KR101710464B1 - support for cervical vertebral - Google Patents

Abstract

The present invention relates to a neck support for surgery which comprises: a base; an occipital portion supporting unit which is formed on one side of the base to partially support the occipital portion; a face supporting unit which is formed on the other side of the base to partially support the face; an adjusting unit which is disposed on one side of the base to adjust the cervical vertebral portion; and a support unit which is disposed on the other side of the base to support the cervical vertebral portion. The occipital region supporting unit and the face supporting unit are selectively used in accordance with anterior or posterior surgery.

Description

{Support for cervical vertebral}

The present invention relates to a surgical neck support.

The cervical spine (neck) is the vertebra at the top of the vertebrae, the neck of the human body (specifically the neck), with seven vertebrae in the form of curves. The cervical spine has an anatomical structure different from that of the lumbar spine and thoracic spine, and is a place where rotational, flexion and extension movements are actively occurring.

These cervical vertebrae are shaped like a natural C-shaped curve to serve as a buffer to support the weight of the head when standing normally. However, if a cervical spine is involved in a cervical spine, cervical disc herniation, cervical spine stenosis, cervical spinal stenosis, posterior cervical spondylosis, or spinal tumor, the patient will not be able to make a C-shaped curve and feel symptoms such as pain and numbness. It is accompanied by paralysis symptoms that can not be done at will.

In order to resolve the symptoms of patients with these diseases, surgery is performed on the cervical vertebrae. Excessive posture is maintained for a long time from the beginning of the surgery, and the nerve compression is already under way, which may worsen postoperative neuropathy.

The ideal and safe posture is a natural neutral position. However, in order to remove the side panel or vertebral body and insert the implants to support it, a short neck cervix is needed.

In other words, during most of the operation time, the cervical spine needs to be held in a neutral position, and a neck support that is only extended for a few minutes, which is the time to put the implant. In addition, since the surgical part must be sterilized during surgery, it is difficult for a third party to intervene to deform the neck angle.

Therefore, the technique is required to temporarily expand the cervical vertebrae in a state in which the cervical vertebrae are not intervened promptly during the insertion of the implant during surgery.

Open Patent Publication No. 10-2009-0006441 (Jan. 15, 2009)

The present invention provides a surgical neck support capable of maintaining extension in a neutral position during cervical surgery and inducing extension for a few minutes during which the implant is inserted.

The present invention provides a neck base that is applicable to both forward and rearward passages of the cervical spine surgery.

A neck support for surgery according to an embodiment of the present invention includes a base, a back support part formed on one side of the base and capable of supporting a part of the occipital area, a face support part formed on the base opposite side and capable of supporting a part of the face, And a support unit disposed on one side of the base and capable of extending the cervical vertebrae and a cervical vertebrae disposed on the other side of the base, wherein the occipital support unit and the face support unit are connected to each other through a forward light- It is optionally used depending on the operation.

The extension unit may include an expanding part for supporting the cervical vertebrae and a driving part for injecting or discharging a working fluid into the expanding part. The expansion of the expanding part may expand the cervical vertebrae to insert the implant.

The surgical neck support may further include a table which can be connected to the operating table and has a base and a through hole through which the face support or the back support is passed.

Wherein the face support portion includes a first support portion having a jaw support capable of supporting the jaw, a second support portion having a forehead support capable of supporting the forehead and being separable from the first support portion, And a connection portion for connecting the support portion, and a space may be formed between the jaw support and the forehead support so that the lip, nose, and forehead are not pressed.

The surgical neck support may be formed on one side of the base and the other side of the base, and may further include a holder having a holder hole, and a stand detachably coupled to the holder and adjustable in length.

According to an embodiment of the present invention, the cervical vertebrae are stretched as the expanding bulge lifts the cervical spine. Therefore, the insertion of the implant is facilitated between the cervical nodes and the operation or surgery can be effectively performed.

The present invention can be used in both anterior and posterior dural surgery by supporting the occipital region using an occipital support during anterior dural surgery and supporting the face using a facial support during dural dural surgery. The usability can be increased.

The present invention controls the extension of the cervical vertebrae as the expanding part expands or contracts by the movement of the working fluid. Since the intervention of a third party does not occur, it is possible to perform the treatment in a hygienically stable state.

According to the embodiment of the present invention, since the circumferential surface of the laryngeal support space supports the larynx, the head of the patient is not moved. Therefore, the cervical spine surgery or surgery can be effectively performed.

According to the embodiment of the present invention, a space is formed between the chin support and the forehead support so that the lips, nose and forehead of the operator are not pressed. The fatigue of the operator caused by the pressing can be prevented.

According to the embodiment of the present invention, since the jaw is fixed to the stand with the tape in a state in which the cervical spine is extended, the cervical spine can be kept in the extended state, and the head can be fixed so as not to move.

According to the embodiment of the present invention, since the stand to which the lid is coupled is detachably coupled to the table, the cloth can be easily installed, and the operation and preparation for surgery can be easily performed.

According to an embodiment of the present invention, the width of the expanding portion is formed narrower than the widths of the face support portion and the back support portion. An unnecessary portion of the expanding portion is omitted and the expanding portion is made slim. The slimming of the expanding portion can lead to a slimming of the operation neck support. Therefore, no part of the cervical spine is surgically removed.

1 is an exploded perspective view of a surgical neck support according to an embodiment of the present invention;
Fig. 2 is a perspective view of the coupling of Fig. 1; Fig.
FIG. 3 is a perspective view showing a state where the base of FIG. 2 is coupled with the table in an inverted state; FIG.
4 is a sectional view taken along the line IV-IV in Fig.
5 is a sectional view taken along the line V-V in Fig.
6 is a schematic view showing an anterior transillumination state;
FIG. 7 is a schematic view showing a posterior drip operative state. FIG.
8 is a perspective view illustrating a cervical pedestal according to another embodiment of the present invention.

Hereinafter, embodiments of the present invention will be described in detail with reference to the accompanying drawings so that those skilled in the art can easily carry out the present invention. The present invention may, however, be embodied in many different forms and should not be construed as limited to the embodiments set forth herein. Like parts are designated with like reference numerals throughout the specification.

A cervical pedestal according to an embodiment of the present invention will now be described with reference to FIGS. 1 to 5. FIG.

FIG. 1 is an exploded perspective view of a neck base for surgery according to an embodiment of the present invention, FIG. 2 is an assembled perspective view of FIG. 1, FIG. 3 is a perspective view showing a state where the base of FIG. 4 is a sectional view taken along the line IV-IV in FIG. 2, and FIG. 5 is a sectional view taken along the line V-V in FIG.

1 to 5, a surgical neck support 100 according to the present embodiment includes a table 10, a cradle 20, a stand 30, a base 40, a face support 60, An extension unit 70 and a support unit 80. An anterior cervical vertebra procedure or surgery is performed on the operation table to support the cervical spine of the operator and the cervical spine is inserted at the insertion time of the implant.

The table 10 includes a first portion 11 coupled to a surgical table (not shown) and a second portion 12 connected to the first portion 11 and having a through-hole 121. The through hole 121 penetrates the second portion 12 vertically.

The first portion 11 may be connected to the operating table by a fastening means such as a bolt, or may be positioned between the operating patient and the operating table during surgery. So that the surgical neck support 100 can be coupled to the operating table.

A rib (not shown) connected to the first part 11 is provided on a lower surface of the second part 12. The ribs prevent the second portion 12 from bending about the first portion 11.

The holder 20 is vertically protruded from the second portion 12 to the upper side and has a mounting hole 21.

The stand 30 has a predetermined shape, one side of which is located above the second portion 12, and the other side of which is inserted into the accommodation hole 21. The stand 30 can be separated from the mounting hole 21. A head of a surgical patient may be positioned below one side of the stand 30. The stand 30 can be adjusted in length depending on the operator.

The lid 31 can be coupled to the stand 30 to cover the head of the patient. Also, a tape 32 for fixing the head of the surgeon may be attached to the stand 30.

However, the holder 20 and the stand 30 may be omitted.

The base 40 is narrower than the second portion 12 and has a larger area than the through hole 121. The base 40 rests on the second portion 12. At this time, one surface and the other surface of the base 40 can be selectively placed in contact with the second portion 12.

The laryngeal support portion 50 is disposed at a portion of the base 40 facing the occiput when the operation patient is lying on the operating table to see the ceiling for forward dribbling operation. The occipital support (50) supports the occipital area of the patient during anterior dorsal operation. The back support portion 50 is formed on one side of the base 40 apart from the first portion 11. The width of the occipital support 50 is narrower than the width of the base 40 and the through-hole 121. When the one side of the base 40 contacts the second portion 12, the rear head support portion 50 can penetrate the through hole 121.

The laryngeal support part 50 has a predetermined length, and the upper surface supporting the laryngeal part is recessed to cover the occipital area. Thus, the occipital space 51 is formed on the upper surface of the back support part 50. As the upper surface of the occipital support portion 50 constituting the occipital space 51 covers the occipital region, the head of the operation patient may not move. A portion of the base 40 that coincides with the bottom and bottom of the occipital space 51 penetrates vertically so that the occiput is not pressed. However, the base 40 may not penetrate.

The laryngeal support 10 may be made of plastic or the like which is not pressed when the patient is placed on the back.

The face support portion 60 includes a first support portion 61, a second support portion 62 and a connection portion 64. When the patient is lying on the operating table in a state where the operation patient is lying down for post- . Facial Support (60) Supports the facial surface of the patient during posterior dural surgery. The face support portion 60 is formed on the other surface of the base 40 away from the first portion 11. The width of the face supporting portion 60 is narrower than the width of the base 40 and the through hole 121. When the other surface of the base 40 contacts the second portion 12, the face supporting portion 60 can penetrate the through hole 121.

The first support portion 61 has a jaw support 611 for supporting the jaw of the operation patient. The jaw support base 611 is formed in such a shape that the jaws can be in close contact with each other. The first support portion 61 does not extend beyond the lips of the operation patient.

The second support portion 62 has a forehead support 621 for supporting the forehead of the operation patient. The forehead support base 621 is formed in such a shape that the forehead can be adhered to the whole. The second support portion 62 can be separated from the first support portion 61 and the separated distance can be adjusted according to the face length of the operation patient.

The second support portion 62 is spaced apart from the lips, nose, and eyes of the operation patient except for the forehead support 621. A face space 63 is formed between the face and the second support portion 62 when the operation patient puts the forehead on the forehead support 621. [ The lips, nose, and eyes do not touch the second support portion 62 by the face space 63 and are not pressed during surgery. The fatigue of the face caused by the pressure can be prevented.

The bottom of the face space (63) of the second support part (62) penetrates through the base (40) part. The face space 63 is connected to the occipital support 50. The tube can be inserted through the facial space 63 into the patient's organ lying on the operating table.

The first support portion 61 and the second support portion 62 may be made of the same material as the back head support portion 50.

The connection portion 64 separably connects the first support portion 61 and the second support portion 62. The connection portion 64 protrudes from the second support portion 62 and is inserted into the insertion hole 641 of the first support portion 61. The positions of the connecting portion 64 and the insertion hole 641 can be changed from each other. The distance between the first support portion 61 and the second support portion 62 is adjusted according to the degree of insertion of the connection portion 64. [ 3 and 5, the connecting portion 64 is shown as a rod, but the structure of the connecting portion 64 can be variously changed.

The extension unit 70 includes an expanding portion 71 and a driving portion 72 and supports the cervical vertebrae and expands the cervical vertebrae when the implant is inserted.

The expanding portion 71 is located on one side of the base 40 and is disposed between the first portion 11 and the back head support portion 50. Thus, the expanding portion 71 can support the neck when the patient is lying on the operating table. The inside of the expansion portion 71 is empty and the working fluid can be injected or discharged. The upper surface of the bulging portion 71 is formed to be convex from both sides toward the center. The upper surface of the bulging portion 71 is recessed along the width direction. The upper face can be wrapped around the neck.

And is formed into a convex curved surface. When the working fluid is injected into the expanding part 71 at the time of anterior dorsal cervical vertebra or surgery, the upper surface of the expanding part 71 lifts the neck. The cervical spine can be extended by the shape of the upper surface when the neck is lifted.

The driving unit 72 injects or discharges the working fluid into the expanded portion 71. The driving unit 72 may be an air compressor or a hydraulic pump. Further, the driving unit 72 may be formed in various structures such as an air pressure pump (not shown) that can be pressed by hand, or a pedal (not shown) that can be stepped on the foot.

The support unit 80 is disposed on the other surface of the base 10 and disposed between the first portion 11 and the face support portion 60. And supports the cervical vertebrae when the support unit 80 is passed rearward. The support unit 80 may be made of a material having strength such that it is not pressed by the cervical vertebrae.

Next, the operation of the neck support for surgery described above will be described with reference to FIGS. 6 and 7. FIG.

FIG. 6 is a schematic view showing an anterior transillumination state, and FIG. 7 is a schematic view showing a posterior transillumination state.

First, referring to FIG. 6, a patient with surgery lays down on the operating table in a state in which the other surface of the base 40 is placed on the second portion 12 and the occipital support 50 is exposed during forward drip surgery. The neck is located in the expanding portion (71) and the occipital region is located in the occipital support portion (50). The neck is supported by the expanding portion 71 so that the nodes of the cervical vertebrae maintain a neutral state.

After the neck skin is cut, when the time to insert the implant into the cervical vertebrae is reached, the driver 72 is operated. The upper surface of the expanding portion 71, which is expanded when the working fluid flows into the expanding portion 71, can lift the neck. At this time, the cervical vertebra can be extended. Place the implant on the enlarged cervical node. Thereafter, when the working fluid of the expanding part 71 is discharged, the contracted expanding part 71 is lowered and the cervical part of the cervical vertebrae can be in a neutral state.

Therefore, it is possible to temporarily expand the cervical vertebrae in a state in which the cervical vertebrae are not intervened swiftly and only when the implant is inserted during the operation.

Referring to FIG. 7, in a state in which the base 40 is placed on the second portion 12 and the facial support 60 is exposed during the back-pass surgery, the operation patient lies directly on the operating table. The chin of the operation patient is placed on the chin support 611 and the forehead is placed on the forehead support 621. When the forehead support 621 does not fit, the second support 62 is moved so that the forehead support 621 is positioned at the forehead.

Therefore, soft tissues such as eyes, lips, and the like are not pressed during the rearward approach. The tube can also be inserted through the occipital support 50 into the patient's organ lying down for surgery. The tube can be stably inserted without being pressed.

The neck is located in the support unit (80) and the face is located in the face support (60). The neck is supported by the support unit 80, so that the nodes of the cervical vertebrae can maintain a stable state when they are maintained in the neutral state.

Next, another embodiment of the present invention will be described with reference to FIG.

The surgical neck support 200 according to the present embodiment includes a table 10, a cradle 20, a stand 30, a base 40, a face support 60, a back support 50, .

The configurations and effects of the cradle 20, the stand 30, the base 40, the face support (not shown), the back support 50, the extension unit 70, and the support unit 80 according to the present embodiment The base, the face support, the back support, and the extension unit according to the embodiments of FIGS. 1 to 7, so that redundant description will be omitted.

However, the first portion 11 of the table 10 according to the present embodiment has a different structure.

The first portion 11 of the table 10 according to the present embodiment is formed in the form of a rod and is connected to the second portion 12. [ The first portion 11 may be coupled to a groove of a coupling portion (not shown) provided on the operating table (not shown). That is, the surgical neck support 200 can be installed on the operating table while the end of the first portion 11 is inserted into the groove of the coupling portion.

Many of the features shown in the embodiments shown in Figs. 1 to 7 can be applied to the present embodiment.

While the present invention has been particularly shown and described with reference to exemplary embodiments thereof, it is to be understood that the invention is not limited to the disclosed exemplary embodiments, Of the right.

100, 200: surgical neck base 10: table
11: first part 12: second part
121: Through hole
20: Cradle 21: Mounting hole
30: Stand 31: Cover
32: tape 40: base
50: back head support 51: occipital space
60: Facial support part 61: First support part
611: chin support 62: second support
621: Forehead support 63: Facial space
64: connection part 641: insertion hole
70: Extension unit 71: Expansion part
72: driving unit 80: supporting unit

Claims (4)

Base,
A back support portion formed on one side of the base and capable of supporting a part of the occiput,
A face support formed on the base face and capable of supporting a part of the face,
An extension unit disposed on one side of the base and capable of extending a cervical vertebra;
A support unit disposed on the other surface of the base and capable of supporting the cervical vertebra,
/ RTI >
The occipital support and the face support are selectively used in accordance with anterior or posterior surgery.
Surgical neck support. The method of claim 1,
The extension unit
An expanding portion for supporting the cervical vertebra;
A driving part for injecting or discharging a working fluid into the expansion part;
Lt; / RTI >
The expansion of the expanding portion expands the cervical portion into which the implant is to be inserted
Surgical neck support. The method of claim 1,
The face-
A first support portion having a jaw support capable of supporting the jaw,
A second support portion having a forehead support capable of supporting the forehead and being separable from the first support portion,
And a connecting portion connecting the first supporting portion and the second supporting portion,
Lt; / RTI >
A space is formed between the chin support and the forehead support so that the lip, nose and forehead are not pressed
Surgical neck support. The method of claim 1,
A table which can be connected to the operating table and has a base and a through hole through which the face support or the back support is passed,
A table formed on the table and having a mounting hole and
A stand detachably coupled to the cradle and having a length adjustable
Further comprising: a surgical neck support.

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