WO2019037229A1 - 一种手术器械固定装置 - Google Patents

一种手术器械固定装置 Download PDF

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Publication number
WO2019037229A1
WO2019037229A1 PCT/CN2017/107665 CN2017107665W WO2019037229A1 WO 2019037229 A1 WO2019037229 A1 WO 2019037229A1 CN 2017107665 W CN2017107665 W CN 2017107665W WO 2019037229 A1 WO2019037229 A1 WO 2019037229A1
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WIPO (PCT)
Prior art keywords
rack
knob
positioning
axis
rack bar
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Application number
PCT/CN2017/107665
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English (en)
French (fr)
Inventor
蔡金朝
Original Assignee
艾科美医疗器械（深圳）有限公司
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Application filed by 艾科美医疗器械（深圳）有限公司 filed Critical 艾科美医疗器械（深圳）有限公司
Publication of WO2019037229A1 publication Critical patent/WO2019037229A1/zh

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/50—Supports for surgical instruments, e.g. articulated arms

Definitions

  • the present invention relates to the field of medical device devices, and in particular, to a device for fixing a surgical instrument.
  • the technical problem to be solved by the present invention is a defect of the prior art, and provides a surgical instrument fixing device which is more rational in structure design, can accurately position various points in reality, and is more convenient to operate.
  • a surgical instrument fixing device includes a bracket portion and a three-dimensional guiding positioner, and the three-dimensional guiding positioner is movably mounted on the bracket portion for fixing the surgical instrument
  • the utility model is characterized in that: the bracket portion comprises a supporting mechanism, the supporting mechanism is mounted with a first rack bar which can be rotated up and down, the first rack bar is provided with a rack, and the first rack bar is provided with a movable fixing bracket
  • the three-dimensional guiding positioner is mounted on the fixing frame to form a movable structure;
  • the three-dimensional guiding positioner comprises a rotating and height adjusting fixing seat, and the rotating and height adjusting fixing seat is mounted with a connecting rod movable up and down, the connecting rod
  • a Y-axis guide rod is mounted, and an X-axis guide rod movable on the Y-axis guide rod is mounted on the Y-axis guide rod, and an X-axis guide rod is mounted on the X
  • one end of the X-axis guide rod is mounted on the Y-axis guide rod perpendicular to the Y-axis guide rod, and the end of the X-axis guide rod is provided with a knob screw locked to the Y-axis guide rod Forming a movable structure thereon;
  • the Y-axis guide rod and the X-axis guide rod are both arc-shaped structures along a vertical plane, and both are curved downwards on both sides;
  • a guide groove is provided in the X-axis guide rod, the duct Secured to a jacket through a guide channel, the jacket is mounted to the X by two knob screws
  • a movable structure is formed on the shaft guide. The surgical instrument is inserted from the catheter through the X-axis guide in the curved structure
  • the movement of the Y-axis guide and the jacket are moved over the X-axis guide of the curved structure to allow further adjustment of the position and angle of the surgical instrument.
  • the fixing frame is a rack positioning sliding seat, which comprises an X-axis positioning sliding seat and a Y-axis positioning sliding seat, and the two vertically form a cross-shaped structure, and the X-axis positioning sliding seat is mounted on the first tooth.
  • An X-axis moving structure is formed on the bar, and a Y-axis moving structure is formed in the Y-axis positioning sliding seat;
  • the X-axis positioning sliding seat is provided with a knob for moving on the first rack bar
  • the Y-axis positioning sliding seat is provided with a knob adjusting mechanism for moving the second rack bar and a pressing positioning of the second rack bar
  • the mechanism of the knob adjustment mechanism and the pressing and positioning mechanism of the two mechanisms are the same.
  • the front end of the second rack bar is fixed by a rack bar pin with an outer rack collar and an inner rack collar to form a rotating fixing component
  • the inner rack collar is located on the outer rack sleeve
  • a matching gear structure is arranged on the inner surface of the front end of the outer rack collar and the outer surface of the front end of the inner rack collar
  • a fixing bolt is arranged in the inner rack collar, and the front end of the fixing bolt passes through the inner rack sleeve
  • the gear structure extends into the rotating and height adjusting fixing seat to form a connecting structure
  • the inner rack sleeve has a ring groove at the rear portion thereof, and a set of ring screws are arranged on the side of the outer rack ring, the collar screw passes through the outer ring
  • the rack sleeve extends into the groove of the inner rack collar to form a locking adjustment structure for the inner rack collar
  • the rotation and height adjustment fixed seat passes the gear structure of the inner rack collar and the outer rack collar With the rotation, the rotation,
  • the rotation and height adjustment fixing seat is provided with a T-shaped fixing groove
  • the connecting rod is a T-shaped connecting rod
  • the ⁇ -type connecting rod is installed in the T-shaped fixing groove, and is fixed in rotation and height adjustment.
  • the seat is provided with a plurality of vertically arranged locking holes, and the ⁇ -type connecting rod is locked and fixed by a knob screw disposed in the locking hole; and the side of the rotating and height adjusting fixing seat is provided for determining the movement of the T-shaped connecting rod
  • the support mechanism includes an outer tube and an inner tube, and the inner tube is fixed in the outer tube through an inner tube lock head and protrudes from the front end of the outer tube, and the front end of the inner tube passes through a crossing
  • the inner tube pin is fixed with an inner tube joint, the inner tube joint has a slot in the middle, and the first rack rod is embedded through the main rod fixing head at the tail end thereof
  • the retractable rotating structure is formed in the recess in the middle of the inner pipe joint and locked by a joint screw. The height of the entire fixture can be adjusted by the expansion and contraction of the inner tube, and the position and angle of the three-dimensional guide positioner can be adjusted by rotating the first rack bar.
  • the knob adjustment mechanism includes a knob handle, a knob outer column, a knob inner column, a knob positioning column and a knob pin, the knob inner column is inserted into the rack positioning slider, and the knob positioning column is inserted into the knob In the column, the upper part of the inner column of the knob is inserted into the outer column of the knob through the rack positioning slide, and the knob pin is fixed in the knob handle through the outer column of the knob, the inner column of the knob and the positioning column of the knob; the lower part of the inner column of the knob is provided a gear tooth structure matched with the first rack bar and the second rack bar, the gear tooth structure cooperates with the first rack bar or the second rack bar to form a moving structure; the knob positioning post is located below the rack positioning slide Insert the knob inner column into the rack positioning slide.
  • the pressing and positioning mechanism comprises a button and a rack positioning column, wherein the middle position and the front end position of the button are respectively provided with a fixed shaft seat and a movable shaft seat, and the button is fixed by a button pin through the fixed shaft seat.
  • a torsion spring is sleeved on the button pin, and the two ends of the torsion spring respectively press against the rack positioning slider and the button forming pop-up structure;
  • the rack positioning column passes a positioning post pin is fixed to the front end of the button through the movable shaft seat to form a locking structure locked on the first rack bar or the second rack bar; and the first rack bar is disposed at the bottom of the rack positioning post And a positioning tooth matched with the second rack bar, the positioning tooth is caught in the first rack bar or the second rack bar by the torsion spring pop-up button to form a positioning structure.
  • the knob adjusting mechanism is used in combination with the pressing positioning mechanism, and the button is pressed, the front end of the button is lifted, and the positioning tooth of the rack positioning column is separated from the first rack bar or the second rack bar, and the locking is released.
  • the knob handle, the tooth structure of the lower part of the inner column of the knob and the first rack bar or the second rack bar are relatively displaced by the tooth engagement, thereby achieving the effect of moving the rack positioning slide or the second rack bar.
  • the button is released, and under the action of the torsion spring force, the front end of the button is reset, the rack positioning post is pressed down, and the positioning tooth is engaged in the first rack bar or the second rack bar to form a positioning.
  • the present invention is designed to fix a surgical instrument by designing two guide rods of a curved structure as a three-dimensional guide locator, which itself has a high-level fine adjustment function, and the three-dimensional guide positioner is integrally fixed on a second rack bar to form a Y-axis micro
  • the structure is moved, and the Y-axis nudge structure is integrally mounted on the first rack bar by the rack positioning slide to form an X-axis micro-shifting structure, and the entire bracket portion can adjust the overall height, so that the surgical instruments can be realized in each
  • the precise positioning of the points, and the ability to adjust the angle it is very convenient to operate at the same time.
  • FIG. 2 is a structural view of a rack positioning slide mounting structure
  • FIG. 3 is a structural view of a three-dimensional guide positioner
  • FIG. 4 is a structural view of the outer tube and the inner tube
  • FIG. 5 is a structural view of the outer rack collar and the inner rack collar
  • FIG. 6 is a structural diagram of a three-dimensional guide positioner
  • FIG. 7 is an exploded structural view of the knob adjustment mechanism
  • FIG. 8 is an exploded structural view of a pressing positioning mechanism.
  • A01 is the outer tube
  • A02 is the inner tube
  • A03 is the inner tube lock head
  • A04 is the inner tube joint
  • A05 is the inner tube pin
  • A06 is the joint screw
  • A07 is the first rack bar
  • A071 is Main rod fixed head
  • A08 rack positioning slide
  • A081 is X-axis positioning slide
  • A082 is Y-axis positioning slide
  • A09 is knob handle
  • A10 is knob outer column
  • Al l knob inner column
  • A12 is knob Positioning post
  • A13 is the knob pin
  • A14 is the button
  • A141 is the fixed shaft seat
  • A142 is the movable shaft seat
  • A15 is the button pin
  • A16 is the torsion spring
  • A17 is the rack positioning column
  • A171 is the positioning tooth
  • A18 is the positioning column Pin
  • B01 is the second rack bar
  • B02 is the outer rack collar
  • B03 is the inner rack collar
  • B04 is the rack pin pin
  • B05
  • the surgical instrument fixing device includes a bracket portion and a three-dimensional guiding positioner, and the three-dimensional guiding positioner is movably mounted on the bracket portion for fixing the surgical instrument, and the bracket portion is
  • the support mechanism is provided with a first rack bar A07 that can be rotated up and down.
  • the first rack bar A07 is provided with a rack, and the first rack bar A07 is provided with a movable fixing frame.
  • the three-dimensional guiding positioner is mounted on the fixing frame to form a movable structure;
  • the three-dimensional guiding positioner comprises a rotating and height adjusting fixing seat B07, and the rotating and height adjusting fixing seat B07 is mounted with a connecting rod B08 movable up and down, the connecting rod A Y-axis guide B09 is mounted on the B08, and a Y-axis guide is mounted on the Y-axis guide B09.
  • the X-axis guide B10 moving on the rod B09 and the X-axis guide B10 are mounted with a catheter B12 for fixing the surgical instrument which can be moved on the X-axis guide B10, and the X-axis guide B10 and the Y-axis guide B09 are both mounted. It is a curved structure.
  • One end of the X-axis guide rod B10 is mounted on the Y-axis guide rod B09 perpendicular to the Y-axis guide rod B09, and the end of the X-axis guide rod B10 is provided with a knob screw B13 locked to the Y-axis
  • a movable structure is formed on the guide rod B09;
  • the Y-axis guide rod B09 and the X-axis guide rod B10 are both arc-shaped structures along the vertical plane, and both are curved downwards on both sides; one is arranged in the X-axis guide rod B10
  • the guide groove B101, the conduit B12 is fixed to a jacket B11 through the guide groove B101, and the jacket B11 is mounted on the X-axis guide B10 through the two knob screws B13 to form a movable structure.
  • the surgical instrument is inserted from the catheter B12, and the surgical instrument can be realized by moving the X-axis guide B 10 on the curved Y-axis guide B09 and the catheter frame B 11 on the curved X-axis guide B 10 Further position and angle adjustments.
  • the X-axis guide B10 can also be mounted in reverse so that the jacket B11 and the conduit B12 can be placed on the other side.
  • the fixing frame is a rack positioning sliding seat A08, which comprises an X-axis positioning sliding seat A081 and a Y-axis positioning sliding seat A08 2, which form a cross-shaped structure perpendicularly to each other, and the X-axis positioning sliding seat A081 is installed in the first
  • An X-axis moving structure is formed on a rack bar A07, and a Y-axis moving structure is formed in the Y-axis positioning slide A082.
  • the X-axis positioning slide A081 is provided on the first tooth.
  • a knob adjusting mechanism that moves on the bar A07 and a pressing positioning mechanism that can lock it on the first rack bar A07
  • a Y-axis positioning slider A082 is provided with a knob adjusting mechanism that can move the second rack bar B01 and The pressing positioning mechanism of the second rack bar B01 can be locked, and the knob adjusting mechanism and the pressing positioning mechanism of the both have the same structure.
  • the front end of the second rack bar B01 is fixed by a rack bar pin B04 with an outer rack ring B02 and an inner rack ring B03 to form a rotating fixing assembly, and the inner rack ring B03 is located at the outer rack sleeve.
  • a matching gear structure is arranged on the inner surface of the front end of the outer rack collar B02 and the outer surface of the front end of the inner rack collar B03, and a fixing bolt B06 is arranged in the inner rack collar B03, and the front end of the fixing bolt B06
  • the gear structure passing through the inner rack sleeve B03 extends into the rotation and height adjustment fixing base B07 to form a connecting structure; the rear part of the inner rack collar B03 is provided with a groove, and a side of the outer rack collar B02 is provided with a groove
  • the collar screw B05, the collar screw B05 extends through the outer rack collar B02 into the groove of the inner rack collar B03 to form a locking adjustment structure for the inner rack collar B03; the rotation and height adjustment bracket B07 can realize the fine adjustment of the angle by the gear structure of the inner rack collar B03 and the outer rack collar B0 2.
  • the rotation and height adjustment fixing base B07 is provided with a T-shaped fixing groove
  • the connecting rod ⁇ 08 is a ⁇ type connecting rod
  • the ⁇ type connecting rod is installed in the ⁇ type fixing groove
  • the ⁇ 07 is provided with a plurality of vertically arranged locking holes 071, and the ⁇ -type connecting rod is locked and fixed by a knob screw B13 disposed in the locking hole B071; and is provided on the side of the rotating and height adjusting fixed seat ⁇ 07 for determining ⁇
  • the scale of the moving distance of the connecting rod can finely adjust the overall height of the three-dimensional guiding positioner by moving the connecting rod in the ⁇ -shaped fixing groove; the tail end of the ⁇ -axis guiding rod ⁇ 09 is fixed to the front end of the ⁇ -shaped connecting rod.
  • the support mechanism includes an outer tube A01 and an inner tube ⁇ 02.
  • the inner tube ⁇ 02 is fixed in the outer tube A01 by an inner tube lock ⁇ 03 and protrudes from the front end of the outer tube A01, and passes through the front end of the inner tube ⁇ 02.
  • a traversing inner tube pin A 05 is fixed with an inner tube joint A04, and an inner tube joint A04 has a recessed groove therebetween.
  • the first rack rod A07 is embedded in the inner tube joint A04 through the tail rod main rod fixing head A071.
  • the intermediate slot is locked by a joint screw A06 to form a reverse-recoverable rotating structure. In normal operation, the first rack bar A07 forms an angle of 90 degrees with the outer tube A01, eliminating the need to use the first rack bar.
  • the A07 can be rotated 270 degrees in the opposite direction to achieve the close.
  • the height of the entire fixture can be adjusted by the expansion and contraction of the inner tube A02, and the position and angle of the three-dimensional guide positioner can be adjusted by rotating the first rack bar A07.
  • the knob adjustment mechanism includes a knob handle A09, a knob outer column A10, a knob inner column A1 1 , a knob positioning column A12, and a knob pin A13, and the knob inner column Al l is inserted into the rack positioning slider.
  • A08 X-axis positioning slide A081 or Y-axis positioning slide A082
  • the knob positioning post A12 is inserted into the knob inner column Al l
  • the upper part of the knob inner column Al l is inserted outside the knob through the rack positioning slide A08.
  • the knob pin A13 is fixed in the knob handle A09 through the knob outer column A10, the knob inner column Al l and the knob positioning column A12; the lower part of the knob inner column Al l is provided with the first rack bar A07 and the second
  • the toothed rod structure of the rack bar B01 is matched with the first rack bar A07 or the second rack bar B01 to form a moving structure; the knob positioning post A12 is inserted from below the rack positioning slide A08 into the knob
  • the column Al l is fixed in the rack positioning carriage A08.
  • the pressing and positioning mechanism includes a button A14 and a rack positioning post A17.
  • the middle position and the front end position of the button A14 are respectively provided with a fixed shaft seat A141 and a movable shaft seat A142, and the button A14 passes through a button pin.
  • the A15 is fixedly fixed to the rack positioning carriage A08 (X-axis positioning slide A081 or Y-axis positioning slide A082) through the fixed shaft seat A141 to form a lever structure; a torsion spring A16 is set on the button pin A15, and the torsion spring The two ends of the A16 are respectively pressed against the bobbin positioning slider A08 and the button A14 to form a bobbin of the button A14.
  • the rack positioning post A17 is fixed to the front end of the button A14 through a movable shaft seat A152 through a positioning post pin A18 to form a locking structure locked on the first rack bar A07 or the second rack bar B01;
  • the bottom of the positioning post A17 is provided with a positioning tooth A171 matched with the first rack bar A07 and the second rack bar B01, and the positioning tooth A171 is engaged with the first rack bar A07 by the torsion spring A16 bounce button A14.
  • a positioning structure is formed in the two rack bar B01.
  • the knob adjusting mechanism is used in combination with the pressing and positioning mechanism, and the button A14 is depressed, the front end of the button 14 is raised, and the positioning tooth A171 of the rack positioning column A17 is away from the first rack bar A07 or the second rack bar B01. Unlocking, the rotation knob handle A09, the gear tooth structure of the lower part of the knob inner column Al1 and the first rack bar A07 or the second rack bar B01 are relatively displaced by the inter-tooth engagement, thereby achieving the rack positioning slide A08 movement or the effect of the second rack bar movement.
  • the loose button A14 After moving into position, the loose button A14, under the elastic force of the torsion spring A16, the front end of the button A14 is reset, the rack positioning column A17 is pressed down, and the positioning tooth A171 is engaged in the first rack bar A07 or the second rack bar B01. Form the positioning.

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
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Abstract

一种手术器械固定装置，包括有支架部分和三维导向定位器，支架部分包括有支撑机构，支撑机构上安装有第一齿条杆（A07），在第一齿条杆（A07）上设有固定架，三维导向定位器安装于该固定架上；三维导向定位器包括有旋转及高度调节固定座（B07），旋转及高度调节固定座（B07）上安装有连接杆（B08），连接杆（B08）上安装有Y轴导杆（B09），Y轴导杆（B09）上安装有X轴导杆（B10），X轴导杆（B10）上安装有导管（B12）。通过设计弧形结构的两导杆（B09、B10）作为三维导向定位器用于固定手术器械，其本身具备高度微调功能，三维导向定位器整体又固定于第二齿条杆（B01）上形成Y轴微移结构，而Y轴微移结构整体通过齿条定位滑座（A08）安装于第一齿条杆（A07）上形成X轴微移结构，如此可以实现手术器械在各个点位的精确定位，且操作方便。

Description

一种手术器械固定装置
技术领域
[0001] 本发明涉及医疗器械装置技术领域， 具体涉及一种固定手术器械的装置。
[0002] 背景技术
[0003] 在手术过程中， 为保障手术的安全、 顺利进行， 经常需要将一些手术器械长吋 间地保持在某一位置， 这种长吋间的保持若要通过医护人员来完成是不可想象 的， 通过人工来进行还存在较大的安全隐患。 为此， 人们发明各种辅助装置来 帮助固定手术器械， 然而， 目前的此类装置大多存在以下缺点， 第一， 难以达 到在各个点位的精确定位， 同吋不易实现不同角度的定位； 第二， 定位操作过 程比较繁琐， 尤其吋需要调整定位吋更不易操作。
[0004] 发明内容
[0005] 本发明要解决的技术问题是现有技术的缺陷， 提供一种结构设计更合理、 能够 现实各个点位的精确定位、 操作更为方便的手术器械固定装置。
[0006] 为解决上述技术问题， 本发明采用如下技术方案： 一种手术器械固定装置， 包 括有支架部分和三维导向定位器， 三维导向定位器活动安装于支架部分上用以 固定手术器械， 其特征在于： 支架部分包括有支撑机构， 支撑机构上安装有一 可上下旋转的第一齿条杆， 第一齿条杆上设有齿条， 在第一齿条杆上设有一可 移动的固定架， 所述三维导向定位器安装于该固定架上形成可移动结构； 三维 导向定位器包括有旋转及高度调节固定座， 旋转及高度调节固定座上安装有一 可上下移动的连接杆， 连接杆上安装有一 Y轴导杆， Y轴导杆上安装有一可在 Y 轴导杆上移动的 X轴导杆， X轴导杆上安装有一可在 X轴导杆上移动的用于固定 手术器械的导管， X轴导杆和 Y轴导杆均为弧形结构。
[0007] 进一步地， 所述 X轴导杆的一端以垂直于 Y轴导杆的方式安装于 Y轴导杆上， 且 X轴导杆的该端设置一旋钮螺丝锁紧于 Y轴导杆上形成可移动结构； Y轴导杆和 X 轴导杆均为沿竖直面的弧形结构， 且两者均为两边朝下弯曲； 在 X轴导杆中设有 一导槽， 所述导管穿过导槽固定于一导管架上， 导管架通过两旋钮螺丝安装于 X 轴导杆上形成可移动结构。 手术器械从导管中插入， 通过 X轴导杆在弧形结构的
Y轴导杆上移动和导管架在弧形结构的 X轴导杆上移动， 可以实现手术器械的进 一步位置和角度调整。
[0008] 进一步地， 所述固定架为齿条定位滑座， 其包括 X轴定位滑座和 Y轴定位滑座 ， 两者相互垂直形成十字型结构， X轴定位滑座安装于第一齿条杆上形成 X轴移 动结构， 而 Y轴定位滑座中安装有一第二齿条杆形成 Y轴移动结构； X轴定位滑 座上设有可使其在第一齿条杆上移动的旋钮调节机构和可将其锁定于第一齿条 杆上的按压定位机构， Y轴定位滑座上设有可使第二齿条杆移动的旋钮调节机构 和可锁定第二齿条杆的按压定位机构， 两者的旋钮调节机构及按压定位机构的 结构相同。
[0009] 进一步地， 所述第二齿条杆的前端通过一齿条杆销钉固定有一外齿条套环和一 内齿条套环构成旋转固定组件， 内齿条套环位于外齿条套环内部， 在外齿条套 环前端内表面和内齿条套环前端外表面设有相配的齿轮结构， 在内齿条套环中 设有一固定螺栓， 该固定螺栓的前端穿过内齿条套的齿轮结构伸入于旋转及高 度调节固定座内形成连接结构； 内齿条套环的后部设有一圈凹槽， 在外齿条套 环的侧面设有一套环螺丝， 套环螺丝穿过外齿条套环伸入于内齿条套环的凹槽 处形成对内齿条套环的锁紧调节结构； 旋转及高度调节固定座通过内齿条套环 及外齿条套环的齿轮结构配合旋转可以实现其角度微调， 调整到位后旋紧套环 螺丝锁紧内齿条套环。
[0010] 进一步地， 所述旋转及高度调节固定座中设有一 T型固定槽， 所述连接杆为 T型 连接杆， τ型连接杆安装于 T型固定槽中， 在旋转及高度调节固定座上设有若干 沿竖向排列的锁紧孔， τ型连接杆通过设置于锁紧孔中的旋钮螺丝锁紧固定； 在 旋转及高度调节固定座的侧面设有用于确定 T型连接杆移动距离的刻度， 通过在 T型固定槽中移动 T型连接杆， 可以微调三维导向定位器的整体高度； Y轴导杆的 尾端固定于 T型连接杆的前端。
[0011] 进一步地， 所述支撑机构包括有外管和内管， 内管通过一内管锁头固定于外管 中并从外管的前端伸出， 在内管的前端通过一横穿的内管销钉固定有一内管接 头， 内管接头中间具有一嵌槽， 所述第一齿条杆通过其尾端的主杆固定头嵌设 于内管接头中间的嵌槽中并通过一接头螺丝锁定形成可反向回收的旋转结构。 通过内管的伸缩可以调节整个固定装置的高度， 而通过旋转第一齿条杆则可以 调节三维导向定位器的位置和角度。
[0012] 进一步地， 所述旋钮调节机构包括有旋钮把手、 旋钮外柱、 旋钮内柱、 旋钮定 位柱和旋钮销钉， 旋钮内柱插入于齿条定位滑座中， 旋钮定位柱插入于旋钮内 柱中， 旋钮内柱的上部穿过齿条定位滑座插入于旋钮外柱内， 旋钮销钉贯穿旋 钮外柱、 旋钮内柱和旋钮定位柱而固定于旋钮把手中； 旋钮内柱的下部设有与 第一齿条杆及第二齿条杆相配的轮齿结构， 该轮齿结构与第一齿条杆或第二齿 条杆配合形成移动结构； 旋钮定位柱从齿条定位滑座的下方插入将旋钮内柱固 定于齿条定位滑座中。
[0013] 进一步地， 所述按压定位机构包括有按钮和齿条定位柱， 按钮的中间位置和前 端位置分别设有固定轴座和活动轴座， 按钮通过一按钮销钉穿过固定轴座活动 固定于齿条定位滑座上形成杠杆结构； 在该按钮销钉上套有一扭簧， 扭簧的两 端分别抵压于齿条定位滑座和按钮上形成按钮的弹起结构； 齿条定位柱通过一 定位柱销钉穿过活动轴座固定于按钮的前端形成锁紧于第一齿条杆或第二齿条 杆上的锁紧结构； 在齿条定位柱的底部设有与第一齿条杆和第二齿条杆相配的 定位齿， 定位齿通过扭簧弹起按钮而卡于第一齿条杆或第二齿条杆中形成定位 结构。
[0014] 旋钮调节机构与按压定位机构配合使用， 压下按钮， 按钮的前端抬起， 齿条定 位柱的定位齿离幵第一齿条杆或第二齿条杆， 解除锁定， 此吋旋转旋钮把手， 旋钮内柱下部的轮齿结构与第一齿条杆或第二齿条杆通过齿间啮合产生相对位 移， 从而达到使齿条定位滑座移动或第二齿条杆移动的效果。 移动到位后， 松 幵按钮， 在扭簧弹力作用下， 按钮前端复位， 齿条定位柱下压， 其定位齿卡入 第一齿条杆或第二齿条杆中形成定位。
[0015] 本发明通过设计弧形结构的两导杆作为三维导向定位器用于固定手术器械， 其 本身具备高度微调功能， 三维导向定位器整体又固定于一第二齿条杆上形成 Y轴 微移结构， 而 Y轴微移结构整体通过齿条定位滑座安装于第一齿条杆上形成 X轴 微移结构， 同吋整个支架部分可以调节整体高度， 如此可以实现手术器械在各 个点位的精确定位， 并且还能调整角度， 同吋操作起来非常方便。
[0016] 附图说明
[0017] 图 1为本发明整体结构图；
[0018] 图 2为齿条定位滑座安装结构图；
[0019] 图 3为三维导向定位器安装结构图；
[0020] 图 4为外管与内管配合结构图；
[0021] 图 5为外齿条套环与内齿条套环配合结构图；
[0022] 图 6为三维导向定位器结构图；
[0023] 图 7为旋钮调节机构分解结构图；
[0024] 图 8为按压定位机构分解结构图。
[0025] 图中， A01为外管， A02为内管， A03为内管锁头， A04为内管接头， A05为内 管销钉， A06为接头螺丝， A07为第一齿条杆， A071为主杆固定头， A08为齿条 定位滑座， A081为 X轴定位滑座， A082为 Y轴定位滑座， A09为旋钮把手， A10 为旋钮外柱， Al l为旋钮内柱， A12为旋钮定位柱， A13为旋钮销钉， A14为按钮 ， A141为固定轴座， A142为活动轴座， A15为按钮销钉， A16为扭簧， A17为齿 条定位柱， A171为定位齿， A18为定位柱销钉， B01为第二齿条杆， B02为外齿 条套环， B03为内齿条套环， B04为齿条杆销钉， B05为套环螺丝， B06为固定螺 栓， B07为旋转及高度调节固定座， B071为锁紧孔， B08为连接杆， B09为 Y轴导 杆， B10为 X轴导杆， B101为导槽， B11为导管架， B12为导管， B13为旋钮螺丝
[0026] 具体实施方式
[0027] 本实施例中， 参照图 1-图 6， 所述手术器械固定装置， 包括有支架部分和三维 导向定位器， 三维导向定位器活动安装于支架部分上用以固定手术器械， 支架 部分包括有支撑机构， 支撑机构上安装有一可上下旋转的第一齿条杆 A07， 第一 齿条杆 A07上设有齿条， 在第一齿条杆 A07上设有一可移动的固定架， 所述三维 导向定位器安装于该固定架上形成可移动结构； 三维导向定位器包括有旋转及 高度调节固定座 B07， 旋转及高度调节固定座 B07上安装有一可上下移动的连接 杆 B08， 连接杆 B08上安装有一 Y轴导杆 B09， Y轴导杆 B09上安装有一可在 Y轴导 杆 B09上移动的 X轴导杆 B10， X轴导杆 B10上安装有一可在 X轴导杆 B10上移动的 用于固定手术器械的导管 B12， X轴导杆 B10和 Y轴导杆 B09均为弧形结构。
[0028] 所述 X轴导杆 B10的一端以垂直于 Y轴导杆 B09的方式安装于 Y轴导杆 B09上， 且 X轴导杆 B10的该端设置一旋钮螺丝 B13锁紧于 Y轴导杆 B09上形成可移动结构； Y轴导杆 B09和 X轴导杆 B10均为沿竖直面的弧形结构， 且两者均为两边朝下弯曲 ； 在 X轴导杆 B10中设有一导槽 B101 , 所述导管 B12穿过导槽 B101固定于一导管 架 B 11上， 导管架 B 11通过两旋钮螺丝 B 13安装于 X轴导杆 B 10上形成可移动结构 。 手术器械从导管 B12中插入， 通过 X轴导杆 B 10在弧形结构的 Y轴导杆 B09上移 动和导管架 B 11在弧形结构的 X轴导杆 B 10上移动， 可以实现手术器械的进一步 位置和角度调整。 另外， X轴导杆 B10还可以反向安装， 这样可以将导管架 B11 及导管 B12设置在另一侧。
[0029] 所述固定架为齿条定位滑座 A08， 其包括 X轴定位滑座 A081和 Y轴定位滑座 A08 2， 两者相互垂直形成十字型结构， X轴定位滑座 A081安装于第一齿条杆 A07上 形成 X轴移动结构， 而 Y轴定位滑座 A082中安装有一第二齿条杆 B01形成 Y轴移 动结构； X轴定位滑座 A081上设有可使其在第一齿条杆 A07上移动的旋钮调节机 构和可将其锁定于第一齿条杆 A07上的按压定位机构， Y轴定位滑座 A082上设有 可使第二齿条杆 B01移动的旋钮调节机构和可锁定第二齿条杆 B01的按压定位机 构， 两者的旋钮调节机构及按压定位机构的结构相同。
[0030] 第二齿条杆 B01的前端通过一齿条杆销钉 B04固定有一外齿条套环 B02和一内齿 条套环 B03构成旋转固定组件， 内齿条套环 B03位于外齿条套环 B02内部； 在外 齿条套环 B02前端内表面和内齿条套环 B03前端外表面设有相配的齿轮结构， 在 内齿条套环 B03中设有一固定螺栓 B06， 该固定螺栓 B06的前端穿过内齿条套 B03 的齿轮结构伸入于旋转及高度调节固定座 B07内形成连接结构； 内齿条套环 B03 的后部设有一圈凹槽， 在外齿条套环 B02的侧面设有一套环螺丝 B05， 套环螺丝 B05穿过外齿条套环 B02伸入于内齿条套环 B03的凹槽处形成对内齿条套环 B03的 锁紧调节结构； 旋转及高度调节固定座 B07通过内齿条套环 B03及外齿条套环 B0 2的齿轮结构配合旋转可以实现其角度微调， 调整到位后旋紧套环螺丝 B05锁紧 内齿条套环 B03。 [0031] 所述旋转及高度调节固定座 B07中设有一 T型固定槽， 所述连接杆 Β08为 Τ型连 接杆， Τ型连接杆安装于 Τ型固定槽中， 在旋转及高度调节固定座 Β07上设有若干 沿竖向排列的锁紧孔 Β071， Τ型连接杆通过设置于锁紧孔 B071中的旋钮螺丝 B13 锁紧固定； 在旋转及高度调节固定座 Β07的侧面设有用于确定 Τ型连接杆移动距 离的刻度， 通过在 Τ型固定槽中移动 Τ型连接杆， 可以微调三维导向定位器的整 体高度； Υ轴导杆 Β09的尾端固定于 Τ型连接杆的前端。
[0032] 所述支撑机构包括有外管 A01和内管 Α02， 内管 Α02通过一内管锁头 Α03固定于 外管 A01中并从外管 A01的前端伸出， 在内管 Α02的前端通过一横穿的内管销钉 A 05固定有一内管接头 A04， 内管接头 A04中间具有一嵌槽， 所述第一齿条杆 A07 通过其尾端的主杆固定头 A071嵌设于内管接头 A04中间的嵌槽中并通过一接头螺 丝 A06锁定形成可反向回收的旋转结构， 在正常工作吋， 第一齿条杆 A07与外管 A01构成 90度夹角， 无需使用吋第一齿条杆 A07可以朝另一方向反向旋转 270度， 实现收拢。 通过内管 A02的伸缩可以调节整个固定装置的高度， 而通过旋转第一 齿条杆 A07则可以调节三维导向定位器的位置和角度。
[0033] 参照图 7， 所述旋钮调节机构包括有旋钮把手 A09、 旋钮外柱 A10、 旋钮内柱 A1 1、 旋钮定位柱 A12和旋钮销钉 A13， 旋钮内柱 Al l插入于齿条定位滑座 A08 (X 轴定位滑座 A081或 Y轴定位滑座 A082) 中， 旋钮定位柱 A12插入于旋钮内柱 Al l 中， 旋钮内柱 Al l的上部穿过齿条定位滑座 A08插入于旋钮外柱 A10内， 旋钮销 钉 A13贯穿旋钮外柱 A10、 旋钮内柱 Al l和旋钮定位柱 A12而固定于旋钮把手 A09 中； 旋钮内柱 Al l的下部设有与第一齿条杆 A07及第二齿条杆 B01相配的轮齿结 构， 该轮齿结构与第一齿条杆 A07或第二齿条杆 B01配合形成移动结构； 旋钮定 位柱 A12从齿条定位滑座 A08的下方插入将旋钮内柱 Al l固定于齿条定位滑座 A08 中。
[0034] 参照图 8， 所述按压定位机构包括有按钮 A14和齿条定位柱 A17， 按钮 A14的中 间位置和前端位置分别设有固定轴座 A141和活动轴座 A142， 按钮 A14通过一按 钮销钉 A15穿过固定轴座 A141活动固定于齿条定位滑座 A08 (X轴定位滑座 A081 或 Y轴定位滑座 A082) 上形成杠杆结构； 在该按钮销钉 A15上套有一扭簧 A16， 扭簧 A16的两端分别抵压于齿条定位滑座 A08和按钮 A14上形成按钮 A14的弹起结 构； 齿条定位柱 A17通过一定位柱销钉 A18穿过活动轴座 A152固定于按钮 A14的 前端形成锁紧于第一齿条杆 A07或第二齿条杆 B01上的锁紧结构； 在齿条定位柱 A17的底部设有与第一齿条杆 A07和第二齿条杆 B01相配的定位齿 A171 , 定位齿 A171通过扭簧 A16弹起按钮 A14而卡于第一齿条杆 A07或第二齿条杆 B01中形成 定位结构。
[0035] 旋钮调节机构与按压定位机构配合使用， 压下按钮 A14， 按钮 14的前端抬起， 齿条定位柱 A17的定位齿 A171离幵第一齿条杆 A07或第二齿条杆 B01， 解除锁定 ， 此吋旋转旋钮把手 A09， 旋钮内柱 Al l下部的轮齿结构与第一齿条杆 A07或第 二齿条杆 B01通过齿间啮合产生相对位移， 从而达到使齿条定位滑座 A08移动或 第二齿条杆移动的效果。 移动到位后， 松幵按钮 A14， 在扭簧 A16弹力作用下， 按钮 A14前端复位， 齿条定位柱 A17下压， 其定位齿 A171卡入第一齿条杆 A07或 第二齿条杆 B01中形成定位。
[0036] 以上已将本发明做一详细说明， 以上所述， 仅为本发明之较佳实施例而已， 当 不能限定本发明实施范围， 即凡依本申请范围所作均等变化与修饰， 皆应仍属 本发明涵盖范围内。
技术问题
问题的解决方案
发明的有益效果

Claims

权利要求书
[权利要求 1] 一种手术器械固定装置， 包括有支架部分和三维导向定位器， 三维导 向定位器活动安装于支架部分上， 其特征在于： 支架部分包括有支撑 机构， 支撑机构上安装有一可上下旋转的第一齿条杆， 第一齿条杆上 设有齿条， 在第一齿条杆上设有一可移动的固定架， 所述三维导向定 位器安装于该固定架上形成可移动结构； 三维导向定位器包括有旋转 及高度调节固定座， 旋转及高度调节固定座上安装有一可上下移动的 连接杆， 连接杆上安装有一 Y轴导杆， Y轴导杆上安装有一可在 Y轴 导杆上移动的 X轴导杆， X轴导杆上安装有一可在 X轴导杆上移动的 用于固定手术器械的导管， X轴导杆和 Y轴导杆均为弧形结构。
[权利要求 2] 根据权利要求 1所述的手术器械固定装置， 其特征在于： 所述 X轴导 杆的一端以垂直于 Y轴导杆的方式安装于 Y轴导杆上， 且 X轴导杆的 该端设置一旋钮螺丝锁紧于 Y轴导杆上形成可移动结构； Y轴导杆和 X轴导杆均为沿竖直面的弧形结构， 且两者均为两边朝下弯曲； 在 X 轴导杆中设有一导槽， 所述导管穿过导槽固定于一导管架上， 导管架 通过两旋钮螺丝安装于 X轴导杆上形成可移动结构。
[权利要求 3] 根据权利要求 1所述的手术器械固定装置， 其特征在于： 所述固定架 为齿条定位滑座， 其包括 X轴定位滑座和 Y轴定位滑座， 两者相互垂 直形成十字型结构， X轴定位滑座安装于第一齿条杆上形成 X轴移动 结构， 而 Y轴定位滑座中安装有一第二齿条杆形成 Y轴移动结构； X 轴定位滑座上设有可使其在第一齿条杆上移动的旋钮调节机构和可将 其锁定于第一齿条杆上的按压定位机构， Y轴定位滑座上设有可使第 二齿条杆移动的旋钮调节机构和可锁定第二齿条杆的按压定位机构， 两者的旋钮调节机构及按压定位机构的结构相同。
[权利要求 4] 根据权利要求 3所述的手术器械固定装置， 其特征在于： 所述第二齿 条杆的前端通过一齿条杆销钉固定有一外齿条套环和一内齿条套环构 成旋转固定组件， 内齿条套环位于外齿条套环内部， 在外齿条套环前 端内表面和内齿条套环前端外表面设有相配的齿轮结构， 在内齿条套 环中设有一固定螺栓， 该固定螺栓的前端穿过内齿条套的齿轮结构伸 入于旋转及高度调节固定座内形成连接结构； 内齿条套环的后部设有 一圈凹槽， 在外齿条套环的侧面设有一套环螺丝， 套环螺丝穿过外齿 条套环伸入于内齿条套环的凹槽处形成对内齿条套环的锁紧调节结构
； 旋转及高度调节固定座通过内齿条套环及外齿条套环的齿轮结构配 合旋转可以实现其角度微调， 调整到位后旋紧套环螺丝锁紧内齿条套 环。
根据权利要求 4所述的手术器械固定装置， 其特征在于： 所述旋转及 高度调节固定座中设有一 T型固定槽， 所述连接杆为 T型连接杆， T型 连接杆安装于 T型固定槽中， 在旋转及高度调节固定座上设有若干沿 竖向排列的锁紧孔， T型连接杆通过设置于锁紧孔中的旋钮螺丝锁紧 固定； 在旋转及高度调节固定座的侧面设有用于确定 T型连接杆移动 距离的刻度； Y轴导杆的尾端固定于 T型连接杆的前端。
根据权利要求 1所述的手术器械固定装置， 其特征在于： 所述支撑机 构包括有外管和内管， 内管通过一内管锁头固定于外管中并从外管的 前端伸出， 在内管的前端通过一横穿的内管销钉固定有一内管接头， 内管接头中间具有一嵌槽， 所述第一齿条杆通过其尾端的主杆固定头 嵌设于内管接头中间的嵌槽中并通过一接头螺丝锁定形成可反向回收 的旋转结构。
根据权利要求 3所述的手术器械固定装置， 其特征在于： 所述旋钮调 节机构包括有旋钮把手、 旋钮外柱、 旋钮内柱、 旋钮定位柱和旋钮销 钉， 旋钮内柱插入于齿条定位滑座中， 旋钮定位柱插入于旋钮内柱中 ， 旋钮内柱的上部穿过齿条定位滑座插入于旋钮外柱内， 旋钮销钉贯 穿旋钮外柱、 旋钮内柱和旋钮定位柱而固定于旋钮把手中； 旋钮内柱 的下部设有与第一齿条杆及第二齿条杆相配的轮齿结构， 该轮齿结构 与第一齿条杆或第二齿条杆配合形成移动结构； 旋钮定位柱从齿条定 位滑座的下方插入将旋钮内柱固定于齿条定位滑座中。
根据权利要求 3所述的手术器械固定装置， 其特征在于： 所述按压定 位机构包括有按钮和齿条定位柱， 按钮的中间位置和前端位置分别设 有固定轴座和活动轴座， 按钮通过一按钮销钉穿过固定轴座活动固定 于齿条定位滑座上形成杠杆结构； 在该按钮销钉上套有一扭簧， 扭簧 的两端分别抵压于齿条定位滑座和按钮上形成按钮的弹起结构； 齿条 定位柱通过一定位柱销钉穿过活动轴座固定于按钮的前端形成锁紧于 第一齿条杆或第二齿条杆上的锁紧结构； 在齿条定位柱的底部设有与 第一齿条杆和第二齿条杆相配的定位齿， 定位齿通过扭簧弹起按钮而 卡于第一齿条杆或第二齿条杆中形成定位结构。
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