KR101702245B1 - Surgical treatment arm placement system - Google Patents

Abstract

The present invention relates to a procedure position control device for an operation on arms, capable of allowing an operator to safely select adjustment of the proper height, angle and direction with respect to a surgical site of an arm when performing an operation on the arm of a patient. The device consists of a wrist angle adjustment board, a needle safety collection box, a fixing board detachable from a bed, a tool storage box, etc. in one efficient plate form.

Description

[0001] Surgical treatment arm placement system [0002]

The present invention relates to an operation position control apparatus for an arm operation, which enables safe selection of an appropriate height, angle, and direction control for a surgical site of an arm when a patient's arm is operated.

 According to the type and method of operation, the position and posture of the arm receiving the blood transfusion are continuously changed so that the arm of the operation subject does not interfere with the operation.

However, when the position and the posture of the arm of the patient undergoing surgery are changed continuously during operation, and when necessary, the angle of the wrist of the operation subject is moved at a predetermined angle, and a lot of time and manpower is used There is a problem that the operation time itself becomes long.

To accomplish this, a technique is required to connect the syringe to the blood vessel to receive the arm and the hand separately and to receive the transfusion, and to maintain the arm and hand of the subject to be operated in the position and posture desired by the user during the operation .

In order to meet the demand of the above-mentioned technology, US Pat. No. 4,369,774 (hereinafter referred to as " pre-registered invention ") has been proposed. According to the present invention, by observing cardiovascular and / A device for accessing a human artery for arterial blood sampling, the device comprising: an arm board having an elongated flat base, wherein a first elongated ramp of sufficient width supports the human forearm, Which is fixed at one end of a flat base for extending upwardly from the base at a shallow angle of the base, so that the inclination between the lamps is adjusted according to the flexion along the arm and wrist.

However, since the fixed position of the arm is limited and the height and the fixing direction of the arm are limited, the tools for arranging the operation are arranged and stored at a separate position. Therefore, There was a hassle.

U.S. Pat. No. 4,369,774

In order to solve the problems of the prior art, the present invention has been made to solve the problems of the prior art by providing an A-line and a periperal line including a fixed height adjustment, Line, etc. In the past, it was designed to eliminate inconveniences such as installing and positioning the arm board every time. It is used for wrist angle adjuster, needle safety collector, removable fixing table, This is an efficient one-plate format that aims to increase the success rate of the procedure without changing the position in a variety of line related procedures such as A-line, to collect the needle safely, and to make easy line-related catheterization do.

It is also an object of the present invention to make it possible to adjust the height, direction and angle of the fixing part on which the arm is placed in order to provide the optimal operating posture and position in accordance with the patient's operation posture and the operation position.

An object of the present invention is to provide an arm board for supporting a patient's arm on a support shaft, A lock portion for holding a fixed state of the female board installed on the side of the bed; A fixing unit having a first fixing table and a second fixing table for fixing and setting an angle of a patient on an upper end of a support shaft provided on a surface of the female board and a band for fixing a wrist on the second fixing table; And a height adjusting unit having an angle adjusting member for adjusting the height of the fixing unit and adjusting the height and angle of the fixing unit according to the arm position of the patient, ; And the operation board is further provided on the arm board,
The height adjuster includes a positioning member provided on a support shaft of the arm board and having an adjustable tube that is adjustable in height and lateral direction and a position adjusting member located between the upper portion of the adjustable tube and the fixture, And an angle adjusting member for adjusting the angle,
The angle adjusting member of the height adjusting unit may include a first bracket provided on the adjusting piece of the positioning member and a second bracket coupled to the first bracket and provided with the supporting pieces of the first and second fixing frames, The angle of the angle adjusting member is adjusted by the angle adjusting bolt and the nut which are fastened through the first bracket and the horizontal state of the first fixing table and the second fixing table is controlled by the horizontal adjusting bolt and nut penetrating through the second bracket .

In the configuration in which the object of the present invention is achieved, the locking portion is provided with a hook having a hook which is exposed to the side and is hooked to the bottom surface of the arm board and hooked to a rim or a rail of a bed, And a magnetic body that is magnetically attached to a rail or a rim of the bed.

In the configuration in which the object of the present invention is achieved, the fixing unit includes: a supporting member, which is formed so that the first and second fixing members protrude from the opposing portions of the first and second fixing members, And a horizontal adjustment bolt and a nut provided so as to penetrate through the support pieces overlapping each other. The horizontal adjustment of the first and second fixing tables is achieved by fastening the horizontal adjustment bolt and the nut.

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In the configuration in which the object of the present invention is achieved, the positioning member of the height adjusting unit may include: an adjusting tube having an adjusting hole coupled to a supporting rod protruding from the upper portion of the supporting shaft; And the vertical height adjustment of the height adjusting unit and the vertical height adjustment of the height adjusting unit are controlled by the adjustment bolt which is composed of the adjustment piece connected to the support shaft and the fastening hole opened at the side of the adjustment pipe and closely attached to the support rod through the fastening hole .

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In the configuration in which the object of the present invention is achieved, a plurality of concave engaging grooves are formed on the circumferential surface of the support rod projecting perpendicularly from the support shaft, Is performed.

In the configuration in which the object of the present invention is achieved, the operation drawing is also provided on the arm board, and comprises a tool groove for handling a surgical needle, a mesh tray for installing the surgical needle, Are integrally formed and mounted.

According to the present invention, the wrist angle adjustable bed, the needle safety deposit box, the removable fixed bed, and the equipment storage box are formed in an efficient one plate form, so that the operation can be performed without changing the position The success rate of the needle can be increased, the needle can be collected safely, and an easy line-related catheter procedure can be performed.

In addition, the object of the present invention is to provide an advantage that the height, direction and angle of the fixing part on which the arm is placed can be adjusted in order to provide an optimal operating posture and position in accordance with the operation posture and the operation position of the patient.

FIG. 1 is a perspective view of a surgical position adjusting device for an arm operation according to the present invention. FIG.
FIG. 2 is a front view of the surgical positioning apparatus for arm surgery according to the present invention. FIG.
FIG. 3 is a longitudinal sectional view of an operation position adjusting device for an arm operation according to the present invention. FIG.
FIG. 4 is a view illustrating an angle adjustment state of the operation position control device for an arm operation according to the present invention. FIG.
FIG. 5 is a view illustrating an arm operation state of the operation position control device for an arm operation according to the present invention. FIG.

Specific embodiments in which the present invention may be practiced will now be described with reference to the accompanying drawings.

It is to be understood that these embodiments are described in sufficient detail to enable those skilled in the art to practice the invention, and that the various embodiments of the invention are not necessarily mutually exclusive.

For example, certain features, structures, and characteristics described herein may be implemented in other embodiments without departing from the spirit and scope of the invention in connection with one embodiment. It is also to be understood that the position or arrangement of the individual components within each disclosed embodiment may be varied without departing from the spirit and scope of the invention.

The following detailed description is, therefore, not to be taken in a limiting sense, and the scope of the present invention is to be limited only by the appended claims, along with the full scope of equivalents to which such claims are entitled, if properly explained. In the drawings, like reference numerals refer to the same or similar functions throughout the several views, and length and area, thickness, and the like may be exaggerated for convenience.

Hereinafter, preferred embodiments of the present invention will be described in detail with reference to the accompanying drawings, so that those skilled in the art can easily carry out the present invention.

FIG. 1 is a perspective view of a surgical position regulating apparatus for an arm of the present invention, FIG. 2 is a front view of a surgical position regulating apparatus for an arm of the present invention,

The arm position adjusting device for an arm operation according to the present invention comprises an arm board 100 installed next to a bed 90 to support a patient's arm on a support shaft 110 when performing transfusion and a line operation on an arm of a patient under operation, A locking part 200 for holding a fixed state of the arm board 100 installed on the side of the bed 90 and a locking part 200 for fixing the arm of the patient on the upper side of the supporting shaft 110 provided on the surface of the arm board 100. [ A fixing unit 300 having a first fixing table 310 and a second fixing table 330 for setting angles and a band 335 for fixing a wrist to the second fixing table 330, A position adjusting member 410 which is adjusted in the lateral direction according to the arm position of the fixing part 300 and adjusts the height and angle of the fixing part 300 according to the arm position of the patient, (600) for performing a surgical operation on the arm board (100), and a height adjustment unit Uh it has done.

The arm board 100 is usually a flat plane and a plate material that can sufficiently withstand the working load applied during the procedure. A metal plate, a synthetic resin plate, or the like is suitable for the arm board 100.

The locking part 200 for mounting the arm board 100 on the side of the bed 90 is exposed to the side while the supporting piece 210 is fixed to the bottom surface of the arm board 100, And a magnetic body 250 installed on the lower side surface of the latch 230 and magnetically attached to a rail or a rim of the bed 90 .

The latching part 230 of the locking part 200 is formed in a hook shape suitable for easy installation and disconnection of a railing provided on the side of the bed 90. In order to maintain stability, 250, the installation state of the arm board 100 installed on the bed side due to the coupling force by the ring and the magnetic force is installed in a stable and stable state.

The arm board 100, which is stably installed next to the bed 90, may be used to transfuse the patient's arm or perform the ARLINE procedure depending on the patient's operation. At this time, It is required to set the angle and direction according to the procedure and to set it.

A fixing part 300 is provided on the arm board 100 to put a patient's arm thereon. The fixing part 300 includes a first fixing part 310 on which an arm part is placed and a second fixing part 330 which sits on the wrist part of the arm. The first and second fixing parts 310, And a horizontal adjustment bolt 438 formed to penetrate the center hole of the support pieces 312 and 332 to be overlapped with each other is formed in the support pieces 312 and 332, And a nut 439.

The first fixing base 310 is inclined obliquely so that the fixing portion 300 can safely support the patient's arm extending from the bed 90 to the procedure position while lying on the bed 90. The second fixing base 310, The horizontal adjustment bolt 438 and the nut 439 which are passed through the support pieces 312 and 332 which are formed to overlap with each other in the horizontal direction, 1 and the second fixing tables 310 and 330 are adjusted.

The fixing part 300 is required to be adjusted in the vertical direction according to the physique condition of the patient, so that the height adjusting part 400 for adjusting the position in the vertical direction is formed at the intermediate position of the surface of the arm board 100.

FIG. 3 is a longitudinal sectional view of a surgical position regulating apparatus for an arm according to the present invention. The height regulating unit 400 is provided on the side of the supporting shaft 110 of the arm board 100, The positioning member 410 is provided with a first fixing table 310 and a second fixing table 330 of the fixing unit 300 on which the patient's arm is placed, The angle adjusting member 430 for controlling the horizontal position of the angle adjusting member 430 is installed.

The positioning member 410 is provided with an adjusting tube 411 having an adjusting hole 412 into which a supporting rod 112 for adjusting the height and the left and right direction of the positioning shaft 410 is inserted, So that the fastening holes 413 for controlling the height and the lateral direction adjustment are drilled.

The adjustment bolt 414 is screwed into the fastening hole 413 so that the tip of the adjustment bolt 414 is closely contacted with the outer surface of the support rod 112 when tightening the adjustment bolt 414, Thereby controlling the movement force.

Particularly, a ring-shaped recessed engagement groove 113 is formed on the circumferential surface of the support rod 112 protruding from the support shaft 110 when the height adjustment member 400 is adjusted in the height and the left- The tip of the adjusting bolt 414 is inserted into the engaging groove 113 when the adjusting bolt 414 is tightened so that the adjusting bolt 414 is fixed to the supporting rod 112 Respectively.

When the adjusting bolt 414 is caught by the latching groove 113, it can not be moved vertically. When the tightening force of the adjusting bolt 414 is weak, the latching groove 113 is rotated in the left- When the bolt 414 is tightened tightly, the left and right adjustment is locked by the strong adhesion force by the tightening.

 FIG. 4 is a view illustrating an angle adjusting state of the operation position adjusting device for an arm operation according to the present invention. In the height adjusting portion 400 constituting the operation position adjusting device for an arm operation of the present invention, .

The angle adjusting member 430 is disposed between the upper portion of the adjusting tube 411 and the bottom surface of the fixing portion 300 and includes an adjusting piece 415 formed on the upper portion of the adjusting tube 411, And a second bracket 437 which is coupled to the first bracket 431 and allows the support pieces 312 and 332 of the first and second fixing tables 300 to be installed do.

The first bracket 431 and the second bracket 437 are connected to each other by welding or the like and the first bracket 431 and the second bracket 437 are provided with positioning members 410 And a connection hole for connection with the supporting pieces 312 and 332 of the fixing part 300 are respectively drilled.

The first bracket 431 is connected to the adjusting piece 415 of the positioning member 410 so that the angle adjusting bolt 433 is inserted therethrough and the nut 435 is fastened to the angle adjusting bolt 433 inserted therethrough. And the support pieces 312 and 332 of the first and second fixing tables 310 and 330 are connected to the second bracket 437 in an overlapped state so that the horizontal adjustment bolt 438 is connected to the second bracket 437 And the nut 439 is fastened to the horizontally adjusting bolt 438 inserted therethrough.

FIG. 5 is a view illustrating an arm operation state of the operation position control device for an arm operation of the present invention. When the arm of the operation patient is placed on the fixing portion 300, the angle control bolt 433 of the angle control member 430 The first and second brackets 431 and 437 are adjusted so that the first bracket 431 of the fixing part 300 is rotated by the angle adjusting bolt 433 from the adjusting piece 415 of the adjusting pipe 411 Since the angle is adjusted and controlled by the tightening force of the angle adjusting bolt 4330, the angle of the fixing part 300 desired by the operator can be determined according to the arm length of the patient.

The horizontal adjustment bolt 438 is adjusted to adjust the state of the arm according to the height of the fixing part 300 so that the wrist is fixed and the inclination of the arm is adjusted in a state where the fixing part 300 is fixed. 1 and the second fixing table 330 in the horizontal direction.

In addition, a mesh tray 610 for storing a surgical needle, a tool groove 620 for storing tools for handling a surgical needle, , A surgical site (600) in which an operation section and an alcohol-sump storage groove (630) for sterilizing a suture site are integrally provided.

The present invention having the above-described structure can provide the arm board 100 as a ring 233 and a magnetic body 250 beside the bed 90 when performing transfusion and a line operation on the arm of a surgical patient, So that a firmly fixed state is maintained.

The adjustment bolt 414 is loosened with the arm board 100 fixed to the side of the bed 90 to select the height of the adjustment tube 4110 of the positioning member 410 and then the adjustment bolt 414 is tightened The height of the fixing part 300 is adjusted by setting the height of the fixing part 300 to the operator.

When the clamping force of the adjusting bolt 414 is weakened in a state in which the height of the fixing table 300 is adjusted in the arm board 200, the tip of the adjusting bolt 414 is caught in the ring-shaped catching groove 113 The fixing part 300 including the control tube 411 is rotated in the left and right directions with respect to the support rod 112 to set the position and height suitable for the operator and the patient.

In addition, in the arm board 100, the angle adjusting bolt 433 is manipulated in a state where the fixing portion 300 is adjusted according to the operation site or the condition of the patient to adjust the fastening state with the first bracket 431, The adjusting member 431 rotates about the angle adjusting bolt 4330 in the adjusting member 413 of the positioning member 410 so that the angle of the fixing member 300 can be adjusted and set.

When the first bracket 431 is rotated by the adjusting piece 415, the height of the second bracket 437 connected to the second bracket 437 is finely adjusted by the movement of the second bracket 437, The position and the height of the fixing part 300 connected to the fixing part 300 are finely adjusted.

When the horizontal fixing bolt 438 fastened to the fixing part 300 is adjusted, the first fixing part 310 and the second fixing part 330 are fitted on the second bracket 347 in accordance with the angle of the arm And the wrist is wound and fixed by the band path 335 provided on the second fixing table 330, thereby providing a state of being stably fixed.

While the present invention has been described in connection with what is presently considered to be practical exemplary embodiments, it is to be understood that the invention is not limited to the disclosed embodiments, but, on the contrary, It will be understood that the invention may be embodied in other specific forms without departing from the spirit or essential characteristics thereof. It is therefore to be understood that the above-described embodiments are illustrative in all aspects and not restrictive.

100: arm board 110: support shaft 112: support rod
200: lock portion 201: support piece 230:
233: loop 250: magnetic body 300:
310: first fixing table 312: supporting piece 330: second fixing table
332: Support piece 335: Band 400: Height adjuster
410: position setting member 411: adjusting tube 412: adjusting hole
413: fastening hole 414: adjusting bolt 430: angle adjusting member
431: first bracket 433: angle adjusting bolt 437: second bracket
438: Leveling bolt 600: Wanted for surgery 610: Mesh tray
620: tool groove 630: alcohol wool storage groove

Claims (8)

An arm board (100) provided next to the bed to support the patient's arm with the support shaft (110) when the transfusion and A-line are performed on the arm of the patient under operation;
A lock portion 200 for holding a fixed state of the arm board 100 installed next to the bed;
A first fixing table 310 and a second fixing table 330 are provided at an upper end of a support shaft 110 provided on a surface of the arm board 100 to fix and angle the patient's arm, (300) having a band (335) for fixing the antenna (300); And
A positioning member 410 that adjusts the height and the angle of the fixing unit 300 according to the arm position of the patient, the position setting member 410 being adjusted in the lateral direction according to the arm position of the patient, And a height adjusting unit 400 having an angle adjusting member 430,
(600) is further provided on the arm board (100)
The height adjusting unit 400 includes a positioning member 410 provided on the supporting shaft 110 of the arm board 100 and having an adjusting tube 411 adjusted in height and lateral direction, 411 and an angle adjusting member 430 which is positioned between the upper portion and the fixing portion 300 and adjusts the angle of the fixing portion 300 according to the arm state of the patient,
The angle adjusting member 430 of the height adjusting part 400 includes a first bracket 431 installed on the adjusting piece 415 of the positioning member 410 and a second bracket 432 coupled to the first bracket 431 And a second bracket 437 on which the support pieces 312 and 332 of the first and second fixing tables 310 and 330 are installed so that the angle adjusting bolts 433 The angle of the angle adjusting member 430 is adjusted by the nut 435 and the angle of the angle adjusting member 430 is adjusted by the nut 439 and the horizontal adjusting bolt 438 penetrating through the second bracket 437, And the horizontal position of the second fixing table (330) is controlled.
The method according to claim 1,
The lock portion 200 is configured to lock,
A sling 230 having a ring 233 which is exposed to the side of the arm board 100 so as to be fixed to the bottom of the arm board 100 and hooked on a rim or a railing of the bed,
Further comprising a magnetic body (250) installed on a lower side surface of the latch (230) and magnetically attached to a rail or a rim of a bed.
The method according to claim 1,
The fixing part (300)
The first fixing table 310 and the second fixing table 330 are disposed to face each other in the longitudinal direction,
Supporting pieces 312 and 332 protruding from the facing portions of the first and second fixing tables 310 and 330 to overlap with each other,
A horizontal adjustment bolt 438 and a nut 439 provided to penetrate the support pieces 312 and 332 overlapping each other,
Wherein the horizontal adjustment of the first and second fixing members 310 and 330 is performed by fastening the horizontal adjustment bolt 438 and the nut 439 to each other.
delete The method according to claim 1,
The positioning member 410 of the height adjusting unit 400 includes:
A control tube 411 having an adjustment hole 412 coupled to a support rod 112 protruding upward from the support shaft 110,
An adjusting piece 415 provided on the adjusting tube 411 and connected to the angle adjusting member 430,
A height adjustment part (not shown) is provided on the support shaft 110 by an adjustment bolt 414 which is formed of a fastening hole 413 formed in a side surface of the adjustment pipe 411 and closely attached to the support rod 112 through the fastening hole 413, 400 is controlled in the lateral direction and the vertical height is controlled.
delete The method according to claim 1,
The support shaft (110)
A plurality of recessed catching grooves 113 are formed on the circumferential surface of the support rod 112 protruding vertically from the support shaft 110 so that the end of the control bolt 414 is caught to adjust the height of the control tube 411, Wherein the adjustment of the position of the operation arm is performed.
The method according to claim 1,
The desired surgical procedure (600)
A tool tray 620 disposed on the arm board 100 for operating a surgical needle, a mesh tray 610 for installing the surgical needle, and an alcohol cotton storage groove 630 for disinfection are integrally formed Wherein the arm is operatively connected to the arm.

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