Wound orthopedics multifunctional surgical equipment
Technical Field
The invention relates to the technical field of orthopedic surgery equipment, in particular to trauma orthopedic multifunctional surgery equipment.
Background
In the orthopedic treatment of trauma, sometimes need to carry out surgical treatment to the injured part of the patient, help the patient to recover, the lower limb operation is the common clinical operation of orthopedics, the intramedullary fixation technique of closed reduction is more widely used, the prerequisite of closed reduction is that the fracture needs to be reduced to the ideal position before the operation, and maintain this kind of good state that reduces, just need the cooperation of operation traction table to use.
Traction is based on the principle of acting force and reacting force in mechanics, and is applied to the affected limb through traction of gravity, so that tension and retraction of soft tissues at fracture and dislocation are relieved, fracture or dislocation is reset, and the purpose of treatment is achieved.
The perspective angle of the existing operating table can be shielded, the weight of the bed plate is large, and after the operation is finished, the heavy bed plate needs to be assembled and disassembled, and the traction frame is tired; the prior perspective bed can not be disassembled and can not be placed in special body positions,
traditional traction equipment needs manual assembly, and each joint of traction frame on most markets is not nimble enough, and the design is unreasonable can only be used for the operation reluctantly, and in addition, when perspective, can produce the collision under traction frame and the CB machine many situations, and simultaneously, the frame frictional force is drawn to interior overcoat during traditional traction frame tractive very big, and is more hard, makes some operations limited.
Disclosure of Invention
Technical problem to be solved
Aiming at the defects of the prior art, the invention provides a wound orthopedic multifunctional surgical device which has the advantages of eliminating perspective image shielding, being convenient and practical, solving the problem that the perspective angle of an operating bed is shielded, and solving the problem that the traditional bed plate is heavy; the defects that the existing perspective bed cannot be disassembled and special body positions cannot be placed are overcome; the problems that the traditional traction equipment needs manual assembly and perspective, collision can be caused to affect the operation quality, and when the traction frame is used for traction, the friction force of the inner sleeve traction frame and the outer sleeve traction frame is very large, labor is wasted, the design is unreasonable, and excessive traction is easily caused are solved; the problem of each part joint on traditional traction frame inflexible is solved and traditional shelf and inflexible joint have been abandoned, the directness has saved operation time consumption, reduces unnecessary operation risk and appears.
(II) technical scheme
In order to achieve the purpose, the invention provides the following technical scheme: a wound orthopedics multifunctional surgical device comprises a surgical bed component and a traction base component, wherein the surgical bed component comprises a bed base, universal traveling wheels are arranged at the bottom of the bed base, a lifting column is fixedly connected to the top of the bed base, a keel frame is fixedly connected to the top end of the lifting column, a bed board is mounted at the top of the keel frame, the keel frame and the bed board are made of carbon fiber materials, and a bed body balancing weight is arranged at the bottom of the bed base;
the traction base assembly is arranged on one side of the operating bed assembly and comprises a traction base, a hydraulic cylinder is arranged inside the traction base, a handle is arranged at the top of the traction base, a drawer is slidably connected inside the traction base, a first balancing weight is fixedly connected inside the traction base, a foot pad and a second balancing weight which are consistent in height are fixedly connected to the bottom of the traction base, and lifting universal wheels and small transverse sliding lifting wheels which are symmetrically arranged are arranged at the bottom of the traction base;
the telescopic end of the hydraulic cylinder is connected with a parallel frame component in a sliding mode, the parallel frame component comprises a slide rail frame, the bottom of the slide rail frame is fixedly connected with a rack and a driving box, and one side of the slide rail frame is fixedly connected with a handle;
a traction assembly is mounted at one end of the slide rail frame, the traction assembly comprises an arc-shaped rail, the arc-shaped rail is rotatably connected with the slide rail frame, two ends of the outer side wall of the arc-shaped rail are fixedly connected with limiting blocks, the outer side wall of the arc-shaped rail is slidably connected with a sliding block, one side of the sliding block is connected with a tension meter through a universal joint, and one end of the tension meter is movably connected with a foot rest assembly;
the foot rest assembly comprises a rotary connecting seat, a swinging connecting piece is installed at one end of the rotary connecting seat, and a foot rest body is movably connected to one end of the swinging connecting piece.
Preferably, the bed board comprises a head board, a first back board, a waist board, a second back board and a leg board.
Preferably, one side of the waist plate is connected with a perineum column plate, and the top of the perineum column plate is fixedly connected with a perineum column.
Preferably, the lift universal wheel is equipped with five groups altogether, five groups the even distribution of lift universal wheel is in the bottom of pulling the base, the lift universal wheel comprises lift portion and wheel body, the little lifting wheel of lateral sliding is equipped with four altogether, four the even distribution of the little lifting wheel of lateral sliding is in the bottom of balancing weight two, the little lifting wheel of lateral sliding comprises lift portion and wheel body.
Preferably, the inside of drive case is equipped with drive gear, drive gear with rack intermeshing, the lateral wall meshing of drive gear has worm gear, worm gear's center pin fixedly connected with hand wheel.
Preferably, a fixing bolt is fixedly connected to the inside of the sliding block.
Preferably, a universal joint is arranged at the joint of the sliding block and the tension meter.
Preferably, be equipped with battery, hydraulic pressure lift button, lift universal wheel button and the little lifting wheel button of lateral sliding on the traction base subassembly, the battery can charge, hydraulic pressure lift button is used for control the pneumatic cylinder, the lift universal wheel button is used for controlling the lift universal wheel, the little lifting wheel button of lateral sliding is used for control the little lifting wheel of lateral sliding.
Preferably, one side joint of perineum column board has supporting component, supporting component includes the hinge bar, the lateral wall of hinge bar is equipped with rotatory loop bar, the one end joint of rotatory loop bar has transmission portion, transmission portion includes the transmission seat, one side of transmission seat is rotated and is connected with the lift hand wheel, the one end fixedly connected with gear of lift hand wheel, the lateral wall meshing of gear has the pinion rack, the inside wall transmission of transmission portion is connected with the bracing piece, the pinion rack is fixed on the lateral wall of bracing piece, the top of bracing piece is equipped with the supporting seat, the supporting seat with the junction of bracing piece is equipped with universal seat.
(III) advantageous effects
Compared with the prior art, the invention provides a wound orthopedic multifunctional surgical device, which has the following beneficial effects:
1) the novel material operation table eliminates the shielding of the metal keel in the process of perspective in the operation of the existing operation table, so that the perspective influence is clearer, the novel material operation table is suitable for placing various operation positions, the novel material operation table greatly lightens the heavy burden of the traditional steel material belt, and the labor intensity of medical personnel is further lightened.
2) The novel material bed plate can obviously reduce the number of times of fluoroscopy of the cb machine in the operation, thereby reducing the ray exposure injury of the fluoroscopy ray to an operator and a patient.
3) The perspective image angle that traditional draft arm brought has been eliminated to this traction equipment and has been sheltered from, has eliminated the unnecessary collision that cb machine and traditional traction frame brought.
4) The simple resetting is complicated by the fact that the traditional traction arm can indirectly assist or prevent the excessive traction caused by insufficient technical experience of a doctor.
5) The equipment can be more simply passively pulled according to the physiological direction of a human body, the equipment can conform to the physiological direction invisibly in the inward folding process or the outward unfolding process, excessive pulling conditions can not be generated in the inward folding process, good reset is avoided, the experience is insufficient or the experience is rich, a doctor does not worry about the situation, and the hidden danger in the traditional traction frame is eliminated.
6) When the reduction is adjusted by lifting the device by the hydraulic cylinder, the fracture self caused by injury is angled forwards or backwards, and the normal anteversion angle which tends to anatomy is achieved by lifting the hydraulic cylinder.
7) The equipment is suitable for various operation patients and has more advantages for special patients, such as patients with short and small lower limbs and disabled people, and the condition that the traction arm is too long and the legs are reluctant to be put on the traction frame or cannot be pulled can not occur.
8) The tension meter is installed on the equipment, force statistics of various fracture types and the proportion of male and female in the actual traction process can be carried out through big data, accurate medical treatment can be carried out on the operation, excessive traction on the fracture due to insufficient experience of a doctor is prevented, the simple operation is complicated, unnecessary operation time is prolonged, and therefore operation risks of patients are increased.
9) The equipment does not need to be assembled and disassembled, is simple, convenient and quick to operate, does not have various non-optimal design problems caused by various traction frames with hinged inner and outer sleeve arms, can be pushed to prepare for operation reset, and brings a very convenient operation mode for doctors.
Drawings
FIG. 1 is a schematic structural view of the present invention;
fig. 2 is a structural schematic view of a perineal pillar plate in the invention;
fig. 3 is a top view of a perineal columna plate of the present invention;
FIG. 4 is a schematic view of the construction of the pulling apparatus of the present invention;
FIG. 5 is a bottom schematic view of the pulling apparatus of the present invention;
FIG. 6 is a partial schematic view of a parallelogram assembly of the present invention;
FIG. 7 is a schematic view of the traction assembly and the foot frame assembly of the present invention;
FIG. 8 is an enlarged view taken at A of FIG. 7 according to the present invention;
FIG. 9 is a schematic view of a support assembly according to the present invention;
fig. 10 is a schematic structural view of a transmission part in the support assembly of the present invention.
In the figure: 10. an operating bed assembly; 11. a bed base; 12. universal traveling wheels; 13. a lifting column; 14. A keel frame; 15. a bed board; 151. a head plate; 152. a first backboard; 153. a waist panel; 154. a second backboard; 155. a leg plate; 156. a perineal pillar plate; 1561. the perineal column; 16. a bed body balancing weight;
20. a traction base assembly; 21. a traction base; 22. a hydraulic cylinder; 23. a handle; 24. a drawer; 25. A first balancing weight; 26. a foot pad; 27. a second balancing weight; 28. lifting universal wheels; 29. a small lifting wheel slides transversely;
30. a parallel frame assembly; 31. a slide rail frame; 32. a rack; 33. a drive box; 331. a drive gear; 332. a worm gear; 333. a hand wheel; 34. a handle;
40. a traction assembly; 41. an arc-shaped track; 42. a limiting block; 43. a slider; 431. a fixing bolt; 44. A tension meter;
50. a foot rest assembly; 51. a rotating connecting seat; 52. a swinging connection; 53. a stand body;
60. a support assembly; 61. a hinged lever; 62. a transmission section; 621. a transmission seat; 622. a lifting hand wheel; 623. a gear; 624. a toothed plate; 63. a support bar; 64. a supporting seat; 65. a universal base; 66. the loop bar is rotated.
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. 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.
Example one
A wound orthopedics multifunctional surgical device comprises an operating bed component 10 and a traction base component 20, wherein the operating bed component 10 comprises a bed base 11, universal traveling wheels 12 are arranged at the bottom of the bed base 11, a lifting column 13 is fixedly connected to the top of the bed base 11, a keel frame 14 is fixedly connected to the top end of the lifting column 13, a bed plate 15 is installed at the top of the keel frame 14, the keel frame 14 and the bed plate 15 are made of carbon fiber materials, a bed body balancing weight 16 is arranged at the bottom of the bed base 11, and the bed body is not easy to move when being dragged by the arrangement of the bed body balancing weight 16;
the traction base assembly 20 is arranged on one side of the operating bed assembly 10, the traction base assembly 20 comprises a traction base 21, a hydraulic cylinder 22 is installed inside the traction base 21, a handle 23 is arranged at the top of the traction base 21, a drawer 24 is slidably connected inside the traction base 21, a first balancing weight 25 is fixedly connected inside the traction base 21, a foot pad 26 and a second balancing weight 27 which are consistent in height are fixedly connected to the bottom of the traction base 21, and lifting universal wheels 28 and small transverse sliding lifting wheels 29 which are symmetrically arranged are installed at the bottom of the traction base 21;
the telescopic end of the hydraulic cylinder 22 is slidably connected with a parallel frame assembly 30, the parallel frame assembly 30 comprises a slide rail frame 31, the bottom of the slide rail frame 31 is fixedly connected with a rack 32 and a driving box 33, and one side of the slide rail frame 31 is fixedly connected with a handle 34;
a traction assembly 40 is installed at one end of the slide rail frame 31, the traction assembly 40 comprises an arc-shaped rail 41, the arc-shaped rail 41 is rotatably connected with the slide rail frame 31, two ends of the outer side wall of the arc-shaped rail 41 are fixedly connected with limiting blocks 42, the outer side wall of the arc-shaped rail 41 is slidably connected with a sliding block 43, one side of the sliding block 43 is connected with a tension meter 44 through a universal joint, and one end of the tension meter 44 is movably connected with a foot stand assembly 50;
the stand assembly 50 includes a rotation connection base 51, a swing connection member 52 is installed at one end of the rotation connection base 51, and a stand body 53 is movably connected to one end of the swing connection member 52.
In this embodiment, the bed plate 15 includes a head plate 151, a first back plate 152, a waist plate 153, a second back plate 154, and a leg plate 155.
In this embodiment, specifically, one side of the waist plate 153 is connected with a perineum column plate 156, and the top of the perineum column plate 156 is fixedly connected with a perineum column 1561.
In this embodiment, specifically, five groups of lifting universal wheels 28 are provided, five groups of lifting universal wheels 28 are uniformly distributed at the bottom of the traction base 21, each lifting universal wheel 28 is composed of a lifting portion and a wheel body, four small transverse sliding lifting wheels 29 are provided, four small transverse sliding lifting wheels 29 are uniformly distributed at the bottom of the second counter weight block 27, and each small transverse sliding lifting wheel 29 is composed of a lifting portion and a wheel body.
In this embodiment, a driving gear 331 is provided inside the driving box 33, the driving gear 331 is engaged with the rack 32, a worm gear 332 is engaged with an outer side wall of the driving gear 331, and a hand wheel 333 is fixedly connected to a central axis of the worm gear 332.
In this embodiment, a fixing bolt 431 is fixedly connected to the inside of the slider 43.
In this embodiment, a universal joint is provided at the connection between the slider 43 and the tension meter 44.
In this embodiment, a storage battery, a hydraulic lifting button, a lifting universal wheel button and a small transverse sliding lifting wheel button are arranged on the traction base assembly 20, the storage battery can be charged, the hydraulic lifting button is used for controlling the hydraulic cylinder 22, the lifting universal wheel button is used for controlling the lifting universal wheel 28, and the small transverse sliding lifting wheel button is used for controlling the small transverse sliding lifting wheel 29.
Referring to fig. 1-10, when in use, the universal traveling wheels 12 extend out of the bed base 11, so that the whole bed body can move in any direction, the bed body is moved to a proper position, the height of the lifting column 13 is adjusted, the bed body reaches a proper height, and finally the leg plate 154 or the perineum column plate 155 is selected to be replaced according to the operation condition of a patient, and when in operation, the bed plate and the keel frame 14 are made of carbon fiber materials, so that the whole bed body can be seen through;
when bone traction is carried out, the yin column plate 156 is inserted into the waist plate 153, and then the lifting wheel 28 is extended out through the lifting wheel button, so that the lifting wheel 28 is extended out of the traction base 21, the whole traction equipment can move, after the whole traction equipment is moved to an operation area, the lifting wheel 28 is retracted through the lifting wheel button, so that the first balancing weight 25 and the second balancing weight 27 are in contact with the ground, and the whole traction equipment is not easy to move; then the arc-shaped track is rotated to the horizontal position to lock the rotary fixing bolt by rotating the fixing bolt for unlocking; then the traction equipment is lifted to the same height of the operating bed through a hydraulic lifting button, meanwhile, a foot rest body 53 on the traction equipment is connected with the foot of the patient, meanwhile, a swinging piece 52 is adjusted to enable the foot to be attached to the foot rest body, and after the connection is finished; then unlocking the lifting universal wheels 28 to enable the equipment to slide, pulling the handle 23 or the handle 34 to pull the equipment or translate the equipment to enable the legs of the patient to pull, contract or abduct to achieve the purposes of pulling, contracting and abducting, and then locking the lifting universal wheels 28 to enable the fracture to be approximately reset; according to the resetting condition, the small lifting wheel button is used for unlocking and locking the small lifting wheel 29 for transverse sliding to perform small adduction and abduction actions, so that the fracture is further reset; according to the resetting condition, the sliding block 43 capable of sliding of the fixed bolt 431 is unlocked and locked, so that the sliding block 43 slides along the arc-shaped track 41, and trace adduction and abduction actions are carried out, so that the fracture is further reset; according to the resetting condition, the unlocking rotary seat 51 carries out internal rotation or external rotation on the leg of the patient, so that the fracture is further reset; according to the resetting condition, the hand wheel 333 is shaken manually, so that the hand wheel 333 drives the worm gear 332 to rotate, the worm gear 332 drives the driving gear 331 to rotate, the driving gear 331 drives the rack 32 to move transversely, the sliding rail frame 31 on the rack 32 can move transversely, and small-amplitude drawing and zooming operations are performed; meanwhile, whether the supporting component 60 is utilized to support the fracture part of the patient is considered again according to the resetting condition, so that the fracture is further reset, in addition, the universal joint is arranged on the traction component 40, the foot part on the foot frame body 52 can rotate when in traction, so that the leg part of the human body can conform to the physiological direction no matter the direction of the traction equipment, in addition, the tension meter 44 arranged on the traction component 40 can detect the traction force, and the observation of medical personnel is facilitated.
Example two
One side joint of perineum post board 156 has supporting component 60, supporting component 60 includes hinge bar 61, the lateral wall of hinge bar 61 is equipped with rotatory loop bar 66, the one end joint of rotatory loop bar 66 has transmission portion 62, transmission portion 62 includes transmission seat 621, one side rotation of transmission seat 621 is connected with lifting hand wheel 622, lifting hand wheel 622's one end fixedly connected with gear 623, the lateral wall meshing of gear 623 has pinion rack 624, the inside wall transmission of transmission portion 62 is connected with bracing piece 63, pinion rack 624 is fixed on the lateral wall of bracing piece 63, the top of bracing piece 63 is equipped with supporting seat 64, supporting seat 64 is equipped with universal seat 65 with the junction of bracing piece 63.
Referring to fig. 1-9, the supporting component 60 is inserted into the keel on the perineum column plate 156, so that the supporting component 60 supports the legs of a person, the angle of the supporting seat 64 can be adjusted by adjusting the hinge rod 61, the lifting hand wheel 622 is rotated to drive the gear 623 to rotate, the gear 623 drives the toothed plate 624 to ascend or descend, the supporting rod 63 on the toothed plate 624 drives the supporting seat 64 to ascend or descend, the height of the supporting seat 64 is adjusted, and the reduction end is assisted and reset by an operator.
Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.