CN112569074B - Intelligent fixing device for minimally invasive surgery of lateral position spine and using method thereof - Google Patents

Intelligent fixing device for minimally invasive surgery of lateral position spine and using method thereof Download PDF

Info

Publication number
CN112569074B
CN112569074B CN202011573794.2A CN202011573794A CN112569074B CN 112569074 B CN112569074 B CN 112569074B CN 202011573794 A CN202011573794 A CN 202011573794A CN 112569074 B CN112569074 B CN 112569074B
Authority
CN
China
Prior art keywords
rotating
groove
gear
fixedly connected
block
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Active
Application number
CN202011573794.2A
Other languages
Chinese (zh)
Other versions
CN112569074A (en
Inventor
何丁文
付晓玲
程细高
殷明
徐艳杰
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Second Affiliated Hospital to Nanchang University
Original Assignee
Second Affiliated Hospital to Nanchang University
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Second Affiliated Hospital to Nanchang University filed Critical Second Affiliated Hospital to Nanchang University
Priority to CN202011573794.2A priority Critical patent/CN112569074B/en
Publication of CN112569074A publication Critical patent/CN112569074A/en
Application granted granted Critical
Publication of CN112569074B publication Critical patent/CN112569074B/en
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00Operating tables; Auxiliary appliances therefor
    • A61G13/02Adjustable operating tables; Controls therefor
    • A61G13/04Adjustable operating tables; Controls therefor tiltable around transverse or longitudinal axis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/10Instruments, 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
    • A61B90/14Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00Operating tables; Auxiliary appliances therefor
    • A61G13/10Parts, details or accessories
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00Operating tables; Auxiliary appliances therefor
    • A61G13/10Parts, details or accessories
    • A61G13/12Rests specially adapted therefor; Arrangements of patient-supporting surfaces
    • A61G13/1205Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
    • A61G13/1245Knees, upper or lower legs
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00Operating tables; Auxiliary appliances therefor
    • A61G13/10Parts, details or accessories
    • A61G13/12Rests specially adapted therefor; Arrangements of patient-supporting surfaces
    • A61G13/126Rests specially adapted therefor; Arrangements of patient-supporting surfaces with specific supporting surface

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Pathology (AREA)
  • Neurosurgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Accommodation For Nursing Or Treatment Tables (AREA)

Abstract

The invention belongs to the technical field of medical auxiliary appliances, in particular to an intelligent fixing device for a lateral position spinal minimally invasive surgery, which proposes the following scheme that the intelligent fixing device comprises two symmetrical brackets, one sides of the two brackets, which are close to each other, are respectively and rotatably connected with a first rotating shaft, one ends, which are close to each other, of the two first rotating shafts are fixedly connected with a same bed board, the intelligent fixing device has a simple structure and is convenient to operate, a sponge cushion can move towards the middle to support a patient by rotating a worm, a winding rod can roll a fixing belt, the patient is wrapped by the fixing belt to prevent the patient from moving after the bed board rotates and pressing muscle and blood vessels of the body to influence later-stage surgery, the operation is simple and more intelligent, a large amount of preparation work before surgery is saved, the third gear can be rotated to drive the bed board to rotate to a proper angle, the part to be operated of the patient can be exposed in front of the eyes of the doctor, is convenient for doctors to perform the operation.

Description

Intelligent fixing device for minimally invasive surgery of lateral position spine and using method thereof
Technical Field
The invention relates to the technical field of medical auxiliary appliances, in particular to an intelligent fixing device for a minimally invasive surgery of a lateral position spine and a using method thereof.
Background
In work and life, a fixed posture is sometimes required for a long time, for example, when treating certain diseases or performing an operation, the posture of a patient needs to be fixed so as to accurately aim at a focus for treatment or operation. For patients requiring anesthesia, a fixed position is particularly important. This is because: the patient is temporarily unconscious after anesthesia and is unable to maintain his position autonomously. Therefore, a device is needed to fix the patient's position and keep it constant for a prescribed period of time.
Among the prior art scheme, most fixing device need medical personnel to assemble when patient lies on the sick bed, adjustment fixing device fixes patient after the equipment is accomplished, the in-process of equipment adjustment not only wastes a large amount of time, medical personnel's working strength has still been increased, a large amount of efforts of medical personnel have also been consumed and certain influence is caused for the later stage operation, the angle of the position of lying on one's side can't be adjusted after the position of lying on one's side is fixed among the prior art scheme in addition, along with going on of operation probably influence doctor's visual angle, and then the going on of influence operation.
Disclosure of Invention
The invention aims to solve the defects in the prior art, and provides an intelligent lateral position spinal minimally invasive surgery fixing device which is compact in structure, reduces the working strength of medical staff and can adjust the angle of a lateral position and a using method thereof.
In order to achieve the purpose, the invention adopts the following technical scheme:
intelligent fixing device of side-lying position backbone minimal access surgery, including two symmetrical supports, two one side that the support is close to each other all rotates and is connected with first pivot, two the same bed board of one end fixedly connected with that first pivot is close to each other, two the outer wall of first pivot is all fixed the cover and is equipped with the semicircle board, one side of support is equipped with and is used for driving the bed board and carries out pivoted runner assembly, the top sliding connection of bed board has two symmetrical foam-rubber cushions, be equipped with the rectangular channel in the bed board, the both sides inner wall rotation of rectangular channel is connected with same second pivot, the outer wall winding of second pivot has the fixed band, be equipped with the fixed subassembly that is used for parcel and fixed patient in the bed board, be equipped with the movable plate in the bed board, the bottom of bed board is equipped with and is used for driving the movable plate to carry out the removal subassembly that removes.
The runner assembly is including rotating the third gear of connection in support one side, one side of support is rotated and is connected with the axis of rotation, the one end fixedly connected with second gear of axis of rotation, second gear and third gear mesh mutually, the one end of axis of rotation runs through the first gear of support and fixedly connected with, two symmetrical bracing pieces of one side fixedly connected with that the semicircle board is close to each other, two the top of bracing piece all with the top fixed connection of bed board, be equipped with the arc wall in the semicircle board, one side inner wall fixedly connected with arc rack of arc wall, arc rack and first gear mesh mutually.
The fixing component comprises a first rotating groove arranged in the bed board, the inner walls at two sides of the first rotating groove are rotationally connected with the same first rotating rod, the outer wall of the first rotating rod is fixedly sleeved with two symmetrical first bevel gears, two symmetrical second rotating grooves are arranged in the bed plate, the inner walls of two sides of the two second rotating grooves are respectively and rotatably connected with two-way screw rods, the outer walls of the two-way screw rods are respectively and threadedly connected with two symmetrical screw rod nuts, one ends of the two-way screw rods extend into the first rotating grooves and are respectively and fixedly connected with second bevel gears, the second bevel gear is meshed with the first bevel gear, the outer wall of the first rotating rod is fixedly sleeved with a worm gear and a second straight gear, the inner walls of the two sides of the first rotating groove are rotatably connected with the same worm, the worm wheel is meshed with the worm, and one end of the worm extends to one side of the bed plate.
The fixing component also comprises a winding rod which is rotatably connected above the bed plate, a third rotating groove and a first clamping groove are arranged in the winding rod, the inner walls at two sides of the third rotating groove are rotatably connected with rotating blocks, the bottom of each rotating block is fixedly connected with a clamping block, the bottom of each clamping block extends into the first clamping groove, a second sliding groove and a second clamping groove are arranged in each rotating block, a sliding block is connected in the second sliding groove in a sliding manner, a second spring is fixedly connected to the inner wall at the bottom of the second sliding groove, the top end of the second spring is fixedly connected with the bottom end of the sliding block, a first sliding groove is arranged on the inner wall at one side of the third rotating groove, a clamping block is connected in the first sliding groove in a sliding manner, a first spring is fixedly connected to the inner wall at one side of the first sliding groove, one end, close to the rotating block, of the first spring is fixedly connected with one end of the clamping block, one end, far away from the first, the utility model discloses a bed board, winding pole, bed board, first straight-tooth gear, first through-hole is run through and extend to first rotating groove in the bottom of first straight-tooth gear, first straight-tooth gear meshes mutually with the second straight-tooth gear.
The moving component comprises a hydraulic cylinder fixedly connected with the bottom of the bed plate, one side of the bottom of the moving plate is rotatably connected with two symmetrical second rotating rods, one side of the bottom of the movable plate is rotationally connected with two symmetrical third rotating rods, the bottom ends of the two second rotating rods and the third rotating rods are rotationally connected with the same fourth rotating rod, one side of the two fourth rotating rods, which is close to each other, is fixedly connected with the same screw nut, the piston rod and the second connecting rod fixed connection of pneumatic cylinder, two symmetrical mounting panels of bottom fixedly connected with of bed board, two one side that the mounting panel is close to each other all is equipped with the pulley groove, two one side that the second dwang was kept away from each other all rotates and is connected with the pulley, two one side that the second dwang was kept away from to the pulley all extends to the pulley groove in and with pulley groove roll connection.
Be equipped with in the third gear and accomodate the groove, the top inner wall and the bottom inner wall rotation of accomodating the groove are connected with same handle, and rotation third gear that not only can relax through accomodating groove and handle can also accomodate the handle in accomodating the groove, prevent handle occupation space.
The top of the bed board is fixedly connected with a supporting plate, the supporting plate is arranged between the legs of the patient, and the legs of the patient can be supported through the supporting plate.
One side of the bed plate is fixedly embedded with a rotating bearing, one end of the worm penetrates through an inner ring of the rotating bearing and is fixedly connected with the inner ring of the rotating bearing, and the friction resistance of the bed plate to the worm can be reduced through the rotating bearing.
The improved multifunctional bed is characterized in that two symmetrical grooves and two symmetrical chutes are arranged in the bed plate, the grooves are communicated with the rectangular grooves and the chutes respectively, the two ends of the second rotating shaft are located in the grooves, two stoppers are connected in the chutes in a sliding mode and located above the second rotating shaft respectively, two stoppers are close to one side of the same connecting plate fixedly connected with, a second through hole is formed in the connecting plate, a T-shaped fixture block is connected to one side of each groove in a rotating mode, and one end, far away from the bed plate, of the T-shaped fixture block penetrates through the second through hole and clamps the connecting plate.
The use method of the intelligent fixing device for the lateral position spinal minimally invasive surgery comprises the following steps:
s1, when a patient lies on the bed board, the sliding block is pressed downwards, the second spring starts to compress, one end of the sliding block extrudes the clamping block to move rightwards, the first spring starts to compress, the clamping block is separated from the second clamping groove, the braking on the rotating block is relieved, then the rotating block is pulled upwards, one end of the fixing belt wrapped on the outer wall of the second rotating shaft is pulled into the third rotating groove, then the rotating block is rotated downwards, the rotating block and the clamping block are enabled to press the fixing belt tightly, the clamping block extends into the first clamping groove, and the clamping block is clamped into the second clamping groove again under the action of the first spring to brake the rotating block;
s2, a worm is rotated and meshed with the worm wheel, the worm drives the worm wheel, a first rotating rod and a bidirectional lead screw to rotate, a lead screw nut is in threaded connection with the bidirectional lead screw, when the bidirectional lead screw rotates, the lead screw nut respectively drives two spongy cushions to move towards the middle so that the spongy cushions can be tightly attached to a patient, and as the second straight gear is meshed with the first straight gear, the second straight gear drives the first straight gear, the first connecting rod and the winding rod to rotate, the winding rod can roll the fixing belt, and the fixing belt can tightly wrap the patient;
s3, rotating the first gear to be meshed with the arc-shaped rack, driving the first gear to rotate along with the second gear, and driving the arc-shaped rack and the semicircular plate to rotate along with the first gear, so that the bed plate can be rotated to a proper angle;
s4, starting a hydraulic cylinder, wherein a piston rod of the hydraulic cylinder pulls a second connecting rod to contract, and a pulley rolls in a pulley groove along with the fact that the second connecting rod drives a fourth rotating rod, a second rotating rod and a third rotating rod to move leftwards, so that the movable plate can be taken out of the bed plate and move leftwards to expose the surgical site of the patient;
s5, after the operation is finished, the T-shaped clamping block is rotated to align the T-shaped clamping block with the second through hole, the connecting plate is pulled outwards to separate the clamping block from the groove, the blocking of the second rotating shaft by the clamping block is removed, the second rotating shaft and the fixing band are conveniently taken out of the rectangular groove, and then the fixing band is sterilized.
The invention has the following advantages:
1. when patient lies on the bed board, press the slider downwards, and then can rotate the turning block and stretch to the third and rotate the inslot with the one end of the fixed band of parcel at second pivot outer wall, then rotate the turning block downwards, make the turning block with the fixed clamp of one end of fixed band tightly, can wrap up patient with the fixed band.
2. Rotatory worm, the worm rotates not only can make two foam-rubber cushions remove fixed patient to the centre, but also can make the winding pole rotate the winding fixed band, makes the fixed band tightly wrap up patient, prevents that the bed board from taking place the health and removing the condition of oppression health muscle blood vessel and influence later stage operation after rotating patient.
3. The handle is rotated to enable the handle to rotate out of the first rotating groove, the handle is held to drive the third gear and the second gear to rotate, the first gear is meshed with the arc-shaped rack, the first gear is driven to rotate along with the second gear, the first gear drives the arc-shaped rack and the semicircular plate to rotate along with the first gear, and then the bed plate can be rotated to a proper angle.
4. The hydraulic cylinder is started, the piston rod of the hydraulic cylinder pulls the second connecting rod to contract, the fourth rotating rod, the second rotating rod and the third rotating rod are driven to move leftwards along with the second connecting rod, the pulley rolls in the pulley groove, and then the movable plate can be taken out of the bed plate and moved leftwards, and the surgical part of the patient is exposed.
5. After the operation, rotatory T type fixture block makes T type fixture block and second through-hole align, and outside pulling connecting plate makes the dog break away from examining in the recess, removes stopping of dog to the second pivot, conveniently takes out second pivot and fixed band from the rectangular channel, and then carries out disinfection with the fixed band.
6. The bed board is provided with a supporting board which is arranged between the legs of the patient and can support the legs of the patient.
The invention has simple structure and convenient operation, can not only enable the spongy cushion to move towards the middle to support a patient by rotating the worm, but also enable the winding rod to roll the fixing belt, and uses the fixing belt to wrap the patient to prevent the patient from moving after the bed board rotates and oppressing the muscle and blood vessel of the body to influence the later operation.
Description of the figures and
FIG. 1 is a front sectional view of an intelligent lateral position spinal minimally invasive surgery fixation device provided by the invention;
FIG. 2 is a top view of a bed plate intelligently fixed for a lateral position spinal minimally invasive surgery proposed by the present invention;
FIG. 3 is a front view of a bracket and a semicircular plate of the intelligent fixing device for the lateral position spinal minimally invasive surgery provided by the invention;
FIG. 4 is a side view of a semicircular plate of the intelligent fixing device for the lateral position spinal minimally invasive surgery, which is provided by the invention;
FIG. 5 is a meshing view of a third gear and a second gear of the intelligent fixing device for the lateral position spinal minimally invasive surgery, which is provided by the invention;
FIG. 6 is a front view of a winding rod of the intelligent fixing device for the lateral position spinal minimally invasive surgery proposed by the present invention;
FIG. 7 is a front cross-sectional view of a winding rod of the intelligent fixing device for the lateral position spinal minimally invasive surgery proposed by the present invention;
FIG. 8 is a side view of a second rotating shaft of the intelligent fixing device for the lateral position spinal minimally invasive surgery, which is provided by the invention;
FIG. 9 is a top view of a winding rod of the intelligent lateral position spinal minimally invasive surgery fixation device provided by the invention;
FIG. 10 is a bottom view of the moving component of the intelligent lateral position spinal minimally invasive surgery fixing device provided by the invention;
FIG. 11 is a front view of the moving assembly of the intelligent lateral position spinal minimally invasive surgery fixation device of the present invention;
FIG. 12 is a front cross-sectional view of the moving assembly of the intelligent lateral position spinal minimally invasive surgery fixation device provided by the present invention;
FIG. 13 is an enlarged view of the intelligent fixture for the minimally invasive surgery of the lateral position spine according to the present invention at position A;
FIG. 14 is a front sectional view of a connecting plate according to a second embodiment;
FIG. 15 is a rear view of a second web of an embodiment.
In the figure: 1. a support; 2. a first rotating shaft; 3. a semicircular plate; 4. a support bar; 5. a bed board; 6. an arc-shaped slot; 7. an arc-shaped rack; 8. a first gear; 9. a rotating shaft; 10. a second gear; 11. a third gear; 12. a handle; 13. a first rotating groove; 14. a first rotating lever; 15. A first bevel gear; 16. a second rotating groove; 17. a bidirectional lead screw; 18. a second bevel gear; 19. A lead screw nut; 20. a sponge cushion; 21. a worm gear; 22. a worm; 23. a rectangular groove; 24. a second rotating shaft; 25. fixing belts; 26. a first connecting rod; 27. a winding rod; 28. a first straight gear; 29. a first through hole; 30. a second spur gear; 31. a third rotating groove; 32. rotating the block; 33. a clamping block; 34. a first card slot; 35. a first sliding groove; 36. a clamping block; 37. a first spring; 38. a second card slot; 39. a second sliding groove; 40. a slider; 41. a second spring; 42. moving the plate; 43. a second rotating lever; 44. a third rotating rod; 45. a pulley; 46. a mounting plate; 47. a pulley groove; 48. a fourth rotating rod; 49. a second connecting rod; 50. a hydraulic cylinder; 51. A chute; 52. a stopper; 53. a connecting plate; 54. a second through hole; 55. a T-shaped fixture block; 56. A groove; 57. a support plate; 58. a rotating bearing; 59. a receiving groove.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments.
Example one
Referring to fig. 1-13, intelligent fixing device of minimal access surgery of lateral position backbone, including two symmetrical supports 1, one side that two supports 1 are close to each other all rotates and is connected with first pivot 2, the same bed board 5 of one end fixedly connected with that two first pivot 2 are close to each other, the equal fixed cover of outer wall of two first pivot 2 is equipped with semicircle board 3, one side of support 1 is equipped with and is used for driving bed board 5 to carry out pivoted runner assembly, the top sliding connection of bed board 5 has two symmetrical foam-rubber cushions 20, be equipped with rectangular channel 23 in the bed board 5, the both sides inner wall of rectangular channel 23 rotates and is connected with same second pivot 24, the outer wall winding of second pivot 24 has fixed band 25, be equipped with the fixed subassembly that is used for parcel and fixed patient in the bed board 5, be equipped with the movable plate 42 in the bed board 5, the bottom of movable plate 5 is equipped with the removal subassembly that is used for driving movable plate 42 and carries out the removal.
According to the invention, the rotating assembly comprises a third gear 11 which is rotatably connected to one side of the support 1, one side of the support 1 is rotatably connected with a rotating shaft 9, one end of the rotating shaft 9 is fixedly connected with a second gear 10, the second gear 10 is meshed with the third gear 11, one end of the rotating shaft 9 penetrates through the support 1 and is fixedly connected with a first gear 8, two symmetrical support rods 4 are fixedly connected to one side of two semicircular plates 3 which are close to each other, the tops of the two support rods 4 are fixedly connected with the top of a bed plate 5, an arc-shaped groove 6 is arranged in each semicircular plate 3, an arc-shaped rack 7 is fixedly connected to the inner wall of one side of each arc-shaped groove 6, and the arc-shaped rack 7 is meshed with the first gear 8.
In the invention, the fixing component comprises a first rotating groove 13 arranged in a bed plate 5, the inner walls at two sides of the first rotating groove 13 are rotatably connected with the same first rotating rod 14, the outer wall of the first rotating rod 14 is fixedly sleeved with two symmetrical first bevel gears 15, the bed plate 5 is internally provided with two symmetrical second rotating grooves 16, the inner walls at two sides of the two second rotating grooves 16 are rotatably connected with two-way lead screws 17, the outer walls of the two-way lead screws 17 are respectively in threaded connection with two symmetrical lead screw nuts 19, one end of each two-way lead screw 17 extends into the first rotating groove 13 and is respectively and fixedly connected with a second bevel gear 18, the second bevel gear 18 is meshed with the first bevel gear 15, the outer wall of the first rotating rod 14 is fixedly sleeved with a worm wheel 21 and a second straight gear 30, the inner walls at two sides of the first rotating groove 13 are rotatably connected with the same worm 22, the worm wheel 21 is meshed with the worm 22, one end of the worm 22 extends to one side of the bed plate 5.
In the invention, the fixing component also comprises a winding rod 27 which is rotatably connected above the bed plate 5, a third rotating groove 31 and a first clamping groove 34 are arranged in the winding rod 27, the inner walls of two sides of the third rotating groove 31 are rotatably connected with rotating blocks 32, the bottom of the rotating block 32 is fixedly connected with a clamping block 33, the bottom of the clamping block 33 extends into the first clamping groove 34, a second sliding groove 39 and a second clamping groove 38 are arranged in the rotating block 32, a sliding block 40 is slidably connected in the second sliding groove 39, a second spring 41 is fixedly connected with the inner wall of the bottom of the second sliding groove 39, the top end of the second spring 41 is fixedly connected with the bottom end of the sliding block 40, a first sliding groove 35 is arranged on the inner wall of one side of the third rotating groove 31, a clamping block 36 is slidably connected in the first sliding groove 35, a first spring 37 is fixedly connected with the inner wall of one side of the first sliding groove 35, one end of the first spring 37, which is close to the rotating block 32, is fixedly connected with one end of the clamping block 36, one end of the clamping block 36, which is far away from the first sliding groove 35, extends into the second clamping groove 38, the centers of the circles of the two ends of the winding rod 27 are fixedly connected with the first connecting rod 26, one end of the first connecting rod 26 is fixedly connected with the first straight gear 28, the top of the bed plate 5 is provided with the first through hole 29, the bottom of the first straight gear 28 penetrates through the first through hole 29 and extends into the first rotating groove 13, and the first straight gear 28 is meshed with the second straight gear 30.
According to the invention, the moving assembly comprises a hydraulic cylinder 50 fixedly connected to the bottom of the bed plate 5, two symmetrical second rotating rods 43 are rotatably connected to one side of the bottom of the moving plate 42, two symmetrical third rotating rods 44 are rotatably connected to one side of the bottom of the moving plate 42, the bottom ends of the two second rotating rods 43 and the third rotating rods 44 are rotatably connected to the same fourth rotating rod 48, the side, close to each other, of each of the two fourth rotating rods 48 is fixedly connected with the same lead screw nut 19, a piston rod of the hydraulic cylinder 50 is fixedly connected with a second connecting rod 49, the bottom of the bed plate 5 is fixedly connected with two symmetrical support plates 46, pulley grooves 47 are formed in the side, close to each other, of the two second rotating rods 43 are rotatably connected with pulleys 45, and the side, far away from the second rotating rods 43, of each pulley 45 extends into the pulley groove 47 and is in rolling connection with the pulley grooves 47.
In the invention, the third gear 11 is internally provided with the accommodating groove 59, the top inner wall and the bottom inner wall of the accommodating groove 59 are rotatably connected with the same handle 12, and the accommodating groove 59 and the handle 12 not only can easily rotate the third gear 11, but also can accommodate the handle 12 in the accommodating groove 59, thereby preventing the handle 12 from occupying space.
In the invention, the top of the bed plate 5 is fixedly connected with a supporting plate 57, the supporting plate 57 is arranged between the legs of a patient, and the legs of the patient can be supported through the supporting plate 57.
In the invention, a rotating bearing 58 is fixedly embedded on one side of the bed plate 5, one end of the worm 22 penetrates through the inner ring of the rotating bearing 58 and is fixedly connected with the inner ring of the rotating bearing 58, and the frictional resistance of the bed plate 5 to the worm 22 can be reduced through the rotating bearing 58.
The use method of the intelligent fixing device for the lateral position spinal minimally invasive surgery comprises the following steps:
s1, when a patient lies on the bed plate 5, the sliding block 40 is pressed downward, the second spring 41 starts to compress, one end of the sliding block 40 presses the clamping block 36 to move rightward, the first spring 37 starts to compress, the clamping block 36 disengages from the second clamping groove 38, the braking on the rotating block 32 is released, then the rotating block 32 is pulled upward, one end of the fixing band 25 wrapped on the outer wall of the second rotating shaft 24 is pulled into the third rotating groove 31, then the rotating block 32 is rotated downward, the rotating block 32 and the clamping block 33 press the fixing band 25 tightly, the clamping block 33 extends into the first clamping groove 34, and the clamping block 36 is clamped into the second clamping groove 38 again under the action of the first spring 37 to brake the rotating block 32;
s2, rotating a worm 22, wherein the worm 22 is meshed with a worm wheel 21, the worm 22 drives the worm wheel 21, a first rotating rod 14 and a bidirectional lead screw 17 to rotate, a lead screw nut 19 is in threaded connection with the bidirectional lead screw 17, when the bidirectional lead screw 17 rotates, the lead screw nut 19 respectively drives two spongy cushions 20 to move towards the middle, so that the spongy cushions 20 can be tightly attached to a patient, and because the second straight gear 30 is meshed with the first straight gear 28, the second straight gear 30 drives the first straight gear 28, the first connecting rod 26 and the winding rod 27 to rotate, the winding rod 27 can roll the fixing belt 25, and the fixing belt 25 can tightly wrap the patient;
s3, rotating the first gear 8 to be meshed with the arc-shaped rack 7, and driving the first gear 8 to rotate along with the second gear 10, the first gear 8 drives the arc-shaped rack 7 and the semi-circular plate 3 to rotate along with the first gear, so that the bed plate 5 can be rotated to a proper angle;
s4, starting the hydraulic cylinder 50, wherein a piston rod of the hydraulic cylinder 50 pulls the second connecting rod 49 to contract, the fourth rotating rod 48, the second rotating rod 43 and the third rotating rod 44 are driven by the second connecting rod 49 to move leftwards, and the pulley 45 rolls in the pulley groove 47, so that the moving plate 42 can be taken out of the bed plate 5 and moved leftwards, and the surgical site of the patient is exposed;
s5, after the operation is finished, the T-shaped fixture block 55 is rotated to align the T-shaped fixture block 55 with the second through hole 54, the connecting plate 53 is pulled outwards to separate the stop block 52 from the groove 56, the stop block 52 stops the second rotating shaft 24, the second rotating shaft 24 and the fixing belt 25 can be conveniently taken out of the rectangular groove 23, and the fixing belt 25 is further sterilized.
Example two
As shown in fig. 14-15, the intelligent fixing device for the lateral position spinal minimally invasive surgery of the present embodiment is different from the first embodiment in that: be equipped with two symmetrical recesses 56 and spout 51 in the bed board 5, recess 56 is linked together with rectangular channel 23 and spout 51 respectively, the both ends of second pivot 24 all are located recess 56, equal sliding connection has dog 52 in two spout 51, two dog 52 all are located the top of second pivot 24, the same connecting plate 53 of one side fixedly connected with that two dog 52 are close to each other, be equipped with second through-hole 54 in the connecting plate 53, one side of recess 56 is rotated and is connected with T type fixture block 55, the one end that bed board 5 was kept away from to T type fixture block 55 runs through second through-hole 54 and card system connecting plate 53.
However, as is well known to those skilled in the art, the working principle and wiring method of the hydraulic cylinder 50 are common and are conventional means or common knowledge, and will not be described herein, and those skilled in the art can make any selection according to their needs or convenience.
The working principle is as follows: when a patient lies on the bed plate 5, the sliding block 40 is pressed downwards, the second spring 41 starts to compress, one end of the sliding block 40 extrudes the clamping block 36 to move rightwards, the first spring 37 starts to compress, the clamping block 36 is separated from the second clamping groove 38, the braking on the rotating block 32 is released, then the rotating block 32 is pulled upwards, one end of the fixing belt 25 wrapped on the outer wall of the second rotating shaft 24 is pulled to the third rotating groove 31, then the rotating block 32 is rotated downwards, the rotating block 32 and the clamping block 33 press the fixing belt 25 tightly, the clamping block 33 extends to the first clamping groove 34, the clamping block 36 is clamped into the second clamping groove 38 again under the action of the first spring 37 to brake the rotating block 32, and in a second step, the worm 22 is rotated, the worm 22 is meshed with the worm wheel 21, the first rotating rod 14 and the bidirectional screw 17 are driven by the worm 22, and the screw nut 19 is in threaded connection with the bidirectional screw 17, when the bidirectional screw 17 rotates, the screw nut 19 respectively drives the two sponge pads 20 to move towards the middle, so that the two sponge pads 20 can be tightly attached to a patient, because the second straight gear 30 is meshed with the first straight gear 28, the second straight gear 30 drives the first straight gear 28, the first connecting rod 26 and the winding rod 27 to rotate, so that the winding rod 27 can roll the fixing belt 25, so that the fixing belt 25 can tightly wrap the patient, in the third step, the handle 12 is rotated, so that the handle 12 is rotated out of the first rotating groove 13, the handle 12 is held to drive the third gear 11 and the second gear 10 to rotate, the first gear 8 is meshed with the arc-shaped rack 7, as the second gear 10 drives the first gear 8 to rotate, the first gear 8 drives the arc-shaped rack 7 and the semicircular plate 3 to rotate along with the arc-shaped rack 7 and the semicircular plate 3, so that the bed plate 5 can be rotated to a proper angle, in the fourth step, the hydraulic cylinder 50 is started, the piston rod of the hydraulic cylinder 50 pulls the second connecting rod 49 to contract, the fourth rotating rod 48, the second rotating rod 43 and the third rotating rod 44 are driven by the second connecting rod 49 to move leftwards, the pulley 45 rolls in the pulley groove 47, so that the moving plate 42 can be taken out of the bed plate 5 and move leftwards, the operation part of the patient is exposed, and in the fifth step, after the operation is finished, the T-shaped fixture block 55 is rotated, the T-shaped fixture block 55 is aligned with the second through hole 54, the connecting plate 53 is pulled outwards, the stop block 52 is separated from the groove 56, the blocking of the second rotating shaft 24 by the stop block 52 is released, the second rotating shaft 24 and the fixing belt 25 are conveniently taken out of the rectangular groove 23, and the fixing belt 25 is further sterilized.
The above description is only for the preferred embodiment of the present invention, but the scope of the present invention is not limited thereto, and any person skilled in the art should be considered to be within the technical scope of the present invention, and the technical solutions and the inventive concepts thereof according to the present invention should be equivalent or changed within the scope of the present invention.

Claims (9)

1. The intelligent fixing device for the minimally invasive surgery of the spinal column in the lateral position comprises two symmetrical supports (1), and is characterized in that one side, close to each other, of the two supports (1) is rotatably connected with a first rotating shaft (2), one end, close to each other, of the two first rotating shafts (2) is fixedly connected with the same bed plate (5), the outer wall of the two first rotating shafts (2) is fixedly sleeved with a semicircular plate (3), one side of each support (1) is provided with a rotating assembly used for driving the bed plate (5) to rotate, the top of the bed plate (5) is slidably connected with two symmetrical sponge cushions (20), a rectangular groove (23) is arranged in the bed plate (5), the inner walls of the two sides of the rectangular groove (23) are rotatably connected with the same second rotating shaft (24), the outer wall of the second rotating shaft (24) is wound with a fixing belt (25), and a fixing assembly used for wrapping and fixing a patient is arranged in the bed plate (5), a moving plate (42) is arranged in the bed plate (5), and a moving assembly for driving the moving plate (42) to move is arranged at the bottom of the bed plate (5); the rotating component comprises a third gear (11) which is rotatably connected with one side of the bracket (1), one side of the bracket (1) is rotatably connected with a rotating shaft (9), one end of the rotating shaft (9) is fixedly connected with a second gear (10), the second gear (10) is meshed with the third gear (11), one end of the rotating shaft (9) penetrates through the bracket (1) and is fixedly connected with the first gear (8), one side of each of the two semicircular plates (3) close to each other is fixedly connected with two symmetrical supporting rods (4), the tops of the two supporting rods (4) are fixedly connected with the top of the bed plate (5), be equipped with arc wall (6) in semicircle board (3), one side inner wall fixedly connected with arc rack (7) of arc wall (6), arc rack (7) and first gear (8) mesh mutually.
2. The intelligent fixing device for the lateral position spinal minimally invasive surgery according to claim 1, wherein the fixing component comprises a first rotating groove (13) arranged in the bed plate (5), the inner walls of the two sides of the first rotating groove (13) are rotatably connected with the same first rotating rod (14), the outer wall of the first rotating rod (14) is fixedly sleeved with two symmetrical first bevel gears (15), two symmetrical second rotating grooves (16) are arranged in the bed plate (5), the inner walls of the two sides of the two second rotating grooves (16) are rotatably connected with two-way lead screws (17), the outer walls of the two-way lead screws (17) are respectively in threaded connection with two symmetrical lead screw nuts (19), one end of each two-way lead screw (17) extends into the first rotating groove (13) and is respectively and fixedly connected with a second bevel gear (18), second bevel gear (18) and first bevel gear (15) mesh mutually, the fixed cover of outer wall of first rotation pole (14) is equipped with worm wheel (21) and second straight-teeth gear (30), the both sides inner wall of first rotating groove (13) is rotated and is connected with same worm (22), worm wheel (21) and worm (22) mesh mutually, the one end of worm (22) extends to one side of bed board (5).
3. The intelligent fixing device for the minimally invasive surgery on the lateral position spinal column according to claim 1, wherein the fixing component further comprises a winding rod (27) rotatably connected above the bed plate (5), a third rotating groove (31) and a first clamping groove (34) are arranged in the winding rod (27), rotating blocks (32) are rotatably connected to inner walls of two sides of the third rotating groove (31), a clamping block (33) is fixedly connected to the bottom of the rotating block (32), the bottom of the clamping block (33) extends into the first clamping groove (34), a second sliding groove (39) and a second clamping groove (38) are arranged in the rotating block (32), a sliding block (40) is slidably connected in the second sliding groove (39), a second spring (41) is fixedly connected to the inner wall of the bottom of the second sliding groove (39), and the top end of the second spring (41) is fixedly connected to the bottom end of the sliding block (40), a first sliding groove (35) is arranged on the inner wall of one side of the third rotating groove (31), a clamping block (36) is connected in the first sliding groove (35) in a sliding manner, a first spring (37) is fixedly connected with the inner wall of one side of the first sliding groove (35), one end of the first spring (37) close to the rotating block (32) is fixedly connected with one end of the clamping block (36), one end of the clamping block (36) far away from the first sliding groove (35) extends into the second clamping groove (38), the circle centers of the two ends of the winding rod (27) are fixedly connected with a first connecting rod (26), one end of the first connecting rod (26) is fixedly connected with a first straight gear (28), the top of bed board (5) is equipped with first through-hole (29), the bottom of first spur gear (28) runs through first through-hole (29) and extends to in first rotation groove (13), first spur gear (28) and second spur gear (30) mesh mutually.
4. The intelligent fixing device for the minimally invasive surgery on the spinal column in the lateral position according to claim 1, wherein the moving assembly comprises a hydraulic cylinder (50) fixedly connected to the bottom of the bed plate (5), one side of the bottom of the moving plate (42) is rotatably connected with two symmetrical second rotating rods (43), one side of the bottom of the moving plate (42) is rotatably connected with two symmetrical third rotating rods (44), the bottom ends of the two second rotating rods (43) and the third rotating rods (44) are rotatably connected with the same fourth rotating rod (48), one side of the two fourth rotating rods (48) close to each other is fixedly connected with the same lead screw nut (19), a piston rod of the hydraulic cylinder (50) is fixedly connected with a second connecting rod (49), and the bottom of the bed plate (5) is fixedly connected with two symmetrical support plates (46), two one side that mounting panel (46) are close to each other all is equipped with pulley groove (47), two one side that second dwang (43) kept away from each other all rotates and is connected with pulley (45), two one side that second dwang (43) were kept away from in pulley (45) all extends to pulley groove (47) and with pulley groove (47) roll connection.
5. The intelligent fixing device for the lateral position spinal minimally invasive surgery according to claim 2, characterized in that a receiving groove (59) is formed in the third gear (11), and the top inner wall and the bottom inner wall of the receiving groove (59) are rotatably connected with the same handle (12).
6. The intelligent lateral position spinal minimally invasive surgery fixing device according to claim 1, characterized in that a supporting plate (57) is fixedly connected to the top of the bed plate (5), and the supporting plate (57) is arranged between the legs of the patient.
7. The intelligent fixing device for the lateral position spinal minimally invasive surgery according to claim 3, characterized in that a rotating bearing (58) is fixedly embedded on one side of the bed plate (5), and one end of the worm (22) penetrates through an inner ring of the rotating bearing (58) and is fixedly connected with the inner ring of the rotating bearing (58).
8. The intelligent lateral position spinal minimally invasive surgery fixing device according to claim 1, two symmetrical grooves (56) and sliding grooves (51) are arranged in the bed plate (5), the grooves (56) are respectively communicated with the rectangular grooves (23) and the sliding grooves (51), both ends of the second rotating shaft (24) are positioned in the grooves (56), the two sliding grooves (51) are connected with the stop blocks (52) in a sliding way, the two stop blocks (52) are positioned above the second rotating shaft (24), one side of the two stop blocks (52) close to each other is fixedly connected with the same connecting plate (53), a second through hole (54) is arranged in the connecting plate (53), one side of the groove (56) is rotatably connected with a T-shaped clamping block (55), one end of the T-shaped fixture block (55) far away from the bed plate (5) penetrates through the second through hole (54) and is clamped with the connecting plate (53).
9. Use of an intelligent fixation device for minimally invasive surgery on the lateral position of the spinal column according to any one of claims 1 to 8, characterized in that: it comprises the following steps:
s1, when a patient lies on the bed plate (5), the sliding block (40) is pressed downwards, the second spring (41) starts to compress, one end of the sliding block (40) extrudes the clamping block (36) to move rightwards, the first spring (37) starts to compress, the clamping block (36) is separated from the second clamping groove (38), the braking on the rotating block (32) is released, then the rotating block (32) is pulled upwards, one end of the fixing belt (25) wrapped on the outer wall of the second rotating shaft (24) is pulled into the third rotating groove (31), then the rotating block (32) is rotated downwards, the rotating block (32) and the clamping block (33) are enabled to compress the fixing belt (25), the clamping block (33) extends into the first clamping groove (34), and the clamping block (36) is clamped into the second clamping groove (38) again under the action of the first spring (37) to brake the rotating block (32);
s2, a worm (22) is rotated, the worm (22) is meshed with a worm wheel (21), the worm (22) drives the worm wheel (21), a first rotating rod (14) and a bidirectional lead screw (17) to rotate, a lead screw nut (19) is in threaded connection with the bidirectional lead screw (17), when the bidirectional lead screw (17) rotates, the lead screw nut (19) respectively drives two spongy cushions (20) to move towards the middle, so that the spongy cushions (20) can be tightly attached to a patient, and because a second straight gear (30) is meshed with the first straight gear (28), the second straight gear (30) drives the first straight gear (28), a first connecting rod (26) and a winding rod (27) to rotate, so that the winding rod (27) can roll a fixing band (25), and the fixing band (25) can be tightly wrapped on the patient;
s3, rotating the first gear (8) to be meshed with the arc-shaped rack (7), and driving the first gear (8) to rotate along with the second gear (10), wherein the first gear (8) drives the arc-shaped rack (7) and the semicircular plate (3) to rotate along with the first gear, so that the bed plate (5) can be rotated to a proper angle;
s4, starting the hydraulic cylinder (50), wherein a piston rod of the hydraulic cylinder (50) pulls the second connecting rod (49) to contract, the fourth rotating rod (48), the second rotating rod (43) and the third rotating rod (44) are driven by the second connecting rod (49) to move leftwards, the pulley (45) rolls in the pulley groove (47), and then the moving plate (42) can be taken out of the bed plate (5) and moves leftwards, so that the surgical part of the patient is exposed;
s5, after the operation is finished, the T-shaped clamping block (55) is rotated to align the T-shaped clamping block (55) and the second through hole (54), the connecting plate (53) is pulled outwards to separate the stop block (52) from the groove (56), the stop block (52) on the second rotating shaft (24) is removed, the second rotating shaft (24) and the fixing belt (25) can be conveniently taken out of the rectangular groove (23), and then the fixing belt (25) is sterilized.
CN202011573794.2A 2020-12-28 2020-12-28 Intelligent fixing device for minimally invasive surgery of lateral position spine and using method thereof Active CN112569074B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202011573794.2A CN112569074B (en) 2020-12-28 2020-12-28 Intelligent fixing device for minimally invasive surgery of lateral position spine and using method thereof

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202011573794.2A CN112569074B (en) 2020-12-28 2020-12-28 Intelligent fixing device for minimally invasive surgery of lateral position spine and using method thereof

Publications (2)

Publication Number Publication Date
CN112569074A CN112569074A (en) 2021-03-30
CN112569074B true CN112569074B (en) 2021-08-17

Family

ID=75140125

Family Applications (1)

Application Number Title Priority Date Filing Date
CN202011573794.2A Active CN112569074B (en) 2020-12-28 2020-12-28 Intelligent fixing device for minimally invasive surgery of lateral position spine and using method thereof

Country Status (1)

Country Link
CN (1) CN112569074B (en)

Families Citing this family (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113907991A (en) * 2021-10-12 2022-01-11 高榕 Mobile X-ray operation operating table with intraoperative imaging function and using method thereof
CN114099202A (en) * 2021-11-08 2022-03-01 刘洪全 Body position positioning system and method for screening and diagnosing chronic diseases based on Internet
CN114869672A (en) * 2022-06-07 2022-08-09 获嘉县人民医院 Traditional Chinese medicine physiotherapy device for orthopedic trauma

Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111494147A (en) * 2020-04-27 2020-08-07 中南大学湘雅三医院 Intelligent operating table device

Family Cites Families (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE19807242C2 (en) * 1998-02-20 2002-07-11 Siemens Ag Medical-technical system workstation
CN208145152U (en) * 2018-01-15 2018-11-27 王传恩 A kind of lateral position spinal operation body position fixing device
CN109512622B (en) * 2018-11-20 2020-08-11 河南省中医院(河南中医药大学第二附属医院) Department of anesthesia uses auxiliary fixture
CN211796751U (en) * 2019-09-05 2020-10-30 吕东萍 Clinical B-type ultramicro-wound operation puncture positioner
CN111557821B (en) * 2020-04-23 2022-04-05 中国人民解放军第四军医大学 Lateral position spinal surgery position fixing equipment

Patent Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111494147A (en) * 2020-04-27 2020-08-07 中南大学湘雅三医院 Intelligent operating table device

Also Published As

Publication number Publication date
CN112569074A (en) 2021-03-30

Similar Documents

Publication Publication Date Title
CN112569074B (en) Intelligent fixing device for minimally invasive surgery of lateral position spine and using method thereof
CN108742738B (en) Thoracic surgery operation expanding unit
CN111408106B (en) Auxiliary device for rehabilitation of orthopedics department
CN112826608B (en) Portable traction frame in minimally invasive anterior hip joint replacement and using method thereof
CN111529297A (en) Combined operation frame for neurosurgery
CN113476259A (en) Clinical treatment operation auxiliary device of hand and foot surgery
CN108938168B (en) Lumbar vertebra traction bed for medical orthopedic patients
CN113499196A (en) Orthopedic department is with supplementary bandage winding sick bed of shank fracture
CN210750558U (en) Debridement device for general surgery department
CN111388235A (en) Medical neurosurgery postoperative rehabilitation resumes nursing device
CN111419499A (en) Medical wound orthopedics traction device
CN215535466U (en) Pediatric clinical binding equipment
CN215229885U (en) Neurosurgery postoperative nursing device
CN212789037U (en) Nursing treatment box for diabetes patients in endocrinology department
CN109350332A (en) A kind of cervical traction bed for medical orthopaedics patient
CN111904810B (en) Medical ankle auxiliary rehabilitation device
CN210785098U (en) Nursing pad for helping turning over
CN113081439A (en) Traction support for orthopedic nursing
CN215607381U (en) Neurosurgery postoperative care rehabilitation device
CN115137581B (en) Facial plastic postoperative care device
CN114176968B (en) Surgery wound recovery device for general medicine
CN215915541U (en) Medical operation platform for general surgery department
CN215503665U (en) Intensive care unit is with hand fixing device
CN212235150U (en) Limb fixing device for emergency department
CN221084027U (en) Patient position conversion device for critical patient nursing

Legal Events

Date Code Title Description
PB01 Publication
PB01 Publication
SE01 Entry into force of request for substantive examination
SE01 Entry into force of request for substantive examination
GR01 Patent grant
GR01 Patent grant