A kind of retractor for heart is fixed and supervising device
Technical field
The present invention relates to a kind of technical field of medical instruments, fixed more particularly, to a kind of retractor for heart and supervising device.
Background technology
It is to develop and popularize a kind of Cardiac operation with mini-trauma mode faster in recent years through the small otch mitral valve surgery of right chest.
Such operation in, how clearly, reliably exposure bicuspid valve be operation can safely, success implement key.At present, two are exposed
Retractor for heart device needed for cusp is external import product, not only high price(Generally more than 250,000 yuan), in Clinical practice
In also there is clearly disadvantageous and inconvenience, it is specific as follows:1. the pull bar of connection atrial septum supporting plate needs separately individually to be beaten in the wall of the chest
Hole could be connected with atrial septum supporting plate, increased operation wound and operating time, and increasing damage intercostal arteries causes to measure greatly
Blood and the risk of infection.2. pull bar is determined with the angle state of atrial septum supporting plate(90 degree)Or adjustable extent is smaller, bicuspid valve is limited
Exposure range and definition, increase operating difficulty and operating time.3. need the component of dismounting more(Usual 4-8 parts),
Extend the difficulty of operating time and keeping and cleaning.4. because visual area is deeper, lack to visual area clearly reliably monitoring and
Storage system is shot with video-corder, is unfavorable for the requirement such as operation safety and teaching and scientific research and summary if necessary to surgical procedure, memory.
Clinically the wall of the chest can be avoided easily to be in place by separately punching in the urgent need to one kind, pull bar and atrial septum
The angle of supporting plate it is interior adjustable in a big way and with visual area is shown, is shot with video-corder storage etc. function retractor for heart fix with monitoring
Device.
The content of the invention
The present invention mainly solves to have that operation wound is big, difficulty is high, the time is long using existing retractor for heart device, maintenance
Difficulty, and lack the problem of picture control and record, there is provided one kind avoids easily being placed into by separately being punched on the wall of the chest
Position, the angle of pull bar and atrial septum supporting plate are interior adjustable in a big way and with the heart that the functions such as storage are shown, shot with video-corder to visual area
Dirty drag hook is fixed and supervising device.
Above-mentioned technical problem of the invention is mainly what is be addressed by following technical proposals:A kind of retractor for heart is fixed
And supervising device, including elastic body mechanism can be carried out, supporting plate is hinged with the movable end of body mechanism, in body machine
It is provided with structure and adjusts the angle adjusting mechanism of supporting plate pendulum angle manually in rear end, body mechanism stationary end is connected with and will be responsible for
Fixed fixed support.Pallet is used to hold heart in the present invention, and body mechanism is adjusted to tray position, and in body machine
Structure rear end is adjusted by governor motion to pallet angle, and fixed support continues solid after pallet holds heart to whole device
It is fixed.With such inlet device for clinically using at present, compare, the present invention can more reduce operation wound and operating time, operation
More convenient reliability, clear adjustable, device the keeping of visual field exposure and more convenient, the visual visual area monitoring system of cleaning are more
Operation safety is can guarantee that, facilitates teaching and scientific research.And heart is held manually compared to conventionally employed pliers, operation requires high, operation
Inconvenience, pole consumption operating personnel's muscle power can produce vibration, and the problem that influence operation is carried out, the present invention operates simpler, energy
It is adjusted according to different building shape human body, holding heart can more stablize.
Used as a kind of preferred scheme, the body mechanism includes adjustable pipe and threaded rod, is rotated on adjustable pipe rear end and connected
Adjusting set is connected to, threaded rod is penetrated in adjustable pipe rear end, stopper slot is provided with along its length on threaded rod surface, in activity
The limited block being engaged with stopper slot is provided with pipe madial wall, is provided with the adjusting set madial wall and threaded rod surface
The screw thread that screw thread is engaged.Stopper slot and limited block play position-limiting action in this programme, prevent adjustable pipe from being sent out during advance
Raw rotation.Adjusting set is rotated in place on adjustable pipe rear end, then screw thread drive threaded rod carries out stretching motion.This programme is realized
Length adjustment, to be useful on different building shape human body.
Used as a kind of preferred scheme, the governor motion includes the regulation pipe being arranged in threaded rod, and screw thread rod rear end sets
Pedestal is equipped with, regulation pipe is rotatably arranged in pedestal, and regulation pipe exposes present external formation adjustment portion through pedestal rear end,
Adjusting rod is provided with the adjustable pipe, adjusting rod is penetrated in adjusting rod and rotated with adjusting rod and is engaged, before adjustable pipe is interior
End is fixed with nut, and adjusting rod is connected through nut with nut thread, and the front end of adjusting rod is provided with card ball, the adjustable pipe
Front end is provided with U-shaped free bearing, and being provided with hinge head on supporting plate is hinged in free bearing, the small inner chamber in opening is provided with hinge head big
Draw-in groove, card ball is entrapped in draw-in groove.This programme can drive adjusting rod to move forward and backward by rotation regulating pipe, and adjusting rod pushes hinge head
So that hinge head is rotated around pin joint, so as to realize the control to supporting plate angle.Regulation pipe original place in threaded rod rotates, adjusting rod
It is combined by card key with regulation pipe, regulation pipe is rotated and drives adjusting rod to rotate, and adjusting rod can be moved forward and backward in regulation pipe.
As a kind of preferred scheme, a circle swivelling chute is provided with the activity pipe outer wall, is set in the adjusting set
There is a circle raised line, adjusting set is enclosed within the rear end of adjustable pipe, and raised line is embedded in swivelling chute, and work is also extended in adjusting set rear end
Outside dynamic pipe rear end, the screw thread is arranged on the inwall of adjusting set extension, and screw thread is connected with threaded rod screw thread.
Used as a kind of preferred scheme, the fixed support is connected on pedestal, and fixed support is mutually fixed with operating table.We
Case causes that device is integrally attached on operating table, and without manually holding in the palm always, alleviates operating personnel's consumption, also causes device
More consolidate.
As a kind of preferred scheme, camera is installed on tray bottom, body mechanism rear end is provided with display screen,
Camera circuit is connected on display screen by after body mechanism.This programme also add shoot function, and camera is located at pallet
Bottom, can shoot, and shown on the display screen of device rear end so that operating personnel to pallet lower section surgery location
Can understand and see surgery location clearly, more favorably there is the carrying out of operation.
Used as a kind of preferred scheme, the regulation pipe internal holes are hexagonal configuration, and the adjusting rod is shaped as and regulation pipe
The hexagonal configuration that internal hole shape is engaged.Adjusting rod is fastened with regulation pipe by shape, and regulation pipe is rotated and drives adjusting rod
Rotate, and adjusting rod can be moved forward and backward in regulation pipe.
It is present to be provided with rotation slot in vivo as a kind of preferred scheme, a circle is provided with regulation pipe outer wall and is rotated
The rotation convex edge that groove coordinates, rotation convex edge is embedded in rotation slot.This programme causes that regulation pipe original place on pedestal rotates.
Therefore, it is an advantage of the invention that:Pallet is used to hold heart, and body mechanism is adjusted to tray position, and
Body mechanism rear end is adjusted by governor motion to pallet angle, and fixed support is after pallet holds heart to whole device
Continue to fix.Operation is simpler, can be adjusted according to different building shape human body, and holding heart can more stablize.
Brief description of the drawings
Fig. 1 is a kind of structure cut-away view of the invention;
Fig. 2 is a kind of structural representation that pallet is hinged with adjustable pipe in the present invention;
Fig. 3 is the mplifying structure schematic diagram at A in accompanying drawing 1;
Fig. 4 is B-B direction structure sectional view in accompanying drawing 3;
Fig. 5 be in accompanying drawing 3 C-C to structure sectional view;
Fig. 6 is a kind of positive structure diagram of threaded rod termination in the present invention.
1- supporting plate 2- adjustable pipe 3- screwed pipe 4- regulation pipe 5- adjusting rod 6- adjusting set 8- card balls 9-
Pedestal 10- display screen 11- camera 12- swivelling chute 13- raised line 14- screw thread 15- hinge head 16- limited blocks
17- stopper slot 18- fixed support 19- nuts.
Specific embodiment
Below by embodiment, and with reference to accompanying drawing, technical scheme is described in further detail.
Embodiment:
A kind of retractor for heart of the present embodiment is fixed and supervising device, as shown in figure 1, including that can carry out elastic body machine
Structure, is hinged with supporting plate 1 on the movable end of body mechanism, be provided with body mechanism and adjust supporting plate pendulum angle manually in rear end
Angle adjusting mechanism, body mechanism stationary end is connected with will be responsible for fixed fixed support 18.
As shown in figure 1, body mechanism includes adjustable pipe 2 and threaded rod 3, rotatable connection has adjusting set on adjustable pipe rear end
6, threaded rod is penetrated in adjustable pipe by adjustable pipe rear end.As shown in Figure 3 and Figure 4, set along its length on threaded rod surface
Limited location groove 17, is provided with the limited block 16 being engaged with stopper slot on adjustable pipe madial wall.
As shown in figure 3, being provided with a circle swivelling chute 12 in activity pipe outer wall, a circle raised line 13 is provided with adjusting set,
Adjusting set is enclosed within the rear end of adjustable pipe, and raised line is embedded in swivelling chute, and adjusting set rear end is also extended outside adjustable pipe rear end,
As shown in Figure 3 and Figure 5, it is provided with screw thread 14 on the inwall of adjusting set extension, the screw thread phase on screw thread and threaded rod outer wall
Engagement.
Angle adjusting mechanism includes the regulation pipe 4 being arranged in threaded rod, and screw thread rod rear end is provided with pedestal 9, in pedestal
Rotation slot is inside provided with, the rotation convex edge that a circle coordinates with rotation slot is provided with regulation pipe outer wall, rotation convex edge is embedded in
In rotation slot so that regulation pipe is rotatably arranged in pedestal.Expose present external formation adjustment portion through pedestal in regulation pipe rear end.
Adjusting rod 5 is provided with adjustable pipe, adjusting rod is penetrated in adjusting rod, as shown in fig. 6, the internal holes of regulation pipe are shaped as six
Angular shape, adjusting rod is shaped as the hexagonal configuration being engaged with regulation pipe inside hole shape, rear shape in adjusting rod insertion regulation pipe
It is connected into rotation.Nut 19 is fixed with adjustable pipe Inner Front End, adjusting rod is connected through nut with nut thread.In adjusting rod
Front end be provided with card ball 8, as shown in Fig. 2 adjustable pipe front end is provided with U-shaped free bearing 14, hinge head 15 is provided with supporting plate, cut with scissors
Head is hinged in free bearing, and the big draw-in groove 7 in the small inner chamber in opening is provided with hinge head, and card ball is entrapped in draw-in groove.
Specific embodiment described herein is only to the spiritual explanation for example of the present invention.Technology neck belonging to of the invention
The technical staff in domain can be made various modifications or supplement to described specific embodiment or be replaced using similar mode
Generation, but without departing from spirit of the invention or surmount scope defined in appended claims.
Fixed support 18 is connected on pedestal, and fixed support is mutually fixed with operating table.
For the ease of being observed in operation, camera 11 is installed on tray bottom, is provided with body mechanism rear end aobvious
Display screen 10, camera circuit is connected on display screen by after body mechanism.
Although more having used the terms such as supporting plate, adjustable pipe, screwed pipe, regulation pipe, adjusting rod herein, it is not precluded from
Use the possibility of other terms.It is used for the purpose of more easily describing and explaining essence of the invention using these terms;
They are construed to any additional limitation and are all disagreed with spirit of the present invention.