CN209332298U - The lower limb body position frame of laparoscopic surgery - Google Patents
The lower limb body position frame of laparoscopic surgery Download PDFInfo
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- CN209332298U CN209332298U CN201821384674.6U CN201821384674U CN209332298U CN 209332298 U CN209332298 U CN 209332298U CN 201821384674 U CN201821384674 U CN 201821384674U CN 209332298 U CN209332298 U CN 209332298U
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- leg support
- support frame
- thigh
- lower limb
- support
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Abstract
The utility model discloses a kind of lower limb body position framves of laparoscopic surgery, it is made of pedestal, big leg support and shank bracket three parts, the pedestal is linked in sequence by the support rod for being respectively provided with universal adjusting device, pedestal lower end is connect with operating bed, upper end and big leg support detachable connection, the big leg support is made of thigh support frame and the holding clamping plate connecting with thigh support frame, thigh support frame and pedestal detachable connection;The U-shaped shank cohesion device that the shank bracket is connected by small leg support with small leg support forms, and small leg support upper end passes through ball-and-socket type articulated mounting and big leg support detachable connection.The utility model can be needed according to operation and the habit of patient adjusts abduction angle and kneed height, knee flexion angle of lower limb etc., it is provided for patient and stablizes lasting surgical procedure space and the good visual field, guarantee surgical quality, mitigates the physical load of patient and assistant, simplify operating procedure, save operation time, reduce security risk.
Description
Technical field
The utility model relates to medical device technology, it is particularly used for maintaining knee sprung, interior in laparoscopic surgery
It turns up and the gesture rack of inside and outside swing angle degree.
Background technique
With the development of medical science, Minimally Invasive Surgery has been trend of the times, and arthrocsopic surgery is as Minimally Invasive Surgery
It represents, it has also become sick and wounded one of the preferred therapeutic modality of knee joint has at home and abroad obtained generally carrying out.In laparoscopic surgery
In operating process, to apply stress to knee joint to open corresponding joint space, convenient for arthroscopic procedures system to each pass
Internode room is detected and is performed the operation, and is needed to convert at any time according to operation and kneed bent and stretched, interior turn up and inside and outside swing angle degree.Mesh
Preceding implement generally by assistant, the lateral column of cushioning or lower limb fixed frame is pressurizeed.
Due to will appear tired or firmly uneven problem when assistant's pressure, especially on the inside or outside of knee arthroscope downlink
When the operations such as meniscus relief angle suture, because its position it is narrow it is narrow and deep, need to keep bending knee 20-30o to turn up whithin a period of time,
Or bending knee 90o varus position is performed the operation with expanding compartment on the inside or outside of knee joint conducive to patient.Expand on the inside of knee joint
When compartment, generally buttressed and immobilized patients thigh lower section on the other hand by assistant, the other hand hold lower segment leg break toward outside (or by
Two assistants fix thigh and shank respectively, apply the stress that turns up to knee joint), this method fully relies on assistant and maintains to bend with hand-power
The knee 30o external rotatory position that turns up appears medial meniscus relief angle;When expanding compartment on the outside of knee joint, then assistant is needed to bend patient's knee joint
Bent 90o maintains " 4 " word bit.The former increases the workload of assistant, and physical demands is big, it is difficult to maintain knee joint for a long time with hand-power
Position (especially fat or strong patient), assistant are easy tired or unevenness of exerting oneself, cause the stability appeared poor, joint
It is small when big when compartment, knee joint position need to be adjusted repeatedly, on the one hand wasted time, surgical inefficiency, on the other hand there is also
Serious safety is surely suffered from: be easy to damage or fracture arthroscopic instrument;Also haveing damage knee joint collateral ligaments, articular cartilage etc. can
Can, lead to unsatisfactory curative effect.The latter, knee joint is placed in " 4 " though word bit can open outside compartment, and assistant is also less laborious, due to
Knee joint line is perpendicular to bed surface at this time, and tibial plateau causes position extremely unnatural towards outside, is unfavorable for patient and carries out joint
Microscopic observation and surgical procedure.
When using the mixed lateral column or commercially available thigh fixing frame for being fixed on operating table edge cushioning, patient stands under outreach
On the inside of limb, the ankle and foot of patient is placed at the hip and crista iliaca of patient, the outer parapodum of patient, which steps on a footstool, maintains patients feet
Appropriate location, at 20 °~30 ° of bending knee, patient, which need to apply body appropriateness flare, turn up stress to open inside compartment and carry out
It checks and treats, but this method not can control knee joint rotation, and patient needs to maintain a position for a long time, easy fatigue, and
Dynamics is difficult to control, and even overexertion makes medial collateral ligament injury or makes the femoral fracture of sufferers of osteoporosis face sometimes, is caused
Malpractice etc..
For this purpose, Chinese patent CN102499843B, Chinese patent CN201437000U, Chinese patent CN201602886U
Etc. individually disclosing several knee arthroscope operation stents, these surgical stents have the shortcomings that it is certain, be such as not easy to paving surgical paper,
It does not meet aseptic operation principle, cannot be used under various body positions, it is clinically and impracticable.Chinese patent therein
CN201437000U also needs motor, reduction gearbox, controller, electric wire, switch etc., and structure is complicated, manufactures, is inconvenient for use.
Utility model content
In view of the above-mentioned deficiencies in the prior art, the utility model devises a kind of lower limb of laparoscopic surgery
Gesture rack.
Realizing the technical solution of the utility model aim is:
A kind of lower limb body position frame of laparoscopic surgery, is made of pedestal, big leg support and shank bracket three parts, with
Unlike the prior art:
The pedestal is linked in sequence by the support rod for being respectively provided with universal adjusting device, and pedestal lower end and operating bed connect
It connects, upper end and big leg support detachable connection,
The big leg support is made of thigh support frame and the holding clamping plate connecting with thigh support frame, and thigh support frame and pedestal can
It is detachably connected with;
The U-shaped shank cohesion device that the shank bracket is connected by small leg support with small leg support forms, in small leg support
End passes through ball-and-socket body articulated mounting and big leg support detachable connection.
The support rod includes the first supported rod erecting, support rail and the second supported rod erecting, in which:
First supported rod erecting lower section is connect by sliding block with operating bed, adjusts the first support by the locking device on sliding block
Upright bar height is simultaneously locked, and the first supported rod erecting top is equipped with the first cross bolts and the first regulating device, and the first support is vertical
Bar upper end by can the first cross bolts for adjusting of horizontal 360o rotation connect with support rail;
The first cross bolts of support rail one end are connect with the first supported rod erecting, and the other end passes through can horizontal 360o rotation
The second cross bolts adjusted are connected with the second supported rod erecting;
Second supported rod erecting lower end is equipped with the second cross bolts and the second regulating device, and upper end is equipped with longitudinal bolt and third
Regulating device.
The big leg support is made of thigh support frame with the holding clamping plate for being separately positioned on thigh support frame two sides, holds clamping plate tightly
Two sides outer wall is connect by fixed bracket with regulating device respectively, regulating device be arranged in thigh support frame bottom, and with thigh branch
The connection of frame two sides, forms U-shaped thigh cohesion device, adjusts two spacing and anteversion and retroversion held tightly between clamping plate by regulating device
Rake angle, to adapt to the thigh week diameter and direction of different patients.
Described thigh support frame one end is equipped with blind hole internal thread connector, and thigh support frame passes through the nipple and longitudinal bolt one
The stud of side is in detachable connection, and thigh support frame other end round blunt prevents from scratching patient with operation;Bottom end is set in the middle part of thigh support frame
There is blind hole internal thread, with small leg support detachable connection;Being respectively equipped on the inside of thigh support frame periphery and holding clamping plate two can
Detachable cushion.
The small leg support top passes through the blind hole internal thread in the middle part of the stud and thigh support frame on ball-and-socket body articulated mounting
Connector detachable connection, bottom end are connect by telescopic sleeving rod with U-shaped shank cohesion device, and telescopic sleeving rod, which is equipped with, adjusts shank
The adjusting knob of stent length and the elastic knob of control ball-and-socket body articulated mounting rotational angle.
The U-shaped shank cohesion device is by U-shaped supporting plate and the movable plate of U-shaped supporting plate side is arranged in and connects the movable plate
Regulating device constitute, the advance and retreat of movable plate are adjusted by regulating device, it is living to adapt to the lower segment leg week diameter and fixation of patient
The medial surface of movable plate and its opposite U-shaped supporting plate side are equipped with detachable cushion.
The U-shaped shank cohesion device is the cohesion device of similar crab claw clip.
The beneficial effects of the utility model are:
Operation side limbs are maintained by the utility model lower limb body position frame, it can be according to operation needs and the habit tune of patient
Abduction angle and kneed height, knee flexion angle, interior valgus angle, the inside and outside swing angle degree etc. for saving lower limb, open and maintain and is each
Joint compartment becomes easy, and particularly convenient for interior lateral meniscus relief angle is appeared, provides for patient and stablizes lasting surgical procedure sky
Between and the good visual field, guarantee surgical quality, mitigate the physical load of patient and assistant, simplify operating procedure, save operation behaviour
Make the time, reduce security risk, entire fixed frame have it is simple and reasonable, the various adjustable angles of knee joint, use storage side
Just, the advantages that manufacture is easy, without sterilizing, can be used continuously.
Detailed description of the invention
Fig. 1 is the structural schematic diagram of the utility model embodiment.
In figure: 1. first supported rod erecting, 2. sliding block, 3. locking device, 4. first regulating device 5. first cross bolts 6.
Support 7. second supported rod erecting of cross bar, 8. second 9. second regulating device of cross bolts, 10. blind hole internal thread connector, 11. external screw thread
12. longitudinal bolt of connector, 13. third regulating device 14.U shape thigh cohesion device 15. holds 16. thigh support frame of clamping plate tightly
17. 18. blind hole internal thread connector of adjuster, 19. 20. small leg support of ball-and-socket body articulated mounting, 21. ball-and-socket body articulated mounting
Elastic 22. small leg support length adjustment knob of knob, 23. 24. movable plate of U-shaped shank cohesion device, 25. movable plate is adjusted
Device.
Specific embodiment
Embodiment:
As shown in Figure 1, a kind of lower limb body position frame of laparoscopic surgery, by pedestal, big leg support and shank bracket three
Part forms, in which:
The pedestal is linked in sequence by the support rod for being respectively provided with universal adjusting device, and pedestal lower end and operating bed connect
It connecing, upper end passes through bolt and big leg support detachable connection,
The big leg support is made of thigh support frame and the holding clamping plate connecting with thigh support frame, and thigh support frame and pedestal can
It is detachably connected with;
The U-shaped shank cohesion device that the shank bracket is connected by small leg support with small leg support forms, in small leg support
End passes through ball-and-socket body articulated mounting and big leg support detachable connection;
The support rod includes the first supported rod erecting, support rail and the second supported rod erecting, in which:
The high 40cm of first supported rod erecting, upright bar lower section are connect by sliding block with operating bed, and the locking device on sliding block is passed through
It adjusts the first supported rod erecting height and is locked, the first supported rod erecting top is equipped with the first cross bolts and the first adjusting dress
Set, the first supported rod erecting upper end by can the first cross bolts for adjusting of horizontal 360o rotation connect with support rail;
The long 20cm of support rail, the first cross bolts of cross bar one end are connect with the first supported rod erecting, and the other end passes through can
The second cross bolts that horizontal 360o rotation is adjusted are connected with the second supported rod erecting;
Second supported rod erecting lower end is equipped with the second cross bolts and the second regulating device, and upper end is equipped with longitudinal bolt and third
Regulating device.
The big leg support is made of thigh support frame with the holding clamping plate for being separately positioned on thigh support frame two sides, holds clamping plate tightly
Two sides outer wall is connect by fixed bracket with regulating device respectively, regulating device be arranged in thigh support frame bottom, and with thigh branch
The connection of frame two sides, forms U-shaped thigh cohesion device, adjusts two spacing and anteversion and retroversion held tightly between clamping plate by regulating device
Rake angle, to adapt to the thigh week diameter and direction of different patients.
Described thigh support frame one end is equipped with blind hole internal thread connector, and thigh support frame passes through the female adapter and longitudinal bolt
The stud of side is in detachable connection, and thigh support frame other end round blunt prevents from scratching patient;Bottom end is also set in the middle part of thigh support frame
There is blind hole internal thread connector, it is blind can to adjust this through longitudinal bolt for the ball-and-socket body articulated mounting detachable connection with small leg support
Female adapter direction in hole makes to descend the angle 45o after ball-and-socket body articulated mounting is in the thigh longitudinal axis, perform the operation suitable for double lower limb and a variety of
Position;Detachable cushion is respectively equipped on the inside of thigh support frame periphery and holding clamping plate two.
The small leg support top passes through the blind hole internal thread in the middle part of the stud and thigh support frame on ball-and-socket body articulated mounting
Connector detachable connection, bottom end are connect by telescopic sleeving rod with U-shaped shank cohesion device, and telescopic sleeving rod, which is equipped with, adjusts shank
The adjusting knob of stent length and the elastic knob of control ball-and-socket body articulated mounting rotational angle.
The U-shaped shank cohesion device is by U-shaped supporting plate and the movable plate of U-shaped supporting plate side is arranged in and connects the movable plate
Regulating device constitute, the advance and retreat of movable plate are adjusted by regulating device, it is living to adapt to the lower segment leg week diameter and fixation of patient
The medial surface of movable plate and its opposite U-shaped supporting plate side are equipped with detachable cushion.
Device, without disinfection, need to be only placed in together according to the operation side lower limb of patient in operation consent by the present apparatus using preceding
First supported rod erecting is fixed on sliding block by the sliding block of operating bed, and is needed to adjust bottom according to operation by side knee joint proximal end
Thigh is fixed on suitable height and appropriate outreach direction, while small leg support also being adjusted to appropriate by the bolt on seat
Position facilitate lower segment leg can on merging U-shaped shank support plate and fall in operating bed power, do not hold thigh and calf tightly temporarily, make lower limb
The merging thigh and calf supporting plate that can be convenient is removed from supporting plate.
Routine disinfection suffering limb, paving surgical paper, the present apparatus is covered, and first suffering limb is placed on operating bed with the progress of conventional position
Pre-operative preparation, such as arthroscopic instrument prepare, drive blood, patch art mouth protective film, operations research, lift suffering limb when needing, fit
Work as outreach, be placed on thigh support plate and shank support plate, across surgical paper, by the adjusting for adjusting thigh support plate, shank support plate
Thigh lower section, lower segment leg are held tightly and are fixed by bolt, then adjust the universal coupling in small leg support, under Arthroscopy,
Operating doctor or its assistant suitably adjust kneed flexion angle and varus or valgus angle with hand-power, appear interior relief angle or outer
Relief angle is until satisfied, locking.Cabinet base can also be put down, patient lies supine is on standard procedures platform, and knee joint position is in operating table distal side
At folding slightly a little further, strong side lower limb are sagging, and Ipsilateral lower limb are fixed on this gesture rack, adjust knee sprung angle as needed
Degree and interior valgus angle and fixation.
The present apparatus can easily be fixed on operation bedside when in use, be placed under surgical paper, adjust across surgical paper
Lower limb body position, ball-and-socket body articulated mounting freedom degree is high, and the various adjustable angles of knee joint can be completed easily to perform the operation, are not necessarily to
Physical strength is expended, various body positions are suitable for, without disinfection, can be used continuously.
Claims (7)
1. a kind of lower limb body position frame of laparoscopic surgery is made of pedestal, big leg support and shank bracket three parts, special
Sign is:
The pedestal is linked in sequence by the support rod for being respectively provided with universal adjusting device, and pedestal lower end is connect with operating bed,
Upper end and big leg support detachable connection,
The big leg support is made of thigh support frame and the holding clamping plate connecting with thigh support frame, and thigh support frame is detachable with pedestal
Formula connection;
The U-shaped shank cohesion device that the shank bracket is connected by small leg support with small leg support forms, and small leg support upper end is logical
Cross ball-and-socket type articulated mounting and big leg support detachable connection.
2. lower limb body position frame according to claim 1, it is characterized in that: the support rod includes the first supported rod erecting, support
Cross bar and the second supported rod erecting, in which:
First supported rod erecting lower section is connect by sliding block with operating bed, adjusts the first supported rod erecting by the locking device on sliding block
Height is simultaneously locked, and the first supported rod erecting top is equipped with the first cross bolts and the first regulating device, on the first supported rod erecting
End by can the first cross bolts for adjusting of horizontal 360o rotation connect with support rail;
The first cross bolts of support rail one end are connect with the first supported rod erecting, and the other end passes through can horizontal 360o rotation adjusting
The second cross bolts be connected with the second supported rod erecting;
Second supported rod erecting lower end is equipped with the second cross bolts and the second regulating device, and upper end is equipped with longitudinal bolt and third is adjusted
Device.
3. lower limb body position frame according to claim 1, it is characterized in that: the big leg support is by thigh support frame and is respectively set
Holding clamping plate in thigh support frame two sides forms, and holds clamping plate two sides outer wall tightly and is connect respectively by fixed bracket with regulating device,
Regulating device setting is connect in thigh support frame bottom, and with thigh support frame two sides, is formed U-shaped thigh cohesion device, is passed through adjusting
Device adjusts two spacing and front and rear tilt angle held tightly between clamping plates, to adapt to the thigh week diameter and direction of different patients.
4. lower limb body position frame according to claim 1, it is characterized in that: described thigh support frame one end connects equipped with blind hole internal thread
Head, thigh support frame are in detachable connection, thigh support frame other end circle by the nipple and the stud of longitudinal bolt side
It is blunt;Bottom end is equipped with blind hole internal thread in the middle part of thigh support frame, with small leg support detachable connection;In thigh support frame periphery and holding
Detachable cushion is respectively equipped on the inside of clamping plate two.
5. lower limb body position frame according to claim 1, it is characterized in that: the small leg support top is hingedly filled by ball-and-socket body
Blind hole internal thread connector detachable connection in the middle part of the stud and thigh support frame set, bottom end are small by telescopic sleeving rod and U-shaped
The connection of leg cohesion device, telescopic sleeving rod is equipped with the adjusting knob for adjusting small leg support length and control ball-and-socket body articulated mounting turns
The elastic knob of dynamic angle.
6. lower limb body position frame according to claim 1, it is characterized in that: the U-shaped shank cohesion device is by U-shaped supporting plate and sets
Set U-shaped supporting plate side movable plate and connect the regulating device of the movable plate and constitute, pass through regulating device and adjust movable plate
Retreat, with adapt to patient lower segment leg week diameter and fixation, the medial surface of movable plate and its opposite U-shaped supporting plate side be equipped with
Detachable cushion.
7. lower limb body position frame according to claim 1, it is characterized in that: the U-shaped shank cohesion device is that the similar crab claw press from both sides
The cohesion device of formula.
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Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN112641519A (en) * | 2020-12-10 | 2021-04-13 | 中国科学院深圳先进技术研究院 | Auxiliary device for knee arthroscopic surgery |
CN113397885A (en) * | 2021-07-27 | 2021-09-17 | 刘栋 | Supporting device for traumatic orthopedics |
-
2018
- 2018-08-27 CN CN201821384674.6U patent/CN209332298U/en active Active
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN112641519A (en) * | 2020-12-10 | 2021-04-13 | 中国科学院深圳先进技术研究院 | Auxiliary device for knee arthroscopic surgery |
CN113397885A (en) * | 2021-07-27 | 2021-09-17 | 刘栋 | Supporting device for traumatic orthopedics |
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