Intelligent thoracic-breast approach endoscope thyroid surgery drag hook

By designing an intelligent chest breast approach laminoscopic thyroid surgical hook, the existing hooks have high risk of tissue damage, structural fixation, insufficient strength and limited angle adjustment in the surgery, achieving higher safety and operating efficiency.

CN119818117APending Publication Date: 2025-04-15THE SECOND AFFILIATED HOSPITAL OF NAVAL MEDICAL UNIVERSITY PLA
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Patent Information

Application Number
CN202510110890.X
Authority / Receiving Office
CN · China
Patent Type
Applications(China)
Current Assignee / Owner
Filing Date
2025-01-23
Publication Date
2025-04-15

AI Technical Summary

Technical Problem

The hooks used in existing laminoscopic thyroid surgery have problems such as high risk of tissue damage, fixed structural features, insufficient strength and limited adjustment angle, which affects the safety and efficiency of the surgery.

Method used

An intelligent chest breast approach laminoscopic thyroid surgical hook is designed, which adopts rod body, handle, hook head end, hook tip, retracting mechanism, bendable rod, telescopic mechanism and angle adjustment mechanism. Through these structures, the hiding of the hook tip, the adjustment of the arc and length, the flexible adjustment of the angle, and the high-strength pulling ability are achieved.

Benefits of technology

By hiding the hook tip, adjusting the arc and length, flexibly adjusting the angle and improving material strength, the risk of tissue damage is significantly reduced, the safety and efficiency of the surgery is improved, and the thickness, direction and distance of different tissues are adapted to meet the needs of complex surgical procedures.

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Abstract

The invention discloses an intelligent thoracic-breast approach endoscopic thyroid surgery retractor, which relates to the technical field of medical instruments and comprises a rod body, a handle, a retractor head end, a retractor tip end, a retracting and releasing mechanism, a bendable rod, a telescopic mechanism and an angle adjusting mechanism. According to the surgical retractor, through the arrangement of the retracting and releasing mechanism, the retractor tip end can be hidden in the retractor head end, after skin is punctured, the retractor tip end can be retracted through the first rotary knob, other tissue is prevented from being punctured accidentally in an operation, and through the arrangement of the bendable rod and the telescopic mechanism, the radian and the length can be adjusted according to needs; the traction requirements of different tissue thicknesses and directions are met; through the arrangement of the angle adjusting mechanism, the angle of the head end of the drag hook can be flexibly adjusted by taking a piercing point as a fulcrum, so that a wider traction range is realized; the rod body and the drag hook head end are both made of alloy materials, the surfaces of the rod body and the drag hook head end are coated with anti-fatigue coatings, and it is guaranteed that bending or deformation is not prone to occurring under high traction force.
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Description

Technical Field

[0001] The invention relates to the technical field of medical devices, and in particular to an intelligent thoraco-breast approach laparoscopic thyroid surgery retractor. Background Art

[0002] In the past two decades, the incidence of benign and malignant thyroid tumors has continued to rise, and the number of patients who need surgical treatment has increased significantly. With the continuous development and maturity of laparoscopic technology, laparoscopic thyroid surgery has been widely carried out at home and abroad due to its advantages such as less trauma, fast postoperative recovery and good neck appearance, and has become one of the important options for surgical treatment of thyroid diseases.

[0003] In laparoscopic thyroid surgery via the thoraco-breast approach, full exposure of the surgical field is crucial. In addition to using an ultrasonic scalpel to separate tissues and create a cavity, and expanding the surgical operating space through carbon dioxide pneumoperitoneum, it is also necessary to use a retractor to pull apart the anterior cervical muscles located in the superficial layer of the thyroid gland to fully expose the thyroid gland and surrounding regional lymph nodes.

[0004] The retractor used in existing laparoscopic thyroid surgery is a common instrument used to pull the sternocleidomastoid muscle, strap muscle and other tissues to effectively expose the target structure of the surgery. The retractor head is a V-shaped metal strip with a thin diameter (2-3mm), made of stainless steel, and a relatively sharp tip, designed to pierce the skin and enter the surgical area. However, this traditional design has the following major problems:

[0005] 1. High risk of tissue damage: Since the tip of the retractor is relatively sharp, it cannot be hidden after entering the operating space, and it is easy to accidentally pierce other tissues, especially large blood vessels in the neck, increasing the risk during surgery;

[0006] 2. Fixed structural features: The arc and length of the retractor are too fixed. When pulling thicker, tighter or farther tissues, it is easy to slip or shift, affecting the smoothness of the surgical operation. Since its structure cannot be intelligently adjusted according to the thickness, direction or distance of different tissues, its applicability is significantly limited, especially in complex anatomical situations;

[0007] 3. Insufficient strength: The retractor adopts a slender stainless steel rod structure, which is easy to bend and deform under a large pulling force, reducing the reliability of the instrument and further affecting the life of the instrument and the surgical effect;

[0008] 4. Limited adjustment angle: The adjustment range after piercing the skin is limited, and the pulling angle is fixed, which cannot meet the needs of different surgeries. This design limits the flexibility and efficiency of the instrument during surgery, especially when the pulling direction needs to be adjusted to obtain a better view. Summary of the invention

[0009] The purpose of the present invention is to provide an intelligent thoraco-breast approach laparoscopic thyroid surgery retractor to solve the above-mentioned technical problems.

[0010] The technical solution adopted by the present invention is as follows:

[0011] An intelligent breast-thoracoscopic thyroid surgery retractor comprises a rod body, a handle, a retractor head, a retractor tip, a retracting mechanism, a bendable rod, a telescopic mechanism and an angle adjustment mechanism. One end of the rod body is connected to one end of the retractor head through the angle adjustment mechanism. The retracting mechanism is arranged inside the retractor head. The retractor tip is movably arranged at the other end of the retractor head and connected to the retracting mechanism. The retracting mechanism is used to retract the retractor tip into the retractor head or pop the retractor tip out of the retractor head. The other end of the rod body is connected to the telescopic mechanism through the bendable rod, and the telescopic mechanism is connected to the handle.

[0012] Preferably, the retracting and releasing mechanism includes a guide rod, a spring, a first knob, a first winding wheel, a first connecting rod and a first pull rope, the guide rod is fixedly arranged inside the other end of the hook head end, the spring is sleeved on the guide rod, the interior of the hook tip is hollow, one end of the hook tip is arranged in the hook head end and movably sleeved on the guide rod, and one end of the hook tip is connected to the spring, the other end of the rod body is provided with the first knob, the other end of the rod body is provided with the first winding wheel, the first knob is connected to the first winding wheel through the first connecting rod, the first connecting rod is threadedly connected to the rod body, one end of the first pull rope is wound around the first winding wheel, and the other end of the first pull rope passes through the guide rod and is connected to the inner wall of the hook tip.

[0013] As a further preference, it further includes a guide ring, and a plurality of the guide rings are arranged on the inner wall of the hook head end, and the plurality of the guide rings are distributed along the axial direction of the hook head end, and the first pull rope passes through the guide rings.

[0014] Preferably, the angle adjustment mechanism includes a first sphere, a rectangular block, a clamp, a connecting block, a second pull rope, a second knob, a second connecting rod and a second winding wheel, a plurality of clamps are rotatably provided on the outer edge of one end of the rod body, the connecting block is provided inside one end of the rod body, one end of the clamp extends into the rod body and is rotatably connected to the connecting block, the first sphere is arranged in the clamping area formed by the plurality of clamps, the rectangular block is provided inside the first sphere, one end of the hook head passes through the first sphere and is connected to the rectangular block, the second knob is also provided at the other end of the rod body, the second winding wheel is provided inside the other end of the rod body, the second knob is connected to the second winding wheel through the second rod body, the second rod body is threadedly connected to the rod body, one end of the second pull rope is wound around the second winding wheel, and the other end of the second pull rope is connected to the connecting block.

[0015] As a further preference, it further comprises a pressure sensor, wherein the pressure sensor is arranged on the inner wall of one side of the first sphere close to the hook head end, and the rectangular block is in contact with the pressure sensor.

[0016] As a further preference, an anti-slip pad is further included, and the anti-slip pad is respectively arranged on a side of each clamping jaw facing the first sphere.

[0017] As a further preference, a limiting hole is provided on the first sphere, and one end of the hook head passes through the limiting hole and is connected to the rectangular block.

[0018] Preferably, the telescopic mechanism includes a fixed rod, a movable rod and a positioning piece, one end of the fixed rod is connected to the handle, one end of the movable rod is connected to the flexible rod, the other end of the movable rod is movably arranged in the fixed rod, a threaded hole is provided on the fixed rod, a fixing hole is provided on the movable rod, and the positioning piece is arranged in the threaded hole and the corresponding fixing hole for fixing the movable rod.

[0019] Preferably, the rod body and the hook head are both made of alloy material, and the surfaces of the rod body and the hook head are coated with anti-fatigue coating.

[0020] The above technical solution has the following advantages or beneficial effects:

[0021] (1) In the present invention, the tip of the retractor can be hidden inside the head of the retractor by setting the retractor mechanism. After piercing the skin, the tip of the retractor can be retracted by the first knob to avoid accidental piercing of other tissues during the operation.

[0022] (2) In the present invention, by setting the bendable rod and the telescopic mechanism, the curvature and length can be adjusted as needed to meet the pulling requirements of different tissue thicknesses and directions;

[0023] (3) In the present invention, by setting the angle adjustment mechanism, the angle of the hook head end can be flexibly adjusted with the insertion point as the fulcrum, thereby achieving a wider pulling range;

[0024] (4) In the present invention, the rod body and the hook head are made of alloy material, and the surface is coated with an anti-fatigue coating to ensure that it is not easy to bend or deform under high pulling force. BRIEF DESCRIPTION OF THE DRAWINGS

[0025] Figure 1 2 is a schematic diagram of the structure of an intelligent laparoscopic thyroid surgery retractor for breast-chest approach in this embodiment;

[0026] Figure 2 is a schematic structural diagram of an intelligent chest-breast approach laparoscopic thyroid surgery retractor in another embodiment;

[0027] Figure 3 It is a partial schematic diagram of the cooperation between the retractor head end and the retractor tip;

[0028] Figure 4 yes Figure 3 Middle AA section view;

[0029] Figure 5 It is a three-dimensional diagram of the cooperation between the rod body and the angle adjustment mechanism;

[0030] Figure 6 It is a schematic diagram of the cooperation between the rod body and the angle adjustment mechanism;

[0031] Figure 7 yes Figure 6 Middle BB section view;

[0032] Figure 8 It is a schematic diagram of the cooperation between the telescopic mechanism and the handle;

[0033] Fig. 9 yes Figure 8 CC section view.

[0034] In the figure: 1. rod body; 2. handle; 3. hook head; 4. hook tip; 5. retractable mechanism; 501. guide rod; 502. spring; 503. first knob; 504. first pull rope; 505. guide ring; 6. bendable rod; 7. telescopic mechanism; 701. fixed rod; 702. movable rod; 703. positioning member; 704. threaded hole; 705. fixed hole; 8. angle adjustment mechanism; 801. first sphere; 802. rectangular block; 803. clamping claw; 804. connecting block; 805. second pull rope; 806. second knob; 807. second connecting rod; 808. second winding wheel; 809. pressure sensor. DETAILED DESCRIPTION

[0035] The technical solution of the present invention will be described clearly and completely below in conjunction with the accompanying drawings. Obviously, the described embodiments are only part of the embodiments of the present invention, not all of the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by ordinary technicians in this field without creative work are within the scope of protection of the present invention.

[0036] In the description of the present invention, it should be noted that, if the terms "center", "upper", "lower", "left", "right", "vertical", "horizontal", "inner", "outer", etc. appear, the orientation or position relationship indicated is based on the orientation or position relationship shown in the drawings, which is only for the convenience of describing the present invention and simplifying the description, and does 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 therefore cannot be understood as limiting the present invention. In addition, if the terms "first", "second", "third" appear, they are only used for descriptive purposes and cannot be understood as indicating or implying relative importance.

[0037] In the description of the present invention, it should be noted that, unless otherwise clearly specified and limited, the terms "installed", "connected" and "connected" should be understood in a broad sense, for example, it can be a fixed connection, a detachable connection, or an integral connection; it can be a mechanical connection or an electrical connection; it can be a direct connection, or it can be indirectly connected through an intermediate medium, or it can be the internal communication of two components. For ordinary technicians in this field, the specific meanings of the above terms in the present invention can be understood according to specific circumstances.

[0038] See also Figures 1 to 9As shown, a preferred embodiment is shown, the intelligent breast-entry laparoscopic thyroid surgery retractor shown includes a rod body 1, a handle 2, a retractor head end 3, a retractor tip 4, a retracting mechanism 5, a bendable rod 6, a telescopic mechanism 7 and an angle adjustment mechanism 8. One end of the rod body 1 is connected to one end of the retractor head end 3 through the angle adjustment mechanism 8, the retractor head end 3 is provided with a retracting mechanism 5, the retractor tip 4 is movably arranged at the other end of the retractor head end 3 and connected to the retracting mechanism 5, the retracting mechanism 5 is used to receive the retractor tip 4 into the retractor head end 3 or to eject the retractor tip 4 from the retractor head end 3, the other end of the rod body 1 is connected to the telescopic mechanism 7 through the bendable rod 6, and the telescopic mechanism 7 is connected to the handle 2. In this embodiment, see Figure 1 As shown, the hook head 3 is V-shaped as a whole, and the specific shape can be selected according to needs, such as flat surface, wide hook type, spiral shape, etc. When the spiral shape is used, refer to Figure 2 As shown, the contact area can be enlarged to pull a larger range of tissues, so that slippage is not likely to occur. The rod body 1, the hook head end 3, and the hook tip 4 are all made of alloy materials, and the surface of the rod body 1 and the hook head end 3 is coated with an anti-fatigue coating to ensure that it is not easy to bend or deform under high pulling force.

[0039] In this embodiment, the retracting and releasing mechanism 5 can retract the hook tip 4 into the hook head end 3, or eject the hook tip 4 from the hook head end 3 to prevent the hook tip 4 from piercing other tissues, such as arteries. The bendable rod 6 can be manually adjusted to a bending angle as needed, and the curvature and length can be adjusted as needed with the setting of the telescopic mechanism 7 to meet the pulling requirements of different tissue thicknesses and directions. Through the setting of the angle adjustment mechanism 8, the angle of the hook head end 3 can be adjusted as needed to achieve a wider pulling range.

[0040] Further, as a preferred embodiment, the retracting and releasing mechanism 5 includes a guide rod 501, a spring 502, a first knob 503, a first winding wheel, a first connecting rod and a first pull rope 504. The other end of the hook head end 3 is fixedly provided with a guide rod 501, and a spring 502 is sleeved on the guide rod 501. The interior of the hook tip 4 is hollow, and one end of the hook tip 4 is arranged in the hook head end 3 and movably sleeved on the guide rod 501, and one end of the hook tip 4 is connected to the spring 502. The other end of the rod body 1 is provided with a first knob 503, and the other end of the rod body 1 is provided with a first winding wheel. The first knob 503 is connected to the first winding wheel through the first connecting rod, and the first connecting rod is threadedly connected to the rod body 1. One end of the first pull rope 504 is wound on the first winding wheel, and the other end of the first pull rope 504 passes through the guide rod 501 and is connected to the inner wall of the hook tip 4. In this embodiment, see Figure 3As shown, one end of the guide rod 501 is fixedly connected to the inner wall of the hook head end 3, the interior of the guide rod 501 is hollow, and one end of the spring 502 is fixedly connected to one end of the guide rod 501, and the other end of the spring 502 is fixedly connected to the hook tip 4. The first pull rope 504 connects the first winding wheel and the hook tip 4. When in use, when the hook tip 4 needs to be put into the hook head end 3, the first knob 503 can be rotated. The first knob 503 drives the first winding wheel to rotate through the first connecting rod, and the first winding wheel winds the first pull rope 504. At this time, the first pull rope 504 will pull the hook tip 4 to overcome the elastic force of the spring 502 and enter the hook head end 3 to prevent the hook tip 4 from piercing other tissues. When the first knob 503 is rotated in the opposite direction, the first winding wheel will loosen the first pull rope 504, and the hook tip 4 will automatically extend out of the hook head end 3 under the action of the spring 502. The provision of the guide rod 501 can ensure the stability of the hook tip 4 when it moves, and the provision of the spring 502 can also prevent the hook tip 4 from being separated from the hook head end 3.

[0041] The shapes of the guide rod 501 and the spring 502 in this embodiment can also be set according to the curved shape of the hook head end 3, so that the hook tip 4 can enter the hook head end 3 along the axial direction of the guide rod 501.

[0042] Further, as a preferred embodiment, it also includes a guide ring 505, and a plurality of guide rings 505 are arranged on the inner wall of the hook head end 3, and the plurality of guide rings 505 are distributed along the axial direction of the hook head end 3, and the first pull rope 504 passes through the guide ring 505. A circular hole is arranged in the middle of the guide ring 505, and the outer walls on both sides of the circular hole are arc-shaped to avoid abrasion of the first pull rope 504. Through the arrangement of the guide ring 505, the moving path of the first pull rope 504 can be guided to adapt to the hook head ends 3 of different shapes.

[0043] Further, as a preferred embodiment, the angle adjustment mechanism 8 includes a first sphere 801, a rectangular block 802, a clamping claw 803, a connecting block 804, a second pull rope 805, a second knob 806, a second connecting rod 807 and a second winding wheel 808. A plurality of clamping claws 803 are rotatably provided on the outer edge of one end of the rod body 1, a connecting block 804 is provided inside one end of the rod body 1, one end of the clamping claw 803 extends into the rod body 1 and is rotatably connected to the connecting block 804, and the first sphere 801 is provided on the clamping claws 803 formed by the plurality of clamping claws 803. In the holding area, a rectangular block 802 is arranged inside the first sphere 801, one end of the hook head end 3 passes through the first sphere 801 and is connected to the rectangular block 802, the other end of the rod body 1 is also provided with a second knob 806, the other end of the rod body 1 is provided with a second winding wheel 808, the second knob 806 is connected to the second winding wheel 808 through the second rod body 1, the second rod body 1 is threadedly connected to the rod body 1, one end of the second pull rope 805 is wound around the second winding wheel 808, and the other end of the second pull rope 805 is connected to the connecting block 804. In this embodiment, see Figure 4 As shown, a plurality of notches are provided on the outer wall of one end of the rod body 1, and the clamping jaws 803 are arranged in the notches, and the outer wall of the clamping jaws 803 is rotatably connected to the inside of the notches through a rotating shaft, and the clamping jaws 803 and the connecting block 804 can also be rotatably connected through the rotating shaft. A clamping area is formed between the plurality of clamping jaws 803, and the first sphere 801 is arranged in the clamping area. The position of the first sphere 801 is limited by the clamping jaws 803 to prevent the first sphere 801 from leaving the clamping area. When in use, by rotating the second knob 806, the second knob 806 drives the second winding wheel 808 to rotate through the second connecting rod, and the second winding wheel 808 winds the second pull rope 805, so that the second pull rope 805 pulls the connecting block 804 to move, and the connecting block 804 drives the plurality of clamps 803 to rotate, so that the clamps 803 can clamp the first sphere 801 to prevent the first sphere 801 from rotating. When the tip 4 of the retractor pierces the tissue, the handle 2 can be pulled to drive the retractor head 3 to move, thereby pulling the tissue. At this time, the rectangular block 802 will move in the first sphere 801, and the rectangular block 802 will touch the pressure sensor 809. The pressure sensor 809 can upload the pressure data to an external display, so as to monitor the pulling force on the tissue in real time, which can assist in precise operation. In this embodiment, the first pull rope 504 and the second pull rope 805 are not in the same plane to avoid interference between the two.

[0044] Further, as a preferred embodiment, a pressure sensor 809 is further included. The pressure sensor 809 is arranged on the inner wall of the first sphere 801 near the hook head end 3, and the rectangular block 802 contacts the pressure sensor 809. The pressure sensor 809 in this embodiment is fixed on the inside of the first sphere 801, and the rectangular block 802 can squeeze the pressure sensor 809 to detect the pulling force on the tissue. The rectangular block 802 can only move in the direction close to or away from the pressure sensor 809 in the first sphere 801, and cannot rotate.

[0045] In this embodiment, the first pull rope 504 passes through the rectangular block 802 and extends into the hook head end 3 .

[0046] Further, as a preferred embodiment, an anti-skid pad is also included, and each clamping jaw 803 is provided with an anti-skid pad on one side facing the first sphere 801. The anti-skid pad is provided to facilitate contact with the outer wall of the first sphere 801 to prevent the first sphere 801 from rotating. When the angle of the hook head end 3 needs to be adjusted, the second knob 806 can be rotated so that the second winding wheel 808 releases the second pull rope 805. Here, the second knob 806 is rotated as needed, as long as the first sphere 801 can be rotated relative to the clamping jaw 803, the first sphere 801 can be prevented from escaping from the clamping area of ​​the clamping jaw 803, and then the hook tip 4 is pressed against the tissue, and the hook head end 3 is rotated with the point where the hook tip 4 contacts the tissue as a fulcrum to adjust the angle of the hook head end 3. After the angle adjustment is completed, the second knob 806 is rotated to tighten the second pull rope 805, so that the clamping jaw 803 clamps the first sphere 801 to fix the angle of the first sphere 801.

[0047] Further, as a preferred embodiment, a limiting hole is provided on the first sphere 801 , and one end of the hook head 3 passes through the limiting hole and is connected to the rectangular block 802 .

[0048] Further, as a preferred embodiment, the telescopic mechanism 7 includes a fixed rod 701, a movable rod 702 and a positioning member 703, one end of the fixed rod 701 is connected to the handle 2, one end of the movable rod 702 is connected to the bendable rod 6, and the other end of the movable rod 702 is movably arranged in the fixed rod 701, a threaded hole 704 is provided on the fixed rod 701, a fixing hole 705 is provided on the movable rod 702, and the positioning member 703 is arranged in the threaded hole 704 and the corresponding fixing hole 705, and is used to fix the movable rod 702. The position of the movable rod 702 in the fixed rod 701 can be adjusted as needed to facilitate adjustment of the overall length of the surgical retractor. When the position of the movable rod 702 is adjusted to the right position, the position of the movable rod 702 can be fixed by the positioning member 703 to meet the pulling requirements of different tissue thicknesses. The positioning member 703 can be a bolt.

[0049] The tip of the retractor 4 in this embodiment can be received in the retractor head 3 to avoid accidental puncture of other tissues by the tip during the operation, thereby improving the safety of the operation. Through the arrangement of the bendable rod 6, the telescopic mechanism 7 and the angle adjustment mechanism 8, the intelligent adjustment of the arc, length and angle can be realized, and the adaptability and operational flexibility are significantly improved. The rod body 1 and the retractor head 3 are made of alloy materials, and the surface of the rod body 1 and the retractor head 3 is coated with an anti-fatigue coating, which can provide higher pulling strength and durability to meet the needs of complex operations. The retractor head 3 can be detached from the clamping area of ​​the clamping claw 803 to facilitate the replacement of the retractor head 3 of different shapes. For example, the selection of a flat surface, a wide hook type or a spiral shape can expand the pulling area and reduce the complexity of using multiple retractors. Through the cooperation of the pressure sensor 809 and the rectangular block 802, the pulling force on the tissue can be monitored in real time.

[0050] In other embodiments, a camera may be provided at one end of the rod body 1 to facilitate identification of tissue location and to feed data back to a display screen for the surgeon to assist in precise operation.

[0051] In other embodiments, the handle 2 can be connected to an external traction device, and the surgical retractor can be pulled by the traction device, which can save one person for operation.

[0052] The above description is only a preferred embodiment of the present invention, and does not limit the implementation mode and protection scope of the present invention. For those skilled in the art, it should be aware that all solutions obtained by equivalent substitutions and obvious changes made using the description and illustrations of the present invention should be included in the protection scope of the present invention.

Claims

1. Intelligent thoraco-breast approach laparoscopic thyroid surgery retractor, characterized by: It includes a rod body, a handle, a hook head, a hook tip, a retracting mechanism, a bendable rod, a telescopic mechanism and an angle adjustment mechanism, one end of the rod body is connected to one end of the hook head through the angle adjustment mechanism, the retracting mechanism is arranged inside the hook head, the hook tip is movably arranged at the other end of the hook head and connected to the retracting mechanism, the retracting mechanism is used to retract the hook tip into the hook head or pop the hook tip out of the hook head, the other end of the rod body is connected to the telescopic mechanism through the bendable rod, and the telescopic mechanism is connected to the handle.

2. The intelligent thoraco-breast approach laparoscopic thyroid surgery retractor according to claim 1, characterized in that: The retracting and releasing mechanism includes a guide rod, a spring, a first knob, a first winding wheel, a first connecting rod and a first pull rope. The guide rod is fixedly arranged inside the other end of the hook head end, and the spring is sleeved on the guide rod. The interior of the hook tip is hollow, one end of the hook tip is arranged in the hook head end and movably sleeved on the guide rod, and one end of the hook tip is connected to the spring, the other end of the rod body is provided with the first knob, and the other end of the rod body is provided with the first winding wheel, the first knob is connected to the first winding wheel through the first connecting rod, and the first connecting rod is threadedly connected to the rod body, one end of the first pull rope is wound around the first winding wheel, and the other end of the first pull rope passes through the guide rod and is connected to the inner wall of the hook tip.

3. The intelligent laparoscopic thyroid surgery retractor for breast-chest approach according to claim 2, characterized in that: It also includes a guide ring. A plurality of the guide rings are arranged on the inner wall of the hook head end. The plurality of guide rings are distributed along the axial direction of the hook head end. The first pull rope passes through the guide rings.

4. The intelligent breast-entry laparoscopic thyroid surgery retractor according to claim 1, characterized in that: The angle adjustment mechanism includes a first sphere, a rectangular block, a clamp, a connecting block, a second pull rope, a second knob, a second connecting rod and a second winding wheel, a plurality of clamps are rotatably provided on the outer edge of one end of the rod body, the connecting block is provided inside one end of the rod body, one end of the clamp extends into the rod body and is rotatably connected to the connecting block, the first sphere is arranged in the clamping area formed by the plurality of clamps, the rectangular block is provided inside the first sphere, one end of the hook head passes through the first sphere and is connected to the rectangular block, the second knob is also provided at the other end of the rod body, the second winding wheel is provided inside the other end of the rod body, the second knob is connected to the second winding wheel through the second rod body, the second rod body is threadedly connected to the rod body, one end of the second pull rope is wound around the second winding wheel, and the other end of the second pull rope is connected to the connecting block.

5. The intelligent laparoscopic thyroid surgery retractor for breast-chest approach according to claim 4, characterized in that: It also includes a pressure sensor. The pressure sensor is arranged on the inner wall of the first sphere close to the hook head end, and the rectangular block is in contact with the pressure sensor.

6. The intelligent breast-entry laparoscopic thyroid surgery retractor according to claim 4, characterized in that: It also includes an anti-skid pad, and each clamping jaw is provided with the anti-skid pad on one side facing the first sphere.

7. The intelligent laparoscopic thyroid surgery retractor for breast-chest approach according to claim 4, characterized in that: A limiting hole is provided on the first sphere, and one end of the hook head passes through the limiting hole and is connected to the rectangular block.

8. The intelligent laparoscopic thyroid surgery retractor for breast-chest approach according to claim 1, characterized in that: The telescopic mechanism includes a fixed rod, a movable rod and a positioning piece, one end of the fixed rod is connected to the handle, one end of the movable rod is connected to the bendable rod, the other end of the movable rod is movably arranged in the fixed rod, a threaded hole is provided on the fixed rod, a fixing hole is provided on the movable rod, and the positioning piece is arranged in the threaded hole and the corresponding fixing hole for fixing the movable rod.

9. The intelligent laparoscopic thyroid surgery retractor for breast-chest approach according to claim 1, characterized in that: The rod body and the hook head end are both made of alloy material, and the surfaces of the rod body and the hook head end are coated with anti-fatigue coating.