CN114027900A - Retractor for external chest clinic and use method thereof - Google Patents
Retractor for external chest clinic and use method thereof Download PDFInfo
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- CN114027900A CN114027900A CN202111536969.7A CN202111536969A CN114027900A CN 114027900 A CN114027900 A CN 114027900A CN 202111536969 A CN202111536969 A CN 202111536969A CN 114027900 A CN114027900 A CN 114027900A
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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
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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
- A61B2017/00743—Type of operation; Specification of treatment sites
- A61B2017/00796—Breast surgery
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Abstract
The invention relates to a retractor for external thoracic clinic and a using method thereof, wherein the retractor comprises the following components: the adjusting device comprises an adjusting rod and two supporting frames, wherein one supporting frame is fixed on the adjusting rod, the other supporting frame is fixed on a sliding sleeve which can slide along the length direction of the adjusting rod, and the sliding sleeve can be relatively fixed with the adjusting rod through a locking mechanism; an installation rod is fixed on the support frame, an arc-shaped bearing frame is hinged to one end, far away from the support frame, of the installation rod, the arc-shaped bearing frame is further connected with an adjusting mechanism installed on the support frame, and the adjusting mechanism is used for adjusting the placing angle of the arc-shaped bearing frame relative to the horizontal direction; sliding mounting has two at least movable sleeves on the arc accepts the frame, rotate on the movable sleeve and install the sliding seat, sliding mounting has the regulating plate that is used for connecting the drag hook subassembly on the sliding seat, and the regulating plate passes through the buckle subassembly to be fixed on the sliding seat.
Description
Technical Field
The invention relates to the technical field related to medical instruments, in particular to a retractor for external thoracic clinic and a using method thereof.
Background
The retractor is also called a draw hook, is used for retracting tissues, exposing an operation field and is convenient to explore and operate, and can be divided into a handheld draw hook and an automatic draw hook. The retractor has various specifications of different shapes and sizes, and can be selected according to the operation requirement.
Retractors are used to provide access to a surgical site and to provide a clear view of the operating field, retractors having one or more surfaces that contact tissue or organs in order to hold an incision open or enlarge an anatomical space, the retracted elements may include any of a variety of tissues or organs such as skin, muscle, nerve, blood vessels, or other tissues or organs.
The existing retractor generally adopts a fixed horizontal structure for operation, and can only retract the operation wound into a fixed shape from a fixed retracting direction, so that the retracting requirements of the surgical wounds in different shapes cannot be met, and the adaptability is not high.
Disclosure of Invention
The present invention is directed to a retractor for use in external thoracic clinics and a method of using the same to solve the problems set forth in the background above.
In order to achieve the purpose, the invention provides the following technical scheme:
a retractor for use in a extrathoracic clinic, comprising:
the adjusting device comprises an adjusting rod and two supporting frames, wherein one supporting frame is fixed on the adjusting rod, the other supporting frame is fixed on a sliding sleeve which can slide along the length direction of the adjusting rod, and the sliding sleeve can be relatively fixed with the adjusting rod through a locking mechanism;
an installation rod is fixed on the support frame, an arc-shaped bearing frame is hinged to one end, far away from the support frame, of the installation rod, the arc-shaped bearing frame is further connected with an adjusting mechanism installed on the support frame, and the adjusting mechanism is used for adjusting the placing angle of the arc-shaped bearing frame relative to the horizontal direction;
sliding mounting has two at least movable sleeves on the arc accepts the frame, rotate on the movable sleeve and install the sliding seat, sliding mounting has the regulating plate that is used for connecting the drag hook subassembly on the sliding seat, and the regulating plate passes through buckle subassembly to be fixed on the sliding seat, and can be when buckle subassembly breaks away from the buckle state, relative sliding seat removes.
As a further scheme of the invention: the locking mechanism comprises a locking rod hinged to the sliding sleeve, a second clamping tooth matched with the strip-shaped tooth arranged on the adjusting rod is fixed at one end of the locking rod, and a through groove for the second clamping tooth to penetrate through is formed in the sliding sleeve;
the spring is further included, and two ends of the spring are respectively fixed with the sliding sleeve and the locking rod.
As a still further scheme of the invention: the adjusting rod is arranged in a cuboid structure, and the sliding sleeve is matched with the adjusting rod in shape.
As a still further scheme of the invention: the adjusting mechanism comprises a threaded rod rotatably mounted on the supporting frame and a threaded sleeve in threaded connection with the threaded rod, and an adjusting disc is fixed at one end of the threaded rod;
the two ends of the hinge rod are respectively hinged with the threaded sleeve and the arc-shaped bearing frame.
As a still further scheme of the invention: the drag hook subassembly is including fixing on the regulating plate and with the vertical plate that the regulating plate set up perpendicularly and through the second spring with the drag hook that vertical plate is connected, the drag hook with vertical plate is parallel.
As a still further scheme of the invention: the retractor for external thoracic clinic also comprises a lighting lamp obliquely arranged on the vertical plate, the lighting lamp is connected with a pressing switch arranged on one side, facing the draw hook, of the vertical plate through a lead, and when the draw hook draws skin, the draw hook moves towards the vertical plate to trigger the pressing switch.
As a still further scheme of the invention: the buckle assembly comprises a plurality of first clamping teeth arranged on the adjusting plate and a movable clamping plate matched with the first clamping teeth, and the movable clamping plate is movably arranged on the movable seat through at least two elastic pieces so as to enable the movable clamping plate to vertically move relative to the movable seat;
one side of the first latch, which faces the vertical plate, is a vertical surface, and one side of the first latch, which is far away from the vertical plate, is an inclined surface.
As a still further scheme of the invention: the both sides of regulating plate are provided with the dovetail groove, be provided with on the sliding seat and block and put in the dovetail groove just can be in the gliding trapezoidal slider in the dovetail groove.
A method of using a retractor for use in a chest clinic, comprising the steps of:
s1, according to the retracting requirement, the retractor assembly is hooked at the skin incision of the patient, the locking mechanism is controlled to be in an unlocking state, and then the sliding sleeve is moved to adjust the distance between the two support frames, so that preliminary distraction is realized;
s2, controlling an adjusting mechanism to adjust the placing angle of the arc-shaped bearing frame according to the levelness of the position of the chest cavity of the patient after lying down;
s3, pulling the adjusting plate to drive the drag hook assembly to move so as to realize fine adjustment of the retracting size, fixing the position of the adjusting plate through the arranged buckle assembly and keeping the retracting state.
Compared with the prior art, the invention has the beneficial effects that: the invention has novel design, controls the locking mechanism to be in an unlocking state, then moves the sliding sleeve to adjust the distance between the two support frames to realize primary distraction, and simultaneously can adjust the arc-shaped supporting frame and the drag hook assembly arranged on the arc-shaped supporting frame to adjust the angle relative to a patient through the arranged adjusting mechanism so as to ensure that the arc-shaped supporting frame and the patient keep a parallel state, thereby preventing the skin of the patient from being dragged in a vertical direction in the distraction process, only horizontally distracting and having high safety.
Drawings
Fig. 1 is a schematic view of a retractor for use in a chest clinic.
Figure 2 is a schematic view of a retractor from another angle for use in a chest clinic.
Fig. 3 is a schematic view showing a state in which a locking mechanism is coupled to an adjustment rod in a retractor for a chest clinic.
Fig. 4 is an enlarged view of a structure at a in fig. 1.
In the figure: 1-adjusting rod, 2-sliding sleeve, 3-supporting frame, 4-arc bearing frame, 5-mounting rod, 6-hinged rod, 7-adjusting disk, 8-threaded rod, 9-threaded sleeve, 10-movable sleeve, 11-first latch, 12-pull ring, 13-movable latch, 14-adjusting plate, 15-vertical plate, 16-illuminating lamp, 17-drag hook, 18-movable seat, 19-elastic piece, 20-locking rod, 21-bar tooth, 22-second latch, and 23-spring.
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.
In addition, an element of the present invention may be said to be "fixed" or "disposed" to another element, either directly on the other element or with intervening elements present. When an element is referred to as being "connected" to another element, it can be directly connected to the other element or intervening elements may also be present. The terms "vertical," "horizontal," "left," "right," and the like as used herein are for illustrative purposes only and do not represent the only embodiments.
Referring to fig. 1 to 4, in an embodiment of the present invention, a retractor for external thoracic clinic includes:
adjust pole 1 and two support frames 3, adjust pole 1 can be connected with and suspend the structure in midair, be used for also adjusting pole 1 and install the whole on adjusting pole 1 and support, prevent when using, adjust the whole pressure on patient's health on pole 1 and adjusting pole 1, one of them support frame 3 is fixed adjust pole 1 is last, another support frame 3 is fixed can follow adjust on the gliding sliding sleeve 2 of 1 length direction of pole, sliding sleeve 2 accessible locking mechanism with adjust pole 1 relatively fixed.
In order to ensure that the sliding sleeve 2 can not rotate relative to the adjusting rod 1 in the moving process, the adjusting rod 1 is arranged in a cuboid structure, and the sliding sleeve 2 is matched with the adjusting rod 1 in shape.
Specifically, the locking mechanism comprises a locking rod 20 hinged to the sliding sleeve 2, a second latch 22 matched with a bar-shaped tooth 21 arranged on the adjusting rod 1 is fixed at one end of the locking rod 20, and a through groove for the second latch 22 to penetrate through is formed in the sliding sleeve 2; still include spring 23, spring 23's both ends respectively with sliding sleeve 2 and locking pole 20 are fixed, press locking pole 20 through manual for locking pole 20 rotates in order to drive second latch 22 and breaks away from bar tooth 21, and at this moment, sliding sleeve 2 is adjusted pole 1 relatively and is in free activity state, in order to adjust support frame 3's position, after removing required position, loosen locking pole 20, in locking pole 20 and second latch 22 block into the bar tooth 21 of other positions under spring 23's effect, realize fixedly.
Preferably, bar tooth 21 and second latch 22 all are the setting of cuboid structure to when making in second latch 22 card goes into bar tooth 21, can not break away from because of the exogenic action produces.
Be fixed with installation pole 5 on the support frame 3, installation pole 5 is kept away from the one end of support frame 3 articulates there is arc accepting frame 4, arc accepting frame 4 still with install adjustment mechanism on the support frame 3 is connected, adjustment mechanism is used for adjusting the angle of placing of the relative horizontal direction of arc accepting frame 4 to realize that the relative patient of arc accepting frame 4 is in and tends towards parallel state with the patient affected part.
The adjusting mechanism comprises a threaded rod 8 rotatably mounted on the support frame 3 and a threaded sleeve 9 in threaded connection with the threaded rod 8, and an adjusting disc 7 is fixed at one end of the threaded rod 8; still include articulated rod 6, the both ends of articulated rod 6 respectively with threaded sleeve 9 reaches arc is accepted the frame 4 and is articulated.
The threaded rod 8 is driven to rotate by the adjusting disc 7, when the threaded rod 8 rotates, the bearing rod 4 is adjusted under the action of the hinge rod 6 and the threaded sleeve 9, and certainly, in the specific implementation process, the adjusting mechanism can also adopt a telescopic rod matched with a clamping structure to achieve adjustment and fixation, and the specific invention is not limited.
Sliding mounting has two at least movable sleeves 10 on the arc accepts frame 4, sliding mounting has movable seat 18 on the movable sleeve 10, sliding mounting has the regulating plate 14 that is used for connecting the drag hook subassembly on the movable seat 18, and regulating plate 14 fixes through buckle subassembly on the movable seat 18, and can break away from the buckle state at buckle subassembly, relative movable seat 18 removes.
As can be seen from the above, the movable sleeve 10 can rotate freely relative to the arc-shaped support frame 4, so when the skin of a patient is opened through the retractor assembly, the movable sleeve 10 can be rotated according to requirements to change the placing position of the retractor assembly, and the most suitable position can be kept in the retractor process, of course, an elastic buckle structure is further arranged between the movable sleeve 10 and the arc-shaped support frame 4, so that after the movable sleeve 10 is adjusted relative to the arc-shaped support frame 4, the position fixing is realized, the elastic buckle structure can adopt the cooperation of spring pieces and balls arranged on the arc-shaped support frame 4 and limiting grooves arranged on the movable sleeve 10, and other structures can be adopted, and can be specifically selected according to requirements, which is not repeated; the movable seat 18 is rotatably connected with the movable sleeve 10, so that the free rotation of the retractor assembly can be realized, the retractor assembly can be better attached to the skin at the current retracting position, and the retracting effect is improved.
An adjusting plate 14 is provided for receiving a retractor assembly, and preferably, a pull ring 12 is fixed to an end of the adjusting plate 14 remote from the retractor assembly to facilitate adjustment of the pulling of the plate 14.
Specifically, the drag hook subassembly including fix on regulating plate 14 and with the vertical plate 15 that regulating plate 14 perpendicular set up and through the second spring with drag hook 12 that vertical plate 15 is connected, drag hook 12 with vertical plate 15 is parallel, and second spring through setting up is located between drag hook 12 and the vertical plate 15, ensures to have certain activity space at the retractor in-process drag hook 12, prevents that the rigidity from dragging and causing secondary damage to the patient.
Preferably, the retractor for the external thoracic clinic further comprises an illuminating lamp 16 obliquely installed on the vertical plate 15, the illuminating lamp 16 is connected with a push switch installed on one side of the vertical plate 15 facing the retractor 12 through a lead, and when the retractor 12 pulls the skin, the retractor 12 moves towards the vertical plate 15 to trigger the push switch.
When the retractable illuminating lamp is used, the illuminating lamp 16 is automatically turned on after the switch is pressed to trigger, manual operation is not needed, complexity in the retracting working process is reduced, and the retractable illuminating lamp is convenient to use.
The buckle assembly comprises a plurality of first clamping teeth 11 arranged on the adjusting plate 14 and a movable clamping plate 13 matched with the first clamping teeth 11, wherein the movable clamping plate 13 is movably arranged on the movable seat 18 through at least two elastic pieces 19, so that the movable clamping plate 13 can vertically move relative to the movable seat 18;
one side of the first latch 11 facing the vertical plate 15 is a vertical surface, and one side far away from the vertical plate 15 is an inclined surface.
When using, only need manual pulling regulating plate 14 can drive upright board 15 and drag hook 12 and remove, and because the effect of activity cardboard 13 and first latch 11 for regulating plate 14 can not independently reverse movement, in order to ensure the stability at the retractor in-process, when needs initiative realization drag hook 12 breaks away from the skin, only need manually with activity cardboard 13 pull open can.
Trapezoidal grooves are formed in two sides of the adjusting plate 14, and trapezoidal sliding blocks which are clamped in the trapezoidal grooves and can slide in the trapezoidal grooves are arranged on the movable seat 18.
The sliding limit of the adjusting plate 14 is ensured by the sliding fit of the arranged trapezoidal sliding block and the trapezoidal groove.
In conclusion, the invention has novel design, controls the locking mechanism to be in an unlocking state, then moves the sliding sleeve 2 to adjust the distance between the two support frames 3 to realize preliminary distraction, and simultaneously adjusts the arc-shaped support frame 4 and the angle of the drag hook assembly arranged on the arc-shaped support frame 4 relative to the patient through the arranged adjusting mechanism to ensure that the arc-shaped support frame 4 and the patient are kept in a parallel state, thereby preventing the skin of the patient from being dragged in the vertical direction in the distraction process, only horizontally retracting and having high safety.
A method of using a retractor for use in a chest clinic, comprising the steps of:
s1, according to the retracting requirement, the retractor assembly is hooked at the skin incision of the patient, the locking mechanism is controlled to be in an unlocking state, and then the sliding sleeve 2 is moved to adjust the distance between the two support frames 3, so that preliminary distraction is realized;
s2, controlling an adjusting mechanism to adjust the placing angle of the arc-shaped supporting frame 4 according to the levelness of the position of the chest cavity of the patient after lying down;
s3, pulling the adjusting plate 14 to drive the drag hook assembly to move so as to realize fine adjustment of the retracting size, fixing the position of the adjusting plate 14 through the arranged buckle assembly, and keeping the retracting state.
It will be evident to those skilled in the art that the invention is not limited to the details of the foregoing illustrative embodiments, and that the present invention may be embodied in other specific forms without departing from the spirit or essential attributes thereof. The present embodiments are therefore to be considered in all respects as illustrative and not restrictive, the scope of the invention being indicated by the appended claims rather than by the foregoing description, and all changes which come within the meaning and range of equivalency of the claims are therefore intended to be embraced therein. Any reference sign in a claim should not be construed as limiting the claim concerned.
Furthermore, it should be understood that although the present description refers to embodiments, not every embodiment may contain only a single embodiment, and such description is for clarity only, and those skilled in the art should integrate the description, and the embodiments may be combined as appropriate to form other embodiments understood by those skilled in the art.
Claims (9)
1. A retractor for use in a extrathoracic clinic, comprising:
the adjusting rod comprises an adjusting rod (1) and two supporting frames (3), wherein one supporting frame (3) is fixed on the adjusting rod (1), the other supporting frame (3) is fixed on a sliding sleeve (2) capable of sliding along the length direction of the adjusting rod (1), and the sliding sleeve (2) can be fixed relative to the adjusting rod (1) through a locking mechanism;
an installation rod (5) is fixed on the support frame (3), an arc-shaped bearing frame (4) is hinged to one end, far away from the support frame (3), of the installation rod (5), the arc-shaped bearing frame (4) is further connected with an adjusting mechanism installed on the support frame (3), and the adjusting mechanism is used for adjusting the placing angle of the arc-shaped bearing frame (4) relative to the horizontal direction;
sliding mounting has two at least movable sleeves (10) on arc accepts frame (4), sliding mounting has sliding seat (18) on movable sleeve (10), sliding mounting has regulating plate (14) that are used for connecting the drag hook subassembly on sliding seat (18), and regulating plate (14) are fixed through buckle subassembly on sliding seat (18), and can break away from the buckle state at buckle subassembly, relative sliding seat (18) remove.
2. The retractor for external thoracic clinic according to claim 1, wherein the locking mechanism comprises a locking rod (20) hinged on the sliding sleeve (2), a second latch (22) adapted to a bar-shaped tooth (21) arranged on the adjusting rod (1) is fixed at one end of the locking rod (20), and a through slot for the second latch (22) to pass through is arranged on the sliding sleeve (2);
the locking device is characterized by further comprising a spring (23), wherein two ends of the spring (23) are fixed with the sliding sleeve (2) and the locking rod (20) respectively.
3. A retractor for external thoracic clinic according to claim 1 or 2, characterized in that the adjusting rod (1) is arranged in a rectangular parallelepiped structure, and the shape of the sliding sleeve (2) is adapted to the shape of the adjusting rod (1).
4. A retractor for use in external thoracic clinics according to claim 1, wherein the adjustment mechanism comprises a threaded rod (8) rotatably mounted on the support frame (3) and a threaded sleeve (9) screwed onto the threaded rod (8), an adjustment disc (7) being fixed to one end of the threaded rod (8);
still include articulated rod (6), the both ends of articulated rod (6) respectively with threaded sleeve (9) reach arc is accepted frame (4) and is articulated.
5. The retractor for external thoracic clinic according to claim 1, characterized in that the retractor assembly comprises an upright plate (15) fixed on the adjusting plate (14) and arranged perpendicular to the adjusting plate (14) and a retractor (12) connected to the upright plate (15) by a second spring, wherein the retractor (12) is parallel to the upright plate (15).
6. A retractor for thoracic clinics according to claim 5, characterized in that the retractor for thoracic clinics further comprises a lighting lamp (16) obliquely installed on the vertical plate (15), the lighting lamp (16) is connected with a push switch installed on one side of the vertical plate (15) facing the retractor (12) through a lead, and when the retractor (12) pulls the skin, the retractor (12) moves towards the vertical plate (15) to trigger the push switch.
7. A retractor for use in a thoracic clinic according to claim 1, wherein the buckle assembly comprises a plurality of first latches (11) provided on the adjustment plate (14) and a movable catch plate (13) fitted with the first latches (11), the movable catch plate (13) being movably mounted on the movable seat (18) by at least two elastic members (19) so that the movable catch plate (13) can vertically move relative to the movable seat (18);
one side of the first latch (11) facing the vertical plate (15) is a vertical surface, and one side of the first latch far away from the vertical plate (15) is an inclined surface.
8. A retractor for use in external thoracic clinics according to claim 7, wherein the adjusting plate (14) is provided with trapezoidal grooves on both sides, and the movable seat (18) is provided with trapezoidal sliding blocks which are clamped in the trapezoidal grooves and can slide in the trapezoidal grooves.
9. Use of a retractor according to any of claims 1 to 8 for use in a thoraco-clinical application, comprising the steps of:
s (1), according to the retracting requirement, the retractor assembly is hooked at the skin incision of a patient, the locking mechanism is controlled to be in an unlocking state, and then the sliding sleeve (2) is moved to adjust the distance between the two support frames (3) to realize primary distraction;
s (2), controlling an adjusting mechanism to adjust the placing angle of the arc-shaped bearing frame (4) according to the levelness of the position of the chest after the patient lies flat;
s (3), then the adjusting plate (14) is pulled to drive the drag hook assembly to move so as to realize fine adjustment of the retracting size, and the position of the adjusting plate (14) is fixed through the arranged buckle assembly so as to keep the retracting state.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202111536969.7A CN114027900A (en) | 2021-12-16 | 2021-12-16 | Retractor for external chest clinic and use method thereof |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202111536969.7A CN114027900A (en) | 2021-12-16 | 2021-12-16 | Retractor for external chest clinic and use method thereof |
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| CN114027900A true CN114027900A (en) | 2022-02-11 |
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| CN202111536969.7A Pending CN114027900A (en) | 2021-12-16 | 2021-12-16 | Retractor for external chest clinic and use method thereof |
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| CN111920464A (en) * | 2020-08-17 | 2020-11-13 | 刘书新 | Auxiliary device for general surgery department treatment |
| CN112515717A (en) * | 2020-12-14 | 2021-03-19 | 张�浩 | Semi-automatic control type surgical retractor for lumbar vertebra fracture surgery |
| CN214761246U (en) * | 2021-03-21 | 2021-11-19 | 亓广伟 | Abdominal cavity drag hook that can multi-angle was adjusted |
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