WO2015085600A1

WO2015085600A1 - Positioner

Info

Publication number: WO2015085600A1
Application number: PCT/CN2013/089468
Authority: WO
Inventors: 冉旭东; 冯亚高; 张文贤
Original assignee: 冉旭东
Priority date: 2013-12-09
Filing date: 2013-12-16
Publication date: 2015-06-18
Also published as: CN103610558A; CN103610558B

Abstract

A positioner, comprising a base (22); a palm work area (1) and a forearm work area (21) being arranged on the base; the palm work area (1) comprising a thumb work area (11) and a central palm work area (7); each thumb work area (11) comprising a first boundary area (2), a second boundary area (5), and a finger work area (3) between the first boundary area (2) and the second boundary area (5); the first boundary area (2) comprising a first connecting means (8), and the second boundary area (5) comprising a second connecting means (9) connected to the first connecting means (8); the width of the working zone gradually widening (3) along the direction of the finger; when performing hand surgery on a patient, the surgeon is not affected by differences in size, length, and thickness of the individual hands of the patient, such that the surgeon can make any adjustment to the position of the hand on the positioner and securely fix the hand at the surgical site; thus the surgery can be completed successfully, reducing the suffering of the patient.

Description

Positioner

Technical field

The present invention relates to a medical device, and more particularly to a positioner suitable for hand surgery.

Background technique

When the patient goes to the hospital for hand surgery, the patient's hand is affected by factors such as gender, age, fatness and thinness. There are differences, for example: the size, length, and strength of the hand between male and female There are also differences between the hands of adults and children, and the hands of people of the same sex are different. The hand surgical positioners currently used in medicine include the palm working area and the forearm working area, and the palm working area includes The thumb work area, the thumb work area, and the palm work area, which are arranged according to the physiological characteristics of the palm, the shape of the thumb work area and the thumb work area are rectangular, and the width is not changed, so when using the existing hand surgery positioner, According to the size, length and thickness of the patient's hand, the fixation and adjustment of the position of the hand wound affects the speed and quality of the doctor's operation. Although the doctor can complete the operation, it will cause inconvenience to the doctor during the operation. It also increases the difficulty of surgery and increases the suffering of patients.

Summary of the invention

In order to solve the above problems, the present invention provides a positioner, The base body includes a palm working area and a forearm working area, the palm working area includes a thumb working area and a palm working area arranged according to physiological features, and any one of the thumb working areas includes a first a boundary zone, a second boundary zone, and a finger working zone between the first boundary zone and the second boundary zone, The first boundary region includes a first connecting device, and the second boundary region includes a second connecting device that is complementaryly coupled to the first connecting device, the width of the finger working area is gradually widened in the direction of the finger, preferably the thumb working area The width gradually widens in the direction of the finger.

further, An angle between the first boundary region and the second boundary region, preferably the angle of the angle ranges from 15° to 30°, and preferably the angle of the angle is 17°, 20°, 22° or 25 °.

further, An angle between the two sides of the finger working area, preferably the angle of the angle ranges from 15° to 30°, preferably the angle of the angle is 17°, 20°, 22° or 25° .

further, The palm working area is provided with an additional thumb working area suitable for placing the left palm or the right palm forward and reverse. Preferably, the additional thumb working area is disposed on the thumb working area with the center line of the palm working area as the axis of symmetry. Symmetrical position.

further, The finger working area and or the palm working area are provided with an adjusting wound height device, and preferably the adjusting wound height device is disposed at a central position of the finger working area and the palm working area.

further, The adjusting wound height device comprises a thumb insert, a thumb insert and a palm insert, and a first through hole or a second through hole provided on the base body with a protruding through substrate thickness, the thumb insert and the thumb The insert and the palm insert each include a working portion and a fastening portion, and the fastening portion is provided with at least one fifth through hole arranged in a row, and the first protrusion and the second protrusion are rectangular or semi-circular, Preferably, the first protrusion and the second protrusion top end surface are provided with a clamping device, and the clamping device is a rectangular or semi-circular fourth protrusion.

Further, the working portion has a groove recessed along the outer side of the finger, Preferably, when the finger is fixed to the surgical position, the protrusion is disposed on both sides of the working portion and the elastic band provided with the third through hole is used together. Preferably, the upper end surface of the working portion of the thumb working insert is capable of being disposed. A groove that holds the thumb smoothly.

Further, the palm working area and the forearm working area on the base body are provided with at least one fourth through hole penetrating the thickness of the base body, and preferably the fourth through hole and the waste liquid connected to the lower part of the base of the positioner The collection device is connected.

Further, a third protrusion and an elastic band provided with a third through hole are disposed on the outer edge of the palm working area and the forearm working area on the base body, and the top end surface of the third protrusion is preferably used. There is a fourth protrusion.

further, The surface of the substrate is subjected to non-reflective treatment to suit microsurgery operation and the doctor's eyes are not fatigued. Preferably, the substrate is selected from a matt material and or a color of the substrate to select light green or light blue.

The positioner provided by the invention can not be different from the size, length and thickness of the hand between the male and the female when the doctor performs the hand surgery on the patient, the difference between the hand of the adult and the child, and the hand between the same sex. There are different effects, the doctor can allow the patient to adjust the position of the various hands on the positioner, and firmly fix the position of the hand surgery, so that the operation can be completed smoothly, and the pain of the patient can be reduced.

DRAWINGS

Figure 1 is a front view of the prior art; Figure 2 is a front view of the present invention

Figure 3 is a left side view of the present invention; Figure 4 is a front view of the thumb insertion frame

Figure 5 is a front view of the thumb insertion frame; Figure 6 is a top view of the thumb insertion frame

Figure 7 palm plug main view; Figure 8 palm insert bracket attached view

Figure 9 main view of the beveled triangle insert; Figure 10 main view of the right triangle insert

Figure 11 is a left side view of the beveled triangle insert; Figure 12 main view of the cord

Figure 13 right triangle insert plug left view

1 palm work area 2 first boundary area 3 finger work area 4 additional big thumb

Refers to the work area 5 second boundary area 6 first through hole 61 first convex

7 palm work area

8 first connection device 9 second connection device 10 thumb work area 11 thumb work area

12 second through hole 13 second protrusion 14 elastic band 15 third through hole

20 fourth through hole 21 forearm working area 22 base 23 third convex

24 fourth protrusion 27 waste liquid collecting device

30 first groove 31 fifth protrusion 32 fifth through hole 33 thumb plug

34 palm inserts 35 fastenings 36 working parts 37 thumb inserts

38 curved groove

detailed description

Example 1

The present invention is specifically described with reference to FIG. 2 to FIG. 13 in the accompanying drawings, and a positioner provided by the present invention is provided. The base body 22 is provided with a palm working area 1 and a forearm working area 21, and the palm working area 1 includes a thumb working area 11 and a palm working area 7 which are arranged according to physiological characteristics, which are any A thumb working area 3 includes a first boundary area 2, a second boundary area 5, and a finger working area 3 between the first boundary area 2 and the second boundary area 5, The first boundary zone 2 comprises a first connecting device 8, the second border zone 5 comprising a second connecting device 9 complementary to the first connecting device 8, the first connecting device 8 and the second connecting device 9 being usable a corded connection, preferably in the form of a strap on the strap and the attachment device, the first attachment means 8 and the second attachment means 9 are provided with at least one sub-buckle on which the cord is attached and the first attachment means 8 The female buckle corresponding to the buckle attached to the second connecting device 9 is used, and after the doctor determines the surgical position of the patient's finger, the female buckle at one end of the rope is fastened and fastened to the female buckle of the first connecting device 8 After tightening the strap, fixing the finger that needs to be operated, and fastening the female buckle of the other end of the strap to the sub-fastening of the second connecting device 9, the fixed connection of the female snap can be realized, and the loosening is required. When the finger is opened or after the operation is completed, the buckle of any end of the rope can be opened; the first connecting device 8 and the second connecting device 9 can also be provided with a plurality of hooks, the hook setting Multiple and inline settings, with multiple third passes The cord of the hole 15 is fastened together with the hook, and the hook provided on the first connecting device 8 is firstly inserted into the third through hole 15 of the string, and then the strap is tightened, and then the second connecting device 9 is placed thereon. The other hooking holes 15 are inserted into the other third through holes 15 of the rope belt for fastening connection; the first connecting device 8 and the second connecting device 9 are also preferably in the form of a fastening tape, such as the first connecting device 8 and the The two connecting device 9 is provided with a patching surface, and the connecting strap is provided with a hooking surface. The patient's finger is firstly positioned at the finger working area 3, and the hook surface of the connecting belt is connected with the first. The device 8 and the second connecting device 9 are pressed with a mating surface to complete the fastening connection, and the width of the finger working area 3 is gradually widened in the direction of the finger. Preferably, the width of the thumb working area 11 is gradually widened in the direction of the finger. An angle is formed between the first boundary region 2 and the second boundary region 5, and preferably the angle of the angle ranges from 15° to 30°, and preferably the angle of the angle is 17°, 20°, 22° Or 25°, an angle between the two sides of the finger working area 3, preferably the angle of the angle ranges from 15° to 30°, and then The angle of the angle is 17°, 20°, 22° or 25°. Since the width of the finger working area 3 is gradually widened in the direction of the finger and the width of the thumb working area 11 is gradually widened in the direction of the finger. The design of the present embodiment adopts a specific design scheme in which the angle between the two side edges of the finger working area 3 is 20°. When the doctor encounters the patient's finger in the surgery, the doctor can move the patient's palm along the edge. Moving in the direction of the finger, moving to match the diameter of the finger requiring surgery and the width of the finger working area 3, suitable for the position of the finger surgery, and then fixing the connection manner of the first connecting device 8 and the second connecting device 9 The surgical position of the palm; if the patient's finger is thin or small, the doctor will move the palm of the patient in the opposite direction of the finger, since the width of the finger working area 3 of the present invention gradually widens in the direction of the finger, when the palm is oriented When moving in the opposite direction, the width of the finger working area 3 will gradually narrow, and the doctor moves the patient's palm until the diameter of the finger that the patient needs to perform is matched with the width of the finger working area. When the position of the finger surgery is suitable, the connection position of the first connecting device 8 and the second connecting device 9 is used to fix the surgical position of the palm; the design of the present invention can realize that when the doctor performs a hand operation on the patient, Different from the size, length and stout of the hand between the male and the female, the difference between the adult and the child's hand, the existence of the individual between the same sex has different effects, the doctor can let each patient put a variety of hands in the pendulum The position adjustment on the positioner securely fixes the surgical position of the hand, so that the operation can be successfully completed, and the pain of the patient can be reduced. The thumb working area 11 of the present invention is subdivided into a thumb working area, an index finger working area, a middle finger working area, a ring finger working area, a small thumb working area and an additional thumb working area 4, and the technical solution adopts an additional thumb working area 4 In the technical solution, the palm working area 1 is provided with an additional thumb working area 4 suitable for placing the left palm or the right palm forward and backward. Preferably, the additional thumb working area 4 is disposed symmetrically with the center line of the palm working area 7. The relative position of the thumb working area 10 of the shaft is designed to achieve the effect of performing the surgery on the same position on the left or right palm of the same positioner, and the present invention also employs any of the fingers described above. The work area 3 and or the palm work area 7 are provided with a technical solution for adjusting the wound height device. Preferably, the adjusted wound height device is disposed at a center position of the finger working area 3 and the palm working area 7, and the adjusted wound height device includes a large The thumb insert 33, the thumb insert 37 and the palm insert 34 and the base 22 are provided with a plurality of thicknesses of the penetrating base 22 of the first projection 61 and the second projection 13 A through hole 6 and a second through hole 12 are used together, and the thumb insert 33, the thumb insert 37 and the palm insert 34 each include a working portion 36 and a fastening portion 35, and the fastening portion 35 is provided with at least one or more a fifth through hole 32 provided in the column, Used to adjust the height of the wound, The first protrusion 61 and the second protrusion 13 are selected to be rectangular, semi-circular or semi-elliptical. Preferably, the first protrusion 61 and the second protrusion 13 are provided with clamping means on the top end surface. The clamping device is a rectangular or semi-circular fourth projection 24, and the working portion 36 has a recess 38 recessed in the direction of the outside of the finger. Preferably, the recess 38 is an arcuate recess to enable the finger to be fixed to the surgical position. It is preferable to use the protrusion 31 on both sides of the working portion 36 and the elastic band 14 provided with the through hole 15 for use. Preferably, the upper end surface of the working portion 36 of the thumb working insert 33 is provided to make the thumb smooth. Fixed groove 30, Usually, the thumb joint in the human finger has two knots, and the other fingers such as the index finger, the middle finger, the ring finger, and the little finger have three joints. For example, when the fingertip portion of the patient's left index finger is cut off from the first joint, it needs to be performed. When the operation is performed, the doctor first places the palm of the patient on the positioner provided by the present invention, and the palm is upward, and the surgical position of the index finger is placed in the middle of the finger working area 3 of the index finger working area, and then moved up and down in the direction of the finger. , Until the diameter of the index finger of the patient matches the width of the finger working area, suitable for the position of the finger surgery, the female buckle of one end of the cord 14 is fastened to the buckle of the first connecting device 8, and then the strap is tightened. 14. After fixing the finger that needs to be operated, the female buckle on the other end of the strap 14 is fastened and fastened with the sub-fastening of the second connecting device 9, and the fixed connection of the female snap fastener is completed, and the forefinger is fixed, and the same fixing is adopted. The patient's forearm is fixed in the forearm working area, and then a thumb insertion frame 37 is taken out, and is bent from the third joint of the index finger to the palm of the palm, and when the index finger and the palm are at a 90 degree angle, the index finger is placed into the thumb. In the recess 38 of the working portion 36 of the insert 37, the first joint of the index finger, that is, the wound requiring the finger, is upwardly inserted, and the fastening portion of the thumb insert 37 is inserted into the first through hole 6 penetrating the thickness of the base 22, The fastening portion 35 is provided with at least one or more fifth through holes 32 arranged in a row, which can function to adjust the height of the wound, and the first protrusion 61 in the finger working area 3 of the base 22 Inserting into the fifth through hole 32 of the fastening portion 35 of the thumb insertion frame 37, If the height is not suitable, the other fifth through holes 32 of the fastening portion 35 are selected, and the first protrusions 61 are inserted into the fifth through holes 32 of the fastening portion 35 to complete the adjustment of the height of the wound. Then, use the strap 14 to fix the index finger. When the finger needs to be released or after the operation is completed, the end of the cord 14 can be opened at any end. Similarly, the patient's thumb can be smoothly fixed, and the thumb finger wound can be achieved. Adjusted to a height suitable for surgery, the palm working area 1 and the forearm working area 21 on the base 22 are provided with at least one third through hole 20 penetrating the thickness of the base 22, preferably the third through hole 20 The waste liquid collecting device 27 connected to the lower portion of the base 22 of the positioner is connected, Such a design facilitates the cleaning of the wound after the operation, and the waste liquid flows into the waste collection device 27 through the third through hole 20 of the base 22; the outer edge of the palm working area 1 and the forearm working area 21 on the base 22 The third protrusion 23 is disposed on the upper surface and the elastic belt 14 provided with the third through hole 15 is fixedly used. Preferably, the fourth protrusion 23 is provided with a fourth protrusion 24 on the top end surface of the third protrusion 23, which is more convenient for the fixation of the patient's arm and the palm, so that the operation is more convenient; the surface of the base 22 is non-reflective, and the hand is Surgery requires frequent use of a microscope for surgical operations. If the surface of the positioner is reflective, the microscope will be ineffective, affecting the smooth progress of the operation. The substrate 22 is made of a matt material or a color of the substrate, which is light green or light blue. The doctor is suitable for microsurgery during surgery and the doctor's eyes are not fatigued.

Various modifications may be made to the above without departing from the spirit and scope of the invention as defined by the appended claims. The scope of the invention is therefore not limited by the description, but by the scope of the claims.

Claims

1, A positioner comprising a base body (22) having a palm working area (1) and a forearm working area (21) disposed thereon, the palm working area (1) comprising an application according to physiological characteristics In the thumb working area (11) and the palm working area (7), any of the thumb working areas includes a first boundary area (2), a second boundary area (5), and the first boundary area and the Finger working area between the second boundary zone (3), The first boundary zone (2) comprises a first connecting device (8), the second border zone (5) comprising a second connecting device (9) complementary to the first connecting device (8), characterized in that The width of the finger working area (3) is gradually widened in the direction of the finger, and preferably the width of the thumb working area (11) is gradually widened in the direction of the finger.

2, A positioner according to claim 1, characterized in that there is an angle between the first boundary zone (2) and the second boundary zone (5), preferably the angle of the angle is in the range of 15 ° ~ 30 °, preferably the angle of the included angle is 17 °, 20 °, 22 ° or 25 °.

3, A positioner according to claim 1 or 2, characterized in that there is an angle between the two side edges of the finger working area (3), preferably the angle of the angle is in the range of 15°~ 30°, preferably the angle of the included angle is 17°, 20, 22° or 25°.

4, A positioner according to claim 1, characterized in that the palm working area (1) is provided with an additional thumb working area (4) suitable for the front or back of the left or right palm, preferably said The additional thumb working area (4) is disposed at a symmetrical position of the thumb working area (10) with the center line of the palm working area (7) as the axis of symmetry.

5, A positioner according to claim 1, wherein said any finger working area (3) and or palm working area (7) are provided with means for adjusting the wound height, preferably said adjusting wound height means Set in the center of the finger work area (3) and the palm work area (7).

6. A positioner according to claim 5, wherein said adjustment of the wound height device The thumb insert (33), the thumb insert (37) and the palm insert (34) and the base body (22) are provided with a first protrusion (61) and a second protrusion (13). The thickness of the first through hole (6) and the second through hole (12) are used together, the thumb insert (33), the thumb insert (37) and the palm insert (34) include the working portion (36) and fastening a portion (35), the fastening portion (35) is provided with at least one fifth through hole (32) arranged in a row, the first protrusion (61) and the second protrusion (13) being rectangular Or a semicircular type, preferably, the first end surface of the first protrusion (61) and the second protrusion (13) are provided with a clamping device, and the clamping device is a rectangular or semicircular fourth protrusion (24).

7, A positioner according to claim 6, wherein said working portion (36) has a recess (38) recessed in the direction of the outside of the finger to enable comfort of the finger, preferably said working portion (36) The fifth protrusion (31) is disposed on both sides and the elastic band provided with the through hole is used together. Preferably, the upper end surface of the working portion (36) of the thumb working insert (33) is provided for the thumb to be smoothly fixed. Groove (30).

8, The positioner according to any one of claims 1 to 7, characterized in that at least one penetrating substrate is provided on the palm working area (1) and the forearm working area (21) on the base body (22). (22) A fourth through hole (20) having a thickness, preferably the fourth through hole (20) is in communication with a waste liquid collecting device (27) connected to a lower portion of the base (22) of the positioner.

9, A positioner according to claim 1, wherein a third projection (23) is provided on the outer edge of the palm working area (1) and the forearm working area (21) on the base body (22). And the elastic band (14) provided with the third through hole (15) is fixedly used, and preferably, the fourth protrusion (24) is provided on the top end surface of the third protrusion (23).

10. according to claims 1 to 9 Any of the positioners described above, wherein the surface of the base body (22) is non-reflectively processed to be suitable for microsurgical operations and the eyes of the doctor are not fatigued. Preferably, the substrate (22) is made of matt material and Or the color of the substrate is light green or light blue.