Lumbar vertebra-reduction traction machine
This utility model relates to a kind of medical apparatus and instruments for the treatment of prolapse of lumbar intervertebral disc and lumbar spinal stenosis.Especially the vertical lumbar vertebra that refers to " manipulation of carrying on the back " the treatment mechanism in a kind of concentrated bonesetting theory and the design traction machine that resets.
Prolapse of lumbar intervertebral disc and lumbar spinal stenosis are one of common difficult and complicated illness of orthopaedics, its clinical manifestation has scoliosis, the physiology curvature disappears or processus aboralis, and intervertebral space irregularity etc. are so that obstacle takes place in motion, influence work and life, patient's misery is very big, and doctor trained in Western medicine adopts infusion treatment (Energy mixture) to early stage patient, and the patient adopts operative treatment to the later stage, remove outstanding vertebral pulp, make outstanding vertebral pulp restore the back and fix with steel plate in the vertebral body both sides.The shortcoming that adopts this operation is that patient is painful big, and complication is many, and skin surface has the operation spot, and still there is lower limb sciatica symptom in patient, after patient's recurrence, then can not go operation again.
The traditional Chinese medical science adopts this disease of " manipulation of carrying on the back " massage treatment, and curative effect is comparatively remarkable, but the medical worker adopts " manipulation of carrying on the back " treatment to consume one's strength greatly when massage, and clinical treatment experience is not easy to grasp, and to the bad control of the patient treatment at frequently-occurring disease position.
The purpose of this utility model provides a kind of from bionics, and the treatment mechanism of the simulation traditional Chinese medical science " manipulation of carrying on the back " massage is with the novel vertical Reset hauling engine of lumbar vertebra of the manpower that replaces the medical personnel.Its outstanding feature is: with the alternative manpower of the hypsokinesis of mechanical traction and backrest the patient is carried on the back appearance, substituting manpower with mechanical roof pressure power that can stepless adjustment and additional rapping power can carry out simultaneously to the pushing and massage of patient position of disease, traction, hypsokinesis, roof pressure, rapping, and para-position is accurate, thereby enlarged the therapeutic domain of difficult and complicated illness and improved therapeutic effect, saved medical worker's muscle power, treatment technology is easy to grasp, be convenient to operation, the cutter tool is simple in structure, reliable, cost is low, is easy to promote the use of.
This uses the following technical scheme of novel employing, and full machine is made up of following parts:
That is: frame (1), traction guide rail (2) traction frame (5), haulage gear (8), inclination angle backrest (9).Inclination angle operating mechanism (10), top-pressure mechanism (12), vibration body (15) are formed.
Wherein: frame (1) is the cuboid vertical frame that is made of four vertical posts, the inboard of post has traction guide rail (2) lower front end to be provided with foot platform (3) and spud pile (4), foot platform (3) is a flat board, spud pile (4) is a convex stake, its projection forward, projection is connected with frame (1) at the end.
Traction frame (5) is enclosed within frame (1) inside, is the cuboid vertical frame that is made of four vertical posts, is connected with directive wheel (6) along traction guide rail (2) with frame (1).Flat carriage (7) is arranged at the top of traction frame (5).Flat carriage (7) is the rectangular horizontal framework, and the one end stretches out traction frame (5), and the other end has two side arms, also stretches out traction frame (5).
The relative position of traction frame (5) and frame (1) is by haulage gear (8) control that is located at frame (1) center.Haulage gear (8) by one upright to leading screw, handwheel, bearing and nut forms, nut is fixed on the bottom of drawing frame (5).
Inclination angle backrest (9) is at the rigid frame middle part, add wooden frame, elastic layer and lining face constitute, belt and belt card are arranged on the position of breast and shoulder, inclination angle backrest (9) and traction frame (5) hinge joint, and be fixedly connected with the table-flap (11) of inclination angle operating mechanism (10), can adopt welding, riveted joint etc.See shown in Figure 2.
Inclination angle operating mechanism (seeing accompanying drawing 1) is to be paid and the cunning (rolling) of one group of guiding usefulness is moving pays and one group of quadric chain is formed by one group of trapezoidal thread.The necked part of leading screw (46) is fixed in the bearing block (48) by biserial double row self aligning ball bearings (49), bearing block is fixed on the rear end face of the support of bearing (47), the support of bearing is installed on the traction frame, the trapezoidal thread of the other end of leading screw partly passes feed screw nut (44) and connects with push-pull bar (45), this bearing of biserial double row self aligning ball bearings (52) respectively is housed on the spindle nose at push-pull bar two ends is contained in one group of parallel traction frame upper surface both sides that are fixed on symmetrically respectively, in two guide rails forming by little pillar of guide rail (51) (53) and rail brackets (54).The end of push-pull bar two spindle noses has respectively and links with one group of quadric chain of being made up of connecting rod<II〉(43), fork (42), connecting rod<I〉(41), table-flap (11).The centre of gyration of fork and table-flap is born by fork axle (55) and hinge axis (56) respectively, and is fixed on the corresponding both sides of traction frame, and a whole set of inclination angle operating mechanism is with together lifting of traction frame.
Top-pressure mechanism (12) is positioned at traction frame (5) top, and connects with rail plate and feed screw nut between traction frame (5).Top-pressure mechanism (12) is made up of to micromatic setting (13) and WidFin device (14) upright.Stand and be made up of handwheel, leading screw bearing, nut, guide rail to micromatic setting (13), level is made up of handwheel, leading screw, bearing, nut, slide bar to micromatic setting (14).See shown in Figure 3
Vibration body (15) is installed in top roof pressure dish (16) middle part of top-pressure mechanism (12), is fixedly connected with roof pressure dish (16).The theme of vibration body (15) is the excitatory micro machine of controllable rotating speed (17), see that motor shaft shown in Figure 4 connects by the axle head of sleeve (22) with starting of oscillation dish (19), starting of oscillation dish (19) is contained in the casing (26) by a pair of rolling bearing (20) and bearing block (21), starting of oscillation is faced left has an eccentric circular hole (blind hole) on the side end face, one steel ball (18) is housed in the hole, the part of steel ball is given prominence to card, with also be provided with an eccentric circular hole (blind hole) and same steel ball be housed on the right side of the contacted oscillator of steel ball ledge (23), the hole site, size is corresponding with the starting of oscillation dish, and steel ball ledge height is also identical.Oscillator end axle middle part is to there being feather key, and axle head and sliding key sleeve are in having the axle sleeve of internal keyway (62), and axle sleeve is contained in the casing.Oscillator end axle outer end and spring (59) socket, spring is contained in the hollow cavity of push rod (58), and push rod is contained in the axle sleeve (61), has feather key push rod (60) to connect mutually with shaft room, and axle sleeve also is contained in the casing.The axle head of push rod is equipped with contact (57), and the front end of contact is flat, has clamped L shaped pointer (24) between contact and push rod, and graduated disc (25) is housed on the casing outer surface corresponding site, and motor and casing are installed on the roof pressure card of top-pressure mechanism.Contact material is a politef, and all the other parts are metalwork.
Fig. 1 general assembly sketch map front view 2 general assembly sketch map right views
Operating mechanism vertical view Fig. 4 inclination angle, Fig. 3 inclination angle operating mechanism side view
Fig. 5 top-pressure mechanism front view 6 top-pressure mechanism side views
Fig. 7 vibration body sketch map Fig. 8 pointer scale dish sketch map
Among the figure:
1.-frame 2.-draws guide rail
3.-foot platform 4.-spud pile
5.-traction frame 6.-directive wheel
7.-lift frame 8.-haulage gear partially
9.-backrest 10.-inclination angle, inclination angle operating mechanism
11.-table-flap 12.-top-pressure mechanism
13.-stand to micromatic setting 14.-level to micromatic setting
15.-vibration body 16.-roof pressure dish
17.-micro machine 18.-steel ball
19.-starting of oscillation dish 20.-bearing
21.-bearing block 22.-sleeve
23.-oscillator 24.-pointer
25.-graduated disc 26.-casing
27.-trimming hand wheel 28.-bearing
29.-bearing block 31.-slide bar
32.-leading screw 33.-feed screw nut
34.-roof pressure leading screw 35.-bearing
36.-handwheel 37.-chassis
38.-leading screw seat 39.-finely tunes guide rail
41.-connecting rod I 42.-fork
43.-connecting rod II 44.-feed screw nut
45.-push-pull bar 46.-leading screw
47.-support of bearing 48.-bearing spider
49.-bearing 50.-handwheel
51.-guide rail 52.-bearing
53.-ramuscule post 54.-rail brackets
55.-fork axle 56.-hinge axis
57.-contact 58.-push rod
59.-spring 60.-key
61.-axle sleeve 62.-axle sleeve
Good effect of the present utility model is as follows:
When Case treatment, it is front to stand on inclination angle backrest (9), and the belt of chest, shoulder position is tightened with leather belt buckle, and ankle is tightened with belt and spud pile (4). When the handwheel that rotates on the haulage gear, can make hitch frame make vertical displacement movement (the largest motion distance is for positive and negative 100 millimeters) along traction guide rail direction, and drive the corner backrest and make vertical displacement movement, make patient's backbone be subjected to traction and stretch, thereby patient part vertebra gap is increased abreast. Adjust inclination angle operating mechanism (10) and rotate handwheel, make leading screw along with rotation, the effect of paying by trapezoid spiral, Nut drives pull bar and does translational motion along the direction of guide-track groove, when pull bar backward during translation, under the effect of four connecting rods, flap rotates along clockwise direction, because backrest system in inclination angle is welded on the flap, thus also clockwise rotate with it, even the person becomes retroverted state. The spindle central of table-flap is built up in the approximate concurrent of contact end (with patient's backbone patient part contact point) with vibration body, therefore, when under backbone is in traction state, doing the hypsokinesis action, can prevent between human body and contact, producing uncontrollable additonal pressure, to ensure that backbone is not subjected to unexpected injury.
When patient's patient part during near the contact of vibration body (15), aforementioned top-pressure mechanism has Jiggled to be regulated and two kinds of function actions of jacking: the centre connects (and in company with a lifting) with the trimming hand wheel (27) of trapezoidal internal thread by biserial double row self aligning ball bearings (28) and bearing block (29) with hitch frame, the leading screw that matches with trimming hand wheel (32) is fixed in the leading screw seat (38) with taper bolt, the leading screw seat with bolted on the chassis bottom surface of (37), be equipped with by balladeur train to the chassis bilateral symmetry, pressing plate, the vertical fastness that slide block and fine setting guide rail (39) form, the fine setting guide rail then is fixed on the hitch frame. When rotating trimming hand wheel, external screw thread can not turn to by the trapezoidal internal thread rotation, so leading screw is under the constraint of fine setting guide rail, make vertical displacement movement, and the vibration body that drives chassis and top thereof is together made vertical displacement movement, threads of lead screw is paid and has been adopted little modulus pitch herein, thus can play the fine setting elevating movement, to do accurate location. The function of jacking action is carried out by the structure of following parts. Chassis (37) is fixed on the leading screw seat (38), article two, slide bar (31) is fixed in two groups of corresponding apertures on chassis abreast, the two group parallel holes corresponding with the chassis on the roof pressure dish (16) also are through on the slide bar, the roof pressure dish can be slided front and back on slide bar, roof pressure leading screw (34) is fixed on the chassis by rolling bearing (35) to be had in the hole at end middle part, the trapezoidal thread of roof pressure leading screw partly passes feed screw nut (33), feed screw nut is fixed in the corresponding hole, middle part, balladeur train rear end, roof pressure leading screw axle journal one end connects by key and handwheel (36), when rotating handwheel, the roof pressure leading screw with Rotation, under the effect that screw thread is paid, feed screw nut drives balladeur train and axially moves forward and backward at slide bar, thereby the vibration body that drives balladeur train top is done the jacking action. When rotating the handwheel of top-pressure mechanism bottom, (maximal phase is+30 millis to lifting distance can to make top-pressure mechanism make relative vertical displacement movement along another group sliding rail at hitch frame,-40 millimeters), in order to make the contact on the vibration body (2) accurate location is done at patient's vertebral disease position, rotate the handwheel at top-pressure mechanism rear, can drive vibration body and make horizontal shifting, make the contact blades on the vibration body prop up the patient part that needs roof pressure, and can impose the controllable power of compressing, in the time of when pressing, need to imposing additional impulsive force, the Electric Machine Control button of crawl vibration body, can make contact blades when exerting pressure, export the extra-pulse power of preset frequency, also make the spinal canal stenosis position unimpeded so that the interverbebral disc of severe clamping stagnation resets.
Another reason of spinal canal stenosis illness is to move behind the nucleus pulposus, the canalis spinalis space of having fought fiercely, treating this disease need opens as angle the interspace of lumbar vertebrae of patient part, make the intervertenral space of abdominal cavity one side, the amount of opening is greater than the amount of opening of a side, utilize the wedge surface principle, the nucleus pulposus extrusion is resetted, this moment, backbone needed to do the palintrope action under traction state, this action can be united by inclination angle backrest and inclination angle operating mechanism (3) and finished, rotate the handwheel in the operating mechanism of inclination angle, can make the inclination angle backrest in 0~50 ° of scope, do the hypsokinesis campaign. The person with its hypsokinesis, can make the intervertenral space of patient part be angle and open under traction state. This use is novel have been paid particular attention in design when the inclination angle backrest is done the hypsokinesis campaign, its center of rotation and contact top and patient's lumbar vertebrae centre of location (patient part) should coincide with on the common ground all the time, are subjected to the damage that uncontrollable derivation tractive force and pressure on top surface cause to avoid affected part.
Contact (57) is subjected to the reaction force of human body when making contact (57) contact live patient's patient part under the control of vibration body at top-pressure mechanism, move right, and promotion push rod (58) slides to the right under the restriction of feather key (60), the contracting of spring (59) back pressure, spring pressure makes the steel ball on oscillator (23) and the starting of oscillation dish (19) mutually be pressed on the other side's the card pointer (24) move to right with push rod, the size of pressure on top surface (spring-compressed power) can indicate in dial (25). When needing additional impulsive force in the process at roof pressure, connect motor power, then the starting of oscillation dish is rotated by driven by motor, steel ball on the starting of oscillation dish is also in company with revolution and rotation, because oscillator can not rotate under the feather key constraint, can only move axially, so when two steel balls meet, oscillator is pressed to by steel ball and moves to left, Compress Spring increases the moment compressing force simultaneously, when two steel balls separated, oscillator resetted to the right under spring pressure, and spring recovers reset pressure, motor whenever circles, spring and be subjected to one time moment additional compression power, this power is delivered to the contact top by push rod, so patient part can be subjected to again the additional impulsive force of pulsed when bearing reset pressure, this mechanical pulsing additional force is the 2kg steady state value, and its pulse frequency can be controlled motor speed by frequency modulator and obtain electrodeless adjusting (0~1200 time/minute).
The utility model main feature is as follows:
1. can immediately correct the vertebra lateral bending, correct physiological camber, widen intervertebral space.
2. have traction, roof pressure, pulse rapping, four kinds for the treatment of functions of hypsokinesis, various functions can be implemented respectively, and combination is implemented also can implement simultaneously.
3. the roof pressure contact is take 1.05 meters height (1.75 meters patient's waist anchor points of height) as benchmark, can do positive and negative 100 millimeters height adjustment and+fine setting of 30.-40 millimeter, applicable to the patient of different heights and can accurately locate.
4. tractive force can be adjusted in 0~200 kilogram of scope, is applicable to the patient of different weight.
5. roof pressure power can be adjusted in 0~15 kilogram of scope, and has pointer to show, and is safe and reliable.
6. extra-pulse rapping power, constant its impulsive force is 2 kilograms, pulse frequency can be in stepless time adjustment in 0~1200 time/minute scope under frequency modulator control.
7. hypsokinesis angle can be adjusted in 0~50 ° of scope.
8. mechanical type vibration body novel structure uses reliably, and the life-span is long.
9. traction, hypsokinesis, roof pressure, trimming movement are all paid by handwheel manipulation, easy to adjust with spiral, and be laborsaving reliable.
10. the whole vertical structure that adopts is saved floor space and (is taken up an area of 0.5m
2) be convenient to cure personnel operation and observation.
11. the main body parts adopt light section weldment and simple machined piece more, low being easy to of cost made and promoted.
Adopt the Reset hauling engine of lumbar vertebra clinical effectiveness satisfied, clinical symptoms is eliminated fast, and outstanding vertebral pulp reduction accurately is difficult for recurrence, and patient's misery is little, and treatment time is short.
Embodiment:
1. be that the example patient is upright position with lumbar vertebra 4~5 intervertebral disc prolapse, the back is against the traction machine bed surface, breast is tightened with belt respectively and is restrainted on the corner backrest, two ankles are fixed on spud pile (8) with belt and be taken in rotate that handwheel then can make traction frame make vertical displacement movement along traction machine guide rail direction on the haulage gear, making patient's spinal column be subjected to traction stretches, thereby patient part spinal column gap is increased abreast, contact on the vibration body is aimed at the handwheel that the top-pressure mechanism rear is rotated at waist 4~5 intervertebral space positions, move horizontally before and after can driving the vibration body work, make the contact blades on the vibration body prop up waist 4~5 intervertebral spaces, make the inclination angle backrest in 0~50 ° of scope, do the anteversion and retroversion motion, control roof pressure power, need simultaneously to impose when adding impulsive force, electronic control knob in the crawl vibration body also makes the spinal canal stenosis position unimpeded so that severe clamping stagnation intervertebral disc resets.