CN110115604A - A kind of scalp dilator and its application method for neurosurgery operation of opening cranium - Google Patents

A kind of scalp dilator and its application method for neurosurgery operation of opening cranium Download PDF

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Publication number
CN110115604A
CN110115604A CN201910580617.8A CN201910580617A CN110115604A CN 110115604 A CN110115604 A CN 110115604A CN 201910580617 A CN201910580617 A CN 201910580617A CN 110115604 A CN110115604 A CN 110115604A
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China
Prior art keywords
arm
lever arm
struts
scalp
handle
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CN201910580617.8A
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Chinese (zh)
Inventor
王春晖
柳振涛
胡宏康
唐渊
蔡铮
卢成寅
李颖
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Massaging Devices (AREA)

Abstract

The present invention relates to a kind of scalp dilators and its application method for neurosurgery operation of opening cranium, handle is strutted including a left side, the right side struts handle, a left side struts arm, the right side struts arm, left lever arm, right lever arm, it locks toothing and struts hook, a left side struts handle and struts handle with the right side to be connected by joint pin, a left side struts arm, the right side strut arm respectively with left lever arm, right lever arm is connected by ball pin structure, the lock toothing includes lock rack gear, lock tooth spanner and lock tooth spring leaf, lock rack gear is fixed on a left side and struts on handle, lock tooth spanner and lock tooth spring leaf are fixed on the right side and strut on handle, it is described strut hook and be separately mounted to the left side strut arm, the right side struts arm and left lever arm, on right lever arm.The invention also discloses the application methods of the scalp dilator.Compared with prior art, a kind of scalp dilator structure for neurosurgery operation of opening cranium of the invention is simple, convenient to use.Using with ball pin structure jaggy, entire notch two sides holostrome scalp tissue can be strutted, makes notch in approximate circle while strutting notch, exposes visual area to the greatest extent, reduces the length of notch, shortens operating time, improves procedure efficiency.

Description

A kind of scalp dilator and its application method for neurosurgery operation of opening cranium
Technical field
The present invention relates to the field of medical instrument technology more particularly to a kind of scalp for neurosurgery operation of opening cranium to strut Device and its application method.
Background technique
Dilator is a kind of common operation such as neurosurgery operation of opening cranium especially Burr-hole craniotomy, puncture drainage Instrument is mainly used for sufficiently strutting scalp tissue, thoroughly exposes skull, operates convenient for operation of opening cranium.Usual row in surgical procedure Scalp linear type notch, holostrome are all propped up notch cortex using dilator after cutting scalp, sufficiently appear skull, then sharp Cranium is opened in electricity consumption drilling row drilling.But clinically there is no special scalp device for spreading, use after usually expanding incision of scalp Mastoid process dilator exposes skull, though this method can sufficiently expose, since skin incision is excessive, makes to stop blooding in operation and seam It closes the time to increase, is unfavorable for surgical procedure.And scalp is arranged successively by five different levels and is formed, including skin, subcutaneous Connective tissue, occipitofrontalis and galea, loose connective tissue and cranial periosteum.When dilator and skull contact, due to skull Surface is arc-shaped, and the fixed linear type design of dilator head end cannot be bonded skull surface completely, it is difficult in the start-stop point of notch Place's holostrome struts scalp, causes skull exposure insufficient, influences operation of opening cranium operation.Therefore being clinically badly in need of one kind can be bonded Skull surface, the scalp dilator for strutting scalp holostrome, utmostly exposing skull.
Summary of the invention
It is an object of the invention in view of the shortcomings of the prior art, providing a kind of for neurosurgery operation of opening cranium Scalp dilator and its application method.
The purpose of the present invention can be realized by following technical solutions:
A kind of scalp dilator for neurosurgery operation of opening cranium, including a left side struts handle, the right side struts handle, a left side struts arm, right support Open arms, right lever arm, locks toothing and struts hook left lever arm, and the left side struts handle and struts handle with the right side to be connected by joint pin It connects, the left side struts handle, the right side struts that handle struts arm with a left side respectively, the right side struts arm and connect, and the left side struts arm, the right side struts arm difference It is connected with left lever arm, right lever arm by ball pin structure, the lock toothing includes lock rack gear, lock tooth spanner and lock tooth bullet Reed, the lock rack gear are fixed on a left side and strut on handle, and the lock tooth spanner and lock tooth spring leaf are fixed on the right side and strut on handle, described Strut hook be separately mounted to that the left side struts arm, the right side struts arm and left lever arm, right lever arm on.
Further, the left side struts arm, the right side struts arm upper end as cylindrical structure, and there are two outside fixations struts hook, Head end is provided with ball cup.
Further, the side setting of the ball cup is jagged, the size of the ball cup and the left lever arm, the right side The bulb of lever arm is adapted.
Further, the left lever arm, right lever arm upper and lower side are cylindrical structure, and centre is truncated cone-shaped structure, Lower end cross-section diameter is less than upper end cross-section diameter.
Further, the left lever arm, on right lever arm end cross-section diameter with the left side struts arm, the right side struts arm upper end Diameter of section is equal.
Further, the left lever arm, right lever arm upper end outside are fixed there are two hook is strutted, and lower end is provided with ball Head is adapted with the size of the ball cup.
Further, the diameter of the bulb is less than end cross-section diameter on the left lever arm, right lever arm.
Further, the hook that struts is passivity hook.
A kind of its application method of scalp dilator for neurosurgery operation of opening cranium of the present invention, including it is following Step:
Step 1. positioning linear notch cuts holostrome scalp, trip lock tooth spanner, and opening struts handle, and closure struts arm and activity Arm;
Step 2. will strut arm and lever arm is placed on incision, rotate lever arm to scalp direction centered on ball pin structure, Make to strut arm and lever arm fitting scalp curved surfaces;
Step 3. struts the holostrome scalp tissue for strutting hook and hooking notch two sides on arm and lever arm with left and right, pinches and holds together to strut Handle, opening strut arm and strut notch, and lever arm is centered on ball pin structure, to notch medial movement, make notch in approximate circle, Utmostly expose;
Step 4. checks lock tooth spanner, it is ensured that lock toothing locking makes scalp dilator maintain softened state.
The advantageous effects that the present invention has:
Compared with prior art, a kind of scalp dilator structure for neurosurgery operation of opening cranium of the invention is simple, uses It is convenient and efficient.Using with ball pin structure jaggy, guarantees that lever arm rolls tiltedly to scalp, make to strut arm upper end and lever arm all Skull curved surfaces are tightly bonded, entire notch two sides holostrome scalp tissue can be strutted;The ball pin structure also makes activity simultaneously Arm can make notch in approximate circle to notch medial movement while strutting notch, expose visual area to the greatest extent, reduce The length of notch shortens operating time, is convenient for surgical procedure.
Detailed description of the invention
Fig. 1 is a kind of scalp dilator overall structure diagram for neurosurgery operation of opening cranium of the invention.
Fig. 2 is structural schematic diagram when a kind of scalp dilator for neurosurgery operation of opening cranium of the invention struts.
Fig. 3 is the left ball pin structural schematic diagram of a kind of scalp dilator for neurosurgery operation of opening cranium of the invention.
Fig. 4 is the left ball pin entirety sectional view of a kind of scalp dilator for neurosurgery operation of opening cranium of the invention.
Fig. 5 is Section A-A structural schematic diagram in Fig. 4.
Fig. 6 is section B-B structural schematic diagram in Fig. 4.
Fig. 7 struts hook structure schematic diagram for a kind of scalp dilator for neurosurgery operation of opening cranium of the invention.
Description of symbols: 1, a left side struts handle;2, the right side struts handle;3, a left side struts arm;4, the right side struts arm;5, left lever arm; 6, right lever arm;7, toothing is locked;7-1, lock rack gear;7-2, lock tooth spanner;7-3, lock tooth spring leaf;8, hook is strutted;9, hinge Pin;10, ball pin structure;10-1, ball cup;10-2, bulb.
Specific embodiment
The present invention will be further described with example with reference to the accompanying drawing.
In the description of the present invention, it is to be understood that, term " center ", " longitudinal direction ", " transverse direction ", "front", "rear", The orientation or positional relationship of the instructions such as "left", "right", "vertical", "horizontal", "top", "bottom", "inner", "outside" is based on attached drawing institute The orientation or positional relationship shown, is merely for convenience of description of the present invention and simplification of the description, rather than the dress of indication or suggestion meaning It sets or element must have a particular orientation, be constructed and operated in a specific orientation, therefore should not be understood as protecting the present invention The limitation of range.
As shown in figs. 1-7, a kind of scalp dilator for neurosurgery operation of opening cranium, including a left side struts handle 1, the right side struts Handle 2, a left side strut arm 3, the right side struts arm 4, left lever arm 5, right lever arm 6, lock toothing 7 and strut hook 8, and the left side struts handle 1 It struts handle 2 with the right side to be connected by joint pin 9, the left side struts handle 1, the right side struts that handle 2 struts arm 3 with a left side respectively, the right side struts arm 4 Connection, the left side struts arm 3, the right side struts arm 4 and is connected respectively with left lever arm 5, right lever arm 6 by ball pin structure 10, institute It states lock toothing 7 to include lock rack gear 7-1, lock tooth spanner 7-2 and lock tooth spring leaf 7-3, the lock rack gear 7-1 is fixed on a left side and struts On handle 1, the lock tooth spanner 7-2 and lock tooth spring leaf 7-3 are fixed on the right side and strut on handle 2, and the hook 8 that struts is separately mounted to institute State that a left side struts arm 3, the right side struts arm 4 and left lever arm 5, right lever arm 6 on.
The left side struts arm 3, the right side struts 4 upper end of arm as cylindrical structure, and outside is fixed there are two hook 8 is strutted, and head end is set It is equipped with ball cup 10-1.The side setting of the ball cup 10-1 is jagged, the size of the ball cup 10-1 and the left work Swing arm 5, the bulb 10-2 of right lever arm 6 are adaptable.The left lever arm 5,6 upper and lower side of right lever arm are cylindrical structure, Centre is truncated cone-shaped structure, and lower end cross-section diameter is less than upper end cross-section diameter.End section on the left lever arm 5, right lever arm 6 It is equal that diameter struts arm 3 with the left side, the right side struts end cross-section diameter on arm 4.On the outside of the left lever arm 5,6 upper end of right lever arm Fixed there are two hook 8 is strutted, lower end is provided with bulb 10-2, is adapted with the size of the ball cup 10-1.The bulb 10- 2 diameter is less than end cross-section diameter on the left lever arm 5, right lever arm 6.The hook 8 that struts is passivity hook.
A kind of its application method of scalp dilator for neurosurgery operation of opening cranium of the present invention, including it is following Step:
Step 1. positioning linear notch cuts holostrome scalp, trip lock tooth spanner, and opening struts handle, and closure struts arm and activity Arm;
Step 2. will strut arm and lever arm is placed on incision, rotate lever arm to scalp direction centered on ball pin structure, Make to strut arm and lever arm fitting scalp curved surfaces;
Step 3. struts the holostrome scalp tissue for strutting hook and hooking notch two sides on arm and lever arm with left and right, pinches and holds together to strut Handle, opening strut arm and strut notch, and lever arm is centered on ball pin structure, to notch medial movement, make notch in approximate circle, Utmostly expose;
Step 4. checks lock tooth spanner, it is ensured that lock toothing locking makes scalp dilator maintain softened state.
Rationally, production is simple for scalp dilator design of the invention, easy to operate, can be used for extraventricular drainage art, drilling A variety of neurosurgery operations of opening cranium such as drainage, can reduce incision of scalp, strut notch holostrome scalp tissue, utmostly cruelly Reveal skull, convenient for opening cranium operation, improves procedure efficiency.
It is that the present invention is a kind of for the scalp dilator of neurosurgery operation of opening cranium and its detailed Jie of application method above It continues, it should be pointed out that the present invention is not limited to the above specific embodiments.Those skilled in the art are not departing from the present invention The various changes and modifications made under the premise of principle to technical solution fall within the protection that claims of the present invention determines In range.

Claims (7)

1. a kind of scalp dilator for neurosurgery operation of opening cranium, it is characterised in that: strut handle (1) including a left side, the right side struts Handle (2), a left side strut arm (3), the right side struts arm (4), left lever arm (5), right lever arm (6), lock toothing (7) and strut hook (8), The left side struts handle (1) and the right side and struts handle (2) to be connected by joint pin (9), and the left side struts handle (1), the right side struts handle (2) point Arm (3) is not strutted with a left side, the right side struts arm (4) and connect, the left side struts arm (3), the right side strut arm (4) respectively with left lever arm (5), Right lever arm (6) is connected by ball pin structure (10), and the lock toothing (7) includes lock rack gear (7-1), lock tooth spanner (7- 2) it is fixed on a left side with lock tooth spring leaf (7-3), the lock rack gear (7-1) and struts on handle (1), the lock tooth spanner (7-2) and lock Tooth spring leaf (7-3) is fixed on the right side and struts on handle (2), it is described strut hook (8) and be separately mounted to the left side strut arm (3), right support In open arms (4) and left lever arm (5), right lever arm (6).
2. scalp dilator according to claim 1, it is characterised in that: the left side struts arm (3), the right side struts on arm (4) End is cylindrical structure, and outside is fixed there are two strutting hook (8), and head end is provided with ball cup (10-1).
3. scalp dilator according to claim 1, it is characterised in that: the side of the ball cup (10-1) is provided with scarce Mouthful, the bulb (10-2) of the size of the ball cup (10-1) and the left lever arm (5), right lever arm (6) is adapted.
4. scalp dilator according to claim 1, it is characterised in that: on the left lever arm (5), right lever arm (6) Lower end is cylindrical structure, and centre is truncated cone-shaped structure, and lower end cross-section diameter is less than upper end cross-section diameter.
5. scalp dilator according to claim 1, it is characterised in that: on the left lever arm (5), right lever arm (6) End outside is fixed there are two strutting hook (8), and lower end is provided with bulb (10-2), mutually fits with the size of the ball cup (10-1) It answers.
6. scalp dilator according to claim 1, it is characterised in that: the diameter of the bulb (10-2) is less than the left side End cross-section diameter on lever arm (5), right lever arm (6).
7. the application method of scalp dilator according to claim 1, it is characterised in that: the following steps are included:
Step 1. positioning linear notch cuts holostrome scalp, trip lock tooth spanner, and opening struts handle, and closure struts arm and activity Arm;
Step 2. will strut arm and lever arm is placed on incision, rotate lever arm to scalp direction centered on ball pin structure, Make to strut arm and lever arm fitting scalp curved surfaces;
Step 3. struts the holostrome scalp tissue for strutting hook and hooking notch two sides on arm and lever arm with left and right, pinches and holds together to strut Handle, opening strut arm and strut notch, and lever arm is centered on ball pin structure, to notch medial movement, make notch in approximate circle, Utmostly expose;
Step 4. checks lock tooth spanner, it is ensured that lock toothing locking makes scalp dilator maintain softened state.
CN201910580617.8A 2019-06-29 2019-06-29 A kind of scalp dilator and its application method for neurosurgery operation of opening cranium Pending CN110115604A (en)

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CN201910580617.8A CN110115604A (en) 2019-06-29 2019-06-29 A kind of scalp dilator and its application method for neurosurgery operation of opening cranium

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CN201910580617.8A CN110115604A (en) 2019-06-29 2019-06-29 A kind of scalp dilator and its application method for neurosurgery operation of opening cranium

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2021000398A1 (en) * 2019-06-29 2021-01-07 王春晖 Scalp spreader for use in neurosurgical craniotomy
CN113208696A (en) * 2021-03-19 2021-08-06 桂林医学院 Scalp separator

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2812842Y (en) * 2005-09-02 2006-09-06 黄素民 Corpus callosum retractor
CN206560452U (en) * 2016-11-16 2017-10-17 袁致海 A kind of Special retractor for trigeminal neuralgia operations
CN210521029U (en) * 2019-06-29 2020-05-15 王春晖 Scalp dilator for neurosurgery craniotomy

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2812842Y (en) * 2005-09-02 2006-09-06 黄素民 Corpus callosum retractor
CN206560452U (en) * 2016-11-16 2017-10-17 袁致海 A kind of Special retractor for trigeminal neuralgia operations
CN210521029U (en) * 2019-06-29 2020-05-15 王春晖 Scalp dilator for neurosurgery craniotomy

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2021000398A1 (en) * 2019-06-29 2021-01-07 王春晖 Scalp spreader for use in neurosurgical craniotomy
CN113208696A (en) * 2021-03-19 2021-08-06 桂林医学院 Scalp separator

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