CN111870469A - Accurate positioner of ordinary surgery operation - Google Patents
Accurate positioner of ordinary surgery operation Download PDFInfo
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- CN111870469A CN111870469A CN202010767059.9A CN202010767059A CN111870469A CN 111870469 A CN111870469 A CN 111870469A CN 202010767059 A CN202010767059 A CN 202010767059A CN 111870469 A CN111870469 A CN 111870469A
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- fixedly connected
- rod
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- gear
- rotating shaft
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/02—Adjustable operating tables; Controls therefor
- A61G13/04—Adjustable operating tables; Controls therefor tiltable around transverse or longitudinal axis
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/0206—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors with antagonistic arms as supports for retractor elements
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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
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
- A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
- A61G13/1205—Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
- A61G13/1245—Knees, upper or lower legs
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
- A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
- A61G13/128—Rests specially adapted therefor; Arrangements of patient-supporting surfaces with mechanical surface adaptations
- A61G13/1295—Rests specially adapted therefor; Arrangements of patient-supporting surfaces with mechanical surface adaptations having alignment devices for the patient's body
Abstract
The utility model provides an accurate positioner of ordinary surgery operation, includes the support frame, the support frame upside is provided with the axis of rotation, axis of rotation upside fixedly connected with long board, the first service creeper of the anterior fixedly connected with of long board upside, sliding connection has the second service creeper behind the first service creeper, first service creeper downside front portion is provided with rotates the regulation structure, it is provided with the regulation pole to rotate the regulation structure right side, it is provided with and places the case to rotate the regulation structure upside. The invention effectively solves the problems that the traditional positioning device usually adjusts the operation area of a patient manually, an assistant is required to assist in moving the position and the angle of the patient when moving, the operation time of the patient is prolonged, the workload of medical staff is increased, the position of the patient is not accurately positioned, and the position of the patient is easy to shift in the operation process of the patient; the incision of a patient needs to be opened by medical staff when the patient is operated, the burden of the medical staff is increased, and the operation is inconvenient.
Description
Technical Field
The invention relates to the field of medical instruments, in particular to an accurate positioning device for common surgical operations.
Background
The surgery is called as operation for short, commonly called as open surgery, and refers to a treatment process of entering human body or other biological tissues through surgical equipment or surgical instruments under the operation of surgeons or other professionals to eliminate pathological changes, change structures or implant foreign objects in an external mode; the traditional hip joint replacement operation is performed at home and abroad by using an acetabulum made of ultra-high molecular polyethylene and an artificial femoral head made of low-strength modulus metal. The artificial total hip joint has many types and designs, mainly including the diameter of the femoral head and the design of the acetabulum surface fixed with bones. In order to meet the requirements of an operation area, the body position of a patient is positioned before an operation. The traditional positioning device generally adjusts the operation area of a patient manually, adopts various cushions to cushion each part of the patient, needs assistant assistance when moving, needs to fix the patient in a certain posture, needs to move the position and the angle of the patient in the operation process, prolongs the operation time of the patient, increases the workload of medical staff, causes inaccurate positioning of the body position of the patient, and easily causes the body position of the patient to shift in the operation process of the patient; when a patient performs an operation, medical staff needs to open the incision of the patient, so that the burden of the medical staff is increased, and the operation is inconvenient; the existing operation positioning device has single function, and is inconvenient for the height adjustment of the device and the function of storing operation auxiliary articles; therefore, an accurate positioning device for common surgical operation is urgently needed.
Disclosure of Invention
Aiming at the defects of the prior art, the invention provides an accurate positioning device for a common surgical operation, which effectively solves the problems that the traditional positioning device needs an assistant to assist in moving the position and the angle of a patient when the traditional positioning device is moved by manually adjusting the operation area of the patient, prolongs the operation time of the patient, increases the workload of medical staff, causes inaccurate positioning of the body position of the patient and easily causes the body position of the patient to shift in the operation process of the patient; need medical staff to strut patient's incision at the patient performs the operation, increase medical staff's burden, the operation of this operation of not being convenient for, current operation positioner function singleness, the altitude mixture control of inconvenient device and the problem of storing the supplementary article function of operation.
In order to solve the problems, the invention adopts the technical scheme that:
the utility model provides a precision positioning device of general surgery operation which characterized in that: the multifunctional horizontal type full-automatic horizontal type automatic adjusting device comprises a support frame, wherein a rotating shaft is arranged on the upper side of the support frame, a long plate is fixedly connected to the upper side of the rotating shaft, a first lying plate is fixedly connected to the front portion of the upper side of the long plate, a second lying plate is slidably connected to the rear side of the first lying plate, a rotating adjusting structure is arranged on the front portion of the lower side of the first lying plate, an adjusting rod is arranged on the right side of the rotating adjusting structure, a placing box is arranged on the upper side of the rotating adjusting structure, a push-pull rod is arranged on the front side of the placing box, a spreading; the rotation of the adjusting rod forms a structure that the spreading structure can freely move up and down; the outward pulling of the push-pull rod forms a structure that the two opening plates are opened outwards;
an angle adjusting structure is arranged on the left side of the rotating shaft, a rotating disc is arranged on the left side of the angle adjusting structure and fixedly connected with the rotating shaft, and a bent rod is arranged on the left side of the rotating disc and fixedly connected with the supporting frame; the rotation of the turntable forms a structure that the rotating shaft rotates for a certain angle;
the upper part of the support frame is connected with a lifting rod in a sliding mode, the upper side of the lifting rod is rotatably connected with the rotating shaft, a gear shifting structure is arranged on the right side of the lifting rod, a control rod is arranged on the right side of the gear shifting structure, and the rotating of the control rod forms a structure that the lifting rod can freely move up and down;
the front side and the rear side of the supporting frame are fixedly connected with hollow placing boxes, the outer sides of the placing boxes are connected with placing plates in a sliding mode, the right sides of the placing plates are provided with push-pull structures, and the movement of the control rods forms a structure that the placing plates can freely slide left and right;
a hollow square plate is fixedly connected to the right side of the rotating shaft, a fifth transmission rod is rotatably connected to the middle side of the square plate, a round handrail is arranged on the upper side of the fifth transmission rod, clamping structures are arranged at the front end and the rear end of the fifth transmission rod, and an upper claw and a lower claw are arranged on the inner side of each clamping structure; the rotation of the circular handrail forms a structure that the upper claw and the lower claw are close to each other.
Preferably, the rotation regulation structure include with axis of rotation fixed connection's dead lever, the dead lever right side is rotated and is connected with first transfer line, first transfer line right-hand member with adjust pole fixed connection, first transfer line with the long slab rotates and connects, first transfer line middle part is connected with first screw rod through bevel gear group, first screw rod upper end with the long slab rotates and connects, first screw rod downside screw thread even has L shape pole, L shape pole upper end with place case fixed connection, the first screw rod outside is provided with opens the fixed pipe that has the L shape groove, L shape pole with L shape groove sliding connection, fixed pipe upper end with axis of rotation fixed connection.
Preferably, the spreading structure comprises a second rack slidably connected with the placing box, the second rack is engaged with a first gear, the first gear is fixedly connected with a winding drum, the winding drum is rotatably connected with the placing box, a one-way locking structure is arranged on the rear side of the winding drum, a cable is wound on the outer side of the winding drum, the front side of the second rack is fixedly connected with the push-pull rod, a stretching spring is sleeved on the front side of the push-pull rod, a fixed rod is fixedly connected with the rear side of the stretching spring, the fixed rod is fixedly connected with the placing box, and the push-pull rod is slidably connected with the fixed rod;
the utility model discloses a hawser, including hawser, box, bracing piece, telescopic link, I-shaped piece, telescopic link, I-shaped piece, the box fixed connection of placing, the sliding connection has hollow telescopic link behind the hawser, the hawser with telescopic link sliding connection, telescopic link lower extreme fixedly connected with I-shaped piece, all articulated on the left and right sides of I-shaped piece have the vaulting pole, the vaulting pole lower extreme outside all with prop up board fixed connection, the vaulting pole middle part all articulates there is first connecting rod, two it has the second connecting rod to articulate between the first connecting rod, second connecting rod middle part fixedly connected with carriage release lever, the carriage release lever with telescopic link sliding connection, carriage release lever upside cover is equipped with and stretches the spring, stretch the spring lower extreme with carriage release lever fixed connection, stretch the spring upper end with I-shaped piece fixed.
Preferably, the angle adjusting structure comprises a first dividing disc which is fixedly connected with the rotating shaft and has numbers, a first ratchet wheel is arranged on the right side of the first dividing disc, the first ratchet wheel is fixedly connected with the rotating shaft, a second ratchet wheel is arranged on the right side of the first ratchet wheel, the second ratchet wheel is fixedly connected with the first dividing disc on the right side, a cylinder is fixedly connected with the second ratchet wheel, the cylinder is rotatably connected with the rotating shaft, the right end of the cylinder is rotatably connected with the lifting rod, a first pawl is meshed and connected with the upper side of the first ratchet wheel, a second pawl is arranged on the upper side of the second ratchet wheel, the first pawl and the second pawl are both rotatably connected with a first fixing rod, a fixed square plate with a square groove is fixedly connected to the upper side of the lifting rod on the left side, the first fixing rod is slidably connected with the square groove, and an extension spring is fixedly connected to the upper portion of the right side of the, the upper end of the extension spring is fixedly connected with the square groove; a stretching spring is fixedly connected to the rear sides of the first pawl and the second pawl, a second fixed rod is fixedly connected to the rear end of the stretching spring, and the second fixed rod is fixedly connected with the left lifting rod; the first ratchet wheel is provided with a plurality of grooves on the circumference.
Preferably, the gear shifting structure comprises a third rack fixedly connected with the left lifting rod, the left side of the third rack is meshed with a lifting gear, a rib plate is fixedly connected to the right end of the support frame, a third transmission shaft is fixedly connected with the lifting gear and is rotatably connected with the rib plate, a transmission gear is arranged on the lower side of the lifting gear and is fixedly connected with a fourth transmission shaft, the fourth transmission shaft is rotatably connected with the rib plate, the control rod is located in the middle of the rib plate, a driving gear is fixedly connected to the middle of the control rod, positioning key blocks are arranged on the front portion and the rear portion of the driving gear, the positioning key blocks are fixedly connected with the control rod, and the front and the rear movement of the control rod respectively form a structure meshed with the transmission gear and the lifting gear.
Preferably, the push-pull structure comprises a long shaft connected with the front side and the rear side of the fourth transmission shaft through bevel gear sets, the long shaft is rotatably connected with the placing box, a coil spring is fixedly connected with the right side of the long shaft, the middle side of the coil spring is fixedly connected with the long shaft, the right end of the coil spring is fixedly connected with the placing box, the middle side of the long shaft is connected with a short shaft through a bevel gear set, the short shaft is rotatably connected with the placing box, a fifth gear is fixedly connected with the upper side of the short shaft, the fifth gear is engaged with a fourth rack, a push-pull plate is fixedly connected with the outer side of the fourth rack, and the push-pull plate is slidably connected with the placing box.
Preferably, the clamping structure comprises a sixth transmission rod connected with the front side and the rear side of the fifth transmission rod through a bevel gear set, the left sides of the sixth transmission rods are rotatably connected with a vertical plate, the left sides of the sixth transmission rods are fixedly connected with elliptical blocks, the outer sides of the elliptical blocks are hinged with third connecting rods, the inner sides of the elliptical blocks are hinged with fourth connecting rods, the upper sides of the third connecting rods are hinged with upper claws, the upper sides of the fourth connecting rods are hinged with lower claws, and the middle sides of the upper claws and the outer sides of the lower claws are hinged with the vertical plate; the vertical plate on the left side is fixedly connected with the first lying plate, and the vertical plate on the right side is fixed with the second lying plate; the circular handrail is characterized in that a worm is fixedly connected to the lower side of the circular handrail, a third fixing rod is rotatably connected to the worm, the third fixing rod is fixedly connected with the rotating shaft, the worm is meshed with a worm wheel, and the worm wheel is fixedly connected with the fifth transmission rod.
Preferably, the one-way locking structure include with reel fixed connection's third ratchet, the meshing of third ratchet upside is connected with presses the depression bar, press depression bar downside fixedly connected with to stretch and draw the spring, stretch draw the spring lower extreme with place case fixed connection, it is connected with the quarter butt to rotate according to depression bar middle part, the quarter butt with place case fixed connection.
The invention has novel structure, ingenious conception and simple and convenient operation, and compared with the prior art, the invention has the following advantages:
1. through the rotation of the rotary table, the rotary table drives the rotary shaft to rotate, and the rotating angle of the rotary shaft can be accurately seen through the angle adjusting structure, so that the body position of a patient can be accurately adjusted by medical staff, and the normal operation of the hip joint operation of the patient is facilitated.
2. The control rod is rotated, and the placing plate is driven to freely slide through the transmission of the push-pull structure, so that medical staff can conveniently store auxiliary articles for operations.
3. The first lying plate and the second lying plate are provided with fixing belts on the upper sides and used for fixing the upper body position of a patient, the adjusting rod is rotated, the height of the placing box is adjusted through the transmission of the rotating adjusting structure, and medical staff can conveniently select a comfortable height position.
4. The push-pull rod moves through the transmission of the opening structure, so that the purpose of opening the two opening plates is achieved, medical staff can conveniently open the operation part of the patient when performing an operation, and the burden of the medical staff is reduced.
5. Through the rotation of circular handrail, through the transmission of pressing from both sides tight structure, drive the upper jaw with lower claw is close, conveniently fixes patient's shank.
Drawings
Fig. 1 is a schematic axial view of a general surgical precision positioning apparatus according to the present invention.
Fig. 2 is a partial sectional view of a placement box of a general surgical precision positioning device of the present invention.
Fig. 3 is a schematic view of a telescopic rod structure of the precise positioning device for general surgical operations of the present invention.
Fig. 4 is an enlarged schematic view of a push-pull structure of the precision positioning device for general surgical operations of the present invention.
Fig. 5 is an enlarged schematic view of the distraction structure of the precision positioning device for general surgical operations of the invention.
Fig. 6 is an enlarged schematic view of a clamping structure of the precision positioning device for general surgical operations of the invention.
Fig. 7 is a schematic structural view of a support frame of the precision positioning device for general surgical operations of the present invention.
Fig. 8 is an enlarged schematic view of an angle adjustment structure of a general surgical precision positioning device of the present invention.
Fig. 9 is a schematic structural view of a lifting rod of the precision positioning device for general surgical operations of the present invention.
Fig. 10 is a partially sectional and enlarged schematic view of a fixed square plate of a general surgical precision positioning device of the present invention.
Fig. 11 is an enlarged view of a shift structure of a general surgical precision positioning device of the present invention.
Fig. 12 is a schematic view of a turntable structure of a precision positioning device for general surgery according to the present invention.
Fig. 13 is a structural diagram of a placement box of a general surgical precision positioning device of the present invention.
Fig. 14 is an enlarged schematic view of a long axis structure of a precision positioning device for general surgical operations according to the present invention.
Fig. 15 is an enlarged view of a first ratchet and a second ratchet of a partial enlarged structure of a lifting rod of a general surgical precision positioning device of the invention.
Detailed Description
The following are specific embodiments of the present invention, and the technical solutions of the present invention will be further described with reference to the drawings, but the present invention is not limited to these embodiments.
As shown in fig. 1-15, the invention provides an accurate positioning device for general surgery, which comprises a support frame 1, wherein a rotating shaft 55 is arranged on the upper side of the support frame 1, a long plate is fixedly connected to the upper side of the rotating shaft 55, a first lying plate 3 is fixedly connected to the front part of the upper side of the long plate, a second lying plate 5 is slidably connected to the rear side of the first lying plate 3, a rotation adjusting structure 4 is arranged on the front part of the lower side of the first lying plate 3, an adjusting rod is arranged on the right side of the rotation adjusting structure 4, a placing box 10 is arranged on the upper side of the rotation adjusting structure 4, a push-pull rod 11 is arranged on the front side of the placing box 10, a spreading structure 8 is arranged on the rear side of the push-pull rod 11; the rotation of the adjusting rod forms a structure that the opening structure 8 can freely move up and down; the outward pulling of the push-pull rod 11 forms a structure that the two expanding plates 18 are expanded outwards;
firstly, according to the requirements of a patient, medical staff can fix the position of the second lying plate 5 after the second lying plate 5 is moved by moving the position of the second lying plate 5, and the lower part of the left side of the second lying plate 5 is in threaded connection with a locking screw; the patient can lie on the upper sides of the first lying plate 3 and the second lying plate 5, the upper sides of the first lying plate 3 and the second lying plate 5 are provided with fixing belts for fixing the upper body position of the patient, the adjusting rod is rotated, the height of the placing box 10 is adjusted through the transmission of the rotating adjusting structure 4, and medical staff can conveniently select a comfortable position; by moving the push-pull rod 11, the movement of the push-pull rod 11 is transmitted by the opening structure 8, so that the purpose of opening the two opening plates 18 is achieved, the opening of the operation part of the patient is facilitated when medical staff perform an operation, and the burden of the medical staff is reduced.
An angle adjusting structure 2 is arranged on the left side of the rotating shaft 55, a rotary table is arranged on the left side of the angle adjusting structure, the rotary table is fixedly connected with the rotating shaft 55, a bent rod is arranged on the left side of the rotary table, and the bent rod is fixedly connected with the support frame 1; the rotation of the turntable constitutes a structure that the rotating shaft 55 rotates by a certain angle;
through the rotation of the turntable, the turntable drives the rotating shaft 55 to rotate, and through the angle adjusting structure 2, the rotating shaft 55 can be seen accurately, so that the rotating angle is convenient for medical staff to accurately adjust the body position of a patient, and the normal operation of the hip joint operation of the patient is facilitated.
A lifting rod 56 is connected to the upper portion of the support frame 1 in a sliding manner, the upper side of the lifting rod 56 is rotatably connected with the rotating shaft 55, a gear shifting structure 7 is arranged on the right side of the lifting rod 56, a control rod 34 is arranged on the right side of the gear shifting structure 7, and the rotation of the control rod 34 forms a structure that the lifting rod 56 can freely move up and down;
through the rotation of the control rod 34 and the transmission of the gear shifting structure 7, the lifting rod 56 is driven to freely move up and down, so that the height positions of the first lying plate 3 and the second lying plate 5 are driven; the middle part of the left side of the support frame 1 is in threaded connection with a locking screw, and the locking screw has the function of assisting in fixing the lifting rod 56.
The front side and the rear side of the support frame 1 are fixedly connected with hollow placing boxes 40, the outer sides of the placing boxes 40 are connected with placing plates 60 in a sliding mode, the right side of each placing plate 60 is provided with a push-pull structure 9, and the movement of the control rod 34 forms a structure that the placing plates 60 can slide freely left and right;
the control rod 34 is rotated to drive the placing plate 60 to freely slide through the transmission of the push-pull structure 9, so that medical staff can conveniently store auxiliary articles for operation.
A hollow square plate is fixedly connected to the right side of the rotating shaft 55, a fifth transmission rod 49 is rotatably connected to the middle side of the square plate, a round handrail 48 is arranged on the upper side of the fifth transmission rod 49, clamping structures 6 are arranged at the front end and the rear end of the fifth transmission rod 49, and an upper claw 44 and a lower claw 52 are arranged on the inner side of each clamping structure 6; the rotation of the circular armrest 48 constitutes a structure in which the upper jaw 44 and the lower jaw 52 approach each other.
The upper claw 44 and the lower claw 52 are driven to approach through the rotation of the circular handrail 48 and the transmission of the clamping structure 6, so that the legs of the patient can be conveniently fixed.
Rotate adjust structure 4 include with axis of rotation 55 fixed connection's dead lever, the dead lever right side is rotated and is connected with first transfer line 25, first transfer line 25 right-hand member with adjust pole fixed connection, first transfer line 25 with the long slab rotates and connects, first transfer line 25 middle part is connected with first screw rod through bevel gear group, first screw rod upper end with the long slab rotates and connects, first screw rod downside screw thread even has L shape pole 28, L shape pole 28 upper end with place case 10 fixed connection, the first screw rod outside is provided with opens fixed pipe 26 that has L shape groove 27, L shape pole 28 with L shape groove 27 sliding connection, fixed pipe 26 upper end with axis of rotation 55 fixed connection.
The first transmission rod 25 is driven to rotate through the rotation of the adjusting rod, the first transmission rod 25 drives the first screw rod to rotate through the bevel gear set, and the first screw rod drives the L-shaped rod 28 to move upwards, so that the placing box 10 is driven to move upwards; when the antiport during the regulation pole, first screw rod drives L shape pole 28 downstream, works as L shape pole 28 moves to during L shape groove 27 downside, L shape pole 28 rotates ninety degrees, plays with strutting structure 8 and removing the outside of first service creeper 3 makes things convenient for the patient to have done the postoperative treatment work of hip joint operation.
The stretching structure 8 comprises a second rack 12 which is slidably connected with the placing box 10, the second rack 12 is engaged with a first gear, the first gear is fixedly connected with a winding drum 13, the winding drum 13 is rotatably connected with the placing box 10, a one-way locking structure is arranged on the rear side of the winding drum 13, a cable 14 is wound on the outer side of the winding drum 13, the front side of the second rack 12 is fixedly connected with the push-pull rod 11, a stretching spring is sleeved on the front side of the push-pull rod 11, a fixed rod 15 is fixedly connected with the rear side of the stretching spring, the fixed rod 15 is fixedly connected with the placing box 10, and the push-pull rod 11 is slidably connected with the fixed rod 15;
by pulling the push-pull rod 11 outward, the push-pull rod 11 drives the second rack 12 to move outward, the second rack 12 drives the winding drum 13 to rotate, and the winding drum 13 contracts the cable 14.
The rear side of the mooring rope 14 is slidably connected with a hollow joint 24, the joint 24 is fixedly connected with the placing box 10, the rear side of the joint 24 is slidably connected with a hollow telescopic rod 23, the mooring rope 14 is slidably connected with the telescopic rod 23, the lower end of the telescopic rod 23 is fixedly connected with an I-shaped block 16, the left side and the right side of the I-shaped block 16 are both hinged with a support rod 17, the outer side of the lower end of the support rod 17 is both fixedly connected with the opening plate 18, the middle part of the support rod 17 is both hinged with a first connecting rod 19, a second connecting rod 20 is hinged between the two first connecting rods 19, the middle part of the second connecting rod 20 is fixedly connected with a moving rod 22, the moving rod 22 is slidably connected with the telescopic rod 23, an extension spring is sleeved on the upper side of the moving rod 22, the lower end of the extension spring is fixedly connected with the moving rod 22, and the upper end, the upper end of the travel bar 22 is fixedly attached to the cable 14.
The movement of the cable 14 drives the movable rod 22 to move upwards, the movable rod 22 drives the second connecting rod 20 to move upwards, the second connecting rod 20 drives the two first connecting rods 19 to move upwards, and the first connecting rods 19 drive the supporting rods 17 to move outwards, so that the opening plate 18 is driven to move outwards, the purpose of opening an operation incision is achieved, and the burden of medical staff is reduced; the extension bar 23 can finely adjust the horizontal position of the opening plate 18 along the joint 24.
The angle adjusting structure 2 comprises a first indexing disc 31 fixedly connected with the rotating shaft 55 and provided with numbers, a first ratchet wheel 58 is arranged on the right side of the first indexing disc 31, the first ratchet wheel 58 is fixedly connected with the rotating shaft 55, a second ratchet wheel 57 is arranged on the right side of the first ratchet wheel 58, the second ratchet wheel 57 is fixedly connected with the first indexing disc 31 on the right side, a cylinder is fixedly connected with the second ratchet wheel 57, the cylinder is rotatably connected with the rotating shaft 55, the right end of the cylinder is rotatably connected with the lifting rod 56, a first pawl 33 is meshed and connected with the upper side of the wheel of the first ratchet wheel 58, a second pawl 30 is arranged on the upper side of the second ratchet wheel 57, a first fixing rod 29 is rotatably connected with the first pawl 33 and the second pawl 30, a square fixing plate provided with a square groove is fixedly connected with the upper side of the lifting rod 56 on the left side, and the first fixing rod 29 is slidably connected with the square groove, a stretching spring is fixedly connected to the upper part of the right side of the first fixing rod 29, and the upper end of the stretching spring is fixedly connected with the square groove; a stretching spring is fixedly connected to the rear sides of the first pawl 33 and the second pawl 30, a second fixing rod 32 is fixedly connected to the rear end of the stretching spring, and the second fixing rod 32 is fixedly connected with the left lifting rod 56; the first ratchet wheel 58 is circumferentially provided with a plurality of grooves 51.
The rotating shaft 55 is driven to rotate through the forward rotation of the rotating disc, the rotating shaft 55 drives the first indexing disc 31 and the first ratchet wheel 58 to rotate, when the first pawl 33 rotates to the groove 51, the second pawl 30 is meshed with the second ratchet wheel 57, and the second indexing disc rotates, so that the rotating angle of the rotating shaft 55 can be accurately observed; the locking structure ensures that the rotating shaft 55 rotates forwards at a proper angle, and then the rotating shaft 55 can fix the forward rotation angle; a pressing block is fixedly connected to the upper side of the first pawl 33, when the turntable rotates reversely, the pressing block needs to be pressed, the pressing block is released, and the first pawl 33 is meshed with the first ratchet wheel 58 to play a role in fixing the rotating shaft 55 to rotate reversely for a certain angle; the plurality of grooves 51 enable the first ratchet wheel 58 to rotate for a certain angle, so that the second ratchet wheel 57 rotates for a certain angle along with the meshing connection of the first pawl 33 and the grooves 51, and the rotating angle of the rotating shaft 55 can be conveniently and intuitively and accurately adjusted by medical staff through the numerical values of the two first indexing discs 31; the left end of the rotating shaft 55 is fixedly connected with a sixth ratchet wheel, the sixth ratchet wheel is connected with a sixth pawl in a meshed mode, the sixth pawl is connected with the bent rod in a meshed mode, the rear side of the upper portion of the sixth pawl is connected with the bent rod through a stretching spring, the sixth pawl is fixedly connected with a pressing short rod, the meshed connection of the sixth pawl and the sixth ratchet wheel is controlled through pressing the left portion of the pressing short rod, and therefore the one-way rotation of the rotating shaft 55 is achieved, and the effect that the rotating shaft 55 rotates for a certain angle to be fixed is achieved.
The shifting mechanism 7 comprises a third rack 37 fixedly connected with the left lifting rod 56, the left side of the third rack 37 is engaged with a lifting gear 36, the right end of the support frame 1 is fixedly connected with a ribbed plate, the lifting gear 36 is fixedly connected with a third transmission shaft which is rotationally connected with the ribbed plate, a transmission gear 35 is arranged at the lower side of the lifting gear 36, the transmission gear 35 is fixedly connected with a fourth transmission shaft 39, the fourth transmission shaft 39 is rotatably connected with the ribbed plate, the control rod 34 is positioned in the middle of the ribbed plate, the middle side of the control rod 34 is fixedly connected with a driving gear, the front and the rear parts of the driving gear are provided with positioning key blocks 38, the positioning key block 38 is fixedly connected with the control rod 34, and the front and back movement of the control rod 34 respectively forms a structure in meshed connection with the transmission gear 35 and the lifting gear 36.
When the positioning key block 38 on the front side contacts with the front side of the rib plate, the driving gear is meshed with the transmission gear 35 to rotate the control rod 34, and the driving gear drives the transmission gear 35 to rotate; when the positioning key block 38 on the rear side contacts with the rear side of the rib plate, the driving gear is meshed with the lifting gear 36, the control rod 34 is rotated, the driving gear is meshed with the lifting gear 36, the lifting gear 36 drives the third rack 37 to move, and the third rack 37 drives the lifting rod 56 to move up and down; the rear side of the third transmission shaft is provided with a one-way transmission structure, the one-way transmission structure comprises a ratchet wheel and a ratchet for engaging and connecting to perform a one-way transmission function of the third transmission shaft, and the ratchet is controlled to engage and connect with the ratchet wheel through controlling the ratchet, so that the opening and closing of the one-way transmission of the third transmission shaft are adjusted.
The push-pull structure 9 comprises a long shaft 43 connected with the front side and the rear side of the fourth transmission shaft 39 through a bevel gear set, the long shaft 43 is rotatably connected with the placing box 40, the right side of the long shaft 43 is fixedly connected with a coil spring, the middle side of the coil spring is fixedly connected with the long shaft 43, the right end of the coil spring is fixedly connected with the placing box 40, the middle side of the long shaft 43 is connected with a short shaft 59 through the bevel gear set, the short shaft 59 is rotatably connected with the placing box 40, the upper side of the short shaft 59 is fixedly connected with a fifth gear 41, the fifth gear 41 is engaged and connected with a fourth rack 42, the outer side of the fourth rack 42 is fixedly connected with a push-pull plate, and the push-pull plate is slidably connected with the placing box 40.
The fourth transmission shaft 39 is driven to rotate by the rotation of the transmission gear 35, the fourth transmission shaft 39 drives the long shaft 43 to rotate by bevel gears, the long shaft 43 drives the short shaft 59 to rotate by bevel gear sets, the short shaft 59 drives the fifth gear 41 to rotate, and the fifth gear 41 drives the fourth rack 42 to move, so that the placing plate 60 moves, when medical staff take out the article to be operated from the inside of the placing box 10, after taking out the article in the placing box 10, the one-way transmission of the locking structure is released, under the acting force of the coil spring, the placing plate 60 seals the placing box 10, and the workload of the medical staff is reduced.
The clamping structure 6 comprises a sixth transmission rod 47 connected with the front side and the rear side of the fifth transmission rod 49 through a bevel gear set, the left sides of the sixth transmission rods 47 are rotatably connected with a vertical plate 50, the left sides of the sixth transmission rods 47 are fixedly connected with an elliptical block 46, the outer sides of the elliptical block 46 are hinged with a third connecting rod 45, the inner sides of the elliptical block 46 are hinged with a fourth connecting rod 53, the upper sides of the third connecting rods 45 are hinged with an upper claw 44, the upper sides of the fourth connecting rods 53 are hinged with a lower claw 52, and the middle side of the upper claw 44 and the outer side of the lower claw 52 are hinged with the vertical plate 50; the vertical plate 50 on the left side is fixedly connected with the first lying plate 3, and the vertical plate 50 on the right side is fixed with the second lying plate 5; a worm is fixedly connected to the lower side of the circular handrail 48, a third fixing rod 54 is rotatably connected to the worm, the third fixing rod 54 is fixedly connected to the rotating shaft 55, a worm wheel is connected to the worm in a meshed manner, and the worm wheel is fixedly connected to the fifth transmission rod 49.
The rotation of the circular armrest 48 drives the worm to rotate, the worm drives the worm wheel to rotate, the worm wheel drives the fifth transmission rod 49 to rotate, the fifth transmission rod 49 drives the sixth transmission rod 47 to rotate through a bevel gear set, the sixth transmission rod 47 drives the elliptical block 46 to rotate, and the elliptical block 46 drives the first connecting rod 19 and the second connecting rod 20 to move, so that the upper jaw 44 and the lower jaw 52 are close to or far from each other, and the fixation of the leg of the patient is achieved or released.
One-way locking structure include with reel 13 fixed connection's third ratchet 61, the meshing of third ratchet 61 upside is connected with presses depression bar 62, press depression bar 62 downside fixedly connected with to stretch and draw the spring, stretch draw the spring lower extreme with place case 10 fixed connection, press depression bar 62 middle part rotation and be connected with quarter butt 21, quarter butt 21 with place case 10 fixed connection.
The engagement connection between the third ratchet wheel 61 and the pressing rod 62 plays a role of unidirectional rotation, when the pressing rod 62 is pressed, the pressing rod 62 is disengaged from the third ratchet wheel 61, at this time, the unidirectional locking structure does not have the role of unidirectional rotation, when the pressing rod 62 is released, under the action of the extension spring, the pressing rod 62 is engaged with the third ratchet wheel 61, and the engagement connection between the third ratchet wheel 61 and the pressing rod 62 plays a role of unidirectional rotation.
When the medical stretcher is used, the positions of the first lying plate 3 and the second lying plate 5 are adjusted according to the needs of a patient, the upper body of the patient is fixed through the fixing belt, the legs of the patient are fixed through the clamping structure 6, the proper angle of the rotating shaft 55 is rotated, medical staff perform an operation on the hip joint of the patient, the operation incision of the patient is spread through the spreading structure 8, after the operation of the patient is finished, the angle of the rotating shaft 55 is adjusted, the spreading structure 8 is moved away, and the constraint between the legs of the patient and the upper body of the patient is relieved.
Although the support frame 1, the angle adjusting structure 2, the first lying plate 3, the rotation adjusting structure 4, the second lying plate 5, the clamping structure 6, the shifting structure 7, the expanding structure 8, the push-pull structure 9, the placing box 10, the push-pull rod 11, the second rack 12, the winding drum 13, the cable 14, the fixing rod 15, the i-shaped block 16, the supporting rod 17, the expanding plate 18, the first connecting rod 19, the second connecting rod 20, the short rod 21, the moving rod 22, the telescopic rod 23, the joint 24, the first transmission rod 25, the fixing tube 26, the L-shaped groove 27, the L-shaped rod 28, the first fixing rod 29, the second pawl 30, the first dividing plate 31, the second fixing rod 32, the first pawl 33, the control rod 34, the transmission gear 35, the lifting gear 36, the third rack 37, the positioning key block 38, the fourth transmission shaft 39, the placing box 40, the fifth gear 41, the fourth rack 42, the long shaft 43, the upper pawl 44, A third link 45, an oval block 46, a sixth transmission rod 47, a round armrest 48, a fifth transmission rod 49, a riser 50, a groove 51, a lower jaw 52, a fourth link 53, a third fixing rod 54, a rotating shaft 55, a lifting rod 56, a second ratchet 57, a first ratchet 58, a short shaft 59, a placing plate 60, etc., but does not exclude the possibility of using other terms. These terms are used merely to more conveniently describe and explain the nature of the present invention; they are to be construed as being without limitation to the spirit of the present invention.
Claims (8)
1. The utility model provides a precision positioning device of general surgery operation which characterized in that: the device comprises a support frame (1), wherein a rotating shaft (55) is arranged on the upper side of the support frame (1), a long plate is fixedly connected to the upper side of the rotating shaft (55), a first creeper (3) is fixedly connected to the front portion of the upper side of the long plate, a second creeper (5) is slidably connected to the rear side of the first creeper (3), a rotation adjusting structure (4) is arranged on the front portion of the lower side of the first creeper (3), an adjusting rod is arranged on the right side of the rotation adjusting structure (4), a placing box (10) is arranged on the upper side of the rotation adjusting structure (4), a push-pull rod (11) is arranged on the front side of the placing box (10), a spreading structure (8) is arranged on the rear side of the push-pull rod (11), and spreading plates (; the rotation of the adjusting rod forms a structure that the opening structure (8) can freely move up and down; the outward pulling of the push-pull rod (11) forms a structure that the two opening plates (18) are opened outwards;
an angle adjusting structure (2) is arranged on the left side of the rotating shaft (55), a rotary table is arranged on the left side of the angle adjusting structure, the rotary table is fixedly connected with the rotating shaft (55), a bent rod is arranged on the left side of the rotary table, and the bent rod is fixedly connected with the support frame (1); the rotation of the turntable forms a structure that the rotating shaft (55) rotates for a certain angle;
the upper part of the support frame (1) is connected with a lifting rod (56) in a sliding mode, the upper side of the lifting rod (56) is connected with the rotating shaft (55) in a rotating mode, a gear shifting structure (7) is arranged on the right side of the lifting rod (56), a control rod (34) is arranged on the right side of the gear shifting structure (7), and the lifting rod (56) is in a structure capable of moving up and down freely due to the rotation of the control rod (34);
the front side and the rear side of the support frame (1) are fixedly connected with hollow placing boxes (40), the outer sides of the placing boxes (40) are connected with placing plates (60) in a sliding mode, the right sides of the placing plates (60) are provided with push-pull structures (9), and the movement of the control rods (34) forms a structure that the placing plates (60) can slide freely left and right;
a hollow square plate is fixedly connected to the right side of the rotating shaft (55), a fifth transmission rod (49) is rotatably connected to the middle side of the square plate, a round handrail (48) is arranged on the upper side of the fifth transmission rod (49), clamping structures (6) are arranged at the front end and the rear end of the fifth transmission rod (49), and an upper claw (44) and a lower claw (52) are arranged on the inner side of each clamping structure (6); the rotation of the circular armrest (48) constitutes a structure in which the upper jaw (44) and the lower jaw (52) approach each other.
2. A general surgical precision positioning apparatus of claim 1, wherein: rotate adjust structure (4) include with axis of rotation (55) fixed connection's dead lever, the dead lever right side rotates and is connected with first transfer line (25), first transfer line (25) right-hand member with adjust pole fixed connection, first transfer line (25) with the long slab rotates and connects, first transfer line (25) middle part is connected with first screw rod through bevel gear set, first screw rod upper end with the long slab rotates and connects, first screw rod downside screw thread even has L shape pole (28), L shape pole (28) upper end with place case (10) fixed connection, the first screw rod outside is provided with opens fixed pipe (26) that have L shape groove (27), L shape pole (28) with L shape groove (27) sliding connection, fixed pipe (26) upper end with axis of rotation (55) fixed connection.
3. A general surgical precision positioning apparatus of claim 1, wherein: the opening structure (8) comprises a second rack (12) which is in sliding connection with the placing box (10), the second rack (12) is meshed with a first gear, the first gear is fixedly connected with a winding drum (13), the winding drum (13) is rotatably connected with the placing box (10), a one-way locking structure is arranged on the rear side of the winding drum (13), a cable (14) is wound on the outer side of the winding drum (13), the front side of the second rack (12) is fixedly connected with the push-pull rod (11), a stretching spring is sleeved on the front side of the push-pull rod (11), a fixing rod (15) is fixedly connected with the rear side of the stretching spring, the fixing rod (15) is fixedly connected with the placing box (10), and the push-pull rod (11) is in sliding connection with the fixing rod (15);
the utility model discloses a mooring rope, including hawser (14) rear side sliding connection have hollow joint (24), connect (24) with place case (10) fixed connection, connect (24) rear side sliding connection have hollow telescopic link (23), hawser (14) with telescopic link (23) sliding connection, telescopic link (23) lower extreme fixedly connected with I-shaped piece (16), I-shaped piece (16) left and right sides all articulates there is vaulting pole (17), vaulting pole (17) lower extreme outside all with prop open board (18) fixed connection, vaulting pole (17) middle part all articulates there is first connecting rod (19), two it has second connecting rod (20) to articulate between first connecting rod (19), second connecting rod (20) middle part fixedly connected with carriage release lever (22), carriage release lever (22) with telescopic link (23) sliding connection, carriage release lever (22) upside cover is equipped with and stretches out and draws the spring, the lower end of the extension spring is fixedly connected with the moving rod (22), the upper end of the extension spring is fixedly connected with the I-shaped block (16), and the upper end of the moving rod (22) is fixedly connected with the cable (14).
4. A general surgical precision positioning apparatus of claim 1, wherein: the angle adjusting structure (2) comprises a first indexing disc (31) fixedly connected with the rotating shaft (55) and provided with numbers, a first ratchet wheel (58) is arranged on the right side of the first indexing disc (31), the first ratchet wheel (58) is fixedly connected with the rotating shaft (55), a second ratchet wheel (57) is arranged on the right side of the first ratchet wheel (58), the second ratchet wheel (57) is fixedly connected with the first indexing disc (31) on the right side, a cylinder is fixedly connected with the second ratchet wheel (57), the cylinder is rotatably connected with the rotating shaft (55), the right end of the cylinder is rotatably connected with the lifting rod (56), a first pawl (33) is meshed with the upper side of the wheel of the first ratchet wheel (58), a second pawl (30) is arranged on the upper side of the second ratchet wheel (57), and a first fixed rod (29) is rotatably connected with the first pawl (33) and the second pawl (30), a fixed square plate provided with a square groove is fixedly connected to the upper side of the left lifting rod (56), the first fixing rod (29) is connected with the square groove in a sliding mode, a stretching spring is fixedly connected to the upper portion of the right side of the first fixing rod (29), and the upper end of the stretching spring is fixedly connected with the square groove; the rear sides of the first pawl (33) and the second pawl (30) are fixedly connected with extension springs, the rear ends of the extension springs are fixedly connected with second fixing rods (32), and the second fixing rods (32) are fixedly connected with the left lifting rod (56); the first ratchet wheel (58) is provided with a plurality of grooves (51) on the circumference.
5. A general surgical precision positioning apparatus of claim 1, wherein: the gear shifting structure (7) comprises a third rack (37) fixedly connected with a lifting rod (56) on the left side, a lifting gear (36) is meshed and connected with the left side of the third rack (37), a ribbed plate is fixedly connected with the right end of the support frame (1), a third transmission shaft is fixedly connected with the lifting gear (36), the third transmission shaft is rotatably connected with the ribbed plate, a transmission gear (35) is arranged on the lower side of the lifting gear (36), a fourth transmission shaft (39) is fixedly connected with the transmission gear (35), the fourth transmission shaft (39) is rotatably connected with the ribbed plate, the control rod (34) is positioned in the middle of the ribbed plate, a driving gear is fixedly connected with the middle side of the control rod (34), positioning key blocks (38) are arranged on the front and rear parts of the driving gear, and the positioning key blocks (38) are fixedly connected with the control rod (34, the control rod (34) moves back and forth to respectively form a structure which is in meshed connection with the transmission gear (35) and the lifting gear (36).
6. A general surgical precision positioning device of claim 5, wherein: the push-pull structure (9) comprises a long shaft (43) which is connected with the front side and the rear side of the fourth transmission shaft (39) through bevel gear sets, the long shafts (43) are rotatably connected with the placing box (40), the right sides of the long shafts (43) are fixedly connected with coil springs, the middle sides of the coil springs are fixedly connected with the long shaft (43), the right ends of the coil springs are fixedly connected with the placing box (40), the middle sides of the long shafts (43) are connected with short shafts (59) through bevel gear sets, the short shafts (59) are rotationally connected with the placing box (40), the upper sides of the short shafts (59) are fixedly connected with fifth gears (41), the fifth gears (41) are meshed with fourth racks (42), and push-pull plates are fixedly connected to the outer sides of the fourth racks (42) and are in sliding connection with the placing box (40).
7. A general surgical precision positioning apparatus of claim 1, wherein: the clamping structure (6) comprises a sixth transmission rod (47) connected with the front side and the rear side of the fifth transmission rod (49) through a bevel gear set, the left sides of the sixth transmission rods (47) are rotatably connected with vertical plates (50), the left sides of the sixth transmission rods (47) are fixedly connected with elliptical blocks (46), the outer sides of the elliptical blocks (46) are hinged with third connecting rods (45), the inner sides of the elliptical blocks (46) are hinged with fourth connecting rods (53), the upper sides of the third connecting rods (45) are hinged with upper claws (44), the upper sides of the fourth connecting rods (53) are hinged with lower claws (52), and the middle side of the upper claw (44) and the outer sides of the lower claws (52) are hinged with the vertical plates (50); the vertical plate (50) on the left side is fixedly connected with the first lying plate (3), and the vertical plate (50) on the right side is fixed with the second lying plate (5); the lower side of the round armrest (48) is fixedly connected with a worm, the worm is rotatably connected with a third fixing rod (54), the third fixing rod (54) is fixedly connected with the rotating shaft (55), the worm is meshed with a worm wheel, and the worm wheel is fixedly connected with the fifth transmission rod (49).
8. A general surgical precision positioning apparatus of claim 3, wherein: one-way locking structure include with reel (13) fixed connection's third ratchet (61), third ratchet (61) upside meshing is connected with presses depression bar (62), press depression bar (62) downside fixedly connected with to stretch and draw the spring, stretch draw the spring lower extreme with place case (10) fixed connection, press depression bar (62) middle part to rotate and be connected with quarter butt (21), quarter butt (21) with place case (10) fixed connection.
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202010767059.9A CN111870469B (en) | 2020-08-03 | 2020-08-03 | Accurate positioner of ordinary surgery operation |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202010767059.9A CN111870469B (en) | 2020-08-03 | 2020-08-03 | Accurate positioner of ordinary surgery operation |
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| CN111870469B CN111870469B (en) | 2022-04-19 |
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| CN112603398A (en) * | 2020-12-24 | 2021-04-06 | 孙一鑫 | Lung cancer tissue separator |
| CN112674788A (en) * | 2021-01-09 | 2021-04-20 | 中国人民解放军空军军医大学 | Head fixing device for tumor radiology department |
| CN112773517A (en) * | 2020-12-30 | 2021-05-11 | 四川大学华西医院 | Orthopedic operation auxiliary device |
| CN113952153A (en) * | 2021-10-12 | 2022-01-21 | 廖德祯 | Arm directional supporting device for orthopedic department operation |
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