CN210355272U

CN210355272U - Surgical tool

Info

Publication number: CN210355272U
Application number: CN201920184586.XU
Authority: CN
Inventors: 刘海涛; 徐金才
Original assignee: Tinavi Medical Technologies Co Ltd
Current assignee: Tinavi Medical Technologies Co Ltd; Beijing Tinavi Medical Technology Co Ltd
Priority date: 2019-02-01
Filing date: 2019-02-01
Publication date: 2020-04-21
Anticipated expiration: 2029-02-01

Abstract

The utility model provides a surgical tool, include: support frame, drive arrangement and operation component, wherein: the support frame is used for supporting and fixing the driving device and the operation component; the driving device is arranged on the supporting frame, is connected with the operation component and is used for driving the operation component to move; the operation member includes a main body portion and at least one tip structure for acting on the affected part. The utility model provides a surgical tool passes through the position that the operation component supported the affected part and adjusted the affected part to use the support frame to provide the support for the operation component, use drive arrangement drive operation component, make the operation of supporting the affected part and adjusting the affected part position more laborsaving, stable, thereby provide good operational environment for subsequent operation.

Description

Surgical tool

Technical Field

The utility model relates to the technical field of medical treatment operation equipment, especially relate to an operation instrument.

Background

In the operation process, the doctor often needs to manually carry out long-time support to the affected part, perhaps adjusts its position for the doctor needs to bow for a long time at the operation in-process, and keep the position of hand, not only hard, stability is relatively poor, still can lead to the doctor can't carry out other operations.

Taking the example of a pelvis reduction operation for a pelvis fracture, there are two existing methods:

one is that a doctor holds the skeleton by hands directly, adjusts the position of a bone fracture part, and drives in a fixed bone nail on the basis of keeping the hands immovable to realize pelvis reduction; the other method is that a long bone needle is firstly driven into the anterior superior iliac spine, then a doctor adjusts the position of a bone fracture part by holding the exposed part of the bone needle with hands, and a fixed bone nail is driven into the bone fracture part on the basis of not moving the long bone needle, so as to realize the reduction of the pelvis.

However, the reduction by hand or holding the bone needle is laborious and has poor stability, which can not create good conditions for driving the fixed bone nail.

SUMMERY OF THE UTILITY MODEL

The utility model provides an operation tool for the position in the auxiliary stay of operation in-process and adjustment affected part makes the operation process more laborsaving, improves the stability of adjustment action, provides good condition for subsequent operation.

The utility model provides a surgical tool, include: support frame, drive arrangement and operation component, wherein: the support frame is used for supporting and fixing the driving device and the operation component; the driving device is arranged on the supporting frame, is connected with the operation component and is used for driving the operation component to move; the operation member includes a main body portion and at least one tip structure for acting on the affected part.

In a first possible implementation manner, the driving device comprises a fixed component and a movable component, and the fixed component is connected with the supporting frame; the moving assembly is movably connected with the fixing assembly, is connected with the main body part of the operating component and can drive the operating component to move relative to the fixing assembly.

In a second possible implementation manner, in combination with the above possible implementation manners, the moving assembly and the fixing assembly constitute a labor-saving mechanism.

With reference to the foregoing possible implementation manner, in a third possible implementation manner, the moving assembly is movably connected with the fixed assembly through a first threaded lead screw structure, and the moving assembly can drive the working member to move when moving relative to the fixed assembly along the axial direction of the first threaded lead screw structure; and/or the moving assembly is movably connected with the main body part of the working component through a second threaded lead screw structure, and the moving assembly drives the working component to move.

With reference to the foregoing possible implementation manner, in a fourth possible implementation manner, the moving assembly is movably connected with the fixed assembly through a first threaded screw structure, and is movably connected with the main body portion of the working member through a second threaded screw structure, and the thread directions of the first threaded screw structure and the second threaded screw structure are opposite.

In combination with the above possible implementations, in a fifth possible implementation, the fixing assembly includes a guide hole/groove along which the main body portion of the working member is also movable.

In a sixth possible implementation manner, in combination with the above possible implementation manners, the main body portion of the operating member includes a main member and an intermediate member, the intermediate member is detachably connected to the main member, and a second nut and screw structure is formed between the intermediate member and the moving assembly.

In combination with the above possible implementations, in a seventh possible implementation, the intermediate piece and the main member are connected by a fastening mechanism.

In combination with the above possible implementation manners, in an eighth possible implementation manner, the fastening mechanism includes a connection base, a U-shaped piece, and a pressing piece, the connection base is provided with a mounting hole for inserting the main component and a mounting groove for inserting the U-shaped piece, the U-shaped piece is clamped on the connection base, the side edge of the U-shaped piece is perpendicular to the axis of the mounting hole, and the pressing piece is used for pressing and fixing the relative position between the connection base, the U-shaped piece, and the main component.

With reference to the above possible implementation manners, in a ninth possible implementation manner, a torsional force receiving portion is further provided on the working member, and the torsional force receiving portion is used for receiving an external force to generate a torque to the working member.

In combination with the above possible implementations, in a tenth possible implementation, the fixing assembly is provided with a limiting structure for acting on the torsional force receiving part to generate a torque to the working member.

With reference to the foregoing possible implementation manners, in an eleventh possible implementation manner, the moving component is a rack and pinion mechanism, a gear in the rack and pinion mechanism is rotatably disposed on the fixing component, a rack is movably disposed on the fixing component, and the rack is connected to the operating member and can drive the operating member to move.

With reference to the foregoing possible implementation manners, in a twelfth possible implementation manner, the moving component is a slider-crank mechanism, a crank in the slider-crank mechanism is hinged to the fixing component, the slider is movably disposed on the fixing component, and the slider is connected to the operating member and can drive the operating member to move.

In a thirteenth possible implementation in combination with the above possible implementation, the end structure of the operating member comprises an area provided with at least one pointed end.

In combination with the above possible implementation manners, in a fourteenth possible implementation manner, the surgical tool further includes a first angle adjusting device for adjusting a connection position between the supporting frame and the fixing component.

In combination with the above possible implementation manners, in a fifteenth possible implementation manner, the surgical tool further includes an operating bed fixer for fixing the support frame to the operating bed, and the operating bed fixer is connected with the support frame through the second angle adjusting device. The surgical tool further comprises a first angle adjusting device for adjusting the connecting position between the support frame and the fixing component.

The utility model provides a surgical tool passes through the position that the operation component supported the affected part and adjusted the affected part to use the support frame to provide the support for the operation component, use drive arrangement drive operation component, make the operation of supporting the affected part and adjusting the affected part position more laborsaving, stable, thereby provide good operational environment for subsequent operation.

Drawings

Features, advantages and technical effects of exemplary embodiments of the present invention will be described below with reference to the accompanying drawings.

Fig. 1 is a schematic view of a surgical tool according to an embodiment of the present invention at an angle;

FIG. 2 is a schematic view of a surgical tool according to an embodiment of the present invention at another angle;

FIG. 3 is a schematic cross-sectional view of a surgical tool at an angle according to an embodiment of the present invention;

FIG. 4 is a schematic cross-sectional view of a surgical tool at another angle in accordance with an embodiment of the present invention;

FIG. 5 is a partial enlarged view of area A in FIG. 4;

fig. 6 is a schematic structural diagram of a driving device according to an embodiment of the present invention;

fig. 7 is a schematic structural diagram of another driving device according to an embodiment of the present invention;

fig. 8 is a schematic view of a fastening mechanism according to an embodiment of the present invention;

fig. 9 is a schematic structural view of an angle adjusting device and an operating table fixer according to an embodiment of the present invention.

Description of reference numerals:

1. an operating member; 11. a terminal structure; 12. a main member; 121. a first main member; 122. a second main member; 13. a middleware; 131. a connection base; 1311. mounting holes; 1312. mounting grooves; 1313. a threaded shaft; 132. a U-shaped member; 133. a compression member; 14. a torsional force receiving section;

2. a drive device; 21. a fixing assembly; 22. a moving assembly;

3. a support frame;

4. an angle adjusting device; 41. a first crown gear; 42. a second crown gear; 43. a helical hand wheel;

5. a surgical bed fixator; 51. a holder bracket; 52. fixing the clamping jaw; 53. a movable jaw; 54. tightening the screw; 55. a jaw driving handle;

in the drawings, the drawings are not necessarily to scale.

Detailed Description

The present invention will be described in detail with reference to the accompanying drawings and embodiments. It should be understood that the description of the specific embodiments is intended to be illustrative, and not limiting. Terms such as first, second, etc. in this document are only used for distinguishing one entity (or operation) from another entity (or operation), and do not indicate any relationship or order between these entities (or operations); in addition, terms such as upper, lower, left, right, front, rear, and the like in the text denote directions or orientations, and only relative directions or orientations, not absolute directions or orientations. Without additional limitation, an element defined by the phrase "comprising" does not exclude the presence of other elements in a process, method, article, or apparatus that comprises the element.

Fig. 1 shows a schematic structural view of a surgical tool according to an embodiment of the present invention. Fig. 2 is a schematic view of a surgical tool according to an embodiment of the present invention.

As shown in fig. 1 and 2, the present invention provides a surgical tool, which comprises a support frame 3, a driving device 2 and a working member 1, wherein the support frame 3 is used for supporting and fixing the driving device 2 and the working member 1; the driving device 2 is arranged on the support frame 3, and the driving device 2 is connected with the working component 1 and is used for driving the working component 1 to move; the working member 1 comprises a body portion and at least one tip structure 11 for acting on the affected part.

The utility model provides a surgical tool passes through the position that operation component 1 supported the affected part and adjusted the affected part to use support frame 3 to provide the support for operation component 1, use drive arrangement 2 drive operation component 1, make the operation of supporting the affected part and adjusting the affected part position more laborsaving, stable, thereby provide good operational environment for subsequent operation.

As an alternative embodiment, the end structure 11 of the operation member 1 comprises an area provided with at least one tip, so that the operation member 1 can press the affected part by the tip to deform the affected part, and the friction between the operation member 1 and the affected part is increased to avoid relative sliding between the operation member 1 and the affected part.

When the affected part is a bone, as an alternative, the tip of the end structure 11 is constituted by a bone pin, which is arranged on the end structure 11 by means of a bone pin connector, and the bone pin of the operation member 1 is applied to the bone.

In an embodiment of the present invention, the end structure 11 may be fixedly connected with the working member 1. Specifically, the tip structure 11 may be fixed to the working member 1 by welding. In another embodiment of the present invention, the end structure 11 and the working member 1 may be integrally formed or detachably connected.

As an alternative embodiment, the working member 1 comprises a first main member 121 and a second main member 122 connected to each other, the end structure 11 being arranged on the first main member 121, the working member 1 being connected to the driving device 2 via the second main member 122.

In the embodiment of the present invention, the first main member 121 and the second main member 122 may be detachably connected by a screw connection or a snap connection.

In the embodiment of the present invention, the first main member 121 may be a crank, so that the end structure 11 enters the human body from the smaller wound, and the position and direction of the end structure 11 acting on the affected part are also convenient to adjust. The second main member 122 is a straight shank to facilitate the translational adjustment operation. The doctor can first grip the first main member 121 to adjust the position of the working member 1, and then connect the first main member 121 and the second main member 122 to drive the working member 1 to move by the driving device 2 connected to the second main member 122.

Fig. 3 shows a schematic cross-sectional view of a surgical tool at an angle according to an embodiment of the present invention. Fig. 4 shows a schematic cross-sectional view of a surgical tool at another angle according to an embodiment of the present invention. Fig. 5 shows a partially enlarged view of the area a in fig. 4.

As an alternative embodiment, as shown in fig. 3 to 5, the driving device 2 includes a fixed assembly 21 and a movable assembly 22, the fixed assembly 21 is connected with the supporting frame 3, the movable assembly 22 is movably connected with the fixed assembly 21, and the movable assembly 22 is connected with the main body of the working member 1 and can drive the working member 1 to move relative to the fixed assembly 21.

In the embodiment of the present invention, the moving component 22 and the fixing component 21 constitute a labor-saving mechanism.

The utility model discloses an in some embodiments, the operation instrument still is provided with locking mechanism for locking fixed drive arrangement's position after accomplishing the position control in affected part, behind the operation instrument is released to the prevention at the doctor, operation component 1 receives influence such as muscle and removes, thereby makes the doctor adjust the position in affected part after, can release the operation instrument, carries out operation on next step, reduces the manpower consumption.

As an alternative embodiment, the moving assembly 22 is movably connected to the fixed assembly 21 through a first threaded screw structure, the moving assembly 22 can drive the working member 1 to move when moving relative to the fixed assembly 21 along the axial direction of the first threaded screw structure, and the threaded screw structure with the self-locking function forms the locking mechanism. In some embodiments of the present invention, the moving assembly 22 is rotatably connected to the working member 1.

As an alternative embodiment, the moving assembly 22 is movably connected with the working member 1 through a second threaded screw structure, the moving assembly 22 drives the working member 1 to move, and the threaded screw structure with the self-locking function forms a locking mechanism. In some embodiments of the present invention, the moving component 22 is rotatably connected to the fixed component 21.

As an alternative embodiment, the moving assembly 22 is movably connected to the fixed assembly 21 through a first threaded screw structure, and movably connected to the working member 1 through a second threaded screw structure, wherein the first threaded screw structure and the second threaded screw structure have opposite thread directions, when the moving assembly 22 is rotated, the fixed assembly 21 and the working member 1 simultaneously move in opposite directions relative to the moving assembly 22, so that the speed of the working member 1 moving relative to the fixed assembly 21 is faster.

Specifically, the moving assembly 22 is provided with an internal thread, and the fixing assembly 21 and the intermediate member 13 or the fixing assembly 21 and the working member 1 are provided with an external thread. The moving assembly 22 is provided with anti-slip projections to facilitate force application by the physician.

As an alternative embodiment, the main body of the working member 1 comprises a main member 12 and an intermediate piece 13, the intermediate piece 13 is detachably connected to the main member, and a second nut-and-screw structure is formed between the intermediate piece 13 and the moving assembly 22.

Fig. 6 shows a schematic structural diagram of a driving device according to an embodiment of the present invention. As an alternative embodiment, as shown in fig. 6, the moving assembly 22 is a rack and pinion mechanism, a gear of the rack and pinion mechanism is rotatably disposed on the fixed assembly 21, a rack is movably disposed on the fixed assembly 21, and the rack is connected with the working member 1 and can drive the working member 1 to move.

Specifically, the gear comprises a driving gear and a duplicate gear which are connected with each other, the duplicate gear is connected with the rack, the driving gear can be connected with the electric motor, and the transmission ratio between the driving gear and the duplicate gear is larger than 1. The reduction gear set formed by the driving gear and the duplicate gear can save more labor in operation, and the rotating angle of the rotating assembly is several times of the actual rotating angle of the operation component 1, so that a doctor can more accurately control the rotating amplitude of the operation component, and the position of an affected part can be more accurately adjusted.

As an alternative, a rack is provided on the working member 1, and the working member 1 and the moving assembly 22 together constitute a rack and pinion mechanism.

Fig. 7 shows a schematic structural diagram of another driving device according to an embodiment of the present invention. As an alternative embodiment, as shown in fig. 7, the moving assembly 22 is a crank-slider mechanism, a crank in the crank-slider mechanism is hinged to the fixing assembly 21, a slider is movably disposed on the fixing assembly 21, and the slider is connected to the working member 1 and can drive the working member 1 to move.

As an alternative, the working member 1 as a slide together with the moving assembly 22 constitutes a crank-slide mechanism.

As an alternative embodiment, the intermediate member 13 is connected to the main member 12 by a fastening mechanism.

Fig. 8 shows a schematic structural diagram of a fastening mechanism according to an embodiment of the present invention. As shown in fig. 8, as an alternative embodiment, the fastening mechanism includes a connection base 131, a U-shaped member 132, and a pressing member 133, a mounting hole 1311 for inserting the operation member 1 and a mounting groove 1312 for inserting the U-shaped member 132 are formed on the connection base 131, the U-shaped member 132 is clamped on the connection base 131, a side edge of the U-shaped member 132 is perpendicular to an axis of the mounting hole 1311, and the pressing member 133 is used for pressing a relative position between the connection base 131, the U-shaped member 132, and the main member 12.

In some embodiments of the present invention, the connection base 131 is provided with a threaded shaft 1313, the pressing member 133 is screwed with the threaded shaft 1313, the slot direction of the mounting groove 1312 is perpendicular to the axis of the mounting hole 1311, and the axis of the threaded shaft 1313 is perpendicular to the axis of the mounting hole 1311. The bottom edge of the U-shaped member 132 is provided with a through hole for inserting the threaded shaft 1313, and the side edge of the U-shaped member 132 is provided with a through hole for inserting the operation member. The U-shaped member 132 is disposed between the connection base 131 and the pressing member 133. The main member 12 inserted into the mounting hole 1311 is pressed toward the connection base 131 by pushing the U-shaped member 133 by screwing, and the relative position between the main member 12 and the intermediate member 13 is fixed by pressing.

In other embodiments of the present invention, a square protrusion is disposed on the main member 12, and a corresponding square groove is disposed on the intermediate member 13, thereby fixing the relative position between the main member 12 and the intermediate member 13.

In other embodiments of the present invention, the main member 12 is pinned to the intermediate member 13.

In other embodiments of the present invention, the working member 1 and the intermediate member 13 may be fixed by welding.

As an alternative, the main body portion of the working member 1 comprises a main member 12 provided with a thread, a second nut and screw structure being formed between the main member 12 and the moving assembly 22.

In the case of a threaded or rotatable connection of the displacement assembly 22 to the working member 1, the displacement assembly 22 transmits a torque to the working member 1 during rotation. Since the working member 1 cannot rotate during the movement of the affected part, it is also necessary to prevent the working member 1 from rotating with the moving assembly 22.

As an alternative embodiment, the fixing assembly 21 comprises a guide hole/slot along which the main body portion of the working member 1 can also move.

In some embodiments of the present invention, in other embodiments of the present invention, the portion of the main body of the operation member 1, which is engaged with the fixing component 21, may be a square bar with a polygonal cross section. A square hole may be provided in the drive device 2 to engage with the working member 1, and the working member 1 is prevented from rotating relative to the drive device 2 by the engagement of the square rod with the square hole.

In other embodiments of the present invention, the main body of the operation member 1 and the part of the fixing assembly 21 that is engaged with each other may be further configured as a round rod with a circular cross section, and a circular hole engaged with the operation member 1 may be provided on the fixing assembly 21, so as to limit the rotation of the operation member 1 by other devices.

As an alternative embodiment, the working member 1 is provided with a torsional force receiving portion 14, and the torsional force receiving portion 14 is used for receiving an external force to act on the working member 1 so as to generate a torque to balance the torque transmitted to the working member 1 by the moving assembly 22.

In some embodiments of the present invention, the torque receiving portion 14 includes a handle, and the doctor holds the handle to apply a torque to the handle during the rotation of the moving assembly 22, so that the working member 1 does not rotate with the moving assembly 22.

As an alternative embodiment, the fixing assembly 21 is provided with a limiting structure, and the limiting structure is used for acting on the torsional force receiving part 14 to generate a torque to the working member 1 so as to balance the torque transmitted to the working member 1 by the moving assembly 22.

The utility model discloses an in some embodiments, set up the locating hole with the size on fixed subassembly 21 and operation component 1, at least one locating lever passes on the round hole on fixed subassembly 21 and the middleware 13, locating lever and round hole constitute limit structure restriction operation component 1's rotation, when operation component 1 receives the moment of torsion that removes the subassembly 22 transmission and produce rotatory tendency, the locating lever is exerted the return force to the torsional force acceptance division, produce the moment of torsion to operation component 1, with the moment of torsion that balanced removal subassembly 22 transmitted for operation component 1, realize the circumferential direction location of operation component 1.

As an alternative embodiment, the surgical tool further comprises a first angle adjusting means 4 for adjusting the connection position between the support frame 3 and the fixing member 21.

As an alternative embodiment, the surgical tool further comprises an operating bed holder 5 for fixing the support frame 3 to an operating bed. The operating bed fixator 5 is interconnected with the support frame 3 by means of a second angle adjustment device 4.

Fig. 9 shows an angle adjusting device and an operating table fixer provided by an embodiment of the present invention.

As shown in fig. 9, in some embodiments of the invention, the angle adjustment device 4 comprises a first crown wheel 41, a second crown wheel 42 and a helical hand wheel 43, which are mutually meshed. Wherein a threaded shaft extending in the direction of the second crown gear 42 is provided in the center of the first crown gear 41. A helical hand wheel 43 is provided on the side of the second crown wheel 42 remote from the first crown wheel 41 and is in threaded engagement with the threaded shaft. When the hand wheel 43 is screwed in the direction to approach the first crown wheel 41, the second crown wheel 42 is pressed against the first crown wheel 41, and the first crown wheel 41 and the second crown wheel 42 are engaged with each other to fix the relative position between the two crown wheels. When the hand wheel 43 is screwed out in a direction away from the first crown wheel 41, the first crown wheel 41 and the second crown wheel 42 are separated, and the relative position between the two crown wheels can be adjusted by rotation.

Two crown gears of the first angle adjusting device 4 are respectively connected with the fixing component 21 and the support frame 3, and two crown gears of the second angle adjusting device 4 are respectively connected with the support frame 3 and the operating bed fixer 5.

In some embodiments of the present invention, the surgical bed fixator 5 comprises a fixator support 51, fixed jaws 52 and movable jaws 53 arranged face-to-face on the fixator support 51, a set screw 54 and a jaw drive handle 55. The movable jaw 53 is connected with the fixer bracket 51 through a clamping groove, can slide along the clamping groove, and is in threaded connection with the jaw driving handle 55. The two jaws and the holder bracket 51 together form a T-shaped slot, the side rail of the operating table is located in the T-shaped slot during operation, and the set screw 54 presses and fixes the relative position of the jaws and the side rail.

Alternatively, two movable jaws are provided, both connected to the holder bracket 51 by a slide, and a jaw driving handle 55 simultaneously drives the jaws relatively closer or relatively farther apart.

As an alternative, the support frame 3 is fixed directly to the ground.

In some embodiments of the present invention, the supporting frame 3 includes a stand column and a clamp structure, the clamp structure is connected to the fixing component 21, and the position of the operation member can be adjusted by adjusting the position of the clamp structure on the stand column.

While the invention has been described with reference to a preferred embodiment, various modifications may be made and equivalents may be substituted for elements thereof without departing from the scope of the invention. In particular, the technical features mentioned in the embodiments can be combined in any way as long as there is no structural conflict. The present invention is not limited to the particular embodiments disclosed herein, but encompasses all technical solutions falling within the scope of the claims.

Claims

1. Surgical tool, characterized by comprising a support frame (3), a drive means (2) and a working member (1), wherein:

the support frame (3) is used for supporting and fixing the driving device (2) and the operation component (1);

the driving device (2) is arranged on the supporting frame (3), and the driving device (2) is connected with the operation component (1) and is used for driving the operation component (1) to move;

the working member (1) comprises a body portion and at least one tip structure (11) for acting on the affected area.

2. Surgical tool according to claim 1, characterized in that the drive means (2) comprise a fixed assembly (21) and a mobile assembly (22), the fixed assembly (21) being connected to the support frame (3); the moving assembly (22) is movably connected to the fixed assembly (21), and the moving assembly (22) is connected with the main body part of the working component (1) and can drive the working component (1) to move relative to the fixed assembly (21).

3. Surgical tool according to claim 2, characterized in that the moving assembly (22) and the fixed assembly (21) are constituted as a labour-saving mechanism.

4. Surgical tool according to claim 2, characterized in that the moving assembly (22) is movably connected to the fixed assembly (21) by means of a first threaded screw arrangement, the moving assembly (22) being able to drive the working member (1) in movement when moving relative to the fixed assembly (21) in the axial direction of the first threaded screw arrangement; and/or

The moving assembly (22) is movably connected with the working component (1) through a second threaded lead screw structure, and the moving assembly (22) drives the working component (1) to move.

5. A surgical tool as claimed in claim 4, wherein the first and second threaded screw structures have opposite hand threads.

6. A surgical tool as claimed in claim 5, characterized in that the fixing assembly (21) comprises a guide hole/slot along which the body portion of the working member (1) is also movable.

7. The surgical tool according to claim 5, wherein the main body of the working member (1) comprises a main member (12) and an intermediate piece (13), the intermediate piece (13) being detachably connected to the main member (12), the intermediate piece (13) and the moving assembly (22) forming the second threaded screw structure therebetween.

8. A surgical tool as claimed in claim 7, characterized in that the intermediate piece (13) is connected to the main member (12) by a fastening mechanism.

9. The surgical tool according to claim 8, wherein the fastening mechanism comprises a connecting base (131), a U-shaped member (132), and a pressing member (133), the connecting base (131) is provided with a mounting hole (1311) for inserting the main member (12) and a mounting groove (1312) for inserting the U-shaped member (132), the U-shaped member (132) is clamped on the connecting base (131), the side edge of the U-shaped member (132) is perpendicular to the axis of the mounting hole (1311), and the pressing member (133) is used for pressing and fixing the connecting base (131), the U-shaped member (132), and the main member (12).

10. The surgical tool according to claim 4, wherein a torsion force receiving portion (14) is further provided on the working member (1), the torsion force receiving portion (14) being configured to receive an external force to act to generate a torque to the working member (1).

11. A surgical tool as claimed in claim 10, wherein the securing assembly (21) is provided with a stop arrangement for acting on a torsional force receiving portion (14) to generate a torque to the working member (1).

12. The surgical tool according to claim 2, characterized in that the moving assembly (22) is a rack and pinion mechanism, wherein a gear is rotatably arranged on the fixed assembly (21) and a rack is movably arranged on the fixed assembly (21), wherein the rack is connected with the working member (1) and can drive the working member (1) to move.

13. The surgical tool according to claim 2, characterized in that the moving assembly (22) is a slider-crank mechanism, wherein a crank of the slider-crank mechanism is hinged to the fixed assembly (21), a slider is movably arranged on the fixed assembly (21), and the slider is connected with the working member (1) and can drive the working member (1) to move.

14. Surgical tool according to claim 1, characterized in that the end structure (11) of the working member (1) comprises an area provided with at least one tip.

15. A surgical tool as claimed in claim 2, further comprising first angle adjustment means (4) for adjusting the position of the connection between the support frame (3) and the securing assembly (21).

16. Surgical tool according to claim 1, characterized in that it further comprises an operating bed holder (5) for fixing said support frame (3) to an operating bed, the operating bed holder (5) being connected to the support frame by means of second angle adjustment means (4).