CN107802300A - A kind of rib device for spreading for thoracic surgery - Google Patents
A kind of rib device for spreading for thoracic surgery Download PDFInfo
- Publication number
- CN107802300A CN107802300A CN201711341852.7A CN201711341852A CN107802300A CN 107802300 A CN107802300 A CN 107802300A CN 201711341852 A CN201711341852 A CN 201711341852A CN 107802300 A CN107802300 A CN 107802300A
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- CN
- China
- Prior art keywords
- support
- bar
- block
- control box
- fixed
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/0206—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors with antagonistic arms as supports for retractor elements
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B2017/0237—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for heart surgery
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Accommodation For Nursing Or Treatment Tables (AREA)
Abstract
The present invention relates to technical field of medical instrument, especially a kind of rib device for spreading for thoracic surgery, including support bar, support rail, connection montant, control box, rotating shaft, expanding structure, block and latch-up structure are strutted, the support bar is provided with clamp nut above geometrical clamp；The rotating shaft is in being provided with internal gear in control box, be externally provided with external gear in control box, the expanding structure include above strutting bar and under strut bar, above strut bar and under strut bar and be provided with and internal gear mutually suitable teeth matched, and block is strutted by bearing connection, the block that struts is in that outside is recessed；The latch-up structure includes securing rod, locks rod sleeve, pulls piece, support spring and support spring support block, and the securing rod matches through locking rod sleeve and mutually being fitted with external gear, the support spring support block and pulls and is provided with support spring between piece.The present invention is reasonable in design, and expanding structure is simple to operate, and carries latch-up structure, can fix and strut block position.
Description
Technical field
The present invention relates to technical field of medical instrument, especially a kind of rib device for spreading for thoracic surgery.
Background technology
When carrying out the thoracic surgeries such as cardiopulmonary, it is often necessary to strut patient's rib, by intercostal gap to thoracic cavity
Internal is performed the operation.Therefore, being frequently necessary to use drag hook during current thoracic surgery, two ribs are pulled open into increase gap,
But this method deficient in stability is, it is necessary to which fixing device for installing persistently pulls traction, and can not be adjusted according to the build of different patients
Drag hook.In the Chinese utility model patent that notification number is CN206621382U, a kind of adjustable rib of built-in light source is disclosed
Dilator, by adjustable rib drag hook, position, the direction of rib drag hook are adjusted for the build of different patients.So
And the device still Shortcomings in design, because rib is in bending in itself, thus the position of two drag hooks needs difference,
Particularly, the device lacks latch-up structure, and after rib is strutted by drag hook, drag hook position can not be locked, and stops force aft rib
Bone can still be tightened up.
The content of the invention
The invention aims to overcome above-mentioned technical disadvantages to provide a kind of rib device for spreading for thoracic surgery,
The latch-up structure being combined into using support spring and securing rod, it is no longer movable to lock expanding structure, so as to which fixation struts block
Position.
The present invention solve the technical scheme that uses of technical problem for：A kind of rib device for spreading for thoracic surgery, bag
Include support bar, fixed structure, support rail, connection montant, control box, rotating shaft, expanding structure, strut block and latch-up structure, institute
Stating fixed structure includes upper geometrical clamp and lower geometrical clamp, and the support bar lower end is provided with screw thread and sequentially passes through geometrical clamp with
Geometrical clamp, support bar least significant end are fixed with support bar limited block, and support bar is provided with clamp nut above upper geometrical clamp, by fixation
Structure is placed on operation bedside, and making edge of bed, device can be consolidated by tightening clamp nut between upper geometrical clamp and lower geometrical clamp
It is scheduled on operation table edge of bed；The support rail is fixed on support rail sleeve, and the support rail sleeve is nested in support
On bar, and support rail clamp nut being provided with, support rail can slide up and down by support rail sleeve on support bar, with
Just the height residing for adjusting means, present level can be fixed by tightening support rail clamp nut；The connection montant is fixed on
Connect on montant sleeve, the connection montant sleeve is nested on support rail, and perpendicular provided with connection montant clamp nut, connection
Bar can rely on connection montant sleeve is horizontal on support rail to slide, so as to the horizontal level residing for adjusting means, the company of tightening
Current horizontal location can be fixed by connecing montant clamp nut；The control box is fixed on below connection montant, and the rotating shaft passes through
Control box, shaft end are provided with rotating shaft limited block, and rotating shaft is provided with internal gear inside control box, and external tooth is provided with the outside of control box
Wheel, the rotating shaft can drive internal gear and external gear to rotate, and not fallen out in the presence of rotating shaft limited block and external gear, institute
State expanding structure include above strutting bar and under strut bar, it is described on strut bar and under strut bar and be respectively arranged on internal gear both sides up and down
And control box is horizontally through, and end is provided with and struts bar limited block, the two corresponding inner side is provided with mutually to fit with internal gear and matched
Teeth, internal gear drives by rotating shaft and rotates, will be strutted in drive bar and under strut bar movement, internal gear rotates counterclockwise, on
Strut bar and under strut bar and outwards strut, internal gear rotates clockwise, above strut bar and under strut bar withdrawal, strut bar limited block
It can prevent expanding structure from departing from；On strut bar and under strut bar downwards bending the two other end is mutually flush so that support
Block is opened relative to control box position on the lower, prevent control box interference operation, and what is be mutually flush struts block and can prevent stress not
, the expanding structure struts block by bearing connection, and the block that struts is in external recess shape, and strutting block can turn by bearing
It is dynamic, it is coincide with ensuring to strut block with rib position so that the recessed side of rib insertion, prevents unbalance stress from causing expanding structure to take off
From；The latch-up structure includes securing rod, locks rod sleeve, pulls piece, support spring and support spring support block, the securing rod
Sleeve is fixed on operation box outer wall, and the securing rod is mutually fitted with external gear and matched through locking rod sleeve and securing rod one end,
Between securing rod can move up and down along locking rod sleeve and can be embedded in the teeth of external gear, the securing rod other end, which is installed with, to be pulled
Piece, the support spring support block are fixedly arranged on operation box outer wall, support spring support block and are pulled and are provided with support spring between piece,
Pull piece downwards, then securing rod slide downward departs from external gear, and now external gear can rotate, and piece is pulled in release, securing rod by
The support force upward sliding insertion external gear of support spring causes external gear to be locked, and now external gear can not return again to.
Further, the fixed folder inner side relative with lower geometrical clamp is provided with sponge cushion pad, to prevent for a long time
Clamping causes fixed structure deformation, it is also possible that clamping is more stable.
Further, crank is connected with the rotating shaft, is easy to rotating shaft, crank end is easy to hold provided with handle.
Further, the block concave side that struts is provided with disinfection sponge pad, to reduce the pressure to rib, can also prevent
Device skids.
Further, the control box is provided with lighting device, and lighting device is irradiated in thoracic cavity, can provide auxiliary for operation
Lighting source so that the visual field is brighter in thoracic cavity.
Beneficial effect is possessed by the present invention：The present invention is reasonable in design, can not only be fastened on operation table, fills
Putting height can also need to adjust with horizontal level according to patient；Expanding structure is simple to operate, and block is strutted by what bearing connected
Bearing can be relied on to rotate, be coincide with ensuring to strut block with rib position so that rib is embedded in recessed side；Device is with locking
Structure, piece is pulled downwards, then securing rod slide downward departs from external gear, and now external gear can rotate struts knot to adjust
Piece is pulled in structure, release, and securing rod insertion external gear causes external gear to be locked, and now strutting block position will be fixed；The design is certainly
Band lighting device, floor light light source can be provided for operation so that the visual field is brighter in thoracic cavity.
Brief description of the drawings
Accompanying drawing 1 is structural side view of the invention.
Accompanying drawing 2 is the structural side view of expanding structure of the present invention and latch-up structure.
Accompanying drawing 3 is the structure top view of expanding structure of the present invention.
Embodiment
1 ~ 3 couple of present invention is described below below in conjunction with the accompanying drawings.
As shown in Fig. 1 ~ 3, the present invention include support bar 2, fixed structure 1, support rail 4, connection montant 5, control box 6,
Rotating shaft 7, expanding structure 10, block 11 and latch-up structure are strutted, the fixed structure 1 includes upper geometrical clamp 1-1 and lower geometrical clamp 1-
2, the lower end of support bar 2 is provided with screw thread 2-1 and sequentially passes through geometrical clamp 1-1 and lower geometrical clamp 1-2, the least significant end of support bar 2
Support bar limited block 2-2 is fixed with, support bar 2 is provided with clamp nut 3 above upper geometrical clamp 1-1, fixed structure 1 is placed on
Operation bedside, making edge of bed, device can be fixed on by tightening clamp nut 3 between upper geometrical clamp 1-1 and lower geometrical clamp 1-2
On operation table edge of bed；The support rail 4 is fixed on support rail sleeve 4-1, and the support rail sleeve 4-1 is nested in branch
On strut 2, and support rail clamp nut 4-2 is provided with, support rail 4 can rely on support rail sleeve 4-1 on support bar 2
Slide up and down, so as to the height residing for adjusting means, present level can be fixed by tightening support rail clamp nut 4-2；It is described
Connection montant 5 is fixed on connection montant sleeve 5-1, and the connection montant sleeve 5-1 is nested on support rail 4, and is provided with
Montant clamp nut 5-2 is connected, connection montant 5 can rely on connection montant sleeve 5-1 is horizontal on support rail 4 to slide, from
And the horizontal level residing for adjusting means, current horizontal location can be fixed by tightening connection montant clamp nut 5-2；The operation
Case 6 is fixed on the lower section of connection montant 5, and the rotating shaft 7 passes through control box 6, and the end of rotating shaft 7 is provided with rotating shaft limited block 7-1, rotating shaft 7
Internal gear 8 is provided with the inside of control box 6, is provided with external gear 9 on the outside of control box, the rotating shaft 7 can drive internal gear 8 and external tooth
Wheel 9 rotates, and is not fallen out in the presence of rotating shaft limited block 7-1 and external gear 9, and the expanding structure 10 includes above strutting bar
10-1 and under strut bar 10-2, it is described on strut bar 10-1 and under strut bar 10-2 and be respectively arranged on internal gear both sides and horizontal stroke about 8
To through control box 6, and end is provided with and struts bar limited block 10-4, and the two corresponding inner side is provided with and suitable of the phase of internal gear 8
The teeth 10-3 matched somebody with somebody, internal gear 8 drive rotation by rotating shaft 7, bar 10-1 will be strutted in drive bar 10-2 movements, internal tooth are strutted with
Wheel 8 rotates counterclockwise, above strut bar 10-1 and under strut bar 10-2 and outwards strut, internal gear 8 rotates clockwise, and above struts bar
10-1 struts bar 10-2 withdrawals with, and strutting bar limited block 10-4 can prevent expanding structure 10 from departing from；On strut bar 10-1 and
Under strut bar 10-2 bending make the two other end mutually be flush downwards so that strut block 11 relative to the position of control box 6 on the lower,
The interference operation of control box 6 is prevented, and what is be mutually flush struts block 11 and can prevent unbalance stress, the expanding structure 10 passes through axle
Hold 12 connections and strut block 11, the block 11 that struts is in external recess shape, and strutting block 11 can rotate by bearing 12, to ensure to support
Opening block 11 and being coincide with rib position causes rib to be embedded in recessed side, prevents unbalance stress from causing expanding structure 10 to depart from；It is described
Latch-up structure includes securing rod 13, locking rod sleeve 14, pulls piece 15, support spring 16 and support spring support block 17, the lock
Fixed pole sleeve 14 is fixed on the outer wall of control box 6, and the securing rod 13 is through locking rod sleeve 14 and the one end of securing rod 13 and outside
The suitable matching of the phase of gear 9, between securing rod 13 can move up and down along locking rod sleeve 14 and can be embedded in the teeth of external gear 9, lock
The other end of fixed pole 13, which is installed with, pulls piece 15, and the support spring support block 17 is fixedly arranged on the outer wall of control box 6, support spring support
Block 17 and to pull and be provided with support spring 16 between piece 15, pull piece 15 downwards, then the slide downward of securing rod 13 departs from external gear 9,
Now external gear 9 can be rotated, and piece 15, the support force upward sliding insertion external gear of the spring 16 supported of securing rod 13 are pulled in release
9 make it that external gear 9 is locked, and now external gear 9 can not return again to.
Further, inner side relative fixed folder 1-1 and lower geometrical clamp 1-2 is provided with sponge cushion pad 1-3, to prevent
Only clamping causes the deformation of fixed structure 1 for a long time, it is also possible that clamping is more stable.
Further, crank 18 is connected with the rotating shaft 7, is easy to rotating shaft 7, the end of crank 18 is provided with handle 19 just
In grip.
Further, the concave side of block 11 that struts, to reduce the pressure to rib, also may be used provided with disinfection sponge pad 11-1
Skidded to prevent locking apparatus.
Further, the control box is provided with lighting device 20, and lighting device 20 is irradiated in thoracic cavity, can be provided for operation
Floor light light source so that the visual field is brighter in thoracic cavity.
During using the device, fixed structure 1 is first placed on operation bedside, edge of bed is located at upper geometrical clamp 1-1 and lower solid
Between clamp 1-2, device can be fixed on operation table edge of bed by tightening clamp nut 3；Regulation support rail 4 makes support rail
4 slide up and down on support bar 2, adjusting means to proper height, tighten support rail clamp nut 4-2 and fix present level；
Regulation connection montant 5 makes connection montant 5 is horizontal on support rail 4 to slide, and adjusting means to correct position, tightens connection montant
Clamp nut 5-2 fixes current horizontal location；The position of control box 6 is fixed on chest incision, block 11 is strutted and props up trouble
Person's rib, piece 15 is pulled downwards, securing rod 13 is departed from external gear 9 downwards, rotate counterclockwise crank 18 so that above strut bar
10-1 and under strut bar 10-2 and strut mutually, to suitable spacing after unclamp and pull piece 15 so that securing rod 13 is in support spring 16
Rebounded upwards under effect fixes device so as to lock external gear 9, can now deploy to perform the operation；Operation is pulled under terminating backward
Piece 15, securing rod 13 is departed from external gear 9 downwards, rotate clockwise crank 18 so that above strut bar 10-1 and strut bar 10- with
2 withdraw mutually, then adjust each nut and remove device.
Claims (5)
1. a kind of rib device for spreading for thoracic surgery, including support bar, fixed structure, support rail, connection montant, behaviour
Make case, rotating shaft, expanding structure, strut block and latch-up structure, it is characterised in that：The fixed structure includes upper geometrical clamp and lower solid
Clamp, the support bar lower end are provided with screw thread and sequentially pass through geometrical clamp and lower geometrical clamp, and support bar least significant end is fixed with branch
Strut limited block, support bar are provided with clamp nut above upper geometrical clamp, and the support rail is fixed on support rail sleeve,
The support rail sleeve is nested on support bar, and is provided with support rail clamp nut, and the connection montant is fixed on connection
On montant sleeve, the connection montant sleeve is nested on support rail, and provided with connection montant clamp nut；The control box
It is fixed on below connection montant, the rotating shaft passes through control box, and shaft end is provided with rotating shaft limited block, and rotating shaft is inside control box
Provided with internal gear, external gear is provided with the outside of control box, the expanding structure struts bar, the upper support including above strutting bar with
Opening lever and under strut bar and be respectively arranged on internal gear and both sides and be horizontally through control box up and down, and end is provided with and struts bar limited block,
The two corresponding inner side is provided with mutually fits the teeth matched with internal gear, and above strutting bar and bar is strutted with and is bent downwards makes the two
The other end is mutually flush, and struts block by bearing connection, and the block that struts is in external recess shape；The latch-up structure includes lock
Fixed pole, lock rod sleeve, pull piece, support spring and support spring support block, the locking rod sleeve is fixed on operation box outer wall
On, the securing rod is mutually fitted with external gear and matched through locking rod sleeve and securing rod one end, and the securing rod other end, which is installed with, to be pulled
Piece, the support spring support block are fixedly arranged on operation box outer wall, support spring support block and are pulled and are provided with support spring between piece.
A kind of 2. rib device for spreading for thoracic surgery according to claim 1, it is characterised in that：It is fixed
The folder inner side relative with lower geometrical clamp is provided with sponge cushion pad.
A kind of 3. rib device for spreading for thoracic surgery according to claim 1, it is characterised in that：In the rotating shaft
Crank is connected with, crank end is provided with handle.
A kind of 4. rib device for spreading for thoracic surgery according to claim 1, it is characterised in that：It is described to strut block
Concave side is provided with disinfection sponge pad.
A kind of 5. rib device for spreading for thoracic surgery according to claim 1, it is characterised in that：The control box
It is provided with lighting device.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201711341852.7A CN107802300A (en) | 2017-12-14 | 2017-12-14 | A kind of rib device for spreading for thoracic surgery |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201711341852.7A CN107802300A (en) | 2017-12-14 | 2017-12-14 | A kind of rib device for spreading for thoracic surgery |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN107802300A true CN107802300A (en) | 2018-03-16 |
Family
ID=61579467
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201711341852.7A Withdrawn CN107802300A (en) | 2017-12-14 | 2017-12-14 | A kind of rib device for spreading for thoracic surgery |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN107802300A (en) |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108742738A (en) * | 2018-06-21 | 2018-11-06 | 刘玉华 | A kind of thoracic surgery extension fixture |
| CN110974322A (en) * | 2019-12-16 | 2020-04-10 | 徐保彬 | Multifunctional operating table for thoracic surgery |
| CN113289160A (en) * | 2018-11-17 | 2021-08-24 | 杨美荣 | Two-side synchronous fixing mechanism of medical arm clamping device |
-
2017
- 2017-12-14 CN CN201711341852.7A patent/CN107802300A/en not_active Withdrawn
Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108742738A (en) * | 2018-06-21 | 2018-11-06 | 刘玉华 | A kind of thoracic surgery extension fixture |
| CN113289160A (en) * | 2018-11-17 | 2021-08-24 | 杨美荣 | Two-side synchronous fixing mechanism of medical arm clamping device |
| CN113289160B (en) * | 2018-11-17 | 2022-11-15 | 泰兴市致远知识产权服务有限公司 | Bilateral synchronous fixing mechanism of medical arm clamping device |
| CN110974322A (en) * | 2019-12-16 | 2020-04-10 | 徐保彬 | Multifunctional operating table for thoracic surgery |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| PB01 | Publication | ||
| PB01 | Publication | ||
| SE01 | Entry into force of request for substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| WW01 | Invention patent application withdrawn after publication |
Application publication date: 20180316 |
|
| WW01 | Invention patent application withdrawn after publication |