M360019 五、新型說明： 【新型所屬之技術領域】 之手要關於—種固^架，尤指—種可多軸向調整 于咖用手術用撐開器固定架。 【先前技術】 备、生=病變如椎管頸椎狹窄或頸椎間盤突出等疾病，常 臂神經痛、上肢麻痛或是脊鑛病變進而造成步履 不％或大小便失禁之症狀，此 患者需要祐L 頰-者中視病情不同而部分 =:手術，頸椎手術依病變位置分為前位及後位 j 要將頸椎旁之氣管、食道、頸動脈等重要結構及 視野^具㈣，並讀開㈣持撐開及維持適當的手術 ，並維持同一位置以供醫生接續後續手術過程。 抓持術過：中常以護士或助理醫師執行此 程較Jr 式手持該撐開11，如手術過 久，則可能因久持而無法獲得休息，$而影響該 名…助理醫師手持的穩定性。無論前位手術或後位手 u，頸椎手術屬於較精密之手術， 椎立 丁珩且頌椎手術主要關於脊 椎部位是為人體之重要部&，其内具有神經根 ，含索相，輯附近還有頸動脈及食料人體重要部位 ::微移動該撐開器，則可能誤傷患者神經、動帶、頸 動脈#部位，進而危害患者之身體。 理J外，在手術室中因該撐開器而需増添一名護士或助 认：專門負t ’在人力上之調配實屬浪費，且頸椎手術 '精準度需求高之手術’若護士或助理醫師長久手持樓 M360019 開器而手臂抖動或位移，、止 變，進而影響醫生手術产此 開口大小、位置改 旁更是增加了醫生…:兄，且"一名護士或助理醫師在 手術之穩^度。的㈣影響因素，容易影響醫生 故現7手術用撐開器需要一可以代替人力固定，且 長久支撐之固定架。 【新型内容】 本創作之主要目的在於提供—種手術用樓開器固定架 ，希藉此：計取代傳統習用以人力手持撐開器之方式。 為達月I)揭目的，本創作提供一種手術用推開器固定架 ^其包含： 一固接組件； 、—多軸向調整連接臂組’其具有_第—連接部及一第 二連接部，該第一連接部接設該固接組件；以及 一夾固組件，其包含一夾固座及一接桿，該接桿一端 組接該夾固座，另一端組接該多軸向調整連接臂組之第二 連接部，該夾固座用以組接撐開器。 由上述可以得知，該固接組件用以方便本創作裝設於 手術室内，並藉由該多軸向調整連接臂組調整各方向，以 使該夾固組件於夾固撐開器後得以維持於正確位置，故本 創作可取代人力抓持手術用撐開器，因此可避免人力抓持 而造成之不石隹定危險因素’防止人為誤傷患者以及鯉κ τν ' 齒 生手術環境及醫生之穩定度’同時可節省人力，因此其他 部分人力可更為充裕’故可降低手術風險，還可降低手術 時的人力支出。 M360019 【實施方式】 〇月參閱弟一圖及第二圖，本創作主要關於-種手術用 撐開器固定架，其包含： 一固接组件⑴’其具有—固定套環⑴），該固定套環 (11)上螺設有—具螺桿之迫緊旋紐（4)，該固定套環⑴）用 乂供套叹於梓狀物丨，並藉旋轉該&緊旋鈕。2)迫緊定位 ’於本較佳實施例本創作尚設有-支撐桿（12卜該支 撐桿（12)可由數支節桿包合而成，以方便拆裝及攜帶，該 固定套環⑴）可滑移地套設於該支撐桿（12)上，並藉該迫 緊旋紐（4)迫緊定位； 一多軸向調整連接臂組（2)，該多軸向連接臂組（2) 一 ”有-桿體狀之第—連接部(21)及位於相對端之第二連 接部（22)，該第一連接部（22)組接該固接組件（1)之固定套 % (11)—側，於本較佳實施例中，該第二連接部（22)為一 管體；以及 ^ —夾固組件（3) ’其包含一夾固座（32)及一接桿（31)， 該接桿（31卜端接設該夾固座（32)，另—相對端組接該多轴 向調整連接臂組（2)之第二連接部（22)，該夾固座（32)用以 夹固撐開器（9) ’該夾固組件（3)以該接桿（31)可滑移地插設 於該多軸向調整連接臂組（2)之第二連接部（22)中，並藉一 具螺桿之迫緊旋鈕（4)螺設於該第二連接部（22)上以迫緊 定位該接桿（31)，並藉由該第二連接部（22)與該迫緊旋鈕（4) 使該夹固組件（3)可維持一定的穩定度。 如第二圖所示實施例中，該多軸向調整連接臂組包 3包3數個連接臂（23)及數個軸向調整接續組件（24)，該些 M360019 該第一連接部M360019 V. New description: 【New technical field of the art】 The hand should be about the type of solid frame, especially the kind of multi-axial adjustment for the coffee machine. [Previous technique] Preparation, birth = lesions such as cervical spinal stenosis or cervical disc herniation, normal arm neuralgia, upper extremity numbness or spinal mineral lesions and thus caused by lack of walking or incontinence symptoms, this patient needs to L cheek - the difference between the condition and the part of the disease =: surgery, cervical surgery according to the location of the lesion is divided into the anterior and posterior position j to the cervical vertebrae of the trachea, esophagus, carotid artery and other important structures and vision (4), and read (4) Maintain and maintain appropriate surgery and maintain the same position for the doctor to follow up the follow-up procedure. Grab the surgery: the nurse or assistant physician often performs this procedure than the Jr-type hand-held. If the surgery is too long, it may not be able to get a rest due to the long-term holding, and the influence of the name... the stability of the assistant's hand-held . Regardless of the anterior or posterior hand, cervical surgery is a more precise operation. The vertebral pedicle and the sacral surgery are mainly about the spine. It is an important part of the human body. It has nerve roots, including the cord phase. There are also important parts of the carotid artery and food body nearby:: Micro-movement of the spreader may accidentally injure the patient's nerves, moving bands, and carotid arteries, thereby harming the patient's body. In addition to the J, in the operating room, the nurse needs to add a nurse or a confession: special negative t 'manual allocation is a waste, and cervical surgery 'high precision surgery' if the nurse Or the assistant physician holds the M360019 for a long time and the arm shakes or shifts, and stops, which affects the doctor's operation. The size of the opening and the position change are added to the doctor...: Brother, and "a nurse or assistant physician The stability of the operation. (4) Influencing factors, it is easy to affect the doctor. Therefore, the surgical extension device needs a fixed frame that can be used instead of human fixation and long-term support. [New content] The main purpose of this creation is to provide a kind of surgical floor opener holder, which is used to replace the traditional method of manually holding the opener. For the purpose of the month I), the present invention provides a surgical pusher holder comprising: a fixed component; a multi-axial adjustment connecting arm set having a _th connection and a second connection The first connecting portion is connected to the fixing component; and a clamping component comprises a clamping seat and a post, the connecting rod is connected to the clamping seat at one end, and the multi-axial is assembled at the other end The second connecting portion of the connecting arm set is adjusted, and the clamping seat is used for assembling the spreader. It can be known from the above that the fixing component is used to facilitate the installation of the present invention in the operating room, and the multi-axial adjustment connecting arm group is used to adjust each direction, so that the clamping component can be clamped to the expansion device. Maintained in the correct position, this creation can replace the human hand grasping the surgical spreader, so it can avoid the risk factors caused by human grasping. Preventing human-induced accidental injury and 鲤κ τν ' Dental operating environment and doctor The stability 'can save manpower at the same time, so other parts of the manpower can be more abundant', which can reduce the risk of surgery and reduce the labor expenditure during surgery. M360019 [Embodiment] Referring to the first figure and the second figure of the month, the present invention mainly relates to a surgical spreader holder, comprising: a fixing component (1) having a fixing collar (1), the fixing The upper ring of the collar (11) is provided with a tightening knob (4) with a screw, and the fixing collar (1) is sighed by the shackle and is rotated by the & knob. 2) Forced positioning 'In the preferred embodiment, the present invention is provided with a support rod (12). The support rod (12) can be assembled by a plurality of joint rods for easy assembly and disassembly, and the fixed collar (1)) slidably sleeved on the support rod (12), and is tightly positioned by the tensioning knob (4); a multi-axial adjustment connecting arm set (2), the multi-axial connecting arm set (2) a "connected portion (21) having a rod-shaped body and a second connecting portion (22) at an opposite end, the first connecting portion (22) being assembled to fix the fixing assembly (1) In the preferred embodiment, the second connecting portion (22) is a tube body; and the clamping member (3) 'includes a clamping seat (32) and a a post (31), the post (31 end is connected to the clamping seat (32), and the other opposite end is connected to the second connecting portion (22) of the multi-axial adjustment connecting arm group (2), The clamping seat (32) is used for clamping the spreader (9). The clamping component (3) is slidably inserted into the multi-axial adjustment connecting arm set (2) by the connecting rod (31) In the second connecting portion (22), and screwed by a screw pressing knob (4) The second connecting portion (22) is for positioning the connecting rod (31), and the clamping member (3) can be maintained by the second connecting portion (22) and the pressing knob (4). As shown in the second embodiment, the multi-axial adjustment connecting arm group includes three sets of three connecting arms (23) and a plurality of axial adjusting connecting assemblies (24), and the M360019 a connection
該些軸向調整接續組件（24)各包含一公樞接件（241)、 連接臂（23)舆軸向調整接續組件（24)接設於 (21)及該第二連接部（22)之間，該多軸命 )，各公樞接件（241)具有— 並可進一步於該定位接合面 一母樞接件（242)及一旋鈕（243)， 定位接合面及一螺接桿（245)，並 形成一環齒部（244) ’各螺接桿（245)突伸形成於各公樞接件 (241)之環齒部（244)中央，各母樞接件（242)具有一固定接 合面及一形成於固定接合面之穿孔（246)，並可進一步於固 定接合面上形成與公柩接件（241)匹配之環齒部（244)，各穿 孔（246)貫穿各母樞接件（242)，各旋鈕（243)上設有對應螺 接桿（245)之螺孔，各公樞接件（241)以螺接桿（245)穿過各 母樞接件（242)之穿孔（246) ’各旋鈕（243)以螺孔螺設螺接 桿（245)，以環齒部（244)間之咬合而調整角度，並藉旋轉旋 鈕（243)而迫緊固定公樞接件（241)與母枢接件（242)間之軸 向角度。 上述中’該些公樞接件（241)及母樞接件（242)與連接臂 (23)間可以各種角度接設’藉以達到萬向調整上的變化， 於本較佳實施例中，該些連接臂（23)兩端之公樞接件（241) 及母枢接件（242)可以接合面平行或垂直之角度變化，藉由 複數個連接臂（23)與複數個軸向調整接續組件（24)間的組合 έ化’達到使該多軸向調整連接臂組（2)具有萬向調整及選 擇之功能。 M360019 另外，公樞接件（241)及母樞接件（242)間可進一步設 有彈簧（246)，該些彈簧（247)分对―套設於各公樞接件（241) 之螺接桿（245)上，一端抵住公樞接件（241)之定位接合面 ’穿過該母枢接件（242)之穿孔（246)，另端抵住旋鈕（243) ，以提供-一彈性力方便使用者於鬆脫該旋鈕（243)時，該公 枢接件（241)與母樞接件（242)間受該彈性力而撐開，而不 受環齒部（244)之咬合影響’因此使用者可更輕鬆調整及旋 轉公樞接件（241)及母樞接件（242)。 請參閱第二圖及第三圖，該夾固組件（3)之夾固座（32) 包含一座體（321)、一夾蓋（322)及一具螺桿之鎖固鈕（323) ，該座體（321)上設有一螺孔’該夾蓋（322)—端樞設於該 座體（321)上，該夾蓋（322)於該座體（321)之螺孔相對方向 旋開時，該夾蓋（322)可與該座體（321)樞轉呈一 180度之 炎角，該夾蓋（322)於樞設端之相對端形成一對應該螺孔之 貝孔，該座體（321)於相對於樞設端之另一相對端接設夾固 組件（3)之該接桿（31)，該夾蓋（322)與該座體（321)各設有 一相對應之溝槽’以供撐開器（9)之桿體部位置入，該鎖固 紐（323)以該螺桿穿過該夾蓋（322)之貫孔而螺設於該座體 (321)之螺孔上，再蓋闔該夾蓋（322)於該座體（323)上，並 藉該鎖固鈕（323)鎖固該座體（321)及夾蓋（322)以夾緊撐開 器（9) 〇 手術時’因各患者體型、手術部位不同，每次手術之 撐開(9)位置及角度等皆會不同，請參閱第二圖及第四圖 至第六圖，本創作於使用時，先插設該支撐桿（彳2)於患者 旁’如第六圖所示，該支撐桿（12)插設於手術台（8)一側， M360019 再調整並定位該固接組件（1)之固定套環（1 υ於該支撐桿 (12)上之高度’並藉由-該些〜輪向調整接續組件（24)調整並 固定該些連接臂（23)之各角度及方向，最後調整該多轴向 調整連接臂組（2)之第二連接部（22)與該夾固組件（3)間的距 離，俟本創作之角度、方向及距離調整好後，以該失固組 件（3)夾固該撐開益（9)，即可維持該撐開器之最佳位置 直至手術結束。 故本創作可直接取代人力抓持撐開器（9)，纟可調整角 度、距離及方向，藉以達到適應各患者體型及手術部位之 不同，因此可避免人為誤觸患者手術部位之危險性、降低 手術風險，並同時節省人力。 【圖式簡單說明】 第一圖：係為本創作手術用樓開器固定架-種較佳實 施例結合手術用撐開器之組合立體示意圖。 、 苐一圖.係為第一圖所示丰 施例之分解示意圖。斤丁手術用標開器固定架較佳實 第：圖：係為第-圖所示手術用撐開器固定架 施例之夾固件使用流程示意圖。 貫 ::::係、為第一圖所示手術用揮開 把例結合手術用撐開器於 貫 第五圖：係為第nt調整角度之示意圖。 施例结人手術用J目所不手術用撐開器固定架較佳實 —Μ 於手術進行 … 第六圖：係為笛_ θ 只知狀恶不思圖。 施例社人手衔肝 所示手㈣相器固定架較佳實 手*用撐開器於裝設手術台上之實施狀態示意圖 M360019 【主要元件符號說明】 (1)固設-組件--- (11)固定套環 (12)支撐桿 (2)多軸向調整連接臂組 (21)第一連接部 (22)第二連接部 (23)連接臂 (24)轴向調整接續組件 (241)公樞接件 (242)母樞接件 (2 4 3)旋钮 (244)環齒部 (245)螺接桿 (246)穿孔 (247)彈簧 (3)夾固組件 (31)接桿 (32)夾固座 (321)座體 (322)夾蓋 (323)鎖固鈕 (4)迫緊旋钮 (8)手術台 (9)撐開器The axial adjustment connecting assemblies (24) each include a male pivoting member (241), a connecting arm (23), an axial adjusting connecting component (24) connected to the (21) and the second connecting portion (22) Between the multiple pivots, each of the male pivoting members (241) has - and further a positioning member, a female pivoting member (242) and a knob (243), a positioning joint surface and a screw lever (245), and forming a ring gear portion (244) 'each of the screw rods (245) projecting in the center of the ring gear portion (244) of each male pivot member (241), each female pivot member (242) has a fixed joint surface and a through hole (246) formed on the fixed joint surface, and further forming a ring tooth portion (244) matching the male joint member (241) on the fixed joint surface, each of the through holes (246) penetrating each a female pivoting member (242), each of the knobs (243) is provided with a screw hole corresponding to the screwing rod (245), and each of the male pivoting members (241) passes through the female pivoting members with a screwing rod (245) ( 242) Perforation (246) 'The respective knobs (243) are screwed with screwing rods (245), and the angles are adjusted by the engagement between the ring teeth (244), and are tightened by rotating the knob (243). Male pivot joint (2 41) The axial angle between the parent pivotal member (242). In the above preferred embodiment, the male pivoting member (241) and the female pivoting member (242) and the connecting arm (23) can be connected at various angles to achieve a change in the universal adjustment. In the preferred embodiment, The male pivoting member (241) and the female pivoting member (242) at both ends of the connecting arm (23) can change the angle of the joint surface in parallel or perpendicular, by a plurality of connecting arms (23) and a plurality of axial adjustments. The combination έ between the splicing components (24) achieves the function of universal adjustment and selection of the multi-axial adjustment connecting arm group (2). M360019 In addition, a spring (246) may be further disposed between the male pivoting member (241) and the female pivoting member (242), and the springs (247) are paired and disposed on the screw of each male pivoting member (241) On the post (245), one end of the positioning joint surface of the male pivoting member (241) passes through the through hole (246) of the female pivoting member (242), and the other end abuts against the knob (243) to provide - An elastic force is convenient for the user to loosen the elastic joint between the male pivoting member (241) and the female pivoting member (242) when the knob (243) is released, without being affected by the ring gear portion (244) The bite effect is affected' so that the user can more easily adjust and rotate the male pivot member (241) and the female pivot member (242). Referring to the second and third figures, the clamping seat (32) of the clamping component (3) comprises a body (321), a clamping cover (322) and a screw locking button (323). The base body (321) is provided with a screw hole 322. The clip cover (322) is pivotally disposed on the base body (321), and the clip cover (322) is unscrewed in the opposite direction of the screw hole of the base body (321). The clip cover (322) is pivotable to the seat body (321) at an angle of 180 degrees, and the clip cover (322) forms a pair of holes for the screw holes at opposite ends of the pivot end. The base body (321) is connected to the connecting rod (31) of the clamping component (3) at another opposite end of the pivoting end, and the clamping cover (322) and the base body (321) are respectively provided with a corresponding one. The groove is located in the rod portion of the retainer (9), and the lock button (323) is screwed to the seat body through the through hole of the clip cover (322). The screw hole is further covered by the clip cover (322) on the base body (323), and the seat body (321) and the clip cover (322) are locked by the lock button (323) to clamp the support. Open device (9) 〇 During surgery, due to different body types and surgical sites, each operation is extended (9) The angles and the like are different. Please refer to the second figure and the fourth to sixth figures. When the creation is used, the support rod (彳2) is inserted next to the patient as shown in the sixth figure. The support rod (12) is inserted on one side of the operating table (8), and the M360019 adjusts and positions the fixing collar of the fixing assembly (1) (the height on the support rod (12)' by means of - Adjusting and fixing the angles and directions of the connecting arms (23), and adjusting the second connecting portion (22) of the multi-axial adjusting connecting arm group (2) and the After the distance between the clamping component (3) and the angle, direction and distance of the creation, the clamping component (3) is clamped to the retention component (9) to maintain the maximum of the expansion device. The position is good until the end of the operation. Therefore, this creation can directly replace the human grasping spreader (9), which can adjust the angle, distance and direction, so as to adapt to the different body types and surgical parts of each patient, so that human error can be avoided. The risk of the surgical site, reduce the risk of surgery, and at the same time save manpower. [Simple diagram] A picture is a three-dimensional schematic diagram of a combination of a preferred embodiment and a surgical spreader for creating a surgical opener holder. The first diagram is an exploded view of the first embodiment. The use of the opener holder for the surgery is better: Figure: is the schematic diagram of the use of the clamp for the surgical spreader holder shown in the figure - Figure::::, the first figure The illustrated surgical swing is combined with the surgical spreader in the fifth figure: it is a schematic diagram of the nt adjustment angle. The application of the J-operative non-surgical spreader holder is better.于 In the operation... The sixth picture: the system is the flute _ θ. The example of the hand of the human hand is shown in the hand of the liver (four) phaser holder is better than the hand * with the spreader on the operating table installed on the operating state diagram M360019 [main symbol description] (1) fixed-components --- (11) Fixed collar (12) support rod (2) Multi-axial adjustment connection arm group (21) First connection portion (22) Second connection portion (23) Connection arm (24) Axial adjustment connection assembly (241) ) male pivot joint (242) female pivot joint (2 4 3) knob (244) ring tooth portion (245) screw rod (246) perforation (247) spring (3) clamp assembly (31) post ( 32) clamp seat (321) seat body (322) clamp cover (323) lock button (4) pressing knob (8) operating table (9) spreader