CN114504353A - Surgical retractor for hepatobiliary surgery - Google Patents

Surgical retractor for hepatobiliary surgery Download PDF

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Publication number
CN114504353A
CN114504353A CN202210145651.4A CN202210145651A CN114504353A CN 114504353 A CN114504353 A CN 114504353A CN 202210145651 A CN202210145651 A CN 202210145651A CN 114504353 A CN114504353 A CN 114504353A
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wall
surgical retractor
nut
surgical
groove
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邹仁超
李玲麟
魏东
王琳
吴涛
戈佳云
施智甜
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Second Affiliated Hospital of Kunming Medical University
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Second Affiliated Hospital of Kunming Medical University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/02Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
    • A61B17/0206Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors with antagonistic arms as supports for retractor elements

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Abstract

The invention relates to the technical field of surgical draw hooks and discloses a surgical draw hook for hepatobiliary surgery, which comprises a control cabinet, wherein a screw rod is rotationally arranged in the control cabinet, the left side and the right side of the outer wall of the screw rod are respectively provided with a first thread and a second thread with opposite rotation directions, and the outer walls of the first thread and the second thread are respectively in threaded connection with a first nut and a second nut; during the use, take off the kink of two operation drag hooks in operation notched both sides, then twist move the knob can, it can make the screw rod rotatory to twist to move the knob, the screw rod is rotatory to first screw thread and the motion that opposite direction was done to second screw thread drive first nut and second nut through its outer wall soon, be close to each other or keep away from each other, when first nut and second nut keep away from each other, can drive two operation drag hooks through first regulating plate and second regulating plate and keep away from each other, two operation drag hooks keep away from each other and can strut the operation incision, fully expose the operation field of vision, be convenient for perform the operation.

Description

肝胆外科用手术拉钩Surgical retractor for hepatobiliary surgery

技术领域technical field

本发明涉及手术拉钩技术领域,具体为肝胆外科用手术拉钩。The invention relates to the technical field of surgical retractors, in particular to a surgical retractor for hepatobiliary surgery.

背景技术Background technique

肝脏外科手术中,医生会把病人的皮肤肌肉切开,但是由于肌肉会收缩,所以在切开肌肉组织后需要用手术拉钩对手术切口进行扩张,即把切口分别向两边拉住,这样手术视野才会暴露;在实际手术中,操作手术拉钩的医护人员由于一直处于神经紧绷状态和长时间不能动弹,所以很快就会疲劳,容易出现错误,影响正常的手术进行,若是中途换人拉的话,也浪费了大量的人力,难以保证手术效率;During liver surgery, the doctor will cut the skin and muscles of the patient, but since the muscles will contract, the surgical incision needs to be expanded with a surgical retractor after incising the muscle tissue, that is, the incision is pulled to both sides, so that the surgical field of view is In the actual operation, the medical staff who operate the surgical retractor have been in a state of nervousness and cannot move for a long time, so they will soon become fatigued, prone to errors, and affect the normal operation. Otherwise, a lot of manpower is wasted, and it is difficult to ensure the efficiency of the operation;

为解决上述问题,中国专利公告号为:CN111407331B的发明专利提供了一种肝胆外科用手术拉钩,包括卡板、安装块、驱动机构、充气机构、伸缩机构、排气机构、测量机构,该肝胆外科用手术拉钩,无需医护人员手持该装置即可将患者的手术部位进行牵开处理,此外,根据实际使用情况,医护人员通过对该装置的使用,可将患者手术部位的牵开程度进行横向或纵向的调节处理,以此将患者手术部位的牵开状态调节至医护人员的需求范围内,由此可知,通过使用本申请中的装置,减少了医护人员的工作劳累度,提高了医护人员的工作效率。In order to solve the above problems, the invention patent of China Patent Bulletin No.: CN111407331B provides a surgical retractor for hepatobiliary surgery, including a clamping plate, a mounting block, a driving mechanism, an inflation mechanism, a telescopic mechanism, an exhaust mechanism, and a measuring mechanism. The surgical retractor for surgery can retract the patient's surgical site without the need for medical staff to hold the device. In addition, according to the actual use, medical staff can use the device to laterally retract the patient's surgical site. Or longitudinal adjustment processing, so as to adjust the retraction state of the patient's surgical site to the range required by the medical staff, it can be seen that by using the device in the application, the work fatigue of the medical staff is reduced, and the medical staff is improved. work efficiency.

上述手术拉钩中,虽然可对手术部分进行横向或纵向撑开,然后在实际应用中我们发现,其仍然存在有一定的不足之处,比如:Among the above surgical retractors, although the surgical part can be stretched horizontally or vertically, we found that in practical applications, there are still some shortcomings, such as:

在实际手术中,对手术切口的撑开需求往往是“侧边化”的,即只需撑开一侧的切口即可,无需两边都撑开,若是两边同时撑开的话,无疑会对手术切口的对角处(图10中F1和F2处)产生较大的拉力,容易导致伤口撕裂;In actual surgery, the demand for opening of the surgical incision is often "sideways", that is, only one side of the incision needs to be opened, and there is no need to open both sides. If both sides are opened at the same time, it will undoubtedly affect the operation. The diagonal corners of the incision (F1 and F2 in Figure 10) generate a large tensile force, which can easily lead to wound tearing;

基于此,我们提出了一种肝胆外科用手术拉钩。Based on this, we propose a surgical retractor for hepatobiliary surgery.

发明内容SUMMARY OF THE INVENTION

(一)解决的技术问题(1) Technical problems solved

针对现有技术的不足,本发明提供了肝胆外科用手术拉钩,具备便于对手术切口的撑开幅度进行调整的优点。In view of the deficiencies of the prior art, the present invention provides a surgical retractor for hepatobiliary surgery, which has the advantage of facilitating adjustment of the opening range of the surgical incision.

(二)技术方案(2) Technical solutions

为实现上述便于对手术切口的撑开幅度进行调整的目的,本发明提供如下技术方案:肝胆外科用手术拉钩,包括控制柜,所述控制柜内转动设置有螺杆,所述螺杆外壁的左右两侧分别开设有旋向相反的第一螺纹和第二螺纹,所述第一螺纹和第二螺纹的外壁分别螺纹连接有第一螺母和第二螺母,所述第一螺母和第二螺母的外壁分别固定安装有第一调节板和第二调节板,第一调节板和第二调节板均延伸至控制柜的外部,所述第一调节板和第二调节板上均设置有手术拉钩;In order to achieve the above-mentioned purpose of facilitating the adjustment of the opening range of the surgical incision, the present invention provides the following technical solution: a surgical retractor for hepatobiliary surgery includes a control cabinet, wherein a screw is rotatably arranged in the control cabinet, and the left and right sides of the outer wall of the screw are provided. The sides are respectively provided with a first thread and a second thread with opposite directions of rotation, the outer walls of the first thread and the second thread are respectively screwed with a first nut and a second nut, and the outer walls of the first nut and the second nut are respectively threaded. A first adjustment plate and a second adjustment plate are respectively fixedly installed, the first adjustment plate and the second adjustment plate both extend to the outside of the control cabinet, and both the first adjustment plate and the second adjustment plate are provided with surgical retractors;

所述手术拉钩由钩体和弯折部组成,两个所述手术拉钩的弯折部相对设置。The surgical retractor is composed of a hook body and a bent portion, and the bent portions of the two surgical retractors are arranged opposite to each other.

作为本发明的一种优选技术方案,所述螺杆的一端延伸至控制柜的外部并固定连接有旋钮。As a preferred technical solution of the present invention, one end of the screw rod extends to the outside of the control cabinet and is fixedly connected with a knob.

作为本发明的一种优选技术方案,所述第一调节板和第二调节板内均转动设置有丝杆,所述丝杆的外壁螺纹连接有丝母,所述丝母的外壁固定安装有底柱,所述底柱的末端延伸至第一调节板或第二调节板的外部并通过滑动机构与手术拉钩的钩体相连接。As a preferred technical solution of the present invention, a screw rod is rotatably installed in the first adjustment plate and the second adjustment plate, the outer wall of the screw rod is threadedly connected with a nut, and the outer wall of the nut is fixedly installed with a screw rod. A bottom column, the end of the bottom column extends to the outside of the first adjustment plate or the second adjustment plate and is connected with the hook body of the surgical retractor through a sliding mechanism.

作为本发明的一种优选技术方案,所述丝杆背向控制柜的一端固定安装有转动钮。As a preferred technical solution of the present invention, a turning button is fixedly installed at one end of the screw rod facing away from the control cabinet.

作为本发明的一种优选技术方案,所述滑动机构包括滑板、滑槽、滑动柜和柱槽,所述底柱的末端固定安装有滑板,所述滑板滑动设置在滑槽的内壁上,所述滑槽开设在滑动柜内,所述滑动柜固定安装在手术拉钩的钩体顶部,所述滑动柜的顶部还开设有与所述底柱相耦合的柱槽。As a preferred technical solution of the present invention, the sliding mechanism includes a sliding plate, a chute, a sliding cabinet and a column groove, a sliding plate is fixedly installed at the end of the bottom column, and the sliding plate is slidably arranged on the inner wall of the sliding groove, so The sliding slot is opened in the sliding cabinet, the sliding cabinet is fixedly installed on the top of the hook body of the surgical retractor, and the top of the sliding cabinet is also provided with a column groove coupled with the bottom column.

作为本发明的一种优选技术方案,所述滑板内螺纹连接有锁紧螺栓,所述锁紧螺栓的一端抵在滑槽的内壁上,所述锁紧螺栓的另一端延伸至滑动柜的外部,所述滑动柜的外壁还开设有与所述锁紧螺栓相耦合的活动槽,所述锁紧螺栓滑动设置在活动槽内。As a preferred technical solution of the present invention, the sliding plate is internally threaded with a locking bolt, one end of the locking bolt is pressed against the inner wall of the chute, and the other end of the locking bolt extends to the outside of the sliding cabinet , the outer wall of the sliding cabinet is also provided with a movable groove coupled with the locking bolt, and the locking bolt is slidably arranged in the movable groove.

作为本发明的一种优选技术方案,所述弯折部上形成有弯槽,所述弯槽内壁的两侧分别活动设置有第一延长部和第二延长部,所述第一延长部与第二延长部之间设置有气动伸缩柱。As a preferred technical solution of the present invention, a curved groove is formed on the bending portion, and a first extension portion and a second extension portion are respectively movably provided on both sides of the inner wall of the curved groove, and the first extension portion and the A pneumatic telescopic column is arranged between the second extension parts.

作为本发明的一种优选技术方案,所述钩体内形成有内腔,所述内腔的内壁活动设置有活动塞,所述活动塞背向弯折部的一端固定安装有横杆,所述横杆的末端固定安装有推杆,所述内腔朝向弯折部的一端通过气管与伸缩柱相连通。As a preferred technical solution of the present invention, an inner cavity is formed in the hook body, a movable plug is movably arranged on the inner wall of the inner cavity, and a cross bar is fixedly installed at the end of the movable plug facing away from the bending portion, and the A push rod is fixedly installed at the end of the transverse rod, and one end of the inner cavity facing the bending part is communicated with the telescopic column through the trachea.

作为本发明的一种优选技术方案,所述推杆的内顶壁固定安装有弹簧,所述弹簧的底部固定安装有活动板,所述活动板的底部固定安装有拉杆,所述拉杆的底端延伸至推杆的外部并固定连接有连接柱,所述连接柱的底部固定安装有拉板。As a preferred technical solution of the present invention, a spring is fixedly installed on the inner top wall of the push rod, a movable plate is fixedly installed at the bottom of the spring, a pull rod is fixedly installed at the bottom of the movable plate, and the bottom of the pull rod is fixedly installed. The end extends to the outside of the push rod and is fixedly connected with a connecting column, and the bottom of the connecting column is fixedly mounted with a pulling plate.

作为本发明的一种优选技术方案,所述内腔的内壁上开设有与所述连接柱相耦合的推槽,所述连接柱滑动设置在推槽内;As a preferred technical solution of the present invention, the inner wall of the inner cavity is provided with a push groove coupled with the connecting column, and the connecting column is slidably arranged in the push groove;

所述连接柱的外壁固定安装有卡柱,所述推槽的内壁均匀开设有与所述卡柱相对应的卡槽。The outer wall of the connecting column is fixedly installed with a clamping column, and the inner wall of the pushing groove is evenly provided with clamping grooves corresponding to the clamping column.

(三)有益效果(3) Beneficial effects

与现有技术相比,本发明提供了肝胆外科用手术拉钩,具备以下有益效果:Compared with the prior art, the present invention provides a surgical retractor for hepatobiliary surgery, which has the following beneficial effects:

1、该肝胆外科用手术拉钩,使用时,将两个手术拉钩的弯折部扒在手术切口的两侧,然后拧动旋钮即可,拧动旋钮能够使螺杆旋转,螺杆旋转通过其外壁旋向相反的第一螺纹和第二螺纹带动第一螺母和第二螺母做相反方向的运动,相互靠近或相互远离,当第一螺母和第二螺母相互远离时,通过第一调节板和第二调节板即可带动两个手术拉钩相互远离,两个手术拉钩相互远离即可撑开手术切口,充分暴露手术视野,便于进行手术。1. When using the surgical retractor for hepatobiliary surgery, put the bent parts of the two surgical retractors on both sides of the surgical incision, and then turn the knob. Turning the knob can make the screw rotate, and the screw rotates through its outer wall. Drive the first nut and the second nut to move in opposite directions to the opposite first and second threads, approaching or moving away from each other, when the first nut and the second nut are far away from each other, the The adjustment plate can drive the two surgical retractors away from each other, and the two surgical retractors can be separated from each other to open the surgical incision, fully exposing the surgical field, and facilitating the operation.

2、该肝胆外科用手术拉钩,手术时,需要沿手术切口的方向对手术切口的撑开位置进行调整时,拧动转动钮即可,拧动转动钮能够使丝杆旋转,丝杆旋转带动其外壁螺纹连接的丝母移动,丝母移动通过底柱即可带动手术拉钩移动,从而能够调整手术切口任意一边的手术拉钩的撑开位置,使用起来更加的便利,能够根据实际手术情况自由调整手术切口的撑开位置。2. The surgical retractor for hepatobiliary surgery needs to be adjusted along the direction of the surgical incision to adjust the opening position of the surgical incision during the operation, and the rotating knob can be rotated. The threaded nut on the outer wall moves, and the nut moves through the bottom column to drive the surgical retractor to move, so that the opening position of the surgical retractor on either side of the surgical incision can be adjusted. It is more convenient to use and can be freely adjusted according to the actual surgical situation. The distraction position of the surgical incision.

3、该肝胆外科用手术拉钩,手术时,需要对手术切口的单边进行扩撑时,拧松相应钩体的锁紧螺栓即可自由滑动钩体,普通状态下:锁紧螺栓顶紧在滑槽的内壁上,底柱底部的滑板无法在滑槽内滑动,从而钩体也就无法相对底柱产生移动,需要对手术切口的单边进行扩撑时,拧松相应的锁紧螺栓,此时滑板可自由在滑槽内移动,从而也就能够调整钩体的位置,对手术切口的单边进行扩撑,无需两边同时扩撑,避免了手术切口撕裂的问题。3. The surgical retractor for hepatobiliary surgery needs to be expanded and braced on one side of the surgical incision during surgery, and the hook body can be freely slid by loosening the locking bolt of the corresponding hook body. On the inner wall of the chute, the sliding plate at the bottom of the bottom column cannot slide in the chute, so the hook body cannot move relative to the bottom column. At this time, the sliding plate can move freely in the chute, so that the position of the hook body can be adjusted, and the single side of the surgical incision can be expanded and supported, and there is no need to expand both sides at the same time, which avoids the problem of tearing of the surgical incision.

4、该肝胆外科用手术拉钩,活动塞在内腔内移动可通过气管将内腔中的空气充入伸缩柱,当活动塞在内腔中向右移动时,空气通过气管充入伸缩柱,伸缩柱伸长顶出第一延长部和第二延长部,通过伸出的第一延长部和第二延长部,从而能够拓展弯折部的纵向撑开幅度,使得手术切口的两侧(或一侧)可以暴露出更广的手术视野,更便于手术的进行。4. The surgical retractor for hepatobiliary surgery, the movable plug moves in the inner cavity, and the air in the inner cavity can be filled into the telescopic column through the trachea. When the movable plug moves to the right in the inner cavity, the air is filled into the telescopic column through the trachea, The telescopic column extends and pushes out the first extension part and the second extension part, and through the extended first extension part and the second extension part, the longitudinal extension of the bending part can be expanded, so that the two sides of the surgical incision (or One side) can expose a wider surgical field, which is more convenient for the operation.

5、该肝胆外科用手术拉钩,活动塞的移动通过拉板进行控制,需要使活动塞移动时,向外拉动拉板使连接柱上的卡柱脱离卡槽,便可通过连接柱、拉杆、推杆和横杆自由推动活动塞移动,移动至合适位置后,向内推动拉板使连接柱上的卡柱重新卡入卡槽即可,既保证了活动塞位置的稳定性,也实现了活动塞位置调节的便利性。5. The operation retractor for hepatobiliary surgery, the movement of the movable plug is controlled by the pulling plate. When the movable plug needs to be moved, the pulling plate is pulled outward to make the clamping column on the connecting column disengage from the clamping groove, and the connecting column, pulling rod, The push rod and the cross rod freely push the movable plug to move. After moving to a suitable position, push the pull plate inward to make the clamping column on the connecting column re-insert into the clamping slot, which not only ensures the stability of the movable plug position, but also realizes the The convenience of adjusting the position of the movable plug.

附图说明Description of drawings

图1为本发明整体结构的立体示意图;Fig. 1 is the three-dimensional schematic diagram of the overall structure of the present invention;

图2为本发明控制柜部分的剖视图;Fig. 2 is the sectional view of the control cabinet part of the present invention;

图3为本发明第一调节板部分的放大示意图;Fig. 3 is the enlarged schematic diagram of the first regulating plate part of the present invention;

图4为本发明第一调节板部分的剖视图;Fig. 4 is the sectional view of the first regulating plate part of the present invention;

图5为本发明滑动柜部分的放大示意图;Fig. 5 is the enlarged schematic diagram of the sliding cabinet part of the present invention;

图6为本发明钩体部分的剖视图;Fig. 6 is the sectional view of the hook body part of the present invention;

图7为本发明伸缩柱部分的放大示意图;Fig. 7 is the enlarged schematic diagram of the telescopic column part of the present invention;

图8为本发明推杆部分的剖视图;Fig. 8 is the sectional view of the push rod part of the present invention;

图9为本发明推杆部分的放大示意图;Fig. 9 is the enlarged schematic diagram of the push rod part of the present invention;

图10为本发明手术切口撑开时各点位置的示意图。FIG. 10 is a schematic diagram of the positions of various points when the surgical incision is opened according to the present invention.

图中:1、控制柜;2、螺杆;3、旋钮;4、第一螺纹;5、第二螺纹;6、第一螺母;7、第二螺母;8、第一调节板;9、第二调节板;10、丝杆;11、转动钮;12、丝母;13、底柱;14、滑板;15、滑槽;16、滑动柜;17、柱槽;18、锁紧螺栓;19、活动槽;20、钩体;21、弯折部;22、内腔;23、活动塞;24、横杆;25、推杆;26、弯槽;27、第一延长部;28、第二延长部;29、伸缩柱;30、气管;31、弹簧;32、活动板;33、拉杆;34、连接柱;35、拉板;36、卡柱;37、推槽;38、卡槽。In the figure: 1, control cabinet; 2, screw rod; 3, knob; 4, first thread; 5, second thread; 6, first nut; 7, second nut; 8, first adjustment plate; 9, first 2. Adjustment plate; 10. Screw rod; 11. Turning knob; 12. Nut; 13. Bottom column; 14. Slide plate; 15. Chute; 16. Sliding cabinet; 17. Column slot; 18. Locking bolt; 19 , movable groove; 20, hook body; 21, bending part; 22, inner cavity; 23, movable plug; 24, cross bar; 25, push rod; 26, curved groove; 27, first extension; 28, first 2. Extension; 29, telescopic column; 30, trachea; 31, spring; 32, movable plate; 33, pull rod; 34, connecting column; 35, pull plate; 36, clamping column; 37, push groove; 38, clamping groove .

具体实施方式Detailed ways

实施例:Example:

请参阅图1和图2,一种肝胆外科用手术拉钩,包括控制柜1,控制柜1内转动设置有螺杆2,螺杆2的一端延伸至控制柜1的外部并固定连接有旋钮3,通过旋钮3可以控制螺杆2的旋转,螺杆2外壁的左右两侧分别开设有旋向相反的第一螺纹4和第二螺纹5,第一螺纹4和第二螺纹5的外壁分别螺纹连接有第一螺母6和第二螺母7,第一螺母6和第二螺母7的外壁分别固定安装有第一调节板8和第二调节板9,第一调节板8和第二调节板9均延伸至控制柜1的外部,第一调节板8和第二调节板9上均设置有手术拉钩;1 and 2, a surgical retractor for hepatobiliary surgery includes a control cabinet 1, a screw 2 is rotatably arranged in the control cabinet 1, and one end of the screw 2 extends to the outside of the control cabinet 1 and is fixedly connected with a knob 3. The knob 3 can control the rotation of the screw 2. The left and right sides of the outer wall of the screw 2 are respectively provided with a first thread 4 and a second thread 5 with opposite directions of rotation. The nut 6 and the second nut 7, the outer walls of the first nut 6 and the second nut 7 are respectively fixed with the first adjusting plate 8 and the second adjusting plate 9, the first adjusting plate 8 and the second adjusting plate 9 both extend to the control Outside the cabinet 1, the first adjustment plate 8 and the second adjustment plate 9 are provided with surgical retractors;

本实施例中,如图2所示,手术拉钩由钩体20和弯折部21组成,两个手术拉钩的弯折部21相对设置,使用时,将两个手术拉钩的弯折部21扒在手术切口的两侧,然后拧动旋钮3即可,拧动旋钮3能够使螺杆2旋转,螺杆2旋转通过其外壁旋向相反的第一螺纹4和第二螺纹5带动第一螺母6和第二螺母7做相反方向的运动,相互靠近或相互远离,当第一螺母6和第二螺母7相互远离时,通过第一调节板8和第二调节板9即可带动两个手术拉钩相互远离,两个手术拉钩相互远离利用弯折部21即可撑开手术切口,充分暴露手术视野,从而便于进行手术;In this embodiment, as shown in FIG. 2 , the surgical retractor is composed of a hook body 20 and a bent portion 21 . The bent portions 21 of the two surgical retractors are arranged opposite to each other. When in use, the bent portions 21 of the two surgical retractors are removed. On both sides of the surgical incision, then turn the knob 3, the screw 2 can be rotated by turning the knob 3, and the rotation of the screw 2 drives the first nut 6 and the second screw 5 through the first thread 4 and the second thread 5 whose outer wall rotates in opposite directions. The second nut 7 moves in the opposite direction, approaching or moving away from each other. When the first nut 6 and the second nut 7 move away from each other, the first adjusting plate 8 and the second adjusting plate 9 can drive the two surgical retractors to each other. When the two surgical retractors are far away from each other, the surgical incision can be opened by the bending part 21, and the surgical field of view can be fully exposed, thereby facilitating the operation;

如图3和图4所示,第一调节板8和第二调节板9内均转动设置有丝杆10,丝杆10背向控制柜1的一端固定安装有转动钮11,通过转动钮11可以控制丝杆10的旋转,丝杆10的外壁螺纹连接有丝母12,丝母12的外壁固定安装有底柱13,底柱13的末端延伸至第一调节板8或第二调节板9的外部并通过滑动机构与手术拉钩的钩体20相连接;As shown in FIGS. 3 and 4 , the first adjusting plate 8 and the second adjusting plate 9 are both rotatably provided with a screw rod 10 , and the end of the screw rod 10 facing away from the control cabinet 1 is fixedly installed with a rotating button 11 , through the rotating button 11 The rotation of the screw rod 10 can be controlled, the outer wall of the screw rod 10 is threadedly connected with a nut 12, the outer wall of the nut 12 is fixedly installed with a bottom column 13, and the end of the bottom column 13 extends to the first adjustment plate 8 or the second adjustment plate 9 The outer part of the hook is connected with the hook body 20 of the surgical retractor through a sliding mechanism;

手术时,需要沿手术切口的方向对手术切口的撑开位置进行调整时,拧动转动钮11即可,拧动转动钮11能够使丝杆10旋转,丝杆10旋转带动其外壁螺纹连接的丝母12移动,丝母12移动通过底柱13即可带动手术拉钩移动,从而能够调整手术切口任意一边的手术拉钩的撑开位置,使用起来更加的便利,能够根据实际手术情况自由调整手术切口的撑开位置,请参阅图10,原本手术拉钩在A1或A2处撑开,此时可通过转动钮11使手术拉钩在B1、B2或C1、C2处撑开,能够根据手术需要调整撑开位置;During the operation, when the opening position of the surgical incision needs to be adjusted along the direction of the surgical incision, the turning button 11 can be rotated. The silk mother 12 moves, and the silk mother 12 moves through the bottom column 13 to drive the surgical retractor to move, so that the opening position of the surgical retractor on any side of the surgical incision can be adjusted, which is more convenient to use and can freely adjust the surgical incision according to the actual surgical situation Please refer to Figure 10. Originally, the surgical retractor is stretched at A1 or A2. At this time, the surgical retractor can be stretched at B1, B2 or C1, C2 by turning button 11, and the stretch can be adjusted according to the needs of the operation. Location;

本实施例中,请参阅图5,滑动机构包括滑板14、滑槽15、滑动柜16和柱槽17,底柱13的末端固定安装有滑板14,滑板14滑动设置在滑槽15的内壁上,滑槽15开设在滑动柜16内,滑动柜16固定安装在手术拉钩的钩体20顶部,滑动柜16的顶部还开设有与底柱13相耦合的柱槽17;In this embodiment, please refer to FIG. 5 , the sliding mechanism includes a sliding plate 14 , a sliding groove 15 , a sliding cabinet 16 and a column groove 17 , a sliding plate 14 is fixedly installed at the end of the bottom column 13 , and the sliding plate 14 is slidably arranged on the inner wall of the sliding groove 15 , the sliding slot 15 is opened in the sliding cabinet 16, the sliding cabinet 16 is fixedly installed on the top of the hook body 20 of the surgical retractor, and the top of the sliding cabinet 16 is also provided with a column slot 17 coupled with the bottom column 13;

滑板14内螺纹连接有锁紧螺栓18,锁紧螺栓18的一端抵在滑槽15的内壁上,锁紧螺栓18的另一端延伸至滑动柜16的外部,滑动柜16的外壁还开设有与锁紧螺栓18相耦合的活动槽19,锁紧螺栓18滑动设置在活动槽19内;The sliding plate 14 is internally threaded with a locking bolt 18, one end of the locking bolt 18 is pressed against the inner wall of the chute 15, the other end of the locking bolt 18 extends to the outside of the sliding cabinet 16, and the outer wall of the sliding cabinet 16 is also provided with the movable groove 19 to which the locking bolt 18 is coupled, and the locking bolt 18 is slidably arranged in the movable groove 19;

手术时,需要对手术切口的单边进行扩撑时,拧松相应钩体20的锁紧螺栓18即可自由滑动钩体20;During the operation, when it is necessary to expand the unilateral side of the surgical incision, the hook body 20 can be freely slid by loosening the locking bolt 18 of the corresponding hook body 20;

普通状态下:锁紧螺栓18顶紧在滑槽15的内壁上,底柱13底部的滑板14无法在滑槽15内滑动,从而钩体20也就无法相对底柱13产生移动,需要对手术切口的单边进行扩撑时,拧松相应的锁紧螺栓18,此时滑板14可自由在滑槽15内移动,从而也就能够调整钩体20的位置,对手术切口的单边进行扩撑,无需两边同时扩撑,避免了手术切口撕裂的问题;In normal state: the locking bolt 18 is pressed against the inner wall of the chute 15, the slide plate 14 at the bottom of the bottom post 13 cannot slide in the chute 15, so the hook body 20 cannot move relative to the bottom post 13, and surgery is required. When expanding the unilateral side of the incision, loosen the corresponding locking bolts 18. At this time, the sliding plate 14 can move freely in the chute 15, so that the position of the hook body 20 can be adjusted to expand the unilateral side of the surgical incision. Support, no need to expand the support on both sides at the same time, avoiding the problem of tearing the surgical incision;

请参阅图10,假设此时手术拉钩在A1处撑开,那么此时可以拧松锁紧螺栓18,然后滑动钩体20对A1处单独进行扩撑,其他位置同理,也可以单独对B1或C1处进行扩撑,而A2、B2和C2处,则可以保持原状,或对其进行放松,从而能够有效防止两边同时扩撑而发生F1、F2处撕裂的情况;Please refer to Figure 10, assuming that the surgical retractor is stretched at A1 at this time, then the locking bolt 18 can be loosened at this time, and then the hook body 20 can be slid to expand and support the A1 position. The same is true for other positions, and the B1 can also be independently stretched. Or expand the brace at C1, while at A2, B2, and C2, you can keep it as it is, or relax it, which can effectively prevent both sides from being expanded at the same time and tear at F1 and F2;

请参阅图6和图7,弯折部21上形成有弯槽26,弯槽26内壁的两侧分别活动设置有第一延长部27和第二延长部28,第一延长部27与第二延长部28之间设置有气动伸缩柱29,充入气体时,伸缩柱29伸长,未充入气体时,伸缩柱29缩短,从而能够通过伸缩柱29的伸长或缩短来调整第一延长部27和第二延长部28的伸出和回缩;Please refer to FIG. 6 and FIG. 7 , a curved groove 26 is formed on the bending portion 21 , and a first extension portion 27 and a second extension portion 28 are respectively movably provided on both sides of the inner wall of the curved groove 26 . A pneumatic telescopic column 29 is arranged between the extension parts 28. When the gas is filled, the telescopic column 29 is extended, and when the gas is not filled, the telescopic column 29 is shortened, so that the first extension can be adjusted by extending or shortening the telescopic column 29. the extension and retraction of the part 27 and the second extension 28;

本实施例中,如图6所示,钩体20内形成有内腔22,内腔22的内壁活动设置有活动塞23,活动塞23背向弯折部21的一端固定安装有横杆24,横杆24的末端固定安装有推杆25,内腔22朝向弯折部21的一端通过气管30与伸缩柱29相连通,活动塞23在内腔22内移动可通过气管30将内腔22中的空气充入伸缩柱29,当活动塞23在内腔22中向右移动时,空气通过气管30充入伸缩柱29,伸缩柱29伸长顶出第一延长部27和第二延长部28,通过伸出的第一延长部27和第二延长部28,从而能够拓展弯折部21的纵向撑开幅度,使得手术切口的两侧(或一侧)可以暴露出更广的手术视野,更便于手术的进行,具体的,假设原本弯折部21只利用A1处撑开手术切口,那么第一延长部27和第二延长部28伸出后,则可以同时利用A1、B1和C1处撑开手术切口,能够更广的暴露手术视野,相应的,此时A2、B2和C2处可以适当的回缩,以防止F1和F2处撕裂;In this embodiment, as shown in FIG. 6 , an inner cavity 22 is formed in the hook body 20 , a movable plug 23 is movably arranged on the inner wall of the inner cavity 22 , and a cross bar 24 is fixedly installed at the end of the movable plug 23 facing away from the bending portion 21 . The end of the cross bar 24 is fixedly installed with a push rod 25, the end of the inner cavity 22 facing the bending part 21 is communicated with the telescopic column 29 through the trachea 30, and the movable plug 23 moves in the inner cavity 22 and can pass the trachea 30 to the inner cavity 22. The air in the telescopic column 29 is filled into the telescopic column 29. When the movable plug 23 moves to the right in the inner cavity 22, the air is filled into the telescopic column 29 through the trachea 30, and the telescopic column 29 extends and pushes out the first extension portion 27 and the second extension portion. 28. By extending the first extension part 27 and the second extension part 28, the longitudinal extension of the bending part 21 can be expanded, so that both sides (or one side) of the surgical incision can be exposed to a wider surgical field , which is more convenient for the operation. Specifically, if the original bending part 21 only uses A1 to open the surgical incision, then after the first extension part 27 and the second extension part 28 are extended, A1, B1 and C1 can be used at the same time. The surgical incision can be opened at the position to expose a wider surgical field. Correspondingly, at this time, the A2, B2 and C2 can be properly retracted to prevent the F1 and F2 from tearing;

如图8和图9所示,推杆25的内顶壁固定安装有弹簧31,弹簧31的底部固定安装有活动板32,活动板32的底部固定安装有拉杆33,拉杆33的底端延伸至推杆25的外部并固定连接有连接柱34,连接柱34的底部固定安装有拉板35,内腔22的内壁上开设有与连接柱34相耦合的推槽37,连接柱34滑动设置在推槽37内,连接柱34的外壁固定安装有卡柱36,推槽37的内壁均匀开设有与卡柱36相对应的卡槽38;As shown in FIGS. 8 and 9 , a spring 31 is fixedly installed on the inner top wall of the push rod 25 , a movable plate 32 is fixedly installed at the bottom of the spring 31 , a pull rod 33 is fixedly installed at the bottom of the movable plate 32 , and the bottom end of the pull rod 33 extends To the outside of the push rod 25 and fixedly connected with a connecting column 34, the bottom of the connecting column 34 is fixedly installed with a pull plate 35, the inner wall of the inner cavity 22 is provided with a push groove 37 coupled with the connecting column 34, and the connecting column 34 is slidably arranged In the push groove 37, the outer wall of the connecting column 34 is fixedly installed with a clamping column 36, and the inner wall of the pushing groove 37 is evenly provided with a clamping groove 38 corresponding to the clamping column 36;

本实施例中,活动塞23的移动通过拉板35进行控制,需要使活动塞23移动时,向外拉动拉板35使连接柱34上的卡柱36脱离卡槽38,便可通过连接柱34、拉杆33、推杆25和横杆24自由推动活动塞23移动,移动至合适位置后,向内推动拉板35使连接柱34上的卡柱36重新卡入卡槽38即可,既保证了活动塞23位置的稳定性,也实现了活动塞23位置调节的便利性。In this embodiment, the movement of the movable plug 23 is controlled by the pull plate 35. When the movable plug 23 needs to be moved, the pull plate 35 is pulled outward to make the clamping column 36 on the connecting column 34 disengage from the clamping slot 38, and the connecting column can pass through the connecting column. 34. The pull rod 33, the push rod 25 and the cross rod 24 freely push the movable plug 23 to move. After moving to a suitable position, push the pull plate 35 inward so that the clamping post 36 on the connecting post 34 can be re-inserted into the clamping slot 38, that is, The stability of the position of the movable plug 23 is ensured, and the convenience of adjusting the position of the movable plug 23 is also realized.

本发明的工作原理及使用流程:The working principle of the present invention and the use flow:

使用时,将两个手术拉钩的弯折部21扒在手术切口的两侧,然后拧动旋钮3即可,拧动旋钮3能够使螺杆2旋转,螺杆2旋转通过其外壁旋向相反的第一螺纹4和第二螺纹5带动第一螺母6和第二螺母7做相反方向的运动,相互靠近或相互远离,当第一螺母6和第二螺母7相互远离时,通过第一调节板8和第二调节板9即可带动两个手术拉钩相互远离,两个手术拉钩相互远离即可撑开手术切口,充分暴露手术视野,便于进行手术;When in use, put the bent parts 21 of the two surgical retractors on both sides of the surgical incision, and then turn the knob 3, which can make the screw 2 rotate, and the screw 2 rotates through its outer wall in the opposite direction. A thread 4 and a second thread 5 drive the first nut 6 and the second nut 7 to move in opposite directions, approaching or moving away from each other. When the first nut 6 and the second nut 7 are far away from each other, the first adjusting plate 8 With the second adjustment plate 9, the two surgical retractors can be driven away from each other, and the two surgical retractors can be separated from each other to open the surgical incision, fully exposing the surgical field, and facilitating the operation;

手术时,需要沿手术切口的方向对手术切口的撑开位置进行调整时,拧动转动钮11即可,拧动转动钮11能够使丝杆10旋转,丝杆10旋转带动其外壁螺纹连接的丝母12移动,丝母12移动通过底柱13即可带动手术拉钩移动,从而能够调整手术切口任意一边的手术拉钩的撑开位置,使用起来更加的便利,能够根据实际手术情况自由调整手术切口的撑开位置;During the operation, when the opening position of the surgical incision needs to be adjusted along the direction of the surgical incision, the turning button 11 can be rotated. The silk mother 12 moves, and the silk mother 12 moves through the bottom column 13 to drive the surgical retractor to move, so that the opening position of the surgical retractor on any side of the surgical incision can be adjusted, which is more convenient to use and can freely adjust the surgical incision according to the actual surgical situation the open position;

手术时,需要对手术切口的单边进行扩撑时,拧松相应钩体20的锁紧螺栓18即可自由滑动钩体20,普通状态下:锁紧螺栓18顶紧在滑槽15的内壁上,底柱13底部的滑板14无法在滑槽15内滑动,从而钩体20也就无法相对底柱13产生移动,需要对手术切口的单边进行扩撑时,拧松相应的锁紧螺栓18,此时滑板14可自由在滑槽15内移动,从而也就能够调整钩体20的位置,对手术切口的单边进行扩撑,无需两边同时扩撑,避免了手术切口撕裂的问题;During the operation, when it is necessary to expand and support one side of the surgical incision, the hook body 20 can be freely slid by loosening the locking bolt 18 of the corresponding hook body 20. Under normal conditions, the locking bolt 18 is pressed against the inner wall of the chute 15. The sliding plate 14 at the bottom of the bottom column 13 cannot slide in the chute 15, so the hook body 20 cannot move relative to the bottom column 13. When it is necessary to expand the unilateral side of the surgical incision, loosen the corresponding locking bolts 18. At this time, the sliding plate 14 can move freely in the chute 15, so that the position of the hook body 20 can be adjusted, and the single side of the surgical incision can be expanded without expanding the two sides at the same time, which avoids the problem of tearing of the surgical incision. ;

活动塞23在内腔22内移动可通过气管30将内腔22中的空气充入伸缩柱29,当活动塞23在内腔22中向右移动时,空气通过气管30充入伸缩柱29,伸缩柱29伸长顶出第一延长部27和第二延长部28,通过伸出的第一延长部27和第二延长部28,从而能够拓展弯折部21的纵向撑开幅度,使得手术切口的两侧(或一侧)可以暴露出更广的手术视野,更便于手术的进行;When the movable plug 23 moves in the inner cavity 22, the air in the inner cavity 22 can be filled into the telescopic column 29 through the trachea 30. When the movable plug 23 moves to the right in the inner cavity 22, the air is filled into the telescopic column 29 through the trachea 30, The telescopic column 29 extends and pushes out the first extension part 27 and the second extension part 28 , and through the extended first extension part 27 and the second extension part 28 , the longitudinal extension of the bending part 21 can be expanded, so that the operation Both sides (or one side) of the incision can expose a wider surgical field, which is more convenient for the operation;

活动塞23的移动通过拉板35进行控制,需要使活动塞23移动时,向外拉动拉板35使连接柱34上的卡柱36脱离卡槽38,便可通过连接柱34、拉杆33、推杆25和横杆24自由推动活动塞23移动,移动至合适位置后,向内推动拉板35使连接柱34上的卡柱36重新卡入卡槽38即可,既保证了活动塞23位置的稳定性,也实现了活动塞23位置调节的便利性。The movement of the movable plug 23 is controlled by the pulling plate 35. When the movable plug 23 needs to be moved, the pulling plate 35 is pulled outward to make the clamping column 36 on the connecting column 34 disengage from the clamping slot 38, and the connecting column 34, the pulling rod 33, The push rod 25 and the cross rod 24 freely push the movable plug 23 to move. After moving to a suitable position, push the pull plate 35 inward to make the clamping post 36 on the connecting post 34 re-insert into the clamping slot 38, which not only ensures the movable plug 23 The stability of the position also realizes the convenience of adjusting the position of the movable plug 23 .

Claims (10)

1. Hepatobiliary surgery uses operation drag hook, including switch board (1), its characterized in that: the surgical retractor is characterized in that a screw rod (2) is rotationally arranged in the control cabinet (1), first threads (4) and second threads (5) which are opposite in rotation direction are respectively arranged on the left side and the right side of the outer wall of the screw rod (2), the outer walls of the first threads (4) and the second threads (5) are respectively in threaded connection with a first nut (6) and a second nut (7), a first adjusting plate (8) and a second adjusting plate (9) are respectively fixedly arranged on the outer walls of the first nut (6) and the second nut (7), the first adjusting plate (8) and the second adjusting plate (9) both extend to the outside of the control cabinet (1), and surgical hooks are respectively arranged on the first adjusting plate (8) and the second adjusting plate (9);
the surgical retractor is composed of a hook body (20) and a bending part (21), and the two bending parts (21) of the surgical retractor are arranged oppositely.
2. The surgical retractor for hepatobiliary surgery according to claim 1, wherein: one end of the screw rod (2) extends to the outside of the control cabinet (1) and is fixedly connected with a knob (3).
3. The surgical retractor for hepatobiliary surgery according to claim 1, wherein: all rotate in first regulating plate (8) and second regulating plate (9) and be provided with lead screw (10), the outer wall threaded connection of lead screw (10) has screw (12), the outer wall fixed mounting of screw (12) has sill post (13), the end of sill post (13) extends to the outside of first regulating plate (8) or second regulating plate (9) and is connected with hook body (20) of operation drag hook through slide mechanism.
4. The surgical retractor for hepatobiliary surgery according to claim 3, wherein: and a rotating button (11) is fixedly arranged at one end of the screw rod (10) back to the control cabinet (1).
5. The surgical retractor for hepatobiliary surgery according to claim 3, wherein: slide mechanism includes slide (14), spout (15), sliding cabinet (16) and post groove (17), the terminal fixed mounting of foundation (13) has slide (14), slide (14) slide and set up on the inner wall of spout (15), spout (15) are seted up in sliding cabinet (16), sliding cabinet (16) fixed mounting is at the coupler body (20) top of operation drag hook, sliding cabinet (16) the top still seted up with post groove (17) that foundation (13) coupled mutually.
6. The surgical retractor for hepatobiliary surgery according to claim 5, wherein: slide (14) female connection has locking bolt (18), the one end of locking bolt (18) is supported on the inner wall of spout (15), the other end of locking bolt (18) extends to the outside of sliding cabinet (16), the outer wall of sliding cabinet (16) still seted up with locking bolt (18) coupled movable groove (19), locking bolt (18) slide and set up in movable groove (19).
7. The surgical retractor for hepatobiliary surgery according to claim 1, wherein: a bending groove (26) is formed in the bending portion (21), a first extending portion (27) and a second extending portion (28) are movably arranged on two sides of the inner wall of the bending groove (26), and a pneumatic telescopic column (29) is arranged between the first extending portion (27) and the second extending portion (28).
8. The surgical retractor for hepatobiliary surgery according to claim 7, wherein: an inner cavity (22) is formed in the hook body (20), a movable plug (23) is movably arranged on the inner wall of the inner cavity (22), a cross rod (24) is fixedly mounted at one end, back to the bending part (21), of the movable plug (23), a push rod (25) is fixedly mounted at the tail end of the cross rod (24), and one end, facing the bending part (21), of the inner cavity (22) is communicated with a telescopic column (29) through an air pipe (30).
9. The surgical retractor for hepatobiliary surgery according to claim 8, wherein: the utility model discloses a push rod, including the interior roof fixed mounting of push rod (25) have spring (31), the bottom fixed mounting of spring (31) has fly leaf (32), the bottom fixed mounting of fly leaf (32) has pull rod (33), the bottom of pull rod (33) extends to the outside and the fixedly connected with spliced pole (34) of push rod (25), the bottom fixed mounting of spliced pole (34) has arm-tie (35).
10. The surgical retractor for hepatobiliary surgery according to claim 9, wherein: a push groove (37) coupled with the connecting column (34) is formed in the inner wall of the inner cavity (22), and the connecting column (34) is slidably arranged in the push groove (37);
the outer wall fixed mounting of spliced pole (34) has card post (36), the inner wall that pushes away groove (37) evenly seted up with card post (36) corresponding draw-in groove (38).
CN202210145651.4A 2022-02-17 2022-02-17 Surgical retractor for hepatobiliary surgery Withdrawn CN114504353A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202210145651.4A CN114504353A (en) 2022-02-17 2022-02-17 Surgical retractor for hepatobiliary surgery

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202210145651.4A CN114504353A (en) 2022-02-17 2022-02-17 Surgical retractor for hepatobiliary surgery

Publications (1)

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CN114504353A true CN114504353A (en) 2022-05-17

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CN202210145651.4A Withdrawn CN114504353A (en) 2022-02-17 2022-02-17 Surgical retractor for hepatobiliary surgery

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CN (1) CN114504353A (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN115778453A (en) * 2022-11-10 2023-03-14 新疆维吾尔自治区第二济困医院(新疆维吾尔自治区第五人民医院) Incision spreader for trauma orthopedic surgery

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN115778453A (en) * 2022-11-10 2023-03-14 新疆维吾尔自治区第二济困医院(新疆维吾尔自治区第五人民医院) Incision spreader for trauma orthopedic surgery

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Application publication date: 20220517