CN104622526B - Cutis elastica expander and its skin traction system, shank fixed system - Google Patents
Cutis elastica expander and its skin traction system, shank fixed system Download PDFInfo
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- CN104622526B CN104622526B CN201410065402.XA CN201410065402A CN104622526B CN 104622526 B CN104622526 B CN 104622526B CN 201410065402 A CN201410065402 A CN 201410065402A CN 104622526 B CN104622526 B CN 104622526B
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- fixture block
- threaded rod
- stay hook
- screw
- solid
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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
Abstract
The present invention relates to the cutis elastica expanders and its skin traction system of orthopaedics and department of plastic surgery clinical application, shank fixed system, it is made of shank fixed system, stick folder, traction steel needle, shank fixed system by stay hook, solid needle nut, solid rod nut, sliding sleeve, pressure spring, pressure adjusting roller, wheel nut forms admittedly, threaded rod is arranged radially solid rod nut, sliding sleeve, pressure spring, pressure adjusting roller, takes turns nut admittedly.Traction steel needle is cylindric steel needle, steel wire or cable, and stick folder is divided into the diversified forms such as I type, II type, type III, IV type stick folder.Skin is expanded using cutis elastica expander and its skin traction system, shank fixed system, turn pressure regulation wheel compression pressure spring, reaction force by stick folder fixing clip, pressure spring gives pressure adjusting roller opposition, and then threaded rod, solid pinhock, traction steel needle is driven to apply distraction force to skin, skin is gradually expanded under distraction force effect, is grown, and accelerates wound healing.
Description
Technical field
The present invention relates to orthopaedics and the cutis elastica expanders of department of plastic surgery clinical application.
Background technique
Microsurgical technique is applied sometimes when orthopaedics and department of plastic surgery treatment defect of skin, with flap with vascular pedicle, local skin
Valve Shift recovery or free flap transplantation reparation, wound is big, and risk is high;Sometimes part facets product head-face skin defect is used
Balloon skin dilator carries out local skin flap's Shift recovery after carrying out skin drawing and stretching, and indication is few, and treatment time is long, transfer face
Product is small, is also easy to produce compressing to deep tissue, the drawbacks such as infection at sacculus implantation easily occurs.
Summary of the invention
The present invention in order to make up current application microsurgical technique or balloon skin dilator treatment defect of skin when deposit
Defect, first invention is designed to provide the shank fixed system of a kind of orthopaedics and department of plastic surgery clinical application, second
Goal of the invention be to provide it is a kind of by several shank fixed systems and other component groups at skin traction system, third
Goal of the invention is to provide a kind of cutis elastica expander being made of several skin traction systems and traction steel nail.
Technical scheme is as follows:
As the first form of orthopaedics and the shank fixed system of department of plastic surgery I clinical application, the shank fixed system
Include: threaded rod, stay hook, take turns nut, sliding sleeve, pressure spring, pressure adjusting roller, solid needle nut or solid needle screw admittedly;Wherein,
The main part of the threaded rod is in cylindrical bar shape and has external screw thread, from top to bottom sets gradually institute on the threaded rod top
Solid wheel nut, pressure adjusting roller, pressure spring and sliding sleeve are stated, admittedly wheel nut and pressure adjusting roller are threadedly coupled with threaded rod respectively, Gu
Wheel nut is for fixing the pressure adjusting roller;Sliding sleeve is cylindrical hollow casing, and threaded rod axially penetrates through sliding sleeve, described
Sliding sleeve is slidably connected with threaded rod;Pressure spring is set on threaded rod, and the pressure spring upper end abuts under pressure adjusting roller
End face, lower spring end abut sliding sleeve upper surface;The lower end of the threaded rod, the stay hook edge is arranged in the stay hook
Threaded rod extends axially downward and is formed with hook part, and in the top of the hook part of the stay hook setting solid needle spiral shell
Female or solid needle screw.
As shank fixed system first preferred embodiment, further, the stay hook and the threaded rod lower end one
Body formed, the solid needle nut is threadedly coupled with threaded rod, and the solid needle nut is located above the hook part of the stay hook.
As the second preferred embodiment of shank fixed system, further, the stay hook and the threaded rod lower end one
It is body formed, and the radial dimension of stay hook and threaded rod interconnecting piece is greater than the threaded rod main part radial dimension, described
Interconnecting piece lower part is additionally provided with the threaded hole radially penetrated through, and the solid needle screw screws in the threaded hole.
As shank fixed system third preferred embodiment, further, the stay hook and the threaded rod lower end can
It is detachably connected with, the stay hook upper end has interconnecting piece, and the interconnecting piece radial dimension is greater than the threaded rod main part
Radial dimension, and the interconnecting piece has hollow cylindrical configuration, and the inner wall of the tubular structure is equipped with internal screw thread, and the threaded rod is stretched
Enter the hollow cylindrical configuration of the stay hook interconnecting piece and is threadedly coupled with stay hook;It is additionally provided in the interconnecting piece lower part of stay hook
The threaded hole radially penetrated through, the solid needle screw screw in the threaded hole;Solid rod nut, the solid rod spiral shell are additionally provided on threaded rod
Mother is threadedly coupled with threaded rod and is located above stay hook interconnecting piece.
As the 4th preferred embodiment of shank fixed system, further, the stay hook and the threaded rod lower end can
It is detachably connected with, the stay hook upper end has interconnecting piece, and the interconnecting piece radial dimension is greater than the threaded rod main part
Radial dimension, and the interconnecting piece has hollow cylindrical configuration, and the threaded rod protrudes into the hollow of the stay hook interconnecting piece
Shape structure;It is additionally provided with the threaded hole radially penetrated through in the interconnecting piece lower part of stay hook, the solid needle screw screws in the threaded hole;?
Interconnecting piece is located at the threaded hole that unilateral perforation is additionally provided with above solid needle screw, and a solid rod screw is screwed in the threaded hole, with
Stay hook is fastenedly connected with the threaded rod protruded into stay hook interconnecting piece.
As second of form of orthopaedics and the shank fixed system of department of plastic surgery clinical application, the shank fixed system packet
Include: threaded rod, stay hook take turns nut, sliding sleeve, pressure spring, pressure adjusting roller, solid needle nut or solid needle screw admittedly;Wherein, institute
The main part of threaded rod is stated in cylindrical bar shape and there is external screw thread, is from top to bottom set gradually on the threaded rod top described
Admittedly nut, pressure adjusting roller, pressure spring and sliding sleeve are taken turns, admittedly wheel nut and pressure adjusting roller are threadedly coupled with threaded rod respectively, Gu wheel
Nut is for fixing the pressure adjusting roller;Sliding sleeve is cylindrical hollow casing, and threaded rod axially penetrates through sliding sleeve, the cunning
Dynamic casing is slidably connected with threaded rod;Pressure spring is set on threaded rod, and the pressure spring upper end abuts pressure adjusting roller lower end
Face, lower spring end abut sliding sleeve upper surface;The lower part of the threaded rod is arranged in the stay hook, and the stay hook is along spiral shell
Rasp bar radially extends to side and is formed with hook part, and in the top of the hook part of the described fixed an ancient unit of weight setting solid needle spiral shell
Female or solid needle screw;The stay hook has interconnecting piece, and the interconnecting piece radial dimension is greater than the threaded rod main part diameter
To size, and the interconnecting piece radially has hollow oblong tubular structure, and the threaded rod protrudes into the stay hook interconnecting piece
Hollow cylindrical configuration;The threaded hole radially penetrated through, the solid needle spiral shell are additionally provided with close to one end of hook part in the interconnecting piece
Nail screws in the threaded hole;The threaded hole of unilateral perforation is additionally provided with far from the top of hook part in the interconnecting piece, by a solid rod spiral shell
Nail screws in the threaded hole, and stay hook is fastenedly connected with the threaded rod protruded into stay hook interconnecting piece.
As the 4th preferred embodiment of shank fixed system, further, which is characterized in that in the middle part of threaded rod also under
End stay hook has been positioned apart from another stay hook, and the structure of the stay hook is identical as the structure of lower end stay hook.
The cross section of the hook part of above-mentioned stay hook is in quadrangle or circle.
A kind of orthopaedics and the skin traction system of department of plastic surgery clinical application, which is characterized in that it is by 2 shank fixed systems
With 1 stick folder composition, wherein pressed from both sides and connected with the stick between the threaded rod of 2 shank fixed systems, stick is clamping to be scheduled
The outer wall of the sliding sleeve of skin traction system.Or it is made of 1 shank fixed system and 1 large knitting needle folder;Or by 1 shank
Fixed system composition.
A kind of orthopaedics and the cutis elastica expander of department of plastic surgery clinical application, which is characterized in that it is led by several skins
Draw system and traction steel needle composition, solid needle nut described in turn, solid needle screw or large knitting needle folder can fix the traction steel needle.
Further, the traction steel needle is that cylindric steel needle, band needle steel wire or cable are one such or a variety of.
Further, stick folder can be set as I type stick folder, II type stick folder, type III stick folder, lV type stick folder wherein
One or more forms;Wherein, I type stick folder is made of collet A (11), collet B (13), fixture nut (12), collet A
(11), collet B (13) head end is hollow cylindrical, and circular hole and sliding sleeve (5), threaded rod (1) are adapted, collet A (11)
Tail end is cylindrical screw stick, radially sets fixture nut (12), is used for fixed chuck A (11) tail end, during collet B (13) tail end is
Hollow round column shape pipe, inner wall set screw thread, are threadedly coupled with collet A (11) threads stick;II type stick folder is by fixture block A (16), folder
Block a (17), fastening screw (14), washer (15) composition, fixture block A (16), fixture block a (17) cambered surface one end is all provided with and sliding sleeve
(5), threaded rod (1) it is corresponding run through fixture block circular hole, plane one end set it is corresponding with fastening screw (14) run through fixture block circular hole,
Plane one end is separated with the gap about 2mm, and two hole directions are to vertical, fixture block a (17) another side and fastening screw (14) head end screw thread
Connection, fixture block A (16) sets corresponding recessed with washer (15) and fastening screw (14) tail end with fastening screw (14) head end corresponding surface
Slot;Type III stick is pressed from both sides by fixture block A (19), fixture block a (20), fixture block B (21), fixture block b (23), fastening screw (25), gasket
(24), tail follows closely (18), struts spring (22) composition;Fixture block A (19), fixture block a (20), fixture block B (21), fixture block b (23) are set as
One end is arcwall face, one end is plane, and center sets the circular hole being adapted with fastening screw (25), in fixture block A (19) center hole
If screw thread, it is connect with fastening screw (25) threads;Fixture block A (19) and fixture block a (20), fixture block B (21) and fixture block b (23) are right
It answers face arcwall face one end to set arc groove, is adapted with sliding sleeve (5), threaded rod (1), plane one end sets corresponding convex surface
With concave surface, convex surface height is slightly more compared with concave surface depth;It is mutually separated between fixture block a (20), fixture block B (21) with strutting spring (22), tightly
Gu screw (25) is axially crossed and strutted spring (22), fastening screw (25) head end is set as hollow, is threadedly coupled with tail nail (18), presss from both sides
Block b (23) sets groove corresponding with gasket (24) with fastening screw (25) tail end corresponding section;IV type stick is pressed from both sides by center circle
Disk (28), solid stick fixture block (27), solid stick fixture block (29), fastening screw (26) composition;Center disk (28) be it is discoid, center is set
It is adapted circular hole with fastening screw (26), Gu stick fixture block (27), (29) periphery set 1 arc groove and 2 pillars, for fixing
Sliding sleeve (5), threaded rod (1), lower part consolidate stick fixture block (29) center set with fastening screw (26) be adapted circular hole, with fastening spiral shell
(26) are followed closely to be threadedly coupled.
Further, large knitting needle folder can be set as by fixture block A (31), fixture block a (32), fixture block B (33), fixture block b (35), fastening spiral shell
Nail (37), tail nail (30), struts spring (34) composition at gasket (36);Fixture block A (31), fixture block a (32), fixture block B (33), fixture block b
(35) it is set as that one end is arcwall face, one end is plane, center sets the circular hole being adapted with fastening screw (37), fixture block A (31)
Screw thread is set in center hole, is connect with fastening screw (37) threads;Fixture block A (31) and fixture block a (32) corresponding surface arcwall face
One end sets arc groove, with sliding sleeve (5), threaded rod (1) and adaptable, fixture block B (33) and fixture block b (35) corresponding surface arc
Face one end sets arc groove, is adapted with traction steel needle, fixture block A (31), fixture block a (32), fixture block B (33), fixture block b (35) plane
One end sets corresponding convex surface and concave surface, and convex surface height is slightly more compared with concave surface depth;To strut between fixture block a (32), fixture block B (33)
Spring (34) is mutually separated, and fastening screw (37) is axially crossed and strutted spring (34), and fastening screw (37) head end is set as hollow, with tail
It follows closely (30) to be threadedly coupled, fixture block b (35) sets groove corresponding with gasket (36) with fastening screw (37) tail end corresponding section.
The beneficial effects of the present invention are: present invention employs the shank fixed systems being made of all parts, convenient for adding
It work and assembles convenient, continues regulating device additionally, due to using, so that the cutis elastica that is made of shank fixed system expands
Prop can expand the defect of skin at any position of body, and skin expansion speed is fast, wide indications, not to deep tissue
Compressing is generated, infection is less prone to, wound healing can be accelerated.Skin is expanded using cutis elastica expander, it will be between traction steel needle
Disconnected across skin, needle screw or solid needle nut are consolidated in turn, stay hook are fixed on traction spicule, solid rod nut or solid rod screw will
Stay hook is connect with threaded rod, and stick folder connects corresponding threaded rod, turn pressure regulation wheel compression pressure spring, by stick
The reaction force of fixing clip is pressed from both sides, pressure spring gives pressure adjusting roller opposition, and then drives threaded rod, solid pinhock, traction
Steel needle applies distraction force to skin, and skin is gradually expanded under distraction force effect, grown, until wound healing.
Detailed description of the invention
The drawing of attached drawing is described as follows
Fig. 1 is cutis elastica expander shank fixed system I type structural schematic diagram
Fig. 2 is cutis elastica expander shank fixed system II type structural schematic diagram
Fig. 3 is cutis elastica expander shank fixed system type III structural schematic diagram
Fig. 4 is cutis elastica expander shank fixed system IV type structural schematic diagram
Fig. 5 is cutis elastica expander shank fixed system V-structure and 1 stay hook combining structure schematic diagram
Fig. 6 is that stick presss from both sides I type structural schematic diagram
Fig. 7 is that stick presss from both sides II type structural schematic diagram
Fig. 8 is that stick presss from both sides type III structural schematic diagram
Fig. 9 is that stick presss from both sides IV type structural schematic diagram
Figure 10 is large knitting needle clamping structure schematic diagram
Figure 11 is traction steel needle structural schematic diagram
Figure 12 is band needle structure of steel wire schematic diagram
Figure 13 is cable structure schematic diagram
Figure 14 is cutis elastica expander I type structural schematic diagram
Figure 15 is cutis elastica expander II type structural schematic diagram
Figure 16 is cutis elastica expander type III structural schematic diagram
Figure 17 is cutis elastica expander IV type structural schematic diagram
Figure 18 is cutis elastica expander V-structure schematic diagram
Figure 19 is cutis elastica expander VI type structural schematic diagram
Specific embodiment
The embodiment of the present invention is introduced below in conjunction with attached drawing
Cutis elastica expander is made of shank fixed system, stick folder, traction steel needle.
Shank fixed system is by stay hook (9), solid needle screw (7), solid rod nut (8), threaded rod (1), sliding sleeve
(5), pressure spring (4), pressure adjusting roller (3), admittedly wheel nut (2) composition.Stay hook (9) head end be it is hook-shaped, tail end be 4 prism-shapeds,
Cylindrical hollow lumen axially is set, is threadedly coupled with threaded rod (1), head end and tail end intersection are arranged radially solid needle screw (7),
Its tail end is big compared with head end.Threaded rod (1) is cylindrical screw stick, is threadedly coupled with stay hook (9), is arranged radially solid rod nut
(8), sliding sleeve (5), pressure spring (4), pressure adjusting roller (3), admittedly wheel nut (2).Solid rod nut (8) and threaded rod (1) screw thread
Connection, sliding sleeve (5) are cylindrical hollow casing, are slidably connected with threaded rod (1), threaded rod (1) axially penetrates through sliding sleeve
It manages (5).Pressure spring (4) is slidably connected with threaded rod (1), and threaded rod (1) axially penetrates through pressure spring (4), pressure spring (4)
Between sliding sleeve (5) and pressure adjusting roller (3), pressure adjusting roller (3) is threadedly coupled with threaded rod (1), and pressure adjusting roller (3) is located at pressure regulation
Between spring (4) and admittedly wheel nut (2), admittedly wheel nut (2) is for fixing pressure adjusting roller (3).
Connection between stay hook (9) and threaded rod (1) can be set as being fastenedly connected, and be arranged on stay hook tail end tube wall solid
Bar screw (10), solid needle screw (7), solid rod screw (10) are threadedly coupled with stay hook (9) tail end tube wall, threaded rod (1) with consolidate
Determine hook (9) junction and be set as cylindric, plane is set with solid rod screw (10) corresponding position, by threaded rod when solid rod screw (10) screws in
(1) it is fastenedly connected with stay hook (9).
Threaded rod (1), stay hook (9) can be set as threaded rod with hook (1), and head end is set as hook-shaped or 4 prism of band hook-shaped,
Hook and traction steel needle are adapted, and head end sets solid needle nut (6) or solid needle screw (7), and needle nut (6) or solid needle screw are consolidated in turn
(7) traction steel needle can be fixed, tail end is cylindrical screw bar.
Traction steel needle is cylindric steel needle (38), with needle steel wire (39) or cable (40).
It is pressed from both sides and is connected with stick between threaded rod (1) and threaded rod (1), stick is clamping to schedule sliding sleeve (5) outer wall, stick
Folder can be set as the diversified forms such as I type stick folder, II type stick folder, type III stick folder, Iv type stick folder.
I type stick folder is made of collet A (11), collet B (13), fixture nut (12), collet A (11), collet B (13) head
End is hollow cylindrical, and circular hole and sliding sleeve (5), threaded rod (1) are adapted, and collet A (11) tail end is cylindrical screw
Stick radially sets fixture nut (12), is used for fixed chuck A (11) tail end, and collet B (13) tail end is hollow cylindrical pipe, inner wall
If screw thread, it is threadedly coupled with collet A (11) threads stick.
II type stick folder is made of fixture block A (16), fixture block a (17), fastening screw (14), washer (15), fixture block A (16),
Fixture block a (17) cambered surface one end be all provided with it is corresponding with sliding sleeve (5), threaded rod (1) through fixture block circular hole, plane one end set with tightly
Gu screw (14) is corresponding to run through fixture block circular hole, plane one end separates with the gap about 2mm, and two hole directions are to vertical, fixture block a
(17) another side is threadedly coupled with fastening screw (14) head end, and fixture block A (16) sets and pads with fastening screw (14) head end corresponding surface
Enclose (15) groove corresponding with fastening screw (14) tail end.
Type III stick folder is by fixture block A (19), fixture block a (20), fixture block B (21), fixture block b (23), fastening screw (25), pad
Piece (24), tail nail (18) strut spring (22) composition.Fixture block A (19), fixture block a (20), fixture block B (21), fixture block b (23) are all provided with
It is arcwall face at one end, one end is plane, the circular hole that center is set and fastening screw (25) are adapted, fixture block A (19) center hole
Screw thread is inside set, is connect with fastening screw (25) threads.Fixture block A (19) and fixture block a (20), fixture block B (21) and fixture block b (23)
Corresponding surface arcwall face one end sets arc groove, is adapted with sliding sleeve (5), threaded rod (1), plane one end sets corresponding convex
Face and concave surface, convex surface height are slightly more compared with concave surface depth.It is mutually separated between fixture block a (20), fixture block B (21) with strutting spring (22),
Fastening screw (25) is axially crossed and is strutted spring (22), and fastening screw (25) head end is set as hollow, is threadedly coupled with tail nail (18),
Fixture block b (23) sets groove corresponding with gasket (24) with fastening screw (25) tail end corresponding section.
IV type stick folder is made of center disk (28), solid stick fixture block (27), solid stick fixture block (29), fastening screw (26).
Center disk (28) be it is discoid, center set with fastening screw (26) be adapted circular hole, Gu stick fixture block (27), (29) periphery set 1
A arc groove and 2 pillars, for fixing sliding sleeve (5), threaded rod (1), lower part consolidate stick fixture block (29) center set with tightly
Gu screw (26) is adapted circular hole, it is threadedly coupled with fastening screw (26).
It can be pressed from both sides and be connected with large knitting needle between threaded rod (1) and traction steel needle, large knitting needle is clamping to schedule sliding sleeve (5) outer wall, stick
Stick folder can be set as the diversified forms such as I type stick folder.
I type large knitting needle fixture block: spiral shell is fastened by fixture block A (31), fixture block a (32), fixture block B (33), fixture block b (35), gasket (36)
Nail (37), end socket nail (30) strut spring (34) composition.Fixture block A (31), fixture block a (32), fixture block B (33), fixture block b (35) are equal
It is set as that one end is arcwall face, one end is plane, center sets circular hole corresponding with fastening screw (37), fixture block A (31) center hole
It is threadedly coupled with fastening screw (37) head end.Fixture block A (31), fixture block a (32) corresponding surface arcwall face one end is set and sliding sleeve
(5), threaded rod (1) is adapted groove, and plane one end sets corresponding convex surface and concave surface.Fixture block B (33), fixture block b (35) are corresponding
Face arcwall face one end, which is set, is adapted groove with traction steel needle (38), and plane one end sets corresponding convex surface and concave surface, fixture block a
(32), it is mutually separated between fixture block B (33) with strutting spring (34), fastening screw (37) head end is set as hollow, follows closely (30) with end socket
It is threadedly coupled, gasket (36) is located between fixture block b (35) and fastening screw (37) tail end.
Any one type shank fixed system can be pressed from both sides with any one type stick and be combined, and 2 cutis elastica expander shanks are solid
Determine system and 1 stick folder is combined into 1 skin traction system, 1 cutis elastica expander can be by 1 to several skin traction systems
System is constituted, and skin traction system in varying numbers and 2 traction steel needles are combined into various forms of cutis elastica expanders.
Fig. 1 is cutis elastica expander shank fixed system I type structure, and threaded rod (1) is set as threaded rod with hook, head end
It is set as hook-shaped, if solid needle nut (6).
Fig. 2 is cutis elastica expander shank fixed system II type structure, and threaded rod (1) is set as threaded rod with hook (1),
Head end is set as the hook-shaped of 4 prism of band, and head end sets solid needle screw (7).
Fig. 3 is cutis elastica expander shank fixed system type III structure, the company between stay hook (9) and threaded rod (1)
It connects and is set as being threadedly coupled, junction is set solid rod nut (8), and stay hook (9) head end radially sets solid needle screw (7).
Fig. 4 is cutis elastica expander shank fixed system IV type structure, the company between stay hook (9) and threaded rod (1)
It connects and is set as being fastenedly connected, stay hook (9) and tail end junction and tail end radially set solid needle screw (7), solid rod screw (10).
Fig. 5 is a kind of structure of cutis elastica expander skin traction service system, and the tail end of stay hook (9), which is radially provided with, to be passed through
Circular hole or long hole are worn, is slidably connected with threaded rod (1), solid rod nut (8) limits the movement of stay hook, and tail end is axially arranged with side
The threaded hole of perforation, solid rod screw (10) screw in the threaded hole, threaded rod and stay hook are fastenedly connected, set above threaded rod
Another corresponding stay hook (9).
Fig. 6 is that stick presss from both sides I type structure, is made of collet A (11), collet B (13), fixture nut (12), A (11), collet B
(13) it is threadedly coupled.
Fig. 7 is that stick presss from both sides II type structure, is made of fixture block A (16), fixture block a (17), fastening screw (14), washer (15),
Fixture block a (17) is threadedly coupled with fastening screw (14) head end, and fixture block A (16) is set with fastening screw (14) head end corresponding surface and washer
(15) groove corresponding with fastening screw (14) tail end.
Fig. 8 is that stick presss from both sides type III structure, by fixture block A (19), fixture block a (20), fixture block B (21), fixture block b (23), fastening spiral shell
Nail (25), tail nail (18), struts spring (22) composition at gasket (24).Fixture block A (19), fixture block a (20), fixture block B (21), fixture block b
(23) it is set as that one end is arcwall face, one end is plane, to strut spring (22) phase point between fixture block a (20), fixture block B (21)
Every fixture block b (23) sets groove corresponding with gasket (24) with fastening screw (25) tail end corresponding section.
Fig. 9 is that stick presss from both sides IV type structure, by center disk (28), solid stick fixture block (27), solid stick fixture block (29), fastening screw
(26) it forms.Center disk (28) is discoid, Gu stick fixture block (27), (29) periphery set 1 arc groove and 2 pillars, Gu
Stick fixture block (29) center, which is set, is adapted circular hole with fastening screw (26), is threadedly coupled with fastening screw (26).
Figure 10 is large knitting needle clamping structure, by fixture block A (31), fixture block a (32), fixture block B (33), fixture block b (35), fastening screw
(37), gasket (36), tail follow closely (30), strut spring (34) composition;Fixture block A (31), fixture block a (32), fixture block B (33), fixture block b
(35) it is set as that one end is arcwall face, one end is plane, fixture block A (3I) and fixture block a (32) corresponding surface arcwall face one end set arc
Groove, and sliding sleeve (5), threaded rod (1) and is adapted, and fixture block B (33) and fixture block b (35) corresponding surface arcwall face one end set arc
Connected in star is adapted with traction steel needle, is mutually separated between fixture block a (32), fixture block B (33) with strutting spring (34), fastening screw
(37) head end is set as hollow, is threadedly coupled with tail nail (30).
Figure 11 is traction steel needle cylindrical-shaped structure, is cylindric steel needle, and head end is pointed.
Figure 12 be traction steel needle band needle structure of steel wire, head end be it is needle-shaped, tail end be cylindric steel wire.
Figure 13 is traction steel needle cable structure, is cylindric, You Duogen steel wire composition.
Figure 14 is cutis elastica expander I type structure, is made of 3 skin traction systems, 2 traction steel needles (30), 1
Skin traction system is made of 2 I type shank fixed systems and 1 I type stick folder.
Figure 15 is cutis elastica expander II type structure, is made of 3 skin traction systems, 2 traction steel needles (30), skin
Skin trailer system is made of 2 II type shank fixed systems and 1 II type stick folder.
Figure 16 cutis elastica expander type III structure is made of, skin 3 skin traction systems, 2 traction steel needles (30)
Skin trailer system is made of 2 type III shank fixed systems and 1 type III stick folder.
Figure 17 is cutis elastica expander IV type structure, is made of 3 skin traction systems, 2 traction steel needles (30), skin
Skin trailer system is made of 2 IV type shank fixed systems and 1 IV type stick folder.
Figure 18 is cutis elastica expander V-structure, is made of 3 skin traction systems, 2 traction steel needles (30), skin
Skin trailer system is made of 1 V-type shank fixed system and 1 stay hook (9).
Figure 19 is cutis elastica expander VI type structure, is made of 3 skin traction systems, 2 traction steel needles (30), skin
Skin trailer system is made of 1 V-shaped shank fixed system and 1 large knitting needle folder (45).
Claims (15)
1. a kind of orthopaedics and the shank fixed system for skin traction of department of plastic surgery clinical application, which is characterized in that the hook
Bar fixed system includes: threaded rod, stay hook, takes turns nut, sliding sleeve, pressure spring, pressure adjusting roller, solid needle nut or solid needle admittedly
Screw;Wherein,
The main part of the threaded rod is in cylindrical bar shape and has external screw thread, from top to bottom successively sets on the threaded rod top
The nut of wheel admittedly, pressure adjusting roller, pressure spring and sliding sleeve are set, admittedly wheel nut and pressure adjusting roller connect with threaded rod screw thread respectively
It connects, admittedly wheel nut is for fixing the pressure adjusting roller;Sliding sleeve is cylindrical hollow casing, and threaded rod axially penetrates through sliding sleeve
Pipe, the sliding sleeve are slidably connected with threaded rod;Pressure spring is set on threaded rod, and the pressure spring upper end, which abuts, adjusts
Pinch roller lower end surface, lower spring end abut sliding sleeve upper surface;
The lower end of the threaded rod is arranged in the stay hook, and threadingly bar is extended axially downward and is formed with curved the stay hook
Hook portion, and in the top of the hook part of the stay hook setting solid needle nut or solid needle screw.
2. shank fixed system according to claim 1, which is characterized in that the stay hook and the threaded rod lower end one
Body formed, the solid needle nut is threadedly coupled with threaded rod, and the solid needle nut is located above the hook part of the stay hook.
3. shank fixed system according to claim 1, which is characterized in that the stay hook and the threaded rod lower end one
It is body formed, and the radial dimension of stay hook and threaded rod interconnecting piece is greater than the threaded rod main part radial dimension, described
Interconnecting piece lower part is additionally provided with the threaded hole radially penetrated through, and the solid needle screw screws in the threaded hole.
4. shank fixed system according to claim 1, which is characterized in that the stay hook and the threaded rod lower end can
It is detachably connected with, the stay hook upper end has interconnecting piece, and the interconnecting piece radial dimension is greater than the threaded rod main part
Radial dimension, and the interconnecting piece has hollow cylindrical configuration, and the inner wall of the tubular structure is equipped with internal screw thread, and the threaded rod is stretched
Enter the hollow cylindrical configuration of the stay hook interconnecting piece and is threadedly coupled with stay hook;It is additionally provided in the interconnecting piece lower part of stay hook
The threaded hole radially penetrated through, the solid needle screw screw in the threaded hole;Solid rod nut, the solid rod spiral shell are additionally provided on threaded rod
Mother is threadedly coupled with threaded rod and is located above stay hook interconnecting piece.
5. shank fixed system according to claim 1, which is characterized in that the stay hook and the threaded rod lower end can
It is detachably connected with, the stay hook upper end has interconnecting piece, and the interconnecting piece radial dimension is greater than the threaded rod main part
Radial dimension, and the interconnecting piece has hollow cylindrical configuration, and the threaded rod protrudes into the hollow of the stay hook interconnecting piece
Shape structure;It is additionally provided with the threaded hole radially penetrated through in the interconnecting piece lower part of stay hook, the solid needle screw screws in the threaded hole;?
Interconnecting piece is located at the threaded hole that unilateral perforation is additionally provided with above solid needle screw, and a solid rod screw is screwed in the threaded hole, with
Stay hook is fastenedly connected with the threaded rod protruded into stay hook interconnecting piece.
6. -5 any shank fixed system according to claim 1, which is characterized in that the cross of the hook part of the stay hook
Section is in quadrangle or circle.
7. a kind of orthopaedics and the shank fixed system for skin traction of department of plastic surgery clinical application, which is characterized in that the hook
Bar fixed system includes: threaded rod, stay hook, takes turns nut, sliding sleeve, pressure spring, pressure adjusting roller, solid needle nut or solid needle admittedly
Screw;Wherein,
The main part of the threaded rod is in cylindrical bar shape and has external screw thread, from top to bottom successively sets on the threaded rod top
The nut of wheel admittedly, pressure adjusting roller, pressure spring and sliding sleeve are set, admittedly wheel nut and pressure adjusting roller connect with threaded rod screw thread respectively
It connects, admittedly wheel nut is for fixing the pressure adjusting roller;Sliding sleeve is cylindrical hollow casing, and threaded rod axially penetrates through sliding sleeve
Pipe, the sliding sleeve are slidably connected with threaded rod;Pressure spring is set on threaded rod, and the pressure spring upper end, which abuts, adjusts
Pinch roller lower end surface, lower spring end abut sliding sleeve upper surface;
The lower part of the threaded rod is arranged in the stay hook, and threadingly bar radially extends and be formed with to side the stay hook
Hook part, and in the top of the hook part of the stay hook setting solid needle nut or solid needle screw;The fixed hitcher
There is an interconnecting piece, the interconnecting piece radial dimension is greater than the threaded rod main part radial dimension, and during the interconnecting piece has
Empty tube shape structure, the threaded rod protrude into the hollow cylindrical configuration of the stay hook interconnecting piece;In the interconnecting piece close to crotch
The one end in portion is additionally provided with the threaded hole radially penetrated through, and the solid needle screw screws in the threaded hole;In the interconnecting piece far from crotch
The top in portion is additionally provided with the threaded hole of unilateral perforation, and a solid rod screw is screwed in the threaded hole, by stay hook and protrudes into solid
The threaded rod determined in hook connects portion is fastenedly connected.
8. shank fixed system according to claim 7, which is characterized in that in the middle part of threaded rod with setting under threaded rod
The stay hook in portion has been positioned apart from another stay hook, the structure of the stay hook with the described solid of threaded rod lower part is set
The structure for determining hook is identical.
9. shank fixed system according to claim 7 or 8, which is characterized in that the hook part of the stay hook it is transversal
Face is in quadrangle or circle.
10. a kind of orthopaedics and the skin traction system of department of plastic surgery clinical application, which is characterized in that it is by 2 such as claim 1-6
Any shank fixed system and 1 stick folder composition, wherein with described between the threaded rod of 2 shank fixed systems
Stick folder connection, the outer wall of the clamping sliding sleeve due to skin traction system of stick.
11. a kind of orthopaedics and the skin traction system of department of plastic surgery clinical application, which is characterized in that it can be by 1 such as claim 7
The shank fixed system and 1 large knitting needle folder composition.
12. a kind of orthopaedics and the cutis elastica expander of department of plastic surgery clinical application, which is characterized in that it is by several as right is wanted
Skin traction system described in asking 10 or 11 and traction steel needle form, and solid needle nut, solid needle screw described in turn or large knitting needle folder can
The traction steel needle is fixed.
13. cutis elastica expander according to claim 12, which is characterized in that the traction steel needle is cylindric steel
Needle, band needle steel wire or cable are one such or a variety of.
14. cutis elastica expander according to claim 12, which is characterized in that stick folder can be set as I type stick folder, II
Type stick folder, IlI type stick folder, IV type stick press from both sides one such or diversified forms;Wherein,
I type stick folder is made of collet A (11), collet B (13), fixture nut (12), and collet A (11), collet B (13) head end are equal
For hollow cylindrical, circular hole and sliding sleeve (5), threaded rod (1) are adapted, and collet A (11) tail end is cylindrical screw stick, diameter
To fixture nut (12) are set, it is used for fixed chuck A (11) tail end, collet B (13) tail end to be hollow cylindrical pipe, and inner wall sets spiral shell
Line is threadedly coupled with collet A (11) threads stick;
II type stick folder is made of fixture block A (16), fixture block a (17), fastening screw (14), washer (15), fixture block A (16), fixture block a
(17) cambered surface one end is all provided with corresponding through fixture block circular hole with sliding sleeve (5), threaded rod (1), and plane one end is set and fastening spiral shell
Nail (14) is corresponding to run through fixture block circular hole, and plane one end is separated with the gap about 2mm, and two hole directions are vertical, and fixture block a (17) is another
Face is threadedly coupled with fastening screw (14) head end, fixture block A (16) and fastening screw (14) head end corresponding surface set with washer (15) and
The corresponding groove of fastening screw (14) tail end;
LlI type stick is pressed from both sides by fixture block A (19), fixture block a (20), fixture block B (21), fixture block b (23), fastening screw (25), gasket
(24), tail follows closely (18), struts spring (22) composition;Fixture block A (19), fixture block a (20), fixture block B (21), fixture block b (23) are set as
One end is arcwall face, one end is plane, and center sets the circular hole being adapted with fastening screw (25), in fixture block A (19) center hole
If screw thread, it is connect with fastening screw (25) threads;Fixture block A (19) and fixture block a (20), fixture block B (21) and fixture block b (23) are right
It answers face arcwall face one end to set arc groove, is adapted with sliding sleeve (5), threaded rod (1), plane one end sets corresponding convex surface
With concave surface, convex surface height is slightly more compared with concave surface depth;It is mutually separated between fixture block a (20), fixture block B (21) with strutting spring (22), tightly
Gu screw (25) is axially crossed and strutted spring (22), fastening screw (25) head end is set as hollow, is threadedly coupled with tail nail (18), presss from both sides
Block b (23) sets groove corresponding with gasket (24) with fastening screw (25) tail end corresponding section;
IV type stick folder is made of center disk (28), solid stick fixture block A (27), solid stick fixture block B (29), fastening screw (26);In
Heart disk (28) be it is discoid, center set with fastening screw (26) be adapted circular hole, solid stick fixture block A (27), consolidate stick fixture block B (29)
Periphery sets 1 arc groove and 2 pillars, and for fixing sliding sleeve (5), threaded rod (1), lower part is consolidated in stick fixture block B (29)
The heart, which is set, is adapted circular hole with fastening screw (26), is threadedly coupled with fastening screw (26).
15. cutis elastica expander according to claim 12, which is characterized in that large knitting needle folder can be set as by fixture block A (31),
Fixture block a (32), fixture block B (33), fixture block b (35), fastening screw (37), gasket (36), tail nail (30), spring (34) group is strutted
At;Fixture block A (31), fixture block a (32), fixture block B (33), fixture block b (35) are set as that one end is arcwall face, one end is plane, center
If the circular hole being adapted with fastening screw (37), screw thread is set in fixture block A (31) center hole, with fastening screw (37) threads
Connection;Fixture block A (31) and fixture block a (32) corresponding surface arcwall face one end set arc groove, with sliding sleeve (5), threaded rod (1) and
It is adapted, fixture block B (33) and fixture block b (35) corresponding surface arcwall face one end set arc groove, are adapted with traction steel needle, fixture block A
(31), fixture block a (32), fixture block B (33), fixture block b (35) plane one end set corresponding convex surface and concave surface, and convex surface height is compared with concave surface
Depth is slightly more;It is mutually separated between fixture block a (32), fixture block B (33) with strutting spring (34), fastening screw (37) is axially crossed and strutted
Spring (34), fastening screw (37) head end are set as hollow, are threadedly coupled with tail nail (30), fixture block b (35) and fastening screw (37)
Tail end corresponding section sets groove corresponding with gasket (36).
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CN109199478B (en) * | 2018-10-31 | 2021-01-05 | 中国人民解放军陆军特色医学中心 | Skin retractor |
CN109620327A (en) * | 2018-12-29 | 2019-04-16 | 李皓峰 | Button Skin stretching device and skin drawing and stretching method |
CN110292405B (en) * | 2019-07-25 | 2023-11-24 | 宋若怡 | Cable type skin stretching and closing device |
CN111820965B (en) * | 2020-07-23 | 2021-06-04 | 南通市第一人民医院 | Liver poking equipment for laparoscopic gastrointestinal surgery and using method thereof |
CN115486925B (en) * | 2022-09-05 | 2023-09-26 | 无锡科恩智造科技有限公司 | Hallux valgus correction guiding device and correction method |
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