CN109953864A - A kind of auxiliary support device for throat head and neck surgery - Google Patents
A kind of auxiliary support device for throat head and neck surgery Download PDFInfo
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- CN109953864A CN109953864A CN201910164660.6A CN201910164660A CN109953864A CN 109953864 A CN109953864 A CN 109953864A CN 201910164660 A CN201910164660 A CN 201910164660A CN 109953864 A CN109953864 A CN 109953864A
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
- A61G13/105—Portable, foldable or collapsible tables, e.g. for surgery or treatment
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
- A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
- A61G13/1205—Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
- A61G13/121—Head or neck
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Abstract
本发明属于医疗器械领域,具体涉及一种咽喉头颈外科手术辅助支撑装置,包括一对伸缩板,伸缩板之间滑动连接有传动室;传动室包括与伸缩板滑动连接的底板,底板两端均连接有竖板,竖板远离底板的一端连接有顶板,顶板与伸缩板的伸缩端固接;顶板中部设有活动孔,活动孔靠近伸缩板的一端铰接有头部支撑板,头部支撑板上铰接有颈部支撑板,颈部支撑板远离头部支撑板的一端铰接有滑板,滑板与顶板滑动连接;底板中部设有调节腔,调节腔内滑动连接有枕头;底板上设有传动装置,传动装置包括同步运动的颈部升降结构和头部传动结构,本发明有效的解决了治疗过程中固定效果不佳导致的治疗效果不好的问题。
The invention belongs to the field of medical equipment, and in particular relates to an auxiliary support device for throat head and neck surgery, comprising a pair of telescopic plates, and a transmission chamber is slidably connected between the telescopic plates; A vertical plate is connected, the end of the vertical plate away from the bottom plate is connected with a top plate, and the top plate is fixedly connected with the telescopic end of the telescopic plate; a movable hole is arranged in the middle of the top plate, and the end of the movable hole close to the telescopic plate is hinged with a head support plate, and the head support plate A neck support plate is hinged on the upper part, and a slide plate is hinged at one end of the neck support plate away from the head support plate, and the slide plate is slidably connected with the top plate; an adjustment cavity is arranged in the middle of the bottom plate, and a pillow is slidably connected in the adjustment cavity; a transmission device is arranged on the bottom plate , the transmission device includes a neck lifting structure and a head transmission structure that move synchronously, and the invention effectively solves the problem of poor treatment effect caused by poor fixation effect in the treatment process.
Description
技术领域technical field
本发明属于医疗器械领域,涉及一种支撑装置,具体涉及一种咽喉头颈外科手术辅助支撑装置。The invention belongs to the field of medical instruments and relates to a support device, in particular to an auxiliary support device for throat head and neck surgery.
背景技术Background technique
耳鼻咽喉头颈外科是研究耳鼻咽喉与气管食管以及头颈部诸器官的解剖生理和疾病现象的一门科学;耳鼻咽喉诸器官解剖关系较为复杂,上承颅底,下通气管食管,鼻之两旁毗邻眼眶,咽喉两旁还有重要的神经干与大血管通过;耳鼻咽喉头颈诸器官在解剖结构生理功能和疾病的发生与发展方面相互有着紧密联系,如一旦鼻及鼻窦罹病,耳、咽亦常受累;耳鼻咽喉诸器官多为深在和细小腔洞,欲达到清晰辨认其正常形态和病变表现的目的,必须借助特殊的照明装置和检查器械,因而,在现代医学的发展中,它经历了一个由分到合的过程。Otolaryngology head and neck surgery is a science that studies the anatomy, physiology and disease phenomena of the otorhinolaryngology, trachea, esophagus, and head and neck organs; Adjacent to the orbit, there are important nerve trunks and large blood vessels on both sides of the throat; the organs of the ear, nose, throat, head and neck are closely related to each other in terms of anatomical structure, physiological function, and the occurrence and development of diseases. Involvement; many organs of the ear, nose and throat are deep and small cavities, in order to achieve the purpose of clearly identifying their normal shape and pathological manifestations, special lighting devices and inspection instruments must be used. Therefore, in the development of modern medicine, it has experienced A process from dividing to joining.
在对患者进行治疗时,需要对患者的头部进行支撑固定,而目前的固定方式多通过人工扶持,十分的麻烦,而且加大了医护人员的劳动强度,另外人工扶持多存在不稳定性,造成治疗效果不佳。When treating patients, it is necessary to support and fix the patient's head, and the current fixation method is mostly manual support, which is very troublesome, and increases the labor intensity of medical staff. In addition, manual support is often unstable. result in poor treatment effect.
发明内容SUMMARY OF THE INVENTION
针对上述情况,为克服现有技术的缺陷,本发明提供了一种咽喉头颈外科手术辅助支撑装置,有效的解决了治疗过程中固定效果不佳导致的治疗效果不好的问题。In view of the above situation, in order to overcome the defects of the prior art, the present invention provides an auxiliary support device for throat head and neck surgery, which effectively solves the problem of poor treatment effect caused by poor fixation effect during treatment.
为实现上述目的,本发明采用以下技术方案:一种咽喉头颈外科手术辅助支撑装置,包括一对伸缩板,伸缩板之间滑动连接有传动室;所述传动室包括与伸缩板滑动连接的底板,底板两端均连接有竖板,竖板远离底板的一端连接有顶板,顶板与伸缩板的伸缩端固接;所述顶板中部设有活动孔,活动孔靠近伸缩板的一端铰接有头部支撑板,头部支撑板上铰接有颈部支撑板,颈部支撑板远离头部支撑板的一端铰接有滑板,滑板与顶板滑动连接;所述底板中部设有调节腔,调节腔内滑动连接有枕头;所述底板上设有传动装置,传动装置包括同步运动的颈部升降结构和头部传动结构,头部传动结构上连接有同步运动的枕头升降结构和头部固定结构。In order to achieve the above purpose, the present invention adopts the following technical solutions: an auxiliary support device for throat head and neck surgery, comprising a pair of telescopic plates, and a transmission chamber is slidably connected between the telescopic plates; the transmission chamber includes a bottom plate slidably connected with the telescopic plates Both ends of the bottom plate are connected with a vertical plate, and the end of the vertical plate away from the bottom plate is connected with a top plate, and the top plate is fixedly connected with the telescopic end of the telescopic plate; the middle of the top plate is provided with a movable hole, and the end of the movable hole close to the telescopic plate is hinged with a head A support plate, a neck support plate is hinged on the head support plate, a slide plate is hinged at one end of the neck support plate away from the head support plate, and the slide plate is slidably connected with the top plate; an adjustment cavity is arranged in the middle of the bottom plate, and the adjustment cavity is slidably connected There is a pillow; a transmission device is arranged on the bottom plate, and the transmission device includes a synchronously moving neck lifting structure and a head driving structure, and the head driving structure is connected with a synchronously moving pillow lifting structure and a head fixing structure.
进一步地,所述传动装置包括电机,电机的输出端连接有主丝杆,颈部升降结构设于主丝杆靠近电机的端部;所述颈部升降结构包括套接于主丝杆上的涡杆,主丝杆一侧设有侧支撑板,侧支撑板上转动连接有与涡杆啮合的涡轮,侧支撑板上设有涡轮轴,涡轮轴的两端均连接有第一齿轮箱;所述第一齿轮箱包括内设有套接于涡轮轴上的第一主动伞轮,第一主动伞轮上啮合有第一从动伞轮,第一齿轮箱内设有穿设于第一从动伞轮的转动套筒,转动套筒与第一齿轮箱转动连接,转动套筒内壁上螺接有升降丝杆,升降丝杆靠近顶板的一端连接有升降板,升降板上铰接有支撑杆,支撑杆另一端与颈部支撑板铰接;所述升降板两端设有伸缩杆,伸缩杆另一端与底板固接。Further, the transmission device includes a motor, the output end of the motor is connected with a main screw rod, and the neck lifting structure is arranged at the end of the main screw rod close to the motor; The worm, one side of the main screw is provided with a side support plate, the side support plate is rotatably connected with a turbine that meshes with the worm, the side support plate is provided with a turbine shaft, and both ends of the turbine shaft are connected with a first gear box; The first gear box includes a first driving bevel wheel that is sleeved on the turbine shaft, the first driving bevel wheel is engaged with a first driven bevel wheel, and the first gear box is provided with a first driven bevel wheel that penetrates through the first gear box. The rotating sleeve of the driven umbrella wheel, the rotating sleeve is rotatably connected with the first gear box, the inner wall of the rotating sleeve is screwed with a lifting screw, the end of the lifting screw close to the top plate is connected with a lifting plate, and the lifting plate is hinged with a support The other end of the support rod is hinged with the neck support plate; the two ends of the lifting plate are provided with telescopic rods, and the other end of the telescopic rod is fixedly connected with the bottom plate.
进一步地,所述头部传动结构包括螺接于主丝杆上的滑块,滑块与底板滑动连接,滑块上设有齿条;所述滑块两侧设有侧板,侧板上转动连接有右丝杆,右丝杆上套接有与齿条相啮合的齿轮;所述右丝杆一端连接有第二齿轮箱,第二齿轮箱内设有套接于右丝杆上的第二主动伞轮,第二齿轮箱内转动连接有与第二主动伞轮相啮合的第二从动伞轮,第二齿轮箱上设有与第二从动伞轮相对应的转轴,转轴上套接有主动轮,齿轮的正上方设有与主动轮相对应的从动轮,第二齿轮箱顶部连接有与从动轮相对应的支撑板,支撑板上设有与从动轮相对应的从动轴。Further, the head transmission structure includes a slider screwed on the main screw rod, the slider is slidably connected with the bottom plate, and the slider is provided with a rack; the slider is provided with side plates on both sides, and the side plates are A right screw rod is rotatably connected, and the right screw rod is sleeved with a gear that meshes with the rack; one end of the right screw rod is connected with a second gear box, and the second gear box is provided with a gear box sleeved on the right screw rod. The second driving bevel wheel, the second gear box is rotatably connected with a second driven bevel wheel that meshes with the second driving bevel wheel, the second gear box is provided with a rotating shaft corresponding to the second driven bevel wheel, and the rotating shaft The upper sleeve is connected with the driving wheel, the driven wheel corresponding to the driving wheel is arranged directly above the gear, the top of the second gear box is connected with a supporting plate corresponding to the driven wheel, and the supporting plate is provided with a supporting plate corresponding to the driven wheel. moving shaft.
进一步地,所述枕头升降结构包括从动轴通过万向节连接的水平轴,水平轴通过万向节连接有滑套,滑套内滑动连接有调节杆,头部支撑板上连接有转动板,转动板与调节杆转动连接;所述枕头靠近转动板的一端连接有与调节杆螺接的第二丝母压套。Further, the pillow lifting structure includes a horizontal shaft connected by a driven shaft through a universal joint, the horizontal shaft is connected with a sliding sleeve through the universal joint, an adjusting rod is slidably connected in the sliding sleeve, and a rotating plate is connected on the head support plate. , the rotating plate is rotatably connected with the adjusting rod; one end of the pillow close to the rotating plate is connected with a second thread nut pressing sleeve that is screwed with the adjusting rod.
进一步地,所述第二齿轮箱内设有与第二从动伞轮相啮合的左伞轮,第二齿轮箱上设有穿设于左伞轮的左丝杆;所述左丝杆和右丝杆上均螺接有牵引块,牵引块与顶板滑动连接,底板上设有与牵引块滑动连接的底座,牵引块与头部固定结构相连接;所述头部固定结构包括与牵引块相连接的竖直伸缩杆,竖直伸缩杆上连接有水平伸缩杆,水平伸缩杆的伸缩端转动连接有转动轴,转动轴上滑动连接有推块,推块远离转动轴的一端设有滑槽,滑槽内滑动连接有调节块,调节块上设有头部固定板。Further, the second gear box is provided with a left bevel wheel that meshes with the second driven bevel wheel, and the second gear box is provided with a left screw rod that penetrates the left bevel wheel; the left screw rod and The right screw rod is screwed with a traction block, the traction block is slidably connected with the top plate, the bottom plate is provided with a base that is slidably connected with the traction block, and the traction block is connected with the head fixing structure; The vertical telescopic rods are connected, the vertical telescopic rod is connected with a horizontal telescopic rod, the telescopic end of the horizontal telescopic rod is rotatably connected with a rotating shaft, the rotating shaft is slidably connected with a push block, and one end of the push block away from the rotating shaft is provided with a sliding block. An adjusting block is slidably connected in the chute, and a head fixing plate is arranged on the adjusting block.
进一步地,所述水平伸缩杆包括与竖直伸缩杆相连接的外套筒,外套筒内滑动连接有内滑杆;所述外套筒上设有与内滑杆相配合的调节螺栓,调节螺栓上设有调节齿轮,内滑杆上设有与调节齿轮相啮合的调节齿条。Further, the horizontal telescopic rod includes an outer sleeve connected with the vertical telescopic rod, and the outer sleeve is slidably connected with an inner sliding rod; the outer sleeve is provided with an adjustment bolt matched with the inner sliding rod, An adjustment gear is arranged on the adjustment bolt, and an adjustment rack meshed with the adjustment gear is arranged on the inner sliding rod.
进一步地,所述底板远离电机的端部滑动连接有一对支撑架,支撑架包括与底板滑动连接的第一伸缩杆,第一伸缩杆的伸缩端转动连接有第一转动块,第一伸缩杆靠近底板的一端设有与底板相配合的固定板;所述第一转动块上转动连接有支撑杆,支撑杆远离第一转动块的一端连接有第二转动块,第二转动块上转动连接有第二伸缩杆,第二伸缩杆的伸缩端转动连接有第三转动块,第三转动块上转动连接有第三伸缩杆,第三伸缩杆的伸缩端连接有固定夹。Further, a pair of support frames are slidably connected to the end of the bottom plate away from the motor, the support frame includes a first telescopic rod slidably connected to the bottom plate, the telescopic end of the first telescopic rod is rotatably connected with a first rotating block, and the first telescopic rod is rotatably connected. One end close to the bottom plate is provided with a fixed plate matched with the bottom plate; the first rotating block is rotatably connected with a support rod, and the end of the support rod away from the first rotating block is connected with a second rotating block, and the second rotating block is rotatably connected There is a second telescopic rod, the telescopic end of the second telescopic rod is rotatably connected with a third rotating block, the third rotating block is rotatably connected with a third telescopic rod, and the telescopic end of the third telescopic rod is connected with a fixing clip.
进一步地,所述伸缩板上设有导向柱,导向柱设于靠近滑板设置伸缩板上,导向柱上滑动连接有固定结构;所述固定结构包括与导向柱滑动连接的套筒,套筒上连接有导向板,导向板两端分别连接有螺接板和定板,螺接板和定板之间设有动板,动板与导向板滑动连接;所述螺接板上转动连接有固定丝杆,动板上设有与固定丝杆螺接的第一丝母压套。Further, the telescopic plate is provided with a guide column, the guide column is arranged on the telescopic plate close to the sliding plate, and a fixed structure is slidably connected to the guide column; the fixed structure includes a sleeve slidably connected to the guide column, and the sleeve is A guide plate is connected, two ends of the guide plate are respectively connected with a screw plate and a fixed plate, a moving plate is arranged between the screw plate and the fixed plate, and the moving plate and the guide plate are slidably connected; the screw plate is rotatably connected with a fixed plate The screw, the moving plate is provided with a first screw press sleeve screwed with the fixed screw.
进一步地,所述底板上设有与第一齿轮箱相配合的支撑套筒,支撑套筒穿设于升降丝杆上;所述底板上还设有与第二齿轮箱相配合的支撑柱。Further, the bottom plate is provided with a support sleeve matched with the first gear box, and the support sleeve is passed through the lifting screw rod; the bottom plate is also provided with a support column matched with the second gear box.
进一步地,所述底板下方设有连接板,两个伸缩板之间通过连接板相连接,两个伸缩板上均设有行走轮;所述颈部支撑板上设有弧形的颈部支撑垫。Further, a connecting plate is arranged under the bottom plate, the two telescopic plates are connected by a connecting plate, and the two telescopic plates are provided with walking wheels; the neck support plate is provided with an arc-shaped neck support pad.
与现有技术相比,本发明具有以下有益效果:Compared with the prior art, the present invention has the following beneficial effects:
1、本发明在使用时,可根据患者病变部位使用本发明的第一使用状态和第二使用状态对患者进行治疗,使用头部固定结构对患者头部进行固定,提高患者治疗的效果;当使用第二使用状态对患者进行治疗时,通过头部支撑板和颈部支撑板铰接部位形成凸起,对患者头部与颈部连接位置形成支撑。1. When the present invention is in use, the first use state and the second use state of the present invention can be used to treat the patient according to the diseased part of the patient, and the patient's head can be fixed by using the head fixing structure to improve the effect of the patient's treatment; when When the patient is treated in the second use state, a protrusion is formed at the hinged part of the head support plate and the neck support plate, so as to form a support for the connection position between the patient's head and the neck.
2、使患者颈部完全暴露在医护人员的视野内,防止患者下巴影响医护人员对患者颈部的治疗,提高治疗效果;当使用第一使用状态对患者进行治疗时,使用容纳腔容纳患者的脸部,防止头部支撑板对患者脸部造成挤压,提高患者的舒适性。2. Make the patient's neck completely exposed to the medical staff's field of vision, prevent the patient's chin from affecting the medical staff's treatment of the patient's neck, and improve the treatment effect; when using the first use state to treat the patient, use the accommodating cavity to accommodate the patient's neck. Face, prevent the head support plate from squeezing the patient's face and improve the comfort of the patient.
3、传动装置在使用时,通过主丝杆带动颈部升降结构、枕头升降结构、头部固定结构同步运动,防止对多个控制结构单独操作时,造成的麻烦,提高操作的便利性。3. When the transmission device is in use, the neck lifting structure, the pillow lifting structure and the head fixing structure are driven to move synchronously by the main screw rod, which prevents the trouble caused by the separate operation of multiple control structures and improves the convenience of operation.
4、当使用第一使用状态对患者进行治疗时,通过转动调节螺栓带动调节齿轮转动,由于调节齿轮与调节齿条啮合,调节齿条带动内滑杆沿外套筒滑动,进而推动推块沿第五滑槽滑动,使头部固定板对患者头部进行固定;当使用第二使用状态对患者进行治疗时,通过调节内滑杆沿外套筒滑动,适应不同患者头部的大小,提高本发明的适应性。4. When the patient is treated in the first state of use, the adjusting bolt is rotated to drive the adjusting gear to rotate. Since the adjusting gear meshes with the adjusting rack, the adjusting rack drives the inner sliding rod to slide along the outer sleeve, thereby pushing the push block along the outer sleeve. The fifth chute slides so that the head fixing plate can fix the patient's head; when the patient is treated in the second use state, the inner sliding rod can be adjusted to slide along the outer sleeve to adapt to the size of the head of different patients and improve the Adaptability of the present invention.
5、本发明在使用时,使用支撑架上的固定夹对手术器械进行固定,降低医护人员的劳动强度;支撑架使用结束后,将支撑架进行折叠后,使支撑架置于顶板与底板之间,提高本发明的使用寿命。5. When the present invention is in use, the fixing clips on the support frame are used to fix the surgical instruments to reduce the labor intensity of medical staff; after the support frame is used, after the support frame is folded, the support frame is placed between the top plate and the bottom plate. time, improve the service life of the present invention.
附图说明Description of drawings
图1为本发明第一使用状态的第一轴测图;Fig. 1 is the first axonometric view of the first use state of the present invention;
图2为本发明第一使用状态的第二轴测图;Fig. 2 is the second axonometric view of the first use state of the present invention;
图3为本发明第二使用状态的第一轴测图;Fig. 3 is the first axonometric view of the second use state of the present invention;
图4为本发明第二使用状态的第二轴测图;Fig. 4 is the second axonometric view of the second use state of the present invention;
图5为本发明第二使用状态的第三轴测图;Fig. 5 is the third axonometric view of the second use state of the present invention;
图6为本发明中传动装置的第一轴测图;Fig. 6 is the first axonometric view of the transmission device in the present invention;
图7为本发明中传动装置的第二轴测图;Fig. 7 is the second axonometric view of the transmission device in the present invention;
图8为本发明中传动装置的俯视图;Fig. 8 is the top view of the transmission device in the present invention;
图9为本发明中颈部升降结构的轴测图;Fig. 9 is the axonometric view of the neck lifting structure in the present invention;
图10为本发明中颈部升降结构的左视图;Figure 10 is a left side view of the neck lifting structure in the present invention;
图11为本发明中图10A-A的剖面图;Fig. 11 is the sectional view of Fig. 10A-A in the present invention;
图12为本发明中头部固定结构的第一轴测图;Fig. 12 is the first axonometric view of the head fixing structure in the present invention;
图13为本发明中头部固定结构的第二轴测图;13 is a second axonometric view of the head fixing structure in the present invention;
图14为本发明中支撑架的轴测图;Figure 14 is an axonometric view of a support frame in the present invention;
图15为本发明中头部支撑结构的轴测图;Figure 15 is an axonometric view of the head support structure in the present invention;
图16为本发明中头部支撑结构的俯视图;Figure 16 is a top view of the head support structure in the present invention;
图17为本发明中图16B-B的剖面图;Fig. 17 is the sectional view of Fig. 16B-B in the present invention;
图18为本发明中固定结构的轴测图;Figure 18 is an axonometric view of the fixed structure in the present invention;
图中:1、伸缩板,2、连接板,3、竖板,4、底板,5、行走轮,6、传动装置,601、主丝杆,602、侧板,603、滑块,604、齿条,605、齿轮,606、支撑板,607、从动轮,608、第一齿轮箱,609、伸缩杆,610、转动套筒,611、第一从动伞轮,612、支撑杆,613、第一主动伞轮,614、升降板,615、底座,616、右丝杆,617、第二齿轮箱,618、电机,619、涡杆,620、涡轮,621、主动轮,622、左丝杆,623、支撑套筒,624、升降丝杆;7、支撑架,701、固定板,702、第一伸缩杆,703、第一转动块,704、连接杆,705、第二转动块, 706、第二伸缩杆,707、第三转动块,708、第三伸缩杆,709、固定夹;8、头部固定结构, 801、竖直伸缩杆,802、水平伸缩杆,803、推块,804、头部固定板,805、调节块;9、固定结构,901、套筒,902、定板,903、导向板,904、动板,905、第一丝母压套,906、固定丝杆,907、螺接板;10、导向柱,11、顶板,12、颈部支撑板,13、颈部支撑垫,14、头部支撑板,15、转动板,16、滑套,17、枕头,18、第二丝母压套,19、调节腔,20、调节杆。In the picture: 1. Telescopic plate, 2. Connecting plate, 3. Vertical plate, 4. Bottom plate, 5. Walking wheel, 6. Transmission device, 601, Main screw, 602, Side plate, 603, Slider, 604, rack, 605, gear, 606, support plate, 607, driven wheel, 608, first gear box, 609, telescopic rod, 610, rotating sleeve, 611, first driven bevel wheel, 612, support rod, 613 , The first driving umbrella wheel, 614, the lifting plate, 615, the base, 616, the right screw, 617, the second gear box, 618, the motor, 619, the worm, 620, the turbine, 621, the driving wheel, 622, the left Screw, 623, support sleeve, 624, lift screw; 7, support frame, 701, fixing plate, 702, first telescopic rod, 703, first rotating block, 704, connecting rod, 705, second rotating block , 706, the second telescopic rod, 707, the third rotating block, 708, the third telescopic rod, 709, the fixing clip; 8, the head fixing structure, 801, the vertical telescopic rod, 802, the horizontal telescopic rod, 803, the push block, 804, head fixing plate, 805, adjusting block; 9, fixing structure, 901, sleeve, 902, fixed plate, 903, guide plate, 904, moving plate, 905, the first thread nut pressing sleeve, 906, Fixed screw, 907, screw plate; 10, guide column, 11, top plate, 12, neck support plate, 13, neck support pad, 14, head support plate, 15, rotating plate, 16, sliding sleeve, 17. Pillow, 18. Second silk nut pressing sleeve, 19. Adjusting cavity, 20. Adjusting rod.
具体实施方式Detailed ways
一种咽喉头颈外科手术辅助支撑装置,如图1-15所示,包括一对伸缩板1,伸缩板1包括下伸缩板,下伸缩板内滑动连接有上伸缩板,下伸缩板内设有与上伸缩板相连接的电动推杆;伸缩板1之间滑动连接有传动室,传动室包括与伸缩板1滑动连接的底板4,下伸缩板上设有与底板4相配合的第一滑槽,底板4两端均连接有竖板3,竖板3远离底板4的一端连接有顶板11,顶板11与伸缩板1的伸缩端固接,即顶板11与上伸缩板远离下伸缩板的一端相连接;所述顶板11中部设有活动孔,活动孔靠近伸缩板1的一端铰接有头部支撑板14,头部支撑板14上铰接有颈部支撑板12,颈部支撑板12远离头部支撑板14的一端铰接有滑板,滑板与顶板11滑动连接,顶板11上设有与滑板相配合的第二滑槽;所述底板4中部设有调节腔19,调节腔19内滑动连接有枕头17;所述底板4上设有传动装置6,传动装置6 包括同步运动的颈部升降结构和头部传动结构,头部传动结构上连接有同步运动的枕头升降结构和头部固定结构8;所述底板4下方设有连接板2,两个伸缩板1之间通过连接板2相连接,两个伸缩板1上均设有行走轮5;所述颈部支撑板12上设有弧形的颈部支撑垫13。An auxiliary support device for throat head and neck surgery, as shown in Figures 1-15, includes a pair of telescopic plates 1, the telescopic plate 1 includes a lower telescopic plate, the lower telescopic plate is slidably connected with an upper telescopic plate, and the lower telescopic plate is provided with An electric push rod connected with the upper telescopic plate; a transmission chamber is slidably connected between the telescopic plates 1, and the transmission chamber includes a bottom plate 4 slidably connected with the telescopic plate 1, and the lower telescopic plate is provided with a first sliding plate matched with the bottom plate 4. The two ends of the bottom plate 4 are connected with a vertical plate 3, and the end of the vertical plate 3 away from the bottom plate 4 is connected with a top plate 11. One end is connected; the middle of the top plate 11 is provided with a movable hole, and the end of the movable hole close to the telescopic plate 1 is hinged with a head support plate 14, and the head support plate 14 is hinged with a neck support plate 12, and the neck support plate 12 is away from One end of the head support plate 14 is hinged with a sliding plate, the sliding plate is slidably connected with the top plate 11, and the top plate 11 is provided with a second chute matched with the sliding plate; the middle of the bottom plate 4 is provided with an adjustment cavity 19, and the adjustment cavity 19 is slidably connected There is a pillow 17; the bottom plate 4 is provided with a transmission device 6, the transmission device 6 includes a synchronously moving neck lifting structure and a head driving structure, and the head driving structure is connected with a synchronously moving pillow lifting structure and a head fixing structure 8; the bottom plate 4 is provided with a connecting plate 2, the two telescopic plates 1 are connected by the connecting plate 2, and the two telescopic plates 1 are provided with walking wheels 5; the neck support plate 12 is provided with Arc-shaped neck support pad 13.
本发明在使用时,通过行走轮5将本发明推至手术床位置,通过电动推杆推动上伸缩板沿下伸缩板滑动;上伸缩板通过顶板11带动竖板3向上运动,竖板3带动底板4沿下伸缩板上的第一滑槽向上运动,使顶板11与手术床平齐;根据患者需要对咽喉头颈前部进行手术时,使用本发明的第二使用状态对患者进行固定,如图3-5所示;传动装置6动作,颈部升降结构对颈部支撑板12进行上升,此时颈部支撑板12沿滑板和头部支撑板14转动,滑板沿顶板 11上的第二滑槽滑动,头部支撑板14沿顶板11转动,转动过后,头部支撑板14和颈部支撑板12铰接部位形成凸起,对患者头部与颈部连接位置形成支撑;与此同时,枕头升降结构随颈部升降结构同时动作,使枕头17沿调节腔19滑动至枕头17与头部支撑板14对齐对患者头部进行支撑;与此同时,枕头升降结构带动头部固定结构8动作,头部固定结构8动作对患者头部进行固定;根据患者需要对咽喉头颈后部进行手术时,使用本发明的第一使用状态对患者进行使用,如图1-2所示;此时传动装置6不工作,枕头17处于调节腔19内,颈部支撑板12、头部支撑板14与顶板11处于平齐状态;将患者脸部放置在调节腔19上,颈部放置在颈部支撑垫13上,使用头部固定结构8对患者头部进行固定。When the present invention is in use, the present invention is pushed to the position of the operating bed by the walking wheel 5, and the upper telescopic plate is pushed to slide along the lower telescopic plate by the electric push rod; the upper telescopic plate drives the vertical plate 3 to move upward through the top plate 11, and the vertical plate 3 drives The bottom plate 4 moves upward along the first chute on the lower telescopic plate, so that the top plate 11 is flush with the operating bed; when performing surgery on the front of the throat head and neck according to the needs of the patient, the second use state of the present invention is used to fix the patient, such as As shown in Fig. 3-5; the transmission device 6 is actuated, and the neck lift structure lifts the neck support plate 12. At this time, the neck support plate 12 rotates along the slide plate and the head support plate 14, and the slide plate moves along the second position on the top plate 11. The chute slides, and the head support plate 14 rotates along the top plate 11. After the rotation, the hinged part of the head support plate 14 and the neck support plate 12 forms a protrusion, which forms a support for the connection between the patient's head and the neck; at the same time, The pillow lift structure moves simultaneously with the neck lift structure, so that the pillow 17 slides along the adjustment cavity 19 until the pillow 17 is aligned with the head support plate 14 to support the patient's head; at the same time, the pillow lift structure drives the head fixing structure 8 to move , the head fixing structure 8 acts to fix the patient's head; when performing surgery on the back of the throat, head and neck according to the needs of the patient, use the first use state of the present invention to use the patient, as shown in Figure 1-2; The device 6 does not work, the pillow 17 is in the adjustment cavity 19, the neck support plate 12, the head support plate 14 and the top plate 11 are in a flush state; the patient's face is placed on the adjustment cavity 19, and the neck is placed on the neck support On the pad 13 , the patient's head is fixed by the head fixing structure 8 .
本发明在使用时,可根据患者病变部位使用本发明的第一使用状态和第二使用状态对患者进行治疗,使用头部固定结构8对患者头部进行固定,提高患者治疗的效果;当使用第二使用状态对患者进行治疗时,通过头部支撑板14和颈部支撑板12铰接部位形成凸起,对患者头部与颈部连接位置形成支撑;使患者颈部完全暴露在医护人员的视野内,防止患者下巴影响医护人员对患者颈部的治疗,提高治疗效果;当使用第一使用状态对患者进行治疗时,使用容纳腔容纳患者的脸部,防止头部支撑板14对患者脸部造成挤压,提高患者的舒适性;使用伸缩板1提高本发明的适应性。When the present invention is in use, the first use state and the second use state of the present invention can be used to treat the patient according to the diseased part of the patient, and the head fixing structure 8 is used to fix the patient's head, so as to improve the effect of the patient's treatment; When the patient is treated in the second use state, the hinged part of the head support plate 14 and the neck support plate 12 forms a bulge to support the connection between the patient's head and the neck; the patient's neck is completely exposed to the medical staff. In the field of view, prevent the patient's chin from affecting the medical staff's treatment of the patient's neck, and improve the treatment effect; when the patient is treated in the first use state, the accommodating cavity is used to accommodate the patient's face to prevent the head support plate 14 from affecting the patient's face. Extrusion is caused by the external part to improve the comfort of the patient; the use of the telescopic board 1 improves the adaptability of the present invention.
所述传动装置6包括电机618,电机618的输出端连接有主丝杆601,颈部升降结构设于主丝杆601靠近电机618的端部;颈部升降结构包括套接于主丝杆601上的涡杆619,主丝杆601一侧设有侧支撑板606,侧支撑板606上转动连接有与涡杆619啮合的涡轮620,侧支撑板606上设有涡轮轴,涡轮轴的两端均连接有第一齿轮箱608;所述第一齿轮箱608包括内设有套接于涡轮620轴上的第一主动伞轮613,第一主动伞轮613上啮合有第一从动伞轮611,第一齿轮箱608内设有穿设于第一从动伞轮611的转动套筒610,转动套筒610与第一齿轮箱608转动连接,转动套筒610内壁上螺接有升降丝杆624,升降丝杆624靠近顶板11 的一端连接有升降板614,升降板614上铰接有支撑杆612,支撑杆612另一端与颈部支撑板 12铰接;所述升降板614两端设有伸缩杆609,伸缩杆609另一端与底板4固接。The transmission device 6 includes a motor 618, the output end of the motor 618 is connected with a main screw 601, and the neck lifting structure is arranged at the end of the main screw 601 close to the motor 618; The vortex 619 on the upper side is provided with a side support plate 606 on one side of the main screw 601. The side support plate 606 is rotatably connected with a turbine 620 engaged with the worm 619. The side support plate 606 is provided with a turbine shaft. Both ends are connected with a first gear box 608; the first gear box 608 includes a first driving umbrella wheel 613 sleeved on the shaft of the turbine 620, and the first driving umbrella wheel 613 is meshed with a first driven umbrella wheel 611, the first gear box 608 is provided with a rotating sleeve 610 passing through the first driven bevel wheel 611, the rotating sleeve 610 is rotatably connected with the first gear box 608, and the inner wall of the rotating sleeve 610 is screwed with a lift Screw 624, one end of the lift screw 624 close to the top plate 11 is connected with a lift plate 614, a support rod 612 is hinged on the lift plate 614, and the other end of the support rod 612 is hinged with the neck support plate 12; There is a telescopic rod 609 , and the other end of the telescopic rod 609 is fixedly connected with the bottom plate 4 .
颈部升降结构在使用时,电机618带动主丝杆601旋转,主丝杆601带动涡杆619旋转,由于涡杆619与涡轮620啮合,涡轮620随涡杆619旋转而转动;涡轮620转动通过涡轮620轴带动第一主动伞轮613转动,由于第一主动伞轮613与第一从动伞轮611啮合,第一从动伞轮611转动带动转动套筒610沿第一齿轮箱608转动,由于转动套筒610与升降丝杆624 螺接,升降丝杆624通过伸缩杆609向上带动升降板614向上运动,升降板614通过支撑杆 612推动颈部支撑板12向上运动。When the neck lifting structure is in use, the motor 618 drives the main screw 601 to rotate, and the main screw 601 drives the worm 619 to rotate. Since the worm 619 meshes with the turbine 620, the turbine 620 rotates with the rotation of the worm 619; the turbine 620 rotates through the The shaft of the turbine 620 drives the first driving umbrella wheel 613 to rotate. Since the first driving umbrella wheel 613 meshes with the first driven umbrella wheel 611, the rotation of the first driven umbrella wheel 611 drives the rotating sleeve 610 to rotate along the first gear box 608, Because the rotating sleeve 610 is screwed with the lift screw 624, the lift screw 624 drives the lift plate 614 upward through the telescopic rod 609, and the lift plate 614 pushes the neck support plate 12 to move upward through the support rod 612.
所述头部传动结构包括螺接于主丝杆601上的滑块603,滑块603与底板4滑动连接,滑块603上设有齿条604;所述滑块603两侧设有侧板602,侧板602上转动连接有右丝杆616,右丝杆616上套接有与齿条604相啮合的齿轮605;所述右丝杆616一端连接有第二齿轮箱617,第二齿轮箱617内设有套接于右丝杆616上的第二主动伞轮,第二齿轮箱617内转动连接有与第二主动伞轮相啮合的第二从动伞轮,第二齿轮箱617上设有与第二从动伞轮相对应的转轴,转轴上套接有主动轮621,齿轮605的正上方设有与主动轮621相对应的从动轮607,主动轮621上设有与从动轮607相啮合的链条,第二齿轮箱617顶部连接有与从动轮607相对应的支撑板606,支撑板606上设有与从动轮607相对应的从动轴。枕头升降结构包括从动轴通过万向节连接的水平轴,水平轴通过万向节连接有滑套16,滑套16内滑动连接有调节杆20,头部支撑板14上连接有转动板15,转动板15与调节杆20转动连接;所述枕头17靠近转动板15的一端连接有与调节杆20螺接的第二丝母压套18。The head transmission structure includes a slider 603 screwed on the main screw rod 601, the slider 603 is slidably connected with the bottom plate 4, the slider 603 is provided with a rack 604; the slider 603 is provided with side plates on both sides 602, a right screw rod 616 is rotatably connected to the side plate 602, and a gear 605 that meshes with the rack 604 is sleeved on the right screw rod 616; one end of the right screw rod 616 is connected with a second gear box 617, the second gear The box 617 is provided with a second driving bevel wheel that is sleeved on the right screw rod 616. The second gear box 617 is rotatably connected with a second driven bevel wheel that meshes with the second driving bevel wheel. The second gear box 617 There is a rotating shaft corresponding to the second driven umbrella wheel, a driving wheel 621 is sleeved on the rotating shaft, and a driven wheel 607 corresponding to the driving wheel 621 is arranged directly above the gear 605. The top of the second gear box 617 is connected to the chain with the driven wheel 607 meshing with the support plate 606 corresponding to the driven wheel 607 , and the support plate 606 is provided with a driven shaft corresponding to the driven wheel 607 . The pillow lifting structure includes a horizontal shaft connected by a driven shaft through a universal joint, the horizontal shaft is connected with a sliding sleeve 16 through the universal joint, and the sliding sleeve 16 is slidably connected with an adjusting rod 20, and the head support plate 14 is connected with a rotating plate 15 , the rotating plate 15 is rotatably connected with the adjusting rod 20 ; one end of the pillow 17 close to the rotating plate 15 is connected with a second nut pressing sleeve 18 which is screwed with the adjusting rod 20 .
枕头升降结构在使用时,主丝杆601转动带动滑块603沿底板4滑动,齿条604随滑块 603移动,由于齿条604和齿轮605啮合,齿轮605随齿条604的移动而转动,齿轮605带动右丝杆616转动,右丝杆616带动第二主动伞轮转动,第二主动伞轮转动带动第二从动伞轮转动,第二从动伞轮通过转轴带动主动轮621转动,主动轮621通过链条带动从动轮607 沿从动轴转动;从动轴通过万向节带动水平轴旋转,水平轴旋转通过万向节带动滑套16转动,滑套16转动带动调节杆20旋转,由于调节杆20与第二丝母压套18螺接,第二丝母压套18 推动枕头17沿调节腔19滑动;在枕头升降结构转动时,头部支撑板14沿顶板11转动,顶板11带动调节杆20向上以及水平运动,水平轴沿调节杆20而水平运动,调节杆20沿滑套 16向上向下运动。When the pillow lift structure is in use, the main screw 601 rotates to drive the slider 603 to slide along the bottom plate 4, and the rack 604 moves with the slider 603. Since the rack 604 meshes with the gear 605, the gear 605 rotates with the movement of the rack 604. The gear 605 drives the right screw 616 to rotate, the right screw 616 drives the second driving umbrella wheel to rotate, the second driving umbrella wheel rotates to drive the second driven umbrella wheel to rotate, and the second driven umbrella wheel drives the driving wheel 621 to rotate through the rotating shaft, The driving wheel 621 drives the driven wheel 607 to rotate along the driven shaft through the chain; the driven shaft drives the horizontal shaft to rotate through the universal joint, and the rotation of the horizontal shaft drives the sliding sleeve 16 to rotate through the universal joint, and the rotation of the sliding sleeve 16 drives the adjustment rod 20 to rotate, Since the adjusting rod 20 is screwed with the second nut pressing sleeve 18, the second nut pressing sleeve 18 pushes the pillow 17 to slide along the adjusting cavity 19; when the pillow lifting structure rotates, the head support plate 14 rotates along the top plate 11, and the top plate 11 The adjusting rod 20 is driven to move upward and horizontally, the horizontal axis moves horizontally along the adjusting rod 20 , and the adjusting rod 20 moves up and down along the sliding sleeve 16 .
所述第二齿轮箱617内设有与第二从动伞轮相啮合的左伞轮,第二齿轮箱617上设有穿设于左伞轮的左丝杆622;所述左丝杆622和右丝杆616上均螺接有牵引块,牵引块与顶板 11滑动连接,底板4上设有与牵引块滑动连接的底座615,牵引块与头部固定结构8相连接;所述头部固定结构8包括与牵引块相连接的竖直伸缩杆801,顶板11上设有与竖直伸缩杆801 相配合的第三滑槽,竖直伸缩杆801上连接有水平伸缩杆802,水平伸缩杆802的伸缩端转动连接有转动轴,转动轴上滑动连接有推块803,推块803上设有与转动轴相配合的第四滑槽,头部支撑板14上设有与推块803相配合的第五滑槽,推块803远离转动轴的一端设有滑槽,滑槽内滑动连接有一对调节块805,调节块805上设有与滑槽相配合的第一固定螺钉,调节块805上均设有头部固定板804。The second gear box 617 is provided with a left bevel wheel that meshes with the second driven bevel wheel, and the second gear box 617 is provided with a left screw rod 622 that penetrates the left bevel wheel; the left screw rod 622 and the right screw rod 616 are screwed with a traction block, the traction block is slidably connected to the top plate 11, the bottom plate 4 is provided with a base 615 that is slidably connected to the traction block, and the traction block is connected to the head fixing structure 8; the head The fixing structure 8 includes a vertical telescopic rod 801 connected with the traction block, a third chute matched with the vertical telescopic rod 801 is provided on the top plate 11, and a horizontal telescopic rod 802 is connected to the vertical telescopic rod 801, and the horizontal telescopic rod 802 is horizontally telescopic. A rotating shaft is rotatably connected to the telescopic end of the rod 802, and a push block 803 is slidably connected to the rotating shaft. The matching fifth chute, the end of the push block 803 away from the rotating shaft is provided with a chute, a pair of adjustment blocks 805 are slidably connected in the chute, and the adjustment block 805 is provided with a first fixing screw matched with the chute to adjust Each of the blocks 805 is provided with a head fixing plate 804 .
头部固定结构8在使用时,根据患者病灶的位置,调节调节块805在推块803上的位置;第二从动伞轮转动时,第二从动伞轮带动左伞轮转动,左伞轮带动左丝杆622转动,此时右丝杆616通过齿轮605转动;左丝杆622和右丝杆616转动带动牵引块沿底座615和顶板11滑动,牵引块带动竖直伸缩杆801沿第三滑槽滑动,带动水平伸缩杆802移动,水平伸缩杆802推动推块803沿第五滑槽滑动,使用头部固定板804对患者头部进行固定;当头部支撑板14在转动时,竖直伸缩杆801沿竖直方向伸缩,转动轴沿水平伸缩杆802转动,转动轴沿第四滑槽滑动。When the head fixing structure 8 is in use, the position of the adjustment block 805 on the push block 803 is adjusted according to the position of the patient's lesion; when the second driven umbrella wheel rotates, the second driven umbrella wheel drives the left umbrella wheel to rotate, and the left umbrella wheel rotates. The wheel drives the left screw 622 to rotate, and the right screw 616 rotates through the gear 605; the rotation of the left screw 622 and the right screw 616 drives the traction block to slide along the base 615 and the top plate 11, and the traction block drives the vertical telescopic rod 801 along the first The sliding of the three chute drives the horizontal telescopic rod 802 to move, and the horizontal telescopic rod 802 pushes the push block 803 to slide along the fifth chute, and uses the head fixing plate 804 to fix the patient's head; when the head support plate 14 is rotating, The vertical telescopic rod 801 expands and contracts in the vertical direction, the rotating shaft rotates along the horizontal telescopic rod 802, and the rotating shaft slides along the fourth chute.
所述水平伸缩杆802包括与竖直伸缩杆801相连接的外套筒,外套筒内滑动连接有内滑杆;所述外套筒上设有与内滑杆相配合的调节螺栓,调节螺栓上设有调节齿轮605,内滑杆上设有与调节齿轮605相啮合的调节齿条604。The horizontal telescopic rod 802 includes an outer sleeve connected with the vertical telescopic rod 801, and an inner sliding rod is slidably connected to the outer sleeve; An adjusting gear 605 is arranged on the bolt, and an adjusting rack 604 meshing with the adjusting gear 605 is arranged on the inner sliding rod.
当使用第一使用状态对患者进行治疗时,通过转动调节螺栓带动调节齿轮605转动,由于调节齿轮605与调节齿条604啮合,调节齿条604带动内滑杆沿外套筒滑动,进而推动推块803沿第五滑槽滑动,使头部固定板804对患者头部进行固定;当使用第二使用状态对患者进行治疗时,通过调节内滑杆沿外套筒滑动,适应不同患者头部的大小,提高本发明的适应性。When the patient is treated in the first state of use, the adjusting bolt is rotated to drive the adjusting gear 605 to rotate. Since the adjusting gear 605 meshes with the adjusting rack 604, the adjusting rack 604 drives the inner sliding rod to slide along the outer sleeve, thereby pushing the pusher The block 803 slides along the fifth chute, so that the head fixing plate 804 fixes the patient's head; when the patient is treated in the second use state, the inner sliding rod is adjusted to slide along the outer sleeve to adapt to different patient heads size, improve the adaptability of the present invention.
所述底板4远离电机618的端部滑动连接有一对支撑架7,支撑架7包括与底板4滑动连接的第一伸缩杆702,第一伸缩杆702的伸缩端转动连接有第一转动块703,第一伸缩杆702靠近底板4的一端设有与底板4相配合的固定板701,固定板701上设有与底板4相配合的第二固定螺钉;所述第一转动块703上转动连接有连接杆704,连接杆704远离第一转动块703的一端连接有第二转动块705,第二转动块705上转动连接有第二伸缩杆706,第二伸缩杆706的伸缩端转动连接有第三转动块707,第三转动块707上转动连接有第三伸缩杆708,第三伸缩杆708的伸缩端连接有固定夹709;所述第一转动块703、第二转动块705、第三转动块707设有与连接杆704、第二伸缩杆706、第三伸缩杆708相配合的旋转轴,旋转轴上套接有旋转结构,旋转结构包括套接于旋转轴上的棘轮和与棘轮相啮合的棘爪,棘爪上设有旋转手柄;所述第一伸缩杆702、第二伸缩杆706、第三伸缩杆708均包括伸缩筒,伸缩筒内滑动连接有伸缩柱,伸缩筒上设有与伸缩柱相配合的第三固定螺钉。A pair of support frames 7 are slidably connected to the end of the bottom plate 4 away from the motor 618 . The support frames 7 include a first telescopic rod 702 slidably connected to the bottom plate 4 , and a first rotating block 703 is rotatably connected to the telescopic end of the first telescopic rod 702 . , the end of the first telescopic rod 702 close to the bottom plate 4 is provided with a fixing plate 701 matched with the bottom plate 4, the fixed plate 701 is provided with a second fixing screw matched with the bottom plate 4; the first rotating block 703 is rotatably connected There is a connecting rod 704, the end of the connecting rod 704 away from the first rotating block 703 is connected with a second rotating block 705, the second rotating block 705 is rotatably connected with a second telescopic rod 706, and the telescopic end of the second telescopic rod 706 is rotatably connected with A third rotating block 707, a third telescopic rod 708 is rotatably connected to the third rotating block 707, and a fixed clip 709 is connected to the telescopic end of the third telescopic rod 708; the first rotating block 703, the second rotating block 705, the The three rotating blocks 707 are provided with a rotating shaft which is matched with the connecting rod 704, the second telescopic rod 706, and the third telescopic rod 708. A rotating structure is sleeved on the rotating shaft, and the rotating structure includes a ratchet sleeve sleeved on the rotating shaft and a The pawls meshing with the ratchets are provided with a rotating handle; the first telescopic rod 702, the second telescopic rod 706, and the third telescopic rod 708 all include a telescopic cylinder, and a telescopic column is slidably connected in the telescopic cylinder, and the telescopic cylinder is There is a third fixing screw matched with the telescopic column.
支撑架7在使用时,滑动第一伸缩杆702沿底板4滑动,转动连接杆704沿第一转动块 703转动至水平方向;转动第二伸缩杆706沿第二转动块705转动至竖直方向,转动第三伸缩杆708沿第三转动块707转动至水平方向,使用固定夹709夹住医疗器械;根据医护人员的需要,通过第一伸缩杆702和第二伸缩杆706调节固定夹709竖直方向的高度,使用第三紧固螺钉进行固定;通过滑动第一伸缩杆702和调节第三伸缩杆708调节固定夹709水平方向的位置,通过转动第一转动块703和第三转动块707调节固定夹709水平方向的位置;连接杆704、第二伸缩杆706、第三伸缩杆708在转动时,转动旋转手柄使棘爪与棘轮分离,使连接杆704、第二伸缩杆706、第三伸缩杆708能够通过旋转轴转动,转动90度后,松开旋转手柄,使棘爪与棘轮啮合对连接杆704、第二伸缩杆706、第三伸缩杆708进行固定;手术结束后,可将支撑架7进行折叠至顶板11与底板4之间,提高本发明的使用寿命。When the support frame 7 is in use, the sliding first telescopic rod 702 slides along the bottom plate 4, the rotating connecting rod 704 rotates to the horizontal direction along the first rotating block 703; the rotating second telescopic rod 706 rotates to the vertical direction along the second rotating block 705 , rotate the third telescopic rod 708 to the horizontal direction along the third rotating block 707, and use the fixing clip 709 to clamp the medical instrument; according to the needs of the medical staff, adjust the fixing clip 709 vertically through the first telescopic rod 702 and the second telescopic rod 706 The height in the vertical direction is fixed with the third tightening screw; the horizontal position of the fixing clip 709 is adjusted by sliding the first telescopic rod 702 and adjusting the third telescopic rod 708, and by rotating the first rotating block 703 and the third rotating block 707 Adjust the horizontal position of the fixing clip 709; when the connecting rod 704, the second telescopic rod 706, and the third telescopic rod 708 rotate, rotate the rotary handle to separate the pawl from the ratchet, so that the connecting rod 704, the second telescopic rod 706, the third The three telescopic rods 708 can be rotated through the rotating shaft. After the rotation is 90 degrees, the rotating handle is released, and the pawl and the ratchet are engaged to fix the connecting rod 704, the second telescopic rod 706, and the third telescopic rod 708; The support frame 7 is folded between the top plate 11 and the bottom plate 4 to improve the service life of the present invention.
本发明在使用时,使用支撑架7上的固定夹709对手术器械进行固定,降低医护人员的劳动强度;支撑架7使用结束后,将支撑架7进行折叠后,使支撑架7置于顶板11与底板4之间,提高本发明的使用寿命。When the present invention is in use, the fixing clips 709 on the support frame 7 are used to fix the surgical instruments to reduce the labor intensity of medical staff; after the support frame 7 is used, the support frame 7 is folded, and the support frame 7 is placed on the top plate 11 and the bottom plate 4 to improve the service life of the present invention.
所述伸缩板1上设有导向柱10,导向柱10设于靠近滑板设置伸缩板1上,导向柱10上滑动连接有固定结构9;所述固定结构9包括与导向柱10滑动连接的套筒901,套筒901上设有与导向柱10相配合的第四紧固螺钉,套筒901上连接有导向板903,导向板903两端分别连接有螺接板907和定板902,螺接板907和定板902之间设有动板904,动板904与导向板903滑动连接;所述螺接板907上转动连接有固定丝杆906,动板904上设有与固定丝杆 906螺接的第一丝母压套905。The telescopic plate 1 is provided with a guide column 10 , the guide column 10 is arranged on the telescopic plate 1 close to the sliding plate, and a fixed structure 9 is slidably connected to the guide column 10 ; the fixed structure 9 includes a sleeve slidably connected to the guide column 10 . Sleeve 901, the sleeve 901 is provided with a fourth tightening screw matched with the guide column 10, the sleeve 901 is connected with a guide plate 903, the two ends of the guide plate 903 are respectively connected with a screw plate 907 and a fixed plate 902, the screw A moving plate 904 is arranged between the connecting plate 907 and the fixed plate 902, and the moving plate 904 is slidably connected with the guide plate 903; the screwing plate 907 is rotatably connected with a fixed screw 906, and the moving plate 904 is provided with a fixed screw 906 screwed first nut press sleeve 905.
固定结构9在使用时,根据手术床的情况调节固定结构9在导向柱10上的位置,使用第四紧固螺钉进行固定,转动固定丝杆906带动第一丝母压套905推动动板904,动板904与定板902相配合对本发明进行固定,提高本发明的稳定性。When the fixing structure 9 is in use, adjust the position of the fixing structure 9 on the guide column 10 according to the situation of the operating bed, use the fourth tightening screw to fix it, and rotate the fixing screw 906 to drive the first thread nut pressing sleeve 905 to push the moving plate 904. , the moving plate 904 cooperates with the fixed plate 902 to fix the present invention and improve the stability of the present invention.
所述底板4上设有与第一齿轮箱608相配合的支撑套筒623,支撑套筒623穿设于升降丝杆624上;所述底板4上还设有与第二齿轮箱617相配合的支撑柱,使用支撑套筒623和支撑柱提高本发明的稳定性。The bottom plate 4 is provided with a support sleeve 623 matched with the first gear box 608, and the support sleeve 623 is passed through the lifting screw 624; the bottom plate 4 is also provided with a second gear box 617 matched with For the support column, the use of the support sleeve 623 and the support column improves the stability of the present invention.
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| CN115363781A (en) * | 2022-08-26 | 2022-11-22 | 西安凤城医院 | Thyroid surgery support |
| CN117838473A (en) * | 2023-03-17 | 2024-04-09 | 陈淑梅 | A kind of auxiliary support device for throat head and neck surgery |
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