CN109044622A - A kind of Endoscopic ear surgery bracket - Google Patents
A kind of Endoscopic ear surgery bracket Download PDFInfo
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- CN109044622A CN109044622A CN201811054607.2A CN201811054607A CN109044622A CN 109044622 A CN109044622 A CN 109044622A CN 201811054607 A CN201811054607 A CN 201811054607A CN 109044622 A CN109044622 A CN 109044622A
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- support
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F11/00—Methods or devices for treatment of the ears or hearing sense; Non-electric hearing aids; Methods or devices for enabling ear patients to achieve auditory perception through physiological senses other than hearing sense; Protective devices for the ears, carried on the body or in the hand
- A61F11/20—Ear surgery
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/50—Supports for surgical instruments, e.g. articulated arms
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- Endoscopes (AREA)
Abstract
The invention belongs to medical instruments fields, and in particular to a kind of Endoscopic ear surgery bracket, including pedestal, pedestal are equipped with endoscope support；Endoscope support includes telescopic tube-in-tube structure, and the telescopic end of tube-in-tube structure is connected with bracket, is rotatably connected on bracket and horizontally rotates structure；Pedestal is equipped with the accommodating chamber matched with endoscope support, is rotatably connected to the rotation axis being connected with tube-in-tube structure in accommodating chamber；The middle of the base is equipped with the fixed chamber matched with tube-in-tube structure, and fixed chamber is connected with accommodating chamber；Accommodating chamber bottom is equipped with chute of base, and tube-in-tube structure bottom end is equipped with the first sliding block matched with chute of base；Horizontally rotate structure and is connected with fine tuning section structure far from one end of bracket；Finely tuning section structure includes up and down adjustment room, and horizontal adjustment bracket is slidably connected on up and down adjustment room, and horizontal adjustment bracket is equipped with scope fixing sleeve, and present invention mainly solves endoscopic surgery brackets to adjust difficult problem at a distance from patient ear when in use.
Description
Technical field
The invention belongs to medical instruments fields, are related to a kind of surgical stent, and in particular to a kind of Endoscopic ear surgery bracket.
Background technique
Endoscopic ear surgery holds scope by medical staff's left hand, and the right hand, which is held surgical instrument and operated, to carry out operation to patient and control
It treats.In the actual operation process, since medical staff needs to hold scope fatigue for a long time, hand the feelings shaken can occur because of fatigue
Condition causes surgical field of view unintelligible, influences medical staff to the therapeutic effect of patient, increases the labor intensity of medical staff.Separately
Outer medical staff is inconvenient during operating with, and not only making patients bear, while also giving the clinical position of medical staff
Bring many hidden danger；Since operative doctor needs a hand handle to hold endotoscpe, therefore it only has a hand to be able to carry out other hands
Art operation, and one-handed performance has many limitations, and when needing both hands to operate, doctor often relies on assistant Lai Chijing, and cures
Communication, coordination between raw and assistant are also a problem.
Existing endoscopic surgery bracket when in use, since the head position of patient is different, leads to the three of the ear of patient
It is also not identical to tie up position location, in operation, it is solid can only significantly to adjust scope by adjusting horizontal and vertical bracket
The position of fixed set and patient ear, increases the labor intensity of medical staff, and inconvenient easily damages to patient.
Summary of the invention
A kind of the purpose of the present invention is to provide structures Endoscopic ear surgery bracket simple, easy to use, mainly solves
The difficult problem of adjusting of the endoscopic surgery bracket when in use at a distance from patient ear.
To achieve the above object, the invention adopts the following technical scheme: a kind of Endoscopic ear surgery bracket, including pedestal, bottom
Seat is equipped with endoscope support；The endoscope support includes telescopic tube-in-tube structure, and the telescopic end of tube-in-tube structure is connected with
Bracket is rotatably connected on bracket and horizontally rotates structure；The pedestal is equipped with the accommodating chamber matched with endoscope support, interior
In the foldable installation to accommodating chamber of mirror support frame, the rotation axis being connected with tube-in-tube structure is rotatably connected in accommodating chamber；It is described
The middle of the base is equipped with the fixed chamber matched with tube-in-tube structure, and fixed chamber is connected with accommodating chamber；The accommodating chamber bottom is equipped with
Chute of base, tube-in-tube structure bottom end are equipped with the first sliding block matched with chute of base, and accommodating chamber side wall is equipped with and rotation axis phase
The rotation axis slideway of cooperation, fixed chamber two sides are equipped with the fastening screw matched with rotation axis；It is described that horizontally rotate structure separate
One end of bracket is connected with fine tuning section structure；The fine tuning section structure includes and horizontally rotates the one end of structure far from bracket (6)
Affixed up and down adjustment room, horizontal adjustment bracket is slidably connected on up and down adjustment room, and horizontal adjustment bracket is solid equipped with scope
Fixed set, scope fixing sleeve are equipped with scope fixing screws corresponding with scope.
Compared with prior art, the invention has the following advantages:
1, in the use of the present invention, by using first sleeve, extensible member, first support etc. to the three-dimensional of endoscope support
Rough adjusting is carried out, more careful adjusting is carried out using the internal mirror support frame of fine tuning section structure, makes the present invention in operation
Enhanced convenience reduces the labor intensity of medical staff, images scope to patient ear more clear, improves medical staff
To the therapeutic effect of patient；And it is to manually adjust that section structure is finely tuned in the present invention, medical staff can be internal according to clinical experience
Mirror is adjusted, and improves medical staff to the therapeutic effect of patient.
2, the present invention is after use, by rotating to extensible member, the first support, the second support and third support
It folds, first sleeve, second sleeve, 3rd sleeve sliding is shunk, endoscope support is folded in accommodating chamber, scope branch is made
Support can be carried out effectively preservation when not used, and endoscope support damages caused by preventing because of other situations, improve of the invention
Service life；It is slid into when in use by rotation axis, the first sliding block along rotation axis slideway and transfer block slideway, chute of base solid
Fixed interior makes the fulcrum of endoscope support portion in the base, improves the stability that endoscope support uses.
Detailed description of the invention
Fig. 1 is the structural schematic diagram of use state of the present invention；
Fig. 2 is use state top view of the invention；
Fig. 3 is the structural schematic diagram of folded state of the present invention；
Fig. 4 is the structural schematic diagram of pedestal in the present invention；
Fig. 5 is the structural schematic diagram that section structure is finely tuned in the present invention；
Fig. 6 is the main view that section structure is finely tuned in the present invention；
The sectional view that Fig. 7 is C-C in Fig. 6 in the present invention；
Fig. 8 is the rearview that section structure is finely tuned in the present invention；
Fig. 9 is the right view that section structure is finely tuned in the present invention；
Figure 10 is the structural schematic diagram of first sleeve structure in the present invention；
Figure 11 is the main view of first sleeve structure in the present invention；
The sectional view that Figure 12 is A-A in Figure 11 in the present invention；
The main view of second sleeve structure in Figure 13 present invention；
The sectional view that Figure 14 is B-B in Figure 13 in the present invention；
Figure 15 is the main view that device is fixed in the present invention；
Figure 16 is the bottom view that device is fixed in the present invention；
Figure 17 is the structural schematic diagram of bracket in the present invention；
Figure 18 is the main view of extensible member in the present invention；
The sectional view that Figure 19 is D-D in Figure 18 in the present invention；
In figure: 1, pedestal, 101, accommodating chamber, 102, transfer block, 103, chute of base, 104, fastening screw, 105, handle,
106, fixed chamber；2, first sleeve structure, 201, first sleeve, the 202, first sliding block, the 203, first guide pad, 204, first is tight
Gu screw, the 205, first supporting block, the 206, first limiting steering block, the 207, first fixture block, 208, first angle limited block, 209,
First slideway；3, second sleeve structure, 301, second sleeve, the 302, second fastening screw, the 303, second sliding block, 304, second leads
To block, the 305, second supporting block, the 306, second glide path, 307, second angle limited block, the 308, second fixture block, on 309, second
Slideway, the 310, second guide slide；4, fixed device, 401, sleeve fixed ring, 402, sleeve fixing screws, 403, guide groove,
404, through-hole, 405, connecting rod, 406, positioning plate, 407, dynamic position plate, 408, support plate, 409, dynamic position plate fastening screw, 410,
Dynamic position plate slideway；5,3rd sleeve, 6, bracket, 601, support tube, 602, bracket fastening screw, 603, connecting shaft, 604, vertical
Steering block；7, extensible member, 701, outer cylinder, 702, regulation handle, 703, inner cylinder, 704, be horizontally diverted block, 705, lantern ring, 706, lead
To cylinder, 707, adjusting shaft, 708, adjusting gear rack, 709, adjusting fixing screws, 710, adjustment gear；8, the first support, 9, the
Two supports, 10, third support, 11, fine tuning section structure, 1101, up and down adjustment room, 1102, horizontal adjustment bracket, 1103, coarse adjustment
Save knob, 1104, sliding supporting bar, 1105, scope fixes sleeve, 1106, scope fixing screws, 1107, rotating cylinder, 1108, horse
It reaches, 1109, rotating cylinder fixing screws, 1110, support rod sliding slot, 1111, slide bar, 1112, thin tuning knob, 1113, coarse adjustment silk
Thick stick, 1114, supporting block, 1115, thin tuning rack gear, 1116, thin tuning gear, 1117, screw pressing sleeve, 1118, pressing plate, 1119,
Platen support block, 1120, slide cartridge.
Specific embodiment
A kind of Endoscopic ear surgery bracket, as shown in figures 1-19, including pedestal 1, pedestal 1 are equipped with endoscope support；Scope
Support frame includes telescopic tube-in-tube structure, and the telescopic end of tube-in-tube structure is connected with bracket 6, is rotatably connected to level on bracket 6
Rotational structure；As shown in figure 4, pedestal 1 is equipped with the accommodating chamber 101 matched with endoscope support, endoscope support is foldable
It in installation to accommodating chamber 101, is hinged on pedestal 1 and accommodates chamber lid (being not drawn into figure), be rotatably connected to and cover in accommodating chamber 101
The rotation axis that barrel structure is connected；The fixed chamber 106 matched with tube-in-tube structure, fixed chamber 106 and receiving are equipped in the middle part of pedestal 1
Chamber 101 is connected；101 bottom of accommodating chamber is equipped with chute of base 103, and tube-in-tube structure bottom end is equipped with and matches with chute of base 103
The first sliding block 202,101 side wall of accommodating chamber is equipped with the rotation axis slideway that matches with rotation axis, turns in accommodating chamber 101 solid
Determine the corner of room 106, on the same center of circle, which is turning in the rotation center of circle of chute of base 103 and rotation axis slideway
In moving axis slideway；106 two sides of fixed chamber are equipped with the fastening screw 104 matched with rotation axis；It is slidably connected in accommodating chamber 101
Transfer block 102, transfer block 102 are equipped with 102 slideway of transfer block being connected with rotation axis slideway, and pedestal 1 is equipped with and switching
The corresponding transfer chamber of block 102；1 side wall of pedestal is rotatably connected to handle 105；Horizontally rotate structure to connect far from one end of bracket 6
It is connected to fine tuning section structure 11；Fine tuning section structure 11 includes and horizontally rotates the affixed up and down adjustment in the one end of structure far from bracket 6
Room 1101, horizontal adjustment bracket 1102 is slidably connected on up and down adjustment room 1101, and horizontal adjustment bracket 1102 is equipped with scope
Fixing sleeve 1105, scope fixing sleeve 1105 are equipped with scope fixing screws 1106 corresponding with scope.
In the use of the present invention, the Telescopic by the tube-in-tube structure on pedestal 1 realizes endoscope support vertical direction
Adjusting, by realizing the adjusting of endoscope support horizontal direction to the adjusting for horizontally rotating structure, by tube-in-tube structure and
The three-dimensional adjusting of endoscope support is realized in the adjusting for horizontally rotating structure, and the stability of endoscope support is realized using pedestal 1；
The fine adjustment for realizing vertical direction to Level tune frame using the up and down adjustment room 1101 in fine tuning section structure 11, realizes scope branch
The fine adjustment of support vertical direction；The fine adjustment of endoscope support horizontal direction is realized using horizontal adjustment bracket 1102；Make this
Invention, which is able to use tube-in-tube structure when in use and horizontally rotates structure, carries out rough adjusting to the three-dimensional of endoscope support, makes
More careful adjusting is carried out to endoscope support with fine tuning section structure 11, is made present invention enhanced convenience in operation, is reduced
The labor intensity of medical staff images scope to patient ear more clear, improves medical staff and imitates to the treatment of patient
Fruit.
In the use of the present invention, tube-in-tube structure is turned to vertical direction along rotation axis by medical staff, transfer block 102 is pacified
It is filled in accommodating chamber 101；Medical staff pushes endoscope support, and endoscope support is by rotation axis, the first sliding block 202 along rotation
Axis slideway and transfer block slideway, chute of base 103 slide into fixed chamber 106, are consolidated using fastening screw 104 to rotation axis
It is fixed, endoscope support is unfolded according to the actual situation；After the completion of use, medical staff folds endoscope support, has folded
Cheng Hou unscrews fastening screw 104, endoscope support is resetted, and turns in accommodating chamber 101 along rotation axis.
Tube-in-tube structure includes first sleeve structure 2, and first sleeve structure 2 includes the first sleeve being rotatablely connected with pedestal 1
201, the first sliding block 202 is set to 201 bottom end of first sleeve, slidably connects second sleeve structure 3 in first sleeve structure 2；The
Two tube-in-tube structures 3 include the second sleeve 301 being slidably connected with first sleeve 201, slidably connect third in second sleeve 301
Sleeve 5, bracket 6 are set in 3rd sleeve 5；Bracket 6 includes connecting shaft 603, and vertical steering block 604 is rotated with structure is horizontally rotated
Connection, horizontally rotates the extensible member 7 that structure includes with is rotatablely connected on vertical steering block 604；Extensible member 7 includes and turns to vertically
The outer cylinder 701 that block 604 is rotatablely connected slidably connects inner cylinder 703 in outer cylinder 701, and inner cylinder 703 can rotate along outer cylinder 701；
Endoscope support further includes being horizontally diverted block 704, and the telescopic end of extensible member 7 is successively arranged the first support 8, second support 9 backward
With third support 10,8, second support 9 of the support of extensible member 7, first and third are supported between 10 by being horizontally diverted 704 phase of block
Connection, up and down adjustment room 1101 and third support 10 are affixed.
The present invention passes through first sleeve 201, second sleeve 301, third set after tube-in-tube structure is fixed on fixed chamber 106
Second sleeve 301 is successively unfolded in being slidably connected between cylinder 5,3rd sleeve 5 realizes the expansion of endoscope support vertical direction；
Rotation extensible member 7 makes extensible member 7 carry out turning to horizontal direction along vertical steering block 604, rotates the inner cylinder of extensible member 7, makes to stretch
Being horizontally diverted block 704 the first support 8 can be made to be rotated in the horizontal direction on contracting part 7；Successively the first support of expansion 8, the
Two supports 9 and third support 10；Folding process is with above-mentioned steps on the contrary, the foldable setting of endoscope support, supports scope
Frame can be carried out effectively preservation when not used, and endoscope support damages caused by preventing because of other situations, improve of the invention make
Use the service life.
As shown in figures 5-9, coarse adjustment lead screw 1113 is rotatably connected in up and down adjustment room 1101, on up and down adjustment room 1101
Equipped with the coarse adjustment knob 1103 being connected with coarse adjustment lead screw 1113；Supporting block 1114 is bolted on coarse adjustment lead screw 1113,
The adjusting bracket sliding block being connected with horizontal adjustment bracket 1102 is arranged in supporting block 1114, up and down adjustment room 1101 is equipped with
Adjusting bracket sliding slot corresponding with adjusting bracket sliding block；Thin tuning rack gear 1115, thin tuning tooth are connected in supporting block 1114
Item 1115 is arranged in adjusting bracket sliding block, and the fine tuning being meshed with thin tuning rack gear 1115 is rotatably connected on adjusting bracket sliding block
Gear 1116 is saved, 1101 side wall of up and down adjustment room is equipped with the thin tuning knob 1112 being connected with thin tuning gear 1116, on
Lower 1101 side wall of regulation room is equipped with thin tuning sliding slot corresponding with thin tuning knob 1112；It is equipped in up and down adjustment room 1101
The slide bar 1111 parallel with coarse adjustment lead screw 1113 slidably connects the cunning affixed with horizontal adjustment bracket 1102 on slide bar 1111
Cylinder 1120, up and down adjustment room 1101 are equipped with the slide cartridge sliding slot matched with slide cartridge 1120.
When in use, medical staff carries out coarse adjustment lead screw 1113 using coarse adjustment knob 1103 for up and down adjustment room 1101
The up and down adjustment of supporting block 1114 is realized in rotation, realizes the coarse adjustment of horizontal adjustment bracket 1102, realizes scope vertical direction
Coarse adjustment；Thin tuning gear 1116 is rotated using thin tuning knob 1112,6 sliding block of adjusting bracket is made to pass through thin tuning tooth
Item 1115 carries out upper and lower thin tuning along supporting block 1114, realizes the thin tuning of scope vertical direction；Using slide bar 1111 and slide
Cylinder 1120 is used cooperatively, and improves the stability that up and down adjustment room 1101 is adjusted.
Horizontal adjustment bracket 1102 is equipped with Level tune area, is equipped in Level tune area and rotates with scope fixing sleeve 1105
The rotating cylinder 1107 of connection, rotating cylinder 1107 are set to 1105 outside of scope fixing sleeve, and rotating cylinder 1107 is equipped with and scope fixing sleeve 1105
The rotating cylinder fixing screws 1109 matched；Horizontal adjustment bracket 1102 is equipped on three sides far from up and down adjustment room 1101
Support rod sliding slot 1110 slidably connects the sliding supporting bar 1104 being connected with rotating cylinder 1107 in support rod sliding slot 1110；Water
Flat adjusting bracket 1102 is equipped with the self-locking structure matched with sliding supporting bar 1104, and self-locking structure includes being set to Level tune
The motor 1108 at 1102 top of bracket, the turning end vehicle of motor 1108 have external screw thread, and the turning end of motor 1108 is bolted with screw
Pressing sleeve 1117 is connected with the pressing plate 1118 matched with sliding supporting bar 1104 on screw pressing sleeve 1117, and 1118 both ends of pressing plate are set
There is platen support block 1119.
Horizontal adjustment bracket 1102 is when in use, real by being rotatablely connected between rotating cylinder 1107 and scope fixing sleeve 1105
The rotation of existing scope, is fixed scope fixing sleeve 1105 using rotating cylinder fixing screws 1109；Use support rod sliding slot 1110
With the cooperation of sliding supporting bar 1104, the movement of 1107 horizontal direction of rotating cylinder is realized, using self-locking structure to sliding supporting bar
1104 carry out locking, and medical staff, by the way that the position in the horizontal direction of rotating cylinder 1107 is adjusted manually, mentions according to clinical experience
High practicability of the invention；When medical staff is to better position, starter motor 1108, screw pressing sleeve 1117 and motor 1108
Turning end rotates, and pushes pressing plate 1118 that sliding supporting bar 1104 is fixed, using platen support block 1119 to pressing plate
1118 are supported, and improve the stability of pressing plate 1118.
As shown in figs. 10-12,201 inner wall of first sleeve is equipped with the first guide frame, and the first guide frame includes setting vertically
In the first slideway 209 of 201 inner wall of first sleeve, it is sliding that 301 bottom of second sleeve is equipped with second matched with the first slideway 209
Block 303；First slideway, 209 top is connected with a pair of the first supporting block 205 matched with the second sliding block 303, the first supporting block
205 be semicircular structure, and the first supporting block 205 is equipped with opening corresponding with the first slideway 209, two the first supporting blocks
205 diagonal positions are equipped with the first limiting steering block 206, are equipped in the middle part of two the first supporting blocks 205 and match with the second sliding block 303
First angle limited block 208；It is equipped with the first fixture block 207 above first supporting block 205, the is equipped with below the first supporting block 205
One guide pad 203,201 top of first sleeve are equipped with first fastening screw 204 corresponding with second sleeve 301.
When in use, second sleeve 301 is by the second sliding block 303, along 209 upward sliding of the first slideway, sliding process
First guide pad 203 is oriented to second sleeve 301, prevents second sleeve 301 from shaking, and improves stabilization of the invention
Property；When the second sliding block 303, which slides into, to be in contact with the first fixture block 207, second sleeve 301 is rotated, at this time the first limiting steering
Block 206 limit second sleeve 301 can only be rotated in one direction, rotation second sleeve 301 to first angle limited block
208 carry out contact stopping, and second sleeve 301 is fixed using the first fastening screw 204.
As illustrated in figs. 13-14,301 inner wall of second sleeve is equipped with the second guide frame, and the second guide frame includes setting vertically
In the second glide path 306 of 301 inner wall of second sleeve；Second glide path, 306 top is connected with a pair of second guide pad 304, the
Two guide pads 304 are semicircular structure, and the second guide pad 304 is equipped with opening corresponding with the second glide path 306, two the
Two guide pads, 304 opening is equipped with the second sliding way 309 for being connected with the second glide path 306, in two the second guide pads 304
Portion is equipped with the second guide slide 310, and the second guide slide 310 is identical as 309 length of the second sliding way；5 bottom of 3rd sleeve is set
There are the third sliding block matched with the second glide path 306, the second sliding way 309, the second guide slide 310, the second sliding way
309, the second guide slide 310 is equipped with opening corresponding with third sliding block；Second sliding way 309 is equipped with the second supporting block
305, the second supporting block 305 is equipped with opening corresponding with the second sliding way 309, the second guide slide 310, the second supporting block
Second angle limited block 307 is equipped between upper adjacent apertures；Above second supporting block 305 be equipped with the second fixture block 308, second set
301 tops of cylinder are equipped with second fastening screw 302 corresponding with 3rd sleeve 5.
When in use, 3rd sleeve 5 slides into the second guiding along 306 upward sliding of the second glide path by third sliding block
When block 304, according to the position of patient, it can will be horizontally diverted structure and turn to adjacent hospital bed, no longer need to support patient and scope
Frame is moved, and the labor intensity of medical staff is reduced；Endoscope support can also be gone to other region after the completion of use to avoid
It influences patient and medical staff uses hospital bed；Whether rotate 3rd sleeve 5 as needed, if desired, then rotate 3rd sleeve 5 to
Second guide slide 310 is contacted along the second guide slide 310 to the second fixture block 308；If not needing, 3rd sleeve 5 is along
Two sliding ways 309 are contacted to the second fixture block 308；When third sliding block, which slides into, to be in contact with the second fixture block 308, third is rotated
Sleeve 5 rotates 3rd sleeve 5 and to second angle limited block 307 carries out contact stopping, using the second fastening screw 302 to the
Three sleeves 5 are fixed.
As shown in figure 17, bracket 6 includes the support tube 601 for being sheathed on 3rd sleeve 5, support tube 601 and 603 phase of connecting shaft
Connection, support tube 601 are equipped with bracket fastening screw 602 corresponding with 3rd sleeve 5.When in use, it is rotatablely connected axis
603, it rotates bracket 6 along 3rd sleeve 5 by support tube 601, endoscope support is made to can adapt to larger range of three
Dimension is adjusted, and be can adapt to a variety of different hospital bed models, is improved adaptability of the invention.
Being horizontally diverted block 704 includes steering block, and steering block is Contraband type structure, is rotatably connected to lantern ring shaft on steering block,
Lantern ring shaft is equipped with lantern ring 705；In use, lantern ring 705 is to 8, second support 9 of the support of outer cylinder 701, first, third support 10
It is fixed, steering block is equipped with the locking structure matched with lantern ring shaft, and locking structure includes being sheathed in lantern ring shaft
Gear, steering block is equipped with the locking shaft parallel with lantern ring shaft, and locking shaft is equipped with the latch that is meshed with gear, lock
Only axis is equipped with torsional spring, and steering block is equipped with the locking handle being connected with locking shaft；Vertical steering block 604 be horizontally diverted block
704 structures are identical.
It is horizontally diverted block 704 and vertical steering block 604 when in use, is realized by torsional spring and do not rotated in lantern ring shaft
When, latch is engaged with gear prevents lantern ring shaft from rotating；When needing to rotate, realized using locking handle rotation locking shaft
Latch is separated with gear, is rotated to lantern ring 705, realizes 8, second support 9 of the support of extensible member 7, first, third support 10
Rotation.
As depicted in figs. 18-19,701 inner wall bottom of outer cylinder is equipped with the guide cylinder 706 for being arranged in inner cylinder 703；703 inner wall of inner cylinder
It is equipped with adjusting gear rack 708, is equipped with the adjustment gear 710 being meshed with adjusting gear rack 708 in inner cylinder 703, in adjustment gear 710
Equipped with shaft 707 is adjusted, adjusts shaft 707 and be located in inner cylinder 703；Outer cylinder 701 is equipped with tune corresponding with shaft 707 is adjusted
Handle 702 is saved, regulation handle 702 is equipped with card slot, adjusts shaft 707 and is equipped with fixture block corresponding with card slot；On inner cylinder 703
Equipped with steering slot corresponding with regulation handle 702, turning to the angle of the v-groove is 90 °, and fixture block and card slot, which are located at, turns to slot both ends,
Inner cylinder 703 is equipped with sliding groove corresponding with regulation handle 702, and sliding groove is connected with slot is turned to；Outer cylinder 701 be equipped with
The corresponding adjusting fixing screws 709 of inner cylinder 703.
Extensible member 7 rotates inner cylinder 703 when needing adjusting flexible, and regulation handle 702 slides into along steering slot to be turned with adjusting
Axis 707 is in contact, and rotation regulation handle 702 makes adjustment gear 710 rotate, and realizes the stretching of inner cylinder 703, regulation handle
702 are consistent along sliding groove with shaft 707 is adjusted；Inner cylinder 703 is consolidated using adjusting fixing screws 709 after the completion of adjusting
Fixed, in adjustment process, guide cylinder 706 play the guiding role to inner cylinder 703, improves the stability of inner cylinder 703.
As shown in figures 15-16, fixed device 4 is arranged in tube-in-tube structure, fixed device 4 includes being sheathed on first sleeve
201 sleeve fixed ring 401, sleeve fixed ring 401 are equipped with through-hole 404 corresponding with first sleeve 201 and consolidate with first
Determine the corresponding guide groove 403 of screw, sleeve fixed ring 401 is equipped with sleeve fastening screw corresponding with first sleeve 201
402；It is connected with connecting rod 405 in sleeve fixed ring 401, fixed plate is connected in connecting rod 405, fixed plate one end is connected with fixed
Position plate 406, the fixed plate other end are connected with support plate 408, and dynamic position plate 407 is equipped between support plate 408 and positioning plate 406, Gu
Fixed board is equipped with the dynamic position plate slideway 410 matched with dynamic position plate 407, and support plate 408 is equipped with corresponding with dynamic position plate 407
Dynamic position plate fastening screw 409；First fastening screw 204, the second fastening screw 302, bracket fastening screw 602, sleeve fasten spiral shell
Handle is equipped on nail 104 and dynamic position plate fastening screw 409.
Fix device 4 when in use, after being unfolded to first sleeve 201, second sleeve 301,3rd sleeve 5, medical care
Personnel are matched with dynamic position plate 407 using positioning plate 406 and are carried out to bed according to the position for adjusting fixed device 4 the case where hospital bed
It is fixed；Sleeve is fixed using sleeve fastening screw 402 and sleeve fixed ring 401, realizes the fixation to endoscope support,
Improve the stability of endoscope support.
The course of work of the invention are as follows:
Expansion process are as follows: first sleeve 201 is turned to vertical direction along rotation axis by medical staff, and transfer block 102 is pacified
It is filled in accommodating chamber 101；Medical staff pushes endoscope support, and endoscope support is by rotation axis, the first sliding block 202 along rotation
102 slideway of axis slideway and transfer block, chute of base 103 slide into fixed chamber 106, using fastening screw 104 to rotation axis into
Row is fixed；Second sleeve 301 is by the second sliding block 303, along 209 upward sliding of the first slideway, when the second sliding block 303 slide into
When first fixture block 207 is in contact, second sleeve 301 is rotated to first angle limited block 208 and carries out contact stopping, using first
Second sleeve 301 is fixed in fastening screw 204；3rd sleeve 5 is slid up by third sliding block along the second glide path 306
It is dynamic, when sliding into the second guide pad 304, according to circumstances, judge whether to rotate 3rd sleeve 5, if desired, then rotate 3rd sleeve
5 to the second guide slides 310 are contacted along the second guide slide 310 to the second fixture block 308；If not needing, 3rd sleeve 5
It is contacted along the second sliding way 309 to the second fixture block 308；When third sliding block, which slides into, to be in contact with the second fixture block 308, rotation
3rd sleeve 5 rotates 3rd sleeve 5 to second angle limited block 307 and carries out contact stopping, using the second fastening screw 302
3rd sleeve 5 is fixed；After being unfolded to first sleeve 201, second sleeve 301,3rd sleeve 5, medical staff's root
According to the position for adjusting fixed device 4 the case where hospital bed, is matched using positioning plate 406 with dynamic position plate 407 and bed is fixed；Make
Sleeve is fixed with sleeve fastening screw 402 and sleeve fixed ring 401, realizes the fixation to endoscope support；Medical care people
The installation of support tube 601 in 3rd sleeve 5, is according to circumstances rotatablely connected axis 603 by member, makes bracket 6 by support tube 601 along the
Three sleeves 5 are rotated, and support tube 601 is fixed using bracket fastening screw 602；The inner cylinder for rotating extensible member 7, makes to stretch
Being horizontally diverted block 704 the first support 8 can be made to be rotated in the horizontal direction on contracting part 7；The length of extensible member 7 is adjusted, is turned
Dynamic inner cylinder 703, regulation handle 702 slide into along steering slot and are in contact with adjusting shaft 707, and rotation regulation handle 702 makes to adjust
Gear 710 rotates with adjusting gear rack 708, realizes the stretching of inner cylinder 703, regulation handle 702 is along sliding groove and adjusts shaft
707 are consistent；Inner cylinder 703 is fixed using adjusting fixing screws 709 after the completion of adjusting, in adjustment process, guiding
706 pairs of inner cylinders 703 of cylinder play the guiding role.
Use process are as follows: according to the position of patient ear, by first the 8, second support 9 of support, third support 10 along water
Square to rotation, adjust near fine tuning section structure 11 to patient ear；Medical staff is using coarse adjustment knob 1103 to coarse adjustment
Lead screw 1113 is rotated, and realizes the up and down adjustment of supporting block 1114；Using thin tuning knob 1112 to thin tuning gear 1116
It is rotated, 6 sliding block of adjusting bracket is made to carry out upper and lower thin tuning along supporting block 1114 by thin tuning rack gear 1115, in realization
The thin tuning of mirror vertical direction；Medical staff realizes scope by being rotatablely connected between rotating cylinder 1107 and scope fixing sleeve 1105
Rotation, scope fixing sleeve 1105 is fixed using rotating cylinder fixing screws 1109；Use support rod sliding slot 1110 and sliding
The movement of 1107 horizontal direction of rotating cylinder is realized in the cooperation of support rod 1104, is carried out using self-locking structure to sliding supporting bar 1104
Locking, medical staff passes through according to clinical experience is adjusted the position in the horizontal direction of rotating cylinder 1107 manually, in medical staff
When being adjusted to better position, starter motor 1108, screw pressing sleeve 1117 and the turning end of motor 1108 rotate, and push pressing plate
1118 pairs of sliding supporting bars 1104 are fixed.
Claims (10)
1. a kind of Endoscopic ear surgery bracket, it is characterised in that: including pedestal (1), pedestal (1) is equipped with endoscope support；It is described
Endoscope support includes telescopic tube-in-tube structure, and the telescopic end of tube-in-tube structure is connected with bracket (6), the company of rotation on bracket (6)
It is connected to and horizontally rotates structure；The pedestal (1) is equipped with the accommodating chamber (101) matched with endoscope support, endoscope support
In foldable installation to accommodating chamber (101), the rotation axis being connected with tube-in-tube structure is rotatably connected in accommodating chamber (101)；Institute
The fixed chamber (106) for being equipped in the middle part of pedestal (1) and matching with tube-in-tube structure is stated, fixed chamber (106) is connected with accommodating chamber (101)
It is logical；Accommodating chamber (101) bottom is equipped with chute of base (103), and tube-in-tube structure bottom end is equipped with and matches with chute of base (103)
The first sliding block (202), accommodating chamber (101) side wall is equipped with the rotation axis slideway that matches with rotation axis, fixed chamber (106) two sides
Equipped with the fastening screw (104) matched with rotation axis；It is described to horizontally rotate structure and be connected with fine tuning far from one end of bracket (6)
Section structure (11)；Fine tuning section structure (11) includes the upper downward affixed with the one end of structure far from bracket (6) is horizontally rotated
It saves room (1101), is slidably connected horizontal adjustment bracket (1102) on up and down adjustment room (1101), horizontal adjustment bracket (1102)
It is equipped with scope fixing sleeve (1105), scope fixing sleeve (1105) is equipped with scope fixing screws corresponding with scope
(1106)。
2. Endoscopic ear surgery bracket as described in claim 1, it is characterised in that: the tube-in-tube structure includes first sleeve structure
(2), first sleeve structure (2) includes the first sleeve (201) with pedestal (1) rotation connection, and the first sliding block (202) is set to first
Sleeve (201) bottom end slidably connects second sleeve structure (3) in first sleeve structure (2)；The second sleeve structure (3)
Including the second sleeve (301) being slidably connected with first sleeve (201), 3rd sleeve is slidably connected in second sleeve (301)
(5), bracket (6) is set on 3rd sleeve (5)；The bracket (6) includes connecting shaft (603), is connected in connecting shaft (603) perpendicular
Straight steering block (604), vertical steering block (604) are rotatablely connected with structure is horizontally rotated, horizontally rotate structure and include and turn vertically
The extensible member (7) being rotatablely connected on block (604)；The extensible member (7) includes outer with vertical steering block (604) rotation connection
Cylinder (701), outer cylinder (701) is interior to be slidably connected inner cylinder (703), and inner cylinder (703) can rotate along outer cylinder (701)；In described
Mirror support frame further includes being horizontally diverted block (704), and the telescopic end of extensible member (7) is successively arranged the first support (8), second backward
(9) and third support (10) are supportted, are passed through between extensible member (7), the first support (8), the second support (9) and third support (10)
It is horizontally diverted block (704) to be connected, up and down adjustment room (1101) and third support (10) are affixed.
3. Endoscopic ear surgery bracket as described in claim 1, it is characterised in that: rotation connects in the up and down adjustment room (1101)
It is connected to coarse adjustment lead screw (1113), up and down adjustment room (1101) are equipped with the coarse adjustment rotation being connected with coarse adjustment lead screw (1113)
Button (1103)；It is bolted with supporting block (1114), is arranged in supporting block (1114) and level on the coarse adjustment lead screw (1113)
The adjusting bracket sliding block that adjusting bracket (1102) is connected, up and down adjustment room (1101) are equipped with corresponding with adjusting bracket sliding block
Adjusting bracket sliding slot；It is connected with thin tuning rack gear (1115) on the supporting block (1114), thin tuning rack gear (1115) is worn
In being rotatably connected to the thin tuning gear being meshed with thin tuning rack gear (1115) on adjusting bracket sliding block, adjusting bracket sliding block
(1116), up and down adjustment room (1101) side wall is equipped with the thin tuning knob (1112) being connected with thin tuning gear (1116),
Up and down adjustment room (1101) side wall is equipped with thin tuning sliding slot corresponding with thin tuning knob (1112)；The up and down adjustment room
(1101) it is equipped with the slide bar (1111) parallel with coarse adjustment lead screw (1113) in, slidably connects on slide bar (1111) and is adjusted with horizontal
Bracket (1102) affixed slide cartridge (1120) is saved, up and down adjustment room (1101) are equipped with the slide cartridge matched with slide cartridge (1120)
(1120) sliding slot.
4. Endoscopic ear surgery bracket as described in claim 1, it is characterised in that: the horizontal adjustment bracket (1102) is equipped with
Level tune area is equipped with the rotating cylinder (1106) being rotatablely connected with scope fixing sleeve (1105), rotating cylinder (1106) in Level tune area
On the outside of scope fixing sleeve (1105), rotating cylinder (1106) is equipped with the fixed spiral shell of the rotating cylinder matched with scope fixing sleeve (1105)
It follows closely (1109)；The horizontal adjustment bracket (1102) is sliding far from support rod is equipped on three sides of up and down adjustment room (1101)
Slot (1110), support rod sliding slot (1110) is interior to slidably connect the sliding supporting bar (1104) being connected with rotating cylinder (1106)；Institute
It states horizontal adjustment bracket (1102) and is equipped with the self-locking structure matched with sliding supporting bar (1104), self-locking structure includes being set to
Motor (1108) at the top of horizontal adjustment bracket (1102), the turning end vehicle of motor (1108) have external screw thread, motor (1108)
Turning end is bolted with screw pressing sleeve (1117), and the pressure matched with sliding supporting bar (1104) is connected on screw pressing sleeve (1117)
Plate (1118), pressing plate (1118) both ends are equipped with platen support block (1119).
5. Endoscopic ear surgery bracket as described in claim 1, it is characterised in that: first sleeve (201) inner wall is equipped with the
One guide frame, the first guide frame include vertical the first slideway (209) for being set to first sleeve (201) inner wall, second sleeve
(301) bottom is equipped with the second sliding block (303) matched with the first slideway (209)；First slideway (209) top is connected with
The first supporting block (205) for matching with the second sliding block (303) of a pair, the first supporting block (205) are semicircular structure, first
Bracer (205) is equipped with opening corresponding with the first slideway (209), and two the first supporting block (205) diagonal positions are equipped with the
One limiting steering block (206), two the first supporting blocks (205) middle parts are equipped with the first angle matched with the second sliding block (303)
Limited block (208)；The first fixture block (207) are equipped with above first supporting block (205), are equipped with below the first supporting block (205)
First guide pad (203), first sleeve (201) top are equipped with the first fastening screw corresponding with second sleeve (301)
(204)。
6. Endoscopic ear surgery bracket as described in claim 1, it is characterised in that: second sleeve (301) inner wall is equipped with the
Two guide frames, the second guide frame include vertical the second glide path (306) for being set to second sleeve (301) inner wall；Described
Two glide paths (306) top is connected with a pair of second guide pad (304), and the second guide pad (304) is semicircular structure, and second leads
Be equipped with opening corresponding with the second glide path (306) to block (304), two the second guide pad (304) openings be equipped with
The second sliding way (309) that second glide path (306) is connected, two the second guide pads (304) middle parts are equipped with the second guiding and slide
Road (310), the second guide slide (310) are identical as the second sliding way (309) length；3rd sleeve (5) bottom be equipped with
The third sliding block that second glide path (306), the second sliding way (309), the second guide slide (310) match, the second sliding way
(309), the second guide slide (310) is equipped with opening corresponding with third sliding block；Second sliding way (309) is equipped with
Second supporting block (305), the second supporting block (305) are equipped with opposite with the second sliding way (309), the second guide slide (310)
The opening answered is equipped with second angle limited block (307) between adjacent apertures in the second supporting block；Second supporting block
(305) top is equipped with the second fixture block (308), and second sleeve (301) top is equipped with the second fastening corresponding with 3rd sleeve (5)
Screw (302).
7. Endoscopic ear surgery bracket as described in claim 1, it is characterised in that: the bracket (6) includes being sheathed on third set
The support tube (601) of cylinder (5), support tube (601) are connected with connecting shaft (603), and support tube (601) is equipped with and 3rd sleeve
(5) corresponding bracket fastening screw (602).
8. Endoscopic ear surgery bracket as described in claim 1, it is characterised in that: described be horizontally diverted block (704) include turning to
Block, steering block are Contraband type structure, and lantern ring shaft is rotatably connected on steering block, and lantern ring shaft is equipped with lantern ring (705)；Described turn
The locking structure matched with lantern ring shaft is equipped with to block, locking structure includes the gear being sheathed in lantern ring shaft, is turned to
Block is equipped with the locking shaft parallel with lantern ring shaft, and locking shaft is equipped with the latch being meshed with gear, and locking shaft is equipped with
Torsional spring, steering block are equipped with the locking handle being connected with locking shaft；The vertical steering block (604) and it is horizontally diverted block
(704) structure is identical.
9. Endoscopic ear surgery bracket as described in claim 1, it is characterised in that: outer cylinder (701) the inner wall bottom is equipped with and wears
Guide cylinder (706) set on inner cylinder (703)；Inner cylinder (703) inner wall is equipped with adjusting gear rack (708), sets in inner cylinder (703)
There is the adjustment gear (710) being meshed with adjusting gear rack (708), adjustment gear (710), which is equipped with, adjusts shaft (707), adjusts
Shaft (707) is located in inner cylinder (703)；The outer cylinder (701) is equipped with regulation handle corresponding with shaft (707) are adjusted
(702), regulation handle (702) is equipped with card slot, adjusts shaft (707) and is equipped with fixture block corresponding with card slot；The inner cylinder
(703) it is equipped with steering slot corresponding with regulation handle (702), turning to the angle of the v-groove is 90 °, and inner cylinder (703) is equipped with and tune
Handle (702) corresponding sliding groove is saved, sliding groove is connected with slot is turned to；The outer cylinder (701) is equipped with and inner cylinder (703)
Corresponding adjusting fixing screws (709).
10. Endoscopic ear surgery bracket as described in claim 1, it is characterised in that: be arranged with fixed dress in the tube-in-tube structure
It sets (4), fixed device (4) include the sleeve fixed ring (401) for being sheathed on first sleeve (201), and sleeve fixed ring is set on (401)
There are through-hole (404) corresponding with first sleeve (201) and guide groove corresponding with the first fixing screws (403), sleeve is solid
Ring (401) are determined equipped with sleeve fixing screws corresponding with first sleeve (201)；It is connected on the sleeve fixed ring (401)
Have connecting rod (405), fixed plate is connected in connecting rod (405), fixed plate one end is connected with positioning plate (406), and fixed plate is another
One end is connected with support plate (408), it is equipped between support plate (408) and positioning plate (406) dynamic position plate (407), is set in fixed plate
There is the dynamic position plate slideway (410) matched with dynamic position plate (407), support plate (408) is equipped with corresponding with dynamic position plate (407)
Dynamic position plate fastening screw (409).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201811054607.2A CN109044622B (en) | 2018-09-11 | 2018-09-11 | Ear endoscope operation support |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201811054607.2A CN109044622B (en) | 2018-09-11 | 2018-09-11 | Ear endoscope operation support |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN109044622A true CN109044622A (en) | 2018-12-21 |
| CN109044622B CN109044622B (en) | 2020-11-17 |
Family
ID=64760154
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201811054607.2A Active CN109044622B (en) | 2018-09-11 | 2018-09-11 | Ear endoscope operation support |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN109044622B (en) |
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| CN111134955A (en) * | 2020-02-09 | 2020-05-12 | 俞嘉伟 | Special supplementary fixed ear sampling device of otology |
| CN112790727A (en) * | 2021-01-27 | 2021-05-14 | 山东大学齐鲁医院(青岛) | Ear endoscope with external display instrument |
| CN113599727A (en) * | 2021-08-19 | 2021-11-05 | 中科领航医疗科技有限公司 | Navigation support for surgical navigation and radioactive implantation system and use method thereof |
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| US20150133958A1 (en) * | 2012-04-20 | 2015-05-14 | Surgitools Usa Llc | Repositionable medical instrument support systems, devices, and methods |
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Cited By (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111134955A (en) * | 2020-02-09 | 2020-05-12 | 俞嘉伟 | Special supplementary fixed ear sampling device of otology |
| CN111134955B (en) * | 2020-02-09 | 2021-09-24 | 洛阳市中心医院（郑州大学附属洛阳中心医院） | Special supplementary fixed ear sampling device of otology |
| CN112790727A (en) * | 2021-01-27 | 2021-05-14 | 山东大学齐鲁医院(青岛) | Ear endoscope with external display instrument |
| CN112790727B (en) * | 2021-01-27 | 2023-10-17 | 山东大学齐鲁医院(青岛) | Otoscope with external display instrument |
| CN113599727A (en) * | 2021-08-19 | 2021-11-05 | 中科领航医疗科技有限公司 | Navigation support for surgical navigation and radioactive implantation system and use method thereof |
| CN113599727B (en) * | 2021-08-19 | 2024-04-09 | 中科领航医疗科技有限公司 | Navigation bracket for surgical navigation and radioactive implantation system and use method thereof |
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| Publication number | Publication date |
|---|---|
| CN109044622B (en) | 2020-11-17 |
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