CN218356397U - An arm fixation device for small incision open-heart surgery - Google Patents

Abstract

The utility model discloses an arm fixation device for small incision open-heart surgery, which is characterized in that it includes an operating bed, a hand frame, a lifting adjustment unit and a level adjustment unit; There is a roller, the fixed cloth is wound on the roller, there is a cloth groove on the arm support, one end of the fixed cloth extends out of the cloth groove, and the front and back of the fixed cloth are respectively equipped with matching Velcro; the frame and the lifting adjustment unit connected, the lifting adjustment unit is connected with the horizontal adjustment unit, and the horizontal adjustment unit is installed on the side of the operating bed. The utility model solves the problem that the patient's arm is inconvenient to be fixed and adjusted. The hand frame is convenient for adjusting according to the size of the arm; the lifting adjustment unit and the horizontal adjustment unit are used for position adjustment; The adjustment means and practicability of the device are increased; the fixing strength is increased by reinforcing the strap.

Description

An arm fixation device for small incision open-heart surgery

technical field

The utility model relates to an arm fixing device, in particular to an arm fixing device for small incision open-heart surgery.

Background technique

In recent years, with the continuous improvement of the technical level of cardiac surgery, minimally invasive surgery technology has developed rapidly, and various surgical methods are developing in the direction of minimally invasive, and minimally invasive small incision surgery has become more and more popular in clinical practice. Among them, patients undergoing conventional thoracotomy are split in the middle of the patient's chest to fully expose the large blood vessels and the heart;

In such a background, the "small right axillary incision" came into being. The surgical approach is to enter from the right underarm intercostal space. The patient needs to be placed in the left decubitus position, the right arm is lifted up to the level of the shoulder, the upper arm is parallel to the transverse diameter of the trunk and perpendicular to the operating table, and the forearm is bent. The upper arm is at a right angle, fully exposing the right underarm area for disinfection and draping. Among them, the accurate positioning of the surgical position is also a key factor for the smooth operation of the operation. How to accurately and safely place the patient's surgical position has also become one of the priorities of the medical staff in the operating room.

At present, the method of immobilizing the right upper limb when placing the lateral position in the "small heart incision surgery under the armpit" is mostly to use the traditional right-angle frame at the head of the bed, and wrap the forearm on the crossbar of the right-angle frame with wrapping cloth; This type of right-angle frame is fixed on the side of the operating bed with a card holder. If the arm posture needs to be adjusted during the operation, the card holder needs to be released first, and then the right-angle frame is moved as a whole, and local adjustments cannot be made. And during this process, itinerant personnel need to bear the weight of the patient's upper limbs. This method is time-consuming and labor-intensive, cannot achieve the fine-tuning effect, and may even cause accidents due to mistakes, which will affect the smooth operation of the operation. Therefore, there is an urgent need for a simple, efficient and safe side-lying arm fixation bracket to solve the above problems.

Utility model content

The utility model aims at the deficiencies in the prior art, and provides an arm fixation device for small incision open-heart surgery to solve the problem that the patient's arm is inconvenient to fix and adjust.

In order to achieve the above object, the utility model adopts the following technical solutions:

An arm fixation device for small incision open-heart surgery, characterized in that it includes an operating bed, a hand rest, a lifting adjustment unit, and a level adjustment unit; Roller, the fixed cloth is wound on the roller, and the arm support is provided with a cloth groove for the fixed cloth to extend out, one end of the fixed cloth protrudes from the cloth groove, and the front and back of the fixed cloth are respectively Matching Velcro is provided, and the Velcro is used to glue and fix the front and back after the fixing cloth is wrapped around the arm; the hand rest is connected with the lifting adjustment unit, and the lifting adjustment unit is used to adjust the height of the hand support; The lifting adjustment unit is connected with the horizontal adjustment unit, and the horizontal adjustment unit is installed on the side of the operating bed for adjusting the hand rest in a horizontal position.

In order to optimize the above technical solutions, the specific measures taken also include:

Further, a blocking strip is provided on the end surface of the protruding end of the fixing cloth.

Further, a silicone layer is provided at the joint between the lower end of the arm support and the patient's arm.

Further, the horizontal adjustment unit includes a slide rail and a fixing piece; the slide rail is installed on the side of the operating bed; the fixing piece includes a slider buckle and a connecting block, and the slider buckle is snapped on the slide rail, and is slidably connected with the slide rail; the side wall of the slider buckle is threadedly connected with a first fixing bolt, and the first fixing bolt is in contact with the slide rail; a connecting block is fixed on the slider buckle, so The connection block is connected with the lifting adjustment unit.

Further, the lifting adjustment unit includes a main rod, a lifting instrument, a first inner rod and a second inner rod; the main rod is used to connect the fixing member and the lifting device, and the lifting device is connected to the first inner rod, The first inner rod is connected to the second inner rod, and the second inner rod is connected to the hand frame.

Further, a rack is provided on the first inner rod, and a gear is provided in the lifting instrument, and the rack is meshed with the gear; the outer wall of the lifting instrument is provided with a drive motor for driving the gear to rotate, so The drive motor is provided with a control button for controlling the drive motor to rotate clockwise or counterclockwise.

Further, the main rod is slidably connected to the connecting block of the fixing member, and the connecting block is threaded with a second bolt, and the second bolt is in contact with the main rod.

Further, a sleeve is installed on the handle, and the sleeve is slidably connected with the second inner rod, and a third bolt is threaded on the sleeve, and the third bolt interferes with the second inner rod. on the inner pole.

Further, a fixing buckle is installed on the first inner rod, and the fixing buckle is used to connect and fix a reinforcement strap, and the reinforcement strap is used to horizontally wrap the patient's arm.

The beneficial effects of the utility model are:

The utility model is convenient to adjust and fix according to the arm size of different patients through the design of the arm rest; through the design of the lifting adjustment unit and the level adjustment unit, it is convenient to adjust and fix the arm position according to the patient’s reminder, so as to ensure the correctness of the operation position. Accurate and stable; through the design of sleeve and fixing parts, the adjustment method of the device is increased, and the practicability of the device is increased without affecting the convenient use of the device; through the design of the reinforced strap, the fixing strength of the patient's arm is increased , increasing the stability of the fix.

Description of drawings

Fig. 1 is the overall structural representation of the utility model;

Fig. 2 is the first use schematic diagram of the utility model;

Fig. 3 is a second schematic view of the utility model.

Reference signs: 1. Operating bed, 112. Slide rail, 2. Main rod, 3. Fixing piece, 4. Lifting instrument, 41. Driving motor, 5. First inner rod, 6. Fixed buckle, 7. Second Inner rod, 8. Sleeve, 9. Third bolt, 10. Arm support, 11. Cloth slot, 12. Velcro, 13. Fixing cloth, 14. Blocking strip, 15. Hand rest, 16. Reinforcement strap.

Detailed ways

Below in conjunction with accompanying drawing, describe the utility model in detail.

It should be noted that terms such as "upper", "lower", "left", "right", "front", and "rear" cited in the utility model are only for the convenience of description and are not used In order to limit the applicable scope of the present utility model, the change or adjustment of the relative relationship shall also be regarded as the applicable scope of the present utility model without substantive changes in the technical content.

As shown in the accompanying drawings, a small incision open-heart surgery arm fixation device according to an embodiment of the present invention is characterized in that it includes an operating bed 1, a hand rest 15, a lifting adjustment unit, and a horizontal adjustment unit; the hand rest 15 includes an arm rest 10 and a fixed cloth 13, a roller is installed in the arm rest 10, the fixed cloth 13 is wound on the roller, and a cloth groove for the fixed cloth 13 to protrude is opened on the arm rest 10 11. One end of the fixed cloth 13 protrudes from the cloth groove 11, and the front and back of the fixed cloth 13 are respectively provided with matching Velcro 12, and the Velcro 12 is used for positive and negative after the fixed cloth 13 is wrapped around the arm. The opposite side is bonded and fixed; the hand rest 15 is connected with the lifting adjustment unit, and the lifting adjustment unit is used to adjust the height of the hand support 15 according to the actual situation of the patient; the lifting adjustment unit is connected with the horizontal adjustment unit, and the horizontal adjustment unit is installed On the side of the operating bed 1, it is used to adjust the hand rest 15 in a horizontal position.

In this embodiment, the protruding end of the fixing cloth 13 is provided with a blocking strip 14 to prevent the fixing cloth 13 from completely slipping out of the cloth groove 11 and avoid inconvenience in use.

In this embodiment, a silicone layer is provided at the joint between the lower end of the arm support 10 and the patient's arm, so as to avoid the pressure injury of the patient's arm.

In this embodiment, the horizontal adjustment unit includes a slide rail 112 and a fixing part 3; the slide rail 112 is installed on the side of the operating bed 1; the fixing part 3 includes a slider buckle and a connecting block, so The slider buckle is clamped in the slide rail 112, and is slidably connected with the slide rail 112, so as to realize horizontal sliding in the front and rear directions; the side wall of the slider buckle is threadedly connected with a first fixing bolt, and the first fixing bolt The bolts are in contact with the slide rail 112, and the first fixing bolt is used to fix the position of the slider buckle after being fixed; the slider buckle is fixed with a connecting block, and the connecting block is connected with the lifting adjustment unit .

In this embodiment, the lifting adjustment unit includes a main rod 2, a lifting instrument 4, a first inner rod 5 and a second inner rod 7; the main rod 2 is used to connect the fixing member 3 and the lifting device 4, The lifting instrument 4 is connected to the first inner rod 5, the first inner rod 5 is connected to the second inner rod 7, and the second inner rod 7 is connected to the hand rest 15; thus the first inner rod 5 is adjusted by the lifting instrument 4. The lifting height of bar 5, thereby regulates the height of hand rest 15.

In this embodiment, the first inner rod 5 is provided with a rack, and the lifting instrument 4 is provided with a gear, and the rack is meshed with the gear, so as to realize the lifting drive of the first inner rod 5; The outer wall of the lifting instrument 4 is provided with a drive motor 41 for driving the gear to rotate, and the drive motor 41 is provided with control buttons for controlling the drive motor 41 to rotate clockwise and counterclockwise respectively, so as to precisely control the first inner rod 5 lifts.

In this embodiment, the connecting block of the main rod 2 and the fixing member 3 is slidably connected, and a second bolt is threaded on the connecting block, and the second bolt is in contact with the main rod 2. After adjusting the positional relationship between the main rod 2 and the connecting block, carry out jacking and fixing, so as to increase the means of lifting adjustment and increase the practicability.

In this embodiment, a sleeve 8 is installed on the handle 15, and the sleeve 8 is slidably connected with the second inner rod 7, and a third bolt 9 is threaded on the sleeve 8. The third bolt 9 is in contact with the second inner rod 7, so that after the positional relationship between the sleeve sleeve 8 and the second inner rod 7 is slidably adjusted, the third bolt 9 is used for jacking and fixing, thereby increasing the left-right direction of the device. Level adjustment and fixing means.

In this embodiment, a fixing buckle 6 is installed on the first inner rod 5, and the fixing buckle 6 is used to connect and fix a reinforcement strap 16, and the reinforcement strap 16 is used to horizontally wrap the patient's arm for The horizontal limit is fixed.

When the utility model is in use, after the patient completes anesthesia, the medical staff puts the left side lying position, uses the fixing part 3 to extend the hand rest 15 to the side of the operating bed 1, and adjusts and fixes it according to the actual situation of the patient; the patient's right side The forearm is placed on the lower end of the arm support 10, bound by the fixing cloth 13, and then the forearm is bonded and fixed by using the Velcro 12 on the fixing cloth 13; after that, by adjusting the sleeve 8 and the lifting instrument 4, to adjust the position of the patient's arm; finally use the cooperation of the reinforcing strap 16 and the fixing buckle 6 to cover the arm, so as to ensure that the arm will not slide out to the patient's back side, and further reinforcement is carried out.

The above are only preferred implementations of the utility model, and the scope of protection of the utility model is not limited to the above-mentioned embodiments, and all technical solutions under the thinking of the utility model all belong to the scope of protection of the utility model. It should be pointed out that for those of ordinary skill in the art, some improvements and modifications without departing from the principle of the utility model should be regarded as the protection scope of the utility model.

Claims (9)

1. An arm fixation device for small incision open-heart surgery, characterized in that it includes an operating bed (1), a hand support (15), a lifting adjustment unit and a level adjustment unit; the hand support (15) includes an arm support (10) and the fixed cloth (13), the arm support (10) is equipped with a roller, the fixed cloth (13) is wound on the roller, and the arm support (10) is provided with a fixed cloth (13) Protruding cloth groove (11), one end of the fixed cloth (13) protrudes from the cloth groove (11), and the front and back of the fixed cloth (13) are respectively provided with matching Velcro (12 ), the Velcro (12) is used to glue and fix the front and back after the fixing cloth (13) is wrapped around the arm; the hand rest (15) is connected with the lifting adjustment unit, and the lifting adjustment unit is used to adjust the hand rest (15); the lifting adjustment unit is connected with the horizontal adjustment unit, and the horizontal adjustment unit is installed on the side of the operating bed (1) for adjusting the hand rest (15) in a horizontal position. 2 . The arm fixation device for small incision open heart surgery according to claim 1 , characterized in that: a blocking strip ( 14 ) is provided on the end surface of the protruding end of the fixing cloth ( 13 ). 3 . 3 . The arm fixation device for small incision open heart surgery according to claim 1 , characterized in that: a silicone layer is provided at the junction between the lower end of the arm support ( 10 ) and the patient's arm. 4 . 4. The arm fixation device for small incision open-heart surgery according to claim 1, characterized in that: the horizontal adjustment unit includes a slide rail (112) and a fixing piece (3); the slide rail (112 ) is installed on the side of the operating bed (1); the fixing part (3) includes a slider buckle and a connecting block, and the slider buckle is snapped into the slide rail (112), and is connected with the slide rail (112 ) sliding connection; the side wall of the slider buckle is threaded with a first fixing bolt, and the first fixing bolt is in contact with the slide rail (112); a connecting block is fixed on the slider buckle, and the connecting block Connect with the lifting adjustment unit. 5. The arm fixation device for small incision open-heart surgery according to claim 4, characterized in that: the lifting adjustment unit includes a main rod (2), a lifting instrument (4), a first inner rod (5 ) and the second inner rod (7); the main rod (2) is used to connect the fixing piece (3) and the lifting instrument (4), and the lifting instrument (4) is connected to the first inner rod (5), The first inner rod (5) is connected to the second inner rod (7), and the second inner rod (7) is connected to the hand frame (15). 6. The arm fixation device for small incision open-heart surgery according to claim 5, characterized in that: the first inner rod (5) is equipped with a rack, and the lifting instrument (4) is equipped with There are gears, and the rack is engaged with the gear; the outer wall of the lifting instrument (4) is provided with a drive motor (41) for driving the gear to rotate, and the drive motor (41) is provided with a drive motor (41) for controlling the drive motor (41). ) to turn the control button clockwise or counterclockwise. 7. The arm fixation device for small incision open-heart surgery according to claim 6, characterized in that: the main rod (2) is slidably connected to the connecting block of the fixing piece (3), and the connecting block is threaded A second bolt is connected, and the second bolt interferes with the main rod (2). 8. The arm fixation device for small incision open-heart surgery according to claim 7, characterized in that: a sleeve (8) is installed on the hand rest (15), and the sleeve (8) and The second inner rod (7) is slidingly connected, the sleeve (8) is threaded with a third bolt (9), and the third bolt (9) is in contact with the second inner rod (7) . 9. The arm fixation device for small incision open-heart surgery according to claim 8, characterized in that: a fixing buckle (6) is installed on the first inner rod (5), and the fixing buckle (6 ) is used to connect and fix the reinforcement strap (16), and the reinforcement strap (16) is used to wrap the patient's arm horizontally.

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