CN110292446B - Multifunctional fixing device for neurosurgery department - Google Patents
Multifunctional fixing device for neurosurgery department Download PDFInfo
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- CN110292446B CN110292446B CN201910738099.8A CN201910738099A CN110292446B CN 110292446 B CN110292446 B CN 110292446B CN 201910738099 A CN201910738099 A CN 201910738099A CN 110292446 B CN110292446 B CN 110292446B
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/10—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
- A61B90/14—Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins
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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
- A61G7/00—Beds specially adapted for nursing; Devices for lifting patients or disabled persons
- A61G7/05—Parts, details or accessories of beds
- A61G7/065—Rests specially adapted therefor
- A61G7/07—Rests specially adapted therefor for the head or torso, e.g. special back-rests
- A61G7/072—Rests specially adapted therefor for the head or torso, e.g. special back-rests for the head only
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Abstract
The invention belongs to the technical field of medical instruments, and particularly relates to a multifunctional fixing device for neurosurgery, which comprises a fixing plate, wherein a head fixing device and a supporting device matched with the head fixing device are arranged on the fixing plate; the supporting device comprises a head supporting structure and a neck supporting structure matched with the head supporting structure; the head support structure comprises a head support plate and a head support transmission structure matched with the head support plate; the head fixing device comprises a first fixed gear rotationally connected with the fixing plate, and a multi-angle adjusting structure is connected to the first fixed gear; the fixing plate is provided with a supporting shell, and the neck supporting structure comprises a neck supporting plate and a neck transmission structure matched with the neck supporting plate; the multi-angle adjusting structure can enable the head fixing device to be adjusted according to the rotating angle of the head supporting plate, then fix the head of a patient, meanwhile, the neck of the patient is prevented from being unsupported and inconvenient to use when the patient uses the head fixing device, and convenience and stability of the head fixing device are improved.
Description
Technical Field
The invention belongs to the technical field of medical instruments, and particularly relates to a multifunctional fixing device for neurosurgery.
Background
Neurosurgery is a branch of surgery, and is a branch of surgery, which is based on surgery as a main treatment means, and is used for researching the injury, inflammation, tumor, deformity and certain genetic metabolic disorders or dysfunctional diseases of human nervous systems, such as brain, spinal cord and peripheral nervous systems, and related auxiliary mechanisms, such as skull, scalp, cerebral vessels and meninges, by using a unique neurosurgical research method: the etiology and pathogenesis of epilepsy, Parkinson's disease, neuralgia and other diseases, and explores a high, precise and advanced discipline of new diagnosis, treatment and prevention technologies; common diseases in neurosurgery comprise diseases such as craniocerebral trauma, cerebral hemorrhage, intracranial tumors, cerebral aneurysm, epilepsy and the like; when neurosurgery is treated, for example, the cerebral hemorrhage amount endangers life, a car accident causes brain trauma, or the brain is pressed by tumor, operation treatment needs to be carried out, when the brain of a patient is operated, the head of the patient needs to be fixed, and at present, when the head of the patient is operated, medical staff can fix the head of the patient simply; when the patient performs an operation, the head of the patient is lifted up sometimes to facilitate the operation of a doctor, the head of the patient can only be simply fixed by the conventional head fixing device, the function is single, the operation is inconvenient, and the neck of the patient cannot be supported.
Disclosure of Invention
In order to solve the problem, the utility model provides a multi-functional fixing device of neurosurgery, the effectual current fixing device of having solved can only carry out simple fixed and head fixing device can only be simple to patient's head fix, and the function is more single, operates inconveniently, also can't support these problems to patient's neck.
In order to achieve the purpose, the invention adopts the following technical scheme: a multifunctional fixing device for neurosurgery comprises a fixing plate, wherein a pair of head fixing devices and a supporting device matched with the head fixing devices are arranged on the fixing plate; the supporting device comprises a head supporting structure and a neck supporting structure matched with the head supporting structure; the head supporting structure comprises a head supporting plate and a head supporting transmission structure which drives the head supporting plate to rotate on the fixing plate; the head fixing device comprises a first fixed gear rotationally connected with the fixing plate, and a multi-angle adjusting structure is connected to the first fixed gear and can enable the head fixing device to be adjusted according to the rotating angle of the head supporting plate; the fixing plate is connected with a supporting shell in a sliding mode, the neck supporting structure comprises a neck supporting plate which is rotatably connected with the supporting shell, and a neck transmission structure which drives the neck supporting plate to rotate along with the sliding of the supporting shell is arranged on the fixing plate; the fixed plate is rotatably connected with a first driving bevel gear, and the first driving bevel gear is connected with the head support transmission structure; a second driving bevel gear is coaxially and fixedly connected to the first driving bevel gear, a connecting shaft is rotatably connected to the fixed plate, a second driven bevel gear meshed with the second driving bevel gear is fixedly connected to the connecting shaft, and one end, far away from the second driven bevel gear, of the connecting shaft is connected with the neck transmission structure; the head support transmission structure includes a first driven bevel gear engaged with the first driving bevel gear, a first head supporting worm is coaxially and fixedly connected to the driven bevel gear, the first head supporting worm is rotatably connected with the fixing plate, a second head supporting worm is rotatably connected on the fixing plate, a first head supporting worm wheel meshed with the first head supporting worm is fixedly connected at one end of the second head supporting worm, a second head supporting worm wheel meshed with the second head supporting worm is rotatably connected to the fixed plate, a third head supporting worm is fixedly connected on the second head supporting worm wheel and is rotationally connected with the fixed plate, a pair of third head supporting worm wheels meshed with the third head supporting worm are rotatably connected on the fixed plate, the third head supporting worm wheel is connected with a head supporting connecting rod structure matched with the head supporting plate; the neck transmission structure comprises a rotating sliding cylinder connected with a connecting shaft, limiting sliding grooves are uniformly distributed along the circumference in the rotating sliding cylinder, limiting sliding pins matched with the limiting sliding grooves are arranged on the connecting shaft, a first neck supporting gear is fixedly connected to one end, far away from the connecting shaft, of the rotating sliding cylinder, and a translation transmission structure and a pair of supporting transmission structures are connected to the first neck supporting gear; translation transmission structure includes the second neck of coaxial rigid coupling on the first neck support gear and supports the worm, it is connected with the axis of rotation to rotate on the support casing, the rigid coupling has the second neck that meshes mutually with second neck support worm to support the worm wheel in the axis of rotation, the equal rigid coupling in axis of rotation both ends has the neck to support the translation gear, be provided with on the fixed plate and support the rack that translation gear meshed mutually with the neck.
Furthermore, the multi-angle adjusting structure comprises a second fixed gear rotationally connected with the fixed plate, the second fixed gear is meshed with the first fixed gear, a first fixed worm is coaxially and fixedly connected to the upper end of the second fixed gear, a first fixed worm wheel meshed with the first fixed worm is rotationally connected to the fixed plate, and a fixed rotating plate is coaxially and fixedly connected to the first fixed worm wheel; the fixed rotating plate is connected with a T-shaped plate, the lower end of the T-shaped plate is connected with the fixed rotating plate in a sliding mode, the upper end of the T-shaped plate is rotatably connected with a pair of telescopic screw rods, and the telescopic screw rods are all in threaded connection with the fixed rotating plate; the upper ends of the telescopic screw rods are fixedly connected with telescopic worm gears, and the T-shaped plates are rotatably connected with telescopic worms meshed with the telescopic worm gears; the T-shaped plate is fixedly connected with a fixed sleeve, a fixed telescopic cylinder is connected in the fixed sleeve in a sliding mode, a fixed lead screw is screwed in the fixed telescopic cylinder and is rotatably connected with the fixed sleeve, and a head fixing pressing plate is fixedly connected to the fixed telescopic cylinder.
Furthermore, the head support connecting rod structure comprises a pair of head support screw rods which are rotatably connected on a fixed plate, the head support screw rods are fixedly connected with a third head support worm wheel, head support sliding blocks are respectively screwed on the head support screw rods, a first cylindrical rod is fixedly connected between the two head support sliding blocks, a pair of first rotating wheels are rotatably connected on the first cylindrical rod, and a first support track matched with the first rotating wheels is fixedly connected on the fixed plate; the novel multifunctional lifting device is characterized in that a driving support connecting rod is connected to the cylindrical rod in a rotating mode and located between the two first rotating wheels, a driven support connecting rod is connected to the fixed plate in a rotating mode, the middle portion of the driven support connecting rod is connected with one end, far away from the first rotating wheels, of the driving support connecting rod in a rotating mode, one end, far away from the fixed plate, of the driven support connecting rod is connected with a second cylindrical rod in a rotating mode, the two ends of the second cylindrical rod are connected with second rotating wheels in a rotating mode, and a second support track matched with the second rotating wheels is arranged.
Further, the rotation directions of the head support screw rods of the two head support connecting rod structures are opposite; the rotating directions of the head supporting screw rods of the same pair are the same.
Furthermore, the support transmission structure comprises a first neck support worm which is rotatably connected with the support shell, and a second neck support gear which is meshed with the first neck support gear is fixedly connected to the first neck support worm; the support shell is rotatably connected with a steering worm, a steering worm wheel meshed with the first neck support worm is fixedly connected to the steering worm, the support shell is rotatably connected with a support rotating shaft, and a first neck support worm wheel meshed with the steering worm is fixedly connected to the support rotating shaft; the supporting rotating shaft is fixedly connected with the neck supporting plate.
Compared with the prior art, the invention has the beneficial effects that:
1. when the head fixing device is used, the head of a patient can be fixed by the head fixing device, and the head and the neck of the patient are supported by the neck supporting structure and the head supporting structure, so that the phenomenon that the neck of the patient is not supported and the head is not convenient to use when the head fixing device is used is prevented, the fixation of the head is influenced, and the convenience and the stability of the head fixing device are improved.
2. The multi-angle adjusting structure is provided with the worm and gear structure, the worm and gear has a certain self-locking function, the head of a patient is not easy to relax after being fixed, the stability of the multi-angle adjusting structure is improved, and meanwhile, the safety of the patient in use is guaranteed.
3. The head support transmission structure and the neck transmission structure are matched with each other, when the head of a patient is lifted, the neck is lifted by a certain angle, so that the neck support plate also needs to rotate by a certain angle, and the neck of the patient is conveniently supported; the neck support plate supports the neck of a patient, and improves the comfort and the stability of the neck support plate.
4, the invention can be used in the operation or the rehabilitation process after the operation of the patient, the head of the patient can be fixed in the rehabilitation process to prevent the head of the patient from touching other objects, and the head and the neck of the patient can be supported after the head of the patient is lifted, so that the comfort and the convenience of the invention are improved.
Drawings
FIG. 1 is a first isometric view of the present invention;
FIG. 2 is a schematic view of the head restraint of the present invention;
FIG. 3 is a partial schematic view of the present invention;
FIG. 4 is a schematic view of the transmission structure of the present invention;
FIG. 5 is a first isometric view of the head support link structure of the present invention;
FIG. 6 is a second isometric view of the head support link structure of the present invention;
FIG. 7 is a cross-sectional view of FIG. 6A-A of the present invention;
FIG. 8 is a schematic view of the neck transmission of the present invention;
FIG. 9 is a schematic view of the neck support structure of the present invention;
FIG. 10 is a structural diagram illustrating an operating state of the present invention;
in the drawings, 1, a fixed plate, 2, a head support structure, 201, a head support plate, 202, a first bevel drive gear, 203, a bevel driven gear, 204, a first head support worm, 205, a first head support worm wheel, 206, a second head support worm, 207, a second head support worm wheel, 208, a third head support worm, 209, a third head support worm wheel, 210, a head support screw, 211, a head support slider, 212, a first support rail, 213, a drive support link, 214, a driven support link, 215, a second support rail, 3, a neck support structure, 301, a second bevel drive gear, 302, a connecting shaft, 303, a limit slide pin, 304, a rotating slide, 305, a first neck support gear, 306, a second neck support gear, 307, a first neck support worm, 308, a first neck support worm wheel, 309, a second neck support worm, 310. the neck support device comprises a second neck support worm gear 311, a neck support translation gear 312, a neck support plate 4, a head fixing device 401, a first fixed gear 402, a first fixed worm 403, a first fixed worm gear 404, a fixed rotating plate 405, a T-shaped plate 406, a telescopic worm 407, a telescopic worm wheel 408, a telescopic screw rod 409, a fixed sleeve 410, a fixed telescopic cylinder 411, a fixed screw rod 5 and a support shell.
Detailed Description
A multifunctional fixing device for neurosurgery, as shown in fig. 1-10, comprising a fixing plate 1, wherein a pair of head fixing devices 4 and a supporting device matched with the head fixing devices 4 are arranged on the fixing plate 1; the support device comprises a head support structure 2 and a neck support structure 3 matched with the head support structure 2; the head support structure 2 comprises a head support plate 201 and a head support transmission structure for driving the head support plate 201 to rotate on the fixing plate 1; the head fixing device 4 comprises a first fixed gear 401 rotatably connected with the fixing plate 1, and a multi-angle adjusting structure is connected to the first fixed gear 401, and can adjust the head fixing device 4 according to the rotating angle of the head supporting plate 201; there is support housing 5 on fixed plate 1 sliding connection, neck bearing structure 3 includes and rotates the neck backup pad 312 of being connected with support housing, is equipped with on the fixed plate and slides and drive neck backup pad 312 pivoted neck transmission structure along with support housing 5.
A first driving bevel gear 202 is rotatably connected to the fixed plate 1, and the first driving bevel gear 202 is connected with a head support transmission structure; a second driving bevel gear 301 is coaxially and fixedly connected to the first driving bevel gear 202, a connecting shaft 302 is rotatably connected to the fixing plate 1, a second driven bevel gear meshed with the second driving bevel gear 301 is fixedly connected to the connecting shaft 302, and one end, far away from the second driven bevel gear, of the connecting shaft 302 is connected with the neck transmission structure.
When the patient uses the invention, after the medical staff adjusts the elevation angle of the head, the patient places the head on the head support plate 201 of the head support structure 2, the patient places the neck on the neck support plate 312 of the neck support structure 3, and the medical staff fixes the head of the patient by using the head fixing device 4; when the medical staff uses the head fixing device 4, the head of each patient is different in size and different in fixing position, the medical staff rotates the rotating disc on the first fixed gear 401, the first fixed gear 401 drives the multi-angle adjusting structure to operate, and the head of the patient can be fixed after the multi-angle adjusting structure operates to a proper position; when the medical staff uses the head support structure 2 and different patients need to lift the head at different angles, the medical staff rotates the rotating disk of the first drive bevel gear 202, the first drive bevel gear 202 drives the two head support transmission structures to operate simultaneously, the two head support transmission structures respectively drive the two head support connecting rod structures to operate, the two head support connecting rod structures drive the head support plate 201 to rotate, and the head support plate 201 supports the head of the patient with the assistance of the medical staff; when the medical staff rotates the first driving bevel gear 202, the first driving bevel gear 202 can drive the second driving bevel gear 301 which is coaxially and fixedly connected with the first driving bevel gear 202 to rotate, the second driving bevel gear 301 drives the second driven bevel gear to rotate, the second driven bevel gear drives the connecting shaft 302 to rotate, the connecting shaft 302 drives the neck transmission structure to operate, and the neck transmission structure drives the support shell 5 and the neck support plate 312 to move on the fixing plate 1; when the head fixing device is used, the head fixing device 4 can fix the head of a patient, and the neck supporting structure 3 and the head supporting structure 2 support the head and the neck of the patient, so that the phenomenon that the neck of the patient is not supported and the head is not convenient to use when the head fixing device is used is prevented, the head is prevented from being fixed, and the convenience and the stability of the head fixing device are improved.
The multi-angle adjusting structure comprises a second fixed gear rotatably connected with the fixed plate 1, the second fixed gear is meshed with the first fixed gear 401, the upper end of the second fixed gear is coaxially and fixedly connected with a first fixed worm 402, the fixed plate 1 is rotatably connected with a first fixed worm wheel 403 meshed with the first fixed worm 402, and the first fixed worm wheel 403 is coaxially and fixedly connected with a fixed rotating plate 404; a T-shaped plate 405 is connected to the fixed rotating plate 404, the lower end of the T-shaped plate 405 is slidably connected with the fixed rotating plate 404, a pair of telescopic screw rods 408 are rotatably connected to the upper end of the T-shaped plate 405, and the telescopic screw rods 408 are all in threaded connection with the fixed rotating plate 404; the upper ends of the telescopic screw rods 408 are fixedly connected with telescopic worm wheels 407, and the T-shaped plate 405 is rotatably connected with a telescopic worm 406 meshed with the telescopic worm wheels 407; the T-shaped plate 405 is fixedly connected with a fixing sleeve 409, the fixing sleeve 409 is internally and slidably connected with a fixing telescopic cylinder 410, the fixing telescopic cylinder 410 is internally threaded with a fixing screw rod 411, the fixing screw rod 411 is rotatably connected with the fixing sleeve 409, and the fixing telescopic cylinder 410 is fixedly connected with a head fixing pressing plate.
A pair of symmetrical limiting grooves is arranged in the fixing sleeve 409, and a limiting pin matched with the limiting grooves is fixedly connected to the fixed telescopic cylinder 410.
As shown in fig. 1 and 2, when a medical staff fixes the head of a patient by using the present invention, after the angle of the head of the patient is adjusted, the medical staff rotates the rotating disk of the first fixed gear 401, the first fixed gear 401 drives the second fixed gear to rotate, the second fixed gear drives the first fixed worm 402 to rotate, the first fixed worm 402 drives the first fixed worm wheel 403 to rotate, the first fixed worm wheel 403 drives the fixed rotating plate 404 to rotate, and after the fixed rotating plate 404 rotates to a proper position, the medical staff stops rotating the first fixed gear 401.
When the fixed pressing plate can' T fix the head of the patient, medical personnel can continue to adjust the position of the fixed pressing plate, medical personnel rotate the rotary disk of the telescopic worm 406, the telescopic worm 406 drives two telescopic worm wheels 407 to rotate simultaneously, two telescopic worm wheels 407 drive the telescopic lead screw 408 of the rigid coupling of the lower end of the telescopic worm wheel 407 simultaneously to rotate, the telescopic lead screw 408 rotates with the T-shaped plate 405 to be connected, the telescopic lead screw 408 can drive the T-shaped plate 405 to slide and rise gradually along the fixed rotating plate 404, after the fixed pressing plate reaches a proper position, the medical personnel stop rotating the telescopic worm 406.
After the position of the fixed pressing plate reaches a proper position, the medical staff rotates the rotating disc of the fixed screw rod 411, the fixed screw rod 411 rotates on the fixed sleeve 409, the fixed screw rod 411 rotates, the fixed telescopic cylinder 410 drives the limiting pin to slide in the limiting groove while rotating, and the fixed telescopic cylinder 410 drives the fixed pressing plate to move towards the head of a patient.
When the medical staff uses the two head fixing devices 4, the medical staff uses the multi-angle adjusting structure to adjust the two fixed pressing plates in sequence, and when the fixed pressing plates are fixed with the head of the patient, the medical staff can gradually adjust the pressing circular plate according to the reaction condition of the patient until the head of the patient is fixed by the pressing circular plate; when the adjustable pressure plate is used, the angle and the height of the fixed pressure plate can be adjusted, the adjustable pressure plate can be suitable for more patients, and the practicability and the convenience of the adjustable pressure plate are improved; the multi-angle adjusting structure is provided with the worm and gear structure, the worm and gear has a certain self-locking function, the head of a patient is not easy to relax after being fixed, the stability of the multi-angle adjusting structure is improved, and meanwhile, the safety of the patient in use is guaranteed.
The head support transmission structure comprises a first driven bevel gear 203 engaged with a first driving bevel gear 202, a first head support worm 204 is coaxially and fixedly connected to the driven bevel gear 203, the first head support worm 204 is rotatably connected with a fixing plate 1, a second head support worm 206 is rotatably connected to the fixing plate 1, a first head support worm wheel 205 engaged with the first head support worm 204 is fixedly connected to one end of the second head support worm 206, a second head support worm wheel 207 engaged with the second head support worm 206 is rotatably connected to the fixing plate 1, a third head support worm 208 is fixedly connected to the second head support worm wheel 207, the third head support worm 208 is rotatably connected with the fixing plate 1, and a pair of third head support worm wheels 209 engaged with the third head support worm 208 is rotatably connected to the fixing plate 1, the third head support worm gear 209 is connected to a head support linkage structure.
As shown in figures 1, 3 and 4, as shown in fig. 10, when the head of a patient needs to be lifted up by a certain angle, the patient lies on a patient bed and places the head on a head support plate 201, a medical worker rotates a rotating disk of a first driving bevel gear 202, the first driving bevel gear 202 simultaneously drives two first driven bevel gears 203 to rotate, the two first driven bevel gears 203 respectively drive a first head support worm 204 to rotate, the first head support worm 204 drives a first head support worm gear 205 to rotate, the first head support worm gear 205 drives a second head support worm 206 to rotate, the second head support worm 206 drives a second head support worm gear 207 to rotate, the second head support worm gear 207 drives a third head support worm 208 to rotate, the third head support worm 208 simultaneously drives two third head support worm gears 209 to rotate, and the third head support worm gear 209 drives a head support connecting rod structure to rotate; the head support transmission structure can drive the head support connecting rod structure to operate, the head support plate 201 can be supported, and the worm gear structure is arranged in the head support transmission structure, so that the worm gear has a self-locking function, the head support plate 201 is more stable when supporting the head of a patient, and the stability and the safety of the head support transmission structure are improved.
The head supporting connecting rod structure comprises a pair of head supporting screw rods 210 which are connected with each other in a rotating mode on a fixing plate 1, the head supporting screw rods 210 are fixedly connected with a third head supporting worm wheel 209, head supporting slide blocks 211 are connected with the head supporting screw rods 210 in a threaded mode, a first cylindrical rod is fixedly connected between the two head supporting slide blocks 211, a pair of first rotating wheels are connected with the first cylindrical rod in a rotating mode, and a first supporting rail 212 matched with the first rotating wheels is fixedly connected with the fixing plate 1; the head support plate is characterized in that a driving support connecting rod 213 is rotatably connected to the cylindrical rod, the driving support connecting rod 213 is located between two first rotating wheels, a driven support connecting rod 214 is rotatably connected to the fixed plate 1, the middle of the driven support connecting rod 214 is rotatably connected with one end, far away from the first rotating wheels, of the driving support connecting rod 213, one end, far away from the fixed plate 1, of the driven support connecting rod 214 is rotatably connected with a second cylindrical rod, two ends of the second cylindrical rod are rotatably connected with second rotating wheels, and a second support track 215 matched with the second rotating wheels is arranged on the head support plate 201.
The rotation directions of the head support screw rods 210 of the two head support connecting rod structures are opposite; the head support screws 210 of the same pair have the same rotation direction.
As shown in fig. 1, 3, 5, 6, and 7, when the medical staff uses the head support transmission structure to drive the head support link structure to operate, the third head support worm wheel 209 drives the head support lead screw 210 to rotate, the same pair of support lead screws have the same rotation direction and the same rotation direction, the support lead screws drive the head support slider 211 to move, the same pair of support sliders drive the first cylindrical rod to move horizontally, the first cylindrical rod drives the two first rotating wheels to rotate on the first support rail 212, the same pair of head support sliders 211 drive one end of the driving support link 213 to move in the direction close to the first driving bevel gear 202, and one end of the driving support link 213 far from the head support slider 211 rotates on the driven support link 214; when one end of the driving support connecting rod 213 moves towards the direction close to the first driving bevel gear 202, one end of the driven support connecting rod 214 rotates on the fixing plate 1, one end of the driven support connecting rod 214 far away from the fixing plate 1 drives the second cylindrical rod to move, the second cylindrical rod drives the two second rotating wheels to rotate on the second support rail 215 on the head support plate 201, and the driven support connecting rod 214 drives the head support plate 201 to rotate on the fixing plate 1 to prop up the head support plate 201 by a certain angle; the invention is provided with two head supporting connecting rod structures, so that the invention is more stable in use; meanwhile, the support connecting rod structure can also play a role in supporting the head support plate 201; the head fixing device 4 can be lifted and rotated, so that the head fixing device can be conveniently matched with the head supporting structure 2, when the head supporting structure 2 drives the head supporting plate 201 to support the head of a patient, medical personnel can adjust the height and the corner of the head fixing device 4 to conveniently fix the head of the patient, and the convenience and the practicability of the head fixing device are improved; the head support screw rods 210 of the two head support connecting rod structures have opposite rotating directions, and the rotating directions of the same pair of head support screw rods 210 are the same, so that the head support sliding blocks 211 of the two head support connecting rod structures have the same moving direction; when the medical staff rotates the head support plate 201 by a certain angle, the medical staff can rotate the head support plate 201 by a certain angle, and then place the head of the patient on the head support plate 201 for fixing; medical personnel place patient's head in head backup pad 201 when readjusting head backup pad 201's angle, need carry out auxiliary motion to head backup pad 201's rotation and patient's head, guarantee comfort level and stationarity when patient's head lifts up.
Neck transmission structure includes the smooth section of thick bamboo 304 of rotation of being connected with connecting axle 302, be provided with along the spacing spout of circumference equipartition in the smooth section of thick bamboo 304 of rotation, be provided with on the connecting axle 302 with spacing spout matched with spacing sliding pin 303, the one end rigid coupling of keeping away from connecting axle 302 on the smooth section of thick bamboo 304 of rotation has first neck supporting gear 305, be connected with translation transmission structure and a pair of support transmission structure on the first neck supporting gear 305.
As shown in fig. 3, 4, and 8, when the connecting shaft 302 rotates, because the connecting shaft 302 is fixedly connected with the limiting sliding pin 303, the limiting sliding pin 303 is shaped like an arc, a limiting sliding groove matched with the limiting sliding pin 303 is arranged in the rotating cylinder, the connecting shaft 302 drives the rotating cylinder to rotate, the rotating cylinder drives the first neck support gear 305 to rotate, and the first neck support gear 305 drives the translation transmission structure and the support transmission structure to operate.
The translation transmission structure comprises a second neck support worm 309 coaxially and fixedly connected to a first neck support gear 305, a rotating shaft rotatably connected to the support shell 5, a second neck support worm gear 310 meshed with the second neck support worm 309 and fixedly connected to the rotating shaft, neck support translation gears 311 fixedly connected to both ends of the rotating shaft, and a rack meshed with the neck support translation gears 311 and arranged on the fixing plate 1; the supporting shell 5 comprises a supporting base plate and an arc backup plate, and the lower end of the supporting base plate is rotatably connected with a rotating wheel matched with the fixing plate 1.
As shown in fig. 3, 4, 8, and 9, when the translation transmission structure operates, the first neck support gear 305 drives the second neck support worm 309 to rotate, the second neck support worm 309 drives the second neck support worm gear 310 to rotate, the second neck support worm gear 310 drives the rotation shaft on the support housing 5 to rotate, the rotation shaft drives the two neck support translation gears 311 to move on the rack of the fixed plate 1, six rotating wheels at the lower end of the support base plate roll on the fixed plate 1, the auxiliary support housing 5 moves horizontally on the fixed plate 1, and when the support housing 5 moves horizontally, the rotation sliding barrel 304 is driven to slide on the connecting shaft 302; the supporting shell 5 can move, the supporting shell 5 can drive the neck supporting plate 312 to move, the neck supporting plate 312 can support the neck of a patient conveniently when the head of the patient is supported, the comfort level of the patient in use is improved, and the comfort level of the invention is improved.
The support transmission structure comprises a first neck support worm 307 which is rotatably connected with the support shell 5, and a second neck support gear 306 which is meshed with the first neck support gear 305 is fixedly connected with the first neck support worm 307; a steering worm is rotatably connected to the support shell 5, a steering worm wheel meshed with the first neck support worm 307 is fixedly connected to the steering worm, a support rotating shaft is rotatably connected to the support shell 5, and a first neck support worm wheel 308 meshed with the steering worm is fixedly connected to the support rotating shaft; the support shaft is fixedly connected with the neck support plate 312.
As shown in fig. 4, 8 and 9, while the first neck support gear 305 drives the second neck support worm 309 to rotate, the first neck support gear 305 drives the second neck support gear 306 to rotate, the second neck support gear 306 drives the first neck support worm 307 to rotate, the first neck support worm 307 drives the steering worm wheel to rotate, the steering worm wheel drives the steering worm to rotate, the steering worm drives the first neck support worm wheel 308 to rotate, the first neck support worm wheel 308 drives the support spindle to rotate, and the support spindle drives the neck support plate 312 to rotate; when the head support plate 201 rotates, the neck support plate 312 also rotates, and because the neck is also lifted by a certain angle when the head is lifted, the neck support plate 312 also needs to rotate by a certain angle, which is convenient for supporting the neck of a patient, and improves the comfort and stability of the invention; two pairs of identical support transmission structures are more stable to use, improving the stability of the neck support plate 312.
Soft pads are arranged on the fixing plate 1, the supporting shell 5, the head fixing pressure plate, the neck supporting plate 312 and the head supporting plate 201; a protective shell is arranged on the head fixing device 4.
When the patient uses the cushion, the use comfort of the patient can be greatly improved, and the pain of the patient is relieved; the protective shell is convenient for medical staff to adjust the invention; meanwhile, the invention can be used in the operation and the rehabilitation of the patient after the operation, the head of the patient can be supported at a certain angle in the operation, and the head of the patient can be fixed at the same time, thereby being convenient for the doctor to perform the operation; in the rehabilitation after the operation, the head of the patient needs to be fixed in the early stage, so that the patient is prevented from moving the head and touching the wound, and the recovery is not facilitated; when the patient lifts the head, if the neck is not supported for a long time, the neck is inconvenient and uncomfortable, the neck support plate 312 can support the neck of the patient, so that the neck is prevented from being suspended for a long time, the recovery of the patient is facilitated, and the comfort and the convenience of the invention are improved.
The working process of the invention is as follows:
when the patient uses the invention, if the head of the patient needs to be lifted, the medical staff rotates the rotating disk of the first drive bevel gear 202, and the rotating disk drives the first drive bevel gear 202 and the second drive bevel gear 301 to rotate simultaneously; the first drive bevel gear 202 simultaneously drives the two first driven bevel gears 203 to rotate, the two first driven bevel gears 203 respectively drive the first head support worm 204 to rotate, the first head support worm 204 drives the first head support worm gear 205 to rotate, the first head support worm gear 205 drives the second head support worm 206 to rotate, the second head support worm 206 drives the second head support worm gear 207 to rotate, the second head support worm gear 207 drives the third head support worm gear 208 to rotate, the third head support worm gear 208 simultaneously drives the two third head support worm gears 209 to rotate, the third head support worm gear 209 drives the head support screw rod 210 to rotate, the same pair of support screw rods have the same rotation direction and the same rotation direction, the support screw rod drives the head support slider 211 to move, the same pair of support sliders drives the first cylindrical rod to horizontally move, and the first cylindrical rod drives the two first rotating wheels to rotate on the first support rail 212, the same pair of head support sliders 211 drives one end of the driving support link 213 to move in a direction close to the first driving bevel gear 202, and one end of the driving support link 213, which is far away from the head support slider 211, rotates on the driven support link 214; when one end of the driving support link 213 moves toward the direction close to the first driving bevel gear 202, one end of the driven support link 214 rotates on the fixing plate 1, one end of the driven support link 214 away from the fixing plate 1 drives the second cylindrical rod to move, the second cylindrical rod drives the two second rotating wheels to rotate on the second support rail 215 on the head support plate 201, and the driven support link 214 drives the head support plate 201 to rotate on the fixing plate 1 to prop up the head support plate 201 at a certain angle.
When the head support plate 201 rotates, the second drive bevel gear 301 drives the second driven bevel gear to rotate, the second driven bevel gear drives the connecting shaft 302 to rotate, the connecting shaft 302 drives the rotating cylinder to rotate, the rotating cylinder drives the first neck support gear 305 to rotate, the first neck support gear 305 drives the second neck support worm 309 to rotate, the second neck support worm 309 drives the second neck support worm gear 310 to rotate, the second neck support worm gear 310 drives the rotating shaft on the support shell 5 to rotate, the rotating shaft drives the two neck support translation gears 311 to move on the rack of the fixed plate 1, six rotating wheels at the lower end of the support base plate roll on the fixed plate 1, the auxiliary support shell 5 horizontally moves on the fixed plate 1, and the support shell 5 can drive the rotating sliding barrel 304 to slide on the connecting shaft 302 during horizontal movement.
While the first neck support gear 305 drives the second neck support worm 309 to rotate, the first neck support gear 305 drives the second neck support gear 306 to rotate, the second neck support gear 306 drives the first neck support worm 307 to rotate, the first neck support worm 307 drives the steering worm wheel to rotate, the steering worm wheel drives the steering worm to rotate, the steering worm drives the first neck support worm wheel 308 to rotate, the first neck support worm wheel 308 drives the support rotating shaft to rotate, and the support rotating shaft drives the neck support plate 312 to rotate.
After the head support plate 201 is rotated to a proper angle, the medical staff places the head of the patient on the head support plate 201, and then fixes the head of the patient by using the head fixing device 4; when a medical worker uses the two head fixing devices 4 of the present invention, the medical worker rotates the rotating disk of the first fixed gear 401, the first fixed gear 401 drives the second fixed gear to rotate, the second fixed gear drives the first fixed worm 402 to rotate, the first fixed worm 402 drives the first fixed worm wheel 403 to rotate, the first fixed worm wheel 403 drives the fixed rotating plate 404 to rotate, and after the fixed rotating plate 404 rotates to a proper position, the medical worker stops rotating the first fixed gear 401; when the head of the patient cannot be fixed by the fixed pressing plate, the medical staff can continue to adjust the position of the fixed pressing plate, the medical staff rotates the rotating disc of the telescopic worm 406, the telescopic worm 406 simultaneously drives the two telescopic worm wheels 407 to rotate, the two telescopic worm wheels 407 simultaneously drive the telescopic lead screw 408 fixedly connected with the lower end of the telescopic worm wheel 407 to rotate, the telescopic lead screw 408 is rotatably connected with the T-shaped plate 405, the telescopic lead screw 408 can drive the T-shaped plate 405 to gradually slide and rise along the fixed rotating plate 404, and after the fixed pressing plate reaches a proper position, the medical staff stops rotating the telescopic worm 406; after the position of holding down plate arrived suitable position, medical personnel rotated the rotary disk of fixed screw 411, and fixed screw 411 rotates on fixed sleeve 409, and fixed screw 411 makes fixed telescopic cylinder 410 take the spacer pin to slide in the spacing groove when rotating on fixed sleeve 409, and fixed telescopic cylinder 410 drives the holding down plate and removes to patient's head, fixes patient's head gradually.
Claims (5)
1. A neurosurgical multifunctional fixation device comprising a fixation plate (1), characterized in that; a pair of head fixing devices (4) and a supporting device matched with the head fixing devices (4) are arranged on the fixing plate (1); the support device comprises a head support structure (2) and a neck support structure (3) matched with the head support structure (2); the head supporting structure (2) comprises a head supporting plate (201) and a head supporting transmission structure for driving the head supporting plate (201) to rotate on the fixing plate (1); the head fixing device (4) comprises a first fixed gear (401) rotatably connected with the fixing plate (1), and a multi-angle adjusting structure is connected to the first fixed gear (401) and can enable the head fixing device (4) to be adjusted according to the rotating angle of the head supporting plate (201); the fixing plate (1) is connected with a supporting shell (5) in a sliding mode, the neck supporting structure (3) comprises a neck supporting plate (312) which is rotatably connected with the supporting shell (5), and a neck transmission structure which slides along with the supporting shell (5) to drive the neck supporting plate (312) to rotate is arranged on the fixing plate (1);
a first driving bevel gear (202) is rotatably connected to the fixing plate (1), and the first driving bevel gear (202) is connected with a head supporting transmission structure; a second driving bevel gear (301) is coaxially and fixedly connected to the first driving bevel gear (202), a connecting shaft (302) is rotatably connected to the fixing plate (1), a second driven bevel gear meshed with the second driving bevel gear (301) is fixedly connected to the connecting shaft (302), and one end, far away from the second driven bevel gear, of the connecting shaft (302) is connected with the neck transmission structure;
the head supporting transmission structure comprises a first driven bevel gear (203) meshed with a first driving bevel gear (202), a first head supporting worm (204) is coaxially and fixedly connected to the driven bevel gear (203), and the first head supporting worm (204) is rotatably connected with the fixing plate (1); a second head supporting worm (206) is rotatably connected to the fixing plate (1), a first head supporting worm wheel (205) meshed with the first head supporting worm (204) is fixedly connected to one end of the second head supporting worm (206), a second head supporting worm wheel (207) meshed with the second head supporting worm (206) is rotatably connected to the fixing plate (1), a third head supporting worm (208) is fixedly connected to the second head supporting worm wheel (207), and the third head supporting worm (208) is rotatably connected to the fixing plate (1); a pair of third head supporting worm wheels (209) meshed with the third head supporting worm (208) is rotatably connected to the fixing plate (1), and a head supporting connecting rod structure matched with the head supporting plate (201) is connected to the third head supporting worm wheels (209);
the neck transmission structure comprises a rotating sliding cylinder (304) connected with a connecting shaft (302), limiting sliding grooves are uniformly distributed along the circumference in the rotating sliding cylinder (304), limiting sliding pins (303) matched with the limiting sliding grooves are arranged on the connecting shaft (302), one end, far away from the connecting shaft (302), of the rotating sliding cylinder (304) is fixedly connected with a first neck supporting gear (305), and the first neck supporting gear (305) is connected with a translation transmission structure and a pair of supporting transmission structures;
translation transmission structure includes second neck support worm (309) of coaxial rigid coupling on first neck support gear (305), it is connected with the axis of rotation to rotate on support casing (5), the rigid coupling has second neck support worm wheel (310) with second neck support worm (309) engaged with in the axis of rotation, the equal rigid coupling in axis of rotation both ends has neck support translation gear (311), be provided with on fixed plate (1) and support the rack that translation gear (311) engaged with the neck.
2. A neurosurgical multifunctional fixation device according to claim 1, wherein: the multi-angle adjusting structure comprises a second fixed gear rotationally connected with a fixed plate (1), the second fixed gear is meshed with a first fixed gear (401), a first fixed worm (402) is coaxially and fixedly connected to the upper end of the second fixed gear, a first fixed worm wheel (403) meshed with the first fixed worm (402) is rotationally connected to the fixed plate (1), and a fixed rotating plate (404) is coaxially and fixedly connected to the first fixed worm wheel (403); the T-shaped plate (405) is connected to the fixed rotating plate (404), the lower end of the T-shaped plate (405) is connected with the fixed rotating plate (404) in a sliding mode, the upper end of the T-shaped plate (405) is rotatably connected with a pair of telescopic lead screws (408), and the telescopic lead screws (408) are all in threaded connection with the fixed rotating plate (404); the upper ends of the telescopic screw rods (408) are fixedly connected with telescopic worm wheels (407), and the T-shaped plate (405) is rotatably connected with a telescopic worm (406) meshed with the telescopic worm wheels (407); the rigid coupling has fixed sleeve (409) on T shaped plate (405), sliding connection has fixed telescopic cylinder (410) in fixed sleeve (409), threaded connection has fixed lead screw (411) in fixed telescopic cylinder (410), fixed lead screw (411) rotate with fixed sleeve (409) and are connected, the rigid coupling has head fixed pressing plate on fixed telescopic cylinder (410).
3. A neurosurgical multifunctional fixation device according to claim 1, wherein: the head supporting connecting rod structure comprises a pair of head supporting lead screws (210) which are rotatably connected on the fixing plate (1), and the head supporting lead screws (210) are fixedly connected with a third head supporting worm wheel (209); the head supporting screw rods (210) are all in threaded connection with head supporting sliding blocks (211), a first cylindrical rod is fixedly connected between the two head supporting sliding blocks (211), a pair of first rotating wheels are rotatably connected to the first cylindrical rod, and a first supporting track (212) matched with the first rotating wheels is fixedly connected to the fixing plate (1); the head support plate is characterized in that a driving support connecting rod (213) is connected to the first cylindrical rod in a rotating mode, the driving support connecting rod (213) is located between the two first rotating wheels, a driven support connecting rod (214) is connected to the fixed plate (1) in a rotating mode, the middle of the driven support connecting rod (214) is connected with one end, away from the first rotating wheels, of the driving support connecting rod (213) in a rotating mode, one end, away from the fixed plate (1), of the driven support connecting rod (214) is connected with a second cylindrical rod in a rotating mode, the two ends of the second cylindrical rod are connected with second rotating wheels in a rotating mode, and a second support track (215) matched with the second rotating wheels is arranged.
4. A neurosurgical multifunctional fixation device according to claim 3, wherein: the rotation directions of the head supporting screw rods (210) of the two head supporting connecting rod structures are opposite; the rotating directions of the head supporting screw rods (210) of the same pair are the same.
5. A neurosurgical multifunctional fixation device according to claim 1, wherein: the support transmission structure comprises a first neck support worm (307) which is rotatably connected with the support shell (5), and a second neck support gear (306) which is meshed with the first neck support gear (305) is fixedly connected to the first neck support worm (307); the support shell (5) is rotatably connected with a steering worm, the steering worm is fixedly connected with a steering worm wheel meshed with a first neck support worm (307), the support shell (5) is rotatably connected with a support rotating shaft, and the support rotating shaft is fixedly connected with a first neck support worm wheel (308) meshed with the steering worm; the supporting rotating shaft is fixedly connected with the neck supporting plate (312).
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| CN201910738099.8A CN110292446B (en) | 2019-08-12 | 2019-08-12 | Multifunctional fixing device for neurosurgery department |
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| CN201910738099.8A CN110292446B (en) | 2019-08-12 | 2019-08-12 | Multifunctional fixing device for neurosurgery department |
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| CN110292446B true CN110292446B (en) | 2020-09-25 |
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| CN110812057A (en) * | 2019-12-11 | 2020-02-21 | 滨州医学院烟台附属医院 | Airway smoothing device for severe medical respiration support |
| CN110897808B (en) * | 2019-12-30 | 2021-05-25 | 赵红梅 | Head fixing device convenient for surgical nursing |
| CN112043537B (en) * | 2020-10-10 | 2022-08-02 | 河南省人民医院 | Head fixing device for neurosurgery |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN208611150U (en) * | 2017-09-25 | 2019-03-19 | 华创车电技术中心股份有限公司 | The cross link type auxiliary lifting device of happiness vehicle |
| CN109953864A (en) * | 2019-03-05 | 2019-07-02 | 郑州大学第一附属医院 | A kind of throat Head and neck surgery auxiliary support apparatus |
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Patent Citations (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN208611150U (en) * | 2017-09-25 | 2019-03-19 | 华创车电技术中心股份有限公司 | The cross link type auxiliary lifting device of happiness vehicle |
| CN109953864A (en) * | 2019-03-05 | 2019-07-02 | 郑州大学第一附属医院 | A kind of throat Head and neck surgery auxiliary support apparatus |
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