CN114052840B - Brain periosteum stripper for neurosurgery - Google Patents
Brain periosteum stripper for neurosurgery Download PDFInfo
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- CN114052840B CN114052840B CN202111391921.1A CN202111391921A CN114052840B CN 114052840 B CN114052840 B CN 114052840B CN 202111391921 A CN202111391921 A CN 202111391921A CN 114052840 B CN114052840 B CN 114052840B
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- handle
- plate
- ejector rod
- groove
- skidding
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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
- A61B17/32—Surgical cutting instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B2017/320044—Blunt dissectors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/3209—Incision instruments
- A61B2017/32096—Incision instruments for slowly cutting through tissue, e.g. stent like temporary implants having sharp edges
Abstract
The invention discloses a neurosurgical cerebral 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, the driving device is mutually linked with the ejector rod and used for interacting with a doctor and driving the ejector rod to overturn to prop against an external bone surface, and an anti-skidding device is arranged at one end, back to the plate body, of the ejector rod and used for being in contact with the external bone surface. The neurosurgical cerebral periosteum stripper provided by the invention adopts the arrangement of the ejector rod, so that when the wane is inserted between the periosteum and the bone surface and is tilted, a supporting force is provided in a manner of propping against the bone surface, and the wane can be kept in a tilted state without the action of external force.
Description
Technical Field
The invention relates to a periosteum stripper, in particular to a neurosurgical cerebrum periosteum stripper.
Background
Periosteum stripping surgery is a common treatment surgery in the case of fracture damage of a patient, and the fracture is treated by stripping the periosteum and then anatomically reducing the fractured end inside the periosteum.
Therefore, the periosteum stripper is the most commonly used instrument in the bone surgery, the structure of the existing periosteum stripper is mainly formed by combining an integrally formed rocker and a long strip-shaped hand-held part, the rocker is bent at a certain angle and integrally forms a structure similar to a shovel, so that in the periosteum stripping surgery, a doctor extends the rocker part between the periosteum and a bone and turns the periosteum open in a lever tilting mode to further realize the repair of the internal bone, however, the existing surgery gradually moves towards minimally invasive, the cutting is reduced as much as possible in the periosteum stripping process under the condition of no serious injury, for example, in the condition that the wound surface is not very large, such as bone fracture, only one slit is cut in the existing periosteum stripping surgery, then the doctor adopts the periosteum stripper to extend into the prying mode to realize the periosteum stripping, however, in the repair surgery process, 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 skull membrane stripper capable of effectively reducing physical strength consumption of a doctor.
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 and is served at one of handle, the wane package rubbing board 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 and ejector pin linkage each other for interactive with the doctor, the upset of drive ejector pin withstands outside bone face, the one end of ejector pin plate body dorsad is equipped with antiskid for offset with outside bone face.
As a further improvement of the invention, the driving device comprises a driving rod and a rotating wheel, the driving rod is arranged in the handle in a sliding manner, one end of the ejector rod, which is opposite to the anti-skidding device, is hinged with the wane, the end part of the driving rod extends into the wane and is hinged with the end part of the ejector rod, and the rotating wheel is linked with the driving rod so as to drive the driving rod to slide back and forth in the handle and the wane.
As a further improvement of the invention, the surface of the rotating wheel is provided with teeth, one side of the driving rod facing the rotating wheel is provided with teeth, the rotating wheel is meshed with the driving rod, one side of the handle facing the thumb of a doctor is provided with a groove, the groove wall of the groove is provided with two long-strip-shaped rotating grooves, the wheel centers of the front end surface and the rear end surface of the rotating wheel are respectively provided with a rotating shaft, the lower end of each rotating groove extends to form a locking groove, the groove wall of each locking groove is provided with a positioning groove, a positioning ratchet wheel is coaxially fixed on the rotating shaft, when the rotating shaft moves from the rotating grooves to the locking grooves, the ratchets of the positioning ratchet wheel are embedded into the positioning grooves, one side of the driving rod, which is back to the rotating wheel, is provided with a sliding bottom plate, and the sliding bottom plate 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 surface of one side of the left anti-skidding plate opposite to the surface of the right anti-skidding plate.
As a further improvement of the invention, a sliding hole is formed in the side wall of one end, close to the rocker, of the handle, a long-strip-shaped illuminating lamp is arranged in the sliding hole in a sliding manner, 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 arranged in the sliding groove in a sliding manner, the length of the illuminating lamp is equal to that of the sliding hole, a containing position and an ejecting position are arranged in the sliding groove, when the sliding block slides to the containing position, the illuminating lamp is contained in the sliding hole, and when the sliding block slides to the ejecting position, a 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 advantages that a stripper structure can be effectively formed by arranging the handle and the seesaw, so that periosteum stripping operation is effectively realized, the situation that the seesaw is inserted between the periosteum and the bone surface can be effectively realized by arranging the ejector rod, meanwhile, when the periosteum is tilted, the seesaw is propped against the bone surface to provide an effective supporting force for the seesaw, and thus, the tilting state of the seesaw is maintained without external force.
Drawings
FIG. 1 is a schematic structural view of a neurosurgical cranial periosteum elevator of the present invention;
FIG. 2 is a schematic view showing 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 described in more detail with reference to the following examples, which are given by way of illustration.
Referring to fig. 1 to 2, the neurosurgical cerebral periosteum elevator of the present embodiment includes a handle 1 and a rocker 2, the rocker 2 is mounted on 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 on the plate body 21, the handle 1 is provided with a driving device 3, the driving device 3 is in mutual linkage with the ejector rod 22 and used 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 opposite to the plate body 21 is provided with an anti-slip device 4 and used for propping against the external bone surface, in a process of using the cerebral periosteum elevator of the present embodiment, the handle 1 is only needed to be held by hand, then the rocker 2 is inserted between the bone surface and the periosteum according to an existing operation method and then tilts, 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 tilting state of the tilting plate 2 can be kept by a doctor in a slightly hand-holding manner in the using process, thereby greatly reducing the physical consumption of the doctor.
As a modified specific implementation manner, the driving device 3 includes a driving rod 31 and a rotating wheel 32, the driving rod 31 is slidably disposed in the handle 1, one end of the anti-slip device 4, which is opposite to the ejector rod 22, is hinged to the rocker 2, the end of the driving rod 31 extends into the rocker 2 and is hinged to the end of the ejector rod 22, the rotating wheel 32 is linked to the driving rod 31 to drive the driving rod 31 to slide back and forth in the handle 1 and the rocker 2, the doctor can drive the ejector rod 22 to gradually expand in a manner of dialing the rotating wheel 32 with fingers after the rocker 2 tilts, and when the ejector rod 22 expands to abut against the bone surface, the doctor can effectively know whether the current ejector rod 22 abuts against the bone surface or not through the resistance feedback on the fingers, so that the doctor can simply and effectively realize that no additional operation is needed after the doctor utilizes the rocker 2 to dial the bone membrane, 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 actuating lever 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 the locking inslot can, and is simple and convenient, simultaneously in the unblock, the doctor only need press swiveling wheel 32 again order about the pivot of swiveling wheel 32 from locking the inslot break away from 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 34 and swivelling chute, through the setting that blocks along 34, alright realize the effect to a temporary blocking of swiveling wheel 32, so make power not very big under the condition at the doctor, swiveling wheel 32 can effectually be in the space internal rotation, and then the drive actuating lever 31, and when needs locking, only need the doctor to use great power to press down swiveling wheel 32, swiveling wheel 32's pivot just can be under the condition of metal deformation, through blocking along 34, so realized the locking to swiveling wheel 32's pivot.
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 containing position and an ejecting position are arranged in the sliding groove, when the sliding block slides to the containing position, the illuminating lamp is contained in the sliding hole, and when the sliding block slides to the ejecting position, a lamp cap of the illuminating lamp extends out of the sliding hole.
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 (7)
1. The utility model provides a neurosurgery's skull membrane stripper, includes handle (1) and wane (2), install on one end of handle (1) wane (2), its characterized in that: the seesaw (2) comprises a plate body (21) and an ejector rod (22), one end of the ejector rod (22) is hinged on the plate body (21), a driving device (3) is arranged on the handle (1), the driving device (3) is mutually linked with the ejector rod (22) and used for interacting with a doctor, the ejector rod (22) is driven to overturn and prop against an external bone surface, an anti-skidding device (4) is arranged at one end of the ejector rod (22) back to the plate body (21) and used for propping against the external bone surface, the anti-skidding device (4) comprises a left anti-skidding plate (41) and a right anti-skidding 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 anti-skidding plate (41) and the right anti-skidding plate (42) are both connected on the hinge shaft and can overturn oppositely or reversely, and the hinge shafts connected with the left anti-skidding plate (41) and the right anti-skidding plate (42) are engaged through gears, the plate body (21) is provided with a half gear relative to the end of the ejector rod (22), a transmission rod is rotatably arranged in the ejector rod (22) in a penetrating mode, gears are arranged at 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.
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 meningeal dissector 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 claim 4, 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).
6. The neurosurgical meningeal dissector of any one of claims 1 to 3, wherein the dissector comprises: the handle (1) is close to and has seted up the slide opening on the lateral wall of wane (2) one end, the gliding of being equipped with rectangular form light 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 gliding setting of slider 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 stretched out in the slide opening.
7. The neurosurgical meningeal dissector of claim 6, 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.
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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 true CN114052840B (en) | 2022-07-22 |
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Citations (8)
Publication number | Priority date | Publication date | Assignee | Title |
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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 |
-
2021
- 2021-11-19 CN CN202111391921.1A patent/CN114052840B/en active Active
Patent Citations (8)
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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Effective date of registration: 20220630 Address after: 130507 Yongxing Road, Jiutai Economic Development Zone, Changchun City, Jilin Province Applicant after: JILIN LAIWO MEDICAL TECHNOLOGY Co.,Ltd. Address before: 742200 No.64, Chengyan, Chengguan Town, Li County, Longnan City, Gansu Province Applicant before: Zuo Xinlin |
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