CN114052840A - Brain periosteum stripper for neurosurgery - Google Patents

Brain periosteum stripper for neurosurgery Download PDF

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Publication number
CN114052840A
CN114052840A CN202111391921.1A CN202111391921A CN114052840A CN 114052840 A CN114052840 A CN 114052840A CN 202111391921 A CN202111391921 A CN 202111391921A CN 114052840 A CN114052840 A CN 114052840A
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China
Prior art keywords
handle
plate
periosteum
wane
groove
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Granted
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CN202111391921.1A
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Chinese (zh)
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CN114052840B (en
Inventor
左新林
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Jilin Laiwo Medical Technology Co ltd
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Individual
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Publication of CN114052840A publication Critical patent/CN114052840A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B2017/320044Blunt dissectors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/3209Incision instruments
    • A61B2017/32096Incision instruments for slowly cutting through tissue, e.g. stent like temporary implants having sharp edges

Abstract

The invention discloses a neurosurgical brain periosteum elevator which comprises a handle and a wane, wherein the wane is installed at one end of the handle and comprises a plate body and an ejector rod, one end of the ejector rod is hinged to the plate body, a driving device is arranged on the handle and is mutually linked with the ejector rod and used for interacting with a doctor and driving the ejector rod to overturn and prop against an external bone surface, and an anti-skidding device is arranged at one end of the ejector rod, which is back to the plate body, and used for contacting with the external bone surface. The brain periosteum detacher for neurosurgery adopts the arrangement of the ejector rod, so that when the wane is inserted between the periosteum and the bone surface and tilts, a supporting force can be effectively provided in a mode of propping against the bone surface, and the wane can keep a tilting state without the action of external force.

Description

Brain periosteum stripper for neurosurgery
Technical Field
The invention relates to a periosteum stripper, in particular to a neurosurgical cerebrum periosteum stripper.
Background
Periosteum stripping surgery is a commonly used treatment surgery in the case of fracture damage of a patient, and the treatment of fracture is completed by stripping the periosteum and then anatomically reducing the fractured end inside the periosteum.
Therefore, the periosteum elevator is the most commonly used instrument in the orthopedic surgery, and the structure of the existing periosteum elevator is mainly formed by combining an integrally formed rocker and a long strip-shaped hand-held part, wherein the rocker is bent at a certain angle to integrally form a structure similar to a shovel, so that in the periosteum elevator, a doctor extends the rocker part between the periosteum and the bone and turns the periosteum open in a lever tilting mode to repair the internal bone, however, the existing surgery gradually moves towards minimally invasive, and the cutting is reduced as much as possible in the periosteum elevator process under the condition of no serious injury, for example, in the case of not large wound surface, such as bone fracture, the existing periosteum elevator often only cuts a seam, then the doctor adopts the periosteum elevator to extend into the levering mode to realize the periosteum elevator stripping, however, in the process of the repair surgery, the doctor needs to keep the periosteum in a pulled state, so that the physical consumption of the doctor is greatly increased, and the operation risk is increased.
Disclosure of Invention
Aiming at the defects in the prior art, the invention aims to provide a neurosurgical brain periosteum elevator capable of effectively reducing physical consumption of doctors.
In order to achieve the purpose, the invention provides the following technical scheme: the utility model provides a neurosurgery's brain periosteum elevator, includes handle and wane, the wane is installed on one of handle, the wane includes plate body and ejector pin, the one end of ejector pin articulates on the plate body, be equipped with drive arrangement on the handle, this drive arrangement links each other with the ejector pin for mutual with the doctor, the upset of drive ejector pin withstands outside bone surface, the one end of ejector pin plate body dorsad is equipped with antiskid for offset with outside bone surface.
As a further improvement of the present invention, the driving device includes a driving rod and a rotating wheel, the driving rod is slidably disposed in the handle, one end of the ejector rod facing away from the anti-skid device is hinged to the rocker, an end of the driving rod extends into the rocker and is hinged to an end of the ejector rod, and the rotating wheel is linked with the driving rod to drive the driving rod to slide back and forth in the handle and the rocker.
As a further improvement of the invention, teeth are formed on the wheel surface of the rotating wheel, teeth are formed on one side surface of the driving rod facing the rotating wheel, the rotating wheel is meshed with the driving rod, a groove is formed in one side of the handle facing the thumb of a doctor, two strip-shaped rotating grooves are formed in the groove wall of the groove, rotating shafts are arranged at the wheel centers of the front end surface and the rear end surface of the rotating wheel, a locking groove extends from the lower end of the rotating groove, a positioning groove is formed in the groove wall of the locking groove, a positioning ratchet wheel is coaxially fixed on the rotating shaft, when the rotating shafts move from the rotating groove to the locking groove, the ratchet of the positioning ratchet wheel is embedded into the positioning groove, a sliding bottom plate is arranged on one side of the driving rod, which is opposite to the rotating wheel, and is fixedly connected with the inner wall of the handle through a spring so that the driving rod can slide back and forth in the handle.
As a further improvement of the invention, blocking edges are arranged on the two side groove walls of one end of the rotary groove close to the notch of the groove, the blocking edges are arc-shaped, and a space for the rotation of the rotating shaft is formed between the blocking edges and the end part of the rotary groove.
As a further improvement of the present invention, the anti-slip device includes a left anti-slip plate and a right anti-slip plate, a hinge shaft is rotatably disposed on the end of the ejector rod opposite to the plate body, the end sides of the left anti-slip plate and the right anti-slip plate are both connected to the hinge shaft so as to be capable of being turned over oppositely or reversely, the hinge shafts connected to the left anti-slip plate and the right anti-slip plate are engaged with each other through a gear, a half gear is disposed on the plate body opposite to the end of the ejector rod, a transmission rod is rotatably disposed in the ejector rod in a penetrating manner, gears are disposed at both ends of the transmission rod, and the gears of the transmission rod are respectively engaged with the gear and the half gear on the hinge shaft.
As a further improvement of the invention, a plurality of anti-skidding convex points are arranged on the opposite side plate surfaces of the left anti-skidding plate and the right anti-skidding plate.
As a further improvement of the invention, a sliding hole is formed in the side wall of the handle close to one end of the rocker, a long-strip-shaped illuminating lamp is slidably arranged in the sliding hole, sliding grooves extending to two ends of the sliding hole are formed in the wall of the sliding hole, a sliding block is arranged on the outer side wall of the illuminating lamp, the sliding block is slidably arranged in the sliding groove, the length of the illuminating lamp is equal to that of the sliding hole, a receiving position and an ejecting position are arranged in the sliding groove, when the sliding block slides to the receiving position, the illuminating lamp is received in the sliding hole, and when the sliding block slides to the ejecting position, the lamp cap of the illuminating lamp extends out of the sliding hole.
As a further improvement of the invention, a miniature camera is arranged in a lamp cap of the illuminating lamp, and the miniature camera is in communication connection with an external server and is used for shooting a periosteum peeling process and transmitting a video to the external server.
The invention has the beneficial effects that a stripper structure can be effectively formed by arranging the handle and the seesaw, so that the periosteum can be effectively stripped, and by arranging the ejector rod, the seesaw can be effectively inserted between the periosteum and the bone surface and can be abutted against the bone surface when the periosteum is tilted to provide an effective supporting force for the seesaw, so that the tilting state of the seesaw can be maintained without external force, and compared with the periosteum stripper in the prior art, the invention can greatly reduce the physical force required by a doctor in periosteum stripping.
Drawings
FIG. 1 is a schematic structural view of a neurosurgical brain periosteum elevator of the present invention;
FIG. 2 is a schematic view of the internal structure of the handle of FIG. 1;
fig. 3 is a schematic structural view of the jack rod in fig. 1.
Detailed Description
The invention will be further described in detail with reference to the following examples, which are given in the accompanying drawings.
Referring to fig. 1 to 2, the neurosurgical brain periosteum elevator of the present embodiment includes a handle 1 and a rocker 2, the rocker 2 is installed at one end of the handle 1, the rocker 2 includes a plate body 21 and an ejector rod 22, one end of the ejector rod 22 is hinged to the plate body 21, the handle 1 is provided with a driving device 3, the driving device 3 is linked with the ejector rod 22 for interacting with a doctor, the driving ejector rod 22 is turned to prop against an external bone surface, one end of the ejector rod 22, which is opposite to the plate body 21, is provided with an anti-slip device 4 for propping against the external bone surface, in a process of using the neurosurgical brain periosteum elevator of the present embodiment, the handle 1 is only needed to be held by a hand, then the rocker 2 is inserted between the bone surface and the periosteum according to an existing operation method and then tilts up, and then the bone surface can be effectively propped against after the tilting of the rocker 2 through the action of the ejector rod 22, so as to keep the tilting state of the tilting plate 2, so that the doctor can keep the tilting state of the tilting plate 2 in a slightly hand-holding manner in the using process, thereby greatly reducing the physical consumption of the doctor.
As a modified embodiment, drive arrangement 3 includes actuating lever 31 and swiveling wheel 32, the setting that actuating lever 31 can slide is in handle 1, ejector pin 22 is articulated with rocker 2 in antiskid 4's one end dorsad, the tip of actuating lever 31 stretches into in rocker 2 to it is articulated with the tip of ejector pin 22, swiveling wheel 32 links with actuating lever 31 to drive actuating lever 31 and make a round trip to slide in handle 1 and rocker 2, the doctor can drive ejector pin 22 and expand gradually with the mode that the swiveling wheel 32 was dialled to the finger after rocker 2 perk, and when ejector pin 22 expanded to offseting with the bone surface, the doctor accessible feeds back the effectual state of knowing whether current ejector pin 22 withstood the bone surface to the resistance on the finger, so simple effectual realization does not need extra operation after the doctor utilizes rocker 2 to dial periosteum, the ejector rod 22 can be driven to eject only by finger operation, so that the use is more convenient and reliable.
As a modified embodiment, the wheel face of the rotating wheel 32 is provided with teeth, the driving rod 31 is provided with teeth on one side of the rotating wheel 32, the rotating wheel 32 is engaged with the driving rod 31, one side of the handle 1 facing the thumb of the doctor is provided with a groove, two long-strip-shaped rotating grooves are formed on the groove wall of the groove, the wheel centers of the front and rear end faces of the rotating wheel 32 are provided with rotating shafts, the lower end of the rotating groove extends to form a locking groove, the groove wall of the locking groove is provided with a positioning groove, the rotating shafts are coaxially fixed with a positioning ratchet wheel, when the rotating shafts move from the rotating groove to the locking groove, the ratchet of the positioning ratchet wheel is embedded into the positioning groove, the driving rod 31 is provided with a sliding bottom plate 33 back to the rotating wheel 32, the sliding bottom plate 33 is fixedly connected with the inner wall of the handle 1 through a spring so as to allow the driving rod 31 to slide back and forth in the handle 1, through the setting of above-mentioned structure, alright realize driving drive pole 31 through the gear drive structure and slided, and the mating reaction through location ratchet and constant head tank, alright realize the locking to swiveling wheel 32, and then lock driving pole 31 through swiveling wheel 32, so realize when needs locking, the doctor only need order about the pivot on the swiveling wheel 32 according to swiveling wheel 32 enter into and lock the inslot can, and is simple and convenient, simultaneously in the unblock, the doctor only need order about swiveling wheel 32 again the pivot that swiveling wheel 32 break away from locking the inslot can, very simple and convenient.
As a modified embodiment, be equipped with on the both sides cell wall that the swivelling chute is close to groove notch one end and block along 34, block along 34 and be the arc form, block and form the space that supplies the pivot rotation between the tip of edge 34 and swivelling chute, through the setting that blocks along 34, alright realize the effect to blocking temporarily of swiveling wheel 32, so under the condition that the doctor makes power not very big, swiveling wheel 32 can effectually be in the space internal rotation, and then drive actuating lever 31, and when needs locking, only need the doctor to use great power to press down swiveling wheel 32, the pivot of swiveling wheel 32 just can be under the condition of metal deformation, through blocking along 34, so realize having locked to the pivot of swiveling wheel 32.
As an improved specific embodiment, the anti-skid device 4 includes a left anti-skid plate 41 and a right anti-skid plate 42, a hinge shaft is rotatably disposed on an end portion of the top bar 22 opposite to the plate body 21, end sides of the left anti-skid plate 41 and the right anti-skid plate 42 are both connected to the hinge shaft so as to be able to turn over oppositely or reversely, the hinge shafts connected to the left anti-skid plate 41 and the right anti-skid plate 42 are engaged with each other through a gear, a half gear is disposed on a position of the plate body 21 opposite to the end portion of the top bar 22, a transmission rod is rotatably disposed in the top bar 22, gears are disposed at both ends of the transmission rod, the gear of the transmission rod is engaged with the gear and the half gear on the hinge shaft, and by the arrangement of the above structure, it is effectively realized that when the top bar 22 turns over and jacks outwards, the left anti-skid plate 41 and the right anti-skid plate 42 can be effectively unfolded, wherein the engagement manner of the hinge shafts in this embodiment is that one end face gear is coaxially sleeved on each of the two hinge shafts, one end of the transmission rod opposite to the left antiskid plate 41 is a common gear so as to be meshed between the two face gears, and the other end of the transmission rod is a face gear.
As an improved specific embodiment, a plurality of anti-slip convex points are arranged on the opposite side of the left anti-slip plate 41 and the right anti-slip plate 42, so that the anti-slip performance can be effectively further improved by the arrangement of the structure, and compared with the mode of adopting a groove, the problem of blocking a foreign object can be better avoided by adopting the convex points.
As an improved specific embodiment, a sliding hole is formed in a side wall of the handle 1 near one end of the rocker 2, a long-strip-shaped illuminating lamp is slidably arranged in the sliding hole, sliding grooves extending to two ends of the sliding hole are formed in a hole wall of the sliding hole, a sliding block is arranged on an outer side wall of the illuminating lamp, the sliding block is slidably arranged in the sliding groove, the length of the illuminating lamp is equal to that of the sliding hole, a receiving position and an ejecting position are arranged in the sliding groove, when the sliding block slides to the receiving position, the illuminating lamp is received in the sliding hole, when the sliding block slides to the ejecting position, a lamp cap of the illuminating lamp extends out of the sliding hole, and by means of the arrangement of the structure, the effect of self-provided illumination can be effectively achieved, and whether illumination is mainly controlled by a doctor, therefore, an illumination switch in the embodiment can be arranged at one end of the illuminating lamp, which is opposite to the lamp cap, so that the doctor can press fingers.
As an improved specific implementation mode, a miniature camera is arranged in a lamp cap of the illuminating lamp, and is in communication connection with an external server and used for shooting a periosteum peeling process and transmitting video to the external server, so that the effect of a periosteum peeling operation can be recorded in real time, a tracing effect can be well played on one hand, and the effect of real-time remote guidance can be realized on the other hand.
In conclusion, the brain periosteum elevator of this embodiment has adopted the combined action of handle 1, wane 2 and ejector pin 22, has effectually realized the effect that keeps 2 states of wane, great saving doctor's physical power.
The above description is only a preferred embodiment of the present invention, and the protection scope of the present invention is not limited to the above embodiments, and all technical solutions belonging to the idea of the present invention belong to the protection scope of the present invention. It should be noted that modifications and embellishments within the scope of the invention may occur to those skilled in the art without departing from the principle of the invention, and are considered to be within the scope of the invention.

Claims (8)

1. The utility model provides a neurosurgery's skull membrane stripper, includes handle (1) and wane (2), one of handle (1) is installed in wane (2) is served, its characterized in that: the wane (2) are including plate body (21) and ejector pin (22), the one end of ejector pin (22) articulates on plate body (21), be equipped with drive arrangement (3) on handle (1), this drive arrangement (3) and ejector pin (22) link each other for mutual with the doctor, drive ejector pin (22) upset withstands outside bone surface, the one end of ejector pin (22) plate body (21) dorsad is equipped with antiskid (4) for offset with outside bone surface.
2. The neurosurgical brain periosteum elevator of claim 1, wherein: drive arrangement (3) are including actuating lever (31) and swiveling wheel (32), the setting that actuating lever (31) can slide is in handle (1), ejector pin (22) one end and wane (2) of antiskid (4) are articulated dorsad, the tip of actuating lever (31) stretches into in wane (2) to it is articulated with the tip of ejector pin (22), swiveling wheel (32) and actuating lever (31) link, make a round trip to slide in handle (1) and wane (2) with drive actuating lever (31).
3. The neurosurgical brain periosteum elevator of claim 2, wherein: the utility model discloses a ratchet, including swiveling wheel (32), actuating lever (31), driving lever (31), rotatory wheel (32), actuating lever (31), handle, fixing plate (32), locking groove, locating bottom plate (33) and handle (1), the tooth has been seted up on the wheel face of swiveling wheel (32), the tooth has been seted up on the side of actuating lever (31) orientation swiveling wheel (32), swiveling wheel (32) meshes with actuating lever (31) mutually, handle (1) is seted up flutedly towards one side of doctor's thumb, seted up two on the cell wall of recess and is long banding rotary slot, the wheel heart department of two terminal surfaces all is equipped with the pivot around swiveling wheel (32), the lower extreme of rotary slot extends has locked the groove, seted up the constant head tank on the cell wall of locking groove, coaxial being fixed with the location ratchet in the pivot, when the pivot removed to locking inslot from the rotary slot, the ratchet was embedded into the constant head tank to the location ratchet, actuating lever (31) are equipped with sliding bottom plate (33) dorsad on one side of swiveling wheel (32), sliding bottom plate (33) is through the inner wall fixed connection of spring and handle (1), so that the driving rod (31) can slide back and forth in the handle (1).
4. The neurosurgical brain periosteum elevator of claim 3, wherein: the rotary groove is characterized in that blocking edges (34) are arranged on two side groove walls at one end, close to the groove opening of the groove, of the rotary groove, the blocking edges (34) are arc-shaped, and a space for rotating the rotary shaft is formed between the blocking edges (34) and the end part of the rotary groove.
5. The neurosurgical brain periosteum elevator of claims 1 to 4, wherein: the antiskid device (4) comprises a left antiskid plate (41) and a right antiskid plate (42), a hinge shaft is rotatably arranged at the end part of the ejector rod (22) back to the plate body (21), the end sides of the left antiskid plate (41) and the right antiskid plate (42) are connected to the hinge shaft to be opposite or reverse to each other, the hinge shafts connected with the left antiskid plate (41) and the right antiskid plate (42) are meshed through gears, a half gear is arranged at the position of the plate body (21) relative to the end part of the ejector rod (22), a transmission rod is rotatably arranged in the ejector rod (22) in a penetrating mode, gears are arranged at the two ends of the transmission rod, and the gears of the transmission rod are respectively meshed with the gears and the half gear on the hinge shaft.
6. The neurosurgical brain periosteum elevator of claim 5, wherein: and a plurality of anti-skidding convex points are arranged on the opposite side plate surface of the left anti-skidding plate (41) and the right anti-skidding plate (42).
7. The neurosurgical brain periosteum elevator of claims 1 to 4, wherein: the handle (1) is close to and has seted up the slide opening on the lateral wall of wane (2) one end, can the gliding long banding light that is equipped with in the slide opening, set up the spout that extends to the slide opening both ends on the pore wall of slide opening, be equipped with the slider on the lateral wall of light, the setting that the slider can slide is in the spout, the length of light equals the length of slide opening, have in the spout and accept position and ejecting position, when the slider slided to accepting the position, the light was acceptd in the slide opening, when the slider slided to ejecting position, the lamp holder of light stretches out in the slide opening.
8. The neurosurgical brain periosteum elevator of claim 7, wherein: be equipped with miniature camera in the lamp holder of light, this miniature camera and outside server communication connection for shoot in periosteum peeling process video transmission to outside server.
CN202111391921.1A 2021-11-19 2021-11-19 Brain periosteum stripper for neurosurgery Active CN114052840B (en)

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CN202111391921.1A CN114052840B (en) 2021-11-19 2021-11-19 Brain periosteum stripper for neurosurgery

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CN202111391921.1A CN114052840B (en) 2021-11-19 2021-11-19 Brain periosteum stripper for neurosurgery

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CN114052840B CN114052840B (en) 2022-07-22

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Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN202179574U (en) * 2011-06-22 2012-04-04 朱玉娟 Integrated bone file for stripping periostea
CN208591101U (en) * 2018-04-16 2019-03-12 徐州市中心医院 Universal nerve root stripper under foramen intervertebrale lens
CN210019539U (en) * 2019-03-30 2020-02-07 天津市康尔煜圣医疗器械有限公司 Periosteum stripper with adjustable
CN210472222U (en) * 2019-07-02 2020-05-08 徐加红 Periosteum elevator for nose plastic
CN210494143U (en) * 2019-07-01 2020-05-12 骆显红 Periosteum elevator for nose plastic
CN210784457U (en) * 2019-08-23 2020-06-19 徐潇 Periosteum elevator for nose plastic
CN211066896U (en) * 2019-06-06 2020-07-24 高山 Periosteum stripper for nose reshaping
CN215458507U (en) * 2021-07-21 2022-01-11 温州市人民医院 Delivery-assisting forceps

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN202179574U (en) * 2011-06-22 2012-04-04 朱玉娟 Integrated bone file for stripping periostea
CN208591101U (en) * 2018-04-16 2019-03-12 徐州市中心医院 Universal nerve root stripper under foramen intervertebrale lens
CN210019539U (en) * 2019-03-30 2020-02-07 天津市康尔煜圣医疗器械有限公司 Periosteum stripper with adjustable
CN211066896U (en) * 2019-06-06 2020-07-24 高山 Periosteum stripper for nose reshaping
CN210494143U (en) * 2019-07-01 2020-05-12 骆显红 Periosteum elevator for nose plastic
CN210472222U (en) * 2019-07-02 2020-05-08 徐加红 Periosteum elevator for nose plastic
CN210784457U (en) * 2019-08-23 2020-06-19 徐潇 Periosteum elevator for nose plastic
CN215458507U (en) * 2021-07-21 2022-01-11 温州市人民医院 Delivery-assisting forceps

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