CN116889436A - Surgical fixing device for clinical orthopedics spinal trauma - Google Patents
Surgical fixing device for clinical orthopedics spinal trauma Download PDFInfo
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- CN116889436A CN116889436A CN202310862654.4A CN202310862654A CN116889436A CN 116889436 A CN116889436 A CN 116889436A CN 202310862654 A CN202310862654 A CN 202310862654A CN 116889436 A CN116889436 A CN 116889436A
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- 208000014674 injury Diseases 0.000 title claims abstract description 30
- 230000008733 trauma Effects 0.000 title claims abstract description 30
- 230000000399 orthopedic effect Effects 0.000 title claims description 21
- 230000033001 locomotion Effects 0.000 claims abstract description 20
- 230000000712 assembly Effects 0.000 claims abstract description 14
- 238000000429 assembly Methods 0.000 claims abstract description 14
- 230000005540 biological transmission Effects 0.000 claims abstract description 14
- 230000002457 bidirectional effect Effects 0.000 claims description 17
- 210000001503 joint Anatomy 0.000 claims description 4
- 238000001356 surgical procedure Methods 0.000 description 4
- 238000005520 cutting process Methods 0.000 description 3
- 230000009286 beneficial effect Effects 0.000 description 2
- 210000000988 bone and bone Anatomy 0.000 description 2
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 238000001125 extrusion Methods 0.000 description 2
- 201000010099 disease Diseases 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 230000013011 mating Effects 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 230000000007 visual effect Effects 0.000 description 1
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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
- A61B17/0206—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors with antagonistic arms as supports for retractor elements
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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
- A61G13/0036—Orthopaedic operating tables
- A61G13/0054—Orthopaedic operating tables specially adapted for back or spinal surgeries
-
- 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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- Heart & Thoracic Surgery (AREA)
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- Orthopedic Medicine & Surgery (AREA)
- Oral & Maxillofacial Surgery (AREA)
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- Orthopedics, Nursing, And Contraception (AREA)
- Accommodation For Nursing Or Treatment Tables (AREA)
Abstract
The invention relates to the technical field of clinical orthopaedics, in particular to an operation fixing device for clinical orthopaedics spine trauma, which comprises a lifting object placing plate arranged on an operating table, wherein two groups of moving rods are arranged on the lifting object placing plate, two groups of fixed expansion pieces are arranged on the moving rods, and a group of movable expansion pieces are arranged between the two groups of fixed expansion pieces; the trunk fixing assembly is arranged on the operating table in a sliding manner and is connected with the driving assembly arranged on the operating table, and the driving assembly can drive the two groups of trunk fixing assemblies to be mutually close to or far away from each other; the expansion assembly is arranged on the lifting storage plate and connected with the two groups of moving rods and is used for driving the two groups of moving rods to move close to or away from each other; the fixed supporting mechanism is arranged on the lifting storage plate and is linked with the expansion assembly, the fixed supporting mechanism comprises a transmission assembly and a longitudinal movement assembly, the longitudinal movement assembly is connected with the movable expansion piece, and when the two groups of movable rods are driven to be close to or far away from each other, the movable expansion piece can be driven to move relative to the fixed expansion piece.
Description
Technical Field
The invention relates to the technical field of clinical orthopaedics, in particular to a surgical fixing device for clinical orthopaedics spinal trauma.
Background
Clinical orthopedics refers to clinical medicine for diagnosing and treating diseases such as human bone dislocation, fracture, bone trauma and the like, wherein when the clinical orthopedics is used for carrying out operation treatment on spinal trauma diseases of patients, an operation fixing device is usually adopted for assistance.
In the prior art, the skin of a patient needs to be cut through a scalpel before the spine is operated, the cut skin needs to be opened after the cut skin is cut, and the spine to be operated is exposed, however, the cut skin cannot be expanded in the prior art, so that the operation process of medical staff is more troublesome, and the patient easily shakes to a certain extent due to stress reaction and the like during the operation, thereby affecting the smooth operation, and therefore, an operation fixing device for clinical orthopaedics spine trauma needs to be arranged to solve the problems.
Disclosure of Invention
The invention aims to provide a surgical fixing device for clinical orthopaedics spinal trauma, which aims to solve the problems in the background technology.
In order to achieve the above purpose, the present invention provides the following technical solutions:
the surgical fixing device for clinical orthopaedics spinal trauma comprises an operating table, wherein a lifting object placing plate is arranged on the operating table, two groups of moving rods are symmetrically arranged on the lifting object placing plate, two groups of fixed expansion pieces are arranged on the moving rods along the length direction of the moving rods, and a group of movable expansion pieces are arranged between the two groups of fixed expansion pieces;
the trunk fixing assemblies are arranged on the operating table in a sliding manner, two groups of trunk fixing assemblies are symmetrically arranged and connected with driving assemblies arranged on the operating table, and the driving assemblies can drive the two groups of trunk fixing assemblies to be close to or far away from each other so as to fix a patient lying on the operating table;
the expansion assembly is arranged on the lifting storage plate and connected with the two groups of moving rods and is used for driving the two groups of moving rods to move close to or away from each other;
the fixed supporting mechanism is arranged on the lifting storage plate and is linked with the expansion assembly, the fixed supporting mechanism comprises a transmission assembly and a longitudinal movement assembly, the longitudinal movement assembly is connected with the movable expansion piece, and when the expansion assembly drives the two groups of movable rods to be close to or far away from each other, the longitudinal movement assembly can drive the movable expansion piece to move relative to the fixed expansion piece.
As a further scheme of the invention: the driving assembly comprises a driving belt rotatably arranged on the operating table, two ends of the driving belt are connected with two groups of driving wheels rotatably arranged on the operating table, one side, away from the operating table, of one group of driving wheels is fixedly connected with a worm wheel coaxially, and the worm wheel is meshed with a worm rotatably arranged on the operating table.
As still further aspects of the invention: the trunk fixed subassembly is including fixed setting two sets of connecting rods on the drive belt, the connecting rod is kept away from the fixed movable plate that is provided with of one end of drive belt, fixed two sets of dead levers that are provided with on the movable plate, it is provided with fixed sleeve to slide on the dead lever, fixed sleeve keeps away from the fixed grip block that is provided with of one end of movable plate, just it is provided with a spring to slide in the fixed sleeve, the one end of a spring with the dead lever butt, the other end with the grip block butt.
As still further aspects of the invention: the expansion assembly comprises a bidirectional screw rod which is rotatably arranged on the lifting storage plate, two groups of threaded sleeves which are in threaded connection with the bidirectional screw rod are symmetrically arranged on the bidirectional screw rod, clamping blocks are fixedly arranged on the threaded sleeves, and the clamping blocks are slidably arranged in clamping grooves formed in the lifting storage plate.
As still further aspects of the invention: the transmission assembly comprises a first belt wheel which is rotatably arranged on the lifting storage plate, the first belt wheel is connected with the bidirectional screw rod through a bevel gear group, a first connecting plate is rotatably arranged on the first belt wheel, a second belt wheel is rotatably arranged at one end of the first belt wheel, which is far away from the first connecting plate, of the first belt wheel, the second belt wheel is connected with the first belt wheel through a first belt, a second connecting plate is rotatably arranged on the second belt wheel, the second belt wheel is far away from the second belt wheel, a third belt wheel which is rotatably arranged on the movable rod is rotatably connected with the second belt wheel, and the third belt wheel is connected with the second belt wheel through a second belt.
As still further aspects of the invention: the longitudinal movement assembly comprises a rotation structure and a lifting structure, the rotation structure comprises a rotary table which is coaxially and fixedly connected with the third belt wheel, and a protruding column is formed on one side of the rotary table, which faces the moving rod.
As still further aspects of the invention: the lifting structure comprises a moving part and a lifting part, the moving part comprises a sliding part formed on a moving rod, a guide rod is fixedly arranged in the sliding part, a sliding sleeve is arranged on the guide rod, a movable expanding part is arranged in the sliding sleeve in a sliding mode, a sliding plate is fixedly arranged on one side of the sliding sleeve, facing the rotary table, of the sliding sleeve, and the protruding column is arranged on the sliding plate in a sliding mode.
As still further aspects of the invention: the lifting piece comprises a fixed connecting rod fixedly arranged on the movable expansion piece, a pulley is arranged at one end, far away from the movable expansion piece, of the fixed connecting rod, and the pulley is connected with a guide plate fixedly arranged on the movable rod.
Compared with the prior art, the invention has the beneficial effects that:
by arranging the driving assembly and the trunk fixing assembly, when an operation is performed, the driving assembly is started to drive the two groups of trunk fixing assemblies to be close to each other, and when a patient lying on an operating table can be clamped and fixed by the clamping plate elastically connected with the moving plate, the clamping extrusion force of the clamping plate on the patient can be relieved, and meanwhile, under the action of the driving assembly, the trunk fixing assembly can clamp patients with different sizes, so that the patient cannot shake during the operation;
by utilizing the expansion assembly, after the medical staff cuts the skin of the patient, the cylinder is started to drive the lifting object placing plate to descend to a proper position, and then the expansion assembly is driven to act, so that the cut skin at the back of the patient can be fixed, the spine of the patient is exposed in the vision of the medical staff, and the operation of the medical staff is facilitated;
through setting up fixed supporting mechanism, utilize drive assembly to drive longitudinal movement subassembly and expansion subassembly simultaneous movement to when making two sets of movable rods keep away from each other and move, remove expansion piece and can move relative fixed expansion piece, with the middle section of patient by the cut skin to the oblique top lift, with play the fixed effect of support to patient by the skin of cutting, make patient's backbone expose in medical personnel's field of vision more clearly, so that medical personnel carries out medical operation.
Drawings
Fig. 1 is a schematic view of one embodiment of a surgical fixation apparatus for clinical orthopedic spinal trauma.
Fig. 2 is a schematic structural view of a torso fixation assembly in one embodiment of a surgical fixation apparatus for clinical orthopedic spinal trauma.
Fig. 3 is a schematic view of a structure of a mobile plate coupled to a clamping plate in one embodiment of a surgical fixation apparatus for clinical orthopedic spinal trauma.
Fig. 4 is a schematic structural view of an expansion assembly in one embodiment of a surgical fixation apparatus for clinical orthopedic spinal trauma.
Fig. 5 is a schematic structural view of a fixation support mechanism in one embodiment of a surgical fixation device for clinical orthopedic spinal trauma.
Fig. 6 is a schematic structural view of a longitudinal motion assembly in one embodiment of a surgical fixation apparatus for clinical orthopedic spinal trauma.
Fig. 7 is a schematic structural view of a rotating structure in one embodiment of a surgical fixation apparatus for clinical orthopedic spinal trauma.
Fig. 8 is a schematic view of the configuration of the mating slot in one embodiment of a surgical fixation apparatus for clinical orthopedic spinal trauma.
Fig. 9 is a schematic structural view of a transmission assembly coupled to a longitudinal motion assembly in one embodiment of a surgical fixation device for clinical orthopedic spinal trauma.
Fig. 10 is a schematic structural view of a drive assembly in one embodiment of a surgical fixation apparatus for clinical orthopedic spinal trauma.
In the figure: 1. an operating table; 2. a moving plate; 3. a clamping plate; 4. a cylinder; 5. fixing the sleeve plate; 6. lifting the object placing plate; 7. a bevel gear set; 8. a first belt; 9. a second pulley; 10. a second belt; 11. a first connecting plate; 12. a second connecting plate; 13. a fixing plate; 14. fixing the expansion piece; 15. leading to the trough; 16. a transmission belt; 17. a fixed rod; 18. a worm wheel; 19. a worm; 20. a vertical plate; 21. a motor I; 22. a motor II; 23. a fixed sleeve; 24. a first spring; 25. a connecting rod; 26. a first pulley; 27. a two-way screw rod; 28. a threaded sleeve; 29. a moving rod; 30. a clamping block; 31. a third pulley; 32. a turntable; 33. a sliding plate; 34. moving the expansion member; 35. a sliding sleeve; 36. a guide plate; 37. a slider; 38. a guide rod; 39. a second spring; 40. a protruding column; 41. a fixed connecting rod; 42. a through groove; 43. a fitting groove; 44. and a driving wheel.
Detailed Description
The following description of the embodiments of the present invention will be made clearly and completely with reference to the accompanying drawings, in which it is apparent that the embodiments described are only some embodiments of the present invention, but not all embodiments. All other embodiments, which can be made by those skilled in the art based on the embodiments of the invention without making any inventive effort, are intended to be within the scope of the invention.
In addition, an element in the present disclosure may be referred to as being "fixed" or "disposed" on another element or being directly on the other element or intervening elements may also be present. When an element is referred to as being "connected" to another element, it can be directly connected to the other element or intervening elements may also be present. The terms "vertical," "horizontal," "left," "right," and the like are used herein for illustrative purposes only and are not meant to be the only embodiment.
Referring to fig. 1 to 10, in an embodiment of the present invention, an operation fixing device for clinical orthopedic spinal trauma includes an operation table 1, wherein a lifting object placing plate 6 is provided on the operation table 1, two groups of moving rods 29 are provided on the lifting object placing plate 6, two groups of fixing expansion pieces 14 are provided on the moving rods 29 along the length direction thereof, and a group of moving expansion pieces 34 are provided between the two groups of fixing expansion pieces 14;
specifically, referring to fig. 1 and 5, the lifting object placing plate 6 is slidably disposed in a fixed sleeve plate 5 disposed on the operating table 1, and the lifting object placing plate 6 is connected with an air cylinder 4 fixedly disposed on the operating table 1, and the lifting object placing plate 6 can be driven to move along the vertical direction of the fixed sleeve plate 5 by driving the air cylinder 4, and the distance between the lifting object placing plate 6 and the operating table 1 can be controlled by adjusting the ground air cylinder 4, so as to adapt to different operating environments.
The trunk fixing assembly is arranged on the operating table 1 in a sliding manner, two groups of driving assemblies which are symmetrically arranged on the operating table 1 are connected, and the driving assemblies can drive the two groups of trunk fixing assemblies to be mutually close to or far away from each other;
further, referring to fig. 2, the driving assembly includes a driving belt 16 rotatably mounted on the operating table 1, two ends of the driving belt 16 are connected with two sets of driving wheels 44 rotatably mounted on the operating table 1, one side of one set of driving wheels 44 away from the operating table 1 is fixedly connected with a worm wheel 18 coaxially, and the worm wheel 18 is meshed with a worm 19 rotatably mounted on the operating table 1;
specifically, referring to fig. 2, one end of the worm 19 is rotatably connected to a support member fixedly mounted on the operating table 1, the other end is rotatably connected to a vertical plate 20 fixedly mounted on the operating table 1, and is fixedly connected to an output shaft of a first motor 21 fixedly mounted on the vertical plate 20, the motor is started, the worm 19 drives the worm wheel 18 to rotate in the same direction, and the worm wheel 18 which rotates in the same direction continuously can drive the driving belt 16 to rotate continuously, so as to control two sets of trunk fixing assemblies to move close to or away from each other, so as to fix the trunk of a patient lying on the operating table 1, and avoid shaking of the patient during operation and influence on operation of medical staff.
The trunk fixing assembly comprises two groups of connecting rods 25 fixedly arranged on the driving belt 16, one end, away from the driving belt 16, of each connecting rod 25 is fixedly provided with a moving plate 2, two groups of fixing rods 17 are fixedly arranged on each moving plate 2, fixing sleeves 23 are slidably arranged on the fixing rods 17, clamping plates 3 are fixedly arranged at one ends, away from the moving plates 2, of the fixing sleeves 23, a first spring 24 is slidably arranged in each fixing sleeve 23, one ends of the first springs 24 are in butt joint with the corresponding fixing rods 17, and the other ends of the first springs 24 are in butt joint with the corresponding clamping plates 3;
for expansion, referring to fig. 3, the two sets of connecting rods 25 are fixedly disposed at two ends of the driving belt 16, when the driving belt 16 moves, the two sets of connecting rods 25 can move away from or close to each other along the direction leading to the slot 15 formed in the operating table 1 along the driving belt 16, the fixing rod 17 is provided with a sliding slot adapted to the sliding block formed in the inner wall of the fixing sleeve 23, in the initial state, the two sets of moving plates 2 are away from each other, the first spring 24 is in a compressed state, the first spring 24 in the compressed state pushes the clamping plate 3 to move away from the moving plate 2, at this time, the sliding block is located at the end of the sliding slot, when the driving assembly drives the moving plates 2 to move close to each other, the two sets of clamping plates 3 will contact with the trunk of a patient, and with the continuous movement of the moving plate 2, the first spring 24 is pressed towards the direction of the moving plate 2, so that the first spring 24 is further compressed, when the first motor 21 stops working, the trunk fixing assembly can clamp patients of different sizes, and under the action of the first spring 24, the clamping force of the clamping plate 3 on the patient can be relieved.
At present, when spine surgery is performed, the skin of a patient needs to be cut off by using a scalpel, the cut skin is fixed by flaring after cutting, so that the spine is exposed, however, when the surgery is performed, the patient easily shakes to a certain extent due to stress reaction and the like, so that the smooth performance of the surgery is affected.
As an embodiment of the present invention, referring to fig. 1, 4, 5, 6 and 9, a surgical fixing device for clinical orthopaedics spinal trauma further includes an expansion assembly disposed on the lifting storage plate 6 and connected to two sets of the moving rods 29 for driving the two sets of the moving rods 29 to move toward or away from each other;
the expansion assembly comprises a bidirectional screw rod 27 rotatably mounted on the lifting storage plate 6, two groups of threaded sleeves 28 in threaded connection with the bidirectional screw rod 27 are symmetrically arranged on the bidirectional screw rod 27, clamping blocks 30 are fixedly arranged on the threaded sleeves 28, and the clamping blocks 30 are slidably arranged in clamping grooves 45 formed in the lifting storage plate 6;
specifically, an L-shaped plate is disposed on one side of the lifting object placing plate 6, the L-shaped plate is far away from one side of the lifting object placing plate 6, a second motor 22 is fixedly mounted on one side of the L-shaped plate, one end of the bidirectional screw rod 27 is fixedly connected with an output shaft of the second motor 22, in an initial state, the two sets of screw sleeves 28 are close to each other, at the moment, the two sets of moving rods 29 are close to each other, the fixed expansion piece 14 and the moving expansion piece 34 which are disposed on the moving rods 29 are close to each other, after the spine of a patient emerges, the cylinder 4 is started, the lifting object placing plate 6 drives the expansion assembly to move towards the operating table 1 until the patient comes to a proper position, the cylinder 4 is closed, the cut skin of the patient is placed on the moving expansion piece 34 and the fixed expansion piece 14, then the bidirectional screw rod 27 is started to rotate, the two sets of screw sleeves 28 are driven to be far away from each other, at the moment, the moving expansion piece 34 and the cut skin of the patient can be expanded outwards, so that the spine can be exposed in the view of medical staff in the surgical procedure, and the operation of the skin of the medical staff is not affected clearly by the cutting operation of the skin.
In the embodiment of the invention, by utilizing the expansion assembly, after the medical staff cuts the skin of the patient, the cylinder 4 is started to drive the lifting object placing plate 6 to descend to a proper position, and then the expansion assembly is driven to act, so that the cut skin on the back of the patient can be fixed, the spine of the patient is exposed in the vision of the medical staff, and the surgical operation of the medical staff is facilitated.
As an embodiment of the present invention, referring to fig. 5, 7, 8 and 9, a surgical fixing device for clinical orthopaedics spinal trauma further comprises a fixing and supporting mechanism, wherein the fixing and supporting mechanism is installed on the lifting and placing plate 6 and is linked with the expansion assembly, and comprises a transmission assembly and a longitudinal movement assembly, the longitudinal movement assembly is connected with the movable expansion piece 34, and when the expansion assembly drives the two groups of movable rods 29 to approach or separate from each other, the longitudinal movement assembly can drive the movable expansion piece 34 to move relative to the fixed expansion piece 14;
the transmission assembly comprises a first belt wheel 26 rotatably arranged on the lifting storage plate 6, the first belt wheel 26 is connected with the bidirectional screw rod 27 through a bevel gear set 7, a first connecting plate 11 is rotatably arranged on the first belt wheel 26, a second belt wheel 9 is rotatably arranged at one end, far away from the first belt wheel 26, of the first connecting plate 11, the second belt wheel 9 is connected with the first belt wheel 26 through a first belt 8, a second connecting plate 12 is rotatably arranged on the second belt wheel 9, the second connecting plate 12 is rotatably connected with a third belt wheel 31, far away from the second belt wheel 9, rotatably arranged on the moving rod 29, and the third belt wheel 31 is connected with the second belt wheel 9 through a second belt 10;
the bevel gear set 7 includes a first bevel gear and a second bevel gear, the first bevel gear is fixedly connected with the first belt wheel 26 coaxially, the second bevel gear is fixedly connected with the bidirectional screw rod 27 coaxially, when the second motor 22 drives the bidirectional screw rod 27 to rotate, the first bevel gear and the second bevel gear keep engaged transmission, so that the first belt wheel 26 can be driven to rotate, and under the connection effect of the first belt 8 and the second belt 10, the third belt wheel 31 rotating and rotating on the fixed plate 13 rotates;
in particular, referring to fig. 10, the radius of the second pulley 9 is multiple times that of the first pulley 26, so that when the first pulley 26 rotates for multiple turns following the bi-directional screw rod 27, the second pulley 9 rotates only for half turn, and drives the movable expansion member 34 to move towards the vertical direction of the movable rod 29, so that the stretching range of the severed skin portion of the patient is larger, which is beneficial for the medical staff to perform the operation.
Further, the longitudinal movement assembly includes a rotation structure and a lifting structure, the rotation structure includes a turntable 32 coaxially and fixedly connected to the third pulley 31, and a protruding column 40 is formed on a side of the turntable 32 facing the moving rod 29;
the lifting structure comprises a moving part and a lifting part, the moving part comprises a sliding part 37 formed on the moving rod 29, a guide rod 38 is fixedly arranged in the sliding part 37, a sliding sleeve 35 is arranged on the guide rod 38, a moving expanding part 34 is arranged in the sliding sleeve 35 in a sliding manner, a sliding plate 33 is fixedly arranged on one side, facing the turntable 32, of the sliding sleeve 35, and a protruding column 40 is arranged on the sliding plate 33 in a sliding manner; the sliding plate 33 is provided with a guide groove, and the protruding column 40 is slidably arranged in the guide groove;
specifically, referring to fig. 6 and 9, a second spring 39 is slidably disposed on the guide rod 38, one end of the second spring 39 is abutted against the sliding member 37, the other end is abutted against the sliding sleeve 35, in the initial state, the second spring 39 is in a compressed state, the sliding sleeve 35 is pushed by the second spring 39 in the compressed state to approach the moving rod 29, so that the moving expansion member 34 cannot slide on the guide rod 38 at will, the moving expansion member 34 and the fixed expansion member 14 are ensured to be on the same plane and maintain the same level in the initial state, and when the bidirectional screw rod 27 rotates, the turntable 32 continuously rotates along with the third pulley 31 under the action of the transmission assembly, and at the moment, the sliding sleeve 35 is pushed to move gradually away from the moving rod 29 along the guide rod 38 by contact extrusion generated by the protruding column 40, so that the second spring 39 is further compressed, the skin of the back of the patient is expanded outwards to have a higher degree, and the spine is exposed more clearly.
Still further, the pulling member includes a fixed link 41 fixedly disposed on the moving expansion member 34, and a pulley is mounted at an end of the fixed link 41 remote from the moving expansion member 34, and is connected to a guide plate 36 fixedly disposed on the moving rod 29;
in particular, referring to fig. 8, the guide plate 36 and the sliding member 37 are disposed in parallel, the engaging groove 43 includes an inclined groove and a horizontal groove, the fixed connecting rod 41 penetrates the sliding sleeve 35 and is located in the through groove 42 formed in the sliding sleeve 35, in an initial state, the fixed connecting rod 41 is located at the end of the through groove 42, the movable expanding member 34 and the fixed expanding member 14 are located at the same horizontal level, the pulley is located at the end of the inclined groove, when the turntable 32 drives the sliding sleeve 35 to move away from the moving rod 29, the pulley moves along the inclined groove to drive the movable expanding member 34 to move towards the inside of the sliding sleeve 35, so that the movable expanding member 34 is higher than the fixed expanding member 14 at the vertical plane, and the middle end of the cut skin of the patient is lifted upwards to support and fix the cut skin of the patient, thereby facilitating the operation of the medical staff.
In the embodiment of the invention, the fixed supporting mechanism is arranged, and the transmission assembly is utilized to drive the longitudinal movement assembly and the expansion assembly to act simultaneously, so that when the two groups of moving rods 29 move away from each other, the moving expansion assembly 34 can move relative to the fixed expansion assembly 14, and the middle section of the cut skin of the patient is pulled obliquely upwards, so that the cut skin of the patient is supported and fixed, the spine of the patient is exposed in the visual field of medical staff more clearly, and the medical staff can perform medical operation.
It will be evident to those skilled in the art that the invention is not limited to the details of the foregoing illustrative embodiments, and that the present invention may be embodied in other specific forms without departing from the spirit or essential characteristics thereof. The present embodiments are, therefore, to be considered in all respects as illustrative and not restrictive, the scope of the invention being indicated by the appended claims rather than by the foregoing description, and all changes which come within the meaning and range of equivalency of the claims are therefore intended to be embraced therein. Any reference sign in a claim should not be construed as limiting the claim concerned.
Furthermore, it should be understood that although the present disclosure describes embodiments, not every embodiment is provided with a separate embodiment, and that this description is provided for clarity only, and that the disclosure is not limited to the embodiments described in detail below, and that the embodiments described in the examples may be combined as appropriate to form other embodiments that will be apparent to those skilled in the art.
Claims (8)
1. A surgical fixation apparatus for clinical orthopedic spinal trauma, comprising:
the surgical table (1), the surgical table (1) is provided with a lifting storage plate (6), the lifting storage plate (6) is provided with two groups of moving rods (29), the moving rods (29) are provided with two groups of fixed expansion pieces (14) along the length direction, and a group of moving expansion pieces (34) are arranged between the two groups of fixed expansion pieces (14);
the trunk fixing assembly is arranged on the operating table (1) in a sliding mode, two groups of driving assemblies are symmetrically arranged on the trunk fixing assembly and are connected with each other and arranged on the operating table (1), and the driving assemblies can drive the two groups of trunk fixing assemblies to be close to or far away from each other.
2. A surgical fixation apparatus for clinical orthopedic spinal trauma according to claim 1,
further comprises:
the expansion assembly is arranged on the lifting storage plate (6) and connected with the two groups of moving rods (29) and is used for driving the two groups of moving rods (29) to move close to or away from each other;
the fixed supporting mechanism is arranged on the lifting storage plate (6) and is linked with the expansion assembly, the fixed supporting mechanism comprises a transmission assembly and a longitudinal movement assembly, the longitudinal movement assembly is connected with the movable expansion piece (34), and when the expansion assembly drives the two groups of movable rods (29) to be close to or far away from each other, the longitudinal movement assembly can drive the movable expansion piece (34) to move relative to the fixed expansion piece (14).
3. A surgical fixation apparatus for clinical orthopaedics spinal trauma according to claim 2, characterized in that the drive assembly comprises a drive belt (16) rotatably mounted on the operating table (1), both ends of the drive belt (16) are connected with two sets of drive wheels (44) rotatably mounted on the operating table (1), and one side of one set of drive wheels (44) remote from the operating table (1) is fixedly connected with a worm wheel (18) coaxially.
4. A surgical fixation device for clinical orthopedic spinal trauma according to claim 3, characterized in that the worm gear (18) meshes with a worm (19) rotatably mounted on the operating table (1); the trunk fixing assembly comprises two groups of connecting rods (25) fixedly arranged on the transmission belt (16), one end, away from the transmission belt (16), of each connecting rod (25) is fixedly provided with a movable plate (2), two groups of fixing rods (17) are fixedly arranged on each movable plate (2), fixing sleeves (23) are slidably arranged on the fixing rods (17), clamping plates (3) are fixedly arranged at one ends, away from the movable plates (2), of the fixing sleeves (23), a first spring (24) is slidably arranged in each fixing sleeve (23), one end of each first spring (24) is in butt joint with each fixing rod (17), and the other end of each first spring is in butt joint with each clamping plate (3); the expansion assembly comprises a bidirectional screw rod (27) rotatably mounted on the lifting storage plate (6), two groups of threaded sleeves (28) in threaded connection with the bidirectional screw rod are symmetrically arranged on the bidirectional screw rod (27), clamping blocks (30) are fixedly arranged on the threaded sleeves (28), and the clamping blocks (30) are slidably arranged in clamping grooves (45) formed in the lifting storage plate (6); the transmission assembly comprises a first belt wheel (26) rotatably mounted on the lifting storage plate (6), the first belt wheel (26) is connected with the bidirectional screw rod (27) through a bevel gear set (7), a first connecting plate (11) is rotatably mounted on the first belt wheel (26), a second belt wheel (9) is rotatably mounted at one end, far away from the first belt wheel (26), of the first connecting plate (11), the second belt wheel (9) is connected with the first belt wheel (26) through a first belt (8), a second connecting plate (12) is rotatably mounted on the second belt wheel (9), a third belt wheel (31), far away from the second belt wheel (9), rotatably mounted on the moving rod (29), of the second connecting plate (12) is rotatably connected with the third belt wheel (31) through a second belt (10); the longitudinal movement assembly comprises a rotation structure and a lifting structure, the rotation structure comprises a rotary table (32) which is coaxially and fixedly connected with the third belt wheel (31), a protruding column (40) is formed on one side of the rotary table (32) towards the moving rod (29), a sliding plate (33) is fixedly arranged on one side of the sliding sleeve (35) towards the rotary table (32), and the protruding column (40) is arranged on the sliding plate (33) in a sliding mode.
5. A surgical fixation apparatus for clinical orthopedic spinal trauma according to claim 4, characterized in that the lifting structure includes a moving member including a slider (37) formed with the moving rod (29) and a pulling member.
6. A surgical fixation apparatus for clinical orthopaedics spinal trauma according to claim 5, characterized in that said slide (37) is internally fixed with a guide rod (38), said guide rod (38) being provided with a sliding sleeve (35).
7. Surgical fixation apparatus for clinical orthopedic spinal trauma according to claim 6, characterized in that the sliding sleeve (35) is slidingly provided with a mobile expansion (34).
8. A surgical fixation apparatus for clinical orthopedic spinal trauma according to claim 7, characterized in that the lifting member comprises a fixed link (41) fixedly disposed on the mobile expansion member (34), the end of the fixed link (41) remote from the mobile expansion member (34) being mounted with a pulley connected to a guide plate (36) fixedly disposed on the mobile rod (29).
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202310862654.4A CN116889436B (en) | 2023-07-14 | 2023-07-14 | Surgical fixing device for clinical orthopedics spinal trauma |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202310862654.4A CN116889436B (en) | 2023-07-14 | 2023-07-14 | Surgical fixing device for clinical orthopedics spinal trauma |
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| CN116889436B CN116889436B (en) | 2024-03-22 |
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| EP0389188A2 (en) * | 1989-03-21 | 1990-09-26 | Ram Kumar Chatterjee | Adjustable support device for surgery |
| CN110897662A (en) * | 2019-12-09 | 2020-03-24 | 中国人民解放军陆军军医大学第二附属医院 | Hepatobiliary surgery is with operation auxiliary device |
| CN113940839A (en) * | 2021-10-25 | 2022-01-18 | 莒县中医医院 | A operation fixing device for clinical orthopedics backbone wound |
| CN216602956U (en) * | 2021-12-10 | 2022-05-27 | 仲继彬 | Expansion device for general surgery department clinic |
| CN115192360A (en) * | 2022-07-18 | 2022-10-18 | 河南省洛阳正骨医院（河南省骨科医院） | A operation fixing device for clinical orthopedics backbone wound |
| CN218979038U (en) * | 2022-12-05 | 2023-05-09 | 西安市红会医院（西安市骨科研究所） | Retractor for spinal trauma |
| CN116269553A (en) * | 2023-03-24 | 2023-06-23 | 杨莹 | Auxiliary instrument for gastrointestinal operation in general surgery department |
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2023
- 2023-07-14 CN CN202310862654.4A patent/CN116889436B/en active Active
Patent Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP0389188A2 (en) * | 1989-03-21 | 1990-09-26 | Ram Kumar Chatterjee | Adjustable support device for surgery |
| CN110897662A (en) * | 2019-12-09 | 2020-03-24 | 中国人民解放军陆军军医大学第二附属医院 | Hepatobiliary surgery is with operation auxiliary device |
| CN113940839A (en) * | 2021-10-25 | 2022-01-18 | 莒县中医医院 | A operation fixing device for clinical orthopedics backbone wound |
| CN216602956U (en) * | 2021-12-10 | 2022-05-27 | 仲继彬 | Expansion device for general surgery department clinic |
| CN115192360A (en) * | 2022-07-18 | 2022-10-18 | 河南省洛阳正骨医院（河南省骨科医院） | A operation fixing device for clinical orthopedics backbone wound |
| CN218979038U (en) * | 2022-12-05 | 2023-05-09 | 西安市红会医院（西安市骨科研究所） | Retractor for spinal trauma |
| CN116269553A (en) * | 2023-03-24 | 2023-06-23 | 杨莹 | Auxiliary instrument for gastrointestinal operation in general surgery department |
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| CN116889436B (en) | 2024-03-22 |
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