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WO2016002924A1 - Dispositif d'espacement en titane pour thyroplastie de type ii et kit associé - Google Patents

Dispositif d'espacement en titane pour thyroplastie de type ii et kit associé Download PDF

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Publication number
WO2016002924A1
WO2016002924A1 PCT/JP2015/069249 JP2015069249W WO2016002924A1 WO 2016002924 A1 WO2016002924 A1 WO 2016002924A1 JP 2015069249 W JP2015069249 W JP 2015069249W WO 2016002924 A1 WO2016002924 A1 WO 2016002924A1
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WO
WIPO (PCT)
Prior art keywords
main body
bridge
size
titanium
kit
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/JP2015/069249
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English (en)
Japanese (ja)
Inventor
徹治 讃岐
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Kumamoto University NUC
Nobelpharma Co Ltd
Original Assignee
Kumamoto University NUC
Nobelpharma Co Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Kumamoto University NUC, Nobelpharma Co Ltd filed Critical Kumamoto University NUC
Priority to JP2016531467A priority Critical patent/JPWO2016002924A1/ja
Publication of WO2016002924A1 publication Critical patent/WO2016002924A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/24—Surgical instruments, devices or methods for use in the oral cavity, larynx, bronchial passages or nose; Tongue scrapers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body

Definitions

  • the present invention relates to a titanium spacer used in thyroid chondroplasty type 2 and a kit thereof. Specifically, the size of the bridge composed of two symmetrical holding parts and a bridging part connecting them is inserted in order to open and fix the thyroid cartilage incision part of the patient in thyroid cartilage surgery type 2.
  • the present invention relates to a titanium spacer that is accurately and quickly determined, and a kit thereof.
  • Patent Document 1 discloses a thyroid cartilage surgery type 2 that treats voice disorders by incising and expanding the midline of the thyroid cartilage to prevent vocal cord overocclusion, and a treatment tool used for thyroid cartilage surgery type 2 ( Titanium bridge).
  • Non-Patent Document 2 uses a steel spacer for deciding the size of a bridge in thyroid cartilage surgery type 2.
  • thyroid chondroplasty type 2 in order to identify the size of the bridge to be inserted into the incised thyroid cartilage, ask the patient to speak with the thyroid cartilage incised, and confirm the volume and ease of vocalization. Identify the optimal open range that will satisfy the patient's voice. In order to specify the exact size of the bridge in a short time, prepare spacers of various sizes at hand, and if the size of the first tried spacer does not fit, immediately replace one after another with another spacer, It is necessary to repeat the work of adjusting the opening degree.
  • the size of the spacer at hand is single or about 2 to 3 types, it may happen that there is no spacer of a size that can accurately determine the size of opening. In that case, fine adjustments will be made using surgical tools such as forceps in addition to the spacers at hand, and surgery cannot be completed in a short time due to the operator's skill and skill level, or the correct size due to camera shake, etc. May not be able to identify the bridge. If the size of the bridge embedded in the patient is inadequate, sufficient voice volume cannot be obtained, and the effect of treatment is insufficient, and reoperation is required.
  • the present invention relates to a titanium spacer that is a surgical aid for accurately and quickly determining the size of a bridge to be inserted in order to open and fix a thyroid cartilage incision in a patient in thyroid chondroplasty type 2. And providing kits.
  • the present invention relates to the size of a bridge composed of two symmetrical sandwiching portions and a bridging portion connecting them, which are inserted to open and fix the thyroid cartilage incision portion of a patient in thyroid chondroplasty type 2.
  • a titanium spacer that is determined accurately and in a short time, a knob part, a main body part following the knob part, two large wing parts extending symmetrically in a direction perpendicular to the knob part from the main body part, and Two small wing parts that extend from the main body part to the left and right in parallel with the large wing part and constitute the bottom surface of the titanium spacer together with the bottom surface of the main body part, the large wing part, following the large wing part
  • the main body part and the small wing part following the main body part are titanium spacers constituting a size determination part for determining the size of the sandwiching part of the bridge.
  • the present invention also provides a bridge having two symmetrical holding parts and a bridging part connecting them, which are inserted to open and fix the thyroid cartilage incision part of a patient in thyroid cartilage surgery type 2.
  • Titanium spacers that are determined accurately and in a short time, the first and second knob parts, the main body part following the first and second knob parts, and two large blades extending from the main body part to the left and right
  • two small wing parts extending from the main body part to the left and right in parallel with the large wing part and constituting the bottom surface of the titanium spacer together with the bottom surface of the main body part, the large wing part, the large wing part
  • the main body portion following the main body portion and the small wing portion following the main body portion are titanium spacers constituting a size determining portion for determining the size of the sandwiching portion of the bridge.
  • the present invention also provides a bridge having two symmetrical holding parts and a bridging part connecting them, which are inserted to open and fix the thyroid cartilage incision part of a patient in thyroid cartilage surgery type 2.
  • a kit including a plurality of titanium spacers used for accurate and short-term determination, wherein the titanium spacer constituting the kit includes a knob portion, a main body portion following the knob portion, and a main body portion to a knob portion. And two large wings that extend symmetrically in a vertical direction, and two small wings that extend from the main body to the left and right in parallel with the large wings and constitute the bottom surface of the titanium spacer together with the bottom surface of the main body portion.
  • the wing portion is provided, and the large wing portion, the main body portion following the large wing portion, and the small wing portion following the main body portion constitute a size determination unit that determines the size of the sandwiching portion of the bridge.
  • Tsu is a door.
  • the present invention accurately determines the size of a bridge composed of two symmetrical sandwiching portions and a bridging portion connecting them, which are inserted to open and fix a thyroid cartilage incision portion of a patient in thyroid chondroplasty type 2.
  • a kit including a plurality of titanium spacers used for determination in a short time, wherein the titanium spacers constituting the kit include first and second knob portions, and the first and second knob portions.
  • a main body part that follows, two large wing parts extending from the main body part to the left and right, and extending from the main body part to the left and right in parallel with the large wing part to form the bottom surface of the titanium spacer together with the bottom surface of the main body part.
  • the small wing portion, the large wing portion, the main body portion following the large wing portion, and the small wing portion following the main body portion constitute a size determination unit that determines the size of the sandwiching portion of the bridge. Kit It is.
  • a spacer and a kit thereof capable of accurately and quickly determining the size of a bridge to be embedded in order to open and fix a thyroid cartilage incision portion of a patient in thyroid chondroplasty type 2. .
  • a titanium spacer 1 shown in FIG. 1 includes a knob part 2, a main body part 3 following the knob part 2, two large wing parts 4a and 4b extending symmetrically in a direction perpendicular to the main body part 3 and the knob part 2, and Two small wing portions 8a and 8b that extend from the main body portion 3 in parallel to the large wing portions 4a and 4b and constitute the bottom surface 6 of the titanium spacer 1 together with the bottom surface 5 of the main body portion are provided.
  • the side surface 7a of the main body part following the large wing part and the small wing part 8a following the main body part 3 constitute a size determination part 9a for determining the height B of the sandwiching part of the bridge 15 shown in FIG.
  • the knob part 2 the large wing part 4a and the large wing part 4b, the main body part 6, and the small wing part 8a and the small wing part 8b are respectively centered on the center line of the main body part (indicated by a one-dot chain line in FIG. 1A). It has a symmetrical shape. Therefore, similarly, the large wing portion 4b, the side surface 7b of the main body portion following the large wing portion, and the small wing portion 8b following the main body portion 3 determine the height B of the sandwiching portion of the bridge 15 shown in FIG.
  • the determination unit 9b is configured.
  • the height b of the size determination portion corresponds to the height B of the sandwiching portion of the bridge
  • the width a of the main body portion corresponds to the width A of the bridging portion of the bridge shown in FIG. .
  • the knob part 2 is a part for pinching with a hemostatic forceps or the like to insert a titanium spacer into a gap (thyroid cartilage incision part 12) incised through the thyroid cartilage during surgery.
  • the length of the knob portion 2 can be selected as appropriate within a range that can be easily operated with a hemostatic forceps or the like.
  • the thickness w1 of the knob portion 2, the thickness w2 of the large wing portions 4a and 4b, and the thickness w3 of the small wing portions 8a and 8b are not particularly limited, but are, for example, about 0.3 mm to about 1.0 mm, or about 0 .5mm to about 0.8mm.
  • the length c from one end of the small wing portions 8a, 8b to the other end is shorter than the length d from one end of the large wing portions 4a, 4b to the other end.
  • the main body 3 may further include a size identification hole 10 for identifying the size of the titanium spacer 1.
  • the size can be identified by the presence / absence of the size identification hole 10 or by the number of the size identification holes 10.
  • the titanium spacer can be formed using a titanium alloy for living organisms in addition to a pure metal of titanium.
  • a titanium alloy for living body Ti-6Al-4V, Ti-6Al-7Nb in which vanadium, which has been pointed out of cytotoxicity, is replaced with niobium, and the like can be used.
  • the titanium spacer can be easily imparted with a desired color by, for example, anodic oxidation. By giving different colors for each size, the size of the titanium spacer can be recognized at a glance, and a spacer having a desired size can be selected in a short time.
  • Anodization is a method of coloring by changing the refractive index of light by controlling the thickness of the oxide film on the titanium surface, and does not use a dye or the like. Therefore, it is particularly suitable as a method for imparting color to the titanium spacer of the present invention which is a medical device.
  • the titanium spacer can be formed from a material titanium by laser processing using, for example, a YAG laser or a carbonic acid laser. Therefore, it is much easier to obtain a spacer having a desired shape and size as compared with conventional materials such as steel.
  • the size of the titanium spacer is determined in light of the size of the bridge implanted in the patient.
  • the size of the bridge is determined in light of the amount of thyroid cartilage that the patient can utter and the thickness of the patient's thyroid cartilage.
  • the large opening of the thyroid cartilage that allows the patient to utter a voice corresponds to the width A of the bridge bridge.
  • the opening of the thyroid cartilage varies depending on the patient's symptoms, it is about 2 mm to about 6 mm, and the width a of the main body portion of the titanium spacer corresponding to this can be about 2 mm to about 6 mm.
  • the thickness of the thyroid cartilage corresponds to the height B of the sandwiching portion of the bridge. Thickness of thyroid cartilage varies depending on gender and race, but is about 2mm to about 6mm, so the height B of the sandwiching part of the bridge is about 2mm to about 6mm, and the corresponding titanium spacer
  • the height b of the size determination unit can be about 2 mm to about 6 mm.
  • the titanium spacer of the present invention has a size of a bridge composed of two symmetrical sandwiching portions and a bridging portion connecting them, which are inserted to enlarge and fix the glottis of the patient in thyroid cartilage surgery type 2. It is an auxiliary tool that can be used to determine accurately and quickly.
  • the size determination parts 9a and 9b of the titanium spacer are fitted and temporarily fixed so as to fit the end of the thyroid cartilage, and the patient speaks out.
  • the spacers are changed one after another, and the optimal opening of the thyroid cartilage that satisfies the patient's voice is searched.
  • the bridge is usually inserted in two places, the upper part (head side) and the lower part (caudal side) of the thyroid cartilage, but it may be optimal to make the opening different at the upper and lower parts of the thyroid cartilage.
  • spacers having different sizes are inserted into the upper part and the lower part in order to determine the optimum width.
  • a bridge corresponding to a titanium spacer of a size that can be uttered by the patient is selected and secured by suturing.
  • the thread can be sutured and fixed to the through hole.
  • the titanium spacer of the present invention is an auxiliary instrument used during surgery, it may be washed and sterilized in the same manner as surgical instruments such as tweezers, forceps, or scalpel, and may be discarded each time. .
  • the bridge corresponding to the titanium spacer means that the width a of the main body portion of the titanium spacer and the width A of the bridge portion of the bridge are the same, and the height of the size determination portion of the titanium spacer.
  • a bridge having the same height B of the holding part of b and the bridge is shown.
  • a titanium spacer 101 shown in FIG. 8 includes a first knob portion 102a, a second knob portion 102b, a main body portion 103 following the first and second knob portions, and two large blades extending symmetrically from the main body portion 103.
  • Two small wing parts 108a and 108b that extend from the body parts 104a and 104b and the main body part 103 in parallel with the large wing parts 104a and 104b to form the bottom surface 106 of the titanium spacer 101 together with the bottom surface 105 of the main body part,
  • the large wing portion 104a, the side surface 107a of the main body portion following the large wing portion, and the small wing portion 108a following the main body portion 103 include a size determination unit 109a for determining the height B of the sandwiching portion of the bridge 15 shown in FIG. Constitute.
  • the first knob portion 102a and the second knob portion 102b, the large wing portion 104a and the large wing portion 104b, the main body portion 106, and the small wing portion 108a and the small wing portion 108b are respectively center lines of the main body portion (FIG. 8 ( The shape is symmetrical with respect to a). Therefore, similarly, the large wing portion 104b, the side surface 107b of the main body portion following the large wing portion, and the small wing portion 108b following the main body portion 103 determine the height B of the sandwiching portion of the bridge 15 shown in FIG.
  • the size determination unit 109b is configured.
  • the height b of the size determination portion corresponds to the height B of the sandwiching portion of the bridge
  • the width a of the main body portion corresponds to the width A of the bridging portion of the bridge shown in FIG. .
  • the first knob portion 102a and the second knob portion 102b are operated by pinching with a hemostatic forceps or the like when inserting a titanium spacer into a gap (thyroid cartilage incision portion 12) incising thyroid cartilage during surgery. It is a part for. Therefore, the shape of these knobs can be made easy to pick with a hemostatic forceps or the like.
  • the first knob portion 102a and the second knob portion 102b may have an L-shaped cross section.
  • size (height) of the 1st knob part 102a and the 2nd knob part 102b can be suitably selected in the range with which operation with a hemostatic forceps etc. is easy.
  • the thickness w1 of the knob portion 102, the thickness w2 of the large wing portions 104a and 104b, and the thickness w3 of the small wing portions 108a and 108b are not particularly limited, but are, for example, about 0.3 mm to about 1.0 mm, or about 0 .5mm to about 0.8mm.
  • the length c from one end of the small wing portions 108a, 108b to the other end is shorter than the length d from one end of the large wing portions 104a, 104b to the other end.
  • the main body 103 may further include a size identification hole 110 for identifying the size of the titanium spacer 101.
  • the size can be identified by the presence / absence of the size identification hole 110 or the number of the size identification holes 110.
  • the kit shown in FIG. 4 includes a plurality of titanium spacers.
  • the titanium spacer constituting the kit is, for example, the titanium spacer shown in FIG. 1A.
  • the knob portion 2, the main body portion 3 following the knob portion 2, and the main body portion 3 to the knob portion 2 are in a direction perpendicular to the knob portion 2.
  • the determination unit 9a is configured.
  • a titanium spacer constituting the kit shown in FIG. 4 for example, a titanium spacer shown in FIG. 8 (a) can be used.
  • titanium spacers are arranged in the upper and lower stages for each height b of the size determination unit.
  • the height b of the size determination unit is 3.0 mm
  • the height b of the size determination unit is 4.5 mm.
  • spacers having different widths a of the main body are arranged in each of the upper and lower stages.
  • the width a of the main body is 2.0 mm, 3.0 mm, 4.0 mm, 5.0 mm, and 6.0 mm.
  • the upper spacer whose size determination portion height b is 3.0 mm is provided with one size identification hole 10, and the lower spacer whose size determination portion height b is 4.5 mm is Since two size identification holes 10 are provided, it is possible to recognize the height b of the size determination portion instantaneously by visual observation. Furthermore, when the kit includes spacers having different heights b of the size determination unit, the number of size identification holes may be increased to three, four, or five, for example. In order to instantly recognize the height b of the size determination unit visually, it is possible to change the diameter of the size identification hole according to the height of the size determination unit, or to give the size identification hole a color different from that of the spacer body. is there. Each spacer can also be color-coded for each width a of the main body. In this case, the height b of the size determination part is the number of the size identification holes 10, and the width a of the main body part can be identified by the color.
  • the number of titanium spacers included in the kit is not particularly limited.
  • the thickness of the thyroid cartilage determined by the height b of the size determination unit varies depending on the gender and race, and the opening of the thyroid cartilage determined by the width a of the main body varies depending on the person. It is preferable that a certain number of spacers of different sizes are accommodated.
  • one kit can contain 2 to 50, 6 to 20, or 8 to 16 spacers.
  • the sizes of the spacers included in one kit may all be different sizes, or two spacers of the same size may be included.
  • type 2 of thyroid cartilage surgery there are cases where bridges are inserted at the upper and lower parts of the thyroid cartilage (for example, Fig. 3). In this case, two spacers of the same size may be used. is there.
  • the size of the titanium spacer included in the kit is the same as that of the titanium spacer described above.
  • the kit of the present invention includes titanium spacers of different sizes. For example, it is possible to change the size b of the size determination unit between 0.5 mm and 6 mm every 0.5 mm or 1.0 mm. Similarly, the width a of the main body portion of the titanium spacer can be changed every 0.5 mm or every 1.0 mm between 2 mm and 6 mm.
  • such a kit for example, it is composed of ten different sized titanium spacers, among which five titanium spacers have the same height b of the size determination part, and the width a of the main body part is respectively Different and the heights b of the size determination parts of the other five titanium spacers are the same, and different from the previous five titanium spacers, the width a of the main body part can be different.
  • it is composed of 10 titanium spacers of different sizes, and among these, the height of the size determination part of 5 titanium spacers is 3.0 mm and the width of the main body part is 2.
  • kits that are 0.0 mm, 3.0 mm, 4.0 mm, 5.0 mm, and 6.0 mm.
  • the kit of the present invention may further include one or more “bridges corresponding to titanium spacers”.
  • a plurality of bridges having different sizes may be included.
  • the bridges included in the kit shown in FIG. 6 correspond to the individual titanium spacers of the kit shown in FIG. Therefore, when the kit shown in FIG. 4 includes the bridge shown in FIG. 5, the bridge corresponding to the titanium spacer can be accurately selected in a short time.
  • Another example is a kit 21 shown in FIG. In the kit of FIG. 7, a combination of a titanium spacer and a bridge corresponding to the titanium spacer is set. Therefore, it is possible to select the bridge corresponding to the spacer more accurately in a shorter time.
  • the bridge can be colored like a titanium spacer.
  • the bridge By assigning the same color to the titanium spacer and the corresponding bridge, the correspondence between the spacer and the bridge becomes easier to understand.
  • the bridge is made of titanium, it can be colored similarly to the titanium spacer. Furthermore, like a titanium spacer, the bridge can be marked like a size identification hole for each height B of the sandwiching portion.
  • the kit of the present invention can be used to more accurately and quickly determine the size of a bridge to be inserted in order to open and fix a patient's thyroid cartilage incision in thyroid chondroplasty type 2. During the operation, the titanium spacers of different sizes are replaced one after another, and the utterance is adjusted. When the spacer size is determined, the bridge prepared separately or the bridge included in the kit is immediately applied.
  • the kit of the present invention may be disposable.
  • thyroid chondroplasty type 2 was performed using a titanium spacer.
  • a male patient has a spacer with a height determination part height b of 4.5 mm
  • a female patient has a spacer with a size determination part height b of 3.0 mm.
  • several spacers having the same height and different main body widths a were prepared.
  • FIG.1 (a) is sectional drawing which shows the structure of the titanium spacer of one Embodiment of this invention.
  • FIG.1 (b) is sectional drawing which shows the structure of the titanium spacer of one Embodiment of this invention.
  • FIG.1 (c) is a perspective view which shows the structure of the titanium spacer of one Embodiment of this invention. It is a figure which shows the state which is using the titanium spacer of this invention during an operation. It is a figure which shows the state which has inserted the titanium spacer of this invention in two places, the upper part and the lower part of a thyroid cartilage incision part. It is a figure which shows the structure of the kit of one embodiment of this invention.
  • FIG.5 (a) is a perspective view which shows the bridge
  • FIG.5 (b) is sectional drawing which shows the bridge
  • FIG. 8A is a cross-sectional view showing a configuration of a titanium spacer according to an embodiment of the present invention.
  • FIG.8 (b) is a perspective view which shows the structure of the titanium spacer of one embodiment of this invention.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
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  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
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  • Cardiology (AREA)
  • Transplantation (AREA)
  • Vascular Medicine (AREA)
  • Prostheses (AREA)
  • Surgical Instruments (AREA)

Abstract

La présente invention concerne un dispositif d'espacement en titane permettant de déterminer de manière précise et rapide la taille d'un pont inséré pour dilater et réparer une incision dans un cartilage thyroïde chez un patient au cours d'une thyroplastie de type II. Ledit dispositif d'espacement en titane comprend une partie bouton, une partie corps en prolongement de la partie bouton, deux grandes parties ailes s'étendant à partir de la partie corps dans une forme latéralement symétrique perpendiculaire à la partie bouton, et deux petites parties ailes s'étendant latéralement à partir de la partie corps de sorte à être parallèles aux grandes parties ailes, les petites parties ailes constituant la surface inférieure du dispositif d'espacement en titane conjointement avec la surface inférieure de la partie corps. Les grandes parties ailes, la partie corps en prolongement des grandes parties ailes, et les petites parties ailes en prolongement de la partie corps constituent une partie de détermination de la taille permettant de déterminer la taille d'une partie de clampage du pont. L'invention concerne également un kit.
PCT/JP2015/069249 2014-07-04 2015-07-03 Dispositif d'espacement en titane pour thyroplastie de type ii et kit associé Ceased WO2016002924A1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP2016531467A JPWO2016002924A1 (ja) 2014-07-04 2015-07-03 甲状軟骨形成術２型に用いるチタン製スペーサー及びそのキット

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JP2014138419 2014-07-04
JP2014-138419 2014-07-04

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WO2016002924A1 true WO2016002924A1 (fr) 2016-01-07

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Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2018124301A3 (fr) * 2016-12-29 2018-08-16 ノーベルファーマ株式会社 Outil de traitement de la dysphonie
CN108697432A (zh) * 2015-08-10 2018-10-23 耐贝医药株式会社 发声障碍治疗用具及发声障碍治疗组
WO2019156132A1 (fr) * 2018-02-06 2019-08-15 ノーベルファーマ株式会社 Gabarit de mesure de la forme d'un cartilage thyroïde
CN110831524A (zh) * 2017-06-14 2020-02-21 耐贝医药株式会社 发声障碍治疗工具的成型夹具及其前面片的折弯方法
TWI720036B (zh) * 2016-10-18 2021-03-01 日商耐貝醫藥股份有限公司 發聲障礙治療用具及發聲障礙治療組
JP7178524B1 (ja) 2022-05-16 2022-11-25 医療法人顕夢会 発声障害治療具

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JPS54176086U (fr) * 1978-05-31 1979-12-12
JPH1190784A (ja) * 1997-09-22 1999-04-06 Hitachi Aic Inc ドリル用の固定リング
JP2005000330A (ja) * 2003-06-11 2005-01-06 Nobuhiko Isshiki 発声障害治療具
US20090099664A1 (en) * 2007-10-16 2009-04-16 Forrester Perry C Subtalar implant and kit

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Publication number Priority date Publication date Assignee Title
JPS54176086U (fr) * 1978-05-31 1979-12-12
JPH1190784A (ja) * 1997-09-22 1999-04-06 Hitachi Aic Inc ドリル用の固定リング
JP2005000330A (ja) * 2003-06-11 2005-01-06 Nobuhiko Isshiki 発声障害治療具
US20090099664A1 (en) * 2007-10-16 2009-04-16 Forrester Perry C Subtalar implant and kit

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Title
TETSUJI SANUKI: "Type II Thyroplasty Using New Surgical Instruments", THE JAPAN JOURNAL OF LOGOPEDICS AND PHONIATRICS, vol. 2, pages 271 - 275 *

Cited By (18)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108697432A (zh) * 2015-08-10 2018-10-23 耐贝医药株式会社 发声障碍治疗用具及发声障碍治疗组
EP3335648A4 (fr) * 2015-08-10 2019-06-12 Nobelpharma Co., Ltd. Outil de traitement de trouble de la voie et ensemble de traitement de trouble de la voie
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