CN110151479A - A kind of cervical vertebra posterior surgical exposure surgical field of view auxiliary instrument - Google Patents
A kind of cervical vertebra posterior surgical exposure surgical field of view auxiliary instrument Download PDFInfo
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- CN110151479A CN110151479A CN201910552338.0A CN201910552338A CN110151479A CN 110151479 A CN110151479 A CN 110151479A CN 201910552338 A CN201910552338 A CN 201910552338A CN 110151479 A CN110151479 A CN 110151479A
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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
- A61G13/1215—Head or neck with patient airway positioning devices
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
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Abstract
A kind of cervical vertebra posterior surgical exposure surgical field of view auxiliary instrument, the auxiliary instrument includes a fixed backing plate and is arranged in the head supporting member that fixed backing plate front end is used to support patients head, and when fixed backing plate is laid on operating bed, patient lies prone on it when, its shoulder position is higher than head position, to expose neck, it is provided with shoulder muscle on the fixation backing plate and stretches fixed device, the shoulder muscle stretches two tension belts having in fixed device and respectively rearward pulls the muscle of two sides shoulder and fix, so that cervical vertebra rear portion is completely exposed.Auxiliary instrument of the invention is laid on operating bed when in use, after patient is placed on fixed backing plate, the muscle of two sides shoulder is rearward pulled into fixation using two tension belts in the fixed device of shoulder muscle stretch, to which cervical vertebra rear portion is completely exposed, this fixed form is not only simple and convenient, and it is sufficiently stable, will not occur the phenomenon that slippage in the course of surgery.
Description
Technical field
The present invention relates to auxiliary instrument when medical operating, specifically a kind of cervical vertebra posterior surgical exposure operation
Visual field auxiliary instrument.
Background technique
When doing cervical posterior approach, patient is needed to lie prone on operating bed, to open surgery on rear side of the neck of patient；It is existing
The front of operating bed there is the U-shaped headring of support patients head, this U-shaped headring is made of the flexible materials such as sponge, this
Sample patient can be supported the head of patient in prostrate, the pipelines such as oxygen hose being inserted into when patients surgery in nasal cavity, from
It is inserted into nasal cavity under U-shaped headring.
But this operating bed has the following problems:
1) U-shaped headring is actually two sides face and the forehead for being supported on patient to the support of patients head, due to patients surgery
When be in generalized anesthetic state, entire weight is fully pressed against on support zone, in prolonged surgical procedure, will lead to
There is pressure sore in the skin of face and forehead；
And since the shape of face of patient is not of uniform size, patient biggish for face, U-shaped headring can be urged to the eyes of patient,
Prolonged compressing results even in blindness；
2) since the pipelines such as oxygen hose are all to be inserted into nasal cavity by the intermediate of U-shaped headring from the bottom up, in actual operation,
The unconscious shake of patient will cause falling off for oxygen hose etc., it is therefore desirable to the irregular observation trouble of bending over of possessing a person of medical staff
Whether the oxygen hose of person falls off；
3) it lies prone when on operating bed in patient, arm closes up the muscle meeting allowed in this way on shoulder in body two sides
Gather to centre, to be deposited at cervical vertebra, causes the obstruction and influence of operation visual field, be even more especially such as to endomorphy type patient
This；Present solution is: medical staff is fixed using two wide adhesive tapes, and one wide adhesive tape one end is sticked to left shoulder
On meat, the other end is finally fixed on the right side loins of patient from the oblique post-tensioning in patient back, and another wide adhesive tape one end is sticked to the right side
On the meat of shoulder, it is finally fixed on the left side loins of patient；This fixed form is not only troublesome, it is most important that, due to performing an operation
When, the liquid such as blood, body fluid of appearance will lead to the reduction of adhesive tape viscosity, so that it is made to be easy to fall off, primary prolonged hand
Art needs repeatedly to be fixed.
Summary of the invention
In order to which patient's shoulder muscle can gather influence surgical field of view in turn to centre when solving existing cervical vertebra posterior surgical
Problem, the present invention provides a kind of cervical vertebra posterior surgical exposure surgical field of view auxiliary instrument, which spreads when in use
It is located on operating bed, it, will using two tension belts in the fixed device of shoulder muscle stretch after patient is placed on fixed backing plate
The muscle of two sides shoulder rearward pulls fixation, so that cervical vertebra rear portion is completely exposed.
The present invention in order to solve the above-mentioned technical problem used by technical solution are as follows: a kind of exposure operation of cervical vertebra posterior surgical
Visual field auxiliary instrument, the auxiliary instrument include a fixed backing plate and fixed backing plate front end is arranged in is used to support patients head's
Head supporting member, and when fixed backing plate is laid on operating bed, patient lies prone on it when, shoulder position is higher than head position
It sets, to expose neck, shoulder muscle is provided on the fixation backing plate and stretches fixed device, which, which stretches, fixes
The muscle of two sides shoulder is rearward pulled respectively and is fixed by two tension belts having in device, so that cervical vertebra rear portion is complete
Exposure.
A kind of preferred embodiment of the invention is that it further includes adjusting carrying machine that the shoulder muscle, which stretches fixed device,
Structure, described to adjust the loading plate that load carrier includes carrying patient's upper body trunk, the loading plate is symmetrical by its two sides of the bottom
The sliding block of setting slides in two sliding slots that fixed pad surfaces are equipped with, and is equipped with flexible pad on the surface of loading plate, and soft
Property pad front end two sides be provided with the friction silicagel pad rolled, between two friction silicagel pads have for patients head and neck
By channel；The front end of two tension belts be separately fixed at carrying front edge of board two sides, by this two stretching ends of tape to
When post-tensioning, it can be made to be close to two sides shoulder two friction silicagel pad extruding, and then fix in two stretching ends of tape
Afterwards, the muscle of two sides shoulder is pulled backward by two friction silicagel pads, so that cervical vertebra rear portion is completely exposed.
Another preferred embodiment of the invention is that two tension belts are fixed by fixed mechanism, this is fixed
Mechanism includes that two fixed links and one are arranged in inside fixed backing plate rear end and the inner screw sheath parallel with operating bed width direction
Pipe, the front end of two tension belts and the front end of loading plate fix, and end is fixed on a card, every fixed link
One end is provided with the external screw thread with internally threaded sleeve cooperation, rotational handle is provided on the other end, and close to rotational handle one
It is provided on the shaft at end and is inserted into through slot in it and fixed for card, the card by stretching two end of tape is distinguished
It is inserted into the through slot of two fixed links, then this two fixed link rotations is screwed into the both ends of internally threaded sleeve, and rotate
The length of two rod adjustments, two tension belts makes two tension belts that two friction silicagel pad extruding are made itself and two sides shoulder
It is close to, and then pulls the muscle of two sides shoulder backward by two friction silicagel pads, so that cervical vertebra rear portion is completely exposed.
To be that the carrying front edge of board two sides are respectively perpendicular set for a kind of a kind of improvement project of preferred embodiment in the present invention
It is equipped with scapulet, inclined slot upward, the front end difference of two tension belts are provided on the leading flank of this two pieces of scapulets
It is fixed on an inserted sheet, being inserted into slot by the inserted sheet fixes the front end of tension belt.
A kind of another improvement project of preferred embodiment is in the present invention, and two tension belts are by two sides shoulder
Muscle when rearward pulling, the pulling direction of the two intersects.
Another preferred embodiment of the invention is, the fixed backing plate rear end be disposed with abdominal support air bag and
Underbelly raises air bag, is inflated respectively into the two by an aerostatic press and triple valve, to jack up abdominal cavity of patients and underbelly to lift
High patient's buttocks, and then change the relative position of patient's trunk and head, while so that cervical vertebra rear portion is completely exposed, reduces and suffer from
The pressure of person's face and head supporting member.
A kind of a kind of improvement project of preferred embodiment is in the present invention, and the rear end of the fixed backing plate is drawn by elasticity
It stretches erection and is equipped with thigh support board, the abdominal support air bag is arranged on elastic stretching frame, and underbelly is raised air bag and is arranged in leg
The front end of portion's support plate is provided with the U-lag of opening backwards in the thigh support board, by being inserted into U-shaped frame in the U-lag
Plate, so that the crotch and both legs to patient are supported.
A kind of a kind of improvement project of preferred embodiment is in the present invention, and the elastic stretching frame includes two pieces of connecting plates
Side by side it is in the gas tube of horizontal arrangement with several, valve inside, and adjacent two inflations is provided on the every gas tube
There is expansion clearance between pipe, the support frame that netted wire is formed, and every gas tube are wrapped up outside every gas tube
Both ends be each passed through the hole on two pieces of connecting plates after, the inner wall of support frame and hole thereon is fixed；Two pieces of connecting plates
On be provided with bolt hole, by connection bolt being inserted into bolt hole to by two pieces of connecting plates rear end with fixed backing plate respectively
It is fixed with the front end of thigh support board.
A kind of another improvement project of preferred embodiment is that the rear end of the thigh support board is provided in the present invention
One horizontal supporting plate, the front end of the block horizontal supporting plate are slidably arranged in the open slot that thigh support board rear end is equipped with, rear end
It is vertically installed with the supporting plate for being used to support patient's both feet, the bottom end of the supporting plate crosses horizontal supporting plate and forms extension, extending
Section and thigh support board rear end face are equipped with corresponding threaded hole, and the screw rod with handle is provided in threaded hole, by turning
Dynamic screw rod, to drive supporting plate and horizontal supporting plate to slide in or out open slot, to adapt to the patient of different body length.
Another preferred embodiment of the invention is, the head supporting member includes one being used to support patients head's
U-shaped support ring and fixation bracket connect with fixed backing plate front end, wherein be equipped with around the inner wall of U-shaped support ring and upper surface and
The flexible pad of head contact, the fixed bracket is symmetrical two, and is provided with one and operating bed width therebetween
The parallel fixing axle in direction is symmetrically arranged with two support columns in fixing axle, and two support top ends are close to fixed backing plate
Side it is hinged by the bottom wall of a rotating pin and U-shaped support ring, the side far from fixed backing plate on two support columns is arranged
There is open-topped pneumatopyle, be provided with air bag in the pneumatopyle, makes its expansion by inflating in air bag, to adjust U
The tilt angle of shape support ring.
A kind of a kind of improvement project of preferred embodiment is in the present invention, has on the U-shaped support ring and runs through its outer wall
It with the groove of inner wall, is caught in the groove by the closed fixture block of groove surfaces, and when groove after closing is formed for operation is auxiliary
Help the through hole that pipeline passes through.
Compared with prior art, the invention has the following beneficial effects:
1) auxiliary instrument of the invention is laid on operating bed when in use, after patient is placed on fixed backing plate, utilizes shoulder
The muscle of two sides shoulder is rearward pulled fixation by two tension belts in the fixed device of muscle stretch, so that cervical vertebra rear portion is complete
Full exposure, this fixed form is not only simple and convenient, but also sufficiently stable, will not occur the phenomenon that slippage in the course of surgery；
2) an adjusting load carrier can also be set on fixation backing plate of the invention, and the main body of the adjusting load carrier is solid
Determine the loading plate that setting is slided on backing plate, in the laying flexible pad of loading plate, and rubbing of rolling of flexible pad front end two sides setting
Silicagel pad is wiped, and the front end of tension belt is mounted on loading plate the lower section of two friction silicagel pads, stretched in this way pulling back to pull
When band, friction silicagel pad can be extruded on the shoulder of patient by tension belt, and make patient's shoulder using frictional force and pulling force
Muscle posteriorly pulls, this sliding carrying plate structure, can not only be readily adjusted the position of patient after anesthesia, and utilize
Flexible pad is pressed under body by the weight of patient, and the friction silicagel pad of flexible pad front end two sides is integrated with flexible pad, Neng Gougeng
The shoulder muscle of good cladding patient, and then promoted and pull effect；
3) two tension belts of the invention are fixed by fixed mechanism, and the core of fixed mechanism is setting after fixed backing plate
Internally threaded sleeve inside end, has been threadedly engaged two fixed links at internally threaded sleeve both ends respectively, has been arranged in fixed link and passes through
The card of through slot, such tension belt end can be caught in through slot, and then rotate fixed link, and tension belt is made to be wrapped in fixation
It completes to fix on bar, and the cooperation of this fixed mechanism adjusts load carrier, can adjust position and the drawing of patient well
The dynamics stretched；And the front end of tension belt is an inserted sheet, this inserted sheet is inserted into the slot on the scapulet of carrying front edge of board, this
Sample medical staff can be easily achieved the fixation of tension belt, convenient for operation；
4) abdominal support air bag is once arranged in the fixed backing plate rear end of the present invention and underbelly raises air bag, passes through aerostatic press and triple valve
It is inflated respectively into the two, to jack up abdominal cavity of patients and underbelly to raise patient's buttocks, and then changes patient's trunk and head
Relative position while so that cervical vertebra rear portion is completely exposed, reduce patient facial region and head supporting member pressure；
5) thigh support board, the horizontal branch of thigh support board rear end setting is arranged by elastic stretching frame in the fixed backing plate rear end of the present invention
Fagging, the front end of horizontal supporting plate are slidably arranged in the open slot that thigh support board rear end is equipped with, and rear end is vertically arranged useful
In the supporting plate of support patient's both feet, the bottom end of the supporting plate crosses horizontal supporting plate and forms extension, in extension and leg branch
Fagging rear end face is equipped with corresponding threaded hole, and the screw rod with handle is provided in threaded hole, by rotating screw rod, thus band
Dynamic supporting plate and horizontal supporting plate slide in or out open slot, to adapt to the patient of different body length；And the effect of supporting plate be in order to
When patient raises buttocks and waist, both feet can be against on supporting plate, provide certain support force；
6) core of elastic stretching frame of the invention is the external gas tube for wrapping up netted wire as support frame, so not
It can only guarantee the intensity that thigh support board is connected with fixed backing plate, and corresponding elasticity can be provided, meet comfort level and want
It asks；
7) present invention is by improving head supporting member, and the U-shaped support ring of head supporting member is close to the one of fixed backing plate
Rotating pin is arranged in side, and the other side controls the tilt angle of U-shaped support ring by air bag, to keep the neck of patient as sudden and violent as possible
Dew；And setting runs through the groove of its outer wall and inner wall on U-shaped support ring, and the surface of this groove is closed with fixture block, from
And the through hole that auxiliary piping passes through is formed, this through hole can play the role of fixed operation pipeline such as oxygen hose etc., prevent
Only it falls off easily.
Detailed description of the invention
Fig. 1 is schematic top plan view of the invention；
Fig. 2 is the schematic side view of Fig. 1；
Fig. 3 is the structural schematic diagram for adjusting load carrier；
Fig. 4 is the structural schematic diagram of elastic stretching frame；
Fig. 5 is the structural schematic diagram of head supporting member；
Appended drawing reference: 1, fixed backing plate, 2, abdominal support air bag, 3, underbelly raise air bag, 4, adjust load carrier, 401, carrying
Plate, 402, scapulet, 403, flexible pad, 404, channel, 405, friction silicagel pad, 406, sliding slot, 407, sliding block, 5, fixed mechanism,
501, tension belt, 502, fixed link, 503, internally threaded sleeve, 504, card, 505, inserted sheet, 6, thigh support board, 601, U-shaped frame
Plate, 602, open slot, 7, horizontal supporting plate, 701, supporting plate, 702, screw rod, 8, head supporting member, 801, U-shaped support ring, 802,
Flexible pad, 803, space, 804, groove, 805, fixture block, 806, air bag, 807, support column, 808, rotating pin, 809, fixation
Axis, 8010, fixed bracket, 9, elastic stretching frame, 901, gas tube, 902, expansion clearance, 903, valve inside, 904, support rib
Frame, 905, connecting plate, 906, bolt hole, 10, triple valve, 11, aerostatic press.
Specific embodiment
The present invention is further elaborated combined with specific embodiments below.It is not explained in detail in the following embodiment of the present invention
What is stated is the prior art, and therefore, structure and connection do not repeat them here.
Embodiment 1
As illustrated in fig. 1 and 2, a kind of cervical vertebra posterior surgical exposure surgical field of view auxiliary instrument, the auxiliary instrument include one fixed
Backing plate 1 and the head supporting member 8 that fixed 1 front end of backing plate is used to support patients head is set, and when fixed backing plate 1 is laid on
On operating bed, patient lies prone on it when, shoulder position be higher than head position, so that neck is exposed, in the fixation backing plate 1
On be provided with shoulder muscle and stretch fixed device, which stretches two tension belts 501 difference having in fixed device
The muscle of two sides shoulder is rearward pulled and fixed, so that cervical vertebra rear portion is completely exposed.
In the present embodiment, the bottom surface of fixed backing plate 1 is plane, is bonded with operating bed surface, upper surface and lower surface
In parallel, or from front end gradually decrease to the back-end, so that patient be made to keep the low posture of the high waist of shoulder, reduce face by
Power, to reduce pressure sore odds.
In the present embodiment, so-called tension belt 501 is the cotton tape that width is 8-12CM.
When the present embodiment is in use, the fixation backing plate 1 of the auxiliary instrument is layered on to the surface of existing operating bed, then will
Postanesthetic patient lies prone is placed on it, and is pressed in the upper body of patient on fixed backing plate 1；Later, by two tension belts 501 from
Patient's shoulder front direction post-tensioning, so that it be made to catch the muscle of patient's shoulder, layback is dragged backward, and surgical field of view is exposed.
Embodiment 2
As shown in Figure 1,2 and 3, the present embodiment is a kind of improvement project done on the basis of embodiment 1, main body and implementation
Example 1 is identical, thes improvement is that: it further includes an adjusting load carrier 4 that the shoulder muscle, which stretches fixed device, and the adjusting is held
Mounted mechanism 4 includes the loading plate 401 of carrying patient's upper body trunk, and the loading plate 401 is symmetrically arranged by its two sides of the bottom
Sliding block 407 slides in two sliding slots 406 that fixed 1 surface of backing plate is equipped with, and the two is the Frictional Slipping of face contact, and this face connects
Frictional Slipping is touched, can realize that sliding position under external force is adjusted while steady；On the surface of loading plate 401
It is equipped with flexible pad 403, and the front end two sides of flexible pad 403 are provided with the friction silicagel pad 405 rolled, the friction silica gel rolled
The height of pad 405 is 15-25cm, and arc-shaped, and width and people's shoulder are same as or slightly smaller than shoulder width, flexible pad 403
It can be adhered directly to 401 surface of loading plate；Have between the silicagel pad 405 that rubs at two and leads to for what patients head and neck passed through
The width in road 404, channel 404 should be equal with both sides of the head width, so as to pass through neck, and stays in two sides
Lower operating space；The front end of two tension belts 501 is separately fixed at the two sides of 401 front end of loading plate, by this two tension belts
When 501 ends stretch backward, it can be made to be close to two sides shoulder two friction silicagel pad 405 extruding, and then draw at two
After stretching the fixation of 501 end of band, the muscle of two sides shoulder is pulled backward by two friction silicagel pads 405, thus by after cervical vertebra
Portion is completely exposed.
Flexible pad 403 is silica gel material in the present embodiment, and length exceeds the rear end of loading plate 401；The friction silica gel
Pad 405 is actually to be distributed on the surface that it is contacted with shoulder rough convex using gasket made of silica gel material
It rises and is recessed, thus increasing friction force, and then it is even closer to contact it with shoulder, can preferably produce to the muscle on shoulder
It is raw to pull.
When the present embodiment is in use, the fixation backing plate 1 of the auxiliary instrument is layered on to the surface of existing operating bed, then will
Postanesthetic patient lies prone is placed on loading plate 401, the flexible pad 403 for being fully pressed against the upper body of patient on loading plate 401
On, and two friction silicagel pads 405 is made to contact two shoulder surfaces of patient respectively；Later, by two tension belts 501 from trouble
Person's shoulder front direction post-tensioning, so that it be made to catch the muscle of patient's shoulder, layback is dragged backward, and surgical field of view is exposed.
Embodiment 3
As shown in Figure 1,2 and 3, the present embodiment is a kind of improvement project done on the basis of embodiment 1 or 2, main body with
Embodiment 1 or 2 is identical, thes improvement is that: two tension belts 501 are fixed by fixed mechanism 5, the fixed mechanism 5
Inner screw sheath inside fixed 1 rear end of backing plate and parallel with operating bed width direction is set including two fixed links 502 and one
Pipe 503, the front end of two tension belts 501 and the front end of loading plate 401 are fixed, and end is fixed on a card 504, and every
One end of the fixed link 502 is provided with the external screw thread cooperated with internally threaded sleeve 503, is provided with rotational handle on the other end,
And be provided on the shaft close to rotational handle one end and be inserted into through slot in it and fixed for card 504, by by two
The card 504 of 501 end of tension belt is inserted respectively into the through slot of two fixed links 502, then by this two fixed links 502
Rotation is screwed into the both ends of internally threaded sleeve 503, and rotates the length that two fixed links 502 adjust two tension belts 501, makes two
Two friction silicagel pads 405 extruding are close to it with two sides shoulder by tension belt 501, and then by two friction silicagel pads
405 pull the muscle of two sides shoulder backward, so that cervical vertebra rear portion is completely exposed.
When the present embodiment is in use, the fixation backing plate 1 of the auxiliary instrument is layered on to the surface of existing operating bed, then will
Postanesthetic patient lies prone is placed on loading plate 401, the flexible pad 403 for being fully pressed against the upper body of patient on loading plate 401
On, and two friction silicagel pads 405 is made to contact two shoulder surfaces of patient respectively；Later, two fixed links 502 are rotated
503 both ends of internally threaded sleeve are screwed into, then two 501 front ends of tension belt are fixed with 401 front end of loading plate, the card 504 of end
It is inserted into the through slot in fixed link 502, then rotating fixing rod 502, after tightening two tension belts 501 before patient's shoulder
Direction post-tensioning, so that it be made to catch the muscle of patient's shoulder, layback is dragged backward, and surgical field of view is exposed.
Embodiment 4
As shown in Figure 1,2 and 3, the present embodiment is a kind of improvement project done on the basis of embodiment 3, main body and implementation
Example 3 is identical, thes improvement is that: the 401 front end two sides of loading plate, which are respectively perpendicular, is provided with scapulet 402, this two pieces of scapulets 402
Height lower than two friction silicagel pads 405 roll height, be provided on the leading flank of this two pieces of scapulets 402 and tilt upward
Slot, the front end of two tension belts 501 is separately fixed on an inserted sheet 505, is inserted into slot by the inserted sheet 505
Fix the front end of tension belt 501, inserted sheet 505 is the plate in an inclination insertion slot, vertical with one in the end of plate
Baffle, the baffle can be attached on the leading flank of scapulet 402.
Two tension belts 501 when rearward pulling the muscle of two sides shoulder there are two types of pull mode, i.e., it is ipsilateral
It pulls or intersects and pull:
The so-called pulling direction intersection intersected pulling and refer to the two, the tension belt 501 stretched out from the left shoulder direction of patient pull back
After dragging, end fixation and loins position on the right side of patient；After the tension belt 501 stretched out from the right shoulder direction of patient pulls backward,
End fixation and loins position on the left of patient；
After so-called ipsilateral pulling refers to that the tension belt 501 stretched out from the left shoulder direction of patient pulls backward, end is fixed and suffers from
Loins position on the left of person；After the tension belt 501 stretched out from the right shoulder direction of patient pulls backward, end fixation and waist on the right side of patient
Between position.
Embodiment 5
As shown in Figure 1,2 and 3, the present embodiment is a kind of improvement project done on the basis of embodiment 1, main body and implementation
Example 1 is identical, thes improvement is that: fixed 1 rear end of backing plate is disposed with abdominal support air bag 2 and underbelly raises air bag 3,
It is inflated respectively into the two by an aerostatic press 11 and triple valve 10, to jack up abdominal cavity of patients and underbelly to raise patient's stern
Portion, so change patient's trunk and head relative position while so that cervical vertebra rear portion is completely exposed, reduce patient facial region with
The pressure of head supporting member 8.
In the present embodiment, the two sides that abdominal support air bag 2 and underbelly raise air bag 3 can be set fixing belt and consolidate patient
It is fixed, it prevents from sliding.
In the present embodiment, abdominal support air bag 2 and underbelly raise air bag 3 when non-aerating, apparent height and fixation
The upper surface of backing plate 1 is concordant or slightly lower apparent height thereon, and raises air bag 3 in abdominal support air bag 2 and underbelly and exist
After inflation, it by the way that baffle is arranged in the side of the two, expand the two can only upwards.
When the present embodiment is in use, the fixation backing plate 1 of the auxiliary instrument is layered on to the surface of existing operating bed, then will
Postanesthetic patient lies prone is placed on it, and is pressed in the upper body of patient on fixed backing plate 1, and abdomen and underbelly are respectively by abdomen branch
Support air bag 2 and underbelly raise air bag 3 and are supported and fix；Later, by opening aerostatic press 11 and triple valve 10, make abdomen branch
Support air bag 2 and underbelly raise the inflation of air bag 3, to jack up abdominal cavity of patients and underbelly to raise patient's buttocks, and then change patient
The relative position of trunk and head while so that cervical vertebra rear portion is completely exposed, reduces patient facial region and head supporting member
Pressure；Finally, by two tension belts 501 from patient's shoulder front direction post-tensioning, thus make its catch the muscle of patient's shoulder to
Rear side pulls, and surgical field of view is exposed.
Embodiment 6
As shown in Figure 1,2 and 3, the present embodiment is a kind of improvement project done on the basis of embodiment 5, main body and implementation
Example 5 is identical, thes improvement is that: the rear end of the fixed backing plate 1 is provided with thigh support board 6 by elastic stretching frame 9, described
Abdominal support air bag 2 is arranged on elastic stretching frame 9, and underbelly raises the front end that thigh support board 6 is arranged in air bag 3, the leg
The U-lag of opening backwards is provided in portion's support plate 6, by being inserted into U-shaped frame plate 601 in the U-lag, thus to the crotch of patient
Portion and both legs are supported.
In the present embodiment, elastic stretching frame 9 is concordant with the fixed bottom of backing plate 1.
Its application method is same as Example 5, and difference is, two leg of patient is diverged, is supported by U-shaped frame plate 601,
So that it is supported fixation to the crotch of patient, prevents patient's underbelly and abdomen from raising landing caused by rear unconscious shake.
Embodiment 7
As shown in Figure 1,2 and 3, the present embodiment is a kind of improvement project done on the basis of embodiment 6, main body and implementation
Example 6 is identical, thes improvement is that: as shown in figure 4, the elastic stretching frame 9 is in side by side including two pieces of connecting plates 905 and several
The gas tube 901 of horizontal arrangement is provided with valve inside 903, and adjacent two gas tubes 901 on the every gas tube 901
Between there is expansion clearance 902, the support frame 904 that netted wire is formed, and every are wrapped up outside every gas tube 901
After the both ends of gas tube 901 are each passed through the hole on two pieces of connecting plates 905, the inner wall of support frame 904 and hole thereon is fixed；
It is provided with bolt hole 906 on two pieces of connecting plates 905, by being inserted into connection bolt in bolt hole 906 thus by two pieces of companies
Front end of the fishplate bar 905 respectively with the rear end of fixed backing plate 1 and thigh support board 6 is fixed.
The application method of the present embodiment is same as Example 5, and difference is, first inflates into every gas tube 901, makes it
Become straight, so as to preferably be layered on operating bed.
Embodiment 8
As shown in Figure 1,2 and 3, the present embodiment is a kind of improvement project done on the basis of embodiment 6, main body and implementation
Example 6 is identical, thes improvement is that: the rear end of the thigh support board 6 is provided with a horizontal supporting plate 7, the block horizontal supporting plate 7
Front end be slidably arranged in the open slot 602 that 6 rear end of thigh support board is equipped with, rear end is vertically installed with that be used to support patient double
The supporting plate 701 of foot, the bottom end of the supporting plate 701 crosses horizontal supporting plate 7 and forms extension, in extension and thigh support board 6
Rear end face is equipped with corresponding threaded hole, and the screw rod 702 with handle is provided in threaded hole, by rotating screw rod 702, thus
Supporting plate 701 and horizontal supporting plate 7 is driven to slide in or out open slot 602, to adapt to the patient of different body length.
The application method of the present embodiment is same as Example 5, and difference is, first inflates into every gas tube 901, makes it
Become straight, so as to preferably be layered on operating bed.It is placed on the both legs of patient in thigh support board 6, rotates spiral shell
Bar 702 can make supporting plate 701 mobile to the both feet of patient, pedal its both feet in supporting plate in 702 rotation process of screw rod
It completes to borrow power on 701.
Embodiment 9
As shown in Figure 1,2 and 3, the present embodiment is a kind of improvement project done on the basis of embodiment 1, main body and implementation
Example 1 is identical, thes improvement is that, head supporting member 8 is also improved, as shown in figure 5, the head supporting member
The 8 U-shaped support rings 801 for being used to support patients head including one and the fixation bracket 8010 being connect with fixed 1 front end of backing plate, wherein
It is equipped with the flexible pad 802 contacted with head around the inner wall of U-shaped support ring 801 and upper surface, the fixed bracket 8010 is pair
Two claimed, and it is provided with a fixing axle 809 parallel with operating bed width direction therebetween, in fixing axle 809
Two support columns 807 are symmetrically arranged with, and two 807 tops of support column pass through a rotating pin close to the side of fixed backing plate 1
808 is hinged with the bottom wall of U-shaped support ring 801, and the side far from fixed backing plate 1 on two support columns 807 is provided with top opening
Pneumatopyle, air bag 806 is provided in the pneumatopyle, by air bag 806 inflate make its expansion, thus adjust U-shaped support
The tilt angle of circle 801.
It in the present embodiment, can be in flexibility in order to adapt head supporting member 8 to the patient of different head dummys and size
The lower section of pad 802 is laid with gas cell, and gas cell is being inflated in this way around the inner wall of U-shaped support ring 801 and upper surface setting
Afterwards, can reduce or increase the middle part of U-shaped support ring 801 space 803 size, to adapt it to different head dummys and size
Patient.
Embodiment 10
As shown in Figure 1,2 and 3, the present embodiment is a kind of improvement project done on the basis of embodiment 9, main body and implementation
Example 9 is identical, thes improvement is that, as shown in figure 5, there is the groove 804 through its outer wall and inner wall on the U-shaped support ring 801,
It is caught in the groove 804 by the fixture block 805 of 804 surface-closed of groove, and the groove 804 after closing is formed for assisting when operation
The pipelines such as the through hole that pipeline passes through, such as oxygen hose.
Claims (10)
1. a kind of cervical vertebra posterior surgical exposure surgical field of view auxiliary instrument, which includes one fixed backing plate (1) and sets
It sets and is used to support the head supporting member (8) of patients head in fixed backing plate (1) front end, and when fixed backing plate (1) is laid on hand
On art bed, patient lies prone on it when, shoulder position be higher than head position, to expose neck, it is characterised in that: at this
It is provided with shoulder muscle on fixed backing plate (1) and stretches fixed device, which stretches two drawings having in fixed device
It stretches band (501) respectively rearward to pull the muscle of two sides shoulder and fix, so that cervical vertebra rear portion is completely exposed.
2. a kind of cervical vertebra posterior surgical exposure surgical field of view auxiliary instrument according to claim 1, it is characterised in that: institute
Stating shoulder muscle and stretching fixed device further includes an adjusting load carrier (4), and the adjusting load carrier (4) includes that a carrying is suffered from
The loading plate (401) of person's upper body trunk, the loading plate (401) is by the symmetrically arranged sliding block in its two sides of the bottom (407) in fixation
Sliding, is equipped with flexible pad (403) on the surface of loading plate (401) in two sliding slots (406) that backing plate (1) surface is equipped with, and
The front end two sides of flexible pad (403) are provided with the friction silicagel pad (405) rolled, and have between two friction silicagel pads (405)
There is the channel (404) passed through for patients head and neck；The front end of two tension belts (501) is separately fixed at loading plate (401)
The two sides of front end can squeeze two friction silicagel pads (405) when stretching this two tension belt (501) ends backward
It is close to it with two sides shoulder, and then after two tension belt (501) ends are fixed, it will by two friction silicagel pads (405)
The muscle of two sides shoulder pulls backward, so that cervical vertebra rear portion is completely exposed.
3. a kind of cervical vertebra posterior surgical exposure surgical field of view auxiliary instrument according to claim 1 or 2, feature exist
In: two tension belts (501) are fixed by fixed mechanism (5), which includes two fixed links (502)
With a setting inside fixed backing plate (1) rear end and the internally threaded sleeve (503) parallel with operating bed width direction, described two
The front end of tension belt (501) and the front end of loading plate (401) are fixed, and end is fixed on a card (504), every fixation
One end of bar (502) is provided with the external screw thread with internally threaded sleeve (503) cooperation, is provided with rotational handle on the other end, and
It is provided on the shaft of rotational handle one end and is inserted into through slot in it and fixed for card (504), by by two
The card (504) of tension belt (501) end is inserted respectively into the through slot of two fixed links (502), then by this two fixations
Bar (502) rotates the both ends for being screwed into internally threaded sleeve (503), and rotates two fixed links (502) and adjust two tension belts
(501) length, squeezing two tension belts (501) by two friction silicagel pads (405) is close to it with two sides shoulder, in turn
The muscle of two sides shoulder is pulled backward by two friction silicagel pads (405), so that cervical vertebra rear portion is completely exposed.
4. a kind of cervical vertebra posterior surgical exposure surgical field of view auxiliary instrument according to claim 3, it is characterised in that: institute
It states loading plate (401) front end two sides and is respectively perpendicular and be provided with scapulet (402), be arranged on the leading flank of this two pieces of scapulets (402)
There is inclined slot upward, the front end of two tension belts (501) is separately fixed on an inserted sheet (505), passes through the inserted sheet
(505) being inserted into slot fixes the front end of tension belt (501).
5. a kind of cervical vertebra posterior surgical exposure surgical field of view auxiliary instrument according to claim 1, it is characterised in that: institute
It states that fixed backing plate (1) rear end is disposed with abdominal support air bag (2) and underbelly raises air bag (3), passes through an aerostatic press (11)
It is inflated respectively into the two with triple valve (10), to jack up abdominal cavity of patients and underbelly to raise patient's buttocks, and then changes and suffer from
The relative position of person's trunk and head while so that cervical vertebra rear portion is completely exposed, reduces patient facial region and head supporting member
(8) pressure.
6. a kind of cervical vertebra posterior surgical exposure surgical field of view auxiliary instrument according to claim 5, it is characterised in that: institute
The rear end for stating fixed backing plate (1) is provided with thigh support board (6) by elastic stretching frame (9), and the abdominal support air bag (2) sets
It sets on elastic stretching frame (9), underbelly is raised air bag (3) and is arranged in the front end of thigh support board (6), the thigh support board
(6) opening U-lag backwards is provided on, by being inserted into U-shaped frame plate (601) in the U-lag, thus crotch to patient and
Both legs are supported.
7. a kind of cervical vertebra posterior surgical exposure surgical field of view auxiliary instrument according to claim 6, it is characterised in that: institute
It states elastic stretching frame (9) and includes two pieces of connecting plates (905) and several gas tubes (901) arranged side by side in horizontal arrangement, it is described every
It is provided on root gas tube (901) valve inside (903), and there is expansion clearance between adjacent two gas tubes (901)
(902), the support frame (904) that netted wire is formed, and every gas tube are wrapped up outside every gas tube (901)
(901) after both ends are each passed through the hole on two pieces of connecting plates (905), the inner wall of support frame (904) and hole thereon is fixed；
Bolt hole (906) are provided on two pieces of connecting plates (905), by being inserted into connection bolt in bolt hole (906) thus will
Front end of two pieces of connecting plates (905) respectively with the rear end of fixed backing plate (1) and thigh support board (6) is fixed.
8. a kind of cervical vertebra posterior surgical exposure surgical field of view auxiliary instrument according to claim 6, it is characterised in that: institute
The rear end for stating thigh support board (6) is provided with a horizontal supporting plate (7), and the front end of the block horizontal supporting plate (7) is slidably arranged in
In the open slot (602) that thigh support board (6) rear end is equipped with, rear end is vertically installed with the supporting plate for being used to support patient's both feet
(701), the bottom end of the supporting plate (701) crosses horizontal supporting plate (7) and forms extension, in extension and thigh support board (6)
Rear end face is equipped with corresponding threaded hole, and the screw rod (702) with handle is provided in threaded hole, by rotating screw rod (702),
To drive supporting plate (701) and horizontal supporting plate (7) to slide in or out open slot (602), to adapt to the patient of different body length.
9. a kind of cervical vertebra posterior surgical exposure surgical field of view auxiliary instrument according to claim 1, it is characterised in that: institute
Head supporting member (8) is stated to include a U-shaped support ring (801) for being used to support patients head and connect with fixed backing plate (1) front end
Fixation bracket (8010), wherein the middle part of U-shaped support ring (801) forms the space (803) of exposed patient facial region, around U-shaped support
The inner wall and upper surface for enclosing (801) are equipped with the flexible pad (802) contacted with head, and the fixed bracket (8010) is symmetrical
Two, and it is provided with a fixing axle (809) parallel with operating bed width direction therebetween, on fixing axle (809)
Two support columns (807) are symmetrically arranged with, and two support column (807) tops pass through one turn close to the side of fixed backing plate (1)
Dynamic pin shaft (808) and the bottom wall of U-shaped support ring (801) are hinged, the side far from fixed backing plate (1) on two support columns (807)
It is provided with open-topped pneumatopyle, air bag (806) are provided in the pneumatopyle, makes it by inflating in air bag (806)
Expansion, to adjust the tilt angle of U-shaped support ring (801).
10. a kind of cervical vertebra posterior surgical exposure surgical field of view auxiliary instrument according to claim 9, it is characterised in that:
There is the groove (804) through its outer wall and inner wall on the U-shaped support ring (801), be caught in the groove (804) by groove
(804) fixture block (805) of surface-closed, and the groove (804) after closing forms the through hole that passes through of auxiliary piping when for operation.
Priority Applications (4)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202011594099.4A CN112674984B (en) | 2019-06-25 | 2019-06-25 | Auxiliary instrument for enlarging operation visual field |
| CN202011594420.9A CN112545822B (en) | 2019-06-25 | 2019-06-25 | Auxiliary instrument for stretching shoulders to expand operation visual field |
| CN202011593975.1A CN112690839B (en) | 2019-06-25 | 2019-06-25 | Visual field expanding auxiliary instrument for prone position cervical vertebra operation |
| CN201910552338.0A CN110151479B (en) | 2019-06-25 | 2019-06-25 | Auxiliary instrument for exposing operation visual field in cervical vertebra rear operation |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910552338.0A CN110151479B (en) | 2019-06-25 | 2019-06-25 | Auxiliary instrument for exposing operation visual field in cervical vertebra rear operation |
Related Child Applications (3)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202011594420.9A Division CN112545822B (en) | 2019-06-25 | 2019-06-25 | Auxiliary instrument for stretching shoulders to expand operation visual field |
| CN202011593975.1A Division CN112690839B (en) | 2019-06-25 | 2019-06-25 | Visual field expanding auxiliary instrument for prone position cervical vertebra operation |
| CN202011594099.4A Division CN112674984B (en) | 2019-06-25 | 2019-06-25 | Auxiliary instrument for enlarging operation visual field |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN110151479A true CN110151479A (en) | 2019-08-23 |
| CN110151479B CN110151479B (en) | 2021-03-16 |
Family
ID=67626816
Family Applications (4)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202011594420.9A Active CN112545822B (en) | 2019-06-25 | 2019-06-25 | Auxiliary instrument for stretching shoulders to expand operation visual field |
| CN202011594099.4A Active CN112674984B (en) | 2019-06-25 | 2019-06-25 | Auxiliary instrument for enlarging operation visual field |
| CN202011593975.1A Active CN112690839B (en) | 2019-06-25 | 2019-06-25 | Visual field expanding auxiliary instrument for prone position cervical vertebra operation |
| CN201910552338.0A Active CN110151479B (en) | 2019-06-25 | 2019-06-25 | Auxiliary instrument for exposing operation visual field in cervical vertebra rear operation |
Family Applications Before (3)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202011594420.9A Active CN112545822B (en) | 2019-06-25 | 2019-06-25 | Auxiliary instrument for stretching shoulders to expand operation visual field |
| CN202011594099.4A Active CN112674984B (en) | 2019-06-25 | 2019-06-25 | Auxiliary instrument for enlarging operation visual field |
| CN202011593975.1A Active CN112690839B (en) | 2019-06-25 | 2019-06-25 | Visual field expanding auxiliary instrument for prone position cervical vertebra operation |
Country Status (1)
| Country | Link |
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| CN (4) | CN112545822B (en) |
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Also Published As
| Publication number | Publication date |
|---|---|
| CN112674984B (en) | 2022-08-16 |
| CN112690839B (en) | 2022-07-19 |
| CN112545822A (en) | 2021-03-26 |
| CN112545822B (en) | 2022-06-10 |
| CN112674984A (en) | 2021-04-20 |
| CN112690839A (en) | 2021-04-23 |
| CN110151479B (en) | 2021-03-16 |
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