CN203943860U - Adjustable skull traction frame - Google Patents

Adjustable skull traction frame Download PDF

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CN203943860U
CN203943860U CN201420227788.5U CN201420227788U CN203943860U CN 203943860 U CN203943860 U CN 203943860U CN 201420227788 U CN201420227788 U CN 201420227788U CN 203943860 U CN203943860 U CN 203943860U
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traction
skull
angle adjustment
adjustment device
bow
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任先军
蒋涛
阴洪
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Second Affiliated Hospital of Army Medical University
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Second Affiliated Hospital of TMMU
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Abstract

本实用新型公开了一种可调节式颅骨牵引架,属于医疗器械领域,包括固定在床沿上的角度调节装置(3),所述角度调节装置(3)还通过支撑杆(4)支撑于地面,且角度调节装置(3)上铰接有能相对其转动的牵引支架(5),所述牵引支架(5)远端设有定滑轮(51);还包括颅骨外板(1)、颅骨牵引弓(2)以及牵引绳(7),所述颅骨外板(1)能匹配患者下颌以及颅骨两侧耳颞部,所述颅骨外板(1)沿颅顶方向固定连接颅骨牵引弓(2),所述牵引绳(7)绕过定滑轮(51),一端连接颅骨牵引弓(2),另一端连接牵引部件(8)。该实用新型通过调节牵引支架高度来实现对颈椎伸屈曲度的调节,满足不同颈椎手术对于颈椎曲度的特殊要求。

The utility model discloses an adjustable skull traction frame, which belongs to the field of medical equipment and comprises an angle adjustment device (3) fixed on the edge of a bed, and the angle adjustment device (3) is also supported on the ground by a support rod (4). , and the angle adjustment device (3) is hinged with a traction bracket (5) that can rotate relative to it, and the distal end of the traction bracket (5) is provided with a fixed pulley (51); it also includes a skull outer plate (1), a skull traction Bow (2) and traction rope (7), the outer plate of the skull (1) can match the lower jaw of the patient and the ear and temporal parts on both sides of the skull, and the outer plate of the skull (1) is fixedly connected to the traction bow (2) of the skull along the cranial top direction , the traction rope (7) bypasses the fixed pulley (51), one end is connected to the skull traction bow (2), and the other end is connected to the traction component (8). The utility model realizes the adjustment of the degree of extension and flexion of the cervical spine by adjusting the height of the traction bracket, and meets the special requirements of different cervical spine operations for the curvature of the cervical spine.

Description

可调节式颅骨牵引架Adjustable Skull Traction Frame

技术领域 technical field

 本实用新型属于医疗器械领域,具体来说,是一种用于颈椎骨折、脱位等外伤治疗的可调式颅骨牵引架。 The utility model belongs to the field of medical equipment, in particular, it is an adjustable skull traction frame used for trauma treatment such as cervical vertebra fracture and dislocation.

背景技术 Background technique

颈椎前路减压融合是治疗颈椎病和颈椎创伤的主要方式之一。在颈椎前路手术时,保持颈椎的确切固定和合适的曲度十分重要。由于头颈部位置的特殊性,使得其不易固定,同时在颈部反复手术操作,容易使头颈部移位、活动,不利于手术操作,尤其在椎管打开的情况下可能导致脊髓损伤。并且不同的颈椎手术对于颈椎的伸屈曲度有不同的要求。所以,稳定的固定及合理的颈椎伸屈曲度对于颈椎手术十分重要。 Anterior cervical decompression and fusion is one of the main ways to treat cervical spondylosis and cervical trauma. During anterior cervical surgery, it is very important to maintain exact fixation and proper curvature of the cervical spine. Due to the particularity of the position of the head and neck, it is not easy to fix it. At the same time, repeated operations on the neck will easily shift and move the head and neck, which is not conducive to the operation, especially when the spinal canal is opened, it may cause spinal cord injury. And different cervical spine surgeries have different requirements for the extension and flexion of the cervical spine. Therefore, stable fixation and reasonable cervical extension and flexion are very important for cervical spine surgery.

常用的颅骨牵引法是将颅骨牵引弓固定在患者颅骨上实施牵引。颅骨牵引弓的构造类似一个夹钳式弓体,夹钳式弓体的主体为两个铰接的圆弧形夹杆,夹杆的夹头部位设有插入颅骨两侧的钢针,夹钳体的把尾部设有调整夹头开口大小的螺杆螺母,螺杆穿过夹钳把尾部的两个光孔,调整两个螺母,从而调整和固定夹头开口大小,夹钳式弓体上还设有连接重锤的拉杆。这种方法存在如下问题:1、钢针位置偏颅顶,牵引受力时,钢针易从颅骨中脱落;  The commonly used skull traction method is to fix the skull traction bow on the patient's skull and implement traction. The structure of the skull traction bow is similar to a clamp-type bow body. The main body of the clamp-type bow body is two hinged arc-shaped clamping rods. The tail of the body is provided with a screw nut to adjust the size of the chuck opening. The screw passes through the two light holes at the tail of the clamp handle, and the two nuts are adjusted to adjust and fix the size of the chuck opening. There is a tie rod attached to the weight. This method has the following problems: 1. The position of the steel needle is off the top of the skull, and the steel needle is easy to fall off from the skull when traction is applied;

2、对于调节不同的颈椎伸屈曲度其操作不便;3、钢针拉紧固定靠的是螺杆螺母调节,患者活动时螺母易松动,固定不可靠,三维方向调节无法实现,在使用过程中需要调来调去,容易产生危险。可见采用钢针插入颅骨的方法既不安全也不方便。 2. It is inconvenient to adjust the extension and flexion of different cervical vertebrae; 3. The steel needle is tightened and fixed by the screw nut adjustment. When the patient moves, the nut is easy to loosen, the fixation is not reliable, and the three-dimensional direction adjustment cannot be realized. It is easy to cause danger when transferred back and forth. It can be seen that the method of inserting the steel needle into the skull is neither safe nor convenient.

发明内容 Contents of the invention

本实用新型旨在提供一种安装简单、操作方便、固定牢固以及能够满足不同手术要求的可调节式颅骨牵引架。 The utility model aims to provide an adjustable skull traction frame with simple installation, convenient operation, firm fixation and the ability to meet different operation requirements.

为实现上述技术目的,本实用新型采用的技术方案如下: For realizing above-mentioned technical purpose, the technical scheme that the utility model adopts is as follows:

一种可调节式颅骨牵引架,包括固定在床沿上的角度调节装置,所述角度调节装置还通过支撑杆支撑于地面,且角度调节装置上铰接有能相对其转动的牵引支架,所述牵引支架远端设有定滑轮;还包括颅骨外板、颅骨牵引弓以及牵引绳,所述颅骨外板能匹配患者下颌以及颅骨两侧耳颞部,所述颅骨外板沿颅顶方向固定连接颅骨牵引弓,所述牵引绳绕过定滑轮,一端连接颅骨牵引弓,另一端连接牵引部件。 An adjustable skull traction frame, including an angle adjustment device fixed on the edge of the bed, the angle adjustment device is also supported on the ground through a support rod, and a traction bracket that can rotate relative to it is hinged on the angle adjustment device, and the traction bracket is hinged on the angle adjustment device. There is a fixed pulley at the distal end of the bracket; it also includes a skull outer plate, a skull traction bow and a traction rope. The skull outer plate can match the patient’s mandible and the ear temporal parts on both sides of the skull. The skull outer plate is fixed and connected to the skull traction along the cranial top direction Bow, the traction rope goes around the fixed pulley, one end is connected to the skull traction bow, and the other end is connected to the traction part.

采用上述技术方案的实用新型,通过牵引部件牵引颅骨外板,从而固定患者头颈部,防止手术中出现移位影响操作,同时调节牵引支架旋转的位置改变牵引高度,从而实现对颈椎伸屈曲度的调节,满足不同颈椎手术对于颈椎曲度的要求。 The utility model adopts the above-mentioned technical solution, and the outer plate of the skull is pulled by the traction part, so as to fix the head and neck of the patient, prevent the operation from being affected by the displacement during the operation, and at the same time adjust the rotation position of the traction bracket to change the traction height, so as to realize the extension and flexion of the cervical spine The adjustment can meet the requirements of different cervical spine surgery for the curvature of the cervical spine.

进一步限定,所述角度调节装置通过U型卡槽卡合在床沿,并通过螺栓固定。可调节式牵引支架与手术床相互独立,通过U型卡槽与床沿完成临时卡接,需要时临时安装固定,不需要时可以轻易取下,满足不同手术要求,不占用多余空间。 It is further defined that the angle adjusting device is engaged on the edge of the bed through a U-shaped slot and fixed by bolts. The adjustable traction bracket and the operating bed are independent of each other, and are temporarily clamped with the bed edge through the U-shaped card slot. When needed, it can be temporarily installed and fixed, and can be easily removed when not needed to meet different surgical requirements without taking up extra space.

进一步限定,所述角度调节装置通过手摇涡轮杆控制牵引支架的转动。手摇式涡轮杆控制高度调节在医疗器械上比较常见,这使得操作者容易掌握,减少因对设备不熟引起操作失误。 It is further defined that the angle adjustment device controls the rotation of the traction bracket through a hand-operated turbine lever. Hand-operated turbo lever control height adjustment is more common in medical equipment, which makes it easy for the operator to master and reduces operational errors caused by unfamiliarity with the equipment.

本实用新型相比现有技术操作简单,固定牢固,能够适应不同患者对颈椎伸屈曲度的要求,涡轮蜗杆结构具有自锁功能,这就使得在调节牵引支架角度时不需要额外的机构锁定,安全简单有效,并且安装拆卸方便,不需要时可随时移开节约手术台空间。 Compared with the prior art, the utility model is simple to operate, firmly fixed, and can adapt to the requirements of different patients on the extension and flexion of the cervical spine. The worm gear structure has a self-locking function, which makes it unnecessary to use additional mechanism locking when adjusting the angle of the traction bracket. It is safe, simple and effective, and it is easy to install and disassemble. It can be removed at any time when not in use to save space on the operating table.

附图说明 Description of drawings

图1为本实用新型的结构示意图; Fig. 1 is the structural representation of the utility model;

图2为本实用新型的使用状态图。 Fig. 2 is the use status diagram of the utility model.

具体实施方式 Detailed ways

为了使本领域的技术人员可以更好地理解本实用新型,下面结合附图和实施例对本实用新型技术方案进一步说明。 In order to enable those skilled in the art to better understand the utility model, the technical solution of the utility model will be further described below in conjunction with the drawings and embodiments.

如图1、图2所示,一种可调节式颅骨牵引架,包括固定在床沿上的角度调节装置3,该角度调节装置3通过U型卡槽6卡合在床沿的同时,还通过支撑杆4支撑于地面,这样角度调节装置3能够被更好地定位,在角度调节装置3上铰接有能相对其转动的牵引支架5,其中牵引支架5近端通过转轴铰接在角度调节装置3上,远端设有定滑轮51。 As shown in Figure 1 and Figure 2, an adjustable skull traction frame includes an angle adjustment device 3 fixed on the edge of the bed. The rod 4 is supported on the ground, so that the angle adjustment device 3 can be better positioned, and the angle adjustment device 3 is hinged with a traction bracket 5 that can rotate relative to it, wherein the proximal end of the traction bracket 5 is hinged on the angle adjustment device 3 through a rotating shaft , the far end is provided with fixed pulley 51.

在患者身上还需要固定颅骨外板1,该颅骨外板1能匹配患者下颌以及颅骨两侧耳颞部,防止患者颅骨从颅骨外板中滑出,在颅骨外板1沿颅顶方向固定连接有颅骨牵引弓2,该颅骨牵引弓2与颅骨外板1形成闭合环,颅骨牵引弓2顶部连接牵引绳7,该牵引绳绕过定滑轮51后,通过连接牵引部件8产生牵引力。 It is also necessary to fix the outer skull plate 1 on the patient. The outer skull plate 1 can match the patient’s lower jaw and the ear temporal parts on both sides of the skull to prevent the patient’s skull from slipping out of the outer skull plate. Skull traction bow 2, the skull traction bow 2 forms a closed loop with the skull outer plate 1, the top of the skull traction bow 2 is connected to the traction rope 7, after the traction rope bypasses the fixed pulley 51, it generates traction by connecting the traction member 8.

为了患者更安全的保险,颅骨牵引弓2两端可以通过钢针将其固定颅骨上,这样颅骨牵引弓2与颅骨外板1连接处相互铰接。牵引部件8可以采用比如能调节牵引力大小的砝码装置,通过选择不同重量的砝码来调节不同牵引力。 For the safety of the patient, the two ends of the skull traction bow 2 can be fixed on the skull by steel needles, so that the connection between the skull traction bow 2 and the skull outer plate 1 is hinged to each other. The traction component 8 can adopt, for example, a weight device capable of adjusting the magnitude of the traction force, and different traction forces can be adjusted by selecting weights of different weights.

所述角度调节装置1通过手摇涡轮杆31控制牵引支架5的转动,其具体结构为手摇涡轮杆31上的主动齿轮32带动连接牵引支架5的从动齿轮33转动。 The angle adjusting device 1 controls the rotation of the traction bracket 5 through the hand turbine lever 31, and its specific structure is that the driving gear 32 on the hand turbine lever 31 drives the driven gear 33 connected to the traction bracket 5 to rotate.

该颅骨牵引架工作原理如下:首先通过颅骨外板1固定住患者下颌和颅骨两侧耳颞部,然后调节U型卡槽6和螺栓的位置将其固定于床沿,确保患者颅骨在被牵引时两侧受力均衡,避免头颈部左偏或右偏,颅骨牵引弓2固定于颅骨外板1沿颅顶的方向上,牵引绳7与颅骨牵引弓2顶部相连,然后牵引绳7绕过牵引支架5远端的定滑轮51,尾端加上合适重量的重物形成牵引部件8,上述结构通过力的传导牵引并固定患者头颈部。为了满足不同颈椎手术对于颈椎伸屈曲度的要求,可以调节手摇涡轮杆31改变牵引支架5的牵引高度以及牵引方向,从而实现对颈椎伸屈曲度的调节。不用时,解开U型卡槽6取下颅骨牵引架即可。 The working principle of the skull traction frame is as follows: First, fix the patient's mandible and the ear temporal parts on both sides of the skull through the outer plate of the skull 1, and then adjust the position of the U-shaped card slot 6 and the bolt to fix it on the edge of the bed to ensure that the patient's skull is in two directions when being pulled. The lateral force is balanced to avoid the left or right deviation of the head and neck. The skull traction bow 2 is fixed on the outer plate of the skull 1 along the direction of the top of the skull. The traction rope 7 is connected to the top of the skull traction bow 2, and then the traction rope 7 bypasses the traction The fixed pulley 51 at the far end of the bracket 5 and the tail end add a weight of appropriate weight to form the traction member 8, and the above structure tracts and fixes the patient's head and neck through the conduction of force. In order to meet the requirements of different cervical spine operations for the extension and flexion of the cervical spine, the hand-operated turbine rod 31 can be adjusted to change the traction height and the traction direction of the traction bracket 5, thereby realizing the adjustment of the extension and flexion of the cervical spine. When not in use, untie the U-shaped card slot 6 and take off the skull traction frame.

以上对本实用新型提供的可调式颅骨牵引架进行了详细介绍。具体实施例的说明只是用于帮助理解本实用新型的方法及其核心思想。应当指出,对于本技术领域的普通技术人员来说,在不脱离本实用新型原理的前提下,还可以对本实用新型进行若干改进和修饰,这些改进和修饰也落入本实用新型权利要求的保护范围内。 The adjustable skull traction frame provided by the utility model has been introduced in detail above. The description of specific embodiments is only used to help understand the method and core idea of the present invention. It should be pointed out that for those of ordinary skill in the art, without departing from the principle of the utility model, some improvements and modifications can also be made to the utility model, and these improvements and modifications also fall into the protection of the claims of the utility model. within range.

Claims (3)

1.一种可调节式颅骨牵引架,其特征在于,包括固定在床沿上的角度调节装置(3),所述角度调节装置(3)还通过支撑杆(4)支撑于地面,且角度调节装置(3)上铰接有能相对其转动的牵引支架(5),所述牵引支架(5)远端设有定滑轮(51); 1. An adjustable skull traction frame is characterized in that it comprises an angle adjustment device (3) fixed on the edge of the bed, and the angle adjustment device (3) is also supported on the ground by a support rod (4), and the angle adjustment The device (3) is hinged with a traction bracket (5) that can rotate relative to it, and the distal end of the traction bracket (5) is provided with a fixed pulley (51); 还包括颅骨外板(1)、颅骨牵引弓(2)以及牵引绳(7),所述颅骨外板(1)能匹配患者下颌以及颅骨两侧耳颞部,所述颅骨外板(1)沿颅顶方向固定连接颅骨牵引弓(2),所述牵引绳(7)绕过定滑轮(51),一端连接颅骨牵引弓(2),另一端连接牵引部件(8)。 It also includes a skull outer plate (1), a skull traction bow (2) and a traction rope (7). The skull outer plate (1) can match the patient’s mandible and the ear temporal parts on both sides of the skull. The skull outer plate (1) is The cranial top direction is fixedly connected with the skull traction bow (2), and the traction rope (7) walks around the fixed pulley (51), and one end is connected with the skull traction bow (2), and the other end is connected with the traction component (8). 2.根据权利要求1所述的可调节式颅骨牵引架,其特征在于,所述角度调节装置(3)通过U型卡槽(6)卡合在床沿,并通过螺栓固定。 2 . The adjustable skull traction frame according to claim 1 , characterized in that, the angle adjustment device ( 3 ) is engaged on the edge of the bed through a U-shaped slot ( 6 ) and fixed by bolts. 3 . 3.根据权利要求1所述的可调节式颅骨牵引架,其特征在于,所述角度调节装置(3)通过手摇涡轮杆(31)控制牵引支架(5)的转动。 3 . The adjustable skull traction frame according to claim 1 , characterized in that, the angle adjustment device ( 3 ) controls the rotation of the traction bracket ( 5 ) through a hand-operated turbine rod ( 31 ).
CN201420227788.5U 2014-05-06 2014-05-06 Adjustable skull traction frame Expired - Fee Related CN203943860U (en)

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Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105997259A (en) * 2016-08-10 2016-10-12 王洪伟 Skull traction support device
CN107582155A (en) * 2017-09-08 2018-01-16 宜昌市中心人民医院 Adjustable combined type skull traction device and traction method
CN107693186A (en) * 2017-09-26 2018-02-16 宜昌市中心人民医院 A kind of combined type pillow belt draw-gear and its traction method
CN111467108A (en) * 2020-04-21 2020-07-31 温州市人民医院 A traction frame for preventing and treating cervical spondylosis at home at the end of the bed
CN115645021A (en) * 2022-10-21 2023-01-31 中南大学湘雅医院 Multifunctional craniocerebral ring bow traction system

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105997259A (en) * 2016-08-10 2016-10-12 王洪伟 Skull traction support device
CN107582155A (en) * 2017-09-08 2018-01-16 宜昌市中心人民医院 Adjustable combined type skull traction device and traction method
CN107693186A (en) * 2017-09-26 2018-02-16 宜昌市中心人民医院 A kind of combined type pillow belt draw-gear and its traction method
CN111467108A (en) * 2020-04-21 2020-07-31 温州市人民医院 A traction frame for preventing and treating cervical spondylosis at home at the end of the bed
CN115645021A (en) * 2022-10-21 2023-01-31 中南大学湘雅医院 Multifunctional craniocerebral ring bow traction system

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