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CN216702895U - Pressure-reducing hand-placing plate for prone position spinal surgery - Google Patents

Pressure-reducing hand-placing plate for prone position spinal surgery Download PDF

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CN216702895U
CN216702895U CN202220239733.0U CN202220239733U CN216702895U CN 216702895 U CN216702895 U CN 216702895U CN 202220239733 U CN202220239733 U CN 202220239733U CN 216702895 U CN216702895 U CN 216702895U
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placement area
area
head
prone position
spinal surgery
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张培培
史桂蓉
秦璐翠
王鸣嫣
朱培渊
金芝寓
完海鸥
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XinHua Hospital Affiliated To Shanghai JiaoTong University School of Medicine
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Abstract

本实用新型涉及一种俯卧位脊柱手术减压式搁手板,包括左侧手臂放置区、头部放置区以及右侧手臂放置区,所述的左侧手臂放置区与所述的头部放置区的左侧可旋转地相连接,使得所述的左侧手臂放置区相对于所述的头部放置区可展开或折叠在所述的头部放置区的上表面或下表面,所述的右侧手臂放置区与所述的头部放置区的右侧可旋转地相连接,使得所述的右侧手臂放置区相对于所述的头部放置区可展开或折叠在所述的头部放置区的上表面或下表面。本实用新型的俯卧位脊柱手术减压式搁手板,能够确保双侧手臂手术体位安置的安全与舒适;简化手术体位摆放的程序;操作便捷,使用方便。

Figure 202220239733

The utility model relates to a decompression hand rest board for spinal surgery in prone position, comprising a left arm placement area, a head placement area and a right arm placement area, the left arm placement area and the head placement area The left side is rotatably connected, so that the left arm rest area can be unfolded or folded on the upper or lower surface of the head rest area relative to the head rest area, and the right The side arm placement area is rotatably connected to the right side of the head placement area, so that the right arm placement area can be unfolded or folded relative to the head placement area in the head placement area the upper or lower surface of the area. The decompression hand rest board for spinal surgery in the prone position of the utility model can ensure the safety and comfort of the surgical position placement of the bilateral arms; simplify the procedure of the surgical position placement; the operation is convenient and the use is convenient.

Figure 202220239733

Description

俯卧位脊柱手术减压式搁手板prone position spine surgery decompression hand rest

技术领域technical field

本实用新型涉及手术器械技术领域,具体涉及一种俯卧位脊柱手术减压式搁手板。The utility model relates to the technical field of surgical instruments, in particular to a decompression type hand rest for spinal surgery in a prone position.

背景技术Background technique

俯卧位作为一种特殊的手术体位类型,其手术体位安置是术前准备的重要内容。在手臂体位摆放时应当综合全面考虑,不仅要便于手术操作,也要保持正常的生理曲线,防止过度扭曲或牵拉。尽可能分散骨隆突处的压力,加强对其部位的保护,增强舒适度。合理且安全的手臂摆放可减少因患者体位因素带来的风险,有效减少患者术中受损及术后并发症的形成。因此,临床工作者开始聚焦于解决俯卧位手术患者双侧手臂摆放的问题。As a special surgical position, prone position is an important part of preoperative preparation. It should be comprehensively considered when placing the arm position, not only to facilitate the surgical operation, but also to maintain a normal physiological curve to prevent excessive twisting or pulling. Disperse the pressure on the bony prominence as much as possible, strengthen the protection of its part, and enhance the comfort. Reasonable and safe arm placement can reduce the risk caused by the patient's position, and effectively reduce the patient's intraoperative damage and postoperative complications. Therefore, clinicians have begun to focus on solving the problem of bilateral arm placement in patients undergoing prone surgery.

已有研究发明在设计的材质、大小以及格外附加功能上进行初步探索。在材质方面,部分是由两块钢板制成的,支撑物材质较硬,舒适感较低,巡回护士需额外准备棉垫、敷料等物品进行局部皮肤的保护;在转动幅度方面,无法调整角度或仅可水平面小幅度调整角度,安装操作及固定困难,需要多人协同安置手臂体位摆放,延长了术前准备时间;在长度方面,部分研究设计依据手臂圆形曲线设计成半圆型,过于肥胖患者可存在尺寸过小,可能存在挤压的情况,过瘦患者可能存在摆放不稳固。也有研究以两长条形手臂形状进行设计,过于肥胖或消瘦患者同样存在手臂难以摆或安置不稳固的问题。Existing researches and inventions have conducted preliminary explorations on the material, size and extra functions of the design. In terms of material, part of it is made of two steel plates. The material of the support is hard and the comfort is low. The visiting nurse needs to prepare additional items such as cotton pads and dressings to protect the local skin; in terms of the rotation range, the angle cannot be adjusted. Or it can only adjust the angle in a small amount on the horizontal plane, which is difficult to install, operate and fix, and requires multiple people to coordinate the placement of the arms, which prolongs the preoperative preparation time; in terms of length, some research designs are designed based on the circular curve of the arm into a semicircle, which is too long. Obese patients may be too small in size and may be squeezed, and thin patients may have unstable placement. There are also studies designed in the shape of two elongated arms. Obese or thin patients also have the problem of difficulty in swinging the arms or unstable placement.

实用新型内容Utility model content

本实用新型针对上述技术问题,提供一种俯卧位脊柱手术减压式搁手板,适用于俯卧位手术患者,由一块可拆卸折叠的直板加上记忆棉组成,置于患者头部位置,可增加手臂摆放的空间,保证体位摆放的安全性,也可避免局部骨隆突处受压,提高患者舒适度,也利于麻醉管路的安全管理。Aiming at the above-mentioned technical problems, the utility model provides a decompression hand rest for spinal surgery in the prone position, which is suitable for patients undergoing surgery in the prone position. The space for arm placement ensures the safety of body position placement, and can also avoid pressure on the local bony prominence, improve patient comfort, and facilitate the safe management of anesthesia pipelines.

为达到上述目的,本实用新型所提供的俯卧位脊柱手术减压式搁手板方案如下:所述的搁手板包括左侧手臂放置区、头部放置区以及右侧手臂放置区,所述的左侧手臂放置区与所述的头部放置区的左侧可旋转地相连接,使得所述的左侧手臂放置区相对于所述的头部放置区可展开或折叠在所述的头部放置区的上表面或下表面,所述的右侧手臂放置区与所述的头部放置区的右侧可旋转地相连接,使得所述的右侧手臂放置区相对于所述的头部放置区可展开或折叠在所述的头部放置区的上表面或下表面。In order to achieve the above-mentioned purpose, the solution of the decompressed hand resting board for prone position spinal surgery provided by the present invention is as follows: the hand resting board includes a left arm placement area, a head placement area and a right arm placement area. The side arm placement area is rotatably connected to the left side of the head placement area, so that the left arm placement area can be unfolded or folded relative to the head placement area in the head placement area the upper or lower surface of the area, the right arm placement area is rotatably connected to the right side of the head placement area, so that the right arm placement area is placed relative to the head Zones can be unfolded or folded on the upper or lower surface of the head placement zone.

较佳地,所述的左侧手臂放置区、头部放置区以及右侧手臂放置区均包括钢板层、和位于钢板层上的记忆海棉垫。Preferably, the left arm placement area, the head placement area and the right arm placement area all include a steel plate layer and a memory foam pad located on the steel plate layer.

较佳地,所述的左侧手臂放置区、头部放置区以及右侧手臂放置区均包括包裹层,所述的钢板层和记忆海棉垫位于所述的包裹层内。Preferably, the left arm placement area, the head placement area and the right arm placement area all include a wrapping layer, and the steel plate layer and the memory foam pad are located in the wrapping layer.

较佳地,所述的左侧手臂放置区、右侧手臂放置区均设置固定带。Preferably, both the left arm placement area and the right arm placement area are provided with fixing belts.

较佳地,所述的左侧手臂放置区、右侧手臂放置区的尺寸大小均为:长度40~50cm,宽度20~25cm;所述的头部放置区的尺寸大小为:长度55~60cm,20~30cm。Preferably, the dimensions of the left arm placement area and the right arm placement area are: length 40-50cm, width 20-25cm; the size of the head placement area is: length 55-60cm , 20 ~ 30cm.

较佳地,所述的头部放置区的左侧和右侧均设置数个安装孔,所述的左侧手臂放置区和所述的右侧手臂放置区均设置数个匹配孔,所述的匹配孔与所述的安装孔相对应,所述的安装孔和对应的匹配孔之间通过连接件相连接。Preferably, the left and right sides of the head placement area are provided with several mounting holes, the left arm placement area and the right arm placement area are provided with several matching holes, and the The matching holes correspond to the mounting holes, and the mounting holes and the corresponding matching holes are connected by connecting pieces.

本实用新型的俯卧位脊柱手术减压式搁手板,能够确保双侧手臂手术体位安置的安全与舒适,降低因手术体位摆放不当引起的并发症发生风险,如臂丛神经损伤、局部皮肤的受压缺血等;简化手术体位摆放的程序,利于俯卧位患者双侧手臂体位正确安全摆放,节约了术前体位摆放时间;避免术中手臂滑落干扰手术,保证手术过程的顺利开展;在麻醉诱导期,可作为医用托盘放置台,用于摆放麻醉准备物品;麻醉期间,可用作摆放麻醉管路,便于术中的监测及巡视情况;操作便捷,使用方便。The decompression hand rest for spinal surgery in the prone position of the utility model can ensure the safety and comfort of the surgical position placement of the bilateral arms, and reduce the risk of complications caused by improper placement of the surgical position, such as brachial plexus injury, local skin damage, etc. Compression ischemia, etc.; Simplify the procedure of surgical position placement, which is conducive to the correct and safe placement of the bilateral arms of patients in prone position, saving the preoperative position placement time; Avoiding intraoperative arm slippage and interfering with surgery, ensuring the smooth development of the surgical process ; During anesthesia induction, it can be used as a medical tray placement table for placing anesthesia preparation items; during anesthesia, it can be used as an anesthesia pipeline, which is convenient for intraoperative monitoring and inspection; easy to operate and use.

附图说明Description of drawings

图1为本实用新型的俯卧位脊柱手术减压式搁手板中钢板层的结构示意图。FIG. 1 is a schematic structural diagram of a steel plate layer in a decompression hand rest board for spinal surgery in the prone position of the present invention.

图2为本实用新型的俯卧位脊柱手术减压式搁手板中记忆海绵垫层的结构示意图。FIG. 2 is a schematic structural diagram of a memory foam cushion in a prone position spinal surgery decompression hand rest of the present invention.

图3为本实用新型的俯卧位脊柱手术减压式搁手板中钢板层、记忆海绵垫层组合的结构示意图。FIG. 3 is a schematic structural diagram of the combination of a steel plate layer and a memory foam cushion in the prone position spinal surgery decompression hand rest board of the present invention.

图4为本实用新型的俯卧位脊柱手术减压式搁手板翻转后的结构示意图。FIG. 4 is a schematic structural diagram of the decompressed hand rest in prone position spinal surgery after being turned over.

具体实施方式Detailed ways

为了能够更清楚地描述本实用新型的技术内容,下面结合具体实施例来进行进一步的描述。In order to describe the technical content of the present invention more clearly, further description will be given below in conjunction with specific embodiments.

如图1~4所示,为本实用新型的俯卧位脊柱手术减压式搁手板结构示意图。具体地,所述的搁手板包括左侧手臂放置区1、头部放置区2以及右侧手臂放置区3,所述的左侧手臂放置区1与所述的头部放置区2的左侧可旋转地相连接,使得所述的左侧手臂放置区1相对于所述的头部放置区2可展开或折叠在所述的头部放置区2的上表面或下表面,所述的右侧手臂放置区3与所述的头部放置区2的右侧可旋转地相连接,使得所述的右侧手臂放置区3相对于所述的头部放置区2可展开或折叠在所述的头部放置区2的上表面或下表面。As shown in Figures 1 to 4, it is a schematic structural diagram of the handrest for decompression of the prone position spinal surgery of the present invention. Specifically, the hand rest board includes a left arm placement area 1, a head placement area 2 and a right arm placement area 3. The left arm placement area 1 and the head placement area 2 are on the left side. They are rotatably connected, so that the left arm rest area 1 can be unfolded or folded on the upper or lower surface of the head rest area 2 relative to the head rest area 2, and the right arm rest area 1 The side arm placement area 3 is rotatably connected to the right side of the head placement area 2, so that the right arm placement area 3 can be unfolded or folded in the head placement area 2 relative to the head placement area 2. The upper or lower surface of the head rest area 2.

如图1~4所示,在本实施例中,通过安装孔和连接件的方式实现左侧手臂放置区与头部放置区、右侧手臂放置区与头部放置区之间的可旋转连接。具体地,所述的头部放置区的左侧和右侧均设置2个安装孔4,所述的左侧手臂放置区和所述的右侧手臂放置区均设置2个匹配孔5,所述的匹配孔5与所述的安装孔4相对应,所述的安装孔4和对应的匹配孔5之间通过连接件6相连接。As shown in Figures 1 to 4, in this embodiment, the rotatable connection between the left arm placement area and the head placement area, and the right arm placement area and the head placement area is realized by means of mounting holes and connectors . Specifically, two mounting holes 4 are provided on the left and right sides of the head placement area, and two matching holes 5 are provided in both the left arm placement area and the right arm placement area. The matching holes 5 correspond to the mounting holes 4 , and the mounting holes 4 and the corresponding matching holes 5 are connected by connecting pieces 6 .

通过安装孔、匹配孔、连接件的配合,可以实现左右手臂放置区与头部放置区之间的展开和折叠。使用时,打开成一平直板,双侧手臂可自然弯曲置于两侧;闲置状态时,可将两侧面板翻转朝下,节省空间,方便操作。The unfolding and folding between the left and right arm placement areas and the head placement area can be realized through the cooperation of the mounting holes, the matching holes and the connecting pieces. When in use, it is opened into a flat plate, and the arms on both sides can be naturally bent and placed on both sides; when idle, the panels on both sides can be turned down to save space and facilitate operation.

即,左右侧手臂放置区的旋转方向为沿着手术床侧边上下可翻转;如若不使用,可将左右侧手臂放置区翻转向下,一则节省空间;二则便于其他仰卧位手术类型使用,如普外科、甲乳手术对双侧手臂均需内收即可,亦可便于主刀医生术中进行操作。That is, the rotation direction of the left and right arm placement areas can be turned up and down along the side of the operating bed; if not in use, the left and right arm placement areas can be turned down to save space; second, it is convenient for other types of supine surgery. , such as general surgery and nail breast surgery, both arms need to be adducted, and it is also convenient for the chief surgeon to perform intraoperative operations.

在本实施例中,所述的左侧手臂放置区、头部放置区以及右侧手臂放置区均包括如图1所示的钢板层、和位于钢板层上的记忆海棉垫7,并且,所述的钢板层和记忆海棉垫位于所述的包裹层内。钢板层和记忆海绵垫之间可以通过魔术贴9相连接固定。In this embodiment, the left arm placement area, the head placement area and the right arm placement area all include a steel plate layer as shown in FIG. 1 and a memory sponge pad 7 located on the steel plate layer, and, The steel plate layer and the memory sponge pad are located in the wrapping layer. The steel plate layer and the memory foam pad can be connected and fixed by Velcro 9.

在本实用新型中,使用记忆海绵垫,可有效分布局部压力、降低局部受压作用,具有较高的舒适度。欧美国家颁布的《压疮的预防与治疗:快速参考指南》中,明确建议:对于压疮形成高风险的患者,均使用高规格记忆性泡沫床垫,推荐等级为A。包裹层可以采用防水、可擦拭的材料进行包裹,记忆海棉垫可拆卸,可以采用魔术贴及打扣双重固定,便于清洗以及维护。In the utility model, the use of the memory foam pad can effectively distribute the local pressure, reduce the local pressure effect, and have a high degree of comfort. In the "Prevention and Treatment of Pressure Ulcers: Quick Reference Guide" promulgated by European and American countries, it is clearly recommended that high-standard memory foam mattresses should be used for patients with high risk of pressure ulcers, and the recommended grade is A. The wrapping layer can be wrapped with waterproof and wipeable materials, and the memory foam pad is detachable, and can be double-fixed with Velcro and buckles, which is convenient for cleaning and maintenance.

如图1~4所示,所述的左侧手臂放置区、右侧手臂放置区均设置固定带8,固定带8设有卡扣。术中麻醉作用使患者肌肉松弛,自主意识丧失,患者无法保持主动体位,双侧手臂或可术中发生下垂,影响手术进行,或可发生术中意外事件,固定带可有效避免术中不良事件发生,保护患者术中安全。As shown in Figs. 1-4, the left arm placement area and the right arm placement area are both provided with a fixing belt 8, and the fixing belt 8 is provided with a buckle. Intraoperative anesthesia causes the patient's muscles to relax, loses self-consciousness, and the patient cannot maintain the active position. The bilateral arms may sag during the operation, which may affect the operation, or may cause intraoperative accidents. The fixation belt can effectively avoid intraoperative adverse events. occur, to protect the safety of patients during surgery.

在本实施例中,所述的左侧手臂放置区、右侧手臂放置区的尺寸大小均优选为:长度40~50cm,宽度20~25cm;所述的头部放置区的尺寸大小优选为:长度55~60cm,20~30cm。In this embodiment, the dimensions of the left arm placement area and the right arm placement area are preferably: length 40-50cm, width 20-25cm; the size of the head placement area is preferably: Length 55 ~ 60cm, 20 ~ 30cm.

如图1所示,提供了优选尺寸的示例,所述的左侧手臂放置区、右侧手臂放置区的尺寸大小均为:长度45cm,宽度23cm;所述的头部放置区的尺寸大小为:长度56cm,25cm。其中,头部放置区具有方形轮廓,左侧手臂放置区和右侧手臂放置区对称分布在头部放置区两侧,呈“跑道型”轮廓,并且,如图1所示,搁手板在左右方向上对称,在上下方向上不对称。As shown in Figure 1, an example of the preferred size is provided. The dimensions of the left arm placement area and the right arm placement area are: length 45cm, width 23cm; the size of the head placement area is : Length 56cm, 25cm. Among them, the head placement area has a square outline, the left arm placement area and the right arm placement area are symmetrically distributed on both sides of the head placement area, showing a "race track" outline, and, as shown in Figure 1, the hand rests are placed on the left and right sides. Symmetrical in direction, asymmetrical in up-down direction.

本实用新型的俯卧位脊柱手术减压式搁手板,在原来的基础上尽量减少患者皮肤异常的发生率,降低因手术体位摆放不当引起的并发症,简化体位摆放流程,缩短体位摆放时间,保障了手术的顺利进行;同时,可拆卸的设计以及材料的选择使维护及清洗更方便,降低了手术室感染的发生率;此外,还可作医用托盘放置台及安置麻醉管路,便于术中密切观察患者情况;总之,使手术配合更加高效、便捷,大大提高了手术医师、麻醉医师、护理人员及手术患者的满意度。On the basis of the original, the decompression hand rest for spinal surgery in the prone position of the utility model reduces the incidence of abnormal skin of patients as much as possible, reduces the complications caused by the improper placement of the surgical posture, simplifies the posture placement process, and shortens the posture placement. time, to ensure the smooth operation of the operation; at the same time, the detachable design and the selection of materials make maintenance and cleaning more convenient, reducing the incidence of infection in the operating room; in addition, it can also be used as a medical tray placement table and anesthesia pipeline, It is convenient to closely observe the patient's condition during the operation; in short, the operation cooperation is more efficient and convenient, and the satisfaction of the surgeon, anesthesiologist, nursing staff and surgical patients is greatly improved.

在此说明书中,本实用新型已参照其特定的实施例作了描述。但是,很显然仍可以作出各种修改和变换而不背离本实用新型的精神和范围。因此,说明书被认为是说明性的而非限制性的。In this specification, the invention has been described with reference to specific embodiments thereof. However, it will be apparent that various modifications and changes can still be made without departing from the spirit and scope of the present invention. Accordingly, the description is to be regarded as illustrative rather than restrictive.

Claims (6)

1.一种俯卧位脊柱手术减压式搁手板,其特征在于,所述的搁手板包括左侧手臂放置区、头部放置区以及右侧手臂放置区,所述的左侧手臂放置区与所述的头部放置区的左侧可旋转地相连接,使得所述的左侧手臂放置区相对于所述的头部放置区可展开或折叠在所述的头部放置区的上表面或下表面,所述的右侧手臂放置区与所述的头部放置区的右侧可旋转地相连接,使得所述的右侧手臂放置区相对于所述的头部放置区可展开或折叠在所述的头部放置区的上表面或下表面。1. a prone position spinal surgery decompression hand resting board, is characterized in that, described hand resting board comprises left arm placement area, head placement area and right arm placement area, described left arm placement area and The left side of the head resting area is rotatably connected, so that the left arm resting area can be unfolded or folded on the upper surface of the head resting area relative to the head resting area or On the lower surface, the right arm placement area is rotatably connected to the right side of the head placement area, so that the right arm placement area can be unfolded or folded relative to the head placement area on the upper or lower surface of the head placement area. 2.根据权利要求1所述的俯卧位脊柱手术减压式搁手板,其特征在于,所述的左侧手臂放置区、头部放置区以及右侧手臂放置区均包括钢板层、和位于钢板层上的记忆海绵垫。2. The prone position spinal surgery decompression hand rest according to claim 1, wherein the left arm placement area, the head placement area and the right arm placement area all include a steel plate layer and are located in the steel plate. layer of memory foam pads. 3.根据权利要求2所述的俯卧位脊柱手术减压式搁手板,其特征在于,所述的左侧手臂放置区、头部放置区以及右侧手臂放置区均包括包裹层,所述的钢板层和记忆海绵垫位于所述的包裹层内。3. The prone position spinal surgery decompression hand rest according to claim 2, wherein the left arm placement area, the head placement area and the right arm placement area all include a wrapping layer, and the described The steel sheet layer and the memory foam pad are located in the wrapping layer. 4.根据权利要求1所述的俯卧位脊柱手术减压式搁手板,其特征在于,所述的左侧手臂放置区、右侧手臂放置区均设置固定带。4 . The decompression hand rest for spinal surgery in prone position according to claim 1 , wherein the left arm placement area and the right arm placement area are both provided with fixing belts. 5 . 5.根据权利要求1所述的俯卧位脊柱手术减压式搁手板,其特征在于,所述的左侧手臂放置区、右侧手臂放置区的尺寸大小均为:长度40~50cm,宽度20~25cm;所述的头部放置区的尺寸大小为:长度55~60cm,20~30cm。5. The prone position spinal surgery decompression hand rest according to claim 1, wherein the size of the left arm placement area and the right arm placement area are: length 40~50cm, width 20 cm ~25cm; the size of the head placement area is: length 55-60cm, 20-30cm. 6.根据权利要求1所述的俯卧位脊柱手术减压式搁手板,其特征在于,所述的头部放置区的左侧和右侧均设置数个安装孔,所述的左侧手臂放置区和所述的右侧手臂放置区均设置数个匹配孔,所述的匹配孔与所述的安装孔相对应,所述的安装孔和对应的匹配孔之间通过连接件相连接。6. The decompression type hand rest for prone position spinal surgery according to claim 1, wherein the left and right sides of the head placement area are provided with several mounting holes, and the left arm is placed A plurality of matching holes are arranged in the area and the right arm placement area, the matching holes correspond to the mounting holes, and the mounting holes and the corresponding matching holes are connected by connecting pieces.
CN202220239733.0U 2022-01-28 2022-01-28 Pressure-reducing hand-placing plate for prone position spinal surgery Active CN216702895U (en)

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