CN113171262A

CN113171262A - Neurosurgery operating table

Info

Publication number: CN113171262A
Application number: CN202110424123.8A
Authority: CN
Inventors: 周有东; 范新娟; 汪雷; 马金阳; 符常涛
Original assignee: Yichang Central People's Hospital First Clinical College Of Three Gorges University And People's Hospital Of Affiliated Center Of Three Gorges University
Current assignee: Yichang Central People's Hospital First Clinical College Of Three Gorges University And People's Hospital Of Affiliated Center Of Three Gorges University
Priority date: 2021-04-20
Filing date: 2021-04-20
Publication date: 2021-07-27

Abstract

The invention relates to the technical field of medical equipment, in particular to a neurosurgical operation bed, which comprises an operation upright post, a body supporting member and an adjusting bracket, wherein the body supporting member at least comprises a back supporting member, the head supporting member is arranged at the front end of the back supporting member, the adjusting bracket is used for connecting the head supporting member and the back supporting member, the adjusting bracket comprises a rotating central shaft and a connecting arm, the rotating central shaft can be driven to be rotatably arranged below the back supporting member, the connecting arm is provided with a top angle connecting point and two bottom angle connecting points, the top angle connecting point is fixedly arranged on the end part of the rotating central shaft, a rotating structure is oppositely arranged on the bottom angle connecting point, the head supporting member is arranged on the rotating end of the rotating structure through a connecting piece, the invention can deflect and adjust a body part under the condition that the head of a patient is fixed, the position setting of the neurosurgery is convenient.

Description

Neurosurgery operating table

Technical Field

The invention relates to the technical field of medical equipment, in particular to a neurosurgery operating table.

Background

Neurosurgery is a discipline for treating diseases of the brain, spinal cord and peripheral nervous system by using a surgical method and taking an operation as a main treatment means. Is a high, precise and advanced discipline in the medical field at present, and is generally recognized as the highest medical field. The range of neurosurgical treatments includes: dysfunction of the brain and spinal cord, congenital dysplasia of the brain and spinal cord, trauma of the brain and spinal cord, tumors, vascular lesions, degenerative changes including minimally invasive treatment of the spine, herniated intervertebral disc, and the like.

Neurosurgery is concentrated on the head more, according to the operation demand of difference, needs adopt different operation positions, and the common operation position of neurosurgery includes supine position, prone position and side prone position, and different art persons have some differences to putting of position, and neurosurgery begins preceding position transform and need include the triplex content: the position of the head, the rotation and the flexion (extension) of the neck, the confirmation of the position of the trunk, the placement of the trunk should be prior to the head, the head position is changed and finally determined through the flexion and extension rotation of the head and the neck and the lateral inclination of the operating bed, and the multiple body positions need to be matched with the operating bed which is flexible and changeable.

The known operating table structure mostly comprises a lifting mechanism and a supporting platform arranged on the lifting mechanism, wherein the supporting platform consists of a body supporting platform, a leg supporting platform and a head supporting platform, and the platforms can rotate around shafts respectively. This type of operating bed can be somewhat bent, but still has limitations in dealing with neurosurgery, such as requiring slight adjustments to the torso portion in the case where the patient's head is already fixed, and not simply rotating the operating bed, which can result in movement of the patient's head.

Disclosure of Invention

In view of the above, the present invention is directed to overcome the defects in the prior art, and provides a neurosurgical operation bed, which can adjust the deflection of the trunk under the condition that the head of the patient is fixed, so as to facilitate the setting of the position of the neurosurgical operation.

The neurosurgical operation bed comprises an operation upright post and a body supporting component, wherein the body supporting component is arranged at the upper part of the operation upright post, at least comprises a back supporting component, and the neurosurgical operation bed further comprises:

a head support member disposed at a front end of the back support member;

an adjustment bracket for connecting a head support member and a back support member, comprising:

the rotating middle shaft is arranged below the back supporting component in a driven and rotating mode, and the axis of the rotating middle shaft is approximately overlapped with the central axis of the back supporting component;

the connecting arm has a vertex angle tie point and two base angle tie points, and vertex angle tie point and base angle tie point are isosceles triangle-shaped and distribute, and the vertex angle tie point is fixed to be set up rotate centraxonial tip on, be provided with rotating-structure on the base angle tie point relatively, the head supporting member passes through the connecting piece setting and is in rotating-structure's rotation is served.

Furthermore, the rotation axes of the two rotation structures are overlapped and are parallel to the pitching axis of the operating bed, and the rotation axes of the rotation structures protrude out of or are overlapped on the front end surface of the back support component.

Furthermore, the connecting arm is of an inverted V-shaped structure, and two end parts of the connecting arm are bent forwards.

Further, the back support component comprises a bearing frame at the lower part and a rigid sliding platform at the upper part, the bearing frame is connected with the sliding platform in a sliding mode, an accommodating cavity is formed between the bearing frame and the sliding platform, and a sliding mechanism for driving the sliding platform to move in the front-back direction is arranged in the accommodating cavity.

Furthermore, the glide mechanism comprises a sliding driving motor and a screw rod which are fixedly arranged in the accommodating cavity, a screw nut in threaded connection with the screw rod is arranged at the bottom of the sliding table, and the sliding driving motor is started in a soft driving mode.

The invention has the beneficial effects that: according to the neurosurgical operation bed disclosed by the invention, the head supporting structure can be used for adjusting the pitching angle and the side inclination angle relative to the trunk supporting structure through the rotating central shaft and the connecting arm which are arranged and the rotating structure at the end part of the connecting arm, so that the head of a patient can be fixed when the trunk position of the patient is adjusted.

Drawings

The invention is further described below with reference to the following figures and examples:

FIG. 1 is a schematic front view of the present invention;

FIG. 2 is a schematic side view of the present invention;

FIG. 3 is a schematic view of the structure of the adjusting bracket of the present invention;

fig. 4 is a schematic structural view of the sliding mechanism of the present invention.

Description of reference numerals: the surgical instrument comprises an operation upright post 1, a back supporting member 2, a head supporting member 3, a rotating middle shaft 401, a connecting arm 402, a rotating structure 403, a connecting piece 404, a bearing frame 201, a sliding table 202, a sliding mechanism 203, a sliding driving motor 2031 and a screw rod 2032.

Detailed Description

The technical solutions in the embodiments of the present invention will be clearly and completely described below, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.

As shown in fig. 1-4, the neurosurgical operation bed in the embodiment is provided with a liftable operation upright 1, the upper part of the operation upright post 1 is provided with a body supporting component which at least comprises a back supporting component 2, a hip supporting component and a leg supporting component which are connected in sequence, and a cushion which is composed of a cushion material or a buffer material with specified thickness, wherein the back support member 2 and the hip support member, and the hip support member and the leg support member are connected by a known rotating shaft or hinge structure, and driven by a driving assembly not shown, so as to mutually adjust the angle, and adapt to the operation requirement, an angle adjusting component which is not shown is also arranged between the operation upright post 1 and the body supporting component, so that the torso support member and the surgical column 1 can be angularly adjusted about the roll axis or the pitch axis.

The operating table further comprises a head support member 3, the head support member 3 may be a head plate structure of a conventional operating table in a normal state, the head support member 3 commonly used in a neurosurgery process may also be a known head frame structure having a plurality of connecting rods and pins surrounding a head, the head support member 3 is connected to the back support member 2 through an adjusting bracket, the adjusting bracket has a rotation center shaft 401, the rotation center shaft 401 is disposed below the back support member 2, an axis of the rotation center shaft 401 substantially coincides with a central axis of a back of the back support member 2, a bearing seat rotatably connected to the rotation center shaft 401 is disposed below the back support member 2, and rotation of the rotation center shaft 401 is driven by a driving mechanism.

A connecting arm 402 is arranged at one end of the rotating middle shaft 401, the connecting arm 402 has three connecting points distributed in an isosceles triangle, the connecting point corresponding to the top angle is called a top angle connecting point, the connecting point corresponding to the two bottom angles is called a bottom angle connecting point, the end of the rotating middle shaft 401 is connected to the top angle connecting point and is fixedly connected, so that when the rotating middle shaft 401 rotates, the connecting arm 402 can be driven to rotate, and the rotating axis is approximately coincident with the central axis of the bottom surface of the back support member 2. Two bottom corner connecting points of the connecting arm 402 are arranged towards a direction away from the back support member 2, rotating structures 403 are oppositely arranged on the two bottom corner connecting points, at least one rotating structure 403 can be manually controlled, specifically, the rotating axes of the two rotating structures 403 are coincided and are parallel to the pitching axis of the operating table, and preferably, the rotating axis of the rotating structure 403 is protruded or coincided on the front end surface of the back support member 2. The bottom end of the head support member 3 is connected to the rotating end of the rotating structure 403 by a connector 404.

The process of the invention will be illustrated below: according to the nature of the operation of a patient, a proper operation body position is selected, generally, during the brain nerve operation, the head position needs to be slightly higher than the heart position, therefore, generally, at least the back supporting member 2 is inclined, and the head supporting member 3 and the back supporting member 2 are kept relatively fixed, however, the condition that the body of the patient needs to be slightly steered during the operation is not eliminated, and the traditional operation bed is difficult to avoid steering the head when the body is moved due to the fact that the head supporting member 3 and the back supporting member 2 form a whole, and the operation is not facilitated.

The head support member 3 of the present invention is connected to the back support member 2 by an adjustment bracket having a central axis of rotation 401 substantially coincident with the central axis of the back support structure so that the head support member 3 can roll relative to the back support member 2. from an opposite perspective, the head support member 3 can remain stable when a desired roll rotation of the torso of a patient is performed, the rotation being performed only by the back support member 2, the hip support member and the leg support member which support the torso of the patient.

When the back support member 2, the hip support member, and the leg support members need to be angularly adjusted in the pitch direction, the rotating structure 403 on the connecting arm 402 is rotated accordingly, and the head support member 3 is held fixed, thereby completing the angular adjustment of the trunk support member.

The connecting arm 402 in this embodiment is an inverted V-shaped structure, two ends are bottom corner connecting points, a bending point is a top corner connecting point, the two ends of the connecting arm 402 are bent forward to protrude out of the front end face of the back support member 2, so that the top corner connecting point and the rotating middle shaft 401 are hidden under the back support member 2, shielding of a patient is avoided, and the end portion of the connecting arm 402 extending forward is provided with a corresponding rotating structure 403.

In other embodiments, the connecting arm 402 may be of known configuration, such as an arcuate configuration, an inverted T-shaped configuration, or the like, without affecting the deflection of the connecting arm 402.

Preferably, the rotation center shaft 401 in this embodiment is driven by a motor, and a corresponding center shaft locking structure is provided, a main body of the motor is fixedly connected with the back support member 2, and an angle sensing device may be provided on the rotation center shaft 401.

In order to enable the connecting arm 402 to deflect normally, the rotation axis of the rotating structure 403 is not in the same plane with the back support member 2, so that when the head support member 3 performs angle adjustment in the pitch direction (it can be said that the trunk support member performs pitch direction adjustment and the pitch angle of the head support member 3 is constant), the distance between the head support member 3 and the back support member 2 is increased, the trunk of the patient needs to move forward to a certain extent according to the pitch angle adjustment, otherwise, the neck is pulled, and in order to solve the problem, the sliding mechanism 203 is arranged on the back support member 2.

The sliding mechanism 203 is hidden in the back support member 2, specifically, the back support member 2 includes a lower bearing frame 201 and an upper rigid sliding table 202, the bearing frame 201 and the sliding table 202 are slidably connected, an accommodating cavity is provided between the bearing frame 201 and the sliding table 202, the sliding mechanism 203 includes a sliding driving motor 2031 and a lead screw 2032 fixedly disposed in the accommodating cavity, and a lead screw 2032 nut threadedly connected with the lead screw 2032 is disposed at the bottom of the sliding table 202.

The slip driving motor 2031 is started in a soft driving manner, and during the soft starting process, the starting torque of the slip driving motor 2031 is gradually increased, and the rotating speed is also gradually increased. The vibration of the trunk of the patient is reduced while protecting the slip driving motor 2031.

In this embodiment, one of the rotating structures 403 connected to the end of the connecting arm 402 is a speed reduction motor, the other one is an electromagnetic brake, the rotating end of the rotating structure 403 is provided with a socket structure identical to that of a conventional operating table, and the socket structure is provided with a fastening structure, while the connecting member 404 provided on the head support structure is an insertion rod structure identical to that of the known art.

Finally, the above embodiments are only for illustrating the technical solutions of the present invention and not for limiting, although the present invention has been described in detail with reference to the preferred embodiments, it should be understood by those skilled in the art that modifications or equivalent substitutions may be made to the technical solutions of the present invention without departing from the spirit and scope of the technical solutions of the present invention, and all of them should be covered in the claims of the present invention.

Claims

1. A neurosurgical bed comprising a surgical column and a body support member, the body support member being disposed at an upper portion of the surgical column, and the body support member having at least a back support member, the neurosurgical bed further comprising:

a head support member disposed at a front end of the back support member;

2. A neurosurgical operating bed according to claim 1, wherein: the rotation axes of the two rotation structures are overlapped and are parallel to the pitching axis of the operating bed, and the rotation axes of the rotation structures protrude out of or are overlapped on the front end surface of the back support component.

3. A neurosurgical operating bed according to claim 1, wherein: the connecting arm is an inverted V-shaped structure, and two end parts of the connecting arm are bent forwards.

4. A neurosurgical operating bed according to claim 1, wherein: the back support component comprises a bearing frame at the lower part and a rigid sliding platform at the upper part, the bearing frame is in sliding connection with the sliding platform, an accommodating cavity is formed between the bearing frame and the sliding platform, and a sliding mechanism for driving the sliding platform to move in the front-back direction is arranged in the accommodating cavity.

5. A neurosurgical operating bed according to claim 4, wherein: the sliding mechanism comprises a sliding driving motor and a screw rod, the sliding driving motor and the screw rod are fixedly arranged in the accommodating cavity, a screw rod nut in threaded connection with the screw rod is arranged at the bottom of the sliding table, and the sliding driving motor is started in a soft driving mode.