CN109662741A - A kind of method and device convenient for strutting wound and keeping to implement to perform the operation - Google Patents
A kind of method and device convenient for strutting wound and keeping to implement to perform the operation Download PDFInfo
- Publication number
- CN109662741A CN109662741A CN201910084260.4A CN201910084260A CN109662741A CN 109662741 A CN109662741 A CN 109662741A CN 201910084260 A CN201910084260 A CN 201910084260A CN 109662741 A CN109662741 A CN 109662741A
- Authority
- CN
- China
- Prior art keywords
- hook
- pull rod
- wound
- taking
- seat
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
- 238000000034 method Methods 0.000 title claims abstract description 11
- 230000007246 mechanism Effects 0.000 claims abstract description 47
- 230000000694 effects Effects 0.000 claims abstract description 12
- 206010052428 Wound Diseases 0.000 claims description 61
- 208000027418 Wounds and injury Diseases 0.000 claims description 61
- NJPPVKZQTLUDBO-UHFFFAOYSA-N novaluron Chemical compound C1=C(Cl)C(OC(F)(F)C(OC(F)(F)F)F)=CC=C1NC(=O)NC(=O)C1=C(F)C=CC=C1F NJPPVKZQTLUDBO-UHFFFAOYSA-N 0.000 claims description 19
- 230000001105 regulatory effect Effects 0.000 claims description 7
- 239000000463 material Substances 0.000 claims description 6
- 208000002847 Surgical Wound Diseases 0.000 claims description 5
- 238000010276 construction Methods 0.000 claims description 5
- 230000015572 biosynthetic process Effects 0.000 claims description 4
- 238000003780 insertion Methods 0.000 claims description 4
- 230000037431 insertion Effects 0.000 claims description 4
- 239000007787 solid Substances 0.000 claims description 2
- 230000004807 localization Effects 0.000 claims 1
- 238000001356 surgical procedure Methods 0.000 abstract description 6
- 230000036541 health Effects 0.000 abstract description 2
- 230000009467 reduction Effects 0.000 abstract description 2
- 230000000007 visual effect Effects 0.000 abstract description 2
- 230000007774 longterm Effects 0.000 abstract 1
- 210000005036 nerve Anatomy 0.000 abstract 1
- 230000006870 function Effects 0.000 description 7
- 230000009471 action Effects 0.000 description 4
- 238000000354 decomposition reaction Methods 0.000 description 3
- 230000008859 change Effects 0.000 description 2
- 230000000994 depressogenic effect Effects 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 230000003028 elevating effect Effects 0.000 description 2
- 238000009434 installation Methods 0.000 description 2
- 230000002452 interceptive effect Effects 0.000 description 2
- 230000001360 synchronised effect Effects 0.000 description 2
- 206010011409 Cross infection Diseases 0.000 description 1
- 206010029803 Nosocomial infection Diseases 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 238000005286 illumination Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000002035 prolonged effect Effects 0.000 description 1
- 230000009711 regulatory function Effects 0.000 description 1
- 230000007480 spreading Effects 0.000 description 1
- 238000002910 structure generation Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
-
- 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
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/37—Surgical systems with images on a monitor during operation
Abstract
The invention discloses a kind of method and devices convenient for strutting wound and keeping to implement to perform the operation, it include that positioning adjusts part, positioning adjustment portion point includes fluted disc, grip slipper is installed for installing pull rod on fluted disc, wherein there is pull rod to take off hook positioning mechanism for install angle adjustable and/or adjustment height；Separately there is pull rod for installing camera fixed mechanism, tubular medical camera is installed on it for protruding into wound shooting.The invention has the following advantages that providing the good visual field to doctor；It is responsible for keeping wound without special messenger, accurate positioning is stablized；It avoids nerve traction from encountering reduction operation risk；Picture signal is transmitted on display, avoids long-term surgery that doctor's cervical vertebra is caused to be undermined over fatigue and influence personal health and surgical effect；It can will be used under videograph as teaching；Device disposably designs, and avoids reusing and causes to infect.
Description
Technical field
The present invention relates to field of medical equipment technology, and in particular to a kind of surgical wound device for spreading and struts realization
Method.
Background technique
In the course of surgery, for ensure operation safely, go on smoothly, it is often necessary to the notch of operation is protected for a long time
It holds in a certain position, and it also requires operation, this prolonged behaviour such as can be expanded, be reduced, changing angle to notch
It keeps to complete to be inconceivable manually by medical staff, and carries out that there is also biggish peaces by manually
Full hidden danger.For this purpose, people invent various auxiliary devices to help to position, however, current such auxiliary locator is deposited mostly
In following disadvantage, first, it is difficult to reach the accurate positioning in each point, while be not easy to realize the positioning of different angle；Second,
Be inconvenient to carry out the adjusting of the positions such as angle, height；Third, since illumination problem or human body stop light, in the course of surgery
Sometimes it will cause doctor and do not see Chu's surgical wound position, so as to lead to operation risk.Although someone is by being added camera shooting
Head overcomes the problems, such as this, but the current fixation device for being provided with camera is usually only capable of in wound taken outside wound, no
It can be shot inside wound by going up and down realization.
Summary of the invention
The technical problem to be solved by the present invention is to the defect of the prior art, provide a kind of structure design more rationally, Neng Gouxian
The adjustings such as accurate positioning, angle and the height of real each point operate it is more convenient, can protrude into inside wound and shot just
In strut wound and keep with implement operation method and device.The utility model patent that the present invention can apply with the applicant
" a kind of location of operation auxiliary device " is used cooperatively.
In order to solve the above technical problems, the present invention adopts the following technical scheme: a kind of be convenient for strutting wound and keep with reality
The method to operate on, it is characterised in that: implement according to the following steps, fixed device (such as clamper cooperates rack gear pull rod) is set first
Adjustable hook is taken off with fixed at least two；It adjusts secondly, hook will be taken off to suitable position, and adjusts the tilt angle for taking off hook；
Third will take off hook from different directions and be inserted into wound respectively, then make to take off hook and move outward, and wound is opened in realization；4th, wound
After being opened to suitable width, the fixed position for taking off hook is realized and is kept to the opening of wound.
Further, one camera that can protrude into from wound of setting on the securing means will after strutting wound by taking off hook
Camera is protruded into wound and (is realized by the elevating function of fixed device), and by fixed device fixing camera, uses data
Camera shooting is connected to display and plays real-time pictures by line；The camera uses the camera of disposable medical.
Further, fixed device includes the fluted disc of circular ring shape, and setting can carry out activity adjustment along fluted disc on fluted disc
Several grip slippers, setting can carry out the rack gear pull rod of telescopic adjustment along fluted disc radial direction on each grip slipper, and rack gear is drawn
The centre of fluted disc is stretched in the front end of bar；Hook lifting regulating mechanism is taken off in the front end setting of wherein at least two rack gear pull rods, extremely
The front end of few another two rack gear pull rods, which is arranged, takes off hook adjustment for angle of inclination with lift adjustment function, is taking off hook lifting regulating mechanism
Hook is taken off for catch on wound with taking off in hook adjustment for angle of inclination to be respectively arranged；Secondly, adjusting each grip slipper to suitable position, adjust
The whole tilt angle for wherein accordingly taking off hook and the height for separately accordingly taking off hook；Then third will respectively be taken off hook and be inserted respectively from all directions
Enter wound, operation rack gear pull rod moves it outward, and wound is opened in realization；4th, it is fixed after wound opens suitable width
Rack gear pull rod is realized and is kept to the opening of wound.
It is a kind of to include that positioning adjusts part, position adjustment portion to implement the device of operation convenient for strutting wound and keeping
Point include a fluted disc, be equipped on fluted disc angle adjustable take off hook positioning mechanism and adjustment height take off hook positioning mechanism, wherein
Angle adjustable takes off hook positioning mechanism and can have height adjusting structure simultaneously, to be also adjustable height while adjustable-angle
(can be realized by being pulled up on pulling out)；Hook positioning mechanism is taken off for two kinds to be provided with for taking off surgical wound progress auxiliary positioning
Hook takes off hook and is then installed on the structure for forming liftable and adjustable-angle on pull rod, and two kinds of pull rods for taking off hook positioning mechanism are equal
By respective grip slipper be mounted on the fluted disc formed can be along the moving structure that fluted disc circumferentially moves.
Further, adjustable shooting angle and camera site are also equipped with by camera fixing support on fluted disc
Thin tube-like photographic device, camera are connected with display by data line.
Further, two kinds of grip slippers for taking off hook positioning mechanism have holder, and holder includes pedestal, and pedestal is equipped with support
, clamping plate is equipped in holder, the top of clamping plate is equipped with arc-shaped seat, and entire grip slipper is clamped in be formed on fluted disc by clamping plate and be moved
Location structure；There is embedded slot, arc-shaped seat is embedded in embedded slot, and is connected arc-shaped seat and support base with a shaft in support base
Be connected into can fine rotation structure, (as left and right be respectively able to rotate 5 degree), so may be implemented under the premise of will not damage holder turn
The dynamic direction for taking off hook.
Two kinds of grip slippers for taking off hook positioning mechanism also have folder hook, outer clip, pull rod detent, holder spring and pull rod positioning bullet
Spring, the pull rod detent are installed between support base and pedestal by pull rod retaining spring, and pull rod detent is equipped with upward
Positioning tooth, the both ends of pull rod retaining spring are individually fixed at pedestal and pull rod detent；The pull rod is rack gear pull rod, bottom surface
For the flank of tooth, the rack gear pull rod is installed on support base in such a way that the flank of tooth is directed downwardly, and the pull rod detent is in pull rod retaining spring
Promotion under make its positioning tooth be caught in rack gear pull rod between cog formed Telescopic positioning structure；The folder hook is located at the top of outer clip,
Two sides outer clip passes through the holder pin activity passed through in guide pad front and back end respectively and is fixed on guide pad, and the lower part of outer clip with
Holder spring is equipped between pedestal, holder spring is installed in pedestal, and the position of holder spring is lower than holder pin；Guide pad
The mobile guide structure of rack gear pull rod is constituted together with outer clip, and is pressed from both sides fastener and formed position-limit mechanism in the surface of rack gear pull rod.Pressure
Lower pull rod detent, positioning tooth thereon are detached from the tooth of rack gear pull rod, this hour rack pull rod can be moved forward and backward；After movement in place,
Releasing lever detent, under the action of pull rod retaining spring, the positioning tooth of pull rod detent is caught in the between cog of rack gear pull rod again, real
Now position.Certainly, the various fixed structure generations such as clip, screw also can be directly used in two kinds of grip slippers for taking off hook positioning mechanism
It replaces.
Further, the tail end of the data line is connected with one and realizes the data connector being electrically connected, camera shooting by insertion
Head realizes connection by the interface that data connector is inserted into display, and the tail end of camera fixing support is provided with a wire clamp,
Data line is fixedly clamped by the wire clamp, prevents data line from hanging down and interfering surgical procedure.
The camera fixing support includes adjusting yoke and grip slipper, the grip slipper with for stationary rack pull rod
The structure of grip slipper is identical, and the middle section of the adjusting yoke is used for the middle section of the part that is mounted on grip slipper and rack gear pull rod also
Structure is identical；The front end of adjusting yoke is provided with sliding slot, a lifting attachment base with straight-tooth portion is connected with by the sliding slot,
Adjusting yoke front end is provided with the adjusting knob with gear, gear and the lifting attachment base of adjusting knob close to the position of sliding slot
Straight-tooth portion engaging goes up and down the lifting adjusting structure of attachment base in pairs；Being fixed with one by shaft in the front end of lifting attachment base can
The adjustment seat being rotated up and down is provided with a gear piece with radian, gear piece insertion in the lifting attachment base at the shaft rear
In adjustment seat；It is provided with a locating part docked with gear piece in adjustment seat, different location on gear piece is blocked by locating part
Tooth realize adjustment adjustment seat tilt angle；The rear end of locating part is withstood to a spring, the rear end of spring is connected to by an insert,
Locating part two sides are each provided with inclined-plane, and key is provided with the rake to match with the inclined-plane of locating part, and the rake of key is from side
The contact of incline plane in face and locating part, key expose to the two sides of adjustment seat, and making locating part by pressing keys, movement makes to limit backward
Position part unclamps the adjustment structure for the clamping of gear piece and forming adjustment seat, while spring can compress locating part, after unclamping key,
Locating part be pushed forward to gear piece clamping, adjustment seat drives the angle synchronous change of camera when realizing angular adjustment；?
The front end of adjustment seat is provided with the fixing clamp for clamping camera, and the pipe shaft different parts of camera are clipped in by fixing clamp,
Camera realization is set to protrude into different depth in wound, to shoot different positions；A hook is additionally provided with below fixing clamp,
Skin and tissue pulling are stepped down to camera by hook, have slot for placing camera wire rod, hook at the back side of hook
It is structure as a whole with adjustment seat.
Further, the hook positioning mechanism of taking off of angle adjustable further includes taking off hook fixing seat and drawhead, and drawhead is located at
The front end of rack gear pull rod, the two are structure as a whole, and are made of plastic material, and so convenient for reducing cost, realization disposably makes
With taking off the front end that hook fixing seat is movably installed in drawhead by pin；It is fixed in the middle position of drawhead by pin
One arcuate structure and with gear piece with teeth, taking off the middle position of hook fixing seat, be fixed with by pin can be with movable rack gear card
Position；Rack gear detent is Z-type structure, and front end to form location structure with by engaging with gear piece, and its underpart is equipped with rack gear detent
Spring, the rear end of rack gear screens spring press on the location structure for taking off and cooperatively forming in hook fixing seat with gear piece and taking off hook fixing seat；
It is connected with detent switch in the rear end of rack gear detent, detent switch is movably installed in the rear portion shape for taking off hook fixing seat by pin
At lever construction；The front end for taking off hook fixing seat has neck of hook casing, is equipped with neck of hook positioning head, hook in the marginal position of neck of hook casing
Handle positioning head is fixed on by pin to be taken off on hook fixing seat and drawhead；The neck of hook for taking off hook is stuck in hook handle sleeve by neck of hook positioning head
In pipe.When adjustment being needed to take off the angle of hook, the rear end of rack gear detent can be levered up, make rack gear detent by pressure detent switch
Front end is detached from gear piece, and taking off hook fixing seat at this time can make rotating motion along the pin of fixed neck of hook positioning head, takes off hook to drive
Rotation inclination achievees the purpose that adjust angle.After adjusting in place, detent switch is unclamped, is made under the action of rack gear screens spring
The front end of rack gear detent is caught in gear piece again, realizes the positioning to hook is taken off.If to adjust by a small margin take off hook towards angle,
The neck of hook can then be pulled, due between support base and arc-shaped seat can fine rotation, so that rack gear pull rod be made to can be rotated small angle
And it keeps.
The hook positioning mechanism of taking off of adjustment height further includes taking off hook seat and to take off hook detent, is taken off before hook seat is located at rack gear pull rod
End, the two are structure as a whole, are made of plastic material, so convenient for reducing cost, are realized disposable；Before taking off hook seat
End has neck of hook casing, and the neck of hook for taking off hook is inserted in in neck of hook casing；Composition is equipped with by a pin in the front for taking off hook seat
Lever construction takes off hook detent, and the rear portion for taking off hook detent, which is connected with, takes off hook retaining spring, takes off the other end connection of hook retaining spring
In taking off formation on hook seat, to the jack-up structure for taking off hook detent, the front end for taking off hook detent is blocked under the jack-up effect for taking off hook retaining spring
The tight neck of hook.When adjustment being needed to take off the height of hook, the rear portion of hook detent is taken off in pressure, takes off card of the front end release to the neck of hook of hook detent
Tightly, it under the neck of hook being lifted or entered, is unclamped after being adjusted in place and takes off hook detent, in the effect for taking off hook retaining spring, make to take off hook card again
The front end clamping neck of hook of position realizes the positioning to hook is taken off.
Further, on fluted disc equipped at least two groups (such as most preferably four groups) angle adjustable take off hook positioning mechanism and
(in addition, it is necessary to explanation, taking off hook positioning mechanism can also be made into while have the hook positioning mechanism of taking off of at least two groups adjustment height
Angled regulatory function and height adjusting function, but in view of the factors such as cost, therefore two kinds of functions can also be separated, or by its
In some hooks of taking off be arranged to can only to adjust height, other then not only adjustable height but also adjustable angle), each adjustable angle
The hook positioning mechanism of taking off of degree forms symmetrical structure along the center of circle of fluted disc, and each adjustment height takes off hook positioning mechanism also along the circle of fluted disc
It is formed centrally symmetrical structure, so can achieve the adjusting of multiple directions different demands.
The present invention takes off hook positioning mechanism, Ke Yishi by the fluted disc of ring structure come fixedly adjustable angle and adjustment height
Now direction adjustment in the plane, may be implemented the width adjustment to notch by rack gear pull rod, and by taking off hook positioning mechanism
Itself, can be realized simultaneously angle and the height and position adjusting to notch, and adjusting is easy to operate, may be implemented in surgical procedure
Accurate positioning to wound, easy to operate, positioning accuracy is high.
To obtain following beneficial effect, 1, doctor is given to provide the good visual field, prevent because of light not enough or by
Stop issuable operation risk；2, manpower is saved, is responsible for keeping wound without special messenger, and accurate positioning is stablized；It 3, will be refreshing
It avoids encountering reduction operation risk through retracting；4, the picture signal of camera is transmitted on the display in face of doctor, avoids growing
Time operation causes doctor's cervical vertebra to be undermined over fatigue and influence its personal health and surgical effect；It 5, can be by videograph
Under as teaching use；6, device disposably designs, and avoids reusing and causes to infect.
Detailed description of the invention
Fig. 1 is that video observation portion of the present invention adjusts the structure chart after partially being combined with positioning；
Fig. 2 is that camera part adjusts the structure chart after partially being combined with positioning；
Fig. 3 is the decomposition chart of camera part；
Fig. 4 is the decomposition chart of camera fixing support；
Fig. 5 takes off hook adjustment structure figure for angular adjustment part；
Fig. 6 takes off hook installation diagram for angular adjustment part；
Fig. 7 takes off hook installation diagram for height adjustment part；
Fig. 8 is the structure chart of grip slipper；
Fig. 9 is the internal structure chart of grip slipper；
Figure 10 is the decomposition chart of grip slipper.
In figure, B01 is display, and B02 is camera, and B03 is data line, and B04 is data connector, and B05 is solid for camera
Fixed rack, B06 are adjusting yoke, and B07 is grip slipper, and B08 is lifting attachment base, and B09 is adjusting knob, and B10 is adjustment seat,
B11 is fixing clamp, and B12 is hook, and B13 is gear piece, and B14 is locating part, and B15 is spring, and B16 is insert, and B17 is key, C08
For fluted disc, C09 is rack gear pull rod, and C10 is drawhead, and C12 is gear piece, and C13 is to take off hook fixing seat, and C14 is detent switch, C15
For rack gear detent, C16 is rack gear screens spring, and C17 is pin, and C18 is holder, and C181 is pedestal, and C182 is support base, C183
For guide pad, C184 is clamping plate, and C185 is arc-shaped seat, and C19 is folder hook, and C20 is outer clip, and C21 is pull rod detent, and C22 is holder
Pin, C23 are holder spring, and C24 is to take off hook retaining spring, and C25 is to take off hook seat, and C26 is to take off hook detent, and C27 is to take off hook, C28
For neck of hook casing, C29 is the neck of hook, and C30 is neck of hook positioning head, and C31 is pull rod retaining spring, and C32 is shaft.
Specific embodiment
It is described to be implemented according to the following steps, first convenient for strutting wound and keeping with implementing the method for operation in the present embodiment
Fixed device is set and adjustable takes off hook with fixed at least two；It adjusts secondly, hook will be taken off to suitable position, and adjusts and take off hook
Tilt angle；Third will take off hook from different directions and be inserted into wound respectively, then make to take off hook and move outward, and wound is beaten in realization
It opens；4th, after wound is opened to suitable width, the fixed position for taking off hook is realized and is kept to the opening of wound.
One camera that can protrude into from wound of setting on the securing means stretches camera after strutting wound by taking off hook
Enter in wound and (realized by the elevating function of fixed device), and by fixed device fixing camera, will be imaged with data line
It is connected to display and plays real-time pictures；The camera uses the camera of disposable medical, has used primary i.e. discarding, has avoided
Cross-infection.
Fixed device includes the fluted disc of circular ring shape, and setting can carry out several folders of activity adjustment along fluted disc on fluted disc
Seat is held, setting can carry out the rack gear pull rod of telescopic adjustment along fluted disc radial direction on each grip slipper, and the front end of rack gear pull rod is stretched
To the centre of fluted disc；Hook lifting regulating mechanism is taken off in the front end setting of wherein at least two rack gear pull rods, at least another two teeth
The front end of pull rod, which is arranged, takes off hook adjustment for angle of inclination with lift adjustment function, is taking off hook lifting regulating mechanism and is taking off hook inclination
Respectively it is arranged in regulating mechanism and takes off hook for catch on wound；Secondly, adjusting each grip slipper to suitable position, adjust wherein corresponding
It takes off the tilt angle of hook and separately accordingly takes off the height of hook；Then third will respectively take off hook from all directions and be inserted into wound respectively, operation
Rack gear pull rod moves it outward, and wound is opened in realization；4th, after wound opens suitable width, stationary rack pull rod is real
Now the opening of wound is kept.
- Figure 10 referring to Fig.1, it is described convenient for strutting wound and keeping to implement the device of operation, it include positioning adjustment portion
Point, positioning is adjusted partially to be movably installed on bracket using or be directly erected at patient and be used, and positions adjustment portion subpackage
Include a fluted disc C08, be equipped on fluted disc C08 angle adjustable take off hook positioning mechanism and adjustment height take off hook positioning mechanism,
Middle angle adjustable takes off hook positioning mechanism while having height adjusting structure, and height is also adjustable while adjustable-angle
(can be realized by being pulled up on pulling out)；Hook positioning mechanism is taken off for two kinds to be provided with for taking off surgical wound progress auxiliary positioning
Hook C27 takes off hook C27 and is then installed on the structure for forming liftable and adjustable-angle on rack gear pull rod C09, and two kinds are taken off hook positioning
The rack gear pull rod of mechanism pass through respective grip slipper be mounted on the fluted disc C08 formed can circumferentially be moved along fluted disc C08
Moving structure；Adjustable shooting angle and camera site are also equipped with by camera fixing support B05 on fluted disc C08
Thin tube-like photographic device, camera B02 are connected with display B01 by data line B03.
The tail end of the data line B03 is connected with one and realizes the data connector B04 being electrically connected, camera by insertion
B02 realizes connection by the interface that data connector B04 is inserted into display B01, and is arranged in the tail end of camera fixing support B05
There is a wire clamp (not indicating), data line B03 is fixedly clamped by the wire clamp, prevents data line B03 from hanging down and interfering surgical procedure；
The camera fixing support B05 includes adjusting yoke B06 and grip slipper B07, grip slipper B07 with for fixing tooth
The structure of the grip slipper of pull rod C09 is identical, and regulative mode is also identical, and the middle section of adjusting yoke B06 is for being mounted on folder
Also structure is identical with the middle section of rack gear pull rod C09 for the part for holding on a B07, has toothing；It is set in the front end of adjusting yoke B06
It is equipped with sliding slot, a lifting attachment base B08 with straight-tooth portion is connected with by the sliding slot, in the front end adjusting yoke B06 close to sliding slot
Position be provided with the adjusting knob B09 with gear, the gear of adjusting knob B09 is engaged with the straight-tooth portion of lifting attachment base B08
Form the lifting adjusting structure to lifting attachment base B08；Being fixed with one by shaft in the front end of lifting attachment base B08 can be upper and lower
The adjustment seat B10 of rotation is provided with a gear piece B13(and and drawing with radian in the lifting attachment base B08 at the shaft rear
Gear piece C12 structure in head C11 is similar), gear piece B13 is inserted in adjustment seat B10；One is provided in adjustment seat B10
The locating part B14 docked with gear piece B13 realizes adjustment adjustment seat by the tooth that locating part B14 blocks different location on gear piece B13
The tilt angle of B10；The rear end of locating part B14 is withstood to a spring B 15, the rear end of spring B 15 is connected to by an insert B16, limit
The position two sides part B14 are each provided with inclined-plane, and key B17 is provided with the rake to match with the inclined-plane of locating part B14, key B17's
Rake exposes to the two sides of adjustment seat B10, passes through pressing keys from the contact of incline plane of side and locating part B14, key B17
B17 makes locating part B14 move the adjusting knot for making locating part B14 unclamp the clamping to gear piece B13 and forming adjustment seat B10 backward
Structure, while spring B 15 can compress locating part B14, after unclamping key B17, locating part B14 be pushed forward to gear piece B13 card
Tightly, adjustment seat B10 drives the angle synchronous change of camera B02 when realizing angular adjustment；It is arranged in the front end of adjustment seat B10
There is the fixing clamp B11 for clamping camera B02, the pipe shaft different parts of camera B02 are clipped in by fixing clamp B11, make to take the photograph
Different depth in wound is protruded into as head B02 is realized, to shoot different positions；A hook is additionally provided with below fixing clamp B11
Skin and tissue pulling are stepped down to camera B02 by hook B12, have slot for placing at the back side of hook B12 by pawl B12
Camera wire rod, to also have the function of that support and correcting, hook B12 are structure as a whole with adjustment seat B10.
Referring to Fig. 8, Fig. 9 and Figure 10, two kinds of grip slippers for taking off hook positioning mechanism have holder C18, folder hook C19, outer clip C20,
Pull rod detent C21, holder spring C23 and pull rod retaining spring C31, holder C18 include pedestal C181, and pedestal C181 is equipped with
Support base C182, the two sides support base C182 are equipped with guide pad C183, are equipped with clamping plate C184, the top of clamping plate C184 in holder C18
Equipped with arc-shaped seat C185(semi-cylindrical)；Entire grip slipper is clamped on fluted disc C08 by clamping plate C184 forms running fix knot
Structure presses down clamping plate C184, can unclamp the clamping to fluted disc C08, can adjust grip slipper entirety position along fluted disc C08 at this time
It sets；The pull rod detent C21 is installed between support base C182 and pedestal C181 by pull rod retaining spring C31, and pull rod card
Position C21 is equipped with positioning tooth upward, and the both ends of pull rod retaining spring C31 are individually fixed in pedestal C181 and pull rod detent C21
Place；The rack gear pull rod C09 is installed on support base C182 in such a way that the flank of tooth is directed downwardly, and the pull rod detent C21 is fixed in pull rod
The between cog for making its positioning tooth be caught in rack gear pull rod C09 under the promotion of position spring C31 forms Telescopic positioning structure；The folder hook C19
Positioned at the top of outer clip C20, two sides outer clip C20 passes through the holder pin C22 activity passed through in the front and back end guide pad C183 respectively
It is fixed on guide pad C183, and is equipped with holder spring C23, holder spring C23 peace between the lower part of outer clip C20 and pedestal C181
Loaded in pedestal C181, and the position of holder spring C23 is lower than holder pin C22；Guide pad C183 is constituted together with outer clip C20
The mobile guide structure of rack gear pull rod C09, and press from both sides the surface formation position-limit mechanism that hook C19 is buckled in rack gear pull rod C09；Support base
There is embedded slot, arc-shaped seat C185 is embedded in embedded slot, and is connect arc-shaped seat C185 with support base with a shaft in C182
At can fine rotation structure (as left and right be respectively able to rotate 5 degree).Pull rod detent C21 is depressed, positioning tooth thereon is detached from rack gear and draws
The tooth of bar C09, this hour rack pull rod C09 can be moved forward and backward；After movement in place, releasing lever detent C21 positions bullet in pull rod
Under the action of spring C31, the positioning tooth of pull rod detent C21 is caught in the between cog of rack gear pull rod C09 again, realizes positioning.If wanting small
Amplitude adjustment take off hook C27 towards angle, then neck of hook C29 can be pulled, due to can between support base C182 and arc-shaped seat C185
Fine rotation, so that rack gear pull rod C09 be made to can be rotated small angle and holding.
Referring to figure 5 and figure 6, the hook positioning mechanism of taking off of angle adjustable further includes taking off hook fixing seat C13 and drawhead C10,
Drawhead C10 is located at the front end of rack gear pull rod C09, and the two is structure as a whole, is made of plastic material；Take off hook fixing seat C13
The front end of drawhead C10 is movably installed in by pin C17；One is fixed with by pin C17 in the middle position of drawhead C10
Arcuate structure and with gear piece C12 with teeth, taking off the middle position of hook fixing seat C13, be fixed with by pin C17 can be movable
Rack gear detent C15；Rack gear detent C15 is Z-type structure, front end with by engaging to form location structure with gear piece C12, and under it
Portion is equipped with rack gear screens spring C16, and the rear end of rack gear screens spring C16 presses on to take off in hook fixing seat C13 to be cooperated with gear piece C12
Form the location structure for taking off hook fixing seat C13；A detent switch C14, detent switch are connected in the rear end of rack gear detent C15
C14 is movably installed in the rear portion formation lever construction for taking off hook fixing seat C13 by pin C17；Take off the front end tool of hook fixing seat C14
There is neck of hook casing C28, is equipped with neck of hook positioning head C30 in the marginal position of neck of hook casing C28, neck of hook positioning head C30 passes through pin
C17, which is fixed on, to be taken off on hook fixing seat C13 and drawhead C10；The neck of hook C29 for taking off hook C27 is stuck in the neck of hook by neck of hook positioning head C30
In cannula C 28.When adjustment being needed to take off the angle of hook C27, detent switch C14 is depressed, the rear end of rack gear detent C15 can be prized
It rises, the front end of rack gear detent C15 is made to be detached from gear piece C12, taking off hook fixing seat C13 at this time can be along fixed neck of hook positioning head C30's
Pin C17 makes rotating motion, and takes off hook C27 rotation inclination to drive, achievees the purpose that adjust angle.After adjusting in place, unclamp
Detent switch C14 is caught in the front end of rack gear detent C15 again in gear piece C12 under the action of rack gear screens spring C16, real
The now positioning to hook C27 is taken off.
Referring to Fig. 7, the hook positioning mechanism of taking off of adjustment height further includes taking off hook seat C25 and taking off hook detent C26, takes off hook seat
In the front end of rack gear pull rod, the two is structure as a whole, and is made of plastic material；The front end for taking off hook seat C25 has neck of hook casing,
The neck of hook C29 for taking off hook C27 is inserted in in neck of hook casing；Composition lever is equipped with by a pin C17 in the front for taking off hook seat C25
Structure takes off hook detent C26, and the rear portion for taking off hook detent C26, which is connected with, takes off hook retaining spring C24, takes off the another of hook retaining spring C24
One end is connected to take off on hook seat C25 and forms the front end for taking off hook detent C26 to the jack-up structure for taking off hook detent C26 and taking off hook positioning
The jack-up of spring C24 acts on lower clamping neck of hook C29.When adjustment being needed to take off the height of hook C27, the rear portion of hook detent C26 is taken off in pressure,
Clamping of the front end release of hook detent C26 to neck of hook C29 is taken off, under neck of hook C29 is lifted or entered, is unclamped after being adjusted in place and takes off hook card
Position C26 makes the front end clamping neck of hook C29 for taking off hook detent C26 in the effect for taking off hook retaining spring C24 again, realizes to taking off hook
The positioning of C27.
Four groups of (as two groups in figure) angle adjustables can be set on fluted disc C08 takes off hook positioning mechanism and two groups of adjustment heights
Take off hook positioning mechanism, the hook positioning mechanism of taking off of angle adjustable forms symmetrical structure along the center of circle of fluted disc C08, two groups of adjustment heights
It takes off hook positioning mechanism and also forms symmetrical structure along the center of circle of fluted disc, so can achieve the adjusting of multiple directions different demands.
The above has been described in detail, described above, is only a preferred embodiment of the present invention, when cannot
It limit the scope of implementation of the present invention, i.e., it is all according to the made equivalent changes and modifications of the application range, it should still belong to covering scope of the present invention
It is interior.
Claims (11)
1. a kind of method convenient for strutting wound and keeping to implement to perform the operation, it is characterised in that: implement according to the following steps, set first
It sets fixed device and adjustable takes off hook with fixed at least two；It adjusts secondly, hook will be taken off to suitable position, and adjusts and take off hook
Tilt angle；Third will take off hook from different directions and be inserted into wound respectively, then make to take off hook and move outward, and wound is opened in realization；
4th, after wound is opened to suitable width, the fixed position for taking off hook is realized and is kept to the opening of wound.
2. according to claim 1 be convenient for strutting wound and keep to implement the method for operation, it is characterised in that: in fixation
The one medical camera that can protrude into from wound of setting on device protrudes into camera in wound after strutting wound by taking off hook, and
By fixed device fixing camera, camera is connected to display with data line and plays real-time pictures.
3. according to claim 2 be convenient for strutting wound and keep to implement the method for operation, it is characterised in that: fixed dress
Set include circular ring shape fluted disc, on fluted disc setting can along fluted disc carry out activity adjustment several grip slippers, each clamping
Setting can carry out the rack gear pull rod of telescopic adjustment along fluted disc radial direction on seat, and the centre of fluted disc is stretched in the front end of rack gear pull rod；
Hook lifting regulating mechanism is taken off in the front end setting of wherein at least two rack gear pull rods, is set in the front end of at least another two rack gear pull rods
It sets and takes off hook adjustment for angle of inclination with lift adjustment function, respectively set taking off hook lifting regulating mechanism and taking off in hook adjustment for angle of inclination
It sets and takes off hook for catch on wound；Secondly, adjusting each grip slipper to suitable position, the tilt angle for wherein accordingly taking off hook is adjusted
Separately accordingly take off the height of hook；Then third will respectively take off hook from all directions and be inserted into wound respectively, operation rack gear pull rod keeps its past
Wound is opened in outer movement, realization；4th, after wound is opened to suitable width, stationary rack pull rod realizes the opening to wound
It keeps.
4. it is a kind of convenient for strutting wound and keeping to implement the device of operation, it include that positioning adjusts part, positioning adjusts part
It include fluted disc and several pull rods, pull rod is mounted on what formation on fluted disc can circumferentially be moved along fluted disc by respective grip slipper
Moving structure, it is characterised in that: be equipped on fluted disc angle adjustable take off hook positioning mechanism and adjustment height take off hook localization machine
Structure；It takes off hook positioning mechanism for two kinds to be equipped with for taking off hook to surgical wound progress auxiliary positioning, takes off hook and be then installed on pull rod
Form the structure of liftable and adjustable-angle.
5. according to claim 4 be convenient for strutting wound and keep to implement the device of operation, it is characterised in that: two kinds are taken off
The grip slipper of hook positioning mechanism has holder, and holder includes pedestal, and pedestal is equipped with support base, is equipped with clamping plate, clamping plate in holder
Top be equipped with arc-shaped seat, entire grip slipper by clamping plate be clamped on fluted disc formed running fix structure；Have in support base
Embedded slot, arc-shaped seat are embedded in embedded slot, and with a shaft by arc-shaped seat and support base connect into can fine rotation structure.
6. according to claim 4 be convenient for strutting wound and keep to implement the device of operation, it is characterised in that: in fluted disc
On the thin tube-like photographic device of adjustable shooting angle and camera site, camera are also installed by camera fixing support
Display is connected with by data line.
7. according to claim 5 be convenient for strutting wound and keep to implement the device of operation, it is characterised in that: two kinds are taken off
The grip slipper of hook positioning mechanism also has folder hook, outer clip, pull rod detent, holder spring and pull rod retaining spring, the pull rod card
Position is installed between support base and pedestal by pull rod retaining spring, and pull rod detent is equipped with positioning tooth upward, and pull rod is fixed
The both ends of position spring are individually fixed at pedestal and pull rod detent；The pull rod is rack gear pull rod, and bottom surface is the flank of tooth, the tooth
Pull rod is installed on support base in such a way that the flank of tooth is directed downwardly, and the pull rod detent makes it fixed under the promotion of pull rod retaining spring
The between cog that position tooth is caught in rack gear pull rod forms Telescopic positioning structure；The folder hook is located at the top of outer clip, and two sides outer clip is led to respectively
It crosses the holder pin activity passed through in guide pad front and back end to be fixed on guide pad, and is equipped with folder between the lower part and pedestal of outer clip
Seat spring, holder spring are installed in pedestal, and the position of holder spring is lower than holder pin；Guide pad is constituted together with outer clip
The mobile guide structure of rack gear pull rod, and press from both sides fastener and form position-limit mechanism in the surface of rack gear pull rod.
8. according to claim 6 be convenient for strutting wound and keep to implement the device of operation, it is characterised in that: described to take the photograph
Fixing bracket as head includes adjusting yoke and grip slipper, and the grip slipper is identical as the structure of grip slipper of steady brace,
And also structure is identical with the middle section of pull rod for the part that the middle section of the adjusting yoke is used to be mounted on grip slipper；In adjusting yoke
Front end is provided with sliding slot, a lifting attachment base with straight-tooth portion is connected with by the sliding slot, in adjusting yoke front end close to sliding slot
Position be provided with the adjusting knob with gear, the gear of adjusting knob and the straight-tooth portion engaging for going up and down attachment base are gone up and down in pairs
The lifting adjusting structure of attachment base；One adjustment seat that can be rotated up and down is fixed with by shaft in the front end of lifting attachment base,
A gear piece with radian is provided in the lifting attachment base at the shaft rear, which is inserted in adjustment seat；In adjustment seat
In be provided with a locating part docked with gear piece, adjustment adjustment seat is realized by the tooth that locating part blocks different location on gear piece
Tilt angle；The rear end of locating part is withstood to a spring, the rear end of spring is connected to by an insert, and locating part two sides are each provided with tiltedly
Face, key are provided with the rake to match with the inclined-plane of locating part, the rake of key from the contact of incline plane of side and locating part,
Key exposes to the two sides of adjustment seat, so that locating part is moved the clamping for unclamping locating part to gear piece backward by pressing keys
Form the adjustment structure of adjustment seat, while spring can compress locating part, after unclamping key, locating part be pushed forward to gear piece
Clamping；It is additionally provided with a hook below fixing clamp, has slot at the back side of hook to place camera wire rod, hook and adjusting
Seat is structure as a whole.
9. according to claim 6 be convenient for strutting wound and keep to implement the device of operation, it is characterised in that: the number
One being connected with according to the tail end of line, the data connector being electrically connected being realized by insertion, camera is inserted into display by data connector
Interface realize connection, and the tail end of camera fixing support is provided with a wire clamp, data line is fixedly clamped by the wire clamp.
10. according to claim 4 be convenient for strutting wound and keep to implement the device of operation, it is characterised in that: adjustable
The hook positioning mechanism of taking off of angle further includes taking off hook fixing seat and drawhead, and drawhead is located at the front end of pull rod, and the two is integrated
Structure is made of plastic material, takes off the front end that hook fixing seat is movably installed in drawhead by pin；In the centre of drawhead
Position by pin is fixed with an arcuate structure and with gear piece with teeth, and the middle position for taking off hook fixing seat is fixed with by pin
It can be with movable rack gear detent；Rack gear detent is Z-type structure, and front end to form location structure with by engaging with gear piece, and its
Lower part is equipped with rack gear screens spring, and the rear end of rack gear screens spring, which presses on to take off in hook fixing seat, cooperatively forms that take off hook solid with gear piece
The location structure of reservation；It is connected with detent switch in the rear end of rack gear detent, detent switch is movably installed in by pin to be taken off
The rear portion of hook fixing seat forms lever construction；The front end for taking off hook fixing seat has neck of hook casing, in the marginal position of neck of hook casing
Equipped with neck of hook positioning head, neck of hook positioning head is fixed on by pin to be taken off on hook fixing seat and drawhead；The neck of hook for taking off hook passes through hook
Handle positioning head is stuck in neck of hook casing.
11. according to claim 4 be convenient for strutting wound and keep to implement the device of operation, it is characterised in that: adjustable
The hook positioning mechanism of taking off of height further includes taking off hook seat and taking off hook detent, takes off the front end that hook seat is located at pull rod, the two is integrated knot
Structure is made of plastic material；The front end for taking off hook seat has neck of hook casing, and the neck of hook for taking off hook is inserted in in neck of hook casing；It is taking off
The front of hook seat is equipped with by a pin to be constituted lever construction and takes off hook detent, and the rear portion of taking off hook detent, which is connected with, takes off hook positioning
Spring, the other end for taking off hook retaining spring are connected to take off on hook seat and be formed to the jack-up structure for taking off hook detent, before taking off hook detent
Hold the clamping neck of hook under the jack-up effect for taking off hook retaining spring.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910084260.4A CN109662741B (en) | 2019-01-29 | 2019-01-29 | Device convenient for opening wound and maintaining to implement operation |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910084260.4A CN109662741B (en) | 2019-01-29 | 2019-01-29 | Device convenient for opening wound and maintaining to implement operation |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN109662741A true CN109662741A (en) | 2019-04-23 |
| CN109662741B CN109662741B (en) | 2023-11-21 |
Family
ID=66150919
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201910084260.4A Active CN109662741B (en) | 2019-01-29 | 2019-01-29 | Device convenient for opening wound and maintaining to implement operation |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN109662741B (en) |
Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110123398A (en) * | 2019-05-15 | 2019-08-16 | 神耀媚 | It is a kind of to be conveniently adjusted type pull device for surgical operation |
| CN110353745A (en) * | 2019-08-06 | 2019-10-22 | 浙江大学 | The auxiliary of thyroid operation, which is led, pushes away component |
| TWI756045B (en) * | 2020-03-09 | 2022-02-21 | 陳階曉 | Surgical medical device and its system |
| GB2598518A (en) * | 2021-08-03 | 2022-03-02 | Viseon Inc | Camera System for use with retractors |
Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6315718B1 (en) * | 1999-10-04 | 2001-11-13 | Minnesota Scientific, Inc. | Method for hip retraction |
| JP2002531170A (en) * | 1998-12-03 | 2002-09-24 | ミルベラ プロプライエタリー リミテッド | Device for dilating the pupil and / or maintaining the pupil in an expanded state |
| CN201070363Y (en) * | 2007-06-18 | 2008-06-11 | 傅强 | Minimally invasive surgery expanding device with minitype camera and light source |
| RU2372860C1 (en) * | 2008-07-30 | 2009-11-20 | Александр Владимирович Оноприев | Device for wound widening and displacement of organs of abdominal cavity |
| CN210056108U (en) * | 2019-01-29 | 2020-02-14 | 艾科美医疗器械（深圳）有限公司 | Device convenient for opening wound and keeping to perform operation |
-
2019
- 2019-01-29 CN CN201910084260.4A patent/CN109662741B/en active Active
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2002531170A (en) * | 1998-12-03 | 2002-09-24 | ミルベラ プロプライエタリー リミテッド | Device for dilating the pupil and / or maintaining the pupil in an expanded state |
| US6315718B1 (en) * | 1999-10-04 | 2001-11-13 | Minnesota Scientific, Inc. | Method for hip retraction |
| CN201070363Y (en) * | 2007-06-18 | 2008-06-11 | 傅强 | Minimally invasive surgery expanding device with minitype camera and light source |
| RU2372860C1 (en) * | 2008-07-30 | 2009-11-20 | Александр Владимирович Оноприев | Device for wound widening and displacement of organs of abdominal cavity |
| CN210056108U (en) * | 2019-01-29 | 2020-02-14 | 艾科美医疗器械（深圳）有限公司 | Device convenient for opening wound and keeping to perform operation |
Cited By (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110123398A (en) * | 2019-05-15 | 2019-08-16 | 神耀媚 | It is a kind of to be conveniently adjusted type pull device for surgical operation |
| CN110353745A (en) * | 2019-08-06 | 2019-10-22 | 浙江大学 | The auxiliary of thyroid operation, which is led, pushes away component |
| TWI756045B (en) * | 2020-03-09 | 2022-02-21 | 陳階曉 | Surgical medical device and its system |
| GB2598518A (en) * | 2021-08-03 | 2022-03-02 | Viseon Inc | Camera System for use with retractors |
| GB2598518B (en) * | 2021-08-03 | 2022-10-26 | Viseon Inc | Camera System for use with retractors |
| US11723641B2 (en) | 2021-08-03 | 2023-08-15 | Viseon, Inc. | Camera system for use with retractors |
Also Published As
| Publication number | Publication date |
|---|---|
| CN109662741B (en) | 2023-11-21 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| CN109662741A (en) | A kind of method and device convenient for strutting wound and keeping to implement to perform the operation | |
| US10206644B2 (en) | X-ray imaging apparatus | |
| JP2003135446A (en) | Accessory for bed device for image diagnosing | |
| CN107643600B (en) | X-ray film observation device for imaging department | |
| CN110353745A (en) | The auxiliary of thyroid operation, which is led, pushes away component | |
| CN210056108U (en) | Device convenient for opening wound and keeping to perform operation | |
| CN208607443U (en) | A kind of dept. of radiology's medical image display adjustment device | |
| CN209884661U (en) | Lower jaw bracket applicable to general anesthesia patients in anesthesia department | |
| CN211131964U (en) | Body position training device for thyroid surgery | |
| CN204091929U (en) | The built-in expansion testing fixture of oral and maxillofacial surgery | |
| CN210749139U (en) | Medical tooth spreader for pharyngeal observation and equipment for assisting pharyngeal exposure observation | |
| CN209611317U (en) | Tongue, pulse diagnostic information acquisition bracket | |
| CN214804594U (en) | Mouth gag for digestive endoscopy patient | |
| CN205586031U (en) | Pull crochet hook device | |
| CN212574884U (en) | Medical imaging X-ray radiography body position auxiliary equipment | |
| CN210447102U (en) | A drag hook device for hepatobiliary surgery | |
| CN210112750U (en) | Thyroid gland puncture auxiliary device | |
| CN209629720U (en) | A kind of thyroid operation bracket | |
| CN101708127B (en) | Combined multifunctional surgical retractor | |
| CN212996917U (en) | Tibiofibula nursing traction device | |
| CN217310624U (en) | Shoulder positioner is used in position operation of lying on one's side with adjustable | |
| CN207764483U (en) | A kind of X-ray film observation device | |
| CN215494376U (en) | Medical image processing diagnosis report device | |
| CN219439491U (en) | Lingual small retractor for oral implantation operation | |
| CN214474254U (en) | Auxiliary device is observed to radiological image film |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| PB01 | Publication | ||
| PB01 | Publication | ||
| SE01 | Entry into force of request for substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| GR01 | Patent grant | ||
| GR01 | Patent grant |