JIG FOR MEASURING SHAPE OF THYROID CARTILAGE
20210236019 · 2021-08-05
Inventors
Cpc classification
G01B5/207
PHYSICS
A61F2/20
HUMAN NECESSITIES
A61B17/24
HUMAN NECESSITIES
International classification
Abstract
The present invention provides a jig for measuring the shape of the thyroid cartilage capable of readily measuring the shape of the front surface of the thyroid cartilage. The jig for measuring the shape of the thyroid cartilage of the present invention includes: a display section having a plurality of relatively slidable movable members and configured to display a shape of thyroid cartilage by contacting distal end surfaces of the movable members with a front surface of the thyroid cartilage; and a maintenance section configured to align and maintain the movable members in one direction and capable of fixing the slid movable members. Two of such display sections may be provided in the one direction with a space.
Claims
1. A jig for measuring a shape of thyroid cartilage comprising: a display section having a plurality of relatively slidable movable members and configured to display a shape of thyroid cartilage by contacting distal end surfaces of the plurality of movable members with a front surface of the thyroid cartilage; and a maintenance section configured to align and maintain the movable members in one direction and capable of fixing the slid movable members.
2. The jig for measuring a shape of thyroid cartilage according to claim 1, wherein two of the display section are provided in the one direction with a space.
3. The jig for measuring a shape of thyroid cartilage according to claim 2, further comprising a spacer configured to adjust a space between the display sections.
4. The jig for measuring a shape of thyroid cartilage according to claim 1, wherein the movable members are detachably provided to the maintenance section.
5. The jig for measuring a shape of thyroid cartilage according to claim 1, wherein the movable members aligned in the maintenance section have a thickness dimension of 0.5 mm or more and 5 mm or less.
6. The jig for measuring a shape of thyroid cartilage according to claim 1, wherein the maintenance section has, formed therein, an insertion hole formed with a groove portion to allow the movable members to slide or insertion holes to insert the movable members one by one.
7. The jig for measuring a shape of thyroid cartilage according to claim 1, wherein each movable member has, formed therein, a long hole extending in a direction of relative movement of the movable members to each other, and a ring member is inserted into the long holes of the plurality of movable members configuring the display section.
8. The jig for measuring a shape of thyroid cartilage according to claim 7, wherein the spacer has a hole formed therein, the spacer is rotatably maintained by the ring member while the ring member is inserted into the hole of the spacer, and the spacer has a notch formed therein capable of engaging with an area different from an area of the ring member being inserted into the hole.
9. The jig for measuring a shape of thyroid cartilage according to claim 1, wherein a side surface or a base end surface of any of the plurality of movable members has a color different from the other movable members.
10. The jig for measuring a shape of thyroid cartilage according to claim 1, wherein each of the movable members has a side surface with a scale marked with fixed intervals and linearly extending in a horizontal direction while base end surfaces or the distal end surfaces of the movable members.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
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DESCRIPTION OF EMBODIMENTS
[0051] Embodiments of a jig for measuring the shape of the thyroid cartilage of the present invention are described with reference to the drawings together with a dysphonia treatment tool as an application object thereof.
[0052] As illustrated in
[0053] The treatment tool Xis first described to be an application object of the jig 20 for measuring the shape.
[0054] As illustrated in
[0055] The front piece 1a is formed in a substantially strip-like plate shape in a plan view. A base end side of the front piece 1a in a longitudinal direction is bent and forms an end surface portion 1c to be abut on a cut end surface 12a of the thyroid cartilage 11 illustrated in
[0056] In the front piece 1a, a plurality (in the present embodiment, two) of holes 3 are formed at an interval in the longitudinal direction. The hole 3 on the base end side of the front piece 1a is formed at a position of approximately 2 mm from a base end edge in a plan view of the surface placement portion 1d, and the hole 3 on the distal end side is formed with a space of approximately 2 mm from the hole 3 on the base end side. The holes 3, 3 allow insertion of a suture thread (not shown, hereinafter the same) therein and are formed in the size from 1.0 mm to 2.0 mm to allow insertion of a suture needle therein.
[0057] As illustrated in
[0058] The front piece 1a and the rear piece 1b are integrally formed to constitute the clamping section 1, and the entire clamping section 1 is formed in a substantially J shape (inverted J shape).
[0059] In the clamping sections 1, 1, the front piece 1a may have a length that is necessary and sufficient for clamping the thyroid cartilage 11 and can extend along the form of the thyroid cartilage 11. Specifically, the length is preferably set approximately from 8 mm to 12 mm. The rear piece 1b preferably has a length to allow contact from an end edge of the cut end 12 of the thyroid cartilage 11 to an end edge of a soft tissue 15 under the thyroid cartilage 11. Specifically, the rear piece 1b preferably has a length approximately from 1.5 mm to 3.5 mm.
[0060] As illustrated in
[0061] As illustrated in
[0062] In a preferred mode, the clamping sections 1 and the bridging section 2 of the treatment tool X are both composed of titanium.
[0063] A titanium metal used for the treatment tool X is not limited to titanium as a pure metal and includes titanium alloys used for artificial bones, artificial joints, and dental implants as biocompatible metal materials. Specifically, it is possible to use Ti—6Al—4V or the like that does not contain Ni, which is indicated as a cause of cancer and allergies, and is known as a titanium alloy excellent in biocompatibility. To prevent wear and elution, the titanium or the titanium alloy may be surface modified by ion implantation of N or C.
[0064] The front surface placement portion 1d and the rear piece 1b preferably have a space (width dimension of the end surface portion 1c) t between them slightly greater than a thickness dimension of the thyroid cartilage 11 illustrated in
[0065] The configuration of the measurement jig 20 is then described.
[0066] As illustrated in
[0067] In the present embodiment, two of the display sections 22 are provided in the direction of aligning the movable members 21 with a space. As illustrated in
[0068] As illustrated in
[0069] Each display section 22 includes, although depending on the thickness dimension of each movable member 21, two or more of the movable members 21, for example, to allow placement on one of two regions on the left and right divided by an imaginary cut line Y on the front surface 11a of the thyroid cartilage 11 illustrated in
[0070] Each movable member 21 has a thickness dimension L that is not particularly limited while a smaller thickness dimension L allows expression of a finer change in shape. The thickness dimension L is preferably 0.5 mm or more and 2 mm or less and more preferably set at 0.5 mm or 1 mm. Particularly, the movable member 21 with a thickness dimension L set at 0.5 mm or 1 mm facilitates calculation of a distance between a specified site (e.g., imaginary line Y, etc.) and the position of a change in shape.
[0071] Each flat surface 21a of the movable member 21 may have dimensions formed in size facilitating gripping of the movable member 21 and insertion into the incised opening from the perspective of the operability for placing the movable member 21 on the thyroid cartilage 11 and the size, the depth, and the like of the opening in the incised skin. The flat surface 21a of the movable member 21 preferably has a dimension in the transverse direction (i.e., lateral direction) of 2 mm or more and 10 mm or less and a dimension in the lengthwise direction (i.e., longitudinal direction) of 30 mm or more and 100 mm or less. The dimension in the transverse direction ranges from 2 mm or more to 10 mm or less in order to keep stability when the distal end surface 21t of the movable member 21 is placed on the front surface 11a of the thyroid cartilage 11 and to facilitate conformity to the unevenness on the front surface 11a of the thyroid cartilage 11. The dimension in the lengthwise direction ranges from 30 mm or more to 100 mm in order to secure the length reaching the thyroid cartilage 11 from the opening in the incised skin and facilitate handling by an operator, such as a doctor.
[0072] In the example illustrated in
[0073] As illustrated in
[0074] Specifically, the maintenance sections 23 have: an outer wall portion 25 surrounding and maintaining the periphery of the display sections 22, that is, the periphery of the movable members 21 with the flat surfaces 21a overlapped with each other; and inner wall portions 26, 26 partitioning the two display sections 22, 22.
[0075] Each insertion hole 24 formed by the outer wall portion 25 and the inner wall portion 26 is formed in substantially the same shape and the same dimensions in a plan view of one of the display sections 22 to allow tight maintenance of the stacked movable members 21 to be slidable and not to unintentionally move.
[0076] As illustrated in
[0077] The spacer 40 is a plate member configured to adjust the space between the maintenance sections 23, 23. The thickness of the spacer 40 is formed at, but not particularly limited to, 0.5 mm or 1 mm to allow adjustment of the space between the maintenance sections 23, 23 by 0.5 mm or 1 mm each. The spacer 40 may have an engagement portion 40a to be engaged with the end surfaces of the maintenance sections 23 in at least either one of the ends (in the present embodiment, both ends) in the longitudinal direction to allow attachment of the maintenance sections 23, 23 at the approximately same position with respect to the longitudinal direction of the spacer 40.
[0078] As illustrated in
[0079] In the example illustrated in
[0080] A description is then given to a method of using the measurement jig 20.
[0081] At first, as illustrated in
[0082] After tracing the shape of the front surface 11 a of the thyroid cartilage 11, the measurement jig 20 is removed from the thyroid cartilage 11 not to move the movable members 21 in this state. The thyroid cartilage 11 is incised as illustrated in
[0083] As described above, the shape of the front surface 11a of the thyroid cartilage 11 and the dimension between the cut ends 12, 12 are represented by the display sections 22, 22 and the spacer 40 of the measurement jig 20 and thus the left and right front pieces la, 1a of the treatment tool X are deformed in accordance with the shape drawn by the distal end surfaces 21t or the base end surfaces 21b of the movable members 21. The treatment tool X thus deformed allows placement of the deformed treatment tool X, as illustrated in
[0084] After using the measurement jig 20, the movable members 21 are pulled out of the maintenance sections 23 to be taken apart and each is subjected to washing and sterilization.
[0085] The measurement jig 20 of the present invention thus exhibits an effect of allowing easy measurement with necessary and sufficient precision of the shape of the front surface 11a at the cut ends 12 of the thyroid cartilage 11 where the treatment tool X is to be placed.
[0086] The measurement jig 20 allows easy disassembly and assembly and thus exhibits an effect of allowing the measurement jig 20 to be sanitarily and repeatedly used by appropriate washing and sterilization of the jig 20.
[0087] It should be noted that, although the above embodiment describes the example of using the one spacer 40 with the predetermined dimension set in advance in accordance with the dimension between the cut ends 12, 12, the spacer 40 may be formed, as illustrated in
[0088] At least the base end surface 21b or the side surface 21c of any of the movable members 21 disposed near the inner wall portion 26 may have a color different from the other movable members 21. Such a configuration facilitates visual recognition of the center of the movable members 21, which are even smaller components in the relatively small measurement jig 20, and exhibits an effect of facilitating placement of the measurement jig 20 on the front surface 11a of the thyroid cartilage 11.
[0089] As illustrated in
[0090] The side surfaces 21c with the linear indication 30 exhibits an effect of allowing expression of a result of tracing the shape of the front surface 11a of the thyroid cartilage 11 on the side surfaces 21c of the movable members 21.
[0091] As illustrated in
[0092] In the example illustrated in
[0093] As illustrated in
[0094] In this case, one of the maintenance sections 23 may be formed with a resin with a high coefficient of friction, such as silicon, or the like to form a fixation mechanism capable of squeezing the movable members 21 stepwise.
[0095] The maintenance sections 23 thus formed allow the maintenance section 23 to be a reliable fixation mechanism for the movable members 21 and allow prevention of unintentional movement of the movable members 21 after recognition of the shape of the front surface 11a of the thyroid cartilage 11. It should be noted that such a configuration may be applied to the case of providing only one maintenance section 23.
[0096] As another example illustrated in
[0097] In addition, employment of the configuration in which the insertion hole 24 of the maintenance section 23 is formed for each movable member 21 to form a gap between the movable members 21 allows prevention of unintentional following movement of the adjacent movable members 21 while sliding the movable members 21. The movable members 21 apart from each other brings an effect of facilitating handling of the movable members 21 with a thickness set to be small.
[0098] It should be noted that, although the present modification exemplifies a configuration of forming the insertion hole 24 for each movable member 21 as the maintenance section 23, the maintenance section 23 may have, although not shown, a groove portion to slide the movable members 21 formed in the inner wall surface of the maintenance section 23 and a gap may be formed between the groove portions to form a gap between the movable members 21.
[0099] Although the above embodiment and the above modifications describe the examples of providing the two display sections 22, the measurement jig 20 may have only one display section 22. In this case, the shape of the front surface 11a of the thyroid cartilage 11 may be measured by the measurement jig 20 separately on the left and right across the imaginary line Y, illustrated in
[0100] The movable members 21 may have, although not shown, a locking convex portion or the like formed to prevent falling from the insertion hole 24 of the maintenance section 23.
[0101] As illustrated in
[0102] As illustrated in
[0103] The ring member 45 is a member annularly formed with a metal or a hard resin with degradation resistance. The ring member 45 preferably has a linear area 45a to facilitate alignment of the distal end surfaces 21t of the movable members 21 while the movable members 21 are pulled out and lifted for each display section 22. The ring member 45 may allow the movable members 21 to be scattered by opening the ring.
[0104] Such a configuration allows free relative movement of each movable member 21 in the range of the long hole 39 for tracing the shape of the thyroid cartilage 11. The configuration also exhibits an effect of allowing, after tracing the shape of the thyroid cartilage 11, holding of the ring member 45 to be pulled out of the insertion hole 24 of the maintenance section 23 for each display section 22 and allowing efficient washing and the like of the display section 22 collectively without scattering each movable member 21. The configuration also exhibits an effect of, after washing the display section 22, facilitating alignment of the plurality of movable members 21 by the linear portion 45a to be inserted again into the insertion hole 24 of the maintenance section 23 and thus allowing very convenient handling.
[0105] The maintenance section 23 and the spacer 40 may be formed in a configuration, not limited to the configuration of attaching by the magnetic force of the magnets, of forming corresponding uneven shapes in the surfaces in contact with each other to tightly fit one of the maintenance section 23 and the spacer 40 to the other. Such a configuration also allows the measurement jig 20 to be used by readily combining the maintenance section 23 with the spacer 40.
[0106] As illustrated in
[0107] In this case, the movable members 21 and the maintenance section 23 have a configuration, in addition to substantially the same configuration as any of the embodiment and the modifications described above, provided with long holes 39 to insert the ring member 45 in the thickness direction of the movable members 21 and the maintenance section 23. The long holes 39 are preferably opened in a length allowing sufficient relative movement of the movable members 21 in the longitudinal direction of the movable members 21 while the movable members 21 are arranged on the front surface 11a of the thyroid cartilage 11 illustrated in
[0108] The spacer 40 in the present modification is formed in a plate shape with a thickness of 0.5 mm or 1 mm, facilitating adjustment of the space between the maintenance sections 23, 23.
[0109] In the thickness direction of the spacer 40, a hole 41 to insert the ring member 45 is formed. The spacer 40 has a notch formed therein to catch the ring member 45 at a position facing the position of the ring member 45 being passed through the hole 41.
[0110] It should be noted that, in the example of
[0111] As illustrated in
[0112] The measurement jig 20 illustrated in
[0113] It should be noted that, although
[0114] The ring member 45 may be formed in a rectangular parallelepiped, an ellipse, or the like at least partially along the long holes 39 to direct the axis of the insertion hole 24 of the maintenance section 23 in a direction constantly orthogonal to the surface surrounded by the ring member 45. The ring member 45 partially thus configured allows prevention of unintentional rotation of the maintenance section 23 and the movable members 21 with respect to the ring member 45.
REFERENCE SIGNS LIST
11 Thyroid Cartilage
11a Front Surface
20 Measurement Jig (Jig for Measuring Shape of Thyroid Cartilage)
21 Movable Member
21b Base End Surface
21c Side Surface
21t Distal End Surface
22 Display Section
23 Maintenance Section
24 Insertion Hole
35 Groove Portion
39 Long Hole
40 Spacer
41 Hole
42 Notch
45 Ring Member
M Scale