CN111297418A - Lumbar vertebra three-way minimally invasive retractor - Google Patents

Lumbar vertebra three-way minimally invasive retractor Download PDF

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CN111297418A
CN111297418A CN202010090302.8A CN202010090302A CN111297418A CN 111297418 A CN111297418 A CN 111297418A CN 202010090302 A CN202010090302 A CN 202010090302A CN 111297418 A CN111297418 A CN 111297418A
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push
pull
pull assembly
rod
fixedly connected
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张谦实
齐欣
谢雨婷
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Second Xiangya Hospital of Central South University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/02Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
    • A61B17/0206Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors with antagonistic arms as supports for retractor elements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00017Electrical control of surgical instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/02Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
    • A61B17/025Joint distractors
    • A61B2017/0256Joint distractors for the spine

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Abstract

本发明公开了一种腰椎三向微创牵开器,具体涉及医疗设备领域,包括固定座、升降机构和支撑横板,所述支撑横板底部通过升降机构与固定座固定连接,所述支撑横板中部贯穿设有限位穿孔,所述限位穿孔内滑动设有推拉组件,所述推拉组件一侧固定连接有拉伸机构,另一侧通过连接板固定连接中拉钩,所述拉伸机构驱动推拉组件做直线往复运动,推拉组件带动中拉钩在刀口前后方向上移动;所述推拉组件底端贯穿限位穿孔连接换向驱动机构,所述换向驱动机构通过两个连接杆分别连接两个侧拉钩,所述推拉组件在做直线运动的同时驱动换向驱动机构。本发明整个装置结构简单,成本低,节约能耗,且无论手动还是电动操作都比较方便,只需一步即可实现腰椎三向牵开。

Figure 202010090302

The invention discloses a three-way minimally invasive lumbar vertebra retractor, in particular to the field of medical equipment. There is a limit hole running through the middle of the horizontal plate, and a push-pull assembly is slidably arranged in the limit hole. The push-pull assembly is driven to perform linear reciprocating motion, and the push-pull assembly drives the middle hook to move in the front and rear directions of the knife edge; the bottom end of the push-pull assembly is connected to the reversing drive mechanism through the limit hole, and the reversing drive mechanism is connected to the two connecting rods respectively. The push-pull assembly drives the reversing drive mechanism while performing linear motion. The whole device of the invention has the advantages of simple structure, low cost, energy saving and convenient operation regardless of manual or electric operation, and can realize three-way retraction of lumbar vertebrae in only one step.

Figure 202010090302

Description

一种腰椎三向微创牵开器A lumbar three-way minimally invasive retractor

技术领域technical field

本发明实施例涉及医疗设备领域,具体涉及一种腰椎三向微创牵开器。Embodiments of the present invention relate to the field of medical equipment, in particular to a lumbar three-way minimally invasive retractor.

背景技术Background technique

牵开器又称拉钩,用以牵开组织,显露手术野,便于探查和操作,可分为手持拉钩和自动拉钩两类。有各种不同形状和大小的规格,可根据手术需要选择合适的拉钩。现有的腰椎牵开器一般为对向拉钩本体进行拉开,这种方式拉开可能使刀口两侧范围扩大,导致出血量加大,不利于手术的进行。Retractors, also known as retractors, are used to retract tissue, reveal the surgical field, and facilitate exploration and operation. They can be divided into two types: hand-held retractors and automatic retractors. There are various specifications of different shapes and sizes, and the appropriate retractor can be selected according to the surgical needs. The existing lumbar retractor is generally used to open the opposite retractor body, which may expand the scope of both sides of the incision, resulting in increased blood loss, which is not conducive to the operation.

针对上述问题,现有市场上出现了一种能够向三个方向拉伸的腰椎牵开器,这种牵开器无论是采用手动操作还是采用电控设备自动操作,一般都需要两步操作,即一步向两侧对向拉伸,另一步将第三个方向上的拉钩向外侧拉伸,因此如果是人工操作,则存在操作复杂,一人难以操作的问题,如果是电动控制,则需要两个电控设备进行驱动牵开,存在成本较大,且需要分别控制、通电等造成的能源浪费等问题。In view of the above problems, there is a lumbar retractor that can be stretched in three directions on the market. Whether this retractor is manually operated or automatically operated by an electronic control device, it generally requires two-step operation. That is to say, one step is to stretch oppositely to both sides, and the other step is to stretch the hook in the third direction to the outside. Therefore, if it is manually operated, the operation is complicated and difficult for one person to operate. If it is an electric control, it requires two There are problems such as high cost and energy waste caused by separate control and energization of each electronic control device for driving and retracting.

发明内容SUMMARY OF THE INVENTION

为此,本发明实施例提供一种腰椎三向微创牵开器,通过采用拉伸机构带动推拉组件做直线往复运动,推拉组件带动中拉钩向一个方向上牵引伤口,同时带动两个侧边齿条移动,其与内侧齿轮啮合,从而实现直线转圆周运动,齿轮通过转轴带动连接杆转动,两个连接杆带动两个侧拉钩摆动,实现伤口另外两个方向上的牵引,即通过一个拉伸机构实现腰椎三向牵开,整个装置结构简单,成本低,节约能耗,且无论手动还是电动操作都比较方便,只需一步即可实现腰椎三向牵开,以解决现有技术中由于三向牵开导致的需两步控制操作方可实现的问题。To this end, an embodiment of the present invention provides a three-way minimally invasive lumbar vertebra retractor, which uses a stretching mechanism to drive the push-pull assembly to perform linear reciprocating motion, the push-pull assembly drives the middle hook to pull the wound in one direction, and drives the two side edges at the same time. The rack moves, it meshes with the inner gear, so as to realize linear and circular motion, the gear drives the connecting rod to rotate through the rotating shaft, and the two connecting rods drive the two side hooks to swing, so as to realize the traction in the other two directions of the wound, that is, through a pull The stretching mechanism realizes the three-way retraction of the lumbar vertebra, the whole device has a simple structure, low cost, energy saving, and is convenient for manual or electric operation. The problem caused by three-way retraction requires two-step control operations to achieve.

为了实现上述目的,本发明实施例提供如下技术方案:一种腰椎三向微创牵开器,包括固定座、升降机构和支撑横板,所述支撑横板底部通过升降机构与固定座固定连接,所述支撑横板中部贯穿设有限位穿孔,所述限位穿孔内滑动设有推拉组件,所述推拉组件一侧固定连接有拉伸机构,另一侧通过连接板固定连接中拉钩,所述拉伸机构驱动推拉组件做直线往复运动,推拉组件带动中拉钩在刀口前后方向上移动;In order to achieve the above purpose, the embodiments of the present invention provide the following technical solutions: a three-way minimally invasive lumbar vertebra retractor, comprising a fixed seat, a lifting mechanism and a support transverse plate, and the bottom of the supporting transverse plate is fixedly connected to the fixing seat through the lifting mechanism There is a limit hole running through the middle of the support horizontal plate, and a push-pull assembly is slidably arranged in the limit through hole. The stretching mechanism drives the push-pull assembly to perform linear reciprocating motion, and the push-pull assembly drives the middle hook to move in the front and rear directions of the knife edge;

所述推拉组件底端贯穿限位穿孔连接换向驱动机构,所述换向驱动机构通过两个连接杆分别连接两个侧拉钩,所述推拉组件在做直线运动的同时驱动换向驱动机构,换向驱动机构将直线运动转换成旋转运动,通过连接杆带动两个侧拉钩在刀口左右方向上摆动。The bottom end of the push-pull assembly is connected to the reversing drive mechanism through the limit hole, and the reversing drive mechanism is respectively connected with two side hooks through two connecting rods. The reversing drive mechanism converts the linear motion into rotational motion, and drives the two side hooks to swing in the left and right directions of the knife edge through the connecting rod.

进一步地,所述升降机构具体为电动推杆或手动升降丝杆,所述升降机构底端与固定座固定连接,杆端与支撑横板固定连接。Further, the lifting mechanism is specifically an electric push rod or a manual lifting screw rod, the bottom end of the lifting mechanism is fixedly connected with the fixing seat, and the rod end is fixedly connected with the supporting horizontal plate.

进一步地,所述推拉组件包括上推拉板和下推拉杆,所述下推拉杆设置于上推拉板底部且与上推拉板一体化成型,所述上推拉板和下推拉杆组成的推拉组件设置为T型,所述下推拉杆滑动设置于限位穿孔内部且底端与换向驱动机构固定连接。Further, the push-pull assembly includes an upper push-pull plate and a lower push-pull rod, the lower push-pull rod is disposed at the bottom of the upper push-pull plate and is integrally formed with the upper push-pull plate, and the push-pull assembly composed of the upper push-pull plate and the lower push-pull rod is provided It is T-shaped, the lower push-pull rod is slidably arranged inside the limit hole and the bottom end is fixedly connected with the reversing drive mechanism.

进一步地,所述换向驱动机构包括两个转轴、两个齿轮和两个侧边齿条,两个转轴上下对称设置且中部通过滚珠轴承连接,两个齿轮分别固定设置于两个转轴上,两个连接杆均设置于两个齿轮之间且分别与两个转轴固定连接,两个侧边齿条分别设置于两个齿轮的外侧,且侧边齿条与齿轮啮合连接,所述侧边齿条通过L型支架与下推拉杆固定连接。Further, the reversing drive mechanism includes two rotating shafts, two gears and two side racks, the two rotating shafts are arranged symmetrically up and down and the middle part is connected by a ball bearing, and the two gears are respectively fixed on the two rotating shafts, The two connecting rods are arranged between the two gears and are respectively fixedly connected with the two rotating shafts. The rack is fixedly connected with the lower push-pull rod through an L-shaped bracket.

进一步地,位于上方的一个转轴顶端通过轴承与支撑横板固定连接,位于底部的转轴底端通过轴承连接支撑架,所述支撑架截面设置为L形,所述支撑架另一端与支撑横板固定连接,且支撑架与支撑横板的连接处设置于限位穿孔一侧。Further, the top of a rotating shaft located at the top is fixedly connected to the support cross plate through a bearing, and the bottom end of the rotating shaft located at the bottom is connected to the support frame through a bearing, the cross section of the support frame is set to be L-shaped, and the other end of the support frame is connected to the support cross plate. Fixed connection, and the connection between the support frame and the support horizontal plate is arranged on one side of the limit perforation.

进一步地,所述拉伸机构具体为电动推杆或是拉杆,所述拉伸机构一端与支撑横板固定连接,另一端与推拉组件固定连接。Further, the stretching mechanism is specifically an electric push rod or a pull rod, one end of the stretching mechanism is fixedly connected with the support horizontal plate, and the other end is fixedly connected with the push-pull assembly.

进一步地,所述侧拉钩与连接杆通过销钉活动连接,所述连接杆设置为弧形,且两个连接杆和两个侧拉钩分别关于连接板对称设置。Further, the side pull hook and the connecting rod are movably connected by pins, the connecting rod is arranged in an arc shape, and the two connecting rods and the two side pull hooks are respectively arranged symmetrically with respect to the connecting plate.

进一步地,所述连接板底部固定设有滑脚,所述滑脚滑动设置于限位穿孔内。Further, sliding feet are fixedly arranged at the bottom of the connecting plate, and the sliding feet are slidably arranged in the limiting through holes.

本发明实施例具有如下优点:The embodiments of the present invention have the following advantages:

1、本发明通过采用拉伸机构带动推拉组件做直线往复运动,推拉组件带动中拉钩向一个方向上牵引伤口,同时带动两个侧边齿条移动,其与内侧齿轮啮合,从而实现直线转圆周运动,齿轮通过转轴带动连接杆转动,两个连接杆带动两个侧拉钩摆动,实现伤口另外两个方向上的牵引,即通过一个拉伸机构实现腰椎三向牵开,整个装置结构简单,成本低,节约能耗,且操作方便,只需一步即可实现腰椎三向牵开;1. The present invention uses the stretching mechanism to drive the push-pull assembly to do linear reciprocating motion, the push-pull assembly drives the middle hook to pull the wound in one direction, and drives the two side racks to move at the same time, which meshes with the inner gear, thereby realizing a straight line rotation. Movement, the gear drives the connecting rod to rotate through the rotating shaft, and the two connecting rods drive the two side hooks to swing, so as to realize the traction in the other two directions of the wound, that is, the three-way retraction of the lumbar vertebra is realized through a stretching mechanism. The whole device has a simple structure and low cost. Low energy consumption, convenient operation, and three-way retraction of lumbar spine can be achieved in just one step;

2、本发明还可以采用手动控制的方式,通过手动拉动拉杆,能够同时实现中拉钩和侧拉钩的牵开,整个装置无需通电使用,在牵引时,一步操作,也比较方便。2. The present invention can also be manually controlled. By manually pulling the pull rod, the middle pull hook and the side pull hook can be retracted at the same time. The whole device does not need to be powered on, and it is more convenient to operate in one step during pulling.

附图说明Description of drawings

为了更清楚地说明本发明的实施方式或现有技术中的技术方案,下面将对实施方式或现有技术描述中所需要使用的附图作简单地介绍。显而易见地,下面描述中的附图仅仅是示例性的,对于本领域普通技术人员来讲,在不付出创造性劳动的前提下,还可以根据提供的附图引申获得其它的实施附图。In order to illustrate the embodiments of the present invention or the technical solutions in the prior art more clearly, the following briefly introduces the accompanying drawings that are required to be used in the description of the embodiments or the prior art. Obviously, the drawings in the following description are only exemplary, and for those of ordinary skill in the art, other implementation drawings can also be derived from the provided drawings without any creative effort.

本说明书所绘示的结构、比例、大小等,均仅用以配合说明书所揭示的内容,以供熟悉此技术的人士了解与阅读,并非用以限定本发明可实施的限定条件,故不具技术上的实质意义,任何结构的修饰、比例关系的改变或大小的调整,在不影响本发明所能产生的功效及所能达成的目的下,均应仍落在本发明所揭示的技术内容得能涵盖的范围内。The structures, proportions, sizes, etc. shown in this specification are only used to cooperate with the contents disclosed in the specification, so as to be understood and read by those who are familiar with the technology, and are not used to limit the conditions for the implementation of the present invention, so there is no technical The substantive meaning above, any modification of the structure, the change of the proportional relationship or the adjustment of the size should still fall within the technical content disclosed in the present invention without affecting the effect and the purpose that the present invention can produce. within the range that can be covered.

图1为本发明提供的整体俯视图;Fig. 1 is the overall plan view provided by the present invention;

图2为本发明提供的整体侧视图;Fig. 2 is the overall side view provided by the present invention;

图3为本发明提供的换向驱动机构结构示意图;3 is a schematic structural diagram of a reversing drive mechanism provided by the present invention;

图4为本发明提供的换向驱动机构局部剖视图;4 is a partial cross-sectional view of the reversing drive mechanism provided by the present invention;

图5为本发明提供的支撑横板俯视图;Fig. 5 is the top view of the support transverse plate provided by the present invention;

图6为本发明提供的推拉组件结构示意图;6 is a schematic structural diagram of a push-pull assembly provided by the present invention;

图7为本发明提供的侧拉钩结构示意图;7 is a schematic structural diagram of a side pull hook provided by the present invention;

图中:1固定座、2升降机构、3换向驱动机构、31转轴、32齿轮、33侧边齿条、34滚珠轴承、35L型支架、36支撑架、4限位穿孔、5推拉组件、51上推拉板、52下推拉杆、6拉伸机构、7中拉钩、8支撑横板、9侧拉钩、10连接杆、11连接板、12销钉、13滑脚。In the picture: 1 fixed seat, 2 lift mechanism, 3 reversing drive mechanism, 31 shaft, 32 gear, 33 side rack, 34 ball bearing, 35L bracket, 36 support frame, 4 limit perforation, 5 push-pull assembly, 51 upper push-pull plate, 52 lower push-pull rod, 6 stretching mechanism, 7 middle pull hook, 8 support horizontal plate, 9 side pull hook, 10 connecting rod, 11 connecting plate, 12 pin, 13 sliding foot.

具体实施方式Detailed ways

以下由特定的具体实施例说明本发明的实施方式,熟悉此技术的人士可由本说明书所揭露的内容轻易地了解本发明的其他优点及功效,显然,所描述的实施例是本发明一部分实施例,而不是全部的实施例。基于本发明中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。The embodiments of the present invention are described below by specific specific embodiments. Those who are familiar with the technology can easily understand other advantages and effects of the present invention from the contents disclosed in this specification. Obviously, the described embodiments are part of the present invention. , not all examples. Based on the embodiments of the present invention, all other embodiments obtained by those of ordinary skill in the art without creative efforts shall fall within the protection scope of the present invention.

实施例1:Example 1:

参照说明书附图1-6,该实施例的一种腰椎三向微创牵开器,包括固定座1、升降机构2和支撑横板8,所述支撑横板8底部通过升降机构2与固定座1固定连接,所述支撑横板8中部贯穿设有限位穿孔4,所述限位穿孔4内滑动设有推拉组件5,所述推拉组件5一侧固定连接有拉伸机构6,另一侧通过连接板11固定连接中拉钩7,所述拉伸机构6驱动推拉组件5做直线往复运动,推拉组件5带动中拉钩7在刀口前后方向上移动;Referring to Figures 1-6 of the description, a three-way minimally invasive lumbar vertebra retractor of this embodiment includes a fixed seat 1 , a lifting mechanism 2 and a support transverse plate 8 , and the bottom of the supporting transverse plate 8 is fixed with the lifting mechanism 2 at the bottom. The seat 1 is fixedly connected, the middle of the support cross plate 8 is provided with a limit hole 4, and a push-pull assembly 5 is slidably arranged in the limit hole 4. One side of the push-pull assembly 5 is fixedly connected with a stretching mechanism 6, and the other The side is fixedly connected to the middle hook 7 through the connecting plate 11, the stretching mechanism 6 drives the push-pull assembly 5 to do linear reciprocating motion, and the push-pull assembly 5 drives the middle pull hook 7 to move in the front and rear directions of the knife edge;

所述推拉组件5底端贯穿限位穿孔4连接换向驱动机构3,所述换向驱动机构3通过两个连接杆10分别连接两个侧拉钩9,所述推拉组件5在做直线运动的同时驱动换向驱动机构3,换向驱动机构3将直线运动转换成旋转运动,通过连接杆10带动两个侧拉钩9在刀口左右方向上摆动。The bottom end of the push-pull assembly 5 is connected to the reversing drive mechanism 3 through the limit hole 4, and the reversing drive mechanism 3 is respectively connected to the two side hooks 9 through two connecting rods 10. The push-pull assembly 5 is in a linear motion. At the same time, the reversing drive mechanism 3 is driven, and the reversing drive mechanism 3 converts the linear motion into rotational motion, and drives the two side hooks 9 to swing in the left and right directions of the knife edge through the connecting rod 10 .

进一步地,所述升降机构2具体为电动推杆,电动推杆底端与固定座1固定连接,杆端与支撑横板8固定连接。Further, the lifting mechanism 2 is specifically an electric push rod, the bottom end of the electric push rod is fixedly connected with the fixing seat 1 , and the rod end is fixedly connected with the support transverse plate 8 .

进一步地,所述推拉组件5包括上推拉板51和下推拉杆52,所述下推拉杆52设置于上推拉板51底部且与上推拉板51一体化成型,所述上推拉板51和下推拉杆52组成的推拉组件5设置为T型,所述下推拉杆52滑动设置于限位穿孔4内部且底端与换向驱动机构3固定连接,T型的推拉组件5能够使连接板11带动中拉钩7移动稳定,使换向驱动机构3工作稳定。Further, the push-pull assembly 5 includes an upper push-pull plate 51 and a lower push-pull rod 52. The lower push-pull rod 52 is disposed at the bottom of the upper push-pull plate 51 and integrally formed with the upper push-pull plate 51. The push-pull assembly 5 composed of the push-pull rod 52 is set in a T-shape, the lower push-pull rod 52 is slidably arranged inside the limit hole 4 and the bottom end is fixedly connected with the reversing drive mechanism 3 , the T-shaped push-pull assembly 5 can make the connecting plate 11 Drive the middle hook 7 to move stably, so that the reversing drive mechanism 3 works stably.

进一步地,所述换向驱动机构3包括两个转轴31、两个齿轮32和两个侧边齿条33,两个转轴31上下对称设置且中部通过滚珠轴承34连接,两个齿轮32分别固定设置于两个转轴31上,两个连接杆10均设置于两个齿轮32之间且分别与两个转轴31固定连接,两个侧边齿条33分别设置于两个齿轮32的外侧,且侧边齿条33与齿轮32啮合连接,所述侧边齿条33通过L型支架35与下推拉杆52固定连接。Further, the reversing drive mechanism 3 includes two rotating shafts 31 , two gears 32 and two side racks 33 , the two rotating shafts 31 are arranged symmetrically up and down and the middle part is connected by a ball bearing 34 , and the two gears 32 are respectively fixed are arranged on the two rotating shafts 31 , the two connecting rods 10 are arranged between the two gears 32 and are respectively fixedly connected with the two rotating shafts 31 , the two side racks 33 are respectively arranged on the outer sides of the two gears 32 , and The side rack 33 is engaged with the gear 32 , and the side rack 33 is fixedly connected to the lower push-pull rod 52 through the L-shaped bracket 35 .

进一步地,位于上方的一个转轴31顶端通过轴承与支撑横板8固定连接,位于底部的转轴31底端通过轴承连接支撑架36,所述支撑架36截面设置为L形,所述支撑架36另一端与支撑横板8固定连接,且支撑架36与支撑横板8的连接处设置于限位穿孔4一侧。Further, the top end of a rotating shaft 31 located above is fixedly connected to the support cross plate 8 through a bearing, and the bottom end of the rotating shaft 31 located at the bottom is connected to a support frame 36 through a bearing. The other end is fixedly connected to the support cross plate 8 , and the connection between the support frame 36 and the support cross plate 8 is disposed on one side of the limiting hole 4 .

进一步地,所述拉伸机构6具体为电动推杆,电动推杆一端与支撑横板8固定连接,另一端与推拉组件5固定连接。Further, the stretching mechanism 6 is specifically an electric push rod. One end of the electric push rod is fixedly connected to the support transverse plate 8 , and the other end is fixedly connected to the push-pull assembly 5 .

进一步地,所述连接板11底部固定设有滑脚13,所述滑脚13滑动设置于限位穿孔4内,支撑板通过底部的滑脚13与限位穿孔4配合,能够使整个支撑板在带动中拉钩7移动时更加稳定,不发生偏移。Further, a sliding foot 13 is fixed at the bottom of the connecting plate 11 , the sliding foot 13 is slidably arranged in the limit hole 4 , and the support plate cooperates with the limit hole 4 through the sliding foot 13 at the bottom, so that the entire support plate can be When driving the middle hook 7 to move, it is more stable and does not shift.

实施场景具体为:本发明在使用时,通过升降机构2能够带动支撑横板8及三个拉钩移动至合适的伤口处,再控制拉伸机构6工作,电动推杆通过上推拉板51和连接板11带动中拉钩7往回移动,实现伤口向一个方向上的牵引,同时通过下推拉杆52和L型支架35带动侧边齿条33向左移动,此时侧边齿条33与齿轮32啮合,从而带动齿轮32转动,两个齿轮32分别向外侧转动,能够通过转轴31和连接杆10带动两个侧拉钩9向伤口的两侧拉动,实现左右两个方向的牵引,从而通过拉伸机构6的工作,能够同时实现三个方向上的牵引,整个装置结构简单,成本低,节约能耗,且操作方便,只需一步即可实现腰椎三向牵开。The specific implementation scenario is as follows: when the present invention is in use, the lifting mechanism 2 can drive the support horizontal plate 8 and the three pull hooks to move to a suitable wound, and then control the stretching mechanism 6 to work, and the electric push rod is connected through the upper push-pull plate 51 and the connection. The plate 11 drives the middle hook 7 to move back to realize the traction of the wound in one direction. At the same time, the lower push-pull rod 52 and the L-shaped bracket 35 drive the side rack 33 to move to the left. At this time, the side rack 33 and the gear 32 Meshing, thereby driving the gear 32 to rotate, the two gears 32 rotate to the outside respectively, and the two side hooks 9 can be pulled to both sides of the wound through the rotating shaft 31 and the connecting rod 10 to achieve traction in the left and right directions. The operation of the mechanism 6 can realize the traction in three directions at the same time. The whole device has a simple structure, low cost, energy saving and convenient operation.

参照说明书附图7,所述侧拉钩9与连接杆10通过销钉12活动连接,所述连接杆10设置为弧形,且两个连接杆10和两个侧拉钩9分别关于连接板11对称设置。Referring to FIG. 7 of the specification, the side hooks 9 and the connecting rods 10 are movably connected by pins 12 , the connecting rods 10 are arranged in an arc shape, and the two connecting rods 10 and the two side hooks 9 are respectively arranged symmetrically about the connecting plate 11 .

实施场景具体为:本发明在侧拉钩9向两侧牵开时,通过侧拉钩9与连接杆10的活动连接,能够使侧拉钩9更好的适应因为牵开导致不断变换的伤口方向,侧拉钩9与伤口贴合,更易牵开,且降低牵开造成的疼痛。The specific implementation scene is as follows: when the side retractor 9 is retracted to both sides, the side retractor 9 can be better adapted to the constantly changing wound direction caused by the retraction through the active connection between the side retractor 9 and the connecting rod 10, and the side retractor The retraction hook 9 fits the wound, which is easier to retract and reduces the pain caused by retraction.

实施例2:Example 2:

与实施例1不同的是,所述升降机构2具体为手动升降丝杆,手动升降丝杆底端与固定座1固定连接,杆端与支撑横板8固定连接。The difference from Embodiment 1 is that the lifting mechanism 2 is specifically a manual lifting screw, the bottom end of the manual lifting screw is fixedly connected to the fixing base 1 , and the rod end is fixedly connected to the support transverse plate 8 .

所述拉伸机构6具体为拉杆,拉杆一端与支撑横板8固定连接,另一端与推拉组件5固定连接。The stretching mechanism 6 is specifically a pull rod, one end of the pull rod is fixedly connected with the support transverse plate 8 , and the other end is fixedly connected with the push-pull assembly 5 .

实施场景具体为:本发明还可以采用手动控制的方式,在使用时,能够通过手动升降丝杆调整支撑板和拉钩的上下位置,通过手动拉动拉杆,能够实现中拉钩7和侧拉钩9的牵开,整个装置无需通电使用,操作也比较方便。The specific implementation scenario is as follows: the present invention can also adopt a manual control method. When in use, the up and down positions of the support plate and the draw hook can be adjusted by manually lifting the screw rod. Open, the whole device does not need to be powered on, and the operation is more convenient.

工作原理:使用时,将整个装置固定于手术台上,通过升降机构2调整装置的高度,使其适应伤口位置,三个拉钩置于伤口处后,启动拉伸机构6,其通过推拉组件5带动中拉钩7向一个方向上牵引伤口,同时推拉组件5带动侧边齿条33移动,其与齿轮32啮合,实现直线转圆周运动,齿轮32通过转轴31带动连接杆10转动,两个连接杆10带动侧拉钩9摆动,实现伤口另外两个方向上的牵引,即通过一个拉伸机构6实现腰椎三向牵开。Working principle: When using, fix the whole device on the operating table, adjust the height of the device through the lifting mechanism 2 to make it adapt to the wound position, after the three retractors are placed on the wound, start the stretching mechanism 6, which passes the push-pull assembly 5 Drive the middle hook 7 to pull the wound in one direction, while the push-pull assembly 5 drives the side rack 33 to move, which meshes with the gear 32 to realize linear and circular motion. The gear 32 drives the connecting rod 10 to rotate through the rotating shaft 31, and the two connecting rods 10 drives the side retractor 9 to swing to achieve traction in the other two directions of the wound, that is, to achieve three-way retraction of the lumbar spine through a stretching mechanism 6 .

虽然,上文中已经用一般性说明及具体实施例对本发明作了详尽的描述,但在本发明基础上,可以对之作一些修改或改进,这对本领域技术人员而言是显而易见的。因此,在不偏离本发明精神的基础上所做的这些修改或改进,均属于本发明要求保护的范围。Although the present invention has been described in detail above with general description and specific embodiments, some modifications or improvements can be made on the basis of the present invention, which will be obvious to those skilled in the art. Therefore, these modifications or improvements made without departing from the spirit of the present invention fall within the scope of the claimed protection of the present invention.

Claims (8)

1. The utility model provides a lumbar vertebrae three-dimensional wicresoft retractor, includes fixing base (1), elevating system (2) and supports diaphragm (8), support diaphragm (8) bottom through elevating system (2) and fixing base (1) fixed connection, its characterized in that: a limiting through hole (4) penetrates through the middle of the supporting transverse plate (8), a push-pull assembly (5) is arranged in the limiting through hole (4) in a sliding mode, one side of the push-pull assembly (5) is fixedly connected with a stretching mechanism (6), the other side of the push-pull assembly is fixedly connected with a middle draw hook (7) through a connecting plate (11), the stretching mechanism (6) drives the push-pull assembly (5) to do linear reciprocating motion, and the push-pull assembly (5) drives the middle draw hook (7) to move in the front-back direction of the knife edge;
the bottom end of the push-pull assembly (5) penetrates through the limiting through hole (4) to be connected with the reversing driving mechanism (3), the reversing driving mechanism (3) is connected with the two side drag hooks (9) through the two connecting rods (10), the push-pull assembly (5) drives the reversing driving mechanism (3) while doing linear motion, the reversing driving mechanism (3) converts the linear motion into rotary motion, and the two side drag hooks (9) are driven to swing in the left direction and the right direction of the knife edge through the connecting rods (10).
2. The lumbar three-way minimally invasive retractor according to claim 1, wherein: elevating system (2) specifically are electric putter or manual lift lead screw, elevating system (2) bottom and fixing base (1) fixed connection, rod end and support diaphragm (8) fixed connection.
3. The lumbar three-way minimally invasive retractor according to claim 1, wherein: the push-pull assembly (5) comprises an upper push-pull plate (51) and a lower push-pull rod (52), the lower push-pull rod (52) is arranged at the bottom of the upper push-pull plate (51) and integrally formed with the upper push-pull plate (51), the push-pull assembly (5) consisting of the upper push-pull plate (51) and the lower push-pull rod (52) is T-shaped, the lower push-pull rod (52) is slidably arranged in the limiting through hole (4), and the bottom end of the lower push-pull rod is fixedly connected with the reversing driving mechanism (3).
4. The lumbar three-way minimally invasive retractor according to claim 3, wherein: reversing driving mechanism (3) include two pivot (31), two gears (32) and two side racks (33), two pivot (31) longitudinal symmetry set up and the middle part passes through ball bearing (34) and connects, two gears (32) are fixed respectively and are set up on two pivot (31), two connecting rod (10) all set up between two gears (32) and respectively with two pivot (31) fixed connection, two side racks (33) set up respectively in the outside of two gears (32), and side rack (33) are connected with gear (32) meshing, side rack (33) are through L type support (35) and push down pull rod (52) fixed connection.
5. The lumbar three-way minimally invasive retractor according to claim 4, wherein: the top end of a rotating shaft (31) positioned above is fixedly connected with a supporting transverse plate (8) through a bearing, the bottom end of the rotating shaft (31) positioned at the bottom is connected with a supporting frame (36) through a bearing, the cross section of the supporting frame (36) is set to be L-shaped, the other end of the supporting frame (36) is fixedly connected with the supporting transverse plate (8), and the joint of the supporting frame (36) and the supporting transverse plate (8) is arranged on one side of a limiting perforation hole (4).
6. The lumbar three-way minimally invasive retractor according to claim 1, wherein: the stretching mechanism (6) is specifically an electric push rod or a pull rod, one end of the stretching mechanism (6) is fixedly connected with the supporting transverse plate (8), and the other end of the stretching mechanism is fixedly connected with the push-pull assembly (5).
7. The lumbar three-way minimally invasive retractor according to claim 1, wherein: side drag hook (9) and connecting rod (10) are through pin (12) swing joint, connecting rod (10) set up to the arc, and two connecting rods (10) and two side drag hooks (9) set up about connecting plate (11) symmetry respectively.
8. The lumbar three-way minimally invasive retractor according to claim 1, wherein: the bottom of the connecting plate (11) is fixedly provided with a sliding foot (13), and the sliding foot (13) is arranged in the limiting through hole (4) in a sliding mode.
CN202010090302.8A 2020-02-13 2020-02-13 Lumbar vertebra three-way minimally invasive retractor Pending CN111297418A (en)

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CN117047743A (en) * 2023-10-12 2023-11-14 山西白求恩医院(山西医学科学院、华中科技大学同济医学院附属同济医院山西医院、山西医科大学第三医院、山西医科大学第三临床医学院) Fixed mechanical arm that pulls in
CN119074220A (en) * 2024-08-16 2024-12-06 中国人民解放军总医院第一医学中心 A VR simulation traction device for neurosurgery

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CN104323806A (en) * 2014-10-20 2015-02-04 郑州人民医院 Operation retractor provided with multi-claw adjusting function
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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN117047743A (en) * 2023-10-12 2023-11-14 山西白求恩医院(山西医学科学院、华中科技大学同济医学院附属同济医院山西医院、山西医科大学第三医院、山西医科大学第三临床医学院) Fixed mechanical arm that pulls in
CN117047743B (en) * 2023-10-12 2024-01-12 山西白求恩医院(山西医学科学院、华中科技大学同济医学院附属同济医院山西医院、山西医科大学第三医院、山西医科大学第三临床医学院) Fixed mechanical arm that pulls in
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CN119074220B (en) * 2024-08-16 2025-07-15 中国人民解放军总医院第一医学中心 A VR simulation traction device for neurosurgery

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