CN114668618A - Neurosurgery brain operation is with multi-functional bracket - Google Patents
Neurosurgery brain operation is with multi-functional bracket Download PDFInfo
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- CN114668618A CN114668618A CN202210216781.2A CN202210216781A CN114668618A CN 114668618 A CN114668618 A CN 114668618A CN 202210216781 A CN202210216781 A CN 202210216781A CN 114668618 A CN114668618 A CN 114668618A
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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
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
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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
- 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
- A61G2200/00—Information related to the kind of patient or his position
- A61G2200/30—Specific positions of the patient
- A61G2200/32—Specific positions of the patient lying
- A61G2200/325—Specific positions of the patient lying prone
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Abstract
The invention discloses a multifunctional bracket for neurosurgery brain surgery, which comprises a curvature-increasing and area-reducing facial support device, a head bearing automatic limiting device and a facial nerve response intraoperative detection auxiliary device. The invention belongs to the technical field of brain surgery supporting devices, and particularly relates to a multifunctional bracket for a neurosurgery brain surgery; on the basis of ensuring the face supporting effect, the face supporting area is greatly reduced, the traditional supporting shape is changed, the corrugated slight spiral plate is adopted to support the side face of the face of a patient, the supporting effect is ensured, the pressing area of the facial nerve and muscle is reduced, and the difficulty of regulating and controlling the expression of the patient is greatly reduced; make full use of patient's head weight and turn into the multidirectional clamping effort of fixed head with it, still realized the design that becomes harmful to the benefit when reducing traditional fixed equipment, greatly reduced present to disease hindbrain operation in-process, be difficult to observe the technical problem of disease front face expression.
Description
Technical Field
The invention belongs to the technical field of brain surgery supporting devices, and particularly relates to a multifunctional bracket for a neurosurgery brain surgery.
Background
When brain surgery is performed, a patient often needs to lie on an operating table, a skull is cut open, a brain tumor growing in the brain is directly removed, and the patient needs to be waken up midway during the operation, so as to detect whether the operation affects the normal nerve control of the patient; but when carrying out the operation of craniotomy in disease afterbrain region, because the sick bed that crouches of totally closed parcel formula of using of traditional sick bed, disease facial muscle can receive the extrusion completely during crouching, disease under the anesthesia state is difficult to transfer the expression that a large amount of muscles got to accomplish medical personnel's requirement, therefore the effect that neural control shows is not obvious, in order to reduce the pressing fixity of strutting arrangement to facial muscle during the operation, and improve medical personnel and observe the cheap nature of disease operation in-process neural control effect, make the modification to current brain surgery with brain strutting arrangement.
Disclosure of Invention
Aiming at the situation and overcoming the defects of the prior art, the invention provides the multifunctional bracket for the neurosurgery brain surgery, which fully considers four-phase supporting points required by the face and the face, greatly reduces the area of the face support on the basis of ensuring the face supporting effect, changes the supporting shape of the traditional plane support, adopts a corrugated slight spiral plate to support the side face of the face of a patient, ensures the supporting effect, reduces the pressing area of the nerves and muscles of the face and greatly reduces the difficulty of regulating and controlling the expression of the patient; make full use of patient's head weight and turn into the multidirectional clamping effort of fixed head with it, still realized the design that becomes harmful to the benefit when reducing traditional fixed equipment, greatly reduced present to disease hindbrain operation in-process, be difficult to observe the technical problem of disease front face expression.
The technical scheme adopted by the invention is as follows: the invention relates to a multifunctional bracket for neurosurgical brain surgery, which comprises a curvature-increasing and area-reducing type face supporting device, a head bearing automatic limiting device and a facial nerve reaction intraoperative detection auxiliary device, wherein the head bearing automatic limiting device is connected with the facial nerve reaction intraoperative detection auxiliary device; the curvature-increasing and area-reducing facial support device comprises a forehead bearing device, a lower jaw bearing device, a side face contact type resistance-increasing device and a chin limiting device, wherein the forehead bearing device is connected with the head bearing automatic limiting device, the lower jaw bearing device is connected with the head bearing automatic limiting device, the side face contact type resistance-increasing device is connected with the forehead bearing device, and the chin limiting device is connected with the lower jaw bearing device.
Furthermore, the forehead bearing device comprises forehead limiting bearing arc-shaped narrow plates, forehead elliptical resistance-increasing liquid storage bags and forehead liquid storage limiting partition plates, the forehead limiting bearing arc-shaped narrow plates are arranged on the side face contact type resistance-increasing device, the forehead elliptical resistance-increasing liquid storage bags are arranged on the forehead limiting bearing arc-shaped narrow plates, the forehead liquid storage limiting partition plates are arranged on the forehead elliptical resistance-increasing liquid storage bags, two groups of forehead limiting bearing arc-shaped narrow plates are arranged, the effect that the forehead elliptical resistance-increasing liquid storage bags are easily deformed under pressure is fully utilized, so that the friction force between the forehead of a patient and the forehead elliptical resistance-increasing liquid storage bags is increased, and the fixing effect on the forehead of the patient is improved; the lower jaw bearing device comprises a lower jaw limiting bearing arc-shaped narrow plate, a lower jaw elliptical resistance-increasing liquid storage tank and a lower jaw liquid storage partition plate, the lower jaw limiting bearing arc-shaped narrow plate is connected with the side face contact type resistance-increasing device, the lower jaw elliptical resistance-increasing liquid storage tank is arranged on the lower jaw limiting bearing arc-shaped narrow plate, the lower jaw liquid storage partition plate is arranged on the lower jaw elliptical resistance-increasing liquid storage tank, two groups of lower jaw elliptical resistance-increasing liquid storage tanks are arranged, the friction force between the lower jaw of a patient and the fixing device is increased by utilizing the principle of load-bearing deformation of the lower jaw elliptical resistance-increasing liquid storage tanks, and the head stability of the patient is improved.
Furthermore, the side face contact type resistance-increasing device is of a plate-shaped structure with a corrugated surface, the corrugated structure of the corrugated plate is fully utilized, the supporting effect of the equipment is kept, the pressing area between the side face and the fixing device is reduced, and the expression control of a patient is facilitated; the chin limiting device comprises a surrounding type chin limiting pocket, an adjustable chin ventilating hole, a chin pocket connecting support and a chin adjusting stretching spring, the chin adjusting stretching spring is arranged on a lower jaw limiting bearing arc narrow plate, the chin pocket connecting support is connected with the chin adjusting stretching spring, the surrounding type chin limiting pocket is arranged on the chin pocket connecting support, the adjustable chin ventilating hole is arranged on the bottom wall of the surrounding type chin limiting pocket, the moving direction and the moving distance of the chin of a patient can be further limited through the porous chin pocket communicated with the bottom end, and the fact that the face of the patient is adjusted too violently in the operation process is avoided.
Furthermore, the head bearing automatic limiting device comprises a forehead bearing automatic limiting device and a lower jaw bearing automatic limiting device, the forehead bearing automatic limiting device is connected with the forehead bearing device, and the lower jaw bearing automatic limiting device is connected with the lower jaw bearing device; the forehead bearing automatic limiting device comprises a forehead bearing sliding support, a forehead hydraulic stable folding sleeve, forehead two-side limiting sliding supports, a forehead splint connecting spring and forehead two-side head clamping arc-shaped inclined plates, the forehead bearing sliding support is hinged with the forehead limiting bearing arc-shaped narrow plate, the forehead hydraulic stable folding sleeve is connected with a detection auxiliary device in facial nerve reaction, the forehead bearing sliding support is clamped and slid on one end of the forehead hydraulic stable folding sleeve, the forehead two-side limiting sliding supports are clamped and slid on the other end of the forehead hydraulic stable folding sleeve, the forehead splint connecting spring is arranged on the forehead two-side limiting sliding supports, the forehead two-side head clamping arc-shaped inclined plates are connected with the forehead splint connecting spring, and the gravity of forehead pressing is converted into auxiliary power for fixing two sides of a hindbrain by utilizing the annular forehead hydraulic stable folding sleeve, the fixing function of the head of the patient is improved.
Further, the lower jaw bearing automatic limiting device comprises a lower jaw bearing sliding support, a lower jaw hydraulic pressure stable folding sleeve, a lower jaw pressing reaction end sliding arc-shaped support and a posterior craniotomy skin limiting device, the lower jaw bearing sliding bracket is hinged with a lower jaw limiting bearing arc-shaped narrow plate, the lower jaw hydraulic pressure stable turnover sleeve is connected with a facial nerve reaction detection auxiliary device, the lower jaw bearing sliding bracket is clamped and slidably arranged on one end of the lower jaw hydraulic stable turnover sleeve, the lower jaw pressing reaction end sliding arc-shaped bracket is clamped and slidably arranged on the other end of the lower jaw hydraulic stable turnover sleeve, the hindbrain craniotomy posterior skin limiting device is connected with the lower jaw pressing reaction end sliding arc-shaped support, the lower jaw hydraulic pressure stabilizing folding sleeve is used for converting gravity when the lower jaw is pressed down into the pressure for pressing the hindbrain skin, and the operation duration of fixing the skin in the operation process can be greatly reduced.
Furthermore, the device for limiting the skin after craniotomy comprises a craniotomy auxiliary device support, a craniotomy auxiliary plate, a craniotomy auxiliary sliding groove, a craniotomy auxiliary clamping block and a craniotomy claw-shaped skin pressing plate, wherein the craniotomy auxiliary device support is hinged with the lower jaw pressing reaction end sliding arc-shaped support, the craniotomy auxiliary plate is arranged on the craniotomy auxiliary device support, the craniotomy auxiliary sliding groove is formed in the craniotomy auxiliary plate, the craniotomy auxiliary clamping block is clamped and slidably arranged on the craniotomy auxiliary sliding groove, the craniotomy claw-shaped skin pressing plate is arranged on the craniotomy auxiliary clamping block, and the function of fixing the skin at different craniotomies of the hindbrain is realized by the aid of the slidable craniotomy claw-shaped skin pressing plate.
Further, detect auxiliary device in facial nerve response art includes that head limiting plate, the spacing fixed bolster of three-dimensional, facial expression reflection glass mirror, bed body coupling rotate the bolt, facial arc wall and bed body jack connecting plate show, the head limiting plate links to each other with the automatic stop device of head bearing, on the spacing fixed bolster of three-dimensional and the head limiting plate, facial expression reflection glass mirror is located on the spacing fixed bolster of three-dimensional, bed body coupling rotates on the bolt block rotates and locates on the spacing fixed bolster of three-dimensional, facial arc wall that shows is located on the head limiting plate, bed body jack connecting plate links to each other with the head limiting plate, utilizes the reflection principle of light, with the visual show of the expression situation under the patient state of lying prone, has improved the convenience that medical personnel observed.
Furthermore, the forehead limiting bearing arc-shaped narrow plates are hinged and connected through torsion springs, and the two groups of lower jaw limiting bearing arc-shaped narrow plates are hinged and connected through torsion springs.
Furthermore, a small hole is formed in the forehead liquid storage limiting partition plate, and a small hole is formed in the lower jaw liquid storage partition plate.
Further, the side-face contact type resistance-increasing device is set to be a slight spiral structure.
Furthermore, the surrounding type chin limiting bag is of a porous structure.
Further, the vertical height of the forehead limiting and bearing arc-shaped narrow plate is smaller than that of the lower jaw limiting and bearing arc-shaped narrow plate.
The invention with the structure has the following beneficial effects: the utility model provides a pair of neurosurgery brain operation is with multi-functional bracket, its beneficial effect is as follows:
(1) on the premise of not influencing the face supporting function, the shape of the plane supporting plate-shaped structure is changed by using the mode of increasing the plane curvature, and the contact area between the face and the supporting device is reduced by using the corrugated spiral supporting structural plate, so that the convenience of the nerve control muscle of the patient is improved;
(2) by utilizing the design concept of changing harm into benefit, the gravitational potential energy of the head with the pressurized face is converted into the clamping device for improving the head fixing effect of the patient, so that the problem that the scalp is easy to turn over in the back brain surgery process is greatly limited, and the problem that the head of the patient deflects in the surgery process is avoided;
(3) by the light reflection principle, the reflecting mirror surface directly reflects the expression control condition of the face of the patient in the lying state of the patient, so that the necessity of the medical staff for squatting to observe the patient is reduced, the smoothness of the operation can be improved, and the operation time of the operation is reduced;
(4) The principle of load bearing deformation of the forehead elliptical resistance-increasing liquid storage bag and the lower jaw elliptical resistance-increasing liquid storage bag is fully utilized, the friction force among the lower jaw, the forehead and the fixing device of the patient is increased, and the head stability of the patient is improved;
(5) through the chin limiting porous device communicated with the bottom end, the design goals of chin ventilation and adjustment along with the shape of the chin are realized, the moving distance and direction of the chin of a patient in the operation process are limited, and the stability of the head of the patient is improved;
(6) according to the preset principle, the condition that the brain skin of a patient is difficult to fix when being opened in the operation process is considered, a plurality of groups of operating forceps are needed to be spliced and adhered to realize fixation, the hindbrain craniotomy claw-shaped skin pressing plate capable of adjusting the distance and the number is directly preset, and the time consumed for splicing operation equipment in the operation process is reduced.
Drawings
Fig. 1 is a front view of a multifunctional bracket for neurosurgical brain surgery provided by the invention;
FIG. 2 is a top view of the enhanced curvature reduced area facial support;
fig. 3 is a front cross-sectional view of the mandible bearing automatic stop device;
fig. 4 is a front cross-sectional view of the forehead carrying automatic stop;
FIG. 5 is a perspective view of a posterior skin stop device for craniotomy with the hindbrain;
FIG. 6 is a perspective view of the detection aid in facial nerve response surgery;
FIG. 7 is a perspective view of a side-face contact-type resistance increasing device;
FIG. 8 is a perspective view of the chin restraint apparatus;
fig. 9 is a front cross-sectional view of a forehead elliptical resistance increasing reservoir;
fig. 10 is a front cross-sectional view of the mandibular elliptical resistance increasing reservoir.
Wherein, 1, the curvature increasing area reducing type face supporting device, 2, the head bearing automatic limiting device, 3, the auxiliary detection device in the facial nerve reaction, 4, the forehead bearing device, 5, the lower jaw bearing device, 6, the side face contact type resistance increasing device, 7, the chin limiting device, 8, the forehead limiting bearing arc narrow plate, 9, the forehead elliptical resistance increasing liquid storage bag, 10, the forehead liquid storage limiting partition plate, 11, the lower jaw limiting bearing arc narrow plate, 12, the lower jaw elliptical resistance increasing liquid storage tank, 13, the lower jaw liquid storage partition plate, 14, the surrounding chin limiting bag, 15, the adjustable chin ventilating hole, 16, the chin bag connecting support, 17, the chin adjusting tension spring, 18, the forehead bearing automatic limiting device, 19, the lower jaw bearing automatic limiting device, 20, the forehead bearing sliding support, 21, the forehead hydraulic pressure stabilizing folding sleeve, 22, a forehead pressure stabilizing folding sleeve, a forehead pressure regulating pressure, a forehead pressure, a pressure, The device comprises a forehead two-side limiting sliding support, 23 forehead splints, a spring, 24 forehead two-side head clamping arc-shaped inclined plates, 25 a lower jaw bearing sliding support, 26 a lower jaw hydraulic pressure stable turnover sleeve, 27 a lower jaw pressing reaction end sliding arc-shaped support, 28 a back craniotomy back skin limiting device, 29 a back craniotomy auxiliary device support, 30 a back craniotomy auxiliary plate, 31 a back craniotomy auxiliary sliding groove, 32 a back craniotomy auxiliary clamping block, 33 a back craniotomy claw-shaped skin pressing plate, 34 a head limiting plate, 35 a three-way limiting fixing support, 36 a facial expression reflecting glass mirror, 37 a bed body connecting rotating bolt, 38 a facial exposure arc-shaped groove, 39 a jack bed body connecting plate.
The accompanying drawings, which are included to provide a further understanding of the invention and are incorporated in and constitute a part of this specification, illustrate embodiments of the invention and together with the description serve to explain the principles of the invention and not to limit the invention.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the accompanying 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; all other embodiments, which can be obtained by a person skilled in the art without making any creative effort based on the embodiments in the present invention, belong to the protection scope of the present invention.
In the description of the present invention, it is to be understood that the terms "upper", "lower", "front", "rear", "left", "right", "top", "bottom", "inner", "outer", and the like, indicate orientations or positional relationships based on orientations or positional relationships shown in the drawings, merely for convenience in describing the present invention and for simplicity in description, and do not indicate or imply that the devices or elements referred to must have a particular orientation, be constructed in a particular orientation, and be operated, and thus, are not to be construed as limiting the present invention.
As shown in fig. 1, the multifunctional bracket for neurosurgery brain surgery of the invention comprises a curvature-increasing and area-reducing facial support device 1, a head bearing automatic limiting device 2 and a facial nerve response intraoperative detection auxiliary device 3, wherein the head bearing automatic limiting device 2 is connected with the facial nerve response intraoperative detection auxiliary device 3, and the curvature-increasing and area-reducing facial support device 1 is arranged on the head bearing automatic limiting device 2.
As shown in fig. 1 and 6, the auxiliary device 3 for facial nerve response intraoperative detection comprises a head limiting plate 34, a three-way limiting fixed support 35, a facial expression reflecting glass mirror 36, a bed body connecting rotating bolt 37, a facial exposure arc-shaped groove 38 and a bed body jack connecting plate 39, wherein the head limiting plate 34 is connected with the head bearing automatic limiting device 2, the three-way limiting fixed support 35 is connected with the head limiting plate 34, the facial expression reflecting glass mirror 36 is arranged on the three-way limiting fixed support 35, the bed body connecting rotating bolt 37 is clamped and rotated on the three-way limiting fixed support 35, the facial exposure arc-shaped groove 38 is arranged on the head limiting plate 34, and the bed body jack connecting plate 39 is connected with the head limiting plate 34.
As shown in fig. 2 and 7, the increased curvature and reduced area facial support device 1 includes a forehead bearing device 4, a mandible bearing device 5, a side face contact type resistance increasing device 6 and a chin stop device 7, wherein the forehead bearing device 4 is connected with the head bearing automatic stop device 2, the mandible bearing device 5 is connected with the head bearing automatic stop device 2, the side face contact type resistance increasing device 6 is connected with the forehead bearing device 4, and the chin stop device 7 is connected with the mandible bearing device 5.
As shown in fig. 2, 9 and 10, the forehead bearing device 4 includes forehead limit bearing arc-shaped narrow plates 8, a forehead elliptical resistance-increasing reservoir 9 and forehead reservoir limit partition plates 10, the forehead limit bearing arc-shaped narrow plates 8 are disposed on the lateral-face contact resistance-increasing device 6, the forehead elliptical resistance-increasing reservoir 9 is disposed on the forehead limit bearing arc-shaped narrow plates 8, the forehead reservoir limit partition plates 10 are disposed on the forehead elliptical resistance-increasing reservoir 9, and two sets of the forehead limit bearing arc-shaped narrow plates 8 are provided; the lower jaw bearing device 5 comprises a lower jaw limiting bearing arc-shaped narrow plate 11, a lower jaw elliptical resistance-increasing liquid storage tank 12 and lower jaw liquid storage partition plates 13, the lower jaw limiting bearing arc-shaped narrow plate 11 is connected with the side face contact type resistance-increasing device 6, the lower jaw elliptical resistance-increasing liquid storage tank 12 is arranged on the lower jaw limiting bearing arc-shaped narrow plate 11, the lower jaw liquid storage partition plates 13 are arranged on the lower jaw elliptical resistance-increasing liquid storage tank 12, and two groups of lower jaw elliptical resistance-increasing liquid storage tanks 12 are arranged.
As shown in fig. 7 and 8, the side-face contact-type resistance increasing device 6 has a plate-like structure with a corrugated surface; the chin limiting device 7 comprises a surrounding type chin limiting pocket 14, an adjustable chin ventilation hole 15, a chin pocket connecting support 16 and a chin adjusting extension spring 17, the chin adjusting extension spring 17 is arranged on a chin limiting bearing arc-shaped narrow plate 11, the chin pocket connecting support 16 is connected with the chin adjusting extension spring 17, the surrounding type chin limiting pocket 14 is arranged on the chin pocket connecting support 16, and the adjustable chin ventilation hole 15 is arranged on the bottom wall of the surrounding type chin limiting pocket 14.
As shown in fig. 3 and 4, the head load-bearing automatic limiting device 2 comprises a forehead load-bearing automatic limiting device 18 and a mandible load-bearing automatic limiting device 19, the forehead load-bearing automatic limiting device 18 is connected with the forehead load-bearing device 4, and the mandible load-bearing automatic limiting device 19 is connected with the mandible load-bearing device 5; the forehead bearing automatic limiting device 18 comprises a forehead bearing sliding support 20, a forehead hydraulic pressure stable turning sleeve 21, forehead two-side limiting sliding supports 22, a forehead splint connecting spring 23 and forehead two-side head clamping arc-shaped sloping plates 24, the forehead bearing sliding support 20 is hinged to the forehead limiting bearing arc-shaped narrow plate 8, the forehead hydraulic pressure stable turning sleeve 21 is connected with the detection auxiliary device 3 in the facial nerve reaction surgery, the forehead bearing sliding support 20 is arranged on one end of the forehead hydraulic pressure stable turning sleeve 21 in a clamping sliding mode, the forehead two-side limiting sliding support 22 is arranged on the other end of the forehead hydraulic pressure stable turning sleeve 21 in a clamping sliding mode, the forehead splint connecting spring 23 is arranged on the forehead two-side limiting sliding support 22, and the forehead two-side head clamping arc-shaped sloping plates 24 are connected with the forehead splint connecting spring 23.
As shown in fig. 3, the automatic mandibular bearing limiter 19 comprises a mandibular bearing sliding bracket 25, a mandibular hydraulic stabilizing turnover sleeve 25, a mandibular pressing reaction end sliding arc bracket 27 and a posterior craniotomy skin limiter 28, the mandibular bearing sliding bracket 25 is hinged to the mandibular pressing reaction end sliding arc plate 11, the mandibular hydraulic stabilizing turnover sleeve 26 is connected to the detection aid for facial nerve response 3, the mandibular bearing sliding bracket 25 is slidably engaged with one end of the mandibular hydraulic stabilizing turnover sleeve 26, the mandibular pressing reaction end sliding arc bracket 27 is slidably engaged with the other end of the mandibular hydraulic stabilizing turnover sleeve 26, and the posterior craniotomy skin limiter 28 is connected to the mandibular pressing reaction end sliding arc bracket 27.
As shown in fig. 5, the posterior skin limiting device 28 for craniotomy comprises a posterior craniotomy auxiliary device support 29, a posterior craniotomy auxiliary plate 30, a posterior craniotomy auxiliary sliding groove 31, a posterior craniotomy auxiliary clamping block 32 and a posterior craniotomy claw-shaped skin pressing plate 33, wherein the posterior craniotomy auxiliary device support 29 is hinged to the lower jaw pressing reaction end sliding arc-shaped support 27, the posterior craniotomy auxiliary plate 30 is arranged on the posterior craniotomy auxiliary device support 29, the posterior craniotomy auxiliary sliding groove 31 is arranged on the posterior craniotomy auxiliary plate 30, the posterior craniotomy auxiliary clamping block 32 is arranged on the posterior craniotomy auxiliary sliding groove 31 in a clamping and sliding manner, and the posterior craniotomy claw-shaped skin pressing plate 33 is arranged on the posterior craniotomy auxiliary clamping block 32.
As shown in fig. 2 and 3, the forehead limiting load-bearing arc-shaped narrow plates 8 are hinged to each other through torsion springs, and the two sets of lower jaw limiting load-bearing arc-shaped narrow plates 11 are hinged to each other through torsion springs.
As shown in fig. 9 and 10, the forehead liquid storage limiting partition plate 10 is provided with a small hole, and the mandible liquid storage partition plate 13 is provided with a small hole.
As shown in fig. 7, the side-face contact-type resistance increasing device 6 is provided in a slight spiral structure.
As shown in fig. 8, the wraparound chin guard 14 is provided with a porous structure.
As shown in fig. 1, 2 and 3, the vertical height of the forehead limiting load bearing arc-shaped narrow plate 8 is smaller than that of the lower jaw limiting load bearing arc-shaped narrow plate 11.
When the head of a patient is pressed, a plurality of groups of solutions in the forehead elliptical resistance-increasing liquid storage bags 9 flow into adjacent liquid storage tanks through the flow guide small holes in the forehead liquid storage limiting partition plate 10, so that the amount of the solutions in the liquid storage tanks which are not directly pressed in the forehead elliptical resistance-increasing liquid storage bags 9 is increased, more parts of the forehead elliptical resistance-increasing liquid storage bags 9 can be contacted with the forehead of the patient, and the resistance increasing function of the forehead bearing device 4 on the forehead of the patient is realized, meanwhile, due to gravitational potential energy generated when the forehead is pressed, a hinge point between the two groups of forehead limiting bearing arc-shaped narrow plates 8 rotates, the forehead limiting bearing arc-shaped narrow plates 8 incline, meanwhile, the forehead bearing sliding support 20 moves downwards to pressurize solution on one side of the forehead hydraulic pressure stable folding sleeve 21, so that the forehead two-side limiting sliding supports 22 slide along the forehead hydraulic pressure stable folding sleeve 21, heads on two sides of the forehead are clamped with the arc-shaped inclined plates 24 to be attached to the side faces of the front end of the head of the patient, and the front end of the head of the patient is fixed; meanwhile, the mandible of the patient contacts with the mandible oval resistance-increasing liquid storage tank 12, so that the buffer solution at the two sides of the mandible liquid storage partition plate 13 flows, the outer wall of the mandible elliptical resistance-increasing liquid storage tank 12 is deformed, so that the contact area of the mandible elliptical resistance-increasing liquid storage tank 12 and the skin of the mandible part of a patient is increased, meanwhile, the pressure is transmitted to the hinge point between the two groups of lower jaw limit bearing arc-shaped narrow plates 11, the included angle between the two groups of lower jaw limit bearing arc-shaped narrow plates 11 is changed, because the gravity of the head of the patient is too large and exceeds the supporting force of the solution in the hydraulic stabilizing turnover sleeve 26 of the lower jaw on the lower jaw bearing sliding bracket 25, so that the lower jaw bearing sliding bracket 25 slides downwards along the lower jaw hydraulic pressure stable turnover sleeve 26, the lower jaw pressing reaction end sliding arc-shaped bracket 27 slides at the other end of the lower jaw hydraulic pressure stable turnover sleeve 26, and the hindbrain skin limiting device 28 is close to the hindbrain skin of the patient after craniotomy; the chin of the patient is placed into the surrounding chin limiting bag 14, the chin of the patient is fixed due to the annular structure of the surrounding chin limiting bag 14, the function of fixing the chin of the patient is achieved, meanwhile, the length of the face of the patient is larger than the length from the chin bag connecting support 16 to the lower jaw limiting bearing arc-shaped narrow plate 11, the chin adjusting tension spring 17 deforms, the reverse acting force of the chin adjusting tension spring 17 is used, and therefore the facial muscles of the patient cannot droop during the operation; meanwhile, the corrugated pressing plate on the side face contact type resistance-increasing device 6 can effectively limit the side face of the patient, and due to the slight offset rotation of the side face contact type resistance-increasing device 6, the pressing and limiting of the device on the muscles around the face of the patient can be reduced while the device supports the face of the patient, so that the relevant expressions of the patient can not be influenced during the operation according to the instructions of a doctor, and the problem that whether the operation influences the facial nerve of the patient or not can be conveniently detected; meanwhile, the corrugated side-face contact type resistance-increasing device 6 can be stretched and adjusted along with patients with different face lengths, and is convenient to use by more patients; then, the doctor starts to perform craniotomy on the hindbrain part, six sides of the scalp of the hindbrain of the patient are opened, the traditional hindbrain opening is mostly a small wound, so that the folded skin has good toughness and is easy to fold back to the wound to influence the operation, the traditional limiting mode is to press the skin through an operating forceps, a plurality of groups of operating forceps are needed to be matched with a bandage for pressing limitation and an operating forceps with the fixing function to realize the fixing function of the scalp, the invention only needs to lift the hindbrain craniotomy claw-shaped skin pressing plate 33 upwards, because the hindbrain craniotomy claw-shaped skin pressing plate 33 can tightly fix the scalp due to the hinged spring between the hindbrain craniotomy auxiliary equipment bracket 29 and the lower jaw pressing reaction end sliding arc-shaped bracket 27, the wound is prevented from being closed, and the hindcraniotomy claw-shaped skin pressing plate 33 slides along the direction of the hindcraniotomy auxiliary sliding groove 31 according to the size of the skin for pressing the opening, so that the plurality of groups of hindbrain craniotomy claw-shaped skin pressing plates 33 can press wound skins with different areas; in the operation process, medical staff need awaken anesthetized patients, when the cerebral nerves of the patients are determined to be not damaged in the operation process, the patients often need to be made into expressions according to passwords, particularly for the patients in the afterbrain operation, the medical staff are difficult to observe the expression conditions of the patients, therefore, when the faces of the patients are limited by the two groups of side face contact type resistance increasing devices 6, the group of forehead bearing devices 4 and the group of mandible bearing devices 5, the facial expressions penetrate through the head limiting plate 34 to be mapped on the facial expression reflecting glass mirror 36, the medical staff can observe whether the patients make related expressions according to instructions of the medical staff without squatting, and the verification mode of the cerebral nerve detection of the patients in the afterbrain operation process is optimized.
It should be noted that, in this document, relational terms such as first and second, and the like are used solely to distinguish one entity or action from another entity or action without necessarily requiring or implying any actual such relationship or order between such entities or actions. Also, the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or apparatus that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or apparatus.
Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.
The present invention and its embodiments have been described above, and the description is not intended to be limiting, and the drawings show only one embodiment of the present invention, and the actual structure is not limited thereto. In summary, those skilled in the art should appreciate that they can readily use the disclosed conception and specific embodiments as a basis for designing or modifying other structures for carrying out the same purposes of the present invention without departing from the spirit and scope of the invention as defined by the appended claims.
Claims (10)
1. The utility model provides a neurosurgery brain operation is with multi-functional bracket which characterized in that: the device comprises a curvature-increasing and area-reducing facial support device (1), a head bearing automatic limiting device (2) and a facial nerve response intraoperative detection auxiliary device (3), wherein the head bearing automatic limiting device (2) is connected with the facial nerve response intraoperative detection auxiliary device (3), and the curvature-increasing and area-reducing facial support device (1) is arranged on the head bearing automatic limiting device (2); the curvature-increasing and area-reducing facial support device (1) comprises a forehead bearing device (4), a lower jaw bearing device (5), a side face contact type resistance-increasing device (6) and a chin limiting device (7), wherein the forehead bearing device (4) is connected with a head bearing automatic limiting device (2), the lower jaw bearing device (5) is connected with the head bearing automatic limiting device (2), the side face contact type resistance-increasing device (6) is connected with the forehead bearing device (4), and the chin limiting device (7) is connected with the lower jaw bearing device (5).
2. The multifunctional bracket for neurosurgical brain surgery of claim 1, wherein: the forehead bearing device (4) comprises forehead limiting bearing arc-shaped narrow plates (8), forehead elliptical resistance-increasing liquid storage bags (9) and forehead liquid storage limiting partition plates (10), the forehead limiting bearing arc-shaped narrow plates (8) are arranged on the side face contact type resistance-increasing device (6), the forehead elliptical resistance-increasing liquid storage bags (9) are arranged on the forehead limiting bearing arc-shaped narrow plates (8), the forehead liquid storage limiting partition plates (10) are arranged on the forehead elliptical resistance-increasing liquid storage bags (9), and two groups of forehead limiting bearing arc-shaped narrow plates (8) are arranged; the lower jaw bearing device (5) comprises a lower jaw limiting bearing arc-shaped narrow plate (11), lower jaw oval resistance-increasing liquid storage tanks (12) and lower jaw liquid storage partition plates (13), the lower jaw limiting bearing arc-shaped narrow plate (11) is connected with the side face contact type resistance-increasing device (6), the lower jaw oval resistance-increasing liquid storage tanks (12) are arranged on the lower jaw limiting bearing arc-shaped narrow plate (11), the lower jaw liquid storage partition plates (13) are arranged on the lower jaw oval resistance-increasing liquid storage tanks (12), and two groups of lower jaw oval resistance-increasing liquid storage tanks (12) are arranged.
3. The multifunctional bracket for neurosurgical brain surgery of claim 2, wherein: the side face contact type resistance increasing device (6) is of a plate-shaped structure with a corrugated surface; the chin limiting device (7) comprises a surrounding type chin limiting pocket (14), an adjustable chin ventilation hole (15), a chin pocket connecting support (16) and a chin adjusting extension spring (17), wherein the chin adjusting extension spring (17) is arranged on the lower jaw limiting bearing arc-shaped narrow plate (11), the chin pocket connecting support (16) is connected with the chin adjusting extension spring (17), the surrounding type chin limiting pocket (14) is arranged on the chin pocket connecting support (16), and the adjustable chin ventilation hole (15) is arranged on the bottom wall of the surrounding type chin limiting pocket (14).
4. A multifunctional bracket for neurosurgical brain surgery according to claim 3, wherein: the head bearing automatic limiting device (2) comprises a forehead bearing automatic limiting device (18) and a lower jaw bearing automatic limiting device (19), the forehead bearing automatic limiting device (18) is connected with the forehead bearing device (4), and the lower jaw bearing automatic limiting device (19) is connected with the lower jaw bearing device (5); the forehead bearing automatic limiting device (18) comprises a forehead bearing sliding support (20), a forehead hydraulic stable turning sleeve (21), forehead two-side limiting sliding supports (22), a forehead splint connecting spring (23) and forehead two-side head clamping arc-shaped inclined plates (24), the forehead bearing sliding support (20) is hinged with the forehead limiting bearing arc-shaped narrow plate (8), the forehead hydraulic stable turning sleeve (21) is connected with the detection auxiliary device (3) in the facial nerve reaction operation, the forehead bearing sliding support (20) is clamped and slidably arranged at one end of the forehead hydraulic stable turning sleeve (21), the forehead two-side limiting sliding supports (22) are clamped and slidably arranged at the other end of the forehead hydraulic stable turning sleeve (21), and the forehead splint connecting spring (23) is arranged on the forehead two-side limiting sliding supports (22), the forehead clamping arc-shaped inclined plates (24) at two sides of the head are connected with a forehead splint connecting spring (23).
5. A multifunctional bracket for neurosurgical brain surgery according to claim 4, characterised in that: the mandible bearing automatic limiting device (19) comprises a mandible bearing sliding support (25), a mandible hydraulic stable turnover sleeve (26), a mandible pressing reaction end sliding arc-shaped support (27) and a postcraniotomy skin limiting device (28), the lower jaw bearing sliding bracket (25) is hinged with a lower jaw limiting bearing arc-shaped narrow plate (11), the lower jaw hydraulic pressure stable turnover casing (26) is connected with a detection auxiliary device (3) in the facial nerve reaction operation, the lower jaw bearing sliding bracket (25) is clamped and arranged on one end of the lower jaw hydraulic stable turnover casing pipe (26) in a sliding way, the lower jaw pressing reaction end sliding arc-shaped bracket (27) is clamped and arranged on the other end of the lower jaw hydraulic stable turnover casing pipe (26) in a sliding manner, the posterior skin limiting device (28) for craniotomy is connected with the sliding arc-shaped bracket (27) at the lower jaw pressing reaction end.
6. The multifunctional bracket for neurosurgical brain operations of claim 5, wherein: the device (28) for limiting the skin after craniotomy comprises a craniotomy auxiliary device support (29), a craniotomy auxiliary plate (30), a craniotomy auxiliary sliding groove (31), a craniotomy auxiliary clamping block (32) and a craniotomy claw-shaped skin pressing plate (33), wherein the craniotomy auxiliary device support (29) is hinged with the lower jaw pressing reaction end sliding arc-shaped support (27), the craniotomy auxiliary plate (30) is arranged on the craniotomy auxiliary device support (29), the craniotomy auxiliary sliding groove (31) is arranged on the craniotomy auxiliary plate (30), the craniotomy auxiliary clamping block (32) is clamped and slidably arranged on the craniotomy auxiliary sliding groove pressing block (31), and the craniotomy claw-shaped skin plate (33) is arranged on the craniotomy auxiliary clamping block (32).
7. A multifunctional bracket for neurosurgical brain surgery according to claim 6, wherein: detect auxiliary device (3) in facial nerve response art and include head limiting plate (34), the spacing fixed bolster of three-dimensional (35), facial expression reflection glass mirror (36), bed body coupling rotation bolt (37), facial arc wall (38) and bed body jack connecting plate (39) of revealing, head limiting plate (34) link to each other with the automatic stop device of head bearing (2), on the spacing fixed bolster of three-dimensional (35) and head limiting plate (34), facial expression reflection glass mirror (36) are located on the spacing fixed bolster of three-dimensional (35), bed body coupling rotation bolt (37) block is rotated and is located on the spacing fixed bolster of three-dimensional (35), facial arc wall (38) of revealing is located on head limiting plate (34), bed body jack connecting plate (39) link to each other with head limiting plate (34).
8. The multifunctional bracket for neurosurgical brain surgery of claim 7, wherein: the forehead limiting bearing arc-shaped narrow plates (8) are hinged and connected through torsion springs, and the two lower jaw limiting bearing arc-shaped narrow plates (11) are hinged and connected through torsion springs.
9. The multifunctional bracket for neurosurgical brain surgery of claim 8, wherein: the forehead liquid storage limiting partition plate (10) is provided with a small hole, and the lower jaw liquid storage partition plate (13) is provided with a small hole.
10. A multifunctional bracket for neurosurgical brain surgery according to claim 9, wherein: the vertical height of the forehead limiting bearing arc-shaped narrow plate (8) is smaller than that of the lower jaw limiting bearing arc-shaped narrow plate (11).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202210216781.2A CN114668618A (en) | 2022-03-07 | 2022-03-07 | Neurosurgery brain operation is with multi-functional bracket |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202210216781.2A CN114668618A (en) | 2022-03-07 | 2022-03-07 | Neurosurgery brain operation is with multi-functional bracket |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN114668618A true CN114668618A (en) | 2022-06-28 |
Family
ID=82072757
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202210216781.2A Withdrawn CN114668618A (en) | 2022-03-07 | 2022-03-07 | Neurosurgery brain operation is with multi-functional bracket |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN114668618A (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN116172826A (en) * | 2023-05-04 | 2023-05-30 | 惠州市第六人民医院 | Head fixer for nerve interventional therapy |
-
2022
- 2022-03-07 CN CN202210216781.2A patent/CN114668618A/en not_active Withdrawn
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN116172826A (en) * | 2023-05-04 | 2023-05-30 | 惠州市第六人民医院 | Head fixer for nerve interventional therapy |
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Application publication date: 20220628 |