CN204683752U - Flail chest therapy equipment - Google Patents
Flail chest therapy equipment Download PDFInfo
- Publication number
- CN204683752U CN204683752U CN201520329825.8U CN201520329825U CN204683752U CN 204683752 U CN204683752 U CN 204683752U CN 201520329825 U CN201520329825 U CN 201520329825U CN 204683752 U CN204683752 U CN 204683752U
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- CN
- China
- Prior art keywords
- rib
- substrate
- gripper shoe
- bottom plate
- therapy equipment
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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.)
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Abstract
The utility model discloses a kind of flail chest therapy equipment, comprise to be vertically set on inside fracture rib, up and down two ends be separately fixed at normal epicostal rib gripper shoe and wrap up in the extenal fixation mechanism be attached on the outer wall of thoracic cavity; Described rib gripper shoe comprises strip substrate, the upper end of substrate is provided with upper mounted plate, the lower end of substrate is provided with bottom plate, upper mounted plate offers the towing pad for drawing substrate, and bottom plate laterally offers at least three screwed holes for installing tapping screw.This utility model by rib gripper shoe and extenal fixation mechanism with the use of, fracture rib can be made to reset as early as possible and fix, effectively eliminate paradoxical breathing, fast treating flail chest.
Description
Technical field
This utility model relates to technical field of medical equipment, particularly a kind of device being used for the treatment of flail chest.
Background technology
In clinical medicine, serious closed thoracic trauma can cause many many places fractures of rib, and make local thoracic wall lose rib and support and soften, and occur paradoxical breathing, namely during air-breathing, softened zone thoracic wall caves in, evagination during expiration, and this kind of sign is called flail chest.Because flail chest is often associated with contusion of lung, and be again the key factor of bringing out adult respiratory distress syndrome (ARDS), therefore its prevention and therapy comes particularly important for patient.
The therapeutic modality of current flail chest mainly adopts rib fixation.The method that operating theater instruments fixes flail chest fracture of rib originates from the seventies in last century.Through the change of clinical demand, increasing fixed apparatus is applied.
Opening breast, to fix rib be the Main Means for the treatment of flail chest at present, is open surgery, has fixed mount to the utensil that rib is fixed, Kirschner wire, thin type steel plate, absorbable bone peg etc.Opening intrathoracic fixing mode is: at chest posteriolateral incision, exposes the rib of damage, and by all-round for periosteum before and after fracture line stripping 3 ~ 4cm, the fracture site of the displacement of reduction afterwards, has during free fracture fragments and reset as far as possible.As selected Judet fixed mount, then according to the situation of fracture of rib, select being bent by rib form of suitable types, 2 pawls of fixed mount acute side (55 °) or 3 pawls are placed in the lower edge of rib, then with special vice, fixed mount is tightly fixed on fracture of rib place, fracture rib is fixed; As selected Kirschner wire, then respectively bore an aperture at the forward and backward rib broken ends of fractured bone place of fracture, by the Kirschner wire of diameter 1.5 ~ 2.0mm, penetrate from the aperture of one end, then by the pulp cavity in the fracture segment floated, then pass from the aperture of another broken ends of fractured bone, it is long that Kirschner wire two ends respectively expose about 1cm outward at aperture, and bend slightly, make it to be securely fixed on rib; As selected steel plate, then according to fracture of rib situation, selecting length to exceed the stainless-steel sheet of fracture of rib section, being bent by the radian of rib; Walk around rib 4 points with stainless steel silk through the eyelet of steel plate to tie up, wherein on the broken ends of fractured bone of front and back fracture, respectively tie up 1 point, another 2 on the floating rib of central authorities, rib and steel plate are closely fixed together.Above-mentioned three kinds of modes are all open surgery methods of internal fixation, and operation is complicated, and operation easier is large, and injury of chest wall is large, free large area muscle and rib, injured nerve, postoperative pain, and fixing utensil needs second operation to take out, and increases damage; And every root fracture rib all needs operation separately, and once, patient suffering is large.
Chinese patent CN101502455B discloses a kind of external fixing rack for flail chest, for giving treatment to the flail chest of chest fracture of rib, comprise the left fixed mount being provided with rib, right fixed mount, gripper clamp, chest-protector plate and braces, the front end of left fixed mount and right fixed mount is hinged with chest-protector plate respectively, rear end is connected through velcro, upper end is connected with braces, together with being strapped in by fracture rib, forms flail effect during use by gripper clamp with the rib on external fixer.The breast external fixer of this kind of structure, therapeutic process is not open breast therapeutic modality, can reduce patient suffering, but it is only applicable to well-bedded situation of fracturing, and then cannot play the effect of fracture rib reset for comminuted fracture; And this exterior fixation bracket in use, its gripper clamp needs to be inserted into clamping fracture rib in thoracic cavity from thoracic cavity, still there is larger misery, and the dismounting of postoperative gripper clamp is also comparatively difficult in patient treatment and rehabilitation course.
Summary of the invention
This utility model technical issues that need to address are to provide a kind of flail chest therapy equipment easy to use, under the prerequisite of rapid, effective treatment flail chest, greatly can reduce patient suffering.
For solving the problems of the technologies described above, technical solution adopted in the utility model is as follows.
Flail chest therapy equipment, comprise to be vertically set on inside fracture rib, up and down two ends be separately fixed at normal epicostal rib gripper shoe and wrap up in the extenal fixation mechanism be attached on the outer wall of thoracic cavity; Described rib gripper shoe is inverted T shape, comprise strip substrate, the upper end of substrate is provided with upper mounted plate, and the lower end of substrate is provided with bottom plate, upper mounted plate offers the towing pad for drawing substrate, bottom plate laterally offers at least three screwed holes for installing tapping screw.
Above-mentioned flail chest therapy equipment, described rib gripper shoe substrate and upper mounted plate, bottom plate shift to install, and substrate is arranged on the inner side of fracture fracture of rib section, and upper mounted plate and bottom plate are arranged on outside normal rib; Rib gripper shoe lower end is fixed on normal rib by the tapping screw of cross-under in bottom plate screwed hole, and rib gripper shoe upper end is fixed in the surrounding tissue of normal rib by the stitching lead-in wire through towing pad.
Above-mentioned flail chest therapy equipment, the width of described bottom plate is greater than substrate width.
Above-mentioned flail chest therapy equipment, the width of described substrate is 5 ~ 10mm, and thickness is 1mm, and the width of bottom plate is 10 ~ 15mm.
Above-mentioned flail chest therapy equipment, described rib gripper shoe is titanium alloy substrate or absorbable material substrate.
Above-mentioned flail chest therapy equipment, described extenal fixation mechanism is exterior fixation bracket, and exterior fixation bracket comprises the locating dowel that is arranged on patient's spinal column position and is arranged in locating dowel for locating some tightenings of rib.
Above-mentioned flail chest therapy equipment, in the locating dowel of described exterior fixation bracket, entire body is provided with screw thread, and one end of tightening is connected with the buckle for the fixing tightening other end, and described snap thread is screwed in locating dowel.
Owing to have employed above technical scheme, acquired by this utility model, technological progress is as follows.
This utility model by rib gripper shoe and extenal fixation mechanism with the use of, rib gripper shoe is from thoracic cavity inner support flail chest, and the fixing thoracic wall floated is combined with the extenal fixation mechanism outside skin of chest, fracture rib can be made to reset as early as possible and fix, effective elimination paradoxical breathing, treats flail chest rapidly.Rib gripper shoe of the present utility model can complete placement under thoracoscope, performs the operation without the need to opening breast, operative incision is little, Wicresoft, and operating time is short, not muscle injury, blood vessel, nerve, and postoperative patient pain is light, and wound healing is attractive in appearance; After rib gripper shoe places, most importantly can the thoracic wall of support floating, not fixing fracture rib itself; Coordinate extenal fixation mechanism, fracture rib can be made to reset as early as possible; And in therapeutic process, almost not damaged is organized to chest muscle; Rib gripper shoe can be taken out under local anaesthesia, simple to operate, without secondary damage.
Accompanying drawing explanation
Fig. 1 is the structural representation of rib gripper shoe described in the utility model;
Fig. 2 is the side view of Fig. 1;
Fig. 3 is rib gripper shoe using state schematic diagram;
Fig. 4 is the structural representation of exterior fixation bracket described in the utility model;
Wherein: 1. rib gripper shoe, 11. substrates, 12. upper mounted plates, 13. bottom plates, 14. towing pads, 15. screwed holes, 2. exterior fixation bracket, 21. locating dowels, 22. tightenings, 23. buckles, 3. rib, 31. normal ribs, 32. fracture ribs, 321. fracture segments.
Detailed description of the invention
In order to make technical problem to be solved in the utility model, technical scheme and beneficial effect clearly understand, below in conjunction with drawings and Examples, this utility model is described in detail.It should be noted that specific embodiment described herein only in order to explain this utility model, and be not used in restriction this utility model.
Flail chest therapy equipment, comprises rib gripper shoe 1 and extenal fixation mechanism; For under thoracoscope, by built-in rib gripper shoe, and coordinate Xiong Wai extenal fixation mechanism, patient is carried out to the treatment of flail chest.Rib gripper shoe 1 is arranged on inside intrathoracic multiple fracture rib, and arranges with rib intersecting vertical, and the two ends up and down of rib gripper shoe 1 are separately fixed on normal rib, and rib gripper shoe is used for the fracture segment of fracture rib to prop up, and avoids thoracic cavity to subside; Extenal fixation mechanism wraps up in and is attached to thoracic cavity outer wall, for coordinating fixing rib of fracturing with rib gripper shoe.
embodiment 1
In the present embodiment, the structure of rib gripper shoe 1 as depicted in figs. 1 and 2, in inverted T shape structure.Specifically comprise strip substrate 11, the upper end of substrate 11 is provided with upper mounted plate 12, and the lower end of substrate 11 is provided with bottom plate 13, and substrate and upper mounted plate 12 and bottom plate 13 shift to install, on the basis ensureing substrate toughness, avoid substrate damage Thoracic Organs.
Upper mounted plate 12 offers towing pad 14, after draught line is passed towing pad, substrate is drawn out in thoracic cavity the normal rib of top.Bottom plate 13 laterally offers at least two screwed holes, for by installing tapping screw in screwed hole substrate being fixed on the surrounding tissue of the normal rib of below.In this utility model, rib gripper shoe adopts titanium alloy material to make, and being convenient in use moulding according to thoracic cavity situation, can certainly be other absorbable materials.
In this utility model, the width of bottom plate 13 is greater than the width of substrate, and to ensure in operation process and in post operative recovery procedures, rib gripper shoe is not moved.The width of substrate is 5 ~ 10mm, and thickness is 1mm, and the width of bottom plate is 10 ~ 15mm, long 10mm, and the length of substrate can be determined according to the injured quantity of rib, and the width of substrate is preferably 5mm in the present embodiment, the preferred 10mm of width of bottom plate.
When rib gripper shoe uses, substrate 11 is arranged on the inner side of fracture rib 32 fracture segment 321, and upper mounted plate 12 and bottom plate are separately positioned on outside normal rib 31; Rib gripper shoe 1 lower end is fixed on the normal rib in below by the tapping screw of cross-under in fixing head screwed hole; Above rib gripper shoe 1 upper end is fixed on by the draught line of cross-under in towing pad normal rib surrounding tissue on, as shown in Figure 3, to ensure that the position of rib gripper shoe is fixed, can not be shifted.
In the present embodiment, extenal fixation mechanism adopts exterior fixation bracket 2, the structure of exterior fixation bracket 2 as shown in Figure 4, comprise locating dowel 21 and some tightenings 22, in locating dowel 21, entire body is provided with screw thread, one end of tightening 22 is connected with the buckle 23 for the fixing tightening other end, and buckle 23 screw thread is screwed in locating dowel 21, so that according to patient's figure adjustment tightening position.
The using method that this utility model is applied to treatment flail chest is as follows.
First, Thoracic CT scan is carried out to the patient of flail chest, determine to damage the degree of the position of rib, scope and intrathoracic damage, select suitable surgical indication, determine the length of rib gripper shoe.
Secondly, general anesthesia, cuts skin respectively at the upper and lower normal rib place of floating chest wall, exposes normal rib.
Again, electric knife cuts Intercostal muscle and enters thoracic cavity.Under thoracoscope is observed, to guide through the traction belt in the towing pad of rib gripper shoe upper end, rib gripper shoe is inserted inside chest wall, and making the substrate of rib gripper shoe be positioned at the fracture segment of fracture rib, the upper mounted plate of rib gripper shoe and bottom plate lay respectively at outside the normal rib in top and outside the normal rib in below; Electric drill boring on the normal rib in lower end again, adopts self-tapping screw through after the screw hole of bottom plate, is fixed on the lower end of rib gripper shoe on fractured beneath rib; Adjustment traction belt, is fixed on upper mounted plate in the surrounding tissue of the normal rib in top by the mode of suture.
Then, incision skin is sewed up.
Finally, according to the patient's figure adjustment position of tightening in locating dowel, locating dowel is placed on patient's spinal column position, after the other end of tightening is walked around thoracic cavity outer wall, is fixed on buckle internal fixtion.Tightening, in winding process, with flail chest position to corresponding, should coordinate with rib gripper shoe the effect played and locate rib, is convenient to fracture rib symphysis.
The foregoing is only preferred embodiment of the present utility model, be not limited to this utility model, extenal fixation mechanism can also be other structures.Therefore all do within principle of the present utility model and spirit any amendment, equivalent to replace and improvement etc., be all just included within protection domain of the present utility model.
Claims (7)
1. flail chest therapy equipment, is characterized in that: comprise to be vertically set on inside fracture rib, up and down two ends be separately fixed at normal epicostal rib gripper shoe (1) and wrap up in the extenal fixation mechanism be attached on the outer wall of thoracic cavity; Described rib gripper shoe (1) is in inverted T shape, comprise strip substrate (11), the upper end of substrate (11) is provided with upper mounted plate (12), the lower end of substrate (11) is provided with bottom plate (13), upper mounted plate (12) offers the towing pad (14) for drawing substrate, bottom plate (13) laterally offers at least three screwed holes (15) for installing tapping screw.
2. flail chest therapy equipment according to claim 1, it is characterized in that: described rib gripper shoe substrate (11) and upper mounted plate (12), bottom plate (13) shift to install, substrate (11) is arranged on the inner side of fracture rib (32) fracture segment (321), and upper mounted plate (12) and bottom plate (13) are arranged on normal rib (31) outside; Rib gripper shoe (1) lower end is fixed on normal rib by the tapping screw of cross-under in bottom plate screwed hole, and rib gripper shoe (1) upper end is fixed in the surrounding tissue of normal rib by the stitching lead-in wire through towing pad.
3. flail chest therapy equipment according to claim 2, is characterized in that: the width of described bottom plate (13) is greater than substrate width.
4. flail chest therapy equipment according to claim 3, is characterized in that: the width of described substrate is 5 ~ 10mm, and thickness is 1mm, and the width of bottom plate is 10 ~ 15mm.
5. the flail chest therapy equipment according to any one of Claims 1-4, is characterized in that: described rib gripper shoe is titanium alloy substrate or absorbable material substrate.
6. flail chest therapy equipment according to claim 1, it is characterized in that: described extenal fixation mechanism is exterior fixation bracket (2), exterior fixation bracket (2) comprises the locating dowel (21) that is arranged on patient's spinal column position and is arranged in locating dowel (21) for locating some tightenings (22) of rib.
7. flail chest therapy equipment according to claim 6, it is characterized in that: the upper entire body of locating dowel (21) of described exterior fixation bracket (2) is provided with screw thread, one end of tightening (22) is connected with the buckle (23) for the fixing tightening other end, and described buckle (23) screw thread is screwed in locating dowel (21).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201520329825.8U CN204683752U (en) | 2015-05-21 | 2015-05-21 | Flail chest therapy equipment |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201520329825.8U CN204683752U (en) | 2015-05-21 | 2015-05-21 | Flail chest therapy equipment |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN204683752U true CN204683752U (en) | 2015-10-07 |
Family
ID=54224097
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201520329825.8U Withdrawn - After Issue CN204683752U (en) | 2015-05-21 | 2015-05-21 | Flail chest therapy equipment |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN204683752U (en) |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104799930A (en) * | 2015-05-21 | 2015-07-29 | 柳立军 | Flail chest treatment device |
| CN110366391A (en) * | 2017-03-08 | 2019-10-22 | 捷迈拜欧米特Cmf和胸腔有限公司 | Chest bar support device |
| US11432858B2 (en) | 2017-02-10 | 2022-09-06 | Zimmer Biomet CMF and Thoracic, LLC | Stabilizer holder and inserter tool and methods |
-
2015
- 2015-05-21 CN CN201520329825.8U patent/CN204683752U/en not_active Withdrawn - After Issue
Cited By (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104799930A (en) * | 2015-05-21 | 2015-07-29 | 柳立军 | Flail chest treatment device |
| CN104799930B (en) * | 2015-05-21 | 2017-05-31 | 柳立军 | Flail chest therapeutic system |
| US11432858B2 (en) | 2017-02-10 | 2022-09-06 | Zimmer Biomet CMF and Thoracic, LLC | Stabilizer holder and inserter tool and methods |
| US11633218B2 (en) | 2017-02-10 | 2023-04-25 | Zimmer Biomet CMF and Thoracic, LLC | Pectus bar and stabilizer devices and methods |
| CN110366391A (en) * | 2017-03-08 | 2019-10-22 | 捷迈拜欧米特Cmf和胸腔有限公司 | Chest bar support device |
| CN110366391B (en) * | 2017-03-08 | 2022-05-10 | 捷迈拜欧米特Cmf和胸腔有限公司 | Chest rod supporting device |
| US11364059B2 (en) | 2017-03-08 | 2022-06-21 | Zimmer Biomet CMF and Thoracic, LLC | Pectus bar support devices and methods |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C14 | Grant of patent or utility model | ||
| GR01 | Patent grant | ||
| AV01 | Patent right actively abandoned | ||
| AV01 | Patent right actively abandoned |
Granted publication date: 20151007 Effective date of abandoning: 20170531 |