TWI386182B - Surgical stent device - Google Patents
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- TWI386182B TWI386182B TW98124236A TW98124236A TWI386182B TW I386182 B TWI386182 B TW I386182B TW 98124236 A TW98124236 A TW 98124236A TW 98124236 A TW98124236 A TW 98124236A TW I386182 B TWI386182 B TW I386182B
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Description
本發明是有關於一種支架裝置，特別是指一種用於外科牽引手術之支架裝置。The present invention relates to a stent device, and more particularly to a stent device for surgical traction surgery.
目前對於髖臼骨折或骨盆骨折的治療，都必須透過外科手術的方式才能進行治療，例如以骨釘固定骨折部位，而在上述骨折治療過程中，例如髖臼骨折之外科手術治療，由於病患大腿具有一定之重量，當髖臼骨折而造成大腿骨脫離髖臼時，大腿的重量通常會牽動大腿骨偏離髖臼，而可能會壓迫到周圍之神經、肌肉或軟骨組織，容易造成神經或軟骨損傷或造成肌肉出現壞疽現象，因此通常需要對脫離之大腿骨進行牽引手術，使大腿骨復位至正確位置。At present, the treatment of acetabular fractures or pelvic fractures must be treated by surgery, such as nail fixation of the fracture site, and during the above-mentioned fracture treatment, such as acetabular fracture surgery, due to the patient The thigh has a certain weight. When the acetabular fracture causes the thigh bone to break away from the acetabulum, the weight of the thigh usually affects the femur from the acetabulum, and may compress to the surrounding nerves, muscles or cartilage tissue, easily causing nerves or cartilage. Injury or muscle gangrene, it is usually necessary to perform traction surgery on the detached thigh bone to reset the thigh bone to the correct position.
傳統之牽引作業都是由手術人員執行，透過拉動抬高已固定於大腿骨跟部外科牽引器具的方式，將大腿骨牽引至正確位置，但因此類外科牽引手術需長時間進行穩定之牽引作業，所以常會造成手術人員過度疲勞，且容易因為手術人員手部之疲勞，而造成大腿骨發生偏移或無法保持穩定等情況。有鑑於此，目前市面上有開發出一套專門針對外科牽引手術所開發之外科手術床，雖然該外科手術床可避免手術人員因疲勞而產生之牽引不穩定現象，但因該外科手術床體積太大且昂貴，且限制了手術過程病患身體及四肢的翻動，使用上相當不便。The traditional traction operation is performed by the operator, and the thigh bone is pulled to the correct position by pulling and lifting the surgical traction device fixed to the thigh bone, but the surgical traction operation requires a long time for stable traction operation. Therefore, it often causes the operator to be excessively tired, and it is easy to cause the thigh bone to shift or not to be stable due to the fatigue of the operator's hand. In view of this, there is currently a set of surgical beds developed specifically for surgical traction surgery, although the surgical bed can avoid traction instability caused by fatigue of the operator, but due to the volume of the surgical bed It is too large and expensive, and it limits the body and limbs of the patient during the operation. It is quite inconvenient to use.
因此，本發明之目的，即在提供一種方便使用之外科手術用的支架裝置。Accordingly, it is an object of the present invention to provide a stent device for convenient surgical use.
本發明之另一目的，在於提供一種方便拆裝與收藏之外科手術用的支架裝置。Another object of the present invention is to provide a stent device for convenient disassembly and assembly and for external surgery.
於是，本發明外科手術用的支架裝置，可供一外科牽引器具安裝固定，並包含二左右間隔之直立支撐桿、二分別安裝固定於該等支撐桿上並可分別相對支撐桿上下調移定位與樞擺定位之轉接機構、一左右延伸地跨置固定於該等轉接機構上之懸吊桿，及一用以夾固所述外科牽引器具地安裝固定於該懸吊桿上之夾固機構，且該懸吊桿左、右端部可分別被轉接機構之上下位移連動而分別相對支撐桿上下擺移，該夾固機構可沿懸吊桿長度方向調移定位及相對懸吊桿樞轉定位。Therefore, the stent device for surgical operation of the present invention can be installed and fixed by a surgical traction device, and comprises two upright spaced apart support rods, two of which are respectively mounted and fixed on the support rods, and can be respectively positioned up and down relative to the support rods. And a pivoting positioning adapter, a suspension rod fixedly extending to the adapter mechanism, and a clamp for mounting the surgical traction device to the suspension rod a fixing mechanism, wherein the left and right end portions of the suspension rod can be respectively moved up and down by the switching mechanism and respectively moved up and down with respect to the support rod, and the clamping mechanism can be moved and positioned along the length of the suspension rod and the relative suspension rod Pivoting positioning.
本發明之功效：透過該等轉接機構設計，使得支架裝置可透過調整該等轉接機構夾固於支撐桿之高度，以及調整該夾固機構夾固於懸吊桿之位置與樞轉角度的方式，來滿足外科牽引器具之各種牽引角度需求，且牽引力量穩定持久。The effect of the invention: through the design of the adapter mechanism, the bracket device can adjust the height of the support rod by adjusting the adapter mechanism, and adjust the position and pivot angle of the clamping mechanism to the suspension rod The way to meet the various traction angle requirements of surgical traction devices, and the traction force is stable and lasting.
有關本發明之前述及其他技術內容、特點與功效，在以下配合參考圖式之一個較佳實施例的詳細說明中，將可清楚的呈現。The above and other technical contents, features and advantages of the present invention will be apparent from the following detailed description of the preferred embodiments.
如圖1~3所示，本發明外科手術用的支架裝置之較佳實施例，可架設於手術床(圖未示)上，而應用在髖臼骨折與骨盆骨折等外科手術治療中，並可透過一外加之特定外科牽引器具100，而用以對特定骨頭進行外科牽引手術，該外科牽引器具100可以是科克螺釘(Corkscrew)或坎茲螺栓(Schantz pin)等，但實施時，其可適用之外科手術與外科牽引器具100皆不以上述類型為限。As shown in FIGS. 1 to 3, a preferred embodiment of the surgical stent device of the present invention can be mounted on an operating bed (not shown) for use in surgical treatment such as acetabular fractures and pelvic fractures, and The surgical traction device 100 can be a Corkscrew or a Schantz pin, etc., but in practice, it can be used to perform a surgical traction procedure on a particular bone. The applicable external surgery and surgical traction device 100 are not limited to the above types.
該支架裝置2包含二左右間隔之水平底座機構3、二分別直立插裝樞設於該等底座機構3上之支撐桿4、二分別安裝固定於該等支撐桿4上之轉接機構5、一左右延伸地跨接於該等轉接機構5間之懸吊桿6，及一安裝於懸吊桿6上並用以固定外科牽引器具100之夾固機構7。The bracket device 2 includes two horizontally spaced base mechanisms 3, two support rods 4 respectively erected on the base mechanism 3, and two adapter mechanisms 5 respectively mounted on the support rods 4. A suspension rod 6 extending across the adapter mechanism 5, and a clamping mechanism 7 mounted on the suspension rod 6 for securing the surgical traction device 100.
該等底座機構3分別包括一前後延伸之底桿31，及一可前後滑移地套接於該底桿31上之轉接套管32，該轉接套管32具有一套置於底桿31之套管部321，及一徑向突設於套管部321外周面且開口朝上之插管部322。該等支撐桿4是可繞自體軸心樞轉地分別往下插裝定位於該等轉接套管32之插管部322中。The base mechanisms 3 respectively include a front and rear extending bottom rod 31, and an adapter sleeve 32 that is sleeved back and forth on the bottom rod 31. The adapter sleeve 32 has a set of bottom rods. The sleeve portion 321 of the 31, and a cannula portion 322 which is radially protruded from the outer peripheral surface of the sleeve portion 321 and has an opening upward. The support rods 4 are pivotally inserted into the cannula portions 322 of the adapter sleeves 32 so as to be pivotally mounted around the axis of the body.
該等轉接機構5可分別相對支撐桿4上下調移定位與樞擺定位，每一轉接機構5包括一可拆離地套接固定於支撐桿4上之第一快拆套件51、一可拆離地套接固定於懸吊桿6上之第二快拆套件52，及一樞設於第一快拆套件51與第二快拆套件52間之樞接板53。The adapter mechanism 5 can be vertically positioned and pivoted relative to the support rod 4, and each of the adapter mechanisms 5 includes a first quick release kit 51 detachably sleeved and fixed on the support rod 4. The second quick release kit 52 fixed to the suspension rod 6 and the pivot plate 53 pivoted between the first quick release kit 51 and the second quick release kit 52 are detachably sleeved.
第一快拆套件51包括左端部相樞接並可前後相向樞擺夾抵支撐桿4之一第一前夾片511與一第一後夾片514、一以其前端部樞設於第一前夾片511右端部並可往後樞擺嵌置於第一後夾片514右端部中之第一螺桿516、一螺接樞設於第一螺桿516後端部並可樞擺迫抵於第一後夾片514後側面之第一夾套扳手517、一固定於第一前夾片511前側面並往前延伸貫穿樞設於該樞接板53左端部之第一快拆桿518，及一樞設於第一快拆桿518前端部並可樞擺迫抵於樞接板53前側面之第一定轉扳手519。The first quick release kit 51 includes a left end portion pivotally connected to the first front clip 511 and a first rear clip 514, and a front end portion pivoted to the first end of the support rod 4 The first screw 516 of the front end of the first rear clip 514 can be pivotally inserted into the right end of the first rear clip 514, and a screw is pivotally disposed at the rear end of the first screw 516 and can be pivoted. The first jacket wrench 517 on the rear side of the first rear clip 514 is fixed to the front side of the first front clip 511 and extends forwardly through the first quick release lever 518 pivotally disposed at the left end of the pivot board 53. And a first fixed-rotation wrench 519 pivotally disposed on the front end of the first quick-release lever 518 and pivoted against the front side of the pivoting plate 53.
第一前夾片511與第一後夾片512是呈左右相向弧彎延伸狀，第一前夾片511具有一往前突伸嵌置於樞接板53中之圓盤狀第一定位凸部512，及一突設於第一定位凸部512前側面之第一定位齒部513，該第一定位齒部513是由多數呈放射狀分布之齒條(圖未編號)構成。The first front clip 511 and the first rear clip 512 are curved in a left-right direction, and the first front clip 511 has a disc-shaped first positioning convex protrudingly embedded in the pivoting plate 53. The portion 512 and the first positioning tooth portion 513 protruding from the front side of the first positioning convex portion 512 are formed by a plurality of radially distributed racks (not numbered).
第一夾套扳手517是經由一螺接套置於第一軸桿516外之樞軸54而可樞擺地樞設於第一螺桿516上，並可相對第一螺桿516螺轉，而沿第一螺桿516長度方向調移，且第一夾套扳手517可擺移卡抵於第一後夾片514之右端部後側面，並可樞擺靠向第一後夾片514而迫抵於第一後夾片514後側面，進而連動使第一螺桿516帶動第一前夾片511與第一後夾片514前後相向緊迫夾固支撐桿4。The first jacket wrench 517 is pivotally pivoted to the first screw 516 via a pivoting sleeve 54 disposed outside the first shaft 516, and is pivotable relative to the first screw 516. The first screw 516 is longitudinally shifted, and the first jacket wrench 517 can swing the card against the rear side of the right end of the first rear clip 514, and can be pivoted against the first rear clip 514 to be forced against The rear side of the first rear clip 514 is coupled to cause the first screw 516 to drive the first front clip 511 and the first rear clip 514 to press the support rod 4 oppositely.
第一快拆桿518是自第一定位凸部512中心往前突伸貫穿該樞接板53，第一定轉扳手519是樞設於第一快拆桿518前端部，並可相對第一快拆桿518樞擺靠向樞接板53前側面，而連動使第一前夾片511與樞接板53前後相向迫緊，使得第一前夾片511相對樞接板53樞轉定位。The first quick-release lever 518 protrudes from the center of the first positioning protrusion 512 and extends through the pivoting plate 53. The first fixed-rotation wrench 519 is pivotally disposed at the front end of the first quick release lever 518, and is relatively first. The quick release lever 518 pivots against the front side of the pivoting plate 53 and interlocks to urge the first front clip 511 and the pivoting plate 53 to face forward and backward, so that the first front clip 511 is pivotally positioned relative to the pivoting plate 53.
由於第一夾套扳手517與第一定轉扳手519之快拆技術為習知技術，且這類快拆結構類型眾多，亦非本發明之改良重點，因此不再詳述，且實施時，快拆結構設計不以上述結構類型為限。Since the quick release technology of the first jacket wrench 517 and the first fixed-rotation wrench 519 is a conventional technique, and the types of such quick-release structures are numerous, and are not the improvement points of the present invention, they will not be described in detail, and when implemented, The quick release structure design is not limited to the above structure types.
該第二快拆套件52之組成構件與結構相同於第一快拆套件51，包括底端部相樞設並可前後相向樞擺夾抵懸吊桿6之一第二前夾片524與一第二後夾片521、一樞設於第二後夾片521並可樞擺嵌置於第二前夾片524頂端部中之第二螺桿526、一螺接樞設於第二螺桿526上並可樞擺迫抵於第二前夾片524前側面之第二夾套扳手527、一固接於第二後夾片521並往後貫穿樞接板53之第二快拆桿528，及一樞設於第二快拆桿528後端部並可樞擺緊迫於樞接板53後側面之第二定轉扳手529。第二後夾片521具有一往後突伸嵌置於樞接板53中之第二定位凸部522，及一突設於第二定位凸部522後側面之第二定位齒部523。第二夾套扳手527同樣是透過一樞軸54而螺接樞設於第二螺桿526上，並可沿第二螺桿526螺轉調移。The second quick release kit 52 has the same components and structures as the first quick release kit 51, and includes a bottom end portion pivotally disposed to be pivotally clamped back and forth to the second front clip 524 and one of the suspension rods 6. The second rear clip 521 is disposed on the second rear clip 521 and can be pivotally inserted into the second screw 526 of the second front clip 524. The screw is pivotally disposed on the second screw 526. And a second jacket wrench 527 that is slanted against the front side of the second front clip 524, a second quick release lever 528 that is fixed to the second rear clip 521 and extends through the pivoting plate 53, and A second fixed-rotation wrench 529 is pivoted to the rear end of the second quick-release lever 528 and can be pivoted against the rear side of the pivoting plate 53. The second rear clip 521 has a second positioning protrusion 522 protrudingly inserted into the pivoting plate 53 and a second positioning tooth 523 protruding from the rear side of the second positioning protrusion 522. The second jacket wrench 527 is also pivotally pivoted to the second screw 526 through a pivot 54 and can be pivotally moved along the second screw 526.
該樞接板53是呈左右延伸狀，並具有二分別凹設於其左端部後側面與凹設於其右端部前側面之圓形對位槽531，及二分別往後突設入該朝後對位槽531與往前突設入該朝前對位槽531中的定位凸齒532，該等定位凸齒532是分別由多數呈放射狀分布之齒條(圖未編號)構成，該等對位槽531是分別供第一與第二定位凸部512、522可樞轉地嵌插樞設，而該等定位凸齒532可分別和相對應第一與第二定位齒部513、523可脫離地嚙合，使得第一與第二快拆套件51、52可分別相對該樞接板53調轉定位。The pivoting plate 53 has a left-right extending shape, and has two circular positioning grooves 531 which are respectively recessed on the rear side surface of the left end portion and the front side surface of the right end portion of the right end portion thereof, and the two are respectively protruded into the front side. The rear alignment groove 531 and the positioning convex teeth 532 protruding into the front alignment groove 531 are respectively formed by a plurality of radially distributed racks (not numbered). The alignment grooves 531 are pivotally inserted into the first and second positioning protrusions 512, 522, respectively, and the positioning protrusions 532 are respectively corresponding to the first and second positioning teeth 513, The 523 is disengageably engaged such that the first and second quick release kits 51, 52 are respectively positionally repositionable relative to the pivot plate 53.
如圖1、2、4所示，該夾固機構7包括一可拆離地夾固於懸吊桿6之第三快拆套件71，及上下疊靠地分別樞設固定於第三快拆套件71上而用以夾固外科牽引器具100之一上夾接板72與一下夾接板73。As shown in FIGS. 1, 2, and 4, the clamping mechanism 7 includes a third quick release kit 71 that is detachably clamped to the suspension rod 6, and is vertically pivotally fixed to the third quick release. The kit 71 is used to clamp the clamping plate 72 and the lower clamping plate 73 on one of the surgical traction devices 100.
該第三快拆套件71之組成構件與結構設計大致相同於第一快拆套件51，包括相樞接並可上下相向樞擺夾抵於懸吊桿6之一上夾片711與一下夾片714、一樞設於上夾片711前端部並可往下樞擺嵌置於下夾片714前端部中的第三螺桿716、一螺接樞設於第三螺桿716上並可往上樞擺迫抵於該下夾片714底面之第三夾套扳手717、一固定於上夾片711頂面並往上依序延伸貫穿下夾接板73與上夾接板72之第四螺桿718，及一螺接樞設於第四螺桿718上並可往下樞擺迫抵於上夾接板72頂面之緊迫扳手719。The components of the third quick release kit 71 are substantially the same as the first quick release kit 51, and are pivotally connected to each other and can be pivoted up and down to the clip 711 and the lower clip of one of the suspension rods 6. 714. A third screw 716 pivotally disposed at a front end portion of the upper clip 711 and pivotally inserted into the front end portion of the lower clip 714. The screw is pivotally disposed on the third screw 716 and can be pivoted upward. a third jacket wrench 717 that is placed against the bottom surface of the lower clip 714, a fourth screw 718 that is fixed to the top surface of the upper clip 711 and extends upwardly through the lower clamping plate 73 and the upper clamping plate 72. And a screwing bolt 719 pivotally disposed on the fourth screw 718 and pivoting downwardly against the top surface of the upper clamping plate 72.
該第三夾套扳手717與緊迫扳手719是分別透過一樞設於其端部，且分別螺接套設第三與第四螺桿716、718之樞軸54，而可分別沿螺桿716、718螺轉調移。The third jacketed wrench 717 and the pressing wrench 719 are respectively pivoted through a pivot portion 54 of the third and fourth screws 716, 718, respectively, and are respectively screwed along the screw 716, 718. The screw turns to shift.
該下夾接板73與上夾接板72相向側面分別凹設有一前後延伸至其前、後側面，且上下相向之夾槽730、720，該外科牽引器具100是嵌置於該等夾槽730、720間，而可被該上夾接板72與下夾接板73上下相向夾固。The lower clamping plate 73 and the upper clamping plate 72 are respectively recessed with a clamping groove 730, 720 extending forwardly and backwardly to the front and rear sides thereof, and facing up and down, and the surgical traction device 100 is embedded in the clamping slot. 730, 720, and can be clamped up and down by the upper clamping plate 72 and the lower clamping plate 73.
配合圖5，當要以該支架裝置2進行髖臼骨折之外科牽引手術時，可先將支架裝置2跨設於患者大腿900左、右側間，並配合大腿900姿勢，相對該等支撐桿4將該等底座機構3之底桿31調轉至適當位置，必要時，還可相對該等轉接套管32調移該等底桿31，並透過該等轉接機構5將該等支撐桿4與懸吊桿6定位不動。5, when the acetabular fracture surgery is to be performed by the stent device 2, the stent device 2 can be placed across the left and right sides of the patient's thigh 900, and the thigh 900 posture is matched with the support rods 4 The bottom rods 31 of the base mechanisms 3 are turned to the appropriate positions, and if necessary, the bottom rods 31 can be transferred relative to the adapter sleeves 32, and the support rods 4 can be transferred through the adapter mechanisms 5. Positioned with the suspension rod 6.
然後，依據預定牽引之方向，將外科牽引器具100固定於大腿骨901上。接著，扳動鬆脫該夾固機構7之第三夾套扳手717，但使第三夾套扳手717仍限位靠抵於下夾片714上，然後，扳動鬆脫夾固機構7之緊迫扳手719，並相對第四螺桿718調轉該緊迫扳手719，使緊迫扳手719移離上夾接板72，使得上夾接板72可相對下夾接板73沿第四螺桿718上下移動一預定距離，並將外科牽引器具100插置於上、下夾接板72、73之夾槽720、730間。The surgical traction device 100 is then secured to the thigh bone 901 in accordance with the direction of the predetermined traction. Then, the third jacket wrench 717 of the clamping mechanism 7 is pulled, but the third jacket wrench 717 is still restrained against the lower clip 714, and then the loose clamping mechanism 7 is pulled. The wrench 719 is tightened, and the pressing wrench 719 is rotated relative to the fourth screw 718 to move the pressing wrench 719 away from the upper clamping plate 72, so that the upper clamping plate 72 can move up and down along the lower clamping plate 73 along the fourth screw 718. The distance and the surgical traction device 100 are inserted between the clamping slots 720, 730 of the upper and lower clamping plates 72, 73.
然後，將該緊迫扳手719往下螺轉調移抵靠於上夾接板72頂面後，再使該緊迫扳手719擺靠迫抵於上夾接板72頂面，連動使該上、下夾接板72、73相向夾固該外科牽引器具100。Then, the pressing wrench 719 is turned down and transferred to the top surface of the upper clamping plate 72, and then the pressing wrench 719 is pressed against the top surface of the upper clamping plate 72, and the upper and lower clamps are interlocked. The webs 72, 73 face the surgical tractor 100 in opposite directions.
最後，依據需求，相對懸吊桿6調移與調轉該第三快拆套件71，且於外科牽引器具100調整至適當牽引角度後，扳緊第三夾套扳手717，而使上、下夾片711、714夾固於懸吊桿6上，便完成外科牽引器具100之安裝架設。Finally, according to the requirement, the third quick release kit 71 is adjusted and transferred relative to the suspension rod 6, and after the surgical traction device 100 is adjusted to an appropriate traction angle, the third jacket wrench 717 is tightened, and the upper and lower clamps are clamped. The pieces 711, 714 are clamped to the suspension rod 6, and the installation of the surgical traction device 100 is completed.
如圖6所示，於外科手術進行過程中，還可依據使用需求，分別調移該懸吊桿6左、右端部高度，而改變外科牽引器具100之牽引角度。As shown in FIG. 6, during the surgical operation, the heights of the left and right ends of the suspension rod 6 can be separately adjusted according to the needs of use, and the traction angle of the surgical traction device 100 is changed.
如圖2、3、4所示，以調高懸吊桿6左端部為例，需先扳動鬆脫該等轉接機構5之第一與第二定轉扳手519、529，使該等第一快拆套件51的第一定位齒部513鬆離樞接板53之定位凸齒532，並使該等第二快拆套件52之第二定位齒部523鬆離樞接板53之定位凸齒532。As shown in FIG. 2, FIG. 3 and FIG. 4, in order to increase the left end of the suspension rod 6, for example, the first and second fixed-rotation wrenches 519 and 529 of the adapter mechanism 5 are first pulled to make the same. The first positioning tooth portion 513 of the first quick release kit 51 is loose from the positioning convex tooth 532 of the pivoting plate 53 and the second positioning tooth portion 523 of the second quick release kit 52 is loosened from the pivoting plate 53. Male teeth 532.
接著，扳動鬆開左側轉接機構5之第一快拆套件51的第一夾套扳手517，使第一快拆套件51鬆離左側支撐桿4後，便可將第一快拆套件51往上調移至支撐桿4之預定高度位置，於此過程中，該等樞接板53會分別相對第一與第二快拆套件51、52樞轉。然後，再扳緊左側第一快拆套件51的第一夾套扳手517，使該第一快拆套件51夾固定位於該支撐桿4上，緊接著，再扳轉迫緊該等第一與第二定轉扳手519、529，迫使第一與第二定位齒部513、523分別與相對應定位凸齒532相向嵌卡嚙合，使該等第一與第二快拆套件51、52相對樞接板53轉動定位，便完成懸吊桿4左端部之高度調整。Then, the first jacket wrench 517 of the first quick release kit 51 of the left adapter mechanism 5 is loosened to release the first quick release kit 51 from the left support rod 4, and then the first quick release kit 51 can be removed. The upward movement is moved to a predetermined height position of the support rod 4, and in the process, the pivotal plates 53 are pivoted relative to the first and second quick release kits 51, 52, respectively. Then, the first jacket wrench 517 of the first quick release kit 51 on the left side is tightened, so that the first quick release kit 51 is fixedly fixed on the support rod 4, and then the first quick release is tightened. The second fixed-rotation wrenches 519, 529 force the first and second positioning tooth portions 513, 523 to engage with the corresponding positioning convex teeth 532, respectively, so that the first and second quick-release kits 51, 52 are relatively pivoted. When the connecting plate 53 is rotated and positioned, the height adjustment of the left end portion of the suspension rod 4 is completed.
當外科手術完成且不再需要使用該支架裝置2時，可分別將該等轉接機構5拆離支撐桿4與懸吊桿6，並將夾固機構7拆離懸吊桿6，且將該等支撐桿4拆離該等底座機構3，除了方便清除沾染於該等構件上之血漬，並確實對該等構件進行清潔消毒外，還可方便該支架裝置2之收藏。When the surgical procedure is completed and the stent device 2 is no longer needed, the adapter mechanism 5 can be detached from the support rod 4 and the suspension rod 6, respectively, and the clamping mechanism 7 can be detached from the suspension rod 6, and The support rods 4 are detached from the base mechanisms 3, and in addition to facilitating the removal of blood stains contaminated on the members, and indeed cleaning and disinfecting the members, the collection of the support device 2 can be facilitated.
在本實施例中，支架裝置2是透過該等底座機構3而站立架設於手術床上，但實施時，該等底座機構3並非必要，可將該等支撐桿4插裝固定於手術床之預定部位，同樣可以該支架裝置2來進行外科牽引手術，但實施時，該支架裝置2之結構不以此為限。In the present embodiment, the bracket device 2 is erected on the operating bed through the base mechanisms 3, but in practice, the base mechanisms 3 are not necessary, and the support rods 4 can be inserted and fixed to the operating bed. The stent device 2 can also be used for surgical traction surgery, but the structure of the stent device 2 is not limited thereto.
如圖7所示，當外科牽引手術需要使用到兩支外科牽引器具100時，其中一種方式是在於該懸吊桿6上直接加裝一個夾固機構7，以便夾固新增之外科牽引器具100。當有特殊之使用需求時，例如該外科牽引器具100需以特殊角度對骨頭進行牽引時，則可再於該懸吊桿6上加裝固定一轉接機構5，使該轉接機構5之第一快拆套件51夾固於懸吊桿6上，並使第二快拆套件52夾固一轉接桿8，最後，再於該轉接桿8上加裝固定一用以夾固新增外科牽引器具100之夾固機構7，並可再透過調轉新增之轉接機構5的樞接板53，使夾固機構7可連動該外科牽引器具100樞擺固定於預定牽引角度，但實施時，支架裝置2的結構設計不以此為限。As shown in FIG. 7, when the surgical traction operation requires the use of two surgical traction devices 100, one of the ways is to directly attach a clamping mechanism 7 to the suspension rod 6 so as to clamp the newly added external traction device. 100. When there is a special use requirement, for example, when the surgical traction device 100 needs to pull the bone at a special angle, the adapter 6 can be further fixed to the suspension rod 6 to make the adapter mechanism 5 The first quick release kit 51 is clamped to the suspension rod 6 and the second quick release kit 52 is clamped to the adapter rod 8. Finally, the adapter rod 8 is fixedly attached to the new adapter rod 8 for clamping the new The clamping mechanism 7 of the surgical traction device 100 can be further adjusted to adjust the pivoting plate 53 of the newly added adapter mechanism 5 so that the clamping mechanism 7 can pivotally fix the surgical traction device 100 at a predetermined traction angle, but When implemented, the structural design of the bracket device 2 is not limited thereto.
歸納上述，透過安裝於該等支撐桿4與懸吊桿6間之該等轉接機構5設計，使得該支架裝置2可適用於架設在所有類型之手術床上，且可透過調整該等轉接機構5夾固於支撐桿4之高度，以及調整該夾固機構7夾固於懸吊桿6之位置與樞轉角度的方式，來滿足外科牽引器具100之各種牽引角度需求，且牽引力量穩定持久，並可依據外科手術使用之外科牽引器具100數量需求，適時增加夾固機構7，或轉接機構5、轉接桿8與夾固機構7，使用變化彈性相當大，再加上該等轉接機構5與夾固機構7之快拆結構設計，使得支架裝置2之拆裝相當方便迅速，不需再使用額外之調整器具。此外，透過支架裝置2之所有構件皆可拆解分離的設計，還可方便於外科牽引手術完成後，對所有構件進行清潔消毒作業，且後續之收藏亦較不佔用空間，相當方便實用。因此，確實可達到本發明之目的。In summary, the adapter mechanism 5 is mounted on the support rods 5 between the support rods 4 and the suspension rods 6, so that the bracket device 2 can be applied to all types of surgical beds and can be adjusted by adjusting the transfer. The mechanism 5 is clamped to the height of the support rod 4, and the manner in which the clamping mechanism 7 is clamped to the position and the pivoting angle of the suspension rod 6 is adjusted to meet the various traction angle requirements of the surgical traction apparatus 100, and the traction force is stable. Durable, and according to the number of surgical use of the external traction device 100, the clamping mechanism 7, or the adapter mechanism 5, the adapter rod 8 and the clamping mechanism 7 are added in time, and the flexibility of use is relatively large, and these are added. The quick-release structure design of the adapter mechanism 5 and the clamping mechanism 7 makes the disassembly and assembly of the bracket device 2 relatively convenient and rapid, and no additional adjustment tools are needed. In addition, all components of the stent device 2 can be disassembled and separated, and it is convenient to clean and disinfect all components after the surgical traction surgery is completed, and the subsequent collections are less space-consuming, and are quite convenient and practical. Therefore, the object of the present invention can be achieved.
惟以上所述者，僅為本發明之較佳實施例而已，當不能以此限定本發明實施之範圍，即大凡依本發明申請專利範圍及發明說明內容所作之簡單的等效變化與修飾，皆仍屬本發明專利涵蓋之範圍內。The above is only the preferred embodiment of the present invention, and the scope of the invention is not limited thereto, that is, the simple equivalent changes and modifications made by the scope of the invention and the description of the invention are All remain within the scope of the invention patent.
100‧‧‧外科牽引器具100‧‧‧Surgical traction apparatus
2‧‧‧支架裝置2‧‧‧ bracket device
3‧‧‧底座機構3‧‧‧Base mechanism
31‧‧‧底桿31‧‧‧ bottom pole
32‧‧‧轉接套管32‧‧‧Transition sleeve
321‧‧‧套管部321‧‧‧ casing department
322‧‧‧插管部322‧‧‧Intubation Department
4‧‧‧支撐桿4‧‧‧Support rod
5‧‧‧轉接機構5‧‧‧Transfer agency
51‧‧‧第一快拆套件51‧‧‧First quick release kit
511‧‧‧第一前夾片511‧‧‧First front clip
512‧‧‧第一定位凸部512‧‧‧First positioning projection
513‧‧‧第一定位齒部513‧‧‧First positioning tooth
514‧‧‧第一後夾片514‧‧‧First rear clip
516‧‧‧第一螺桿516‧‧‧First screw
517‧‧‧第一夾套扳手517‧‧‧First jacketed wrench
518‧‧‧第一快拆桿518‧‧‧First quick release lever
519‧‧‧第一定轉扳手519‧‧‧First fixed spanner
52‧‧‧第二快拆套件52‧‧‧Second quick release kit
521‧‧‧第二後夾片521‧‧‧Second rear clip
522‧‧‧第二定位凸部522‧‧‧Second positioning convex
523‧‧‧第二定位齒部523‧‧‧Second positioning tooth
524‧‧‧第二前夾片524‧‧‧Second front clip
526‧‧‧第二螺桿526‧‧‧second screw
527‧‧‧第二夾套扳手527‧‧‧Second jacketed wrench
528‧‧‧第二快拆桿528‧‧‧Second quick release lever
529‧‧‧第二定轉扳手529‧‧‧Second fixed spanner
53‧‧‧樞接板53‧‧‧ pivot board
531‧‧‧對位槽531‧‧‧ alignment slot
532‧‧‧定位凸齒532‧‧‧Positioning teeth
54‧‧‧樞軸54‧‧‧ pivot
6‧‧‧懸吊桿6‧‧‧hanging rod
7‧‧‧夾固機構7‧‧‧Clamping mechanism
71‧‧‧第三快拆套件71‧‧‧ Third quick release kit
711‧‧‧上夾片711‧‧‧Upper clip
714‧‧‧下夾片714‧‧‧ Lower clip
716‧‧‧第三螺桿716‧‧‧ Third screw
717‧‧‧第三夾套扳手717‧‧‧Third Jacket Wrench
718‧‧‧第四螺桿718‧‧‧fourth screw
719‧‧‧緊迫扳手719‧‧‧Immediate wrench
72‧‧‧上夾接板72‧‧‧Upper clamping plate
720‧‧‧夾槽720‧‧‧ slot
73‧‧‧下夾接板73‧‧‧ Lower clamping plate
730‧‧‧夾槽730‧‧‧crack
8‧‧‧轉接桿8‧‧‧Adapter rod
900‧‧‧大腿900‧‧‧Thighs
901‧‧‧大腿骨901‧‧‧Bend bone
圖1是本發明外科手術用的支架裝置之一較佳實施例之立體圖；Figure 1 is a perspective view of a preferred embodiment of a stent device for surgical use of the present invention;
圖2是該較佳實施例之一轉接機構的立體分解圖；Figure 2 is an exploded perspective view of the adapter mechanism of the preferred embodiment;
圖3是該較佳實施例的右側視局部剖面圖，說明一轉接機構夾固一懸吊桿時的情況；Figure 3 is a right side elevational cross-sectional view of the preferred embodiment, illustrating a state in which an adapter mechanism clamps a suspension boom;
圖4是該較佳實施例之一夾固機構的立體分解圖；Figure 4 is an exploded perspective view of the clamping mechanism of the preferred embodiment;
圖5是該較佳實施例用以牽引一患者大腿時的立體示意圖；Figure 5 is a perspective view of the preferred embodiment for pulling a patient's thigh;
圖6是該較佳實施例之前視圖，說明懸吊桿左、右端高度不同時的使用狀態；及Figure 6 is a front elevational view of the preferred embodiment illustrating the state of use of the left and right ends of the suspension bar at different heights;
圖7是該較佳實施例之另一實施態樣的立體圖。Figure 7 is a perspective view of another embodiment of the preferred embodiment.
100．．．外科牽引器具100. . . Surgical traction apparatus
2．．．支架裝置2. . . Bracket device
3．．．底座機構3. . . Base mechanism
31．．．底桿31. . . Bottom rod
32．．．轉接套管32. . . Adapter sleeve
321．．．套管部321. . . Casing section
322．．．插管部322. . . Intubation
4．．．支撐桿4. . . Support rod
5．．．轉接機構5. . . Transfer mechanism
51．．．第一快拆套件51. . . First quick release kit
52．．．第二快拆套件52. . . Second quick release kit
53．．．樞接板53. . . Pivot board
6．．．懸吊桿6. . . Suspension rod
7．．．夾固機構7. . . Clamping mechanism
71．．．第三快拆套件71. . . Third quick release kit
72．．．上夾接板72. . . Upper clamping plate
73．．．下夾接板73. . . Lower clamping plate
Claims (13)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| TW98124236A TWI386182B (en) | 2009-07-17 | 2009-07-17 | Surgical stent device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| TW98124236A TWI386182B (en) | 2009-07-17 | 2009-07-17 | Surgical stent device |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| TW201103490A TW201103490A (en) | 2011-02-01 |
| TWI386182B true TWI386182B (en) | 2013-02-21 |
Family
ID=44813210
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| TW98124236A TWI386182B (en) | 2009-07-17 | 2009-07-17 | Surgical stent device |
Country Status (1)
| Country | Link |
|---|---|
| TW (1) | TWI386182B (en) |
Citations (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6033363A (en) * | 1999-01-26 | 2000-03-07 | Thompson Surgical Instruments | Insulating sleeve for a table mounted retractor |
| US7338442B2 (en) * | 2003-04-02 | 2008-03-04 | Peak Performance Company | Crank retractor handle |
-
2009
- 2009-07-17 TW TW98124236A patent/TWI386182B/en active
Patent Citations (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6033363A (en) * | 1999-01-26 | 2000-03-07 | Thompson Surgical Instruments | Insulating sleeve for a table mounted retractor |
| US7338442B2 (en) * | 2003-04-02 | 2008-03-04 | Peak Performance Company | Crank retractor handle |
Also Published As
| Publication number | Publication date |
|---|---|
| TW201103490A (en) | 2011-02-01 |
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