CN219439249U - a right-angle hook - Google Patents
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- CN219439249U CN219439249U CN202223443607.6U CN202223443607U CN219439249U CN 219439249 U CN219439249 U CN 219439249U CN 202223443607 U CN202223443607 U CN 202223443607U CN 219439249 U CN219439249 U CN 219439249U
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- 230000007704 transition Effects 0.000 claims abstract description 29
- 238000010438 heat treatment Methods 0.000 claims description 4
- 239000000463 material Substances 0.000 claims description 3
- 238000003780 insertion Methods 0.000 abstract description 4
- 230000037431 insertion Effects 0.000 abstract description 4
- 230000004821 effect on bone Effects 0.000 abstract description 3
- 210000001519 tissue Anatomy 0.000 abstract description 2
- 210000000988 bone and bone Anatomy 0.000 description 20
- 210000004872 soft tissue Anatomy 0.000 description 13
- 238000000034 method Methods 0.000 description 4
- 238000005452 bending Methods 0.000 description 3
- 238000005516 engineering process Methods 0.000 description 3
- 230000000399 orthopedic effect Effects 0.000 description 3
- 238000001356 surgical procedure Methods 0.000 description 3
- 230000000694 effects Effects 0.000 description 2
- VYZAMTAEIAYCRO-UHFFFAOYSA-N Chromium Chemical compound [Cr] VYZAMTAEIAYCRO-UHFFFAOYSA-N 0.000 description 1
- 241001391944 Commicarpus scandens Species 0.000 description 1
- 210000003423 ankle Anatomy 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000005540 biological transmission Effects 0.000 description 1
- 229910052804 chromium Inorganic materials 0.000 description 1
- 239000011651 chromium Substances 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 210000000629 knee joint Anatomy 0.000 description 1
- 230000005499 meniscus Effects 0.000 description 1
- 238000002161 passivation Methods 0.000 description 1
- 229910001220 stainless steel Inorganic materials 0.000 description 1
- 239000010935 stainless steel Substances 0.000 description 1
- 230000001954 sterilising effect Effects 0.000 description 1
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Abstract
Description
技术领域technical field
本实用新型涉及医疗器械技术领域,尤其涉及一种直角拉钩。The utility model relates to the technical field of medical instruments, in particular to a right-angle hook.
背景技术Background technique
在外科手术中,尤其是在进行骨科手术时,医护人员通常需要将骨骼外部的软组织牵引剥离开,或者手术部位临近的骨骼牵引开,以便手术的正常进行,此时就要用到拉钩。拉钩的具体结构,在中国专利公告号为“CN212755749U”的名称为“一种骨科临床手术用拉钩”及中国专利公告号为“CN212996555U”的名称为“一种骨科用拉钩组合件”的专利文本中均有所描述,拉钩多为钩头为内翻边状的L型杆式结构。工作时,依靠将钩头插入软组织和/或骨骼之间,另一端人员握持并拉拽后通过螺栓甚至是滑块等固定结构定位在外支架处,以达到扩大术野和便于手术的目的,存在以下问题:其一,对于内翻边状的钩头,对于勾取的角度要求较高,在拉动软组织或者骨骼牵引剥离时易发脱离现象;尤其是骨骼本身质地较硬,与软组织接触紧密,L型杆式结构的拉钩更不易于准确便捷的进行骨骼的勾取定位,存在着一定的操作不便性。其二,由于使用螺栓或滑块等刚性固定方式,其牵引方向的可选性小,牵引角度的调整灵活度较差;而手术过程中常面临深层软组织甚至是骨骼的牵拉,需要拉钩呈一定倾角状态并需视现场情况随时调整,传统的刚性固定的拉钩角度单一,不能满足灵活使用需求。是否能研发出一种结构合理的拉钩,尤其能保证对骨骼的快速和稳定勾取效果,并确保多牵引角度的灵活调整性能,为本领域近年来所亟待解决的技术问题。In surgery, especially when performing orthopedic surgery, medical staff usually need to pull and peel off the soft tissue outside the bone, or pull away the adjacent bones of the operation site, so that the operation can be carried out normally, and at this time, a retractor will be used. The specific structure of the retractor is in the patent text of the Chinese patent announcement number "CN212755749U" named "a retractor for orthopedic clinical operations" and the Chinese patent announcement number "CN212996555U" named "a retractor assembly for orthopedics" It has been described in , and most of the pull hooks are L-shaped rod structures with hook heads in the shape of inward flanging. When working, rely on inserting the hook head into the soft tissue and/or bone, the other end is held and pulled, and then positioned at the outer bracket through a fixed structure such as a bolt or even a slider, so as to achieve the purpose of expanding the surgical field and facilitating the operation. There are the following problems: First, for the inward-turned hook head, the angle of hooking is relatively high, and it is prone to detachment when the soft tissue is pulled or the bone is pulled and peeled; especially the bone itself is relatively hard, and it is in close contact with the soft tissue. Moreover, the L-shaped rod-type retractor is not easy to accurately and conveniently carry out the hooking and positioning of the bones, and there is a certain inconvenience in operation. Second, due to the use of rigid fixation methods such as bolts or sliders, the selectivity of the traction direction is small, and the flexibility of the adjustment of the traction angle is poor; and during the operation, deep soft tissues and even bones are often pulled, and the retractor needs to be in a certain position. The inclination state needs to be adjusted at any time according to the site conditions. The traditional rigid fixed hook has a single angle and cannot meet the needs of flexible use. Whether it is possible to develop a retractor with a reasonable structure, especially to ensure the fast and stable hooking effect on bones, and to ensure the flexible adjustment performance of multiple traction angles, is a technical problem to be solved urgently in this field in recent years.
实用新型内容Utility model content
为解决上述技术问题,本实用新型提供一种拉钩,其不仅能保证对骨骼的快速和稳定勾取效果,还能配合现有定位架,确保牵引角度的灵活在线调整功能,能有效提升实际手术效率。In order to solve the above technical problems, the utility model provides a pull hook, which can not only ensure the fast and stable hooking effect on bones, but also cooperate with the existing positioning frame to ensure the flexible online adjustment function of the traction angle, which can effectively improve the actual operation. efficiency.
本实用新型提供的直角拉钩包括:拉钩主体,沿拉钩主体的延伸方向,拉钩主体包括依序布置的握持部、过渡部和工作部,所述过渡部倾斜设置从而与握持部形成钝角,工作部布置于过渡部首端并向握持部方向内弯从而在内弯处形成用于插入组织间隙的插接头;握持部的尾部开设有可供牵引绳穿行的穿线孔。The right-angle hook provided by the utility model includes: a hook main body, along the extension direction of the hook main body, the hook main body includes a grip part, a transition part and a working part arranged in sequence, and the transition part is arranged obliquely so as to form an obtuse angle with the grip part, The working part is arranged at the head end of the transition part and bends inward toward the holding part to form a plug joint for insertion into the tissue gap; the tail of the holding part is provided with a threading hole for the traction rope to pass through.
优选的,所述握持部呈扁平的条板状,穿线孔贯穿握持部板面,且穿线孔的孔壁凹设有用于定位牵引绳位置的拉线槽。Preferably, the gripping portion is in the shape of a flat strip, the threading hole runs through the surface of the gripping portion, and the hole wall of the threading hole is recessed with a cable groove for positioning the position of the traction rope.
优选的,所述拉线槽槽长方向平行穿线孔轴线。Preferably, the long direction of the cable groove is parallel to the axis of the threading hole.
优选的,所述穿线孔设有2~3个,且穿线孔呈圆孔状。Preferably, there are 2 to 3 threading holes, and the threading holes are round holes.
优选的,条板状的握持部表面开设有防滑纹。Preferably, anti-slip lines are provided on the surface of the strip-shaped gripping portion.
优选的,所述过渡部与握持部之间角度为120°,所述工作部与过渡部之间角度为90°。Preferably, the angle between the transition part and the grip part is 120°, and the angle between the working part and the transition part is 90°.
优选的,所述过渡部的横截面呈开口朝向握持部所在方向的弧槽状,且与握持部及工作部衔接的端部平滑过渡。Preferably, the cross-section of the transition portion is in the shape of an arc groove with its opening facing the direction of the gripping portion, and the end connecting the gripping portion and the working portion has a smooth transition.
优选的,所述拉钩主体采用2cr13材质板制成,且热处理硬度为44~48HRC。Preferably, the hook main body is made of 2cr13 material plate, and the heat treatment hardness is 44-48HRC.
与相关技术相比较,本实用新型提供的直角拉钩具有如下有益效果:Compared with related technologies, the right-angle hook provided by the utility model has the following beneficial effects:
1)、通过上述方案,一方面,依靠三段式结构所形成的拉钩主体,尤其确保了对骨骼的特定牵引需求。使用时,医护人员通过利用工作部的插接头插入软组织和骨骼的间隙处,并可利用过渡部的设计从而将骨骼卡在拉钩主体的首端的槽状钩头内,从而达到了快速和稳定勾取的效果。另一方面,当本实用新型完成勾取操作后,不再使用刚性固定方式,转而使用牵引绳作为灵活牵引策略,依靠牵引绳对穿线孔的穿行定位目的,配合传统的定位架或其他定位器械作为外置的固定设备,最终达到指定角度的牵引目的。由于是牵引绳来牵引,其牵引角度只需通过牵引绳另一端的系着点的控制即可实现,多角度灵活调整,使用十分方便,显然能有效提升实际手术效率。1) Through the above solution, on the one hand, relying on the main body of the retractor formed by the three-stage structure, in particular, the specific traction requirements for bones are ensured. When in use, the medical personnel insert the plug joint of the working part into the gap between the soft tissue and the bone, and use the design of the transition part to lock the bone in the groove-shaped hook head at the head end of the retractor main body, thus achieving fast and stable hooking. take effect. On the other hand, when the utility model completes the hooking operation, the rigid fixing method is no longer used, and the traction rope is used as a flexible traction strategy instead, relying on the traction rope for the positioning purpose of the threading hole, and cooperating with the traditional positioning frame or other positioning As an external fixed device, the instrument finally achieves the purpose of traction at a specified angle. Since the traction is performed by the traction rope, the traction angle can be realized only by controlling the attachment point at the other end of the traction rope. It can be flexibly adjusted at multiple angles and is very convenient to use. Obviously, it can effectively improve the actual operation efficiency.
2)、作为上述方案的进一步优选方案,拉线槽的设置,使得在牵引骨骼或者软组织时,牵引绳绳结在拉线槽处,能确保牵引绳固定更加牢固,且不会在穿线孔内滑动,使用更为安全可靠。2), as a further preferred solution of the above-mentioned solution, the setting of the cable groove makes the traction rope knotted at the cable groove when pulling the bone or soft tissue, which can ensure that the traction rope is fixed more firmly and will not slide in the threading hole, It is safer and more reliable to use.
3)、对于穿线孔而言,优选两个到三个,从而通过多个孔的布置,来实现多绳体的牵引目的;如两根牵引绳同时牵引本实用新型时,本实用新型的工作状态会更为稳定。同时,理论上,拉线槽可以为斜槽也可以为其他类型的槽体;本实用新型优选为直槽,目的是尽可能避免牵引绳可能沿穿线孔周向产生的滑动状况,最大化其使用可靠性,成效显著。3), for threading hole, preferably two to three, thereby realize the traction purpose of multi-rope body by the arrangement of a plurality of holes; The state will be more stable. At the same time, in theory, the cable trough can be a chute or other types of troughs; the utility model is preferably a straight trough, and the purpose is to avoid as much as possible the sliding condition of the traction rope along the circumference of the threading hole, and to maximize its use. Reliable and effective.
附图说明Description of drawings
图1和图2为本实用新型的一种较佳实施例的结构示意图;Fig. 1 and Fig. 2 are the structural representations of a kind of preferred embodiment of the present utility model;
图3为过渡部的结构示意图;Fig. 3 is the structural representation of transition part;
图4为图1的a部分局部放大图;Fig. 4 is a partially enlarged view of part a of Fig. 1;
图5为图2的A-A向剖面图。Fig. 5 is a cross-sectional view along line A-A of Fig. 2 .
图中标号:Labels in the figure:
10-拉钩主体;11-握持部;111-穿线孔;112-拉线槽;12-工作部;121-插接头;13-过渡部。10-retractor main body; 11-grip part; 111-threading hole; 112-guy groove; 12-working part; 121-plug connector; 13-transition part.
具体实施方式Detailed ways
为了使本实用新型的目的、技术方案及优点更加清楚明白,以下结合附图及实施例,对本实用新型进行进一步详细说明。应当理解,此处所描述的具体实施例仅仅用以解释本实用新型,并不用于限定本实用新型。In order to make the purpose, technical solution and advantages of the utility model clearer, the utility model will be further described in detail below in conjunction with the accompanying drawings and embodiments. It should be understood that the specific embodiments described here are only used to explain the utility model, and are not intended to limit the utility model.
以下结合具体实施例对本实用新型的具体实现进行详细描述。The specific implementation of the utility model is described in detail below in conjunction with specific embodiments.
请参阅图1至图5,本实用新型实施例提供的直角拉钩包括拉钩主体10;拉钩主体10则包括握持部11、工作部12和过渡部13。Please refer to FIG. 1 to FIG. 5 , the right-angle hook provided by the embodiment of the utility model includes a hook main body 10 ; the hook main body 10 includes a gripping part 11 , a working part 12 and a transition part 13 .
设计时,过渡部13的一端为握持部11,另一端为工作部12,也即工作部12与握持部11之间通过如图1-2所示的倾斜设置的过渡部13过渡牵引连接,且工作部12朝向握持部11的首端内弯设有插入组织间隙的插接头121。When designing, one end of the transition part 13 is the grip part 11, and the other end is the working part 12, that is, the transition part 13, which is inclined as shown in Figure 1-2, is used for transitional traction between the working part 12 and the grip part 11. connected, and the working part 12 is bent inward toward the head end of the gripping part 11 to be provided with a plug joint 121 inserted into the interstitial space.
实际使用时,以骨骼外拉为例:医护人员在将本实用新型消毒后,手握握持部11,将工作部12和过渡部13切入需要手术的特定部位,如膝盖关节处,或者脚踝半月板处,然后利用工作部12的插接头121插入软组织和骨骼的间隙处,然后稍稍转动本实用新型,确保弯曲的过渡部13横跨需要剥离的骨骼,此时整个首端钩头将骨骼卡在钩头区域内,然后通过拉动握持部11将骨骼从手术部位剥离。剥离至指定位置后,通过牵引绳穿过穿行孔111,将握持部11固定,从而便于手术的进行,提高手术效率。In actual use, take bone pulling as an example: after sterilizing the utility model, the medical personnel hold the grip part 11, and cut the working part 12 and the transition part 13 into a specific part requiring surgery, such as the knee joint or the ankle At the meniscus, then use the plug joint 121 of the working part 12 to insert into the gap between the soft tissue and the bone, and then turn the utility model slightly to ensure that the curved transition part 13 spans the bone that needs to be stripped. Get stuck in the area of the hook head, then pull the grip 11 to peel the bone away from the surgical site. After peeling off to the designated position, the grip part 11 is fixed through the passing hole 111 through the traction rope, thereby facilitating the operation and improving the operation efficiency.
在本实用新型的实施例中,请参阅图1和图4,所述握持部11呈扁平的条板状,且条板状的表面开设的防滑纹,握持部11的尾端开设有穿线孔111。穿线孔111设有2~3个,图1-2所示为两个,且穿线孔111呈圆孔状。设计时,圆孔状的所述穿线孔111的孔壁均匀开设有多个拉线槽112,如图4所示,以保证对牵引绳的定位效果。In the embodiment of the present utility model, please refer to Fig. 1 and Fig. 4, the grip part 11 is in the shape of a flat slat, and the anti-skid pattern is provided on the slat-like surface, and the tail end of the grip part 11 is provided with Threading hole 111. There are 2 to 3 threading holes 111, two are shown in Fig. 1-2, and the threading holes 111 are round holes. During design, the hole wall of the circular hole-shaped threading hole 111 is uniformly provided with a plurality of pull wire grooves 112, as shown in FIG. 4, to ensure the positioning effect of the traction rope.
此外,握持部11可考虑开设有防滑纹,增大摩擦力,便于医护人员手持握持部11进行握持剥离作业。在拉动剥离后,通过利用牵引绳穿过穿线孔111,并根据牵引绳的方向,来灵活调整牵引绳外端相对定位架等的系着点位置,以实现角度调整需求。牵引绳的内端卡在固定的拉线槽112内,便于对握持部11进行稳定牵引。In addition, the grip part 11 may be provided with anti-skid lines to increase the frictional force and facilitate the medical staff to hold the grip part 11 for gripping and peeling operations. After pulling and stripping, by using the traction rope to pass through the threading hole 111, and according to the direction of the traction rope, flexibly adjust the position of the attachment point of the outer end of the traction rope relative to the positioning frame, etc., to realize the angle adjustment requirement. The inner end of the traction rope is stuck in the fixed cable groove 112, so as to facilitate the stable traction of the gripping portion 11.
进一步的,如图1-3所示的,握持部11与过渡部13之间折弯设置,其弯曲折角为120°,工作部12与过渡部13之间垂直设置,也即角度为90°。这样,在对软组织或骨骼进行剥离时,根据需要剥离的方向,利用夹角为90°的工作部12前端插接头121插入软组织和骨骼间隙处,然后进一步翻转一定角度,使得弯曲折角为120°的过渡部13将需要牵引的骨骼或者软组织包裹住,便于对软组织或骨骼进行稳定的固定包裹,方便进行后续牵引剥离操作。Further, as shown in Figures 1-3, the grip portion 11 and the transition portion 13 are bent and set at a bending angle of 120°, and the working portion 12 and the transition portion 13 are vertically set, that is, the angle is 90°. °. In this way, when the soft tissue or bone is stripped, according to the desired stripping direction, the insertion joint 121 at the front end of the working part 12 with an included angle of 90° is inserted into the gap between the soft tissue and the bone, and then further turned over at a certain angle so that the bending angle is 120° The transition part 13 wraps the bone or soft tissue that needs to be pulled, so as to facilitate the stable and fixed wrapping of the soft tissue or bone, and facilitate the subsequent pulling and stripping operation.
实际操作时,工作部12的插入动力和剥离牵引力,主要过渡部13传递,且在牵引时,如图5所示的过渡部13的弧槽状或者说是月牙形的弯曲方向,更有利于牵引力的传导,便于软组织和骨骼的定位和牵拉。During actual operation, the insertion power and peeling traction force of the working part 12 are mainly transmitted by the transition part 13, and during traction, the arc groove shape or crescent-shaped bending direction of the transition part 13 as shown in Figure 5 is more conducive to The transmission of traction facilitates the positioning and pulling of soft tissues and bones.
拉钩主体10的整体可采用2cr13材质板制成,且热处理硬度为44~48HRC,这样在利用含铬的不锈钢通过热处理,使其满足牵引的强度,牵引过程中不易断裂。同时,整个直角拉钩除了插接头121,其它部位均设置有圆角或者钝化处理,表面光滑无缺陷。The whole drag hook body 10 can be made of 2cr13 material plate, and the heat treatment hardness is 44-48HRC. In this way, the chromium-containing stainless steel is used for heat treatment, so that it can meet the strength of traction, and it is not easy to break during the traction process. At the same time, except for the plug connector 121 , other parts of the entire right-angle hook are provided with rounded corners or passivation treatment, and the surface is smooth and free of defects.
此外,应当理解,虽然本说明书按照实施方式加以描述,但并非每个实施方式仅包含一个独立的技术方案,说明书的这种叙述方式仅仅是为清楚起见,本领域技术人员应当将说明书作为一个整体,各实施例中的技术方案也可以经适当组合,形成本领域技术人员可以理解的其他实施方式。In addition, it should be understood that although this specification is described according to implementation modes, not each implementation mode only includes an independent technical solution, and this description in the specification is only for clarity, and those skilled in the art should take the specification as a whole , the technical solutions in the various embodiments can also be properly combined to form other implementations that can be understood by those skilled in the art.
本实用新型未详细描述的技术、形状、构造部分均为公知技术。The technologies, shapes and construction parts not described in detail in the utility model are all known technologies.
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