201036588 六、發明說明： 【發明所屬之技術領域】 本發明係提供一種手術輔助器械之技術領域，尤指其技 術上提供一種仰躺式肘關節手術輔助器械。 【先前技術】 按’利用關節鏡進行肘關節手術是當前骨科所發展出 新的微創手術之一，然而病患若採傳統的俯臥姿勢進行肘 關節手術並不利於關節鏡的操作，因而發展出要求病患能 以仰躺式的姿勢進行手術，以利關節鏡有足夠的空間進行 操作，同時此種手術方式的另—優點為在做完肘關節關節 鏡手術之後，只需要移動病患手臂，就可以馬上進行其他 種類的手術，手術時因手臂高過心臟所以出血量較少，對 病患負擔也較少。 惟，該仰躺式手術的缺點是手臂沒有適當的支撐工 具，手術進行期間均是透過實習醫師協助以徒手來支撐病 患的手臂。整個手術進行下來對實習醫師的體力負擔很 大’不但有人為不確定的因t，病患手臂的精確位置如高 度、角度等亦無法固定，容易影響關節鏡手術的成功與否， 故並不是-理想的彳式且會增加手#時的缝。、 疋以，針對上述習知結構所存在之問題點，如何開發 種更具理想實用性之創新結構，實臨床手術醫師所殷切 止刀’亦係相關業者須努力研發突破之目標及方向。 201036588 有鏗於此’發明人本於多年從事相關醫療手術輔助器 械產品之製㈣發與設計經驗，針對上述之目#，詳加設 計與審慎評估後，終得一確具實用性之本發明。 【發明内容】 欲解決之技術問題點：習用該仰躺式手術的缺點是沒 有適當的支撐工具’手術進行期間均是透過實習醫師協助201036588 VI. Description of the Invention: [Technical Field] The present invention provides a technical field of surgical aids, and more particularly relates to a technique for providing a reclining elbow joint surgery aid. [Prior Art] According to 'arthroscopy for elbow joint surgery is one of the new minimally invasive surgery developed by the current orthopedics. However, if the patient adopts the traditional prone posture for elbow joint surgery, it is not conducive to the operation of arthroscopy. It is required that the patient can perform the operation in a reclining posture, so that the arthroscope has sufficient space for operation, and the other advantage of the surgical method is that after the elbow arthroscopic surgery is completed, only the patient needs to be moved. With the arm, you can perform other types of surgery right away. Because the arm is higher than the heart during surgery, the amount of bleeding is less, and the burden on the patient is less. However, the disadvantage of this reclining procedure is that the arm does not have a proper support tool, and the arm is supported by the interns during the operation to support the patient's arm. The whole surgery has a heavy physical burden on the interns. Not only is there some uncertainty, but the precise position of the patient's arm, such as height and angle, cannot be fixed. It is easy to affect the success of arthroscopic surgery, so it is not - The ideal squat type will increase the seam when the hand #. In view of the problems existing in the above-mentioned conventional structure, how to develop an innovative structure with more ideal and practicality, and the practical surgeons are eager to stop the knife, and the relevant industry must strive to develop the goal and direction of breakthrough. 201036588 It is here that the inventor has been engaged in the production and design of related medical surgical aids for many years. For the above-mentioned purpose #, after detailed design and careful evaluation, the invention will be practical. . SUMMARY OF THE INVENTION The technical problem to be solved is that the disadvantage of using the reclining surgery is that there is no suitable supporting tool.
以徒手來支#病患的手^整個手術進行下來對實習醫師 的體力負擔很大，不但有人為不確定的㈣，病患手臂的 精確位置如高纟、角度等亦無法固定，容易影㈣節鏡手 術的成功與否，故並*是—理想的方式且會增加手術時的 風險。 解決問題之技術特點：提供一種仰躺式財關節手術辅 助器械’係、包含有一底座機構，該底座機構得以鎖固至病 床之架體’而該鎖固同時亦鎖固有—主支架，該主支架可 調整高低，而該主支架並可藉插銷設定其高度，*該主支 架上得以結合一圓環機構，該圓環機構供手臂穿過，而該 圓環機構並設有一托手機構承座，一托手機構，該托手機 構樞設至該托手機構承座，一鎖固螺絲及一彈性元件，= 鎖固螺絲乃得以鎖緊而頂迫彈性元㈣緊托手機構之齒盤 頂緊具齒形面之凹孔，使托手機構之調整角度具穩固性 者’而該托手機構並設有托手件樞設至滑桿架，而滑桿架 只能滑移調整而不會旋轉者。 201036588 對照先别技術之功效： 術輔助器械’其機構之 不需要複雜的組裝說明 1 .提供一種仰躺式肘關節手 零件數少，可直覺式的組裝完成， 書，具組裝便利性及容易消毒的優勢。 2 ·提供—種仰躺式肘關節手術輔助器械，其所設計 的機構為可用手握住的螺絲頭’方便醫師及助理戴手套轉 動者。 3 ·提供-種仰躺式肘關節手術辅助器械，其結構穩 固’且可穩m的結合至病床上，該輔助器械得以發揮輔助 功能。 有關本發明所採用之技術、手段及其功效，茲舉一較 佳實施例並配合圖式詳細說明於后，相信本發明上述之目 的、構造及特徵，當可由之得一深入而具體的瞭解。 【實施方式】 參閱第一至第i圖所示，本發明係提供一種仰躺式肘 關節手術輔助器械，包括： 一底座機構（10)，該底座機構（1〇)包含有一底 座體（1 1 )、一螺桿（2 )、一旋柄（i 3 )、形塊 (14)及一插銷（142)，該底座體（11)由一前、 後塊體（1 1 1)、（1 12)及一頂面塊體（1 13)— 體成型而成，該頂面塊體（1 1 3 )上並開設有貫通之長 方形槽孔（1 1 3 1 )，該後塊體（1 1 2 )上設有螺孔（丄 201036588 121)，該螺桿（12) —端穿設旋柄（13)，該螺桿 (12)穿鎖經螺孔（1121)，該螺桿（12)之自由 端6又環凹槽2 1 )’在其螺桿（1 2)組入u形塊（1 4)之圓孔（141)時，一插銷（142)插入該圓孔 (1 4 1 )並卡入環凹槽（工2 χ )，使螺桿（工2 )只能 旋轉而無法脫出該U形塊（1 4 );By hand, the hand of the patient's hand ^The whole operation is carried out, and the physical burden of the intern is very high. Not only is there some people who are uncertain (4), the precise position of the patient's arm such as sorghum, angle, etc. cannot be fixed, and it is easy to shadow (4) The success of the endoscopic surgery, and therefore * is the ideal way and will increase the risk of surgery. Technical feature of solving the problem: providing a reclining type of joint operation aid device, comprising a base mechanism, the base mechanism can be locked to the frame of the hospital bed, and the lock also locks the inherent-main support, the main The bracket can be adjusted in height, and the main bracket can be set by the plug. The main bracket can be combined with a ring mechanism for the arm to pass through, and the ring mechanism is provided with a support mechanism. a handle mechanism, the handle mechanism is pivoted to the handle of the handle mechanism, a locking screw and an elastic component, = the locking screw is locked and the elastic element is forced (4) the tooth of the locking mechanism The top of the disc is fixed with a concave hole of the tooth surface, so that the adjustment angle of the handle mechanism is stable. The handle mechanism is provided with the support member pivoted to the slide frame, and the slide frame can only be adjusted by slipping. And will not rotate. 201036588 The efficacy of the prior art: The auxiliary device's mechanism does not require complicated assembly instructions. 1. Provides a small number of reclining elbow joint parts, intuitive assembly, book, easy assembly and easy The advantages of disinfection. 2 · Provide a kind of reclining elbow joint surgery aid, which is designed with a screw head that can be held by hand' to facilitate the physician and assistant to wear gloves. 3·Providing a kind of reclining elbow joint surgery auxiliary device, which has a stable structure and can be stably integrated into the hospital bed, and the auxiliary device can play an auxiliary function. The above-mentioned objects, structures and features of the present invention will be described in detail with reference to the preferred embodiments of the present invention. . [Embodiment] Referring to the first to the i-th, the present invention provides a reclining elbow joint surgery auxiliary device, comprising: a base mechanism (10), the base mechanism (1) includes a base body (1) 1), a screw (2), a handle (i 3 ), a block (14) and a latch (142), the base body (11) is composed of a front and a rear block (1 1 1), (1) 12) and a top block (1 13)-body formed by forming a rectangular slot (1 1 3 1 ) through the top block (1 1 3 ), the rear block (1) 1 2) is provided with a screw hole (丄201036588 121), the screw (12) is provided with a rotary handle (13), and the screw (12) is inserted through the screw hole (1121), and the screw (12) is free. The end 6 is further looped in the groove 2 1 )' when the screw (12) is assembled into the circular hole (141) of the u-shaped block (14), a pin (142) is inserted into the circular hole (1 4 1 ) and the card is inserted. Into the groove (work 2 χ), so that the screw (work 2) can only rotate and can not get out of the U-shaped block (1 4);
主支架（20)，該主支架（20)插設於該底座體 (1 1 )之長方形槽孔（i i 3 i )，並為該U形塊（i 4 ) 橫向扣合推動，該主支架（2 〇 )側面等間距設數銷孔（2 1)’該其一銷孔（21)得以插銷（22)固定，而該插 銷（22)以鏈條（23)結合至該底座體（i 上， 該主支架（20)頂端設有一凹槽（24); —圓環機構（30)，該圓環機構（3〇)周面其一側 設-凸塊（3 1 )，該凸塊（3丄）得嵌於主支架（2 〇 ) 頂端之凹槽（24)，該圓環機構（3〇)周面之另一側設 -耗手機構承座（32)’該托手機構承座（32)包括一 具齒形面之凹孔（32 1 )’ 一螺孔（322)及一凹室（3 2 3); —托手機構（40)，包括一側支架（4 1 )、一托手 件（4 2 )、-滑桿架（4 3 )，該側支架（4 i )之一端 結合有-轴桿（4 4)，該軸桿（44)其一端面設有齒盤 (44 1 )’而軸;f干（44)另一端面設有一未貫穿之圓孔 201036588 (44 2 )，|^*k μ托手件（42)之底面突出之凸耳（ 樞設至該滑榲如 ^ 1 ) '、（4 3 )之自由端，而該滑桿架 得套設滑移於1 ^ S ) 、該側支架（4 1 )上，並可藉由一鎖固件（4 5 )鎖固’該滑桿架（4 3 )套設處設有凸塊（4 而該側支架（d τ、 4 1 )對應設有滑槽（4 i i )，使該凸塊（4 3 1 )卡於滑槽（4 1 1 )而讓滑桿架（4 3 )只能移動 而不會偏轉者，該鎖固件（45)並可在滑桿帛（43) 到達定位後鎖固，—鎖固螺絲、（4 6 )及-彈性元件（4 7 )’該軸桿（4 4 )置入凹室（3 2 3 )，並彈性元件（4 7 )組入轴才干（4 4 )圓孔（4 4 2 )，該鎖固螺絲（4 6 ) 穿經螺孔（3 2 2 )及圓孔（4 4 2 )，而抵緊該彈性元件 (47)及使軸桿（44)齒盤（441)貼緊具齒形面 之凹孔（3 2 1 )。 藉由上述之組合，該病床（50)之架體（5 1)先 扣設一底座體（1 1)，並在底座體（1 之頂面塊體（1 1 3)長方形槽孔（1 1 3 1)處插設主支架（2〇)，並 以主支架（2 0 )之南度而選擇配合之销孔（2 1 )，以插 銷（22)固定該銷孔（21)，該U形塊（14)乃扣住 該主支架（20)，旋轉該旋柄（1 3)，使螺桿（1 2) 推動U形塊（14)、主支架（2〇)抵緊架體（51)之 另一面，配合該底座體（1 1)之前塊體（1 1 1)而夾 固於該架體（5 1 )上者； 201036588 該圓環機構（30)並設有兩長槽孔（3 3)、（3 4)， .該兩長槽孔（33)、（34)得供穿設一魔術氈（6〇)， , 該魔術氈（60)並預先穿在圓環機構（3〇)中，再將 圓環機構（3 0 )穿過手臂，此時從圓環機構（3 〇 )外 拉緊魔術氈（6 0 )，使手臂靠向主支架（2 ◦)處緊貼。 轉鬆該鎖固螺絲（4 6 )，該托手機構（4 〇 )之侧支 架（41)就可以調整托手角度，並旋緊固定，而手腕部 伤則以托手件（4 2 )托住，並調鬆該鎖固件（4 5 )，該 托手機構（40)之托手件（42)及滑桿架（43)就 可調整至最佳位置，再固定該鎖固件（45)。 所述該彈性元件（47)為壓縮彈簧。 所述該圓環機構（3 0 )設有二長槽孔（3 3 )、（ 3 4)該長槽孔（33)、（34)供一魔術氈（60)穿設 入該圓環機構（3〇)内，以固定一手臂。 别文係針對本發明之較佳實施例為本發明之技術特徵 進仃具體之說明；惟，熟悉此項技術之人士當可在不脫離 發月之精神與原則下對本發明進行變更與修改，而該等 變更與修改，皆應涵蓋於如下申請專利範圍所界定之範嗜 中。 【圖式簡單說明】 第圖·係本發明其一實施例之立體分解示意圖。 第一圖·係本發明其一實施例之立體示意圖。 201036588 第三 第四 第五 (1 (1 (1 (1 (1 (1 (1 (2 (2 (3 (3 (3 (3 (4 (4 (4 (4 圖：係本發明其一實施例之調整動作示意圖 圖：係該位置軸桿之局部剖示圖。 圖：係本發明之其一實施狀態平面示意圖。 (4 4 1 )齒盤 【主要元件符號說明】 0 )底座機構 11)前塊體 1 2 1 )螺孔 1 3 1 )長方形槽孔 21)環凹槽 4 ) U形塊 4 2 )插銷 1 )銷孔 3 )鏈條 0 )圓環機構 2 )托手機構承座 2 2 )螺孔 3 )長槽孔 0 )托手機構 1 1 )滑槽 2 1 )凸耳 3 1 )凸塊 (1 1 )底座體 (112)後塊體 (1 1 3 )頂面塊體 (1 2 )螺桿 (13)旋柄 (1 4 1 )圓孔 (2 0 )主支架 (2 2 )插銷 (2 4 )凹槽 (3 1 )凸塊 (3 2 1 )凹孔 (3 2 3 )凹室 (3 4 )長槽孔 (41)側支架 (4 2 )托手件 (4 3 )滑桿架 (4 4 )軸桿 (4 4 2 )圓孔 10 201036588 (4 5 )鎖固件 (4 7 )彈性元件 (5 1 )架體 (4 6 )鎖固螺絲 (5 0 )病床 (6 0 )魔術氈a main bracket (20), the main bracket (20) is inserted into a rectangular slot (ii 3 i ) of the base body (1 1 ), and is pushed and pushed by the U-shaped block (i 4 ), the main bracket (2 〇) the side equally spaced pin holes (2 1) 'one of which is fixed by a pin (22), and the pin (22) is coupled to the base body (i) by a chain (23) The top of the main bracket (20) is provided with a groove (24); a ring mechanism (30), and a circumferential surface of the ring mechanism (3) is provided with a - bump (3 1 ), the bump ( 3丄) has a groove (24) embedded in the top end of the main bracket (2 〇), and the other side of the circumference of the ring mechanism (3〇) is provided with a hand-washing mechanism socket (32) 'the handle mechanism The seat (32) includes a concave surface (32 1 ) of a toothed surface, a screw hole (322) and an alcove (3 2 3); a handle mechanism (40) including a side bracket (4 1 ) a support member (4 2 ), a slider frame (4 3 ), one end of the side bracket (4 i ) is coupled with a shaft (4 4), and the shaft (44) has teeth on one end surface thereof The disk (44 1 )' and the shaft; the other end of the f-dry (44) is provided with a non-perforated circular hole 201036588 (44 2 ), |^*k μ (42) a lug protruding from the bottom surface (pivoted to the free end of the sliding joint such as ^1) ', (4 3 ), and the sliding rod frame is sleeved to slide at 1 ^ S ), the side bracket ( 4 1 ) upper, and can be locked by a locking fastener (4 5 ). The slider frame (4 3 ) is provided with a bump (4 and the side bracket (d τ, 4 1 ) is correspondingly provided The chute (4 ii ) causes the lug (4 3 1 ) to be caught in the chute (4 1 1 ) so that the slide bar (4 3 ) can only move without deflecting the lock (45) and After the slider 帛 (43) reaches the positioning position, the locking screw, (4 6 ) and the elastic element (4 7 ) 'the shaft (4 4 ) are placed in the recess (3 2 3 ), and The elastic element (4 7 ) is assembled into the shaft (4 4 ) round hole (4 4 2 ), and the locking screw (4 6 ) passes through the screw hole (3 2 2 ) and the round hole (4 4 2 ) Tightening the elastic member (47) and the shaft (44) of the shaft (44) against the concave hole (3 2 1 ) of the toothed surface. The frame of the hospital bed (50) by the combination of the above (5) 1) Firstly, a base body (1 1) is fastened, and a main bracket (2〇) is inserted into the rectangular body (1 1 3 1) of the top body block (1 1 3) of the base body (1), and The pin hole (2 1 ) is selected to fit the south of the main bracket (20), and the pin hole (21) is fixed by a bolt (22), and the U-shaped block (14) is fastened to the main bracket (20). Rotating the handle (13), so that the screw (1 2) pushes the U-shaped block (14), the main bracket (2〇) abuts against the other side of the frame body (51), and cooperates with the base body (1 1) before the block The body (1 1 1) is clamped to the frame body (5 1 ); 201036588 The ring mechanism (30) is provided with two long slots (3 3), (3 4), the two long slots Holes (33), (34) are provided for wearing a magic felt (6〇), and the magic felt (60) is pre-weared in the ring mechanism (3〇), and then the ring mechanism (30) is worn. Pass the arm, then tighten the magic felt (60) from the ring mechanism (3 〇) so that the arm is close to the main bracket (2 ◦). Loosen the locking screw (4 6 ), the side bracket (41) of the handle mechanism (4 〇) can adjust the angle of the handle and screw it, and the wrist injury is the handle (4 2 ) Hold and loosen the lock (4 5 ), the handle (42) of the handle mechanism (40) and the slider frame (43) can be adjusted to the optimal position, and then the fastener is fixed (45) ). The elastic element (47) is a compression spring. The ring mechanism (30) is provided with two long slots (33), (34) the long slots (33), (34) for a magic felt (60) to be inserted into the ring mechanism (3〇) inside to fix an arm. The present invention is described in detail with reference to the preferred embodiments of the present invention, and those skilled in the art can change and modify the present invention without departing from the spirit and principles of the present invention. Such changes and modifications shall be covered by the scope defined in the following patent application. BRIEF DESCRIPTION OF THE DRAWINGS Fig. 1 is a perspective exploded view of an embodiment of the present invention. The first figure is a perspective view of an embodiment of the present invention. 201036588 Third, fourth, fifth (1 (1 (1 (1 (1 (1 (1 (2 (3 (3 (3 (3 (3 (3 (3 (4 (4 (4 (4 (4 Schematic diagram of the adjustment operation: a partial cross-sectional view of the shaft of the position. Fig.: is a plan view showing an embodiment of the present invention. (4 4 1) sprocket [representation of main components] 0) base mechanism 11) Block 1 2 1 ) Screw hole 1 3 1 ) Rectangular slot 21) Ring groove 4) U-shaped block 4 2) Pin 1) Pin hole 3) Chain 0) Ring mechanism 2) Handle mechanism bearing 2 2 ) screw hole 3 ) long slot hole 0 ) handle mechanism 1 1 ) chute 2 1 ) lug 3 1 ) bump (1 1 ) base body (112) rear block (1 1 3 ) top block ( 1 2) Screw (13) Screw (1 4 1) Round hole (2 0 ) Main bracket (2 2 ) Pin (2 4 ) Groove (3 1 ) Bump (3 2 1 ) Recessed hole (3 2 3 ) alcove (3 4 ) long slot (41) side bracket (4 2 ) bracket (4 3 ) slider bracket (4 4 ) shaft (4 4 2 ) round hole 10 201036588 (4 5 ) lock (4 7) elastic element (5 1 ) frame body ( 4 6 ) locking screw (5 0 ) bed (60) magic felt
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