CN109199478B

CN109199478B - Skin retractor

Info

Publication number: CN109199478B
Application number: CN201811286244.5A
Authority: CN
Inventors: 邓静; 罗羽
Original assignee: Chinese Peoples Liberation Army Army Specialized Medical Center
Current assignee: Chinese Peoples Liberation Army Army Specialized Medical Center
Priority date: 2018-10-31
Filing date: 2018-10-31
Publication date: 2021-01-05
Anticipated expiration: 2038-10-31
Also published as: CN109199478A

Abstract

The invention relates to the technical field of surgical equipment, in particular to a skin retractor, wherein two arc clamping columns which are oppositely arranged are fixed on a bottom plate, a turning rod is arranged at the top end of each arc clamping column, the turning rod is connected with the bottom of an angle rod, and the top end of the angle rod is connected and fixed with a hanging plate; be equipped with a plurality of screw hole A on the link plate, through the inboard screw hole A thread tightening thread head of link plate, the center of thread head is equipped with to the perforation, and the outside of link plate is equipped with the baffle, and the branch at baffle center passes to the perforation to at the end-to-end connection lead wire of branch, the end and the skin couple structural connection of lead wire are fixed. The part to be operated can be clamped and fixed by matching the leg part, the hand part or the two side waists through the two opposite arc clamping columns, and the wound faces upwards; the angle of the whole hanging plate is adjusted through the matching of the angle rod and the phase change rod, and the pulling force of the hook is adjusted on the skin through the lead wire so as to change the retraction degree of the skin tissue, thereby facilitating the disinfection or cleaning work of the medical care personnel in the damaged skin tissue.

Description

Skin retractor

Technical Field

The invention relates to the technical field of surgical equipment, in particular to a skin retractor.

Background

In the surgical operation, patients with serious trauma are often encountered, for example, in a vehicle accident, the legs of the patients are often scratched with large and deep wounds, so that a large area of skin tissues of the patients are scratched, and debridement and suturing are required to be performed timely. In an operation involving an open wound, in order to explore the depth of the wound and widen the tension for closing the wound, when performing an operation on such a patient, the incision needs to be kept in a certain expansion state to ensure the completeness and clarity of the operation field, so that on one hand, the operation time can be shortened and the safety of the patient can be ensured, on the other hand, the labor for the operator to pull the wound can be reduced, and the work fatigue can be reduced.

Disclosure of Invention

In view of the above-mentioned drawbacks of the prior art, the technical problem to be solved by the present invention is to provide a skin retractor which can retract the incised skin tissue for normal operation.

In order to achieve the above object, the present invention provides a skin retractor, characterized in that: the angle adjusting device comprises a bottom plate, arc clamping columns and a hanging plate, wherein the two arc clamping columns which are oppositely arranged are fixed on the bottom plate, a turning rod is arranged at the top ends of the arc clamping columns, the turning rod is connected with the bottoms of angle rods, and the top ends of the angle rods are fixedly connected with the hanging plate; be equipped with a plurality of screw hole A on the link plate, screw hole A runs through whole link plate, through the inboard screw hole A screw thread fixation screw thread head of link plate, the center of screw thread head is equipped with to the perforation, the outside of link plate is equipped with the baffle, the branch at baffle center passes to the perforation, and the end-to-end connection lead wire of branch, the end and the skin couple structural connection of lead wire are fixed.

Furthermore, a sliding groove is formed in the bottom plate, a sliding block is arranged at the bottom of the arc clamping column correspondingly, and the sliding block is matched with the sliding groove.

Furthermore, a bayonet is arranged on one side of the bottom plate; the rear end of the arc clamping column is connected with a screw rod, the screw rod penetrates through the bayonet, and the screw rod penetrates through an adjusting bolt in the bayonet.

Furthermore, a plurality of threaded holes B are formed in the bottom plate, and the arc clamping columns are fixedly connected with the bottom plate through fixing bolts.

Further, the skin hook structure comprises a hook, a connector and a screw cap; the rod section of the hook is made of plastic; the pole section is connected fixedly with the bottom of connector, the top of connector is equipped with the threaded rod, through threaded rod and nut threaded connection are fixed, the top and the lead connection of nut are fixed.

Furthermore, a plastic side wing is arranged on one side of the connector corresponding to the hook, and the plastic side wing is a semicircular plastic sheet.

Furthermore, the turning rod at least comprises an oblique angle section A, a small round rod section and an oblique angle section B, and the round rod section is positioned between the oblique angle section A and the oblique angle section B; the bevel angle section A and the bevel angle section B are both rectangular sections, and the inclination angles of the upper end surfaces of the bevel angle section A and the bevel angle section B are different.

Furthermore, a long and straight fixing rod is fixed on the outer side of the angle rod, and fixing nails are arranged on the fixing rod.

Furthermore, the inner side of the angle rod is connected with and fixed with a horizontal latch through a connecting rod, and a plurality of clamping seams are arranged on the horizontal latch.

Furthermore, the plastic side wing comprises a bottom sanitary cotton layer and a top plastic rubber layer, and the included angle between the plastic side wing and the rod section of the hook is 60-90 degrees.

The invention has the beneficial effects that:

1. the structure fixes the bottom plate on the operating table, and the parts to be operated can be clamped and fixed by matching the legs, the hands or the waists at two sides through the two opposite arc clamping columns, so that the wound faces upwards; the angle of the whole hanging plate is adjusted through the matching of the angle rod and the phase change rod, the baffle plate on the hanging plate pulls the lead wire to adjust the hook hooked on the skin, and the baffle plate lead wire is pulled to adjust the skin retraction degree, so that medical workers can conveniently disinfect or clean damaged skin tissues;

2. in order to better match the outer surface of a human body, the problem is solved by arranging a sliding chute, the outer surface of the human body is clamped by sliding a sliding block at the bottom of an arc clamping column to be better attached to the periphery of the human body, the positions of two opposite arc clamping columns can be slightly adjusted in the operation process, so that a screw rod is arranged, the screw rod is matched with an adjusting bolt with the fixed position, and the distance between the two arc clamping columns is adjusted by rotating the adjusting bolt;

3. for the repeated reutilization of the structure, the hook is not suitable for repeated utilization because the hook can be contacted with the skin tissue of a wounded person, therefore, the top of the hook is provided with a screw cap connection mode, the hook can be detached, and different types of hooks can be connected in the mode so as to be stably connected with the skin tissue; in order to ensure that the hook does not slip after being hung, the plastic side wing is arranged outside the connector of the hook and is contacted with the surface of a human body through the inclined plastic side wing, so that a slight limiting effect is achieved, the local hemostasis effect is achieved, and medical care personnel can conveniently notice the existence of the hook during an operation;

4. in order to better fix the tail end of the lead wire and ensure the stability of the lead wire after the hook is pulled by the lead wire, different hooks need different pulling forces, therefore, a long straight fixing rod is arranged outside the angle rod, a plurality of fixing nails are arranged on the fixing rod, and the lead wire is wound and fixed by the fixing nails, so that different hooks can have different pulling forces, human tissues in different places can receive different pulling forces, and special parts are pulled and pulled open, thereby facilitating the operation or cleaning and disinfection of medical personnel;

5. in order to reserve a wider operation space for medical staff, the horizontal latch is arranged on the inner side of the angle rod, and the matched lead is sewn through the latch on the horizontal latch, so that directional traction is realized, and the lead can be ensured to be capable of dragging the skin tissue of a human body in a correct direction.

Drawings

FIG. 1 is a schematic front view of an embodiment of the present invention;

FIG. 2 is a schematic side view of an embodiment of the present invention;

FIG. 3 is a schematic view of a hook structure according to an embodiment of the present invention;

FIG. 4 is a schematic view of a connection structure of a hanging plate and a threaded fixing head according to an embodiment of the present invention;

FIG. 5 is a schematic view of a horizontal latch according to an embodiment of the present invention;

fig. 6 is a schematic structural view of the two arc-shaped clamping columns on the bottom plate of the invention fixed by screw threads.

Detailed Description

In order to make the aforementioned objects, features and advantages of the present invention comprehensible, embodiments accompanied with figures are described in detail below. In the following description, numerous specific details are set forth in order to provide a thorough understanding of the present invention. This invention may, however, be embodied in many different forms and should not be construed as limited to the embodiments set forth herein, but rather should be construed as modified in view of the teachings contained herein.

The invention is further illustrated below with reference to the accompanying drawings and example 1: a skin retractor comprises a bottom plate 1, arc clamping columns 2 and a hanging plate 3, and in order to better clamp an injured part (hands, legs or a body are driven to be dry), two arc clamping columns 2 which are oppositely arranged are fixed on the bottom plate 1, the periphery of a human body is clamped through arcs of the arc clamping columns 2 (the arc clamping columns can be fixedly dead, the two arc clamping columns 2 which are fixedly dead can adapt to most people, but a small part of people which are too fat or too thin are not suitable for people), therefore, in order to be more suitable for the majority of people, sliding grooves 111 are arranged on the bottom plate 1, sliding blocks 12 are arranged at the bottoms of the arc clamping columns 2 correspondingly, the sliding blocks 12 are matched with the sliding grooves 111, and the sliding blocks 12 at the bottoms of the arc clamping columns 2 are matched through the sliding grooves 11 to adjust the distance between the two arc clamping columns 2, so as to be suitable for the people with various body shapes); in the use of the above structure, the pre-fixed position is not particularly suitable, so that it is desirable to slightly adjust the operation, so that a bayonet 13 is arranged on one side of the bottom plate 1; the rear end of the arc clamping column 2 is connected with a screw rod 14, the screw rod 14 penetrates through a clamping opening 13, and the screw rod 14 penetrates through an adjusting bolt 15 in the clamping opening 13; the outer side of one of the arc clamping columns 2 is connected with a screw rod 14, the screw rod can freely rotate at the joint of the screw rod and the arc clamping column 2, and the screw rod 14 is driven to rotate by rotating an adjusting bolt 15, so that the whole arc clamping column 2 is driven to slide left and right to realize fine adjustment;

the opening directions of the wound are not consistent, so that traction in different directions is needed, and therefore by arranging the turning rod 4, the remaining turning rods of the angle rod 5 are matched with the angle of the adjustable angle rod 5, the angle of the whole hanging plate 3 can be adjusted, the traction direction of the printing line 11 on the hanging plate 3 can be adjusted, and the retraction angle of the tail end of the lead wire can be adjusted; therefore, the following structure is provided,

the top end of the arc clamping column 2 is provided with a turning rod 4, the turning rod 4 is connected with the bottom of an angle rod 5, and the top end of the angle rod 5 is fixedly connected with the hanging plate 3; the hanging plate 3 is provided with a plurality of threaded holes A6, the threaded holes A6 penetrate through the whole hanging plate 3, a threaded head 7 is fixed through the threaded holes A6 in the hanging plate 3 in a threaded manner, a through hole 8 is formed in the center of the threaded head 7, a baffle 9 is arranged on the outer side of the hanging plate 3, a support rod 10 in the center of the baffle 9 penetrates through the through hole 8, the tail end of the support rod 10 is connected with a lead 11, and the tail end of the lead 11 is fixedly connected with a skin hook structure; the skin hook structure comprises a hook 21, a connector 22 and a screw cap 23; the rod section 211 of the hook 21 is made of plastic; the rod section 211 is fixedly connected with the bottom of the connector 22, a threaded rod 25 is arranged at the top of the connector 22, the threaded rod 25 is fixedly connected with the nut 23 through threads, and the top of the nut 23 is fixedly connected with the lead 11;

in the above structure, it is also described how the lead 11 is connected and fixed with the hanging plate 3, so that for better replacement, the threaded fixing head 7 is arranged to be matched with the threaded hole a6, and the tail end of the lead 11 is connected and fixed through the support rod 10 on the movable baffle plate 9, so that the lead 11 can be pulled by pulling the baffle plate 9 to adjust the pulling force of the lead.

In the using process, if only the structure is adopted, the operation of medical staff is interfered by the lead, and the space reserved for the medical staff is too small, so that the horizontal latch 19 is fixedly connected to the inner side of the angle rod 5 through the connecting rod 51, and a plurality of clamping seams 20 are formed in the horizontal latch 19; during operation, the lead passes through the slit 20, and the end of the lead 11 is fixed, while the water skin latch 19 arranged further outside can guide the impression in a more outward manner, thereby leaving a wider space for the medical staff in the middle;

even in the above structure, when the device is used, the situation that local skin tissues are not firmly fixed can be still found, the traction force of the lead 11 needs to be adjusted in the operation process, so that the wound can be better pulled away, therefore, the long and straight fixing rod 18 is fixed on the outer side of the angle rod 5, the fixing rod 18 is provided with the fixing nail 181, and the tail end of the lead 11 is wound outside the fixing nail 181 (or the baffle 9 is clamped between the fixing nails 181 to realize quick fixation, so that the traction force of a few leads can be quickly adjusted, the traction degree of the skin tissues can be adjusted, and the operation can be better performed).

In other embodiment 2, the bottom plate 1 is provided with a plurality of threaded holes B16, and the arc clamping column 2 is fixedly connected with the bottom plate 1 through a fixing bolt 17; in this way, the two arc-shaped clamping columns 2 are firmly fixed, so that the gap between the two arc-shaped clamping columns is not adjustable, but the clamping device can be suitable for most wounded persons, and the operation of medical staff is more familiar.

In order to better fix the hook with the skin tissue of the human body, a plastic side wing 24 is arranged on one side of the connecting head 22 corresponding to the hook 21, and the plastic side wing 24 is a semicircular plastic sheet; the plastic side wing 24 comprises a bottom sanitary cotton layer 241 and a top plastic plate layer 242, and the plastic side wing 24 and the rod section 211 of the hook 21 form an included angle of 60 degrees.

In this embodiment, when a certain part of the trunk of a human body is cut, the hook 21 is easy to slip due to the connection of human tissues, and is quickly infected by blood so that the hook is not easy to find, so that the plastic wing 24 with the inclination angle of 60 degrees is abutted against the human tissues and blood is sucked through the sanitary cotton layer 241, thereby the operation is performed with as little interference as possible.

In a specific implementation, the direction-changing rod 4 at least comprises an oblique angle section A41, a small round rod section 42 and an oblique angle section B43, wherein the round rod section 42 is positioned between the oblique angle section A41 and the oblique angle section B43; the bevel angle section A and the bevel angle section B are both rectangular sections, and the inclination angles of the upper end surfaces of the bevel angle section A and the bevel angle section B are different.

Namely, the bevel angle section A41 and the bevel angle section B43 with different inclination angles are matched with the angle rod of the rectangular opening in the mode, the fixed angle of the angle rod 5 is changed, the position of the hanging plate 3 on the angle rod 5 is adjusted in a trial mode, and the traction direction of the lead is changed to match wounds in different directions.

The foregoing detailed description of the preferred embodiments of the invention has been presented. It should be understood that numerous modifications and variations could be devised by those skilled in the art in light of the present teachings without departing from the inventive concepts. Therefore, the technical solutions available to those skilled in the art through logic analysis, reasoning and limited experiments based on the prior art according to the concept of the present invention should be within the scope of protection defined by the claims.

Claims

1. A skin retractor, comprising: the angle adjusting device comprises a bottom plate (1), arc clamping columns (2) and a hanging plate (3), wherein the two arc clamping columns (2) which are oppositely arranged are fixed on the bottom plate (1), a turning rod (4) is arranged at the top end of each arc clamping column (2), the turning rod (4) is connected with the bottom of an angle rod (5), and the top end of the angle rod (5) is fixedly connected with the hanging plate (3); the hanging plate (3) is provided with a plurality of threaded holes A (6), the threaded holes A (6) penetrate through the whole hanging plate (3), threaded heads (7) are fixed through the threaded holes A (6) in the inner side of the hanging plate (3) in a threaded manner, a pair of through holes (8) are formed in the centers of the threaded heads (7), a baffle plate (9) is arranged on the outer side of the hanging plate (3), a support rod (10) in the center of the baffle plate (9) penetrates through the pair of through holes (8), the tail end of the support rod (10) is connected with a lead (11), and the tail end of the lead (11) is fixedly connected with a skin hook; and

the skin hook structure comprises a hook (21) and a connector (22), wherein a plastic side wing (24) is arranged on one side of the connector (22) corresponding to the hook (21), and the plastic side wing (24) is a semicircular plastic sheet;

the turning rod (4) at least comprises an oblique angle section A (41), a small round rod section (42) and an oblique angle section B (43), and the round rod section (42) is positioned between the oblique angle section A (41) and the oblique angle section B (43); the bevel angle section A (41) and the bevel angle section B (43) are both rectangular sections, and the inclination angles of the upper end surfaces of the bevel angle section A (41) and the bevel angle section B (43) are different.

2. The skin retractor of claim 1, wherein: the bottom plate (1) is provided with a sliding groove (111), a sliding block (12) is arranged at the bottom corresponding to the arc clamping column (2), and the sliding block (12) is matched with the sliding groove (111).

3. The skin retractor of claim 2, wherein: a bayonet (13) is further arranged on one side of the bottom plate (1); the rear end of the arc clamping column (2) is connected with a screw rod (14), the screw rod (14) penetrates through a bayonet (13), and the screw rod (14) penetrates through an adjusting bolt (15) in the bayonet (13).

4. The skin retractor of claim 1, wherein: the arc clamping column is characterized in that a plurality of threaded holes B (16) are formed in the bottom plate (1), and the arc clamping column (2) is fixedly connected with the bottom plate (1) through fixing bolts (17).

5. The skin retractor of claim 1, wherein: the skin hook structure further comprises a screw cap (23); the rod section (211) of the hook (21) is made of plastic; pole section (211) are connected fixedly with the bottom of connector (22), the top of connector (22) is equipped with threaded rod (25), through threaded rod (25) are fixed with nut (23) threaded connection, the top and the lead wire (11) of nut (23) are connected fixedly.

6. The skin retractor of claim 1, wherein: a long and straight fixing rod (18) is fixed on the outer side of the angle rod (5), and a fixing nail (181) is arranged on the fixing rod (18).

7. The skin retractor of claim 1, wherein: the inner side of the angle rod (5) is connected with and fixed with a horizontal latch (19) through a connecting rod (51), and a plurality of clamping seams (20) are arranged on the horizontal latch (19).

8. The skin retractor of claim 1, wherein: the plastic side wing (24) comprises a bottom sanitary cotton layer (241) and a top plastic rubber layer (242), and the plastic side wing (24) and the rod section (211) of the hook (21) form an included angle of 60-90 degrees.