CN105476672A - Length-adjustable universal headstock fixing drag hook - Google Patents
Length-adjustable universal headstock fixing drag hook Download PDFInfo
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- CN105476672A CN105476672A CN201511023632.0A CN201511023632A CN105476672A CN 105476672 A CN105476672 A CN 105476672A CN 201511023632 A CN201511023632 A CN 201511023632A CN 105476672 A CN105476672 A CN 105476672A
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- 230000008093 supporting effect Effects 0.000 claims abstract description 14
- 241000309551 Arthraxon hispidus Species 0.000 claims description 7
- 208000012287 Prolapse Diseases 0.000 claims description 3
- 230000000694 effects Effects 0.000 abstract description 7
- 230000003187 abdominal effect Effects 0.000 abstract description 2
- 238000000034 method Methods 0.000 abstract description 2
- 238000003780 insertion Methods 0.000 description 14
- 230000037431 insertion Effects 0.000 description 14
- 208000002847 Surgical Wound Diseases 0.000 description 2
- 238000012084 abdominal surgery Methods 0.000 description 2
- 230000005484 gravity Effects 0.000 description 2
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 210000003815 abdominal wall Anatomy 0.000 description 1
- 230000005540 biological transmission Effects 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 239000012467 final product Substances 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 238000002350 laparotomy Methods 0.000 description 1
- 230000000149 penetrating effect Effects 0.000 description 1
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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
- A61B17/0281—Abdominal wall lifters
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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
- A61B2017/0287—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors with elastic retracting members connectable to a frame, e.g. hooked elastic wires
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Abstract
Description
技术领域 technical field
本发明涉及一种手术拉钩,尤其是一种长短可调万向头架固定拉钩,属于医疗器械的技术领域。 The invention relates to a surgical retractor, in particular to a length-adjustable universal head frame fixed retractor, which belongs to the technical field of medical instruments.
背景技术 Background technique
外科手术尤其使腹腔手术需要充分暴露手术视野,使用牵拉叶片将腹壁向上牵拉,形成足够手术空间,便于手术操作,减少可能的损伤。目前的牵拉操作由手术医师手工操作,一台手术下来十分劳累,而且牵拉力度因人而异,牵拉效果常有变化,手术视野暴露不稳定,且拉钩人员占用手术台边缘位,可能对手术人员造成拥挤,反而影响手术进展。 Surgical operations, especially abdominal surgery, need to fully expose the surgical field of view, and use the pulling blades to pull the abdominal wall upwards to form enough surgical space to facilitate surgical operations and reduce possible injuries. The current stretching operation is performed manually by the surgeon. One operation is very tiring, and the pulling force varies from person to person. The pulling effect often changes, the surgical field of view is exposed unstable, and the retractors occupy the edge of the operating table. It will cause crowding to the surgical personnel, but will affect the progress of the operation.
发明内容 Contents of the invention
本发明的目的是克服现有技术中存在的不足,提供一种长短可调万向头架固定拉钩,能将腹腔手术牵引拉钩简单方便的固定在手术床边的插杆上,减轻医师工作量,便于手术进行,简单方便,安全可靠。 The purpose of the present invention is to overcome the deficiencies in the prior art, and provide a length-adjustable universal head frame fixing hook, which can simply and conveniently fix the abdominal surgery traction hook on the insertion rod beside the operating bed, reducing the workload of doctors , easy to operate, simple and convenient, safe and reliable.
按照本发明提供的技术方案,一种长短可调万向头架固定拉钩,包括多孔带拉钩叶片、弧形挂钩臂、可调节臂及用于和头架横杆临时固定的头架固定器。所述多孔带拉钩叶片下端设置弧形拉钩叶片,上端设置多孔拉钩软带。所述弧形挂钩臂设置截面为圆柱形的弧形杆,其一端设置有若干弧臂挂钩。所述可调节臂的头端设置用于套置弧形挂钩臂的活动孔及用于将套置在活动孔内的弧形挂钩臂临时固定的弧形挂钩臂固定器。所述活动孔的前方设置孔挂钩,用于头侧正中牵拉切口时挂钩多孔带拉钩叶片。所述可调节臂下部设置用于支撑可调节臂的支撑体。 According to the technical solution provided by the present invention, a length-adjustable universal head frame fixing hook includes a multi-hole belt hook blade, an arc-shaped hook arm, an adjustable arm and a head frame fixer for temporarily fixing the head frame crossbar. The lower end of the drag hook blade with a porous belt is provided with an arc-shaped hook blade, and the upper end is provided with a soft belt of a porous drag hook. The arc-shaped hook arm is provided with a cylindrical arc-shaped rod with a cross-section, and a plurality of arc-arm hooks are arranged at one end thereof. The head end of the adjustable arm is provided with an active hole for nesting the arc-shaped hook arm and an arc-shaped hook arm fixer for temporarily fixing the arc-shaped hook arm nested in the movable hole. A hole hook is provided in front of the movable hole, which is used for hooking the porous belt puller blade when pulling the incision in the middle of the head side. The lower part of the adjustable arm is provided with a support body for supporting the adjustable arm.
所述可调节臂包括设置内腔的凹槽半臂和能套置在凹槽半臂内腔的插杆半臂。贯穿所述凹槽半臂内腔一侧临近插杆半臂插口处设置长度固定螺孔,与长度固定螺孔内径匹配设置长度固定螺栓。长度固定螺孔内壁和长度固定螺栓外壁设置匹配的螺旋纹路。所述长度固定螺栓能套置在长度固定螺孔内通过旋转沿长度固定螺孔长轴移动。 The adjustable arm includes a groove half-arm provided with an inner cavity and an insertion rod half-arm capable of being sleeved in the inner cavity of the groove half-arm. A length-fixing screw hole is provided near the socket of the insertion rod half-arm on one side of the inner cavity of the half-arm of the groove, and a length-fixing bolt is arranged to match the inner diameter of the length-fixing screw hole. The inner wall of the length fixing screw hole and the outer wall of the length fixing bolt are provided with matching spiral patterns. The length fixing bolt can be sleeved in the length fixing screw hole and move along the long axis of the length fixing screw hole through rotation.
所述弧形挂钩臂固定器包括贯穿活动孔一侧侧壁的弧度固定螺孔及与弧度固定螺孔匹配的弧度固定螺栓,弧度固定螺孔内壁和弧度固定螺栓外壁设置匹配的螺旋纹路。所述弧度固定螺栓能套置在弧度固定螺孔内通过旋转沿弧度固定螺孔的长轴移动。 The arc-shaped hook arm fixer includes an arc-fixed screw hole running through one side wall of the movable hole and an arc-fixed bolt matching the arc-fixed screw hole, and the inner wall of the arc-shaped fixed screw hole and the outer wall of the arc-shaped fixed bolt are provided with matching spiral lines. The arc fixing bolt can be sleeved in the arc fixing screw hole and move along the long axis of the arc fixing screw hole through rotation.
所述支撑体包括与可调节臂连为一体的支撑杆及与支撑杆连接的支撑板,支撑杆和支撑板通过支撑关节连接。所述支撑杆最下端设半关节一,支撑板的上部中央设置与半关节一匹配的半关节二,半关节一和半关节二一个为关节臼,对应的另外一个为匹配的关节头,两个半关节体匹配并镶嵌连接,能变换角度且不脱出。贯穿关节臼的一侧壁设置关节固定螺旋孔及与关节固定螺旋孔匹配的关节螺栓,关节固定螺旋孔内壁与关节螺栓外壁设置匹配的螺旋纹路,关节螺栓能通过旋转沿关节固定螺旋孔的长轴移动。 The support body includes a support rod connected with the adjustable arm and a support plate connected with the support rod, and the support rod and the support plate are connected through a support joint. The lowermost end of the support rod is provided with a half joint 1, and the upper center of the support plate is provided with a half joint 2 matching with the half joint 1, one of the half joint 1 and the half joint 2 is a joint socket, and the other one is a matching joint head, The two half-joint bodies are matched and inlaid, and the angle can be changed without prolapse. The joint fixing screw hole and the joint bolt matching the joint fixing screw hole are set on the side wall of the joint socket. The inner wall of the joint fixing screw hole and the outer wall of the joint bolt are provided with a matching spiral pattern. Axis movement.
所述头架固定器包括设置在可调节臂尾端的挂钩、设置在挂钩顶端凸块的螺栓固定孔、螺纹调节杆挂钩及挂钩调节螺母。所述螺纹调节杆挂钩尾端设置与挂钩相对的反向挂钩,螺纹调节杆挂钩头端设置外径小于螺栓固定孔内径的螺纹调节杆,螺纹调节杆能套置在螺栓固定孔内沿长轴滑动。所述螺纹调节杆外表面与挂钩调节螺母内表面设置匹配的螺纹,挂钩调节螺母能沿螺纹调节杆外表面螺旋移动。所述挂钩调节螺母外径大于螺栓固定孔的内径。 The head frame fixer includes a hook arranged at the tail end of the adjustable arm, a bolt fixing hole arranged at the projection at the top of the hook, a thread adjusting rod hook and a hook adjusting nut. The rear end of the hook of the threaded adjustment rod is provided with a reverse hook opposite to the hook, and the head end of the hook of the threaded adjustment rod is provided with a threaded adjustment rod whose outer diameter is smaller than the inner diameter of the bolt fixing hole. The threaded adjustment rod can be nested in the bolt fixing hole along the long axis slide. The outer surface of the threaded adjusting rod and the inner surface of the hook adjusting nut are provided with matching threads, and the hook adjusting nut can spirally move along the outer surface of the threaded adjusting rod. The outer diameter of the hook adjustment nut is larger than the inner diameter of the bolt fixing hole.
本发明的优点:在开腹手术应用,能简单方便的将工作状态的腹腔拉钩叶片通过各部件临时固定在手术床边的插杆上,减轻医师工作量,结构简单,使用方便,效果安全可靠。 The advantages of the present invention: in the application of laparotomy, the abdominal retractor blade in working state can be temporarily fixed on the inserting rod beside the operating bed through various components simply and conveniently, reducing the workload of doctors, simple in structure, convenient in use, and safe and reliable in effect .
附图说明 Description of drawings
图1为本发明整体结构示意图; Fig. 1 is a schematic diagram of the overall structure of the present invention;
图2为本发明多孔带拉钩叶片的正面示意图; Fig. 2 is the front schematic view of the porous belt drag hook blade of the present invention;
图3为本发明可调节臂的侧面示意图; Fig. 3 is a schematic side view of the adjustable arm of the present invention;
图4为本发明支撑板的俯视图; Fig. 4 is the top view of support plate of the present invention;
图5为本发明头架固定器的侧视图。 Fig. 5 is a side view of the headgear fixer of the present invention.
标记说明:1-多孔带拉钩叶片、11-弧形拉钩叶片、12-多孔拉钩软带、2-弧形挂钩臂、21-弧臂挂钩、3-可调节臂、30-支撑体、301-支撑杆、302-支撑板、303-支撑关节、304-半关节一、305-半关节二、306-关节固定螺旋孔、307-关节螺栓、31-活动孔、32-弧形挂钩臂固定器、321-弧度固定螺孔、322-弧度固定螺栓、33-凹槽半臂、34-插杆半臂、35-长度固定螺孔、36-长度固定螺栓、37-孔挂钩、4-头架固定器、41-挂钩、42-螺栓固定孔、43-螺纹调节杆挂钩、44-挂钩调节螺母、45-反向挂钩、46-螺纹调节杆。 Marking description: 1-Hook leaf with porous belt, 11-Hook blade with arc shape, 12-Hook soft belt with holes, 2-Arc hook arm, 21-Arc arm hook, 3-Adjustable arm, 30-Support body, 301- Support rod, 302-support plate, 303-support joint, 304-half joint 1, 305-half joint 2, 306-joint fixing screw hole, 307-joint bolt, 31-movable hole, 32-curved hook arm fixer , 321-radian fixing screw hole, 322-radian fixing bolt, 33-groove half arm, 34-rod half arm, 35-length fixing screw hole, 36-length fixing bolt, 37-hole hook, 4-head frame Fixer, 41-hook, 42-bolt fixing hole, 43-thread adjustment rod hook, 44-hook adjustment nut, 45-reverse hook, 46-thread adjustment rod.
具体实施方式 detailed description
下面结合具体附图对本发明作进一步说明。 The present invention will be further described below in conjunction with specific drawings.
如图1及图2所示,所述一种长短可调万向头架固定拉钩,包括多孔带拉钩叶片1、弧形挂钩臂2、可调节臂3及用于和头架横杆临时固定的头架固定器4。所述多孔带拉钩叶片1下端设置弧形拉钩叶片11,上端设置多孔拉钩软带12。所述弧形挂钩臂2设置截面为圆柱形的弧形杆,其一端设置有若干弧臂挂钩21。所述可调节臂3的头端设置用于套置弧形挂钩臂2的活动孔31及用于将套置在活动孔31内的弧形挂钩臂2临时固定的弧形挂钩臂固定器32。所述活动孔31的前方设置孔挂钩37,用于头侧正中牵拉切口时挂钩多孔带拉钩叶片1。所述可调节臂3下部设置用于支撑可调节臂3的支撑体30。 As shown in Figures 1 and 2, the length-adjustable universal head frame fixing hook includes a porous belt hook blade 1, an arc-shaped hook arm 2, an adjustable arm 3 and is used for temporary fixing with the head frame cross bar. The head frame holder 4. The lower end of the porous belt draw hook blade 1 is provided with an arc-shaped draw hook blade 11 , and the upper end is provided with a porous draw hook soft belt 12 . The arc-shaped hook arm 2 is provided with an arc-shaped rod with a cylindrical section, and a plurality of arc-arm hooks 21 are arranged at one end thereof. The head end of the adjustable arm 3 is provided with an active hole 31 for nesting the arc-shaped hook arm 2 and an arc-shaped hook arm fixer 32 for temporarily fixing the arc-shaped hook arm 2 nested in the movable hole 31 . A hole hook 37 is provided in front of the movable hole 31 for hooking the porous belt puller blade 1 when pulling the incision in the middle of the head side. The lower part of the adjustable arm 3 is provided with a support body 30 for supporting the adjustable arm 3 .
使用时,首先调节头架固定器4使所述长短可调万向头架固定拉钩的尾端被固定在手术头架的横杆上。然后调节可调节臂3的长度到最佳,以适应不同人体的胸部长度,使可调节臂3的头端位于手术切口的头侧正前方,调节支撑体30使支撑作用达到最稳定状态。再通过活动孔31置入弧形挂钩臂2,通过弧形挂钩臂2在活动孔31的滑动及旋转调节弧形挂钩臂2相对于切口的位置和角度,使其设置弧臂挂钩21的一端位于手术切口需要牵拉扩张方位的切口上缘,调节弧形挂钩臂固定器32,使弧形挂钩臂2被稳定的固定在活动孔31内。最后,将多孔带拉钩叶片1的弧形拉钩叶片11置入切口内,并沿需要牵拉的方向拉紧上提,使切口被充分暴露,将多孔带拉钩叶片1的多孔拉钩软带12挂钩在弧形挂钩臂2一端上部的弧臂挂钩21。 During use, first adjust the head frame fixer 4 to make the tail end of the length-adjustable universal head frame fixing drag hook be fixed on the crossbar of the operation head frame. Then adjust the length of the adjustable arm 3 to the best, to adapt to the chest length of different human bodies, make the head end of the adjustable arm 3 be positioned at the front of the head side of the surgical incision, and adjust the support body 30 so that the supporting effect reaches the most stable state. Then put the arc hook arm 2 through the movable hole 31, adjust the position and angle of the arc hook arm 2 relative to the otch by sliding and rotating the arc hook arm 2 in the movable hole 31, so that one end of the arc arm hook 21 is set At the upper edge of the incision that needs to be stretched and expanded, the arc-shaped hook arm fixer 32 is adjusted so that the arc-shaped hook arm 2 is stably fixed in the movable hole 31 . Finally, put the arc-shaped hook blade 11 of the porous belt hook blade 1 into the incision, and pull it up in the direction to be pulled, so that the incision is fully exposed, and hook the porous belt hook soft belt 12 of the porous belt hook blade 1. The arc arm hook 21 on one end top of the arc hook arm 2 .
当切口需要被牵拉暴露的部位位于正头侧时,上述步骤可以简化为:首先调节头架固定器4使所述长短可调万向头架固定拉钩的尾端被固定在手术头架的横杆上。然后调节可调节臂3的长度到最佳,以适应不同人体的胸部长度,使可调节臂3的头端位于手术切口的头侧正前方,调节支撑体30使支撑作用达到最稳定状态。最后,将多孔带拉钩叶片1的弧形拉钩叶片11置入切口内,并沿头侧方向牵拉上提,使切口被充分暴露,将多孔带拉钩叶片1的多孔拉钩软带12挂钩在可调节臂3活动孔31前方设置的孔挂钩37上即可。 When the position where the incision needs to be pulled and exposed is located on the positive head side, the above steps can be simplified as follows: first adjust the head frame fixer 4 so that the tail end of the length-adjustable universal head frame fixing pull hook is fixed on the surgical head frame on the crossbar. Then adjust the length of the adjustable arm 3 to the best, to adapt to the chest length of different human bodies, make the head end of the adjustable arm 3 be positioned at the front of the head side of the surgical incision, and adjust the support body 30 so that the supporting effect reaches the most stable state. Finally, put the arc-shaped hook blade 11 of the porous belt hook blade 1 into the incision, and pull it up along the head side direction, so that the incision is fully exposed, and hook the porous hook soft belt 12 of the porous belt hook blade 1 on a Just get final product on the hole hook 37 that adjustment arm 3 movable holes 31 fronts are provided with.
在上述实施例中,所述长短可调万向头架固定拉钩通过头架固定器4与手术头架的横杆固定,从而获得最主要的支撑力。通过支撑体30进一步获得更稳定的支撑力,再通过弧形挂钩臂2与活动孔31的配合能获得任意方向及适当高度的固定挂钩。需要对切口正头侧牵拉时,无需使用弧形挂钩臂2。当需要左侧牵拉切口时,将弧形挂钩臂2没有设置弧臂挂钩21的一端从左侧穿入活动孔31,使弧形挂钩臂2设置弧臂挂钩21的一端位于切口左侧的牵拉方向上方,即可进行后续操作。当需要对右侧牵拉时,将弧形挂钩臂2没有设置弧臂挂钩21的一端从右侧穿入活动孔31,使弧形挂钩臂2设置弧臂挂钩21的一端位于切口右侧的牵拉方向上方,即可进行后续操作。因为弧形挂钩臂2设置弧臂挂钩21的一端设有多个弧臂挂钩21,左右侧穿入活动孔31的实用效果并无不同。需要说明的是,图例中弧形挂钩臂2对称位置设置有两个弧臂挂钩21,但实际实施时并不限于此数目。 In the above embodiment, the length-adjustable universal head frame fixing hook is fixed to the cross bar of the surgical head frame through the head frame fixer 4, so as to obtain the most important supporting force. A more stable supporting force is further obtained through the support body 30 , and a fixed hook in any direction and at an appropriate height can be obtained through the cooperation of the arc-shaped hook arm 2 and the movable hole 31 . When it is necessary to pull the front side of the incision, there is no need to use the arc-shaped hook arm 2 . When the left side is needed to pull the otch, an end of the arc hook arm 2 that is not provided with the arc arm hook 21 is passed through the movable hole 31 from the left side, so that the arc hook arm 2 is provided with an end of the arc arm hook 21 positioned at the left side of the otch. Pull upwards to perform follow-up operations. When the right side is needed to be pulled, the end of the arc hook arm 2 that is not provided with the arc arm hook 21 is passed through the movable hole 31 from the right side, so that the end of the arc hook arm 2 that is provided with the arc arm hook 21 is positioned at the right side of the otch. Pull upwards to perform follow-up operations. Because one end of the arc hook arm 2 is provided with a plurality of arc arm hooks 21, the practical effect of penetrating the movable hole 31 on the left and right sides is the same. It should be noted that in the illustration, two arc-arm hooks 21 are arranged at symmetrical positions of the arc-shaped hook arm 2 , but the actual implementation is not limited to this number.
如图1及图3所示,所述可调节臂3包括设置内腔的凹槽半臂33和能套置在凹槽半臂33内腔的插杆半臂34。贯穿所述凹槽半臂33内腔一侧临近插杆半臂34插口处设置长度固定螺孔35,与长度固定螺孔35内径匹配设置长度固定螺栓36。长度固定螺孔35内壁和长度固定螺栓36外壁设置匹配的螺旋纹路。所述长度固定螺栓36能套置在长度固定螺孔35内通过旋转沿长度固定螺孔35长轴移动。 As shown in FIG. 1 and FIG. 3 , the adjustable arm 3 includes a groove half-arm 33 provided with an inner chamber and an insertion rod half-arm 34 capable of being nested in the inner chamber of the groove half-arm 33 . A length-fixing screw hole 35 is provided near the socket of the insertion rod half-arm 34 through one side of the cavity of the groove half-arm 33 , and a length-fixing bolt 36 is set to match the inner diameter of the length-fixing screw hole 35 . The inner wall of the length fixing screw hole 35 and the outer wall of the length fixing bolt 36 are provided with matching spiral lines. The length fixing bolt 36 can be sleeved in the length fixing screw hole 35 and move along the long axis of the length fixing screw hole 35 by rotation.
所述凹槽半臂33的内腔截面较插杆半臂34的截面大,形状优选匹配外形,使插杆半臂34能嵌置在凹槽半臂33的内腔中,且能沿凹槽半臂33的长轴方向移动。所述凹槽半臂33和插杆半臂34的前后位置关系并不固定,可以凹槽半臂33在前插杆半臂34在后,也可以凹槽半臂33在后插杆半臂34在前。所述凹槽半臂33的内腔优选为密闭空腔,凹槽半臂33内腔开口即插杆半臂34的入口处设置长度固定螺孔35,匹配长度固定螺孔35设置长度固定螺栓36,所述长度固定螺栓36能沿长度固定螺孔35长轴螺旋前进或后退。当需要对嵌置在凹槽半臂33内腔的插杆半臂34的位置进行调节时,向外旋出长度固定螺栓36使其头端嵌置在长度固定螺孔35内,即可对嵌置在嵌置在凹槽半臂33内腔的插杆半臂34的位置进行调节。调节结束需要临时固定凹槽半臂33和插杆半臂34位置时,向内旋进长度固定螺栓36使长度固定螺栓36的头端顶持在凹槽半臂33内腔中的插杆半臂34同侧表面,从而使凹槽半臂33和插杆半臂34位置临时固定。为了增加凹槽半臂33和插杆半臂34临时固定时的稳定度,可在凹槽半臂33和插杆半臂34表面设置纹路增加摩檫系数,或在长度固定螺栓36顶端设置纹路。 The cavity cross-section of the groove half-arm 33 is larger than the cross-section of the insertion rod half-arm 34, and the shape preferably matches the profile, so that the insertion rod half-arm 34 can be embedded in the cavity of the groove half-arm 33, and can be inserted along the groove. The direction of the long axis of the slot half arm 33 moves. The front and rear positional relationship between the groove half-arm 33 and the rod half-arm 34 is not fixed, and the groove half-arm 33 can be behind the front rod half-arm 34, or the groove half-arm 33 can be inserted behind the rod half-arm. 34 first. The inner cavity of the groove half-arm 33 is preferably a closed cavity, and the opening of the groove half-arm 33 cavity, that is, the entrance of the insertion rod half-arm 34, is provided with a length fixing screw hole 35, and the matching length fixing screw hole 35 is provided with a length fixing bolt 36 , the length fixing bolt 36 can helically advance or retreat along the long axis of the length fixing screw hole 35 . When it is necessary to adjust the position of the insertion rod half-arm 34 embedded in the groove half-arm 33 inner cavity, the length fixing bolt 36 is screwed outwards so that its head end is embedded in the length fixing screw hole 35, and the Embedded in the position of the plunger half-arm 34 embedded in the cavity of the groove half-arm 33 for adjustment. When the adjustment needs to temporarily fix the position of the groove half arm 33 and the insertion rod half arm 34, screw in the length fixing bolt 36 to make the head end of the length fixing bolt 36 support the insertion rod half in the groove half arm 33 cavity. The arm 34 is on the same side surface, so that the positions of the groove half-arm 33 and the insertion rod half-arm 34 are temporarily fixed. In order to increase the stability of the groove half arm 33 and the insertion rod half arm 34 when they are temporarily fixed, lines can be set on the surface of the groove half arm 33 and the insertion rod half arm 34 to increase the friction coefficient, or lines can be set on the top of the length fixing bolt 36 .
如图1及图3所示,所述弧形挂钩臂固定器32包括贯穿活动孔31一侧侧壁的弧度固定螺孔321及与弧度固定螺孔321匹配的弧度固定螺栓322,弧度固定螺孔321内壁和弧度固定螺栓322外壁设置匹配的螺旋纹路。所述弧度固定螺栓322能套置在弧度固定螺孔321内通过旋转沿弧度固定螺孔321的长轴移动。 As shown in Figures 1 and 3, the arc-shaped hook arm fixer 32 includes an arc fixing screw hole 321 that runs through the side wall of the movable hole 31 and an arc fixing bolt 322 that matches the arc fixing screw hole 321. The inner wall of the hole 321 and the outer wall of the curved fixing bolt 322 are provided with matching spiral patterns. The arc fixing bolt 322 can be nested in the arc fixing screw hole 321 and move along the long axis of the arc fixing screw hole 321 by rotating.
其固定松解操作及作用原理与可调节臂3的原理相同,此处不再详细描述。 Its fixing and loosening operation and principle of action are the same as those of the adjustable arm 3, and will not be described in detail here.
值得注意的是,为了增加套置在活动孔31内的弧形挂钩臂2临时固定时的稳定度,除了在弧形挂钩臂2外表面、活动孔31内表面及弧度固定螺栓322顶端设置纹路增加摩檫系数外,还可以增加活动孔31的长度,从而增加临时固定时活动孔31内表面与弧形挂钩臂2外表面的接触面积。为了使弧形挂钩臂2能在长度较长的活动孔31内自由滑动,可将弧形挂钩臂2和活动孔31设置成直径匹配的圆形弧状,此时,活动孔31为圆弧形管状。但活动孔31长轴的长度越大,弧形挂钩臂2在活动孔31内转动的范围越小;动孔31长轴的长度越短,弧形挂钩臂2在活动孔31内转动的范围越大。同时,活动孔31内孔截面直径和弧形挂钩臂2的外径直径的差距越大,弧形挂钩臂2在活动孔31内转动的范围越大;活动孔31内孔截面直径和弧形挂钩臂2的外径直径的差距越小,弧形挂钩臂2在活动孔31内转动的范围越小。 It is worth noting that, in order to increase the stability of the arc-shaped hook arm 2 nested in the movable hole 31 when it is temporarily fixed, in addition to setting lines on the outer surface of the arc-shaped hook arm 2, the inner surface of the movable hole 31 and the top of the arc-shaped fixing bolt 322 In addition to increasing the coefficient of friction, the length of the movable hole 31 can also be increased, thereby increasing the contact area between the inner surface of the movable hole 31 and the outer surface of the curved hook arm 2 during temporary fixation. In order to make the arc-shaped hook arm 2 slide freely in the longer movable hole 31, the arc-shaped hook arm 2 and the movable hole 31 can be arranged in a circular arc shape with matching diameters. At this time, the movable hole 31 is arc-shaped tubular. But the greater the length of the major axis of the movable hole 31, the smaller the range of rotation of the arc-shaped hook arm 2 in the movable hole 31; bigger. Simultaneously, the larger the difference between the diameter of the cross-section of the inner hole of the movable hole 31 and the outer diameter of the arc-shaped hook arm 2, the larger the range of rotation of the curved hook arm 2 in the movable hole 31; the cross-sectional diameter of the inner hole of the movable hole 31 and the arc shape The smaller the difference between the outer diameters of the hook arm 2 is, the smaller the range of rotation of the arc-shaped hook arm 2 in the movable hole 31 is.
如图1、图3及图4所述,所述支撑体30包括与可调节臂3连为一体的支撑杆301及与支撑杆301连接的支撑板302,支撑杆301和支撑板302通过支撑关节303连接。所述支撑杆301最下端设半关节一304,支撑板302的上部中央设置与半关节一304匹配的半关节二305,半关节一304和半关节二305一个为关节臼,对应的另外一个为匹配的关节头,两个半关节体匹配并镶嵌连接,能变换角度且不脱出。贯穿关节臼的一侧壁设置关节固定螺旋孔306及与关节固定螺旋孔306匹配的关节螺栓307,关节固定螺旋孔306内壁与关节螺栓307外壁设置匹配的螺旋纹路,关节螺栓307能通过旋转沿关节固定螺旋孔306的长轴移动。 As shown in Figure 1, Figure 3 and Figure 4, the support body 30 includes a support rod 301 connected with the adjustable arm 3 and a support plate 302 connected with the support rod 301, the support rod 301 and the support plate 302 are supported by Joint 303 connects. The lowermost end of the support rod 301 is provided with a half-joint 304, and the upper center of the support plate 302 is provided with a half-joint 2 305 matching the half-joint 304. For the matching joint head, the two half-joint bodies are matched and inlaid, and the angle can be changed without prolapse. The joint fixing screw hole 306 and the joint bolt 307 matching the joint fixing screw hole 306 are set through the side wall of the joint socket. The long axis of the articulation helical hole 306 moves.
所述支撑体30的作用是为安装并临时固定在可调节臂3头端活动孔31内的弧形挂钩臂2提供更稳定的支撑力。具体的,所述支撑体30的支撑杆301为支撑力传递杆。所述支撑板302为长方形板状结构,其长轴首选与可调节臂3长轴垂直,当多孔带拉钩叶片1的牵拉方向为左侧或右侧时,长方形板状结构的支撑板302及头架固定器4与头架横杆的固定点形成面积较大的重心稳定面积,能对偏向一侧牵拉的多孔带拉钩叶片1提供更加稳定可靠的拉力,不至于使可调节臂3头端倾倒。 The function of the support body 30 is to provide a more stable supporting force for the arc-shaped hook arm 2 installed and temporarily fixed in the movable hole 31 at the head end of the adjustable arm 3 . Specifically, the support rod 301 of the support body 30 is a support force transmission rod. The support plate 302 is a rectangular plate structure, and its long axis is firstly perpendicular to the long axis of the adjustable arm 3. When the pulling direction of the porous belt hook blade 1 is left or right, the support plate 302 of the rectangular plate structure And the fixed point of the head frame fixer 4 and the head frame crossbar forms a larger center of gravity stable area, which can provide a more stable and reliable pulling force for the porous belt hook blade 1 pulled to one side, so as not to make the adjustable arm 3 Head end dumped.
具体实施时,所述支撑杆301和支撑板302通过支撑关节303连接,意义在于:不同患者胸部厚度不同,同时头架横杆的高度也各不相同,造成具体实施时可调节臂3的长轴平面与患者胸部上部平面可能形成不同的角度。当可调节臂3的长轴平面与患者胸部上部平面有角度形成时,支撑杆301与胸部上部平面不垂直,形成一定的夹角,通过对支撑关节303的半关节一304和半关节二305的调节能使任意状况下支撑板302与胸部上平面基本贴合,一方面增大重心稳定面积,另一方面增大患者胸部受力面积,避免压伤。 During specific implementation, the support rod 301 and the support plate 302 are connected through the support joint 303, which means that the thickness of the chest of different patients is different, and the height of the head frame cross bar is also different, so that the length of the arm 3 can be adjusted during specific implementation. The axial plane may form different angles with the plane of the patient's upper chest. When the long-axis plane of the adjustable arm 3 forms an angle with the upper plane of the patient’s chest, the support rod 301 is not perpendicular to the upper plane of the chest, forming a certain angle. The adjustment can make the support plate 302 basically fit with the upper plane of the chest under any condition, on the one hand increase the stable area of the center of gravity, on the other hand increase the stress area of the patient's chest to avoid crushing.
如本图例所示,所述支撑关节303可以为球状关节,即半关节一304和半关节二305中一个为外形为半球体关节头,另一个为内腔匹配的半球体关节臼。 As shown in this illustration, the support joint 303 may be a spherical joint, that is, one of the first half joint 304 and the second half joint 305 is a hemispherical joint head, and the other is a hemispherical joint socket with a matching inner cavity.
球形支撑关节303的优点是调节方向更加多元化,但缺点也十分明显,稳定性较差。为了增加球形支撑关节303的稳定性,设置了关节固定装置,即贯穿关节臼的一侧壁设置关节固定螺旋孔306及与关节固定螺旋孔306匹配的关节螺栓307,需要固定球形支撑关节303的半关节一304和半关节二305位置时,仅需将关节螺栓307旋入关节固定螺旋孔306内,使关节螺栓307穿过关节臼的侧壁使关节螺栓307的头端顶持在关节头的表面,进而使关节头与关节臼临时固定。 The advantage of the spherical support joint 303 is that the adjustment direction is more diversified, but the disadvantage is also very obvious, and the stability is poor. In order to increase the stability of the spherical support joint 303, a joint fixation device is provided, that is, the joint fixation screw hole 306 and the joint bolt 307 matching the joint fixation screw hole 306 are set through the side wall of the joint socket, and the spherical support joint 303 needs to be fixed. When half-joint one 304 and half-joint two 305 are in position, it is only necessary to screw the joint bolt 307 into the joint fixing screw hole 306 so that the joint bolt 307 passes through the side wall of the joint socket so that the head end of the joint bolt 307 is supported on the joint head surface, thereby temporarily fixing the joint head and the joint socket.
当这并不是唯一的结构,还可以设置为圆柱体关节,即半关节一304和半关节二305中一个为外形为圆柱体结构的关节头,另一个为内腔匹配的圆柱体关节臼。当支撑关节303设置为圆柱体关节时,为了适应本发明的调整需求,所述圆柱体关节的支撑关节303的长轴应与支撑板302的长轴一致,同时圆柱体关节的支撑关节303的长轴应与可调节臂3的长轴垂直。这样设置的支撑关节303在具体调节时的调解方向只能以支撑关节303的长轴为轴心转动,而不能向左侧或右侧偏移,减少了向左侧或右侧偏移的发生几率,使用时稳定度更高,更符合本发明的使用要求。当支撑关节303设置为圆柱体关节时,关节固定机构可以省去不必设置。 When this is not the only structure, it can also be set as a cylindrical joint, that is, one of the first half joint 304 and the second half joint 305 is a joint head with a cylindrical structure, and the other is a cylindrical joint socket with a matching inner cavity. When the support joint 303 is set as a cylindrical joint, in order to meet the adjustment requirements of the present invention, the long axis of the support joint 303 of the cylindrical joint should be consistent with the long axis of the support plate 302, and at the same time the support joint 303 of the cylindrical joint The long axis should be perpendicular to the long axis of the adjustable arm 3. The adjustment direction of the support joint 303 set in this way can only be rotated around the long axis of the support joint 303 during specific adjustment, and cannot be shifted to the left or right, which reduces the occurrence of deviation to the left or right Probability, higher stability during use, more in line with the use requirements of the present invention. When the supporting joint 303 is configured as a cylindrical joint, the joint fixing mechanism can be omitted.
如图1及图5所示,所述头架固定器4包括设置在可调节臂3尾端的挂钩41、设置在挂钩41顶端凸块的螺栓固定孔42、螺纹调节杆挂钩43及挂钩调节螺母44。所述螺纹调节杆挂钩43尾端设置与挂钩41相对的反向挂钩45,螺纹调节杆挂钩43头端设置外径小于螺栓固定孔42内径的螺纹调节杆46,螺纹调节杆46能套置在螺栓固定孔42内沿长轴滑动。所述螺纹调节杆46外表面与挂钩调节螺母44内表面设置匹配的螺纹,挂钩调节螺母44能沿螺纹调节杆46外表面螺旋移动。所述挂钩调节螺母44外径大于螺栓固定孔42的内径。 As shown in Figures 1 and 5, the headgear fixer 4 includes a hook 41 arranged at the tail end of the adjustable arm 3, a bolt fixing hole 42 arranged at the top of the hook 41, a threaded adjustment rod hook 43 and a hook adjustment nut. 44. The rear end of the threaded adjusting rod hook 43 is provided with a reverse hook 45 relative to the hook 41, and the head end of the threaded adjusting rod hook 43 is provided with a threaded adjusting rod 46 whose outer diameter is smaller than the inner diameter of the bolt fixing hole 42, and the threaded adjusting rod 46 can be sleeved on the The bolts slide along the long axis inside the holes 42 . The outer surface of the thread adjusting rod 46 and the inner surface of the hook adjusting nut 44 are provided with matching threads, and the hook adjusting nut 44 can move helically along the outer surface of the thread adjusting rod 46 . The outer diameter of the hook adjustment nut 44 is larger than the inner diameter of the bolt fixing hole 42 .
实施中,螺纹调节杆46的长度大于螺栓固定孔42的长度,所述螺纹调节杆挂钩43的螺纹调节杆46套置在挂钩41顶端凸块的螺栓固定孔42内,所述挂钩调节螺母44紧密套置在暴露出螺栓固定孔42的螺纹调节杆46的尾部。同时,设置在可调节臂3尾端的挂钩41和设置在螺纹调节杆挂钩43尾端的反向挂钩45匹配使用,方向相反,能对手术头架横杆形成抱持固定效果,为进一步增加固定效果,可在挂钩41和反向挂钩45相对表面设置纹路,增加摩檫系数。当需要将所述长短可调万向头架固定拉钩固定在手术头架横杆上时,松开挂钩调节螺母44使挂钩41和反向挂钩45的开口张大,将手术头架横杆置入形成环抱状态的挂钩41和反向挂钩45抱怀中。旋转挂钩调节螺母44使挂钩调节螺母44沿螺纹调节杆46向反向挂钩45移动,因为挂钩调节螺母44外径大于螺栓固定孔42内径,在反向作用力下反向挂钩45向挂钩41逐渐靠拢,对手术头架横杆形成抱持,逐渐收紧,最后固定。需要松解头架固定器4时,反向操作即可。 In practice, the length of the threaded adjusting rod 46 is greater than the length of the bolt fixing hole 42, and the threaded adjusting rod 46 of the threaded adjusting rod hook 43 is sleeved in the bolt fixing hole 42 of the protrusion at the top of the hook 41, and the hook adjusting nut 44 It is tightly nested in the tail of the threaded adjusting rod 46 that exposes the bolt fixing hole 42 . Simultaneously, the hook 41 that is arranged on adjustable arm 3 tail end and the reverse hook 45 that is arranged on thread adjusting rod hook 43 tail end are matched and used, and the direction is opposite, can form holding fixation effect to operation head frame cross bar, for further increasing fixation effect , textures can be set on the opposite surfaces of the hook 41 and the reverse hook 45 to increase the coefficient of friction. When it is necessary to fix the fixed pull hook of the adjustable universal head frame on the operation head frame cross bar, unclamp the hook adjustment nut 44 to make the openings of the hook 41 and the reverse hook 45 wide, and put the operation head frame cross bar into the The hook 41 and the reverse hook 45 that form an embracing state are embraced. Rotate the hook adjustment nut 44 to make the hook adjustment nut 44 move to the reverse hook 45 along the threaded adjustment rod 46, because the outer diameter of the hook adjustment nut 44 is greater than the bolt fixing hole 42 inner diameter, the reverse hook 45 gradually moves towards the hook 41 under the reverse force. Move closer to form a hug for the crossbar of the surgical head frame, gradually tighten it, and finally fix it. When the head frame fixer 4 needs to be loosened, the operation can be reversed.
总之,本发明在外科手术应用,能简单方便的将多个角度的工作状态的多孔带拉钩叶片1临时固定在手术头架横杆上,减轻医师工作量,结构简单,使用方便,效果安全可靠。 In a word, when the present invention is applied in surgical operations, it can simply and conveniently temporarily fix the multi-angle multi-angle working state porous belt hook blade 1 on the crossbar of the surgical head frame, reducing the workload of doctors, simple in structure, convenient in use, and safe and reliable in effect. .
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CN109199478A (en) * | 2018-10-31 | 2019-01-15 | 中国人民解放军陆军特色医学中心 | A kind of skin retractor |
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