An extraoral suspension traction device for endoscopic thyroidectomy
By designing an adjustable external fixation suspension device, the problem of limited adjustability of traditional devices is solved, enabling flexible traction adjustment, reducing surgical risks and difficulties, and improving surgical efficiency.
Patent Information
- Authority / Receiving Office
- CN · China
- Patent Type
- Utility models(China)
- Current Assignee / Owner
- AFFILIATED ZHONGSHAN HOSPITAL OF DALIAN UNIV
- Filing Date
- 2025-02-28
- Publication Date
- 2026-07-03
AI Technical Summary
Traditional suspension traction devices have limited adjustability, are bulky, obstruct the surgical area during transoral endoscopic thyroidectomy, increase surgical risks and difficulty, and are not easy to install.
An external fixation suspension device was designed, comprising a portal frame, connecting rods, fixators, and suspension hooks. It adopts a double-hole rotating universal fixation structure and an adjustable fixator, allowing sagittal, coronal, and horizontal rotation around the patient's head and neck to achieve precise traction.
It enables flexible adjustments based on the patient's body shape and the surgeon's habits, reducing surgical difficulty and risk, increasing surgical area exposure, shortening surgical time, and meeting aseptic technique requirements.
Smart Images

Figure CN224441380U_ABST
Abstract
Description
Technical Field
[0001] This utility model relates to the field of medical auxiliary device technology, and in particular to an external fixation suspension traction device for transoral endoscopic thyroidectomy. Background Technology
[0002] Thyroid diseases are common and frequently occurring in clinical practice. Surgery is the main treatment for thyroid diseases. Transoral endoscopic thyroidectomy is a commonly used surgical procedure in clinical practice. This procedure is characterized by small incisions, definite surgical results, and rapid postoperative recovery, while leaving no obvious scars on the patient's body.
[0003] However, because the incision for this type of minimally invasive surgery is located in the oral vestibule, the incision is small, the surgical area is small, and the incision is far from the surgical area. The surgeon can only perform gland removal, lymph node dissection, suturing, and hemostasis in a nearly closed space using a trocar with a maximum diameter of 10mm. When using traditional suspension traction surgical instruments, the instruments are relatively fixed, have limited adjustability, are bulky, difficult to install, and also obstruct the surgical area. Insufficient exposure of the surgical area and incomplete protection of surrounding tissues during the operation increase the surgical risk and difficulty. Summary of the Invention
[0004] To address the aforementioned problems, the purpose of this utility model is to provide an external fixation suspension traction device for transoral endoscopic thyroidectomy, which, under the conditions of different patient body shapes and different traction positions, uses sagittal, coronal and horizontal rotation around the patient's head and neck for precise external fixation traction.
[0005] The technical solution adopted in this utility model is as follows:
[0006] The present invention discloses an external fixation and suspension traction device for transoral endoscopic thyroidectomy, comprising a portal frame, connecting rod I, connecting rod II, a fixator, and suspension hooks; the connecting rod I is vertically disposed behind one side of the portal frame; the connecting rod I is fixedly connected to one vertical side of the portal frame via the connecting rod II; the two sides of the connecting rod II are respectively fixedly connected to the connecting rod I and the vertical side of the portal frame via the fixator in a cross shape; the suspension hooks are correspondingly fixedly connected to each side of the portal frame.
[0007] Furthermore, the fixture is a double-hole rotating universal fixing structure.
[0008] Furthermore, the suspension hook includes an open ram's horn hook and an adjustable retainer; the open ram's horn hook is threaded onto one side of the adjustable retainer.
[0009] Furthermore, the adjustable retainer includes a retaining ring and an adjusting wrench; the retaining ring is composed of two semi-circular parts, with one end of each semi-circular part hinged to the other, and the other end of each semi-circular part having a corresponding retaining seat; the adjusting wrench is threadedly connected to the end retaining seats of the two semi-circular parts; the open ram's horn hook is threadedly connected to the outside of one semi-circular part.
[0010] Furthermore, both connecting rod I and connecting rod II are hollow tube structures with closed ends.
[0011] Furthermore, the portal frame is a hollow tube structure with both ends closed.
[0012] Compared with the prior art, the present invention has the following beneficial effects:
[0013] This invention allows for sagittal, coronal, and horizontal rotation around the patient's head and neck. The traction site and tissues can be flexibly adjusted according to the surgeon's habits and the patient's height and physique. After installation, during surgery, the position and direction of the suspension hooks on the portal frame, as well as the position, direction, and length of the open ram's horn hooks on the suspension hooks, can be adjusted at any time, allowing for large-scale, small-scale, and minute-scale adjustments. Unlike traditional suspension hook adjustments, this method does not require disruption of the surgical dressing, meeting the requirements of aseptic surgical techniques. It is simple to operate and maintain. While satisfying the requirements of surgical area traction exposure and tissue protection, it also reduces surgical difficulty and risks, significantly shortens surgical time, and reduces patient treatment costs. Attached Figure Description
[0014] Figure 1 This is a schematic diagram of the overall structure of this utility model;
[0015] Figure 2 for Figure 1 Schematic diagram of the central fixation device;
[0016] Figure 3 for Figure 1 Schematic diagram of the structure of the suspension hook;
[0017] Figure 4 for Figure 1 A schematic diagram of the structure of a portal frame.
[0018] In the attached drawings, the following reference numerals are used: 1-Gate-shaped bracket; 2-Connecting rod I; 3-Connecting rod II; 4-Fixer; 41-Main body; 42-Handle; 5-Suspension hook; 51-Open ram's horn hook; 52-Adjustable fixer; 521-Fixing ring; 522-Adjusting wrench. Detailed Implementation
[0019] To more clearly illustrate the technical solutions in the embodiments of this utility model or the prior art, the drawings used in the description of the embodiments or the prior art will be briefly introduced below. Obviously, the drawings described below are some embodiments of this utility model. For those skilled in the art, other drawings can be obtained based on these drawings without creative effort.
[0020] It should be noted that in the description of this utility model, the terms "upper", "lower", "top", "bottom", "one side", "the other side", "left", "right", etc., indicate the orientation or positional relationship based on the orientation or positional relationship shown in the accompanying drawings. They are only for the convenience of describing this utility model and simplifying the description, and do not mean that the device or component must have a specific orientation, or be constructed and operated in a specific orientation.
[0021] like Figure 1-4 As shown, the external fixation and suspension traction device for transoral endoscopic thyroidectomy proposed in this utility model includes a portal frame 1, a connecting rod I2, a connecting rod II3, a fixator 4, and a suspension hook 5. The connecting rod I2 is vertically arranged in front of the vertical side of one side of the portal frame 1. The connecting rod I2 is fixed to the vertical side of one side of the portal frame 1 through the connecting rod II3. The two sides of the connecting rod II3 are respectively fixed to the connecting rod I2 and the vertical side of the portal frame 1 through the fixator 4. The suspension hook 5 is fixed to the horizontal side and the vertical side of the portal frame 1 respectively.
[0022] In this embodiment, the fixator 4 is a conventional double-hole rotary universal fixing structure, consisting of a main body 41 and a handle 42. The main body 41 is a cylindrical structure, divided into upper and lower parts, each with an outer diameter of 34mm-36mm and a height of 16mm-18mm, and each part has a corresponding hole with a diameter of 11mm-13mm. The handle 42 is located in the center of the surface of the main body, with a length of 57mm-59mm and a maximum width of 14mm-16mm. The fixator 4 is used for the fixed connection between the operating table, connecting rod I2, connecting rod II3, and the gate-type bracket 1.
[0023] The suspension hook 5 includes an open ram's horn hook 51 and an adjustable retainer 52; the open ram's horn hook 51 is threadedly connected to one side of the adjustable retainer 42.
[0024] In this embodiment, the adjustable retainer 52 includes a retaining ring 521 and an adjusting wrench 522; the retaining ring 521 is composed of two semi-circular parts, one end of which is hinged to each other, and the other end is respectively provided with a fixing seat, forming a circular clamping hole between the two semi-circular parts; the adjusting wrench 522 is threadedly connected to the fixing seat at the end of the two semi-circular parts for locking the retaining ring 521; the open ram's horn hook 51 is threadedly connected to the outside of one side of the semi-circular part.
[0025] Both connecting rod I2 and connecting rod II3 are hollow tube structures with closed ends. In this embodiment, connecting rod I2 has a total length of 398mm-402mm and is a stepped rod with a thicker section of 208mm-212mm and an outer diameter of 15.5mm-16.5mm, and a thinner section of 188mm-192mm and an outer diameter of 10.5mm-11.5mm. Connecting rod II3 has a total length of 698mm-702mm and an outer diameter of 10.5mm-11.5mm.
[0026] The portal frame 1 includes one horizontal side and two vertical sides, both of which are hollow tube structures, with the bottom end of the vertical sides closed. In this embodiment, the connection between the two vertical sides and the horizontal side is bent at 90°. The length of the two vertical sides is 248mm-252mm, and the outer diameter is 10.5mm-11.5mm. The length of the horizontal side is 598mm-602mm, and the outer diameter is 10.5mm-11.5mm.
[0027] The method of using this utility model is as follows:
[0028] The thicker section of connecting rod I2 is fixed to the head of the operating table using fixator 4, located on the side of the patient's healthy thyroid gland, at the level of the fourth intercostal space above the patient's nipple. Fixator 4 is used to cross-fix the thinner section of connecting rod I2 to one side of connecting rod II3. Fixator 4 is also used to cross-fix the other side of connecting rod II3 to the vertical edge of either side of the portal frame 1. The horizontal edge of the portal frame 1 is fixed near the level of the patient's clavicle, or adjusted according to the patient's posture and the surgeon's habits. Based on the area to be exposed during surgery, the number of suspension hooks 5 to be used is planned. The adjusting wrench 522 of the adjustable fixator 52 is opened, and the horizontal edge of the portal frame 1 is inserted through the clamping hole of the fixing ring 521. The adjusting wrench 522 is then tightened to fix the required suspension hooks 5 onto the portal frame 1.
[0029] The fixed position of the suspension hook 5 can be adjusted arbitrarily on the gate-shaped bracket 1 according to the needs of the operation, or it can be finely adjusted by rotating the screw of the open ram's horn hook 51.
[0030] Finally, the installation of the external fixation suspension traction device for transoral endoscopic thyroidectomy is completed. The traction point at the surgical site is selected for suture traction, and the traction suture is suspended on the open horn hook 51. Depending on the surgeon's habits and the patient's height and body shape, the position and direction of the suspension hook 5 on the portal frame 1, as well as the position, direction, and length of the open horn hook 51 on the suspension hook 5, can be adjusted at any time to achieve large-scale, small-scale, and minute-scale adjustments to expose the surgical area tissue.
[0031] Matters not covered in this utility model are common knowledge.
[0032] The embodiments described above are merely preferred embodiments of the present utility model and are not intended to limit the scope of the present utility model. Various modifications and improvements made to the technical solutions of the present utility model by those skilled in the art without departing from the spirit of the present utility model should fall within the protection scope defined by the claims of the present utility model.
Claims
1. An external fixation suspension traction device for transoral endoscopic thyroidectomy, characterized in that: The device includes a portal frame, connecting rod I, connecting rod II, a fixing device, and a suspension hook; connecting rod I is vertically arranged behind one side of the portal frame; connecting rod I is fixedly connected to one vertical side of the portal frame via connecting rod II; the two sides of connecting rod II are respectively fixedly connected to connecting rod I and the vertical side of the portal frame via fixing devices in a cross shape; the suspension hooks are correspondingly fixedly connected to each side of the portal frame.
2. The extra-corporeal suspension device for endoscopic thyroidectomy according to claim 1, wherein: The fixture is a double-hole rotating universal fixing structure.
3. The extra-corporeal suspension device for endoscopic thyroidectomy according to claim 1, wherein: The suspension hook includes an open ram's horn hook and an adjustable retainer; the open ram's horn hook is threaded onto one side of the adjustable retainer.
4. The extra-corporeal suspension device for endoscopic thyroidectomy according to claim 3, wherein: The adjustable retainer includes a retaining ring and an adjusting wrench; the retaining ring is composed of two semi-circular parts, with one end of each semi-circular part hinged to the other, and the other end of each semi-circular part having a corresponding retaining seat; the adjusting wrench is threadedly connected to the end retaining seats of the two semi-circular parts; the open ram's horn hook is threadedly connected to the outside of one semi-circular part.
5. The extra-corporeal suspension device for endoscopic thyroidectomy according to claim 1, wherein: Both connecting rod I and connecting rod II are hollow tube structures with closed ends.
6. The external fixation suspension and traction device for transoral endoscopic thyroidectomy according to claim 1, characterized in that: The portal frame is a hollow tube structure with both ends closed.