CN117122359A - Surgical field exposure device for adjusting and preventing tearing of spinal trauma site and use method - Google Patents
Surgical field exposure device for adjusting and preventing tearing of spinal trauma site and use method Download PDFInfo
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- CN117122359A CN117122359A CN202311262247.6A CN202311262247A CN117122359A CN 117122359 A CN117122359 A CN 117122359A CN 202311262247 A CN202311262247 A CN 202311262247A CN 117122359 A CN117122359 A CN 117122359A
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- 208000014674 injury Diseases 0.000 title claims abstract description 21
- 230000008733 trauma Effects 0.000 title claims abstract description 19
- 238000000034 method Methods 0.000 title claims abstract description 15
- 230000008093 supporting effect Effects 0.000 claims abstract description 17
- 210000003205 muscle Anatomy 0.000 claims description 12
- 206010033675 panniculitis Diseases 0.000 claims description 12
- 210000004304 subcutaneous tissue Anatomy 0.000 claims description 12
- 230000000694 effects Effects 0.000 claims description 7
- 210000002615 epidermis Anatomy 0.000 claims description 6
- 208000027418 Wounds and injury Diseases 0.000 claims description 4
- 238000001356 surgical procedure Methods 0.000 claims description 3
- 230000001174 ascending effect Effects 0.000 claims description 2
- 230000001105 regulatory effect Effects 0.000 description 6
- 238000010586 diagram Methods 0.000 description 5
- 210000003491 skin Anatomy 0.000 description 5
- 210000000988 bone and bone Anatomy 0.000 description 3
- 230000006978 adaptation Effects 0.000 description 2
- 230000006378 damage Effects 0.000 description 2
- 230000004064 dysfunction Effects 0.000 description 2
- 230000001976 improved effect Effects 0.000 description 2
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- 235000017491 Bambusa tulda Nutrition 0.000 description 1
- 241001330002 Bambuseae Species 0.000 description 1
- 206010061245 Internal injury Diseases 0.000 description 1
- 206010033892 Paraplegia Diseases 0.000 description 1
- 235000015334 Phyllostachys viridis Nutrition 0.000 description 1
- 230000000712 assembly Effects 0.000 description 1
- 238000000429 assembly Methods 0.000 description 1
- 239000011425 bamboo Substances 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 238000001125 extrusion Methods 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 230000002427 irreversible effect Effects 0.000 description 1
- 238000012423 maintenance Methods 0.000 description 1
- 230000000474 nursing effect Effects 0.000 description 1
- 230000003287 optical effect Effects 0.000 description 1
- 230000000149 penetrating effect Effects 0.000 description 1
- 230000001737 promoting effect Effects 0.000 description 1
- 230000002040 relaxant effect Effects 0.000 description 1
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- 210000000278 spinal cord Anatomy 0.000 description 1
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/10—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
- A61B90/14—Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins
Abstract
The application provides a surgical field exposure device for adjusting and preventing tearing of a spinal trauma position, and belongs to the technical field of medical assistance; the device comprises a fixing component, wherein two supporting legs are respectively and fixedly arranged at the left side and the right side of the fixing component, and an adjusting component is movably arranged at one side of the fixing component. The application also provides a using method of the surgical field exposure device for adjusting the spinal trauma position and preventing the tearing, the application can simultaneously push the racks to move by arranging the cooperation of the structures such as the fixing component, the linkage component and the like and rotating the gears.
Description
Technical Field
The application relates to the technical field of medical assistance, in particular to a surgical field exposure device for adjusting and preventing tearing of a spinal trauma site and a use method.
Background
The spine is composed of vertebral bones and intervertebral discs, is a rather soft and movable structure, the shape of the spine can be changed considerably along with the movement load of the body, the movement of the spine depends on the completeness of the intervertebral discs, the harmony between the articular processes of the related vertebral bones is used as a more important part of bones in a human body, once injury occurs, the internal injury is irreversible, wherein the organic change of the spinal cord caused by the trauma is a type of injury which is relatively harmful to the spine at present, a patient needs to lie on bed for a long time, the sensory movement dysfunction and viscera dysfunction below a paraplegia plane, the whole body resistance is reduced, a plurality of serious complications can be caused, nursing work is responsible for preventing and treating the complications and preventing further aggravation of spinal cord injury, and in spinal surgery, the maintenance of the operation field is very important, so that doctors can perform operation on the spine more safely and accurately. The surgical field is a medical term, and mainly represents the range of vision in surgery.
Skin disinfection is usually carried out before operation, the part which is not involved in the operation is covered by an operation sterile towel, the part which needs to be exposed during the operation is reserved, the reserved part is the operation range, before the skin is not incised, the exposed part is called the operation field, the area of the operation field is deeply changed along with the incision of the epidermis, in the prior art, different types of operation expanders are generally used for keeping the operation field range to be the proper area, in the expanding process, medical staff usually use proper operation expanders for carrying out manual support, but because the muscle of the back is tension and the spine operation is deep operation, the expansion can not be carried out well generally.
In addition, the incision of the general spine operation is long, a plurality of dilators are needed, the angle of the dilator is required to be adjusted continuously manually, and the dilator is adjusted by hands too frequently in the operation process, so that the risk of infection of an operation area is increased, the muscles which are partially retracted are easily damaged repeatedly, the operation safety is further reduced, the operation effect is affected, and further, the working strength of medical staff is increased. .
Disclosure of Invention
The application aims to solve the technical problems that in the prior art, the angle of a drag hook is regulated by a screw rod and an inflatable bag and an operation part is opened, and in the prior art, most of structures are not provided with holes or grooves for fixing the position after the screw rod rotates, so that the problems of poor fixing effect and the prior art are solved by fixing the positions of the prior art and the incision only by friction force between the screw rod and other structures after the adjustment is completed.
In order to solve the technical problems, the application provides the following technical scheme:
the utility model provides a tear-proof operation field exposure device is adjusted to backbone wound position, includes fixed subassembly, fixed subassembly's left and right sides respectively fixed mounting has two supporting legs, one side movable mounting of fixed subassembly has adjusting part, fixed subassembly's top movable mounting has the linkage subassembly, the top fixed mounting of linkage subassembly has moving subassembly, moving subassembly's surface equidistance fixed mounting has clamping assembly, fixed subassembly, adjusting part, moving subassembly, linkage subassembly have two and use fixed subassembly to be the axis and be the symmetry state, two moving subassembly's surface equipartition is apart from installing a plurality of clamping assembly.
Preferably, the fixed subassembly includes fixed box, fixed box's inner wall movable mounting has the gear, fixed cover of one side of gear has cup jointed the adjustment handle, one side activity of fixed box has run through fixed spring bar, one side of fixed spring bar is through two springs and one side movable mounting of fixed box, one side movable mounting of fixed box has two adjusting parts.
Preferably, the adjusting component comprises a first fixed plate, one side of the first fixed plate movably penetrates through the fixed box, one side of the first fixed plate movably penetrates through a second fixed plate, a spring expansion plate is fixedly arranged on the other side of the second fixed plate, two fixed grooves are respectively formed in the front end and the rear end of one side of the first fixed plate, the two fixed grooves are internally matched with the outer surface of the second fixed plate, and one side of the spring expansion plate is fixedly arranged on one side of the fixed box.
Preferably, the linkage assembly comprises a rack, the front side and the rear side of the rack are movably mounted with the inner wall of the fixed box, a center rod is movably mounted at the top of the inner wall of the fixed box, a linkage rod is hinged at one end of the top of the rack, a guide assembly is hinged at the top of the linkage rod, and a spring telescopic rod is hinged at the bottom of the guide assembly.
Preferably, the middle part of the linkage rod is hinged with one side of the central rod, the bottom of the rack is meshed with the outer surface of the gear, and the middle part of the central rod is movably arranged with one side of the fixed spring rod.
Preferably, the movable assembly comprises a supporting plate, the bottom of the supporting plate is fixedly installed with the central rod, a connecting shaft is movably installed on one side of the supporting plate, and a connecting plate is fixedly sleeved on the outer surface of the connecting shaft.
Preferably, one side of the connecting plate is hinged with the other side of the guiding assembly, and the outer surface of the connecting shaft is fixedly installed with the clamping assembly.
Preferably, the clamping assembly comprises an adjusting cylinder, the inside of the adjusting cylinder is fixedly penetrated with the outer surface of the connecting shaft, a corrugated pipe is movably installed in the adjusting cylinder, one side of the corrugated pipe is fixedly provided with the adjusting shaft, the bottom of the adjusting cylinder is movably provided with a fixed hook, and two fixing plates III are movably installed on the front side and the rear side of the adjusting cylinder respectively.
Preferably, the opposite side of bellows and one side fixed mounting of adjusting cylinder inner wall, the surface and the adjusting cylinder activity of regulating spindle run through, the inside of bellows is the intercommunication form with the inside of adjusting cylinder, a plurality of adjustment tank has been seted up to the bottom equidistance of fixed plate III, the surface of regulating spindle and the inside looks adaptation of adjustment tank.
The application method of the surgical field exposure device for adjusting and preventing the tearing of the spinal trauma site comprises the following specific steps:
s01: after the device is integrally placed at the back of a patient, the fixing work can be started, the clamping assembly is placed in the incision, at the moment, through observing whether the clamping assembly can clamp subcutaneous tissues and muscles of the patient, when the length of the fixing hook is insufficient, the bottom of the fixing plate III can be separated from the outer surface of the adjusting shaft by lifting the fixing plate III, the adjusting shaft is in a movable state, one side of the corrugated pipe can be extruded simultaneously by pushing the adjusting shaft, air in the corrugated pipe is extruded into the adjusting cylinder, at the moment, the fixing hook is pushed by the air and is in an extending state, further, when the clamping assembly is at the fixed incision, the fixing work can be well carried out on patients with different muscle thicknesses, and after the integral height adjustment of the clamping assembly is completed;
s02: the middle part of the linkage rod is hinged with one side of the central rod, the bottom of the linkage rod is hinged with the rack, when the rack pushes the bottom of the linkage rod, the top of the linkage rod moves towards the other side simultaneously, the guide assembly is pushed by the hinge, and the bottom of the middle part of the guide assembly is movably arranged with the top of the central rod through the spring telescopic rod, at the moment, the guide assembly is in a moving state and pushes one side of the connecting plate, at the moment, the whole of the guide assembly is upwards through the toughness of the spring telescopic rod, at the moment, one side of the connecting plate and one side of the connecting shaft are upwards simultaneously, and at the same time, the clamping assembly is driven to rotate while ascending, and the epidermis and subcutaneous tissue at the incision are clamped by the guide assembly;
s03: after the subcutaneous tissue is the clamp condition, through pulling fixed spring bar this moment, can make the center pole be the state of relaxing to follow the rack and remove in step, because in the device, fixed subassembly, adjusting part, moving part, supporting leg, clamping component, linkage subassembly are two, and use fixed subassembly as the axis symmetry, this structure makes the device can carry out solitary expansion to notched both sides, after the expansion is accomplished, promotes fixed plate one, and make the top of a fixed plate surface be located between the rack bottom tooth seam, can make the device wholly be fixed form.
Compared with the prior art, the application has at least the following beneficial effects:
in the above-mentioned scheme, through setting up the cooperation of fixed subassembly and linkage subassembly isotructure, when the bottom of centre gripping subassembly is located the incision inside, through rotatory gear, can promote the rack simultaneously and remove, at this moment, through pulling fixed spring bar, make the surface of fixed spring bar break away from the center pole, can make the center pole be the relaxation state, and follow the rack and remove in step, because in the device, fixed subassembly, adjusting part, moving assembly, linkage subassembly are two, and use fixed subassembly to be the axis symmetry, this structure makes the device can carry out solitary expansion to notched both sides, after the expansion is accomplished, rack reaches required position, promote fixed plate one, and make the top of a fixed plate surface be located between the rack bottom slot, thereby make the position of rack 601 be fixed state, through the toughness promotion fixed plate two of spring expansion plate, make it be located the fixed inslot portion of spring expansion plate one side, incision department will be thoroughly fixed by the device this moment, further, can make the device better expand the incision of back department, and the area of expansion can adjust at will, medical personnel have reduced, simultaneously, the convenience of the device in the back of the doctor has been improved.
Through setting up the cooperation of structure such as link assembly and centre gripping subassembly, because the middle part of gangbar is articulated state with one side of centre pole, the bottom and the rack of gangbar are articulated state, when the rack promotes the bottom of gangbar, the top of gangbar removes to the opposite side simultaneously, and promote guide assembly with this, because the bottom at guide assembly middle part passes through the top movable mounting of spring telescopic link and centre pole, guide assembly is the mobile state this moment, and promote one side of connecting plate, at this moment through the toughness of spring telescopic link, can make guide assembly's whole upwards, at this moment, one side of connecting plate and connecting axle upwards simultaneously, when rising, drive clamping assembly and rotate, and with this tight with epidermis and subcutaneous tissue clamp of incision department, because the elasticity degree of everyone's skin and muscle is different, under the state of not pressing from both sides, in the operation, prior art can drop in skin, further, this structure makes the guide assembly expand, when can be better fixed skin, and then make the device improve work effect simultaneously.
Through setting up the cooperation of linkage subassembly and clamping assembly isotructure, through mention the fixed plate III, can make the bottom of fixed plate III break away from the surface of regulating spindle, the regulating spindle is active state this moment, through promoting the regulating spindle, can extrude one side of bellows simultaneously, and get into the inside of adjusting the section of thick bamboo with its inside air extrusion, fixed couple will be promoted by the air this moment and be the state of stretching, further, make the clamping assembly in fixed incision department, to the patient of different muscle thickness, all can be fine carry out fixed work, further, can make the device be applicable to different patients.
Drawings
The accompanying drawings, which are incorporated herein and form a part of the specification, illustrate embodiments of the present disclosure and, together with the description, further serve to explain the principles of the disclosure and to enable a person skilled in the pertinent art to make and use the disclosure.
FIG. 1 is a schematic view of the appearance structure of the present application;
FIG. 2 is a schematic view of the structural cooperation of the fixing assembly and the linkage assembly according to the present application;
FIG. 3 is a schematic view showing the structural cooperation of the fixing assembly and the adjusting assembly according to the present application;
FIG. 4 is an enlarged schematic view of the application at A in FIG. 3;
FIG. 5 is a schematic diagram showing the internal structure of the fixing assembly of the present application;
FIG. 6 is a schematic diagram of the structural cooperation of the moving assembly and the linkage assembly according to the present application;
FIG. 7 is an enlarged schematic view of the application at A in FIG. 6;
FIG. 8 is a schematic view of the assembly of the present application mated with a support leg structure;
FIG. 9 is a schematic diagram illustrating the structural cooperation of the moving assembly and the clamping assembly according to the present application;
FIG. 10 is a schematic diagram showing the overall structure of the clamping assembly of the present application;
FIG. 11 is a schematic diagram illustrating the internal structure of the clamping assembly according to the present application.
[ reference numerals ]
1. A fixing assembly; 101. a fixed box; 102. adjusting the handle; 103. fixing a spring rod; 104. a gear; 2. an adjustment assembly; 201. a first fixing plate; 202. a spring expansion plate; 203. a second fixing plate; 3. a moving assembly; 301. a support plate; 302. a connecting plate; 303. a connecting shaft; 4. support legs; 5. a clamping assembly; 501. an adjustment cylinder; 502. a fixed hook; 503. a fixing plate III; 504. an adjusting shaft; 505. a bellows; 6. a linkage assembly; 601. a rack; 602. a central rod; 603. a linkage rod; 604. a guide assembly; 605. a spring telescopic rod.
While particular structures and devices are shown in the drawings to enable a clear implementation of embodiments of the application, this is for illustrative purposes only and is not intended to limit the application to the particular structures, devices and environments, which may be modified or adapted by those of ordinary skill in the art, as desired, and which remain within the scope of the appended claims.
Detailed Description
The application provides a surgical field exposure device for adjusting and preventing tearing of a spinal trauma site and a use method thereof, and the device is described in detail below with reference to the accompanying drawings and specific embodiments. While the application has been described herein in terms of the preferred and preferred embodiments, the following embodiments are intended to be more illustrative, and may be implemented in many alternative ways as will occur to those of skill in the art; and the accompanying drawings are only for the purpose of describing the embodiments more specifically and are not intended to limit the application specifically.
It should be noted that references in the specification to "one embodiment," "an example embodiment," "some embodiments," etc., indicate that the embodiment described may include a particular feature, structure, or characteristic, but every embodiment may not necessarily include the particular feature, structure, or characteristic. Further, when a particular feature, structure, or characteristic is described in connection with an embodiment, it is submitted that it is within the knowledge of one skilled in the relevant art to effect such feature, structure, or characteristic in connection with other embodiments whether or not explicitly described.
Generally, the terminology may be understood, at least in part, from the use of context. For example, the term "one or more" as used herein may be used to describe any feature, structure, or characteristic in a singular sense, or may be used to describe a combination of features, structures, or characteristics in a plural sense, depending at least in part on the context. In addition, the term "based on" may be understood as not necessarily intended to convey an exclusive set of factors, but may instead, depending at least in part on the context, allow for other factors that are not necessarily explicitly described.
It will be understood that the meanings of "on … …", "over … …" and "over … …" in this disclosure should be interpreted in the broadest sense so that "on … …" means not only "directly on" but also includes meaning "directly on" something with intervening features or layers therebetween, and "over … …" or "over … …" means not only "on" or "over" something, but also may include its meaning "on" or "over" something without intervening features or layers therebetween.
Furthermore, spatially relative terms such as "under …," "under …," "lower," "above …," "upper," and the like may be used herein for ease of description to describe one element or feature's relationship to another element or feature as illustrated in the figures. Spatially relative terms are intended to encompass different orientations of the device in use or operation in addition to the orientation depicted in the figures. The device may be otherwise oriented and the spatially relative descriptors used herein may similarly be interpreted accordingly.
As shown in fig. 1 to 11, the application provides an operation field exposure device for adjusting and preventing tearing of a spinal trauma site, which comprises a fixed component 1, wherein two supporting legs 4 are respectively and fixedly arranged at the left side and the right side of the fixed component 1, an adjusting component 2 is movably arranged at one side of the fixed component 1, a linkage component 6 is movably arranged at the top of the fixed component 1, a moving component 3 is fixedly arranged at the top of the linkage component 6, clamping components 5 are fixedly arranged on the outer surface of the moving component 3 at equal intervals, two fixing components 1, the adjusting component 2, the moving component 3 and the linkage component 6 are symmetrically arranged by taking the fixed component 1 as a central axis, and a plurality of clamping components 5 are uniformly arranged on the outer surfaces of the two moving components 3 at equal intervals.
Because in the device, fixed subassembly 1, adjusting part 2, remove subassembly 3, linkage subassembly 6 are two, and use fixed subassembly 1 to be the axis symmetry, this structure makes the device can carry out solitary expansion to notched both sides, after the expansion is accomplished, promote fixed plate one 201, and make the top of fixed plate one 201 surface be located between rack 601 bottom tooth seam, can make the device wholly be fixed form, further, can make the device better expand the incision of back department, and the area of expansion can be adjusted at will, notched both sides all can carry out solitary regulation, the intensity of labour in the medical personnel operation has been reduced, the convenience of device has been improved simultaneously.
As shown in fig. 2 and 3, the fixing assembly 1 includes a fixing box 101, a gear 104 is movably mounted on an inner wall of the fixing box 101, an adjusting handle 102 is fixedly sleeved on one side of the gear 104, a fixing spring rod 103 movably penetrates through one side of the fixing box 101, one side of the fixing spring rod 103 is movably mounted with one side of the fixing box 101 through two springs, and two adjusting assemblies 2 are movably mounted on one side of the fixing box 101.
Through the positional relationship of fixed box 101 and supporting leg 4, can make fixed subassembly 1 be fixed state to gen better definite notched position, through rotatory regulation handle 102, can drive gear 104 simultaneously and rotate, at the rotatory in-process of gear 104, drive the whole work of device, further for the convenience that the device used improves, makes the regulation of device more swift, has reduced the working strength when medical personnel perform the operation simultaneously.
As shown in fig. 3-5, the adjusting component 2 includes a first fixing plate 201, one side of the first fixing plate 201 movably penetrates through the fixing box 101, one side of the first fixing plate 201 movably penetrates through a second fixing plate 203, a spring expansion plate 202 is fixedly mounted on the other side of the second fixing plate 203, two fixing grooves are respectively formed in front and rear ends of one side of the first fixing plate 201, the inner parts of the two fixing grooves are matched with the outer surface of the second fixing plate 203, and one side of the spring expansion plate 202 is fixedly mounted on one side of the fixing box 101.
When the fixed plate II 203 is positioned in the front end fixing groove, the fixed plate I201 is not in contact with the bottom of the linkage assembly 6, the whole linkage assembly 6 is in a movable state, the linkage assembly 6 can be in a moving state through the afraid of rotating the gear 104, and the incision is expanded accordingly, when the incision is in a proper area, the fixed plate II 203 is pulled and separated from the inside of the front end fixing groove, the fixed plate I201 is pushed and is in a fixed clamping state with the bottom of the linkage assembly 6, at the moment, the outer surface of the fixed plate II 203 and the rear end fixing groove are in a fixed penetrating state through the elastic force of the spring expansion plate 202, and the linkage assembly 6 is in a fixed state at the moment, so that the device can be used for randomly adjusting the expanded area, and further, the device is suitable for patients with different incision sizes.
As shown in fig. 2 to 7, the linkage assembly 6 includes a rack 601, front and rear sides of the rack 601 are movably mounted on an inner wall of the fixed box 101, a center rod 602 is movably mounted on a top portion of the inner wall of the fixed box 101, one end of a top portion of the rack 601 is hinged with a linkage rod 603, a top portion of the linkage rod 603 is hinged with a guide assembly 604, a bottom portion of the guide assembly 604 is hinged with a spring telescopic rod 605, a middle portion of the linkage rod 603 is hinged with one side of the center rod 602, a bottom portion of the rack 601 is meshed with an outer surface of the gear 104, a middle portion of the center rod 602 is movably mounted on one side of the fixed spring rod 103, the moving assembly 3 includes a supporting plate 301, a bottom portion of the supporting plate 301 is fixedly mounted on the center rod 602, a connecting shaft 303 is movably mounted on one side of the supporting plate 301, an outer surface of the connecting shaft 303 is fixedly sleeved with a connecting plate 302, one side of the connecting plate 302 is hinged with the other side of the guide assembly 604, and an outer surface of the connecting shaft 303 is fixedly mounted on the clamping assembly 5.
Because the middle part of the linkage rod 603 is in a hinged state with one side of the central rod 602, the bottom of the linkage rod 603 is in a hinged state with the rack 601, when the rack 601 pushes the bottom of the linkage rod 603, the top of the linkage rod 603 moves towards the other side simultaneously, and the guide component 604 is pushed by the top of the linkage rod 603, because the bottom of the middle part of the guide component 604 is movably installed with the top of the central rod 602 through the spring telescopic rod 605, the guide component 604 is in a moving state, and pushes one side of the connecting plate 302, the whole of the guide component 604 can be upwards through the toughness of the spring telescopic rod 605, and then the moving component 3 and the clamping component 5 are driven to enter into a working state simultaneously, and at the same time, one side of the connecting plate 302 and the connecting shaft 303 is upwards simultaneously lifted, the clamping component 5 is driven to rotate, and the epidermis and subcutaneous tissue at the incision are clamped by the rack 601.
As shown in the figure, the clamping assembly 5 comprises an adjusting cylinder 501, the inside of the adjusting cylinder 501 is fixedly penetrated with the outer surface of the connecting shaft 303, a corrugated pipe 505 is movably installed in the inside of the adjusting cylinder 501, an adjusting shaft 504 is fixedly installed on one side of the corrugated pipe 505, a fixed hook 502 is movably installed at the bottom of the adjusting cylinder 501, two fixing plates III 503 are movably installed on the front side and the rear side of the adjusting cylinder 501 respectively, the other side of the corrugated pipe 505 is fixedly installed on one side of the inner wall of the adjusting cylinder 501, the outer surface of the adjusting shaft 504 is movably penetrated with the adjusting cylinder 501, the inside of the corrugated pipe 505 is communicated with the inside of the adjusting cylinder 501, a plurality of adjusting grooves are formed in the bottom of the fixing plates III 503 at equal intervals, and the outer surface of the adjusting shaft 504 is matched with the inside of the adjusting grooves.
The clamping assembly 5 is placed into the incision, whether the clamping assembly 5 can clamp subcutaneous tissues and muscles of a patient at the moment or not is observed, when the length of the fixing hook 502 is insufficient, the bottom of the fixing plate III 503 can be separated from the outer surface of the adjusting shaft 504 by lifting the fixing plate III 503, the adjusting shaft 504 is in an active state, one side of the corrugated pipe 505 can be extruded simultaneously by pushing the adjusting shaft 504, air inside the adjusting cylinder 501 is extruded into the adjusting cylinder, and the fixing hook 502 is pushed by the air and is in an extending state at the moment, so that the clamping assembly 5 can be well fixed for patients with different muscle thicknesses at the position of the fixing incision.
The application method of the surgical field exposure device for adjusting and preventing the tearing of the spinal trauma site comprises the following specific steps:
s01: after the device is integrally placed at the back of a patient, the fixing work can be started, the clamping assembly 5 is placed in the incision, at the moment, whether the clamping assembly 5 can clamp subcutaneous tissues and muscles of the patient or not is observed, when the length of the fixing hook 502 is insufficient, the bottom of the fixing plate III 503 is separated from the outer surface of the adjusting shaft 504 by lifting the fixing plate III 503, at the moment, the adjusting shaft 504 is in an active state, one side of the corrugated pipe 505 can be simultaneously extruded by pushing the adjusting shaft 504, air in the corrugated pipe 505 is extruded into the adjusting cylinder 501, at the moment, the fixing hook 502 is pushed by the air and is in an extending state, and further, when the clamping assembly 5 is positioned at the fixing incision, the fixing work can be well carried out on patients with different muscle thicknesses, and after the integral height adjustment of the clamping assembly 5 is finished;
s02: the rack 601 can be pushed to move simultaneously through the rotary gear 104, the middle part of the linkage rod 603 is hinged with one side of the central rod 602, the bottom of the linkage rod 603 is hinged with the rack 601, when the rack 601 pushes the bottom of the linkage rod 603, the top of the linkage rod 603 moves to the other side simultaneously, the guide component 604 is pushed, the bottom of the middle part of the guide component 604 is movably arranged with the top of the central rod 602 through the spring telescopic rod 605, the guide component 604 is in a moving state, one side of the connecting plate 302 is pushed, the whole of the guide component 604 is enabled to be upwards through the toughness of the spring telescopic rod 605, one side of the connecting plate 302 and one side of the connecting shaft 303 are upwards simultaneously lifted, the clamping component 5 is driven to rotate, and the epidermis and subcutaneous tissue at the incision are clamped;
s03: after the subcutaneous tissue is in a clamping state, the fixed spring rod 103 is pulled at this moment, so that the outer surface of the fixed spring rod 103 is separated from the central rod 602, the central rod 602 can be in a loosening state and synchronously moves along with the rack 601, and in the device, the fixed component 1, the adjusting component 2, the moving component 3, the supporting legs 4, the clamping component 5 and the linkage component 6 are two, and the fixed component 1 is taken as a central axis to be symmetrical, so that the device can independently expand two sides of a notch, after the expansion is completed, the fixed plate one 201 is pushed, the top of the outer surface of the fixed plate one 201 is positioned between tooth slits at the bottom of the rack 601, and the whole device is in a fixed shape.
The application is intended to cover any alternatives, modifications, equivalents, and variations that fall within the spirit and scope of the application. In the following description of preferred embodiments of the application, specific details are set forth in order to provide a thorough understanding of the application, and the application will be fully understood to those skilled in the art without such details. In other instances, well-known methods, procedures, flows, components, circuits, and the like have not been described in detail so as not to unnecessarily obscure aspects of the present application.
Those of ordinary skill in the art will appreciate that all or a portion of the steps in implementing the methods of the embodiments described above may be implemented by a program that instructs associated hardware, and the program may be stored on a computer readable storage medium, such as: ROM/RAM, magnetic disks, optical disks, etc.
The foregoing is merely a preferred embodiment of the present application and it should be noted that modifications and adaptations to those skilled in the art may be made without departing from the principles of the present application, which are intended to be comprehended within the scope of the present application.
Claims (10)
1. The utility model provides a spinal column wound position adjusts open surgery exposure device of tear-proof which characterized in that: including fixed subassembly, fixed subassembly's left and right sides respectively fixed mounting has two supporting legs, one side movable mounting of fixed subassembly has adjusting part, fixed subassembly's top movable mounting has the linkage subassembly, the top fixed mounting of linkage subassembly has the removal subassembly, the surface equidistance fixed mounting of removal subassembly has the clamping assembly, fixed subassembly, adjusting part, removal subassembly, linkage subassembly have two and use fixed subassembly to be the symmetry state as the axis, two the equal distance of surface of removal subassembly installs a plurality of clamping assembly.
2. The spinal trauma site-modifying tear-resistant surgical field exposure apparatus of claim 1, wherein: the fixed subassembly includes fixed box, fixed box's inner wall movable mounting has the gear, fixed sleeve has connected the adjustment handle in one side of gear, one side activity of fixed box is run through and is had fixed spring bar, one side of fixed spring bar is through two springs and one side movable mounting of fixed box, one side movable mounting of fixed box has two adjusting parts.
3. The spinal trauma site-modifying tear-resistant surgical field exposure apparatus of claim 1, wherein: the adjusting component comprises a first fixing plate, one side of the first fixing plate movably penetrates through the fixing box, a second fixing plate movably penetrates through one side of the first fixing plate, a spring expansion plate is fixedly arranged on the other side of the second fixing plate, two fixing grooves are respectively formed in the front end and the rear end of one side of the first fixing plate, the two fixing grooves are internally matched with the outer surface of the second fixing plate, and one side of the spring expansion plate is fixedly arranged on one side of the fixing box.
4. The spinal trauma site-modifying tear-resistant surgical field exposure apparatus of claim 2, wherein: the linkage assembly comprises a rack, the front side and the rear side of the rack are movably mounted with the inner wall of the fixed box, a center rod is movably mounted at the top of the inner wall of the fixed box, a linkage rod is hinged to one end of the top of the rack, a guide assembly is hinged to the top of the linkage rod, and a spring telescopic rod is hinged to the bottom of the guide assembly.
5. The spinal trauma site-modifying tear-resistant surgical field exposure apparatus of claim 4, wherein: the middle part of the linkage rod is hinged with one side of the central rod, the bottom of the rack is meshed with the outer surface of the gear, and the middle part of the central rod is movably arranged with one side of the fixed spring rod.
6. The spinal trauma site-modifying tear-resistant surgical field exposure apparatus of claim 1, wherein: the movable assembly comprises a supporting plate, the bottom of the supporting plate is fixedly installed with the central rod, a connecting shaft is movably installed on one side of the supporting plate, and a connecting plate is fixedly sleeved on the outer surface of the connecting shaft.
7. The spinal trauma site-modifying tear-resistant surgical field exposure apparatus of claim 6, wherein: one side of the connecting plate is hinged with the other side of the guiding component, and the outer surface of the connecting shaft is fixedly installed with the clamping component.
8. The spinal trauma site-modifying tear-resistant surgical field exposure apparatus of claim 1, wherein: the clamping assembly comprises an adjusting cylinder, the inside of the adjusting cylinder is fixedly penetrated with the outer surface of the connecting shaft, a corrugated pipe is movably installed in the adjusting cylinder, an adjusting shaft is fixedly installed on one side of the corrugated pipe, a fixed hook is movably installed at the bottom of the adjusting cylinder, and two fixing plates III are movably installed on the front side and the rear side of the adjusting cylinder respectively.
9. The spinal trauma site-modifying tear-resistant surgical field exposure apparatus of claim 8, wherein: the corrugated pipe is characterized in that the other side of the corrugated pipe is fixedly arranged on one side of the inner wall of the adjusting cylinder, the outer surface of the adjusting shaft movably penetrates through the adjusting cylinder, the inside of the corrugated pipe is communicated with the inside of the adjusting cylinder, a plurality of adjusting grooves are formed in the bottom of the fixing plate in an equidistant mode, and the outer surface of the adjusting shaft is matched with the inside of the adjusting grooves.
10. The application method of the surgical field exposure device for adjusting and preventing the tearing of the spinal trauma site is characterized by comprising the following specific steps:
s01: after the device is integrally placed at the back of a patient, the fixing work can be started, the clamping assembly is placed in the incision, at the moment, through observing whether the clamping assembly can clamp subcutaneous tissues and muscles of the patient, when the length of the fixing hook is insufficient, the bottom of the fixing plate III can be separated from the outer surface of the adjusting shaft by lifting the fixing plate III, the adjusting shaft is in a movable state, one side of the corrugated pipe can be extruded simultaneously by pushing the adjusting shaft, air in the corrugated pipe is extruded into the adjusting cylinder, at the moment, the fixing hook is pushed by the air and is in an extending state, further, when the clamping assembly is at the fixed incision, the fixing work can be well carried out on patients with different muscle thicknesses, and after the integral height adjustment of the clamping assembly is completed;
s02: the middle part of the linkage rod is hinged with one side of the central rod, the bottom of the linkage rod is hinged with the rack, when the rack pushes the bottom of the linkage rod, the top of the linkage rod moves towards the other side simultaneously, the guide assembly is pushed by the hinge, and the bottom of the middle part of the guide assembly is movably arranged with the top of the central rod through the spring telescopic rod, at the moment, the guide assembly is in a moving state and pushes one side of the connecting plate, at the moment, the whole of the guide assembly is upwards through the toughness of the spring telescopic rod, at the moment, one side of the connecting plate and one side of the connecting shaft are upwards simultaneously, and at the same time, the clamping assembly is driven to rotate while ascending, and the epidermis and subcutaneous tissue at the incision are clamped by the guide assembly;
s03: after the subcutaneous tissue is the clamp condition, through pulling fixed spring bar for the surface of fixed spring bar breaks away from the center pole, can make the center pole be the relaxation state, and follows the rack and remove in step, because in the device, fixed subassembly, adjusting part, remove subassembly, supporting leg, clamping component, linkage subassembly are two, and regard fixed subassembly as the axis symmetry, this structure makes the device can carry out solitary expansion to notched both sides, after the expansion is accomplished, promotes fixed plate one, and make the top of a fixed plate surface be located between the rack bottom tooth seam, can make the device wholly be fixed.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202311262247.6A CN117122359B (en) | 2023-09-27 | 2023-09-27 | Surgical field exposure device for adjusting and preventing tearing of spinal trauma site and use method |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202311262247.6A CN117122359B (en) | 2023-09-27 | 2023-09-27 | Surgical field exposure device for adjusting and preventing tearing of spinal trauma site and use method |
Publications (2)
| Publication Number | Publication Date |
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| CN117122359A true CN117122359A (en) | 2023-11-28 |
| CN117122359B CN117122359B (en) | 2024-02-13 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN202311262247.6A Active CN117122359B (en) | 2023-09-27 | 2023-09-27 | Surgical field exposure device for adjusting and preventing tearing of spinal trauma site and use method |
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Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20040092928A1 (en) * | 2002-04-17 | 2004-05-13 | Ricardo Sasso | Instrumentation and method for performing image-guided spinal surgery using an anterior surgical approach |
| US20060004401A1 (en) * | 2004-06-30 | 2006-01-05 | Abernathie Dennis L | Elongateable surgical port and dilator |
| CN213129644U (en) * | 2020-07-03 | 2021-05-07 | 遵义市播州区人民医院 | Orthopedic spinal surgery retractor |
| CN113940839A (en) * | 2021-10-25 | 2022-01-18 | 莒县中医医院 | A operation fixing device for clinical orthopedics backbone wound |
| CN219166499U (en) * | 2023-02-22 | 2023-06-13 | 平昌县人民医院 | Spinal column spreader for treating spinal column deformity operation |
-
2023
- 2023-09-27 CN CN202311262247.6A patent/CN117122359B/en active Active
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20040092928A1 (en) * | 2002-04-17 | 2004-05-13 | Ricardo Sasso | Instrumentation and method for performing image-guided spinal surgery using an anterior surgical approach |
| US20060004401A1 (en) * | 2004-06-30 | 2006-01-05 | Abernathie Dennis L | Elongateable surgical port and dilator |
| CN213129644U (en) * | 2020-07-03 | 2021-05-07 | 遵义市播州区人民医院 | Orthopedic spinal surgery retractor |
| CN113940839A (en) * | 2021-10-25 | 2022-01-18 | 莒县中医医院 | A operation fixing device for clinical orthopedics backbone wound |
| CN219166499U (en) * | 2023-02-22 | 2023-06-13 | 平昌县人民医院 | Spinal column spreader for treating spinal column deformity operation |
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| CN117122359B (en) | 2024-02-13 |
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