CN110292446A - Multifunctional fixing device for neurosurgery department - Google Patents
Multifunctional fixing device for neurosurgery department Download PDFInfo
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- CN110292446A CN110292446A CN201910738099.8A CN201910738099A CN110292446A CN 110292446 A CN110292446 A CN 110292446A CN 201910738099 A CN201910738099 A CN 201910738099A CN 110292446 A CN110292446 A CN 110292446A
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- head
- support
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- neck
- fixed
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/10—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
- A61B90/14—Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G7/00—Beds specially adapted for nursing; Devices for lifting patients or disabled persons
- A61G7/05—Parts, details or accessories of beds
- A61G7/065—Rests specially adapted therefor
- A61G7/07—Rests specially adapted therefor for the head or torso, e.g. special back-rests
- A61G7/072—Rests specially adapted therefor for the head or torso, e.g. special back-rests for the head only
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- Animal Behavior & Ethology (AREA)
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- Heart & Thoracic Surgery (AREA)
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- Oral & Maxillofacial Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Neurosurgery (AREA)
- Otolaryngology (AREA)
- Nursing (AREA)
- Accommodation For Nursing Or Treatment Tables (AREA)
Abstract
The invention belongs to the technical field of medical instruments, and particularly relates to a multifunctional fixing device for neurosurgery, which comprises a fixing plate, wherein a head fixing device and a supporting device matched with the head fixing device are arranged on the fixing plate; the supporting device comprises a head supporting structure and a neck supporting structure matched with the head supporting structure; the head support structure comprises a head support plate and a head support transmission structure matched with the head support plate; the head fixing device comprises a first fixed gear rotationally connected with the fixing plate, and a multi-angle adjusting structure is connected to the first fixed gear; the fixing plate is provided with a supporting shell, and the neck supporting structure comprises a neck supporting plate and a neck transmission structure matched with the neck supporting plate; the multi-angle adjusting structure can enable the head fixing device to be adjusted according to the rotating angle of the head supporting plate, then fix the head of a patient, meanwhile, the neck of the patient is prevented from being unsupported and inconvenient to use when the patient uses the head fixing device, and convenience and stability of the head fixing device are improved.
Description
Technical field
The invention belongs to the field of medical instrument technology, and in particular to a kind of neurosurgery multifunctional fixing device.
Background technique
Neurosurgery is a branch in surgery, be on the basis of surgery is to perform the operation as essential therapeutic arsenals,
Using unique neurosurgery science study method, nerve system of human body is studied, such as brain, spinal cord and peripheral nervous system, Yi Jiyu
Relevant subsidiary body, such as skull, scalp, the isostructural damage of cerebrovascular meninx, inflammation, tumour, deformity and certain heredity
Dysbolism or dysfunction disease, such as: epilepsy, Parkinson's disease, the cause of disease and pathogenesis of neuralgia disease, and explore new
Diagnosis, treatment, prevention technique a high, precision and frontier subject；The common disease of neurosurgery include craniocerebral trauma, cerebral hemorrhage,
The diseases such as intracranial tumors, cerebral aneurysm, epilepsy；When treating neurosurgery, such as cerebral hemorrhage amount of bleeding threat to life, traffic accident cause
Brain wound or brain have oncothlipsis, need to carry out operative treatment, when the brain to patient is performed the operation, need to trouble
The head of person is fixed, currently, patient, when carrying out head operation treatment, medical staff is simpler to the head fixation of patient
It is single；When patient performs the operation, it is sometimes desirable to which patient lifts head, and doctor is facilitated to operate, the fixed dress in current head
Setting simply to be fixed the head of patient, and function is relatively simple, inconvenient for operation, also can not neck to patient into
Row support.
Summary of the invention
To solve the above-mentioned problems, the present invention provides a kind of neurosurgery multifunctional fixing device, effective solutions
Existing fixed device can only be simply fixed to the progress of the head of patient and head fixing device can only be simply to patient's
Head is fixed, and function is relatively simple, inconvenient for operation, also can not be supported these problems to the neck of patient.
To achieve the above object, the invention adopts the following technical scheme: a kind of neurosurgery multifunctional fixing device, including
Fixed plate, the support device for being provided with a pair of of head fixing device and being matched with head fixing device in the fixed plate；Institute
Stating support device includes head support structure and the neck support structure matched with head support structure；The head support knot
Structure includes head support board and the head for driving head support board to rotate in fixed plate support drive mechanism；The head is fixed
Device includes the first fixed gear with fixed plate rotation connection, is connected with multi-angle regulation knot on the described first fixed gear
Structure, the multi-angle regulation structure can be such that head fixing device is adjusted according to the angle that head support board rotates；It is described
Supporing shell is slidably connected in fixed plate, the neck support structure includes the neck support with supporing shell rotation connection
Plate, the fixed plate are equipped with the neck drive mechanism for sliding with supporing shell and neck support plate being driven to rotate.
Further, the first drive bevel gear, first drive bevel gear and head are rotatably connected in the fixed plate
Portion's support drive mechanism is connected；The second drive bevel gear, the fixed plate are coaxially connected in first drive bevel gear
On be rotatably connected to connecting shaft, the second driven wheel of differential being meshed with the second drive bevel gear is connected in the connecting shaft,
The one end of the connecting shaft far from the second driven wheel of differential is connected with neck drive mechanism.
Further, the multi-angle regulation structure includes the second fixed gear with fixed plate rotation connection, and described the
Two fixed gears are meshed with the first fixed gear, and the described second fixed gear upper end is coaxially connected with the first fixed worm screw, institute
The the first fixed worm gear for being rotatably connected in fixed plate and being meshed with the first fixed worm screw is stated, described first fixes on worm gear coaxially
It is connected with fixed rotating plate；T-shaped plate is connected on the fixed rotating plate, the lower end of the T-shaped plate is slidably connected with fixed rotating plate, institute
The upper end for stating T-shaped plate is rotatably connected to a pair of of telescopic screw rod, and the telescopic screw rod is spirally connected with fixed rotating plate；The telescopic screw rod
Upper end is connected with flexible worm gear, and the flexible worm screw being meshed with flexible worm gear is rotatably connected in the T-shaped plate；The T shape
It is connected with fixes sleeve on plate, fixed retracting cylinder is slidably connected in the fixes sleeve, is bolted in the fixed retracting cylinder
Fixed screw rod, the fixed screw rod and fixes sleeve are rotatablely connected, and are connected with head fixation clip on the fixed retracting cylinder.
Further, support drive mechanism in the head includes being meshed with the first drive bevel gear first from mantle tooth
It takes turns, the first head supporting worm is coaxially connected on the driven wheel of differential, first head supporting worm and fixed plate turn
It is dynamic to connect, it is rotatably connected to the second head supporting worm in the fixed plate, one end of second head supporting worm is affixed
There is the first head being meshed with the first head supporting worm to support worm gear, is rotatably connected to and the second head in the fixed plate
The second head that supporting worm is meshed supports worm gear, and support snail in third head is connected on the second head support worm gear
Bar, third head supporting worm and fixed plate are rotatablely connected, and a pair of and third head is rotatably connected in the fixed plate
The third head that supporting worm is meshed supports worm gear, is connected on the third head support worm gear and matches with head support board
The head support link structure of conjunction.
Further, the head support link structure includes a pair of of the head support screw being rotatablely connected in fixed plate,
The head support screw and third head support worm gear are affixed, and head support is bolted on the head support screw and is slided
Block is connected with the first cylindrical bar between described two head support slippers, and a pair of the is rotatably connected on first cylindrical bar
One runner is connected with the first supporting track matched with the first runner in the fixed plate；It is rotatablely connected on the cylindrical bar
Have an active support link, the active support link is located between two the first runners, be rotatably connected in the fixed plate from
Dynamic support link, the driven support link middle part is rotatablely connected with active support link far from one end of the first runner, described
Driven support link is rotatably connected to the second cylindrical bar far from one end of fixed plate, and second cylindrical bar both ends are rotatablely connected
There is the second runner, the second supporting track matched with the second runner is provided on the head support board.
Further, the head support screw of described two head support link structures is oppositely oriented；It is described same a pair of
The rotation direction of head support screw is identical.
Further, the neck drive mechanism include with the rotation slide cartridge that connect axis connection, set in the rotation slide cartridge
The limit sliding chutes being uniformly distributed along the circumference are equipped with, are provided with the limit sliding pin matched with limit sliding chutes in the connecting shaft, described turn
One end far from connecting shaft is connected with first neck support gear on dynamic slide cartridge, is connected on the first neck support gear flat
Move drive mechanism and a pair of of support drive mechanism.
Further, the translation drive mechanism includes coaxial affixed second neck support on first neck support gear
Worm screw is rotatably connected to rotation axis in the supporing shell, is connected in the rotation axis and mutually nibbles with second neck supporting worm
The second neck of conjunction supports worm gear, and the rotation axis both ends are connected with neck support shiftable gear, are arranged in the fixed plate
There is the rack gear being meshed with neck support shiftable gear.
Further, the support drive mechanism includes the first neck supporting worm being rotatablely connected in supporing shell, institute
It states the second neck for being connected in first neck supporting worm and being meshed with first neck support gear and supports gear；The support
It is rotatably connected to steering screw on shell, the steering snail being meshed with first neck supporting worm is connected on the steering screw
Wheel is rotatably connected to support shaft in the supporing shell, and the to be meshed with steering screw is connected in the support shaft
One neck support worm gear；The support shaft and neck support plate are affixed.
Compared with prior art, the invention has the benefit that
1, in the use of the present invention, head fixing device can be fixed the head of patient, neck support structure and
Head support structure is supported the head of patient and neck, and preventing patient, neck does not support use not side when in use
Just, the fixation for influencing head improves convenience and stability of the invention.
2, worm gear structure is provided in multi-angle regulation structure of the invention, worm and gear has certain self-locking function
Can, it is not easy to relax after the head to patient is fixed, improves stability of the invention, while also ensuring that patient is using
When safety.
3, head of the invention support drive mechanism and neck drive mechanism cooperate, when the head of patient is lifted,
Neck can also lift certain angle, therefore neck support plate is also required to rotate certain angle, the convenient neck to patient into
Row support；Neck support plate of the invention is supported the neck of patient, improves comfort and stability of the invention.
4, the present invention during operation either can be used during rehabilitation after patients surgery, the process of rehabilitation
In be capable of fixing the head of patient and prevent patients head from touching other objects, while patients head lift after also can be to the head of patient
Portion and neck are supported, and improve comfort and convenience of the invention.
Detailed description of the invention
Fig. 1 is the first axonometric drawing of the invention；
Fig. 2 is head fixing device structural schematic diagram of the invention；
Fig. 3 is partial structural diagram of the invention；
Fig. 4 is drive mechanism schematic diagram of the invention；
Fig. 5 is the first axonometric drawing of head support link structure of the invention；
Fig. 6 is the second axonometric drawing of head support link structure of the invention；
Fig. 7 is the cross-sectional view of Fig. 6 A-A in the present invention；
Fig. 8 is neck drive mechanism schematic diagram of the invention；
Fig. 9 is neck support structural schematic diagram of the invention；
Figure 10 is working state structure schematic diagram of the invention；
In figure, 1, fixed plate, 2, head support structure, 201, head support board, the 202, first drive bevel gear, 203, from
Dynamic bevel gear, the 204, first head supporting worm, the 205, first head support worm gear, the 206, second head supporting worm, 207,
Second head support worm gear, 208, third head supporting worm, 209, third head support worm gear, 210, head support screw,
211, head support slipper, the 212, first supporting track, 213, active support link, 214, driven support link, 215, second
Supporting track, 3, neck support structure, the 301, second drive bevel gear, 302, connecting shaft, 303, limit sliding pin, 304, rotation cunning
Cylinder, 305, first neck support gear, 306, second neck support gear, 307, first neck supporting worm, the 308, first neck
Portion's support worm gear, 309, second neck supporting worm, 310, second neck support worm gear, 311, neck support shiftable gear,
312, neck support plate, 4, head fixing device, the 401, first fixed gear, the 402, first fixed worm screw, 403, first is fixed
Worm gear, 404, fixed rotating plate, 405, T-shaped plate, 406, flexible worm screw, 407, flexible worm gear, 408, telescopic screw rod, 409, fixing sleeve
Cylinder, 410, fixed retracting cylinder, 411, fixed screw rod, 5, supporing shell.
Specific embodiment
A kind of neurosurgery multifunctional fixing device is arranged in the fixed plate 1 as Figure 1-10 shows, including fixed plate 1
The support device for having a pair of of head fixing device 4 and being matched with head fixing device 4；The support device includes head support
Structure 2 and the neck support structure 3 matched with head support structure 2；The head support structure 2 includes head support board
201 support drive mechanism with the head for driving head support board 201 to rotate in fixed plate 1；The head fixing device 4 wraps
The first fixed gear 401 being rotatablely connected with fixed plate 1 is included, is connected with multi-angle regulation knot on the described first fixed gear 401
Structure, the multi-angle regulation structure can be such that head fixing device 4 is adjusted according to the angle that head support board 201 rotates；
Supporing shell 5 is slidably connected in the fixed plate 1, the neck support structure 3 includes the neck with supporing shell rotation connection
Portion's support plate 312, fixed plate are equipped with the neck drive mechanism for sliding with supporing shell 5 and neck support plate 312 being driven to rotate.
The first drive bevel gear 202, first drive bevel gear 202 and head are rotatably connected in the fixed plate 1
Support drive mechanism is connected；The second drive bevel gear 301 is coaxially connected in first drive bevel gear 202, it is described solid
It is rotatably connected to connecting shaft 302 on fixed board 1, is connected in the connecting shaft 302 and is meshed with the second drive bevel gear 301
Second driven wheel of differential, the one end of the connecting shaft 302 far from the second driven wheel of differential are connected with neck drive mechanism.
In using the present invention, after medical staff regulates the elevation angle on head, head is placed on head branch to patient by patient
On the head support board 201 of support structure 2, neck is placed in the neck support plate 312 of neck support structure 3 by patient, medical care
Personnel are fixed using head of the head fixing device 4 to patient；Medical staff when using head fixing device 4 because
The head of each patient it is of different sizes, therefore fixed position is also different, the rotation on the fixed gear 401 of medical staff's rotation first
Turntable, the first fixed gear 401 drive the operating of multi-angle regulation structure, and running to behind suitable position can be to the head of patient
It is fixed；Medical staff when using head support structure 2, different patients need to steeve on head different angle when, medical care
Personnel rotate the rotating disk of the first drive bevel gear 202, and the first drive bevel gear 202 drives two head support drive mechanisms same
Shi Yunzhuan, two head support drive mechanisms drive two head support link structure operatings, two head support links respectively
Structure drives head support board 201 to rotate, and supports the head of patient in the auxiliary head portion support plate 201 of medical staff
Come；While medical staff rotates the first drive bevel gear 202, the first drive bevel gear 202 be will drive and the first initiative taper
Second drive bevel gear 301 of the coaxial Joint of gear 202 rotates, and the second drive bevel gear 301 drives the second driven wheel of differential
Rotation, the second driven wheel of differential drive connecting shaft 302 to rotate, and connecting shaft 302 drives the operating of neck drive mechanism, neck transmission knot
Structure drives and moves in fixed plate 1 in supporing shell 5 with neck support plate 312；In the use of the present invention, head fixing device 4
The head of patient can be fixed, neck support structure 3 and head support structure 2 prop up the head of patient and neck
Support, preventing patient, neck does not support inconvenient to use when in use, influences the fixation on head, improves convenience of the invention
And stability.
The multi-angle regulation structure includes the second fixed gear being rotatablely connected with fixed plate 1, the described second fixed tooth
Wheel is meshed with the first fixed gear 401, and the described second fixed gear upper end is coaxially connected with the first fixed worm screw 402, described
The first fixed worm gear 403 being meshed with the first fixed worm screw 402, the described first fixed worm gear are rotatably connected in fixed plate 1
Fixed rotating plate 404 is coaxially connected on 403；T-shaped plate 405, the lower end of the T-shaped plate 405 are connected on the fixed rotating plate 404
It is slidably connected with fixed rotating plate 404, the upper end of the T-shaped plate 405 is rotatably connected to a pair of of telescopic screw rod 408, the flexible silk
Bar 408 is spirally connected with fixed rotating plate 404；408 upper end of telescopic screw rod is connected with flexible worm gear 407, the T-shaped plate 405
On be rotatably connected to the flexible worm screw 406 being meshed with flexible worm gear 407；It is connected with fixes sleeve 409 in the T-shaped plate 405,
Fixed retracting cylinder 410 is slidably connected in the fixes sleeve 409, is bolted with fixed screw rod in the fixed retracting cylinder 410
411, the fixed screw rod 411 is rotatablely connected with fixes sleeve 409, and the fixed pressure in head is connected on the fixed retracting cylinder 410
Plate.
It is provided with a pair of symmetrical limiting slot in the fixes sleeve 409, is connected with and limits on the fixed retracting cylinder 410
The spacer pin that position slot matches.
As depicted in figs. 1 and 2, medical staff using head of the present invention to patient when being fixed, the head of patient
Angular adjustment it is good after, the rotating disk of the fixed gear 401 of medical staff's rotation first, the first fixed gear 401 drives second solid
Fixed gear rotation, the second fixed gear drive the first fixed worm screw 402 to rotate, and the first fixed worm screw 402 drives the first fixed snail
403 rotation of wheel, the first fixed worm gear 403 drives fixed rotating plate 404 to rotate, after fixed rotating plate 404 turns to suitable position, doctor
Shield personnel stop operating the first fixed gear 401.
When fixation clip can not fix the head of patient, medical staff can continue to adjust the position of fixation clip, doctor
Shield personnel rotate the rotating disk of flexible worm screw 406, and the worm screw 406 that stretches drives two flexible worm gears 407 to rotate simultaneously, and two flexible
The telescopic screw rod 408 that worm gear 407 drives flexible 407 lower end of worm gear affixed simultaneously rotates, telescopic screw rod 408 with 405 turns of T-shaped plate
Dynamic connection, telescopic screw rod 408 will drive T-shaped plate 405 and gradually slide rising along fixed rotating plate 404, and fixation clip reaches suitable position
It postpones, medical staff stops operating flexible worm screw 406.
After the position of fixation clip reaches suitable position, medical staff rotates the rotating disk of fixed screw rod 411, fixed screw rod
411 rotate in fixes sleeve 409, and fixed screw rod 411 is limiting fixed retracting cylinder 410 with spacer pin
Sliding in slot, fixed retracting cylinder 410 drive fixation clip mobile to the head of patient.
For medical staff when using two head fixing devices 4, medical staff successively uses multi-angle regulation structure to two
A fixation clip is adjusted, and when the head of fixation clip and patient is fixed, medical staff can be according to the anti-of patient
The case where answering gradually adjusts pressing plectane, until pressing plectane fixes the head of patient；In the use of the present invention, not only can be with
It adjusts the angle of fixation clip but also is adjustable the height of fixation clip, can be adapted for more patients, improve this hair
Bright practicability and convenience；It is provided with worm gear structure in multi-angle regulation structure of the invention, worm and gear has
Certain self-locking function is not easy to relax, improves stability of the invention, while also guaranteeing after the head to patient is fixed
The safety of patient when in use.
The head support drive mechanism includes the first driven wheel of differential 203 being meshed with the first drive bevel gear 202,
Coaxially it is connected with the first head supporting worm 204 on the driven wheel of differential 203, first head supporting worm 204 and solid
Fixed board 1 is rotatablely connected, and the second head supporting worm 206 is rotatably connected in the fixed plate 1, and second head supports snail
One end of bar 206 is connected with the first head support worm gear 205 being meshed with the first head supporting worm 204, the fixed plate
The the second head support worm gear 207 being meshed with the second head supporting worm 206, second head branch are rotatably connected on 1
Third head supporting worm 208 is connected on support worm gear 207, third head supporting worm 208 and the rotation of fixed plate 1 connect
It connects, a pair of third head support worm gear being meshed with third head supporting worm 208 is rotatably connected in the fixed plate 1
209, the third head support worm gear 209 is connected with head support link structure.
As shown in Figure 1, Figure 3 and Figure 4, shown in Figure 10, when the head of patient needs to lift certain angle, after patient lies on one's sick bed
Head is placed on head support board 201, medical staff rotates the rotating disk of the first drive bevel gear 202, the first initiative taper
Gear 202 drives two the first driven wheel of differential 203 rotations simultaneously, and two the first driven wheel of differential 203 drive first respectively
Portion's supporting worm 204 rotates, and the first head supporting worm 204 drives the first head support worm gear 205 to rotate, the support of the first head
Worm gear 205 drives the rotation of the second head supporting worm 206, and the second head supporting worm 206 drives the second head to support worm gear
207 rotations, the second head support worm gear 207 that third head supporting worm 208 is driven to rotate, and third head supporting worm 208 is same
When drive two third heads support worm gears 209 to rotate, third head supports worm gear 209 to drive head support link structure fortune
Turn；Head support drive mechanism of the invention can drive head support link structure to operate, can be 201 by head support board
It rises, and because being equipped with worm gear structure in head support drive mechanism, worm and gear has self-locking function, head support board
It is more stable when the head of 201 support patients, improve stability and safety of the invention.
The head support link structure includes a pair of of the head support screw 210 being rotatablely connected in fixed plate 1, the head
Portion's support screw 210 and third head support worm gear 209 are affixed, and head support is bolted on the head support screw 210
Sliding block 211 is connected with the first cylindrical bar between described two head support slippers 211, is rotatablely connected on first cylindrical bar
There is a pair of first runner, is connected with the first supporting track 212 matched with the first runner in the fixed plate 1；The cylinder
Active support link 213 is rotatably connected on bar, the active support link 213 is located between two the first runners, described solid
Driven support link 214 is rotatably connected on fixed board 1, driven 214 middle part of support link is remote with active support link 213
One end rotation connection from the first runner, the driven support link 214 are rotatably connected to the second circle far from one end of fixed plate 1
Mast, second cylindrical bar both ends are rotatably connected to the second runner, are provided on the head support board 201 and second turn
Take turns the second supporting track 215 matched.
The head support screw 210 of described two head support link structures it is oppositely oriented；It is described same to head branch
The rotation direction of support wire bar 210 is identical.
As shown in Fig. 1, Fig. 3, Fig. 5, Fig. 6, Fig. 7, medical staff drives head support to connect using head support drive mechanism
When rod structure operates, third head supports worm gear 209 that head support screw 210 is driven to rotate, with a pair of support screw rotation side
To identical, rotation direction is identical, and support screw drives head support slipper 211 mobile, drives the first cylindrical bar with a pair of support slipper
It moves horizontally, the first cylindrical bar drives two the first runners to rotate on the first supporting track 212, same to head support slipper
211 drive one end of active support link 213 to mobile, the active support link 213 close to the direction of the first drive bevel gear 202
One end far from head support slipper 211 rotates in driven support link 214；In one end of active support link 213 to leaning on
When the direction of nearly first drive bevel gear 202 is mobile, one end of driven support link 214 rotates in fixed plate 1, driven support
Connecting rod 214 drives the second cylindrical bar mobile far from one end of fixed plate 1, and the second cylindrical bar drives two the second runners in head branch
It is rotated on the second supporting track 215 on fagging 201, driven support link 214 drives head support board 201 in fixed plate 1
Head support board 201, is propped certain angle by rotation；The present invention is provided with two head support link structures, when in use
It is more stable；Support link structure can also play a supporting role to head support board 201 simultaneously；Head fixing device of the invention
4 can go up and down and rotate, convenient to match with head support structure 2, and head support structure 2 drives head support board 201 that will suffer from
When the head of person is propped, the convenient head to patient of the height and corner of the adjustable head fixing device 4 of medical staff is carried out
It is fixed, improve convenience and practicability of the invention；The rotation direction of the head support screw 210 of two head support link structures
On the contrary, it is same identical to the rotation direction of head support screw 210, guarantee the head support slipper of two head support link structures
211 directions of motion are identical；Medical staff, can be first by head support board 201 when head support board 201 turns an angle
Certain angle is rotated, then the head of patient is placed on head support board 201 again and is fixed；Medical staff is by patient
Head when being placed in the angle for adjusting head support board 201 on head support board 201 again, need to head support board 201
The head of rotation and patient carry out synkinesia, guarantee the comfort level and stationarity when the head of patient is lifted.
The neck drive mechanism includes the rotation slide cartridge 304 connecting with connecting shaft 302, is set in the rotation slide cartridge 304
The limit sliding chutes being uniformly distributed along the circumference are equipped with, the limit sliding pin 303 matched with limit sliding chutes is provided in the connecting shaft 302,
One end far from connecting shaft 302 is connected with first neck support gear 305, the first neck branch on the rotation slide cartridge 304
Translation drive mechanism and a pair of of support drive mechanism are connected on support gear 305.
As shown in Fig. 3, Fig. 4, Fig. 8, when connecting shaft 302 rotates, because being connected with limit sliding pin 303, limit in connecting shaft 302
The shape of position sliding pin 303 be it is arc-shaped, the limit sliding chutes matched with limit sliding pin 303, connecting shaft are equipped in rotating cylinder
302 drive rotating cylinder rotation, and rotating cylinder drives first neck support gear 305 to rotate, and first neck supports gear 305
Drive translation drive mechanism and support drive mechanism operating.
The translation drive mechanism includes coaxial affixed second neck supporting worm on first neck support gear 305
309, the rotation axis being rotatablely connected in the supporing shell 5, be connected in the rotation axis in second neck supporting worm 309
The second neck support worm gear 310 being meshed, the rotation axis both ends are connected with neck support shiftable gear 311, described solid
The rack gear being meshed with neck support shiftable gear 311 is provided on fixed board 1；The supporing shell 5 includes support baseboard and circle
Arc backup plate, the support baseboard lower end are rotatably connected to the runner matched with fixed plate 1.
As shown in Fig. 3, Fig. 4, Fig. 8, Fig. 9, when translation drive mechanism operates, first neck supports gear 305 to drive second
Neck support worm screw 309 rotates, and second neck supporting worm 309 drives second neck support worm gear 310 to rotate, second neck branch
Supportting worm gear 310 drives the rotation axis in supporing shell 5 to rotate, and rotation axis drives two neck support shiftable gears 311 in fixation
It is moved on the rack gear of plate 1, six runners of support baseboard lower end roll in fixed plate 1, and Auxiliary support shell 5 is in fixed plate 1
On move horizontally, supporing shell 5 will drive when moving horizontally rotation slide cartridge 304 slided in connecting shaft 302；Support of the invention
Shell 5 can move, and supporing shell 5 will drive the movement of neck support plate 312, when patient being facilitated to support head, neck branch
Fagging 312 can be supported the neck of patient, improve comfort level when patient uses, improve comfort of the invention.
The support drive mechanism includes the first neck supporting worm 307 being rotatablely connected in supporing shell 5, and described first
It is connected with the second neck being meshed with first neck support gear 305 on neck support worm screw 307 and supports gear 306；It is described
It is rotatably connected to steering screw in supporing shell 5, is connected on the steering screw and is meshed with first neck supporting worm 307
Steering gear worm, be rotatably connected to support shaft in the supporing shell 5, be connected with and steering screw phase in the support shaft
The first neck of engagement supports worm gear 308；The support shaft and neck support plate 312 are affixed.
As shown in Fig. 4, Fig. 8, Fig. 9, first neck support gear 305 of the invention drives second neck supporting worm 309
While rotation, first neck support gear 305 will drive second neck support gear 306 and rotate, and second neck supports gear
306 drive first neck supporting worm 307 to rotate, and first neck supporting worm 307 drives steering gear worm rotation, steering gear worm
Steering screw rotation is driven, steering screw drives first neck support worm gear 308 to rotate, and first neck supports worm gear 308 to drive
Shaft rotation is supported, support shaft drives neck support plate 312 to rotate；While head support board 201 rotates, neck support plate
312 can also rotate simultaneously, because neck can also lift certain angle, therefore neck support plate 312 when head is lifted
Need to rotate certain angle, it is convenient that the neck of patient is supported, improve comfort and stability of the invention；Two
Identical support drive mechanism is used more stable, improves the stability of neck support plate 312.
It is arranged on the fixed plate 1, supporing shell 5, head fixation clip, neck support plate 312 and head support board 201
There is cushion；Protecting crust is provided on the head fixing device 4.
When in use, cushion can greatly improve the usage comfort of patient to patient, mitigate the pain of patient；Protecting crust
Medical staff is facilitated to adjust the present invention；Simultaneously the present invention during operation with can be used in the rehabilitation of postoperative patients, perform the operation
When the head of patient can be supported to certain angle, while being also capable of fixing the head of patient, doctor facilitated to perform the operation；?
In postoperative rehabilitation, patient also needs to fix on head early period, prevents patient's moving-head, touches wound, is unfavorable for extensive
It is multiple；When patient lifts head, if the time lifted longer neck do not support it is very inconvenient, it is also uncomfortable, it is of the invention
Neck support plate 312 can be supported the neck of patient, prevent neck hanging for a long time, be also beneficial to the recovery of patient,
Improve comfort and convenience of the invention.
The course of work of the invention are as follows:
In using the present invention, when if necessary lifting the head of patient, medical staff rotates the first initiative taper to patient
The rotating disk of gear 202, rotating disk drive the first drive bevel gear 202 and the second drive bevel gear 301 to rotate simultaneously；First
Drive bevel gear 202 drives two the first driven wheel of differential 203 rotations simultaneously, and two the first driven wheel of differential 203 drive respectively
The rotation of first head supporting worm 204, the first head supporting worm 204 drive the first head support worm gear 205 to rotate, and first
Portion supports worm gear 205 to drive the rotation of the second head supporting worm 206, and the second head supporting worm 206 drives the support of the second head
Worm gear 207 rotates, and the second head supports worm gear 207 that third head supporting worm 208 is driven to rotate, third head supporting worm
208 drive two third head support worm gears 209 to rotate simultaneously, and third head supports worm gear 209 to drive head support screw 210
Rotation, identical with a pair of of support screw rotation direction, rotation direction is identical, and support screw drives head support slipper 211 mobile, same
The first cylindrical bar is driven to move horizontally support slipper, the first cylindrical bar drives two the first runners in the first supporting track 212
Upper rotation, it is same to drive one end of active support link 213 to close to the first drive bevel gear 202 head support slipper 211
Direction it is mobile, the one end of active support link 213 far from head support slipper 211 rotates in driven support link 214；?
When one end of active support link 213 is to close to the movement of the direction of the first drive bevel gear 202, the one of driven support link 214
End rotates in fixed plate 1, and driven support link 214 drives the second cylindrical bar mobile far from one end of fixed plate 1, the second cylinder
Bar drives two the second runners to rotate on the second supporting track 215 on head support board 201, driven 214 band of support link
Dynamic head support board 201 rotates in fixed plate 1, and head support board 201 is propped to certain angle.
While head support board 201 rotates, the second drive bevel gear 301 drives the rotation of the second driven wheel of differential, the
Two driven wheel of differential drive connecting shaft 302 to rotate, and connecting shaft 302 drives rotating cylinder rotation, and rotating cylinder drives first neck
Gear 305 is supported to rotate, first neck supports gear 305 that second neck supporting worm 309 is driven to rotate, and second neck supports snail
Bar 309 drives second neck support worm gear 310 to rotate, and second neck supports worm gear 310 to drive the rotation axis in supporing shell 5
Rotation, rotation axis drive two neck support shiftable gears 311 to move on the rack gear of fixed plate 1, and the six of support baseboard lower end
A runner rolls in fixed plate 1, and Auxiliary support shell 5 moves horizontally in fixed plate 1, meeting when supporing shell 5 moves horizontally
Rotation slide cartridge 304 is driven to slide in connecting shaft 302.
While first neck support gear 305 of the invention drives second neck supporting worm 309 to rotate, first neck
Support gear 305 will drive second neck support gear 306 and rotate, and second neck supports gear 306 to drive first neck support
Worm screw 307 rotates, and first neck supporting worm 307 drives steering gear worm rotation, and steering gear worm drives steering screw rotation, turns
First neck support worm gear 308 is driven to rotate to worm screw, first neck supports worm gear 308 to drive support shaft rotation, and support turns
Axis drives neck support plate 312 to rotate.
After head support board 201 is rolled over suitable angle, the head of patient is placed in head and supported by medical staff
On plate 201, then it is fixed using head of the head fixing device 4 to patient；Medical staff is using of the invention two
When head fixing device 4, the rotating disk of the fixed gear 401 of medical staff's rotation first, the first fixed gear 401 drives second to consolidate
Fixed gear rotation, the second fixed gear drive the first fixed worm screw 402 to rotate, and the first fixed worm screw 402 drives the first fixed snail
403 rotation of wheel, the first fixed worm gear 403 drives fixed rotating plate 404 to rotate, after fixed rotating plate 404 turns to suitable position, doctor
Shield personnel stop operating the first fixed gear 401；When fixation clip can not fix the head of patient, medical staff can continue
The position of fixation clip is adjusted, medical staff rotates the rotating disk of flexible worm screw 406, and flexible worm screw 406 drives two simultaneously and stretches
Contracting worm gear 407 rotates, and the telescopic screw rod 408 that two flexible worm gears 407 drive flexible 407 lower end of worm gear affixed simultaneously rotates, and stretches
Contracting screw rod 408 and T-shaped plate 405 are rotatablely connected, and telescopic screw rod 408 will drive T-shaped plate 405 and gradually slide along fixed rotating plate 404
It rises, after fixation clip reaches suitable position, medical staff stops operating flexible worm screw 406；The position of fixation clip reaches suitable
Behind position, medical staff rotates the rotating disk of fixed screw rod 411, and fixed screw rod 411 rotates in fixes sleeve 409, fixed wire
Bar 411 slides fixed retracting cylinder 410 in limiting slot with spacer pin, and fixation is stretched
Contracting cylinder 410 drives fixation clip mobile to the head of patient, and gradually the head of patient is fixed.
Claims (9)
1. a kind of neurosurgery multifunctional fixing device, including fixed plate (1), it is characterised in that；It is arranged on the fixed plate (1)
The support device for having a pair of of head fixing device (4) and being matched with head fixing device (4)；The support device includes head
Support construction (2) and the neck support structure (3) matched with head support structure (2)；The head support structure (2) includes
Head support board (201) and the head for driving head support board (201) to rotate on fixed plate (1) support drive mechanism；It is described
Head fixing device (4) includes first fixed gear (401) with fixed plate (1) rotation connection, the described first fixed gear
(401) multi-angle regulation structure is connected on, the multi-angle regulation structure can make head fixing device (4) according to head branch
The angle of fagging (201) rotation is adjusted；Supporing shell (5), the neck support are slidably connected on the fixed plate (1)
Structure (3) includes the neck support plate (312) with supporing shell (5) rotation connection, and the fixed plate (1) is equipped with supporting shell
Body (5) slides and drives the neck drive mechanism of neck support plate (312) rotation.
2. a kind of neurosurgery multifunctional fixing device according to claim 1, it is characterised in that: the fixed plate (1)
On be rotatably connected to the first drive bevel gear (202), first drive bevel gear (202) and head support drive mechanism are connected
It connects；It is coaxially connected with the second drive bevel gear (301) on first drive bevel gear (202), is rotated on the fixed plate (1)
Be connected with connecting shaft (302), be connected on the connecting shaft (302) be meshed with the second drive bevel gear (301) second from
Dynamic bevel gear, the connecting shaft (302) are connected far from one end of the second driven wheel of differential with neck drive mechanism.
3. a kind of neurosurgery multifunctional fixing device according to claim 1, it is characterised in that: the multi-angle regulation
Structure includes the second fixed gear with fixed plate (1) rotation connection, the described second fixed gear and first fixed gear (401)
It is meshed, the described second fixed gear upper end is coaxially connected with first fixed worm screw (402), the company of rotation on the fixed plate (1)
First fixed worm gear (403) being meshed with first fixed worm screw (402) are connected to, described first fixes on worm gear (403) coaxially
It is connected with fixed rotating plate (404)；It is connected with T-shaped plate (405) on the fixed rotating plate (404), the lower end of the T-shaped plate (405)
It is slidably connected with fixed rotating plate (404), the upper end of the T-shaped plate (405) is rotatably connected to a pair of of telescopic screw rod (408), described
Telescopic screw rod (408) is spirally connected with fixed rotating plate (404)；Telescopic screw rod (408) upper end is connected with flexible worm gear
(407), the flexible worm screw (406) being meshed with flexible worm gear (407) is rotatably connected on the T-shaped plate (405)；The T shape
It is connected on plate (405) fixes sleeve (409), slidably connects fixed retracting cylinder (410), institute in the fixes sleeve (409)
It states and is bolted with fixed screw rod (411) in fixed retracting cylinder (410), the fixed screw rod (411) and fixes sleeve (409) rotation connect
It connects, is connected with head fixation clip on the fixed retracting cylinder (410).
4. a kind of neurosurgery multifunctional fixing device according to claim 1, it is characterised in that: the head support passes
Dynamic structure includes the first driven wheel of differential (203) being meshed with the first drive bevel gear (202), the driven wheel of differential
(203) the first head supporting worm (204) is coaxially connected on, first head supporting worm (204) and fixed plate (1) turn
Dynamic connection；The second head supporting worm (206), second head supporting worm are rotatably connected on the fixed plate (1)
(206) one end is connected with the first head support worm gear (205) being meshed with the first head supporting worm (204), described solid
The second head support worm gear (207) being meshed with the second head supporting worm (206) is rotatably connected on fixed board (1), it is described
Third head supporting worm (208), third head supporting worm (208) are connected in second head support worm gear (207)
It is rotatablely connected with fixed plate (1)；A pair is rotatably connected on the fixed plate (1) mutually to nibble with third head supporting worm (208)
The third head of conjunction supports worm gear (209), is connected with and head support board (201) on third head support worm gear (209)
The head support link structure matched.
5. a kind of neurosurgery multifunctional fixing device according to claim 4, it is characterised in that: the head support connects
Rod structure includes a pair of of the head support screw (210) being rotatablely connected on fixed plate (1), the head support screw (210) with
Third head supports worm gear (209) affixed；Head support slipper (211), institute are bolted on the head support screw (210)
It states and is connected with the first cylindrical bar between two head support slippers (211), a pair of the is rotatably connected on first cylindrical bar
One runner is connected with the first supporting track (212) matched with the first runner on the fixed plate (1)；First cylinder
It is rotatably connected on bar active support link (213), the active support link (213) is located between two the first runners, institute
It states and is rotatably connected on fixed plate (1) driven support link (214), supported in the middle part of the driven support link (214) with active
Connecting rod (213) is rotatablely connected far from one end of the first runner, the one end of the driven support link (214) far from fixed plate (1)
It is rotatably connected to the second cylindrical bar, second cylindrical bar both ends are rotatably connected to the second runner, the head support board
(201) the second supporting track (215) matched with the second runner is provided on.
6. a kind of neurosurgery multifunctional fixing device according to claim 5, it is characterised in that: described two head branch
The head support screw (210) of supporting rod structure it is oppositely oriented；The same rotation direction phase to head support screw (210)
Together.
7. a kind of neurosurgery multifunctional fixing device according to claim 2, it is characterised in that: the neck transmission knot
Structure includes the rotation slide cartridge (304) connecting with connecting shaft (302), is provided with and is uniformly distributed along the circumference in rotation slide cartridge (304)
Limit sliding chutes are provided with the limit sliding pin (303) matched with limit sliding chutes, the rotation slide cartridge on the connecting shaft (302)
(304) one end on far from connecting shaft (302) is connected with first neck support gear (305), and the first neck supports gear
(305) translation drive mechanism and a pair of of support drive mechanism are connected on.
8. a kind of neurosurgery multifunctional fixing device according to claim 7, it is characterised in that: the translation transmission knot
Structure includes coaxial affixed second neck supporting worm (309), the supporing shell (5) in first neck support gear (305)
On be rotatably connected to rotation axis, the second neck being meshed with second neck supporting worm (309) is connected in the rotation axis
It supports worm gear (310), the rotation axis both ends are connected with neck support shiftable gear (311), are arranged on the fixed plate (1)
There is the rack gear being meshed with neck support shiftable gear (311).
9. a kind of neurosurgery multifunctional fixing device according to claim 7, it is characterised in that: the support transmission knot
Structure includes the first neck supporting worm (307) being rotatablely connected on supporing shell (5), the first neck supporting worm (307)
On be connected with first neck support gear (305) be meshed second neck support gear (306)；The supporing shell (5)
On be rotatably connected to steering screw, the steering being meshed with first neck supporting worm (307) is connected on the steering screw
Worm gear is rotatably connected to support shaft on the supporing shell (5), is connected in the support shaft and is meshed with steering screw
First neck support worm gear (308)；The support shaft and neck support plate (312) are affixed.
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910738099.8A CN110292446B (en) | 2019-08-12 | 2019-08-12 | Multifunctional fixing device for neurosurgery department |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910738099.8A CN110292446B (en) | 2019-08-12 | 2019-08-12 | Multifunctional fixing device for neurosurgery department |
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| CN110292446A true CN110292446A (en) | 2019-10-01 |
| CN110292446B CN110292446B (en) | 2020-09-25 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN201910738099.8A Active CN110292446B (en) | 2019-08-12 | 2019-08-12 | Multifunctional fixing device for neurosurgery department |
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Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN110812057A (en) * | 2019-12-11 | 2020-02-21 | 滨州医学院烟台附属医院 | Airway smoothing device for severe medical respiration support |
| CN110897808A (en) * | 2019-12-30 | 2020-03-24 | 赵红梅 | Head fixing device convenient for surgical nursing |
| CN112043537A (en) * | 2020-10-10 | 2020-12-08 | 河南省人民医院 | Head fixing device for neurosurgery |
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| CN208611150U (en) * | 2017-09-25 | 2019-03-19 | 华创车电技术中心股份有限公司 | The cross link type auxiliary lifting device of happiness vehicle |
| CN109953864A (en) * | 2019-03-05 | 2019-07-02 | 郑州大学第一附属医院 | A kind of throat Head and neck surgery auxiliary support apparatus |
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Patent Citations (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN208611150U (en) * | 2017-09-25 | 2019-03-19 | 华创车电技术中心股份有限公司 | The cross link type auxiliary lifting device of happiness vehicle |
| CN109953864A (en) * | 2019-03-05 | 2019-07-02 | 郑州大学第一附属医院 | A kind of throat Head and neck surgery auxiliary support apparatus |
Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110812057A (en) * | 2019-12-11 | 2020-02-21 | 滨州医学院烟台附属医院 | Airway smoothing device for severe medical respiration support |
| CN110897808A (en) * | 2019-12-30 | 2020-03-24 | 赵红梅 | Head fixing device convenient for surgical nursing |
| CN110897808B (en) * | 2019-12-30 | 2021-05-25 | 赵红梅 | Head fixing device convenient for surgical nursing |
| CN112043537A (en) * | 2020-10-10 | 2020-12-08 | 河南省人民医院 | Head fixing device for neurosurgery |
Also Published As
| Publication number | Publication date |
|---|---|
| CN110292446B (en) | 2020-09-25 |
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