A kind of spreading mechanism for orthopedic spinal surgery tissue
Technical field
The present invention relates to medical apparatus technical field, specially a kind of spreading mechanism for orthopedic spinal surgery tissue.
Background technique
Rachiopathy is exactly that lesion occurs for the sclerotin of backbone, interverbebral disc, ligament, muscle, so oppress, traction irritates spinal cord,
Spinal nerve, blood vessel, vegetative nerve are to complicated and diversified symptom occur.
Common disease is cervical spondylosis, lumbar vertebra disease.Cardinal symptom: cannot be under upright, headache, dizziness, eye-blurred, memory
Drop, neck and shoulder pain, loss of appetite, gastric disorder causing nausea, vomiting, weakness of the lower extremities, serious person may cause paralysis.
When clinically use operation in the prior art is treated, as shown in Figure 1, splitting patient's skin at backbone 19
Skin exposes backbone 19, and another doctor or nurse is then needed to assist strutting the edge of a knife into certain mouth, carries out hand convenient for doctor
Art, and since the spinal operation time is a few hours, operating time is long, when needing to keep longer with a posture to the distracted edge of a knife
Between, feeling of fatigue is easily generated, and there is the case where touching, shake in the course of surgery, the distracted edge of a knife can all reduced, and
It influences surgical or operation is realized, and aggravate the risk of operative failure.
It is supportted again after the edge of a knife becomes smaller greatly, then may cause blood at patient spine and increase sharply, also influence operation, and due to hand
The tissue hydrops being easy to produce when art is such as attracted using other negtive-pressure implements first is that procedure efficiency, process are influenced, second is that due to hydrops
Be slowly generate, so less than it is a certain amount of when cannot draw in real time.
Summary of the invention
The purpose of the present invention is to provide a kind of spreading mechanisms for orthopedic spinal surgery tissue, to solve above-mentioned background
The problem of being proposed in technology.The spreading mechanism for orthopedic spinal surgery tissue, when operation only pass through one it is integrated
Utensil can keep for a long time distracted state to the edge of a knife at backbone, not loosen, and it is fine to strut rear surgical field of view, be not necessarily to
It is equipped with special messenger's operation, operative doctor one man operation, it can perform the operation after the backbone for strutting the edge of a knife to it, while can be real
When effectively draw hydrops in the edge of a knife, simplify operation, improve safety.
To achieve the above object, the invention provides the following technical scheme:
A kind of spreading mechanism for orthopedic spinal surgery tissue, including the first supporting plate, the second supporting plate, delivery pipe and spiral shell
Line push rod, the both ends of first supporting plate are hinged with support arm, and the both ends of second supporting plate are hinged with push-pull rod, in the first supporting plate
On offer bar shaped groove, the other end of the push-pull rod is hingedly mounted on the front end of bar shaped groove, the front end peace of the support arm
It equipped with perpendicular adjusting rod, is set on the adjusting rod and struts bar, be equipped in the front end for strutting bar and strut arm, it is described
Adjusting rod, to strut bar and strut arm be hollow bar, and described strut offers through-hole on arm bottom, and bottom is additionally provided with
The evenly spaced ring bodies of several groups, the free end of the delivery pipe is exposed, and the other end runs through the front end of support arm, and from adjusting rod
It inside extend at the bottom through-hole strutted in arm, the screw putter passes through after the preset threaded hole in middle part of the first supporting plate with the
The rotation connection of two supporting plates.
Preferably, described to strut arm opening " Contraband " or "U" shaped hollow body outwardly is bent by wire.
Preferably, the free end dismantling connection of the delivery pipe has negative pressure drainage equipment or injection device.
Preferably, the adjusting rod includes first body of rod and second body of rod, and second body of rod activity is plugged in first
In the body of rod, and the second body of rod locking is adjusted through first body of rod by locking nut, the rod set that struts is mounted in second body of rod
Bottom, first body of rod is mounted on the front end of support arm.
Preferably, bearing is installed on second supporting plate, one end of the screw putter is inserted into bearing, the other end
Handle with anti-skid chequer is installed.
Preferably, the also hinged anti-loosening bracket with torsional spring on first supporting plate, the end tool of the anti-loosening bracket
There is the pawl with screw putter surface screw thread phase locking.
Compared with prior art, the beneficial effects of the present invention are:
The present invention in clinical use, first by two strut arm by wire be bent into opening " Contraband " outwardly or
"U" shaped hollow body is placed in the backbone edge of a knife, and is located at backbone both sides, i.e., one region a again, one in the region b, so
Afterwards handle is carried out rotating that screw putter is driven to rotate, due to being threadedly coupled between screw putter and the first supporting plate, therefore
Screw putter, the second supporting plate travel forward, at this point, gently being strutted two support arms by two push-pull rods, to make two
It struts arm to strut to two sides, until the edge of a knife at backbone is softened completely, at this moment, doctor can carry out hand to the backbone of exposing
Art.
Mechanism is missed since there are screw putters in other external force factors, such as doctor or nurse in above-mentioned clinical use
It operates or reversely circles round under the influence of encountering, so there is pawl using in the end of anti-loosening bracket, strutted completing two
After portion opens, after completion two strut arm opening, under the action of torsional spring on anti-loosening bracket, pawl and screw putter surface
Screw thread, which is mutually locked, to be fixed, and avoiding screw putter, there is a situation where reverse slides.
Since each patient body quality situation is different, backbone skin have it is deep have shallow situation, at this time can be by the
Bipole body makes to strut bar drive and struts arm and reach edge of a knife bottom optimum position in the first body of rod up and down adjustment, then passes through locking
Nut is fixed, certainly since there is also different situations for the edge of a knife opening at different patient spines, it is possible to pass through
Second body of rod is rotated in first body of rod, adjusts two angles strutted between arm and two support arms, to adapt to the different edges of a knife,
Make the edge of a knife be easier to be strutted completely, be exposed in the doctor visual field, convenient for operation, and reduces patient pain or sense of discomfort.
When performing the operation at backbone, since the tissue fluid (mainly blood) at backbone is easy slowly to generate certain hydrops, and
And since with backbone, for " watershed " situation, tissue fluid is distributed in the region a, b, and most in arm bottom is strutted, so this
When tissue fluid can be made to enter by the through-hole strutted on arm to strut in arm, then connected by the free end of delivery pipe negative
Hydrops is discharged the pump housing of pressure drainage in real time, avoids influencing the doctor visual field, and then facilitate operation, this process drain does not use additionally
Equipment carries out imbibition, is located at both collection strutted in arm function integration using delivery pipe, the two work is not interfere with each other, drain one
Gas is breathed out into, most thoroughly, high-efficient;Certainly can also be started with by the liquid medicine injection that treatment is added in delivery pipe after the completion of operation postoperative
The edge of a knife in, then remove this spreading mechanism, suture.
The present invention, above-mentioned in use, being provided with several groups (particular number view feelings in the bottom for strutting arm due to using
Condition setting) evenly spaced ring bodies, ring bodies effect to avoid arm is strutted during the edge of a knife is distracted first is that can slip, two
It is to make to strut the through-hole of arm bottom not exclusively with the skin contact in the edge of a knife, avoids being blocked, third is that since its outside is the ring of light
Arc surface, it is possible in the case where strutting arm softened state and making to edge of a knife bottom " catching on ", without damaging skin, greatly
Reduce patient pain, sense of discomfort.
When dismantling mechanism, first by anti-loosening bracket end pawl from screw putter surfaces apart, then by above-mentioned steps
It is reversed.
Spreading mechanism for orthopedic spinal surgery tissue of the invention, since there are two strut arm and control struts arm to tool
The mechanism that hacking is opened drives two to strut arm opening that is, by promotion of two push-pull rods to two support arms, therefore can delay
It is slow and it is soft the edge of a knife is strutted, expose backbone, it is only integrated by one during this to spinal operation
Utensil can keep for a long time distracted state to the edge of a knife at backbone, not loosen, and it is fine to strut rear surgical field of view, be not necessarily to
It is equipped with special messenger's operation, operative doctor one man operation, it can perform the operation after the backbone for strutting the edge of a knife to it, while can be real
When effectively draw hydrops in the edge of a knife, simplify operation, improve safety.
Detailed description of the invention
Fig. 1 is that the prior art splits skin exposing backbone schematic diagram.
Fig. 2 is schematic structural view of the invention;
Fig. 3 is adjusting rod schematic diagram of the present invention;
Fig. 4 is schematic top plan view of the present invention;
Fig. 5 is another schematic top plan view of the present invention.
In figure: 1 first supporting plate, 2 second supporting plates, 3 support arms, 4 bar shaped grooves, 5 push-pull rods, 6 adjusting rods, 7 strut bar, 8 supports
Open arms, 9 through-holes, 10 ring bodies, 11 delivery pipes, 12 screw putters, 13 bearings, 14 handles, 15 anti-loosening brackets, 16 locking screws
Mother, 17 first bodies of rod, 18 second bodies of rod, 19 backbones.
Specific embodiment
Following will be combined with the drawings in the embodiments of the present invention, and technical solution in the embodiment of the present invention carries out clear, complete
Site preparation description, it is clear that described embodiments are only a part of the embodiments of the present invention, instead of all the embodiments.It is based on
Embodiment in the present invention, it is obtained by those of ordinary skill in the art without making creative efforts every other
Embodiment shall fall within the protection scope of the present invention.
Fig. 1~5 are please referred to, the present invention provides a kind of technical solution:
A kind of spreading mechanism for orthopedic spinal surgery tissue, including the first supporting plate 1, the second supporting plate 2, delivery pipe 11 with
And screw putter 12, the both ends of first supporting plate 1 are hinged with support arm 3, the both ends of second supporting plate 2 are hinged with push-pull rod 5,
Bar shaped groove 4 is offered on the first supporting plate 1, the other end of the push-pull rod 5 is hingedly mounted on the front end of bar shaped groove 4, institute
The front end for stating support arm 3 is equipped with perpendicular adjusting rod 6, is set on the adjusting rod 6 and struts bar 7, before strutting bar 7
End is equipped with and struts arm 8, and the adjusting rod 6, to strut bar 7 and strut arm 8 be hollow bar, strut arm 8 and strut bar 7,
Strutting bar 7 and adjusting rod 6 (specifically with first body of rod 17, second body of rod 18) has a channel, so as to the installation of delivery pipe 11,
And 11 end of delivery pipe is sealed with 8 junction of arm is strutted, described strut offers through-hole 9 on 8 bottom of arm, and bottom is additionally provided with
The evenly spaced ring bodies 10 of several groups, the free end of the delivery pipe 11 is exposed, the other end run through support arm 3 front end, and from
It is extend into adjusting rod 6 at the bottom through-hole 9 strutted in arm 8, the middle part that the screw putter 12 passes through the first supporting plate 1 is preset
It is rotatablely connected after threaded hole with the second supporting plate 2, bearing 13, one end of the screw putter 12 is installed on second supporting plate 2
It is inserted into bearing 13, the other end is equipped with the handle 14 with anti-skid chequer, can be by push-pull rod 5 to support arm using handle 14
3 are strutted and are folded.
It is described to strut arm 8 opening " Contraband " or "U" shaped hollow body outwardly is bent by wire.
The free end dismantling connection of the delivery pipe 11 has negative pressure drainage equipment or injection device, and negative pressure drainage equipment is for example micro-
Type pump or the suction means similar to rubber pipette bulb, injection device such as medical injection pump or syringe etc..
The adjusting rod 6 includes first body of rod 17 and second body of rod 18, and second body of rod, 18 activity is plugged in first
In the body of rod 17, and second body of rod, 18 locking is adjusted through first body of rod 17 by locking nut 16, the bar 7 that struts is sleeved on
The bottom of second body of rod 18, first body of rod 17 are mounted on the front end of support arm 3.
The also hinged anti-loosening bracket 15 with torsional spring on first supporting plate 1, the end of the anti-loosening bracket 15 has
With the pawl of 12 surface screw thread phase locking of screw putter.Arm 8 is strutted as front end in the present invention with close.
The present invention in clinical use, first by two strut arm 8 by wire be bent into opening " Contraband " outwardly or
"U" shaped hollow body is placed in 19 edge of a knife of backbone, and is located at 19 both sides of backbone, i.e., one region a again, one in the area b
Then domain carries out rotation to drive screw putter 12 to rotate, due to being between screw putter 12 and the first supporting plate 1 to handle 14
Be threadedly coupled, therefore screw putter 12, the second supporting plate 2 travel forward, at this point, by two push-pull rods 5 by two support arms 3 gently
It struts, is strutted to make two to strut arm 8 to two sides, until the edge of a knife at backbone 19 is softened completely, at this moment, doctor can be right
The backbone 19 of exposing is performed the operation.
Mechanism is in above-mentioned clinical use, since there are screw putters 12 in other external force factors, such as doctor or nurse
Maloperation is reversely circled round under the influence of encountering, so having pawl using in the end of anti-loosening bracket 15, completes two
After strutting the opening of portion 8, after completion two strut the opening of arm 8, under the action of torsional spring on anti-loosening bracket 15, pawl and screw thread
12 surface screw thread of push rod, which is mutually locked, to be fixed, and avoiding screw putter 12, there is a situation where reverse slides.
Since each patient body quality situation is different, backbone 19 has in skin and has shallow situation deeply, can pass through at this time
Second body of rod 18 makes to strut the drive of bar 7 and struts arm 8 and reach edge of a knife bottom optimum position in first body of rod, 17 up and down adjustment, then
It is fixed by locking nut 16, certainly since the edge of a knife at different patient spines 19 is open there is also different situation,
So can rotate by second body of rod 18 in first body of rod 17, two angles strutted between arm 8 and two support arms 3 are adjusted,
To adapt to the different edges of a knife, makes the edge of a knife be easier to be strutted completely, be exposed in the doctor visual field, convenient for operation, and reduce and suffer from
Person's pain or sense of discomfort.
When performing the operation at backbone 19, since the tissue fluid (mainly blood) at backbone 19 is easy slowly to generate a constant volume
Liquid, and since with backbone 19, for " watershed " situation, tissue fluid is distributed in the region a, b, and is in and struts 8 bottom of arm most
It is more, it is strutted in arm 8 so tissue fluid can be made to enter by the through-hole 9 strutted on arm 8 at this time, then passes through delivery pipe 11
Hydrops is discharged the pump housing of the negative pressure drainage of free end connection in real time, avoids influencing the doctor visual field, and then facilitate operation, this process
Drain does not additionally carry out imbibition using equipment, is located at both collection strutted in arm 8 function integration, the two work using delivery pipe 11
It does not interfere with each other, drain is accomplished without any letup, most thoroughly, high-efficient;Certainly it can also be added by delivery pipe 11 after the completion of operation
The liquid medicine injection for the treatment of enters in the postoperative edge of a knife, then removes this spreading mechanism, suture.
The present invention, above-mentioned in use, being provided with several groups (particular number view in the bottom for strutting arm 8 due to using
Situation setting) evenly spaced ring bodies 10, the effect of ring bodies 10 during the edge of a knife is distracted first is that can be to avoid strutting arm 8
It slips, second is that making the through-hole 9 for strutting 8 bottom of arm not exclusively with the skin contact in the edge of a knife, avoids being blocked, third is that due to its outside
For the arc surface of the ring of light, it is possible in the case where strutting 8 softened state of arm and making to edge of a knife bottom " catching on ", without damaging
Skin greatly reduces patient pain, sense of discomfort.
When dismantling mechanism, first by anti-loosening 15 end pawl of bracket from 12 surfaces apart of screw putter, then will be above-mentioned
Step is reversed.
Spreading mechanism for orthopedic spinal surgery tissue of the invention, since there are two strut arm 8 and control struts to tool
The mechanism that 8 hacking of arm is opened drives two to strut the opening of arm 8, therefore that is, by promotion of two push-pull rods 5 to two support arms 3
Can it is slow and it is soft the edge of a knife is strutted, expose backbone 19, perform the operation to backbone 19, during this, only pass through one
A integrated utensil can keep for a long time distracted state to the edge of a knife at backbone 19, not loosen, view of performing the operation after strutting
It is wild fine, without being equipped with special messenger's operation, operative doctor one man operation, it can carry out hand to it after the backbone for strutting the edge of a knife
Art, while the hydrops in the edge of a knife can be effectively drawn in real time, operation is simplified, safety is improved.
It although an embodiment of the present invention has been shown and described, for the ordinary skill in the art, can be with
A variety of variations, modification, replacement can be carried out to these embodiments without departing from the principles and spirit of the present invention by understanding
And modification, the scope of the present invention is defined by the appended.