CN211155966U - Chest wall inner traction device used under endoscope - Google Patents

Abstract

The utility model discloses a chest wall inner traction device used under an endoscope, which comprises a hand traction ring, a steel wire and a steel pipe, wherein one end of the bottom of the hand traction ring is fixedly connected with one end of the steel wire, the other end of the steel wire is a free end, and the free end of the steel wire passes through the steel pipe and is detachably connected with the other end of the bottom of the hand traction ring; the hand pulls and sets up on the pull ring and holds arc recess district with finger matched with finger, the hand pulls the pull ring bottom other end and sets up the fixed recess of steel wire, the free end of steel wire is for taking the straight needle end certainly, the straight needle end of steel wire is passed and is cut the straight needle and knot the formation knot of knoing the steel wire free end behind the steel pipe, the knot of steel wire tip is buckled the nestification on the fixed recess of steel wire. The utility model discloses can solve the tradition and draw and collude can not satisfy under chamber mirror operation required space and the little incision chamber mirror treatment shoulder blade under the rib fracture because of can't lift the problem of the unable operation of shoulder blade, can realize fully exposing intrathoracic operation operating space, still do not occupy the operating space of incision department simultaneously.

Description

Chest wall inner traction device used under endoscope

Technical Field

The utility model belongs to the technical field of medical instrument, specifically relate to a chest wall interior tractive device that uses under chamber mirror.

Background

The rib fracture incision reduction internal fixation is the most effective treatment means for treating multiple rib fractures and flail chest, and has the advantages of greatly relieving pain caused by multiple fracture dislocation of patients, obviously shortening hospitalization time, effectively reducing perioperative complications and the like. Because multiple rib fractures often combine with visceral injuries, the traditional rib fracture surgery usually carries out internal fixation of rib fracture incision reduction after conventional thoracotomy for exploration and hemostasis, along with the development of science and technology, the development of medical instruments and operation technology is a thousand of days, nowadays, a thoracoscope can already complete most thoracic surgeries, visceral injuries caused by rib fractures can be also explored through the thoracoscope and treated by corresponding surgeries, and the treatment of rib fractures is gradually developed towards minimally invasive at present.

Generally speaking, the multiple rib fracture usually has a large span, and the space required by endoscopic operation of a far part cannot be met only by the traditional pulling hook; in addition, when the fracture of the rib below the scapula is treated in the past, the scapula needs to be lifted by a scapula pull hook after the chest is opened on the normal back and outside to carry out internal fixation surgery, and the fracture of the rib below the scapula can not be operated because the scapula can not be lifted under a small incision endoscope for treating the fracture of the scapula; therefore, at present, there is a need to develop a thoracic surgery traction device that can solve the problems that the traditional hook can not satisfy the space required by endoscopic operation and the operation can not be performed because the scapula can not be lifted to treat the fracture of the rib under the scapula under the small incision endoscope.

Disclosure of Invention

Aiming at the problems, the utility model makes up the defects of the prior art and provides a chest wall inner traction device used under a cavity mirror; the utility model discloses can solve the tradition and draw and collude can not satisfy under chamber mirror operation required space and the little incision chamber mirror treatment shoulder blade under the rib fracture because of can't lift the problem of the unable operation of shoulder blade, can realize fully exposing intrathoracic operation operating space, still do not occupy the operating space of incision department simultaneously.

In order to achieve the above purpose, the utility model adopts the following technical scheme.

The utility model relates to a tractive device in chest wall that uses under chamber mirror, its characterized in that: the hand traction ring comprises a hand traction ring, a steel wire and a steel pipe, wherein one end of the bottom of the hand traction ring is fixedly connected with one end of the steel wire, the other end of the steel wire is a free end, and the free end of the steel wire penetrates through the steel pipe to be detachably connected to the other end of the bottom of the hand traction ring.

As an optimized proposal of the utility model, the hand traction ring is provided with a finger holding arc-shaped groove area matched with the finger.

As another preferred scheme of the utility model, the hand pull ring bottom other end be provided with the fixed recess of steel wire, the free end of steel wire is for taking the straight needle end certainly, the straight needle end of steel wire is passed and is cut the straight needle and knot the formation knot of knoing the steel wire free end after the steel pipe, the knot of steel wire tip is buckled and is nested on the fixed recess of steel wire.

As another preferred scheme of the utility model, be provided with oblique groove on the mouth of pipe at steel pipe both ends respectively, oblique groove be kettle mouth shape.

The beneficial effects of the utility model.

The utility model provides a pair of draw-off device in chest wall that uses under chamber mirror can solve the tradition and draw and collude and can not satisfy under chamber mirror operation required space and the little incision chamber mirror treatment scapula rib fracture because of can't lift the scapula and the unable problem of performing the operation, can realize fully exposing interior operation space of chest, still does not occupy the operation space of incision department simultaneously.

Drawings

In order to make the technical problem, technical scheme and beneficial effect that the utility model solved more clearly understand, it is right to combine the attached drawing and detailed description mode below the utility model discloses further detailed description. It should be understood that the detailed description and specific examples, while indicating the invention, are given by way of illustration only.

Fig. 1 is a schematic view of the three-dimensional structure of the chest wall internal traction device used under the endoscope.

Fig. 2 is a front view structure diagram of the chest wall inner traction device used under the endoscope.

Fig. 3 is a schematic structural diagram of a steel pipe of the chest wall internal traction device used under the endoscope.

Fig. 4 is a schematic view of the structure of the chest wall inner traction device used under the endoscope.

Fig. 5 is a schematic perspective view of another embodiment of the chest wall internal traction device used under the endoscope.

Fig. 6 is a schematic structural view of another embodiment of the chest wall internal traction device used under the endoscope.

Fig. 7 is a schematic structural diagram of a steel tube of another embodiment of the chest wall internal traction device used under the endoscope of the present invention.

Fig. 8 is a structural schematic diagram of a use state of another embodiment of the chest wall internal traction device used under the endoscope of the present invention.

The labels in the figure are: 1 is finger holding arc groove area, 2 is hand pulling ring, 3 is steel wire fixing groove, 4 is steel wire, 5 is steel pipe, 6 is bevel groove, 7 is rib, 8 is skin layer, 9 is muscle layer, 10 is scapula.

Detailed Description

Combine the attached drawing to show, the utility model relates to a chest wall interior tractive device that uses under chamber mirror, its characterized in that: including hand traction ring 2, steel wire 4, steel pipe 5, 2 bottom one end of hand traction ring and 4 one ends of steel wire are fixed to be linked to each other, the 4 other ends of steel wire be the free end, the free end of steel wire 4 passes steel pipe 5 can dismantle to be connected in 2 bottom other ends of hand traction ring.

The hand traction ring 2 is provided with a finger holding arc-shaped groove area 1 matched with fingers, so that an operator can hold the hand traction ring 2 more comfortably and stably.

The other end of the bottom of the hand traction ring 2 is provided with a steel wire fixing groove 3, the free end of the steel wire 4 is a self straight needle end, the straight needle end of the steel wire 4 penetrates through a steel pipe 5 and then is cut off, the free end of the steel wire 4 is knotted to form a knot, and the knot at the end part of the steel wire 4 is nested on the steel wire fixing groove 3; the opening size of the steel wire fixing groove 3 is corresponding to the diameter of the steel wire 4, and the steel wire fixing groove 3 is buckled with the knot to be clamped on the steel wire fixing groove 3, and the steel wire fixing groove is used for drawing the traction device.

The pipe orifices at the two ends of the steel pipe 5 are respectively provided with a slope opening 6 which is matched and contacted with the steel wire, and the slope opening 6 is in a spout shape; the steel pipe 5 both ends mouth of pipe is provided with respectively and is the kettle mouth shape, is used for the slope mouth 6 that contacts with the steel wire cooperation, can avoid steel wire 4 and 5 mouth of pipe contact departments of steel pipe to be cut off by 5 mouths of pipe of steel pipe when tractive this device through this kind of mode of setting.

Specifically, the size of the steel tube 5 is set according to the specific requirements during the operation; fig. 5 to 8 are another embodiment structure diagrams of the chest wall internal traction device used under the endoscope of the present invention, the middle part of the steel tube 5 in fig. 5 to 8 is provided with an arc depressed area, the arrangement mode is to cooperate with the traction of the scapula 10, as shown in the use state diagram of fig. 8, when in traction, the arc depressed area of the steel tube 5 is attached to the scapula 10 for drawing the scapula 10 to expose the ribs 7 below the scapula 10.

Combine the utility model discloses a drawing and technical scheme explain the utility model discloses a use method: after the pulling position is selected, the steel wire 4 with the straight needle penetrates through the muscle layer 9 from the skin layer 8 to reach the surface of the rib 7, the steel pipe 5 with the corresponding length penetrates through the skin layer 8 from the inner side of the muscle layer 9, and the knot formed by knotting the free end of the steel wire 4 after the needle is cut off is embedded and clamped in the steel wire fixing groove 3 of the hand pulling ring 2, which can be seen in the use form figure of figure 4; because of there being steel pipe 5 to support in muscle layer 9 is inboard, muscle layer 9 and 7 clearance spaces of rib increase, tractive area greatly increased, 7 fracture internal fixation of rib under the cavity mirror of being convenient for can use two sets simultaneously moreover the utility model discloses the device, parallel or alternately tractive, it is bigger to expose the area, cuts off steel wire 4 after the use and takes out and shift out steel pipe 5.

In addition, the traction device of the utility model is also suitable for traction of the scapula 10, and the using method comprises the following steps: the soft tissue at one side of the scapula 10 enters the lower area of the scapula 10, the steel pipe 5 with the arc-shaped concave area is sleeved and then penetrates out from the other side, specifically, the use shape figure of figure 8 can be seen, two groups of devices can be arranged side by side to complete traction, the operation space is fully exposed, and meanwhile, the operation space at the incision is not occupied.

It should be understood that the above detailed description of the present invention is only for illustrating the present invention and is not limited by the technical solutions described in the embodiments of the present invention, and those skilled in the art should understand that the present invention can still be modified or equivalently replaced to achieve the same technical effects; as long as the use requirement is satisfied, the utility model is within the protection scope.

Claims (4)

1. The utility model provides a chest wall internal traction device who uses under chamber mirror which characterized in that: the hand traction ring comprises a hand traction ring, a steel wire and a steel pipe, wherein one end of the bottom of the hand traction ring is fixedly connected with one end of the steel wire, the other end of the steel wire is a free end, and the free end of the steel wire penetrates through the steel pipe to be detachably connected to the other end of the bottom of the hand traction ring.

2. The chest wall internal pulling device used under endoscope of claim 1, wherein: the hand traction ring is provided with a finger holding arc-shaped groove area matched with fingers.

3. The chest wall internal pulling device used under endoscope of claim 1, wherein: the other end of the bottom of the hand traction ring is provided with a steel wire fixing groove, the free end of the steel wire is provided with a straight needle end, the straight needle end of the steel wire penetrates through the steel pipe and then is cut off and knotted with the free end of the steel wire to form a knot, and the knot at the end part of the steel wire is nested on the steel wire fixing groove.

4. The chest wall internal pulling device used under endoscope of claim 1, wherein: the two ends of the steel pipe are respectively provided with an inclined groove which is in a spout shape.

Images