TWI391120B - Supine elbow joint surgery auxiliary equipment - Google Patents
Supine elbow joint surgery auxiliary equipment Download PDFInfo
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- TWI391120B TWI391120B TW99110521A TW99110521A TWI391120B TW I391120 B TWI391120 B TW I391120B TW 99110521 A TW99110521 A TW 99110521A TW 99110521 A TW99110521 A TW 99110521A TW I391120 B TWI391120 B TW I391120B
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Description
本發明係提供一種手術輔助器械之技術領域,尤指其技術上提供一種仰躺式肘關節手術輔助器械。The invention provides a technical field of surgical auxiliary instruments, in particular to provide a reclining elbow joint surgery auxiliary device.
按,利用關節鏡進行肘關節手術是當前骨科所發展出新的微創手術之一,然而病患若採傳統的俯臥姿勢進行肘關節手術並不利於關節鏡的操作,因而發展出要求病患能以仰躺式的姿勢進行手術,以利關節鏡有足夠的空間進行操作,同時此種手術方式的另一優點為在做完肘關節關節鏡手術之後,只需要移動病患手臂,就可以馬上進行其他種類的手術,手術時因手臂高過心臟所以出血量較少,對病患負擔也較少。According to the arthroscopy, elbow joint surgery is one of the new minimally invasive surgery developed by the current orthopedics. However, if the patient adopts the traditional prone posture for elbow joint surgery, it is not conducive to the operation of arthroscopy. The operation can be performed in a reclining posture, so that the arthroscope has sufficient space for operation, and another advantage of the surgical method is that after the elbow arthroscopy is performed, only the patient's arm needs to be moved. Other types of surgery are performed immediately, and the amount of bleeding is less because the arm is higher than the heart during surgery, and the burden on the patient is also small.
惟,該仰躺式手術的缺點是手臂沒有適當的支撐工具,手術進行期間均是透過實習醫師協助以徒手來支撐病患的手臂。整個手術進行下來對實習醫師的體力負擔很大,不但有人為不確定的因素,病患手臂的精確位置如高度、角度等亦無法固定,容易影響關節鏡手術的成功與否,故並不是一理想的方式且會增加手術時的風險。However, the disadvantage of this reclining surgery is that the arm does not have a proper supporting tool, and the patient's arm is supported by the intern to assist the patient's arm during the operation. The entire operation is very burdensome for the interns. Not only is there some uncertainty, but the precise position of the patient's arm, such as height and angle, cannot be fixed. It is easy to affect the success of arthroscopic surgery, so it is not a The ideal way and increase the risk of surgery.
是以,針對上述習知結構所存在之問題點,如何開發一種更具理想實用性之創新結構,實臨床手術醫師所殷切企盼,亦係相關業者須努力研發突破之目標及方向。Therefore, in view of the problems existing in the above-mentioned conventional structure, how to develop an innovative structure with more ideal and practicality, the clinical surgeons are eagerly awaiting, and the relevant industry must strive to develop the goal and direction of breakthrough.
有鑑於此,發明人本於多年從事相關醫療手術輔助器械產品之製造開發與設計經驗,針對上述之目標,詳加設計與審慎評估後,終得一確具實用性之本發明。In view of this, the inventor has been engaged in the manufacturing development and design experience of related medical surgical auxiliary device products for many years. After detailed design and careful evaluation, the inventor has finally obtained the practical invention.
習用該仰躺式手術的缺點是沒有適當的支撐工具,手術進行期間均是透過實習醫師協助以徒手來支撐病患的手臂。整個手術進行下來對實習醫師的體力負擔很大,不但有人為不確定的因素,病患手臂的精確位置如高度、角度等亦無法固定,容易影響關節鏡手術的成功與否,故並不是一理想的方式且會增加手術時的風險。The disadvantage of using this type of reclining surgery is that there is no proper support tool, and the patient's arm is supported by the intern to assist the patient's arm during the operation. The entire operation is very burdensome for the interns. Not only is there some uncertainty, but the precise position of the patient's arm, such as height and angle, cannot be fixed. It is easy to affect the success of arthroscopic surgery, so it is not a The ideal way and increase the risk of surgery.
提供一種仰躺式肘關節手術輔助器械,係包含有一底座機構,該底座機構得以鎖固至病床之架體,而該鎖固同時亦鎖固有一主支架,該主支架可調整高低,而該主支架並可藉插銷設定其高度,而該主支架上得以結合一圓環機構,該圓環機構供手臂穿過,而該圓環機構並設有一托手機構承座,一托手機構,該托手機構樞設至該托手機構承座,一鎖固螺絲及一彈性元件,該鎖固螺絲乃得以鎖緊而頂迫彈性元件壓緊托手機構之齒盤頂緊具齒形面之凹孔,使托手機構之調整角度具穩固性者,而該托手機構並設有托手件樞設至滑桿架,而滑桿架只能滑移調整而不會旋轉者。The invention provides a reclining elbow joint operation auxiliary device, which comprises a base mechanism, which is locked to the frame of the hospital bed, and the lock also locks an inherent main bracket, and the main bracket can adjust the height and the height The main bracket can be set by a bolt, and the main bracket can be combined with a ring mechanism for the arm to pass through, and the ring mechanism is provided with a support mechanism seat and a handle mechanism. The handle mechanism is pivoted to the handle mechanism seat, a locking screw and an elastic component, and the locking screw is locked to press the elastic component to press the toothed disc of the support mechanism to tighten the tooth profile The recessed hole enables the adjustment angle of the handle mechanism to be stable, and the handle mechanism is provided with the support member pivoted to the slide bar frame, and the slide bar frame can only be adjusted by sliding without rotating.
1.提供一種仰躺式肘關節手術輔助器械,其機構之零件數少,可直覺式的組裝完成,不需要複雜的組裝說明書,具組裝便利性及容易消毒的優勢。1. Providing a reclining elbow joint surgery auxiliary device, the mechanism has a small number of parts, can be intuitively assembled, does not require complicated assembly instructions, has the advantages of convenient assembly and easy disinfection.
2.提供一種仰躺式肘關節手術輔助器械,其所設計的機構為可用手握住的螺絲頭,方便醫師及助理戴手套轉動者。2. Providing a reclining elbow joint surgery auxiliary device, which is designed with a screw head that can be held by a hand, which is convenient for the physician and the assistant to wear the glove.
3.提供一種仰躺式肘關節手術輔助器械,其結構穩固,且可穩固的結合至病床上,該輔助器械得以發揮輔助功能。3. A reclining elbow joint surgery auxiliary device is provided, which has a stable structure and can be firmly coupled to a hospital bed, and the auxiliary device can play an auxiliary function.
有關本發明所採用之技術、手段及其功效,茲舉一較佳實施例並配合圖式詳細說明於后,相信本發明上述之目的、構造及特徵,當可由之得一深入而具體的瞭解。The above-mentioned objects, structures and features of the present invention will be described in detail with reference to the preferred embodiments of the present invention. .
參閱第一至第五圖所示,本發明係提供一種仰躺式肘關節手術輔助器械,包括:一底座機構(10),該底座機構(10)包含有一底座體(11)、一螺桿(12)、一旋柄(13)、一U形塊(14)及一插銷(142),該底座體(11)由一前、後塊體(111)、(112)及一頂面塊體(113)一體成型而成,該頂面塊體(113)上並開設有貫通之長方形槽孔(1131),該後塊體(112)上設有螺孔(1121),該螺桿(12)一端穿設旋柄(13),該螺桿(12)穿鎖經螺孔(1121),該螺桿(12)之自由端設環凹槽(121),在其螺桿(12)組入U形塊(14)之圓孔(141)時,一插銷(142)插入該圓孔(141)並卡入環凹槽(121),使螺桿(12)只能旋轉而無法脫出該U形塊(14);一主支架(20),該主支架(20)插設於該底座體(11)之長方形槽孔(1131),並為該U形塊(14)橫向扣合推動,該主支架(20)側面等間距設數銷孔(21),該其一銷孔(21)得以插銷(22)固定,而該插銷(22)以鏈條(23)結合至該底座體(11)上,該主支架(20)頂端設有一凹槽(24);一圓環機構(30),該圓環機構(30)周面其一側設一凸塊(31),該凸塊(31)得嵌於主支架(20)頂端之凹槽(24),該圓環機構(30)周面之另一側設一托手機構承座(32),該托手機構承座(32)包括一具齒形面之凹孔(321),一螺孔(322)及一凹室(323);一托手機構(40),包括一側支架(41)、一托手件(42)、一滑桿架(43),該側支架(41)之一端結合有一軸桿(44),該軸桿(44)其一端面設有齒盤(441),而軸桿(44)另一端面設有一未貫穿之圓孔(442),該托手件(42)之底面突出之凸耳(421)樞設至該滑桿架(43)之自由端,而該滑桿架(43)得套設滑移於該側支架(41)上,並可藉由一鎖固件(45)鎖固,該滑桿架(43)套設處設有凸塊(431),而該側支架(41)對應設有滑槽(411),使該凸塊(431)卡於滑槽(411)而讓滑桿架(43)只能移動而不會偏轉者,該鎖固件(45)並可在滑桿架(43)到達定位後鎖固,一鎖固螺絲(46)及一彈性元件(47),該軸桿(44)置入凹室(323),並彈性元件(47)組入軸桿(44)圓孔(442),該鎖固螺絲(46)穿經螺孔(322)及圓孔(442),而抵緊該彈性元件(47)及使軸桿(44)齒盤(441)貼緊具齒形面之凹孔(321)。Referring to the first to fifth figures, the present invention provides a reclining elbow joint surgical aid, comprising: a base mechanism (10), the base mechanism (10) comprising a base body (11), a screw ( 12), a handle (13), a U-shaped block (14) and a latch (142), the base body (11) consists of a front and rear block (111), (112) and a top block (113) integrally formed, the top block (113) is provided with a rectangular slot (1131) penetrating therethrough, and the rear block (112) is provided with a screw hole (1121), the screw (12) One end is provided with a knob (13), the screw (12) is inserted through the screw hole (1121), the free end of the screw (12) is provided with a ring groove (121), and the screw (12) is assembled into the U-shaped block. In the round hole (141) of (14), a pin (142) is inserted into the circular hole (141) and snapped into the ring groove (121) so that the screw (12) can only rotate and cannot be pulled out of the U-shaped block ( 14); a main bracket (20), the main bracket (20) is inserted into the rectangular slot (1131) of the base body (11), and is pushed and pushed laterally by the U-shaped block (14), the main bracket (20) The pin holes (21) are equally spaced on the side, and one pin hole (21) is fixed by the pin (22), and the pin (22) is coupled to the bottom by a chain (23) The body (11) is provided with a recess (24) at the top end of the main bracket (20); a circular ring mechanism (30), and a convex block (31) is disposed on one side of the circumferential surface of the circular ring mechanism (30). The bump (31) is embedded in the groove (24) at the top end of the main bracket (20), and the other side of the circumferential surface of the ring mechanism (30) is provided with a handle mechanism seat (32). The seat (32) includes a concave hole (321) having a toothed surface, a screw hole (322) and an alcove (323); a handle mechanism (40) including a side bracket (41) and a holder a member (42), a slider frame (43), one end of the side bracket (41) is coupled with a shaft (44), the shaft (44) has a toothed disc (441) on one end thereof, and the shaft ( 44) The other end surface is provided with a non-penetrating circular hole (442), and a protruding lug (421) of the bottom surface of the supporting member (42) is pivoted to the free end of the sliding bar frame (43), and the sliding bar The frame (43) is sleeved on the side bracket (41) and can be locked by a locking member (43), and the slider frame (43) is provided with a bump (431). The side bracket (41) is correspondingly provided with a sliding slot (411), so that the protruding block (431) is stuck to the sliding slot (411), so that the sliding rod bracket (43) can only move without deflecting, the locking member ( 45) and can be reached on the slider frame (43) Rear locking, a locking screw (46) and an elastic member (47), the shaft (44) is placed into the recess (323), and the elastic member (47) is assembled into the circular hole of the shaft (44) ( 442), the locking screw (46) passes through the screw hole (322) and the circular hole (442), and abuts the elastic member (47) and the shaft (44) toothed plate (441) is closely attached to the tooth shape The concave hole of the face (321).
藉由上述之組合,該病床(50)之架體(51)先扣設一底座體(11),並在底座體(11)之頂面塊體(113)長方形槽孔(1131)處插設主支架(20),並以主支架(20)之高度而選擇配合之銷孔(21),以插銷(22)固定該銷孔(21),該U形塊(14)乃扣住該主支架(20),旋轉該旋柄(13),使螺桿(12)推動U形塊(14)、主支架(20)抵緊架體(51)之另一面,配合該底座體(11)之前塊體(111)而夾固於該架體(51)上者;該圓環機構(30)並設有兩長槽孔(33)、(34),該兩長槽孔(33)、(34)得供穿設一魔術氈(60),該魔術氈(60)並預先穿在圓環機構(30)中,再將圓環機構(30)穿過手臂,此時從圓環機構(30)外拉緊魔術氈(60),使手臂靠向主支架(20)處緊貼。By the combination of the above, the frame body (51) of the hospital bed (50) is firstly fastened with a base body (11), and is inserted at the rectangular slot (1131) of the top surface block (113) of the base body (11). The main bracket (20) is provided, and the pin hole (21) is matched with the height of the main bracket (20), and the pin hole (21) is fixed by a bolt (22), and the U-shaped block (14) is fastened The main bracket (20) rotates the knob (13) to push the screw (12) to push the U-shaped block (14), and the main bracket (20) abuts against the other side of the frame body (51), and cooperates with the base body (11) The former body (111) is clamped to the frame body (51); the ring mechanism (30) is provided with two long slots (33), (34), the two long slots (33), (34) A magic felt (60) is provided for wearing the magic felt (60) and pre-wearing in the ring mechanism (30), and then the ring mechanism (30) is passed through the arm, at this time from the ring mechanism (30) Tighten the magic felt (60) so that the arm is close to the main bracket (20).
轉鬆該鎖固螺絲(46),該托手機構(40)之側支架(41)就可以調整托手角度,並旋緊固定,而手腕部份則以托手件(42)托住,並調鬆該鎖固件(45),該托手機構(40)之托手件(42)及滑桿架(43)就可調整至最佳位置,再固定該鎖固件(45)。Loosen the locking screw (46), the side bracket (41) of the handle mechanism (40) can adjust the angle of the handle and screw it, and the wrist portion is supported by the handle (42). And the lock (45) is loosened, the handle member (42) of the handle mechanism (40) and the slider frame (43) can be adjusted to the optimal position, and the lock (45) is fixed.
所述該彈性元件(47)為壓縮彈簧。The elastic element (47) is a compression spring.
所述該圓環機構(30)設有二長槽孔(33)、(34),該長槽孔(33)、(34)供一魔術氈(60)穿設入該圓環機構(30)內,以固定一手臂。The circular ring mechanism (30) is provided with two long slots (33), (34), and the long slot holes (33), (34) are provided for a magic felt (60) to be inserted into the ring mechanism (30). ) to fix an arm.
前文係針對本發明之較佳實施例為本發明之技術特徵進行具體之說明;惟,熟悉此項技術之人士當可在不脫離本發明之精神與原則下對本發明進行變更與修改,而該等變更與修改,皆應涵蓋於如下申請專利範圍所界定之範疇中。The present invention has been described with reference to the preferred embodiments of the present invention. However, those skilled in the art can change and modify the present invention without departing from the spirit and scope of the invention. Such changes and modifications shall be covered in the scope defined by the following patent application.
(10)...底座機構(10). . . Base mechanism
(11)...底座體(11). . . Base body
(111)...前塊體(111). . . Front block
(112)...後塊體(112). . . Rear block
(1121)...螺孔(1121). . . Screw hole
(113)...頂面塊體(113). . . Top block
(1131)...長方形槽孔(1131). . . Rectangular slot
(12)...螺桿(12). . . Screw
(121)...環凹槽(121). . . Ring groove
(13)...旋柄(13). . . Rotary handle
(14)...U形塊(14). . . U-shaped block
(141)...圓孔(141). . . Round hole
(142)...插銷(142). . . plug
(20)...主支架(20). . . Main bracket
(21)...銷孔(twenty one). . . Pin hole
(22)...插銷(twenty two). . . plug
(23)...鏈條(twenty three). . . Chain
(24)...凹槽(twenty four). . . Groove
(30)...圓環機構(30). . . Ring mechanism
(31)...凸塊(31). . . Bump
(32)...托手機構承座(32). . . Holder seat
(321)...凹孔(321). . . Concave hole
(322)...螺孔(322). . . Screw hole
(323)...凹室(323). . . Alcove
(33)...長槽孔(33). . . Long slot
(34)...長槽孔(34). . . Long slot
(40)...托手機構(40). . . Hand held mechanism
(41)...側支架(41). . . Side bracket
(411)...滑槽(411). . . Chute
(42)...托手件(42). . . Handpiece
(421)...凸耳(421). . . Lug
(43)...滑桿架(43). . . Slide frame
(431)...凸塊(431). . . Bump
(44)...軸桿(44). . . Shaft
(441)...齒盤(441). . . Chainring
(442)...圓孔(442). . . Round hole
(45)...鎖固件(45). . . Lock firmware
(46)...鎖固螺絲(46). . . Locking screw
(47)...彈性元件(47). . . Elastic component
(50)...病床(50). . . Bed
(51)...架體(51). . . Frame
(60)...魔術氈(60). . . Magic felt
第一圖:係本發明其一實施例之立體分解示意圖。The first figure is a perspective exploded view of an embodiment of the present invention.
第二圖:係本發明其一實施例之立體示意圖。Second Figure: A perspective view of an embodiment of the present invention.
第三圖:係本發明其一實施例之調整動作示意圖。Third Embodiment: A schematic diagram of an adjustment operation of an embodiment of the present invention.
第四圖:係該位置軸桿之局部剖示圖。Figure 4: A partial cross-sectional view of the shaft of the position.
第五圖:係本發明之其一實施狀態平面示意圖。Fig. 5 is a plan view showing an embodiment of the present invention.
(10)...底座機構(10). . . Base mechanism
(11)...底座體(11). . . Base body
(111)...前塊體(111). . . Front block
(112)...後塊體(112). . . Rear block
(1121)...螺孔(1121). . . Screw hole
(113)...頂面塊體(113). . . Top block
(1131)...長方形槽孔(1131). . . Rectangular slot
(12)...螺桿(12). . . Screw
(121)...環凹槽(121). . . Ring groove
(13)...旋柄(13). . . Rotary handle
(14)...U形塊(14). . . U-shaped block
(141)...圓孔(141). . . Round hole
(142)...插銷(142). . . plug
(20)...主支架(20). . . Main bracket
(21)...銷孔(twenty one). . . Pin hole
(22)...插銷(twenty two). . . plug
(24)...凹槽(twenty four). . . Groove
(30)...圓環機構(30). . . Ring mechanism
(31)...凸塊(31). . . Bump
(32)...托手機構承座(32). . . Holder seat
(321)...凹孔(321). . . Concave hole
(322)...螺孔(322). . . Screw hole
(323)...凹室(323). . . Alcove
(33)...長槽孔(33). . . Long slot
(34)...長槽孔(34). . . Long slot
(40)...托手機構(40). . . Hand held mechanism
(41)...側支架(41). . . Side bracket
(411)...滑槽(411). . . Chute
(42)...托手件(42). . . Handpiece
(421)...凸耳(421). . . Lug
(43)...滑桿架(43). . . Slide frame
(431)...凸塊(431). . . Bump
(44)...軸桿(44). . . Shaft
(441)...齒盤(441). . . Chainring
(45)...鎖固件(45). . . Lock firmware
(46)...鎖固螺絲(46). . . Locking screw
(47)...彈性元件(47). . . Elastic component
Claims (5)
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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TW99110521A TWI391120B (en) | 2010-04-06 | 2010-04-06 | Supine elbow joint surgery auxiliary equipment |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
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TW99110521A TWI391120B (en) | 2010-04-06 | 2010-04-06 | Supine elbow joint surgery auxiliary equipment |
Publications (2)
Publication Number | Publication Date |
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TW201036588A TW201036588A (en) | 2010-10-16 |
TWI391120B true TWI391120B (en) | 2013-04-01 |
Family
ID=44856318
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
TW99110521A TWI391120B (en) | 2010-04-06 | 2010-04-06 | Supine elbow joint surgery auxiliary equipment |
Country Status (1)
Country | Link |
---|---|
TW (1) | TWI391120B (en) |
Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4649907A (en) * | 1984-02-29 | 1987-03-17 | Australian Biomedical Corporation Limited | Traction splint |
WO1989010103A1 (en) * | 1988-04-19 | 1989-11-02 | Arthronix Corporation | Limb supporting device for arthroscopic surgery |
US5702355A (en) * | 1997-01-14 | 1997-12-30 | Ronald M. Repice | Portable adjustable traction appliance to treat carpal tunnel syndrome and other problems of the wrist |
CN2817779Y (en) * | 2005-07-22 | 2006-09-20 | 刘阔 | Resetting auxiliary device of antibrachium fracture |
CN101015480A (en) * | 2007-02-28 | 2007-08-15 | 梁斌 | Tractor for radius far-end fracture reset and shoulder joint dislocation |
-
2010
- 2010-04-06 TW TW99110521A patent/TWI391120B/en not_active IP Right Cessation
Patent Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4649907A (en) * | 1984-02-29 | 1987-03-17 | Australian Biomedical Corporation Limited | Traction splint |
WO1989010103A1 (en) * | 1988-04-19 | 1989-11-02 | Arthronix Corporation | Limb supporting device for arthroscopic surgery |
US5702355A (en) * | 1997-01-14 | 1997-12-30 | Ronald M. Repice | Portable adjustable traction appliance to treat carpal tunnel syndrome and other problems of the wrist |
CN2817779Y (en) * | 2005-07-22 | 2006-09-20 | 刘阔 | Resetting auxiliary device of antibrachium fracture |
CN101015480A (en) * | 2007-02-28 | 2007-08-15 | 梁斌 | Tractor for radius far-end fracture reset and shoulder joint dislocation |
Also Published As
Publication number | Publication date |
---|---|
TW201036588A (en) | 2010-10-16 |
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Legal Events
Date | Code | Title | Description |
---|---|---|---|
MM4A | Annulment or lapse of patent due to non-payment of fees |