, harms the defect of tissue on every side easily to a thyroid endoscope surgical instrument is provided.
A thyroscopic surgical instrument comprises a columnar body, wherein an external traction end and a tissue traction end are arranged on the columnar body;
before entering the cavity, the external traction end and the tissue traction end are contracted in the columnar body;
after entering the cavity, the external traction end and the tissue traction end are stretched from the columnar body and form an included angle with the columnar body, and the end of the external traction end, which is back to the columnar body, is provided with a tip;
wherein an axial plane in which the in vitro pulling end is located is not parallel to an axial plane in which the tissue pulling end is located.
Furthermore, one end of the external traction end is rotatably arranged on the columnar body, the rotating axis of the external traction end is perpendicular to the axis of the columnar body, one end of the tissue traction end is rotatably arranged on the columnar body, the rotating axis of the tissue traction end is perpendicular to the axis of the columnar body, and the rotating axis of the tissue traction end is not parallel to the rotating axis of the external traction end.
Furthermore, the columnar body is provided with a placing groove for placing the external traction end and the tissue traction end at the external traction end and the tissue traction end.
Furthermore, the tissue traction ends are two, and the connecting ends of the two tissue traction ends and the connecting end of the columnar body are respectively positioned at the two ends of the columnar body.
Furthermore, the connecting end of the external pulling end and the columnar body is positioned at the midpoint of the columnar body.
Furthermore, the two ends of the columnar body are in arc transition arrangement.
Further, when the tissue traction end is used for traction, the tissue traction end and the external traction end are vertically arranged.
Furthermore, a tip end of the external traction end is provided with a protective sleeve which is arranged towards the opening of the external traction end, and the protective sleeve is detachably arranged on the tip end of the external traction end.
Furthermore, a thread section is arranged on the side wall of the external traction end at the tip end, an internal thread is arranged on the inner wall of the protective sleeve, and the tip end of the external traction end is positioned in the protective sleeve and is in threaded connection with the inner wall of the protective sleeve.
Furthermore, a drawing hole is formed in the side wall of one end, back to the external drawing end, of the protection sleeve.
The utility model discloses technical scheme has following advantage:
1. the utility model provides a thyroscope surgery apparatus, be provided with external traction end and tissue traction end on the column body, before getting into the cavity, external traction end and tissue traction end shrink are internal at the column body, get into the cavity after, external traction end and tissue traction end follow open on the column body and form the contained angle between the column body, external traction end sets up to most advanced to column body one end dorsad, wherein, the axial plane at external traction end place with the axial plane nonparallel at tissue traction end place. When the endoscope thyroid surgery is carried out, in order to ensure that the surgical field of vision in the operation cavity is better and bring better operation experience to an operator, thereby reducing unnecessary injuries and accelerating the operation process, at the moment, because the external traction end and the tissue traction end are both contracted on the columnar body, the columnar body is only required to vertically enter the operation cavity from the outside of the skin, the operation cavity is more convenient and faster, when the endoscope thyroid surgery enters the operation cavity, the tissue traction end and the external traction end are unfolded from the columnar body through other instruments in the endoscope to be vertical to the columnar body, an angle convenient to pull exists between the external traction end and the tissue traction end in the unfolded state, at the moment, the skin is punctured through the tip of the external traction end, the external traction end extends out of the body, the external traction end is used for traction, and meanwhile, the tissue traction end in the unfolded state extends into a tissue part needing to be exposed in the field of vision, the external traction end is pulled to expose the operation visual field, and in the process of traction adjustment, the tip is positioned outside the body, and only the blunt tissue traction end is used for traction, so that the tissue at the traction position is effectively protected, and the tissue damage is reduced.
2. The utility model provides a thyroid cavity mirror surgical instruments, in exempting from to aerify chamber mirror thyroid surgery, when getting into the human body this moment equally, with tissue traction end and external traction end shrink on the column body, only need with the column body vertical from the skin get into outward can, get into internal back, expand external traction end from the column body through other apparatus on the chamber mirror this moment, tissue traction end still contracts on the column body, will external traction end puncture skin through the pointed end above this moment, stretch out external with external traction end, and the external traction end of pulling, make column body and flap inner wall laminating, thereby play the effect of suspending the flap in midair, make and use in a plurality of different operations, the suitability is wider.
3. The utility model provides a thyroid cavity mirror surgical instruments, lie in external traction end and tissue traction end department on the column body and all offer the standing groove that is used for placing external traction end and tissue traction end, the setting of standing groove can be placed external traction end and tissue traction end to make external traction end and tissue traction end when the shrink is on the column body, can not protrude originally externally at the column, thereby when making surgical instruments enter into the operation intracavity, more convenience avoids the tip that external traction was served simultaneously when getting into the operation intracavity, the damage is human.
4. The utility model provides a thyroid cavity mirror surgical instruments, tissue traction end is provided with two, two the link of tissue traction end and column body is located column body both ends respectively, when the column body enters into the operation intracavity, all opens two tissue traction ends this moment, draws the end through two tissues and stretches into the tissue in and carry out the tractive to it is wider to make the traction surface, and the effect that exposes the operation field of vision is better.
5. The utility model provides a thyroid endoscope surgical instrument, the link of external tractive end and column body is located the mid point department of column body, and when the tractive, external tractive end is located the external tractive that carries out of human body this moment, and two tissues tractive end set up about external tractive end symmetry this moment to when making the external tractive end of pulling, the atress of two tissues tractive end is even, when adjusting the position of two tissues tractive end simultaneously, more easy.
6. The utility model provides a thyroid cavity mirror surgical instruments, the equal circular arc transition in column body both ends sets up, through the setting of circular arc, can make the edges and corners at column body both ends be circular-arcly to make the column body when adjusting, during both ends and tissue contact, can not cause the damage.
7. The utility model provides a thyroscope surgical instruments, the tip department of external traction end is provided with the protective sleeve towards the uncovered setting of external tractive end, protective sleeve detachably installs on the tip of external traction end, when entering into the operation intracavity, dismantle protective sleeve from the tip of external traction end this moment to make external traction end can contract at the column originally internally, thereby can expand puncture skin in the operation intracavity, make external tractive end stretch out the human body, after the tip is located the human body, install protective sleeve in tip department again this moment, live tip cladding, thereby avoid the staff when pulling external traction end, the tip causes harm to the staff.
8. The utility model provides a thyroid cavity mirror surgical instruments, protective sleeve has seted up the tractive hole on the lateral wall of external tractive end one end dorsad, and the setting in tractive hole can be when adjusting the position of tissue tractive end to make the operation field of vision expose when enough, come external tractive end to tie up on the operation panel through the tractive hole this moment, thereby make tissue tractive end position fixed.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the embodiments or the technical solutions in the prior art will be briefly described below, and it is obvious that the drawings in the following description are some embodiments of the present invention, and for those skilled in the art, other drawings can be obtained according to these drawings without creative efforts.
Fig. 1 is a schematic view of the overall structure of the thyroscopic surgical instrument of the present invention;
fig. 2 is an exploded view of the connection structure of the external pulling end and the protection sleeve of the present invention.
Description of reference numerals:
1. a columnar body; 2. an extracorporeal traction end; 3. a tissue pulling end; 4. a placement groove; 5. a tip; (ii) a 6. A protective sleeve; 7. a threaded segment; 8. drawing the hole.
Detailed Description
The technical solution of the present invention will be described clearly and completely with reference to the accompanying drawings, and obviously, the described embodiments are some, but not all embodiments of the present invention. Based on the embodiments in the present invention, all other embodiments obtained by a person skilled in the art without creative work belong to the protection scope of the present invention.
In the description of the present invention, it should be noted that the terms "center", "upper", "lower", "left", "right", "vertical", "horizontal", "inner", "outer", and the like indicate orientations or positional relationships based on the orientations or positional relationships shown in the drawings, and are only for convenience of description and simplification of description, but do not indicate or imply that the device or element referred to must have a specific orientation, be constructed and operated in a specific orientation, and thus, should not be construed as limiting the present invention. Furthermore, the terms "first," "second," and "third" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance.
In the description of the present invention, it is to be noted that, unless otherwise explicitly specified or limited, the terms "mounted," "connected," and "connected" are to be construed broadly, and may be, for example, fixedly connected, detachably connected, or integrally connected; can be mechanically or electrically connected; they may be connected directly or indirectly through intervening media, or they may be interconnected between two elements. The specific meaning of the above terms in the present invention can be understood in specific cases to those skilled in the art.
Furthermore, the technical features mentioned in the different embodiments of the invention described below can be combined with each other as long as they do not conflict with each other.
Examples
Referring to fig. 1 and 2, the utility model provides a thyroid endoscope surgical instrument, including column body 1, the equal circular arc transition in 1 both ends of column body sets up, and through the setting of circular arc, can make the edges and corners at 1 both ends of column body be circular-arcly to make column body 1 when adjusting, during both ends and tissue contact, can not cause the damage.
The cylindrical body 1 is provided with an external pulling end 2 and a tissue pulling end 3, the external pulling end 2 and the tissue pulling end 3 are contracted in the cylindrical body 1 before entering the cavity, after entering the cavity, the external pulling end 2 and the tissue pulling end 3 are expanded from the cylindrical body 1 and form an included angle with the cylindrical body 1, one end of the external pulling end 2, which is back to the cylindrical body 1, is provided with a tip 5, and the axial plane of the external pulling end 2 is not parallel to the axial plane of the tissue pulling end 3. The plane of the axis of the columnar body 1 and the axis of the external traction end 2 is not parallel to the plane of the axis of the tissue traction end 3 and the axis of the columnar body 1.
Specifically, one end of the external pulling end 2 is rotatably arranged on the columnar body 1, the rotation axis of the external pulling end 2 is perpendicular to the axis of the columnar body 1, one end of the tissue pulling end 3 is rotatably arranged on the columnar body 1, the rotation axis of the tissue pulling end 3 is perpendicular to the axis of the columnar body 1, the rotation axis of the tissue pulling end 3 is not parallel to the rotation axis of the external pulling end 2, and when the tissue pulling end 3 is pulled, the tissue pulling end 3 is perpendicular to the external pulling end 2.
When carrying out chamber mirror thyroid surgery, in order to make the operation field of vision in the operation intracavity better, bring the better operation experience for the operation person to reduce the unnecessary damage, accelerate the operation process, because external pulling end 2 and tissue pulling end 3 all shrink on column body 1 this moment, only need with column body 1 vertical get into outside the skin in getting into the operation intracavity can, get into more convenient and fast of operation intracavity. When the endoscope enters the operation cavity, the tissue traction end 3 and the external traction end 2 are unfolded from the columnar body 1 through other instruments in the endoscope so as to be vertical to the columnar body 1, an angle convenient for traction exists between the external traction end 2 and the tissue traction end 3 in the unfolded state, the skin is punctured through the tip 5 of the external traction end 2, the external traction end 2 extends out of the body, and traction is performed through the external traction end 2. Meanwhile, the tissue traction end 3 in the unfolded state extends into the tissue needing visual field exposure, the external traction end 2 is pulled to perform traction and expose the surgical visual field, and in the traction adjustment process, the sharp end 5 is positioned outside the body, and only the blunt tissue traction end 3 is used for traction, so that the tissue at the traction position is effectively protected, and the tissue damage is reduced.
Meanwhile, in the inflation-free endoscopic thyroid surgery, when the surgical instrument enters the human body, the tissue traction end 3 and the external traction end 2 are contracted on the columnar body 1, the columnar body 1 only needs to vertically enter the human body from the outside of the skin, after the surgical instrument enters the human body, the external traction end 2 is unfolded from the columnar body 1 through other instruments on the endoscope, the tissue traction end 3 is still contracted on the columnar body 1, the external traction end 2 punctures the skin through the tip 5 on the columnar body, the external traction end 2 extends out of the human body, the external traction end 2 is pulled, the columnar body 1 is attached to the inner wall of a skin flap, the effect of suspending the skin flap is achieved, the surgical instrument can be used in a plurality of different surgeries, and the applicability is wider.
The columnar body 1 is provided with a placing groove 4 for placing the external traction end 2 and the tissue traction end 3 at the external traction end 2 and the tissue traction end 3. The setting of standing groove 4 can be placed external traction end 2 and tissue traction end 3 to make external traction end 2 and tissue traction end 3 when the shrink is on column body 1, can not protrude outside column body 1, thereby when making surgical instruments enter into the operation intracavity, more convenience avoids simultaneously external traction end 2 on most advanced 5 when getting into the operation intracavity, the injury is human.
The tissue traction ends 3 are provided with two, the connecting ends of the two tissue traction ends 3 and the columnar body 1 are respectively positioned at two ends of the columnar body 1, when the columnar body 1 enters the operation cavity, the two tissue traction ends 3 are all opened at the moment, and the two tissue traction ends 3 stretch into the tissue for traction, so that the traction surface is wider, and the effect of exposing the operation visual field is better.
The connecting end of the external traction end 2 and the columnar body 1 is located at the midpoint of the columnar body 1, when in traction, the external traction end 2 is located outside the human body for traction, and the two tissue traction ends 3 are symmetrically arranged relative to the external traction end 2, so that when the external traction end 2 is pulled, the stress of the two tissue traction ends 3 is uniform, and when the positions of the two tissue traction ends 3 are adjusted simultaneously, the operation is easier.
The tip 5 of the external traction end 2 is provided with a protective sleeve 6 which is arranged towards the opening of the external traction end 2, and the protective sleeve 6 is detachably arranged on the tip 5 of the external traction end 2. Specifically, a thread section 7 is arranged on the side wall of the external pulling end 2 at the tip end 5, an internal thread is arranged on the inner wall of the protection sleeve 6, and the tip end 5 of the external pulling end 2 is arranged in the protection sleeve 6 and is in threaded connection with the inner wall of the protection sleeve 6.
When entering into the operation intracavity, dismantle protective sleeve 6 from the most advanced 5 of external pulling end 2 this moment to make external pulling end 2 can contract in column body 1, thereby can expand in the operation intracavity and pierce through skin, make external pulling end 2 stretch out the human body, after most advanced 5 is located the human body externally, install protective sleeve 6 in most advanced 5 department again this moment, live most advanced 5 cladding, thereby avoid the staff when pulling external pulling end 2, most advanced 5 causes harm to the staff.
The side wall of one end, back to the external traction end 2, of the protective sleeve 6 is provided with a traction hole 8, the position of the tissue traction end 3 can be adjusted due to the arrangement of the traction hole 8, so that when the operation visual field is exposed enough, the external traction end 2 is bound on the operating table through the traction hole 8, and the tissue traction end 3 is fixed.
It should be understood that the above examples are only for clarity of illustration and are not intended to limit the embodiments. Other variations and modifications will be apparent to persons skilled in the art in light of the above description. And are neither required nor exhaustive of all embodiments. And obvious variations or modifications can be made without departing from the scope of the invention.

Claims (10)

1.一种甲状腺腔镜手术器械,包括柱状本体(1),其特征在于,所述柱状本体(1)上设置有体外牵拉端(2)和组织牵拉端(3);1. A thyroid endoscopic surgical instrument, comprising a columnar body (1), wherein the columnar body (1) is provided with an in vitro pulling end (2) and a tissue pulling end (3); 进入腔体前,所述体外牵拉端(2)和组织牵拉端(3)收缩在柱状本体(1)内;Before entering the cavity, the external pulling end (2) and the tissue pulling end (3) are contracted in the cylindrical body (1); 进入腔体后,所述体外牵拉端(2)和组织牵拉端(3)从所述柱状本体(1)上张开并和柱状本体(1)之间形成夹角,所述体外牵拉端(2)背向柱状本体(1)一端设置为尖端(5);After entering the cavity, the external pulling end (2) and the tissue pulling end (3) are spread out from the cylindrical body (1) and form an angle with the cylindrical body (1). The end of the pulling end (2) facing away from the cylindrical body (1) is set as a tip (5); 其中,所述体外牵拉端(2)所在的轴向平面与所述组织牵拉端(3)所在的轴向平面不平行。Wherein, the axial plane where the extracorporeal pulling end (2) is located is not parallel to the axial plane where the tissue pulling end (3) is located. 2.根据权利要求1所述的甲状腺腔镜手术器械,其特征在于,所述体外牵拉端(2)一端转动设置在柱状本体(1)上,所述体外牵拉端(2)的转动轴线与柱状本体(1)的轴线垂直,所述组织牵拉端(3)一端转动设置在柱状本体(1)上,所述组织牵拉端(3)的转动轴线和柱状本体(1)的轴线垂直,所述组织牵拉端(3)的转动轴线和体外牵拉端(2)的转动轴线不平行。2. The endoscopic thyroid surgery instrument according to claim 1, wherein one end of the external pulling end (2) is rotated and arranged on the cylindrical body (1), and the rotation of the external pulling end (2) The axis is perpendicular to the axis of the cylindrical body (1), one end of the tissue pulling end (3) is rotatably arranged on the cylindrical body (1), and the rotation axis of the tissue pulling end (3) is the same as the rotation axis of the cylindrical body (1). The axis is vertical, and the rotation axis of the tissue pulling end (3) and the rotation axis of the extracorporeal pulling end (2) are not parallel. 3.根据权利要求2所述的甲状腺腔镜手术器械,其特征在于,所述柱状本体(1)上位于体外牵拉端(2)和组织牵拉端(3)处均开设有用于放置体外牵拉端(2)和组织牵拉端(3)的放置槽(4)。3. The endoscopic thyroid surgery instrument according to claim 2, characterized in that, on the cylindrical body (1), both the in vitro pulling end (2) and the tissue pulling end (3) are provided with a device for placing in vitro Placement grooves (4) for the pulling end (2) and the tissue pulling end (3). 4.根据权利要求2所述的甲状腺腔镜手术器械,其特征在于,所述组织牵拉端(3)设置有两个,两个所述组织牵拉端(3)与柱状本体(1)的连接端分别位于柱状本体(1)两端。4. The endoscopic thyroid surgery instrument according to claim 2, characterized in that, the tissue pulling ends (3) are provided with two, the two tissue pulling ends (3) and the cylindrical body (1) The connecting ends are respectively located at both ends of the cylindrical body (1). 5.根据权利要求4所述的甲状腺腔镜手术器械,其特征在于,所述体外牵拉端(2)与柱状本体(1)的连接端位于柱状本体(1)的中点处。5 . The endoscopic thyroid surgery instrument according to claim 4 , wherein the connection end of the external pulling end ( 2 ) and the cylindrical body ( 1 ) is located at the midpoint of the cylindrical body ( 1 ). 6 . 6.根据权利要求1所述的甲状腺腔镜手术器械,其特征在于,所述柱状本体(1)两端均圆弧过渡设置。6 . The endoscopic thyroid surgery instrument according to claim 1 , wherein both ends of the cylindrical body ( 1 ) are arranged in a transitional arc. 7 . 7.根据权利要求1所述的甲状腺腔镜手术器械,其特征在于,当组织牵拉端(3)进行牵拉时,所述组织牵拉端(3)和体外牵拉端(2)垂直设置。7. The endoscopic thyroid surgery instrument according to claim 1, wherein when the tissue pulling end (3) is pulled, the tissue pulling end (3) and the in vitro pulling end (2) are vertical set up. 8.根据权利要求1所述的甲状腺腔镜手术器械,其特征在于,所述体外牵拉端(2)的尖端(5)处设置有朝向体外牵拉端(2)敞口设置的保护套筒(6),所述保护套筒(6)可拆卸地安装在所述体外牵拉端(2)的尖端(5)上。8 . The endoscopic thyroid surgery instrument according to claim 1 , wherein the tip ( 5 ) of the external pulling end ( 2 ) is provided with a protective cover that is openly disposed toward the external pulling end ( 2 ). A cartridge (6), the protective sleeve (6) is detachably mounted on the tip (5) of the extracorporeal pulling end (2). 9.根据权利要求8所述的甲状腺腔镜手术器械,其特征在于,所述体外牵拉端(2)位于尖端(5)处的侧壁上设置有螺纹段(7),所述保护套筒(6)内壁设置有内螺纹,所述体外牵拉端(2)的尖端(5)位于保护套筒(6)内并和保护套筒(6)内壁螺纹连接。9 . The endoscopic thyroid surgery instrument according to claim 8 , wherein a threaded segment ( 7 ) is provided on the side wall of the external pulling end ( 2 ) at the tip ( 5 ), and the protective sleeve The inner wall of the barrel (6) is provided with an inner thread, and the tip (5) of the external pulling end (2) is located in the protection sleeve (6) and is threadedly connected with the inner wall of the protection sleeve (6). 10.根据权利要求9所述的甲状腺腔镜手术器械,其特征在于,所述保护套筒(6)背向体外牵拉端(2)一端的侧壁上开设有牵拉孔(8)。10 . The endoscopic thyroid surgery instrument according to claim 9 , wherein a pulling hole ( 8 ) is opened on the side wall of the end of the protective sleeve ( 6 ) facing away from the pulling end ( 2 ) in vitro. 11 .
CN202023148876.0U 2020-12-23 2020-12-23 Thyroid endoscopic surgical instrument Active CN215018122U (en)

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