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CN108992158A - A kind of controllable fracture closed reduction device - Google Patents

A kind of controllable fracture closed reduction device Download PDF

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Publication number
CN108992158A
CN108992158A CN201810945236.0A CN201810945236A CN108992158A CN 108992158 A CN108992158 A CN 108992158A CN 201810945236 A CN201810945236 A CN 201810945236A CN 108992158 A CN108992158 A CN 108992158A
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fracture
sleeve
reset arm
connecting rod
fracture reduction
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李开南
王郑浩
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Affiliated Hospital of Chengdu University
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Affiliated Hospital of Chengdu University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8866Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices for gripping or pushing bones, e.g. approximators
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/28Surgical forceps
    • A61B17/2812Surgical forceps with a single pivotal connection
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/28Surgical forceps
    • A61B17/2812Surgical forceps with a single pivotal connection
    • A61B17/2841Handles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8875Screwdrivers, spanners or wrenches
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B2017/564Methods for bone or joint treatment

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Ophthalmology & Optometry (AREA)
  • Surgical Instruments (AREA)

Abstract

本发明公开了一种可调控骨折闭合复位装置,涉及医疗器械技术领域,本发明包括骨折复位钳A,骨折复位钳A活动连接有连接杆,连接杆另一端可拆卸连接有套筒,套筒连接有液压伸缩缸,液压伸缩缸包括与套筒连接的缸筒,缸筒内设置有可伸缩的活塞杆,活塞杆另一端活动连接有骨折复位钳B,本发明具有结构简单、操作难度低、提高了手术稳定性的优点。

The invention discloses an adjustable fracture closed reduction device, which relates to the technical field of medical devices. The invention includes a fracture reduction forceps A, which is movably connected with a connecting rod, and the other end of the connecting rod is detachably connected with a sleeve, and the sleeve A hydraulic telescopic cylinder is connected, and the hydraulic telescopic cylinder includes a cylinder barrel connected with a sleeve. A telescopic piston rod is arranged inside the cylinder barrel, and the other end of the piston rod is movably connected with a fracture reduction forceps B. The present invention has the advantages of simple structure and low operation difficulty. , Improve the advantages of surgical stability.

Description

一种可调控骨折闭合复位装置An adjustable fracture closed reduction device

技术领域technical field

本发明涉及医疗器械技术领域,更具体的是涉及一种可调控骨折闭合复位装置。The invention relates to the technical field of medical devices, and more specifically relates to an adjustable fracture closed reduction device.

背景技术Background technique

医疗器械是指直接或者间接用于人体的仪器、设备、器具、体外诊断试剂及校准物、材料以及其他类似或者相关的物品,包括所需要的计算机软件。效用主要通过物理等方式获得,不是通过药理学、免疫学或者代谢的方式获得,或者虽然有这些方式参与但是只起辅助作用,目的是疾病的诊断、预防、监护、治疗或者缓解;损伤的诊断、监护、治疗、缓解或者功能补偿;生理结构或者生理过程的检验、替代、调节或者支持;生命的支持或者维持;妊娠控制;通过对来自人体的样本进行检查,为医疗或者诊断目的提供信息。Medical devices refer to instruments, equipment, utensils, in vitro diagnostic reagents and calibrators, materials, and other similar or related items that are directly or indirectly used on the human body, including required computer software. The effect is mainly obtained through physical means, not through pharmacological, immunological or metabolic means, or although these means are involved but only play an auxiliary role, the purpose is the diagnosis, prevention, monitoring, treatment or alleviation of diseases; the diagnosis of injury , monitoring, treatment, alleviation or functional compensation; examination, replacement, adjustment or support of physiological structures or physiological processes; life support or maintenance; pregnancy control; providing information for medical or diagnostic purposes by examining samples from the human body.

针对骨折治疗的医疗器械根据使用部位不同有多种多样,其中最为常见的是骨折复位钳,为了满足手术操作要求,制造出了一种双把骨折复位钳,即通过连接机构将两把复位钳连接在一起组合使用,但现有双把骨折复位钳中的连接机构是通过螺杆和螺纹筒配合的,通过拧转螺杆将其旋入或旋出螺纹筒,来调节两复位钳之间的间距,以便手术操作,但是这种结构有一定缺陷,螺杆与对应复位钳是固定连接,转动螺杆时会带动对应的复位钳随之转动,调节好两复位钳之间的间距后,两复位钳相对位置可能会有偏差,为了使两复位钳处于镜像对称状态,还需要拧转螺杆一定角度,使两复位钳对准,但是又造成两复位钳之间的间距有一定误差,调节精度低,而且采用螺杆结构,操作也比较麻烦,费时费力,两个复位钳基本是固定连接在一起,不能适用于多种角度使用,同时不便拆卸,从而不能更换不同种类的复位钳,实用性比较低。There are many kinds of medical devices for fracture treatment according to the different parts of use. Among them, the fracture reduction forceps is the most common. In order to meet the operation requirements, a double fracture reduction forceps has been manufactured, that is, the two reduction forceps are connected by a connecting mechanism. They are connected together and used in combination, but the connection mechanism in the existing double fracture reduction forceps is matched by the screw rod and the threaded cylinder, and the distance between the two reduction forceps can be adjusted by turning the screw rod to screw it into or out of the threaded cylinder , so as to facilitate surgical operation, but this structure has certain defects. The screw rod and the corresponding reset forceps are fixedly connected. When the screw rod is rotated, the corresponding reset forceps will be driven to rotate accordingly. There may be deviations in position. In order to make the two reset pliers in a state of mirror image symmetry, it is necessary to turn the screw at a certain angle to align the two reset pliers. However, there is a certain error in the distance between the two reset pliers, and the adjustment accuracy is low. The screw structure is used, and the operation is troublesome, time-consuming and laborious. The two reset pliers are basically fixedly connected together, which cannot be used at various angles, and is inconvenient to disassemble, so that different types of reset pliers cannot be replaced, and the practicability is relatively low.

故如何解决上述技术问题,对于本领域技术人员来说很有现实意义。Therefore, how to solve the above technical problems is of great practical significance to those skilled in the art.

发明内容Contents of the invention

本发明的目的在于:为了解决现有双把骨折复位钳采用螺杆调节两复位钳间距,调节精度低、操作麻烦、费时费力、实用性低的技术问题,本发明提供一种可调控骨折闭合复位装置。The purpose of the present invention is: in order to solve the technical problems that the existing double-handle fracture reduction forceps use screw rods to adjust the distance between the two reset forceps, the adjustment accuracy is low, the operation is troublesome, time-consuming and labor-intensive, and the technical problems are low. The present invention provides an adjustable fracture closed reduction device.

本发明为了实现上述目的具体采用以下技术方案:The present invention specifically adopts the following technical solutions in order to achieve the above object:

一种可调控骨折闭合复位装置,包括骨折复位钳A,骨折复位钳A活动连接有连接杆,连接杆另一端可拆卸连接有套筒,套筒连接有液压伸缩缸,液压伸缩缸包括与套筒连接的缸筒,缸筒内设置有可伸缩的活塞杆,活塞杆另一端活动连接有骨折复位钳B。An adjustable closed fracture reduction device, comprising fracture reduction forceps A, fracture reduction forceps A is movably connected with a connecting rod, the other end of the connecting rod is detachably connected with a sleeve, the sleeve is connected with a hydraulic telescopic cylinder, and the hydraulic telescopic cylinder includes a sleeve The cylinder barrel connected with the barrel is provided with a telescopic piston rod, and the other end of the piston rod is movably connected with a fracture reduction forceps B.

进一步地,骨折复位钳A包括通过铰接组件铰接在一起的复位臂A和复位臂B,复位臂A和复位臂B的顶部均设置有用于安装克氏针的针筒。Further, the fracture reduction forceps A includes a reset arm A and a reset arm B hinged together by a hinge assembly, and the tops of the reset arm A and the reset arm B are both provided with needle cylinders for installing Kirschner wires.

进一步地,复位臂A底部铰接有限位杆,限位杆靠近复位臂A的一端连接有拉力弹簧,拉力弹簧位于限位杆上方,拉力弹簧另一端连接在复位臂A侧端,限位杆上沿着长度方向均布有若干限位卡槽,复位臂B底部设置有与限位卡槽配合的尖端,骨折复位钳B的结构与骨折复位钳A的结构相同。Further, the limit rod is hinged at the bottom of the reset arm A, and one end of the limit rod close to the reset arm A is connected with a tension spring, the tension spring is located above the limit rod, and the other end of the tension spring is connected to the side end of the reset arm A, on the limit rod A number of limiting slots are evenly distributed along the length direction. The bottom of the reset arm B is provided with a tip that matches the limiting slots. The structure of the fracture reduction forceps B is the same as that of the fracture reduction forceps A.

进一步地,骨折复位钳A的中心铰接处设置有与连接杆配合的滚珠轴承A,骨折复位钳B的中心铰接处设置有与活塞杆配合的滚珠轴承B。Further, the center hinge of the fracture reduction forceps A is provided with a ball bearing A that cooperates with the connecting rod, and the center hinge of the fracture reduction forceps B is provided with a ball bearing B that cooperates with the piston rod.

进一步地,套筒内设置有与连接杆配合的偏心孔,偏心孔圆心位于套筒圆心正上方或正下方,套筒上螺纹连接有用于压紧连接杆的紧固螺钉。Further, the sleeve is provided with an eccentric hole matched with the connecting rod, the center of the eccentric hole is located directly above or directly below the center of the sleeve, and the sleeve is threaded with a fastening screw for pressing the connecting rod.

进一步地,活塞杆上在活塞杆长度方向均布有若干间距刻度线。Further, the piston rod is evenly distributed with several interval scale marks along the length direction of the piston rod.

工作原理:根据手术需要,先调节骨折复位钳A和骨折复位钳B之间的间距,通过液压伸缩缸中的活塞杆带动骨折复位钳B靠近或远离骨折复位钳A,同时观察间距刻度线,直到调节精确,然后在骨折复位钳A和骨折复位钳B上分别安装好两根克氏针,一共四根,然后一只手握住缸筒或套筒,另一只手操作骨折复位钳A,将克氏针植入骨折断端进行复位固定,继续操作骨折复位钳B,通过转动骨折复位钳B将其克氏针以相应角度植入骨折断端进行复位固定,即完成骨折的复位固定手术操作。Working principle: According to the needs of the operation, first adjust the distance between the fracture reduction forceps A and fracture reduction forceps B, and drive the fracture reduction forceps B to approach or move away from the fracture reduction forceps A through the piston rod in the hydraulic telescopic cylinder, and observe the distance scale line at the same time. Until the adjustment is accurate, then install two Kirschner wires on the fracture reduction forceps A and fracture reduction forceps B respectively, a total of four, then hold the cylinder or sleeve with one hand, and operate the fracture reduction forceps A with the other hand , implant the Kirschner wire into the broken end of the fracture for reduction and fixation, continue to operate the fracture reduction forceps B, and implant the Kirschner wire into the fracture end at a corresponding angle by rotating the fracture reduction forceps B for reduction and fixation, that is, the reduction and fixation of the fracture is completed Surgical operation.

本发明的有益效果如下:The beneficial effects of the present invention are as follows:

1、骨折复位钳A与连接杆活动连接,则骨折复位钳A可绕连接杆360°旋转,同时连接杆另一端可拆卸连接有套筒,即骨折复位钳A通过连接杆可从套筒上拆卸下来,便于更换不同类型的复位钳进行组合使用,灵活性强,套筒连接有液压伸缩缸,液压伸缩缸中的活塞杆与骨折复位钳B活动连接,因此骨折复位钳B可绕活塞杆360°旋转,因此能分别对骨折复位钳A和骨折复位钳B进行不同角度的操作,同时通过液压伸缩缸来调节骨折复位钳A和骨折复位钳B之间的间距,操作方便快捷,省时省力,间距调节精度不受骨折复位钳A和骨折复位钳B的位置影响,满足使用要求,大大提高了操作性能和实用性。1. The fracture reduction forceps A is movably connected with the connecting rod, so the fracture reduction forceps A can rotate 360° around the connecting rod, and at the same time, the other end of the connecting rod is detachably connected with a sleeve, that is, the fracture reduction forceps A can be lifted from the sleeve through the connecting rod. It is easy to disassemble and replace different types of reduction forceps for combined use. It has strong flexibility. The sleeve is connected with a hydraulic telescopic cylinder. The piston rod in the hydraulic telescopic cylinder is movably connected with the fracture reduction forceps B, so the fracture reduction forceps B can wrap around the piston rod. 360° rotation, so the fracture reduction forceps A and fracture reduction forceps B can be operated at different angles, and the distance between fracture reduction forceps A and fracture reduction forceps B can be adjusted through the hydraulic telescopic cylinder, which is convenient and quick to operate and saves time Labor-saving, spacing adjustment accuracy is not affected by the positions of fracture reduction forceps A and fracture reduction forceps B, which meets the requirements of use and greatly improves operational performance and practicability.

2、当操作骨折复位钳A或骨折复位钳B时,根据手术需求,先调节复位臂A和复位臂B之间的位置关系,由于复位臂A侧端的拉力弹簧始终对下方的限位杆有一个向上的拉力,使限位杆始终抵紧在复位臂B底部,仅需将复位臂B底部的尖端卡接到限位杆上对应位置的限位卡槽内,使复位臂A和复位臂B之间不再发生转动,即可完成对复位臂A和复位臂B之间的位置调节,结构简单,操作方便快捷。2. When operating fracture reduction forceps A or fracture reduction forceps B, adjust the positional relationship between the reset arm A and the reset arm B according to the surgical needs, because the tension spring at the side end of the reset arm A always has a certain force on the limit rod below. An upward pulling force keeps the limit rod against the bottom of the reset arm B all the time, and only needs to snap the tip of the bottom of the reset arm B into the limit card slot at the corresponding position on the limit rod, so that the reset arm A and the reset arm The position adjustment between the reset arm A and the reset arm B can be completed without any rotation between B, the structure is simple, and the operation is convenient and quick.

3、骨折复位钳A的中心铰接处设置有与连接杆配合的滚珠轴承A,骨折复位钳B的中心铰接处设置有与活塞杆配合的滚珠轴承B,通过滚珠轴承A和滚珠轴承B使对应的骨折复位钳A和骨折复位钳B实现360°旋转,旋转时摩擦系数小,磨损小,同时也方便将骨折复位钳A从连接杆上拆卸下来,或者将骨折复位钳B从活塞杆上拆卸下来,便于更换不同类型的复位钳进行组合使用,操作方便,灵活性和适用性强。3. The center hinge of the fracture reduction forceps A is provided with a ball bearing A that matches the connecting rod, and the center hinge of the fracture reduction forceps B is provided with a ball bearing B that cooperates with the piston rod. The fracture reduction forceps A and fracture reduction forceps B realize 360° rotation, the friction coefficient is small and the wear is small when rotating, and it is also convenient to disassemble the fracture reduction forceps A from the connecting rod, or the fracture reduction forceps B from the piston rod It is convenient to replace different types of resetting forceps for combined use, which is convenient to operate, and has strong flexibility and applicability.

4、套筒内设置有与连接杆配合的偏心孔,偏心孔圆心位于套筒圆心正上方或正下方,根据手术需要,骨折复位钳A和骨折复位钳B之间应该具有一定相对高度差,将连接杆插进套筒的偏心孔内,即可使连接杆与活塞杆互相平行且不在一条直线上,因此分别与连接杆和活塞杆对应连接的骨折复位钳A和骨折复位钳B形成高度差,结构设计巧妙灵活,套筒上螺纹连接有用于压紧连接杆的紧固螺钉,防止使用时连接杆松动或转动,同时便于拆卸和组装。4. There is an eccentric hole in the sleeve that matches the connecting rod. The center of the eccentric hole is located directly above or directly below the center of the sleeve. According to the needs of the operation, there should be a certain relative height difference between the fracture reduction forceps A and the fracture reduction forceps B. Insert the connecting rod into the eccentric hole of the sleeve, so that the connecting rod and the piston rod are parallel to each other and not in a straight line, so the fracture reduction forceps A and fracture reduction forceps B respectively connected to the connecting rod and the piston rod form a height Poor, the structural design is ingenious and flexible, the sleeve is threaded with a fastening screw for pressing the connecting rod, which prevents the connecting rod from loosening or rotating during use, and is convenient for disassembly and assembly.

5、活塞杆上在活塞杆长度方向均布有若干间距刻度线,间距刻度线表示骨折复位钳A和骨折复位钳B之间的间距,在调节骨折复位钳A和骨折复位钳B之间的间距时,通过观察活塞杆上的间距刻度线,从而提高了调节精度。5. There are several interval scale lines evenly distributed on the piston rod in the length direction of the piston rod. The interval scale lines indicate the interval between fracture reduction forceps A and fracture reduction forceps B. When adjusting the distance between fracture reduction forceps A and fracture reduction forceps B When adjusting the spacing, the adjustment accuracy is improved by observing the spacing scale line on the piston rod.

附图说明Description of drawings

图1是本发明一种可调控骨折闭合复位装置的结构示意图;Fig. 1 is a structural schematic diagram of an adjustable fracture closed reduction device of the present invention;

图2是套筒的横截面结构示意图。Fig. 2 is a schematic diagram of the cross-sectional structure of the sleeve.

附图标记:1-骨折复位钳A,1.1-复位臂A,1.2-复位臂B,1.2.1-尖端,1.3-针筒,2-连接杆,3-套筒,3.1-偏心孔,4-液压伸缩缸,4.1-缸筒,4.2-活塞杆,5-骨折复位钳B,6-克氏针,7-限位杆,7.1-限位卡槽,8-拉力弹簧,9-滚珠轴承A,10-滚珠轴承B,11-间距刻度线,12-紧固螺钉。Reference signs: 1-fracture reduction forceps A, 1.1-reduction arm A, 1.2-reduction arm B, 1.2.1-tip, 1.3-needle, 2-connecting rod, 3-sleeve, 3.1-eccentric hole, 4 -Hydraulic telescopic cylinder, 4.1-Cylinder, 4.2-Piston rod, 5-Fracture reduction forceps B, 6-Kirschner wire, 7-Limit rod, 7.1-Limit slot, 8-Tension spring, 9-Ball bearing A, 10-ball bearing B, 11-spacing scale line, 12-fastening screw.

具体实施方式Detailed ways

为了本技术领域的人员更好的理解本发明,下面结合附图和以下实施例对本发明作进一步详细描述。In order for those skilled in the art to better understand the present invention, the present invention will be further described in detail below in conjunction with the accompanying drawings and the following embodiments.

实施例1Example 1

如图1到2所示,本实施例提供一种可调控骨折闭合复位装置,包括骨折复位钳A1,骨折复位钳A1活动连接有连接杆2,连接杆2另一端可拆卸连接有套筒3,套筒3连接有液压伸缩缸4,液压伸缩缸4包括与套筒3连接的缸筒4.1,缸筒4.1内设置有可伸缩的活塞杆4.2,活塞杆4.2另一端活动连接有骨折复位钳B5。As shown in Figures 1 to 2, this embodiment provides an adjustable fracture closed reduction device, including fracture reduction forceps A1, fracture reduction forceps A1 is movably connected to a connecting rod 2, and the other end of the connecting rod 2 is detachably connected to a sleeve 3 , the sleeve 3 is connected with a hydraulic telescopic cylinder 4, the hydraulic telescopic cylinder 4 includes a cylinder 4.1 connected with the sleeve 3, a telescopic piston rod 4.2 is arranged inside the cylinder 4.1, and the other end of the piston rod 4.2 is movably connected with a fracture reduction forceps B5.

本实施例中,骨折复位钳A与连接杆活动连接,则骨折复位钳A可绕连接杆360°旋转,同时连接杆另一端可拆卸连接有套筒,即骨折复位钳A通过连接杆可从套筒上拆卸下来,便于更换不同类型的复位钳进行组合使用,灵活性强,套筒连接有液压伸缩缸,液压伸缩缸中的活塞杆与骨折复位钳B活动连接,因此骨折复位钳B可绕活塞杆360°旋转,因此能分别对骨折复位钳A和骨折复位钳B进行不同角度的操作,同时通过液压伸缩缸来调节骨折复位钳A和骨折复位钳B之间的间距,操作方便快捷,省时省力,间距调节精度不受骨折复位钳A和骨折复位钳B的位置影响,满足使用要求,大大提高了操作性能和实用性。In this embodiment, the fracture reduction forceps A is movably connected with the connecting rod, and the fracture reduction forceps A can rotate 360° around the connecting rod. The sleeve is removed from the sleeve, which is convenient to replace different types of reset forceps for combined use. It has strong flexibility. The sleeve is connected with a hydraulic telescopic cylinder. Rotate 360° around the piston rod, so the fracture reduction forceps A and fracture reduction forceps B can be operated at different angles, and the distance between fracture reduction forceps A and fracture reduction forceps B can be adjusted through the hydraulic telescopic cylinder, which is convenient and quick to operate , saving time and labor, the spacing adjustment accuracy is not affected by the position of fracture reduction forceps A and fracture reduction forceps B, which meets the requirements of use and greatly improves the operational performance and practicability.

实施例2Example 2

如图1所示,本实施例是在实施例1的基础上做了进一步优化,具体是,骨折复位钳A1包括通过铰接组件铰接在一起的复位臂A1.1和复位臂B1.2,复位臂A1.1和复位臂B1.2的顶部均设置有用于安装克氏针6的针筒1.3,复位臂A1.1底部铰接有限位杆7,限位杆7靠近复位臂A1.1的一端连接有拉力弹簧8,拉力弹簧8位于限位杆7上方,拉力弹簧8另一端连接在复位臂A1.1侧端,限位杆7上沿着长度方向均布有若干限位卡槽7.1,复位臂B1.2底部设置有与限位卡槽7.1配合的尖端1.2.1,骨折复位钳B5的结构与骨折复位钳A1的结构相同。As shown in Figure 1, this embodiment is further optimized on the basis of Embodiment 1. Specifically, the fracture reduction forceps A1 includes a reset arm A1.1 and a reset arm B1.2 hinged together through a hinge assembly. The tops of the arm A1.1 and the reset arm B1.2 are provided with a syringe 1.3 for installing the Kirschner wire 6, and the bottom of the reset arm A1.1 is hinged with a limiting rod 7, which is close to one end of the reset arm A1.1 A tension spring 8 is connected, the tension spring 8 is located above the limit rod 7, the other end of the tension spring 8 is connected to the side end of the reset arm A1. The bottom of the reduction arm B1.2 is provided with a tip 1.2.1 that cooperates with the limiting slot 7.1, and the structure of the fracture reduction forceps B5 is the same as that of the fracture reduction forceps A1.

本实施例中,调节好骨折复位钳A和骨折复位钳B之间位置时,将克氏针安装到骨折复位钳A和骨折复位钳B上对应的针筒内即可,然后进行手术操作,当操作骨折复位钳A或骨折复位钳B时,根据手术需求,先调节复位臂A和复位臂B之间的位置关系,由于复位臂A侧端的拉力弹簧始终对下方的限位杆有一个向上的拉力,使限位杆始终抵紧在复位臂B底部,仅需将复位臂B底部的尖端卡接到限位杆上对应位置的限位卡槽内,使复位臂A和复位臂B之间不再发生转动,即可完成对复位臂A和复位臂B之间的位置调节,结构简单,操作方便快捷。In this embodiment, when the position between the fracture reduction forceps A and the fracture reduction forceps B is adjusted, the Kirschner wires are installed in the corresponding syringes of the fracture reduction forceps A and fracture reduction forceps B, and then the operation is performed. When operating fracture reduction forceps A or fracture reduction forceps B, adjust the positional relationship between the reset arm A and the reset arm B according to the operation requirements, because the tension spring at the side end of the reset arm A always has an upward direction to the lower limit rod. Pulling force, so that the limit rod is always close to the bottom of the reset arm B, only need to snap the tip of the bottom of the reset arm B into the limit card slot at the corresponding position on the limit rod, so that the distance between the reset arm A and the reset arm B The position adjustment between the reset arm A and the reset arm B can be completed without any further rotation between them. The structure is simple and the operation is convenient and fast.

实施例3Example 3

如图1所示,本实施例是在实施例1的基础上做了进一步优化,具体是,骨折复位钳A1的中心铰接处设置有与连接杆2配合的滚珠轴承A9,骨折复位钳B5的中心铰接处设置有与活塞杆4.2配合的滚珠轴承B10。As shown in Figure 1, this embodiment is further optimized on the basis of Embodiment 1, specifically, the center hinge of the fracture reduction forceps A1 is provided with a ball bearing A9 that cooperates with the connecting rod 2, and the fracture reduction forceps B5 The center hinge is provided with a ball bearing B10 that cooperates with the piston rod 4.2.

本实施例中,通过滚珠轴承A和滚珠轴承B使对应的骨折复位钳A和骨折复位钳B实现360°旋转,旋转时摩擦系数小,磨损小,同时也方便将骨折复位钳A从连接杆上拆卸下来,或者将骨折复位钳B从活塞杆上拆卸下来,便于更换不同类型的复位钳进行组合使用,操作方便,灵活性和适用性强。In this embodiment, the corresponding fracture reduction forceps A and fracture reduction forceps B are rotated by 360° through the ball bearings A and B. The friction coefficient is small and the wear is small during rotation, and it is also convenient to move the fracture reduction forceps A from the connecting rod or disassemble the fracture reduction forceps B from the piston rod, so that different types of reduction forceps can be easily replaced for combined use, and the operation is convenient, and the flexibility and applicability are strong.

实施例4Example 4

如图1到2所示,本实施例是在实施例1的基础上做了进一步优化,具体是,套筒3内设置有与连接杆2配合的偏心孔3.1,偏心孔3.1圆心位于套筒3圆心正上方或正下方,套筒3上螺纹连接有用于压紧连接杆2的紧固螺钉12。As shown in Figures 1 to 2, this embodiment is further optimized on the basis of Embodiment 1. Specifically, the sleeve 3 is provided with an eccentric hole 3.1 that cooperates with the connecting rod 2, and the center of the eccentric hole 3.1 is located in the sleeve. 3 Directly above or directly below the center of the circle, a fastening screw 12 for pressing the connecting rod 2 is threaded on the sleeve 3 .

本实施例中,根据手术需要,骨折复位钳A和骨折复位钳B之间应该具有一定相对高度差,将连接杆插进套筒的偏心孔内,即可使连接杆与活塞杆互相平行且不在一条直线上,因此分别与连接杆和活塞杆对应连接的骨折复位钳A和骨折复位钳B形成高度差,结构设计巧妙灵活,套筒上螺纹连接有用于压紧连接杆的紧固螺钉,防止使用时连接杆松动或转动,同时便于拆卸和组装。In this embodiment, according to the needs of the operation, there should be a certain relative height difference between the fracture reduction forceps A and the fracture reduction forceps B. Insert the connecting rod into the eccentric hole of the sleeve to make the connecting rod and the piston rod parallel to each other. Not on a straight line, so the fracture reduction forceps A and fracture reduction forceps B respectively connected to the connecting rod and the piston rod form a height difference. Prevent the connecting rod from loosening or turning during use, and at the same time facilitate disassembly and assembly.

实施例5Example 5

如图1所示,本实施例是在实施例1的基础上做了进一步优化,具体是,活塞杆4.2上在活塞杆4.2长度方向均布有若干间距刻度线11。As shown in FIG. 1 , this embodiment is further optimized on the basis of embodiment 1. Specifically, there are several interval scale marks 11 evenly distributed on the piston rod 4.2 along the length direction of the piston rod 4.2.

本实施例中,间距刻度线表示骨折复位钳A和骨折复位钳B之间的间距,在调节骨折复位钳A和骨折复位钳B之间的间距时,通过观察活塞杆上的间距刻度线,从而提高了调节精度。In this embodiment, the distance scale line represents the distance between fracture reduction forceps A and fracture reduction forceps B. When adjusting the distance between fracture reduction forceps A and fracture reduction forceps B, by observing the distance scale line on the piston rod, Thereby, the adjustment precision is improved.

以上所述,仅为本发明的较佳实施例,并不用以限制本发明,本发明的专利保护范围以权利要求书为准,凡是运用本发明的说明书及附图内容所作的等同结构变化,同理均应包含在本发明的保护范围内。The above is only a preferred embodiment of the present invention, and is not intended to limit the present invention. The scope of patent protection of the present invention is subject to the claims. Any equivalent structural changes made by using the description and accompanying drawings of the present invention, All should be included in the protection scope of the present invention in the same way.

Claims (6)

1. a kind of controllable fracture closed reduction device, which is characterized in that including fracture resetting tongs A (1), fracture resetting tongs A (1) It is connected with connecting rod (2), connecting rod (2) other end is removably connected with sleeve (3), and sleeve (3) is connected with hydraulically extensible Cylinder (4), hydraulically extensible cylinder (4) include the cylinder barrel (4.1) connecting with sleeve (3), are provided with telescopic piston in cylinder barrel (4.1) Bar (4.2), piston rod (4.2) other end are connected with fracture resetting tongs B (5).
2. the controllable fracture closed reduction device of one kind according to claim 1, which is characterized in that fracture resetting tongs A (1) Including the reset arm A (1.1) and reset arm B (1.2) hinged by hinge assembly, reset arm A (1.1) and reset arm B (1.2) syringe (1.3) for installing Kirschner wire (6) is provided at the top of.
3. the controllable fracture closed reduction device of one kind according to claim 2, which is characterized in that reset arm A (1.1) bottom Portion is hinged with gag lever post (7), and gag lever post (7) is connected with tension spring (8), tension spring close to the one end of reset arm A (1.1) (8) be located above gag lever post (7), tension spring (8) other end is connected to reset arm A (1.1) side, on gag lever post (7) along Length direction is evenly equipped with several limit card slots (7.1), and reset arm B (1.2) bottom is provided with the point with limit card slot (7.1) cooperation It holds (1.2.1), the structure of fracture resetting tongs B (5) is identical as the structure of fracture resetting tongs A (1).
4. the controllable fracture closed reduction device of one kind according to claim 2, which is characterized in that fracture resetting tongs A (1) Center hinged place be provided with connecting rod (2) cooperation ball bearing A (9), the center hinged place of fracture resetting tongs B (5) is set It is equipped with the ball bearing B (10) with piston rod (4.2) cooperation.
5. according to claim 1 to the controllable fracture closed reduction device of one kind described in any claim in 4, feature exists In the interior eccentric orfice (3.1) being provided with connecting rod (2) cooperation of sleeve (3), eccentric orfice (3.1) center of circle is located at sleeve (3) center of circle Surface or underface are threaded with the fastening screw (12) for compressing connecting rod (2) on sleeve (3).
6. the controllable fracture closed reduction device of one kind according to claim 1, which is characterized in that on piston rod (4.2) Several spaced scale lines (11) are evenly equipped in piston rod (4.2) length direction.
CN201810945236.0A 2018-08-17 2018-08-17 A kind of controllable fracture closed reduction device Pending CN108992158A (en)

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CN2219104Y (en) * 1995-05-16 1996-02-07 王丁礼 Fast fracture internal fixer without bone damage
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Application publication date: 20181214