CN106377287B - Abdominal retractor - Google Patents
Abdominal retractor Download PDFInfo
- Publication number
- CN106377287B CN106377287B CN201610976970.4A CN201610976970A CN106377287B CN 106377287 B CN106377287 B CN 106377287B CN 201610976970 A CN201610976970 A CN 201610976970A CN 106377287 B CN106377287 B CN 106377287B
- Authority
- CN
- China
- Prior art keywords
- supporting
- upright post
- cross rod
- rod
- fixed
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
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Links
- 230000003187 abdominal effect Effects 0.000 title claims description 5
- 239000000725 suspension Substances 0.000 claims description 16
- 210000001015 abdomen Anatomy 0.000 abstract description 16
- CURLTUGMZLYLDI-UHFFFAOYSA-N Carbon dioxide Chemical compound O=C=O CURLTUGMZLYLDI-UHFFFAOYSA-N 0.000 abstract description 14
- 208000005646 Pneumoperitoneum Diseases 0.000 abstract description 7
- 229910002092 carbon dioxide Inorganic materials 0.000 abstract description 7
- 239000001569 carbon dioxide Substances 0.000 abstract description 7
- 230000000694 effects Effects 0.000 abstract description 3
- 210000003815 abdominal wall Anatomy 0.000 description 3
- 230000009286 beneficial effect Effects 0.000 description 3
- 238000003780 insertion Methods 0.000 description 3
- 230000037431 insertion Effects 0.000 description 3
- 210000001035 gastrointestinal tract Anatomy 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 238000012084 abdominal surgery Methods 0.000 description 1
- 210000000232 gallbladder Anatomy 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 238000002324 minimally invasive surgery Methods 0.000 description 1
- 230000002611 ovarian Effects 0.000 description 1
- 238000004659 sterilization and disinfection Methods 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
Classifications
-
- 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
- A61B17/0281—Abdominal wall lifters
Landscapes
- 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 abdomen retractor, a supporting upright post and a supporting cross beam, wherein the top end of the supporting upright post is connected with the supporting cross beam, the lifting mechanism is arranged on the supporting beam, and the retractor is detachably connected with the lower end of the lifting mechanism. The invention can replace the existing pneumoperitoneum technology, can conveniently support an operation space on the abdomen of a human body, and does not need to charge carbon dioxide into the abdomen, so that the influence of side effects caused by carbon dioxide pneumoperitoneum is not required to be considered.
Description
Technical Field
The invention relates to an abdomen retractor, which belongs to medical auxiliary instruments.
Background
Currently abdominal surgery is evolving towards minimally invasive surgery using new surgical instruments (pneumoperitoneum, laparoscopes, ultrasonic knives, minimally invasive scissors, forceps, etc.) to reduce unnecessary trauma to the patient, some of which are appropriate, such as gallbladder surgery, ovarian surgery, etc. However, many operations are not suitable, such as long operation time, the digestive tract reconstruction after the focus is excised by operation needs to be completed by means of abdominal wall incision, the incision is large, the minimally invasive significance is lost, and the incision is small, so that the reconstruction is seriously difficult.
Disclosure of Invention
In order to solve the problems in the prior art, the invention provides an abdomen retractor which can replace the existing pneumoperitoneum technology, can conveniently prop up an operation space on the abdomen of a human body, and does not need to charge carbon dioxide into the abdomen, so that the problem of side effects caused by carbon dioxide pneumoperitoneum is not required to be considered.
The technical scheme provided by the invention is as follows:
the abdomen retractor comprises a supporting upright post and a supporting cross beam, wherein the top end of the supporting upright post is connected with the supporting cross beam, a lifting mechanism is arranged on the supporting cross beam, and the lower end of the lifting mechanism is detachably connected with the retractor.
Preferably, the lower extreme of support post is connected with the fixation clamp, the spout has been seted up to the downside of fixation clamp, the spout cooperatees with the ram on the operating table side, be fixed with the stand connecting piece on the side of fixation clamp, the connecting hole that link up from top to bottom has been seted up on the stand connecting piece, the connecting hole with the support post cooperatees, be fixed with locking handle on the lateral wall of stand connecting piece, locking handle's screw passes the lateral wall of stand connecting piece and withstands support post in the connecting hole, in order to fix the support post in the stand connecting piece.
The technical scheme is as follows: the upper end of the supporting upright post is fixedly provided with a connecting sleeve, the lower end of the connecting sleeve is sleeved at the upper end of the supporting upright post, the supporting beam is hinged to the connecting sleeve, a stop block is fixed on the connecting sleeve, the joint of the supporting beam and the connecting sleeve is a hinge point, the hinge point and the stop block are arranged at intervals in the horizontal direction, and when the supporting beam contacts with the upper plane of the stop block, the supporting beam is in a horizontal state.
Preferably, the lifting mechanism comprises a lifting device and a suspension arm, the lifting device is in sliding fit with the supporting beam, the lifting device comprises a shell, a rocker and a gear, the gear is located in the shell, the rocker penetrates through the shell and is connected with the gear, a rack is arranged on one side of the suspension arm, the suspension arm penetrates through the shell up and down, and the rack is meshed with the gear.
Preferably, the retractor comprises a traction frame and a drag hook arranged on the traction frame, a hanging ring is fixed on the traction frame, a hooking point is fixed at the lower end of the suspension arm, and the hooking point is matched with the hanging ring.
The traction frame comprises a first vertical rod, a second vertical rod, a first transverse rod and a second transverse rod, wherein the first transverse rod and the second transverse rod are horizontally arranged side by side in parallel, the first vertical rod and the second vertical rod are horizontally arranged side by side in parallel, the first transverse rod is perpendicular to the first vertical rod, the right ends of the first transverse rod and the second transverse rod are connected with the first vertical rod, two first sleeves are connected onto the second vertical rod, and the second vertical rod is sleeved on the first transverse rod and the second transverse rod through the two first sleeves respectively;
the number of the draw hooks is 3, namely a first draw hook, a second draw hook and a third draw hook, wherein the first draw hook is fixed on the first vertical rod, the second draw hook is fixed on the second vertical rod, and the third draw hook is fixed on the first cross rod and the second cross rod;
two vertical sliding grooves are formed in the backboard of the third drag hook, and two second sleeves respectively matched with the first cross rod and the second cross rod are also fixed at the lower part of the backboard;
the two butterfly screws respectively penetrate through the sliding grooves and the corresponding second sleeves respectively and are locked with the first cross rod or the second cross rod;
the hanging rings are fixed on the upper parts of the two butterfly screws.
The technical scheme is as follows: the same ends of the two sliding grooves are enlarged to form an inserting hole.
The invention has the beneficial effects that:
when in operation, the incision is opened on the abdomen of a patient by using the retractor, and because the retractor is integrally hung at the lower end of the lifting mechanism, the lifting mechanism is adjusted to drive the retractor to integrally move upwards, the retractor clamps the incision to move upwards, so that the incision position moves upwards, an operation space is formed on the abdomen of the patient, the operation is convenient for medical staff, compared with the existing pneumoperitoneum technology (carbon dioxide is filled into the abdomen of the patient to form an operation space), the carbon dioxide is not required to be filled into the abdomen of the patient, and the problem of side effects caused by carbon dioxide pneumoperitoneum is not required to be considered after the operation is finished. In addition, the retractor is beneficial to the implementation of digestive tract reconstruction by retracting the abdominal wall incision. Is beneficial to the whole the patient is recovered in the later period.
Drawings
FIG. 1 is a schematic structural view of a support frame;
FIG. 2 is a cross-sectional view of a portion of the column connector;
FIG. 3 is a schematic illustration of the suspension arm mated with a gear;
FIG. 4 is an enlarged view of portion A of FIG. 1;
fig. 5 is a top view of the retractor;
fig. 6 is a schematic view of the structure of the butterfly screw at the third retractor.
Wherein: 1. a support column; 2. a support beam; 3. a lifting mechanism;
11. a fixing clamp; 12. a column connector; 13. a locking handle;
31. a housing; 32. a rocker; 33. suspending the arm; 34. hooking points; 35. a gear;
41. a second vertical rod; 42. a first vertical rod; 43. a first cross bar; 44. a second cross bar; 45. first, the two (II) a drag hook; 46. a first drag hook; 47. a third drag hook; 48. a chute; 49. an insertion hole; 50. hanging rings.
Detailed Description
Referring to fig. 1-6, the present invention provides an abdomen retractor, which comprises two parts, a support frame and a retractor, wherein the retractor is detachably fixed on the support frame, and the support frame can drive the retractor to move up and down.
When the surgical operation device is in practical use, a small incision is firstly cut on the abdomen of a patient, the retractor is used for stretching the incision, then the supporting frame is used for lifting the retractor upwards, and the retractor drives the incision to move upwards, so that an operation space can be formed on the abdomen of the patient.
The following is described with respect to a support frame and a retractor, respectively:
regarding the support frame:
referring to fig. 1, the support frame comprises a support column 1, a support beam 2 and a lifting mechanism 3, wherein the support column 1 is vertically arranged, the support beam 2 is horizontally arranged, the top end of the support column 1 is connected with one end of the support beam 2, and the lifting mechanism 3 is arranged on the support beam 2.
The lower extreme of support column 1 is connected with fixation clamp 11, and the spout has been seted up to the downside of fixation clamp 11, and the spout cooperatees with the ram on the operating table side. The support upright 1 can freely slide on the ram through the fixing clamp 11, so that the position of the whole support frame can be adjusted.
The side of the fixing clamp 11 is fixed with a column connecting piece 12, the column connecting piece 12 is provided with a connecting hole which is penetrated up and down, and the connecting hole is matched with the supporting column 1. The support column 1 is fitted with the connection hole, and the connection hole penetrates up and down of the connection member, that is, the support column 1 can pass through the column connection member 12, thereby realizing free sliding of the support column 1 up and down on the column connection member 12, and thus realizing adjustment of the height of the support column 1 (realization of adjustment of the height of the support beam 2).
A locking handle 13 is fixed on the side wall of the upright post connecting piece 12, and a screw of the locking handle 13 penetrates through the side wall of the upright post connecting piece 12 and props against the supporting upright post 1 in the connecting hole, so that the supporting upright post 1 is fixed in the upright post connecting piece 12.
Specifically, after the support column 1 is adjusted to a proper height, the locking handle 13 is manually screwed, so that the position of the support column 1 is fixed.
The upper end of the support column 1 is fixedly provided with a connecting sleeve, the lower end of the connecting sleeve is sleeved at the upper end of the support column 1, the support beam 2 is hinged to the connecting sleeve, a stop block is fixed on the connecting sleeve, the joint of the support beam 2 and the connecting sleeve is a hinge point, the hinge point and the stop block are arranged at intervals in the horizontal direction, and the support beam 2 is in a horizontal state when the support beam 2 contacts with the upper plane of the stop block.
Because the supporting beam 2 is hinged on the connecting sleeve, and the connecting sleeve is sleeved on the top end of the supporting upright 1, namely, the supporting beam 2 can rotate relative to the supporting upright 1, and in consideration of the setting of the stop block, when the supporting beam 2 rotates to a horizontal state, the supporting beam 2 can be contacted with the stop block, and at the moment, the supporting beam 2 is in the horizontal state by virtue of the hinging point and the support of the stop block, so that the purposes of hanging the lifting mechanism 3 and the retractor are realized.
The supporting beam 2 can rotate relative to the supporting column 1, the supporting beam 2 can rotate to a vertical state, at the moment, the supporting beam 2 and the supporting column 1 are vertically arranged side by side, and the whole supporting frame can be effectively stored, so that disinfection and storage are facilitated.
The lifting mechanism 3 comprises a lifting device and a suspension arm 33, the lifting device is in sliding fit with the supporting beam 2, the lifting device comprises a shell 31, a rocker 32 and a gear 35, the gear 35 is located in the shell 31, the rocker 32 penetrates through the shell 31 and is connected with the gear 35, a rack is arranged on one side of the suspension arm 33, the suspension arm 33 penetrates through the shell 31 up and down, and the rack is meshed with the gear 35.
The working process of the lifting mechanism 3 is that the rocker 32 is rocked, the rocker 32 drives the gear 35 to rotate, the gear 35 is matched with the rack to drive the rack to move up and down, and the rack is arranged on one side of the suspension arm 33, so that the suspension arm 33 can be driven to move up and down, and the up and down position of the retractor can be controlled.
With respect to retractors:
the retractor comprises a traction frame and a drag hook arranged on the traction frame, a hanging ring 50 is fixed on the traction frame, a hooking point 34 is fixed at the lower end of the suspension arm 33, and the hooking point 34 is matched with the hanging ring 50.
The hook point 34 on the suspension arm 33 hooks the hanging ring 50 of the retractor, thereby realizing the detachable matching mode of the retractor and the supporting frame.
The traction frame comprises a first vertical rod 42, a second vertical rod 41, a first transverse rod 43 and a second transverse rod 44, wherein the first transverse rod 43 and the second transverse rod 44 are horizontally arranged side by side in parallel, the first vertical rod 42 and the second vertical rod 41 are horizontally arranged side by side in parallel, the first transverse rod 43 is perpendicular to the first vertical rod 42, the right ends of the first transverse rod 43 and the second transverse rod 44 are connected with the first vertical rod 42, two first sleeves are connected to the second vertical rod 41, and the second vertical rod 41 is sleeved on the first transverse rod 43 and the second transverse rod 44 respectively through the two first sleeves;
the number of the draw hooks is 3, namely a first draw hook 46, a second draw hook 45 and a third draw hook 47, wherein the first draw hook 46 is fixed on the first vertical rod 42, the second draw hook 45 is fixed on the second vertical rod 41, and the third draw hook 47 is fixed on the first transverse rod 43 and the second transverse rod 44;
the backboard of the third drag hook 47 is provided with two vertical sliding grooves 48, and the lower part of the backboard is also fixed with two second sleeves respectively matched with the first cross rod 43 and the second cross rod 44;
the two butterfly screws respectively correspond to the two sliding grooves 48, pass through the sliding grooves 48 and pass through the corresponding second sleeves and are locked with the first cross rod 43 or the second cross rod 44;
the hanging ring 50 is fixed on the upper parts of the two butterfly screws.
The second vertical rod 41 can slide on the first cross rod 43 and the second cross rod 44, the second draw hook 45 on the second vertical rod 41 can move transversely relative to the first draw hook 46 on the first vertical rod 42, and two slide grooves 48 are formed on the back plate of the third draw hook 47, so that the third draw hook 47 can slide relative to the first cross rod 43 and the second cross rod 44 in the extending direction of the first vertical rod 42, after the abdomen incision of the patient, the first draw hook 46 hooks the right side of the incision, the second draw hook 45 hooks the left side of the incision, the third draw hook 47 hooks the lower side of the incision, and the first draw hook 46 and the third draw hook 47 are moved relatively, so that the purpose of opening the incision can be achieved. The specific operation mode can refer to the existing three-leaf abdominal wall fixed retractor, and the working mode of the retractor is similar to that of the retractor, and is not repeated here.
The same ends of both the slide grooves 48 are enlarged to form insertion holes 49. The provision of the insertion holes 49 facilitates the mounting of the butterfly screw during assembly of the retractor.
Claims (3)
1. An abdominal retractor, characterized by: the device comprises a supporting upright post and a supporting cross beam, wherein the top end of the supporting upright post is connected with the supporting cross beam, a lifting mechanism is arranged on the supporting cross beam, and the lower end of the lifting mechanism is detachably connected with a retractor; the lifting mechanism comprises a lifting device and a suspension arm, and the lifting device is in sliding fit with the supporting cross beam; the retractor comprises a traction frame and a drag hook arranged on the traction frame, wherein the traction frame comprises a first vertical rod, a second vertical rod, a first cross rod and a second cross rod, the first cross rod and the second cross rod are horizontally arranged side by side in parallel, the first vertical rod and the second vertical rod are horizontally arranged side by side in parallel, the first cross rod is perpendicular to the first vertical rod, the right ends of the first cross rod and the second cross rod are connected with the first vertical rod, two first sleeves are connected to the second vertical rod, and the second vertical rod is sleeved on the first cross rod and the second cross rod respectively through the two first sleeves; a hanging ring is fixed on the traction frame, a hooking point is fixed at the lower end of the suspension arm, and the hooking point is matched with the hanging ring; the number of the draw hooks is 3, namely a first draw hook, a second draw hook and a third draw hook, wherein the first draw hook is fixed on the first vertical rod, the second draw hook is fixed on the second vertical rod, and the third draw hook is fixed on the first cross rod and the second cross rod; two vertical sliding grooves are formed in the backboard of the third drag hook, and two second sleeves respectively matched with the first cross rod and the second cross rod are also fixed at the lower part of the backboard; the two butterfly screws respectively penetrate through the sliding grooves and the corresponding second sleeves respectively and are locked with the first cross rod or the second cross rod; the hanging rings are fixed on the upper parts of the two butterfly screws; the same ends of the two sliding grooves are enlarged to form an inserting hole;
the lower end of the supporting upright post is connected with a fixing clamp, the lower side of the fixing clamp is provided with a chute, the chute is matched with a ram on the side edge of the operating table, the side edge of the fixing clamp is fixedly provided with an upright post connecting piece, the upright post connecting piece is provided with a connecting hole which is penetrated up and down, the connecting hole is matched with the supporting upright post, a locking handle is fixed on the side wall of the upright post connecting piece, and a screw of the locking handle penetrates through the side wall of the upright post connecting piece and props against the supporting upright post in the connecting hole so as to fix the supporting upright post in the upright post connecting piece.
2. An abdominal retractor according to claim 1 wherein: the upper end of the supporting upright post is fixedly provided with a connecting sleeve, the lower end of the connecting sleeve is sleeved at the upper end of the supporting upright post, the supporting beam is hinged to the connecting sleeve, a stop block is fixed on the connecting sleeve, the joint of the supporting beam and the connecting sleeve is a hinge point, the hinge point and the stop block are arranged at intervals in the horizontal direction, and when the supporting beam contacts with the upper plane of the stop block, the supporting beam is in a horizontal state.
3. An abdominal retractor according to claim 1 wherein: the lifting device comprises a shell, a rocker and a gear, wherein the gear is positioned in the shell, the rocker penetrates through the shell and is connected with the gear, a rack is arranged on one side of the suspension arm, the suspension arm penetrates through the shell up and down, and the rack is meshed with the gear.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610976970.4A CN106377287B (en) | 2016-11-07 | 2016-11-07 | Abdominal retractor |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610976970.4A CN106377287B (en) | 2016-11-07 | 2016-11-07 | Abdominal retractor |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN106377287A CN106377287A (en) | 2017-02-08 |
| CN106377287B true CN106377287B (en) | 2024-02-02 |
Family
ID=57956843
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201610976970.4A Active CN106377287B (en) | 2016-11-07 | 2016-11-07 | Abdominal retractor |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN106377287B (en) |
Families Citing this family (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110327085B (en) * | 2019-07-12 | 2022-03-29 | 刘奎杰 | Auxiliary device for abdominal operation |
Citations (5)
| 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 |
-
2016
- 2016-11-07 CN CN201610976970.4A patent/CN106377287B/en active Active
Patent Citations (5)
| 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 |
Also Published As
| Publication number | Publication date |
|---|---|
| CN106377287A (en) | 2017-02-08 |
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