CN112076053B - Anterior cervical surgery position intelligence auxiliary adjusting fixing device and anterior cervical surgery bed - Google Patents
Anterior cervical surgery position intelligence auxiliary adjusting fixing device and anterior cervical surgery bed Download PDFInfo
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- CN112076053B CN112076053B CN202010994418.4A CN202010994418A CN112076053B CN 112076053 B CN112076053 B CN 112076053B CN 202010994418 A CN202010994418 A CN 202010994418A CN 112076053 B CN112076053 B CN 112076053B
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- A—HUMAN NECESSITIES
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- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
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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
- A61G13/00—Operating tables; Auxiliary appliances therefor
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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
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
- A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
- A61G13/1205—Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
- A61G13/121—Head or neck
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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
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
- A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
- A61G13/1205—Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
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Abstract
The invention discloses an intelligent auxiliary adjusting and fixing device for the body position of a cervical anterior surgery, which comprises a fixing frame and a neck curvature adjusting mechanism, wherein the neck curvature adjusting mechanism is arranged on the fixing frame and is used for adjusting the neck curvature of a patient; the neck curvature adjusting mechanism comprises a neck pillow cushion positioned on the fixing frame and a curvature adjusting assembly connected to the lower end of the neck pillow cushion and used for adjusting the curvature of the neck pillow cushion, and the bottom end of the curvature adjusting assembly is abutted to a fixing plate arranged below the fixing frame; its structure is reliable, adjusts convenient accurate, and efficiency is put to effectual improvement position, simplifies the operation and prepares the flow, increases the regulation reliability in the art, improves the security of the anterior cervical way operation.
Description
Technical Field
The invention relates to the technical field of medical instruments, in particular to an intelligent auxiliary adjusting and fixing device for an anterior cervical operation body position and an operation bed.
Background
The anterior cervical surgery is often used as a surgical treatment for diseases such as cervical spondylotic radiculopathy, cervical spondylotic myelopathy, traumatic fracture of cervical vertebra, and prolapse of cervical intervertebral disc, and the safety of the anterior cervical surgery is increasingly emphasized by researchers. Proper posture placement is one of the key factors for the quality and success of the anterior cervical surgery.
At present, the position placing time of the anterior cervical surgery immediately after anesthesia of a patient is 15-45 minutes, and occupies 30% -50% of the total time of the patient in a surgery room, so that the complicated and good operation of placing the position of the anterior cervical surgery can be seen, and on the other hand, for the patient who receives the surgery, as the surgery operation requires the patient to adopt a certain fixed position during the surgery, the local tissue is pressed for a long time, the blood circulation is poor, the local skin is damaged by red swelling, blister and the like, even sore pressing is caused, and the pain of the patient is increased.
The operation bed is one of the important factors influencing the body position at present. The existing electric operating bed is medical equipment commonly used in operating rooms of domestic comprehensive hospitals, has various functions, and can be suitable for operations of various parts such as the chest, the abdomen, the limbs, the urinary system, the five sense organs and the like. However, for anterior cervical surgery, the functions related to the operation bed and the body position are not targeted, the special requirements of related departments are difficult to meet, and along with the increasing complexity of the functions of the operation bed, more and more accessories are provided without obvious marks for distinguishing, so that the accessories are difficult to match, and the operation process is delayed.
In addition, in the anterior cervical approach, there are also the following problems:
(1) and when adjusting the shoulder: particularly, the c6-c7 segment and the T1 segment need to be pulled downwards to the shoulder to reduce the obstruction of the shoulder to the neck perspective, the traditional way of fixing the adhesive tape is tedious and time-consuming, the adhesive tape pulling also has the possibility of damaging the skin of the patient, and the adhesive tape allergy exists in some patients. Moreover, the adhesive tape may fall off during the operation to influence the operation process, and the operation is troublesome after the sterilization and the spreading of the towel are performed during the operation and the position adjustment is performed again.
(2) For head adjustment: the head is fixed by a round pillow in the existing operation and then is pulled and fixed by an adhesive tape, so that the fixation is not firm, the adhesive tape is in a falling risk in the operation, and the operation process and the safety are influenced; the damage of the adhesive tape to the skin, especially the anaphylactic reaction, influences the operation and generates the potential safety hazard of the operation.
(3) For neck adjustment: when the curvature of the cervical vertebra is adjusted in the existing operation, the pillow is mainly leaned against the cervical vertebra through the manual operation of medical personnel to achieve the curvature adjustment, the operation is inconvenient, the using performance is low, the labor cost of the medical personnel is increased, meanwhile, the pillow is leaned against by the hands of a human body, the force is not uniform and stable, the good curvature adjusting effect cannot be achieved, the reliability is low, the pollution to the operation area is easily caused in the process of the adjustment of the pillow leaning against by the cushion, the infection risk is increased, and the safety performance of the operation is reduced.
Disclosure of Invention
The invention aims to provide an intelligent auxiliary adjusting and fixing device for a position of a cervical anterior surgery and a cervical anterior surgery bed, and aims to solve the problem that the position of the cervical anterior surgery cannot be reliably placed in the existing cervical anterior surgery.
The technical scheme for solving the technical problems is as follows: an intelligent auxiliary adjusting and fixing device for the position of an anterior cervical operation comprises a fixing frame and a cervical curvature adjusting mechanism which is arranged on the fixing frame and is used for adjusting the curvature of the neck of a patient;
neck curvature adjustment mechanism is including being located neck bolster on the mount and connecting the curvature adjusting part of neck bolster lower extreme and being used for adjusting neck bolster curvature, and the bottom of curvature adjusting part is in with the setting the fixed plate butt of mount below.
Further, the curvature adjustment assembly comprises curvature extensible members respectively arranged at two ends of the lower surface of the neck pillow, and the curvature extensible members are in communication connection with the controller.
Furthermore, the device also comprises a shoulder pressing mechanism and a head rotating and bending mechanism; the shoulder pressing mechanism is arranged on the fixed frame and is used for pressing down the shoulders of the patient; the head rotating and stretching mechanism is arranged on the fixed frame and is used for driving the head of the patient to rotate and stretch; the shoulder pressing mechanism, the neck curvature adjusting mechanism and the neck curvature adjusting mechanism are all in communication connection with a controller used for controlling the actions of all the mechanisms.
Furthermore, the shoulder pressing mechanism comprises pressing adjusting components respectively arranged at two sides of the fixed frame and a shoulder pressing fastener which is arranged at the end part of the pressing adjusting components and is matched with the shoulder of the patient; the shoulder pressing fastener is driven by the pressing adjusting assembly to press the shoulder downwards to move.
Further, push down the adjusting part including setting up the flexible piece of pushing down and swing joint in the mount side and pushing down the folding rod spare that the mount tip was kept away from to the flexible piece, folding rod spare and the tip of pushing down the flexible piece are provided with the retaining member that is used for locking both active position, and the shoulder pushes down the fastener setting and keeps away from folding rod spare the tip of pushing down the flexible piece, pushes down flexible piece and controller communication connection.
Further, push down the regulating Assembly including set up the guide rail of mount side, with guide rail sliding fit's draw runner, connect at the draw runner tip and along the lifter of draw runner elevating movement and set up at the guide rail tip and with the push-and-pull piece of draw runner connection, the shoulder pushes down the fastener setting on the lifter, and draw runner and lifter hookup location department are provided with the locking piece that is used for locking lifter elevating position, push-and-pull piece and controller communication connection.
Furthermore, the head rotating and stretching mechanism comprises a head telescopic piece, a bending connecting rod, a rotating driving assembly and a head placing piece, wherein the head telescopic piece is arranged on the fixing frame and used for driving the head of a patient to bend and stretch, the bending connecting rod is arranged at the end part of the head telescopic piece and used for transmitting bending and stretching force, the rotating driving assembly is arranged on the bending connecting rod and used for driving the head to rotate, the head placing piece is arranged at the end part of the rotating driving assembly and used for placing the head, and the rotating driving assembly and the head telescopic piece are both in communication connection with the controller.
Further, the rotary driving assembly comprises a driving motor arranged on the bent connecting rod, a transmission rod arranged on the output end of the driving motor and a gear arranged at the end part of the transmission rod far away from the driving motor, the gear is meshed with the gear teeth arranged on the head placing piece, and the driving motor is in communication connection with the controller.
Furthermore, the controller is also in communication connection with an illness state integration system, and the illness state integration system comprises an illness state storage module, an information integration interaction module, a scientific research teaching module and a background control module; the background control module is in communication connection with the Internet terminal equipment through a port;
the disease condition storage module is in communication connection with the information integration interaction module and is used for standard writing and integration of disease characteristics, conversion into digital expression and quantification of clinical data;
the information integration interaction module is respectively in communication connection with the illness state storage module and the scientific research teaching module, integrates and interacts data of the illness state storage module and the scientific research teaching module through the information integration interaction module, and finally stores the data in the background control module;
the scientific research teaching module is respectively in communication connection with the information integration interaction module and the background control module and is used for inputting and integrating the data information read in the information integration interaction module so as to provide scientific research data reference;
the background control module is in communication connection with the information integration interaction module, reads and stores data information on the information integration interaction module through the background control module, stores data of the illness state storage module and the scientific research teaching module at the same time, and sends an action instruction to the controller to perform operation action.
The invention also provides a cervical anterior approach operation bed, which comprises an anterior cervical approach operation body position intelligent auxiliary adjusting and fixing device and a bed body in matched connection with the anterior cervical approach operation body position intelligent auxiliary adjusting and fixing device, wherein the bed edge of the bed body is detachably connected with the side edge of the fixing frame through a connecting plate.
The invention has the following beneficial effects: the intelligent auxiliary adjusting and fixing device for the position of the anterior cervical surgery and the anterior cervical surgery bed provided by the invention have the advantages of reliable structure, convenience and accuracy in adjustment, effective improvement of the position placing efficiency, simplification of the surgery preparation process, increase of the intra-operative adjusting reliability and improvement of the safety of the anterior cervical surgery. Simultaneously, the device integrates the common characteristics of the anterior operation position of neck and the individualized demand of different art formulas, to the position default, the regulation of the anterior position of supplementary preoperative and intraoperative regulation and control neck is put, effectual improvement operation effect, and the device is adjusted the neck curvature, the rotatory flexion of head and the function integration in an organic whole that pushes down of both shoulders, effectual solved by the bolster, the sticky tape pulls the operation complicacy that fixed causes, the location is inaccurate, adjust inconvenient and fixed not firm problem in the art, effectual improvement anterior way of neck operation medical treatment quality, reduce society and patient's medical treatment burden, improve disease quality of life.
Drawings
FIG. 1 is a schematic structural view of the present invention;
FIG. 2 is a schematic view of a shoulder depressing mechanism according to an embodiment of the present invention;
FIG. 3 is a schematic view of a second embodiment of a shoulder depressing mechanism according to the present invention;
FIG. 4 is a third schematic view of an embodiment of a neck curvature adjustment mechanism according to the present invention;
FIG. 5 is a fourth schematic view of an embodiment of a neck curvature adjustment mechanism according to the present invention;
FIG. 6 is a fifth schematic view of an embodiment of a neck curvature adjustment mechanism according to the present invention;
FIG. 7 is a schematic view of a head adjustment mechanism of the present invention;
FIG. 8 is a schematic view of a rotary drive assembly according to the present invention;
FIG. 9 is a schematic block diagram of a medical integration system of the present invention;
FIG. 10 is a side view of the anterior cervical operating bed of the present invention;
the reference numerals shown in fig. 1 to 10 are respectively expressed as: 1-a fixed frame, 2-a shoulder pressing mechanism, 3-a neck curvature adjusting mechanism, 4-a head rotating bending and stretching mechanism, 20-a pressing adjusting component, 21-a shoulder pressing fastener, 201-a pressing telescopic component, 202-a folding rod component, 203-a locking component, 204-a guide rail, 205-a sliding strip, 206-a lifting rod, 207-a pushing and pulling component, 30-a neck pillow, 31-a curvature adjusting component, 32-a fixed plate, 310-a curvature telescopic component, 301-a pillow unit, 33-an inflation pipeline, 34-an inflator, 40-a head telescopic component, 41-a bending connecting rod, 42-a rotating driving component, 420-a driving motor, 421-a driving rod, 422-a gear, 423-a gear tooth and 50-a disease condition storage module, 51-information integration interaction module, 52-scientific research teaching module, 53-background control module, 100-bed body, 200-connecting plate.
Detailed Description
The principles and features of this invention are described below in conjunction with the following drawings, which are set forth by way of illustration only and are not intended to limit the scope of the invention.
As shown in figure 1, a way operation position intelligence auxiliary regulation fixing device before neck, including mount 1, mount 1 is including the position section and be connected the head neck section of formula structure as an organic whole with the position section, and shoulder pushing down mechanism 2 sets up on the position section, and neck curvature adjustment mechanism 3 and the rotatory mechanism 4 of bending and stretching of head set up on the head neck section. When in use, a patient lies on the fixing frame 1, wherein the shoulders and the part below the shoulders are placed on the body section of the fixing frame 1, and the head and the neck are placed on the head and neck section of the fixing frame 1. Wherein the size of the head and neck section is smaller than that of the body position section.
The shoulder pressing mechanism 2 is arranged on the fixing frame 1 and is used for pressing the shoulders of the patient. Shoulder pushes down mechanism 2 is arranged in the art and pushes down patient's both shoulders, reduces shoulder to the sheltering from of cervical vertebra perspective, and the abundant effect that shows of the next cervical vertebra of effectual assurance.
Neck curvature adjustment mechanism 3, neck curvature adjustment mechanism 3 sets up on mount 1 and is used for adjusting patient's neck curvature. According to the operation requirement, the cervical curvature and the mandibular flexion and extension degree are adjusted by the cervical curvature adjusting mechanism 3, the operation visual field is fully exposed, and the operation effect is improved.
The head rotating and bending mechanism 4 is arranged on the fixing frame 1 and is used for driving the head of the patient to rotate and bend. The head rotating and stretching mechanism 4 is used for rotating, stretching and fixing the head position, so that the head position cannot cause the change of the neck position in the operation, and meanwhile, the shoulder is pulled to form a pulling force, so that the operation effect is improved.
The shoulder pressing mechanism 2, the neck curvature adjusting mechanism 3 and the head rotating and bending mechanism 4 are all connected with a controller for controlling the actions of all the mechanisms in a communication way. The controller adopts a single chip microcomputer with the model number of STM32, and a circuit board of the single chip microcomputer has the main function of continuously receiving instructions, analyzing the instructions and executing the instructions according to a pre-programmed program to achieve the expected result of a user. In this application, during the use, through the angle that needs shoulder pushing down volume, the rotatory volume of bending and stretching of head and neck curvature to adjust to the input in the controller, the controller carries out the analysis according to the data of input, produces corresponding executive program, and then controls shoulder pushing down mechanism 2, neck curvature adjustment mechanism 3 and neck curvature adjustment mechanism 3 respectively and carry out corresponding action, adjusts accurate reliable, abundant assurance operation field of vision, improvement operation effect. In addition, also be provided with foot-operated on-off ware in the interconnecting link of this controller, medical personnel trample the action of foot-operated on-off ware and then each mechanism of control through the foot, guarantee the in-service use demand in the art.
The shoulder pressing mechanism 2 comprises pressing adjusting components 20 respectively arranged at two sides of the fixed frame 1 and shoulder pressing fasteners 21 arranged at the ends of the pressing adjusting components 20 and matched with the shoulders of the patient. The pressing-down adjusting component 20 is used as a driving part to drive the shoulder pressing-down fastener 21 to move, so that the pressing-down operation of the shoulders of the patient is realized.
As shown in fig. 2, the first embodiment: the downward pressing adjusting assembly 20 comprises a downward pressing telescopic part 201 arranged on the side surface of the fixed frame 1 and a folding rod part 202 movably connected to the downward pressing telescopic part 201 and far away from the end part of the fixed frame, locking parts 203 for locking the movable positions of the folding rod part 202 and the downward pressing telescopic part 201 are arranged at the end parts of the folding rod part 202 and far away from the downward pressing telescopic part 201, a shoulder downward pressing fastener 21 is arranged at the end part of the folding rod part 202 and far away from the downward pressing telescopic part 201, and the downward pressing telescopic part 201 is in communication connection with the controller; the downward-pressing telescopic part 201 is obliquely and movably arranged along the side surface of the fixed frame 1. The downward-pressing telescopic member 201 is an electric cylinder, an air cylinder or a hydraulic cylinder, and in order to ensure the cleanness of the operation environment, the electric cylinder is preferably used. Through the swing joint between flexible piece 201 and the mount 1 of pushing down for flexible piece 201 can be according to the regulation needs of operation time to the shoulder, and form suitable angle between the mount 1, thereby guarantee shoulder push down complete lock of fastener 21 in shoulder position department, reach good push down operation to the shoulder. The folding rod piece 202 is used as a force transmission piece between the downward pressing telescopic piece 201 and the shoulder downward pressing fastener 21, and the stability of force transmission is ensured. During the use, the controller control pushes down extensible member 201 and starts, along with the flexible motion that drives a member 202 of rolling over of pushing down extensible member 201, and then drives shoulder and pushes down fastener 21 and push down the operation to the shoulder, reduces the shoulder and to the perspective sheltering from of cervical vertebra, the effectual abundant effect that shows of lower cervical vertebra of assurance.
As shown in fig. 3, the second embodiment: the press-down adjusting assembly 20 comprises a guide rail 204 arranged on the side surface of the fixed frame 1, a slide bar 205 in sliding fit with the guide rail 204, a lifting rod 206 connected to the end of the slide bar 205 and moving up and down along the slide bar 205, and a push-pull piece 207 arranged at the end of the guide rail 204 and connected with the slide bar 205, wherein the shoulder press-down fastener 21 is arranged on the lifting rod 206, a locking piece 208 for locking the lifting position of the lifting rod 206 is arranged at the connecting position of the slide bar 205 and the lifting rod 206, and the push-pull piece 207 is in communication connection with the controller. The guide rail 204 is provided along the longitudinal direction of the side surface of the fixing frame 1. The slide bar 205 slides along the guide rail 204 to move horizontally to bring the shoulder press-down buckle 21. The lifting rod 206 is used for driving the shoulder pressing fastener 21 to move vertically, so that the shoulder pressing fastener 21 can be reliably and stably buckled on the shoulder of the patient. During the use, through the elevating movement of lifter 206 along draw runner 205 for the shoulder pushes down reliable lock of fastener 21 at patient's shoulder, and then drives draw runner 205 and lifter 206 whole along guide rail 204 horizontal migration through push-and-pull piece 207, makes shoulder push down fastener 21 and produces the holding down force to the shoulder, realizes the reliable operation of pushing down to the shoulder.
As shown in fig. 4, the neck curvature adjusting mechanism 3 includes a neck pillow 30 located on the fixing frame 1 and a curvature adjusting assembly connected to a lower end of the neck pillow 30 and used for adjusting the curvature of the neck pillow 30, and a bottom end of the curvature adjusting assembly abuts against a fixing plate 32 disposed below the fixing frame 1. Neck bolster 30 is placed on mount 1 through curvature adjusting part, and during the use, drive neck bolster 30 through curvature adjusting part carries out the curvature and adjusts, realizes the adjustment of cervical vertebra curvature and mandibular area degree of depth, realizes reliably putting of neck position. The metal wire that is used for perspective development is provided with on neck bolster top layer, can effectually guarantee to the perspective development of cervical vertebra in the art, the medical personnel of being convenient for in time observe the condition in the art.
Example three: the curvature adjustment assembly includes curvature expanders 310 disposed at both ends of the lower surface of the neck pillow 30, respectively, the curvature expanders 310 being in communication with the controller. The curvature extension 310 may be an electric cylinder, a hydraulic cylinder or an air cylinder, and the corresponding controller may be an electric controller, a hydraulic controller or a pneumatic controller. During the use, with the required curvature volume input of neck to the controller in, through the controller analysis and then drive two curvature extensible members 310 respectively and produce different flexible volume to make neck bolster 30 produce different height, form neck bolster 30's curvature effect, realize the curvature and adjust.
As shown in fig. 5, example four: the neck pillow 30 comprises a plurality of pillow units 301, the pillow units 301 are connected to form an arc-shaped structure, the lower end of each pillow unit 301 is provided with a curvature telescopic piece 310, the pillow units 301 correspond to cervical vertebra segments of patients, and the curvature telescopic pieces 310 are in communication connection with a controller. The curvature telescopic part 310 adopts an electric cylinder, the curvature telescopic part 310 drives the pillow unit 301 to move under the control of the controller, and the curvature adjustment of different cervical vertebra segments can be accurately achieved according to the operation requirement.
As shown in fig. 6, example five: the neck pillow 30 employs an air bag which is of a unitary or divided structure and is constructed by connecting an inflation tube 31 and an inflator 32. The inflator adopts a pedal type inflator, so that the operation of medical personnel is facilitated. The pipeline is provided with a valve which is mainly used for air bleeding operation. During the use, carry gas in to the gas-filled pipeline through the aerator effect and then in filling gas to the gasbag, through the action part that the gasbag was adjusted as the neck curvature, aerify according to the operation needs and the change that the gassing operation realized the expansion and the contraction state to the gasbag, and then realize the regulation to the cervical vertebra curvature, convenient operation, it is effectual to adjust. And the middle height of the air bag is lower than the heights of the two ends, so that the air bag forms an arc structure with a groove in the middle,
in addition, the structure design for adjusting the curvature of the neck portion is only a preferred embodiment of the present invention, and is not intended to limit the present invention, and any modifications, equivalent substitutions, improvements, etc. made to the curvature adjusting mechanism within the spirit and principle of the present invention should be included in the protection scope of the present invention.
As shown in fig. 7, the head rotation and flexion mechanism 4 includes a head extension piece 40 disposed on the fixing frame and used for driving the head of the patient to flex, a flexion connecting rod 41 disposed at an end of the head extension piece 40 and used for transmitting flexion and extension force, a rotation driving assembly 42 disposed on the flexion connecting rod 41 and used for driving the head to rotate, and a head placing piece 43 disposed at an end of the rotation driving assembly 42 and used for placing the head, wherein the rotation driving assembly 42 and the head extension piece 40 are both in communication connection with the controller. The telescopic member drives the bending connecting rod 41 to move so as to drive the head placed on the head placing member 43 to move integrally, so that the bending and stretching of the head are adjusted. The head placing part 43 is driven to rotate by the rotary driving component 42, so that the head can rotate.
As shown in fig. 8, in order to improve the reliability of the rotation of the head, in the present invention, the rotation driving assembly 42 includes a driving motor 420 provided on the bending link 41, a driving rod 421 provided on an output end of the driving motor 420, and a gear 422 provided on an end of the driving rod 421 away from the driving motor 420, the gear 422 is engaged with a gear 423 provided on the head rest 43, and the driving motor 420 is communicatively connected to the controller. During the use, control driving motor 420 through the controller and start, and then driving motor 420 drives transfer line 421 rotatory, and under the rotation effect of transfer line 421, gear 422 is rotatory thereupon, and then drives the head that has teeth of a cogwheel 423 and places piece 43 and rotate, realizes the rotation to patient's head.
The head placing part 43 comprises a head clamping part and a binding belt which is crossly arranged on the head clamping part, the binding belt is respectively wound on the forehead and the forehead of the patient in a limiting way, and a cavity matched with the back of the head of the patient is arranged in the head clamping part. The patient places the head on the head fastener, fixes patient's lower jaw and forehead respectively through the constraint area afterwards, forms dual fixed knot structure to realize the reliable fixed of patient's head, guarantee that the head can not take place the skew in the art, guarantee that head and neck keep the state in the reliable accurate art, avoid the removal in the art and influence the operation effect.
As shown in fig. 9, the controller is further communicatively connected with an illness state integration system, and the illness state integration system includes an illness state storage module 50, an information integration interaction module 51, a scientific research teaching module 52 and a background control module 53; the background control module 53 is in communication connection with the internet terminal equipment through a port; the disease condition storage module 50 is in communication connection with the information integration interaction module 51 and is used for standard writing and integration of disease characteristics, conversion into digital expression and quantification of clinical data; the information integration interaction module 51 is respectively in communication connection with the illness state storage module 50 and the scientific research teaching module 52, integrates and interacts data of the illness state storage module 50 and the scientific research teaching module 52 through the information integration interaction module 51, and finally stores the data in the background control module 53; the scientific research teaching module 52 is respectively in communication connection with the information integration interaction module 51 and the background control module, and is used for inputting and integrating the data information read in the information integration interaction module 51 so as to provide scientific research data reference; the background control module 53 is in communication connection with the information integration interaction module 51, reads and stores data information on the information integration interaction module through the background control module 53, and simultaneously stores data of the illness state storage module 50 and the scientific research teaching module 52, and sends an action instruction to the controller to perform an operation action. The system is used for acquiring the preoperative cervical vertebra curvature, the shoulder pressing amount and the head rotation bending and stretching degree of a patient and the adjustment result data of a plurality of patients to construct a characteristic vector, a long-time memory-based recurrent neural network (LSTM) is used for modeling the historical characteristic vector, and then the machine learning prediction with the system is used for obtaining the adjustment amounts of the cervical vertebra curvature, the shoulder pressing amount and the head rotation bending and stretching in the optimal X-axis and Y-circumference directions. It is specific, to shoulder, the required angle regulation of neck and head stores the integration analysis to a plurality of different patient's different state of an illness symptoms and preoperative through this system, form self-memory and learning function, when the patient of the same state of an illness is met in the later stage, automatic generation is to the shoulder through the backstage control module among this state of an illness integrated system, the adjustment instruction of neck and head adjusting position, and transmit to the controller and realize the adaptability regulation to neck, shoulder and head, full automation control, degree of automation is high, and is convenient and reliable. And different regulation schemes generated aiming at different disease conditions in the operation can be integrated through the scientific research teaching module for later stage teaching work.
The invention also provides a cervical anterior approach operation bed, as shown in fig. 10, comprising an anterior cervical approach operation body position intelligent auxiliary adjusting and fixing device and a bed body 100 in matching connection with the anterior cervical approach operation body position intelligent auxiliary adjusting and fixing device, wherein the bed edge of the bed body 100 is detachably connected with the side edge of the fixing frame 1 through a connecting plate 200. The disassembly and the connection adopt threaded connection. All set up threaded hole on the side of mounting, the bed body 100 side and the connecting plate 200, threaded hole fit has the bolt, when needs use, places mount 1 on the operation table, and the threaded hole on the connecting plate 200 aligns the screw hole of mount 1 and operation table, and then inserts the assembly that precession realized bed body 100 and mount 1 with the bolt.
The above description is only for the purpose of illustrating the preferred embodiments of the present invention and is not to be construed as limiting the invention, and any modifications, equivalents, improvements and the like that fall within the spirit and principle of the present invention are intended to be included therein.
Claims (8)
1. An intelligent auxiliary adjusting and fixing device for the position of an anterior cervical surgery is characterized by comprising a fixing frame (1) and a cervical curvature adjusting mechanism (3) which is arranged on the fixing frame (1) and is used for adjusting the curvature of the neck of a patient;
the neck curvature adjusting mechanism (3) comprises a neck pillow (30) positioned on the fixing frame (1) and a curvature adjusting assembly connected to the lower end of the neck pillow (30) and used for adjusting the curvature of the neck pillow (30), and the bottom end of the curvature adjusting assembly is abutted to a fixing plate (32) arranged below the fixing frame (1);
the device also comprises a shoulder pressing mechanism (2) and a head rotating, bending and stretching mechanism (4); the shoulder pressing mechanism (2) is arranged on the fixing frame (1) and is used for pressing the shoulders of the patient; the head rotating and stretching mechanism (4) is arranged on the fixed frame (1) and is used for driving the head of the patient to rotate and stretch; the shoulder pressing mechanism (2), the neck curvature adjusting mechanism (3) and the neck curvature adjusting mechanism (3) are all in communication connection with a controller used for controlling the actions of all the mechanisms;
the shoulder pressing mechanism (2) comprises pressing adjusting components (20) respectively arranged at two sides of the fixed frame (1) and shoulder pressing fasteners (21) which are arranged at the end parts of the pressing adjusting components (20) and matched with the shoulders of the patient; the shoulder pressing fastener (21) is driven to move to press down the shoulder by the pressing-down adjusting component (20).
2. The anterior cervical surgery body position intelligent auxiliary adjusting and fixing device according to claim 1, wherein the curvature adjusting assembly comprises curvature expansion pieces (310) respectively arranged at two ends of the lower surface of the cervical pillow (30), and the curvature expansion pieces (310) are in communication connection with a controller.
3. The device for intelligently assisting in adjusting and fixing the body position of the anterior cervical surgery according to claim 1, wherein the downward pressing adjusting assembly (20) comprises a downward pressing telescopic part (201) arranged on the side surface of the fixing frame (1) and a rod folding part (202) movably connected to the end part of the downward pressing telescopic part (201) far away from the fixing frame (1), a locking part (203) for locking the movable positions of the rod folding part (202) and the downward pressing telescopic part (201) is arranged at the end part of the rod folding part (202) far away from the downward pressing telescopic part (201), the shoulder downward pressing fastener (21) is arranged at the end part of the rod folding part (202) far away from the downward pressing telescopic part (201), and the downward pressing telescopic part (201) is in communication connection with a controller.
4. The device for intelligently assisting in adjusting and fixing the anterior cervical surgical body position according to claim 1, wherein the downward pressing adjusting assembly (20) comprises a guide rail (204) arranged on the side of the fixed frame (1), a slide bar (205) in sliding fit with the guide rail (204), a lifting rod (206) connected to the end of the slide bar (205) and moving up and down along the slide bar (205), and a pushing and pulling piece (207) arranged at the end of the guide rail (204) and connected with the slide bar (205), the shoulder downward pressing fastener (21) is arranged on the lifting rod (206), a locking piece (208) for locking the lifting position of the lifting rod (206) is arranged at the connecting position of the slide bar (205) and the lifting rod (206), and the pushing and pulling piece (207) is in communication connection with a controller.
5. The device for intelligently assisting in adjusting and fixing the body position of the anterior cervical surgery according to claim 1, wherein the head rotation flexion and extension mechanism (4) comprises a head extension piece (40) which is arranged on the fixing frame (1) and used for driving the head of the patient to flex and extend, a bending connecting rod (41) which is arranged at the end of the head extension piece (40) and used for transmitting flexion and extension force, a rotation driving assembly (42) which is arranged on the bending connecting rod (41) and used for driving the head to rotate, and a head placing piece (43) which is arranged at the end of the rotation driving assembly (42) and used for placing the head, wherein the rotation driving assembly (42) and the head extension piece (40) are both in communication connection with a controller.
6. The device for intelligently assisting in adjusting and fixing the body position of the anterior cervical surgery according to the claim 5 is characterized in that the rotary driving component (42) comprises a driving motor (420) arranged on the bending connecting rod (41), a transmission rod (421) arranged on the output end of the driving motor (420) and a gear (422) arranged at the end of the transmission rod (421) far away from the driving motor (420), the gear (422) is meshed with gear teeth (423) arranged on the head placing piece (43), and the driving motor (420) is in communication connection with the controller.
7. The device for intelligently assisting in adjusting and fixing the posture of the anterior cervical surgery according to any one of claims 2 to 6, wherein a controller is in communication connection with an illness state integration system, and the illness state integration system comprises an illness state storage module (50), an information integration interaction module (51), a scientific research teaching module (52) and a background control module (53); the background control module (53) is in communication connection with the Internet terminal equipment through a port;
the disease condition storage module (50) is in communication connection with the information integration interaction module (51) and the background control module (53) and is used for standard writing and integration of disease characteristics, conversion into digital expression and quantification of clinical data;
the information integration interaction module (51) is respectively in communication connection with the illness state storage module (50) and the scientific research teaching module (52), integrates and interacts data of the illness state storage module (50) and the scientific research teaching module (52) through the information integration interaction module (51), and finally stores the data in the background control module (53);
the scientific research teaching module (52) is respectively in communication connection with the information integration interaction module (51) and the background control module and is used for inputting and integrating the data information read from the information integration interaction module (51) so as to provide scientific research data reference;
the background control module (53) is in communication connection with the information integration interaction module (51), reads and stores data information on the information integration interaction module through the background control module (53), and simultaneously stores data of the illness state storage module (50) and the scientific research teaching module (52), and sends an action instruction to the controller to perform an operation action.
8. The anterior cervical operating bed is characterized by comprising the anterior cervical operating body position intelligent auxiliary adjusting and fixing device according to any one of claims 1 to 7 and a bed body (100) in fit connection with the anterior cervical operating body position intelligent auxiliary adjusting and fixing device, wherein the bed edge of the bed body (100) is detachably connected with the side edge of the fixing frame (1) through a connecting plate (200).
Priority Applications (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202010994418.4A CN112076053B (en) | 2020-09-21 | 2020-09-21 | Anterior cervical surgery position intelligence auxiliary adjusting fixing device and anterior cervical surgery bed |
| PCT/CN2021/078419 WO2022057211A1 (en) | 2020-09-21 | 2021-03-01 | Intelligent auxiliary adjusting and fixing device for anterior cervical surgery body position, and anterior cervical surgical bed |
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| Application Number | Priority Date | Filing Date | Title |
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| CN202010994418.4A CN112076053B (en) | 2020-09-21 | 2020-09-21 | Anterior cervical surgery position intelligence auxiliary adjusting fixing device and anterior cervical surgery bed |
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| CN112076053A CN112076053A (en) | 2020-12-15 |
| CN112076053B true CN112076053B (en) | 2022-07-01 |
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| CN112076053B (en) * | 2020-09-21 | 2022-07-01 | 四川大学华西医院 | Anterior cervical surgery position intelligence auxiliary adjusting fixing device and anterior cervical surgery bed |
| CN114081738A (en) * | 2021-09-07 | 2022-02-25 | 四川大学华西医院 | Special hospital bed convenient to adjust for orthopedic patients |
| CN114587878B (en) * | 2022-03-28 | 2023-06-30 | 郑州大学第二附属医院 | Neurosurgery postcranium struts drainage device |
| CN115590714A (en) * | 2022-10-11 | 2023-01-13 | 张冬梅（Cn） | Body position auxiliary device for thyroid surgery |
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| WO2022057211A1 (en) | 2022-03-24 |
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