CN109953864B - Auxiliary supporting device for throat and head and neck surgical operation - Google Patents
Auxiliary supporting device for throat and head and neck surgical operation Download PDFInfo
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- CN109953864B CN109953864B CN201910164660.6A CN201910164660A CN109953864B CN 109953864 B CN109953864 B CN 109953864B CN 201910164660 A CN201910164660 A CN 201910164660A CN 109953864 B CN109953864 B CN 109953864B
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- 230000005540 biological transmission Effects 0.000 claims abstract description 34
- 238000001356 surgical procedure Methods 0.000 claims abstract description 12
- 230000000694 effects Effects 0.000 abstract description 8
- 238000000034 method Methods 0.000 abstract description 3
- 210000003128 head Anatomy 0.000 description 74
- 210000003800 pharynx Anatomy 0.000 description 13
- 210000000056 organ Anatomy 0.000 description 6
- 230000001105 regulatory effect Effects 0.000 description 6
- 230000000149 penetrating effect Effects 0.000 description 5
- 210000003739 neck Anatomy 0.000 description 4
- 201000010099 disease Diseases 0.000 description 3
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 3
- 230000002035 prolonged effect Effects 0.000 description 3
- 210000003238 esophagus Anatomy 0.000 description 2
- 230000036285 pathological change Effects 0.000 description 2
- 231100000915 pathological change Toxicity 0.000 description 2
- 230000000007 visual effect Effects 0.000 description 2
- 210000003484 anatomy Anatomy 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 238000001125 extrusion Methods 0.000 description 1
- 210000005036 nerve Anatomy 0.000 description 1
- 210000001331 nose Anatomy 0.000 description 1
- 230000035479 physiological effects, processes and functions Effects 0.000 description 1
- 230000035790 physiological processes and functions Effects 0.000 description 1
- 210000001154 skull base Anatomy 0.000 description 1
- 210000003437 trachea Anatomy 0.000 description 1
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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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- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Neurosurgery (AREA)
- Otolaryngology (AREA)
- Accommodation For Nursing Or Treatment Tables (AREA)
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
Technical Field
The invention belongs to the field of medical instruments, relates to a supporting device, and particularly relates to an auxiliary supporting device for a throat and neck surgical operation.
Background
The department of otolaryngology neck surgery is a science of studying the anatomical physiology and disease phenomena of the organs of otolaryngology, trachea and esophagus and head and neck; the anatomical relationship of organs of ear, nose and throat is complex, the upper skull base and the lower airway and esophagus are adjacent to the orbit at two sides of the nose, and important nerve trunks and great vessels pass through the two sides of the throat; the organs of ear, nose, throat and head and neck are closely related to each other in the aspects of the physiological functions of anatomical structures and the occurrence and development of diseases, for example, once the nose and the sinuses are suffered from diseases, the ear and the pharynx are also frequently suffered; the organs of ear, nose and throat are deep and tiny cavities, and special lighting devices and examination instruments are needed to clearly identify the normal form and pathological change of the organs, so that the organs go through a process from division to combination in the development of modern medicine.
When treating the patient, need support fixedly to patient's head, and present fixed mode is many through artifical support, very trouble, has increaseed medical personnel's intensity of labour moreover, and artifical support exists instability in addition, causes the treatment not good.
Disclosure of Invention
Aiming at the situation, in order to overcome the defects of the prior art, the invention provides the auxiliary supporting device for the throat and head and neck surgical operation, and the problem of poor treatment effect caused by poor fixing effect in the treatment process is effectively solved.
In order to achieve the purpose, the invention adopts the following technical scheme: an auxiliary supporting device for throat and neck surgery comprises a pair of expansion plates, wherein a transmission chamber is connected between the expansion plates in a sliding manner; the transmission chamber comprises a bottom plate in sliding connection with the telescopic plate, vertical plates are connected to two ends of the bottom plate, one ends, far away from the bottom plate, of the vertical plates are connected with top plates, and the top plates are fixedly connected with the telescopic ends of the telescopic plate; the middle part of the top plate is provided with a movable hole, one end of the movable hole close to the telescopic plate is hinged with a head supporting plate, the head supporting plate is hinged with a neck supporting plate, one end of the neck supporting plate far away from the head supporting plate is hinged with a sliding plate, and the sliding plate is in sliding connection with the top plate; an adjusting cavity is arranged in the middle of the bottom plate, and a pillow is connected in the adjusting cavity in a sliding manner; the bottom plate is provided with a transmission device, the transmission device comprises a neck lifting structure and a head transmission structure which move synchronously, and the head transmission structure is connected with a pillow lifting structure and a head fixing structure which move synchronously;
the transmission device comprises 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 part of the main screw rod close to the motor; the neck lifting structure comprises a worm rod sleeved on the main screw rod, one side of the main screw rod is provided with a side supporting plate, a turbine meshed with the worm rod is rotatably connected onto the side supporting plate, a turbine shaft is arranged on the side supporting plate, and two ends of the turbine shaft are connected with first gear boxes; the first gear box comprises a first driving bevel wheel sleeved on the turbine shaft, a first driven bevel wheel is meshed on the first driving bevel wheel, a rotating sleeve penetrating through the first driven bevel wheel is arranged in the first gear box, the rotating sleeve is rotatably connected with the first gear box, a lifting screw rod is screwed on the inner wall of the rotating sleeve, one end, close to the top plate, of the lifting screw rod is connected with a lifting plate, a supporting rod is hinged on the lifting plate, and the other end of the supporting rod is hinged with the neck supporting plate; the two ends of the lifting plate are provided with telescopic rods, and the other ends of the telescopic rods are fixedly connected with the bottom plate.
Furthermore, the head transmission structure comprises a sliding block which is in threaded connection with the main screw rod, the sliding block is in sliding connection with the bottom plate, and a rack is arranged on the sliding block; side plates are arranged on two sides of the sliding block, a right screw rod is rotatably connected to the side plates, and a gear meshed with the rack is sleeved on the right screw rod; one end of the right screw rod is connected with a second gear box, a second driving bevel wheel sleeved on the right screw rod is arranged in the second gear box, a second driven bevel wheel meshed with the second driving bevel wheel is connected in the second gear box in a rotating mode, a rotating shaft corresponding to the second driven bevel wheel is arranged on the second gear box, a driving wheel is sleeved on the rotating shaft, a driven wheel corresponding to the driving wheel is arranged right above the gear, a supporting plate corresponding to the driven wheel is connected to the top of the second gear box, and a driven shaft corresponding to the driven wheel is arranged on the supporting plate.
Furthermore, the pillow lifting structure comprises a horizontal shaft connected with a driven shaft through a universal joint, the horizontal shaft is connected with a sliding sleeve through the universal joint, a regulating rod is connected in the sliding sleeve in a sliding manner, a rotating plate is connected to the head supporting plate, and the rotating plate is rotatably connected with the regulating rod; one end of the pillow close to the rotating plate is connected with a second nut pressing sleeve which is in threaded connection with the adjusting rod.
Furthermore, a left umbrella wheel meshed with the second driven umbrella wheel is arranged in the second gear box, and a left screw rod penetrating through the left umbrella wheel is arranged on the second gear box; the left screw rod and the right screw rod are both in threaded connection with traction blocks, the traction blocks are in sliding connection with the top plate, a base in sliding connection with the traction blocks is arranged on the bottom plate, and the traction blocks are connected with the head fixing structure; head fixed knot constructs includes the vertical telescopic link that is connected with the traction block, is connected with horizontal telescopic link on the vertical telescopic link, and horizontal telescopic link's flexible end rotates and is connected with the axis of rotation, and sliding connection has the ejector pad in the axis of rotation, and the one end that the axis of rotation was kept away from to the ejector pad is equipped with the spout, and sliding connection has the regulating block in the spout, is equipped with the head fixed plate on the regulating block.
Furthermore, the horizontal telescopic rod comprises an outer sleeve connected with the vertical telescopic rod, and an inner sliding rod is connected in the outer sleeve in a sliding manner; and the outer sleeve is provided with an adjusting bolt matched with the inner sliding rod, the adjusting bolt is provided with an adjusting gear, and the inner sliding rod is provided with an adjusting rack meshed with the adjusting gear.
Furthermore, the end part of the bottom plate, far away from the motor, is connected with a pair of supporting frames in a sliding manner, each supporting frame comprises a first telescopic rod connected with the bottom plate in a sliding manner, the telescopic end of each first telescopic rod is connected with a first rotating block in a rotating manner, and one end, close to the bottom plate, of each first telescopic rod is provided with a fixing plate matched with the bottom plate; the utility model discloses a telescopic clamp, including first rotating block, bracing piece, second rotating block, third rotating block, first rotating block, the last bracing piece that rotates of first rotating block is connected with, and the one end that first rotating block was kept away from to the bracing piece is connected with the second rotating block, rotates on the second rotating block to be connected with the second telescopic link, and the flexible end of second telescopic link rotates to be connected with the third rotating block, rotates on the third rotating block to be connected with the third telescopic link, and the.
Furthermore, a guide post is arranged on the telescopic plate, the guide post is arranged on the telescopic plate close to the sliding plate, and a fixing structure is connected on the guide post in a sliding manner; the fixing structure comprises a sleeve which is connected with the guide post in a sliding manner, a guide plate is connected onto the sleeve, two ends of the guide plate are respectively connected with a screw connection plate and a fixed plate, a movable plate is arranged between the screw connection plate and the fixed plate, and the movable plate is connected with the guide plate in a sliding manner; the movable plate is provided with a first nut pressing sleeve in threaded connection with the fixed screw rod.
Furthermore, a supporting sleeve matched with the first gear box is arranged on the bottom plate, and the supporting sleeve penetrates through the lifting screw rod; and a supporting column matched with the second gearbox is also arranged on the bottom plate.
Furthermore, a connecting plate is arranged below the bottom plate, the two expansion plates are connected through the connecting plate, and walking wheels are arranged on the two expansion plates; and the neck supporting plate is provided with an arc-shaped neck supporting pad.
Compared with the prior art, the invention has the following beneficial effects:
1. when the head fixing structure is used, a patient can be treated by using the first use state and the second use state of the head fixing structure according to the pathological change part of the patient, and the head of the patient is fixed by using the head fixing structure, so that the treatment effect of the patient is improved; when the patient is treated by using the second using state, the joint part of the head support plate and the neck support plate forms a bulge to support the joint position of the head and the neck of the patient.
2. The neck of the patient is completely exposed in the visual field of the medical staff, so that the chin of the patient is prevented from influencing the treatment of the medical staff on the neck of the patient, and the treatment effect is improved; when using first user state to treat the patient, use and hold the chamber and hold patient's face, prevent that the head support plate from causing the extrusion to patient face, improve patient's travelling comfort.
3. When the transmission device is used, the neck lifting structure, the pillow lifting structure and the head fixing structure are driven to synchronously move through the main screw rod, so that troubles caused by independent operation of a plurality of control structures are prevented, and the convenience of operation is improved.
4. When the patient is treated in the first use state, the adjusting gear is driven to rotate by rotating the adjusting bolt, and the adjusting gear is meshed with the adjusting rack, so that the adjusting rack drives the inner sliding rod to slide along the outer sleeve, and further the pushing block is pushed to slide along the fifth sliding chute, and the head fixing plate is used for fixing the head of the patient; when the patient is treated by using the second using state, the inner sliding rod is adjusted to slide along the outer sleeve to adapt to the sizes of the heads of different patients, so that the adaptability of the invention is improved.
5. When the medical fixing device is used, the fixing clamp on the supporting frame is used for fixing the surgical instrument, so that the labor intensity of medical workers is reduced; after the support frame is used, the support frame is folded and is arranged between the top plate and the bottom plate, so that the service life of the folding table is prolonged.
Drawings
Fig. 1 is a first isometric view of a first use condition of the invention;
FIG. 2 is a second isometric view of a first use condition of the invention;
figure 3 is a first isometric view of a second use condition of the invention;
FIG. 4 is a second isometric view of a second use condition of the invention;
FIG. 5 is a third perspective view of a second use state of the present invention;
FIG. 6 is a first isometric view of the transmission of the present invention;
FIG. 7 is a second perspective view of the transmission of the present invention;
FIG. 8 is a top plan view of the transmission of the present invention;
FIG. 9 is an isometric view of the neck lift structure of the present invention;
FIG. 10 is a left side view of the neck lifter of the present invention;
FIG. 11 is a cross-sectional view of FIG. 10A-A of the present invention;
FIG. 12 is a first isometric view of a head fixation structure of the present invention;
FIG. 13 is a second isometric view of a head fixation structure of the present invention;
FIG. 14 is an isometric view of a brace of the present invention;
FIG. 15 is an isometric view of a head support structure of the present invention;
FIG. 16 is a top view of the head support structure of the present invention;
FIG. 17 is a cross-sectional view of FIG. 16B-B of the present invention;
FIG. 18 is an isometric view of a fixation structure of the present invention;
in the figure: 1. the device comprises a telescopic plate, 2, a connecting plate, 3, a vertical plate, 4, a bottom plate, 5, a traveling wheel, 6, a transmission device, 601, a main screw rod, 602, a side plate, 603, a sliding block, 604, a rack, 605, a gear, 606, a supporting plate, 607, a driven wheel, 608, a first gear box, 609, a telescopic rod, 610, a rotating sleeve, 611, a first driven bevel wheel, 612, a supporting rod, 613, a first driving bevel wheel, 614, a lifting plate, 615, a base, 616, a right screw rod, 617, a second gear box, 618, a motor, 619, a worm rod, 620, a turbine, 621, a driving wheel, 622, a left screw rod, 623, a supporting sleeve, 624 and a lifting screw rod; 7. the device comprises a support frame, a fixing plate, a first telescopic rod, a first rotating block, a second rotating block, a connecting rod, a second rotating block, a second telescopic rod, a third rotating block, a third telescopic rod and a fixing clamp, wherein the support frame 701, the fixing plate 702, the first telescopic rod 703, the first rotating block 704, the connecting rod 705, the second rotating; 8. the head fixing structure comprises a head fixing structure, 801, a vertical telescopic rod, 802, a horizontal telescopic rod, 803, a push block, 804, a head fixing plate, 805 and an adjusting block; 9. the fixing structure comprises a fixing structure, a sleeve 901, a sleeve 902, a fixed plate 903, a guide plate 904, a movable plate 905, a first nut pressing sleeve 906, a fixing screw rod 907 and a screw connection plate; 10. guide post, 11, top plate, 12, neck supporting plate, 13, neck supporting pad, 14, head supporting plate, 15, rotating plate, 16, sliding sleeve, 17, pillow, 18, second nut pressing sleeve, 19, adjusting cavity, 20 and adjusting rod.
Detailed Description
An auxiliary supporting device for a throat and neck surgical operation, as shown in fig. 1-15, comprises a pair of expansion plates 1, wherein each expansion plate 1 comprises a lower expansion plate, an upper expansion plate is slidably connected in the lower expansion plate, and an electric push rod connected with the upper expansion plate is arranged in the lower expansion plate; a transmission chamber is connected between the expansion plates 1 in a sliding manner, the transmission chamber comprises a bottom plate 4 connected with the expansion plates 1 in a sliding manner, a first sliding groove matched with the bottom plate 4 is formed in the lower expansion plate, vertical plates 3 are connected to two ends of the bottom plate 4, one ends, far away from the bottom plate 4, of the vertical plates 3 are connected with a top plate 11, the top plate 11 is fixedly connected with the expansion ends of the expansion plates 1, namely the top plate 11 is connected with one end, far away from the lower expansion plate, of the upper expansion plate; a movable hole is formed in the middle of the top plate 11, a head supporting plate 14 is hinged to one end, close to the telescopic plate 1, of the movable hole, a neck supporting plate 12 is hinged to the head supporting plate 14, a sliding plate is hinged to one end, far away from the head supporting plate 14, of the neck supporting plate 12, the sliding plate is connected with the top plate 11 in a sliding mode, and a second sliding groove matched with the sliding plate is formed in the top plate 11; an adjusting cavity 19 is arranged in the middle of the bottom plate 4, and a pillow 17 is connected in the adjusting cavity 19 in a sliding manner; the bottom plate 4 is provided with a transmission device 6, the transmission device 6 comprises a neck lifting structure and a head transmission structure which move synchronously, and the head transmission structure is connected with a pillow lifting structure and a head fixing structure 8 which move synchronously; a connecting plate 2 is arranged below the bottom plate 4, the two expansion plates 1 are connected through the connecting plate 2, and traveling wheels 5 are arranged on the two expansion plates 1; the neck support plate 12 is provided with an arc neck support pad 13;
when the multifunctional bed is used, the multifunctional bed is pushed to the position of an operating bed through the travelling wheels 5, and the upper retractable plate is pushed to slide along the lower retractable plate through the electric push rod; the upper expansion plate drives the vertical plate 3 to move upwards through the top plate 11, and the vertical plate 3 drives the bottom plate 4 to move upwards along the first sliding groove on the lower expansion plate, so that the top plate 11 is flush with the operating table; when the patient needs to perform an operation on the front part of the throat, the neck and the throat, the patient is fixed by using the second using state of the invention, as shown in figures 3-5; the transmission device 6 acts, the neck lifting structure lifts the neck support plate 12, at the moment, the neck support plate 12 rotates along the sliding plate and the head support plate 14, the sliding plate slides along the second sliding groove on the top plate 11, 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 bulge, and the connection position of the head and the neck of the patient is supported; meanwhile, the pillow lifting structure acts simultaneously with the neck lifting structure, so that the pillow 17 slides along the adjusting cavity 19 until the pillow 17 is aligned with the head supporting plate 14 to support the head of the patient; meanwhile, the pillow lifting structure drives the head fixing structure 8 to move, and the head fixing structure 8 moves to fix the head of the patient; when the back of the throat, neck and neck is operated according to the requirement of a patient, the patient is used by using the first use state of the invention, as shown in figures 1-2; at the moment, the transmission device 6 does not work, the pillow 17 is positioned in the adjusting cavity 19, and the neck supporting plate 12 and the head supporting plate 14 are in a flush state with the top plate 11; the patient's face is placed on the adjustment chamber 19 and the neck is placed on the neck support pad 13, and the head is secured using the head fixation structure 8.
When the head fixing structure is used, the first use state and the second use state of the head fixing structure can be used for treating a patient according to a diseased part of the patient, and the head fixing structure 8 is used for fixing the head of the patient, so that the treatment effect of the patient is improved; when the patient is treated by using the second using state, the joint part of the head support plate 14 and the neck support plate 12 forms a bulge to support the connecting position of the head and the neck of the patient; the neck of the patient is completely exposed in the visual field of the medical staff, so that the chin of the patient is prevented from influencing the treatment of the medical staff on the neck of the patient, and the treatment effect is improved; when the patient is treated in the first use state, the accommodating cavity is used for accommodating the face of the patient, so that the head support plate 14 is prevented from extruding the face of the patient, and the comfort of the patient is improved; the use of the expansion plate 1 improves the adaptability of the invention.
The transmission device 6 comprises a motor 618, the output end of the motor 618 is connected with a main screw rod 601, and the neck lifting structure is arranged at the end part of the main screw rod 601 close to the motor 618; the neck lifting structure comprises a worm 619 sleeved on the main screw rod 601, one side of the main screw rod 601 is provided with a side supporting plate 606, the side supporting plate 606 is rotatably connected with a turbine 620 meshed with the worm 619, the side supporting plate 606 is provided with a turbine shaft, and two ends of the turbine shaft are connected with a first gear box 608; the first gear box 608 comprises a first driving umbrella wheel 613 sleeved on a shaft of the turbine 620, the first driving umbrella wheel 613 is engaged with a first driven umbrella wheel 611, a rotating sleeve 610 penetrating through the first driven umbrella wheel 611 is arranged in the first gear box 608, the rotating sleeve 610 is rotatably connected with the first gear box 608, a lifting screw 624 is screwed on the inner wall of the rotating sleeve 610, one end of the lifting screw 624 close to the top plate 11 is connected with a lifting plate 614, a support rod 612 is hinged on the lifting plate 614, and the other end of the support rod 612 is hinged with the neck support plate 12; and telescopic rods 609 are arranged at two ends of the lifting plate 614, and the other ends of the telescopic rods 609 are fixedly connected with the bottom plate 4.
When the neck lifting structure is used, the motor 618 drives the main screw rod 601 to rotate, the main screw rod 601 drives the worm 619 to rotate, and the worm 619 is meshed with the worm 620, so that the worm 620 rotates along with the rotation of the worm 619; the worm gear 620 rotates to drive the first driving umbrella wheel 613 to rotate through the shaft of the worm gear 620, the first driven umbrella wheel 611 rotates to drive the rotating sleeve 610 to rotate along the first gear box 608 due to the engagement between the first driving umbrella wheel 613 and the first driven umbrella wheel 611, the lifting screw 624 drives the lifting plate 614 to move upwards through the telescopic rod 609 due to the threaded connection between the rotating sleeve 610 and the lifting screw 624, and the lifting plate 614 pushes the neck support plate 12 to move upwards through the support rod 612.
The head transmission structure comprises a sliding block 603 screwed on the main screw rod 601, the sliding block 603 is connected with the bottom plate 4 in a sliding manner, and a rack 604 is arranged on the sliding block 603; two sides of the sliding block 603 are provided with side plates 602, the side plates 602 are rotatably connected with a right screw rod 616, and the right screw rod 616 is sleeved with a gear 605 engaged with the rack 604; one end of the right screw 616 is connected with a second gear box 617, a second driving bevel wheel sleeved on the right screw 616 is arranged in the second gear box 617, a second driven bevel wheel meshed with the second driving bevel wheel is connected in the second gear box 617 in a rotating manner, a rotating shaft corresponding to the second driven bevel wheel is arranged on the second gear box 617, a driving wheel 621 is sleeved on the rotating shaft, a driven wheel 607 corresponding to the driving wheel 621 is arranged right above the gear 605, a chain meshed with the driven wheel 607 is arranged on the driving wheel 621, a supporting plate 606 corresponding to the driven wheel 607 is connected to the top of the second gear box 617, and a driven shaft corresponding to the driven wheel 607 is arranged on the supporting plate 606. The pillow lifting structure comprises a horizontal shaft connected with a driven shaft through a universal joint, the horizontal shaft is connected with a sliding sleeve 16 through the universal joint, an adjusting rod 20 is connected in the sliding sleeve 16 in a sliding mode, a rotating plate 15 is connected to a head supporting plate 14, and 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 in threaded connection with an adjusting rod 20.
When the pillow lifting structure is used, the main screw rod 601 rotates to drive the sliding block 603 to slide along the bottom plate 4, the rack 604 moves along with the sliding block 603, the gear 605 rotates along with the movement of the rack 604 due to the meshing of the rack 604 and the gear 605, the gear 605 drives the right screw rod 616 to rotate, the right screw rod 616 drives the second driving umbrella wheel to rotate, the second driving umbrella wheel rotates to drive the second driven umbrella wheel to rotate, the second driven umbrella wheel drives the driving wheel 621 to rotate through the rotating shaft, and 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, the horizontal shaft drives the sliding sleeve 16 to rotate through the universal joint, the sliding sleeve 16 rotates to drive the adjusting rod 20 to rotate, and the second nut pressing sleeve 18 pushes the pillow 17 to slide along the adjusting cavity 19 due to the fact that the adjusting rod 20 is in threaded connection with the second nut pressing sleeve 18; when the pillow lifting structure rotates, the head supporting plate 14 rotates along the top plate 11, the top plate 11 drives the adjusting rod 20 to move upwards and horizontally, the horizontal shaft moves horizontally along the adjusting rod 20, and the adjusting rod 20 moves upwards and downwards along the sliding sleeve 16.
A left umbrella wheel meshed with the second driven umbrella wheel is arranged in the second gear box 617, and a left screw rod 622 penetrating through the left umbrella wheel is arranged on the second gear box 617; the left screw rod 622 and the right screw rod 616 are both connected with a traction block in a threaded manner, the traction block is connected with the top plate 11 in a sliding manner, a base 615 connected with the traction block in a sliding manner is arranged on the bottom plate 4, and the traction block is connected with the head fixing structure 8; head fixed knot constructs 8 and includes the vertical telescopic link 801 that is connected with the traction block, be equipped with on the roof 11 with vertical telescopic link 801 matched with third spout, be connected with horizontal telescopic link 802 on the vertical telescopic link 801, the flexible end of horizontal telescopic link 802 rotates and is connected with the axis of rotation, sliding connection has ejector pad 803 in the axis of rotation, be equipped with on the ejector pad 803 with axis of rotation matched with fourth spout, be equipped with on the head backup pad 14 with ejector pad 803 matched with fifth spout, the one end that the axis of rotation was kept away from to ejector pad 803 is equipped with the spout, sliding connection has a pair of regulating block 805 in the spout, be equipped with the first set screw with spout matched with on the regulating block 805, all be equipped with head.
When the head fixing structure 8 is used, the position of the adjusting block 805 on the pushing block 803 is adjusted according to the position of the focus of a patient; when the second driven umbrella wheel rotates, the second driven umbrella wheel drives the left umbrella wheel to rotate, the left umbrella wheel drives the left screw rod 622 to rotate, and at the moment, the right screw rod 616 rotates through the gear 605; the left screw rod 622 and the right screw rod 616 rotate to drive the traction block to slide along the base 615 and the top plate 11, the traction block drives the vertical telescopic rod 801 to slide along the third sliding groove, the horizontal telescopic rod 802 is driven to move, the horizontal telescopic rod 802 pushes the push block 803 to slide along the fifth sliding groove, and the head fixing plate 804 is used for fixing the head of the patient; when the head support plate 14 rotates, the vertical telescopic rod 801 extends and retracts in the vertical direction, the rotating shaft rotates along the horizontal telescopic rod 802, and the rotating shaft slides along the fourth sliding groove.
The horizontal telescopic rod 802 comprises an outer sleeve connected with the vertical telescopic rod 801, and an inner sliding rod is connected in the outer sleeve in a sliding manner; the outer sleeve is provided with an adjusting bolt matched with the inner sliding rod, the adjusting bolt is provided with an adjusting gear 605, and the inner sliding rod is provided with an adjusting rack 604 meshed with the adjusting gear 605.
When the patient is treated in the first use state, the adjusting gear 605 is driven to rotate by rotating the adjusting bolt, and as the adjusting gear 605 is meshed with the adjusting rack 604, the adjusting rack 604 drives the inner sliding rod to slide along the outer sleeve, so that the push block 803 is pushed to slide along the fifth sliding groove, and the head fixing plate 804 fixes the head of the patient; when the patient is treated by using the second using state, the inner sliding rod is adjusted to slide along the outer sleeve to adapt to the sizes of the heads of different patients, so that the adaptability of the invention is improved.
The end part of the bottom plate 4 far away from the motor 618 is connected with a pair of supporting frames 7 in a sliding manner, each supporting frame 7 comprises a first telescopic rod 702 connected with the bottom plate 4 in a sliding manner, the telescopic end of each first telescopic rod 702 is connected with a first rotating block 703 in a rotating manner, one end of each first telescopic rod 702 close to the bottom plate 4 is provided with a fixing plate 701 matched with the bottom plate 4, and the fixing plate 701 is provided with a second fixing screw matched with the bottom plate 4; a connecting rod 704 is rotatably connected to the first rotating block 703, a second rotating block 705 is connected to one end, away from the first rotating block 703, of the connecting rod 704, a second telescopic rod 706 is rotatably connected to the second rotating block 705, a third rotating block 707 is rotatably connected to the telescopic end of the second telescopic rod 706, a third telescopic rod 708 is rotatably connected to the third rotating block 707, and a fixing clamp 709 is connected to the telescopic end of the third telescopic rod 708; the first rotating block 703, the second rotating block 705 and the third rotating block 707 are provided with rotating shafts matched with the connecting rod 704, the second telescopic rod 706 and the third telescopic rod 708, the rotating shafts are sleeved with rotating structures, each rotating structure comprises a ratchet wheel sleeved on the corresponding rotating shaft and a pawl meshed with the corresponding ratchet wheel, and each pawl is provided with a rotating handle; the first telescopic rod 702, the second telescopic rod 706 and the third telescopic rod 708 all comprise telescopic cylinders, telescopic columns are connected in the telescopic cylinders in a sliding mode, and third fixing screws matched with the telescopic columns are arranged on the telescopic cylinders.
When the support frame 7 is used, the sliding first telescopic rod 702 slides along the bottom plate 4, and the rotating connecting rod 704 rotates to the horizontal direction along the first rotating block 703; the second telescopic rod 706 is rotated to the vertical direction along the second rotating block 705, the third telescopic rod 708 is rotated to the horizontal direction along the third rotating block 707, and the medical instrument is clamped by using the fixing clamp 709; according to the needs of medical staff, the height of the fixing clamp 709 in the vertical direction is adjusted through the first telescopic rod 702 and the second telescopic rod 706, and the fixing is performed by using a third fastening screw; the horizontal position of the fixing clamp 709 is adjusted by sliding the first telescopic rod 702 and adjusting the third telescopic rod 708, and the horizontal position of the fixing clamp 709 is adjusted by rotating the first rotating block 703 and the third rotating block 707; when the connecting rod 704, the second telescopic rod 706 and the third telescopic rod 708 rotate, the rotating handle is rotated to separate the pawl from the ratchet wheel, so that the connecting rod 704, the second telescopic rod 706 and the third telescopic rod 708 can rotate through the rotating shaft, and after the rotating rod rotates by 90 degrees, the rotating handle is loosened to enable the pawl to be meshed with the ratchet wheel to fix the connecting rod 704, the second telescopic rod 706 and the third telescopic rod 708; after the operation is finished, the supporting frame 7 can be folded between the top plate 11 and the bottom plate 4, so that the service life of the invention is prolonged.
When the invention is used, the fixing clamp 709 on the supporting frame 7 is used for fixing the surgical instrument, thereby reducing the labor intensity of medical personnel; after the support frame 7 is used, the support frame 7 is folded, so that the support frame 7 is arranged between the top plate 11 and the bottom plate 4, and the service life of the invention is prolonged.
The telescopic plate 1 is provided with a guide post 10, the guide post 10 is arranged on the telescopic plate 1 close to the sliding plate, and the guide post 10 is connected with a fixing structure 9 in a sliding manner; the fixing structure 9 comprises a sleeve 901 in sliding connection with the guide column 10, a fourth fastening screw matched with the guide column 10 is arranged on the sleeve 901, a guide plate 903 is connected onto the sleeve 901, two ends of the guide plate 903 are respectively connected with a threaded plate 907 and a fixed plate 902, a movable plate 904 is arranged between the threaded plate 907 and the fixed plate 902, and the movable plate 904 is in sliding connection with the guide plate 903; the screw connection plate 907 is rotatably connected with a fixed screw rod 906, and a first nut pressing sleeve 905 which is in screw connection with the fixed screw rod 906 is arranged on the movable plate 904.
When the fixing structure 9 is used, the position of the fixing structure 9 on the guide post 10 is adjusted according to the condition of the operating table, the fixing is performed by using a fourth fastening screw, the fixing screw 906 is rotated to drive the first nut pressing sleeve 905 to push the movable plate 904, and the movable plate 904 is matched with the fixed plate 902 to fix the surgical bed, so that the stability of the surgical bed is improved.
A supporting sleeve 623 matched with the first gear box 608 is arranged on the bottom plate 4, and the supporting sleeve 623 is arranged on the lifting screw 624 in a penetrating manner; the bottom plate 4 is further provided with a supporting column matched with the second gear box 617, and the stability of the present invention is improved by using the supporting sleeve 623 and the supporting column.
Claims (9)
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| Application Number | Priority Date | Filing Date | Title |
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| CN201910164660.6A CN109953864B (en) | 2019-03-05 | 2019-03-05 | Auxiliary supporting device for throat and head and neck surgical operation |
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| Application Number | Priority Date | Filing Date | Title |
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| CN201910164660.6A CN109953864B (en) | 2019-03-05 | 2019-03-05 | Auxiliary supporting device for throat and head and neck surgical operation |
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| Publication Number | Publication Date |
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| CN109953864A CN109953864A (en) | 2019-07-02 |
| CN109953864B true CN109953864B (en) | 2021-03-09 |
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| CN201910164660.6A Active CN109953864B (en) | 2019-03-05 | 2019-03-05 | Auxiliary supporting device for throat and head and neck surgical operation |
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Families Citing this family (3)
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN110292446B (en) * | 2019-08-12 | 2020-09-25 | 河南省中医院（河南中医药大学第二附属医院） | Multifunctional fixing device for neurosurgery department |
| CN113081640A (en) * | 2021-04-11 | 2021-07-09 | 四川大学华西医院 | Epilepsy surgery operation auxiliary treatment device |
| CN117838473A (en) * | 2023-03-17 | 2024-04-09 | 陈淑梅 | Auxiliary supporting device for throat and head neck surgical operation |
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| CN201361234Y (en) * | 2008-11-21 | 2009-12-16 | 李婷安 | Engineering platform for lying and bending |
| US9265681B1 (en) * | 2011-10-10 | 2016-02-23 | Deborah L. Bell | Apparatus and method for facilitating or enhancing a person's breathing |
| CN205867006U (en) * | 2016-05-20 | 2017-01-11 | 北京积水潭医院 | Ventilate and use head rack in prone position |
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