A kind of retractor for heart is fixed and monitoring device
Technical field
The present invention relates to a kind of the field of medical instrument technology, fixed more particularly, to a kind of retractor for heart and monitoring device.
Background technique
It is to develop and popularize a kind of faster Cardiac operation with mini-trauma mode in recent years through right chest small notch mitral valve surgery.?
Such operation in, how clearly, reliably expose bicuspid valve be the key that operation can safely, success implement.Currently, exposure two
Retractor for heart device needed for cusp is external imported product, not only high price (usually at 250,000 yuan or more), in clinical use
In there is also clearly disadvantageous and inconvenient, specific as follows: the pull rod needs for 1. connecting atrial septum supporting plate are separately individually beaten in the wall of the chest
Hole could be connect with atrial septum supporting plate, increase operation wound and operating time, and increasing damage intercostal arteries causes to measure greatly
The risk of blood and infection.2. pull rod and the angle state fixed (90 degree) of atrial septum supporting plate or adjustable extent are smaller, bicuspid valve is limited
Exposure range and clarity, increase operating difficulty and operating time.3. the component for needing to dismantle is more (usual 4-8 part),
Extend the difficulty of operating time and keeping and cleaning.4. since visual area is deeper, lack to visual area clearly reliably monitoring and
Storage system is shot with video-corder, is unfavorable for operation safety and teaching and scientific research and when necessary to the requirement such as the summary of surgical procedure, memory.
Clinically there is an urgent need to one kind can be avoided the wall of the chest separately punch be convenient to be in place, pull rod and atrial septum
The angle of supporting plate is adjustable in a big way and has the retractor for heart for showing to visual area, shooting with video-corder the functions such as storage fixed and monitoring
Device.
Summary of the invention
The present invention mainly solves that there are operation wounds is big, difficulty is high, the time is long, maintenance using existing retractor for heart device
Difficulty, and the problem of lack picture control and record, it provides one kind and separately punching is avoided on the wall of the chest to be convenient to be placed into
The angle of position, pull rod and atrial septum supporting plate is adjustable in a big way and has the heart for showing to visual area, shooting with video-corder the functions such as storage
Dirty drag hook is fixed and monitoring device.
Above-mentioned technical problem of the invention is mainly to be addressed by following technical proposals: a kind of retractor for heart is fixed
And monitoring device is hinged with supporting plate on the movable end of tube body mechanism, in tube body machine including can be carried out elastic tube body mechanism
It is provided in structure and manually adjusts the angle adjusting mechanism of supporting plate swing angle in rear end, tube body mechanism stationary end is connected with and will be responsible for
Fixed fixation bracket.Pallet is for holding heart in the present invention, and tray position is adjusted in tube body mechanism, and in tube body machine
Structure rear end is adjusted pallet angle by regulating mechanism, and fixed bracket continues whole device after pallet holds heart solid
It is fixed.It with such inlet device clinically used at present, compares, the present invention more can be reduced operation wound and operating time, operation
More convenient reliable, clear adjustable, device the keeping of visual field exposure and more convenient, the visual visual area monitoring system of cleaning are more
It can guarantee operation safety, facilitate teaching and scientific research.And heart, high operation requirements, operation are held manually compared to conventionally employed pliers
Inconvenience, pole consume operator's physical strength, can generate trembling, influence the problem of operation carries out, operation of the present invention is simpler, energy
It is adjusted according to different building shape human body, holding heart can be more stable.
As a preferred embodiment, the tube body mechanism includes adjustable pipe and threaded rod, rotates and connects on adjustable pipe rear end
It is connected to adjusting set, threaded rod penetrates in adjustable pipe rear end, limiting slot is provided with along its length on threaded rod surface, in activity
It is provided with the limited block matched with limiting slot on pipe inner sidewall, is provided on the adjusting set inner sidewall and threaded rod surface
The screw thread that screw thread matches.Limiting slot and limited block play position-limiting action in this programme, prevent adjustable pipe from sending out during advance
Raw rotation.Adjusting set rotates in place on adjustable pipe rear end, then screw thread drives threaded rod to carry out stretching motion.This programme realizes
Length adjustment, to be useful on different building shape human body.
As a preferred embodiment, the regulating mechanism includes the regulation pipe being arranged in threaded rod, and screw thread rod rear end is set
It is equipped with pedestal, regulation pipe is rotatably arranged in pedestal, and regulation pipe passes through pedestal rear end and exposes present external formation adjustment portion,
Adjusting rod is provided in the adjustable pipe, adjusting rod is penetrated in adjusting rod and matched with adjusting rod rotation, before adjustable pipe is interior
End is fixed with nut, and adjusting rod passes through nut and connect with nut thread, and the front end of adjusting rod is provided with card ball, the adjustable pipe
Front end is equipped with U-shaped free bearing, is provided with hinge head on supporting plate and is hinged in free bearing, and it is big that opening small inner cavity is provided in hinge head
Card slot, card ball are entrapped in card slot.This programme can drive adjusting rod to be moved forward and backward by rotation regulating pipe, and adjusting rod pushes hinge head
So that hinge head is rotated around hinge joint, to realize the control to supporting plate angle.Regulation pipe original place in threaded rod rotates, adjusting rod
It is combined with regulation pipe by card key, regulation pipe rotation drives adjusting rod rotation, and adjusting rod can be moved forward and backward in regulation pipe.
As a preferred embodiment, it is provided with a circle swivelling chute in the activity pipe outer wall, be arranged in the adjusting set
There is a circle raised line, adjusting set covers on 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 inner wall of adjusting set extension, and screw thread is connected with threaded rod screw thread.
As a preferred embodiment, the fixed bracket is connected on pedestal, and fixed bracket is mutually fixed with operating table.We
Case is integrally attached to device on operating table, without manually holding in the palm always, operator's consumption is alleviated, but also device
It is more firm.
As a preferred embodiment, camera is installed on tray bottom, tube body mechanism rear end is provided with display screen,
Camera route is connected on display screen after passing through tube body mechanism.This programme also adds shooting function, and camera is located at pallet
Bottom can shoot surgery location below pallet, and be shown on the display screen of device rear end, so that operator
It can understand and see surgery location clearly, more favorably there is the progress of operation.
As a preferred embodiment, the regulation pipe internal holes are hexagonal configuration, and the adjusting rod-shape is and regulation pipe
The hexagonal configuration that internal hole shape matches.Adjusting rod and regulation pipe are fastened by shape, and regulation pipe rotation drives adjusting rod
Rotation, and adjusting rod can be moved forward and backward in regulation pipe.
As a preferred embodiment, it is present and is provided with rotation slot in vivo, a circle and rotation are provided on adjusting pipe outer wall
The rotation convex edge of slot cooperation, rotation convex edge are embedded in rotation slot.This programme rotates regulation pipe original place on pedestal.
Therefore, the invention has the advantages that pallet is for holding heart, tray position is adjusted in tube body mechanism, and
Tube body mechanism rear end is adjusted pallet angle by regulating mechanism, and fixed bracket is after pallet holds heart to whole device
Continue to fix.It operates simpler, can be adjusted according to different building shape human body, holding heart can be more stable.
Detailed description of the invention
Attached drawing 1 is a kind of structure cut-away view of the invention;
Attached drawing 2 is a kind of structural schematic diagram of pallet and adjustable pipe hingedly in the present invention;
Attached drawing 3 is the enlarged structure schematic diagram in attached drawing 1 at A;
Attached drawing 4 is B-B direction structure sectional view in attached drawing 3;
Attached drawing 5 be in attached drawing 3 C-C to structure sectional view;
Attached drawing 6 is a kind of positive structure diagram of threaded rod end in the present invention.
1- supporting plate 2- adjustable pipe 3- screwed pipe 4- regulation pipe 5- adjusting rod 6- adjusting set 8- card ball 9-
Pedestal 10- display screen 11- camera 12- swivelling chute 13- raised line 14- screw thread 15- hinge head 16- limited block
17- limiting slot 18- fixes bracket 19- nut.
Specific embodiment
Below with reference to the embodiments and with reference to the accompanying drawing the technical solutions of the present invention will be further described.
Embodiment:
A kind of retractor for heart of the present embodiment is fixed and monitoring device, as shown in Figure 1, including that can be carried out elastic tube body
Mechanism is hinged with supporting plate 1 on the movable end of tube body mechanism, is provided in tube body mechanism and manually adjusts supporting plate angle of oscillation in rear end
The angle adjusting mechanism of degree, tube body mechanism stationary end are connected with the fixation bracket 18 that supervisor is fixed.
As shown in Figure 1, tube body mechanism includes adjustable pipe 2 and threaded rod 3, rotation is connected with 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, it is arranged along its length on threaded rod surface
There is limiting slot 17, the limited block 16 matched with limiting slot is provided on adjustable pipe inner sidewall.
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 in adjusting set,
Adjusting set covers on 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, screw thread 14, screw thread and the screw thread phase on threaded rod outer wall are provided on the inner wall of adjusting set extension
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
It is inside provided with rotation slot, the rotation convex edge of a circle and rotation slot cooperation is provided on adjusting pipe outer wall, rotation convex edge is embedded in
In rotation slot, so that regulation pipe is rotatably arranged in pedestal.Regulation pipe rear end passes through pedestal and exposes present external formation adjustment portion.
Adjusting rod 5 is provided in adjustable pipe, adjusting rod penetrates in adjusting rod, as shown in fig. 6, the inside hole shape of regulation pipe is six
Angular shape, adjusting rod-shape is the hexagonal configuration matched with hole shape inside regulation pipe, shape after adjusting rod is inserted into regulation pipe
It is connected at rotation.It is fixed with nut 19 in adjustable pipe Inner Front End, adjusting rod passes through nut and connect with nut thread.In adjusting rod
Front end be provided with card ball 8, as shown in Fig. 2, adjustable pipe front end be equipped with U-shaped free bearing 14, hinge head 15 is provided on supporting plate, cut with scissors
Head is hinged in free bearing, and the big card slot 7 in small inner cavity that is open is provided in hinge head, and card ball is entrapped in card slot.
Specific embodiment described herein is only an example for the spirit of the invention.The neck of technology belonging to the present invention
The technical staff in domain can make various modifications or additions to the described embodiments or replace by a similar method
In generation, however, it does not deviate from the spirit of the invention or beyond the scope of the appended claims.
Fixed bracket 18 is connected on pedestal, and fixed bracket is mutually fixed with operating table.
For the ease of being observed in operation, camera 11 is installed on tray bottom, is provided in tube body mechanism rear end aobvious
Display screen 10, camera route are connected on display screen after passing through tube body mechanism.
Although the terms such as supporting plate, adjustable pipe, screwed pipe, regulation pipe, adjusting rod are used more herein, it is not precluded
A possibility that using other terms.The use of these items is only for be more convenient to describe and explain essence of the invention;?
They, which are construed to any additional limitation, is disagreed with spirit of that invention.