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CN113648002A - Operation retractor for gynecological operation - Google Patents

Operation retractor for gynecological operation Download PDF

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Publication number
CN113648002A
CN113648002A CN202110939227.2A CN202110939227A CN113648002A CN 113648002 A CN113648002 A CN 113648002A CN 202110939227 A CN202110939227 A CN 202110939227A CN 113648002 A CN113648002 A CN 113648002A
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fixed
rod
sliding
motor
rotating shaft
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CN113648002B (en
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于秀章
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West China Second University Hospital of Sichuan University
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West China Second University Hospital of Sichuan University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/02Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors

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Abstract

本发明提供一种妇科手术用手术拉钩,包括支撑座,支撑座上连接有板体,板体上开设有用于在手术时手部穿过的通孔;板体侧面上还设有呈周向均布的多个拉动机构,每个拉动机构均包括:套杆,通过俯仰角度调节机构与所述板体侧面连接;滑杆,通过第一滑动机构与套杆滑动连接;挂钩组件,固定在滑杆滑出所述套杆的一端;控制系统,包括压力传感器,固定在挂钩组件与待牵拉肌肉接触的位置;微处理器,与压力传感器、与俯仰角度调节机构和滑动机构的驱动件连接;本发明提供一种妇科手术用手术拉钩,利用多个拉动机构从各个方向拉动患者手术部分,保证手术缺口各个位置受力均匀,不会出现某一侧受力不均匀而使患者局部受伤的问题出现。

Figure 202110939227

The invention provides a surgical retractor for gynecological surgery, which comprises a support seat, a plate body is connected to the support seat, and the plate body is provided with through holes for passing the hands during operation; Each of the pulling mechanisms includes: a sleeve rod, which is connected to the side of the plate body through a pitch angle adjustment mechanism; a sliding rod, which is slidably connected to the sleeve rod through the first sliding mechanism; a hook assembly, which is fixed on the sliding rod One end of the sleeve rod is slid out; the control system, including the pressure sensor, is fixed at the position where the hook assembly contacts the muscle to be stretched; the microprocessor is connected with the pressure sensor, the driving member of the pitch angle adjustment mechanism and the sliding mechanism; The invention provides a surgical retractor for gynecological surgery, which utilizes multiple pulling mechanisms to pull the surgical part of a patient from all directions, so as to ensure that the force on each position of the surgical gap is uniform, and the problem of uneven force on one side and local injury to the patient will not occur. Appear.

Figure 202110939227

Description

Operation retractor for gynecological operation
Technical Field
The invention belongs to the technical field of medical instruments, and particularly relates to an operation draw hook for gynecological operation.
Background
The common gynecological operation modes include an open abdomen operation, a laparoscopic minimally invasive operation, a vaginal minimally invasive operation, a hysteroscopic operation and a combined uterine and laparoscopic operation. The minimally invasive gynecological operation depends on the increasing popularization of the laparoscopic technology and the continuous improvement of the vaginal gynecological operation technology, and the gynecological operation is developing towards the minimally invasive operation. The vaginal operation is performed by using the vagina, and has the advantages of small wound, less intestinal interference, light postoperative pain, quick recovery and no operation trace left on the abdomen. But generally hold the private parts by artifical handheld drag hook when carrying out the private parts operation among the prior art, because the nurse of the longer responsible drag hook of a surgical time can consume a large amount of physical power when the operation, simultaneously owing to reserve the operation position for main doctor, need two nurse cooperations just can pull open patient's private parts jointly with the drag hook, and two nurse's dynamics are difficult to guarantee to accomplish the same, will cause the atress of the private parts left and right sides different like this, it is inhomogeneous and make the local injured problem of patient to appear certain one side atress easily.
Disclosure of Invention
The invention aims to provide a surgical retractor for gynecological operation, which can utilize a plurality of pulling mechanisms to pull the private parts of patients from all directions, ensure that all positions of the private parts are uniformly stressed, and avoid the problem that the local injury of the patients is caused by nonuniform stress on one side.
The technical scheme of the invention is as follows:
a surgical retractor for gynecological surgery comprises:
a supporting seat;
the plate body is connected with the supporting seat and is provided with a through hole for a hand to pass through during an operation;
a plurality of pulling mechanisms are circumference equipartition and are in on the plate body side to every pulling mechanism all includes: the loop bar is connected with the side surface of the plate body through the pitching angle adjusting mechanism; the sliding rod is connected with the loop bar in a sliding mode through a first sliding mechanism; the hook assembly is fixed at one end of the sliding rod which slides out of the loop bar;
the control system comprises a pressure sensor and a control system, wherein the pressure sensor is fixed at a position where the hook assembly is contacted with the muscle to be pulled; and the microprocessor is connected with the pressure sensor, the pitching angle adjusting mechanism and the driving piece of the sliding mechanism.
The above-mentioned couple subassembly includes:
the cylinder is a hollow shell and is fixed at one end of the sliding rod which slides out of the loop bar;
the draw hook is connected with the cylinder through a first rotating shaft; the rotating direction of the draw hook is perpendicular to the extending direction of the sliding rod;
the torsion spring is sleeved on the first rotating shaft;
a first motor fixed inside the cylindrical shell and connected with the microprocessor;
and one end of the rope body is connected with the output shaft of the first motor, and the other end of the rope body penetrates through a through hole formed in the cylinder and is connected with the draw hook.
The connecting structure comprises a U-shaped connecting part, a straight rod part and a bending part; the U-shaped vertical plate on the left side of the U-shaped connecting part is positioned on the left side of the cylinder, and the right side of the U-shaped connecting part is positioned on the right side of the cylinder; the first rotating shaft transversely penetrates through the U-shaped connecting part and the cylinder, a lug is fixed at one end of the first rotating shaft, an external thread is formed at the other end of the first rotating shaft, and the external thread is in threaded connection with a nut; one end of the straight rod part is fixedly connected with the transverse plate of the U-shaped connecting part, the other end of the straight rod part is fixedly connected with the bending part, a first groove used for placing the pressure sensor is formed in the end part of the bending part, and a soft part used for contacting with a part to be dragged during an operation is fixed in the first groove.
The pitch angle adjusting mechanism includes:
the base is fixed on the side surface of the plate body;
one end of the supporting plate is hinged with the upper end of the base; the loop bar is fixed on the upper surface of the supporting plate;
the left end and the right end of the screw rod are connected with a bearing seat fixed on the upper surface of the base;
the nut is in threaded connection with the screw;
the upper end of the supporting rod is hinged with the lower surface of the supporting plate, and the lower end of the supporting rod is hinged with the side surface of the nut;
the second motor is fixed on the base, and an output shaft of the second motor is connected with one end of the screw rod; the second motor is connected with the microprocessor.
The first slide mechanism includes:
the first sliding chutes are formed in the left side and the right side of the loop bar;
the first sliding strips are matched with the first sliding grooves and fixed on the left side and the right side of the sliding rod;
the rack is fixed on the upper side of the sliding rod;
the gear is meshed with the rack, a second rotating shaft penetrating through the gear is arranged in the center of the gear, the second rotating shaft is positioned in a second groove formed in the loop bar, and the left side and the right side of the second rotating shaft are connected with bearing seats fixed in the second groove through bearings;
and the third motor is fixed in a second groove formed in the loop bar, an output shaft of the third motor is connected with one end of the second rotating shaft, and the third motor is connected with the microprocessor.
The plate body comprises a first semicircular plate and a second semicircular plate, and the two semicircular plate body structures are connected with a relative movement mechanism fixed on the supporting seat.
The relative movement mechanism includes:
the left end of the left-handed screw is connected with a bearing seat fixed on the supporting seat;
the left end of the right-handed screw is fixedly connected with the right end of the left-handed screw, and the right end of the right-handed screw is connected with a bearing seat fixed on the supporting seat;
the left-handed nut is in threaded connection with the left-handed screw;
the right-handed nut is in threaded connection with the right-handed screw;
the upper end of the first connecting rod is connected with the first semicircular plate, and the lower end of the first connecting rod is fixedly connected with the left-handed nut;
the upper end of the second connecting rod is connected with the second semi-annular plate, and the lower end of the second connecting rod is fixedly connected with the right-handed nut;
the fourth motor is fixed in the supporting seat, and the output shaft of the fourth motor is connected with the left end of the left-handed screw; the fourth motor is connected with the microprocessor;
the plate body is positioned above the left-handed screw and the right-handed screw and is fixed on the supporting seat; the plate body is provided with a sliding groove matched with the first connecting rod and the second connecting rod.
And a distance sensor for monitoring the distance between the left-handed nut and the inner side of the supporting seat is fixed on the left-handed nut.
An outer shell is sleeved outside the supporting seat, the inside of the outer shell is fixedly connected with a fixed end of a telescopic piece, the telescopic end of the telescopic piece longitudinally extends upwards and is connected with the lower end of the supporting seat, and the telescopic piece is connected with the microprocessor; the left side and the right side of the supporting seat are respectively connected with the outer shell through a second sliding mechanism.
The second slide mechanism includes:
the second sliding block is fixed on the left side of the supporting seat or the right side of the supporting seat;
when the second sliding block is fixed on the left side of the supporting seat, the second sliding groove is formed in the left side of the outer shell; when the second slider is fixed on the right side of the supporting seat, the second sliding groove is formed in the right side of the outer shell.
The invention has the beneficial effects that:
1. generally hold the retractor by artifical handheld drag hook and hold the private parts when gynaecology's operation among the prior art, because the nurse of the longer responsible drag hook of a operation time can consume a large amount of physical power when the operation, simultaneously owing to reserve the operation position for main doctor, need two nurses cooperation just can pull open patient's private parts with the drag hook jointly, and two nurses's dynamics is hardly guaranteed to accomplish the same, will cause the private parts left and right sides atress different like this. And the application provides a surgery retractor for gynecologic operation, can utilize a plurality of pulling mechanisms to pull patient's private parts from all directions, guarantees that each position atress of private parts is even, can not appear that certain one side atress is inhomogeneous and make the local injured problem of patient appear. Simultaneously this application still is equipped with pressure sensor, can utilize pressure sensor to monitor the human pressure of oppression when the drag hook pulling to feed back this pressure numerical value to microprocessor, microprocessor is the same according to the pressure numerical value control every pressure that pulls the mechanism pulling private part.
2. The invention provides a surgical retractor for gynecological surgery, wherein a sliding rod can slide in a loop bar, and the sliding rod drives a hook assembly to move to adjust the distance of the retractor so as to enable the hook assembly to be located at the most appropriate position. Meanwhile, the hook assembly can adjust the angle of the drag hook, so that the drag hook can extend into the pudendum of a patient at the most proper angle to ensure the accuracy of the pulling position, when the angle of the drag hook is adjusted, the drag hook is pulled to rotate relative to the sliding rod in a rope pulling mode, the angle of the drag hook can be slowly adjusted by adopting the mode, the patient is prevented from being injured by excessively high adjusting speed, and meanwhile, the contact area of the drag hook and the pudendum is prevented from being occupied by a complicated and large-size pulling mechanism.
3. The invention provides a surgical retractor for gynecological operation, wherein a plate body consists of two semicircular plate bodies, a plurality of pulling mechanisms are distributed on the side surfaces of the plate body at two sides, and the two semicircular plate bodies can move relatively, namely the plurality of pulling mechanisms pull the private parts of patients from two sides, so that the opening in the middle is enlarged, and a larger operation space is provided for the main doctors. The two semi-annular plate bodies move synchronously relative to each other, namely the pulling force and the pulling distance to the left side and the right side are the same, so that the left side and the right side are uniformly stressed.
Drawings
Fig. 1 is a schematic view of the overall structure of the present invention.
Fig. 2 is a schematic structural view of a plurality of pulling mechanisms uniformly distributed on a plate body.
Fig. 3 is a schematic side view of the first sliding mechanism of the present invention.
Fig. 4 is a front view of the first sliding mechanism of the present invention.
Fig. 5 is a schematic structural view of the pitch angle adjusting mechanism of the present invention.
FIG. 6 is a side view of the hook assembly of the present invention.
Fig. 7 is a front view of the hook assembly of the present invention.
Fig. 8 is a control schematic block diagram of the present invention.
Description of reference numerals:
1. a supporting seat; 2. a plate body; 2-1, a first semi-annular plate; 2-2, a second semi-annular plate; 3. a loop bar; 4. a slide bar; 5. a pressure sensor; 6. a microprocessor; 7. a cylinder; 8. pulling a hook; 8-1, a U-shaped connecting part; 8-2, a straight rod part; 8-3, bending; 9. a first rotating shaft; 10. a torsion spring; 11. a first motor; 12. a rope body; 13. a base; 14. a support plate; 15. a screw; 16. a nut; 17. a support bar; 18. a second motor; 19. a first chute; 20. a first slide bar; 21. a rack; 22. a gear; 23. a second rotating shaft; 24. a third motor; 25. a left-handed screw; 26. a right-handed screw; 27. a left-handed nut; 28. right-hand turning of the nut; 29. a first connecting rod; 30. a second connecting rod; 31. a fourth motor; 32. a distance sensor; 33. an outer housing; 34. a telescoping member; 35. a second slider; 36. a second runner.
Detailed Description
An embodiment of the present invention will be described in detail with reference to fig. 1 to 8, but it should be understood that the scope of the present invention is not limited by the embodiment.
Example 1:
as shown in fig. 1, the embodiment of the invention provides a surgical retractor for gynecological surgery, which comprises a supporting seat 1, wherein a plate body 2 which is placed in an inclined manner at a certain angle is arranged on the supporting seat 1, and a through hole for a hand to pass through during surgery is formed in the plate body 2; be equipped with a plurality of pulling mechanisms that are circumference equipartition on the side of plate body 2 to every pulling mechanism all includes loop bar 3, slide bar 4 and couple subassembly, and loop bar 3 passes through every single move angle adjustment mechanism and is connected with plate body 2 side, and loop bar 3 endotheca is equipped with rather than slide bar 4 through a slide mechanism sliding connection, and the one end of slide bar 4 roll-off loop bar 3 is fixed with the couple subassembly. This surgery retractor for gynecologic operation still includes control system, and control system includes pressure sensor 5, and pressure sensor 5 fixes in the position of couple subassembly with treating the contact of tractive muscle, and pressure sensor 5 is connected with microprocessor 6, and microprocessor 6 still is connected with pressure sensor 5, with every single move angle adjustment mechanism and slide mechanism's driving piece.
Generally hold the retractor by artifical handheld drag hook and hold the private parts when gynaecology's operation among the prior art, because the nurse of the longer responsible drag hook of a operation time can consume a large amount of physical power when the operation, simultaneously owing to reserve the operation position for main doctor, need two nurses cooperation just can pull open patient's private parts with the drag hook jointly, and two nurses's dynamics is hardly guaranteed to accomplish the same, will cause the private parts left and right sides atress different like this. And the application provides a surgery retractor for gynecologic operation, can utilize a plurality of pulling mechanisms to pull patient's private parts from all directions, guarantees that each position atress of private parts is even, can not appear that certain one side atress is inhomogeneous and make the local injured problem of patient appear. Simultaneously this application still is equipped with pressure sensor, can utilize pressure sensor to monitor the human pressure of oppression when the drag hook pulling to feed back this pressure numerical value to microprocessor, microprocessor is the same according to the pressure numerical value control every pressure that pulls the mechanism pulling private part.
Further, the hook assembly comprises a cylinder 7, a drag hook 8, a torsion spring 10, a first motor 11 and a rope body 12; the cylinder 7 is a hollow shell and is fixed at one end of the sliding rod 4 sliding out of the loop bar 3; the draw hook 8 is connected with the cylinder 7 through a first rotating shaft 9, and the rotating direction of the draw hook is vertical to the extending direction of the sliding rod 4; the torsion spring 10 is sleeved on the first rotating shaft 9; a first motor 11 fixed inside the shell of the cylinder 7 and connected with the microprocessor 6; one end of the rope body 12 is connected with an output shaft of the first motor 11, and the other end of the rope body passes through a through hole formed in the cylinder 7 and is connected with the drag hook 8.
Further, the draw hook 8 comprises a U-shaped connecting part 8-1, a straight rod part 8-2 and a bending part 8-3; the U-shaped vertical plate on the left side of the U-shaped connecting part 8-1 is positioned on the left side of the cylinder 7, and the right side of the U-shaped connecting part 8-1 is positioned on the right side of the cylinder 7; the first rotating shaft 9 transversely penetrates through the U-shaped connecting part 8-1 and the cylinder 7, a bump is fixed at one end of the first rotating shaft 9, an external thread is arranged at the other end of the first rotating shaft 9, and the external thread is in threaded connection with a nut; one end of the straight rod part is fixedly connected with the transverse plate of the U-shaped connecting part 8-1, the other end of the straight rod part is fixedly connected with the bending part, the end part of the bending part is provided with a first groove for placing the pressure sensor 5, and a soft part used for contacting with a part to be drawn during operation is fixed in the first groove.
The invention provides a surgical retractor for gynecological surgery, wherein a sliding rod can slide in a loop bar, and the sliding rod drives a hook assembly to move to adjust the distance of the retractor so as to enable the hook assembly to be located at the most appropriate position. Meanwhile, the hook assembly can adjust the angle of the drag hook, so that the drag hook can extend into the pudendum of a patient at the most proper angle to ensure the accuracy of the pulling position, when the angle of the drag hook is adjusted, the drag hook is pulled to rotate relative to the sliding rod in a rope pulling mode, the angle of the drag hook can be slowly adjusted by adopting the mode, the patient is prevented from being injured by excessively high adjusting speed, and meanwhile, the contact area of the drag hook and the pudendum is prevented from being occupied by a complicated and large-size pulling mechanism.
Meanwhile, the draw hook 8 comprises three parts, the cylinder 7 is clamped in the first part U-shaped connecting part 8-1, the first rotating shaft 9 transversely penetrates through the U-shaped connecting part 8-1 and the cylinder 7, when the draw hook 8 needs to be cleaned, the first rotating shaft 9 can be taken out only by taking down a nut which is in threaded connection with the other end of the first rotating shaft 9, the draw hook 8 is separated from the cylinder 7 at the moment, the draw hook 8 can be taken down for independent cleaning when being cleaned, and the operation is simple and convenient.
Example 2:
in this embodiment, based on embodiment 1, the pitch angle adjusting mechanism includes a base 13, the base 13 is fixed on the side surface of the plate body 2, and the upper end of the base 13 is hinged to one end of a supporting plate 14; the loop bar 3 is fixed on the upper surface of the supporting plate 14; a screw 15 is arranged on the base 13, the left end and the right end of the screw 15 are connected with a bearing seat fixed on the upper surface of the base 13 through bearings, and the screw 15 is in threaded connection with a nut 16; the lower surface of the supporting plate 14 is hinged with the upper ends of the two supporting rods 17, the lower ends of the two supporting rods 17 are connected into a whole through a connecting rod, and the connecting rod is fixed on the side wall of the nut 16; one end of the screw rod 15 is connected with an output shaft of a second motor 18, the second motor 18 is fixed on the base 13, and the second motor 18 is also connected with the microprocessor 6.
According to the pitch angle adjusting mechanism, the second motor 18 is utilized to drive the screw rod 15 to rotate, the screw rod 15 drives the nut 16 to move back and forth, the nut 16 moves back and forth to drive the two support rods 17 to push the support plate 14 to rotate, and the support plate 14 rotates the loop bar 3 to complete the adjustment of the pitch angle.
Example 3:
in this embodiment, based on embodiment 1, the first sliding mechanism includes first sliding grooves 19 formed on both left and right sides of the loop bar 3; a first slide bar 20, which is engaged with the first slide groove 19 and fixed on the left and right sides of the slide bar 4; a rack 21 fixed on the upper side of the slide bar 4; the gear 22 is meshed with the rack 21, a second rotating shaft 23 penetrating through the gear 22 is arranged in the center of the gear 22, the second rotating shaft 23 is positioned in a second groove formed in the loop bar 3, and the left side and the right side of the second rotating shaft 23 are connected with bearing seats fixed in the second groove through bearings; one end of the second rotating shaft 23 is connected with an output shaft of a third motor 24, the third motor 24 is fixed in a second groove formed in the loop bar 3, and the third motor 24 is connected with the microprocessor 6.
The first sliding mechanism drives the sliding rod 4 to slide in the loop bar 3 by utilizing a structure that the rack 21 is matched with the gear 22, when the sliding mechanism slides, the third motor 24 is started, the third motor 24 drives the gear 22 to rotate through the second rotating shaft 23, the gear 22 rotates to drive the rack 21 fixed on the upper side of the sliding rod 4 to move, the rack 21 moves to drive the sliding rod 4 to move along the loop bar 3, and the sliding rod 4 slides to drive the hook component to move to adjust the distance of the drag hook so as to enable the drag hook to be located at the most appropriate position.
Example 4:
in this embodiment, based on embodiment 1, the plate body 2 comprises a first semi-annular plate 2-1 and a second semi-annular plate 2-2, and the two semi-annular plate structures are connected with a relative movement mechanism fixed on the support base 1.
Further, the relative movement mechanism comprises a left-handed screw 25, a right-handed screw 26, a left-handed nut 27, a right-handed nut 28, a first connecting rod 29, a second connecting rod 30, a fourth motor 31 and the plate body 2; the left end of the left-handed screw 25 is connected with a bearing seat fixed on the supporting seat 1; the left end of the right-handed screw 26 is fixedly connected with the right end of the left-handed screw 25, and the right end of the right-handed screw is connected with a bearing seat fixed on the support seat 1; the left-handed nut 27 is in threaded connection with the left-handed screw 25; the right-handed nut 28 is in threaded connection with the right-handed screw 26; the upper end of a first connecting rod 29 is connected with the first semi-annular plate 2-1, and the lower end of the first connecting rod is fixedly connected with the left-handed nut 27; the upper end of the second connecting rod 30 is connected with the second semi-annular plate 2-2, and the lower end thereof is fixedly connected with the right-handed nut 28; a fourth motor 31 is fixed in the supporting seat 1, an output shaft of the fourth motor 31 is connected with the left end of the left-handed screw 25, and the fourth motor 31 is connected with the microprocessor 6; the plate body 2 is positioned above the left-handed screw 25 and the right-handed screw 26 and is fixed on the supporting seat 1; the plate body 2 is provided with a sliding groove matched with the first connecting rod 29 and the second connecting rod 30.
Further, a distance sensor 32 for monitoring the distance between the left-handed nut 27 and the inner side of the support base 1 is fixed to the left-handed nut 27.
The invention provides a surgical retractor for gynecological operation, wherein a plate body consists of two semicircular plate bodies, a plurality of pulling mechanisms are distributed on the side surfaces of the plate body at two sides, and the two semicircular plate bodies can move relatively, namely the plurality of pulling mechanisms pull the private parts of patients from two sides, so that the opening in the middle is enlarged, and a larger operation space is provided for the main doctors. The two semi-annular plate bodies move synchronously relative to each other, namely the pulling force and the pulling distance to the left side and the right side are the same, so that the left side and the right side are uniformly stressed.
Example 5:
in this embodiment, based on embodiment 4, an outer shell 33 is sleeved outside the support seat 1, the inside of the outer shell 33 is fixedly connected to a fixed end of an expansion member 34, the expansion end of the expansion member 34 longitudinally expands upwards and is connected to the lower end of the support seat 1, and the expansion member 34 is connected to the microprocessor 6; the left side and the right side of the supporting seat 1 are respectively connected with the outer shell 33 through a second sliding mechanism.
Further, the second sliding mechanism comprises a second sliding block 35 fixed on the left side of the supporting seat 1 or on the right side of the supporting seat 1; the second sliding chute 36 is arranged on the left side of the outer shell 33 when the second sliding block 35 is fixed on the left side of the supporting seat 1; when the second sliding block 35 is fixed on the right side of the supporting seat 1, the second sliding groove 36 is opened on the right side of the outer shell 33.
The invention can also adjust the height, the supporting seat 1 can be adjusted to the proper height according to different conditions of each person, when the height is adjusted, the telescopic piece 34 is started, the telescopic end of the telescopic piece 34 extends upwards to drive the supporting seat 1 and a plurality of pulling mechanisms fixed on the supporting seat 1 to synchronously lift. The second slide block 35 and the second slide groove 36 can be used for matching and guiding in the lifting process.
The working principle of the invention is as follows:
the application provides a gynaecology's operation is with operation drag hook can utilize a plurality of pulling mechanisms to pull patient's private parts from all directions, guarantees that each position atress of private parts is even, can not appear that certain one side atress is inhomogeneous and make the local injured problem of patient appear. When the multifunctional surgical hook is used, the third motor 24 of the first sliding mechanism is started, the third motor 24 drives the gear 22 to rotate through the second rotating shaft 23, the gear 22 rotates to drive the rack 21 and the sliding rod 4 to synchronously slide relative to the loop bar 3, and at the moment, the hook assemblies of the plurality of pulling mechanisms move inwards along the center, so that the hooks of the plurality of pulling mechanisms can be in contact with the position of the traction private part of a patient during surgery.
In order to ensure that the draw hook 8 extends into the vagina, the second motor 18 of the pitching angle adjusting mechanism is started, the second motor 18 drives the screw rod 15 to rotate, the screw rod 15 rotates to drive the nut 16 to move relative to the screw rod 15, and the nut 16 moves to drive the supporting rod 17 to push the supporting plate 14 to rotate relative to the base 13. In order to ensure that the draw hook 8 is attached to the interior of the vagina, the first motor 11 is started, the first motor 11 pulls the draw hook 8 to rotate relative to the cylinder 7 through the rope body 12, and the draw hook 8 rotates to the interior of the vagina to be attached to the vagina.
At the moment, the third motor 24 of the first sliding mechanism is started reversely, the first sliding mechanism drives the pulling mechanisms to move outwards along the center, at the moment, the third motor 24 is started reversely, the third motor 24 drives the gear 22 to rotate through the second rotating shaft 23, the gear 22 rotates to drive the rack 21 and the sliding rod 4 to synchronously slide relative to the loop bar 3, at the moment, the hook assemblies of the pulling mechanisms move inwards along the center, the hooks of the pulling mechanisms synchronously pull the private parts of patients to move along all directions, the pressure sensor 5 is used for monitoring the pressure during pulling, when the pressure is different, numerical values are fed back to the microprocessor 6, and the microprocessor 6 controls and independently adjusts each pulling mechanism.
When the middle operation space of the main doctor is insufficient, the relative movement mechanism is started to drive the two semi-annular plate bodies to move relatively, namely, the fourth motor 31 is started, the fourth motor 31 drives the left-handed screw 25 and the right-handed screw 26 to rotate synchronously, the left-handed screw 25 drives the left-handed nut 27 and the first connecting rod 29 to move synchronously, the right-handed screw 26 drives the right-handed nut 28 and the second connecting rod 30 to move through movement, namely, the two semi-annular plate bodies 21 are driven to move relatively, the opening in the middle of the private part of the patient is enlarged, and a larger operation space is provided for the main doctor.
The height of the invention can be adjusted, the supporting seat 1 can be adjusted to a proper height according to different conditions of each person, when the height is adjusted, the telescopic piece 34 is started, the telescopic end of the telescopic piece 34 extends upwards and retracts to drive the supporting seat 1 and a plurality of pulling mechanisms fixed on the supporting seat 1 to lift synchronously, and the second sliding block 35 and the second sliding groove 36 can be used for guiding in a matching way in the lifting process.
In summary, the invention provides a surgical retractor for gynecological surgery, which can utilize a plurality of pulling mechanisms to pull the private parts of patients from all directions, so as to ensure that all positions of the private parts are uniformly stressed, and the problem that the local injury of the patients due to uneven stress on one side can not occur.

Claims (10)

1.一种妇科手术用手术拉钩,其特征在于,包括:1. a surgical retractor for gynecological surgery, is characterized in that, comprises: 支撑座(1);Support seat (1); 板体(2),与所述支撑座(1)连接,并且板体(2)上开设有用于在手术时手部穿过的通孔;a plate body (2), connected with the support seat (1), and a through hole for the hand to pass through during the operation is opened on the plate body (2); 多个拉动机构,呈周向均布在所述板体(2)侧面上,并且每个拉动机构均包括:套杆(3),通过俯仰角度调节机构与所述板体(2)侧面连接;滑杆(4),通过第一滑动机构与所述套杆(3)滑动连接;挂钩组件,固定在所述滑杆(4)滑出所述套杆(3)的一端;A plurality of pulling mechanisms are evenly distributed on the side surface of the plate body (2) in the circumferential direction, and each pulling mechanism includes: a sleeve rod (3), which is connected to the side surface of the plate body (2) through a pitch angle adjustment mechanism; A rod (4) is slidably connected to the sleeve rod (3) through a first sliding mechanism; a hook assembly is fixed at one end of the sliding rod (4) that slides out of the sleeve rod (3); 控制系统,包括压力传感器(5),固定在所述挂钩组件与待牵拉肌肉接触的位置;微处理器(6),与所述压力传感器(5)、与所述俯仰角度调节机构以及所述滑动机构的驱动件连接。A control system, comprising a pressure sensor (5) fixed at the position where the hook assembly contacts the muscle to be stretched; a microprocessor (6), connected with the pressure sensor (5), the pitch angle adjustment mechanism and the The drive member of the sliding mechanism is connected. 2.如权利要求1所述的一种妇科手术用手术拉钩,其特征在于,所述挂钩组件包括:2. The surgical retractor for gynecological surgery as claimed in claim 1, wherein the hook assembly comprises: 圆筒(7),为中空壳体并且固定在所述滑杆(4)滑出所述套杆(3)的一端;A cylinder (7) is a hollow shell and is fixed at one end of the sliding rod (4) sliding out of the sleeve rod (3); 拉钩(8),通过第一转轴(9)与所述圆筒(7)连接;所述拉钩(8)的转动方向垂直于所述滑杆(4)的延伸方向;The draw hook (8) is connected with the cylinder (7) through the first rotating shaft (9); the rotation direction of the draw hook (8) is perpendicular to the extension direction of the sliding rod (4); 扭簧(10),套设在所述第一转轴(9)上;a torsion spring (10) sleeved on the first rotating shaft (9); 第一电机(11),固定在所述圆筒(7)壳体内部并且与所述微处理器(6)连接;a first motor (11), fixed inside the casing of the cylinder (7) and connected with the microprocessor (6); 绳体(12),一端与所述第一电机(11)的输出轴连接,另一端穿过所述圆筒(7)上开设的通孔与所述拉钩(8)连接。One end of the rope body (12) is connected with the output shaft of the first motor (11), and the other end is connected with the draw hook (8) through the through hole opened on the cylinder (7). 3.如权利要求2所述的一种妇科手术用手术拉钩,其特征在于,所述拉钩(8)包括U型连接部(8-1)、直杆部(8-2)以及弯折部(8-3);所述U型连接部(8-1)左侧的U型竖板位于所述圆筒(7)左侧,U型连接部(8-1)右侧位于所述圆筒(7)右侧;所述第一转轴(9)横向贯穿所述U型连接部(8-1)和所述圆筒(7),第一转轴(9)的一端固定有凸块,第一转轴(9)的另一端开设有外螺纹,外螺纹与螺母螺纹连接;所述直杆部一端与所述U型连接部(8-1)的横板固定连接,直杆部另一端与所述弯折部固定连接,弯折部端部设有用于放置所述压力传感器(5)的第一凹槽,第一凹槽内固定有用于与手术时待牵拉部位接触的柔软部。3. A surgical retractor for gynecological surgery according to claim 2, wherein the retractor (8) comprises a U-shaped connecting portion (8-1), a straight rod portion (8-2) and a bending portion (8-3); the U-shaped vertical plate on the left side of the U-shaped connecting part (8-1) is located on the left side of the cylinder (7), and the right side of the U-shaped connecting part (8-1) is located on the left side of the circle The right side of the cylinder (7); the first rotating shaft (9) transversely penetrates the U-shaped connecting portion (8-1) and the cylinder (7), and one end of the first rotating shaft (9) is fixed with a bump, The other end of the first rotating shaft (9) is provided with an external thread, and the external thread is threadedly connected with the nut; one end of the straight rod portion is fixedly connected to the horizontal plate of the U-shaped connecting portion (8-1), and the other end of the straight rod portion is Fixed connection with the bending part, the end of the bending part is provided with a first groove for placing the pressure sensor (5), and a soft part for contacting the part to be pulled during surgery is fixed in the first groove . 4.如权利要求1所述的一种妇科手术用手术拉钩,其特征在于,所述俯仰角度调节机构包括:4. The surgical retractor for gynecological surgery as claimed in claim 1, wherein the pitch angle adjustment mechanism comprises: 底座(13),固定在所述板体(2)侧面上;a base (13), fixed on the side surface of the plate body (2); 支撑板(14),其一端与所述底座(13)上端铰接;所述套杆(3)固定在支撑板(14)上表面;a support plate (14), one end of which is hinged with the upper end of the base (13); the sleeve rod (3) is fixed on the upper surface of the support plate (14); 螺杆(15),其左右两端与固定在所述底座(13)上表面的轴承座连接;a screw (15), the left and right ends of which are connected with a bearing seat fixed on the upper surface of the base (13); 螺母(16),与所述螺杆(15)螺纹连接;a nut (16), threadedly connected with the screw rod (15); 支撑杆(17),其上端与所述支撑板(14)下表面铰接,其下端与所述螺母(16)侧面铰接;a support rod (17), the upper end of which is hinged with the lower surface of the support plate (14), and the lower end of which is hinged with the side surface of the nut (16); 第二电机(18),固定在所述底座(13)上,并且其输出轴与所述螺杆(15)的一端连接;所述第二电机(18)与所述微处理器(6)连接。A second motor (18) is fixed on the base (13), and its output shaft is connected to one end of the screw (15); the second motor (18) is connected to the microprocessor (6) . 5.如权利要求1所述的一种妇科手术用手术拉钩,其特征在于,所述第一滑动机构包括:5. The surgical retractor for gynecological surgery as claimed in claim 1, wherein the first sliding mechanism comprises: 第一滑槽(19),开设在所述套杆(3)左右两侧;The first chute (19) is opened on the left and right sides of the sleeve rod (3); 第一滑条(20),与所述第一滑槽(19)配合并且固定在所述滑杆(4)的左右两侧;a first sliding bar (20), matched with the first sliding groove (19) and fixed on the left and right sides of the sliding rod (4); 齿条(21),固定在所述滑杆(4)的上侧;a rack (21), fixed on the upper side of the sliding rod (4); 齿轮(22),与所述齿条(21)啮合,并且齿轮(22)中心设有贯穿其中的第二转轴(23),第二转轴(23)位于所述套杆(3)上开设的第二凹槽内,并且第二转轴(23)的左右两侧均通过轴承与固定在第二凹槽内的轴承座连接;The gear (22) is meshed with the rack (21), and the center of the gear (22) is provided with a second rotating shaft (23) passing through it, and the second rotating shaft (23) is located on the sleeve rod (3). in the second groove, and the left and right sides of the second rotating shaft (23) are connected with the bearing seat fixed in the second groove through bearings; 第三电机(24),固定在所述套杆(3)上开设的第二凹槽内,并且第三电机(24)的输出轴与所述第二转轴(23)的一端连接,第三电机(24)与所述微处理器(6)连接。The third motor (24) is fixed in the second groove provided on the sleeve rod (3), and the output shaft of the third motor (24) is connected with one end of the second rotating shaft (23), and the third A motor (24) is connected to the microprocessor (6). 6.如权利要求1所述的一种妇科手术用手术拉钩,其特征在于,所述板体(2)包括第一半环形板(2-1)和第二半环形板(2-2),两个半环形板体结构与固定在所述支撑座(1)上的相对移动机构连接。6. The surgical retractor for gynecological surgery according to claim 1, wherein the plate body (2) comprises a first half-ring plate (2-1) and a second half-ring plate (2-2) , the two half-ring plate structures are connected with the relative movement mechanism fixed on the support base (1). 7.如权利要求6所述的一种妇科手术用手术拉钩,其特征在于,所述相对移动机构包括:7. The surgical retractor for gynecological surgery as claimed in claim 6, wherein the relative movement mechanism comprises: 左旋螺杆(25),其左端与固定在所述支撑座(1)上的轴承座连接;a left-hand screw (25), the left end of which is connected with the bearing seat fixed on the support seat (1); 右旋螺杆(26),其左端与所述左旋螺杆(25)的右端固定连接,其右端与固定在所述支撑座(1)上的轴承座连接;a right-hand screw (26), the left end of which is fixedly connected to the right end of the left-hand screw (25), and the right end of which is connected to the bearing seat fixed on the support seat (1); 左旋螺母(27),与所述左旋螺杆(25)螺纹连接;a left-handed nut (27), threadedly connected with the left-handed screw (25); 右旋螺母(28),与所述右旋螺杆(26)螺纹连接;a right-handed nut (28), threadedly connected with the right-handed screw rod (26); 第一连接杆(29),其上端与所述第一半环形板(2-1)连接,其下端与所述左旋螺母(27)固定连接;a first connecting rod (29), the upper end of which is connected to the first half-ring plate (2-1), and the lower end of which is fixedly connected to the left-handed nut (27); 第二连接杆(30),其上端与所述第二半环形板(2-2)连接,其下端与所述右旋螺母(28)固定连接;a second connecting rod (30), the upper end of which is connected to the second half-ring plate (2-2), and the lower end of which is fixedly connected to the right-handed nut (28); 第四电机(31),固定在所述支撑座(1)内,其输出轴与所述左旋螺杆(25)的左端连接;所述第四电机(31)与所述微处理器(6)连接;A fourth motor (31) is fixed in the support seat (1), and its output shaft is connected to the left end of the left-hand screw (25); the fourth motor (31) is connected to the microprocessor (6) connect; 板体(2),位于所述左旋螺杆(25)和所述右旋螺杆(26)上方,并且固定在所述支撑座(1)上;所述板体(2)上开设有与所述第一连接杆(29)和所述第二连接杆(30)配合的滑槽。The plate body (2) is located above the left-hand screw (25) and the right-hand screw (26), and is fixed on the support seat (1); A sliding groove in which the first connecting rod (29) and the second connecting rod (30) are matched. 8.如权利要求7所述的一种妇科手术用手术拉钩,其特征在于,所述左旋螺母(27)上固定有用于监测其与所述支撑座(1)内侧距离的距离传感器(32)。8 . The surgical retractor for gynecological surgery according to claim 7 , wherein a distance sensor ( 32 ) for monitoring the distance between the left-handed nut ( 27 ) and the inner side of the support seat ( 1 ) is fixed on the left-hand nut ( 27 ). 9 . . 9.如权利要求8所述的一种妇科手术用手术拉钩,其特征在于,所述支撑座(1)的外侧套设有外壳体(33),外壳体(33)内部与伸缩件(34)的固定端固定连接,伸缩件(34)的伸缩端纵向向上伸缩并与所述支撑座(1)的下端连接,伸缩件(34)与所述微处理器(6)连接;所述支撑座(1)的左右两侧分别通过一第二滑动机构与所述外壳体(33)连接。9 . The surgical retractor for gynecological surgery according to claim 8 , wherein an outer casing ( 33 ) is sleeved on the outer side of the support seat ( 1 ), and the inner part of the outer casing ( 33 ) is connected with the telescopic element ( 34 ). 10 . ) is fixedly connected to the fixed end of the telescopic element (34), the telescopic end of the telescopic element (34) is longitudinally telescopic and connected to the lower end of the support seat (1), and the telescopic element (34) is connected to the microprocessor (6); the support The left and right sides of the seat (1) are respectively connected with the outer casing (33) through a second sliding mechanism. 10.如权利要求9所述的一种妇科手术用手术拉钩,其特征在于,所述第二滑动机构包括:10. The surgical retractor for gynecological surgery as claimed in claim 9, wherein the second sliding mechanism comprises: 第二滑块(35),固定在所述支撑座(1)的左侧或固定在所述支撑座(1)的右侧;a second sliding block (35), fixed on the left side of the support seat (1) or fixed on the right side of the support seat (1); 第二滑槽(36),当所述第二滑块(35)固定在所述支撑座(1)的左侧时,第二滑槽(36)开设在所述外壳体(33)左侧;当所述第二滑块(35)固定在所述支撑座(1)的右侧时,第二滑槽(36)开设在所述外壳体(33)右侧。A second sliding groove (36), when the second sliding block (35) is fixed on the left side of the support base (1), the second sliding groove (36) is opened on the left side of the outer casing (33) ; When the second sliding block (35) is fixed on the right side of the support seat (1), the second sliding groove (36) is opened on the right side of the outer casing (33).
CN202110939227.2A 2021-08-16 2021-08-16 A surgical retractor for gynecological surgery Expired - Fee Related CN113648002B (en)

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CN114159108A (en) * 2021-11-24 2022-03-11 东南大学 Robot surgical retractor capable of realizing accurate force sensing and use method
CN115770075A (en) * 2023-01-10 2023-03-10 四川大学 Auxiliary fixing device for penis operation

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CN111887912A (en) * 2020-07-22 2020-11-06 王迎辉 Drag hook device for gynecological operation

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CN111419307A (en) * 2020-04-29 2020-07-17 赵之明 Obstetrical department is with automatically regulated formula vaginal dilator
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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114159108A (en) * 2021-11-24 2022-03-11 东南大学 Robot surgical retractor capable of realizing accurate force sensing and use method
CN114159108B (en) * 2021-11-24 2024-05-07 东南大学 Robot surgical retractor capable of realizing accurate force sensing and use method
CN115770075A (en) * 2023-01-10 2023-03-10 四川大学 Auxiliary fixing device for penis operation
CN115770075B (en) * 2023-01-10 2023-04-07 四川大学 Auxiliary fixing device for penis operation

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