CN218552639U - Arm support for preparing latissimus dorsi skin flap - Google Patents

Abstract

The utility model belongs to the field of medical equipment, a install firm and support the higher back latissimus muscle skin flap of comfort level prepare with arm support is specifically disclosed. The arm support for preparing the latissimus dorsi skin flap comprises a supporting part, a connecting part and a lifting part, wherein the supporting part is a fixer, and the connecting part is a telescopic rod. The arm bracket for manufacturing the latissimus dorsi skin flap can be conveniently installed and fixed on the bed frame of the operating bed through the fixer mainly comprising the bed frame clamp, the middle column, the locking block, the locking cylinder and the locking screw, and the stability is good; the arc-shaped arm bracket is arranged on the hand supporting plate, so that the hand supporting plate is beneficial to being matched with the arm of a patient, the contact area of the support is increased, and the comfort level and the fixing effect of the support are improved; in addition, through set up the protection bed course on the groove face in arm support groove, gas permeability and comfort level when not only can improve the support patient arm still have cold-proof effect moreover, do benefit to and guarantee that patient arm blood circulation is smooth and easy.

Description

Arm support for preparing latissimus dorsi skin flap

Technical Field

The utility model belongs to the field of medical equipment, concretely relates to handle support is prepared to latissimus dorsi skin flap.

Background

The latissimus dorsi skin flap is the transplantation donor area which is most widely applied in the reconstructive surgery, for example, the latissimus dorsi skin flap is required to be prepared for repairing the defect of the soft tissue of the jaw and the face, and the latissimus dorsi skin flap is required to be prepared for providing the tissue for reconstructing the breast in the breast reconstruction operation.

At present, when a latissimus dorsi skin flap is prepared, arms of a flap region of a patient are forcibly pulled to a healthy side through a winding belt and fixed on an instrument at the opposite side, and the arms pulled and fixed in the operation process are often not firm enough and are easy to loosen and slip. The loose arm can affect the exposure of the operation visual field, but if the arm is pulled tightly, the blood supply of the hand of the patient can be affected, and even nerves can be damaged. In addition, the arm is fixed on the contralateral instrument, so that the aseptic principle in the operation is violated, and the standing operation of the operator is further influenced.

In order to fix the arms of a patient and ensure smooth blood circulation of the arms in the process of preparing the latissimus dorsi skin flap, an arm bracket specially used for preparing the latissimus dorsi skin flap is developed. For example: the utility model discloses a chinese utility model patent of grant bulletin number CN203017092U just discloses a latissimus dorsi breast reconstruction operation arm support, and it includes backup pad, connecting plate and layer board, and the three forms the support of a Z shape, one side plate body sliding fit of backup pad and connecting plate, the another side plate body sliding fit of layer board and connecting plate all is provided with locking positioning mechanism between backup pad and connecting plate, connecting plate and the layer board, the cooperation height between adjustable backup pad and the connecting plate and the cooperation length between connecting plate and the layer board.

Although the arm support for the latissimus dorsi breast reconstruction surgery can support the arm of a patient when a latissimus dorsi skin flap is prepared, so that the blood circulation of the arm is smooth, and the arm support has the function of fixing the arm, the technical problems are as follows: firstly, a structure fixed with the operating bed is lacked, and the bed body is only attached to the operating bed through the supporting plate when in use, so that the installation is not stable enough; secondly, the arm of the patient is supported and fixed only by the supporting plate, the comfort level of the support is not high, and the fixing effect on the arm is not good enough.

SUMMERY OF THE UTILITY MODEL

The to-be-solved technical problem of the utility model is to provide a firm and higher arm support is used in preparation of comfort level's of support back latissimus skin flap of installation.

The utility model provides a technical scheme that its technical problem adopted is: the arm bracket for preparing the latissimus dorsi skin flap comprises a supporting part, a connecting part and a lifting part, wherein the supporting part is a fixer, and the connecting part is a telescopic rod;

the fixer comprises a bedstead clamp, a middle column, a locking block, a locking cylinder and a locking screw rod;

the bottom of the bedstead clip is provided with a bedstead clip groove matched with the bedstead of the operating bed;

the inner end of the middle column is connected with the outer side part of the bedstead clip, a waist-shaped hole which penetrates through the middle column from top to bottom is formed in the middle column, and a threaded hole which is communicated with the waist-shaped hole is formed in the outer end of the middle column;

the locking block is in sleeve fit with the middle column, the inner end face of the locking block is provided with an abutting part, and the abutting end of the abutting part penetrates through the outer side part of the bedstead clip and extends into the bedstead clip groove;

the locking cylinder is in sleeve fit with the middle column and corresponds to the outer end face of the locking block, an upper through hole and a lower through hole are formed in the locking cylinder, and the upper through hole and the lower through hole correspond to the upper end and the lower end of the waist-shaped hole respectively;

the locking screw is in threaded connection with the threaded hole of the middle column;

the telescopic rod sequentially passes through the upper through hole, the waist-shaped hole and the lower through hole and is tightly propped and fixed by the inner end of the locking screw rod;

the lifting component comprises a horizontal rod and a hand supporting plate;

one end of the horizontal rod is provided with a connecting part and is rotatably connected with the upper end of the telescopic rod through the connecting part;

the hand supporting plate is arranged on the horizontal rod, an arc-shaped arm supporting groove is arranged on the hand supporting plate, and a protective cushion layer is arranged on the groove surface of the arm supporting groove.

Furthermore, the two abutting parts are symmetrically distributed by taking the axis of the middle column as a symmetry axis.

Furthermore, the inner end of the middle column is rotatably connected with the outer side part of the bed frame clamp; the inner end of the locking cylinder is provided with a first annular tooth part, and the outer end face of the locking block is provided with a second annular tooth part matched with the first annular tooth part.

Furthermore, the outer end of the locking screw is provided with a screwing part, and the screwing part is provided with a handle rod.

Furthermore, the handle rod penetrates through the screwing part, and two ends of the handle rod are provided with anti-falling pieces.

Furthermore, the telescopic rod comprises at least two rod sections which are sequentially connected together in a nested manner.

Furthermore, the connecting part is provided with a locking part which can limit the horizontal rod and the telescopic rod to rotate relatively.

Furthermore, the locking piece is a locking screw, the locking screw is in threaded connection with the connecting portion, and the inner end of the locking screw can be tightly fixed with the upper end of the telescopic rod.

Furthermore, an arm binding belt is arranged on the hand supporting plate.

Further, the arm binding belt comprises a middle bonding belt and two extension belts which are respectively connected with two ends of the middle bonding belt, and the two extension belts are respectively connected with the groove edges on two sides of the arm supporting groove; the middle joint strip is made of flexible materials, the extension strip is made of elastic materials, and the width of the extension strip is smaller than that of the middle joint strip.

The utility model has the advantages that: through the fixer mainly composed of the bedstead clamp, the middle column, the locking block, the locking barrel and the locking screw, the bedstead clamp can be matched and connected with the bedstead of the operating bed, the locking screw is screwed to tightly push the telescopic rod, meanwhile, the telescopic rod drives the locking barrel to tightly push the locking block, and further, the butting part of the locking block can tightly push the bedstead, so that the arm support for manufacturing the latissimus dorsi skin flap can be installed and fixed on the bedstead of the operating bed, and the fixer is convenient to install and good in stability; the arc-shaped arm bracket is arranged on the hand supporting plate, so that the hand supporting plate is beneficial to being matched with the arm of a patient, the contact area of the support is increased, and the comfort level and the fixing effect of the support are improved; in addition, the protective cushion layer is arranged on the groove surface of the arm bracket, so that the air permeability and comfort degree of the arm of the patient can be improved, the warm-keeping effect is achieved, and smooth blood circulation of the arm of the patient can be guaranteed.

Drawings

FIG. 1 is a first schematic view of an embodiment of the present invention;

FIG. 2 is a schematic diagram of an embodiment of the present invention;

labeled as: the bed frame comprises a fixer 100, a bed frame clip 110, a bed frame clip groove 111, a middle column 120, a kidney-shaped hole 121, a threaded hole 122, a locking block 130, an abutting part 131, a second annular tooth part 132, a locking cylinder 140, an upper through hole 141, a lower through hole 142, a first annular tooth part 143, a locking screw 150, a screwing part 151, a handle rod 152, a retaining part 153, an expansion rod 200, a rod joint 210, a horizontal rod 310, a connecting part 311, a locking screw 312, a hand supporting plate 320, an arm bracket 321, a protective cushion layer 322, a middle joint belt 323, an extension belt 324 and a bed frame 410.

Detailed Description

The present invention will be further described with reference to the accompanying drawings.

In the description of the present invention, it should be noted that the terms "upper", "lower", "bottom", "inner", "outer", and the like indicate orientations or positional relationships based on the orientations or positional relationships shown in the drawings, and are only for convenience of description, and do not indicate or imply that the device or component in question must have a specific orientation, be constructed and operated in a specific orientation, and thus, should not be construed as limiting the present invention; the expression "consisting essentially of or consisting of … …" is to be interpreted as also including structural elements not mentioned in this sentence; "and/or" is merely an association describing an associated object, meaning that three relationships may exist, for example: a and/or B, may represent: a exists alone, A and B exist simultaneously, and B exists alone. Furthermore, the terms "first" and "second" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance.

Referring to fig. 1 and 2, the arm support for preparing the latissimus dorsi skin flap comprises a support member, a connecting member and a lifting member, wherein the support member is a fixer 100, and the connecting member is a telescopic rod 200;

the holder 100 includes a frame clip 110, a middle post 120, a locking block 130, a locking cylinder 140, and a locking screw 150;

the bottom of the bedstead clip 110 is provided with a bedstead clip groove 111 matched with the bedstead 410 of the operating bed;

the inner end of the middle column 120 is connected with the outer side of the bed frame clip 110, a waist-shaped hole 121 which penetrates through the middle column 120 from top to bottom is formed in the middle column 120, and a threaded hole 122 which is communicated with the waist-shaped hole 121 is formed in the outer end of the middle column 120;

the locking block 130 is sleeved with the middle column 120, an abutting part 131 is arranged on the inner end face of the locking block 130, and the abutting end of the abutting part 131 penetrates through the outer side part of the bedstead clip 110 and extends into the bedstead clip groove 111;

the locking cylinder 140 is in sleeve fit with the middle column 120 and corresponds to the outer end face of the locking block 130, an upper through hole 141 and a lower through hole 142 are formed in the locking cylinder 140, and the upper through hole 141 and the lower through hole 142 correspond to the upper end and the lower end of the waist-shaped hole 121 respectively;

the locking screw 150 is in threaded connection with the threaded hole 122 of the middle column 120;

the telescopic rod 200 sequentially passes through the upper through hole 141, the waist-shaped hole 121 and the lower through hole 142 and is tightly pressed and fixed by the inner end of the locking screw 150;

the lifting component comprises a horizontal rod 310 and a hand supporting plate 320;

one end of the horizontal rod 310 is provided with a connecting part 311 and is rotatably connected with the upper end of the telescopic rod 200 through the connecting part 311;

the hand supporting plate 320 is arranged on the horizontal rod 310, an arc-shaped arm supporting groove 321 is arranged on the hand supporting plate 320, and a protective cushion 322 is arranged on the groove surface of the arm supporting groove 321.

When the arm bracket for manufacturing the latissimus dorsi skin flap is used, the arm bracket is connected with a bedstead 410 of an operating bed through a fixer 100; when the device is installed and connected, the bedstead clip groove 111 of the bedstead clip 110 is matched with the bedstead 410 of the operating bed, the locking screw 150 is screwed to tightly push the telescopic rod 200, and the telescopic rod 200 drives the locking cylinder 140 to tightly push the locking block 130, so that the abutting part 131 of the locking block 130 tightly pushes the bedstead 410, and the arm support for preparing the latissimus dorsi skin flap is installed and fixed on the bedstead 410 of the operating bed; then, the height of the lifting part is adjusted by adjusting the length of the telescopic rod 200, so that the comfort of a patient is ensured while a good supporting effect is achieved; finally, the support position and angle of the hand supporting plate 320 are adjusted by the horizontal rod 310 which is rotatably installed, so as to further improve the support effect and ensure the exposure effect of the operation field.

Among them, the holder 100 serves as a support member for the arm support for preparing the latissimus dorsi flap, and can also firmly attach the arm support for preparing the latissimus dorsi flap to the frame 410 of the operating bed.

The bed frame clip 110 is one of the main components of the holder 100, and is mainly used for being connected with the bed frame 410 in a matching manner, and the width of the bed frame clip groove 111 formed at the bottom of the bed frame clip is usually greater than or equal to the width of the bed frame 410; the outer side of the bed frame clip 110 generally refers to: after the bed frame clip 110 is connected with the bed frame 410, a side part of the bed frame clip 110 far away from the operating bed is provided.

The middle column 120 is mainly used for installing the telescopic rod 200, one end of the middle column 120 close to the bedstead clip 110 is the inner end thereof, and the other end far away from the bedstead clip 110 is the outer end thereof; the inner end of the middle post 120 may be fixedly connected to the outer side of the frame clip 110, or may be movably connected thereto.

The locking block 130 is mainly used to cooperate with the bed frame clip 110 to clamp the bed frame 410 so as to form an effective fixation; the end surface of the locking block 130 close to the locking block 130 is the inner end surface thereof, and the end surface far away from the locking block 130 is the outer end surface thereof; the abutment 131 of the locking block 130 may be of various configurations, such as: cylinders, square columns, prisms, arcs, and the like; in order to ensure a good fixing effect, it is preferable to provide two abutting portions 131, and to arrange the two abutting portions 131 symmetrically about the axis of the center post 120.

The locking cylinder 140 is mainly used for matching with the telescopic rod 200 and can tightly push the locking block 130 under the driving action of the telescopic rod 200, so that the abutting part 131 of the locking block 130 tightly pushes the bedstead 410; one end of the locking barrel 140 near the locking block 130 is its inner end and the other end away from the locking block 130 is its outer end.

Preferably, as shown in conjunction with fig. 1 and 2, the inner end of the middle post 120 is rotatably connected to the outer side of the bed frame clip 110; the inner end of the locking cylinder 140 is provided with a first annular tooth 143, and the outer end face of the locking block 130 is provided with a second annular tooth 132 matched with the first annular tooth 143. Thus, by loosening the locking screw 150, the middle column 120 and the locking cylinder 140 can rotate relative to the bed frame clip 110 and the locking block 130 to adjust the inclination direction and the inclination angle of the telescopic rod 200, so as to facilitate the adjustment of the inclination of the hand supporting plate 320 and the longitudinal distance from the patient, thereby achieving good supporting effect and ensuring the comfort of the patient; after the telescopic rod 200 is adjusted, the locking screw 150 is tightened, and the first annular tooth 143 is engaged with the second annular tooth 132, so that the locking cylinder 140 is restricted from rotating continuously, and the telescopic rod 200 is maintained at the adjusted inclined angle.

The locking screw 150 is mainly used to provide a pre-tightening force to fix the telescopic rod 200 and the holder 100 with the frame 410.

To facilitate screwing the locking screw 150, as shown in fig. 1 and 2, the locking screw 150 is provided with a screwing portion 151 at an outer end thereof, and the screwing portion 151 is provided with a handle bar 152. The handle bars 152 may be provided in plural numbers and may be constructed in various configurations, such as a "straight" configuration formed by one handle bar 152, a "cross" configuration formed by two handle bars 152, a "m" configuration formed by three handle bars 152, and so on.

In addition to the above, in order to simplify the structure and facilitate the screwing operation at various angles, it is preferable that the handle bar 152 is inserted through the screwing part 151, and the anti-slip members 153 are provided at both ends of the handle bar 152. The handle bar 152 is disposed through the screw portion 151 and can slide to a downward position under the action of gravity when the handle bar 152 is rotated to an upward position, so as to facilitate gripping and applying force by an operator.

The telescopic rod 200 is used as a connecting component of the arm bracket for preparing the latissimus dorsi skin flap and is mainly used for connecting a lifting component and adjusting the height position of the lifting component; the telescoping rod 200 generally comprises at least two rod segments 210 nested together in sequence; typically, locking structures are provided at the upper and/or lower ends of each bar section 210, and the locking structures may be of various types, for example: screw thread structures, locking screws, snaps, locking nuts, and the like.

The lifting component is mainly used for supporting and fixing the arm of the patient; the horizontal rod 310 is mainly used for installing the hand supporting plate 320, and may be in various structures, preferably an "L" shaped rod, that is, the connecting portion 311 arranged at one end of the horizontal rod 310 is a structure formed by extending one end of the horizontal rod 310 downwards; the connecting portion 311 can be rotatably connected to the upper end of the telescopic rod 200 in various ways, for example: a nested fit, a threaded connection, and the like. The arc-shaped arm bracket 321 is arranged on the hand supporting plate 320, so that the hand supporting plate is beneficial to being matched with the arm of a patient, the contact area of the support is increased, and the comfort level and the fixing effect of the support are improved; the protective cushion layer 322 is arranged on the groove surface of the arm bracket 321, so that the air permeability and comfort degree of the arm of the patient can be improved, the thermal insulation effect is achieved, and smooth blood circulation of the arm of the patient is guaranteed; the protective pad layer 322 is typically made of a flexible or elastic material, preferably made of latex or sponge.

Preferably, the connecting portion 311 is provided with a locking member capable of limiting the relative rotation between the horizontal rod 310 and the telescopic rod 200. The retaining member may be of various kinds, for example: lock nuts, snaps, and the like; in order to simplify the structure and facilitate the operation, as shown in fig. 1 and 2, the locking member is a locking screw 312, the locking screw 312 is in threaded connection with the connecting portion 311, and the inner end of the locking screw 312 can be tightly fixed with the upper end of the telescopic rod 200.

As a preferred scheme of the present invention, an arm strap is provided on the hand supporting plate 320. The arm strap may have various structures by which the arm placed on the hand rest 320 can be bound and fixed. For example: two arm straps are provided in the embodiment of figures 1 and 2.

Preferably, as shown in fig. 1 and 2, the arm strap includes a middle joint strip 323 and two extension strips 324 respectively connected to two ends of the middle joint strip 323, and the two extension strips 324 are respectively connected to two side groove edges of the arm bracket 321; the intermediate attachment strip 323 is made of a flexible material, the extension strip 324 is made of an elastic material, and the width of the extension strip 324 is smaller than the width of the intermediate attachment strip 323. The intermediate conformable tape 323 of flexible material can improve patient comfort while restraining the arms, and the flexible material can be of various types, for example: non-woven fabrics, cotton, etc.; the extension belt 324 made of elastic material can enable the arm binding belt to have the capability of extending and contracting so as to be suitable for fixing arms with different thicknesses; the elastic material can be various, for example: rubber, silicone, etc.; the width of the extension belt 324 is smaller than that of the middle adhesive belt 323, so that the manufacturing material for manufacturing the extension belt 324 can be saved, the cost is saved, the contact area of the middle adhesive belt 323 and the arm of the patient can be increased, and the comfort of fixation is improved.

This arm support for preparation of latissimus dorsi skin flap can be very firm be fixed in on the bedstead 410 of operation table edge to can adjust parameters such as support height, angle, direction according to evaluation conditions such as operation exposure condition, operation doctor's demand, patient's physique, the arm that the patient supplied the petal district can directly be put in the arm support groove 321 of the support hand board 320 of adjusting height, angle isoparametric, in order to reach best operation effect can. The arm bracket for preparing the latissimus dorsi skin flap fixes the arm of a patient in the latissimus dorsi skin flap preparing process, and has the following advantages: 1) The problems of unstable arm fixing part, easy loosening and slippage of the patient in the operation are avoided; 2) The patient can be firmly fixed by the arm, and the operation field can be better exposed; 3) The blood supply at the flap area of a patient is not influenced by effective exposure, traction and fixation, and the blood supply of forearms, wrists and palms is not adversely influenced; 4) The problem of excessive traction does not exist, so that the nerve of the operation part of the patient is not damaged; 5) A sterile sleeve can be sleeved outside the hand supporting plate 320, so that the arm bracket for preparing the latissimus dorsi skin flap and the arm of the patient can be kept sterile and cannot be polluted; 6) The winding tape is not needed, and the situation that the standing position of the operating doctor is influenced due to the overlong winding tape in traction can be avoided.

Claims (10)

1. Arm support for preparation of latissimus dorsi skin flap comprises a supporting component, a connecting component and a lifting component, and is characterized in that: the supporting part is a fixer (100), and the connecting part is a telescopic rod (200);

the fixer (100) comprises a bedstead clip (110), a middle column (120), a locking block (130), a locking cylinder (140) and a locking screw (150);

the bottom of the bedstead clip (110) is provided with a bedstead clip groove (111) matched with the bedstead (410) of the operating bed;

the inner end of the middle column (120) is connected with the outer side part of the bed frame clamp (110), a waist-shaped hole (121) which penetrates through the middle column (120) up and down is formed in the middle column (120), and a threaded hole (122) which is communicated with the waist-shaped hole (121) is formed in the outer end of the middle column (120);

the locking block (130) is in sleeve fit with the middle column (120), an abutting part (131) is arranged on the inner end face of the locking block (130), and the abutting end of the abutting part (131) penetrates through the outer side part of the bedstead clip (110) and extends into the bedstead clip groove (111);

the locking cylinder (140) is in sleeve fit with the middle column (120) and corresponds to the outer end face of the locking block (130), an upper through hole (141) and a lower through hole (142) are formed in the locking cylinder (140), and the upper through hole (141) and the lower through hole (142) correspond to the upper end and the lower end of the waist-shaped hole (121) respectively;

the locking screw (150) is in threaded connection with the threaded hole (122) of the middle column (120);

the telescopic rod (200) sequentially penetrates through the upper through hole (141), the waist-shaped hole (121) and the lower through hole (142) and is tightly pressed and fixed by the inner end of the locking screw rod (150);

the lifting component comprises a horizontal rod (310) and a hand supporting plate (320);

one end of the horizontal rod (310) is provided with a connecting part (311) and is rotatably connected with the upper end of the telescopic rod (200) through the connecting part (311);

the hand supporting plate (320) is arranged on the horizontal rod (310), the arc-shaped arm supporting groove (321) is arranged on the hand supporting plate (320), and the protective cushion layer (322) is arranged on the groove surface of the arm supporting groove (321).

2. Arm support for the preparation of latissimus dorsi flaps according to claim 1, characterized in that: the number of the contact parts (131) is two, and the contact parts are symmetrically distributed by taking the axis of the middle column (120) as a symmetry axis.

3. A scaffold for arms for fabrication of a latissimus dorsi skin flap as claimed in claim 1 wherein: the inner end of the middle column (120) is rotatably connected with the outer side part of the bed frame clip (110); the inner end of the locking cylinder (140) is provided with a first annular tooth part (143), and the outer end face of the locking block (130) is provided with a second annular tooth part (132) matched with the first annular tooth part (143).

4. A scaffold for arms for fabrication of a latissimus dorsi skin flap as claimed in claim 1 wherein: the outer end of the locking screw (150) is provided with a screwing part (151), and the screwing part (151) is provided with a handle rod (152).

5. Arm support for the preparation of latissimus dorsi flaps according to claim 4, characterized in that: the handle bar (152) is arranged through the screwing part (151), and two ends of the handle bar are provided with anti-falling pieces (153).

6. Arm support for the preparation of latissimus dorsi flaps according to claim 1, characterized in that: the telescopic rod (200) comprises at least two rod sections (210) which are sequentially connected together in a nested manner.

7. Arm support for the preparation of latissimus dorsi flaps according to claim 1, characterized in that: the connecting part (311) is provided with a locking part which can limit the horizontal rod (310) and the telescopic rod (200) to rotate relatively.

8. An arm support for latissimus dorsi skin flap preparation as claimed in claim 7 wherein: the locking piece is a locking screw (312), the locking screw (312) is in threaded connection with the connecting part (311), and the inner end of the locking screw (312) can be tightly fixed with the upper end of the telescopic rod (200).

9. Arm support for the preparation of a latissimus dorsi flap according to any of claims 1 to 8, characterized in that: an arm binding belt is arranged on the hand supporting plate (320).

10. Arm support for the preparation of latissimus dorsi skin flaps according to claim 9, characterized in that: the arm binding belt comprises a middle bonding belt (323) and two extension belts (324) which are respectively connected with two ends of the middle bonding belt (323), and the two extension belts (324) are respectively connected with the groove edges at two sides of the arm bracket (321); the middle fitting belt (323) is made of flexible materials, the extension belt (324) is made of elastic materials, and the width of the extension belt (324) is smaller than that of the middle fitting belt (323).

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