CN201905988U - Chest rib pressing instrument - Google Patents

Chest rib pressing instrument Download PDF

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Publication number
CN201905988U
CN201905988U CN2011200076394U CN201120007639U CN201905988U CN 201905988 U CN201905988 U CN 201905988U CN 2011200076394 U CN2011200076394 U CN 2011200076394U CN 201120007639 U CN201120007639 U CN 201120007639U CN 201905988 U CN201905988 U CN 201905988U
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CN
China
Prior art keywords
pressure
chest
pressing plate
handwheel
chest rib
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Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Lifetime
Application number
CN2011200076394U
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Chinese (zh)
Inventor
曾骐
张建
彭芸
张娜
陈诚豪
于洁
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Beijing Childrens Hospital
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Beijing Childrens Hospital
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Publication date
Application filed by Beijing Childrens Hospital filed Critical Beijing Childrens Hospital
Priority to CN2011200076394U priority Critical patent/CN201905988U/en
Application granted granted Critical
Publication of CN201905988U publication Critical patent/CN201905988U/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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Abstract

The utility model belongs to a medical instrument, in particular to a chest rib pressing instrument which is used for pressing down a chest wall and measuring pressure in pigeon-breast minimal invasion surgery for chest wall malformation. The chest rib pressing instrument comprises a vertical support rod, a positioner sheathed on the vertical support rod, a clamp rod for fixing the positioner, a cross beam connected with the vertical support rod, a pressure application hand wheel fixed on the cross beam, as well as a pressure meter and a pressing plate which are fixed together with the pressure application hand wheel. The utility model provides an instrument which can substitute for manpower for pressing down the chest rib in surgery so as to correct malformed appearance and simultaneously can measure the detail value of the applied external force.

Description

Chest rib pressure device
Technical field
This utility model belongs to medical apparatus and instruments, relates in particular to a kind of chest rib pressure device that presses down thoracic wall and gaging pressure that chest wall deformity pigeon chest Minimally Invasive Surgery uses that is used for.
Background technology
Pigeon chest is meant the deformity that chest is outstanding.At the bottom of the uncommon ripple carat of ancient Greek the epoch just the someone this deformity was described.Pigeon chest is the same with funnel chest, and the cause of disease is still not fully aware of so far.Most scholars think that bottom costicartilage growth is too fast, and breastbone is grown slow, is formed pigeon chest and upwards push.Patient's chest rib of pigeon chest strengthens the thorax anteroposterior diameter to prolapse, and the elasticity attenuation of lung tissue causes amplitude of respiration to weaken.Tachypnea, weak appears in part patient, even influences cardio-pulmonary function.Except deformity itself to breathing and circulatory function caused damage, the while deformity of thoracic wall outward appearance also can impact aspects such as patients ' psychologicals.
Pigeon chest is the chest wall deformity that sickness rate is only second to funnel chest, and domestic and foreign literature report pigeon chest accounts for 5%~20% of preceding chest wall deformity sickness rate.Pigeon chest is not only attractive in appearance because of its lopsided appearance effects, causes the serious psychologic damage of patient, also because of patient's chest rib to prolapse, cause chest volume to dwindle, lung expansion is limited, the elasticity attenuation of lung tissue, so that influence the growth and the normal function of cardiopulmonary.
Aspect the operative treatment pigeon chest, in the past breastbone sedimentation arts that adopt are got breast center stringer otch, free both sides chest wall soft tissue and pectoralis major more; Subperiosteum is peeled off bilateral deformity costicartilage, and the stage casing cuts off, and fully loosens; The sedimentation chest rib recovers normal breast exterior feature; If sedimentation is dissatisfied, can be to the capable infull osteotomy of breastbone near-end, the long costicartilage of excision after the sedimentation, the end end is sewed up.Some cases also need be gone presternal osteotomy, also need place Kirschner wire in case of necessity.This kind art formula, big to patient's wound, the hospital stays is long, and postoperative has reduced the volume in thoracic cavity, and the bigger cicatrix influence in chest center is attractive in appearance, and Chang Buneng is accepted by the patient and abandons operative treatment.In recent years along with the development of medical science and the chest wall deformity funnel chest NUSS of Wicresoft extensively carrying out worldwide, there is the scholar to carry out the Minimally Invasive Surgery treatment of pigeon chest according to funnel chest NUSS operation principle gradually, this method does not need at chest center row operative incision, both sides thoracic wall tissue need not dissociate, only need about the row 2cm of oxter, patient's chest both sides, get final product by little otch, operation does not enter the thoracic cavity, postoperative need not placed drain, surgical injury is little, intraoperative hemorrhage is few, the support of being placed in the art can carry out personalized making according to the degree of different patient's chest wall deformity, to reach good surgical effect.Postoperative can descend ground movable in 1-2 days, can leave hospital in postoperative 5-7 days.No matter be to perform the operation at pigeon chest in the past at present, still in the apparatus of Wicresoft's pigeon chest operation nowadays, still do not have the special ad hoc pressure apparatus that presses down thoracic wall, other operation specialties still do not have the pressure apparatus that can use for reference yet.
Summary of the invention
The purpose of this utility model provides a kind of chest rib pressure device that the pigeon chest minimal invasive surgical procedures presses down thoracic wall that is used for, by this device, can conveniently press down the pigeon chest thoracic wall to suitable degree, measure the numerical value that presses down the required power of thoracic wall simultaneously, to improve the efficient of operation technique.
To achieve these goals, this utility model is taked following design: chest rib pressure device, and it comprises perpendicular cramp bar, is set in the localizer on the hard cramp bar, the clamping bar that is used for fixing localizer, the crossbeam that is connected with perpendicular cramp bar, the Pressure gauge and the pressing plate that are fixed in the handwheel of exerting pressure on the crossbeam, are fixed together with the handwheel of exerting pressure; By tightening described clamping bar, described localizer and operation table can be fixed; The handwheel of exerting pressure can move to suitable operative site along crossbeam; Can make pressing plate decline reach patient's thoracic wall by rotating the described handwheel of exerting pressure; Bowl-type is made in described pressing plate bottom, and interior pad medical silica-gel sheet prevents to damage patient skin; Described Pressure gauge is a mechanical type design pressure table, can specifically read the concrete numerical value that pressing plate is exerted pressure to thoracic wall, but this Pressure gauge repeated multiple times sterilization is used.
The beneficial effects of the utility model are, in the pigeon chest minimal invasive surgical procedures, using this utility model replaces manpower to press down thoracic wall, make the strength that presses down thoracic wall stable and lasting, and make the assistant not need to require great effort again to press down thoracic wall, both hands have been liberated, cooperation patient that can the be convenient operation that undergos surgery; When pressing down thoracic wall, can measure the external force size that presses down thoracic wall by the mechanical compression table that is connected on the pressure device, can be by the case accumulation of some, understand the pigeon chest patient and correct the required Epidemiological study that presses down the strength of thoracic wall of chest wall deformity, through statistical analysis, can give from now on further select better, lighter, more firm breastbone support provides reference; By the carrying out and promote of Wicresoft pigeon chest chest rib sedimentation operation, can help extensive patients to improve the thoracic wall outward appearance, the growth of promotion cardiopulmonary and the improvement of function thereof regain confidence them.
Description of drawings
Fig. 1 chest rib pressure of the present utility model device sketch map
The specific embodiment
As shown in Figure 1, this utility model device comprises clamping bar 1, localizer 2, perpendicular cramp bar 3, crossbeam 4, the handwheel 5 of exerting pressure, Pressure gauge 6, pressing plate 7.Clamping bar 1 is the band screw device, when turning clockwise clamping bar 1, the screw thread of respective screw hole acts on mutually and produces the inwardly pressure of effect on its screw thread and the localizer 2, pressure acts on perpendicular cramp bar 3, perpendicular cramp bar 3 remakes and is used for localizer 2, thereby localizer 2 and clamping bar 1 and operation table are fixed; Between perpendicular cramp bar 3 and the crossbeam 4 is the hinge type structure; Exert pressure 7 of handwheel 5 and pressing plates with the belt transect screw device, the handwheel 5 of exerting pressure that turns clockwise, downward because of the active force of screw thread, pressing plate 7 can descend thereupon; Exert pressure and establish Pressure gauge 6 between handwheel 5 and the pressing plate 7, be the mechanical compression table, be convenient to sterilize repeatedly; Bowl-type is made in pressing plate 7 bottom surfaces, and interior pad medical silica-gel sheet is to alleviate the wound to human body skin.
Operation principle of the present utility model and process are as follows:
The patient lies low on operating-table, two upper limb horizontal abductions position.In the operation, screwing clamping bar 1 can be fixed in localizer 2 on the operating-table, because of perpendicular cramp bar is positioned on the localizer in the circular sleeve, so can fix simultaneously with operation table when screwing clamping bar 1; Perpendicular cramp bar 3 and articulated connection of crossbeam 4 catch cropping can prevent that crossbeam 4 from sinking, and adjust crossbeam 4 with its furnishing level position; Exert pressure handwheel 5 to pigeon chest breastbone boss top along crossbeam 4 slips, rotate the handwheel 5 of exerting pressure pressing plate 7 is descended, until the thoracic wall convex surfaces; Be rotated further the handwheel of exerting pressure, protruding thoracic wall is pressed down gradually, stop the application of force after correcting to correct position, can read the concrete numerical value of being exerted pressure this moment from Pressure gauge 6, and record.Continue the operation technique of other steps then.After having placed the breastbone support and support fixedly finished, rotate the handwheel of exerting pressure, discharge pressing plate gradually to breastbone institute applied pressure.At this moment, the deformity of visible thoracic wall projection is repaired.

Claims (8)

1. chest rib pressure device is characterized in that this device comprises perpendicular cramp bar (3), is set in the localizer (2) on the perpendicular cramp bar (3), the clamping bar (1) that is used for fixing localizer (2), the crossbeam (4) that is connected with perpendicular cramp bar (3), the Pressure gauge (6) and the pressing plate (7) that are fixed in the handwheel of exerting pressure (5) on the crossbeam (4), are fixed together with the handwheel of exerting pressure.
2. chest rib pressure device according to claim 1 is characterized in that: by tightening described clamping bar (1), described localizer (2) and operation table can be fixed.
3. chest rib pressure device according to claim 1 is characterized in that: the described handwheel of exerting pressure (5) can move to suitable operative site along crossbeam (4).
4. chest rib pressure device according to claim 1 is characterized in that: can make pressing plate (7) decline reach patient's thoracic wall by rotating the described handwheel of exerting pressure (5).
5. chest rib pressure device according to claim 1 is characterized in that: bowl-type is made in described pressing plate (7) bottom, and interior pad medical silica-gel sheet prevents to damage patient skin.
6. chest rib pressure device according to claim 1 is characterized in that: described Pressure gauge (6) is a mechanical type design pressure table, can specifically read the concrete numerical value that pressing plate (7) is exerted pressure to thoracic wall.
7. chest rib pressure device according to claim 1 is characterized in that: by tightening described clamping bar (1), described localizer (2) and operation table can be fixed; The described handwheel of exerting pressure (5) can move to suitable operative site along crossbeam (4); Can make pressing plate (7) decline reach patient's thoracic wall by rotating the described handwheel of exerting pressure (5); Bowl-type is made in described pressing plate (7) bottom, and interior pad medical silica-gel sheet prevents to damage patient skin; Described Pressure gauge (6) is a mechanical type design pressure table, can specifically read the concrete numerical value that pressing plate (7) is exerted pressure to thoracic wall.
8. according to the described chest rib pressure of any claim device in the claim 1 to 7, it is characterized in that: described clamping bar (1), localizer (2), perpendicular cramp bar (3), crossbeam (4), the handwheel of exerting pressure (5), Pressure gauge (6), pressing plate (7) all can adopt suitable titanium alloy of performance or medical stainless steel material to make.
CN2011200076394U 2011-01-12 2011-01-12 Chest rib pressing instrument Expired - Lifetime CN201905988U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN2011200076394U CN201905988U (en) 2011-01-12 2011-01-12 Chest rib pressing instrument

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN2011200076394U CN201905988U (en) 2011-01-12 2011-01-12 Chest rib pressing instrument

Publications (1)

Publication Number Publication Date
CN201905988U true CN201905988U (en) 2011-07-27

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ID=44298199

Family Applications (1)

Application Number Title Priority Date Filing Date
CN2011200076394U Expired - Lifetime CN201905988U (en) 2011-01-12 2011-01-12 Chest rib pressing instrument

Country Status (1)

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CN (1) CN201905988U (en)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102028527A (en) * 2011-01-12 2011-04-27 首都医科大学附属北京儿童医院 Chest rib pressure device
CN111329718A (en) * 2020-03-19 2020-06-26 江苏医药职业学院 Trunk muscle activity promoting device for early hemiplegic stage

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102028527A (en) * 2011-01-12 2011-04-27 首都医科大学附属北京儿童医院 Chest rib pressure device
CN111329718A (en) * 2020-03-19 2020-06-26 江苏医药职业学院 Trunk muscle activity promoting device for early hemiplegic stage
CN111329718B (en) * 2020-03-19 2022-02-11 江苏医药职业学院 Trunk muscle activity promoting device for early hemiplegic stage

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CX01 Expiry of patent term
CX01 Expiry of patent term

Granted publication date: 20110727