CN208756039U - A kind of stable device for exposing of scoliosis way of escape corrective procedure visual area panorama - Google Patents

A kind of stable device for exposing of scoliosis way of escape corrective procedure visual area panorama Download PDF

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CN208756039U
CN208756039U CN201721367753.1U CN201721367753U CN208756039U CN 208756039 U CN208756039 U CN 208756039U CN 201721367753 U CN201721367753 U CN 201721367753U CN 208756039 U CN208756039 U CN 208756039U
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crawler belt
belt item
drag hook
item
component
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邹德威
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Abstract

The utility model discloses a kind of scoliosis way of escape corrective procedure visual area panoramas to stablize device for exposing, the first crawler belt item (11) and the second crawler belt item (12) including capableing of free bend, first crawler belt item (11) and the second crawler belt item (12) adjust component (22) by first distance adjusting component (21) and second distance and connect, first distance adjusts component (21) and second distance adjusts component (22) and can adjust the distance between the first crawler belt item (11) and the second crawler belt item (12), drag hook component (31) are equipped on first crawler belt item (11) and the second crawler belt item (12).Drag hook component (31) can be such that each local soft tissue laterally retracts, and play the role of effective hemostasis by compression, realize visual area overall picture, complete, stable appear, it is ensured that anatomical structure is clear in visual area, and operation is accurate, convenient and safe.

Description

A kind of stable device for exposing of scoliosis way of escape corrective procedure visual area panorama
Technical field
The utility model relates to medical instruments fields, and particularly a kind of scoliosis way of escape corrective procedure visual area panorama is steady Determine device for exposing.
Background technique
The utility model relates to medical instruments fields, and in particular to one of mankind's operation longest notch back median line, from Stringer notch of the nape of the neck to stern line portion, the fully open one kind appeared under state of especially entire back deformity backbone effectively auxiliary And the clear panorama of operating field is maintained to stablize the instrument appeared.
Scoliosis (Scoliosis) global incidence about 1% or so, radix counts per capita, and potential patient is only in State just counts in terms of necessarily.It is endangered, and except back appearance is uneven, " gong pot " deformity is caused outside patients ' psychological obstacle, serious person Splanchnocoel volume can be caused constantly to compress reduction, important organ is squeezed until function is lost and fatal, unknown etiology as yet, nothing Method prevention and radical cure, unique treatment means are exactly once to find, before developing to severe deformities, timely operative correction.Half Since a more centuries, mankind's operative correction technology has obtained tremendous improvement, has entered the epoch of the accessible operation of full backbone, make Restitution factor is continuously improved, but during this unique treatment method, full spinal operation, an existing brass tacks always But do not improve effectively always, " blank " for having formed and having researched and solved of even " being accustomed to ".
Firstly, the ideal correction of the lateral bending deformity to realize most of perforation Thoracolumbar overall lengths, it is necessary to appear almost Whole thoracic vertebraes (12 section) and part lumbar vertebrae (1-3 section), will realize and sufficiently appear, it is necessary to do a length length along trunk dorsal midline Notch, it may be said that be the longest notch of current mankind's operation, this is unique side of the inevitable realization from the back exposure backbone back side Formula.However, this long notch two sides of central stringer is cut open the soft tissue of separation, and body surface must due to the deformity of scoliosis In different planes, it is bent the inevitable high protrusion in side of pleurapophysis, the height fall of notch two sides soft tissue is formed, generates concave side It is low flat, the drop of the high protuberance in convex side.Meanwhile the side of pleurapophysis changing due to several rib cage arcus costarum radians for being connected with backbone Become, also necessarily being formed not only has high and low fall, and surface also necessarily shows the rough cutaneous manifestations of various states, adds The powerful rebound tension of back muscle group abundant, once by these muscle from spinal lamina, transverse process and costal process articular surface After removing, the extensive surface of a wound is not only formed, and must strongly bounce back, is drawn close to the bone face being stripped.Although back is not big Blood vessel and important internal organs, but in the musculature being stripped, invisible containing naked eyes but intensive capillary abundant Net.Therefore, during continuous removing, retracting, springing back, by continuous and lasting extensive oozing of blood, it is full of moisture content just like one piece Sponge, stablized the effective compressing retracted and lean on drag hook, be the only resource for appearing backbone and stopping blooding.
Since the mankind have the history of surgical operation and surgical instrument to be developed so far, the soft tissue that notch two sides are cut open is used Drag hook is retracted, is blocked, and is to realize not only to appear operating field but also to the sole mode of soft tissue surface of a wound hemostasis by compression.For this purpose, having had The drag hook or retractor of variform structure, basic structure are the blade protruded into notch, there is differently curved radian and shape Shape such as sheet, dentation, hook-shaped, and extends to the handle of the outer body surface of notch, mainly has two major classes, one kind is drawn by assistant's manpower It stops handle, lasting to pull, referred to as drag hook assistant, another kind of to be connected to design external extending part with various mechanical structures, use The frame of mechanical device realizes outreach, the fixation of drag hook, referred to as " self-retractor ", but up to the present, from hundreds of ridges of author In the practice of column lateral bending corrective procedure, to American-European multinational and Asia surrounding countries repeatedly joins visit and with the friendship performed the operation on the same stage of going together In stream, no matter which kind of existing manually or automatically drag hook, the Germany including a variety of famous brands is superior in quality, drag hook that structure is superior, Hit exactly human body longest notch after when without a directed entirely to deformity of spine two sides be contour simultaneously, cohesion heterotonia is big, two Side is uneven, especially convex side, and surface is just like the special drag hook device of the earth's surface in bumpy mountainous region, and various countries practitioner adopts It is applied in combination with various drag hooks, the most common mode is to be provided with joint on external long handle, and protruding into notch intra vane is rack gear Shape structure is both arms clamp type, and after front end twayblade teeth protrude into notch, the double long handles in rear wait strutting and locking, notch both ends All kinds of manually or automatically drag hooks of a middle part recombinant are respectively set, inadequate generation one is unstable, panorama appears insufficient art Open country, therefore, in surgical procedure, when each key position local fine anatomical structure need to be appeared, it is necessary to constantly adjust drag hook Position, the direction for replacing drag hook is just able to achieve, this has become the normality that once you form a habit, it comes natural to you, in primary operation, needs Lack then for several times, more then tens of secondary adjustment, clear drawback is:
1. adjustment process every time is to the soft tissue (paravertebral muscles rich in the sightless fine capillary network of naked eyes Group) once loosen, pull the process of compressing again, with the length of adjustment time, few then tens of milliliters, more then up to a hundred milliliters of blood It is lost, as primary operation is inevitably adjusted to tens of times repeatedly for several times, blood loss about 800ml~2000ml, even more It is more, therefore, Rachiocampis correction operation, be exactly an one side operation, while continuous fluid infusion blood transfusion process, transfusion volume lacks then 600~800ml, more then thousands of milliliters, this is necessary, and has become the normality for ensuring life security, the whole world in this way, It can be described as being accustomed to.1/7 or so of human blood percentage of liveweight, such as 70kg weight, blood about 10kg (10000ml) works as blood loss More than 1/3 haemorrhagic shock can occur for amount, Guo Banshi, then threat to life, and 90% or more patient of scoliosis is green lacks Year, average 40~50kg weight, in terms of 50kg, the most 7000ml of total blood volume have life when blood loss is more than 3000ml It is dangerous.Therefore, scoliosis surgery, practical is exactly the operation for taking risks " fighting it out to the bitter end ", and regrettably, these are heavy Cost, not being direct payment fixes the correction of deformity in the committed step-of operation, and is consumed in and adjusts drag hook repeatedly, It compresses, loosen, pursuit appears in long notch during the anatomical structure details of each key position, more regrettably, unexpectedly As normality, every operation is intended to that hospital blood bank is waited to prepare enough sufficient blood volume, and constantly consumes the extremely limited people in source Class blood resource.
2. loosening drag hook every time, displacement, removing, oppressing, pull again, primary light or heavy machine is inevitably caused Tool stimulation and wound, histocyte microscopic damage pathology has sufficient theoretical proof in pathology of trauma, like no matter appointing It in one war of what form, is always difficult to avoid that and hurts innocent persons, consequence is inflammatory reaction after wound, the postoperative back of long period The different degrees of iatrogenic negative effect of the operation bring such as pain, musculature fibre modification, scar, and cause everything Reason arises directly from repeated multiple times adjustment drag hook in art, removing, drawing, oppresses, loosens, then the certainty constantly repeated As a result.
More than 3. kinds manually, self-retractor be applied in combination, on the one hand making operating table periphery excessive personnel's occupy-place, (2-3 are drawn Hook assistant) and crowded, the mechanical device occupy-place of the excessive different level in another aspect operating field overhead, it influences and interferes in various degree The sight of patient and fine technical operation.
4. the versatile material of existing drag hook is medical stainless steel, surface is smooth, and formation multi-panel is reflective under shadowless lamp, Often dazzle the eyes patient and influences to interfere the observation identification to anatomical detail in visual area.
Utility model content
It many difficulties of mode is appeared using drag hook and intractable asks to solve existing scoliosis way of escape corrective procedure Topic, the utility model provides a kind of scoliosis way of escape corrective procedure visual area panorama and stablizes device for exposing, after the scoliosis Road corrective procedure visual area panorama, which stablizes device for exposing, can guarantee that each anatomical detail and mutual anatomy relationship are clear in full visual area Observation, positioning, give full play to the orthopedic technical ability of operation, be easily implanted into various orthopedic implants, solve existing drag hook and appear Mode many difficulties and stubborn problem make accessible smooth implementation of performing the operation, and reach the safe and efficient accurate mesh for completing operation 's.
The technical scheme adopted by the utility model to solve the technical problem is as follows: a kind of scoliosis way of escape corrective procedure art Wild panorama stablizes device for exposing, the first crawler belt item and the second crawler belt item including capableing of free bend, the first crawler belt item and second Crawler belt item adjusts component by first distance and connects with second distance adjusting component, and first distance adjusts component and second distance tune Section component can adjust the distance between the first crawler belt item and the second crawler belt item, be equipped on the first crawler belt item and the second crawler belt item Drag hook component, drag hook component contain drag hook blade, and the drag hook blade of drag hook component can be carried out to far from second on the first crawler belt item The direction of tape is mobile, and the drag hook blade of drag hook component can be mobile to the direction far from the first crawler belt item on the second crawler belt item.
First crawler belt item and the second crawler belt item are located in the same horizontal plane, and the first crawler belt item and the second crawler belt item are parallel, the One end of setting before and after one crawler belt item and the second crawler belt item, one end of the first crawler belt item and the second crawler belt item is concordant, first distance It adjusts component and is fixed on one end of the first crawler belt item and one end of the second crawler belt item.
First crawler belt item is flat strip shaped structure, and the first crawler belt item contains multiple successively hinged track sections, the second crawler belt item With the first crawler belt item mirror image each other, the other end of the other end of the first crawler belt item and the second crawler belt item is concordant, and second distance is adjusted Component can be moved along the length direction of the first crawler belt item and the second crawler belt item.
First distance adjusts component and contains the first standing screw, the first fixes sleeve and the second standing screw, and first is fixed One end of screw rod and one end of the second standing screw are connected and fixed with the first crawler belt item and the second crawler belt item respectively, the first fixed spiral shell The other end of the other end of bar and the second standing screw is corresponding with the both ends of the first fixes sleeve to be threadedly coupled, the first standing screw With the thread rotary orientation of the second standing screw on the contrary, when rotating the first fixes sleeve, between the first crawler belt item and the second crawler belt item Distance can be conditioned.
Second distance adjusts component and contains first movement screw rod, first movement sleeve, the second mobile screw, the first sliding base Seat and the second glide base, one end of the first standing screw and the top of the first glide base are connected and fixed, the second standing screw One end and the top of the second glide base be connected and fixed, the first glide base can be slided along the first crawler belt item, the second sliding Pedestal can be slided along the second crawler belt item, the other end and first movement of the other end of first movement screw rod and the second mobile screw The both ends of sleeve are corresponding to be threadedly coupled, and the thread rotary orientation of first movement screw rod and the second mobile screw is on the contrary, when rotation first moves When moving sleeve, the distance between the first crawler belt item and the second crawler belt item can be conditioned.
The size and structure of each track section are all the same, and the front and rear sides of track section are equipped with sliding recess, track section One end is equipped with protrusion, and the front and rear sides of the protrusion are equipped with articulated shaft, are equipped with spring, articulated shaft energy between two articulated shafts Enough to retract into the protrusion, the other end of track section is equipped with recessed portion, the protrusion of two adjacent track sections with it is recessed Concave portion is hinged by articulated shaft.
Drag hook component is located at first distance and adjusts between component and second distance adjusting component, and drag hook component also contains drag hook Pedestal, drag hook pedestal can be slided along the first crawler belt item or the second crawler belt item, and the top of drag hook pedestal is equipped with for installing drag hook The installation groove of blade, installation groove open up along the longitudinal direction.
Drag hook blade contains sequentially connected traction portion, sliding part and knob portion, and traction portion is upright laminated structure, sliding Dynamic portion is strip structure, and knob portion is arcuate structure, and sliding part is plugged in installation groove, traction portion be located at the first crawler belt item with Between second crawler belt item.
The lower end of sliding part is equipped with unidirectional rack gear, and the bottom surface of installation groove is equipped with the unidirectional flank of tooth, and the upper end of drag hook pedestal is set There is pull capping, the upper end grafting of pull capping and drag hook pedestal, pull capping can be along the first crawler belt item or the second crawler belt item Length direction it is mobile, drag hook leaf abscission drag hook pedestal can close and be prevented in the top of installation groove by pull capping, drawing Hook leaf piece can only be moved relative to drag hook pedestal along far from the direction between the first crawler belt item and the second crawler belt item.
First crawler belt item, the second crawler belt item, first distance adjust component, second distance adjusts the material of component and drag hook component Matter is medical titanium alloy.
The beneficial effects of the utility model are:, using double crawler belt parallel lay-ups as track, meeting notch using unprecedented Overall length can be close to any surface high and low fall, the characteristic on rough surface by shoe ribbon structure, such as " tank " or " metal watch Band " makes it that can be close to scoliosis back or so high and low fall, from top to bottom rough skin surface, along notch two sides Overall length is penetrated through, based on this (track), sets up succinct, easy adjustment, conscientiously achievable double parallel crawler width regulation and part The microcosmic several drag hook blades uniformly regulated and controled again realize deformity (convex) to any kind of scoliosis, along cephalocaudal axis middle line, Bilateral high and low fall, the long operative incision of the whole body of uneven body surface, cuts after separating bilateral soft tissue, to whole body from top to bottom Maximum visual area panorama clearly appears, and after disposable laying, maintains enough stable states, without repeatedly adjustment again, reaches both Visual area panorama is clear, effectively the purpose of hemostasis by compression is eliminated a variety of drag hooks at all and be applied in combination, repeatedly until operation termination again The complicated processes adjusted repeatedly guarantee that each anatomical detail and mutual anatomy relationship are clearly observed, positioned in full visual area, sufficiently The orthopedic technical ability for playing operation, is easily implanted into various orthopedic implants, solves existing drag hook and appear mode many difficulties and spine The problem of hand, makes accessible smooth implementation of performing the operation, and achievees the purpose that safe and efficient accurate completion operation.
Detailed description of the invention
The accompanying drawings constituting a part of this application is used to provide a further understanding of the present invention, this is practical Novel illustrative embodiments and their description are not constituteed improper limits to the present invention for explaining the utility model.
Fig. 1 is the main view of the first crawler belt item described in the utility model and the second crawler belt item.
Fig. 2 is the top view of the first crawler belt item and the second crawler belt item in closed configuration.
Fig. 3 is the top view of the first crawler belt item and the second crawler belt item in open configuration.
Fig. 4 is the right view of the first crawler belt item and the second crawler belt item in closed configuration.
Fig. 5 is the right view of the first crawler belt item and the second crawler belt item in open configuration.
Fig. 6 is the stereoscopic schematic diagram of track section connection and decomposition.
Fig. 7 is the top view of track section connection and decomposition.
Fig. 8 is the section structure diagram of track section.
Fig. 9 is the stereoscopic schematic diagram of track section.
Figure 10 is the structural schematic diagram that drag hook component is connect with track section.
Figure 11 is schematic diagram when pull is sealed on pull-out state.
Figure 12 is schematic diagram when pull is sealed on returns state.
Figure 13 is the structural schematic diagram of drag hook blade.
Figure 14 is stereoscopic schematic diagram of the drag hook pedestal on track section.
Figure 15 is stereoscopic schematic diagram of the drag hook component on track section.
11, the first crawler belt item;12, the second crawler belt item;13, track section;14, articulated shaft;15, spring;
21, first distance adjusts component;22, second distance adjusts component;23, the first standing screw;24, the first fixing sleeve Cylinder;25, the second standing screw;26, first movement screw rod;27, first movement sleeve;28, the second mobile screw;29, first is sliding Moving base;210, the second glide base;
31, drag hook component;32, drag hook blade;33, drag hook pedestal;34, installation groove;35, traction portion;36, sliding part; 37, knob portion;38, unidirectional rack gear;39, pull covers.
Specific embodiment
It should be noted that in the absence of conflict, the features in the embodiments and the embodiments of the present application can phase Mutually combination.The utility model will be described in detail below with reference to the accompanying drawings and embodiments.
A kind of stable device for exposing of scoliosis way of escape corrective procedure visual area panorama, first including capableing of free bend carries out Tape 11 and the second crawler belt item 12, the first crawler belt item 11 and the second crawler belt item 12 by first distance adjust component 21 and second away from It is connected from component 22 is adjusted, first distance adjusts component 21 and second distance adjusts component 22 and can adjust 11 He of the first crawler belt item Drag hook component 31, drag hook component are equipped on the distance between second crawler belt item 12, the first crawler belt item 11 and the second crawler belt item 12 31 contain drag hook blade 32, and drag hook blade 32 is used for laterally pulled local soft tissue, drag hook component 31 on the first crawler belt item 11 Drag hook blade 32 can be mobile to the direction far from the second crawler belt item 12, the drag hook leaf of drag hook component 31 on the second crawler belt item 12 Piece 32 can be mobile to the direction far from the first crawler belt item 11, as shown in Figures 1 to 5.
In the present embodiment, the first crawler belt item 11 and the second crawler belt item 12 are located in the same horizontal plane, as shown in Figure 1, the One crawler belt item 11 is parallel with the second crawler belt item 12, is arranged before and after the first crawler belt item 11 and the second crawler belt item 12, the first crawler belt item 11 One end and the second crawler belt item 12 one end it is concordant, first distance adjusts one end and that component 21 is fixed on the first crawler belt article 11 One end of two crawler belt items 12, as shown in Figures 2 and 3." preceding " top in Fig. 2 of the above-mentioned noun of locality, the above-mentioned noun of locality " rear " are Lower section in Fig. 2.Because the scoliosis way of escape corrective procedure visual area panorama stablizes device for exposing when in use, usual the One crawler belt item 11 and the second crawler belt item 12 are laid in same level, and according to the visual angle of user (such as doctor), this is practical new Type uses the noun of locality " preceding " and " rear ".
In the present embodiment, the first crawler belt item 11 is flat strip shaped structure, specifically can for it is similar with " tank track " or The structure of " metal watchband ", the first crawler belt item 11 contain multiple successively hinged track sections 13, the second crawler belt item 12 and the first shoe The structure of tape 11 is identical, the second crawler belt item 12 and the first crawler belt item 11 mirror image each other, the other end of the first crawler belt article 11 and The other end of two crawler belt items 12 is concordant, and second distance adjusts component 22 can be along the length of the first crawler belt item 11 and the second crawler belt item 12 Spend that direction is mobile, i.e., as shown in figure 3, second distance adjust the both ends of component 22 respectively with the first crawler belt item 11 and the second crawler belt item 12 connections, second distance adjust component 22 and can move left and right.
In the present embodiment, first distance adjusts component 21 containing the first standing screw 23, the first fixes sleeve 24 and the Two standing screws 25, one end of the first standing screw 23 are connected and fixed with the first crawler belt item 11, one end of the second standing screw 25 It is connected and fixed with the second crawler belt item 12, the other end and first of the other end of the first standing screw 23 and the second standing screw 25 is consolidated The both ends for determining sleeve 24, which correspond to, to be threadedly coupled, and the thread rotary orientation of the first standing screw 23 and the second standing screw 25 is on the contrary, when turning When dynamic first fixes sleeve 24, the distance between the first crawler belt item 11 and the second crawler belt item 12 can be conditioned, such as Fig. 2 and Fig. 3 It is shown.The middle part of first fixes sleeve 24 is additionally provided with to screw the nut of the first fixes sleeve 24.
In the present embodiment, second distance adjusting component 22 contains first movement screw rod 26, first movement sleeve 27, second Mobile screw 28, the first glide base 29 and the second glide base 210, one end of the first standing screw 23 and the first glide base 29 top is connected and fixed, and one end of the second standing screw 25 and the top of the second glide base 210 are connected and fixed, the first sliding Pedestal 29 can be slided along the first crawler belt item 11, and the second glide base 210 can be slided along the second crawler belt item 12, the first sliding base Seat 29 is identical with the structure of the second glide base 210 and mirror image, the other end of first movement screw rod 26 and second move spiral shell each other The other end of bar 28 is corresponding with the both ends of first movement sleeve 27 to be threadedly coupled, first movement screw rod 26 and the second mobile screw 28 Thread rotary orientation on the contrary, when rotating first movement sleeve 27, the distance between the first crawler belt item 11 and the second crawler belt item 12 energy It is enough conditioned, as shown in Figure 4 and Figure 5.The middle part of first movement sleeve 27 is additionally provided with to screw the spiral shell of first movement sleeve 27 It is female.It can be made between the first crawler belt item 11 and the second crawler belt item 12 by screwing the first fixes sleeve 24 and first movement sleeve 27 Distance become larger or become smaller.
In the present embodiment, the size and structure of each track section 13 are all the same, and the front and rear sides of track section 13 are equipped with Sliding recess, i.e. in Fig. 2, the front and rear sides of track section 13 are equipped with sliding recess, corresponding as shown in figure 8, track section 13 The left and right sides is equipped with sliding recess.One end of track section 13 is equipped with protrusion, and the front and rear sides of the protrusion are equipped with hingedly Axis 14 is equipped with spring 15 between two articulated shafts 14, and spring 15 is located in the protrusion, and articulated shaft 14 can be into the protrusion It retracts, the other end of track section 13 is equipped with recessed portion, and the protrusion and recessed portion of two adjacent track sections 13 pass through hinge Spindle 14 is hinged, as shown in Figure 6 and Figure 7.
When installing the first crawler belt item 11, articulated shaft 14 can be made to retract into the protrusion first, then make a shoe The recessed portion of the adjacent track section 13 of the protrusion grafting of belt segment 13, makes the articulated shaft 14 of the protrusion and the hinge of the recessed portion Hole one-to-one correspondence is connect, then stretches out articulated shaft 14 and resets, articulated shaft 14 enters in the hinge hole of the recessed portion, then completes adjacent Two track sections 13 it is hinged, as shown in Figures 6 to 9.Articulated shaft 14 is horizontally disposed, and all articulated shafts 14 are equal It is parallel to each other.The axis of articulated shaft 14 is vertical with the length direction of the first crawler belt item 11 and the second crawler belt item 12.
In the present embodiment, drag hook component 31 be located at first distance adjust component 21 and second distance adjust component 22 it Between, multiple drag hook components 31, multiple drag hook groups can be set on the first crawler belt item 11 and the second crawler belt item 12 as needed Part 31 is successively evenly distributed along the length direction of the first crawler belt item 11 and the second crawler belt item 12, and drag hook component 31 also contains drag hook base Seat 33, for drag hook pedestal 33 for installing fixed drag hook blade 32, drag hook pedestal 33 can be along the first crawler belt item 11 or the second crawler belt Item 12 slides, and the top of drag hook pedestal 33 is equipped with the installation groove 34 for installing drag hook blade 32, and installation groove 34 is along above-mentioned Front-rear direction opens up in Fig. 2, as shown in Figure 11 to Figure 15.Along the length direction of the first crawler belt item 11, the length of drag hook pedestal 33 Less than the distance between the protrusion of track section 13 and recessed portion L (as shown in Figure 7).Along the length of the first crawler belt item 11 The protrusion and recess of the length of direction, the first glide base 29 and the second glide base 210 again smaller than a track section 13 The distance between portion L.
In the present embodiment, drag hook blade 32 contains sequentially connected traction portion 35, sliding part 36 and knob portion 37, retracts Portion 35 is upright laminated structure, and the lower end in traction portion 35 is equipped with the flange to turn up, and sliding part 36 is horizontal strip structure, is drawn Hand 37 is arcuate structure, and sliding part 36 is plugged in installation groove 34, and traction portion 35 is located at the first crawler belt item 11 and second and carries out Between tape 12.The effect in traction portion 35 is to contact with soft tissue and laterally pulled soft tissue, the effect of sliding part 36 are easy for 35 transverse shifting of traction portion, the effect in knob portion 37 are easy for doctor with hand transverse shifting drag hook blade 32.
In the present embodiment, the lower end of sliding part 36 is equipped with unidirectional rack gear 38, and the bottom surface of installation groove 34 is equipped with unidirectional tooth Face, unidirectional rack gear 38 match with the unidirectional flank of tooth, and the upper end of drag hook pedestal 33 is equipped with pull capping 39, pull capping 39 and drawing The upper end grafting of hook pedestal 33, pull capping 39 can be moved along the length direction of the first crawler belt item 11 or the second crawler belt item 12, The top of installation groove 34 can be closed and drag hook blade 32 is prevented to be detached from drag hook pedestal 33, drag hook blade 32 by pull capping 39 It can only be moved along far from the direction between the first crawler belt item 11 and the second crawler belt item 12 relative to drag hook pedestal 33.I.e. due to list Effect to rack gear 38, drag hook blade 32 only can be mobile to the left side in Figure 10 relative to drag hook pedestal 33, and cannot be to figure Right side in 10 is mobile.
When drag hook blade 32 is installed, it is in pull capping 39 shown in Figure 11 and pulls out state, then by drag hook leaf 32 sliding part 36 of piece is plugged in installation groove 34, and seasonable traction portion 35 and the distance between drag hook pedestal 33 are minimum at this time, then It is in pull capping 39 shown in Figure 12 and pulls out state, then drag hook component 31 installs.Pull capping 39 is de- in order to prevent From drag hook pedestal 33, the edge of pull capping 39 is also provided with stop tab, and as shown in figure 14, the left side of pull capping 39 is provided with Stop tab.Equal inverted U groove, the inverted U groove and the first crawler belt item in the lower part of first glide base 29 and drag hook pedestal 33 11 matching grafting, the two sides of the inverted U groove are equipped with the sliding recess with track section 13 to matched fin, can both protect It demonstrate,proves the first glide base 29 and drag hook pedestal 33 to slide along the first crawler belt item 11, and the first glide base 29 and drag hook can be prevented Pedestal 33 is detached from the first crawler belt item 11.The working principle of second glide base 210 is identical as the first glide base 29, this is practical new Type is no longer discussed in detail.
In the present embodiment, the first crawler belt item 11, the second crawler belt item 12, first distance adjust component 21, second distance tune The material for saving component 22 and drag hook component 31 is medical titanium alloy.I.e. total system material is except the built-in spring 15 of crawler belt is using doctor Other than spring steel, it is all made of non-ferrous metal medical titanium alloy, thoroughly to eliminate the various drag hook of conventional medical stainless steel and complexity Structure smooth surface is various angles are reflective dazzles the eyes without influencing under lamp, to interfere the sight of patient.
The course of work that the scoliosis way of escape corrective procedure visual area panorama stablizes device for exposing is described below.
First crawler belt item 11 and the respective both sides of the second crawler belt item 12 are groove sliding rail (i.e. above-mentioned sliding recess), the first crawler belt The right end of item 11 and the second crawler belt item 12 is fixed with first distance and adjusts component 21, and second distance adjusts component 22 along the first crawler belt Item 11 and the second crawler belt item 12 move left and right, and are actually needed according to length, make it that can be adapted to notch both ends length.
It is adjusted before component 22 is installed on the first crawler belt item 11 and the second crawler belt item 12 in second distance, it should be in advance the N number of drag hook pedestal 33 is slid on one crawler belt item 11 and the second crawler belt item 12, first on the first crawler belt item 11 and the second crawler belt item 12 Respectively slide into 7 drag hook pedestals 33.
Actual application are as follows: after determining incision length, using notch as middle line, laying is tentatively combined at the back of patient Double crawler belt items (only adjusting component 21, the first crawler belt item 11, the second crawler belt item 12 and multiple drag hook pedestals 33 containing first distance). With initial proper width and cuts parallel, both ends are equal with incision length for first crawler belt item 11 and the second crawler belt item 12, from upper and Under (or vice versa, it is accustomed to depending on patient) skin, subcutaneous tissue are cut, and after the removing of bone face, second distance adjusting component 22 is crouched Enter the right end of the first crawler belt item 11 and the second crawler belt item 12.Gradually appropriate depth is lying on the drag hook pedestal 33 for sliding into track in advance The drag hook blade 32 of degree makes the traction portion 35 of drag hook blade 32 protrude into the soft tissue being separated, and pull capping 39 is pushed to make to pacify The upper end closed for filling groove 34, is lying into the bottom surface tooth of the unidirectional rack gear 38 of drag hook blade 32 and installation groove 34 in drag hook pedestal 33 Tooth engagement.At this time because the engagement of unidirectional teeth, drag hook blade 32 can only be moved unidirectionally, each stepping locks immediately, until Satisfaction appears, and successively carries out above-mentioned steps, until complete deformity of spine panorama appears, such as appears width and is not enough satisfied with, can adjust again Whole both ends first distance adjusts component 21 and second distance adjusts positive/negative thread sleeve (the first fixes sleeve 24, the of component 22 One moving sleeve 27), increase the overall width between two crawler belts, while each local 32 also implementable fine tuning of drag hook blade, passes through Knob portion 37 can move drag hook blade 32, and the width and depth of blade are step size, and by 2cm, 1cm is stepped to depth 10cm, width step to 7cm by 3cm, can locally be replaced at any time according to individual patients, be stabilized to until the satisfaction of full visual area appears Only.Operation whole process no longer needs to adjust, and protrudes into the traction portion 35 of soft tissue, smoothly without teeth, block pull open soft tissue while, Divide local pressure uniformly uniformly, not only reach Compressive Hemostasis, but also makes to be down to lower journey to the mechanical damage wound of soft tissue Degree.All material, except built-in spring is in addition to medical spring steel, being all made of medical black titanium alloy, quality is hard, form stable, High abrasion.The feature of surface no-reflection is thoroughly eliminated and reflective is dazzle the eyes.Visual area overhead is low flat clean simultaneously, does to various operations It disturbs and is down to lower degree, and 1 to 2 people of manpower drag hook assistant can be reduced.It is effectively stable to soft tissue due to stablizing drag hook blade Oppression state, makes oozing of blood fall below bottom line, not only ensure that visual area is completely clear, but also prevent haemorrhagic shock.Because so far Until, the cause of disease is not illustrated still by the mankind, can not fundamentally it prevent, therefore operative correction is still unique treatment method, it can be concluded that Within quite long period from now on, operation will be implemented in a large amount of patient populations.Therefore, the utility model will have wide application Prospect, exactly " a workman must first sharpen his tools if he is to do his work well ".
The above, only specific embodiment of the utility model cannot limit the range that utility model is implemented, institute with it With the displacement of its equivalent assemblies, or according to equivalent variations made by the utility model patent protection scope and modification, should all still fall within The scope that this patent is covered.In addition, between technical characteristic and technical characteristic in the utility model, technical characteristic and technical solution Between, between technical solution and technical solution use can be freely combined.

Claims (10)

1. a kind of scoliosis way of escape corrective procedure visual area panorama stablizes device for exposing, which is characterized in that after the scoliosis It includes the first crawler belt item (11) and the second crawler belt item for capableing of free bend that road corrective procedure visual area panorama, which stablizes device for exposing, (12), the first crawler belt item (11) and the second crawler belt item (12) pass through first distance adjusting component (21) and second distance adjusting component (22) it connects, first distance, which adjusts component (21) and second distance adjusting component (22), can adjust the first crawler belt article (11) and the It is equipped with drag hook component (31), draws on the distance between two crawler belt items (12), the first crawler belt item (11) and the second crawler belt item (12) Hook assembly (31) contains drag hook blade (32), and the drag hook blade (32) of drag hook component (31) can be to remote on the first crawler belt item (11) Direction from the second crawler belt item (12) is mobile, and the drag hook blade (32) of drag hook component (31) can be to remote on the second crawler belt item (12) Direction from the first crawler belt item (11) is mobile.
2. scoliosis way of escape corrective procedure visual area panorama according to claim 1 stablizes device for exposing, which is characterized in that First crawler belt item (11) and the second crawler belt item (12) are located in the same horizontal plane, the first crawler belt item (11) and the second crawler belt item (12) In parallel, it is arranged before and after the first crawler belt item (11) and the second crawler belt item (12), one end of the first crawler belt item (11) and the second crawler belt item (12) one end is concordant, and first distance adjusts one end and the second crawler belt item (12) that component (21) are fixed on the first crawler belt item (11) One end.
3. scoliosis way of escape corrective procedure visual area panorama according to claim 2 stablizes device for exposing, which is characterized in that First crawler belt item (11) is flat strip shaped structure, and the first crawler belt item (11) is carried out containing multiple successively hinged track sections (13), second Tape (12) and the first crawler belt item (11) mirror image each other, the other end of the first crawler belt item (11) and the second crawler belt item (12) it is another Hold level with both hands together, second distance adjusts component (22) and can move along the length direction of the first crawler belt item (11) and the second crawler belt item (12) It is dynamic.
4. scoliosis way of escape corrective procedure visual area panorama according to claim 3 stablizes device for exposing, which is characterized in that First distance adjusts component (21) and contains the first standing screw (23), the first fixes sleeve (24) and the second standing screw (25), One end of first standing screw (23) and one end of the second standing screw (25) respectively with the first crawler belt item (11) and the second crawler belt Item (12) is connected and fixed, the other end of the first standing screw (23) and the other end and the first fixing sleeve of the second standing screw (25) The both ends of cylinder (24) are corresponding to be threadedly coupled, and the thread rotary orientation of the first standing screw (23) and the second standing screw (25) is on the contrary, work as When rotating the first fixes sleeve (24), the distance between the first crawler belt item (11) and the second crawler belt item (12) can be conditioned.
5. scoliosis way of escape corrective procedure visual area panorama according to claim 3 stablizes device for exposing, which is characterized in that Second distance adjusts component (22) containing first movement screw rod (26), first movement sleeve (27), the second mobile screw (28), the One glide base (29) and the second glide base (210), one end and the first glide base (29) of the first standing screw (23) Top is connected and fixed, and one end of the second standing screw (25) and the top of the second glide base (210) are connected and fixed, the first sliding Pedestal (29) can be slided along the first crawler belt item (11), and the second glide base (210) can be slided along the second crawler belt item (12), the The other end of one mobile screw (26) and the other end of the second mobile screw (28) are corresponding with the both ends of first movement sleeve (27) It is threadedly coupled, the thread rotary orientation of first movement screw rod (26) and the second mobile screw (28) is on the contrary, when rotation first movement sleeve (27) when, the distance between the first crawler belt item (11) and the second crawler belt item (12) can be conditioned.
6. scoliosis way of escape corrective procedure visual area panorama according to claim 3 stablizes device for exposing, which is characterized in that The size and structure of each track section (13) are all the same, and the front and rear sides of track section (13) are equipped with sliding recess, track section (13) one end is equipped with protrusion, and the front and rear sides of the protrusion are equipped with articulated shaft (14), set between two articulated shafts (14) Have spring (15), articulated shaft (14) can be retracted into the protrusion, and the other end of track section (13) is equipped with recessed portion, adjacent The protrusion and recessed portion of two track sections (13) are hinged by articulated shaft (14).
7. scoliosis way of escape corrective procedure visual area panorama according to claim 2 stablizes device for exposing, which is characterized in that Drag hook component (31) is located at first distance and adjusts between component (21) and second distance adjusting component (22), and drag hook component (31) is also Containing drag hook pedestal (33), drag hook pedestal (33) can be slided along the first crawler belt item (11) or the second crawler belt item (12), drag hook base The top of seat (33) is equipped with the installation groove (34) for installing drag hook blade (32), and installation groove (34) is opened along the longitudinal direction If.
8. scoliosis way of escape corrective procedure visual area panorama according to claim 7 stablizes device for exposing, which is characterized in that For drag hook blade (32) containing sequentially connected traction portion (35), sliding part (36) and knob portion (37), traction portion (35) are upright Laminated structure, sliding part (36) is strip structure, and knob portion (37) are arcuate structure, and sliding part (36) is plugged in installation groove (34) in, traction portion (35) are between the first crawler belt item (11) and the second crawler belt item (12).
9. scoliosis way of escape corrective procedure visual area panorama according to claim 8 stablizes device for exposing, which is characterized in that The lower end of sliding part (36) is equipped with unidirectional rack gear (38), and the bottom surface of installation groove (34) is equipped with the unidirectional flank of tooth, drag hook pedestal (33) Upper end be equipped with pull capping (39), pull cover (39) and drag hook pedestal (33) upper end grafting, pull capping (39) can Mobile along the length direction of the first crawler belt item (11) or the second crawler belt item (12), pull covers (39) can be by installation groove (34) Top close and prevent drag hook blade (32) be detached from drag hook pedestal (33), drag hook blade (32) relative to drag hook pedestal (33) only It can be along mobile far from the direction between the first crawler belt item (11) and the second crawler belt item (12).
10. scoliosis way of escape corrective procedure visual area panorama according to claim 1 stablizes device for exposing, feature exists Adjust component (21) in, the first crawler belt item (11), the second crawler belt item (12), first distance, second distance adjust component (22) and The material of drag hook component (31) is medical titanium alloy.
CN201721367753.1U 2017-10-23 2017-10-23 A kind of stable device for exposing of scoliosis way of escape corrective procedure visual area panorama Active CN208756039U (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107647889A (en) * 2017-10-23 2018-02-02 邹德威 A kind of stable device for exposing of scoliosis way of escape corrective procedure visual area panorama

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107647889A (en) * 2017-10-23 2018-02-02 邹德威 A kind of stable device for exposing of scoliosis way of escape corrective procedure visual area panorama

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