CN201437000U - Universal support for arthroscopic knee surgeries - Google Patents

Universal support for arthroscopic knee surgeries Download PDF

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Publication number
CN201437000U
CN201437000U CN2009200611118U CN200920061111U CN201437000U CN 201437000 U CN201437000 U CN 201437000U CN 2009200611118 U CN2009200611118 U CN 2009200611118U CN 200920061111 U CN200920061111 U CN 200920061111U CN 201437000 U CN201437000 U CN 201437000U
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China
Prior art keywords
hole
main shaft
pipe
support body
plate
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CN2009200611118U
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Chinese (zh)
Inventor
蔡道章
张保安
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APEX (GUANGDONG) TOOLS AND ORTHOPEDICS Co
Apex Tools and Orthopedics Co
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APEX (GUANGDONG) TOOLS AND ORTHOPEDICS Co
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Priority to CN2009200611118U priority Critical patent/CN201437000U/en
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Publication of CN201437000U publication Critical patent/CN201437000U/en
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Abstract

The utility model relates to a universal support for arthroscopic knee surgeries. The universal support has the following characteristics: the universal support comprises a support body, a shank supporter, a rotatable locking mechanism, a swingable locking mechanism and a controller; a fixing mechanism for fixing the thigh is arranged upon the support body, and a connecting mechanism which can be connected with an operating bed is arranged on the rear of the support body; the shank supporter comprises an upright adjusting rod and a sole carrier on the lower end of the upright adjusting rod; a guiding sleeve facing forward and backward is fixed on the support body, a slide carriage with a central axial hole, which can oppositely and axially move, is arranged in the guiding sleeve, a spindle is rotatably inserted in the axial hole of the slide carriage and can rotate, and the top of the upright adjusting rod of the shank supporter is transversely articulated with the front end of the spindle, so that the shank can swing; the rotatable locking mechanism is arranged between the spindle and the slide carriage as well, the swingable locking mechanism is also arranged between the spindle and the upright adjusting rod of the shank supporter as well, and the controller for the two locking mechanisms is arranged on the slide carriage as well. The utility model fills in the gap of the field of arthroscopic knee surgeries, operation is simple, and the utility model can be omnidirectionally moved and locked within the required range.

Description

The laparoscopic surgery gimbals
Technical field
This utility model belongs to medical apparatus and instruments, specifically is a kind of kneed support of laparoscopic surgery immobilized patients that is used for, and it is simple to operate, use is flexible, reliable, can be in comprehensive activity of needed scope and locking.
Background technology
Owing to do not have special apparatus to fix patient's foot at present, when carrying out knee surgery, need the foot that an operation Physician's Assistant is responsible for immobilized patients specially, this doctor need put the attitude of needs with patient's shank and keep this posture to operation to finish according to the requirement of operation.So not only increased the cost of operation, increased the weight of patient's financial burden, and be responsible for fixed doctor and keep same posture tired easily for a long time, may meet accident in the operation process.In addition, be responsible for that fixed doctor often needs near the patient, especially need the position of having an operation, so also can hinder doctor's operation apparatus of operator, bring many inconvenience to operation.
The utility model content
The technical problems to be solved in the utility model, just provide a kind of simple to operate, use flexibly, reliable, can be at the knee joint gimbal of comprehensive activity of needed scope and locking.
The technical problems to be solved in the utility model, can realize by following technical scheme: a kind of laparoscopic surgery gimbals is characterized in that: comprise following parts:
One support body, support body top are provided with the fixed mechanism, the rear portion that are used for fixing thigh and are provided with and are used for the bindiny mechanism that is connected with operation table;
One shank bearing device is made up of a sole holder of regulating montant and its lower end;
Be fixed with on the described support body before and after towards fairlead, there are and move to axial (length that cooperates patient's lower limb), centre to have the slide in axial hole in the fairlead, one main shaft is enclosed within the slide axis hole rotationally and realizes spinfunction, and described shank bearing device montant top is laterally hinged with at the front end of main shaft and realizes shank swing function;
Between main shaft and slide, also be provided with rotary locking mechanism, between main shaft and shank bearing device montant, also be provided with wobble lock mechanism, on slide, also be provided with the control device of above-mentioned two locking mechanisms.
During operation, patient's leg portion support is fixed on support body and with fixture, patient's lower leg portion support is on the shank bearing device, regulate clockwise or counterclockwise then and rotate to the angle that is fit to perform an operation, adjust shank bearing device montant pendulum angle forward or backward, then by control device control circumvolve lock set kit, the swing retaining mechanism locks respectively, makes patient's thigh and shank put angle in needs.
Described rotary locking mechanism is:
Main shaft is the thin multidiameter in preceding thick back, and cascaded surface is provided with along the equally distributed radial teeth of circumference, and the rear portion of thin axial region is set in the described slide axial hole, thin axial region is middle has radial hole, and this radial hole is a non-round elongated hole in axial direction;
One lock ring gear is enclosed within the thin axial region middle part of main shaft, and lock ring gear both ends of the surface are equipped with along the equally distributed radial teeth of circumference, and its radial teeth towards the main shaft cascaded surface is corresponding with the cascaded surface radial teeth of main shaft, and the lock ring gear has radial first through hole;
The pin that one aperture cooperates with first through hole is installed in described lock ring gear on the described main shaft through first through hole and the thin axial region radial hole of main shaft;
Leave the space between described lock ring gear and the described lock tooth main shaft, be with the compression spring in the space, this compression spring is between pin and main shaft cascaded surface;
Described pin withstands on the terminal of described compression spring and can slide front and back in radial hole;
The below of slide is fixed with an end cap, it passes outside the rectangular axial groove of fairlead lower rear, make slide in fairlead, to slide and to rotate in front and back, on end cap, have axial channel, in have one to drive and can move forward and backward but the flute profile latch segment that can not rotate relative to slide by the locking mechanism drive motors, its front end face is profile of tooth and stretches out end cap.Its operation principle is:
When the flank of tooth of the mobile backward release lock ring gear of control device control flute profile latch segment rear end, pin slides toward the radial hole rear under the effect of compression spring, driving the lock ring gear simultaneously also slides backward, lock ring gear front end face tooth and separate with main shaft cascaded surface tooth this moment, main shaft can be together with lock ring gear, compression spring clockwise or be rotated counterclockwise, drive the rotation of shank bearing device, be equivalent to swing rotation thigh.
When control device control profile of tooth latch segment moves forward, lock ring gear front end face tooth and lock ring gear rear end flank engagement, drive the lock ring gear simultaneously to front slide, this moment locks ring gear front end face tooth and main shaft cascaded surface tooth also meshes together, because the flute profile latch segment can move forward and backward relative to slide but can not rotate, thus main shaft can be together with the lock ring gear, compress that spring is locked can not to be rotated.
In addition as required, slide can be moved forward or backward together with main shaft,, when mobile forward or backward, can arrive on the cell wall of rectangular groove of fairlead the distance of the slip of restriction end cap because end cap passes outside the fairlead.
Described wobble lock mechanism is:
Described adjusting montant top is installed on the described main shaft by jointed shaft, and the top of this adjusting montant also be provided with one with the co-axial flute profile braked wheel of jointed shaft;
Described main shaft is the quill shaft that has axially extending bore, and interior cover brake lever, this brake lever have radial second through hole, and pin passes second through hole described brake lever circumferentially is fixed on the described main shaft; The front end of brake lever is provided with and regulates the corresponding brake tooth of montant top braked wheel.
Its operation principle is:
When control device control flute profile latch segment is mobile backward, pin slides toward the radial hole rear under the effect of compression spring, driving brake lever simultaneously also slides backward, this moment, brake tooth separated with braked wheel surface tooth, was laterally hinged with at the adjusting montant of front-end of spindle and can swings forward or backward with respect to main shaft together with the sole holder.
When control device control profile of tooth latch segment moves forward, promote the lock ring gear and also drive pin, brake lever simultaneously also to front slide to front slide, tooth engagement locking in brake tooth and braked wheel surface was laterally hinged with at the adjusting montant of front-end of spindle and can not swings together with the sole holder is locked this moment.
Described control device is:
One stepping direct current generator is connected with reduction box, and the top of described reduction box is equipped with backing plate and end cap successively, and described end cap is fixedly connected on the described slide; Described stepping direct current generator is provided with near switch, and the input of described motor and backing plate is connected with the outfan of controller, and the input of described controller connects the outfan with foot switch; Have through hole on the wherein said end cap, the circumferential wall of this through hole is that two lunettes that diameter does not wait constitute; One eccentric shaft is positioned at the output shaft that this through hole and an end connect the stepping direct current generator, and the semicircle hole wall that the diameter of the through hole on the size of this eccentric shaft and the described end cap is bigger is corresponding; The flute profile latch segment of described circumvolve lock set kit has the hole of passing through for described eccentric shaft; Described latch segment can be installed on the described end cap movably forward and backward.
Its operation principle is:
After control signal is delivered to controller by foot switch, controller by be connected with the stepping direct current generator near on-off control motor forward or reverse, drive the eccentric shaft forward or reverse, eccentric shaft is just changeing or limited by the through hole of end cap during anti-the dress, controlling it can only rotate in the bigger semicircle of through-hole diameter, eccentric shaft promotes the flute profile latch segment forward or backward, the lock ring gear is arrived and main shaft engagement or isolating position, also corresponding the place ahead or the rear that is positioned at radial hole of pin makes lock ring gear and main shaft, brake tooth and braked wheel all be in engagement or released state so.
Described fixed mechanism comprises the guide rail plate that is fixed on the support body top, a pair of slip clamp that can move relatively or contrarily on the guide rail plate, have some groups of symmetrical ratchets on the described guide rail plate, the outside of described slip clamp is equipped with one handle, and the two ends of a thread gluing strap detachably are fixed on two handles; The bottom that contacts with the guide rail plate of each slip clamp all has through hole, all is fixed with ratchet pin by compression spring in each through hole, and described ratchet pin top is fixed with draw ring.
Need to adjust between two slip clamp apart from the time, with portable draw ring, this moment, ratchet pin was separated with ratchet on the guide rail plate, spring is compressed simultaneously, then two slip clamp are moved relatively or contrarily, two slip clamp are adjusted to suitable position, unclamp draw ring then, ratchet pin under the effect of spring with the guide rail plate on the ratchet buckle, thereby with the fixed distance of two slip clamp distance at needs.
Described slip clamp is by base plate and be fixed on that riser constitutes on this base plate, wherein, the bottom surface of described base plate has the groove that blocks described guide rail plate, and the one side that the riser of two slip clamp is relative is outer convex arc surface, the riser that two slip clamp are relative is arranged to outer convex arc surface, adapt with the human body thigh better, increase comfort level.
The syndeton of described fixed mechanism and described support body is: a movable stand can be installed on the described support body up or down, described movable stand connects into " L " type by transverse slat and riser, the groove that the base plate of described slip clamp has is provided with and the suitable opening of transverse slat, this transverse slat is fixed on the bottom surface of described guide rail plate through this opening, in described riser penetrated and connects to the cross that connects support body, a screw 8B was connected riser and screws with cross.During the height of regulation fixing apparatus, screw 8B is screwed out, the riser that moves up or down movable stand then screws screw 8B again and gets final product to suitable position.
The thin axial region end of main shaft described in the utility model is provided with external screw thread, and a nut and this end screw described main shaft slide axial location on the thin axial region of described main shaft; For guaranteeing contacting of nut and slide, described nut has the groove that one semicircle perisporium is disconnected, and a screw is pressed on nut on the end face of slide by the end face screw-in at this groove place.
The adjusting rod of described shank bearing device is a Collapsible structure, it comprises the top tube and down tube of hollow, wherein, described top of going up pipe is fixedly connected on the described braked wheel, described lower end of going up pipe is provided with external screw thread, described going up in the pipe inserted on the top of described pipe down, and the suitable nut cap of an internal diameter and described external diameter of pipe down is tightened on described lower end of going up pipe from bottom to top, and this nut cap will descend pipe and go up pipe locking.Adjusting rod is designed to telescopic structure, realizes that same gimbals all can be suitable in the patient of different statures; During use, earlier nut cap is unscrewed, this manages at present and can move up and down by tube cavity on hollow, when patient's stature is higher, will goes up pipe and move down, otherwise then be moved upward to suitable position, screws nut cap then, and top tube and down tube are locked.
Bindiny mechanism described in the utility model comprises the bent plate that is fixedly connected into " L " type by bifoldable plate, described bent plate one flap is connected to the back side of described support body, another flap is provided with at least one lock hook, described lock hook is stuck on this flap, and by supporting from outer screw-in to the screw of flap lock hook and flap is fixed.
Bindiny mechanism described in the utility model and described support body are for being removably connected, concrete mechanism is: the back side of described support body has guide channel plate, one flanging of the bent plate of described bindiny mechanism is inserted in the described guide channel plate, the bottom of described guide channel plate has screwed hole, and a bolt is screwed in by the below through this screwed hole flanging is locked.Bent plate and connecting rod, bent plate and support body are arranged to dismountable, the convenient left side or the right that when operation, fixed mount is contained in support body according to different situations.
The concrete syndeton of adjusting rod described in the utility model and sole holder is as follows: the following pipe of described adjusting rod is a hollow pipe, have through hole on the tube wall of its underpart, end is sealed by a base plate that has screwed hole, is provided with nut in this time pipe pipe, the through hole on corresponding its tube wall of this nut; Described sole holder becomes the dustpan shape, and its bottom is provided with supporting plate, and the position of corresponding described nut also has the hole on its side plate, in the nut of a screw by the described pipe down of the hole screw-in of sole holder side plate; Another screw screws in the described base plate of pipe down by the planker below of described sole holder; Strain by extension spring between the nut of the top of the last pipe of described adjusting rod and following pipe.
Beneficial effect: laparoscopic surgery gimbals of the present utility model, the doctor can put patient's shank the attitude of any needs of institute according to the requirement of operation, latched position, carry out knee surgery, can reduce the operation cost, and produce the tired risk that causes malpractice when having avoided undergoing surgery by the hand steered patient's lower limb of Physician's Assistant now, also saved the operation activity space simultaneously for presiding over the doctor.This utility model has been filled up the blank in knee surgery field, and simple to operate, uses flexibly, and is reliable, can be in comprehensive activity of required scope and locking, and doctor's erect-position is comfortable, saves operating time, is the ideal tools of knee surgery first-selection.
Description of drawings
Fig. 1 is a structural representation of the present utility model, and the backing plate of this timed unit is with the stepping direct current generator and is connected controller and foot switch;
Fig. 2 is that this utility model master looks sketch map, and the backing plate of this timed unit is with the stepping direct current generator and is connected controller and foot switch;
Fig. 3 is a right view of the present utility model;
Fig. 4 is a vertical view of the present utility model, and the backing plate of this timed unit is with the stepping direct current generator and is connected controller and foot switch;
Fig. 5 is the decomposing schematic representation of rotary apparatus of the present utility model, pendulous device and control device;
Fig. 6 is the cross-sectional schematic along A-A line among Fig. 2, and the backing plate of this timed unit is with the stepping direct current generator and is connected controller and foot switch;
Fig. 7 is the cross-sectional schematic along B-B line among Fig. 2, and the backing plate of this timed unit is with the stepping direct current generator and is connected controller and foot switch;
Fig. 8 is the cross-sectional schematic along C-C line among Fig. 3, and the backing plate of this timed unit is with the stepping direct current generator and is connected controller and foot switch;
Along the cross-sectional schematic of D-D line among Fig. 3, the backing plate of this timed unit is with the stepping direct current generator and is connected controller and foot switch among Fig. 9.
The specific embodiment
Laparoscopic surgery gimbals shown in Fig. 1~9 are embodiment of the present utility model, it has comprised following parts: support body: it is fixedlyed connected with header board 16 by upper plate 15, right plate 14, left plate 22 and to constitute casing, and the back of this support body is provided with guide channel plate 24; Support body top is provided with the fixed mechanism, the rear portion that are used for fixing thigh and is provided with and is used for the bindiny mechanism that is connected with operation table; The place ahead of support body is provided with the shank bearing device.
Before and after being fixed with on the support body towards and pass the fairlead 21 of its header board 16, there are and move to axial (length that cooperates patient's lower limb), centre to have the slide 56 in axial hole in the fairlead 21, one main shaft 21 is enclosed within rotationally in slide 56 axis holes and realizes spinfunction, and shank bearing device montant top is laterally hinged with at the front end of main shaft 21 and realizes shank swing function; Also be provided with rotary locking mechanism at main shaft 21 and 56 of slides, between main shaft 21 and shank bearing device montant, also be provided with wobble lock mechanism, on slide 56, also be provided with the control device of above-mentioned two locking mechanisms.
Wherein, the structure of rotary locking mechanism is as follows: main shaft 21 is the thin multidiameter in preceding thick back, cascaded surface is provided with along the equally distributed radial teeth of circumference, the rear portion of thin axial region is set in slide 56 axial hole, the thin axial region end of main shaft 20 is provided with external screw thread, and a nut 25 screws the thin axial region middle part of main shaft 20 slides 56 axial location at main shaft 20 with this end; For guaranteeing contacting of nut 25 and slide 56, nut 25 has the groove that one semicircle perisporium is disconnected, and a screw 23 is pressed on nut 25 on the end face of slide 56 by the end face screw-in at this groove place; Have radial hole in the middle of the main shaft 21 thin axial regions, this radial hole is a non-round elongated hole in axial direction; One lock ring gear 54 is enclosed within on the thin axial region of main shaft 20, and lock ring gear 54 both ends of the surface are equipped with along the equally distributed radial teeth of circumference, and its radial teeth towards main shaft 20 cascaded surfaces is corresponding with the cascaded surface radial teeth of main shaft 20; Lock ring gear 54 has radial first through hole, radial hole on the thin axial region of the position of first through hole and main shaft 21 is corresponding, and the pin 55 that a size cooperates with first through hole will be locked ring gear 54 through first through hole and the thin axial region radial hole of main shaft and be installed on the described main shaft 20; Leave the space between lock ring gear 54 and the described lock tooth main shaft 20, be with compression spring 53 in the space, this compression spring 53 is between pin 55 and main shaft cascaded surface; This pin 55 withstands on the terminal of compression spring 53 and can slide front and back in radial hole; The below of slide 56 is fixed with an end cap 28 by screw, it passes outside the rectangular axial groove of fairlead 21 lower rear, make slide 56 in fairlead, to slide and to rotate in front and back, on end cap, have axial channel, in have one to drive and can move forward and backward but the flute profile latch segment 27 that can not rotate relative to slide 56 by the locking mechanism drive motors, its front end face is profile of tooth and stretches out end cap.
The structure of wobble lock mechanism is as follows: regulate the montant top and be installed on the main shaft 21 by jointed shaft, and the top of this adjusting montant also be provided with one with the co-axial flute profile braked wheel 49 of jointed shaft, main shaft 20 is for having the quill shaft of axially extending bore, interior cover brake lever 52, this brake lever 52 have radial second through hole, pin 55 passes second through hole described brake lever 52 circumferentially is fixed on the described main shaft 20; The front end of brake lever 52 is provided with the brake tooth 50 corresponding with regulating montant top braked wheel 49.
The structure of control device is as follows: a stepping direct current generator 31 is connected with reduction box 30, the top of reduction box 30 is equipped with backing plate 29 and end cap 28 successively, stepping direct current generator 29 is provided with near switch 57, the input of motor 31 and backing plate 29 is connected with the outfan of controller 58, and the input of controller 58 connects the outfan with foot switch 59; Wherein have through hole on the end cap 28, the circumferential wall of this through hole is that two lunettes that diameter does not wait constitute; One eccentric shaft 32 is positioned at the output shaft that this through hole and an end connect stepping direct current generator 31, and the semicircle hole wall that the diameter of the through hole on the size of this eccentric shaft and the end cap 28 is bigger is corresponding; The flute profile latch segment 27 of circumvolve lock set kit has the hole of passing through for described eccentric shaft 32; Latch segment 27 can be installed on the described end cap 28 movably forward and backward.
The structure of fixed mechanism is as follows: it comprises the guide rail plate 3 that is fixed on the support body top, a pair of slip clamp 2 that can move relatively or contrarily on guide rail plate 3; Wherein, slip clamp 2 is by base plate and be fixed on that riser constitutes on this base plate, and wherein, the bottom surface of base plate has the groove that blocks guide rail plate 3, and the relative one side of the riser of two slip clamp 2 is outer convex arc surface; Have some groups of symmetrical ratchets on the guide rail plate 3, the two ends that the outside of slip clamp 2 is equipped with one handle 6, one thread gluing straps 5 detachably are fixed on two handles 6; The bottom that contacts with guide rail plate 3 of each slip clamp 2 all has through hole, all is fixed with ratchet pin 62 by compression spring 64 in each through hole, and described ratchet pin 62 tops are fixed with draw ring 61.
For satisfying the needs of different surgery situation, with the syndeton of said fixing mechanism and support body for being designed to adjustable structure, concrete structure is as follows: a movable stand can be installed on the right plate 14 of support body up or down, movable stand connects into " L " type by transverse slat 66 and riser 13, the groove that the base plate of slip clamp 2 has is provided with and transverse slat 66 suitable openings, this transverse slat 66 is fixed on the bottom surface of guide rail plate 3 through this opening, riser 13 penetrates to the cross connection 12 that connects support body, and a screw 8B is connected 12 with riser 13 with cross and screws.During the height of regulation fixing apparatus, screw 8B is screwed out, the riser 13 that moves up or down movable stand then screws screw 8B again and gets final product to suitable position.
The structure of shank bearing device is as follows: its adjusting rod is a Collapsible structure, comprise and be going up pipe 34 and managing 35 down of hollow pipe, wherein, the top of last pipe 34 is fixedly connected on the braked wheel 49, the lower end of last pipe 34 is provided with external screw thread, manage 35 top down and insert and go up in the pipe 34, the suitable nut cap 37 of an internal diameter and pipe 35 external diameters down is tightened on the lower end of pipe 34 from bottom to top, and this nut cap 37 will descend pipe 35 and last pipe 34 to lock.During use, earlier nut cap is unscrewed, this manages at present and can move up and down by tube cavity on hollow, when patient's stature is higher, will goes up pipe and move down, otherwise then be moved upward to suitable position, screws nut cap then, and top tube and down tube are locked.Also be provided with the sole holder 44 that is used for the support foot, becomes the dustpan shape on the following pipe 35 of adjusting rod, concrete syndeton is as follows: have through hole on the tube wall of the bottom of pipe 35 down, end is sealed by a base plate that has screwed hole, be provided with nut 39 in this time pipe 35 pipes, the through hole on these nut 39 corresponding its tube walls; The bottom of sole holder 44 is provided with supporting plate 43, and the position of corresponding nut 39 also has the hole on its side plate, in the nut 39 of a screw 40 by pipe 35 under the hole screw-in of sole holder side plate; Another screw 42 screws in the base plate of pipe 35 down by the planker below of sole holder; Strain by extension spring between the top of going up pipe 34 of adjusting rod and the nut 39 of following pipe.
The structure of bindiny mechanism is as follows: it comprises the bent plate 11 that is fixedly connected into " L " type by bifoldable plate, bent plate 11 1 flaps are inserted in the guide channel plate 24 of support body back, the bottom of this guide channel plate 24 has screwed hole, and a bolt 26 is screwed in by the below through this screwed hole flanging is locked; Another flap of bent plate 11 is provided with two lock hooks 7, and lock hook 7 is stuck on this flap, and by supporting from outer screw-in to the screw 8 of flap lock hook 7 and flap is fixed.During operation,, any flanging of bent plate 11 is inserted on the support body, can realizes whole gimbals are fixed on the left side or the right of operation table according to practical situation.
During operation, patient's thigh is placed on the guide rail plate of fixed mechanism, use portable draw ring 61 then, this moment, ratchet pin 62 was separated with ratchet on the guide rail plate 3, and spring 64 is compressed simultaneously, then two slip clamp was moved relatively or contrarily, two slip clamp are adjusted to suitable position, unclamp draw ring then, ratchet pin under the effect of spring with the guide rail plate on the ratchet buckle, thereby with the fixed distance of two slip clamp distance at needs.
Then control signal is delivered to controller 58 by foot switch 59, controller 58 is by reversing near switch 57 control motors of being connected with stepping direct current generator 29, drive eccentric shaft 32 counter-rotatings, limited by the through hole of end cap 28 during eccentric shaft 32 anti-dresses, controlling it can only rotate in the bigger semicircle of through-hole diameter, eccentric shaft 32 promotes flute profile latch segment 27 backward, lock ring gear 54 is arrived and main shaft 20 isolating positions, sell the 55 also corresponding rears that are positioned at radial hole so, make lock ring gear 54 and main shaft 20, brake tooth 50 and braked wheel 49 all be in released state.The angle of rotating spindle 20 then, simultaneously braked wheel 49 is swung to suitable angle, trampling foot switch 59 one time then, control signal is delivered to controller 58, stepping direct current generator 29 is just changeing, driving eccentric shaft 32 is just changeing, and promote flute profile latch segment 27 forward, lock ring gear 54 is arrived and main shaft 20 position engaged, sell 55 also corresponding the place aheads that are positioned at radial hole so, make lock ring gear 54 and main shaft 20, brake tooth 50 and braked wheel 49 all be in engagement, realize the locking of main shaft 20 anglecs of rotation and braked wheel 49 pendulum angles.
In addition as required, slide can be moved forward or backward together with main shaft,, when mobile forward or backward, can arrive on the cell wall of rectangular groove of fairlead the distance of the slip of restriction end cap because end cap passes outside the fairlead.

Claims (10)

1. laparoscopic surgery gimbals is characterized in that: comprise following parts:
One support body, support body top are provided with the fixed mechanism, the rear portion that are used for fixing thigh and are provided with and are used for the bindiny mechanism that is connected with operation table;
One shank bearing device is made up of a sole holder (44) of regulating montant and its lower end;
Be fixed with on the described support body before and after towards fairlead (21), have in the fairlead (21) can move to axial, slide (56) that the centre has the axial hole, one main shaft (21) is enclosed within rotationally in slide (56) axis hole and realizes spinfunction, and described shank bearing device montant top is laterally hinged with at the front end of main shaft (21) and realizes shank swing function;
Between main shaft (21) and slide (56), also be provided with rotary locking mechanism, between main shaft (21) and shank bearing device montant, also be provided with wobble lock mechanism, on slide (56), also be provided with the control device of above-mentioned two locking mechanisms.
2. laparoscopic surgery gimbals according to claim 1 is characterized in that: described rotary locking mechanism is:
Main shaft (21) is the thin multidiameter in preceding thick back, cascaded surface is provided with along the equally distributed radial teeth of circumference, the rear portion of thin axial region is set in described slide (56) axial hole, thin axial region is middle has radial hole, and this radial hole is a non-round elongated hole in axial direction;
One lock ring gear (54) is enclosed within the thin axial region middle part of main shaft (20), lock ring gear (54) both ends of the surface are equipped with along the equally distributed radial teeth of circumference, its radial teeth towards main shaft (20) cascaded surface is corresponding with the cascaded surface radial teeth of main shaft (20), and lock ring gear (54) has radial first through hole;
The pin (55) that one aperture cooperates with first through hole is installed in described lock ring gear (54) on the described main shaft (20) through first through hole and the thin axial region radial hole of main shaft;
Leave the space between described lock ring gear (54) and the described lock tooth main shaft (20), be with compression spring (53) in the space, this compression spring (53) is positioned between pin (55) and the main shaft cascaded surface;
Described pin (55) withstands on the terminal of described compression spring (53) and can slide front and back in radial hole;
The below of slide (56) is fixed with an end cap (28), it passes outside the rectangular axial groove of fairlead (21) lower rear, make slide (56) in fairlead, to slide and to rotate in front and back, on end cap, have axial channel, in have one to drive and can move forward and backward but the flute profile latch segment (27) that can not rotate relative to slide (56) by the locking mechanism drive motors, its front end face is profile of tooth and stretches out end cap.
3. laparoscopic surgery gimbals according to claim 2 is characterized in that: described wobble lock mechanism is:
Described adjusting montant top is installed on the described main shaft (21) by jointed shaft, and the top of this adjusting montant also be provided with one with the co-axial flute profile braked wheel of jointed shaft (49);
Described main shaft (20) is for having the quill shaft of axially extending bore, and interior cover brake lever (52), this brake lever (52) have radial second through hole, and pin (55) passes second through hole described brake lever (52) circumferentially is fixed on the described main shaft (20); The front end of brake lever (52) is provided with the brake tooth (50) corresponding with regulating montant top braked wheel (49).
4. according to claim 1 or 2 or 3 described laparoscopic surgery gimbals, it is characterized in that: described control device is:
One stepping direct current generator (31) is connected with reduction box (30), and the top of described reduction box (30) is equipped with backing plate (29) and end cap (28) successively, and described end cap (28) is fixedly connected on the described slide (56); Described stepping direct current generator (29) is provided with near switch (57), and the input of described motor (31) and backing plate (29) is connected with the outfan of controller (58), and the input of described controller (58) connects the outfan with foot switch (59); Wherein said end cap has through hole on (28), and the circumferential wall of this through hole is that two lunettes that diameter does not wait constitute; One eccentric shaft (32) is positioned at the output shaft that this through hole and an end connect stepping direct current generator (31), and the semicircle hole wall that the diameter of the through hole on the size of this eccentric shaft and the described end cap (28) is bigger is corresponding; The flute profile latch segment (27) of described circumvolve lock set kit has the hole of passing through for described eccentric shaft (32); Described latch segment (27) can be installed on the described end cap (28) movably forward and backward.
5. laparoscopic surgery gimbals according to claim 4, it is characterized in that: described fixed mechanism comprises the guide rail plate (3) that is fixed on the support body top, a pair of slip clamp (2) that can move relatively or contrarily on guide rail plate (3), have some groups of symmetrical ratchets on the described guide rail plate (3), the outside of described slip clamp (2) is equipped with one handle (6), and the two ends of a thread gluing strap (5) detachably are fixed on two handles (6); The bottom that contacts with guide rail plate (3) of each slip clamp (2) all has through hole, all is fixed with ratchet pin (62) by compression spring (64) in each through hole, and described ratchet pin (62) top is fixed with draw ring (61).
6. laparoscopic surgery gimbals according to claim 5, it is characterized in that: the syndeton of described fixed mechanism and described support body is: a movable stand can be installed on the described support body up or down, described movable stand connects into " L " type by transverse slat (66) and riser (13), the groove that the base plate of described slip clamp (2) has is provided with and the suitable opening of transverse slat (66), this transverse slat (66) is fixed on the bottom surface of described guide rail plate (3) through this opening, described riser (13) penetrates to the cross connection (12) that connects support body, and a screw (8B) is connected (12) with riser (13) and screws with cross.
7. laparoscopic surgery gimbals according to claim 6, it is characterized in that: the adjusting rod of described shank bearing device is a Collapsible structure, it comprises going up pipe (34) and managing (35) down of hollow, wherein, described top of going up pipe (34) is fixedly connected on the described braked wheel (49), described lower end of going up pipe (34) is provided with external screw thread, described going up in the pipe (34) inserted on the top of described pipe (35) down, the suitable nut cap (37) of one internal diameter and described (35) external diameter of pipe down is tightened on described lower end of going up pipe (34) from bottom to top, and this nut cap (37) will descend pipe (35) and last pipe (34) locking.
8. laparoscopic surgery gimbals according to claim 7, it is characterized in that: described bindiny mechanism comprises the bent plate (11) that is fixedly connected into " L " type by bifoldable plate, described bent plate (11) one flaps are connected to the back side of described support body, another flap is provided with at least one lock hook (7), described lock hook (7) is stuck on this flap, and by supporting from outer screw-in to the screw (8) of flap lock hook (7) and flap is fixed.
9. laparoscopic surgery gimbals according to claim 8, it is characterized in that: described bindiny mechanism and described support body are for being removably connected, concrete mechanism is: the back side of described support body has guide channel plate (24), one flanging of the bent plate of described bindiny mechanism is inserted in the described guide channel plate (24), the bottom of described guide channel plate (24) has screwed hole, and a bolt is screwed in by the below through this screwed hole flanging is locked.
10. laparoscopic surgery gimbals according to claim 9, it is characterized in that: the concrete syndeton of described adjusting rod and sole holder (44) is as follows: the following pipe (35) of described adjusting rod is a hollow pipe, have through hole on the tube wall of its underpart, end is sealed by a base plate that has screwed hole, be provided with nut (39) in this time pipe (35) pipe, the through hole on corresponding its tube wall of this nut (39); Described sole holder becomes dustpan shape (44), and its bottom is provided with supporting plate (43), and the position of corresponding described nut (39) also has the hole on its side plate, in the nut (39) of a screw (40) by the described pipe (35) down of the hole screw-in of sole holder side plate; Another screw (42) screws in the described base plate of pipe (35) down by the planker below of described sole holder; Strain by extension spring between the top of going up pipe (34) of described adjusting rod and the nut (39) of following pipe.
CN2009200611118U 2009-07-24 2009-07-24 Universal support for arthroscopic knee surgeries Expired - Fee Related CN201437000U (en)

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Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102204860A (en) * 2011-06-29 2011-10-05 上海交通大学 Multifunctional wheel-type movable and liftable training table for arthroscope
CN102631273A (en) * 2012-05-08 2012-08-15 潘海乐 Pedal positioner for adjusting stretching and bending of knee joint in operation
CN103301000A (en) * 2013-07-08 2013-09-18 潘晓华 Body position fixator for locating limbs
CN103989526A (en) * 2014-05-23 2014-08-20 山东大学 Knee-joint operation adjusting and fixing distraction device
CN106037832A (en) * 2015-04-10 2016-10-26 柯惠Lp公司 Adapter assemblies and electromechanical surgical systems
CN106943269A (en) * 2017-02-28 2017-07-14 查国春 A kind of single condyle displacement technique lower limb floating gesture rack
CN107997823A (en) * 2017-12-27 2018-05-08 廖容 A kind of surgical operation robot operating side Force sensor
CN108042205A (en) * 2017-12-27 2018-05-18 廖容 A kind of surgical operation robot swings instruction sensing device

Cited By (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102204860A (en) * 2011-06-29 2011-10-05 上海交通大学 Multifunctional wheel-type movable and liftable training table for arthroscope
CN102631273A (en) * 2012-05-08 2012-08-15 潘海乐 Pedal positioner for adjusting stretching and bending of knee joint in operation
CN103301000A (en) * 2013-07-08 2013-09-18 潘晓华 Body position fixator for locating limbs
CN103301000B (en) * 2013-07-08 2014-10-01 潘晓华 Body position fixator for locating limbs
CN103989526A (en) * 2014-05-23 2014-08-20 山东大学 Knee-joint operation adjusting and fixing distraction device
CN103989526B (en) * 2014-05-23 2016-04-06 山东大学 Knee surgery regulates fixing dilator
CN106037832A (en) * 2015-04-10 2016-10-26 柯惠Lp公司 Adapter assemblies and electromechanical surgical systems
CN106037832B (en) * 2015-04-10 2020-05-12 柯惠Lp公司 Adapter assembly and electromechanical surgical system
CN106943269A (en) * 2017-02-28 2017-07-14 查国春 A kind of single condyle displacement technique lower limb floating gesture rack
CN107997823A (en) * 2017-12-27 2018-05-08 廖容 A kind of surgical operation robot operating side Force sensor
CN108042205A (en) * 2017-12-27 2018-05-18 廖容 A kind of surgical operation robot swings instruction sensing device

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