CN111529041B - Targeting steel wire guiding device for accurate minimally invasive surgery of orthopedics department - Google Patents
Targeting steel wire guiding device for accurate minimally invasive surgery of orthopedics department Download PDFInfo
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- CN111529041B CN111529041B CN202010527471.3A CN202010527471A CN111529041B CN 111529041 B CN111529041 B CN 111529041B CN 202010527471 A CN202010527471 A CN 202010527471A CN 111529041 B CN111529041 B CN 111529041B
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- 229910000831 Steel Inorganic materials 0.000 title claims abstract description 59
- 239000010959 steel Substances 0.000 title claims abstract description 59
- 238000002324 minimally invasive surgery Methods 0.000 title claims abstract description 7
- 230000000399 orthopedic effect Effects 0.000 title claims description 17
- 230000008685 targeting Effects 0.000 title abstract description 7
- 230000003014 reinforcing effect Effects 0.000 claims abstract description 12
- 230000007246 mechanism Effects 0.000 claims description 17
- 238000001356 surgical procedure Methods 0.000 claims description 8
- 230000000694 effects Effects 0.000 description 10
- 238000012856 packing Methods 0.000 description 6
- 208000006735 Periostitis Diseases 0.000 description 5
- 238000005452 bending Methods 0.000 description 5
- 238000000034 method Methods 0.000 description 5
- 210000003460 periosteum Anatomy 0.000 description 5
- 210000003205 muscle Anatomy 0.000 description 4
- 230000008569 process Effects 0.000 description 4
- 210000000988 bone and bone Anatomy 0.000 description 3
- 230000006378 damage Effects 0.000 description 3
- 230000000149 penetrating effect Effects 0.000 description 3
- 210000004204 blood vessel Anatomy 0.000 description 2
- 230000035876 healing Effects 0.000 description 2
- 230000002439 hemostatic effect Effects 0.000 description 2
- 230000006872 improvement Effects 0.000 description 2
- 210000004872 soft tissue Anatomy 0.000 description 2
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 238000004891 communication Methods 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 229940079593 drug Drugs 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 230000002349 favourable effect Effects 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 210000005036 nerve Anatomy 0.000 description 1
- 230000007170 pathology Effects 0.000 description 1
- 210000000578 peripheral nerve Anatomy 0.000 description 1
- 238000000053 physical method Methods 0.000 description 1
- 230000035479 physiological effects, processes and functions Effects 0.000 description 1
- 238000011160 research Methods 0.000 description 1
- 239000011435 rock Substances 0.000 description 1
- 210000002027 skeletal muscle Anatomy 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/8897—Guide wires or guide pins
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/82—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin for bone cerclage
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/90—Guides therefor
-
- 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
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/361—Image-producing devices, e.g. surgical cameras
-
- 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
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/37—Surgical systems with images on a monitor during operation
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- Public Health (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Engineering & Computer Science (AREA)
- General Health & Medical Sciences (AREA)
- Biomedical Technology (AREA)
- Veterinary Medicine (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Pathology (AREA)
- Gynecology & Obstetrics (AREA)
- Radiology & Medical Imaging (AREA)
- Neurology (AREA)
- Endoscopes (AREA)
Abstract
The invention discloses a targeting steel wire guiding device for an orthopaedics accurate minimally invasive surgery, which comprises an equipment device main body, a guide handle and a fixed pipe, wherein the guide handle is fixedly connected to one side of the equipment device main body, the fixed pipe is fixedly connected to one side of the guide handle, a fixed connection reinforcing plate is fixedly connected to the bottom of a second connection fixing plate, a first limiting plate is fixedly connected to one side of the inner wall of a disassembly pipe, a second limiting plate is fixedly connected to the other side of the inner wall of the disassembly pipe, a hanging hole is fixedly connected to the bottom of the equipment device main body, the hanging hole is formed in the bottom end, the hanging hole can be hung on a hook when the equipment device main body is not used, the equipment device main body is used for being conveniently taken and placed, an endoscope shell can be well fixed by utilizing the fixation of the fixed connection reinforcing plate, the falling-off during use is prevented, the inside of the limiting plate is provided with a groove, the internally connected guide is limited, convenience is embodied, the equipment is suitable for orthopaedics use, and the device has a wide development prospect in the future.
Description
Technical Field
The invention belongs to the technical field of orthopaedics, and particularly relates to a targeting steel wire guiding device for an accurate minimally invasive orthopaedics operation.
Background
Orthopedics is one of the most common departments in various hospitals, and mainly researches the anatomy, physiology and pathology of the skeletal muscle system, and maintains and develops the normal form and function of the system by using medicines, operations and physical methods.
When the fracture steel wire internal fixation operation is carried out, the fracture part is required to be fully exposed, a large amount of muscles are attached to the fracture part, so that the muscles, periosteum and the like of the fracture part are required to be fully stripped, then, the steel wire is wound around the fracture part through a hemostatic forceps, so that the damage to nerves, blood vessels, soft tissues and the like around the fracture part is easy to occur, the pain of a patient is increased, the healing of the fracture is influenced, the working difficulty and the working strength of medical staff are increased, the secondary injury is easy to occur if the medical staff is slightly careless, the equipment cannot be adjusted according to the use of medical staff, only the fixed connecting guide tube is not convenient and fast to use, the working pressure of the medical staff cannot be reduced, the bending cannot be adjusted, the individual medical staff cannot be conveniently used, and when the orthopedic operation is required to carry out the steel wire guiding treatment on the fracture part in clinical operation, the common steel device cannot be adjusted according to the spacing between drill holes; in the process of introducing the steel wire, a doctor cannot observe, guide and adjust the advancing state of the introducer into the bone space, the operation process is long, the operation difficulty is high, and the great working difficulty is increased for the doctor to operate.
Disclosure of Invention
The invention aims at: in order to solve the problems of low flexibility, certain limitation in the use process and incapability of observation, the targeting steel wire guiding device for the accurate minimally invasive surgery of orthopedics is provided.
The technical scheme adopted by the invention is as follows: the utility model provides a target steel wire guiding device for accurate minimal access surgery of orthopedics, includes equipment device main part, director handle and fixed pipe, one side fixedly connected with director handle of equipment device main part, the outer wall of director handle links to each other with the inner wall of equipment device main part, one side fixedly connected with fixed pipe of director handle, the one end of fixed pipe links to each other with the inner wall of equipment device main part, the one end fixedly connected with movable connecting pipe of fixed pipe, the one end of movable connecting pipe links to each other with the inner wall of equipment device main part, the inside fixedly connected with spacing groove of movable connecting pipe, the one end of spacing groove links to each other with the inner wall of movable connecting pipe.
One end fixedly connected with director of fixed pipe, the one end of director links to each other with the outer wall of fixed pipe, one side fixedly connected with steel wire fixed pipeline of director, the inner wall of steel wire fixed pipeline links to each other with the outer wall of director, one side fixedly connected with steel wire leading-in hole of steel wire fixed pipeline, the outer wall of steel wire leading-in hole links to each other with the outer wall of steel wire fixed pipeline, the top fixedly connected with guide head of director, the outer wall of guide head links to each other with the inner wall of steel wire fixed pipeline, the inside middle part fixedly connected with endoscope equipment of guide head, the one end of endoscope equipment links to each other with the inner wall of guide head, the outer wall fixedly connected with anti-skidding packing ring of director handle, the inner wall of anti-skidding packing ring links to each other with the outer wall of director handle.
The inside bottom one side fixedly connected with first fixed plate of activity spacing groove, the outer wall of first fixed plate links to each other with the inner wall of activity spacing groove, the first soft tooth of top fixedly connected with of first fixed plate, the bottom of first soft tooth links to each other with the top of first fixed plate, the inside top one side fixedly connected with second fixed plate of activity spacing groove, the bottom of second fixed plate links to each other with the top of activity spacing groove, the top fixedly connected with second soft tooth of second fixed plate, the bottom of second soft tooth links to each other with the top of second fixed plate, the inside fixedly connected with loose pulley in centre of activity spacing groove, the soft chi of rotation and the meshing of first soft tooth and second soft tooth that are connected on the loose pulley, the outer wall fixedly connected with of loose pulley rotates soft tooth, the bottom of rotating soft tooth links to each other with the top of loose pulley.
The endoscope comprises endoscope equipment, wherein a camera is fixedly connected to the middle part of the interior of the endoscope equipment, the outer wall of the camera is connected with the inner wall of the endoscope equipment, a zoom lens is movably connected to the middle part of the interior of the camera, the outer wall of the zoom lens is connected with the inner wall of the camera, an endoscope fixing shell is fixedly connected to the outer wall of the camera, and the inner wall of the endoscope fixing shell is connected with the outer wall of the camera.
Preferably, a first connection fixing plate is fixedly connected to one side of the top end of the endoscope fixing shell, the bottom end of the first connection fixing plate is connected with the top end of the endoscope fixing shell, a second connection fixing plate is fixedly connected to one side of the bottom end of the endoscope fixing shell, and the bottom end of the second connection fixing plate is connected with the top end of the endoscope fixing shell.
Preferably, the fixed pipe is dismantled to one side middle part fixedly connected with, the inner wall of dismantling the pipe links to each other with the surface of fixed pipe, the fixed nut of surface one side middle part fixedly connected with of dismantling the pipe, the inner wall of fixed nut links to each other with the outer wall of dismantling the pipe, and the one end fixedly connected with screwed pipe of fixed nut, the top of screwed pipe links to each other with the bottom of fixed nut.
Preferably, the bottom of the second connection fixing plate is fixedly connected with a fixed connection reinforcing plate, and the top of the fixed connection reinforcing plate is connected with the bottom of the second connection fixing plate.
Preferably, a hanging hole is fixedly connected to the bottom of the equipment device main body, and one side of the hanging hole is connected with the bottom of the equipment device main body.
Preferably, the first limiting plate is fixedly connected to one side of the inner wall of the disassembly tube, the outer wall of the first limiting plate is connected with the inner wall of the disassembly tube, the second limiting plate is fixedly connected to the other side of the inner wall of the disassembly tube, and the outer wall of the second limiting plate is connected with the inner wall of the disassembly tube.
Preferably, the bottom fixedly connected with limit baffle of second limiting plate, limit baffle's one end links to each other with the bottom of second limiting plate.
Preferably, the guide device comprises a guide device at one end of the fixed tube, a steel wire fixed pipeline at one side of the guide device, a steel wire guide hole at one side of the steel wire fixed pipeline, a guide head at the top of the guide device, endoscope equipment at the middle part inside the guide head, and an anti-slip gasket at the outer wall of a handle of the guide device.
Preferably, the first fixed plate at one side of the bottom end inside the movable limiting groove, the first soft teeth at the top end of the first fixed plate, the second fixed plate at one side of the top end inside the movable limiting groove, the second soft teeth at the top end of the second fixed plate, the movable wheel inside the middle of the movable limiting groove, and the rotating soft teeth on the outer wall of the movable wheel jointly form the adjusting mechanism.
Preferably, the camera at the middle part inside the endoscope equipment, the zoom lens at the middle part inside the camera and the endoscope fixing shell at the outer wall of the camera form a video recording mechanism together.
In summary, due to the adoption of the technical scheme, the beneficial effects of the invention are as follows:
1. According to the invention, by arranging the video recording mechanism, when a medical staff performs an operation, the video recording mechanism can be electrically connected with the display screen to watch the internal condition, the camera is used for watching the internal operation condition, the zoom mirror is arranged to perform quick zooming in the interior to display the video on the electronic display screen for watching, so that the watching definition is greatly improved, the camera and the zoom mirror are fixedly connected in the endoscope fixing shell, and the device can improve the working efficiency of the medical staff when the medical staff performs the operation, and is very convenient.
2. According to the invention, the adjusting mechanism is arranged, the top of the first fixing plate is fixedly connected with the first soft teeth, the top of the second fixing plate is connected with the second soft teeth, and when the bending degree of the guide head needs to be adjusted, medical staff can rotate in the direction of the need of adjustment, and the movable wheels are fixedly connected inside the guide head. The top fixed connection of running gear rotates the gear, and every soft tooth can carry out spacing fixedly, and soft tooth has certain toughness, needs rotate with certain power, prevents the rotation by oneself when using, and the device can improve medical personnel's work efficiency, is convenient for adjust.
3. According to the invention, the anti-slip washer is fixed on the surface of the handle of the guide device by arranging the guide mechanism, so that the anti-slip washer can prevent falling off caused by hand slip when a medical staff uses the anti-slip washer, a steel wire is penetrated from the inside of the steel wire guide hole, the guide head is used for penetrating periosteum, the endoscope equipment is used for observing the operation condition of internal operation, and the guide device is used for fixing a steel wire fixing pipeline.
4. According to the invention, the bottom of the equipment device main body is fixedly connected with the hanging hole, one side of the hanging hole is connected with the bottom of the equipment device main body, and the equipment device main body is required to be placed after the medical staff uses the equipment device main body or is required to be frequently replaced with a tool when in use, and the equipment device main body is required to be idle.
5. According to the invention, one side of the inner wall of the disassembly tube is fixedly connected with the first limiting plate, the outer wall of the first limiting plate is connected with the inner wall of the disassembly tube, the other side of the inner wall of the disassembly tube is fixedly connected with the second limiting plate, and the outer wall of the second limiting plate is connected with the inner wall of the disassembly tube.
Drawings
FIG. 1 is a schematic diagram of the overall structure of the present invention;
FIG. 2 is an enlarged schematic view of the structure of the present invention at A;
FIG. 3 is an enlarged view of the device body B according to the present invention;
FIG. 4 is a schematic view showing the internal structure of the movable fixing tube according to the present invention;
FIG. 5 is a schematic view showing the internal structure of the disassembly tube according to the present invention;
Fig. 6 is a partial schematic view of an endoscope of the present invention.
The marks in the figure: 1. the device comprises a device main body, 2, a guide handle, 3, a fixed tube, 4, an anti-slip washer, 5, a guide, 6, a steel wire leading-in hole, 7, a guide head, 8, an endoscope device, 9, a first connecting fixed plate, 10, a second connecting fixed plate, 11, a camera, 12, a zoom lens, 13, a fixed nut, 14, a movable fixed tube, 15, a hanging hole, 16, a limit groove, 17, a first fixed plate, 18, a first soft tooth, 19, a second fixed plate, 20, a second soft tooth, 21, a movable wheel, 22, a rotating soft tooth, 23, a first limit plate, 24, a second limit plate, 25, a limit baffle, 26, a threaded tube, 27, a dismounting tube, 28, an endoscope fixed shell, 29, a fixed reinforcing connecting plate, 30 and a steel wire fixed pipeline.
Detailed Description
The present invention will be described in further detail with reference to the drawings and examples, in order to make the objects, technical solutions and advantages of the present invention more apparent. It should be understood that the specific embodiments described herein are for purposes of illustration only and are not intended to limit the scope of the invention.
In the description of the present invention, it should be noted that, directions or positional relationships indicated by terms such as "center", "upper", "lower", "left", "right", "vertical", "horizontal", "inner", "outer", etc., are based on directions or positional relationships shown in the drawings, are merely for convenience of description and simplification of description, and do not indicate or imply that the apparatus or element to be referred to must have a specific direction, be constructed and operated in the specific direction, and thus should not be construed as limiting the present invention; the terms "first," "second," and "third" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance; furthermore, unless explicitly specified and limited otherwise, the terms "mounted," "connected," and "connected" are to be construed broadly, and may be either fixedly connected, detachably connected, or integrally connected, for example; can be mechanically or electrically connected; can be directly connected or indirectly connected through an intermediate medium, and can be communication between two elements. The specific meaning of the above terms in the present invention will be understood in specific cases by those of ordinary skill in the art.
Referring to fig. 1-6, the present invention provides a technical solution: a targeting steel wire guiding device for accurate minimally invasive surgery of orthopedics, including equipment device main part 1, director handle 2 and fixed pipe 3, one side fixedly connected with director handle 2 of equipment device main part 1, the outer wall of director handle 2 links to each other with the inner wall of equipment device main part 1, one side fixedly connected with fixed pipe 3 of director handle 2, the one end of fixed pipe 3 links to each other with the inner wall of equipment device main part 1, the one end fixedly connected with movable connecting pipe 14 of fixed pipe 3, the one end of movable connecting pipe 14 links to each other with the inner wall of equipment device main part 1, the inside fixedly connected with spacing groove 16 of movable connecting pipe 14, the one end of spacing groove 16 links to each other with the inner wall of movable connecting pipe 14.
One end fixedly connected with director 5 of fixed pipe 3, the one end of director 5 links to each other with the outer wall of fixed pipe 3, one side fixedly connected with steel wire fixed pipeline 30 of director 5, the inner wall of steel wire fixed pipeline 30 links to each other with the outer wall of director 5, one side fixedly connected with steel wire leading-in hole 6 of steel wire fixed pipeline 30, the outer wall of steel wire leading-in hole 6 links to each other with the outer wall of steel wire fixed pipeline 30, the top fixedly connected with director 7 of director 5, the outer wall of director 7 links to each other with the inner wall of steel wire fixed pipeline 30, the inside middle part fixedly connected with endoscope equipment 8 of director 7, the one end of endoscope equipment 8 links to each other with the inner wall of director 7, the outer wall fixedly connected with anti-skidding packing ring 4 of director handle 2, the inner wall of anti-skidding packing ring 4 links to each other with the outer wall of director handle 2.
The inside bottom one side fixedly connected with first fixed plate 17 of activity spacing groove 16, the outer wall of first fixed plate 17 links to each other with the inner wall of activity spacing groove 16, the first soft tooth 18 of top fixedly connected with of first fixed plate 17, the bottom of first soft tooth 18 links to each other with the top of first fixed plate 17, the inside top one side fixedly connected with second fixed plate 19 of activity spacing groove 16, the bottom of second fixed plate 19 links to each other with the top of activity spacing groove 16, the top fixedly connected with soft tooth 20 of second fixed plate 19, the bottom of soft tooth 20 of second links to each other with the top of second fixed plate 19, the inside fixedly connected with loose pulley 21 in centre of activity spacing groove 16, the soft chi 22 of rotation that is connected on the loose pulley 21 meshes with first soft tooth 18 and soft tooth 20 of second, the outer wall fixedly connected with of loose pulley 21 rotates soft tooth 22, the bottom of rotating soft tooth 22 links to each other with the top of loose pulley 21.
The camera 11 is fixedly connected to the middle part inside the endoscope device 8, the outer wall of the camera 11 is connected with the inner wall of the endoscope device 8, the zoom lens 12 is movably connected to the middle part inside the camera 11, the outer wall of the zoom lens 12 is connected with the inner wall of the camera 11, the endoscope fixing shell 28 is fixedly connected to the outer wall of the camera 11, and the inner wall of the endoscope fixing shell 28 is connected with the outer wall of the camera 11.
Preferably, the first connection fixing plate 9 is fixedly connected to one side of the top end of the endoscope fixing housing 28, the bottom end of the first connection fixing plate 9 is connected to the top end of the endoscope fixing housing 28, the second connection fixing plate 10 is fixedly connected to one side of the bottom end of the endoscope fixing housing 28, and the bottom end of the second connection fixing plate 10 is connected to the top end of the endoscope fixing housing 28.
Preferably, the fixed pipe 3's one side middle part fixedly connected with dismantles pipe 27, the inner wall of dismantlement pipe 27 links to each other with the surface of fixed pipe 3, the fixed nut 13 of the one side middle part fixedly connected with of surface of dismantlement pipe 27, the inner wall of fixed nut 13 links to each other with the outer wall of dismantlement pipe 27, the one end fixedly connected with screwed pipe 26 of fixed nut 13, the top of screwed pipe 26 links to each other with the bottom of fixed nut 13, because when carrying out the operation, need use different instruments, through setting up dismantlement pipe 27, medical personnel accessible dismantles the director, follow the equipment of changing, be favorable to convenient through setting up the fixed nut 13 and screwed pipe 26 of dismantlement pipe 27.
Preferably, the bottom fixedly connected with fixed connection reinforcing plate 29 of second connection fixed plate 10, the top of fixed connection reinforcing plate 29 links to each other with the bottom of second connection fixed plate 10, utilizes the fixed of fixed connection reinforcing plate, can be fine fix the endoscope shell, through setting up fixed connection reinforcing plate 29 and fix on the endoscope shell, can be fine fix it, prevent to drop when causing the use, the device has embodied certain protectiveness.
Preferably, the bottom fixedly connected with hanging hole 15 of equipment device main part 1, one side of hanging hole 15 links to each other with the bottom of equipment device main part 1, because after medical personnel uses, need place this equipment device main part, perhaps need frequent use instrument that follows when using, need be idle with it, through setting up hanging hole 15, hanging hole 15 sets up in the bottom, can hang hanging hole 15 on the couple when need not to use, is used for convenient use and places.
Preferably, dismantle the first limiting plate 23 of inner wall one side fixedly connected with of pipe 27, the outer wall of first limiting plate 23 links to each other with the inner wall of dismantling pipe 27, dismantle the inner wall opposite side fixedly connected with second limiting plate 24 of pipe 27, the outer wall of second limiting plate 24 links to each other with the inner wall of dismantling pipe 27, because when medical personnel changes the director, need inside to fix, prevent to drop, through setting up two limiting plates, when medical personnel changes, can fix the attach fitting between first limiting plate 23 and second limiting plate 24, the nut through the outer wall rotates fixedly can, can adjust the nut when needs change, play the protectiveness.
Preferably, the bottom fixedly connected with limit baffle 25 of second limiting plate 24, limit baffle 25's one end links to each other with second limiting plate 24's bottom, because at carrying out fixed connection, need fix inside, prevent when medical personnel carries out the operation, the director rocks about inside, through setting up limit baffle 25, when medical personnel carries out the connection with the director and fixes, limit baffle 25's inside has the recess, can carry out spacingly with the director of internal connection, prevent can cause not hard up when using, the device has embodied the convenience.
Preferably, the guide 5 of fixed pipe 3 one end, wire fixed pipeline 30 of guide 5 one side, wire leading-in hole 6 of wire fixed pipeline 30 one side, guide head 7 at the top of guide 5, the endoscope equipment 8 of guide head 7 inside middle part, the guiding mechanism is constituteed jointly to the anti-skidding packing ring 4 of guide handle 2 outer wall, when fracture wire internal fixation operation is carried out, generally, need expose fracture position fully, because fracture position adheres to a large amount of muscles, consequently, need fully peel off fracture position's muscle, periosteum etc., then, the wire is encircleed and tie up on fracture position through the hemostatic forceps again, in this way, be liable to cause the damage to fracture position peripheral nerve, blood vessel, soft tissue etc. has increased patient's misery, the healing of fracture has increased medical staff's work degree of difficulty and working strength, and just slightly unnoticed, through setting up guiding mechanism, anti-skidding packing ring 4 is fixed on guide handle 2's surface, can prevent the drop that the hand from leading to off that the wire from leading-in 6 is inside when medical staff uses, guide head 7 is used for penetrating through the periosteum, the inner operation is used for carrying out, the wire is used for carrying out, the inner operation of guide device 5 is used for looking into the condition of the fixed device, the device has been realized to fix the device, the device has been used to the utility, has been realized to the device for fixing device is used to the operation is used to the device.
Preferably, the first fixed plate 17 at one side of the bottom inside the movable limiting groove 16, the first soft tooth 18 at the top end of the first fixed plate 17, the second fixed plate 19 at one side of the top inside the movable limiting groove 16, the second soft tooth 20 at the top end of the second fixed plate 19, the movable wheel 21 inside the middle of the movable limiting groove 16, the rotating soft tooth 22 on the outer wall of the movable wheel 21 jointly form an adjusting mechanism, because the existing equipment can not be adjusted according to the use of medical staff, only the fixed connecting guide pipe is not very convenient when in use, the working pressure of the medical staff can not be reduced when in use, the bending degree can not be adjusted, the individual medical staff can not conveniently use, the top of the first fixed plate 17 is fixedly connected with the first soft tooth 18, the top end of the second fixed plate 19 is connected with the second soft tooth 20, and the medical staff can rotate towards the direction to be adjusted when needing to adjust the bending degree of the guide head, and the movable wheel 21 is fixedly connected inside. The top fixed connection of running gear 21 rotates gear 22, and every soft tooth can carry out spacing fixedly, and soft tooth has certain toughness, needs to rotate with certain power, prevents the rotation by oneself when using, and the device can improve medical personnel's work efficiency, is convenient for adjust.
Preferably, the camera 11 at the middle part inside the endoscope device 8, the zoom lens 12 at the middle part inside the camera 11 and the endoscope fixing shell 28 at the outer wall of the camera 11 form a video recording mechanism together, and when the prior clinical operation needs to perform the orthopedic operation to perform the steel wire guiding treatment on the fracture part, the common steel guiding device can not be adjusted according to the interval between the bone drill holes; the doctor can not observe, guide, adjust the state of going forward that the importer got into the bone is aerial at leading-in steel wire in-process, operation process time is long, the operation degree of difficulty is big has increased very big work degree of difficulty for doctor's operation, through setting up video recording mechanism, when medical personnel performs the operation, the accessible electron is connected the display screen, watch inside condition, camera 11 is used for watching inside operation condition, through setting up of zoom mirror 12, can carry out swift zooming in the inside, display and watch on the electron display screen, very big improvement the definition of watching, the inside of endoscope fixed casing 28 is used for fixedly connected with camera 11 and zoom mirror 12, the device can improve medical personnel's work efficiency when medical personnel carries out the operation, it is very convenient.
Working principle: firstly, the fixed connection reinforcing plate 29 is arranged to be fixed on the endoscope shell, so that the endoscope shell can be well fixed, falling off during use is prevented, and the device has certain protection performance;
Then, by arranging the hanging hole 15, the hanging hole 15 is arranged at the bottom end, and the hanging hole 15 can be hung on the hook for convenient use and placement when the use is not needed;
Then, by arranging the guiding mechanism, the anti-slip washer 4 is fixed on the surface of the handle 2 of the guiding device, so that when a medical staff uses the device, the anti-slip washer can prevent falling off caused by hand slip, a steel wire is penetrated from the inside of the steel wire guiding hole 6, the guiding head 7 is used for penetrating periosteum, the endoscope device 8 is used for observing the operation condition of the internal operation, and the guiding device 5 is used for fixing the steel wire fixing pipeline 30, and the device shows practicability;
next, by setting the adjusting mechanism, the top of the first fixing plate 17 is fixedly connected with the first soft teeth 18, the top of the second fixing plate 19 is connected with the second soft teeth 20, and when the bending degree of the guiding head needs to be adjusted, the medical staff can rotate in the direction of the need to be adjusted, and the movable wheel 21 is fixedly connected inside. The top end of the movable wheel 21 is fixedly connected with a rotary gear 22, each soft tooth can be limited and fixed, the soft tooth has certain toughness and needs to rotate with certain force, the self-rotation is prevented when the device is used, the working efficiency of medical staff can be improved, and the device is convenient to adjust;
Finally, through setting up video recording mechanism, when medical personnel carries out the operation, the accessible electron is connected the display screen, watch inside condition, camera 11 is used for watching inside operation condition, through zoom mirror 12's setting, can carry out swift zoom in inside, show and watch on electronic display screen, very big improvement the definition of watching, the inside of endoscope fixed casing 28 is used for fixed connection camera 11 and zoom mirror 12, the device is at medical personnel's during operation, medical personnel's work efficiency can be improved, it is very convenient, this is this kind of accurate minimally invasive surgery's of orthopedics targeting steel wire guiding device's of orthopedics theory of operation.
The foregoing description of the preferred embodiments of the invention is not intended to be limiting, but rather is intended to cover all modifications, equivalents, and alternatives falling within the spirit and principles of the invention.
Claims (8)
1. The utility model provides a target steel wire guiding device for accurate minimal access surgery of orthopedics, includes equipment device main part (1), director handle (2) and fixed pipe (3), its characterized in that: one side of the equipment device main body (1) is fixedly connected with a guide handle (2), the outer wall of the guide handle (2) is connected with the inner wall of the equipment device main body (1), one side of the guide handle (2) is fixedly connected with a fixed pipe (3), one end of the fixed pipe (3) is connected with the inner wall of the equipment device main body (1), one end of the fixed pipe (3) is fixedly connected with a movable connecting pipe (14), one end of the movable connecting pipe (14) is connected with the inner wall of the equipment device main body (1), the inner part of the movable connecting pipe (14) is fixedly connected with a limiting groove (16), and one end of the limiting groove (16) is connected with the inner wall of the movable connecting pipe (14);
One end of the fixed pipe (3) is fixedly connected with a guide (5), one end of the guide (5) is connected with the outer wall of the fixed pipe (3), one side of the guide (5) is fixedly connected with a steel wire fixed pipeline (30), the inner wall of the steel wire fixed pipeline (30) is connected with the outer wall of the guide (5), one side of the steel wire fixed pipeline (30) is fixedly connected with a steel wire guide hole (6), the outer wall of the steel wire guide hole (6) is connected with the outer wall of the steel wire fixed pipeline (30), the top of the guide (5) is fixedly connected with a guide head (7), the outer wall of the guide head (7) is connected with the inner wall of the steel wire fixed pipeline (30), one end of the endoscope device (8) is connected with the inner wall of the guide head (7), the outer wall of the guide handle (2) is fixedly connected with an anti-slip washer (4), and the inner wall of the anti-slip washer (4) is connected with the outer wall of the guide handle (2).
The inner bottom side of the limit groove (16) is fixedly connected with a first fixed plate (17), the outer wall of the first fixed plate (17) is connected with the inner wall of the limit groove (16), the top end of the first fixed plate (17) is fixedly connected with a first soft tooth (18), the bottom end of the first soft tooth (18) is connected with the top end of the first fixed plate (17), one side of the inner top end of the limit groove (16) is fixedly connected with a second fixed plate (19), the bottom end of the second fixed plate (19) is connected with the top end of the limit groove (16), the top end of the second fixed plate (19) is fixedly connected with a second soft tooth (20), the bottom end of the second soft tooth (20) is connected with the top end of the second fixed plate (19), the middle inner part of the limit groove (16) is fixedly connected with a movable wheel (21), the rotating soft tooth (22) connected with the first soft tooth (18) and the second soft tooth (20) is meshed with the bottom end of the movable wheel (21), the outer wall of the movable wheel (21) is fixedly connected with the rotating soft tooth (22), and the rotating bottom end of the movable wheel (21) is connected with the movable wheel (21);
The endoscope device comprises an endoscope device (8), wherein a camera (11) is fixedly connected to the middle part of the interior of the endoscope device (8), the outer wall of the camera (11) is connected with the inner wall of the endoscope device (8), a zoom lens (12) is movably connected to the middle part of the interior of the camera (11), the outer wall of the zoom lens (12) is connected with the inner wall of the camera (11), an endoscope fixing shell (28) is fixedly connected to the outer wall of the camera (11), and the inner wall of the endoscope fixing shell (28) is connected with the outer wall of the camera (11); the utility model discloses a fixed connection fixing plate for endoscope, including fixed connection fixing plate (9) and fixed connection fixing plate, fixed connection fixing plate (27) is connected to top one side of the top of fixed connection fixing plate (28), fixed connection fixing plate (10) is connected to bottom one side of fixed connection fixing plate (28) of endoscope, the bottom of fixed connection fixing plate (10) links to each other with the top of fixed connection fixing plate (28) of endoscope, one side intermediate position fixedly connected with dismantlement pipe (27) of fixed pipe (3), the inner wall of dismantlement pipe (27) links to each other with the surface of fixed pipe (3), the surface one side intermediate position fixedly connected with fixation nut (13) of dismantlement pipe (27), the inner wall of fixation nut (13) links to each other with the outer wall of dismantlement pipe (27), one end fixedly connected with screwed pipe (26) of fixation nut (13), the top and the bottom of fixation nut (13) link to each other.
2. The targeted steel wire guiding device for precise minimally invasive orthopedic surgery according to claim 1, wherein: the bottom of second connection fixed plate (10) fixedly connected with fixed connection reinforcing plate (29), the top of fixed connection reinforcing plate (29) links to each other with the bottom of second connection fixed plate (10).
3. The targeted steel wire guiding device for precise minimally invasive orthopedic surgery according to claim 2, wherein: the bottom of the equipment device main body (1) is fixedly connected with a hanging hole (15), and one side of the hanging hole (15) is connected with the bottom of the equipment device main body (1).
4. A targeted steel wire guiding device for accurate minimally invasive surgery in orthopaedics according to claim 3, characterized in that: the inner wall one side fixedly connected with first limiting plate (23) of dismantlement pipe (27), the outer wall of first limiting plate (23) links to each other with the inner wall of dismantlement pipe (27), the inner wall opposite side fixedly connected with second limiting plate (24) of dismantlement pipe (27), the outer wall of second limiting plate (24) links to each other with the inner wall of dismantlement pipe (27).
5. The targeted steel wire guiding device for precise minimally invasive orthopedic surgery according to claim 4, wherein: the bottom fixedly connected with limit baffle (25) of second limiting plate (24), the one end of limit baffle (25) links to each other with the bottom of second limiting plate (24).
6. The targeted steel wire guiding device for precise minimally invasive orthopedic surgery according to claim 1, wherein: the guiding mechanism comprises a guide (5) at one end of the fixed pipe (3), a steel wire fixed pipeline (30) at one side of the guide (5), a steel wire guide hole (6) at one side of the steel wire fixed pipeline (30), a guide head (7) at the top of the guide (5), endoscope equipment (8) at the middle part inside the guide head (7), and an anti-slip gasket (4) at the outer wall of the guide handle (2).
7. The targeted steel wire guiding device for precise minimally invasive orthopedic surgery according to claim 1, wherein: the device comprises a first fixed plate (17) at one side of the bottom end inside a limiting groove (16), first soft teeth (18) at the top end of the first fixed plate (17), a second fixed plate (19) at one side of the top end inside the limiting groove (16), second soft teeth (20) at the top end of the second fixed plate (19), a movable wheel (21) inside the middle of the limiting groove (16), and rotating soft teeth (22) on the outer wall of the movable wheel (21) together form an adjusting mechanism.
8. The targeted steel wire guiding device for precise minimally invasive orthopedic surgery according to claim 1, wherein: the camera (11) of endoscope equipment (8) inside middle part, zoom mirror (12) of camera (11) inside middle part, the fixed shell (28) of endoscope of camera (11) outer wall constitutes video recording mechanism jointly.
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| CN111529041A (en) | 2020-08-14 |
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