CN106377287A - Abdominal retractor - Google Patents

Abdominal retractor Download PDF

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Publication number
CN106377287A
CN106377287A CN201610976970.4A CN201610976970A CN106377287A CN 106377287 A CN106377287 A CN 106377287A CN 201610976970 A CN201610976970 A CN 201610976970A CN 106377287 A CN106377287 A CN 106377287A
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China
Prior art keywords
cross bar
montant
fixed
drag hook
support post
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CN201610976970.4A
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Chinese (zh)
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CN106377287B (en
Inventor
薛英威
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Individual
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/0281Abdominal wall lifters

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention provides an abdominal retractor, which comprises a support upright post and a support cross beam, wherein the top end of the support upright post is connected with the support cross beam; an ascending and descending mechanism is arranged on the support cross beam; the lower end of the ascending and descending mechanism is detachably connected with a retractor body. The abdominal retractor can replace the existing pneumoperitoneum technology; an operation space can be conveniently supported in the abdomen of the human body; carbon dioxide does not need to be charged into the abdomen, so that the influence of side effects caused by carbon dioxide pneumoperitoneum does not need to be considered.

Description

A kind of abdominal retractor
Technical field
The present invention relates to a kind of abdominal retractor, belong to medical auxiliary apparatus.
Background technology
Abdominal surgery utilizes new operating theater instruments (pneumoperitoneum technology, peritoneoscope, ultrasound knife, minimally invasive scissors, pliers at present Etc.) develop towards Minimally Invasive Surgery to reduce the unnecessary damage of patient, some operations are proper, such as gallbladder handss Art, operation on ovary etc..But a lot of operations are less suitable, and such as operating time is longer, needs digestive tract after excision focus Rebuild what needs to complete by incision of abdominal wall, mouth has been cut greatly and lost minimally invasive meaning, mouth has been cut little and brought heavy being stranded to reconstruction Difficult.
Content of the invention
In order to solve the problems, such as prior art, the invention provides a kind of abdominal retractor, can replace existing Pneumoperitoneum technology, easily can prop up an operative space in human abdomen, due to being filled with carbon dioxide without ventrad, thus The side-effect problem caused by CO2 pneumoperitonium need not be considered.
The present invention provide technical scheme be:
A kind of abdominal retractor, support post and support beam, the top of described support post is with described support beam even Connect, described support beam is provided with elevating mechanism, the lower end of described elevating mechanism is dismountable to be connected with retractor.
Preferably, the lower end of described support post is connected with fixation clamp, and the downside of described fixation clamp offers chute, described Chute is matched with the ram on operation table side, and the side of described fixation clamp is fixed with column connecting piece, and described column is even The connecting hole of up/down perforation is offered on fitting, described connecting hole is matched with described support post, described column connecting piece Set lever is fixed with the wall of side, the screw of described set lever passes through the side wall of described column connecting piece and withstands described connection The support post of in the hole, support post is fixed in described column connecting piece.
Further technical scheme:The upper end of described support post is fixed with adapter sleeve, and the lower end of described adapter sleeve is sheathed In the upper end of described support post, described support beam is hinged on described adapter sleeve, and described adapter sleeve is fixed with block, institute The junction stating support beam and described adapter sleeve is pin joint, between described pin joint and described block in the horizontal direction between Every setting, and during the upper plane contact of described support beam and described block, described support beam is in horizontality.
Preferably, described elevating mechanism includes lowering or hoisting gear and suspension arm, and described lowering or hoisting gear is slided with described support beam Dynamic cooperation, described lowering or hoisting gear includes shell, rocking bar and gear, and described gear is located at described inside the shell, and described rocking bar passes through institute State shell and be connected with described gear, the side of described suspension arm is provided with tooth bar, and described suspension arm runs through described shell up and down, and Described tooth bar is engaged with described gear.
Preferably, described retractor includes traction frame and the drag hook being arranged on described traction frame, solid on described traction frame Surely there is link, the lower end of described suspension arm is fixed with hook point, described hook point and described link cooperation.
Described traction frame includes the first montant, the second montant, the first cross bar and the second cross bar, described first cross bar and described Second cross bar horizontal Tile be arranged in parallel, and described first montant and described second montant horizontal Tile be arranged in parallel, and described first Cross bar is all connected with described first montant perpendicular to described first montant, the right-hand member of described first cross bar and described second cross bar, Two first sleeve are connected with described second montant, described second montant is socketed in institute respectively by two described first sleeve State on the first cross bar and described second cross bar;
The quantity of described drag hook is 3, the respectively first drag hook, the second drag hook and the 3rd drag hook, and described first drag hook is solid It is scheduled on described first montant, described second drag hook is fixed on described second montant, described 3rd drag hook is fixed on described On one cross bar and described second cross bar;
The vertical chute of twice is offered on the backboard of described 3rd drag hook, the bottom of described backboard is also fixed with two points The second sleeve pipe not matched with described first cross bar and described second cross bar;
Also include two butterfly-shaped screws, it is described butterfly-shaped that two described butterfly-shaped screws correspond to two described chutes this two respectively Screw is each passed through described chute and passes through corresponding second sleeve pipe and locked with described first cross bar or described second cross bar;
The top of two described butterfly-shaped screws is respectively and fixedly provided with described link.
Further technical scheme:Two described chutes same one end all expand formation patchhole.
Beneficial effects of the present invention:
In operation, in the abdominal incision of patient, strut this otch using retractor, because this retractor now integrally hangs Hang over the lower end of elevating mechanism, adjust elevating mechanism, drive retractor integrally to move up, retractor will clamp otch upwards Mobile, so that moving on the position of otch, thus the abdominal part in patient forms operative space, facilitate medical personnel to carry out handss Art, relatively existing pneumoperitoneum technology (being filled with carbon dioxide to the abdominal part of patient, thus forming operative space), need not be to patient's Abdominal part is filled with carbon dioxide, thus operation finish after without the side-effect problem considering caused by CO2 pneumoperitonium.In addition, Retractor retracts the enforcement that incision of abdominal wall is conducive to reconstruction of digestive tract.Be conducive to the later stage rehabilitation of patient on the whole.
Brief description
Fig. 1 is the structural representation of bracing frame;
Fig. 2 is the sectional view of column connecting piece part;
Fig. 3 is the schematic diagram of suspension arm and gear cooperation;
Fig. 4 is the enlarged drawing of part A in Fig. 1;
Fig. 5 is the top view of retractor;
Fig. 6 is the structural representation of the butterfly-shaped screw at the 3rd drag hook.
Wherein:1st, support post;2nd, support beam;3rd, elevating mechanism;
11st, fixation clamp;12nd, column connecting piece;13rd, set lever;
31st, shell;32nd, rocking bar;33rd, suspension arm;34th, hook point;35th, gear;
41st, the second montant;42nd, the first montant;43rd, the first cross bar;44th, the second cross bar;45th, the second drag hook;46th, first draw Hook;47th, the 3rd drag hook;48th, chute;49th, patchhole;50th, link.
Specific embodiment
Referring to Fig. 1-Fig. 6, the invention provides a kind of abdominal retractor, it includes two parts, bracing frame and retractor, leads Drive device to be detachably mounted on bracing frame, bracing frame can drive retractor to move up and down.
When actually used, first in one little otch of abdominal incision of patient, retractor struts this otch, recycles bracing frame It is lifted up retractor, retractor drives otch to move up, this makes it possible to the abdominal part in patient and form operative space.
It is respectively described below in relation to bracing frame and retractor:
With regard to bracing frame:
Referring to Fig. 1, support frame as described above includes support post 1, support beam 2 and elevating mechanism 3, and support post 1 vertically sets Put, support beam 2 is horizontally disposed with, the top of support post 1 is connected with one end of support beam 2, elevating mechanism 3 is arranged on support On crossbeam 2.
The lower end of support post 1 is connected with fixation clamp 11, and the downside of fixation clamp 11 offers chute, chute and operation table side Ram on side matches.Support post 1 can be by fixation clamp 11 in the cofree slip of ram, thus realizing adjusting whole The position of support.
Column connecting piece 12 is fixed with the side of fixation clamp 11, column connecting piece 12 offers the connection of up/down perforation Hole, connecting hole is matched with support post 1.Support post 1 and connecting hole cooperation, and connecting hole Feed-through is upper and lower, That is, support post 1 can pass through column connecting piece 12, thus realizing support post 1 in column connecting piece 12 freely up and down Slip, thus realizing adjusting the height height of support beam 2 (realize adjust) of support post 1.
Set lever 13 is fixed with the side wall of column connecting piece 12, the screw of set lever 13 passes through column connecting piece 12 Side wall and withstand connect in the hole support post 1, it is achieved thereby that support post 1 is fixed in column connecting piece 12.
Specifically it is simply that support post 1 be adjusted to suitable highly after, twist set lever 13 manually, just achieve The fixation of support post 1 position.
The upper end of described support post 1 is fixed with adapter sleeve, and the lower end of described adapter sleeve is set in described support post 1 Upper end, described support beam 2 is hinged on described adapter sleeve, and described adapter sleeve is fixed with block, described support beam 2 and institute The junction stating adapter sleeve is pin joint, interval setting in the horizontal direction between described pin joint and described block, and described During the upper plane contact of support beam 2 and described block, described support beam 2 is in horizontality.
Because support beam 2 is hinged on adapter sleeve, and adapter sleeve is set in the top of support post 1, then namely Say, support beam 2 can rotate with respect to support post 1, and considers the setting of block, turn to horizontal in support beam 2 During state, support beam 2 will be contacted with block, and now support beam 2 relies on pin joint and the support of block to achieve positioned at water Level state, thus realize suspension lifting mechanism 3 and the purpose of retractor.
And support beam 2 can relative support column 1 rotate, support beam 2 can be turned to vertical state, now support beam 2 and support post 1 be vertically arranged side by side, whole bracing frame effectively can be received, beneficial to sterilization and keeping.
Described elevating mechanism 3 includes lowering or hoisting gear and suspension arm 33, and described lowering or hoisting gear is slided with described support beam 2 and joins Close, described lowering or hoisting gear includes shell 31, rocking bar 32 and gear 35, described gear 35 is located in described shell 31, described rocking bar 32 are passed through described shell 31 and are connected with described gear 35, and the side of described suspension arm 33 is provided with tooth bar, on described suspension arm 33 Under run through described shell 31, and described tooth bar is engaged with described gear 35.
The work process of elevating mechanism 3 is shake rocking bar 32, and rocking bar 32 band moving gear 35 rotates, and gear 35 and tooth bar are joined Close, carry-over bar will be carried to move up and down, and tooth bar is arranged on the side of suspension arm 33, thus suspension arm just can be driven to transport about 33 Dynamic, and then the upper and lower position of retractor can be controlled.
With regard to retractor:
Described retractor includes traction frame and the drag hook being arranged on described traction frame, and described traction frame is fixed with link 50, the lower end of described suspension arm 33 is fixed with hook point 34, and the described point 34 that hooks is coordinated with described link 50.
Hook, on suspension arm 33, the links 50 that point 34 catches on retractor, thus realizing that retractor is dismountable with bracing frame to join Conjunction mode.
Described traction frame includes the first montant 42, the second montant 41, the first cross bar 43 and the second cross bar 44, and described first is horizontal Bar 43 and described second cross bar 44 horizontal Tile be arranged in parallel, and described first montant 42 and described second montant 41 horizontal Tile are put down Row setting, described first cross bar 43 is perpendicular to described first montant 42, the right side of described first cross bar 43 and described second cross bar 44 End is all connected with described first montant 42, and described second montant 41 is connected with two first sleeve, and described second montant 41 leads to Cross two described first sleeve to be socketed in respectively on described first cross bar 43 and described second cross bar 44;
The quantity of described drag hook is 3, the respectively first drag hook 46, the second drag hook 45 and the 3rd drag hook 47, described first Drag hook 46 is fixed on described first montant 42, and described second drag hook 45 is fixed on described second montant 41, and the described 3rd draws Hook 47 is fixed on described first cross bar 43 and described second cross bar 44;
The vertical chute of twice 48 is offered on the backboard of described 3rd drag hook 47, the bottom of described backboard is also fixed with two Individual the second sleeve pipe matching with described first cross bar 43 and described second cross bar 44 respectively;
Also include two butterfly-shaped screws, two described butterfly-shaped screws correspond to two this two described butterflies of described chute 48 respectively Shape screw be each passed through described chute 48 and pass through corresponding second sleeve pipe and with described first cross bar 43 or described second cross bar 44 lockings;
The top of two described butterfly-shaped screws is respectively and fixedly provided with described link 50.
Second montant 41 can slide on the first cross bar 43 and the second cross bar 44, and the second drag hook 45 on the second montant 41 can The first drag hook 46 on the first montant 42 moves in the horizontal, and the twice chute opening up on the backboard of the 3rd drag hook 47 48 so that the 3rd drag hook 47 can the first cross bar 43 and the second cross bar 44 slide relatively on the extending direction of the first montant 42, After the abdominal incision of patient, the first drag hook 46 catches on the right side of otch, and the second drag hook 45 catches on the left side of otch, the 3rd drag hook 47 Catch on the downside of otch, relative movement the first drag hook 46 and the 3rd drag hook 47, just can achieve and support scalloping purpose.Concrete operations Mode can refer to existing SANYE stomach wall self-retaining retractor, the working method of the retractor in the present invention and its working method class Seemingly, will not be described here.
Same one end of two described chutes 48 all expands formation patchhole 49.The setting of patchhole 49, facilitates retractor group The installation of butterfly-shaped screw during dress.

Claims (10)

1. a kind of abdominal retractor it is characterised in that:Support post and support beam, the top of described support post with described Support crossbeam connects, and described support beam is provided with elevating mechanism, the lower end of described elevating mechanism is dismountable to be connected with traction Device.
2. according to claim 1 a kind of for abdominal retractor it is characterised in that:The lower end of described support post connects There is fixation clamp, the downside of described fixation clamp offers chute, and described chute is matched with the ram on operation table side, described solid Column connecting piece is fixed with the side of clamp, described column connecting piece offers the connecting hole of up/down perforation, described connection Matched with described support post in hole, the side wall of described column connecting piece is fixed with set lever, the spiral shell of described set lever Silk passes through the side wall of described column connecting piece and withstands the described support post connecting in the hole, support post is fixed on described In column connecting piece.
3. a kind of abdominal retractor according to claim 1 it is characterised in that:The upper end of described support post is fixed with even Female connector, the lower end of described adapter sleeve is set in the upper end of described support post, and described support beam is hinged on described adapter sleeve, Block is fixed with described adapter sleeve, described support beam is pin joint with the junction of described adapter sleeve, described pin joint with Interval setting in the horizontal direction between described block, and during the upper plane contact of described support beam and described block, described Support beam is in horizontality.
4. a kind of abdominal retractor according to claim 1 it is characterised in that:Described elevating mechanism include lowering or hoisting gear and Suspension arm, described lowering or hoisting gear is slidably matched with described support beam, and described lowering or hoisting gear includes shell, rocking bar and gear, institute State gear and be located at described inside the shell, described rocking bar is passed through described shell and is connected with described gear, and the side of described suspension arm sets There is tooth bar, described suspension arm runs through described shell up and down, and described tooth bar is engaged with described gear.
5. a kind of abdominal retractor according to claim 4 it is characterised in that:Described retractor includes traction frame and setting Drag hook on described traction frame, described traction frame is fixed with link, and the lower end of described suspension arm is fixed with hook point, described hook Point and described link cooperation.
6. a kind of abdominal retractor according to claim 5 it is characterised in that:Described traction frame include the first montant, Two montants, the first cross bar and the second cross bar, described first cross bar and described second cross bar horizontal Tile be arranged in parallel, and described first Montant and described second montant horizontal Tile be arranged in parallel, and, perpendicular to described first montant, described first is horizontal for described first cross bar The right-hand member of bar and described second cross bar is all connected with described first montant, and described second montant is connected with two first sleeve, Described second montant is socketed on described first cross bar and described second cross bar respectively by two described first sleeve.
7. a kind of abdominal retractor according to claim 6 it is characterised in that:The quantity of described drag hook is 3, respectively First drag hook, the second drag hook and the 3rd drag hook, described first drag hook is fixed on described first montant, and described second drag hook is fixed On described second montant, described 3rd drag hook is fixed on described first cross bar and described second cross bar;
The vertical chute of twice offered on the backboard of described 3rd drag hook, the bottom of described backboard be also fixed with two respectively with The second sleeve pipe that described first cross bar and described second cross bar match.
8. a kind of abdominal retractor according to claim 7 it is characterised in that:Also include two butterfly-shaped screws, two institutes Corresponding this two described butterfly-shaped screws of two described chutes are each passed through described chute and pass through corresponding respectively to state butterfly-shaped screw Second sleeve pipe is simultaneously locked with described first cross bar or described second cross bar.
9. a kind of abdominal retractor according to claim 8 it is characterised in that:The top of two described butterfly-shaped screws is all solid Surely there is described link.
10. a kind of abdominal retractor according to claim 9 it is characterised in that:Two described chutes same one end equal Expand and form patchhole.
CN201610976970.4A 2016-11-07 2016-11-07 Abdominal retractor Active CN106377287B (en)

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CN201610976970.4A CN106377287B (en) 2016-11-07 2016-11-07 Abdominal retractor

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CN201610976970.4A CN106377287B (en) 2016-11-07 2016-11-07 Abdominal retractor

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CN106377287B CN106377287B (en) 2024-02-02

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109498079A (en) * 2018-12-18 2019-03-22 刘清元 A kind of thyroid gland Minimally Invasive Surgery builds chamber lifting hook device
CN110327085A (en) * 2019-07-12 2019-10-15 刘奎杰 A kind of abdominal operation ancillary equipment

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6342036B1 (en) * 2001-02-02 2002-01-29 Cheryl A. Cooper Self-retaining vaginal retractor
CN203089244U (en) * 2013-03-08 2013-07-31 薛英威 Abdomen minimally invasive retractor
CN103932744A (en) * 2014-04-18 2014-07-23 薛英威 Abdominal retractor
CN204394593U (en) * 2015-01-20 2015-06-17 应泳丽 Novel three-blade retractor
CN206518569U (en) * 2016-11-07 2017-09-26 薛英威 A kind of abdominal retractor

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6342036B1 (en) * 2001-02-02 2002-01-29 Cheryl A. Cooper Self-retaining vaginal retractor
CN203089244U (en) * 2013-03-08 2013-07-31 薛英威 Abdomen minimally invasive retractor
CN103932744A (en) * 2014-04-18 2014-07-23 薛英威 Abdominal retractor
CN204394593U (en) * 2015-01-20 2015-06-17 应泳丽 Novel three-blade retractor
CN206518569U (en) * 2016-11-07 2017-09-26 薛英威 A kind of abdominal retractor

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109498079A (en) * 2018-12-18 2019-03-22 刘清元 A kind of thyroid gland Minimally Invasive Surgery builds chamber lifting hook device
CN110327085A (en) * 2019-07-12 2019-10-15 刘奎杰 A kind of abdominal operation ancillary equipment
CN110327085B (en) * 2019-07-12 2022-03-29 刘奎杰 Auxiliary device for abdominal operation

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