CN217286420U - Head and neck fixer in reverse shoulder replacement operation - Google Patents
Head and neck fixer in reverse shoulder replacement operation Download PDFInfo
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Abstract
本实用新型公开了一种反肩置换手术术中头颈部固定器,包括手术椅,所述手术椅顶部一侧通过第一板体连接有床垫,所述床垫两侧均设有挡板,床垫顶部一侧分别通过魔术贴连接有头圈与颈托,所述挡板一侧底部固定连接有呈L状的竖板,所述床垫顶部上方设有固定机构,所述固定机构包括安装板,所述安装板下方设有支撑杆,所述支撑杆底端固定连接有呈弧形的定位块,所述定位块底部固定连接有呈弧形的硅胶垫块,所述安装板两侧均设有与竖板相连接的定位组件。本实用新型在使用时,能够防止患者头部摆动,减少患者与医护人员的不适感,进而提高整体医疗效果与医疗质量。
The utility model discloses a head and neck fixer in reverse shoulder replacement surgery, which comprises an operating chair. One side of the top of the operating chair is connected with a mattress through a first plate body, and both sides of the mattress are provided with stoppers The top side of the mattress is respectively connected with a head ring and a neck brace through a Velcro, an L-shaped vertical plate is fixedly connected to the bottom of one side of the baffle, and a fixing mechanism is arranged above the top of the mattress, and the fixing The mechanism includes a mounting plate, a support rod is arranged below the mounting plate, an arc-shaped positioning block is fixedly connected to the bottom end of the support rod, and an arc-shaped silicone pad is fixedly connected to the bottom of the positioning block. Both sides of the board are provided with positioning components connected with the vertical board. When the utility model is used, the head of the patient can be prevented from swinging, the discomfort of the patient and the medical staff can be reduced, and the overall medical effect and medical quality can be improved.
Description
技术领域technical field
本实用新型涉及头颈部固定技术领域,尤其涉及一种反肩置换手术术中头颈部固定器。The utility model relates to the technical field of head and neck fixation, in particular to a head and neck fixer in reverse shoulder replacement surgery.
背景技术Background technique
反肩置换就是要把肩胛盂去掉,在肩胛盂上放一个反肩的、突出肩胛骨的假体,形成一个关节,再缝合上面的软组织的手术过程。Reverse shoulder replacement is a surgical procedure in which the glenoid is removed, a prosthesis protruding from the shoulder blade is placed on the glenoid to form a joint, and then the soft tissue above is sutured.
肩关节置换手术的体位是在在常规“沙滩椅”体位上将患侧肩关节悬空,故应将手术床头及床尾调换,改手术床为反向体位后进行沙滩椅体位的摆放,而在对患者进行手术时,由于需要将其中一半的床板进行去除,从而便于将患者的肩关节进行悬空利于手术医生操作及术中C型臂透视,但是在悬空时,由于患者的上身一半处于悬空状态而患者本身又处于全麻状态,此时患者的头颈部极易因为失去支撑而发生摆动,而现有的“沙滩椅”难以对患者头颈部进行支撑与防摆动,因此经常需要医护人员长时间扶着患者的头颈部,从而极易使得医护人员与患者都造成极大的不适感,进而极易导致影响整体医疗效果与质量。The position of shoulder replacement surgery is to suspend the affected shoulder joint in the conventional "beach chair" position. Therefore, the head of the operating bed and the end of the bed should be exchanged, and the operating bed should be changed to the reverse position before placing the beach chair position. When performing surgery on a patient, half of the bed board needs to be removed, so that it is convenient to suspend the patient's shoulder joint, which is convenient for the surgeon's operation and intraoperative C-arm fluoroscopy. However, when the patient is suspended, the upper body of the patient is suspended. At this time, the patient's head and neck are easily swayed due to the loss of support, and the existing "beach chair" is difficult to support and prevent the patient's head and neck from swinging, so medical care is often required. Personnel hold the patient's head and neck for a long time, which can easily cause great discomfort to both the medical staff and the patient, which can easily affect the overall medical effect and quality.
实用新型内容Utility model content
本实用新型的目的在于提供一种反肩置换手术术中头颈部固定器,以解决上述技术问题。The purpose of the utility model is to provide a head and neck fixer in reverse shoulder replacement surgery to solve the above technical problems.
本实用新型为解决上述技术问题,采用以下技术方案来实现:In order to solve the above-mentioned technical problems, the utility model adopts the following technical solutions to realize:
一种反肩置换手术术中头颈部固定器,包括手术椅,其特征在于,所述手术椅顶部一侧通过第一板体连接有床垫,所述床垫两侧均设有挡板,床垫顶部一侧分别通过魔术贴连接有头圈与颈托,所述挡板一侧底部固定连接有呈L状的竖板,所述床垫顶部上方设有固定机构,所述固定机构包括安装板,所述安装板下方设有支撑杆,所述支撑杆底端固定连接有呈弧形的定位块,所述定位块底部固定连接有呈弧形的硅胶垫块,所述安装板两侧均设有与竖板相连接的定位组件。An intraoperative head and neck fixer for reverse shoulder replacement surgery, including a surgical chair, characterized in that a mattress is connected to one side of the top of the surgical chair through a first plate body, and baffles are provided on both sides of the mattress , one side of the top of the mattress is respectively connected with a head ring and a neck brace through a Velcro, the bottom of one side of the baffle is fixedly connected with an L-shaped vertical plate, a fixing mechanism is arranged above the top of the mattress, and the fixing mechanism It includes a mounting plate, a support rod is arranged below the mounting plate, an arc-shaped positioning block is fixedly connected to the bottom end of the support rod, and an arc-shaped silicone pad is fixedly connected to the bottom of the positioning block. Both sides are provided with positioning components connected with the vertical plate.
通过头圈与颈托能够对患者头部与颈部进行一定的支撑,同时通过固定机构能够对患者额头进行定位,防止患者头部摆动,从而减少患者与医护人员的不适感。The head ring and the neck brace can support the patient's head and neck to a certain extent, and at the same time, the patient's forehead can be positioned through the fixing mechanism to prevent the patient's head from swinging, thereby reducing the discomfort of the patient and medical staff.
优选的,所述定位块两侧均固定连接有支撑板,所述支撑板一侧固定连接有气囊。Preferably, a support plate is fixedly connected to both sides of the positioning block, and an airbag is fixedly connected to one side of the support plate.
通过气囊能够对患者头部两侧进行抵接,从而进一步的提升对患者头部与颈部固定的效果。The airbag can abut on both sides of the patient's head, thereby further enhancing the effect of fixing the patient's head and neck.
优选的,所述定位组件包括滑动连接于竖板顶部的U型板,所述U型板一侧顶部固定连接有与安装板固定连接的横杆。Preferably, the positioning assembly includes a U-shaped plate slidably connected to the top of the vertical plate, and a cross bar fixedly connected to the mounting plate is fixedly connected to the top of one side of the U-shaped plate.
通过定位组件能够上下调节定位块与硅胶垫块的位置,从而便于对患者的额头进行定位。The position of the positioning block and the silicone pad can be adjusted up and down through the positioning assembly, so as to facilitate the positioning of the patient's forehead.
优选的,所述U型板一侧底部固定连接有固定箱,所述固定箱内壁一侧四角处均固定连接有固定杆,所述固定箱内设有滑动套设于固定杆外表面的滑板,所述滑板一侧贯穿固定连接有插杆。Preferably, a fixing box is fixedly connected to the bottom of one side of the U-shaped plate, four corners of the inner wall of the fixing box are fixedly connected with fixing rods, and the fixing box is provided with a sliding plate slidingly sleeved on the outer surface of the fixing rod , a plug-in rod is fixedly connected through one side of the slide plate.
通过拉动插杆,从而能够带动滑板移动,从而使得插杆与竖板相分离,从而便于快速解除对U型板的限位,从而便于U型板上升移动。By pulling the insertion rod, the sliding plate can be driven to move, so that the insertion rod is separated from the vertical plate, thereby facilitating the quick release of the limit on the U-shaped plate, thereby facilitating the upward movement of the U-shaped plate.
优选的,所述固定箱内壁一侧四角处均固定连接有套设于固定杆外表面且与滑板一侧固定连接的第一弹簧。Preferably, the four corners of one side of the inner wall of the fixing box are fixedly connected with a first spring sleeved on the outer surface of the fixing rod and fixedly connected with one side of the slide plate.
通过第一弹簧能够使得滑板难以被拉动,也能保证插杆不会随意移动,从而保证U型板的稳定性。The first spring can make it difficult for the sliding plate to be pulled, and can also ensure that the insertion rod does not move at will, thereby ensuring the stability of the U-shaped plate.
优选的,所述固定箱内壁另一侧固定连接有套设于插杆外表面且与滑板另一侧固定连接的第二弹簧,所述插杆一端固定连接有把手。Preferably, the other side of the inner wall of the fixed box is fixedly connected with a second spring sleeved on the outer surface of the insertion rod and fixedly connected with the other side of the slide plate, and one end of the insertion rod is fixedly connected with a handle.
通过第二弹簧能够对滑板进行抵接,从而进一步的提高对滑板进行限位的效果,保证了滑板不会随意发生位移,进而进一步的提升U型板被限位时的稳定性。The second spring can abut the sliding plate, thereby further improving the effect of limiting the sliding plate, ensuring that the sliding plate will not be displaced at will, and further improving the stability of the U-shaped plate when it is limited.
优选的,所述U型板两侧均贯穿开设有第一插孔,所述竖板一侧呈等距线性阵列贯穿开设有多个第二插孔,所述插杆另一端位于第一插孔与第二插孔内,所述插杆两端分别贯穿固定箱两侧并与其滑动连接。Preferably, first insertion holes are formed through both sides of the U-shaped plate, a plurality of second insertion holes are formed through one side of the vertical plate in an equidistant linear array, and the other end of the insertion rod is located in the first insertion hole. In the hole and the second insertion hole, the two ends of the insertion rod respectively penetrate the two sides of the fixed box and are slidably connected with it.
当插杆位于第一插孔与第二插孔内时,U型板无法移动,U型板无法移动时,由于U型板通过横杆与安装板连接在一起,此时保证安装板也不会随意上升或下降移动。When the insertion rod is located in the first jack and the second jack, the U-shaped plate cannot move, and when the U-shaped plate cannot move, since the U-shaped plate is connected with the mounting plate through the cross bar, it is ensured that the mounting plate does not move. Will move up or down at will.
优选的,所述安装板底部中间位置处固定连接有呈U状的调节板,所述调节板顶部滑动连接有回型框,所述回型框底部与支撑杆顶端固定连接,所述调节板顶部开设有多个螺纹槽,所述回型框顶部螺纹连接有位于螺纹槽内的螺纹杆,所述挡板底部固定连接有夹持件。Preferably, a U-shaped adjustment plate is fixedly connected at the middle position of the bottom of the mounting plate, the top of the adjustment plate is slidably connected with a return-shaped frame, the bottom of the return-shaped frame is fixedly connected with the top end of the support rod, and the adjustment plate The top is provided with a plurality of threaded grooves, the top of the return frame is threadedly connected with threaded rods located in the threaded grooves, and the bottom of the baffle is fixedly connected with a clamping piece.
通过将螺纹杆拧下,从而可以使得回型框移动,回型框移动能够支撑杆移动,支撑杆移动能够带动定位块与硅胶垫块移动,进而可以针对不同的患者前后调节定位块与硅胶垫块,从而能够对不同患者的额头进行定位。By unscrewing the threaded rod, the return frame can be moved, the movement of the return frame can move the support rod, and the movement of the support rod can drive the positioning block and the silicone pad to move, and then the positioning block and the silicone pad can be adjusted back and forth for different patients. block, enabling positioning of the forehead of different patients.
与现有技术相比,本实用新型的有益效果为:Compared with the prior art, the beneficial effects of the present utility model are:
1、本实用新型在使用时,具有无需医护人员一直扶着患者的头颈部即可对患者头颈部进行固定,防止患者头部摆动,从而减少患者与医护人员的不适感,进而提高整体医疗效果与医疗质量的作用。1. When the utility model is in use, it can fix the patient's head and neck without the need for medical staff to hold the patient's head and neck all the time, preventing the patient's head from swinging, thereby reducing the discomfort between the patient and the medical staff, and improving the overall performance. The role of medical outcomes and medical quality.
2、本实用新型在使用时,还具有通过定位组件便于快速将固定机构与竖板进行分离,从而便于将患者头部先放置于头圈与颈托之上的作用。2. When the utility model is in use, it also has the effect of facilitating the quick separation of the fixing mechanism and the vertical plate through the positioning assembly, thereby facilitating the placement of the patient's head on the head ring and the neck brace.
3、本实用新型在使用时,还具有便于前后调节定位块与硅胶垫块的位置,从而便于针对不同患者进行调节使用,进而提高该装置的适用群体范围的作用。3. When the utility model is in use, it also has a position that is convenient for adjusting the position of the positioning block and the silicone cushion block back and forth, so as to facilitate adjustment and use for different patients, thereby increasing the scope of the device's applicable group.
附图说明Description of drawings
图1为本实用新型提出的一种反肩置换手术术中头颈部固定器的整体结构示意图;1 is a schematic diagram of the overall structure of a head and neck fixator in a reverse shoulder replacement operation proposed by the present utility model;
图2为本实用新型提出的图1中床垫与头圈的连接结构示意图;FIG. 2 is a schematic diagram of the connection structure of the mattress and the head ring in FIG. 1 proposed by the utility model;
图3为本实用新型提出的图2中U型板与竖板的连接结构示意图;3 is a schematic diagram of the connection structure of the U-shaped plate and the vertical plate in FIG. 2 proposed by the utility model;
图4为本实用新型提出的图3中支撑板与气囊的连接结构示意图;FIG. 4 is a schematic diagram of the connection structure of the support plate and the airbag in FIG. 3 proposed by the utility model;
图5为本实用新型提出的图3中固定箱的剖面结构示意图;Fig. 5 is the sectional structure schematic diagram of the fixing box in Fig. 3 proposed by the utility model;
图6为本实用新型提出的图2中挡板与竖板的连接机构示意图;FIG. 6 is a schematic diagram of the connection mechanism of the baffle plate and the vertical plate in FIG. 2 proposed by the utility model;
图中:1、手术椅;2、床垫;3、挡板;4、头圈;5、颈托;6、固定机构;601、安装板;602、支撑杆;603、定位块;604、硅胶垫块;605、支撑板;606、气囊;607、定位组件;6071、U型板;6072、固定箱;6073、固定杆;6074、滑板;6075、第一弹簧;6076、插杆;6077、第二弹簧;7、调节板;8、回型框;9、竖板;10、夹持件。In the figure: 1, surgical chair; 2, mattress; 3, baffle; 4, head ring; 5, neck brace; 6, fixing mechanism; 601, mounting plate; 602, support rod; 603, positioning block; 604, Silicone pad; 605, support plate; 606, air bag; 607, positioning assembly; 6071, U-shaped plate; 6072, fixed box; 6073, fixed rod; 6074, slide plate; 6075, first spring; 6076, plunger; 6077 , the second spring; 7, the adjustment plate; 8, the return frame; 9, the vertical plate; 10, the clamping part.
具体实施方式Detailed ways
下面结合附图描述本实用新型的具体实施例。The specific embodiments of the present utility model are described below in conjunction with the accompanying drawings.
实施例1Example 1
如图1-6所示,一种反肩置换手术术中头颈部固定器,包括手术椅1,手术椅1顶部一侧通过第一板体连接有床垫2,床垫2两侧均设有挡板3,挡板3一侧呈三个山状,从而便于医护人员将相应的输液管或呼吸管、麻醉管道等管道进行放置,床垫2顶部一侧分别通过魔术贴连接有头圈4与颈托5,颈托5两侧顶部均固定连接有两个魔术贴,通过魔术贴能够对患者颈部进行一定的绑缚,从而加强对患者头颈部的限位,挡板3一侧底部固定连接有呈L状的竖板9,床垫2顶部上方设有固定机构6,固定机构6包括安装板601,安装板601下方设有支撑杆602,支撑杆602底端固定连接有呈弧形的定位块603,定位块603底部固定连接有呈弧形的硅胶垫块604,安装板601两侧均设有与竖板9相连接的定位组件607。As shown in Figures 1-6, an intraoperative head and neck immobilizer for reverse shoulder replacement surgery includes an operating chair 1, and a
定位块603两侧均固定连接有支撑板605,支撑板605一侧固定连接有气囊606。Both sides of the
让患者躺在床垫2上,使得患者的头部位于头圈4上,颈部位于颈托5上,然后通过解除定位组件607的定位,能够快速使得U型板6071下降,U型板6071下降能够带动横杆下降,横杆下降能够带动安装板601下降,安装板601下降能够带动调节板7与回型框8下降,回型框8下降能够带动支撑杆602下降,支撑杆602下降能够带动定位块603下降,定位块603下降能够带动支撑板605与硅胶垫块604下降,当硅胶垫块604下降到与患者额头相接触贴合时,通过定位组件607使得安装板601停止下降,然后通过外部气源与气囊606进行连接对气囊606进行充气,使得气囊606膨胀与患者头部两侧进行抵接,然后停止对气囊606进行充气,此时无需医护人员一直扶着患者头颈部,保证患者头部不会发生摆动。Let the patient lie on the
实施例2Example 2
如图1-6所示,一种反肩置换手术术中头颈部固定器,包括手术椅1,手术椅1顶部一侧通过第一板体连接有床垫2,床垫2两侧均设有挡板3,挡板3呈L状,挡板3底部位于床垫2与第一板体之间,并通过在第一板体上与挡板3底部也设置魔术贴,从而便于对挡板3进行限位,同时患者头部与上半身躺在床垫2上时也能对挡板3底部进行压住,从而保证挡板3不会随意发生位移,同时也便于将挡板3拆卸下来,床垫2顶部一侧分别通过魔术贴连接有头圈4与颈托5,通过魔术贴能够将头圈4与颈托5拆下来,同时便于移动头圈4与颈托5的位置,挡板3一侧底部固定连接有呈L状的竖板9,床垫2顶部上方设有固定机构6,固定机构6包括安装板601,安装板601下方设有支撑杆602,支撑杆602底端固定连接有呈弧形的定位块603,定位块603底部固定连接有呈弧形的硅胶垫块604,安装板601两侧均设有与竖板9相连接的定位组件607。As shown in Figures 1-6, an intraoperative head and neck immobilizer for reverse shoulder replacement surgery includes an operating chair 1, and a
定位组件607包括滑动连接于竖板9顶部的U型板6071,U型板6071一侧顶部固定连接有与安装板601固定连接的横杆。The
U型板6071一侧底部固定连接有固定箱6072,固定箱6072内壁一侧四角处均固定连接有固定杆6073,固定箱6072内设有滑动套设于固定杆6073外表面的滑板6074,滑板6074一侧贯穿固定连接有插杆6076。A
固定箱6072内壁一侧四角处均固定连接有套设于固定杆6073外表面且与滑板6074一侧固定连接的第一弹簧6075。The four corners of the inner wall of the
固定箱6072内壁另一侧固定连接有套设于插杆6076外表面且与滑板6074另一侧固定连接的第二弹簧6077,插杆6076一端固定连接有把手。The other side of the inner wall of the
U型板6071两侧均贯穿开设有第一插孔,竖板9一侧呈等距线性阵列贯穿开设有多个第二插孔,插杆6076另一端位于第一插孔与第二插孔内,插杆6076两端分别贯穿固定箱6072两侧并与其滑动连接。Both sides of the
当拉动把手时能够带动插杆6076移动,插杆6076移动能够带动滑板6074沿着固定杆6073的方向移动并拉扯第一弹簧6075,此时滑板6074移动能够挤压第二弹簧6077,此时插杆6076从第一插孔与第二插孔内移动出来,此时向上移动把手,把手移动能够通过插杆6076带动固定箱6072移动,固定箱6072移动能够带U型板6071沿着竖板9的方向移动,直至U型板6071与竖板9相分离,当U型板6071与竖板9相分离后,此时U型板6071能够带动横杆与安装板601移动到竖板9顶部,从而可以将整个固定机构6拆下来,进而便于患者将头部放置于头圈4与颈托5上。When the handle is pulled, it can drive the
安装板601底部中间位置处固定连接有呈U状的调节板7,调节板7顶部滑动连接有回型框8,回型框8底部与支撑杆602顶端固定连接,调节板7顶部开设有多个螺纹槽,回型框8顶部螺纹连接有位于螺纹槽内的螺纹杆,挡板3底部固定连接有夹持件10,夹持件10包括与挡板3底部固定连接的呈U状的夹持板,夹持板顶部内壁与第一板体顶部相接触,夹持板底部螺纹连接有夹持螺杆,螺杆顶端固定连接有夹持块,夹持块为橡胶材质,拧动夹持螺杆从而使得夹持块上升与第一板体底部相抵接,进而进一步提升挡板3的稳定性。A
通过将螺纹杆拧下,从而可以使回型框8移动,回型框8移动能够带动支撑杆602与定位块603移动,从而使得定位块603可以前后移动,当移动到合适位置后,将螺纹杆拧上进入螺纹槽内,从而利用螺纹杆将回型框8与调节板7进行连接,进而便于针对不同患者调节定位块603的位置。By unscrewing the threaded rod, the
工作原理:拉动把手时能够带动插杆6076移动,插杆6076移动能够带动滑板6074沿着固定杆6073的方向移动并拉扯第一弹簧6075,此时滑板6074移动能够挤压第二弹簧6077,此时插杆6076从第一插孔与第二插孔内移动出来,此时向上移动把手,把手移动能够通过插杆6076带动固定箱6072移动,固定箱6072移动能够带U型板6071沿着竖板9的方向移动,直至U型板6071与竖板9相分离,当U型板6071与竖板9相分离后,此时U型板6071能够带动横杆与安装板601移动到竖板9顶部,从而可以将整个固定机构6拆下来,进而便于患者将头部放置于头圈4与颈托5上,当患者头部与颈部放置好后,将U型板6071与竖板9进行连接,然后向下移动把手,把手时能够带动插杆6076移动,插杆6076移动能够带动固定箱6072与U型板6071下降,U型板6071下降能够带动横杆下降,横杆下降能够带动安装板601下降,安装板601下降能够带动调节板7与回型框8下降,回型框8下降能够带动支撑杆602下降,支撑杆602下降能够带动定位块603下降,定位块603下降能够带动支撑板605与硅胶垫块604下降,当硅胶垫块604下降到与患者额头相接触贴合时,通过定位组件607使得安装板601停止下降,然后通过外部气源与气囊606进行连接对气囊606进行充气,使得气囊606膨胀与患者头部两侧进行抵接,然后停止对气囊606进行充气,此时无需医护人员一直扶着患者头颈部,保证患者头部不会发生摆动。Working principle: when the handle is pulled, it can drive the
以上所述,仅为本实用新型较佳的具体实施方式,但本实用新型的保护范围并不局限于此,任何熟悉本技术领域的技术人员在本实用新型揭露的技术范围内,根据本实用新型的技术方案及其实用新型构思加以等同替换或改变,都应涵盖在本实用新型的保护范围之内。The above description is only a preferred embodiment of the present invention, but the protection scope of the present invention is not limited to this. Equivalent replacement or modification of the new technical solution and its utility model concept shall be included within the protection scope of the present utility model.
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| CN118403303A (en) * | 2024-07-01 | 2024-07-30 | 南方医科大学南方医院 | A head and neck foam fixation device and method for use in radiotherapy |
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| CN118403303A (en) * | 2024-07-01 | 2024-07-30 | 南方医科大学南方医院 | A head and neck foam fixation device and method for use in radiotherapy |
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