CN109330649A - A kind of brain spatula with real-time pressure monitoring function - Google Patents
A kind of brain spatula with real-time pressure monitoring function Download PDFInfo
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- CN109330649A CN109330649A CN201811427051.7A CN201811427051A CN109330649A CN 109330649 A CN109330649 A CN 109330649A CN 201811427051 A CN201811427051 A CN 201811427051A CN 109330649 A CN109330649 A CN 109330649A
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- 210000004556 brain Anatomy 0.000 title claims abstract description 314
- 238000012544 monitoring process Methods 0.000 title claims abstract description 20
- 230000005540 biological transmission Effects 0.000 claims abstract description 35
- 230000001105 regulatory effect Effects 0.000 claims abstract description 11
- 239000000203 mixture Substances 0.000 claims abstract description 5
- 229910000831 Steel Inorganic materials 0.000 claims description 17
- 239000010959 steel Substances 0.000 claims description 17
- 239000011324 bead Substances 0.000 claims description 13
- 230000002490 cerebral effect Effects 0.000 claims description 10
- 238000005286 illumination Methods 0.000 claims description 9
- 239000011241 protective layer Substances 0.000 claims description 5
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 claims description 4
- 239000000463 material Substances 0.000 claims description 4
- 239000000741 silica gel Substances 0.000 claims description 4
- 229910002027 silica gel Inorganic materials 0.000 claims description 4
- 238000001356 surgical procedure Methods 0.000 abstract description 7
- 210000005013 brain tissue Anatomy 0.000 description 23
- 238000010586 diagram Methods 0.000 description 12
- 210000001175 cerebrospinal fluid Anatomy 0.000 description 10
- 230000006931 brain damage Effects 0.000 description 7
- 231100000874 brain damage Toxicity 0.000 description 7
- 208000029028 brain injury Diseases 0.000 description 7
- 238000000034 method Methods 0.000 description 7
- 230000006378 damage Effects 0.000 description 6
- 230000003902 lesion Effects 0.000 description 6
- 208000022306 Cerebral injury Diseases 0.000 description 5
- 210000004369 blood Anatomy 0.000 description 3
- 239000008280 blood Substances 0.000 description 3
- 238000005213 imbibition Methods 0.000 description 3
- 238000013461 design Methods 0.000 description 2
- 238000002474 experimental method Methods 0.000 description 2
- 239000007788 liquid Substances 0.000 description 2
- 238000013139 quantization Methods 0.000 description 2
- 238000011160 research Methods 0.000 description 2
- 210000001519 tissue Anatomy 0.000 description 2
- 230000000007 visual effect Effects 0.000 description 2
- LPVJWXJBZPCDLM-HUWNQDJBSA-N 7-boat Chemical compound O([C@H]1\C(C)=C/[C@]23O[C@@]2(C([C@H](C)[C@@H](OC(C)=O)[C@H]2[C@H](C2(C)C)[C@@H]1OC(C)=O)=O)C[C@H]([C@H]3OC(C)=O)C)C(=O)C1=CC=CC=C1 LPVJWXJBZPCDLM-HUWNQDJBSA-N 0.000 description 1
- 206010052346 Brain contusion Diseases 0.000 description 1
- 206010048962 Brain oedema Diseases 0.000 description 1
- 206010008111 Cerebral haemorrhage Diseases 0.000 description 1
- 241001391944 Commicarpus scandens Species 0.000 description 1
- 206010052428 Wound Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 238000010521 absorption reaction Methods 0.000 description 1
- 230000000844 anti-bacterial effect Effects 0.000 description 1
- 208000006752 brain edema Diseases 0.000 description 1
- 206010008118 cerebral infarction Diseases 0.000 description 1
- 208000026106 cerebrovascular disease Diseases 0.000 description 1
- 238000005253 cladding Methods 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 230000008034 disappearance Effects 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 230000000642 iatrogenic effect Effects 0.000 description 1
- 210000001259 mesencephalon Anatomy 0.000 description 1
- 210000005036 nerve Anatomy 0.000 description 1
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
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- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
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- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
The present invention relates to a kind of brain spatulas with real-time pressure monitoring function, including brain spatula shank, brain spatula shank is by the first shank for being articulated and connected by shaft, second shank composition, first brain spatula component includes the first brain spatula, the auxiliary brain spatula being rotatablely connected by universal shaft and the first brain spatula far from the end of brain spatula shank, be additionally provided on first shank for adjust auxiliary brain spatula tilt angle by fixed handle, it is sequentially connected by between fixed handle and auxiliary brain spatula by transmission parts, second brain spatula component includes that brain spatula accommodates shell, one end is inserted in the second brain spatula in brain spatula receiving shell, brain spatula accommodates shell and is equipped with the regulating member for adjusting the second brain spatula extension elongation, boat digs spoon and is equipped with pressure sensor on second brain spatula.The generation that the present invention is convenient for more fully exposed surgical field of view, is damaged convenient for brain spatula related brain in the use of doctor in the course of surgery, the success rate convenient for improving operation, reduction art.
Description
Technical field
The invention belongs to the field of medical instrument technology more particularly to a kind of brain spatulas with real-time pressure monitoring function.
Background technique
Brain spatula (Brain Retractor) is that one of instrument is commonly used in neurosurgery, is mainly used for pulling brain
Tissue, exposure deep lesion, and the good visual field is provided for deep micromanipulation.In brain spatula art drawing be broadly divided into duration and
Two kinds of intermittence drawing, duration drawing typically refer to constantly pull brain tissue in art, and intermittence drawing refers to leads repeatedly
It draws and to loosen brain tissue multiple.Brain spatula is rigid structure, and clear-cut margin, and brain tissue has pulsation in addition, to brain tissue
Excessive or unsuitable drawing can cause the cerebral lesions such as different degrees of brain edema, cerebral contusion, cerebral infarction, cerebral hemorrhage, be nerve
The most common iatrogenic damage in surgical operation.When brain spatula correlation cerebral injury has been found with brain surface pressure and drawing
Between closely related, the neurosurgeon of of different years and experience, rely on personal experience, nothing using brain spatula drawing brain tissue more
Drawing dynamics equivalent standard, and the art mesencephalic tissue drawing time, also without clearly recording, this is to lead to neurosurgery midbrain
The major reason of pressing plate correlation cerebral injury.
Chinese patent CN207236813U discloses " brain spatula " comprising plate body, wherein one end of plate body be holding section,
The other end is acting section, and the acting section has pressing portion, and pressure sensor is equipped at pressing portion, is set in the holding section
There is governor circuit, pressure sensor and governor circuit are electrically connected, which is equipped with pressure display element, and pressure is aobvious
Show that element and governor circuit are electrically connected.But there is also following disadvantages for conventional brain spatula:
1. the head of plate body does not have trimming part, it is only capable of moving the position of entire plate body, the safety of operation during observation
It is lower；
2. being only capable of the pressure of real-time monitoring brain tissue receiving, do not have timing, warning function, brain spatula correlation cerebral injury is demonstrate,proved
Real closely related with brain surface pressure and drawing time, the safety of operation is lower；
3. the entire length of plate body is unadjustable, practicability is poor in doctor's operation；
4. plate body head extend into dark after site of action, it is not easy to observe, the safety of operation is more low.
Therefore, these problems are based on, provide one kind convenient for more fully exposing surgical field of view, performing the operation convenient for doctor
Use in the process the success rate convenient for improving operation, reduces the generation of brain spatula related brain damage in art, while can significantly mention
The brain spatula with real-time pressure monitoring function of safety and validity that high doctor uses brain spatula has important show
Sincere justice.
Summary of the invention
It is an object of the invention to overcome the deficiencies of the prior art and provide a kind of convenient for more fully exposure operation view
It is wild, convenient for the use of doctor in the course of surgery, the success rate convenient for improving operation, reduce brain spatula related brain damage in art
Occur, while being remarkably improved the brain with real-time pressure monitoring function of safety and validity that doctor uses brain spatula
Pressing plate.
The present invention adopts the following technical solutions to achieve:
A kind of brain spatula with real-time pressure monitoring function, including brain spatula shank, the brain spatula shank is by passing through shaft
The first shank, the second shank composition of articulated connection, first shank, side of second shank far from shaft are connected with the respectively
One brain spatula component, the second brain spatula component；
The first brain spatula component includes the first brain spatula, the end by universal shaft and the first brain spatula far from brain spatula shank
The auxiliary brain spatula of portion's rotation connection, the auxiliary brain spatula is in integrally formed boat structure thin in outer thickness, the auxiliary
Offering fluid-through port in brain spatula, the part that the fluid-through port is located on the outside of auxiliary brain spatula is connected with drainage tube, and described the
Be additionally provided on one shank for adjust auxiliary brain spatula tilt angle by fixed handle, it is described by fixed handle and auxiliary brain spatula it
Between by transmission parts be sequentially connected, the upper surface of second shank is equipped with a display element, the second cerebral board group
Part includes that brain spatula accommodates shell, one end and is inserted in brain spatula and accommodates the second brain spatula in shell, and the brain spatula accommodates outer
Shell is equipped with the regulating member for adjusting the second brain spatula extension elongation, and first brain spatula, the second brain spatula are far from brain spatula
Spoon is dug integrally formed with boat respectively in the side of shank, and boat digs spoon and is equipped with pressure sensor on second brain spatula.
Preferably, upwards, boat digs spoon to the direction of boat digging spoon on second brain spatula on first brain spatula
Towards downwards, second brain spatula is coated with soft protective layer, second brain spatula far from one end of brain spatula shank
Side wall along its length also carve be equipped with graduation mark.
Preferably, upwards, the upper edge of the auxiliary brain spatula radially offers the direction of the auxiliary brain spatula
Plurality of guiding gutter, the auxiliary brain spatula inner wall are equipped at least one illumination lamp bead.
Preferably, the material of the drainage tube is silica gel, and the drainage tube is soft to stretch close to the side of auxiliary brain spatula
Pipe structure, one end far from the auxiliary brain spatula are equipped with drainage bag connecting tube.
Preferably, the upper surface of first shank is symmetrically opened up there are two rectangular recess, and two rectangular recess close
It is symmetrical arranged in the central axes on the first shank length direction, the length side of the length direction of the rectangular recess and the first shank
To parallel, and two rectangular recess are arranged respectively close to the first shank edge, and the rectangular recess is close to the first shank
The side at edge on the outside of a rectangular straight slot and the first shank by being connected.
It is further preferred that the quantity by fixed handle is two, it is long about the first shank by fixed handle described in two
The central axes spent on direction are symmetrical arranged, described to pass through shaft and the first handle close to one end of the first brain spatula component by fixed handle
The rotation connection of portion's side wall, the quantity of the transmission parts are two groups, and transmission parts described in two groups are about the first shank length direction
On central axes be symmetrical arranged, the transmission parts include set on auxiliary brain spatula edge on the first sliding rail, successively pass through
Wear the first brain spatula, the through-hole of the first shank, the transmission steel wire that is inserted in through-hole and second sliding in rectangular recess
Dynamic rail road, sliding is connected with the first sliding block, the second sliding block, the biography respectively in first sliding rail, the second sliding rail
The one end and the first sliding block Joint of dynamic steel wire close to auxiliary brain spatula, the transmission steel wire extend into one end of rectangular recess with
Second sliding block Joint, it is described to be hinged with a drive rod close to a middle side part of the first shank by fixed handle, the drive rod
The other end passes through rectangular straight slot and extend into rectangular recess and be hinged with the side wall of the second sliding block, it is described by fixed handle close to the
The side of one shank is also connected with a reset spring, and the other end of the reset spring is connected with the side wall of the first shank.
Preferably, it is the cube shell-like structure open at one end far from the second shank, institute that the brain spatula, which accommodates shell,
It states and is provided along its length at least two slideways on the inner wall of brain spatula receiving shell, the side wall of second brain spatula is along it
Length direction offers at least two sliding slots being slidably connected with slideway, and the upper surface of second brain spatula holds close to brain spatula
It receives and offers a threaded hole in the middle part of shell side, the regulating member includes being opened in brain spatula to accommodate lock on shell upper wall
The clamping screw determining slot and being threadably mounted on threaded hole across lock slots, the lock slots are long along brain spatula receiving shell
Spend direction setting, the lock slots by least four head and the tail connection cucurbit slot constitute, the cucurbit slot by large aperture hole slot with
Small-bore hole slot communicates composition, and the clamping screw includes nut portion setting up and down, threaded shank, the large aperture hole slot it is straight
Diameter is greater than the diameter in nut portion, and the diameter in the nut portion is greater than the diameter of small-bore hole slot, the diameter of the small-bore hole slot
Greater than the diameter of threaded shank.
Preferably, be equipped with main control module, timer, alarm in second shank, the main control module respectively with it is aobvious
Show that element, pressure sensor, illumination lamp bead, timer and alarm are electrically connected, the lower end of second shank is additionally provided with
Rechargeable battery, the rechargeable battery and main control module are electrically connected, and the display element is display, the pressure sensing
Element is the pressure sensor of PTG501 model, and the timer is the timer of DHC3L model, and the main control module is
The single-chip microcontroller of PIC16LC770 model, the alarm are buzzer.
The advantages and positive effects of the present invention are:
1. in the present invention, the size of angle between the first shank, the second shank is adjusted by shaft, performing the operation convenient for doctor
Using more smoothly in journey.
2. in the present invention, the first brain spatula component includes the first brain spatula, passes through universal shaft and the first brain spatula far from brain
The auxiliary brain spatula of the end rotation connection of pressing plate shank presses fixed handle by Manual press, auxiliary under the transmission of transmission parts
It helps brain spatula that the inclination of certain angle can occur using universal shaft as axis, certain fine tuning can be played the role of, convenient for improving operation
Safety, convenient for more fully expose surgical field of view, convenient for doctor in the course of surgery use, convenient for improve operation
Success rate.
3. in the present invention, assist offering fluid-through port in brain spatula, fluid-through port be located at part on the outside of auxiliary brain spatula with
Drainage tube is connected, and since auxiliary brain spatula is in integrally formed boat structure thin in outer thickness, on the one hand round and smooth structure is set
Meter can prevent auxiliary brain spatula from generating secondary damage on the other hand to brain tissue in moving process
The auxiliary brain spatula of boat structure will not improve the safety of imbibition since siphonage is by brain tissue sucking drainage system.
4. in the present invention, the upper edge of brain spatula is assisted radially to offer plurality of guiding gutter, brain spatula inner wall is assisted
Lamp bead is illuminated embedded at least one, the cerebrospinal fluid that diversion trench can help to operative site is flowed into the inner fovea part of auxiliary brain spatula
Position, then facilitates cerebrospinal fluid and is sucked away, and illumination lamp bead facilitates doctor and more clearly observes operative site, and assists
The irradiation position that brain spatula illuminates lamp bead when adjusting angle can also change correspondingly, and easily facilitate doctor's observation.
5. in the present invention, the second brain spatula component includes that brain spatula accommodates shell, one end is inserted in brain spatula and accommodates shell
The second interior brain spatula is adjusted the second brain spatula extension elongation by regulating member, uses in the course of surgery convenient for doctor
More smoothly.
6. in the present invention, the side of the first brain spatula, the second brain spatula far from brain spatula shank is respectively integrally formed with ship
Shape digs spoon, and boat digging spoon, which can be used for performing the operation, draws digging operation, and boat digs spoon equipped with pressure sensor on the second brain spatula, passes through
Pressure sensor can real-time monitoring by drawing brain tissue bear pressure, and then reduce art in brain spatula related brain damage hair
It is raw, while being also remarkably improved safety and validity that junior doctor uses brain spatula.
7. in the present invention, on display element can real-time display be pulled brain tissue local pressure conditions, also while recording brain
The draw tissue time, and not only brain tissue strength and time can be pulled with fine quantization more than being alarmed after warning value,
Key experiments data are provided for research brain spatula correlation cerebral lesion, and then reduce the generation of brain spatula related brain damage in art, together
When be also remarkably improved the safety and validity that junior doctor uses brain spatula.
Detailed description of the invention
Fig. 1 is schematic view of the front view of the invention；
Fig. 2 is overlooking structure diagram of the invention；
Fig. 3 is that the structural schematic diagram for pressing handle state is removed in Fig. 1；
Fig. 4 is the structural schematic diagram for assisting brain spatula tilt angle to change state in Fig. 1；
Fig. 5 is the overlooking structure diagram of Fig. 4；
Fig. 6 is the schematic view of the front view of brain spatula shank；
Fig. 7 is that the structural schematic diagram for pressing handle state is removed in Fig. 6；
Fig. 8 is the overlooking structure diagram of Fig. 6；
Fig. 9 is the schematic diagram of the section structure of Fig. 8；
Figure 10 is the schematic view of the front view of the second brain spatula component；
Figure 11 is Figure 10 along the face A-A the schematic diagram of the section structure；
Figure 12 is the overlooking structure diagram of the second brain spatula component；
Figure 13 is Figure 12 along the face B-B schematic view of the front view；
Figure 14 is Figure 12 along the face C-C the schematic diagram of the section structure；
Figure 15 is the overlooking structure diagram of the first brain spatula component；
Figure 16 is Figure 15 along the face D-D schematic view of the front view；
Figure 17 is Figure 15 along the face E-E the schematic diagram of the section structure.
In figure: 1. brain spatula shanks, 2. shafts, 3. first shanks, 4. second shanks, 5. first brain spatula components, 6.
Two brain spatula components, 7. first brain spatulas, 8. universal shafts, 9. auxiliary brain spatulas, 10. fluid-through ports, 11. drainage tubes, 12. are by starting
Handle, 13. display elements, 14. brain spatulas accommodate shell, 15. second brain spatulas, 16. boat dig spoon, 17. pressure sensors,
18. graduation mark, 19. diversion trenches, 20. illumination lamp beads, 21. drainage bag connecting tubes, 22. rectangular recess, 23. rectangular straight slot, 24. the
One sliding rail, 25. through-holes, 26. transmission steel wires, 27. second sliding rails, 28. first sliding blocks, 29. second sliding blocks, 30. pass
Lever, 31. reset springs, 32. slideways, 33. sliding slots, 34. threaded holes, 35. lock slots, 36. clamping screws, 37. large aperture holes
Slot, 38. small-bore hole slots.
Specific embodiment
Technical solution of the present invention is described in further detail below with reference to drawings and examples.
As shown in Fig. 1-17, a kind of brain spatula with real-time pressure monitoring function, including brain spatula shank 1, the brain
Pressing plate shank 1 is made of the first shank 3, the second shank 4 being articulated and connected by shaft 2, first shank 3, the second shank 4
Side far from shaft 2 is connected with the first brain spatula component 5, the second brain spatula component 6 respectively；The first brain spatula component 5 wraps
The auxiliary cerebral for including the first brain spatula 7, being rotatablely connected by universal shaft 8 and the first brain spatula 7 far from the end of brain spatula shank 1
Plate 9, the auxiliary brain spatula 9 are in integrally formed boat structure thin in outer thickness, offer logical liquid in the auxiliary brain spatula 9
Mouth 10, the part that the fluid-through port 10 is located at 9 outside of auxiliary brain spatula are connected with drainage tube 11, on first shank 3 also
Equipped with for adjust auxiliary 9 tilt angle of brain spatula by fixed handle 12, it is described to lead to by between fixed handle 12 and auxiliary brain spatula 9
Transmission parts transmission connection is crossed, the upper surface of second shank 4 is equipped with a display element 13, the second brain spatula component
6 accommodate shell 14 including brain spatula, one end is inserted in the second brain spatula 15 in brain spatula receiving shell 14, and the brain spatula holds
Shell 15 of receiving is equipped with the regulating member for adjusting 15 extension elongation of the second brain spatula, first brain spatula 7, the second brain spatula 15
Spoon 16 is dug integrally formed with boat respectively in side far from brain spatula shank 1, and boat is dug on spoon 16 on second brain spatula 15
Equipped with pressure sensor 17.
Embodiment: brain spatula (Brain Retractor) is that one of instrument is commonly used in neurosurgery, is mainly used for
Pull brain tissue, exposure deep lesion, and provide the good visual field for deep micromanipulation, it is of the invention in, brain spatula shank 1 is by leading to
Cross shaft 2 articulated connection the first shank 3, the second shank 4 composition, by shaft 2 be adjusted the first shank 3, the second shank 4 it
Between angle size, use in the course of surgery convenient for doctor more smoothly, the first brain spatula component 5 include the first brain spatula 7,
The auxiliary brain spatula 9 being rotatablely connected by universal shaft 8 and the first brain spatula 7 far from the end of brain spatula shank 1, the first shank 3
On be additionally provided with for adjust auxiliary 9 tilt angle of brain spatula by fixed handle 12, fixed handle 12 is pressed by Manual press, is being driven
Under the transmission of component, auxiliary brain spatula 9 can be the inclination that certain angle occurs for axis with universal shaft 8, can play certain fine tuning
Effect, without the position of the entire brain spatula of movement, the adjusting position that auxiliary brain spatula 9 can be pico-, convenient for improving the peace of operation
Quan Xing, convenient for more fully expose surgical field of view, convenient for doctor in the course of surgery use, convenient for improve operation success
Rate, and assist offering fluid-through port 10 in brain spatula 9, fluid-through port 10 is located at part and the drainage tube in 9 outside of auxiliary brain spatula
11 are connected, and the output end of drainage tube 11 is attached with vacuum absorption device in the course of surgery, since auxiliary brain spatula 9 is in
Thin integrally formed boat structure in outer thickness, on the one hand the design of round and smooth structure can prevent auxiliary brain spatula 9 in moving process
In secondary damage is generated to brain tissue, on the other hand, if operative site generates cerebrospinal fluid or blood, in auxiliary brain spatula 9
When being moved to operative site, cerebrospinal fluid or blood can be flowed into auxiliary 9 indent position of brain spatula, due to leading in imbibition process
Liquid mouth 10 can generate siphonage, if fluid-through port 10 is exposed on the outside of brain spatula, easily generate two to brain tissue in siphonage
Secondary damage, and in the present invention fluid-through port 10 be located at auxiliary 9 indent position of brain spatula in, in boat structure auxiliary brain spatula 9 not
It can improve safety because siphonage is by brain tissue sucking drainage system and only exist in auxiliary brain during attracting cerebrospinal fluid
The fluid-through port 10 at 9 indent position of pressing plate go out can generate vacuum, by fluid-through port 10, drainage tube 11 by assist brain spatula 9 in one
A little cerebrospinal fluid, blood are discharged in time, after without influencing the subsequent operation of doctor, and will not generate damage to external brain tissue
Wound, improves the safety of imbibition；Second brain spatula component 6 includes that brain spatula accommodates shell 14, one end is inserted in brain spatula receiving
The second brain spatula 15 in shell 14 is adjusted 15 extension elongation of the second brain spatula by regulating member, is performing the operation convenient for doctor
In the process using more smoothly, the first brain spatula 7, the second side of the brain spatula 15 far from brain spatula shank 1 are integrally formed respectively
There is boat to dig spoon 16, boat digging spoon 16, which can be used for performing the operation, draws digging operation, and boat digs spoon 16 equipped with pressure on the second brain spatula 15
Sensing element 17 leads to since brain spatula correlation cerebral injury has been found closely related with brain surface pressure and drawing time
Excess pressure sensing element 17 can real-time monitoring by drawing brain tissue bear pressure, and then reduce art in brain spatula related brain damage
Occur, while being also remarkably improved safety and validity that junior doctor uses brain spatula.It should be noted that of the invention
In the first brain spatula 7, auxiliary brain spatula 9, the second brain spatula 15, boat dig spoon 16 etc. and be all made of the round and smooth formula design in edge, can
The generation for reducing related cerebral lesion in art, improves safety.
Further for, can also consider in the present invention, on first brain spatula 7 boat dig spoon 16 direction to
On, on second brain spatula 15 boat dig spoon 16 direction downwards, second brain spatula 15 far from brain spatula shank 1 one
End is coated with soft protective layer, and the side wall of second brain spatula 15 is also carved be equipped with graduation mark 18 along its length.This hair
It is bright it is middle pressure sensor 17 and the second brain spatula are combined closely, overcoming operating room sterilize difficulty when can be used in the second brain
One end outer cladding of the pressing plate 15 far from brain spatula shank 1 is cased with soft antibacterial protective layer, the safety used is improved, wherein soft
Soft protective layer can be, but not limited to be aseptic thin-film.
For further, it can also consider in the present invention, the direction of the auxiliary brain spatula 9 is upward, the auxiliary
The upper edge of brain spatula 9 radially offers plurality of guiding gutter 19, and 9 inner wall of auxiliary brain spatula is embedded at least one photograph
Bright lamp pearl 20, the cerebrospinal fluid that diversion trench 19 can help to operative site are flowed into the indent position of auxiliary brain spatula 9, diversion trench 19
Upper edge along auxiliary brain spatula 9 radially opens up, and diversion trench 19 is used to importing the cerebrospinal fluid of operative site into auxiliary cerebral
In plate 9, the cerebrospinal fluid of all directions can be then drained, then facilitates cerebrospinal fluid and is sucked away, assists 9 inner wall of brain spatula
Lamp bead 20 is illuminated embedded at least one, illumination lamp bead 20 can provide certain light, facilitate doctor and more clearly observe
Operative site, and the irradiation position for assisting brain spatula 9 to illuminate lamp bead 20 when adjusting angle can also change correspondingly, and easily facilitate doctor
Raw observation, the auxiliary brain spatula 9 pass through the end of universal shaft 8 and the first brain spatula 7 close to the side upper end of the first brain spatula 7
Rotation connection, and the universal shaft 8 is less than with auxiliary brain spatula 9 close to the distance between the one side edge of the first brain spatula 7
5mm, so that auxiliary brain spatula 9 will not close to the one side edge of the first brain spatula 7 when assisting brain spatula 9 to change tilt angle
Damage is generated to brain tissue, is guaranteed safety, side and first shank 3 phase of first brain spatula 7 far from auxiliary brain spatula 9
It is affixed.
For further, it can also consider in the present invention, the material of the drainage tube 11 is silica gel, the drainage tube
11, close to the side of brain spatula 9 is assisted as bellows structure, connect far from described one end for assisting brain spatula 9 equipped with drainage bag
The input terminal of pipe 21, the drainage tube is connected with the part that fluid-through port is located on the outside of auxiliary brain spatula, and 11 material of drainage tube is
Silica gel, softness can be arbitrarily bent, and have it is sufficiently ductile, it is not easy to break, one end be encephalic end, the other end connect drainage bag connect
Adapter tube 21.
For further, it can also consider in the present invention, there are two the upper surface of first shank 3 symmetrically opens up
Rectangular recess 22, two rectangular recess 22 are symmetrical arranged about the central axes on 3 length direction of the first shank, the rectangle
The length direction of groove 22 is parallel with the length direction of the first shank 3, and two rectangular recess 22 are respectively close to first
The setting of 3 edge of shank, the rectangular recess 22 pass through a rectangular straight slot 23 and the first shank close to the side at 3 edge of the first shank
3 outsides are connected.
It should be pointed out that the quantity by fixed handle 12 is two, by fixed handle 12 about the first handle described in two
Central axes on 3 length direction of portion are symmetrical arranged, described to pass through shaft close to one end of the first brain spatula component 5 by fixed handle 12
It is rotatablely connected with 12 side wall of the first shank, the quantity of the transmission parts is two groups, is set respectively with by the one-to-one correspondence of fixed handle 12
It sets, transmission parts described in two groups are symmetrical arranged about the central axes on 3 length direction of the first shank, and the transmission parts include setting
In auxiliary 9 edge of brain spatula on the first sliding rail 24, sequentially pass through the first brain spatula 7, the first shank 3 through-hole 25, insert
Transmission steel wire 26 in through-hole 25 and the second sliding rail 27 in rectangular recess 22, driving section described in every group
The first sliding rail 24, through-hole 25, transmission steel wire 26, the second sliding rail 27 in part are located on same perpendicular, described
One end of through-hole 25 is pierced by other than the first brain spatula 7, and the other end is pierced by rectangular recess 22, first sliding rail 24
Length direction along auxiliary brain spatula 9 is set on its edge, length direction of second sliding rail 27 along rectangular recess 22
On its bottom wall, sliding is connected with the first sliding block 28, second respectively in first sliding rail 24, the second sliding rail 27
Sliding block 29, the transmission steel wire 26 are stretched close to one end of auxiliary brain spatula 9 and 28 Joint of the first sliding block, the transmission steel wire 26
Enter one end to rectangular recess 22 and 29 Joint of the second sliding block, the fixed handle 12 of pressing is close to a middle side part of the first shank 3
It is hinged with a drive rod 30, the other end of the drive rod 30 passes through rectangular straight slot 23 and extend into rectangular recess 22 and with second
The side wall of sliding block 29 is hinged, described to be also connected with a reset spring 31 close to the side of the first shank 3 by fixed handle 12, described multiple
The other end of position spring 31 is connected with the side wall of the first shank 3.
As shown in Fig. 2, when Manual press presses fixed handle 12, it is close for axial first shank 3 with shaft by fixed handle 12,
Due to being hinged with a drive rod 30 close to a middle side part of the first shank 3 by fixed handle 12, the other end of drive rod 30 passes through square
Shape through slot 23 extend into rectangular recess 22 and is hinged with the side wall of the second sliding block 29, under the transmission of drive rod 30, second
Sliding block 29 is gone along the second sliding rail 27 to 4 direction of the second shank cunning, and since transmission steel wire 26 is close to the one of auxiliary brain spatula 9
End with 28 Joint of the first sliding block, transmission steel wire 26 extend into rectangular recess 22 one end and 29 Joint of the second sliding block, second
In the moving process of sliding block 29, it will drive transmission steel wire 26 and move, since the length of transmission steel wire will not change, so that the
One sliding block 28 can be slided to 7 direction of the first brain spatula (such as Fig. 4 institute under the pulling of transmission steel wire 26 along the first sliding rail 24
Show), it is then that certain inclination occurs for axis with universal shaft 8 with dynamic auxiliary brain spatula 9, to realize through Manual press by starting
Handle 12, under the transmission of transmission parts, auxiliary brain spatula 9 can be the inclined state that certain angle occurs for axis with universal shaft 8, when
When acting on the power disappearance by fixed handle 12, under the action of 31 elastic force of reset spring, by fixed handle 12, the first sliding block 28, pass
Dynamic steel wire 26, the second sliding block 29, auxiliary brain spatula 9 etc. set back.
For further, it can also consider in the present invention, it is far from the second shank 4 that the brain spatula, which accommodates shell 14,
Cube shell-like structure open at one end, the brain spatula accommodates the one end and the second shank 4 of shell 14 close to the second shank 4
Joint, the brain spatula accommodate and are provided along its length at least two slideways 32, second brain on the inner wall of shell 14
One end of pressing plate 15 extend into brain spatula and accommodates in shell 14, and the side wall of second brain spatula 15 opens up along its length
There are at least two sliding slots 33 being slidably connected with slideway 32, the upper surface of second brain spatula 15 accommodates shell close to brain spatula
A threaded hole 34 is offered in the middle part of 14 sides, the regulating member includes the lock being opened on brain spatula receiving 14 upper wall of shell
The clamping screw 36 determining slot 35 and being threadably mounted on threaded hole 34 across lock slots 35, the lock slots 35 are along brain spatula
The setting of 14 length direction of shell is accommodated, the lock slots 35 are made of the cucurbit slot of at least four head and the tail connections, the cucurbit slot
It is communicated and is constituted with small-bore hole slot 38 by large aperture hole slot 37, the clamping screw 36 includes nut portion setting up and down, screw rod
Portion, the diameter of the large aperture hole slot 37 are greater than the diameter in nut portion, and the diameter in the nut portion is greater than small-bore hole slot 38
Diameter, the diameter of the small-bore hole slot 38 are greater than the diameter of threaded shank.
At least two slideways 32 are provided along its length on the inner wall of brain spatula receiving shell 14, the second brain spatula 15
One end extend into brain spatula and accommodates in shell 14, and the side wall of the second brain spatula 15 offers at least two along its length and slides
The sliding slot 33 that road 32 is slidably connected slides so that the second brain spatula 15 can accommodate in shell 14 in brain spatula, and brain spatula accommodates outer
The regulating member for adjusting 15 extension elongation of the second brain spatula is additionally provided in shell 14, regulating member includes being opened in outside brain spatula receiving
Lock slots 35 on 14 upper wall of shell and the clamping screw 36 being threadably mounted at across lock slots 35 on threaded hole 34, wherein lock
Determine slot 35 to be made of the cucurbit slot of at least four head and the tail connections, cucurbit slot communicates structure with small-bore hole slot 38 by large aperture hole slot 37
At, when clamping screw 36, which passes through lock slots 35, to be threadably mounted on threaded hole 34, nut portion is located in large aperture hole slot 37, by
Diameter in nut portion is greater than the diameter of small-bore hole slot 38, so that the second brain spatula 15 can not accommodate in shell 14 in brain spatula
Sliding, the position of the second brain spatula 15 is locked, when needing to adjust the second 15 extension elongation of brain spatula, by clamping screw 36
It screws out upwards to nut portion and stretches out 37 or more large aperture hole slot, since the diameter of small-bore hole slot 38 is greater than the diameter of threaded shank,
It is slided so that the second brain spatula 15 can accommodate in shell 14 in brain spatula, then adjusts 15 extension elongation of the second brain spatula, adjusted
After clamping screw 36 be torqued-up to nut portion be again located in large aperture hole slot 37, the position of the second brain spatula 15 is able to again
Locking.
For further, can also consider in the present invention, be equipped in second shank 4 main control module, timer,
Alarm, the main control module respectively with display element 13, pressure sensor 17, illumination lamp bead 20, timer and alarm
It is electrically connected, the lower end of second shank 4 is additionally provided with rechargeable battery, and the rechargeable battery electrically connects with main control module
It connects, rechargeable battery can be used for providing electric power, when brain spatula correlation cerebral injury has been found with brain surface pressure and drawing
Between it is closely related, in the present invention, the pressure increase when pressure sensor 17 and brain tissue contact, pressure sensor 17 is detected
Pressure signal, while main control module collects the pressure signal when starting timer, and it is immediately aobvious to control display element 13
Show the pressure value, timer given to set a threshold value, when timing reaches the threshold value, timer feedback signal to main control module,
Main control module controls alarm equipment alarm, and buzzer warning can be used in alarm, and further, the meter with display can be selected in timer
Number devices, on display element 13 can real-time display be pulled brain tissue local pressure conditions, also record brain tissue simultaneously and pull the time,
And can be more than being alarmed after warning value, doctor can adjust pressure size according to the pressure value shown on display element 13,
The setting of timer and alarm prevented also from pressure overlong time, not only can with fine quantization pull brain tissue strength and when
Between, Key experiments data are provided for research brain spatula correlation cerebral lesion, and then reduce the generation of brain spatula related brain damage in art,
It is also remarkably improved safety and validity that junior doctor uses brain spatula simultaneously.
It should be noted that display element described in the present apparatus is display, the pressure sensor be can be used
The timer of DHC3L model can be used in the pressure sensor of PTG501 model, the timer, and the main control module can be used
The single-chip microcontroller of PIC16LC770 model, the alarm are buzzer.Main control module, display element used in the present apparatus, pressure
Power sensing element, illumination lamp bead, timer, alarm etc. can use structure in the prior art, and the above electronic component
Specific structure, working principle and circuit structure be the prior art, such as granted patent CN201620998769.1 is public
Open that " a kind of intelligent arm-rest belt based on protected mode ", granted patent CN201720207616.5 has disclosed " brain spatula ",
The specific knot of main control module, display element, pressure sensor, timer, alarm etc. has been described in the description
Structure, working principle, circuit structure, therefore no longer elaborate.
It was performing the operation in conclusion the present invention provides one kind convenient for more fully exposed surgical field of view, convenient for doctor
Use in journey, the success rate convenient for improving operation, the generation for reducing brain spatula related brain damage in art, are remarkably improved simultaneously
The brain spatula with real-time pressure monitoring function of safety and validity that doctor uses brain spatula.
Claims (8)
1. a kind of brain spatula with real-time pressure monitoring function, including brain spatula shank (1), the brain spatula shank (1) by
The first shank (3), the second shank (4) composition being articulated and connected by shaft (2), first shank (3), the second shank (4)
Side far from shaft (2) is connected with the first brain spatula component (5), the second brain spatula component (6) respectively, it is characterised in that:
The first brain spatula component (5) includes the first brain spatula (7), by universal shaft (8) and the first brain spatula (7) separate brain
The auxiliary brain spatula (9) of the end rotation connection of pressing plate shank (2), auxiliary brain spatula (9) in thin one in outer thickness at
The boat structure of type, the auxiliary brain spatula (9) is interior to be offered fluid-through port (10), and the fluid-through port (10) is located at auxiliary brain spatula
(9) part on the outside of is connected with drainage tube (11), is additionally provided on first shank (3) for adjusting auxiliary brain spatula (9)
Tilt angle presses fixed handle (12), described to be driven company by transmission parts by between fixed handle (12) and auxiliary brain spatula (9)
It connects, the upper surface of second shank (4) is equipped with a display element (13), and the second brain spatula component (6) includes cerebral
Plate accommodates shell (14), one end is inserted in the second brain spatula (15) in brain spatula receiving shell (14), and the brain spatula accommodates
Shell (14) is equipped with the regulating member for adjusting the second brain spatula (15) extension elongation, first brain spatula (7), the second cerebral
Spoon (16) are dug integrally formed with boat respectively in side of the plate (15) far from brain spatula shank (1), on second brain spatula (15)
Boat digs spoon (16) and is equipped with pressure sensor (17).
2. a kind of brain spatula with real-time pressure monitoring function according to claim 1, it is characterised in that: described first
Upwards, the direction of boat digging spoon (16) is downward on second brain spatula (15) for the direction of boat digging spoon (16) on brain spatula (7),
Second brain spatula (15) is coated with soft protective layer, second brain spatula far from the one end of brain spatula shank (1)
(15) side wall is also carved be equipped with graduation mark (18) along its length.
3. a kind of brain spatula with real-time pressure monitoring function according to claim 2, it is characterised in that: the auxiliary
Upwards, the upper edge of auxiliary brain spatula (9) radially offers plurality of guiding gutter (19), institute to the direction of brain spatula (9)
It states auxiliary brain spatula (9) inner wall and at least one illumination lamp bead (20) is installed.
4. a kind of brain spatula with real-time pressure monitoring function according to claim 1, it is characterised in that: the drainage
The material for managing (11) is silica gel, and the drainage tube (11) is bellows structure close to the side of auxiliary brain spatula (9), far from institute
The one end for stating auxiliary brain spatula (9) is equipped with drainage bag connecting tube (21).
5. a kind of brain spatula with real-time pressure monitoring function according to claim 1, it is characterised in that: described first
The upper surface of shank (3) is symmetrically opened up there are two rectangular recess (22), and two rectangular recess (22) are about the first shank (3)
Central axes on length direction are symmetrical arranged, the length direction of the rectangular recess (22) and the length direction of the first shank (3)
It is parallel, and two rectangular recess (22) are arranged respectively close to the first shank (3) edge, the rectangular recess (22) is close
The side at the first shank (3) edge on the outside of a rectangular straight slot (23) and the first shank (3) by being connected.
6. a kind of brain spatula with real-time pressure monitoring function according to claim 5, it is characterised in that: described to press
The quantity of handle (12) is two, by fixed handle (12) about the central axes pair on the first shank (3) length direction described in two
Claim setting, it is described to be turned close to one end of the first brain spatula component (5) by shaft and the first shank (3) side wall by fixed handle (12)
Dynamic connection, the quantity of the transmission parts are two groups, and transmission parts described in two groups are about on the first shank (3) length direction
Axisymmetrical setting, the transmission parts include set on the first sliding rail (24) assisted on brain spatula (9) edge, successively pass through
It wears the first brain spatula (7), the through-hole (25) of the first shank (3), the transmission steel wire (26) that is inserted in through-hole (25) and is set to
The second sliding rail (27) in rectangular recess (22), first sliding rail (24), the second sliding rail (27) are interior respectively
Sliding is connected with the first sliding block (28), the second sliding block (29), transmission steel wire (26) close to auxiliary brain spatula (9) one end with
First sliding block (28) Joint, transmission steel wire (26) extend into one end of rectangular recess (22) and the second sliding block (29) is mutually consolidated
It connects, the middle side part by fixed handle (12) close to the first shank (3) is hinged with a drive rod (30), the drive rod (30)
The other end pass through rectangular straight slot (23) and extend into rectangular recess (22) and be hinged with the side wall of the second sliding block (29), it is described
Also be connected with a reset spring (31) by fixed handle (12) close to the side of the first shank (3), the reset spring (31) it is another
End is connected with the side wall of the first shank (3).
7. a kind of brain spatula with real-time pressure monitoring function according to claim 1, it is characterised in that: the cerebral
It is the cube shell-like structure open at one end far from the second shank (4) that plate, which accommodates shell (14), and the brain spatula accommodates shell
(14) at least two slideways (32) are provided along its length on inner wall, the side wall of second brain spatula (15) is along its length
Direction offers at least two sliding slots (33) being slidably connected with slideway (32), and the upper surface of second brain spatula (15) is close
Brain spatula accommodates to be offered a threaded hole (34) in the middle part of shell (14) side, and the regulating member includes being opened in brain spatula appearance
It receives and the lock slots (35) on shell (14) upper wall and passes through lock slots (35) and be threadably mounted at locking screw on threaded hole (34)
Bolt (36), the lock slots (35) accommodate the setting of shell (14) length direction along brain spatula, and the lock slots (35) are by least four
The cucurbit slot of a head and the tail connection is constituted, and the cucurbit slot is communicated with small-bore hole slot (38) by large aperture hole slot (37) and constituted, institute
Stating clamping screw (36) includes nut portion setting up and down, threaded shank, and the diameter of the large aperture hole slot (37) is greater than nut portion
Diameter, the diameter in the nut portion is greater than the diameter of small-bore hole slot (38), and the diameter of the small-bore hole slot (38) is greater than
The diameter of threaded shank.
8. a kind of brain spatula with real-time pressure monitoring function according to claim 1-7, it is characterised in that:
Be equipped with main control module, timer, alarm in second shank (4), the main control module respectively with display element (13), pressure
Power sensing element (17), illumination lamp bead (20), timer and alarm are electrically connected, and the lower end of second shank (4) is also set
There is rechargeable battery, the rechargeable battery and main control module are electrically connected, and the display element (13) is display, the pressure
Power sensing element (17) is the pressure sensor of PTG501 model, and the timer is the timer of DHC3L model, the master
The single-chip microcontroller that module is PIC16LC770 model is controlled, the alarm is buzzer.
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| CN201811427051.7A CN109330649B (en) | 2018-11-27 | 2018-11-27 | Brain clamp plate with real-time pressure monitoring function |
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| CN201811427051.7A CN109330649B (en) | 2018-11-27 | 2018-11-27 | Brain clamp plate with real-time pressure monitoring function |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN112220511A (en) * | 2020-10-28 | 2021-01-15 | 陈浩 | Brain pressing plate for neurosurgery operation |
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| CN109330649B (en) | 2024-07-26 |
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