CN112754554A - Scalp dilator for neurosurgical craniotomy and using method thereof - Google Patents

Scalp dilator for neurosurgical craniotomy and using method thereof Download PDF

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Publication number
CN112754554A
CN112754554A CN202110229917.9A CN202110229917A CN112754554A CN 112754554 A CN112754554 A CN 112754554A CN 202110229917 A CN202110229917 A CN 202110229917A CN 112754554 A CN112754554 A CN 112754554A
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Prior art keywords
scalp
adjusting
arm
connecting rod
rod
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Application number
CN202110229917.9A
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Chinese (zh)
Inventor
李军
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Central Hospital of Zibo
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Central Hospital of Zibo
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Priority to CN202110229917.9A priority Critical patent/CN112754554A/en
Publication of CN112754554A publication Critical patent/CN112754554A/en
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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
    • 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
    • A61G13/121—Head or neck
    • 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
    • A61G13/126—Rests specially adapted therefor; Arrangements of patient-supporting surfaces with specific supporting surface
    • 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
    • A61G2210/00—Devices for specific treatment or diagnosis

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Neurosurgery (AREA)
  • Otolaryngology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Massaging Devices (AREA)

Abstract

The invention relates to the technical field of auxiliary surgical instruments, in particular to a scalp spreader for neurosurgery craniotomy and a using method thereof, the scalp dilator comprises a headrest, a fixing frame and a clamping mechanism, wherein a concave surface is arranged in the middle of the headrest, a sponge cushion is stuck on the concave surface, the fixing frames are arranged on the headrest at the two sides of the concave surface, the fixing frames are provided with sliding holes, an adjusting pipe is arranged in the sliding hole in a sliding way through an electric push rod, the adjusting pipe is of a hollow cuboid structure, the adjusting pipe is internally provided with a gear and an adjusting rod which are meshed with each other, the gear is arranged on a rotating shaft of the motor, a second switch connected with the motor is arranged on the outer wall of the adjusting pipe, the motor is arranged adjacent to the gear, the one end of adjusting the pole has welded the stopper, and the other end welding of adjusting the pole has the connecting rod, and the bottom of connecting rod has welded the fixed disk. The invention not only provides convenience for the operation of medical personnel, but also improves the safety during operation.

Description

Scalp dilator for neurosurgical craniotomy and using method thereof
Technical Field
The invention relates to the technical field of surgical auxiliary instruments, in particular to a scalp spreader for neurosurgery craniotomy and a using method thereof.
Background
The spreader is a common surgical instrument for neurosurgery craniotomy, in particular to small bone window craniotomy, puncture drainage and the like, and is mainly used for fully spreading scalp tissues and thoroughly exposing the skull, thereby facilitating the operation of the craniotomy. In the operation process, a scalp linear incision is usually performed, after the scalp is completely incised, the incision cortex is completely propped up by using a propping device, the skull is fully exposed, and then the skull is opened by drilling by using electric drilling.
The existing distractors are all handheld instruments, and when the distractors are used, workers need to be kept in a certain state for a long time, the distractors are tired, shaking and other situations cannot occur, otherwise surgical accidents can occur, and therefore a device is needed to solve the problems.
Disclosure of Invention
The invention aims to solve the defects in the prior art and provides a scalp dilator for neurosurgical craniotomy and a using method thereof.
In order to achieve the purpose, the invention adopts the following technical scheme:
a scalp spreader for neurosurgery craniotomy comprises a headrest, a fixing frame and a clamping mechanism, wherein a concave surface is arranged in the middle of the headrest, a sponge cushion is adhered to the concave surface, the fixing frame is arranged on the headrest at two sides of the concave surface, a sliding hole is formed in the fixing frame, an adjusting pipe is arranged in the sliding hole in a sliding mode through an electric push rod, the adjusting pipe is of a hollow cuboid structure, a gear and an adjusting rod which are meshed with each other are arranged in the adjusting pipe, the gear is arranged on a rotating shaft of a motor, a second switch connected with the motor is arranged on the outer wall of the adjusting pipe, the motor and the gear are arranged adjacent, a limiting block is welded at one end of the adjusting rod, a connecting rod is welded at the other end of the adjusting rod, and a fixing disc is welded at;
fixture colludes arm and last pressure arm down including, collude the arm down and be "L" type structure, just go up the pressure arm with collude arm looks adaptation down, collude the arm welding down on the diapire of fixed disk, go up the pressure arm and be located the top of colluding the arm down and through push rod motor movable mounting on the fixed disk, and the tip of fixed disk is equipped with the third switch that is connected with the push rod motor.
Preferably, one end of the fixing frame connected with the headrest is of a U-shaped structure, and the fixing frame is fixedly connected with the headrest through a fixing bolt.
Preferably, the electric push rod is arranged in the fixed frame and is positioned at one side of the sliding hole.
Preferably, the fixing frame is provided with a first switch connected with the electric push rod.
Preferably, tooth sockets matched with the gears are uniformly formed in the surface of the side wall of one side of the adjusting rod, and the side wall of the other side of the adjusting rod is attached to the inner wall of the adjusting pipe.
Preferably, the motor is a rotating electrical machine.
Preferably, when the limiting block is in contact with the adjusting pipe, the distance between the connecting rods on the two sides is 0.3 cm.
A method of using a scalp distractor for neurosurgical craniotomy, comprising the steps of:
s1: firstly, the head of a patient is rested on the concave surface of the headrest, and after the patient is anesthetized, a doctor cuts open the scalp to expose a gap;
s2: then, the first switch is pressed down, the adjusting pipe is controlled to move and adjust to a proper position and then stops, the second switch is pressed down, the connecting rod moves along with the adjusting rod, and the connecting rod stops moving when the connecting rod moves to one side of the gap of the lower hook arm;
s3: then, continuously pressing down the first switch to drive the connecting rod to move, enabling the lower hook arm to be in contact with the scalp, pausing, and then manually inserting the lower hook arm along the scalp;
s4: after the lower hook arm is inserted, the third switch is pressed down, the upper pressing arm is closed after being attached to the scalp, then the second switch is pressed down, the adjusting rod drives the connecting rod to move towards the original direction, so that the scalp is unfolded by the lower hook arm and the upper pressing arm on the two sides, the skull is exposed, and then a doctor can start an operation;
s5: after the operation is finished, the connecting rod is moved back, the upper pressing arm is retracted into the fixed disc, the lower hook arm is moved out, the connecting rod and the lower hook arm move back along with the adjusting rod and continue to reset along with the adjusting tube, and finally the scalp of the patient is sutured by a doctor.
The invention has the beneficial effects that:
according to the invention, the fixing frame is arranged on the headrest, the adjusting pipe capable of adjusting the position is arranged on the fixing frame, the adjusting rod is moved back and forth in the adjusting pipe through the transmission of the gear to drive the connecting rod to move and adjust, in the moving process, the scalp of a patient is clamped by the upper pressing arm and the lower hook arm and then pulled open towards two sides, so that the skull is exposed for a doctor to perform an operation.
Drawings
FIG. 1 is a schematic top view of a scalp distractor for neurosurgical craniotomy and method of use thereof in accordance with the present invention;
FIG. 2 is a schematic view of a portion A of FIG. 1;
FIG. 3 is a schematic view of the connection between the adjusting tube and the fixing frame of the scalp spreader for neurosurgical craniotomy and the method for using the same;
fig. 4 is a schematic view of the connection between the adjusting rod and the adjusting tube of the scalp spreader for neurosurgical craniotomy and the use method thereof.
In the figure: the device comprises a headrest 1, a fixing frame 2, a sliding hole 21, an electric push rod 22, an adjusting pipe 3, a gear 31, a motor 32, a connecting rod 4, a fixed disc 41, a lower hook arm 42, an upper pressing arm 43, an adjusting rod 5 and a limiting block 51.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments.
Referring to fig. 1-4, a scalp spreader for neurosurgery craniotomy comprises a headrest 1, a fixing frame 2 and a clamping mechanism, wherein a concave surface is arranged in the middle of the headrest 1 to facilitate the head of a patient to be placed, a sponge cushion is adhered on the concave surface, the fixing frame 2 is arranged on the headrest 1 at two sides of the concave surface to play a role of supporting and fixing, a sliding hole 21 is arranged on the fixing frame 2 to guide and limit an adjusting tube 3, the adjusting tube 3 is arranged in the sliding hole 21 in a sliding manner through an electric push rod 22 to provide a sliding adjusting track for the adjusting rod 5, the adjusting tube 3 is in a hollow cuboid structure, a gear 31 and an adjusting rod 5 which are meshed with each other are arranged in the adjusting tube 3, the gear 31 is arranged on a rotating shaft of a motor 32, the gear 31 is arranged to drive the adjusting rod 5 to move and adjust, a second switch connected with the motor 32 is arranged on the outer wall of the adjusting tube 3, a limiting block 51 is welded at one end of the adjusting rod 5 to limit the displacement motion of the adjusting rod 5, a connecting rod 4 is welded at the other end of the adjusting rod 5, and a fixed disc 41 is welded at the bottom end of the connecting rod 4;
the clamping mechanism comprises a lower hook arm 42 and an upper pressing arm 43, the clamping mechanism is used for fixing the scalp of a patient cut conveniently, the lower hook arm 42 is of an L-shaped structure, the upper pressing arm 43 is matched with the lower hook arm 42, the lower hook arm 42 is welded on the bottom wall of the fixed disc 41, the upper pressing arm 43 is located above the lower hook arm 42 and is movably mounted on the fixed disc 41 through a miniature push rod motor, and a third switch connected with the push rod motor is arranged at the end part of the fixed disc 41.
Furthermore, the end of the fixing frame 2 connected with the headrest 1 is in a U-shaped structure, and the fixing frame 2 is fixedly connected with the headrest 1 through a fixing bolt.
Further, an electric push rod 22 is installed in the fixing frame 2 and is located at one side of the sliding hole 21.
Further, the fixing frame 2 is provided with a first switch connected with the electric push rod 22.
Furthermore, tooth sockets matched with the gear 31 are uniformly formed in the surface of the side wall of one side of the adjusting rod 5, and the side wall of the other side of the adjusting rod 5 is attached to the inner wall of the adjusting pipe 3.
Further, the motor 32 is a rotating electric machine.
Further, when the limiting block 51 is contacted with the adjusting pipe 3, the distance between the connecting rods 4 at two sides is 0.3 cm.
A method of using a scalp distractor for neurosurgical craniotomy, comprising the steps of:
s1: firstly, the head of a patient is rested on the concave surface of the headrest 1, and after the patient is anesthetized, a doctor cuts open the scalp to expose a gap;
s2: then, the first switch is pressed down, the adjusting tube 3 is controlled to move and adjust to a proper position and then stops, the second switch is pressed down, the connecting rod 4 moves along with the adjusting rod 5, and the movement is suspended when the lower hook arm 42 is located at one side of the gap;
s3: then, the first switch is continuously pressed down to drive the connecting rod 4 to move, so that the lower hook arm 42 is contacted with the scalp and is paused, and then the lower hook arm 42 is manually inserted along the scalp;
s4: after the lower hook arm 42 is inserted, the third switch is pressed down, the upper pressing arm 43 is closed after being attached to the scalp, then the second switch is pressed down, the adjusting rod 5 drives the connecting rod 4 to move towards the original direction, so that the scalp is spread by the lower hook arm 42 and the upper pressing arm 43 on the two sides, the skull is exposed, and then a doctor can start an operation;
s5: after the operation is finished, the connecting rod 4 is moved back, the upper pressing arm 43 is retracted into the fixed disc 41, the lower hook arm 42 is moved out, the connecting rod 4 and the lower hook arm 42 are moved back along with the adjusting rod 5 and continue to reset along with the adjusting tube 3, and finally the scalp of the patient is sutured by the doctor.
In the present embodiment, the first and second electrodes are,
firstly, the head of a patient is rested on the concave surface of the headrest 1, and after the patient is anesthetized, a doctor cuts open the scalp to expose a gap;
then, the first switch is pressed, the electric push rod 22 is started, the adjusting tube 3 is driven to slide to one side along the sliding hole 21, the sliding is stopped after the adjusting tube slides to a proper position, the second switch is pressed, the gear 31 starts to rotate along with the motor 32, the adjusting rod 5 starts to move to one side under the driving of the adjusting rod, the connecting rod 4 is further driven to move along with the adjusting rod 5, and the movement is suspended when the lower hook arm 42 is positioned at one side of the gap;
subsequently, the first switch is continuously pressed, the connecting rod 4 is moved to one side close to the scalp, the lower hook arm 42 is contacted with the scalp and is paused, and then the lower hook arm 42 is manually inserted along the scalp;
after the lower hook arm 42 is inserted, the third switch is pressed down, the push rod motor is started to drive the upper pressing arm 43 to approach and close after being attached to the scalp, then the second switch is pressed down, the adjusting rod 5 drives the connecting rod 4 to move towards the original direction, so that the scalp is propped open by the lower hook arm 42 and the upper pressing arm 43 on the two sides to expose the skull, and then a doctor can start an operation;
after the operation is finished, the connecting rod 4 is moved back, the upper pressing arm 43 is retracted into the fixed disc 41, the lower hook arm 42 is moved out, the connecting rod 4 and the lower hook arm 42 are moved back along with the adjusting rod 5 and continue to reset along with the adjusting tube 3, and finally the scalp of the patient is sutured by the doctor.
The above description is only for the preferred embodiment of the present invention, but the scope of the present invention is not limited thereto, and any person skilled in the art should be considered to be within the technical scope of the present invention, and the technical solutions and the inventive concepts thereof according to the present invention should be equivalent or changed within the scope of the present invention.

Claims (8)

1. A scalp spreader for a neurosurgery craniotomy comprises a headrest (1), a fixing frame (2) and a clamping mechanism, and is characterized in that a concave surface is arranged in the middle of the headrest (1), a sponge cushion is adhered to the concave surface, the fixing frame (2) is arranged on the headrest (1) on two sides of the concave surface, a slide hole (21) is formed in the fixing frame (2), an adjusting pipe (3) is arranged in the slide hole (21) in a sliding mode through an electric push rod (22), the adjusting pipe (3) is of a hollow cuboid structure, a gear (31) and an adjusting rod (5) which are meshed with each other are arranged in the adjusting pipe (3), the gear (31) is arranged on a rotating shaft of a motor (32), a second switch connected with the motor (32) is arranged on the outer wall of the adjusting pipe (3), and the motor (32) is arranged adjacent to the gear (31), a limiting block (51) is welded at one end of the adjusting rod (5), a connecting rod (4) is welded at the other end of the adjusting rod (5), and a fixed disk (41) is welded at the bottom end of the connecting rod (4);
fixture colludes arm (42) and last pressure arm (43) down including, collude arm (42) down and be "L" type structure, just go up pressure arm (43) and collude arm (42) looks adaptation down, collude arm (42) welding down on the diapire of fixed disk (41), it is located the top of colluding arm (42) down and through push rod motor movable mounting to go up pressure arm (43) and be located and collude arm (42) down and on fixed disk (41), and the tip of fixed disk (41) is equipped with the third switch that is connected with the push rod motor.
2. The scalp dilator for the neurosurgical craniotomy according to claim 1, wherein one end of the fixing frame (2) connected with the headrest (1) is in a U-shaped structure, and the fixing frame (2) is fixedly connected with the headrest (1) through a fixing bolt.
3. The scalp distractor for neurosurgical craniotomy according to claim 1, wherein the electric push rod (22) is mounted in the fixation frame (2) and is located at one side of the sliding hole (21).
4. The scalp distractor for neurosurgical craniotomy according to claim 1 wherein the fixture (2) is provided with a first switch connected to an electric push rod (22).
5. The scalp distractor for the neurosurgical craniotomy according to claim 1, wherein the side wall of one side of the adjusting rod (5) is uniformly provided with tooth grooves matched with the gear (31) on the surface, and the side wall of the other side of the adjusting rod (5) is attached to the inner wall of the adjusting tube (3).
6. The scalp distractor for neurosurgical craniotomy according to claim 1 wherein the motor (32) is a rotating electrical machine.
7. The use method of the scalp spreader for the neurosurgical craniotomy according to claim 1, wherein when the limiting block (51) is in contact with the adjusting tube (3), the connecting rods (4) at two sides are spaced apart by 0.3 cm.
8. A method of using a scalp distractor for neurosurgical craniotomy, comprising the steps of:
s1: firstly, the head of a patient is rested on the concave surface of the headrest (1), and after the patient is anesthetized, a doctor cuts open the scalp to expose a gap;
s2: then, the first switch is pressed down, the adjusting pipe (3) is controlled to move and adjust to a proper position and then stops, the second switch is pressed down, the connecting rod (4) moves along with the adjusting rod (5), and the connecting rod stops moving when the connecting rod moves to the lower hook arm (42) and is located on one side of the gap;
s3: then, continuously pressing down the first switch to drive the connecting rod (4) to move, enabling the lower hook arm (42) to be in contact with the scalp, pausing, and then manually inserting the lower hook arm (42) along the scalp;
s4: after the lower hook arm (42) is inserted, the third switch is pressed down, the upper pressing arm (43) is enabled to approach and close after being tightly attached to the scalp, then the second switch is pressed down, the adjusting rod (5) drives the connecting rod (4) to move towards the original direction, so that the scalp is propped open by the lower hook arm (42) and the upper pressing arm (43) on the two sides, the skull is exposed, and then a doctor can start an operation;
s5: after the operation is finished, the connecting rod (4) is moved back, the upper pressing arm (43) is retracted into the fixed disc (41), the lower hook arm (42) is moved out, then the connecting rod (4) and the lower hook arm (42) move back along with the adjusting rod (5) and continue to reset along with the adjusting tube (3), and finally the scalp of the patient is sutured by the doctor.
CN202110229917.9A 2021-03-02 2021-03-02 Scalp dilator for neurosurgical craniotomy and using method thereof Withdrawn CN112754554A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202110229917.9A CN112754554A (en) 2021-03-02 2021-03-02 Scalp dilator for neurosurgical craniotomy and using method thereof

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202110229917.9A CN112754554A (en) 2021-03-02 2021-03-02 Scalp dilator for neurosurgical craniotomy and using method thereof

Publications (1)

Publication Number Publication Date
CN112754554A true CN112754554A (en) 2021-05-07

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Family Applications (1)

Application Number Title Priority Date Filing Date
CN202110229917.9A Withdrawn CN112754554A (en) 2021-03-02 2021-03-02 Scalp dilator for neurosurgical craniotomy and using method thereof

Country Status (1)

Country Link
CN (1) CN112754554A (en)

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Application publication date: 20210507