CN113598902A - A medical laryngeal membrane insertion puncture device - Google Patents

Abstract

Translated fromChinese

本发明公开了一种医用喉膜置入穿刺装置，包括握柄、中段杆、针刺杆、转动组件、推针装置和两根空心针管，握柄的一端与中段杆的一端铰接，针刺杆的一端与中段杆的另一端铰接，转动组件设置于握柄和中段杆内，推针装置设置于针刺杆内，两根空心针管均设置于推针装置上；本发明结构简单，加工成本低，使用方便，而且本发明通过设置的转动组件调节握柄、中段杆和针刺杆之间的角度，方便将中段杆和针刺杆深入患者口腔后，根据需求调节针刺杆上的两根空心针管与患者声带前联合区域之间的角度，通过设置的推针装置，将两根空心针管刺入患者声带前联合区域，直至穿出喉外，方便穿入缝合线。

The invention discloses a medical laryngeal membrane insertion puncture device, comprising a handle, a middle-section rod, an acupuncture rod, a rotating assembly, a needle-pushing device and two hollow needle tubes. One end of the rod is hinged with the other end of the middle section rod, the rotating component is arranged in the handle and the middle section rod, the needle pushing device is arranged in the acupuncture rod, and the two hollow needle tubes are both arranged on the needle pushing device; the present invention has a simple structure and is easy to process. The cost is low, the use is convenient, and the present invention adjusts the angle between the handle, the middle rod and the acupuncture rod through the provided rotating assembly, so that after the middle rod and the acupuncture rod are penetrated into the patient's oral cavity, the angle on the acupuncture rod can be adjusted according to the needs. The angle between the two hollow needle tubes and the anterior joint area of the patient's vocal cords, through the set push needle device, the two hollow needle tubes are pierced into the anterior joint area of the patient's vocal cords until they pass out of the larynx, which is convenient for threading the suture.

Description

Medical puncture device for laryngeal membrane implantation

Technical Field

The invention relates to a medical surgical instrument, in particular to a medical laryngeal membrane implanting and puncturing device.

Background

At present, vocal cord adhesion is one of the problems faced by clinical treatment, the etiology of the disease is complex and can be divided into congenital and acquired, the mild patient of the disease causes difficult pronunciation of the patient, the severe patient affects the respiration of the patient, the disease has no special treatment method temporarily, the disease is easy to recur after operation, the method of throat dehiscence, T-shaped silicone tube placement and the like is adopted for treatment in the past, although the methods have wide adaptability, the method has large damage to the patient and the wound is easy to infect, the silica gel laryngeal membrane placement becomes the mainstream treatment method along with the development of medical technology at present, the silica gel laryngeal membrane needs to be fixed with the joint area in front of the vocal cord of the patient through a suture line after placement, but at present, a common hospital adopts a common puncture needle to be matched with surgical tools such as a laryngeal forceps, a clamp and the like for placement operation, the puncture needle needs to be placed from the outside of the larynx, and then the suture line needs to be clamped by the laryngeal forceps under an endoscope, the needle head is gradually threaded in the direction of the throat, and the needle head penetrates out of the throat little by little, so that the operation of a surgeon is very inconvenient, and the injury of the throat is aggravated because the position is not accurate enough and the needle head needs to penetrate into the throat for multiple times.

Disclosure of Invention

The technical problem to be solved by the invention is to provide a medical laryngeal membrane implanting puncturing device aiming at the defects of the prior art, which has the advantages of simple structure, low processing cost, convenient use, stable work, safety, reliability and complete functions, solves the problem that no convenient operation tool exists in the prior art, and can easily pass a puncture needle out of the larynx from the front joint area of the vocal cords of a patient to the outside of the larynx, so that a suture line can be penetrated into the throat of the patient from the outside of the larynx under the direct vision, and the silica gel laryngeal membrane is fixed.

In order to solve the technical problem, the technical scheme of the invention is realized by the following modes: a medical laryngeal membrane imbedding and puncturing device comprises a grab handle, a middle section rod, a needle puncturing rod, a first rotating assembly, a second rotating assembly, a needle pushing device and two hollow needle tubes, wherein one end of the grab handle is hinged with one end of the middle section rod, one end of the needle puncturing rod is hinged with the other end of the middle section rod, the first rotating assembly is arranged on the grab handle and the middle section rod, the second rotating assembly is arranged on the grab handle, the middle section rod and the needle puncturing rod, the needle pushing device is arranged in the needle puncturing rod, and the two hollow needle tubes are movably arranged on the needle pushing device;

the grab handle and the middle rod are both provided with air pipe grooves along the length direction;

the needle pushing device comprises two push rods, two first air bags, a three-way joint, two thrust springs and an inflation interface, each push rod consists of a push plate and a section of circular connecting rod, one end of each circular connecting rod, which is far away from the rectangular plate, is outwards molded and provided with a first threaded boss, each push plate is a rectangular plate, each needle puncturing rod is a circular rod, one end, which is hinged with the middle rod, of each needle puncturing rod is inwards molded and provided with two push plate sliding grooves matched with the push plates, the top end of each push plate sliding groove is movably connected with a gland, the bottom end of each push plate sliding groove is provided with a needle tube sliding groove along the length direction of the needle puncturing rod, and each needle tube sliding groove penetrates through the needle puncturing rod;

the two push rods are respectively arranged in the two push plate sliding grooves in a sliding manner, the push plate on each push rod is in sliding fit with the push plate sliding grooves, the circular connecting rods are in sliding connection with the needle tube sliding grooves, the two thrust springs are respectively sleeved on the two circular connecting rods, one end of each thrust spring is abutted against the push plate, and the other end of each thrust spring is abutted against the bottom end of the corresponding push plate sliding groove; the two first air bags are respectively and fixedly arranged at one end, close to the push plate, of the two pressing covers, the air inlet of each first air bag is connected with an air guide pipe, the air guide pipe penetrates through the pressing covers and is exposed out of the needling rod, the three-way joint is fixedly arranged at one end, close to the middle section rod, of the needling rod, the air guide pipes on the two first air bags are connected with the three-way joint, the three-way joint is also provided with a main air pipe, the main air pipe extends into the air pipe grooves in the holding handle and the middle section rod, the free end of the main air pipe extends to one end, far away from the middle section rod, of the air pipe groove in the holding handle, the inflation interface is arranged on the side wall of the holding handle, and one end of the inflation interface penetrates through the side wall of the holding handle and is connected with the free end of the main air pipe;

the two hollow needle tubes are respectively and movably arranged on the first thread boss of the push rod, each hollow needle tube comprises a hollow tube and a needle head, the needle heads are arranged at one ends of the hollow tubes in a thread matching mode, and the other ends of the hollow tubes are in thread connection with the thread bosses;

the outside shaping of grab handle one end along length direction is equipped with two first hinge ears, middle section pole all is equipped with two second hinge ears along length direction's both ends, it is equipped with the third hinge ear to prick the pole along length direction's one end, it is articulated between two second hinge ears of two first hinge ears and middle section pole one end, and two second hinge ears set up between two first hinge ears, it is articulated between two second hinge ears of two third hinge ears and the middle section pole other end, and two third hinge ears set up between two second hinge ears.

According to the technical scheme, the grab handle, the middle rod and the acupuncture rod are hinged with each other, so that the angle between the middle rod and the acupuncture rod can be rotated according to requirements, an included angle between the grab handle and the middle rod and an included angle between the middle rod and the acupuncture rod are controlled through the arranged first rotating assembly and the second rotating assembly, the adjustment is carried out according to the requirements of an operator, the operation is convenient, and the hollow needle tube is punctured into a joint area in front of a vocal cord of a patient; through the push pin device that sets up, make two hollow needle pipes not reach appointed point of puncture, remain throughout in the acupuncture pole, prevent that hollow needle pipe from causing the injury to the patient, unite the region before two hollow needle pipes puncture patient's vocal cords through setting up, operation doctor can stretch into patient's throat with two stylolite through hollow needle pipe, and clip the end of a thread of stylolite through the laryngeal forceps, and draw forth from patient's oral area, set up silica gel larynx membrane on two stylolite again, and after knoing the end of a thread of two stylolite, the one end of hollow needle pipe is not stretched into to two stylolite of tractive, can make silica gel larynx membrane laminating appointed vocal cords before unite regional department, and it is fixed through the stylolite, simple and convenient easy operation.

The technical scheme of the invention is further defined as follows:

the first rotating assembly comprises a first sliding plate, a first adjusting rod, a first knob and two first gears, a first sliding plate groove matched with the first sliding plate is formed inwards at one end, close to the middle section rod, of the grab handle along the length direction, a first threaded hole is formed inwards at one end, far away from the middle section rod, of the first sliding plate groove along the length direction, a first sliding hole is formed inwards at one end, far away from the first sliding plate groove, of the first threaded hole along the length direction, and the first sliding hole penetrates through the grab handle along the length direction of the grab handle; a plurality of first tooth-shaped grooves are formed inwards at one side end of the first sliding plate along the thickness direction, a T-shaped round bottom groove is formed inwards at the other side end of the first sliding plate along the thickness direction, one end of the T-shaped round bottom groove penetrates through the first sliding plate along the length direction of the first sliding plate, a semicircular groove formed inwards is formed in one side wall of the first sliding plate groove along the thickness direction, a limiting round platform matched with the T-shaped round bottom groove is arranged at one end of a first adjusting rod, a second thread boss is arranged at the middle section of the first adjusting rod, the limiting round platform on the first adjusting rod is embedded into the T-shaped round bottom groove, the limiting round platform is in sliding fit with the T-shaped round bottom groove, the first sliding plate is arranged in the first sliding plate groove in a sliding fit manner, the handle is in sliding fit with the semicircular groove, one end of the first adjusting rod penetrates through the first thread hole and the first sliding hole to expose out of the first handle, and the second thread boss is in threaded connection with the first thread hole, the first knob is arranged at one end of the first adjusting rod, which is exposed out of the grab handle, the two first gears are respectively and fixedly arranged on the two second hinge lugs, and the two first gears are respectively meshed and matched with the first tooth-shaped grooves on the first sliding plate; the first gear groove on the first sliding plate is meshed with the first gear, when the first sliding plate slides, the first gear is driven to rotate, and the middle section rod is driven to rotate.

The length of second screw thread boss is L, and the length of first screw hole is K, and when the one end in first slide groove was kept away from along length direction to the one end of second screw thread boss and first screw hole offset, contained angle was 180 between grab handle and the middle section pole, is parallel between grab handle and the middle section pole promptly, and the initial condition of first regulation pole is defined this moment, and the length that first regulation pole exposes the grab handle is M, and the relation is between the three: K-L = M; when a first knob at one end of the first adjusting rod abuts against the grab handle, the included angle between the grab handle and the middle rod is 90 degrees, and the final state of the first adjusting rod is defined at the moment; through the geometrical relation who sets up, the pivoted angle scope of control middle section pole, it is simple and convenient, save the cost, convenient operation.

The second rotating component comprises a second adjusting rod, a rotating connecting block, a rotating connecting rod, a second sliding plate, a second knob and two second gears, the second adjusting rod consists of a section of smooth round rod and a section of threaded rod, the rotating connecting block is rotatably arranged at one end of the threaded rod far away from the smooth round rod, one end of the rotating connecting rod is hinged with the rotating connecting block, one side end of the second sliding plate along the thickness direction is provided with a plurality of second tooth-shaped grooves, the second tooth-shaped grooves are arranged at one side of the second sliding plate along the length direction, one end of the second sliding plate far away from the second tooth-shaped grooves along the length direction is provided with a fixedly connected sliding plate connecting rod, one end of the sliding plate connecting rod is hinged with the other end of the rotating connecting rod, the middle rod is provided with a second sliding plate groove in sliding fit with the second sliding plate along the length direction, the second sliding plate is slidably arranged in the second sliding plate groove, a second threaded hole matched with the threaded rod is formed inwards at the geometric center position of the grip handle close to one end of the middle rod along the length direction, a second sliding hole penetrating through the grab handle is formed inwards at one end, far away from the middle section rod, of the second threaded hole in the axial direction, a smooth round rod of the second adjusting rod penetrates through the second sliding hole to expose out of the grab handle, the threaded rod is in threaded fit with the second threaded hole, the second knob is fixedly arranged at one end, exposed out of the grab handle, of the second adjusting rod, the two second gears are fixedly arranged on the two third hinge lugs, and the two second gears are in meshed fit with a second gear groove in the second sliding plate; the rotating connecting rod and the second sliding plate are driven to slide through the second adjusting rod, the second sliding plate is driven to rotate through the meshing fit between the second sliding plate and the second gear, the second adjusting rod is driven to rotate when sliding, the sliding amount of the second adjusting rod is accurately controlled through the threaded fit between the second adjusting rod and the grab handle, the rotating angle of the second adjusting rod is controlled, and the angle of the second adjusting rod is conveniently kept.

When one end of the threaded rod is abutted against one end of the second threaded hole, which is far away from the middle section rod along the axial direction, the second adjusting rod is defined to be in an initial state at the moment, when the second adjusting rod is in the initial state, the included angle between the middle section rod and the needling rod is 180 degrees, namely the middle section rod is parallel to the needling rod, the rotating axis of the hinged part between the rotating connecting block and the rotating connecting rod is superposed with the rotating axis of the hinged part between the first hinge lug and the second hinge lug, when the second adjusting rod is in the initial state, the included angle between the rotating connecting rod and the second adjusting rod is alpha, and the alpha is more than 90 degrees and less than 135 degrees; when the second knob is abutted against the grab handle, the second adjusting rod is defined to be in a final state at the moment, and when the second adjusting rod is in the final state, the included angle between the middle rod and the acupuncture rod is 90 degrees; the rotating range of the acupuncture rod is controlled through the set position relation, the operation is simple and convenient, and the cost is saved.

A second air bag is fixedly arranged on the radial outer wall of the middle section rod, an air inlet of the second air bag is connected with an inflation tube, a micro air valve is arranged on the side wall of the grab handle close to the inflation connector, and the micro air valve penetrates through the side wall of the grab handle and is connected with the free end of the inflation tube; through the second gasbag that sets up, can provide the cushion for between middle section pole and the patient throat wall before the hollow needle tube punctures into patient's vocal cords when uniting the region, make things convenient for the puncture promptly, can avoid again causing the oppression damage to patient throat wall.

The screw thread rotating direction between the hollow tube and the first screw thread boss is opposite to the screw thread rotating direction between the hollow tube and the needle head; the hollow needle tube is convenient to be detached from the thread boss.

The hinged parts among the grab handle, the middle section rod and the acupuncture rod are all coated with rubber sleeves; avoiding unnecessary scratch to the oral cavity and the throat of the patient.

The invention also comprises a rectangular silica gel pad and a silica gel laryngeal membrane, wherein the silica gel pad is provided with through holes corresponding to the two hollow needle tubes, the silica gel laryngeal membrane is provided with two threading holes, the silica gel laryngeal membrane is bent along the middle section of the width direction, and the silica gel laryngeal membrane is V-shaped; the convenience separates stylolite and patient's muscle when fixed silica gel larynx membrane, prevents to cause to the patient to strangle the neck sense and pressure is too big to cause skin infection, and silica gel larynx membrane is the V font, unites the region before the convenient patient's vocal cords of laminating.

The invention has the beneficial effects that: according to the technical scheme, the laryngeal membrane imbedding puncture device is hinged with the grab handle, the middle rod and the acupuncture rod, so that the angle between the middle rod and the acupuncture rod can be rotated according to requirements, the included angle between the grab handle and the middle rod and the included angle between the middle rod and the acupuncture rod are controlled through the arranged first rotating assembly and the second rotating assembly, the adjustment is carried out according to the requirements of surgeons, the operation is convenient, and the hollow needle tube is punctured into a joint area in front of the vocal cords of a patient; through the arranged needle pushing device, when the two hollow needle tubes do not reach the designated puncture point, the hollow needle tubes are always kept in the needle puncturing rod, the hollow needle tubes are prevented from injuring a patient, the two hollow needle tubes puncture the front joint area of the vocal cords of the patient, an operator can stretch the two suture lines into the throat of the patient through the hollow needle tubes, the thread heads of the suture lines are clamped through a laryngeal forceps and are led out from the mouth of the patient, then the silica gel laryngeal membrane is arranged on the two suture lines, and after the thread heads of the two suture lines are knotted, one end of the hollow needle tube is pulled to pull the two suture lines, so that the silica gel laryngeal membrane can be attached to the designated front joint area of the vocal cords and is fixed through the suture lines, and the operation is simple, convenient and easy; through the second gasbag that sets up, can provide the cushion for between middle section pole and the patient throat wall before the hollow needle tube punctures into patient's vocal cords when uniting the region, both make things convenient for the puncture, can avoid again causing the damage to patient throat wall.

Drawings

Fig. 1 is an axial structural view of the present invention.

Fig. 2 is a front view of the present invention.

Fig. 3 is a cross-sectional view taken at a-a in fig. 2.

Fig. 4 is a partial enlarged view of fig. 3 at B.

Fig. 5 is a partial enlarged view of fig. 3 at C.

Fig. 6 is a partial enlarged view of fig. 3 at D.

Fig. 7 is a partial enlarged view of fig. 3 at E.

Fig. 8 is a right side view of the present invention.

Fig. 9 is a cross-sectional view at F-F in fig. 8.

Fig. 10 is a partial enlarged view at G in bitmap 9.

Wherein: 1-grab handle, 1 a-first hinge lug, 2-middle rod, 2 a-second hinge lug, 2 b-second sliding plate groove, 3-acupuncture rod, 3 a-push plate sliding groove, 3 b-needle tube sliding groove, 3 c-third hinge lug, 4-hollow needle tube, 4 a-hollow tube, 4 b-needle head, 5-push rod, 5 a-push plate, 5 b-round connecting rod, 5 c-first threaded boss, 6-first air bag, 7-three-way joint, 8-thrust spring, 9-inflation interface, 10-gland, 11-air tube, 12-main air tube, 13-air tube groove, 14-first sliding plate, 14 a-first tooth-shaped groove, 14 b-T-shaped groove, 15-first adjusting rod, 15 a-a limiting circular table, 15 b-a second threaded boss, 16-a first knob, 17-a first toothed block, 18-a first sliding plate groove, 18 a-a semicircular groove, 19-a first threaded hole, 20-a first sliding hole, 21-a second adjusting rod, 21 a-a smooth circular rod, 21 b-a threaded rod, 22-a rotating connecting block, 23-a rotating connecting rod, 24-a second sliding plate, 24 a-a second toothed groove, 24 b-a sliding plate connecting rod, 25-a second gear, 26-a second threaded hole, 27-a second sliding hole, 28-a second knob, 29-a second air bag, 30-an air inflation tube, 31-a micro air valve, 32-a silica gel pad, 32a through hole, 33-a silica gel throat membrane and 33a threading hole.

Detailed Description

The technical solutions in the embodiments of the present invention will be described in detail below with reference to the accompanying drawings in the embodiments of the present invention.

It is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all embodiments, and all other embodiments obtained by those skilled in the art without any inventive work are within the scope of the present invention based on the embodiments 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", etc., indicate orientations or positional relationships based on the orientations or positional relationships shown in the drawings, and are only for convenience of description and simplicity of description, but do not indicate or imply that the device or element being referred to must have a particular orientation, be constructed and operated in a particular 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 should be noted that, unless otherwise explicitly specified or limited, the terms "mounted," "connected," and "connected" are to be construed broadly, e.g., as meaning either a fixed connection, a removable connection, or an integral connection; can be mechanically or electrically connected; the two elements can be directly connected or indirectly connected through an intermediate medium, and the two elements can be communicated with each other, so that the specific meaning of the terms in the invention can be understood by those skilled in the art.

Example 1

As shown in fig. 1, a medical laryngostomy membrane imbedding and puncturing device comprises a grab handle 1, a middle section rod 2, a needling rod 3, a first rotating assembly, a second rotating assembly, a needle pushing device and two hollow needle tubes 4, wherein one end of the grab handle 1 is hinged with one end of the middle section rod 2, one end of the needling rod 3 is hinged with the other end of the middle section rod 2, the first rotating assembly is arranged on the grab handle 1 and the middle section rod 2, the second rotating assembly is arranged on the grab handle 1, the middle section rod 2 and the needling rod 3, the needle pushing device is arranged in the needling rod 3, and the two hollow needle tubes 4 are movably arranged on the needle pushing device; handle 1 is handed to surgeon, rotate 90 backs with middle section pole 2 through first rotating assembly, stretch into patient's throat with middle section pole 2 and acupuncture pole 3, adjust acupuncture pole 3 through second rotating assembly and rotate 90, make between the joint region before acupuncture pole 3 and the patient vocal cords perpendicular, then through pushing away the needle device with two hollow needle tubes 4 puncture patient vocal cords before the joint region, thereby conveniently penetrate patient's throat with the stylolite through hollow needle tube 4, thereby be fixed in patient vocal cords with silica gel laryngeal membrane 33 through the stylolite before the joint region department, prop open the vocal cords of patient's adhesion.

As shown in fig. 5, the grab handle 1 and the middle rod 2 are both provided withair pipe grooves 13 along the length direction;

as shown in fig. 10, the push needle device comprises twopush rods 5, two first air bags 6, a three-way joint 7, two push springs 8 and an inflation interface 9, wherein thepush rods 5 are composed of apush plate 5a and a section ofround connecting rod 5b, and the outside shaping of one end thatrectangular plate 5a was kept away from to circular connectingrod 5b is equipped with firstscrew thread boss 5c,push pedal 5a is the rectangular plate,rectangular push pedal 5a and the cooperation of push pedal spout 3a, push pedal 5a only can slide in push pedal spout 3a, unable rotation,acupuncture pole 3 is the round bar,acupuncture pole 3 is equipped with two and push pedal 5a matched with push pedal spout 3a with the inside shaping of middle section pole 2 articulated one end, the top of every push pedal spout 3a all has agland 10 through bolted connection, the bottom of every push pedal spout 3a is equipped withneedle tubing spout 3b along the length direction ofacupuncture pole 3, andneedle tubing spout 3b runs throughacupuncture pole 3.

As shown in fig. 10, twopush rods 5 are respectively slidably disposed in two push plate sliding chutes 3a, apush plate 5a on eachpush rod 5 is in sliding fit with the push plate sliding chute 3a, a circular connectingrod 5b is in sliding connection with a needletube sliding chute 3b, two thrust springs 8 are respectively sleeved on the two circular connectingrods 5b, one end of each thrust spring 8 abuts against thepush plate 5a, the other end abuts against the bottom end of the push plate sliding chute 3a, when the first air bag 6 is not inflated, the thrust spring 8 always pushes thepush rod 5 towards thegland 10, so that the hollow needle tube 4 connected to one end of thepush rod 5 is always kept contracted in the needletube sliding chute 3b, and the hollow needle tube 4 is prevented from scratching the patient when thepuncture rod 3 is inserted into the throat of the patient; the two first air bags 6 are fixedly arranged at one ends, close to thepush plate 5a, of the twopressing covers 10 respectively, the first air bags 6 are inflated, the first air bags 6 expand along the length direction of the push plate sliding grooves 3a, thepush plate 5a is pressed, the thrust spring 8 is contracted, the round connectingrods 5b drive the hollow needle tubes 4 to slide and expose the needletube sliding grooves 3b, and therefore puncture is conducted on a patient; the air inlet of each first air bag 6 is connected with anair duct 11, theair duct 11 passes through agland 10 and is exposed outside theacupuncture rod 3, a three-way joint 7 is fixedly arranged at one end of theacupuncture rod 3 close to the middle section rod 2, theair ducts 11 on the two first air bags 6 are connected with the three-way joint 7, the three-way joint 7 is also provided with amain air duct 12, themain air duct 12 extends intoair duct grooves 13 on the grab handle 1 and the middle section rod 2, and the free end of themain air pipe 12 extends to the end far away from the middle rod 2 in theair pipe groove 13 on the grab handle 1, the air charging interface 9 is arranged on the side wall of the grab handle 1, and one end of the inflation interface 9 passes through the side wall of the grab handle 1 to be connected with the free end of themain air pipe 12, the filled gas is uniformly distributed to the two first air bags 6 through the three-way joint 7, so that the two first air bags 6 are synchronously expanded, the twopush rods 5 are synchronously pushed, and the two hollow needle tubes 4 synchronously puncture the patient;

the two hollow needle tubes 4 are respectively and movably arranged on afirst thread boss 5c of thepush rod 5, the hollow needle tubes 4 comprise hollow tubes 4a andneedles 4b, after the hollow needle tubes 4 puncture a patient, the hollow needle tubes 4 are screwed down, the puncture device is integrally taken out, the punctured hollow needle tubes 4 are left at the puncture position of the patient, then theneedles 4b are screwed down, the suture thread can penetrate into the throat of the patient through the hollow tubes 4a, one end of the suture thread extending into the throat of the patient is clamped through a laryngeal forceps, and the suture thread is led out from the oral cavity of the patient; the twoneedle heads 4b are arranged at one end of the hollow tube 4a in a threaded fit manner, and the other end of the hollow tube 4a is in threaded connection with the first threadedboss 5 c;

as shown in fig. 1, 4, 7 and 10, two first hinge eyes 1a are formed at one end of the handle 1 along the length direction, two second hinge eyes 2a are respectively arranged at two ends of the middle rod 2 along the length direction, athird hinge eye 3c is arranged at one end of theneedling rod 3 along the length direction, the two first hinge eyes 1a are hinged to the two second hinge eyes 2a at one end of the middle rod 2 through a pin shaft, the two second hinge eyes 2a are arranged between the two first hinge eyes 1a, the twothird hinge eyes 3c are hinged to the two second hinge eyes 2a at the other end of the middle rod 2 through a pin shaft, and the twothird hinge eyes 3c are arranged between the two second hinge eyes 2 a.

The first rotating assembly comprises a firstsliding plate 14, a first adjustingrod 15, afirst knob 16 and twofirst gears 17, a first slidingplate groove 18 matched with the first slidingplate 14 is formed inwards at one end, close to the middle section rod 2, of the grab handle 1 along the length direction, a first threadedhole 19 is formed inwards at one end, far away from the middle section rod 2, of the firstsliding plate groove 18 along the length direction, a first slidinghole 20 is formed inwards at one end, far away from the first slidingplate groove 18, of the first threadedhole 19 along the length direction, and the firstsliding hole 20 penetrates through the grab handle 1 along the length direction of the grab handle 1; one side end of the firstsliding plate 14 along the thickness direction is inwards formed with a plurality of first toothed grooves 14a, the other side end of the first slidingplate 14 along the thickness direction is inwards formed with a T-shapedround bottom groove 14b, one end of the T-shapedround bottom groove 14b penetrates through the first slidingplate 14 along the length direction of the first slidingplate 14, one side wall of the first slidingplate groove 18 along the thickness direction is provided with an inwards formedsemicircular groove 18a, one end of the first adjustingrod 15 is provided with a limitinground platform 15a matched with the T-shapedround bottom groove 14b, the middle section of the first adjustingrod 15 is provided with a second threadedboss 15b, the limitinground platform 15a on the first adjustingrod 15 is embedded into the T-shapedround bottom groove 14b and is in sliding fit with the T-shaped groove 14b, the first slidingplate 14 is arranged in the first slidingplate groove 18 in a sliding manner, and the limitinground platform 15a is in sliding fit with thesemicircular groove 18a, one end of the first adjustingrod 15 passes through the first threadedhole 19 and the first slidinghole 20 to be exposed out of the grab handle 1, the second threadedboss 15b is in threaded connection with the first threadedhole 19, thefirst knob 16 is arranged at one end of the first adjustingrod 15 exposed out of the grab handle 1, the twofirst gears 17 are respectively and fixedly arranged on the two second hinge lugs 2a, and the twofirst gears 17 are both in meshing fit with the first tooth-shaped groove 14a on the first slidingplate 14;

the first rotating assembly works as follows:

the limitinground platform 15a at one end of the first adjustingrod 15 is matched with the T-shapedround bottom groove 14b on the first slidingplate 14, so that the first adjustingrod 15 is driven to slide in the firstsliding plate groove 18 when sliding, the first tooth-shaped groove 14a on the first slidingplate 14 is meshed with thefirst gear 17, thefirst gear 17 is driven to rotate when sliding, thefirst gear 17 is fixedly connected with the second hinge lug 2a, so that thefirst gear 17 rotates to drive the middle section rod 2 to rotate, the sliding amount of the first adjustingrod 15 can be accurately controlled through the threaded fit between the second threadedboss 15b on the first adjustingrod 15 and the first threadedhole 19 on the grab handle 1, the rotating angle of the middle section rod 2 is controlled, and after the first adjustingrod 15 is not adjusted, the second threadedboss 15b on the first adjustingrod 15 is matched with the first threadedhole 19 on the grab handle 1 through the threaded fit, the mid-section bar 2 is kept at the current angle.

Secondscrew thread boss 15 b's length is L, andfirst screw hole 19's length is K, and secondscrew thread boss 15 b's one end offsets withfirst screw hole 19 along the one end thatfirst slide groove 18 was kept away from to length direction, and the contained angle is 180 between grab handle 1 and the middle section pole 2, is parallel between grab handle 1 and the middle section pole 2 promptly, defines the initial condition who isfirst regulation pole 15 this moment, andfirst regulation pole 15 exposes grab handle 1's length and is M, and the relationship is between the three: K-L = M, and the rotation range of the middle rod 2 can be controlled through the set length relationship of the three rods; when thefirst knob 16 at one end of the first adjustingrod 15 abuts against the grab handle 1, the included angle between the grab handle 1 and the middle rod 2 is 90 °, which is defined as the final state of the first adjustingrod 15.

The second rotating assembly comprises a second adjustingrod 21, a rotating connectingblock 22, a rotating connectingrod 23, a secondsliding plate 24, asecond knob 28 and twosecond gears 25, the second adjustingrod 21 is composed of a section of smooth round rod 21a and a section of threadedrod 21b, the rotating connectingblock 22 is rotatably arranged at one end of the threadedrod 21b far away from the smooth round rod 21a, when the second adjustingrod 21 rotates, the rotating connectingblock 22 does not rotate and is conveniently matched with the rotating connectingrod 23, when the second adjustingrod 21 slides, through the hinged fit between the rotating connectingblock 22 and the rotating connectingrod 23, the rotating connectingblock 22 pushes the rotating connectingrod 23 to rotate, through the hinged fit between the rotating connectingrod 23 and the sliding plate connecting rod 24b, the rotating connectingrod 23 pushes the secondsliding plate 24 to slide in the secondsliding plate groove 2b, and one end of the rotating connectingrod 23 is hinged with the rotating connectingblock 22, a plurality of second tooth-shaped grooves 24a are arranged at one side end of the second slidingplate 24 along the thickness direction, a plurality of second tooth-shaped grooves 24a are arranged at one side of the secondsliding plate 24 along the length direction, a fixedly connected sliding plate connecting rod 24b is arranged at one end of the secondsliding plate 24 along the length direction, one end of the sliding plate connecting rod 24b is hinged with the other end of the rotating connectingrod 23, a secondsliding plate groove 2b in sliding fit with the secondsliding plate 24 is arranged along the length direction of the middle rod 2, the secondsliding plate 24 is arranged in the secondsliding plate groove 2b in a sliding way, a second threadedhole 26 matched with the threadedrod 21b is formed inwards at the geometric center position of one end of the grab handle 1 along the length direction, close to the middle rod 2, a second slidinghole 27 penetrating through the grab handle 1 is formed inwards at one end of the second threadedhole 26 axially far away from the middle rod 2, the smooth round rod 21a of the second adjustingrod 21 passes through the secondsliding hole 27 and is exposed out of the grab handle 1, the threadedrod 21b is in threaded fit with the second threadedhole 26, thesecond knob 28 is fixedly arranged at one end of the second adjustingrod 21, which is exposed out of the grab handle 1, the twosecond gears 25 are fixedly arranged on the twothird hinge lugs 3c, and the twosecond gears 25 are in meshed fit with thesecond toothed groove 24a on the secondsliding plate 24;

the working process of the second rotating assembly is as follows:

thesecond adjusting rod 21 is rotated, through the screw-thread fit between the threadedrod 21b on thesecond adjusting rod 21 and the second threadedhole 26, when thesecond adjusting rod 21 is rotated, thesecond adjusting rod 21 slides in the second threadedhole 26, the second threadedhole 26 slides to drive the rotating connectingrod 22 and the second slidingplate 24 to slide, and through the meshing fit between the secondtoothed groove 24a on the second slidingplate 24 and thesecond gear 25, the second slidingplate 24 is made to slide to drive theacupuncture rod 3 to rotate, through the screw-thread fit between thesecond adjusting rod 21 and the second threadedhole 26 on the grip 1, the sliding amount of thesecond adjusting rod 21 is precisely controlled, thereby controlling the rotation angle of theacupuncture rod 3, and when thesecond adjusting rod 21 is no longer adjusted, through the screw-thread fit between the threadedrod 21b on thesecond adjusting rod 21 and the second threadedhole 26, the angle of theacupuncture rod 3 is kept unchanged.

When one end of the threaded rod 21b abuts against one end of the second threaded hole 26, which is far away from the middle rod 2 along the axial direction, it is defined that the second adjusting rod 21 is in an initial state at the moment, when the second adjusting rod 21 is in the initial state, an included angle between the middle rod 2 and the needling rod 3 is 180 degrees, namely, the middle rod 2 is parallel to the needling rod 3, and a rotation axis at a hinged part between the rotating connecting block 22 and the rotating connecting rod 23 coincides with a rotation axis at a hinged part between the first hinge lug 1a and the second hinge lug 2a, so that when the second adjusting rod 21 rotates, the rotating connecting rod 23 and the second adjusting rod 21 rotate synchronously, thereby avoiding the interference of the rotating connecting rod 23 on the second adjusting rod 21 when the second adjusting rod rotates; when the second adjusting rod 21 is in the initial state, the included angle between the rotating connecting rod 23 and the second adjusting rod 21 is alpha, and alpha is more than 90 degrees and less than 135 degrees, the initial included angle alpha between the rotating connecting rod 23 and the second adjusting rod 21 is an obtuse angle, so that when the second adjusting rod 21 pushes the rotating connecting rod 23, the rotating connecting rod 23 pushes the second sliding plate 24 to slide in the direction away from the second adjusting rod 21; when the second knob 28 is abutted against the grip 1, it is defined that the second adjusting rod 21 is in the final state at this time, when the second adjusting rod 21 is in the final state, the included angle between the middle rod 2 and the needling rod 3 is 90 °, and the positions of the second adjusting rod 21 in the initial state and the final state are controlled through the second knob 28 and the threaded rod 21b, so as to control the rotation range of the needling rod 3.

As shown in fig. 3 and 5, a second air bag 29 is fixedly arranged on the radial outer wall of the middle rod 2, an air inlet of the second air bag 29 is connected with aninflation tube 30, amicro air valve 31 is arranged on the side wall of the handle 1 near the inflation port 9, themicro air valve 31 penetrates through the side wall of the handle 1 to be connected with the free end of theinflation tube 30, the second air bag 29 is inflated through themicro air valve 31, the second air bag 29 is expanded, the middle rod 2 is separated from throat muscles of a patient, and air pressure in the second air bag 29 is maintained through themicro air valve 31, so that when the hollow needle tube 4 is pushed by the needle pushing device to puncture, the middle rod 2 is supported through the second air bag 29, the puncture is convenient, and the injury caused by the fact that the throat of the patient is pressed due to overlarge pressure of the middle rod 2 is avoided.

The thread direction between the hollow tube 4a and thefirst thread boss 5c is opposite to the thread direction between the hollow tube 4a and theneedle 4 b; the surgeon can conveniently hold theneedle 4b to rotate the hollow tube 4a, and the hollow tube 4a is detached from thefirst thread boss 5 c.

The hinged parts among the grab handle 1, the middle section rod 2 and theacupuncture rod 3 are all coated with rubber sleeves.

The embodiment also comprises a rectangular silica gel pad 32 and a silica gel larynx membrane 33, the silica gel pad 32 is provided with through holes 32a corresponding to the two hollow needle tubes 4, the silica gel larynx membrane 33 is provided with two threading holes 33a, the silica gel larynx membrane 33 is bent along the middle section of the width direction, the silica gel larynx membrane 33 is in a V shape, the V-shaped silica gel larynx membrane 33 is more convenient to be attached to the front joint area of the vocal cords of the patient, one ends of the two suture lines extending into the hollow tube 4a are led out from the oral cavity of the patient and then respectively pass through the threading holes 33a on the silica gel larynx membrane 33, one ends of the two suture lines led out from the oral cavity of the patient are knotted, one ends of the two suture lines not extending into the hollow tube 4a respectively pass through the two through holes 32a on the silica gel pad 32, after the silica gel larynx membrane 33 is tightened, one ends of the two suture lines not extending into the hollow tube 4a are tightened and are mutually wound and knotted, the two tightened suture lines are pressed on the silica gel pad 32, prevent the strangulation feeling of the patient caused by the overlarge pressure after the suture is tightened and prevent the skin infection caused by the overlarge pressure.

The application process of this embodiment is as follows: when a patient needs to put the silica gellaryngeal mask 33 in, the surgeon holds the grab handle 1, rotates the middle rod 2 by 90 degrees through the first rotating assembly, and then stretches the middle rod 2 and theacupuncture rod 3 into the throat of the patient;

the first rotating assembly works as follows:

the limitinground platform 15a at one end of thefirst adjusting rod 15 is matched with the T-shaped roundbottom groove 14b on the first slidingplate 14, so that thefirst adjusting rod 15 is driven to slide in the first slidingplate groove 18 when sliding, the first tooth-shaped groove 14a on the first slidingplate 14 is meshed with thefirst gear 17, thefirst gear 17 is driven to rotate when sliding, thefirst gear 17 is fixedly connected with the second hinge lug 2a, so that thefirst gear 17 rotates to drive the middle section rod 2 to rotate, the sliding amount of thefirst adjusting rod 15 can be accurately controlled through the threaded fit between the second threadedboss 15b on thefirst adjusting rod 15 and the first threadedhole 19 on the grab handle 1, the rotating angle of the middle section rod 2 is controlled, and after thefirst adjusting rod 15 is not adjusted, the second threadedboss 15b on thefirst adjusting rod 15 is matched with the first threadedhole 19 on the grab handle 1 through the threaded fit, make the middle rod 2 maintain the current angle

Theacupuncture rod 3 is adjusted to rotate 90 degrees through the second rotating assembly, so that theacupuncture rod 3 is vertical to the front joint area of the vocal cords of the patient;

the working process of the second rotating assembly is as follows:

thesecond adjusting rod 21 is rotated, through the screw-thread fit between the threadedrod 21b on thesecond adjusting rod 21 and the second threadedhole 26, when thesecond adjusting rod 21 is rotated, thesecond adjusting rod 21 slides in the second threadedhole 26, the second threadedhole 26 slides to drive the rotating connectingrod 22 and the second slidingplate 24 to slide, and through the meshing fit between the secondtoothed groove 24a on the second slidingplate 24 and thesecond gear 25, the second slidingplate 24 is made to slide to drive theacupuncture rod 3 to rotate, through the screw-thread fit between thesecond adjusting rod 21 and the second threadedhole 26 on the grip 1, the sliding amount of thesecond adjusting rod 21 is precisely controlled, thereby controlling the rotation angle of theacupuncture rod 3, and when thesecond adjusting rod 21 is no longer adjusted, through the screw-thread fit between the threadedrod 21b on thesecond adjusting rod 21 and the second threadedhole 26, the angle of theacupuncture rod 3 is kept unchanged.

Then two hollow needle tubes 4 are punctured into the joint area in front of the vocal cords of the patient through a needle pushing device, and the puncturing process is as follows:

the first air bag 6 is inflated through the inflation interface 9, the first air bag 6 expands along the length direction of the push plate sliding groove 3a to press thepush plate 5a, so that the thrust spring 8 contracts, theround connecting rod 5b drives the hollow needle tube 4 to slide and expose out of the needletube sliding groove 3b, and a patient is punctured until the needle head penetrates out of the larynx;

after the puncture is finished, the hollow needle tube 4 is rotated, the hollow needle tube 4 is separated from the needle pushing device, theneedle head 4b is taken down, two suture lines penetrate into the throat of a patient through respectively penetrating the two hollow tubes 4a, one end of the suture line extending into the throat of the patient is clamped through a laryngeal forceps, the suture line is led out from the oral cavity of the patient, then the two suture lines are knotted after penetrating through the silica gellaryngeal membrane 33, one end of the throat of the patient is not extended through the drawing suture line, the silica gellaryngeal membrane 33 is drawn and fixed at the puncture point of the patient, and the narrow vocal cords of the patient are opened.

The above embodiments are only for illustrating the technical idea of the present invention, and the protection scope of the present invention is not limited thereby, and any modifications made on the basis of the technical scheme according to the technical idea of the present invention fall within the protection scope of the present invention.

Claims (9)

Translated fromChinese

1.一种医用喉膜置入穿刺装置，其特征在于，包括握柄（1）、中段杆（2）、针刺杆（3）、第一转动组件、第二转动组件、推针装置和两根空心针管（4），所述握柄（1）的一端与中段杆（2）的一端铰接，针刺杆（3）的一端与中段杆（2）的另一端铰接，第一转动组件设置于握柄（1）和中段杆（2）上，第二转动组件设置于握柄（1）、中段杆（2）和针刺杆（3）上，推针装置设置于针刺杆（3）内，两根空心针管（4）均活动设置于推针装置上；1. A medical laryngeal membrane insertion puncture device, characterized in that it comprises a handle (1), a mid-section rod (2), an acupuncture rod (3), a first rotating assembly, a second rotating assembly, a needle pushing device and Two hollow needle tubes (4), one end of the handle (1) is hinged with one end of the middle rod (2), one end of the acupuncture rod (3) is hinged with the other end of the middle rod (2), the first rotating assembly It is arranged on the handle (1) and the middle rod (2), the second rotating component is arranged on the handle (1), the middle rod (2) and the acupuncture rod (3), and the needle pushing device is arranged on the acupuncture rod ( 3) Inside, two hollow needle tubes (4) are movably arranged on the needle pushing device;所述握柄（1）和中段杆（2）上均沿长度方向设有气管槽（13）；The handle (1) and the middle section rod (2) are provided with trachea grooves (13) along the length direction;所述推针装置包括两个推杆（5）、两个第一气囊（6）、一个三通接头（7）、两个推力弹簧（8）和一个充气接口（9），所述推杆（5）由一块推板（5a）和一段圆形连接杆（5b）组成，且圆形连接杆（5b）远离矩形板（5a）的一端向外成型设有第一螺纹凸台（5c），所述推板（5a）为矩形板，所述针刺杆（3）为圆杆，针刺杆（3）与中段杆（2）铰接的一端向内成型设有两个与推板（5a）相配合的推板滑槽（3a），每个推板滑槽（3a）的顶端均活动连接有一个压盖（10），每个推板滑槽（3a）的底端沿针刺杆（3）的长度方向设有针管滑槽（3b），且针管滑槽（3b）贯穿针刺杆（3）；The needle pushing device comprises two push rods (5), two first air bags (6), a tee joint (7), two thrust springs (8) and an inflation interface (9). (5) It consists of a push plate (5a) and a section of circular connecting rod (5b), and the end of the circular connecting rod (5b) away from the rectangular plate (5a) is formed with a first threaded boss (5c) outwardly. , the push plate (5a) is a rectangular plate, the acupuncture rod (3) is a round rod, and one end of the acupuncture rod (3) hinged with the middle rod (2) is formed with two push plates ( 5a) Matching pusher chute (3a), the top of each pusher chute (3a) is movably connected with a gland (10), and the bottom end of each pusher chute (3a) is punctured along the A needle tube chute (3b) is arranged in the length direction of the rod (3), and the needle tube chute (3b) penetrates the acupuncture rod (3);两个推杆（5）分别滑动设置于两个推板滑槽（3a）内，每个推杆（5）上的推板（5a）均与推板滑槽（3a）滑动配合，圆形连接杆（5b）与针管滑槽（3b）之间滑动连接，两个推力弹簧（8）分别套设于两个圆形连接杆（5b）上，且推力弹簧（8）的一端与推板（5a）相抵，另一端与推板滑槽（3a）的底端相抵；两个第一气囊（6）分别固定设置于两个压盖（10）上靠近推板（5a）的一端，每个第一气囊（6）的进气口均连接有一个导气管（11），导气管（11）穿过压盖（10）露于针刺杆（3）外部，三通接头（7）固定设置于针刺杆（3）上靠近中段杆（2）的一端，两个第一气囊（6）上的导气管（11）均与三通接头（7）相连，三通接头（7）上还设有一根主气管（12），所述主气管（12）伸入握柄（1）和中段杆（2）上的气管槽（13）内，且主气管（12）的自由端延伸至握柄（1）上的气管槽（13）内远离中段杆（2）的一端，充气接口（9）设置于握柄（1）的侧壁上，且充气接口（9）的一端穿过握柄（1）的侧壁与主气管（12）的自由端相连；The two push rods (5) are respectively slidably arranged in the two push plate chute (3a), and the push plate (5a) on each push rod (5) is slidingly matched with the push plate chute (3a). The connecting rod (5b) is slidably connected with the needle tube chute (3b). (5a) are in contact with each other, and the other end is in contact with the bottom end of the push plate chute (3a). A trachea (11) is connected to the air inlets of the first air bags (6), and the trachea (11) is exposed to the outside of the acupuncture rod (3) through the gland (10), and the tee joint (7) is fixed The air tube (11) on the two first airbags (6) is connected to the tee joint (7), and the tee joint (7) A main trachea (12) is also provided, the main trachea (12) extends into the trachea groove (13) on the handle (1) and the mid-section rod (2), and the free end of the main trachea (12) extends to The end of the trachea groove (13) on the handle (1) away from the middle section rod (2), the inflation port (9) is arranged on the side wall of the handle (1), and one end of the inflation port (9) passes through the handle (1). The side wall of the handle (1) is connected with the free end of the main trachea (12);所述两个空心针管（4）分别活动设置于推杆（5）的第一螺纹凸台（5c）上，所述空心针管（4）包括空心管（4a）和针头（4b），针头（4b）通过螺纹配合设置于空心管（4a）的一端，空心管（4a）的另一端与第一螺纹凸台（5c）之间螺纹连接；The two hollow needle tubes (4) are respectively movably arranged on the first thread bosses (5c) of the push rod (5), and the hollow needle tubes (4) include a hollow tube (4a) and a needle (4b), and the needle ( 4b) is arranged on one end of the hollow tube (4a) through threaded fitting, and the other end of the hollow tube (4a) is threadedly connected with the first threaded boss (5c);所述握柄（1）沿长度方向的一端向外成型设有两个第一铰耳（1a），所述中段杆（2）沿长度方向的两端均设有两个第二铰耳（2a），所述针刺杆（3）沿长度方向的一端设有第三铰耳（3c），所述两个第一铰耳（1a）与中段杆（2）一端的两个第二铰耳（2a）之间铰接，且两个第二铰耳（2a）设置于两个第一铰耳（1a）之间，两个第三铰耳（3c）与中段杆（2）另一端的两个第二铰耳（2a）之间铰接，且两个第三铰耳（3c）设置于两个第二铰耳（2a）之间。One end of the handle (1) along the length direction is formed with two first hinge ears (1a), and both ends of the middle section rod (2) along the length direction are provided with two second hinge ears (1a). 2a), one end of the acupuncture rod (3) along the length direction is provided with a third hinge ear (3c), the two first hinge ears (1a) and the two second hinges at one end of the middle rod (2); The ears (2a) are hinged, and the two second hinge ears (2a) are arranged between the two first hinge ears (1a), and the two third hinge ears (3c) are connected to the other end of the middle rod (2). The two second hinge ears (2a) are hinged, and the two third hinge ears (3c) are arranged between the two second hinge ears (2a).2.根据权利要求1所述的一种医用喉膜置入穿刺装置，其特征在于：所述第一转动组件包括第一滑板（14）、第一调节杆（15）、第一旋钮（16）和两个第一齿轮（17），所述握柄（1）沿长度方向靠近中段杆（2）的一端向内成型设有与第一滑板（14）相配合的第一滑板槽（18），所述第一滑板槽（18）沿长度方向远离中段杆（2）的一端向内成型设有第一螺纹孔（19），所述第一螺纹孔（19）沿长度方向远离第一滑板槽（18）的一端向内成型设有第一滑孔（20），第一滑孔（20）沿握柄（1）的长度方向贯穿握柄（1）；所述第一滑板（14）沿厚度方向的一侧端向内成型设有多个第一齿形槽（14a），所述第一滑板（14）沿厚度方向的另一侧端向内成型设有T形圆底凹槽（14b），且T形圆底凹槽（14b）的一端沿第一滑板（14）的长度方向贯穿第一滑板（14），所述第一滑板槽（18）沿厚度方向的一侧壁上设有向内成型的半圆凹槽（18a），所述第一调节杆（15）的一端设有与T形圆底凹槽（14b）相配合的限位圆台（15a），第一调节杆（15）的中段设有第二螺纹凸台（15b），所述第一调节杆（15）上的限位圆台（15a）嵌入T形圆底凹槽（14b）内，且限位圆台（15a）与T形圆底凹槽（14b）之间滑动配合，第一滑板（14）滑动设置于第一滑板槽（18）内，且限位圆台（15a）与半圆凹槽（18a）之间滑动配合，第一调节杆（15）的一端穿过第一螺纹孔（19）和第一滑孔（20）露出握柄（1），且第二螺纹凸台（15b）与第一螺纹孔（19）之间螺纹连接，第一旋钮（16）设置于第一调节杆（15）露出握柄（1）的一端，两个第一齿轮（17）分别固定设置于两个第二铰耳（2a）上，且两个第一齿轮（17）均与第一滑板（14）上的第一齿形槽（14a）啮合配合。2. The medical laryngeal membrane insertion puncture device according to claim 1, wherein the first rotating assembly comprises a first sliding plate (14), a first adjusting rod (15), a first knob (16) ) and two first gears (17), one end of the handle (1) close to the middle section rod (2) along the length direction is inwardly formed with a first sliding plate slot (18) matched with the first sliding plate (14) ), the end of the first sliding plate slot (18) away from the middle rod (2) in the longitudinal direction is formed with a first threaded hole (19) inward, and the first threaded hole (19) is away from the first threaded hole (19) in the longitudinal direction. One end of the sliding plate groove (18) is formed with a first sliding hole (20) inward, and the first sliding hole (20) penetrates the handle (1) along the length direction of the handle (1); the first sliding plate (14) ) a plurality of first tooth-shaped grooves (14a) are formed inwardly at one end along the thickness direction, and a T-shaped round bottom concave is formed inwardly at the other end of the first sliding plate (14) along the thickness direction. A groove (14b), and one end of the T-shaped round bottom groove (14b) penetrates the first sliding plate (14) along the length direction of the first sliding plate (14), and one side of the first sliding plate groove (18) along the thickness direction The wall is provided with an inwardly formed semicircular groove (18a), and one end of the first adjusting rod (15) is provided with a limiting circular platform (15a) matching with the T-shaped round bottom groove (14b). The middle section of the adjusting rod (15) is provided with a second threaded boss (15b), and the limiting round table (15a) on the first adjusting rod (15) is embedded in the T-shaped round bottom groove (14b), and the limit The circular platform (15a) is slidably fitted with the T-shaped round bottom groove (14b), the first sliding plate (14) is slidably arranged in the first sliding plate groove (18), and the limiting circular platform (15a) and the semicircular groove (18a) are slidably arranged. ), one end of the first adjusting rod (15) passes through the first threaded hole (19) and the first sliding hole (20) to expose the handle (1), and the second threaded boss (15b) and the A threaded hole (19) is threadedly connected, the first knob (16) is arranged at the end of the first adjusting rod (15) that exposes the handle (1), and the two first gears (17) are respectively fixed to the two first gears (17). on the two hinge ears (2a), and the two first gears (17) are engaged with the first tooth-shaped grooves (14a) on the first sliding plate (14).3.根据权利要求2所述的一种医用喉膜置入穿刺装置，其特征在于：所述第二螺纹凸台（15b）的长度为L，所述第一螺纹孔（19）的长度为K，所述第二螺纹凸台（15b）的一端与第一螺纹孔（19）沿长度方向远离第一滑板槽（18）的一端相抵时，握柄（1）与中段杆（2）之间夹角为180°，即握柄（1）与中段杆（2）之间平行，定义此时为第一调节杆（15）的初始状态，第一调节杆（15）露出握柄（1）的长度为M，三者之间关系为：K-L=M；第一调节杆（15）一端的第一旋钮（16）与握柄（1）相抵时，握柄（1）与中段杆（2）之间夹角为90°，定义此时为第一调节杆（15）的最终状态。The medical laryngeal membrane insertion puncture device according to claim 2, characterized in that: the length of the second threaded boss (15b) is L, and the length of the first threaded hole (19) is K, when one end of the second threaded boss (15b) and the end of the first threaded hole (19) away from the first sliding plate groove (18) in the longitudinal direction are in contact, the gap between the handle (1) and the middle rod (2) The included angle is 180°, that is, the handle (1) and the middle rod (2) are parallel, which is defined as the initial state of the first adjustment rod (15), and the first adjustment rod (15) exposes the handle (1). ) is M, and the relationship between the three is: K-L=M; when the first knob (16) at one end of the first adjusting rod (15) touches the handle (1), the handle (1) and the middle rod ( 2) The included angle between them is 90°, which is defined as the final state of the first adjusting rod (15).4.根据权利要求1所述的一种医用喉膜置入穿刺装置，其特征在于：所述第二转动组件包括第二调节杆（21）、转动连接块（22）、转动连接杆（23）、第二滑板（24）、第二旋钮（28）和两个第二齿轮（25），所述第二调节杆（21）由一段光滑圆杆（21a）和一段螺纹杆（21b）组成，转动连接块（22）转动设置于螺纹杆（21b）远离光滑圆杆（21a）的一端，所述转动连接杆（23）的一端与转动连接块（22）之间铰接，所述第二滑板（24）沿厚度方向的一侧端设有多个第二齿形槽（24a），且多个第二齿形槽（24a）设置于第二滑板（24）沿长度方向的一侧，所述第二滑板（24）沿长度方向远离第二齿形槽（24a）的一端设有固定连接的滑板连杆（24b），滑板连杆（24b）的一端与转动连接杆（23）的另一端铰接，中段杆（2）沿长度方向设有与第二滑板（24）滑动配合的第二滑板槽（2b），所述第二滑板（24）滑动设置于第二滑板槽（2b）内，所述握柄（1）沿长度方向靠近中段杆（2）的一端的几何中心位置向内成型设有与螺纹杆（21b）相配合的第二螺纹孔（26），所述第二螺纹孔（26）沿轴向远离中段杆（2）的一端向内成型设有贯穿握柄（1）的第二滑孔（27），所述第二调节杆（21）的光滑圆杆（21a）穿过第二滑孔（27）露出握柄（1），且螺纹杆（21b）与第二螺纹孔（26）之间螺纹配合，第二旋钮（28）固定设置于第二调节杆（21）露出握柄（1）的一端，所述两个第二齿轮（25）固定设置于两个第三铰耳（3c）上，两个第二齿轮（25）均与第二滑板（24）上的第二齿形槽（24a）啮合配合。4. A medical laryngeal membrane insertion puncture device according to claim 1, characterized in that: the second rotating assembly comprises a second adjusting rod (21), a rotating connecting block (22), a rotating connecting rod (23) ), a second sliding plate (24), a second knob (28) and two second gears (25), the second adjusting rod (21) consists of a smooth round rod (21a) and a threaded rod (21b) , the rotating connecting block (22) is rotatably arranged at one end of the threaded rod (21b) away from the smooth round rod (21a), one end of the rotating connecting rod (23) is hinged with the rotating connecting block (22), the second One end of the slide plate (24) along the thickness direction is provided with a plurality of second tooth-shaped grooves (24a), and the plurality of second tooth-shaped grooves (24a) are arranged on one side of the second slide plate (24) along the length direction, One end of the second sliding plate (24) away from the second tooth-shaped groove (24a) in the longitudinal direction is provided with a fixedly connected sliding plate connecting rod (24b), and one end of the sliding connecting rod (24b) is connected to the rotating connecting rod (23). The other end is hinged, and the middle rod (2) is provided with a second sliding plate slot (2b) along the length direction that is slidingly matched with the second sliding plate (24), and the second sliding plate (24) is slidably arranged in the second sliding plate slot (2b) Inside, a second threaded hole (26) matched with the threaded rod (21b) is formed inward at the geometric center position of the handle (1) close to one end of the mid-section rod (2) along the length direction. The end of the threaded hole (26) away from the middle section rod (2) in the axial direction is inwardly formed with a second sliding hole (27) penetrating the handle (1). The smooth round rod ( 21a) The handle (1) is exposed through the second sliding hole (27), and the threaded rod (21b) is threadedly matched with the second threaded hole (26), and the second knob (28) is fixedly arranged on the second adjusting rod (21) One end of the handle (1) is exposed, the two second gears (25) are fixedly arranged on the two third hinge ears (3c), and the two second gears (25) are connected to the second sliding plate ( The second toothed groove (24a) on 24) is engaged with each other.5.根据权利要求4所述的一种医用喉膜置入穿刺装置，其特征在于：所述螺纹杆（21b）的一端与第二螺纹孔（26）沿轴向远离中段杆（2）的一端相抵时，定义此时第二调节杆（21）处于初始状态，第二调节杆（21）处于初始状态时，中段杆（2）与针刺杆（3）之间夹角为180°，即中段杆（2）与针刺杆（3）平行，且转动连接块（22）与转动连接杆（23）之间铰接处转动轴心与第一铰耳（1a）与第二铰耳（2a）之间铰接处转动轴心重合，第二调节杆（21）处于初始状态时，转动连接杆（23）与第二调节杆（21）之间夹角为α，且90°＜α＜135°；所述第二旋钮（28）与握柄（1）相抵时，定义此时第二调节杆（21）处于最终状态，第二调节杆（21）处于最终状态时，中段杆（2）与针刺杆（3）之间夹角为90°。5 . The medical laryngeal membrane insertion puncture device according to claim 4 , wherein one end of the threaded rod ( 21 b ) and the second threaded hole ( 26 ) are axially away from the mid-section rod ( 2 ). 6 . When one end is in contact, it is defined that the second adjusting rod (21) is in the initial state, and when the second adjusting rod (21) is in the initial state, the angle between the middle rod (2) and the acupuncture rod (3) is 180°, That is, the middle rod (2) is parallel to the acupuncture rod (3), and the rotation axis at the hinge between the rotating connecting block (22) and the rotating connecting rod (23) and the first hinge ear (1a) and the second hinge ear ( 2a) The rotational axes of the hinged joints are coincident, and when the second adjusting rod (21) is in the initial state, the angle between the rotating connecting rod (23) and the second adjusting rod (21) is α, and 90°<α< 135°; when the second knob (28) is in contact with the handle (1), it is defined that the second adjusting rod (21) is in the final state at this time, and when the second adjusting rod (21) is in the final state, the middle rod (2) ) and the acupuncture rod (3) at an angle of 90°.6.根据权利要求1所述的一种医用喉膜置入穿刺装置，其特征在于：所述中段杆（2）沿径向的外壁上固定设有第二气囊（29），第二气囊（29）的进气口连接有充气管（30），所述握柄（1）的侧壁上靠近充气接口（9）的位置设有微型气阀（31），所述微型气阀（31）穿过握柄（1）的侧壁与充气管（30）的自由端相连。6. A medical laryngeal membrane insertion puncture device according to claim 1, characterized in that: a second air bag (29) is fixed on the outer wall of the middle section rod (2) along the radial direction, and the second air bag ( The air inlet of 29) is connected with an inflatable pipe (30), and a micro air valve (31) is provided on the side wall of the handle (1) near the inflatable interface (9). The micro air valve (31) Connect to the free end of the inflation tube (30) through the side wall of the handle (1).7.根据权利要求1所述的一种医用喉膜置入穿刺装置，其特征在于：所述空心管（4a）和第一螺纹凸台（5c）之间的螺纹旋向与空心管（4a）和针头（4b）之间的螺纹旋向相反。7 . The medical laryngeal membrane insertion puncture device according to claim 1 , wherein the thread rotation between the hollow tube (4a) and the first threaded boss (5c) is the same as that of the hollow tube (4a). 8 . ) and the needle (4b) have opposite threads.8.根据权利要求1所述的一种医用喉膜置入穿刺装置，其特征在于：所述握柄（1）、中段杆（2）和针刺杆（3）之间铰接处均包覆有橡胶套。8. A medical laryngeal membrane insertion puncture device according to claim 1, characterized in that: the hinges between the handle (1), the middle rod (2) and the acupuncture rod (3) are all covered Has rubber boot.9.根据权利要求1所述的一种医用喉膜置入穿刺装置，其特征在于：还包括矩形的硅胶垫（32）和硅胶喉膜（33），所述硅胶垫（32）上设有与两个空心针管（4）相对应的过孔（32a），所述硅胶喉膜（33）上设有两个穿线孔（33a），硅胶喉膜（33）沿宽度方向的中段弯曲，硅胶喉膜（33）呈V字形。9. A medical laryngeal membrane insertion puncture device according to claim 1, characterized in that it further comprises a rectangular silicone pad (32) and a silicone laryngeal membrane (33), and the silicone pad (32) is provided with Through holes (32a) corresponding to the two hollow needle tubes (4), the silicone throat membrane (33) is provided with two threading holes (33a), the silicone throat membrane (33) is bent in the middle section along the width direction, the silicone The laryngeal membrane (33) is V-shaped.

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