CN207837590U - A kind of hitch frame for arthrocsopic surgery - Google Patents

A kind of hitch frame for arthrocsopic surgery Download PDF

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Publication number
CN207837590U
CN207837590U CN201720226306.8U CN201720226306U CN207837590U CN 207837590 U CN207837590 U CN 207837590U CN 201720226306 U CN201720226306 U CN 201720226306U CN 207837590 U CN207837590 U CN 207837590U
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China
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arm
overturning
hitch frame
rotational motion
guiding piece
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CN201720226306.8U
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崔家鸣
朱伟民
王大平
熊建义
陆伟
姜骆永
李阔阔
李瑛�
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Shenzhen Second Peoples Hospital
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Shenzhen Second Peoples Hospital
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Abstract

The utility model discloses a kind of hitch frames for arthrocsopic surgery, including pedestal, lifting support, overturning and rotational motion mechanism, arm, haulage gear, the lower end of the lifting support is fixed on pedestal, the upper end connection overturning of the lifting support and rotational motion mechanism, one end of the arm is movably arranged in overturning and rotational motion mechanism, haulage gear is arranged in the other end, it by the overturning and the overturning of rotational motion institutional adjustment arm or rotates, the upper limb bound with haulage gear is driven to be drawn.The utility model is by being arranged overturning and rotational motion mechanism, the position of arm can be adjusted according to the practical injured situation of patient, greatly reduce the possibility of unstable, the easy displacement of shaking, traction of suffering limb in surgical procedure so that operation can be carried out smoothly.

Description

A kind of hitch frame for arthrocsopic surgery
Technical field
The invention belongs to the field of medical instrument technology, are related to a kind of shoulder joint for sports medical science associated joint videoendoscopic surgery Videoendoscopic surgery upper limb multi-angle hitch frame more particularly to a kind of hitch frame for arthrocsopic surgery.
Background technology
Injury gained in sports is a kind of common damage, can mostly be related to the big Minor articulus in whole body many places, and with current compatriots for Movement have deep love for and degree of participation is constantly soaring, the age that is related to of injury gained in sports also tends to rejuvenation year by year.And just because of year Light requirement of the people for postoperative beauty, so the more preferred orthopaedics minimally invasive surgery arthroscopes of the treatment for being related to injury gained in sports at present carry out Treatment.
Minimally invasive surgery is cross-centennial one of the high-new surgery technological achievement of clinical medicine circle.Minimally invasive surgery instrument is represented as Endoscope.Such as utilize duct or the miniature incision of keyhole size, you can carry out the excision of abdominal visceral browser lesion, deformity is entangled Just, the various surgical operations such as reparation or reconstruction, are finally reached therapeutic purposes.Minimally Invasive Surgery be different from last century surgical operation it It is in the former can reduce surgical wound area, avoid infecting caused by significantly the exposing of in-vivo tissue, and can make disease People's more block is fully recovered, and hospital stays and medical expense are shortened.Minimally Invasive Surgery instrument can be by internal wound caused by traditional surgery It is reduced to minimum degree.Therefore, research is thought, micro-wound surgical operation is one " cross-centennial milestone ".Such as arthroscopic surgery Be major progress of the Minimally Invasive Surgery theory in field of orthopaedics, is the developing direction of joint surgery.Foreign countries are from last century 70 Age starts gradually to be applied to clinic, and China has introduced this technology in the eighties.In recent years with the hair of medical knowledge Exhibition is continuously improved with medical instrument, and arthrocsopic surgery is received with its notable advantage by more and more doctors and patient, Gospel is brought for numerous patients with joint diseases.It is grown rapidly by decades, has been applied to most of neck of orthopaedics now Domain, especially in terms of knee arthroscope surgical technic, various new methods are even more to emerge one after another, and are maked rapid progress.
As the open surgery characterized by " major trauma " develops to the Minimally Invasive Surgery direction characterized by " microtrauma ", It explores the Minimally Invasive Surgery instrument of new generation towards natural cavity and has become inexorable trend.A workman must first sharpen his tools if he is to do his work well.In face of life The demand for ordering medical development, the principles of science for exploring advanced surgical instrument innovative design and bionical manufacture is subjects of mechanical engineering weight Want one of task.Currently, since Minimally Invasive Surgery device design theory does not have fundamental change, cause many complicated delicate procedures without Method is completed.For a long time, China is insufficient in this direction basic research, constrains the development of Minimally Invasive Surgery technique with the apparatus.Minimally invasive hand Art instrument creates the mixing together for being related to the subjects such as machine science, life science and clinical medicine at the scientific basic with manufacture, leads to The basic theory and technique study of Minimally Invasive Surgery instrument are crossed, new treatment principle and tool, correlative study will be provided for clinical medicine The new change of medical technology will be expedited the emergence of.
When carrying out multinomial arthroscopic surgery operation, since the joint space in certain joints is narrow, it is not convenient to use interior peep Mirror instrument is operated, and arthroscope hitch frame is first about to the joint space traction opening in involved joint with the need, with profit In the arthroscopic procedures for carrying out all directions in the potential lacuna expanded.
The problem of arthrocsopic surgery hitch frame is mainly the agent structure of hitch frame at present, fixed mostly with wirerope to hang Arm forms, and mechanical strength is poor, needs to coordinate between surgical procedure more barrels of pure water to be pressed on bottom and stabilization is kept just can normally to make With.Meanwhile the arm steel cable structure stability of existing arthrocsopic surgery hitch frame is very low, causes to be shaken by traction suffering limb in art It shakes, interferes surgical procedure, and easily cause to pollute.
Firstly the need of solution be exactly arthrocsopic surgery hitch frame stability problem, due to currently on the market without suitable Hitch frame structure to solve the problems, such as to use at present when shake it is unstable so that lacuna expansion in joint is unstable, to be operated under mirror Add many potential uncertain factors, simultaneously because shoulder joint neural blood vessel is abundant, it is careless slightly can be to serious iatrogenic Damage, to influence final surgical effect.
Utility model content
In view of this, the main purpose of the utility model is to provide a kind of hitch frame for arthrocsopic surgery, solve Existing hitch frame is easy to shake in the course of surgery, it is unstable to draw, and influences the problem of operation is smoothed out.
In order to achieve the above objectives, the technical solution of the utility model is realized in:It is a kind of for arthrocsopic surgery Hitch frame, including pedestal, lifting support, overturning and rotational motion mechanism, arm, haulage gear, the lower end of the lifting support It is fixed on pedestal, the upper end connection overturning and rotational motion mechanism, one end activity of the arm of the lifting support are set It sets in overturning and rotational motion mechanism, haulage gear is arranged in the other end, is hung by the overturning and rotational motion institutional adjustment Arm is overturn or rotation, and the upper limb bound with haulage gear is driven to be drawn.
Preferably, the overturning and rotational motion mechanism include guiding piece, the first lockable mechanism, the second lockable mechanism, institute The upper end for stating guiding piece and lifting support connects, and the arm is arranged in guiding piece, and first lockable mechanism is set to On the side of lifting support upper end, the guiding piece carries out left and right overturning, second lockable mechanism by the first lockable mechanism It is set on the side of guiding piece, the arm is rotated upwardly and downwardly by the second lockable mechanism in guiding piece.
Preferably, further include bindiny mechanism, the haulage gear is connected by bindiny mechanism with arm.
Preferably, the haulage gear is pulley blocks.
Preferably, the bindiny mechanism is a fixed link, and one end of the fixed link and arm are affixed, the other end and pulley The pedestal upper end connection of group.
Preferably, the bindiny mechanism includes cylinder shape groove, T-bar, and the cylinder shape groove is set to the end of arm Portion, the upper end of the T-bar and cylinder shape groove are in mating connection, the lower end of the T-bar and the pedestal upper end of pulley blocks Connection, the edge of the cylinder shape groove is relatively set with the protruding portion for preventing T-bar from falling off.
Preferably, the edge of the cylinder shape groove is provided with positioning tube, the T-bar along the axis direction of T-bar Position corresponding with positioning tube is provided with the locating slot for being embedded in positioning tube, the position that the positioning tube connects with fixed column Two-way be extended has screw thread, and wing nut is provided on the screw thread.
Preferably, the L-shaped setting in the top of the lifting support, the guiding piece are arranged on the top of lifting support.
Preferably, the arm is arc-shaped, and limiting slot, second locking are provided on the opposite two sides of the arm Mechanism is arranged on the side that arm is equipped with limiting slot.
Preferably, the bottom of the pedestal is provided at least two sliding equipments, is set respectively on three sliding equipments It is equipped with braking mechanism.
Compared with prior art, the utility model, can be according to patient's reality by the way that overturning and rotational motion mechanism is arranged Injured situation adjusts the position of arm, and shaking, the traction for greatly reducing suffering limb in surgical procedure are unstable, are easy displacement Possibility so that operation can smoothly carry out.
Description of the drawings
Fig. 1 is a kind of side view for the first embodiment of the hitch frame of arthrocsopic surgery of the utility model;
Fig. 2 is the structure of haulage gear in a kind of hitch frame for arthrocsopic surgery of the utility model the first embodiment Schematic diagram;
Fig. 3 is a kind of side view of second of embodiment of hitch frame for arthrocsopic surgery of the utility model;
Fig. 4 is the structure of bindiny mechanism in a kind of second of embodiment of hitch frame for arthrocsopic surgery of the utility model Schematic diagram;
Fig. 5 is the structural schematic diagram that guiding piece rotates in a kind of hitch frame for arthrocsopic surgery of the utility model;
Fig. 6 is a kind of dimensional structure diagram of hitch frame for arthrocsopic surgery of the utility model.
Specific implementation mode
In order to make the purpose of the utility model, technical solutions and advantages more clearly understood, below in conjunction with attached drawing and implementation Example, the present invention will be further described in detail.It should be appreciated that specific embodiment described herein is only used to explain The utility model is not used to limit the utility model.
Embodiment 1
The utility model provides a kind of hitch frame for arthrocsopic surgery, as shown in Fig. 1, Fig. 5 and Fig. 6, including bottom Pedestal 1 is fixed in seat 1, lifting support 2, overturning and rotational motion mechanism 3, arm 4, haulage gear 5, the lower end of lifting support 2 On, one end of the upper end connection overturning of lifting support 2 and rotational motion mechanism 3, arm 4 is movably arranged on overturning and rotation fortune In motivation structure 3, haulage gear 5 is arranged in the other end, and the overturning of arm 4 or rotation, band are adjusted by overturning and rotational motion mechanism 3 The dynamic upper limb bound with haulage gear 5 is drawn;Wherein, overturning and rotational motion mechanism 3 include guiding piece 31, the first locking Mechanism 32, the second lockable mechanism 33, guiding piece 31 are connect with the upper end of lifting support 2, and arm 4 is arranged in guiding piece 31, First lockable mechanism 32 is set on the side of 2 upper end of lifting support, and guiding piece 31 is controlled by the first lockable mechanism 32 Overturning, the second lockable mechanism 33 are set on the side of guiding piece 31, and arm 4 is by the second lockable mechanism 33 in guiding piece 31 It is rotated upwardly and downwardly;By the guiding piece 31 that the arm 4 that can rotate upwardly and downwardly is arranged and can control overturning, realizing can be with The position of arm 4 is adjusted according to the practical injured situation of patient, the shaking of suffering limb in surgical procedure is greatly reduced, draws not Stablize, be easy the possibility of displacement so that operation can be carried out smoothly.
Further, preferably, the L-shaped setting in the top of lifting support 2, guiding piece 31 are arranged in lifting support 2 Top, in this way setting can shorten the distance between the limbs of arm 4 and patient injury, and propulsive efficiency is high;Preferably, arm 4 be arc or semicircle etc., and limiting slot 41 is provided on the opposite two sides of arm 4, and the setting of the second lockable mechanism 33 is being hung Arm 4 is equipped on the side of limiting slot;By the way that camber or semicircle etc. is arranged in arm 4, the steady of entire hitch frame can be increased It is qualitative, and be avoided that in surgical procedure that doctor is met and discussed, and focus when doctor performs an operation is increased so that operation can smoothly into Row;By the way that limiting slot 41 is arranged in the side of arm 4, the locking effect of the second lockable mechanism is increased, is carried in the course of surgery The high stability of arm 4.
Further, further include bindiny mechanism 6, haulage gear 5 is connected by bindiny mechanism 6 with arm 4.
Further, as shown in Fig. 2, haulage gear 5 is pulley blocks 51;By the way that pulley blocks 51 are arranged so that performing an operation When can quickly connect with hitch frame and be smoothly adjusted for drawing the traction rope of patient's upper limb, it is best to reach Traction effect.
The utility model provides the first bindiny mechanism, and as described in Figure 3, the bindiny mechanism 6 is a fixed link, described solid One end of fixed pole and arm 4 are affixed, and the other end is connect with the pedestal upper end of pulley blocks 51.
Further, as shown in Figure 1, the bottom of pedestal 1 is provided at least three sliding equipments 11, three sliding equipments 11 On be respectively arranged with braking mechanism 12, in this way setting can facilitate medical staff pick and place and prevent it is whole in the course of surgery The movement of a hitch frame avoids traction from shifting, and influences being smoothed out for operation.
The course of work of the first embodiment of the utility model is:1) before the upper limb of traction patient, first according to patient The height of the position adjustment lifting support 2 of upper limb injury;2) adjust what guiding piece 31 or so was overturn by the first lockable mechanism 32 Angle, is adjusted and fixed traction block 31, the height then rotated upwardly and downwardly again by the second lockable mechanism 33 adjustment arm 4 make It is fixed after reaching the height that operation needs;3) upper limb for taking operation traction rope to pass through pulley blocks 51 to patient It is drawn, in order to which the upper limb to wounded patient is drawn.
Embodiment 2
The utility model provides a kind of hitch frame for arthrocsopic surgery, as shown in Figure 3, Figure 5 and Figure 6, including bottom Pedestal 1 is fixed in seat 1, lifting support 2, overturning and rotational motion mechanism 3, arm 4, haulage gear 5, the lower end of lifting support 2 On, one end of the upper end connection overturning of lifting support 2 and rotational motion mechanism 3, arm 4 is movably arranged on overturning and rotation fortune In motivation structure 3, haulage gear 5 is arranged in the other end, and the overturning of arm 4 or rotation, band are adjusted by overturning and rotational motion mechanism 3 The dynamic upper limb bound with haulage gear 5 is drawn;Wherein, overturning and rotational motion mechanism 3 include guiding piece 31, the first locking Mechanism 32, the second lockable mechanism 33, guiding piece 31 are connect with the upper end of lifting support 2, and arm 4 is arranged in guiding piece 31, First lockable mechanism 32 is set on the side of 2 upper end of lifting support, and guiding piece 31 is controlled by the first lockable mechanism 32 Overturning, the second lockable mechanism 33 are set on the side of guiding piece 31, and arm 4 is by the second lockable mechanism 33 in guiding piece 31 Inside rotated upwardly and downwardly;By the guiding piece 31 that the arm 4 that can be rotated upwardly and downwardly is arranged and can control overturning, realizing can To adjust the position of arm 4 according to the practical injured situation of patient, shaking, the traction of suffering limb in surgical procedure are greatly reduced Possibility that is unstable, being easy displacement so that operation can be carried out smoothly.
Further, preferably, the L-shaped setting in the top of lifting support 2, guiding piece 31 are arranged in lifting support 2 Top, in this way setting can shorten the distance between the limbs of arm 4 and patient injury, and propulsive efficiency is high;Preferably, arm 4 be arc or semicircle etc., and limiting slot 41 is provided on the opposite two sides of arm 4, and the setting of the second lockable mechanism 33 is being hung Arm 4 is equipped on the side of limiting slot;By the way that camber or semicircle etc. is arranged in arm 4, the steady of entire hitch frame can be increased It is qualitative, and be avoided that in surgical procedure that doctor is met and discussed, and focus when doctor performs an operation is increased so that operation can smoothly into Row;By the way that limiting slot 41 is arranged in the side of arm 4, the locking effect of the second lockable mechanism is increased, is carried in the course of surgery The high stability of arm 4.
Further, further include bindiny mechanism 6, haulage gear 5 is connected by bindiny mechanism 6 with arm 4.
Further, haulage gear 5 is pulley blocks 51;By the way that pulley blocks 51 are arranged so that be used for drawing when performing an operation The traction rope of patient's upper limb can quickly connect with the utility model hitch frame and smoothly be adjusted, best to reach Traction effect.
The utility model provides second of bindiny mechanism, and as described in Figure 4, bindiny mechanism 6 includes cylinder shape groove 61, T shapes Bar 62, cylinder shape groove 61 are set to the end of arm 4, and the upper end of T-bar 62 and cylinder shape groove 61 are in mating connection, T The lower end of shape bar 62 and the pedestal upper end of pulley blocks connect, and the edge of the cylinder shape groove 61, which is relatively set with, prevents T shapes The protruding portion 63 that bar 62 falls off;Preferably, groove 61 is cylindrical or spherical shape (can be in groove 81 along level with T-bar 62 Based on direction rotates, the structure involved by groove 61) etc..
Further, the edge of cylinder shape groove 61 is provided with positioning tube 64, T-bar along the axis direction of T-bar 62 62 positions corresponding with positioning tube 64 are provided with the locating slot 65 for being embedded in positioning tube 64, the positioning 64 and fixed column 51 two-way are extended in position to connect have screw thread, and wing nut 66 is provided on screw thread;It designs in this way, can realize and pass through tune When whole arm 4 is so that pulley blocks 51 are adjusted to suitable position, pulley blocks 51 are fixed in rotation wing nut 66, avoid in hand The rotation and shaking of pulley blocks 51 during art so that operation can be smoothed out.
Further, as shown in Figure 1, the bottom of pedestal 1 is provided at least three sliding equipments 11, three sliding equipments 11 On be respectively arranged with braking mechanism 12;In this way setting can facilitate medical staff pick and place and prevent it is whole in the course of surgery The movement of a hitch frame avoids traction from shifting, and influences being smoothed out for operation.
The course of work of second of embodiment of the utility model is:1) before the upper limb of traction patient, first according to patient The height of the position adjustment lifting support 2 of upper limb injury;2) adjust what guiding piece 31 or so was overturn by the first lockable mechanism 32 Angle, is adjusted and fixed traction block 31, the height then rotated upwardly and downwardly again by the second lockable mechanism 33 adjustment arm 4 make It is fixed after reaching the height that operation needs;3) operation traction rope is taken to pass through pulley blocks 51, and rotate pulley blocks 51 to make It goes to the suitable position needed for operation traction, it is fixed in rotation wing nut 66, then to the upper limb of patient It is drawn, in order to which the upper limb to wounded patient is drawn.
Compared with prior art, by the way that overturning is arranged, (what can be rotated upwardly and downwardly hangs the utility model with rotational motion mechanism 3 Arm 4 and the guiding piece 31 that overturning can be controlled), the position of arm can be adjusted according to the practical injured situation of patient, greatly The big shaking for reducing suffering limb in surgical procedure, traction is unstable, is easy the possibility of displacement so that operation can smoothly into Row;There is breakthrough meaning for the extensive development of the treatment of shoulder joint under arthroscope, hip joint disease, it is abundant and improve existing Medical instrument, lead Related Research Domain technological progress have important scientific meaning.
The above, the only preferred embodiment of the utility model, are not intended to limit the protection of the utility model Range.

Claims (9)

1. a kind of hitch frame for arthrocsopic surgery, which is characterized in that including pedestal, lifting support, overturning and rotational motion The lower end of mechanism, arm, haulage gear, the lifting support is fixed on pedestal, and the upper end connection of the lifting support is turned over Turn and rotational motion mechanism, one end of the arm are movably arranged in overturning and rotational motion mechanism, other end setting traction Mechanism is overturn or is rotated by the overturning and rotational motion institutional adjustment arm, drives the upper limb with haulage gear binding It is drawn;
The overturning and rotational motion mechanism include guiding piece, the first lockable mechanism, the second lockable mechanism, the guiding piece with rise The upper end of descending branch column connects, and the arm is arranged in guiding piece, and first lockable mechanism is set to lifting support upper end Side on, the guiding piece carries out left and right overturning by the first lockable mechanism, and second lockable mechanism is set to guiding piece Side on, the arm is rotated upwardly and downwardly by the second lockable mechanism in guiding piece.
2. a kind of hitch frame for arthrocsopic surgery according to claim 1, which is characterized in that it further includes connection machine Structure, the haulage gear are connected by bindiny mechanism with arm.
3. a kind of hitch frame for arthrocsopic surgery according to claim 2, which is characterized in that the haulage gear is Pulley blocks.
4. a kind of hitch frame for arthrocsopic surgery according to claim 3, which is characterized in that the bindiny mechanism is One fixed link, one end of the fixed link and arm are affixed, the pedestal upper end connection of the other end and pulley blocks.
5. a kind of hitch frame for arthrocsopic surgery according to claim 3, which is characterized in that bindiny mechanism's packet Cylinder shape groove, T-bar are included, the cylinder shape groove is set to the end of arm, and the upper end of the T-bar and cylinder are recessed Slot is in mating connection, and the lower end of the T-bar and the pedestal upper end of pulley blocks connect, and the edge of the cylinder shape groove is opposite It is provided with the protruding portion for preventing T-bar from falling off.
6. a kind of hitch frame for arthrocsopic surgery according to claim 5, which is characterized in that the cylinder shape groove Edge the axis direction of T-bar is provided with positioning tube, T-bar position corresponding with positioning tube, which is provided with, to be used for The locating slot of embedded positioning tube, two-way be extended in position that the positioning tube connects with fixed column has screw thread, on the screw thread It is provided with wing nut.
7. a kind of hitch frame for arthrocsopic surgery according to any one of claims 1 to 6, which is characterized in that the liter The L-shaped setting in top of descending branch column, the guiding piece are arranged on the top of lifting support.
8. a kind of hitch frame for arthrocsopic surgery according to claim 7, which is characterized in that the arm is in arc Shape is provided with limiting slot on the opposite two sides of the arm, and second lockable mechanism is arranged is equipped with limiting slot in arm On side.
9. a kind of hitch frame for arthrocsopic surgery according to claim 8, which is characterized in that the bottom of the pedestal At least three sliding equipments are provided with, braking mechanism is respectively arranged on three sliding equipments.
CN201720226306.8U 2017-03-09 2017-03-09 A kind of hitch frame for arthrocsopic surgery Active CN207837590U (en)

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Application Number Priority Date Filing Date Title
CN201720226306.8U CN207837590U (en) 2017-03-09 2017-03-09 A kind of hitch frame for arthrocsopic surgery

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108567452A (en) * 2017-03-09 2018-09-25 深圳市第二人民医院 Hitch frame for arthrocsopic surgery

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108567452A (en) * 2017-03-09 2018-09-25 深圳市第二人民医院 Hitch frame for arthrocsopic surgery

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