WO2015085604A1 - Positioner - Google Patents

Positioner Download PDF

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Publication number
WO2015085604A1
WO2015085604A1 PCT/CN2013/089532 CN2013089532W WO2015085604A1 WO 2015085604 A1 WO2015085604 A1 WO 2015085604A1 CN 2013089532 W CN2013089532 W CN 2013089532W WO 2015085604 A1 WO2015085604 A1 WO 2015085604A1
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WO
WIPO (PCT)
Prior art keywords
palm
working
hole
area
thumb
Prior art date
Application number
PCT/CN2013/089532
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French (fr)
Chinese (zh)
Inventor
冉旭东
冯亚高
张文贤
Original Assignee
冉旭东
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Publication date
Application filed by 冉旭东 filed Critical 冉旭东
Publication of WO2015085604A1 publication Critical patent/WO2015085604A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00Operating tables; Auxiliary appliances therefor
    • A61G13/10Parts, details or accessories
    • A61G13/12Rests specially adapted therefor; Arrangements of patient-supporting surfaces
    • A61G13/1205Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
    • A61G13/124Hands or wrists

Definitions

  • the present invention relates to a medical device, and more particularly to a positioner suitable for hand surgery.
  • the patient went to the hospital for hand surgery.
  • the patients differed according to factors such as gender, age, fatness and thinness. For example, the size, length and thickness of the hand between male and female are different.
  • the hands of adults and children also exist. Differences, the hands of people of the same sex are also different.
  • the hand surgery positioner currently used cannot adjust the height of the wound position where the patient needs surgery, which affects the quality of the doctor's surgery, although it can also be completed.
  • the purpose of the operation will be inconvenient for the doctor to perform the operation, increase the difficulty of the operation, and correspondingly increase the suffering of the patient.
  • the present invention provides a positioner comprising a base body on which a palm working area and a forearm working area are provided, the palm working area including a thumb working for a finger arranged according to physiological characteristics a zone and a palm working area, each of the thumb working areas including a first boundary zone, a second boundary zone, and a finger working zone between the first boundary zone and the second boundary zone, the first boundary zone Including a first connecting device, the second boundary region includes a second connecting device that is complementaryly coupled to the first connecting device, and any one of the finger working areas and the palm working area is provided with an adjusting wound height device, preferably the adjusting wound The height device is placed at the centerline position of each finger work area and or the palm work area.
  • the adjusting wound height device comprises an insert and a first through hole or a second through hole provided on the base body at least two through holes, preferably the first through hole and the second through hole. It has an angle with the plane of the substrate, and preferably the angle of the angle ranges from 270° to 315.
  • the insert includes a thumb insert, a thumb insert, and a palm insert
  • any one of the inserts includes a working portion and a fastening portion, the working portion having a cross section larger than the fastening portion transverse interface, preferably the The working portion and the fastening portion are rectangular, and the first through hole or the second through hole on the base body is disposed along with a change in the structure of the insertion frame fastening portion, so that the fastening portion can be inserted into the first body of the base body
  • the through hole or the second through hole is used in a close fit, and the fastening portion has a columnar shape, preferably a cylinder, an elliptical cylinder, a square pillar or a triangular prism.
  • the adjusting wound height device comprises a thumb insert, a thumb insert, and a palm insert having a triangular working portion and a fastening portion provided with a bolt structure, and at least one thread is inserted on the base body to penetrate the thickness of the base body.
  • the holes are used in combination, and the side edges of the working portion of the insert are preferably provided with a fifth protrusion and an elastic belt provided with a third through hole.
  • the thumb plug, the thumb insert and the working portion of the palm insert are provided with a recess that is recessed toward the outside of the finger at a portion where the finger or the palm is in contact, so as to be suitable for the finger and the palm to be placed and fixed.
  • the upper end surface of the working portion of the thumb working insert is provided with a first recess capable of smoothly fixing the thumb, and preferably the third protrusion and the third through hole are provided on both sides of the working portion. Use with a belt.
  • the two side edges of the finger working area are provided with a fastening structure, and the fastening structure comprises a third protrusion and an elastic band provided with a third through hole, preferably the third protrusion
  • the end is provided with a fourth protrusion, preferably the fourth protrusion is rectangular, semi-circular or semi-elliptical .
  • 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 lower part of the base of the positioner are connected with the waste liquid collecting device. Connected.
  • a third convex protrusion and an elastic band provided with a third through hole are provided on the outer working edge of the palm working area and the forearm working area on the base body, and the third protruding end is provided with a first Four protrusions, preferably the fourth protrusion and the third protrusion structure are rectangular, semi-circular or semi-elliptical .
  • the surface of the substrate is subjected to a non-reflective treatment to suit the microsurgical operation and the doctor's eyes are not fatigued.
  • the substrate is selected from a matte material and or a color of the substrate to select light green or light blue.
  • the present invention provides a positioner, When doctors perform hand surgery on patients, they are not affected by the size, length, and stoutness of men, women, adults, children, and same-sex individuals. Doctors can treat patients with various hand fingers. Or the palm can be arbitrarily adjusted at the height position of the wound on the positioner, and the position of the hand can be firmly fixed, so that the operation is successfully completed and the pain of the patient is reduced.
  • 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 11 is a left side view of the beveled triangle insert; Figure 12 main view of the cord
  • the present invention provides a positioner comprising a base body 22, and the base body 22 is provided with a palm working area 1 and a forearm working area 21,
  • the palm working area 1 includes a thumb working area 11 and a palm working area 7 which are arranged according to physiological characteristics, and each of the thumb working areas 11 includes a first border area 2, a second border area 5, and a finger working area 3 between the first border area and the second border area, the first border area 2 comprising a first connecting device 8, the second border area 5 comprising a first complementary connection with the first connecting device 8
  • the first connecting device 8 and the second connecting device 9 may be connected by a cord, preferably in the form of a mounting buckle on the cord and the connecting device, at least one of which is mounted on the first connecting device 8 and the second connecting device 9.
  • the first connecting device 8 and the second connecting device 9 are provided with 4 or 5 daughter buckles
  • the strap is provided with a female buckle corresponding to the buckles mounted on the first connecting device 8 and the second connecting device 9 for surgery.
  • the female buckle at one end of the cord 14 is first fastened and fastened to the sub-fastening of the first connecting device 8, and then the strap 14 is tightened to fix the finger requiring surgery.
  • the female buckle of the other end of the rope is fastened and fastened with the buckle of the second connecting device 9 to realize the fixed connection of the female buckle, and the child buckle of any end of the rope is needed when the finger is released or after the operation is completed.
  • the first connecting device 8 and the second connecting device 9 can also be provided in the form of a plurality of hooks, which are arranged in plurality and arranged in columns, and with a plurality of third through holes 15
  • the cord is fastened in conjunction with the first connecting device 8
  • the set hook is inserted into the third through hole 15 of the rope, and then the rope 14 is tightened, and then the hook on the second connecting device 9 is put into the other third through hole 15 of the rope to fasten.
  • the first connecting device 8 and the second connecting device 9 are also preferably in the form of a fastening tape.
  • the first connecting device 8 and the second connecting device 9 are provided with a mating surface, and the connecting belt is provided with a hook surface.
  • any one of the finger working area 3 and or the palm working area 7 is provided with an adjustment wound height device, preferably the adjustment wound height device is disposed at a center line position of each finger working area 3 and or the palm working area 7,
  • the adjusting wound height device includes an insert and a first through hole 6 or a second through hole 12 disposed on the base 22 at least two thicknesses of the through substrate, preferably the first through hole 6 and the second
  • the through hole 12 has an angle with the plane of the base 22, and preferably the angle of the angle is in the range of 2 70° to 315
  • the insert includes a thumb insert 33, a thumb insert 37 and a palm insert 34
  • any one of the inserts includes a working portion 36 and a fastening portion 35, the working portion 36 having a cross section than the The fastening portion 35 has a large
  • the working portion 36 and the fastening portion 35 are rectangular, and the first through hole 6 or the second through hole 12 on the base body changes with the structure of the insertion frame fastening portion 35.
  • the fastening portion 35 can be inserted into the first through hole 6 or the second through hole 12 of the base body to achieve a close fitting use, and the fastening portion 35 has a cylindrical shape, preferably a cylinder, an elliptical cylinder, Square or triangular column,
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • the adjusted wound height device includes a thumb insert 33 provided with a triangular working portion 36 and a fastening portion 35 provided with a bolt structure, a thumb insert 37, a palm insert 34, the base body 22 is provided with at least one threaded hole penetrating the thickness of the base body 22, preferably the side of the insert working portion 36 is provided with a fifth protrusion 31 and an elastic band 14 provided with the third through hole 15 is used together.
  • the working portion of the thumb insert 33, the thumb insert 37 and the palm insert 34 is provided with a recess recessed toward the outside of the finger at a portion where the finger or the palm is in contact, so as to fit and fix the finger and the palm, the thumb Working part 36 of the working plug-in 33
  • the upper end surface is provided with a first groove 30 capable of smoothly fixing the thumb. Since the joint of the thumb has an angular difference from the other thumb, the setting of the first groove 30 can make the wound position of the thumb easily exposed, which is suitable for doctors' surgery.
  • the working portion 36 is provided with a third protrusion 23 on both sides thereof and an elastic belt 14 provided with a third through hole 15 , and the two sides of the finger working area 3 are provided with a fastening structure.
  • the fastening structure includes a third protrusion 23 and an elastic belt 14 provided with a third through hole 15, and the third protrusion 23 is preferably provided with a fourth protrusion 24, the fourth protrusion 24 is rectangular, semi-circular or semi-elliptical
  • the palm working area 1 and the forearm working area 21 on the base 22 are provided with at least one fourth through hole 20 penetrating the thickness of the base 22, preferably the fourth through hole 20 and the lower portion of the base 22 of the positioner Connected with the waste liquid collection device 27, the outer edge of the palm working area 1 and the forearm working area 21 on the base 22 is provided with a third convex protrusion 23 and an elastic band 14 provided with the third through hole 15 for fixed use.
  • the fourth protrusion 24 and the third protrusion 23 are rectangular, semi-circular or semi-elliptical
  • the surface of the substrate 22 is non-reflective, and the substrate 22 is selected from a matt material and or a color of the substrate to be light green or light blue, so as to be suitable for microsurgery operation and the doctor's eyes are not fatigued.

Abstract

A positioner, comprising a base (22); a palm work area (1) and a forearm work area (21) being arranged on said base (22); said 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); said first boundary area (2) comprising a first connecting means (8), and said second boundary area (5) comprising a second connecting means (9) connected to the first connecting means (8); any finger work area (3) and/or palm work area (7) being provided with a means for adjusting the height of the wound, said wound height adjustment means being arranged at the centerline position of each finger work area (3) and/or palm work area (7); when performing hand surgery on a patient, the surgeon can make any adjustment to the height of the patient's hand wound 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

一种摆位器  Positioner
技术领域Technical field
本发明涉及一种医疗器械,尤其涉及一种适用于手部手术的摆位器。The present invention relates to a medical device, and more particularly to a positioner suitable for hand surgery.
背景技术Background technique
患者到医院进行手部手术,患者因性别、年龄、胖瘦等因素的不同而有差异,如男性和女性之间的手有大小、长短、粗壮的不同,成年人和儿童的手同样存在着差异,同性别的人之间的手也各不相同,现在使用的手部手术摆位器,不能对患者手部需要手术的创口位置的高度进行调整,影响医生的手术质量,虽然也能够完成手术的目的,会给医生在实施手术时造成不方便,增加手术难度,相应也增加了患者的痛苦。The patient went to the hospital for hand surgery. The patients differed according to factors such as gender, age, fatness and thinness. For example, the size, length and thickness of the hand between male and female are different. The hands of adults and children also exist. Differences, the hands of people of the same sex are also different. The hand surgery positioner currently used cannot adjust the height of the wound position where the patient needs surgery, which affects the quality of the doctor's surgery, although it can also be completed. The purpose of the operation will be inconvenient for the doctor to perform the operation, increase the difficulty of the operation, and correspondingly increase the suffering of the patient.
发明内容Summary of the invention
为了解决上述技术问题,本发明提供了一种摆位器,包括基体,所述基体上设置有手掌工作区和前臂工作区,所述手掌工作区包括按照生理特征排列的适用于手指的拇指工作区和掌心工作区,所述任何一个拇指工作区都包括第一边界区、第二边界区和在该第一边界区和该第二边界区之间的手指工作区,所述第一边界区包括第一连接装置,所述第二边界区包括和第一连接装置互补连接的第二连接装置,所述任何一个手指工作区和或掌心工作区设置有调整创口高度装置,优选所述调整创口高度装置设置在每个手指工作区和或掌心工作区的中心线位置。In order to solve the above technical problem, the present invention provides a positioner comprising a base body on which a palm working area and a forearm working area are provided, the palm working area including a thumb working for a finger arranged according to physiological characteristics a zone and a palm working area, each of the thumb working areas including a first boundary zone, a second boundary zone, and a finger working zone between the first boundary zone and the second boundary zone, the first boundary zone Including a first connecting device, the second boundary region includes a second connecting device that is complementaryly coupled to the first connecting device, and any one of the finger working areas and the palm working area is provided with an adjusting wound height device, preferably the adjusting wound The height device is placed at the centerline position of each finger work area and or the palm work area.
进一步,所述调整创口高度装置包括插件和所述基体上设置的至少两个以上穿透基体厚度的第一通孔或第二通孔配合使用,优选所述第一通孔和第二通孔与基体平面有夹角,优选所述夹角的角度范围为270°~°315。Further, the adjusting wound height device comprises an insert and a first through hole or a second through hole provided on the base body at least two through holes, preferably the first through hole and the second through hole. It has an angle with the plane of the substrate, and preferably the angle of the angle ranges from 270° to 315.
进一步,所述插件包括大拇指插件、拇指插件和掌心插件,所述的任何一个插件包括工作部和紧固部,所述的工作部横截面比所述紧固部横界面大,优选所述工作部和紧固部为矩形,所述基体上的第一通孔或第二通孔随所述插架紧固部结构的变化而设置,使所述紧固部能够插入基体上的第一通孔或第二通孔实现紧密配合使用,所述紧固部的结构为柱型,优选为圆柱、椭圆柱、方柱或三角柱。Further, the insert includes a thumb insert, a thumb insert, and a palm insert, and any one of the inserts includes a working portion and a fastening portion, the working portion having a cross section larger than the fastening portion transverse interface, preferably the The working portion and the fastening portion are rectangular, and the first through hole or the second through hole on the base body is disposed along with a change in the structure of the insertion frame fastening portion, so that the fastening portion can be inserted into the first body of the base body The through hole or the second through hole is used in a close fit, and the fastening portion has a columnar shape, preferably a cylinder, an elliptical cylinder, a square pillar or a triangular prism.
进一步,所述调整创口高度装置包括设有三角形工作部和设有螺栓结构的紧固部的大拇指插件、拇指插架、掌心插架,所述基体上至少设置一个以上穿透基体厚度的螺纹孔配合使用,优选所述插件工作部的侧边设有第五凸起和设有第三通孔的弹性带配合使用。Further, the adjusting wound height device comprises a thumb insert, a thumb insert, and a palm insert having a triangular working portion and a fastening portion provided with a bolt structure, and at least one thread is inserted on the base body to penetrate the thickness of the base body. Preferably, the holes are used in combination, and the side edges of the working portion of the insert are preferably provided with a fifth protrusion and an elastic belt provided with a third through hole.
进一步,所述大拇指插件、拇指插架和掌心插架的工作部在手指或掌心接触的部分设有向手指外侧方向凹陷的凹槽,以适合手指和掌心摆放和固定。Further, the thumb plug, the thumb insert and the working portion of the palm insert are provided with a recess that is recessed toward the outside of the finger at a portion where the finger or the palm is in contact, so as to be suitable for the finger and the palm to be placed and fixed.
进一步,所述大拇指工作插件的工作部上端面设有能够使大拇指顺利固定的第一凹槽,优选所述工作部两侧边设有第三凸起和设有第三通孔的弹性带配合使用。Further, the upper end surface of the working portion of the thumb working insert is provided with a first recess capable of smoothly fixing the thumb, and preferably the third protrusion and the third through hole are provided on both sides of the working portion. Use with a belt.
进一步,所述的手指工作区的两个侧边设有紧固结构,所述的紧固结构包括第三凸起和设有第三通孔的弹性带配合使用,优选所述第三凸起端部设有第四凸起,优选所述第四凸起为矩形、半圆形或半椭圆形 。Further, the two side edges of the finger working area are provided with a fastening structure, and the fastening structure comprises a third protrusion and an elastic band provided with a third through hole, preferably the third protrusion The end is provided with a fourth protrusion, preferably the fourth protrusion is rectangular, semi-circular or semi-elliptical .
进一步,所述基体上的手掌工作区和或前臂工作区上设有至少一个穿透基体厚度的第四通孔,优选所述第四通孔与摆位器的基体下部连接有废液收集装置连通。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 lower part of the base of the positioner are connected with the waste liquid collecting device. Connected.
进一步,所述基体上的手掌工作区和前臂工作区的外侧边缘上设有第三凸突起和设有第三通孔的弹性带配合固定使用,优选所述第三凸起端部设有第四凸起,优选所述第四凸起和第三凸起结构为矩形、半圆形或半椭圆形 。Further, a third convex protrusion and an elastic band provided with a third through hole are provided on the outer working edge of the palm working area and the forearm working area on the base body, and the third protruding end is provided with a first Four protrusions, preferably the fourth protrusion and the third protrusion structure are rectangular, semi-circular or semi-elliptical .
进一步,所述基体表面进行不反光处理,以适合显微手术操作和医生眼睛不疲劳,优选所述基体选用亚光材料和或基体的颜色选浅绿或浅蓝。Further, the surface of the substrate is subjected to a non-reflective treatment to suit the microsurgical operation and the doctor's eyes are not fatigued. Preferably, the substrate is selected from a matte material and or a color of the substrate to select light green or light blue.
本发明提供的摆位器, 在医生对患者进行手部手术时,不受男性、女性、成年人、儿童、同性个体间手的大小、长短、粗壮程度存在着不同的影响,医生可以对患者各种各样的手的手指或手掌在摆位器上创口的高度位置进行任意调整,且能够牢固固定手部手术位置,使手术顺利完成,减少患者的痛苦。The present invention provides a positioner, When doctors perform hand surgery on patients, they are not affected by the size, length, and stoutness of men, women, adults, children, and same-sex individuals. Doctors can treat patients with various hand fingers. Or the palm can be arbitrarily adjusted at the height position of the wound on the positioner, and the position of the hand can be firmly fixed, so that the operation is successfully completed and the pain of the patient is reduced.
附图说明DRAWINGS
图1现有技术主视图; 图2本发明的主视图Figure 1 is a front view of the prior art; Figure 2 is a front view of the present invention
图3本发明左视图; 图4拇指插架主视图Figure 3 is a left side view of the present invention; Figure 4 is a front view of the thumb insertion frame
图5大拇指插架的主视图; 图6拇指插架俯视图Figure 5 is a front view of the thumb insertion frame; Figure 6 is a top view of the thumb insertion frame
图7掌心插架主视图; 图8掌心插架附视图Figure 7 palm plug main view; Figure 8 palm insert bracket attached view
图9斜角三角形插件主视图; 图10直角三角形插件主视图Figure 9 main view of the beveled triangle insert; Figure 10 main view of the right triangle insert
图11斜角三角形插件左视图; 图12绳带主视图Figure 11 is a left side view of the beveled triangle insert; Figure 12 main view of the cord
图13直角三角形插件左视图Figure 13 right triangle insert plug left view
1手掌工作区 2第一边界区 3手指工作区 4附加大拇指工作区 1 palm work area 2 first border area 3 finger work area 4 additional thumb work area
5第二边界区 6第一通孔 61第一凸起 7掌心工作区5 second boundary zone 6 first through hole 61 first protrusion 7 palm work area
8第一连接装置 9第二连接装置 10大拇指工作区 11拇指工作区8 first connection device 9 second connection device 10 thumb work area 11 thumb work area
12第二通孔 13第二凸起 14弹性带 15第三通孔12 second through hole 13 second protrusion 14 elastic band 15 third through hole
20第四通孔 21前臂工作区 22基体 23第三凸起20 fourth through hole 21 forearm working area 22 base 23 third convex
24第四突起 27废液收集装置24 fourth protrusion 27 waste liquid collecting device
30第一凹槽 31第五凸起 32第五通孔 33大拇指插件30 first groove 31 fifth protrusion 32 fifth through hole 33 thumb plug
34掌心插件 35紧固部 36工作部 37拇指插架34 palm inserts 35 fastenings 36 working parts 37 thumb inserts
38弧形凹槽38 curved groove
具体实施方式detailed description
实施例1Example 1
结合附图中的图2至图13,具体说明本发明的技术方案,本发明提供了一种摆位器,包括基体22,所述基体22上设置有手掌工作区1和前臂工作区21,所述手掌工作区1包括按照生理特征排列的适用于手指的拇指工作区11和掌心工作区7,所述任何一个拇指工作区11都包括第一边界区2、第二边界区5和在该第一边界区和该第二边界区之间的手指工作区3,所述第一边界区2包括第一连接装置8,所述第二边界区5包括和第一连接装置8互补连接的第二连接装置9, 第一连接装置8和第二连接装置9可以使用绳带式连接,优选所述绳带和连接装置上安装子母扣的形式,第一连接装置8和第二连接装置9上装有至少一个以上子扣,优选第一连接装置8和第二连接装置9上设置4或5个子扣,绳带上装有与第一连接装置8和第二连接装置9上装的子扣对应使用的母扣,手术时医生将患者手指的手术位置确定后,先将绳带14一端的母扣与第一连接装置8的子扣压紧扣合上,再拉紧绳带14,固定好需要做手术的手指后,将绳带的另一端的母扣与第二连接装置9的子扣压紧扣合,实现子母扣的固定连接,需要松开手指时或手术完成后,将绳带上任意一端的子母扣打开即可;第一连接装置8和第二连接装置9上还可以选用设置多个弯钩的形式,所述弯钩设置多个且成列设置,与带有多个第三通孔15的绳带配合使用进行紧固,先将第一连接装置8上设置的弯钩套入绳带的第三通孔15,然后将绳带14拉紧后,再将第二连接装置9上的弯钩套入绳带上的其他第三通孔15进行固紧连接;所述的第一连接装置8和第二连接装置9还优选粘扣带的形式,如第一连接装置8和第二连接装置9装有贴毛面,连接带上装有贴钩面,先将患者的手指在所述的手指工作区3上确定好合适的位置,将连接带上的贴钩面与第一连接装置8和第二连接装置9装有贴毛面压紧,完成紧固连接,所述任何一个手指工作区3和或掌心工作区7设置有调整创口高度装置,优选所述调整创口高度装置设置在每个手指工作区3和或掌心工作区7的中心线位置,所述调整创口高度装置包括插件和所述基体22上设置的至少两个以上穿透基体厚度的第一通孔6或第二通孔12配合使用,优选所述第一通孔6和第二通孔12与基体22平面有夹角,优选所述夹角的角度范围为270°~°315,所述插件包括大拇指插件33、拇指插件37和掌心插件34,所述的任何一个插件包括工作部36和紧固部35,所述的工作部36横截面比所述紧固部35横界面大,优选所述工作部36和紧固部35为矩形,所述基体上的第一通孔6或第二通孔12随所述插架紧固部35结构的变化而设置,使所述紧固部35能够插入基体上的第一通孔6或第二通孔12实现紧密配合使用,所述紧固部35的结构为柱型,优选为圆柱、椭圆柱、方柱或三角柱, 通常人的手指中的大拇指关节有两节,其他手指如食指、中指、无名指、小拇指均有三节关节,例如,当患者左手食指的指尖部分从的第一节关节处被截断,需要进行接指手术时,医生首先将患者手掌放在本发明提供的摆位器上,掌心向上,将食指手指的手术位置放在食指工作区的手指工作区3的中间,再沿手指的方向上下移动, 直到患者的食指的直径和手指工作区的宽度相匹配,适合手指手术的位置时,将绳带14的一端的母扣与第一连接装置8的子扣压紧扣合上,再拉紧绳带14,固定好需要做手术的手指后,将绳带14另一端上的母扣与第二连接装置9的子扣压紧扣合,完成子母扣的固定连接,完成食指的固定,采用同样固定方式将患者的前臂固定在前臂工作区,再取出一个拇指插架37,从食指的第三节关节处向手掌掌心方向弯曲,弯到食指和掌心成90度角时,将食指放入到拇指插架37工作部36的凹槽38内,使食指的第一关节即需要进行接指的创口向上,将拇指插架37的紧固部插入穿透基体22厚度的第一通孔6,由于所述紧固部35上设有上下成列设置的至少一个以上的第五通孔32,其能够起到调整创口的高度的作用,将基体22上手指工作区3中的第一凸起61插入所述拇指插架37紧固部35的第五通孔32中,如果高度不合适,再选择紧固部35上高度合适的其他第五通孔32,将第一凸起61插入所述紧固部35的第五通孔32,完成调整对创口的高度的调整,再使用绳带14将食指固定,需要松开手指时或手术完成后,将绳带14任意一端打开即可,同理也可以实现将患者的大拇指顺利固定,以及将大拇指手指创口能够被调整到适合手术的高度,所述调整创口高度装置包括设有三角形工作部36和设有螺栓结构的紧固部35的大拇指插件33、拇指插架37、掌心插架34,所述基体22上至少设置一个以上穿透基体22厚度的螺纹孔配合使用,优选所述插件工作部36的侧边设有第五凸起31和设有第三通孔15的弹性带14配合使用,所述大拇指插件33、拇指插架37和掌心插架34的工作部在手指或掌心接触的部分设有向手指外侧方向凹陷的凹槽,以适合手指和掌心摆放和固定,所述大拇指工作插件33的工作部36上端面设有能够使大拇指顺利固定的第一凹槽30,由于大拇指的关节与其他拇指存在角度差异,第一凹槽30的设置,可以使大拇指的创口位置方便露出,适合医生手术,优选所述工作部36两侧边设有第三凸起23和设有第三通孔15的弹性带14配合使用,所述的手指工作区3的两个侧边设有紧固结构,所述的紧固结构包括第三凸起23和设有第三通孔15的弹性带14配合使用,优选所述第三凸起23端部设有第四凸起24,所述第四凸起24为矩形、半圆形或半椭圆形 ,所述基体22上的手掌工作区1和或前臂工作区21上设有至少一个穿透基体22厚度的第四通孔20,优选所述第四通孔20与摆位器的基体22下部连接有废液收集装置27连通,所述基体22上的手掌工作区1和前臂工作区21的外侧边缘上设有第三凸突起23和设有第三通孔15的弹性带14配合固定使用,优选所述第四凸起24和第三凸起23结构为矩形、半圆形或半椭圆形 ,所述基体22 表面进行不反光处理,所述基体22选用亚光材料和或基体的颜色选浅绿或浅蓝,以适合显微手术操作和医生眼睛不疲劳。The technical solution of the present invention is specifically described with reference to FIG. 2 to FIG. 13 in the accompanying drawings. The present invention provides a positioner comprising a base body 22, and the base body 22 is provided with a palm working area 1 and a forearm working area 21, The palm working area 1 includes a thumb working area 11 and a palm working area 7 which are arranged according to physiological characteristics, and each of the thumb working areas 11 includes a first border area 2, a second border area 5, and a finger working area 3 between the first border area and the second border area, the first border area 2 comprising a first connecting device 8, the second border area 5 comprising a first complementary connection with the first connecting device 8 Two connection devices 9, The first connecting device 8 and the second connecting device 9 may be connected by a cord, preferably in the form of a mounting buckle on the cord and the connecting device, at least one of which is mounted on the first connecting device 8 and the second connecting device 9. Preferably, the first connecting device 8 and the second connecting device 9 are provided with 4 or 5 daughter buckles, and the strap is provided with a female buckle corresponding to the buckles mounted on the first connecting device 8 and the second connecting device 9 for surgery. After the doctor determines the surgical position of the patient's finger, the female buckle at one end of the cord 14 is first fastened and fastened to the sub-fastening of the first connecting device 8, and then the strap 14 is tightened to fix the finger requiring surgery. The female buckle of the other end of the rope is fastened and fastened with the buckle of the second connecting device 9 to realize the fixed connection of the female buckle, and the child buckle of any end of the rope is needed when the finger is released or after the operation is completed. It can be opened; the first connecting device 8 and the second connecting device 9 can also be provided in the form of a plurality of hooks, which are arranged in plurality and arranged in columns, and with a plurality of third through holes 15 The cord is fastened in conjunction with the first connecting device 8 The set hook is inserted into the third through hole 15 of the rope, and then the rope 14 is tightened, and then the hook on the second connecting device 9 is put into the other third through hole 15 of the rope to fasten. The first connecting device 8 and the second connecting device 9 are also preferably in the form of a fastening tape. For example, the first connecting device 8 and the second connecting device 9 are provided with a mating surface, and the connecting belt is provided with a hook surface. Firstly, the patient's finger is determined at a suitable position on the finger working area 3, and the hook surface of the connecting belt is pressed with the first connecting device 8 and the second connecting device 9 to complete the tightening. Solid connection, any one of the finger working area 3 and or the palm working area 7 is provided with an adjustment wound height device, preferably the adjustment wound height device is disposed at a center line position of each finger working area 3 and or the palm working area 7, The adjusting wound height device includes an insert and a first through hole 6 or a second through hole 12 disposed on the base 22 at least two thicknesses of the through substrate, preferably the first through hole 6 and the second The through hole 12 has an angle with the plane of the base 22, and preferably the angle of the angle is in the range of 2 70° to 315, the insert includes a thumb insert 33, a thumb insert 37 and a palm insert 34, and any one of the inserts includes a working portion 36 and a fastening portion 35, the working portion 36 having a cross section than the The fastening portion 35 has a large transverse interface. Preferably, the working portion 36 and the fastening portion 35 are rectangular, and the first through hole 6 or the second through hole 12 on the base body changes with the structure of the insertion frame fastening portion 35. Provided that the fastening portion 35 can be inserted into the first through hole 6 or the second through hole 12 of the base body to achieve a close fitting use, and the fastening portion 35 has a cylindrical shape, preferably a cylinder, an elliptical cylinder, Square or triangular column, 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 adjusted wound height device includes a thumb insert 33 provided with a triangular working portion 36 and a fastening portion 35 provided with a bolt structure, a thumb insert 37, a palm insert 34, the base body 22 is provided with at least one threaded hole penetrating the thickness of the base body 22, preferably the side of the insert working portion 36 is provided with a fifth protrusion 31 and an elastic band 14 provided with the third through hole 15 is used together. The working portion of the thumb insert 33, the thumb insert 37 and the palm insert 34 is provided with a recess recessed toward the outside of the finger at a portion where the finger or the palm is in contact, so as to fit and fix the finger and the palm, the thumb Working part 36 of the working plug-in 33 The upper end surface is provided with a first groove 30 capable of smoothly fixing the thumb. Since the joint of the thumb has an angular difference from the other thumb, the setting of the first groove 30 can make the wound position of the thumb easily exposed, which is suitable for doctors' surgery. Preferably, the working portion 36 is provided with a third protrusion 23 on both sides thereof and an elastic belt 14 provided with a third through hole 15 , and the two sides of the finger working area 3 are provided with a fastening structure. The fastening structure includes a third protrusion 23 and an elastic belt 14 provided with a third through hole 15, and the third protrusion 23 is preferably provided with a fourth protrusion 24, the fourth protrusion 24 is rectangular, semi-circular or semi-elliptical The palm working area 1 and the forearm working area 21 on the base 22 are provided with at least one fourth through hole 20 penetrating the thickness of the base 22, preferably the fourth through hole 20 and the lower portion of the base 22 of the positioner Connected with the waste liquid collection device 27, the outer edge of the palm working area 1 and the forearm working area 21 on the base 22 is provided with a third convex protrusion 23 and an elastic band 14 provided with the third through hole 15 for fixed use. Preferably, the fourth protrusion 24 and the third protrusion 23 are rectangular, semi-circular or semi-elliptical The surface of the substrate 22 is non-reflective, and the substrate 22 is selected from a matt material and or a color of the substrate to be light green or light blue, so as to be suitable for microsurgery operation and the doctor's eyes are not fatigued.
本领域的技术人员在不脱离权利要求书确定的本发明的精神和范围的条件下,还可以对以上内容进行各种各样的修改。因此本发明的范围并不仅限于以上的说明,而是由权利要求书的范围来确定的。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 (10)

1、 一种摆位器,包括基体(22),所述基体(22)上设置有手掌工作区(1)和前臂工作区(21),所述手掌工作区(1)包括按照生理特征排列的适用于手指的拇指工作区(11)和掌心工作区(7),所述任何一个拇指工作区(11)都包括第一边界区(2)、第二边界区(5)和在该第一边界区和该第二边界区之间的手指工作区(3),所述第一边界区(2)包括第一连接装置(8),所述第二边界区(5)包括和第一连接装置(8)互补连接的第二连接装置(9),其特征在于,所述任何一个手指工作区(3)和或掌心工作区(7)设置有调整创口高度装置,优选所述调整创口高度装置设置在每个手指工作区(3)和或掌心工作区(7)的中心线位置。  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 (11) includes a first boundary area (2), a second boundary area (5), and a first boundary a finger working area (3) between the area and the second border area, the first boundary area (2) comprising a first connecting means (8), the second border area (5) comprising and a first connecting means (8) a second connection device (9) of complementary connection, characterized in that any one of the finger working area (3) and or the palm working area (7) is provided with a device for adjusting the height of the wound, preferably the device for adjusting the height of the wound Set at the centerline position of each finger work area (3) and palm work area (7).
2、 根据权利要求1所述的一种摆位器,其特征在于,所述调整创口高度装置 包括插件(33;34;37)和所述基体(22)上设置的至少两个以上穿透基体厚度的第一通孔(6)或第二通孔(12)配合使用,优选所述第一通孔(6)和第二通孔(12)与基体(22)平面有夹角,优选所述夹角的角度范围为270°~°315。2. A positioner according to claim 1 wherein said adjustment of the wound height device Including an insert (33; 34; 37) and at least two first through holes (6) or second through holes (12) provided on the base body (22) for penetrating the thickness of the substrate, preferably the first A through hole (6) and a second through hole (12) are at an angle to the plane of the base body (22), and preferably the angle of the included angle ranges from 270° to 315.
3、 根据权利要求3所述的一种摆位器,其特征在于,所述插件包括大拇指插件(33)、拇指插件(37)和掌心插件(34),所述的任何一个插件包括工作部(36)和紧固部(35),所述的工作部(36)横截面比所述紧固部(35)横界面大,优选所述工作部(36)和紧固部(35)为矩形,所述基体上的第一通孔(6)或第二通孔(12)随所述插架紧固部(35)结构的变化而设置,使所述紧固部(35)能够插入基体上的第一通孔(6)或第二通孔(12)实现紧密配合使用,所述紧固部(35)的结构为柱型,优选为圆柱、椭圆柱、方柱或三角柱。3, A positioner according to claim 3, wherein said insert comprises a thumb insert (33), a thumb insert (37) and a palm insert (34), and any one of said inserts includes a working portion ( 36) and a fastening portion (35), the working portion (36) has a larger cross section than the fastening portion (35), and preferably the working portion (36) and the fastening portion (35) are rectangular a first through hole (6) or a second through hole (12) on the base body is provided in accordance with a change in the structure of the insertion frame fastening portion (35), so that the fastening portion (35) can be inserted into the base body The first through hole (6) or the second through hole (12) on the upper side is used in a tight fit, and the fastening portion (35) has a columnar structure, preferably a cylinder, an elliptical cylinder, a square pillar or a triangular prism.
4、 根据权利要求3所述的一种摆位器,其特征在于,所述调整创口高度装置包括设有三角形工作部(36)和设有螺栓结构的紧固部(35)的大拇指插件(33)、拇指插架(37)、掌心插架(34),所述基体(22)上至少设置一个以上穿透基体(22)厚度的螺纹孔配合使用,优选所述插件工作部(36)的侧边设有第五凸起(31)和设有第三通孔(15)的弹性带(14)配合使用。4, A positioner according to claim 3, wherein said adjustment of the wound height device comprises a thumb insert (33) provided with a triangular working portion (36) and a fastening portion (35) provided with a bolt structure (33) a thumb insertion frame (37), a palm insertion frame (34), the base body (22) is provided with at least one threaded hole penetrating the thickness of the base body (22), preferably the insert working portion (36) The fifth protrusion (31) is provided on the side and the elastic band (14) provided with the third through hole (15) is used in combination.
5、 根据权利要求3或4所述的一种摆位器,其特征在于,所述大拇指插件(33)、拇指插架(37)和掌心插架(34)的工作部在手指或掌心接触的部分设有向手指外侧方向凹陷的凹槽,以适合手指和掌心摆放和固定。 5, A positioner according to claim 3 or 4, characterized in that the working portion of the thumb insert (33), the thumb insert (37) and the palm insert (34) is in contact with the palm or the palm of the hand. The portion is provided with a recess that is recessed toward the outside of the finger to fit and fix the finger and the palm.
6、 根据权利要求3、4或5所述的一种摆位器,其特征在于,所述大拇指工作插件(33)的工作部(36)上端面设有能够使大拇指顺利固定的第一凹槽(30),优选所述工作部(36)两侧边设有第三凸起(23)和设有第三通孔(15)的弹性带(14)配合使用。6, A positioner according to claim 3, 4 or 5, characterized in that the upper end surface of the working portion (36) of the thumb working insert (33) is provided with a first recess which enables the thumb to be smoothly fixed. Preferably, the groove (30) is provided with a third protrusion (23) on both sides of the working portion (36) and an elastic band (14) provided with the third through hole (15).
7、 根据权利要求1所述的一种摆位器,其特征在于,所述的手指工作区(3)的两个侧边设有紧固结构,所述的紧固结构包括第三凸起(23)和设有第三通孔(15)的弹性带(14)配合使用,优选所述第三凸起(23)端部设有第四凸起(24),优选所述第四凸起(24)为矩形、半圆形或半椭圆形 。7, A positioner according to claim 1, wherein both side edges of said finger working area (3) are provided with a fastening structure, and said fastening structure comprises a third protrusion (23). And an elastic band (14) provided with a third through hole (15), preferably the fourth protrusion (23) is provided with a fourth protrusion (24) at its end, preferably the fourth protrusion ( 24) is rectangular, semi-circular or semi-elliptical .
8、 根据权利要求1至7所述的任何一种摆位器,其特征在于,所述基体(22)上的手掌工作区(1)和或前臂工作区(21)上设有至少一个穿透基体(22)厚度的第四通孔(20),优选所述第四通孔(20)与摆位器的基体(22)下部连接有废液收集装置(27)连通。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 connected to a waste liquid collecting device (27) connected to a lower portion of the base (22) of the positioner.
9、 根据权利要求1所述的一种摆位器,其特征在于,所述基体(22)上的手掌工作区(1)和前臂工作区(21)的外侧边缘上设有第三凸突起(23)和设有第三通孔(15)的弹性带(14)配合固定使用,优选所述第三凸起(23)端部设有第四凸起(24),优选所述第四凸起(24)和第三凸起(23)结构为矩形、半圆形或半椭圆形 。 9, A positioner according to claim 1, wherein a third convex protrusion (23) is provided on an outer side 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, preferably the fourth protrusion (23) is provided with a fourth protrusion (24) at the end, preferably the fourth protrusion (24) and the third protrusion (23) are rectangular, semi-circular or semi-elliptical .
10、 根据权利要求1至9所述的任何一种摆位器,其特征在于,所述基体(22)表面进行不反光处理,优选所述基体(22)选用亚光材料和或基体的颜色选浅绿或浅蓝。10. The positioner according to any one of claims 1 to 9, characterized in that the surface of the base body (22) is subjected to non-reflective treatment, and preferably the base body (22) is selected from a matt material and a color of the base body. Green or light blue.
PCT/CN2013/089532 2013-12-09 2013-12-16 Positioner WO2015085604A1 (en)

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CN103735311B (en) * 2013-12-09 2017-07-18 冉旭东 A kind of placement device
CN104138325B (en) * 2014-08-23 2015-03-11 冉旭东 Positioning machine capable of being fixed and unfixed quickly at any position
CN105167953A (en) * 2015-09-23 2015-12-23 新疆医科大学第一附属医院 Multi-freedom-degree adjustable hand surgery operation table

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