Band joint hand back plate special for two-stage type operating table
Technical field
The present invention relates to a kind of medical auxiliary equipment, particularly a kind of operation table hand back plate special.
Background technology
Before the present invention, the hand back plate of operation table configuration at present is a complete straight plate, and this straight plate can be fixed in operation table, and centers on bearing to patient's head end or the rotation of foot end on the same plane of bed surface of performing the operation, and supports patient's arm when supplying to perform the operation.But there is following open defect in the hand back plate of this straight-plate-type when carrying out thoracic and abdominal operation:
1. when the tight obedient patient's body placement of hand back plate or when the foot end tilts, though provide spacious operative region to surgical doctor, be convenient to operation technique, but most patient's vein transfusions, radial artery puncturing and oxygen saturation monitoring all are positioned at forearm and hand, can not be observed the situation that punctures and monitor the position by surgical drage covering back anesthesia doctor and circuit nurse, surgical doctor operation simultaneously also can be disturbed hand, influences the accuracy of arterial pressure and oxygen saturation.
2. when or head-end vertical with body tilts when hand back plate, operation technique and anesthesia monitoring are all unaffected, but abduction of the upper limb brachial plexus nerve hyperextension has the possibility of damage brachial plexus nerve, especially prolonged operations patient brachia plexus injury accident often has generation, all causes great injury for doctor and patient.
Summary of the invention
Purpose of the present invention just is to overcome above-mentioned defective, design, a kind of operation table hand back plate special of development.
Technical scheme of the present invention is:
Band joint hand back plate special for two-stage type operating table, cushion is set on the hand back plate, its major technique is characterised in that hand back plate is divided into portable plate, fixing head two-stage nitration, the fixedly connected driven gear in portable plate below, driven gear shaft and driven gear are rotationally connected, driven gear shaft is connected on the gripper shoe, fixing head connects gripper shoe, the axle and the gripper shoe of driving gear are rotationally connected, driving gear and driven gear engagement, driving gear, the residing plane of driven gear and portable plate, fixing head plane parallel of living in.
Advantage of the present invention and effect are that patient's upper limb can be positioned over the lax position of nature flexing in the operation, and brachial plexus nerve is not subjected to tractive, have avoided the generation of operation back brachia plexus injury; Only upper arm provides bigger operation technique space near the operation bedside to operative doctor; Forearm and hand all are positioned at the anaesthetist and the circuit nurse visual field, are convenient to observe venous transfusion and radial artery puncturing position situation, and fingerstall oxygen saturation and arterial blood pressure monitoring are interference-free.
Structure of the present invention is extremely simple, and cost is also low, but can stop the serious malpractice of this class of brachia plexus injury, and it is also convenient to use.
Other advantage of the present invention and effect will go on to say below.
Description of drawings
Fig. 1---structural principle sketch map of the present invention.
The specific embodiment
As shown in Figure 1:
Portable plate 1 is in same plane with fixing head 2, and connection in alignment, leaves the space between the two, so that portable plate 1 can rotate on this plane; Portable plate 1, one deck cushion 4 is set all above the fixing head 2; Fixing head 2 belows connect gripper shoe 3, and (centre) then is provided with driving gear 6 on the gripper shoe 3; The fixedly connected driven gear 5 in portable plate 1 below, driven gear 5 driven gear shaft 10 that is rotationally connected, driven gear shaft 10 is connected on the gripper shoe 3; Driving gear 6 and driven gear 5 engagements, driving gear 6 and driven gear 5 places in one plane, this plane and portable plate 1 and fixing head 2 formed plane parallel and thereunder; A buckle 7 is set in the periphery of driving gear 6, and buckle 7 upper ends are touched with the toe joint of driving gear 6 and are connected, and the lower end is connected on the gripper shoe 3, and extension spring 8 one ends connect the middle part of buckle 7, and the other end is connected on the gripper shoe 3; Be handle 9 below gripper shoe 3, and handle 9 is fixedlyed connected with the axle of the driving gear 6 that passes gripper shoe 3; Fixing head 2 and portable plate 1 account for about 1/3rd and 2/3rds of this hand back plate length respectively, and hand back plate length is the length sum of fixing head 2 and portable plate 1.The engagement such as the same joint of driving gear 6 and driven gear 5 can relatively rotate fixing head 2, portable plate 1.
Use situation in the operation:
At first be portable plate 1, fixing head 2 in one plane, and connection in alignment becomes straight hand back plate and use this moment, fixing head 2 one ends link to each other with operation table, the outside extends parallel of patient's arm is opened, and leans against on portable plate 1, the fixing head 1; Earlier fixing head 2 is tilted to patient's foot end then, to be stuck in again between two teeth on the driving gear 6 buckle 7 upper ends outwards (right side among the figure) elastic force of overcoming extension spring 8 push aside, make buckle 7 break away from driving gear 6, rotary handle 9 then, then driving gear 6 rotates, driving driven gear 5 rotates, because driven gear 5 is fixedlyed connected with portable plate 1, and driven gear shaft 10 is connected with gripper shoe 3, then driven gear 5 rotates around driven gear shaft 10, therefore 1 of portable plate with the same plane of fixing head 2 on rotate (hypothesis portable plate 1 direction in paper is rotated among Fig. 1), when turning to correct position (according to patient's arm length, the comfort decision), the handle 9 that stops operating is decontroled buckle 7, and then buckle 7 is under the pulling force of extension spring 8, buckle 7 snaps between two teeth of driving gear 6 again, driving gear 6 is stopped abruptly, and then driven gear 5 also stops operating, and 1 of portable plate also stops operating; At this moment, patient's upper arm (elbow top) and forearm (elbow lower part) are the hand salute shape just can be tilted, draw close to patient's trunk, the lax tractive that just is not subjected to of brachial plexus nerve, just can not damage yet, stay enough spaces to surgical doctor simultaneously, also be convenient to the anaesthetist, the nurse observes venous transfusion, radial artery puncturing position situation.
Because driving gear 6 diameters are greater than the diameter of driven gear 5, so driving gear 6 rotation slightly, driven gear 5 just rotates many, and portable plate 1 can be put in place in very fast adjusting.
It is good that distance between portable plate 1 and the fixing head 2 is not run into fixing head with portable plate 1 rotation.
The scope that the present invention asks for protection is not limited only to the description of this specific embodiment.