CN204636440U - Arthroscopic shoulder surgery traction frame - Google Patents
Arthroscopic shoulder surgery traction frame Download PDFInfo
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- CN204636440U CN204636440U CN201520265595.3U CN201520265595U CN204636440U CN 204636440 U CN204636440 U CN 204636440U CN 201520265595 U CN201520265595 U CN 201520265595U CN 204636440 U CN204636440 U CN 204636440U
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- rod
- traction frame
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- vertical rod
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- 238000001356 surgical procedure Methods 0.000 title claims abstract description 13
- 230000005484 gravity Effects 0.000 abstract description 7
- 230000008859 change Effects 0.000 abstract description 5
- 230000009471 action Effects 0.000 abstract description 4
- 238000000034 method Methods 0.000 abstract description 4
- 230000008878 coupling Effects 0.000 abstract description 2
- 238000010168 coupling process Methods 0.000 abstract description 2
- 238000005859 coupling reaction Methods 0.000 abstract description 2
- 238000007665 sagging Methods 0.000 abstract description 2
- 238000009434 installation Methods 0.000 description 3
- 230000008569 process Effects 0.000 description 3
- 210000000323 shoulder joint Anatomy 0.000 description 3
- 230000008901 benefit Effects 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 239000003344 environmental pollutant Substances 0.000 description 2
- 239000004519 grease Substances 0.000 description 2
- 230000001050 lubricating effect Effects 0.000 description 2
- 238000002324 minimally invasive surgery Methods 0.000 description 2
- 231100000719 pollutant Toxicity 0.000 description 2
- 230000001174 ascending effect Effects 0.000 description 1
- 238000005452 bending Methods 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000005457 optimization Methods 0.000 description 1
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Abstract
A kind of arthroscopic shoulder surgery traction frame, comprise the adjustable cross bar of a montant and a position, the two ends of cross bar are respectively provided with a cross bar pulley, cross bar pulley is provided with a cross bar drag rope, in addition, described montant is also provided with a fixed bar be positioned at below described cross bar, described fixed bar and described montant are that angle is fixedly connected with, the two ends of described fixed bar are respectively provided with a fixed bar pulley, described fixed bar pulley is provided with a fixed bar drag rope, one end of described fixed bar drag rope is provided with fixed bar coupling hook, the other end is provided with fixed bar weight hook.This utility model is by the arthroscopic shoulder surgery traction frame of modified node method, add the fixed bar of the arm of the patient that can stretch along its length, cross bar can be used for upwards being tangled by the arm of patient, make the arm of patient be unlikely to sagging under arm action of gravity, thus the change of operation angle can not be affected.
Description
Technical Field
The utility model relates to a shoulder joint operation medical instrument, in particular to a traction frame which can be used for shoulder arthroscope minimally invasive surgery in surgical operations.
Background
The minimally invasive operation of the shoulder arthroscope requires that the joint gap of the shoulder joint of a patient is opened by an auxiliary traction device in a lateral lying state, and then the operation can be carried out. Surgical traction frames that can be used for this type of surgery are disclosed in the prior art CN 203970561U and CN 204121090U.
For example, CN 204121090U discloses a traction frame for shoulder arthroscopy surgery, which comprises a traction frame main body composed of a cross bar and a vertical bar and having a "T" shape, pulleys arranged at two ends of the cross bar, and a traction rope assembled on a pulley groove, wherein the vertical bar is connected with a non-midpoint position of the cross bar in a matching manner, an installation part is arranged at the upper part of the vertical bar, a hinge hole and an adjusting hole are arranged on the installation part, and the adjusting hole is distributed in an arc shape by taking the hinge hole as a circle center; two ends of the traction rope are provided with connecting buckles, one connecting buckle is detachably connected with a binding arm sheath, and the other connecting buckle is connected with a heavy object.
This prior art seems to consider that the traction angle of the arm can be conveniently adjusted by connecting the vertical bar and the horizontal bar in an asymmetric structure, thereby improving the flexibility of use of the traction frame. However, in practical structure, the angle of the cross rod and the length of the arm can be adjusted in a large range when the arm angle of the traction frame is adjusted flexibly, and even if the vertical rod is symmetrically connected with the cross rod, the arm angle can be adjusted flexibly as long as the connecting position can be changed.
Of course, the above-described prior art has the following drawbacks. During operation, the arm of a patient is stretched to form a certain angle through the traction rope on the cross rod, however, the arm is forced to droop by the weight of the arm, an included angle exists between the direction of the stretching force of the traction rope and the gravity direction of the arm, and the trend that the arm is made to droop by gravity cannot be completely overcome no matter how large the traction force of the traction rope is. Moreover, the traction force that the arm of the patient can bear is limited, after the angle is set for the operation, the arm stretching length changes along with the traction time, and the influence of the arm gravity causes that the arm is difficult to keep the originally set position in the operation process, and the arm needs to be lifted by the operator in the operation process to avoid arm droop. There is therefore a need for an improved construction of a shoulder arthroscopic surgical retractor which overcomes the above-mentioned deficiencies of the prior art.
SUMMERY OF THE UTILITY MODEL
The to-be-solved technical problem of the utility model is to provide a shoulder arthroscope operation traction frame to reduce or avoid the aforementioned problem.
For solving the technical problem, the utility model provides a shoulder arthroscope operation traction frame, including a montant, the upper end of montant is provided with a position adjustable horizontal pole, the both ends of horizontal pole respectively are provided with a horizontal pole pulley, it pulls the rope to be provided with a horizontal pole on the horizontal pole pulley, the horizontal pole pulls the one end of rope and is provided with horizontal pole hookup, and the other end is provided with horizontal pole heavy object couple, wherein, be provided with one on the montant and be located the dead lever of horizontal pole below, the dead lever with the montant is contained angle alpha fixed connection, the both ends of dead lever respectively are provided with a dead lever pulley, it pulls the rope to be provided with a dead lever on the dead lever pulley, the dead lever pulls the one end of rope and is provided with dead lever hookup.
Preferably, the cross bar is a hollow bar, and the part of the cross bar traction rope overlapped between the cross bar pulleys is positioned in the cross bar.
Preferably, the fixing rod is a hollow rod, and a portion of the fixing rod, which is overlapped between the pulleys of the fixing rod, is located inside the fixing rod.
Preferably, the included angle alpha between the fixing rod and the vertical rod is 30-60 degrees.
Preferably, the cross rod is provided with a plurality of transverse adjusting holes for adjusting the transverse position of the cross rod relative to the vertical rod.
Preferably, the cross bar is adjustably positioned at its upper end by a mounting panel rotatable about the axis of the vertical bar.
Preferably, the upper part of the mounting panel is provided with two lugs for fixing the cross rod through a bolt, and the lower part of the mounting panel is provided with a mounting seat inserted with the upper end of the vertical rod.
Preferably, at least one reference hole and a plurality of selection holes are arranged on the ear piece, and the distance between the reference hole and any one of the selection holes is the same.
Preferably, the plurality of lateral adjustment holes are arranged on the cross bar at equal intervals, and the distance between the reference hole and any one of the selection holes is equal to an integral multiple of the distance between adjacent lateral adjustment holes.
Preferably, the vertical rod is a hollow rod, a rod in the vertical rod is inserted into the lower end of the vertical rod, a vertical rod height adjusting hole for adjusting the height position of the rod in the vertical rod is formed in the lower end of the vertical rod, and a panel position adjusting hole for adjusting the rotating position of the mounting panel is formed in the upper end of the vertical rod.
The utility model adds a fixed rod which can stretch the arm of the patient along the length direction through the shoulder arthroscope operation traction frame with the improved structure, and the cross rod can be used for hanging the arm of the patient upwards, so that the arm of the patient is not easy to droop under the action of the arm gravity, and the change of the operation angle is not influenced; in addition, the cross bar and the fixed bar are arranged at a certain angle and distance, so that the situation that the fixed bar interferes the rotation of the cross bar is avoided, and the flexibility of the cross bar for adjusting the arm state of a patient is ensured; finally, when meeting the condition that needs raise the arm temporarily, also can only adjust the horizontal pole and increase ascending traction force, do not influence the horizontal traction force of dead lever, it is more stable than operating personnel's lift, also more the nimble this condition of reply of the traction frame of also being compared with prior art.
Drawings
The drawings are only intended to illustrate and explain the present invention and do not limit the scope of the invention. Wherein,
fig. 1 is a schematic view showing a traction frame for shoulder arthroscopic surgery according to an embodiment of the present invention.
Detailed Description
In order to clearly understand the technical features, objects, and effects of the present invention, embodiments of the present invention will be described with reference to the accompanying drawings. Wherein like parts are given like reference numerals.
Fig. 1 shows a schematic structural diagram of a shoulder arthroscopic surgery traction frame according to an embodiment of the present invention, as shown in the figure, the present invention provides a shoulder arthroscopic surgery traction frame which is a traction frame for minimally invasive surgery of shoulder arthroscope in surgical operation. When carrying out shoulder arthroscope minimal access surgery, the patient 100 that needs the operation is the state of lying on one's side and lies on sick bed 200, the utility model discloses a lower extreme of shoulder arthroscope operation traction frame inserts in the jack (not shown in the figure) of sick bed 200, through the utility model discloses a joint clearance with patient 100's shoulder joint is opened to the traction effect of shoulder arthroscope operation traction frame, then carries out the operation.
Wherein, as shown in the figure, the utility model discloses a shoulder arthroscope operation traction frame includes a montant 1, and the upper end of montant 1 is provided with a position adjustable horizontal pole 2, and the both ends of horizontal pole 2 respectively are provided with a horizontal pole pulley 21, are provided with a horizontal pole on the horizontal pole pulley 21 and pull rope 22, and the horizontal pole pulls rope 22's one end and is provided with horizontal pole hookup 23, and the other end is provided with horizontal pole heavy object couple 24.
In the figure, the cross rod 2 is vertically connected with the vertical rod 1 at 90 degrees and is in a T shape, the included angle between the cross rod 2 and the vertical rod 1 can be adjusted according to needs in the use process, the cross rod 2 can also transversely move relative to the vertical rod 1, and the transverse positions of the two ends of the cross rod 2 are adjusted, which will be described in detail later.
Different from the background art, the utility model discloses a still be provided with a dead lever 3 that is located 2 below of horizontal pole on the montant 1, dead lever 3 is contained angle alpha fixed connection with montant 1, and the both ends of dead lever 3 respectively are provided with a dead lever pulley 31, are provided with a dead lever on the dead lever pulley 31 and pull rope 32, and the dead lever pulls rope 32's one end and is provided with dead lever coupling hook 33, and the other end is provided with dead lever heavy object couple 34. The utility model discloses in, dead lever 3 is similar with 2 structures of horizontal pole, but dead lever 3 is the position that can not be adjusted with 1 fixed connection of montant as an organic whole.
The utility model discloses slightly different through the use of modified shoulder arthroscope operation traction frame with the traction frame of background art, like the picture, the utility model discloses in the time of using, the dead lever of dead lever 3 pulls rope 32 and is used for following the tensile patient 100's of length direction arm, and the horizontal pole of horizontal pole 2 pulls rope 22 and is used for upwards hanging patient 100's arm for patient 100's arm is unlikely to flagging under arm action of gravity, thereby can not influence the change of operation angle.
Specifically, when the patient 100 lies on the side, the angle of the arm bending upward is basically determined in the normal operation state, and at this time, a preferred included angle α can be obtained empirically, for example, the included angle α between the fixing rod 3 and the vertical rod 1 can be preferably 30-60 degrees, and at this time, the position of the fixing rod 3 does not need to be adjusted, and the fixing rod 3 only needs to be fixedly connected with the vertical rod 1. The cross rod 2 is used for hanging the arms upwards to avoid arm sagging, and meanwhile, because the positions of each patient needing surgery are different, the posture of the arms needs to be adjusted according to the different positions of the surgery, and at the moment, the posture of the patient in the surgery is adjusted by the aid of the cross rod 2 with the adjustable position.
In a preferred embodiment, the crossbar 2 may be a hollow bar, and the portion of the crossbar traction rope 22 that is overlapped between the crossbar pulleys 21 is located inside the crossbar 2. The advantage of this scheme is that pulley and rope setting are inside hollow rod, avoid twining other article and cause the accident, have also avoided simultaneously that the lubricating grease on the rope is infected with the pollutant and drops to the operation position.
Also preferably, the fixing lever 3 may be a hollow lever, and a portion of the fixing lever traction rope 32 overlapped between the fixing lever pulleys 31 is located inside the fixing lever 3. The advantage of this scheme is that pulley and rope setting are inside hollow rod, avoid twining other article and cause the accident, have also avoided simultaneously that the lubricating grease on the rope is infected with the pollutant and drops to the operation position.
As mentioned above, the transverse position and the angle of the cross bar 2 relative to the vertical bar 1 can be adjusted. That is, as shown in the drawing, the cross bar 2 is provided with a plurality of lateral adjustment holes 25 for adjusting the lateral position of the cross bar 2 with respect to the vertical bar 1. When the cross rod 2 needs to be moved transversely, the transverse position of the cross rod 2 can be set to a required state by aligning different transverse adjusting holes 25 with the mounting structures on the vertical rods 1.
In a particular embodiment, the adjustment of the angle of the cross bar 2 relative to the vertical bar 1 is achieved by means of a mounting panel 4. As shown, the cross bar 2 is adjustably positioned at the upper end of the cross bar 2 by means of a mounting panel 4 which is rotatable about the axis of the vertical bar 1.
The mounting panel 4 has two tabs 41 (only one tab 41 is visible in the figure because the views are overlapped) for fixing the cross bar 2 by a latch (not shown), and a mounting seat 42 for inserting the upper end of the vertical bar 1.
The tab 41 has at least one reference hole 411 and a plurality of selection holes 412, and the distances between the reference hole 411 and any one of the selection holes 412 are the same.
The plurality of lateral adjustment holes 25 on the crossbar 2 are provided at equal intervals on the crossbar 2, and the distance between the reference hole 411 and any one of the selection holes 412 is equal to an integral multiple of the distance between the adjacent lateral adjustment holes 25.
Through the above technical scheme defined by optimization, when the included angle of the cross rod 2 relative to the vertical rod 1 needs to be changed, the reference hole 411 on the installation panel 4 is aligned with one transverse adjusting hole 25 and the bolt is inserted, then the cross rod 2 is rotated to a required angle around the bolt, at this time, the cross rod 2 is slightly rotated, the closest selecting hole 412 is aligned with one transverse adjusting hole 25, and the cross rod 2 can be basically fixed to the required angle by inserting another bolt.
In the above preferred embodiment, the reference hole 411 is necessary, and the selection hole 412 may be provided in plural numbers, for example, five or more as shown in the figure, as required. The distance between the reference hole 411 and any one of the selection holes 412 is equal to an integral multiple of the distance between adjacent ones of the lateral adjustment holes 25 to facilitate fixing the position of the lateral adjustment rail 2, i.e., the rail 2 moves by one pitch, and it is inevitable that one lateral adjustment hole 25 may be aligned with the reference hole 411 and the other lateral adjustment hole 25 may be aligned with one of the selection holes 412.
Further, the vertical rod 1 is also a hollow rod, the lower end of the vertical rod 1 is inserted with a vertical rod inner rod 5, a vertical rod height adjusting hole 11 for adjusting the height position of the vertical rod inner rod 5 is formed in the lower end of the vertical rod 1, and a panel position adjusting hole 12 for adjusting the rotating position of the mounting panel 4 is formed in the upper end of the vertical rod 1.
That is, the inside of the lower end of the vertical rod 1 is inserted with the vertical rod inside rod 5, and when the vertical rod inside rod 5 needs to be positioned at different heights, the vertical rod inside rod 5 can be clamped by screwing a nut (not shown in the figure) into the vertical rod height adjusting hole 11. Or, the rod 5 in the vertical rod can be provided with a plurality of pin holes, the height of the rod 5 in the vertical rod is adjusted to enable different pin holes to be aligned with the vertical rod height adjusting holes 11, and the rod 5 in the vertical rod can be clamped at different heights by inserting pins.
Similarly, the mounting seat 42 of the mounting panel 4 may be inserted into the upper end of the upright 1, thereby allowing the mounting panel 4 to be rotated about the axis of the upright 1. When the mounting panel 4 is rotated to a different position and needs to be fixed, the mounting seat 42 can be clamped by screwing a nut (not shown) into the panel position adjusting hole 12. Or the mounting seat 42 may be a hollow rod with an inner diameter larger than the outer diameter of the vertical rod 1, and the mounting seat 42 may be sleeved on the outer side of the vertical rod 1.
To sum up, the utility model discloses an improve shoulder arthroscope operation traction frame of structure has increased a dead lever that can follow the tensile patient's of length direction arm, and the horizontal pole can be used to upwards hang patient's arm for patient's arm is unlikely to flagging under arm action of gravity, thereby can not influence the change of operation angle. And simultaneously, the utility model discloses an optimal design, the horizontal pole both can lateral shifting, also can change with the contained angle of montant, but also can further rotate the horizontal pole, thereby do the utility model discloses a traction frame provides more nimble various gesture mode of regulation for it is more convenient to operate, has alleviateed operating strength, and the doctor of being convenient for is controlled to operation safety handle.
It is to be understood by those skilled in the art that while the present invention has been described in terms of several embodiments, it is not intended that each embodiment cover a separate embodiment. The description is given for clearness of understanding only, and it is to be understood that all matters in the embodiments are to be interpreted as including all technical equivalents which are encompassed by the claims.
The above description is only exemplary of the present invention, and is not intended to limit the scope of the present invention. Any equivalent changes, modifications and combinations that may be made by those skilled in the art without departing from the spirit and principles of the invention should be considered within the scope of the invention.
Claims (10)
1. A shoulder arthroscope operation traction frame comprises a vertical rod (1), wherein the upper end of the vertical rod (1) is provided with a transverse rod (2) with an adjustable position, the two ends of the transverse rod (2) are respectively provided with a transverse rod pulley (21), the transverse rod pulley (21) is provided with a transverse rod traction rope (22), one end of the transverse rod traction rope (22) is provided with a transverse rod connecting hook (23), the other end of the transverse rod traction rope is provided with a transverse rod heavy object hook (24), the traction frame is characterized in that the vertical rod (1) is provided with a fixed rod (3) positioned below the transverse rod (2), the fixed rod (3) is fixedly connected with the vertical rod (1) at an included angle alpha, the two ends of the fixed rod (3) are respectively provided with a fixed rod pulley (31), and the fixed rod pulley (31) is provided with, one end of the fixed rod traction rope (32) is provided with a fixed rod connecting hook (33), and the other end is provided with a fixed rod heavy object hook (34).
2. The shoulder arthroscopic surgical traction frame according to claim 1, wherein the crossbar (2) is a hollow bar, and the portion of the crossbar traction rope (22) overlapping between the crossbar pulleys (21) is located inside the crossbar (2).
3. The shoulder arthroscopic surgical traction frame according to claim 1 or 2, wherein the fixing bar (3) is a hollow bar, and the portion of the fixing bar traction rope (32) overlapping between the fixing bar pulleys (31) is located inside the fixing bar (3).
4. The shoulder arthroscopic surgical traction frame according to claim 1 or 2, wherein the angle α between the fixing rod (3) and the vertical rod (1) is 30-60 degrees.
5. The shoulder arthroscopic surgical traction frame according to claim 1 or 2, characterized in that the cross bar (2) is provided with a plurality of lateral adjustment holes (25) for adjusting the lateral position of the cross bar (2) relative to the vertical bars (1).
6. The arthroscopic shoulder traction frame according to claim 5, characterized in that the cross bar (2) is adjustably positioned at the upper end of the cross bar (2) by means of a mounting panel (4) rotatable about the axis of the vertical bar (1).
7. The shoulder arthroscopic surgical traction frame according to claim 6, wherein the upper part of the mounting panel (4) is provided with two lugs (41) for fixing the cross bar (2) through bolts, and the lower part is provided with a mounting seat (42) for being inserted into the upper ends of the vertical bars (1).
8. The shoulder arthroscopic surgical traction frame according to claim 7, wherein the tab (41) is provided with at least one reference hole (411) and a plurality of selection holes (412), and the distance between the reference hole (411) and any one of the selection holes (412) is the same.
9. The shoulder arthroscopic surgical retractor according to claim 8 wherein the plurality of lateral adjustment holes (25) are equally spaced on the crossbar (2), the distance between the reference hole (411) and any one of the selection holes (412) being equal to an integer multiple of the distance between adjacent ones of the lateral adjustment holes (25).
10. The arthroscopic shoulder surgery traction frame according to any one of claims 6 to 9, wherein the vertical rod (1) is a hollow rod, an inner rod (5) of the vertical rod is inserted into the lower end of the vertical rod (1), a vertical rod height adjusting hole (11) for adjusting the height position of the inner rod (5) of the vertical rod is formed in the lower end of the vertical rod (1), and a panel position adjusting hole (12) for adjusting the rotation position of the mounting panel (4) is formed in the upper end of the vertical rod (1).
Priority Applications (1)
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CN201520265595.3U CN204636440U (en) | 2015-04-28 | 2015-04-28 | Arthroscopic shoulder surgery traction frame |
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CN201520265595.3U CN204636440U (en) | 2015-04-28 | 2015-04-28 | Arthroscopic shoulder surgery traction frame |
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CN204636440U true CN204636440U (en) | 2015-09-16 |
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Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN106667590A (en) * | 2017-02-13 | 2017-05-17 | 哈尔滨医科大学 | Adjustable shoulder joint traction frame device |
CN106859710A (en) * | 2016-12-30 | 2017-06-20 | 丽水市人民医院 | It is used for the exposed device of comminuted calcaneal fracture in art |
-
2015
- 2015-04-28 CN CN201520265595.3U patent/CN204636440U/en active Active
Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN106859710A (en) * | 2016-12-30 | 2017-06-20 | 丽水市人民医院 | It is used for the exposed device of comminuted calcaneal fracture in art |
CN106859710B (en) * | 2016-12-30 | 2019-05-14 | 丽水市人民医院 | Device in art for comminuted calcaneal fracture exposure |
CN106667590A (en) * | 2017-02-13 | 2017-05-17 | 哈尔滨医科大学 | Adjustable shoulder joint traction frame device |
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