CN109820554A - A kind of thymoma open chest surgery multi-angle sternum retractor - Google Patents

A kind of thymoma open chest surgery multi-angle sternum retractor Download PDF

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Publication number
CN109820554A
CN109820554A CN201910188710.4A CN201910188710A CN109820554A CN 109820554 A CN109820554 A CN 109820554A CN 201910188710 A CN201910188710 A CN 201910188710A CN 109820554 A CN109820554 A CN 109820554A
Authority
CN
China
Prior art keywords
rotation
connecting plate
push plate
self
thymoma
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.)
Pending
Application number
CN201910188710.4A
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Chinese (zh)
Inventor
陈振光
许波
杨伟林
吴云姗
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
First Affiliated Hospital of Sun Yat Sen University
Original Assignee
First Affiliated Hospital of Sun Yat Sen University
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by First Affiliated Hospital of Sun Yat Sen University filed Critical First Affiliated Hospital of Sun Yat Sen University
Priority to CN201910188710.4A priority Critical patent/CN109820554A/en
Publication of CN109820554A publication Critical patent/CN109820554A/en
Pending legal-status Critical Current

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Abstract

The present invention provides a kind of thymoma open chest surgery multi-angle sternum retractors, including covering connective pole, connecting rod, push plate, rotate connecting plate, connect pivot pin, hand twists self-locking screw rod, it is rotatablely connected block and double end bearing block, it covers and is equipped with connection channel bar in the middle part of connective pole, it covers and passes through connecting shaft pin connection between connective pole and connecting rod, rotation connecting plate installation axle is equipped on rear side of set connective pole and connecting rod lower end, rotation connecting plate installation axle is mounted on rotation connecting plate, rotation connecting plate is respectively mounted there are three uniformly distributed push plate, rotation connection block mounting hole is equipped on front side of set connective pole and small end, rotation connection block mounting hole upper end is mounted on rotation connection block, self-locking nut is welded on rotation connection block, it is mounted on hand inside self-locking nut and twists self-locking screw rod, hand twists and is equipped with double end bearing block between the end of self-locking screw rod;Several push plates of the invention and rotation connecting plate are rotatable, increase push plate rotational angle, and using linear regulation, precision is high, can two-way simultaneous adjust, that is, stop i.e. self-locking.

Description

A kind of thymoma open chest surgery multi-angle sternum retractor
Technical field
The present invention relates to open chest surgery the field of medical instrument technology, specifically a kind of thymoma open chest surgery multi-angle chest Bone retractor.
Background technique
Thymus gland (thymus) is the important lymphoid organ of body, and function is closely related with immune, is T cell differentiation, hair It educates, mature place.It can also secrete thymin and hormonal substance, have the organ of endocrine dysfunction.On thoracic cavity Mediastinum front.Late embryogenesis and nascent, people's thymus gland nearly weigh 10-15 grams, are the periods of weight relative maximum in life.With the age Increase, thymus gland continues to develop, to about 30-40 grams of puberty.Hereafter thymus gland is gradually degenerated, and lymphocyte is reduced, and adipose tissue increases It is more, until only 15 grams old.
Thymoma is the disease that thymus gland surrounding occurs that lesion generates, and mostly occurs in the middle-aged and the old, and men and women's morbidity is essentially identical, Clinical manifestation is cough, pectoralgia, aphetite disorder, expiratory dyspnea, trachyphonia, neck region lump and superior vena cava obstruction syndrome, part Patient can be asymptomatic, only finds when chest X-ray checks.
Thymoma one answers surgical resection after diagnosing, and no matter benign or malignant thymoma should all be cut off as early as possible, excision Malignant thymoma can use pathological biopsy and instruct aftertreatment, part excision person's postoperative irradiation can be relieved symptom, extends and suffers from Person's time-to-live.
Thymoma modus operandi is generally open chest surgery or Minimally Invasive Surgery;In open chest surgery, chest is supportted after lancing It opens, but has an irregular arc incision, strutted using to sternum retractor, and existing sternum retractor generally comprises Handle, rack gear, runner, lever arm and fixed arm, the push plate on lever arm and fixed arm are integrated chemical conversion type, do not have polygonal The adjusting of degree, while baffle itself is also the entirety of long strip type, lacks more perspective adjusting, to cooperate irregular arc to cut Mouthful, it will cause more damages;Meanwhile lever arm and fixed arm top connect rack gear, are cooperated using rack gear, the unit of adjusting is long Degree length, cannot finely tune, and lever arm sliding is not smooth, operate relatively elaborate.
Summary of the invention
In view of the above shortcomings of the prior art, the technical problem to be solved in the present invention is to provide a kind of labour-saving multi-angle tune The thymoma open chest surgery multi-angle sternum retractor of section.
In order to solve the above technical problems, the present invention provides the following technical scheme that
A kind of thymoma open chest surgery multi-angle sternum retractor, including set connective pole, connecting rod, push plate, rotation connecting plate, Connection pivot pin, hand twist self-locking screw rod, rotation connection block and double end bearing block, and connection channel bar, institute are equipped in the middle part of the set connective pole It states connecting rod and passes through the link slot that link slot bar is formed, by connecting shaft pin connection between the set connective pole and connecting rod, set is in succession Bar and connecting rod can be welded with rotation connecting plate installation axle on rear side of connection pivot pin rotation, the set connective pole and connecting rod lower end, The rotation connecting plate installation axle is mounted on rotation connecting plate;The rotation connecting plate is respectively mounted there are three uniformly distributed push plate;The set Rotation connection block mounting hole is equipped on front side of connective pole and small end, rotation connection block mounting hole upper end, which is mounted on, to be turned Link block is moved, self-locking nut is welded on the rotation connection block, hand is mounted on inside self-locking nut and twists self-locking screw rod, is performed the operation The screw tip that hand twists self-locking screw rod is welded with hand lever, and the hand twists and is equipped with double end bearing block between the end of self-locking screw rod.
As the further improvement project of the present invention: the set connective pole includes socket gonnecting rod body, connects channel bar and pin hole, It is set in the middle part of socket gonnecting rod body there are two channel bar is connected, connects and form link slot between channel bar, be equipped with pin hole in the middle part of connection channel bar.
As the further improvement project of the present invention: the push plate upper end is equipped with connecting shaft, and connecting shaft is internally threaded Hole is equipped with screw rod card convex inside threaded hole.
As the further improvement project of the present invention: the rotation connecting plate includes rotation connecting plate body, push plate mounting hole and rotation Turn connecting plate mounting hole, rotates and set on the preceding folded plate of connecting plate body there are three equidistant push plate mounting hole, rotate the perpendicular folded plate of connecting plate body Rear end is equipped with rotation connecting plate mounting hole.
As the further improvement project of the present invention: the connecting shaft of the push plate is coupled with push plate mounting hole, push plate Connecting shaft can around push plate mounting hole rotate.
As the further improvement project of the present invention: the rotation connecting plate installation axle and rotation connecting plate mounting hole cooperation are pacified Dress, rotation connecting plate installation axle can turn around rotation connecting plate mounting hole.
As the further improvement project of the present invention: double end bearing block both ends set that there are two symmetrical threaded hole, spiral shells Screw is respectively mounted inside pit.
As further improvement project of the invention: push plate is replaced with screw thread rushing board mechanism, the screw thread ledal-pushing machine Structure is mounted on rotation connecting plate lower end, and the push plate includes screw thread push plate and wing nut, and screw thread push plate upper end is equipped with butterfly spiral shell It is female.
As further improvement project of the invention: the screw thread push plate includes screw thread push plate body and screw thread push plate screw thread Bar, screw thread push plate body upper end are welded with screw thread push plate threaded rod.
Compared with prior art, the beneficial effects of the present invention are:
1, push plate of the invention can surround rotation connecting plate installation axle rotation around rotation connecting plate rotation, rotation connecting plate again, The rotational angle of push plate is improved, the angle that patient opens chest is more bonded, avoids secondary insult;
2, the present invention twists self-locking screw rod, rotation connection block and double end bearing block using hand and cooperates, to adjust distracted length, Using linear regulation, degree of regulation is high, and can two-way simultaneous adjust, that is, stop it is i.e. self-locking, it is more convenient to use;
3, the present invention also can be used screw thread rushing board mechanism and carry out the angle after secured adjusted, and the screw thread push plate that several are fixed is more Stick on the wound of conjunction, more convenient locking struts.
For the present invention using simply, stability is good, reduces secondary insult, is worthy to be popularized.
Detailed description of the invention
Fig. 1 is structural schematic diagram when a kind of thymoma open chest surgery multi-angle sternum retractor of embodiment 1 is closed;
Fig. 2 is structural schematic diagram when a kind of thymoma open chest surgery multi-angle sternum retractor of embodiment 1 opens;
Fig. 3 is a kind of structural representation of the set connective pole of the thymoma open chest surgery multi-angle sternum retractor of embodiment 1 Figure;
Fig. 4 is a kind of structural representation of the rotation connecting plate of the thymoma open chest surgery multi-angle sternum retractor of embodiment 1 Figure;
Fig. 5 is a kind of structural schematic diagram of the thymoma open chest surgery multi-angle sternum retractor of embodiment 2;
Fig. 6 is a kind of structural representation of the screw thread push plate of the thymoma open chest surgery multi-angle sternum retractor of embodiment 2 Figure;
In figure: 1- set connective pole, 2- connecting rod, 3- push plate, 4- rotation connecting plate, 5- connection pivot pin, 6- hand twist self-locking screw rod, 7- is rotatablely connected block, 8- double end bearing block, 9- self-locking nut, 10- hand lever, 11- screw rod card convex, 12- socket gonnecting rod body, 13- pin Hole, 14- rotation connecting plate installation axle, 15- connection channel bar, 16- rotation connection block mounting hole, 17- rotation connecting plate body, 18- push plate peace Fill hole, 19- rotates connecting plate mounting hole, the push plate of 20- screw thread, 21- wing nut, 22- screw thread push plate body, 23- screw thread push plate screw thread Bar.
Specific embodiment
The technical solution of the patent is explained in further detail With reference to embodiment.
The embodiment of this patent is described below in detail, examples of the embodiments are shown in the accompanying drawings, wherein from beginning to end Same or similar label indicates same or similar element or element with the same or similar functions.Below with reference to attached The embodiment of figure description is exemplary, and is only used for explaining this patent, and cannot be understood as a limitation of this patent.
In the description of this patent, it is to be understood that term " center ", "upper", "lower", "front", "rear", " left side ", The orientation or positional relationship of the instructions such as " right side ", "vertical", "horizontal", "top", "bottom", "inner", "outside" is based on the figure Orientation or positional relationship, be merely for convenience of description this patent and simplify description, rather than the device of indication or suggestion meaning or Element must have a particular orientation, be constructed and operated in a specific orientation, therefore should not be understood as the limitation to this patent.
In the description of this patent, it should be noted that unless otherwise clearly defined and limited, term " installation ", " phase Even ", " connection ", " setting " shall be understood in a broad sense, for example, it may be being fixedly linked, being arranged, may be a detachable connection, set It sets, or is integrally connected, is arranged.For the ordinary skill in the art, above-mentioned art can be understood as the case may be The concrete meaning of language in this patent.
Embodiment 1
Fig. 1-4 is please referred to, a kind of thymoma open chest surgery multi-angle sternum retractor, including set are present embodiments provided Connective pole 1, connecting rod 2, push plate 3, rotation connecting plate 4, connection pivot pin 5, hand twist self-locking screw rod 6, rotation connection block 7 and double end bearing block 8, connection channel bar 15 is equipped in the middle part of the set connective pole 1, the connecting rod 2 passes through the link slot that connection channel bar 15 is formed, the set It is connected between connective pole 1 and connecting rod 2 by connection pivot pin 5, covering connective pole 1 and connecting rod 2 can rotate around connection pivot pin 5, described Rotation connecting plate installation axle 14 is welded on rear side of set connective pole 1 and 2 lower end of connecting rod, the rotation connecting plate installation axle 14 is mounted on Connecting plate 4 is rotated, rotation connecting plate 4 can drive push plate 3 to rotate;The rotation connecting plate 4 is respectively mounted there are three uniformly distributed push plate 3, is matched Close the angular turn of notch;It is equipped on front side of the set connective pole 1 and 2 upper end of connecting rod and is rotatablely connected block mounting hole 16, described turn Dynamic 16 upper end of link block mounting hole is mounted on rotation connection block 7, is welded with self-locking nut 9 on the rotation connection block 7, self-locking It is mounted on hand inside nut 9 and twists self-locking screw rod 6, the screw tip that hand twists self-locking screw rod 6 is welded with hand lever 10, adjusts push plate 3 Unfolded length, the hand twists and is equipped with double end bearing block 8 between the end of self-locking screw rod 6, and hand twists self-locking screw rod 6 around double end Bearing block 8 rotates;
The set connective pole 1 includes socket gonnecting rod body 12, connection channel bar 15 and pin hole 13, is socketed in the middle part of gonnecting rod body 12 and is equipped with Two connection channel bars 15 connect and form link slot between channel bar 15, connect and are equipped with pin hole 13 in the middle part of channel bar 15, installation connection pivot pin 5;
3 upper end of push plate is equipped with connecting shaft, and connecting shaft is internally threaded hole, screw rod card convex is equipped with inside threaded hole 11, fixed push plate 3;
The rotation connecting plate 4 includes rotation connecting plate body 17, push plate mounting hole 18 and rotation connecting plate mounting hole 19, rotates connecting plate It is set on the preceding folded plate of body 17 there are three equidistant push plate mounting hole 18, push plate 3 is installed, the perpendicular folded plate rear end of rotation connecting plate body 17 is set There are rotation connecting plate mounting hole 19, installation rotation connecting plate installation axle 14;
The connecting shaft of the push plate 3 is coupled with push plate mounting hole 18, and the connecting shaft of push plate 3 can surround push plate mounting hole 18 rotations;
The rotation connecting plate installation axle 14 is coupled with rotation connecting plate mounting hole 19, and rotation connecting plate installation axle 14 can surround Connecting plate mounting hole 19 is rotated to rotate;
8 both ends of double end bearing block are set there are two symmetrical threaded hole, are respectively mounted screw inside threaded hole.
Embodiment 2
Fig. 5-6 is please referred to, a kind of thymoma open chest surgery multi-angle sternum retractor is present embodiments provided, with implementation Example 1 is compared, and the screw thread rushing board mechanism of push plate 3 is replaced, and the screw thread rushing board mechanism is mounted on rotation 4 lower end of connecting plate, described to push away Plate 3 includes screw thread push plate 20 and wing nut 21, and 20 upper end of screw thread push plate is equipped with wing nut 21, facilitates manual fixed thread 20 angle of push plate;
The screw thread push plate 20 includes screw thread push plate body 22 and screw thread push plate threaded rod 23, the welding of 22 upper end of screw thread push plate body There is screw thread push plate threaded rod 23, is coupled with wing nut 21.
The working principle of the invention: the present invention provides a kind of thymoma open chest surgery multi-angle sternum retractors, will Connecting rod 2 passes through the connection channel bar 15 of set connective pole 1, by connection 5 connector sleeve connective pole 1 of pivot pin and connecting rod 2, covers 1 He of connective pole It is mounted on rotation connection block 7 on front side of small end, two hands are twisted into the self-locking nut that self-locking screw rod 6 is screwed into rotation connection block 7 9, then the body of rod tail portion that two hands twist self-locking screw rod 6 is inserted into inside double end bearing block 8, it is locked by screw;
After thymoma patient carries out open chest surgery, after thoracic incision is inserted into push plate 3, rotation hand twists self-locking screw rod 6 Hand lever 10, the screw rod that hand twists self-locking screw rod 6 are rotated around double end bearing block 8, and hand twists the screw rod and self-locking nut of self-locking screw rod 6 9 cooperations, using linear regulation, degree of regulation is high, easy to adjust, struts one end of set connective pole 1 and connecting rod 2, drives set in succession The other end of bar 1 and connecting rod 2 is opened, and then push plate 3 is driven to open, to strut breastbone, with the opening of push plate 3, rotation connects Plate 4 is rotated around rotation connecting plate installation axle 14, and push plate 3 is rotated around push plate mounting hole 18, so that push plate 3 is more bonded chest and cuts Mouthful, the secondary insult to wound is avoided, after strutting, doctor is facilitated to carry out the excision of thymoma.
The screw thread rushing board mechanism of push plate 3 is replaced, the angle of screw thread push plate 20 can be selected, pass through wing nut 21 and spiral shell Angle after the locking rotation of line push plate threaded rod 23, more practical, specific aim is stronger.
Push plate of the invention can be mentioned around rotation connecting plate installation axle rotation again around rotation connecting plate rotation, rotation connecting plate The angle that the rotational angle of high push plate, more fitting patient open chest, avoids secondary insult;The present invention using hand twist self-locking screw rod, It is rotatablely connected block and double end bearing block cooperates, to adjust distracted length, using linear regulation, degree of regulation is high, and can be two-way Adjust simultaneously, that is, stop it is i.e. self-locking, it is more convenient to use;The present invention also can be used screw thread rushing board mechanism and come the angle after secured adjusted Degree, the wound that several screw thread push plates fixed more are bonded, more convenient locking strut;For the present invention using simply, stability is good, Secondary insult is reduced, is worthy to be popularized.
The preferred embodiment of the patent is described in detail above, but this patent is not limited to above-mentioned embodiment party Formula within the knowledge of one of ordinary skill in the art can also be under the premise of not departing from this patent objective It makes a variety of changes.

Claims (9)

1. a kind of thymoma open chest surgery multi-angle sternum retractor, including set connective pole (1), connecting rod (2), push plate (3), rotation Turn connecting plate (4), connection pivot pin (5), hand twist self-locking screw rod (6), rotation connection block (7) and double end bearing block (8), characterized in that Connection channel bar (15) is equipped in the middle part of the set connective pole (1), the connecting rod (2) passes through the link slot that connection channel bar (15) is formed, By connection pivot pin (5) connection between the set connective pole (1) and connecting rod (2), covers connective pole (1) and connecting rod (2) can the company of surrounding Spindle pin (5) rotation, the set connective pole (1) and connecting rod (2) lower end rear side are welded with rotation connecting plate installation axle (14), described Rotation connecting plate installation axle (14) is mounted on rotation connecting plate (4);The rotation connecting plate (4) is respectively mounted there are three uniformly distributed push plate (3);Rotation connection block mounting hole (16), the rotation connection block are equipped on front side of the set connective pole (1) and connecting rod (2) upper end Mounting hole (16) upper end is mounted on rotation connection block (7), is welded with self-locking nut (9) on the rotation connection block (7), self-locking It is mounted on hand inside nut (9) to twist self-locking screw rod (6), the screw tip that hand twists self-locking screw rod (6) is welded with hand lever (10), institute It states hand and twists and double end bearing block (8) are installed between the ends of self-locking screw rod (6).
2. a kind of thymoma open chest surgery multi-angle sternum retractor according to claim 1, characterized in that the set Connective pole (1) includes socket gonnecting rod body (12), connection channel bar (15) and pin hole (13), is socketed in the middle part of gonnecting rod body (12) there are two setting It connects channel bar (15), forms link slot between connection channel bar (15), be equipped with pin hole (13) in the middle part of connection channel bar (15).
3. a kind of thymoma open chest surgery multi-angle sternum retractor according to claim 2, characterized in that described to push away Plate (3) upper end is equipped with connecting shaft, and connecting shaft is internally threaded hole, screw rod card convex (11) are equipped with inside threaded hole.
4. a kind of thymoma open chest surgery multi-angle sternum retractor according to claim 3, characterized in that the rotation Turning connecting plate (4) includes rotation connecting plate body (17), push plate mounting hole (18) and rotation connecting plate mounting hole (19), is rotated connecting plate body (17) Preceding folded plate on set there are three equidistant push plate mounting hole (18), the perpendicular folded plate rear end of rotation connecting plate body (17) is equipped with rotation connecting plate Mounting hole (19).
5. a kind of thymoma open chest surgery multi-angle sternum retractor according to claim 4, characterized in that described to push away The connecting shaft of plate (3) is coupled with push plate mounting hole (18), and the connecting shaft of push plate (3) can turn around push plate mounting hole (18) It is dynamic.
6. a kind of thymoma open chest surgery multi-angle sternum retractor according to claim 5, characterized in that the rotation Turn connecting plate installation axle (14) to be coupled with rotation connecting plate mounting hole (19), rotation connecting plate installation axle (14) can be around rotation connecting plate Mounting hole (19) rotation.
7. a kind of thymoma open chest surgery multi-angle sternum retractor according to claim 1, characterized in that described double Head bearing support (8) both ends are set there are two symmetrical threaded hole, are respectively mounted screw inside threaded hole.
8. a kind of thymoma open chest surgery multi-angle sternum retractor according to claim 7, characterized in that by push plate (3) screw thread rushing board mechanism is replaced with, the screw thread rushing board mechanism is mounted on rotation connecting plate (4) lower end, and the push plate (3) includes spiral shell Line push plate (20) and wing nut (21), screw thread push plate (20) upper end are equipped with wing nut (21).
9. a kind of thymoma open chest surgery multi-angle sternum retractor according to claim 8, characterized in that the spiral shell Line push plate (20) includes screw thread push plate body (22) and screw thread push plate threaded rod (23), and screw thread push plate body (22) upper end is welded with screw thread Push plate threaded rod (23).
CN201910188710.4A 2019-03-13 2019-03-13 A kind of thymoma open chest surgery multi-angle sternum retractor Pending CN109820554A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201910188710.4A CN109820554A (en) 2019-03-13 2019-03-13 A kind of thymoma open chest surgery multi-angle sternum retractor

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201910188710.4A CN109820554A (en) 2019-03-13 2019-03-13 A kind of thymoma open chest surgery multi-angle sternum retractor

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Application Number Title Priority Date Filing Date
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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2127301Y (en) * 1992-06-10 1993-02-24 张雁军 Pliers-type surgical drag hook
CN202892013U (en) * 2012-09-10 2013-04-24 周田华 Bi-directional expanding device for human body operation incision
CN103987327A (en) * 2011-10-05 2014-08-13 马克·A·多德森 Modular retractor and related method
CN104334015A (en) * 2012-03-29 2015-02-04 莱普诗贝斯医疗有限公司 Tissue retractor
CN106344089A (en) * 2016-11-04 2017-01-25 昆明医科大学第二附属医院 Separated-type double-end completely-adjustable abdominal retractor

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2127301Y (en) * 1992-06-10 1993-02-24 张雁军 Pliers-type surgical drag hook
CN103987327A (en) * 2011-10-05 2014-08-13 马克·A·多德森 Modular retractor and related method
CN104334015A (en) * 2012-03-29 2015-02-04 莱普诗贝斯医疗有限公司 Tissue retractor
CN202892013U (en) * 2012-09-10 2013-04-24 周田华 Bi-directional expanding device for human body operation incision
CN106344089A (en) * 2016-11-04 2017-01-25 昆明医科大学第二附属医院 Separated-type double-end completely-adjustable abdominal retractor

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