CN109662741B - Device convenient for opening wound and maintaining to implement operation - Google Patents
Device convenient for opening wound and maintaining to implement operation Download PDFInfo
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- CN109662741B CN109662741B CN201910084260.4A CN201910084260A CN109662741B CN 109662741 B CN109662741 B CN 109662741B CN 201910084260 A CN201910084260 A CN 201910084260A CN 109662741 B CN109662741 B CN 109662741B
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- 230000007246 mechanism Effects 0.000 claims abstract description 48
- 210000000078 claw Anatomy 0.000 claims description 18
- 238000000034 method Methods 0.000 claims description 11
- 230000009471 action Effects 0.000 claims description 9
- 239000000463 material Substances 0.000 claims description 6
- 238000003780 insertion Methods 0.000 claims description 5
- 230000037431 insertion Effects 0.000 claims description 5
- 210000001503 joint Anatomy 0.000 claims description 3
- 230000000149 penetrating effect Effects 0.000 claims description 3
- 230000000694 effects Effects 0.000 abstract description 2
- 230000036541 health Effects 0.000 abstract description 2
- 208000015181 infectious disease Diseases 0.000 abstract description 2
- 210000005036 nerve Anatomy 0.000 abstract description 2
- 230000009467 reduction Effects 0.000 abstract description 2
- 206010052428 Wound Diseases 0.000 description 27
- 208000027418 Wounds and injury Diseases 0.000 description 27
- 230000008569 process Effects 0.000 description 4
- 238000010586 diagram Methods 0.000 description 3
- 208000002847 Surgical Wound Diseases 0.000 description 2
- 230000008859 change Effects 0.000 description 2
- 238000010276 construction Methods 0.000 description 2
- 230000007547 defect 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
- 230000000903 blocking effect Effects 0.000 description 1
- 238000005286 illumination Methods 0.000 description 1
- 230000001105 regulatory effect Effects 0.000 description 1
- 238000007665 sagging Methods 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 210000005239 tubule Anatomy 0.000 description 1
- 230000000007 visual effect Effects 0.000 description 1
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, 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
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Molecular Biology (AREA)
- Public Health (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Engineering & Computer Science (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Biomedical Technology (AREA)
- Veterinary Medicine (AREA)
- Gynecology & Obstetrics (AREA)
- Radiology & Medical Imaging (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Pathology (AREA)
- Surgical Instruments (AREA)
- Accessories Of Cameras (AREA)
Abstract
The utility model discloses a device convenient for opening a wound and keeping the wound so as to implement an operation, which comprises a positioning and adjusting part, wherein the positioning and adjusting part comprises a fluted disc, a clamping seat is arranged on the fluted disc and used for installing a pull rod, and the pull rod is used for installing a clasp positioning mechanism with an adjustable angle and/or an adjustable height; the pull rod is used for installing a camera fixing mechanism, and a tubular medical camera is arranged on the pull rod and used for extending into a wound to shoot. The utility model has the following advantages: providing a good view to the doctor; no special person is required to be responsible for maintaining the wound, and the positioning is accurate and stable; the nerve is retracted to avoid encountering the reduction of the operation risk; the image signals are transmitted to a display, so that the influence on personal health and operation effects caused by the damage and the excessive fatigue of cervical vertebrae of doctors due to long-time operation is avoided; the video can be recorded for teaching; the device is designed at one time, so that infection caused by repeated use is avoided.
Description
Technical Field
The utility model relates to the technical field of medical equipment, in particular to a surgical wound opening device and an opening implementation method.
Background
In the operation process, in order to ensure the safety and smoothness of the operation, the incision of the operation is often required to be kept at a certain position for a long time, and operations such as expanding, shrinking, changing angles and the like are also required to be performed on the incision, so that the long-time operation is not conceivable to be performed manually by medical staff, and the operation is performed manually, so that a great potential safety hazard exists. Therefore, people invent various auxiliary devices to help positioning, however, most of the existing auxiliary positioning devices have the following defects that firstly, accurate positioning at each point position is difficult to achieve, and positioning at different angles is difficult to achieve; secondly, the adjustment of the angle, the height and the like is inconvenient; third, due to illumination problems or the human body blocking light, there are cases where a doctor cannot see clearly the surgical wound site during the surgery, which may cause a surgical risk. Although some people overcome this problem by adding cameras, the current fixing devices provided with cameras can only shoot wounds outside the wounds, and cannot shoot the inside of the wounds by lifting.
Disclosure of Invention
The technical problem to be solved by the utility model is to overcome the defects of the prior art, and provide the device which has more reasonable structural design, can realize accurate positioning of each point position, has more convenient adjustment operations such as angle and height, can extend into the wound to shoot, is convenient for opening the wound and is kept for operation. The utility model can be matched with an utility model patent 'an operation positioning auxiliary device' applied by the inventor.
In order to solve the technical problems, the utility model adopts the following technical scheme: the utility model provides a device convenient to strut the wound and keep in order to implement the operation, includes the location regulation part, and the location regulation part includes a fluted disc, installs the adjustable angle's clasp positioning mechanism and the clasp positioning mechanism of adjustable height on the fluted disc, and wherein the adjustable angle's clasp positioning mechanism can have height-adjusting structure simultaneously to can also adjust height (can realize through pulling up and pulling down) when adjustable angle; the two kinds of clasp hook positioning mechanisms are both provided with clasp hooks for carrying out auxiliary positioning on the operation wound, the clasp hooks are arranged on the pull rods to form a structure which can be lifted and can adjust the angle, and the pull rods of the two kinds of clasp hook positioning mechanisms are arranged on the fluted disc through respective clamping seats to form a moving structure which can move around the circumference of the fluted disc.
Further, a slim tubular camera device capable of adjusting shooting angles and shooting positions is arranged on the fluted disc through a camera fixing bracket, and a camera is connected with a display through a data line.
Further, the clamping seats of the two clasp hook positioning mechanisms are provided with clamping seats, each clamping seat comprises a base, a supporting seat is arranged on each base, clamping plates are arranged in the clamping seats, arc-shaped seats are arranged at the tops of the clamping plates, and the whole clamping seats are clamped on the fluted disc through the clamping plates to form a movable positioning structure; the support seat is provided with a embedding groove, the arc-shaped seat is embedded in the embedding groove, and the arc-shaped seat and the support seat are connected into a slightly rotatable structure by a rotating shaft (for example, the arc-shaped seat and the support seat can rotate for 5 degrees respectively left and right), so that the direction of rotating the clasp hook can be realized on the premise of not damaging the clamping seat.
The clamping seat of the two clasp hook positioning mechanisms is also provided with a clasp hook, an outer clamp, a pull rod clamping position, a clamping seat spring and a pull rod positioning spring, wherein the pull rod clamping position is arranged between the supporting seat and the base through the pull rod positioning spring, the pull rod clamping position is provided with upward positioning teeth, and two ends of the pull rod positioning spring are respectively fixed at the base and the pull rod clamping position; the pull rod is a rack pull rod, the bottom surface of the pull rod is a tooth surface, the rack pull rod is arranged on the supporting seat in a way that the tooth surface faces downwards, and the pull rod clamping position is pushed by the pull rod positioning spring to enable the positioning tooth of the pull rod to be clamped between teeth of the rack pull rod to form a telescopic positioning structure; the clamping hooks are positioned at the top ends of the outer clamps, the outer clamps at the two sides are respectively movably fixed on the guide blocks through clamping seat pins longitudinally penetrating through the front end and the rear end of the guide blocks, clamping seat springs are arranged between the lower parts of the outer clamps and the base, the clamping seat springs are arranged in the base, and the positions of the clamping seat springs are lower than those of the clamping seat pins; the guide block and the outer clamp together form a moving guide structure of the rack pull rod, and the clamp is hooked on the surface of the rack pull rod to form a limiting mechanism. The pull rod clamping position is pressed down, and the positioning teeth on the pull rod clamping position are separated from the teeth of the rack pull rod, so that the rack pull rod can move forwards and backwards at the moment; after moving in place, the pull rod clamping position is released, and the positioning teeth of the pull rod clamping position are clamped between the teeth of the rack pull rod again under the action of the pull rod positioning spring, so that positioning is realized. Of course, the clamping seat of the two clasp hook positioning mechanisms can also be replaced by various fixing structures such as clips and screws.
Further, the tail end of the data wire is connected with a data connector which is electrically connected through insertion, the camera is connected through an interface of the display through the insertion of the data connector, and a wire clamp is arranged at the tail end of the camera fixing support, and the data wire is clamped and fixed by the wire clamp to prevent the data wire from hanging down to interfere with the operation process.
The camera fixing support comprises an adjusting pull rod and a clamping seat, the clamping seat is identical to the clamping seat used for fixing the rack pull rod in structure, and the middle section of the adjusting pull rod is used for being installed on the clamping seat and is identical to the middle section of the rack pull rod in structure; the front end of the adjusting pull rod is provided with a chute, a lifting connecting seat with a straight tooth part is connected through the chute, the position, close to the chute, of the front end of the adjusting pull rod is provided with an adjusting knob with a gear, and the gear of the adjusting knob is meshed with the straight tooth part of the lifting connecting seat to form a lifting adjusting structure of the lifting connecting seat; an adjusting seat capable of rotating up and down is fixed at the front end of the lifting connecting seat through a rotating shaft, a tooth piece with radian is arranged in the lifting connecting seat behind the rotating shaft, and the tooth piece is inserted into the adjusting seat; a limiting piece in butt joint with the tooth piece is arranged in the adjusting seat, and the inclination angle of the adjusting seat is adjusted by clamping teeth at different positions on the tooth piece through the limiting piece; the rear end of the limiting piece is abutted with a spring, the rear end of the spring is supported by an insert, inclined planes are respectively arranged on two sides of the limiting piece, the key is provided with an inclined part matched with the inclined planes of the limiting piece, the inclined part of the key contacts with the inclined planes of the limiting piece from the side surface, the key is exposed out of two sides of the adjusting seat, the limiting piece is enabled to move backwards through pressing the key to enable the limiting piece to loosen clamping of the tooth plate so as to form an adjusting structure of the adjusting seat, meanwhile, the spring can compress the limiting piece, after the key is loosened, the limiting piece is pushed forwards to be clamped with the tooth plate, and the adjusting seat drives the angle of the camera to change synchronously when the angle adjustment is realized; the front end of the adjusting seat is provided with a fixing clamp for clamping the camera, and the camera is clamped at different positions of the pipe body of the camera through the fixing clamp, so that the camera can extend into the wound to different depths so as to shoot different positions; a hook claw is arranged below the fixing clamp, skin and tissues are pulled away to give the camera to be away through the hook claw, a groove is formed in the back surface of the hook claw and used for placing a camera wire rod, and the hook claw and the adjusting seat are of an integrated structure.
Further, the angle-adjustable clasp positioning mechanism further comprises a clasp fixing seat and a pull rod head, wherein the pull rod head is positioned at the front end of the rack pull rod, and the clasp fixing seat and the pull rod head are of an integrated structure and are made of plastic materials, so that the cost is reduced, the clasp fixing seat is disposable and is movably mounted at the front end of the pull rod head through a pin; an arc-shaped structure and toothed sheets with teeth are fixed at the middle position of the pull rod head through a pin, and a movable rack clamping position is fixed at the middle position of the clasp fixing seat through a pin; the rack clamping position is of a Z-shaped structure, the front end of the rack clamping position is meshed with the tooth plate to form a positioning structure, the lower part of the rack clamping position is provided with a rack clamping position spring, and the rear end of the rack clamping position spring is propped against the claw hook fixing seat to be matched with the tooth plate to form the positioning structure of the claw hook fixing seat; the rear end of the rack clamping position is clamped with a clamping position switch which is movably arranged at the rear part of the clasp fixing seat through a pin to form a lever structure; the front end of the clasp fixing seat is provided with a clasp handle sleeve, the edge of the clasp handle sleeve is provided with a clasp handle positioning head, and the clasp handle positioning head is fixed on the clasp fixing seat and the pull rod head through pins; the shank of the clasp is clamped in the shank sleeve through the shank positioning head. When the angle of the clasp hook needs to be adjusted, the clamping switch is pressed down, the rear end of the rack clamping position is pried up, the front end of the rack clamping position is separated from the tooth sheet, and the clasp hook fixing seat can rotate along the pin of the fixed clasp handle positioning head at the moment, so that the clasp hook is driven to rotate and incline, and the aim of adjusting the angle is fulfilled. After the positioning is adjusted, the clamping switch is loosened, and the front end of the rack clamping position is clamped into the tooth sheet again under the action of the rack clamping spring, so that the positioning of the clasp is realized. If the orientation angle of the clasp is adjusted by a small extent, the clasp handle can be pulled, and the rack pull rod can rotate by a small angle and be kept due to slight rotation between the supporting seat and the arc-shaped seat.
The height-adjustable clasp positioning mechanism also comprises a clasp seat and clasp clamping positions, wherein the clasp seat and the clasp clamping positions are arranged at the front end of the rack pull rod and are of an integrated structure, and are made of plastic materials, so that the cost is reduced, and the clasp positioning mechanism is disposable; the front end of the clasp hook seat is provided with a hook handle sleeve, and a hook handle of the clasp hook is sleeved in the hook handle sleeve; the front part of the clasp seat is provided with a clasp clamping position forming a lever structure through a pin, the rear part of the clasp clamping position is connected with a clasp positioning spring, the other end of the clasp positioning spring is connected to the clasp seat to form a jacking structure for the clasp clamping position, and the front end of the clasp clamping position clamps a clasp handle under the jacking action of the clasp positioning spring. When the height of the clasp needs to be adjusted, the rear part of the clasp clamping position is pressed down, the front end of the clasp clamping position is loosened to clamp the hook handle, the hook handle is lifted or put down, the clasp clamping position is loosened after the clasp is adjusted to be in place, and under the action of the clasp positioning spring, the front end of the clasp clamping position is again clamped to the hook handle, so that the clasp is positioned.
Further, at least two groups (for example, four groups are optimal) of angle-adjustable clasp positioning mechanisms and at least two groups of height-adjustable clasp positioning mechanisms are arranged on the fluted disc (in addition, it is to be noted that the clasp positioning mechanisms can also be made to have an angle adjusting function and a height adjusting function at the same time, but in consideration of cost and other factors, the two functions can be separated, or some clasp can only be arranged to be capable of adjusting the height, and the other clasp positioning mechanisms with adjustable angles can be capable of adjusting the height, so that the clasp positioning mechanisms with adjustable angles form a symmetrical structure along the circle center of the fluted disc, and the clasp positioning mechanisms with adjustable heights also form a symmetrical structure along the circle center of the fluted disc, so that adjustment of different demands in multiple directions can be achieved.
The angle-adjustable and height-adjustable clasp hook positioning mechanism is fixed through the fluted disc with the annular structure, the direction adjustment on the plane can be realized, the width adjustment of the incision can be realized through the rack pull rod, the angle and the height position of the incision can be simultaneously regulated through the clasp hook positioning mechanism, the regulation operation is convenient, the accurate positioning of the incision in the operation process can be realized, the operation is simple, and the positioning precision is high.
Thereby, the following beneficial effects are obtained, 1, a good visual field is provided for doctors, and the surgical risks possibly caused by insufficient light or blocked are prevented; 2. the labor is saved, no special person is required to be responsible for maintaining the wound, and the positioning is accurate and stable; 3. the nerve is retracted to avoid encountering the reduction of the operation risk; 4. the image signal of the camera is transmitted to a display in front of a doctor, so that the influence on personal health and operation effect of the doctor caused by the damage and the overfatigue of cervical vertebrae of the doctor due to long-time operation is avoided; 5. the video can be recorded for teaching; 6. the device is designed at one time, so that infection caused by repeated use is avoided.
Drawings
FIG. 1 is a block diagram of a video observation portion and a positioning adjustment portion of the present utility model in combination;
FIG. 2 is a block diagram of the camera section combined with the positioning adjustment section;
fig. 3 is an exploded view of the image pickup section;
FIG. 4 is an exploded view of the camera mounting bracket;
FIG. 5 is a view showing a structure of a clasp adjusting mechanism of the angle adjusting portion;
FIG. 6 is a view showing a construction of a clasp mounting structure of the angle adjusting portion;
FIG. 7 is a view showing a construction of a clasp mounting structure of the height adjustment section;
FIG. 8 is a block diagram of a clamping seat;
FIG. 9 is an internal structural view of the clamping seat;
fig. 10 is an exploded view of the holder.
In the figure, B01 is a display, B02 is a camera, B03 is a data line, B04 is a data connector, B05 is a camera fixing bracket, B06 is an adjusting pull rod, B07 is a clamping seat, B08 is a lifting connecting seat, B09 is an adjusting knob, B10 is an adjusting seat, B11 is a fixing clamp, B12 is a claw, B13 is a tooth plate, B14 is a positioning piece, B15 is a spring, B16 is an insert, B17 is a key, C08 is a fluted disc, C09 is a rack pull rod, C10 is a pull rod head, C12 is a tooth plate, C13 is a clasp fixing seat, C14 is a clamping switch, C15 is a rack clamping position, C16 is a rack clamping spring, C17 is a pin, C18 is a clamping seat, C181 is a base, C182 is a supporting seat, C183 is a guide block, C184 is a clamp plate, C185 is an arc-shaped seat, C19 is a clamp hook, C21 is a pull rod clamping position, C22 is a clamp pin, C23 is a clamp seat, C24 is a clamp hook, C24 is a clasp hook C25 is a clasp hook, C28 is a clasp hook is a hook, C32 is a clasp hook is a hook, a clasp handle is a positioning handle, C32 is a clasp handle, C30 is a positioning handle.
Detailed Description
In the embodiment, the method for opening the wound and maintaining the operation is implemented by firstly arranging a fixing device to fix at least two adjustable clasp hooks; secondly, adjusting the clasp to a proper position and adjusting the inclination angle of the clasp; thirdly, inserting the clasp into the wound from different directions respectively, and then enabling the clasp to move outwards to open the wound; fourth, after the wound is opened to a proper width, the position of the raking hook is fixed, so that the opening of the wound is kept.
A camera which can extend into the wound is arranged on the fixing device, after the wound is spread by the clasp, the camera extends into the wound (realized by the lifting function of the fixing device), the camera is fixed by the fixing device, and the camera is connected to the display by a data line to play real-time pictures; the camera adopts a medical disposable camera, which is discarded after being used once, so that cross infection is avoided.
The fixing device comprises a circular fluted disc, a plurality of clamping seats capable of being movably adjusted along the fluted disc are arranged on the fluted disc, a rack pull rod capable of being telescopically adjusted along the radial direction of the fluted disc is arranged on each clamping seat, and the front end of the rack pull rod extends to the middle of the fluted disc; the front ends of at least two rack pull rods are provided with a clasp lifting adjusting mechanism, the front ends of at least two other rack pull rods are provided with clasp inclination adjusting mechanisms with lifting adjusting functions, and clasp hooks for hooking wounds are respectively arranged in the clasp lifting adjusting mechanism and the clasp inclination adjusting mechanisms; secondly, adjusting each clamping seat to a proper position, and adjusting the inclination angle of the corresponding clasp and the height of the other corresponding clasp; thirdly, inserting each clasp into the wound from each direction, and operating the rack pull rod to move outwards to open the wound; fourth, after the wound is opened to a proper width, the rack pull rod is fixed, so that the opening of the wound is kept.
Referring to fig. 1-10, the device for opening a wound and maintaining the wound for performing the operation comprises a positioning and adjusting part, wherein the positioning and adjusting part is movably installed on a bracket or directly erected on a patient for use, the positioning and adjusting part comprises a fluted disc C08, an angle-adjustable clasp positioning mechanism and a height-adjustable clasp positioning mechanism are installed on the fluted disc C08, the angle-adjustable clasp positioning mechanism is simultaneously provided with a height-adjustable structure, and the height can be adjusted while the angle can be adjusted (the device can be realized by pulling up and pulling down); the two kinds of clasp hook positioning mechanisms are respectively provided with clasp hooks C27 for carrying out auxiliary positioning on the operation wound, the clasp hooks C27 are arranged on a rack pull rod C09 to form a structure which can be lifted and can adjust the angle, and the rack pull rods of the two kinds of clasp hook positioning mechanisms are arranged on a fluted disc C08 through respective clamping seats to form a moving structure which can move along the fluted disc C08 around the circumference; still install the tubule form camera device of adjustable shooting angle and shooting position on fluted disc C08 through camera fixed bolster B05, its camera B02 is connected with display B01 through data line B03.
The tail end of the data line B03 is connected with a data connector B04 which is electrically connected through insertion, the camera B02 is inserted into an interface of the display B01 through the data connector B04 to realize connection, a wire clamp (not labeled) is arranged at the tail end of the camera fixing support B05, and the data line B03 is clamped and fixed by the wire clamp, so that the data line B03 is prevented from sagging to interfere with the operation process;
the camera fixing support B05 comprises an adjusting pull rod B06 and a clamping seat B07, the clamping seat B07 has the same structure as the clamping seat for fixing the rack pull rod C09, the adjusting mode is the same, the part of the middle section of the adjusting pull rod B06, which is used for being arranged on the clamping seat B07, has the same structure as the middle section of the rack pull rod C09, and has a tooth structure; a sliding groove is formed in the front end of the adjusting pull rod B06, a lifting connecting seat B08 with a straight tooth part is connected through the sliding groove, an adjusting knob B09 with a gear is arranged at a position, close to the sliding groove, of the front end of the adjusting pull rod B06, and the gear of the adjusting knob B09 is meshed with the straight tooth part of the lifting connecting seat B08 to form a lifting adjusting structure of the lifting connecting seat B08; an adjusting seat B10 which can rotate up and down is fixed at the front end of the lifting connecting seat B08 through a rotating shaft, a tooth plate B13 (similar to the tooth plate C12 in the pull rod head C11 in structure) with radian is arranged in the lifting connecting seat B08 behind the rotating shaft, and the tooth plate B13 is inserted into the adjusting seat B10; a limiting piece B14 which is in butt joint with the tooth piece B13 is arranged in the adjusting seat B10, and the inclination angle of the adjusting seat B10 is adjusted by clamping teeth at different positions on the tooth piece B13 through the limiting piece B14; the rear end of the limiting piece B14 is abutted with a spring B15, the rear end of the spring B15 is supported by an insert B16, inclined surfaces are respectively arranged on two sides of the limiting piece B14, a key B17 is provided with an inclined part matched with the inclined surface of the limiting piece B14, the inclined part of the key B17 contacts with the inclined surface of the limiting piece B14 from the side, the key B17 is exposed out of two sides of the adjusting seat B10, the limiting piece B14 is enabled to move backwards through pressing the key B17, the limiting piece B14 is enabled to loosen clamping of the tooth piece B13 to form an adjusting structure of the adjusting seat B10, meanwhile, the spring B15 can compress the limiting piece B14, after the key B17 is loosened, the limiting piece B14 is pushed forwards to be clamped with the tooth piece B13, and the adjusting seat B10 drives the angle of the camera B02 to synchronously change when the angle adjustment is achieved; the front end of the adjusting seat B10 is provided with a fixing clamp B11 for clamping the camera B02, and the fixing clamp B11 is clamped at different positions of the pipe body of the camera B02, so that the camera B02 can extend into a wound to different depths so as to shoot different positions; a hook claw B12 is arranged below the fixing clamp B11, skin and tissues are pulled away to the camera B02 through the hook claw B12 to be abducted, a groove is formed in the back surface of the hook claw B12 and used for placing a camera wire, so that the camera wire also has the functions of supporting and guiding, and the hook claw B12 and the adjusting seat B10 are of an integrated structure.
Referring to fig. 8, 9 and 10, the clamping seat of the two clasp positioning mechanisms comprises a clamping seat C18, a clamping hook C19, an outer clamp C20, a pull rod clamping position C21, a clamping seat spring C23 and a pull rod positioning spring C31, wherein the clamping seat C18 comprises a base C181, a supporting seat C182 is arranged on the base C181, guide blocks C183 are arranged on two sides of the supporting seat C182, a clamping plate C184 is arranged in the clamping seat C18, and an arc-shaped seat C185 (semi-cylindrical) is arranged at the top of the clamping plate C184; the whole clamping seat is clamped on the fluted disc C08 through the clamping plate C184 to form a movable positioning structure, the clamping plate C184 is pressed downwards, the clamping of the fluted disc C08 can be released, and the whole position of the clamping seat can be adjusted along the fluted disc C08; the pull rod clamping position C21 is arranged between the supporting seat C182 and the base C181 through a pull rod positioning spring C31, upward positioning teeth are arranged on the pull rod clamping position C21, and two ends of the pull rod positioning spring C31 are respectively fixed at the base C181 and the pull rod clamping position C21; the rack pull rod C09 is arranged on the supporting seat C182 in a way that the tooth surface faces downwards, and the pull rod clamping position C21 is pushed by the pull rod positioning spring C31 to enable the positioning tooth of the pull rod C09 to be clamped between teeth of the rack pull rod C09 to form a telescopic positioning structure; the clamping hooks C19 are positioned at the top ends of the outer clamps C20, the outer clamps C20 at two sides are respectively movably fixed on the guide blocks C183 through clamping pin C22 longitudinally penetrating through the front end and the rear end of the guide blocks C183, clamping seat springs C23 are arranged between the lower parts of the outer clamps C20 and the base C181, the clamping seat springs C23 are arranged in the base C181, and the positions of the clamping seat springs C23 are lower than those of the clamping seat pin C22; the guide block C183 and the outer clamp C20 together form a moving guide structure of the rack pull rod C09, and the clamp hook C19 is buckled on the surface of the rack pull rod C09 to form a limiting mechanism; the support base C182 is provided with a embedding groove, the arc-shaped base C185 is embedded in the embedding groove, and the arc-shaped base C185 and the support base are connected into a slightly rotatable structure (for example, the arc-shaped base C185 and the support base can rotate 5 degrees respectively left and right) by a rotating shaft. The pull rod clamping position C21 is pressed down, positioning teeth on the pull rod clamping position C are separated from teeth of the rack pull rod C09, and at the moment, the rack pull rod C09 can move forwards and backwards; after moving to the position, the pull rod clamping position C21 is loosened, and the positioning teeth of the pull rod clamping position C21 are clamped between the teeth of the rack pull rod C09 again under the action of the pull rod positioning spring C31, so that positioning is realized. If the orientation angle of the pickpocket C27 is to be adjusted by a small amount, the handle C29 can be pulled, and the rack bar C09 can be rotated by a small angle and held by a slight rotation between the support base C182 and the arc-shaped base C185.
Referring to fig. 5 and 6, the angle-adjustable rake positioning mechanism further comprises a rake fixing seat C13 and a pull rod head C10, wherein the pull rod head C10 is positioned at the front end of the rack pull rod C09, and the rake fixing seat and the pull rod head are of an integrated structure and made of plastic materials; the clasp fixing seat C13 is movably arranged at the front end of the draw bar head C10 through a pin C17; an arc-shaped tooth piece C12 with teeth is fixed at the middle position of the pull rod head C10 through a pin C17, and a movable rack clamping position C15 is fixed at the middle position of the clasp fixing seat C13 through the pin C17; the rack clamping position C15 is of a Z-shaped structure, the front end of the rack clamping position C15 is meshed with the tooth plate C12 to form a positioning structure, the lower part of the rack clamping position C is provided with a rack clamping position spring C16, and the rear end of the rack clamping position spring C16 is propped against the claw hook fixing seat C13 to be matched with the tooth plate C12 to form a positioning structure of the claw hook fixing seat C13; the rear end of the rack clamping position C15 is clamped with a clamping position switch C14, and the clamping position switch C14 is movably arranged at the rear part of the clasp fixing seat C13 through a pin C17 to form a lever structure; the front end of the clasp fixing seat C14 is provided with a hook handle sleeve C28, a hook handle positioning head C30 is arranged at the edge position of the hook handle sleeve C28, and the hook handle positioning head C30 is fixed on the clasp fixing seat C13 and the pull rod head C10 through a pin C17; the shank C29 of the clasp hook C27 is clamped in the shank sleeve C28 through the shank positioning head C30. When the angle of the clasp hook C27 needs to be adjusted, the clamping switch C14 is pressed down, the rear end of the rack clamping position C15 is pried up, the front end of the rack clamping position C15 is separated from the tooth piece C12, and at the moment, the clasp hook fixing seat C13 can rotate along the pin C17 of the fixed hook handle positioning head C30, so that the clasp hook C27 is driven to rotate and incline, and the aim of adjusting the angle is achieved. After the positioning is adjusted, the clamping switch C14 is loosened, and the front end of the rack clamping C15 is clamped into the tooth plate C12 again under the action of the rack clamping spring C16, so that the positioning of the clasp C27 is realized.
Referring to fig. 7, the height-adjustable clasp positioning mechanism further includes a clasp seat C25 and a clasp clamping position C26, wherein the clasp seat and the front end of the rack bar are integrally formed and made of plastic materials; the front end of the clasp hook seat C25 is provided with a clasp handle sleeve, and a clasp handle C29 of the clasp hook C27 is sleeved in the clasp handle sleeve; the front part of the clasp seat C25 is provided with a clasp clamping position C26 forming a lever structure through a pin C17, the rear part of the clasp clamping position C26 is connected with a clasp positioning spring C24, the other end of the clasp positioning spring C24 is connected to the clasp seat C25 to form a jacking structure for the clasp clamping position C26, and the front end of the clasp clamping position C26 clamps a clasp handle C29 under the jacking action of the clasp positioning spring C24. When the height of the clasp hook C27 needs to be adjusted, the rear part of the clasp hook clamping position C26 is pressed down, the front end of the clasp hook clamping position C26 is loosened to clamp the clasp shank C29, the clasp shank C29 is lifted or put down, the clasp hook clamping position C26 is loosened after the clasp hook C29 is adjusted to be in place, and under the action of the clasp hook positioning spring C24, the front end of the clasp hook clamping position C26 is again clamped to the clasp shank C29, so that the clasp hook C27 is positioned.
Four groups (two groups in the figure) of angle-adjustable clasp positioning mechanisms and two groups of height-adjustable clasp positioning mechanisms can be arranged on the fluted disc C08, the angle-adjustable clasp positioning mechanisms form a symmetrical structure along the circle center of the fluted disc C08, and the two groups of height-adjustable clasp positioning mechanisms also form a symmetrical structure along the circle center of the fluted disc, so that adjustment of different requirements in multiple directions can be achieved.
The foregoing detailed description of the utility model has been presented for purposes of illustration and description, but is not intended to limit the scope of the utility model, i.e., the utility model is not limited to the details shown and described.
Claims (6)
1. The utility model provides a device convenient to strut wound and keep with implementation operation, includes location regulation part, and location regulation part is including fluted disc and a plurality of pull rod, and the pull rod passes through the mount pad of each and installs on the fluted disc and form the removal structure that can follow fluted disc around circular motion, its characterized in that: the fluted disc is provided with an angle-adjustable clasp positioning mechanism and a height-adjustable clasp positioning mechanism; the two clasp hook positioning mechanisms are respectively provided with clasp hooks for auxiliary positioning of the operation wound, and the clasp hooks are arranged on the pull rod to form a structure which can be lifted and can adjust the angle;
the clamping seats of the two clasp hook positioning mechanisms are provided with clamping seats, each clamping seat comprises a base, a supporting seat is arranged on each base, clamping plates are arranged in the clamping seats, arc-shaped seats are arranged at the tops of the clamping plates, and the whole clamping seats are clamped on the fluted disc through the clamping plates to form a movable positioning structure; the support seat is provided with a embedding groove, the arc-shaped seat is embedded in the embedding groove, and the arc-shaped seat and the support seat are connected into a slightly rotatable structure by a rotating shaft;
a tubule-shaped camera device capable of adjusting a shooting angle and a shooting position is arranged on the fluted disc through a camera fixing bracket, and a camera is connected with a display;
the clamping seat of the two clasp hook positioning mechanisms is also provided with a clasp hook, an outer clamp, a pull rod clamping position, a clamping seat spring and a pull rod positioning spring, wherein the pull rod clamping position is arranged between the supporting seat and the base through the pull rod positioning spring, the pull rod clamping position is provided with upward positioning teeth, and two ends of the pull rod positioning spring are respectively fixed at the base and the pull rod clamping position; the pull rod is a rack pull rod, the bottom surface of the pull rod is a tooth surface, the rack pull rod is arranged on the supporting seat in a way that the tooth surface faces downwards, and the pull rod clamping position is pushed by the pull rod positioning spring to enable the positioning tooth of the pull rod to be clamped between teeth of the rack pull rod to form a telescopic positioning structure; the clamping hooks are positioned at the top ends of the outer clamps, the outer clamps at the two sides are respectively movably fixed on the guide blocks through clamping seat pins longitudinally penetrating through the front end and the rear end of the guide blocks, clamping seat springs are arranged between the lower parts of the outer clamps and the base, the clamping seat springs are arranged in the base, and the positions of the clamping seat springs are lower than those of the clamping seat pins; the guide block and the outer clamp form a moving guide structure of the rack pull rod together, and the clamp is hooked on the surface of the rack pull rod to form a limiting mechanism;
the camera fixing support comprises an adjusting pull rod and a clamping seat, wherein the front end of the adjusting pull rod is provided with a sliding groove, a lifting connecting seat with a straight tooth part is connected with the sliding groove, the front end of the adjusting pull rod is provided with an adjusting knob with a gear close to the sliding groove, and the gear of the adjusting knob is meshed with the straight tooth part of the lifting connecting seat to form a lifting adjusting structure of the lifting connecting seat; an adjusting seat capable of rotating up and down is fixed at the front end of the lifting connecting seat through a rotating shaft, a tooth piece with radian is arranged in the lifting connecting seat behind the rotating shaft, and the tooth piece is inserted into the adjusting seat; a limiting piece in butt joint with the tooth piece is arranged in the adjusting seat, and the inclination angle of the adjusting seat is adjusted by clamping teeth at different positions on the tooth piece through the limiting piece; the rear end of the limiting piece is abutted with a spring, the rear end of the spring is supported by an insert, inclined planes are respectively arranged on two sides of the limiting piece, the key is provided with an inclined part matched with the inclined planes of the limiting piece, the inclined part of the key contacts with the inclined planes of the limiting piece from the side surface, the key is exposed out of two sides of the adjusting seat, the limiting piece is enabled to move backwards through pressing the key, the limiting piece is enabled to loosen clamping of the tooth plate to form an adjusting structure of the adjusting seat, meanwhile the spring can compress the limiting piece, and after the key is loosened, the limiting piece is pushed forwards to be clamped with the tooth plate; a hook claw is arranged below the fixing clamp, a groove is formed in the back surface of the hook claw for placing a camera wire, and the hook claw and the adjusting seat are of an integrated structure;
the angle-adjustable clasp positioning mechanism further comprises a clasp fixing seat and a pull rod head, wherein the pull rod head is positioned at the front end of the pull rod, and the clasp fixing seat is movably mounted at the front end of the pull rod head through a pin; an arc-shaped structure and toothed sheets with teeth are fixed at the middle position of the pull rod head through a pin, and a movable rack clamping position is fixed at the middle position of the clasp fixing seat through a pin; the rack clamping position is of a Z-shaped structure, the front end of the rack clamping position is meshed with the tooth plate to form a positioning structure, the lower part of the rack clamping position is provided with a rack clamping position spring, and the rear end of the rack clamping position spring is propped against the claw hook fixing seat to be matched with the tooth plate to form the positioning structure of the claw hook fixing seat; the rear end of the rack clamping position is clamped with a clamping position switch which is movably arranged at the rear part of the clasp fixing seat through a pin to form a lever structure; the front end of the clasp fixing seat is provided with a clasp handle sleeve, the edge of the clasp handle sleeve is provided with a clasp handle positioning head, and the clasp handle positioning head is fixed on the clasp fixing seat and the pull rod head through pins; the shank of the clasp is clamped in the shank sleeve through a shank positioning head;
the height-adjustable clasp positioning mechanism also comprises a clasp seat and clasp clamping positions, wherein the clasp seat is positioned at the front end of the pull rod; the front end of the clasp hook seat is provided with a hook handle sleeve, and a hook handle of the clasp hook is sleeved in the hook handle sleeve; the front part of the clasp seat is provided with a clasp clamping position forming a lever structure through a pin, the rear part of the clasp clamping position is connected with a clasp positioning spring, the other end of the clasp positioning spring is connected to the clasp seat to form a jacking structure for the clasp clamping position, and the front end of the clasp clamping position clamps a clasp handle under the jacking action of the clasp positioning spring.
2. The device for facilitating the opening of a wound and for holding it in place for performing a procedure of claim 1, wherein: the camera is connected with a display through a data line.
3. The device for facilitating the opening of a wound and for holding it in place for performing a procedure of claim 2, wherein: the tail end of the data wire is connected with a data connector which is electrically connected through insertion, the camera is connected through an interface of the display through the insertion of the data connector, and a wire clamp is arranged at the tail end of the camera fixing support, and the data wire is clamped and fixed by the wire clamp.
4. The device for facilitating the opening of a wound and for holding it in place for performing a procedure of claim 1, wherein: the pull rod head and the corresponding pull rod are of an integrated structure and are made of plastic materials.
5. The device for facilitating the opening of a wound and for holding it in place for performing a procedure of claim 1, wherein: the clasp hook seat and the corresponding pull rod are of an integrated structure and are made of plastic materials.
6. The device for facilitating the opening of a wound and for holding it in place for performing a procedure of claim 1, wherein: the clamping seat of the camera fixing support is identical to the clamping seat for fixing the pull rod in structure, and the part of the middle section of the adjusting pull rod, which is used for being installed on the clamping seat, is also identical to the middle section of the pull rod in structure.
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 |
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| Publication Number | Publication Date |
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| CN109662741A CN109662741A (en) | 2019-04-23 |
| CN109662741B true CN109662741B (en) | 2023-11-21 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN201910084260.4A Active CN109662741B (en) | 2019-01-29 | 2019-01-29 | Device convenient for opening wound and maintaining to implement operation |
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Families Citing this family (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 |
| CN110353745B (en) * | 2019-08-06 | 2020-05-26 | 浙江大学 | Auxiliary traction and pushing assembly for thyroid surgery |
| TWI756045B (en) * | 2020-03-09 | 2022-02-21 | 陳階曉 | Surgical medical device and its system |
| US11723641B2 (en) | 2021-08-03 | 2023-08-15 | Viseon, Inc. | Camera system for use with retractors |
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| 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 |
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| 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 |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| 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 |
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| CN109662741A (en) | 2019-04-23 |
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Effective date of registration: 20240515 Address after: No. 10-1, Xuanyuan Avenue, Huangshan High tech Industrial Development Zone, Huangshan City, Anhui Province, 245000 Patentee after: Anhui bainuojia Medical Technology Co.,Ltd. Country or region after: China Address before: No.7 Tianyuan Road, Hongxing Community, Songgang Street, Bao'an District, Shenzhen City, Guangdong Province, 518000 Patentee before: ACME MEDICAL DEVICES (SHENZHEN) Co.,Ltd. Country or region before: China |
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