WO2022206473A1 - Mandibular support and application thereof - Google Patents

Mandibular support and application thereof Download PDF

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Publication number
WO2022206473A1
WO2022206473A1 PCT/CN2022/082204 CN2022082204W WO2022206473A1 WO 2022206473 A1 WO2022206473 A1 WO 2022206473A1 CN 2022082204 W CN2022082204 W CN 2022082204W WO 2022206473 A1 WO2022206473 A1 WO 2022206473A1
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WO
WIPO (PCT)
Prior art keywords
rod body
groove
seat
sliding seat
support bracket
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/CN2022/082204
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French (fr)
Chinese (zh)
Inventor
王丽娥
鲍永新
高磊
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Qingdao Women and Childrens Hospital
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Qingdao Women and Childrens Hospital
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Filing date
Publication date
Application filed by Qingdao Women and Childrens Hospital filed Critical Qingdao Women and Childrens Hospital
Publication of WO2022206473A1 publication Critical patent/WO2022206473A1/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • 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

Definitions

  • the present application belongs to the technical field of medical devices, and in particular relates to a mandibular support bracket and its application.
  • Outpatient, minor surgery, sedation, induction period of general anesthesia, extubation period of general anesthesia, and non-intubation general anesthesia patients are under light anesthesia.
  • the patient's jaw is opened, the airway is opened, and the mask is pressed against the patient's face to establish a closed breathing circuit between it and the anesthesia machine or ventilator.
  • the mask ventilation time is usually long, if the operator is inexperienced, the patient has a difficult airway, or the mask ventilation time needs to be extended, it is difficult to maintain the mask ventilation for a long time even with both hands, and the mask pressure supply provides Oxygen occupies the hands of the anesthesiologist, and the anesthesiologist cannot complete other tasks such as recording and medication at the same time, which brings difficulties to the clinical work.
  • the present application provides a mandibular support bracket, which can support the mandible of a patient and replace the hands of medical staff.
  • a first aspect of the present application provides a chin support bracket, comprising:
  • a lift part which is provided with a support part capable of holding up the lower jaw of the patient; the lift part is movably connected with the first rod body to control the first length between the support part and the first end of the first rod body;
  • the second rod body is provided with a sliding seat that can move along the second rod body;
  • the sliding seat is provided with a connecting seat, and the connecting seat is provided with a connecting piece connected with the first end of the first rod body;
  • the connecting piece is located in the connecting seat and can be rotated in the connecting seat, so that the first rod body can be rotated in multiple directions.
  • the connecting piece is a ball head disposed at the first end of the first rod body;
  • the connecting seat is a ball head seat, and a first substantially spherical cavity is opened therein; at least a part of the ball head is located at In the first cavity, it can rotate in multiple directions in the first cavity.
  • a cylindrical second cavity is opened in the connecting seat, the connecting piece is a cylinder and is located in the second cavity; the first end of the connecting piece is located outside the second cavity, and a third rotating shaft; the first end of the first rod body is connected with the third rotating shaft.
  • the second rod body is provided with a mounting portion for fixedly installing the second rod body; preferably, the mounting portion is an insert plate that is substantially perpendicular to the second rod body.
  • the lifting part is a sleeve sleeved on the first rod body, and the sleeve is movably connected with the first rod body to adjust the first length from the first end of the first rod body to the holding part.
  • the first rod body is provided with a plurality of first grooves arranged in parallel along the first moving direction; the sleeve is provided with a first hole and a first accommodating groove; the sleeve is rotatably provided with a first groove.
  • An adjustment plate the first part of the first adjustment plate corresponds to the first hole, the first part of the first adjustment plate is provided with a first buckle, the first buckle is located in the first hole and can be locked with the first groove
  • the second part of the first regulating plate corresponds to the first accommodating groove, and the first accommodating groove is provided with a first spring.
  • the first spring is preloaded in the first accommodating groove.
  • the first buckle is provided with a first inclined surface facing the holder, which can be in contact with the first groove; and/or, each of the first grooves is provided with a second inclined surface facing the connector , which can be in contact with the first buckle.
  • the second rod body is provided with a plurality of second grooves arranged in parallel along the second moving direction;
  • the sliding seat is provided with a second hole and a second accommodating groove;
  • the sliding seat is rotatably provided with a second groove;
  • Two adjustment plates the first part of the second adjustment plate corresponds to the second hole, the first part of the second adjustment plate is provided with a second buckle, the second buckle is located in the second hole and can be locked with the second groove
  • the second part of the second regulating plate corresponds to the second accommodating groove, and the second accommodating groove is provided with a second spring.
  • the second spring is preloaded in the second accommodating groove.
  • the second rod body includes a slide rail, and the slide seat is provided with a third groove matching the slide rail; the slide seat is also provided with a third adjusting member, which includes a first threaded rod and a third groove located on the first thread.
  • the second end of the first threaded rod is provided with a contact pad located at the third groove.
  • the inner wall of the third groove is provided with one or more fourth grooves capable of accommodating beads, and the beads are in rolling contact with the slide rail.
  • the length of the second rod body is 20-25cm.
  • a connecting portion is provided between the second rod body and the mounting portion, wherein the mounting portion is mounted on the connecting portion, and the first end of the second rod body and the connecting portion are movably connected to adjust the mounting portion to the second rod body the second length of the free end.
  • the connecting portion is a cylindrical structure; the first end of the second rod body is inserted into the cylindrical structure; the cylindrical structure is provided with one or more adjustment bolts that can interfere with the second rod body.
  • the second rod body is provided with a fifth groove along the second moving direction; one end of the cylinder structure close to the sliding seat is provided with a first protrusion, which extends into the fifth groove; One end is provided with a second protrusion, which also extends to the fifth groove; so that the first protrusion can restrain the second protrusion from leaving the cylindrical structure.
  • the connecting portion is a U-shaped structure, and is provided with a plurality of teeth arranged at intervals along the second moving direction to form a tooth row; a gap is formed between two adjacent teeth; the second rod body is the first One end is provided with an elastic piece, and the elastic piece is located in the gap in a free state.
  • the first rod body and the ball head are detachably connected; wherein, the first rod body is provided with a third clamping piece, the ball head is provided with a connecting body, and a connection body is provided on the connecting body for engaging with the third clamping piece. Open your mouth.
  • a fourth adjusting member is provided on the ball socket, and one of the following solutions is adopted:
  • the fourth adjusting member includes a second threaded rod and an adjusting head located at one end of the second threaded rod, the adjusting head is located outside the ball socket, and the second threaded rod and the ball socket are threadedly connected and extend to the first at the cavity.
  • the fourth adjusting member includes a lock nut, and the ball head seat is provided with an external thread matching the lock nut; the lock nut also has a cover on which a part of the ball head is exposed the fifth hole.
  • the holder has a recess for accommodating the patient's lower jaw.
  • a second aspect of the present application provides an application of a mandibular support bracket, using two mandibular support brackets described in any of the foregoing technical solutions, and the two are substantially symmetrically arranged; wherein, the second rod body of each mandibular support bracket is substantially the same as that of the mandibular support bracket.
  • the shoulders of the patient are parallel, and the supporting parts of each mandibular support bracket respectively support the mandibular parts on both sides of the patient's face.
  • the mandibular support bracket is used in anesthesia surgery.
  • the mandibular support provided by at least one embodiment of the present application solves the problem that the anesthesiologist needs the operator to hold the patient's jaw with both hands or one hand during the mask pressurized oxygen supply process, thereby occupying the anesthesiologist's hands, so that the anesthesiologist cannot simultaneously. Completion of records, medication, and other tasks bring trouble to clinical work.
  • the mandibular support provided by at least one embodiment of the present application can flexibly and flexibly be shaped according to the manipulation of an anesthesiologist, fix the mandibular support, and fix the face mask, so as to realize mechanized ventilation under non-intubation general anesthesia, and also to preserve autonomy. Respiratory general anesthesia improves the safety index and frees the hands of the anesthesiologist.
  • the jaw support bracket provided by at least one embodiment of the present application has the characteristics of flexibility, convenience, little trauma, and low cost, and is suitable for clinical practical application.
  • FIG. 1 is a cross-sectional view of a chin rest support according to an embodiment
  • Fig. 2 is the first partial enlarged view of Fig. 1;
  • Fig. 3 is the second partial enlarged view of Fig. 1;
  • FIG. 4 is a schematic diagram of a mandibular support bracket according to an embodiment
  • FIG. 5 is a schematic view of a sliding seat of an embodiment
  • Fig. 6 is a partial exploded view of the chin support bracket of an embodiment
  • FIG. 8 is a schematic view of a sliding seat of an embodiment
  • FIG. 9 is a schematic diagram of the combination of the mounting portion and the second rod body according to an embodiment
  • FIG. 10 is a schematic diagram of the combination of the first rod body and the ball head according to an embodiment
  • FIG. 11 is a schematic diagram of the connection between the first rod body and the connecting seat according to an embodiment
  • Figure 12 is a cross-sectional view of the connector of Figure 11;
  • first and second are only used for description purposes, and cannot be interpreted as indicating or implying relative importance or implicitly indicating the number of indicated technical features.
  • a feature defined as “first” or “second” may expressly or implicitly include one or more of that feature.
  • connection should be understood in a broad sense, for example, it may be a fixed connection, a detachable connection, or an integrated connection.
  • Ground connection it can be directly connected, or indirectly connected through an intermediate medium, and it can be the internal communication of two elements.
  • the first embodiment of the present application provides a mandibular support bracket, which can be used to hold a patient's mandible during anesthesia surgery, so that doctors or nurses can free their hands for other work; as shown in Figures 1-4, the The chin rest includes:
  • the first rod body 1 the first end of which is provided with a ball head 2 as a connecting piece;
  • the lift portion 3 is provided with a support portion 4 capable of holding up the lower jaw of the patient; the lift portion 3 is movably connected with the first rod body 1 to control the first length L1 between the support portion 4 and the ball head 2;
  • the second rod body 5 is provided with a sliding seat 6 that can move along the second rod body 5; cavity 701;
  • At least a part of the ball head 2 is located in the first cavity 701 and can be rotated in the first cavity 701, so that the first rod body 1 can be rotated in multiple directions.
  • the first end 501 of the second rod body is provided with a mounting portion 8 for mounting the second rod body 5 on a fixed object such as an operating bed, so as to make the entire chin rest support relatively stable during use.
  • the mounting portion 8 can be an insert plate arranged substantially perpendicular to the second rod body 5 , and hangs down along the edge of the bed, and the insert plate is pressed to the fixed position by a fixing member on a fixed object such as an operating bed. between the part and the bed edge, so as to realize the fixation of the second rod body 5 .
  • the lifting portion 3 is a sleeve 9 sleeved on the first rod body 1 and movably connected with the first rod body 1 .
  • the first rod body 1 is relatively fixed, and the sleeve 9 can move relative to the first rod body 1 , thereby increasing the overall length of the lifting portion 3 and the first rod body 1 to achieve the purpose of increasing the first length L1 .
  • the first rod body 1 is provided with a plurality of substantially parallel first grooves 101 along the first movement direction X1 (which is the axial direction of the first rod body).
  • the sleeve 9 is provided with a first hole 901 and a first accommodating groove 902 .
  • the sleeve 9 is provided with a first adjustment member 10 for controlling the relative position of the sleeve 9 and the first rod body 1 , which includes a first adjustment plate 1001; the first adjustment plate 1001 is rotatably mounted on the sleeve 9,
  • the first rotating shaft 1002 is installed between the first hole 901 and the first accommodating groove 902, so that the first part 10011, the second part 10012 of the first adjusting plate and the first rotating shaft 1002 roughly form a seesaw structure: When the second part 10012 is pressed, the first part 10011 will lift; when the second part 10012 is released, the first part 10011 will descend, so that the second part 10012 forms an adjustment button.
  • the first part 10011 of the first adjusting plate is provided with a first buckle 1003, the first buckle 1003 is located in the first hole 901 of the sleeve, and can be inserted into the first groove 101 through the first hole 901, so as to The movement of the sleeve 9 is restricted.
  • a first spring 1004 is arranged in the first accommodating groove 902 of the sleeve 9. The first spring 1004 is arranged corresponding to the second part 10012 of the first adjustment plate, and can be installed on the second part 10012 of the first adjustment plate, or not required. On it, it is freely located in the first accommodating groove 902 .
  • the first spring 1004 can be in contact with the second part 10012 of the first regulating plate to control its rotation around the rotation axis; preferably, the first spring 1004 is always in a compressed state, that is, the first spring 1004 is preloaded in the first receiving slot 902.
  • the first buckle 1003 is provided with a first inclined surface 10031 facing the receiving portion 4, which can be connected with the first The grooves 101 are in contact.
  • Each of the first grooves 101 is provided with a second inclined surface 1011 facing the connecting piece (ball head 2 ), so that the first grooves 101 generally form a zigzag shape facing the connecting piece.
  • the first inclined surface 10031 and the second inclined surface 1011 may be provided at the same time, or one of them may be provided separately.
  • the first length L1 can be controlled to be relatively short before use, and the first length L1 can be extended by dragging the sleeve 9 in the upward direction in FIG. 7 until it is in contact with the lower jaw of the patient. After the dragging is completed, the first spring 1004 and the first buckle 1003 are automatically engaged to prevent the sleeve 9 from retracting.
  • Such an operation can extend the first length L1 without pressing the second part 10012 of the first adjusting plate, so as to adjust the matching between the rest part 4 and the lower jaw of the patient; at this time, there is no need to manually press the first length L1. Adjustment plate, so the operation is more convenient and fast.
  • the adjustment and positioning between the lifting portion 3 and the first rod body 1 can be realized, so as to control the first length L1.
  • an operator such as a doctor or a nurse presses the second part 10012 (button) of the first adjustment plate, so that the first spring 1004 is compressed or further compressed (if it is in a pre-compressed state) , at this time, the first part 10011 of the first adjusting plate is lifted up and drives the first buckle 1003 to leave the current first groove 101. Since the first buckle 1003 loses the engagement with the first groove 101, the lifting part 3 can Free movement along the first rod body 1 .
  • the operator releases the second part 10012 of the first adjustment plate, and the first spring 1004 recovers to provide elastic force, so that the first part 10011 of the first adjustment plate is pressed down, and the first part 10011 drives the
  • the first buckle 1003 is embedded in the new first groove 101 to realize the engagement between the first buckle 1003 and the new first groove 101, so that the lifting part 3 cannot continue to move along the first rod body 1, which limits the first length L1.
  • the same or similar structure as the first adjusting member 10 can also be used between the second rod body 5 and the sliding seat 6 to realize the movable connection between the two;
  • the difference is that the movement of the sliding seat 6 on the second rod body 5 is mainly to select a better angle to match the lower jaw of the patient, or to coordinate the first rod body 1 and the lifting part 3 .
  • the second rod body 5 is provided with a plurality of substantially parallel second grooves 503 along the second movement direction X2 (which is the axial direction of the second rod body).
  • the sliding seat 6 is provided with a second hole 601 and a second accommodating groove 602 .
  • the sliding seat 6 is provided with a second adjusting member 11 for controlling the position of the sliding seat 6 on the second rod body 5, which includes a second regulating plate 1101; the second regulating plate 1101 is rotatably mounted on the sliding seat 6, for example by
  • the second rotating shaft 1102 is installed between the second hole 601 and the second accommodating groove 602, so that the first part 11011, the second part 11012 of the second adjusting plate 1101 and the second rotating shaft 1102 generally form a seesaw structure.
  • the second part 11012 is an adjustment button.
  • the first part 11011 of the second adjusting plate is provided with a second buckle 1103 , which is located in the second hole 601 and can be engaged with the second groove 503 through the second hole 601 to limit the movement of the sliding seat 6 .
  • the second accommodating groove 602 is provided with a second spring 1104, which is arranged corresponding to the second portion 11012 of the second adjusting plate, and can be installed on the second portion 11012 of the second adjusting plate, or can be freely installed without being installed thereon. is located in the second accommodating groove 602 .
  • the second spring 1104 can be in contact with the second part 11012 of the second regulating plate to control it to rotate around the rotation axis; preferably, the second spring 1104 is in a preloaded state.
  • the mandibular support bracket (1) according to the position of the patient lying flat on the operating bed, first fix the mounting part 8 of the mandibular support support at the edge of the bed, and the second rod body 5 extends to the direction of the patient's neck, which is roughly the same as that of the patient's neck.
  • the shoulders are parallel; (2) according to the patient's body shape and the distance between the holder 4 and the patient's lower jaw, adjust the position of the sliding seat 6 on the second rod body 5 through the second adjusting member 11; (3) adjust the position of the ball head 2
  • the angle and the first adjusting member 10 are used to adjust the lift portion 3 to control the first length L1, so as to support the holder portion 4 at the lower jaw of the patient.
  • the moving slide 6 in this embodiment can adjust the angle between the first rod body 1 and the lower jaw of the patient on the one hand, and can supplement the first length L1 on the other hand.
  • the following technical solutions can also be used between the second rod body 5 and the sliding seat 6 to realize the movement of the sliding seat 6 on the second rod body 5 .
  • the second rod body 5 includes a slide rail 504 , and a third groove 603 matching the slide rail 504 is defined on the slide base 6 , so that the slide base 6 can slide along the slide rail 504 .
  • the sliding seat 6 is also provided with a third adjusting member 12, which includes a first threaded rod 1201, a rotating head 1202 and a contact pad 1203 respectively located at both ends of the first threaded rod 1201; wherein, the third adjusting member 12 and the sliding
  • the first threaded rod 1201 and the threaded hole in the sliding seat 6 are used for threaded connection between the seats 6 ;
  • the rotating head 1202 is located outside the sliding seat 6 and can be rotated manually;
  • Such a configuration enables when the position of the sliding seat 6 on the second rod body 5 needs to be adjusted, the contact pad 1203 is rotated out to prevent the contact pad 1203 from preventing the sliding seat 6 from sliding; when the sliding seat 6 slides to an appropriate position,
  • the contact pads 1203 are screwed inwards so that the contact pads 1203 are in contact with the slide rails 504 to prevent the sliding seat 6 from continuing to slide.
  • the inner wall 604 of the third groove 603 is further provided with one or more fourth grooves 606 capable of accommodating a plurality of beads 606 .
  • the grooves 605 , the balls 606 and the slide rail 504 are in rolling contact, so as to realize the sliding of the slide seat 6 on the slide rail 504 .
  • spherical beads such as stainless steel beads, are selected for the beads 606 .
  • the inner wall 604 of the third groove 603 is provided with a plurality of fourth grooves 605 along the second moving direction X2, but the arrangement of the fourth grooves 605 is not limited to the second moving direction X2, and can also be along the second moving direction X2. It is arranged perpendicular to the second movement direction X2 and forms an annular shape or a part of an annular shape (similar to a bearing).
  • the length of the second rod body 1 is 15-30 cm, such as 15 cm, 18 cm, 20 cm, 22 cm, 25 cm, 28 cm, 30 cm, etc.; such a length is suitable for almost all patients.
  • a connecting portion 13 substantially parallel to the second rod body 5 is provided between the second rod body 5 and the mounting portion 8 , wherein the mounting portion 8 is fixed on the connecting portion 13 or can be integrally formed, the second rod body 5 and the connecting portion 13 are movably connected to adjust the mounting portion 8 to the second length L2 of the second end 502 of the second rod body.
  • the second end 502 of the second rod body is a free end opposite to the first end 501 of the second rod body.
  • the connecting portion 13 is a cylindrical structure 14 .
  • the second rod body 5 is inserted into the cylindrical body structure 14 , and the cylindrical body structure 14 is provided with an adjusting bolt 15 , which is threadedly connected with the cylindrical body structure 14 and can abut with the second rod body 5 .
  • the adjusting bolt 15 is unscrewed so that the second rod body 5 can move relative to the cylindrical structure 14; when the length is adjusted to an appropriate length, the adjusting bolt 15 is tightened to abut against the second rod body 5, to limit its movement.
  • the width of hospital beds or operating beds used in hospitals is very limited, and when a patient lies down, the space on the left and right sides of the patient's neck is also very limited. If the second rod body 5 is too long, it may not be placed on both sides of the patient's neck; if the second rod body 5 is too short, the rest 4 may not reach the lower jaw of the patient. At the same time, considering that the space reserved for different patients is different, the length of the second rod body 5 (that is, the shortest length of the second length L2) needs to allow all kinds of patients to have space to lie down; for different patients, it is best to also The second length L2 can be adjusted to further satisfy different patients.
  • a fifth groove 16 is formed on the second rod body 5 along the second moving direction X2, and an end of the cylinder structure 14 close to the sliding seat 5 is formed
  • a first protrusion 1401 which extends into the fifth groove 16
  • the first end 501 of the second rod body 5 is provided with a second protrusion 505, which also extends into the fifth groove 16; thus the first protrusion 1401
  • the second protrusion 505 can be restricted from being separated from the cylindrical structure 14, so that when the second length L2 is adjusted, the second rod body 5 will not be separated from the cylindrical structure 14, which makes the operation more convenient; in addition, the first protrusion and the second protrusion
  • the rotation of the second rod body can also be restricted, so that the operation is more convenient.
  • the adjusting bolt 15 can extend into the fifth groove 16, which can limit the horizontal movement of the second rod body 5 on the one hand, and limit its rotation on the other hand.
  • the third adjusting member 12 on the sliding seat 6 can extend into the fifth groove 16, on the one hand, it can limit the horizontal movement of the sliding seat 6, and on the other hand, it can also limit its rotate.
  • the connecting portion 13 is substantially a U-shaped structure, and a plurality of teeth 17 are evenly spaced therein along the second moving direction X2 to form teeth.
  • a gap 18 is formed between two adjacent teeth.
  • the connecting portion 13 shown in FIG. 9 is formed with two tooth rows.
  • the second rod body 5 is mainly provided with an elastic member 506 on the first end 501 of the second rod body, and the elastic member 506 is located in the gap 18 in a free state.
  • One or more elastic members 506 may be arranged on the second rod body 5 to match the same tooth row. For example, in this embodiment, a total of four elastic members 506 are provided on the second rod body 5 , two of which are matched with the first dentition, and the other two are matched with the second dentition.
  • the first rod body 1 and the ball head 2 are detachably connected, so that different first rod bodies 1, lifting parts 3 and support parts can be replaced according to different patients 4, to avoid cross infection.
  • the first rod body 1 is provided with an elastic third clamping member 102 .
  • there are two deformable plate bodies 1021 and the free end of each plate body has a third protrusion. from 1022.
  • the ball head 2 is provided with a connecting body 201 , and two openings 202 corresponding to the two plate bodies 1021 are formed thereon.
  • the third clips 102 can be clipped into the opening 202 , thereby realizing the detachable connection between the first rod body 1 and the ball head 2 . connect.
  • the ball socket 7 (connecting seat 21 ) can be integrally formed with the sliding seat 6 , that is, the first cavity 701 can be directly opened on the sliding seat 6 , or the two can be Split structure.
  • the ball seat 7 (connection seat 21 ) is arranged vertically, so that when the first rod body 1 and the lifting part 3 are inclined to support the lower jaw of the patient lying on the back, the ball seat 7 (connection seat 21 ) is vertically arranged.
  • the seat 21) can provide a larger contact surface for the ball head 2, so that the support of the first rod body 1 and the lifting part 3 between the ball head seat 7 and the lower jaw of the patient is more stable.
  • the first cavity 701 is substantially spherical, that is, a spherical shape or a part of a spherical shape.
  • one or more notches 702 are further opened on the ball socket 7 near the first rod body 1 .
  • the first rod body 1 can be placed approximately flat from the notch 702 , so as not to interfere with other medical care work of doctors or nurses.
  • the ball socket 7 may also be provided with a fourth adjusting member 19 , and the fourth adjusting member 19 includes a second threaded rod 1901 and a second threaded rod 1901 located on the second threaded rod 1901 .
  • One end of the adjusting head 1902, the adjusting head 1902 is located outside the ball socket 7, and the second threaded rod 1901 is threadedly connected with the ball socket 7 and extends into the first cavity 701.
  • the second threaded rod 1901 can be screwed into contact with the ball head 2 to stabilize the holder 4 .
  • the fourth adjusting member 19 on the ball socket 7 may also adopt a locking nut 20 .
  • the ball socket 7 is provided with an external thread 703
  • the locking nut 20 is matched with the external thread 703 of the ball socket.
  • the lock nut 20 also has a cover body 2001 on which a fifth hole 2002 for exposing a part of the ball head 2 is opened. When the lock nut 20 is tightened, the ball head 2 can be pressed by the cover body 2001, etc., so that it is stable and does not rotate randomly.
  • the holder 4 has a concave portion 401 for accommodating the lower jaw of the patient, so as to better fit the lower jaw of the patient.
  • the holder 4 can also be covered with a protective cover; it is made of a flexible material, such as silica gel, rubber, sponge, resin, etc., so as to have a certain flexibility and avoid injury to the patient's lower jaw.
  • the second embodiment of the present application provides a chin support bracket, which is different from the first embodiment in that the connection between the first rod body 1 and the ball head seat 7 (connection seat 21 ) is different (non-ball head connection) , and other technical solutions are the same or similar. Therefore, it can be understood that a plurality of technical solutions used in the first embodiment can also be used in this embodiment without reservation, which will not be repeated here.
  • the sliding seat 6 is provided with a connecting seat 21 , and a cylindrical second cavity 2101 is opened therein.
  • the cylindrical connecting piece 22 is embedded in the second cavity 2101 so as to be rotatable in the connecting seat 21 .
  • the first end of the connecting member 22 is located outside the second cavity 2101, and a third rotating shaft 23 is provided on it.
  • the first rod body 1 is connected with the third rotating shaft 23, so that the connecting member 22 and the third rotating shaft can pass through 23 realizes multi-directional rotation of the first rod body 1 .
  • the second cavity 2101 is further provided with a third cavity 2102 with an enlarged radius.
  • the connector 22 is provided with an expanded section 2201 with an expanded radius, and the expanded section 2201 is located in the third cavity 2102, so that the connecting piece 22 can be prevented from being separated from the connecting seat 21.
  • the first rod body 1 can rotate around the third rotating shaft 23, and can also follow the third rotating shaft 23 to rotate around the connecting piece 22, so as to achieve the purpose of multi-directional rotation. The same thing works.
  • the third embodiment of the present application provides an application of a mandibular support bracket, using two mandibular support brackets described in any of the foregoing embodiments, and the two are substantially symmetrically arranged; wherein, the second rods of each mandibular support support are Roughly parallel to the shoulders of the patient lying on the back, the rests of each chin rest support respectively support the mandibles on both sides of the patient's face.
  • the mandibular support bracket can be used in anesthesia surgery.
  • each second rod body 5 is roughly parallel to the patient's shoulder, and the patient's neck The part is located between the two second rod bodies 5 .
  • the two-sided translation slide 6 is fixed at a suitable position. After the patient is anesthetized, hold the patient's lower jaw with both hands, and simultaneously move the lifting part 3 so that the two brackets support the patient's lower jaw from both sides. Release both hands, and the chin rest bracket is locked in place, so that the chin rest bracket supports the patient's chin. Further, you can continue to make the bilateral bandages and the mask in place, turn on the ventilator, and complete the entire preparation process.
  • mandibular support provided in this application can also be used in other fields or other medical departments, and is not limited to the use of anesthesia surgery described in this application.

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  • Orthopedics, Nursing, And Contraception (AREA)

Abstract

The present application provides a mandibular support, comprising: a first rod body; a raising/lowering portion on which a supporting portion capable of supporting the mandible of a patient is provided, the raising/lowering portion being movably connected to the first rod body to control a first length between the supporting portion and a first end of the first rod body; and a second rod body on which a sliding base capable of moving along the second rod body is provided, a connecting base being provided on the sliding base, a connecting piece connected to the first end of the first rod body being provided in the connecting base, and at least a part of the connecting piece being located in the connecting base and being capable of rotating in the connecting base, such that the first rod body can rotate in multiple directions.

Description

托下颌支架及其应用Mandibular support and its application

本申请要求在2021年04月02日提交中国专利局、申请号为202120687812.3、发明名称为“麻醉托下颌支架”的中国专利申请的优先权,其全部内容通过引用结合在本申请中。This application claims the priority of the Chinese patent application with the application number of 202120687812.3 and the invention name of "anesthetic mandibular support" filed with the China Patent Office on April 2, 2021, the entire contents of which are incorporated into this application by reference.

技术领域technical field

本申请属于医疗器械技术领域,尤其涉及一种托下颌支架及其应用。The present application belongs to the technical field of medical devices, and in particular relates to a mandibular support bracket and its application.

背景技术Background technique

门诊、短小手术、镇静、全身麻醉诱导期、全身麻醉拔管期,及非插管全麻等患者处于浅麻醉状态下,为保证呼吸道通畅,麻醉医生通常需要操作者用双手或单手托起患者下颌,开放呼吸道,同时将面罩紧压于患者面部,使之与麻醉机或呼吸机之间建立密闭呼吸回路。但由于面罩通气时间通常较长,如出现实施人员经验不足,患者属于困难气道或是需要延长面罩通气时间等情况时,即使是双手实施面罩通气也很难长时间维持,并且面罩加压供氧占据了麻醉医生的双手,麻醉医生就无法同时完成记录、用药等其他工作,给临床工作带来困扰。Outpatient, minor surgery, sedation, induction period of general anesthesia, extubation period of general anesthesia, and non-intubation general anesthesia patients are under light anesthesia. The patient's jaw is opened, the airway is opened, and the mask is pressed against the patient's face to establish a closed breathing circuit between it and the anesthesia machine or ventilator. However, because the mask ventilation time is usually long, if the operator is inexperienced, the patient has a difficult airway, or the mask ventilation time needs to be extended, it is difficult to maintain the mask ventilation for a long time even with both hands, and the mask pressure supply provides Oxygen occupies the hands of the anesthesiologist, and the anesthesiologist cannot complete other tasks such as recording and medication at the same time, which brings difficulties to the clinical work.

发明内容SUMMARY OF THE INVENTION

本申请针对目前麻醉过程中存在的一些不足,提供了一种托下颌支架,可托住患者下颌,替代医护人员的双手。Aiming at some deficiencies in the current anesthesia process, the present application provides a mandibular support bracket, which can support the mandible of a patient and replace the hands of medical staff.

本申请的第一方面提供了一种托下颌支架,包括:A first aspect of the present application provides a chin support bracket, comprising:

第一杆体;the first rod body;

升降部,其上设有能够托起患者下颌的托部;所述升降部与第一杆体可移动地连接,以控制托部和第一杆体第一端之间的第一长度;a lift part, which is provided with a support part capable of holding up the lower jaw of the patient; the lift part is movably connected with the first rod body to control the first length between the support part and the first end of the first rod body;

第二杆体,其上设有能够沿第二杆体移动的滑座;滑座上设有连接座,连接座内设有与第一杆体第一端连接的连接件;The second rod body is provided with a sliding seat that can move along the second rod body; the sliding seat is provided with a connecting seat, and the connecting seat is provided with a connecting piece connected with the first end of the first rod body;

其中,所述连接件的至少一部分位于连接座内,能够在连接座内转动,从而使得第一杆体能够向多方向转动。Wherein, at least a part of the connecting piece is located in the connecting seat and can be rotated in the connecting seat, so that the first rod body can be rotated in multiple directions.

可选地,所述连接件为设置在第一杆体第一端的球头;所述连接座为球头座,其内开设大致为球形的第一空腔;所述球头的至少一部分位于第一空腔中,能够在第一空腔中多方向转动。Optionally, the connecting piece is a ball head disposed at the first end of the first rod body; the connecting seat is a ball head seat, and a first substantially spherical cavity is opened therein; at least a part of the ball head is located at In the first cavity, it can rotate in multiple directions in the first cavity.

可替换地,所述连接座内开设圆柱形的第二空腔,连接件为圆柱体且位于第二空腔中;连接件第一端位于第二空腔外,其上设有第三旋转轴;第一杆体第一端与第三旋转轴相连。Alternatively, a cylindrical second cavity is opened in the connecting seat, the connecting piece is a cylinder and is located in the second cavity; the first end of the connecting piece is located outside the second cavity, and a third rotating shaft; the first end of the first rod body is connected with the third rotating shaft.

可选地,所述第二杆体设有用于固定安装第二杆体的安装部;优选所述安装部为与第二杆体大致垂直的插板。Optionally, the second rod body is provided with a mounting portion for fixedly installing the second rod body; preferably, the mounting portion is an insert plate that is substantially perpendicular to the second rod body.

可选地,所述升降部为套设于第一杆体上的套筒,该套筒与第一杆体活动连接,以调节第一杆体第一端至托部的第一长度。Optionally, the lifting part is a sleeve sleeved on the first rod body, and the sleeve is movably connected with the first rod body to adjust the first length from the first end of the first rod body to the holding part.

可选地,所述第一杆体沿第一移动方向设有多个平行布置的第一凹槽;所述套筒上开设第一孔和第一容纳槽;套筒上可旋转地设置有第一调节板,第一调节板的第一部与第一孔对应,第一调节板第一部上设有第一卡扣,第一卡扣位于第一孔中且能够与第一凹槽卡合;第一调节板的第二部与第一容纳槽对应,第一容纳槽中设有第一弹簧。可选地,所述第一弹簧预压在第一容纳槽中。可选地,所述第一卡扣设有朝向托部的第一倾斜面,能够与第一凹槽接触;和/或,所述各个第一凹槽设置有朝向连接件的第二倾斜面,能够与第一卡扣接触。Optionally, the first rod body is provided with a plurality of first grooves arranged in parallel along the first moving direction; the sleeve is provided with a first hole and a first accommodating groove; the sleeve is rotatably provided with a first groove. An adjustment plate, the first part of the first adjustment plate corresponds to the first hole, the first part of the first adjustment plate is provided with a first buckle, the first buckle is located in the first hole and can be locked with the first groove The second part of the first regulating plate corresponds to the first accommodating groove, and the first accommodating groove is provided with a first spring. Optionally, the first spring is preloaded in the first accommodating groove. Optionally, the first buckle is provided with a first inclined surface facing the holder, which can be in contact with the first groove; and/or, each of the first grooves is provided with a second inclined surface facing the connector , which can be in contact with the first buckle.

可选地,所述第二杆体沿第二移动方向设有多个平行布置的第二凹槽;所述滑座上开设第二孔和第二容纳槽;滑座上可旋转地设置有第二调节板,第二调节板的第一部与第二孔对应,第二调节板第一部上设有第二卡扣,第二卡扣位于第二孔中且能够与第二凹槽卡合;第二调节板第二部与第二容纳槽对应,第二容纳槽中设有第二弹簧。可选地,所述第二弹簧预压在第二容纳槽中。Optionally, the second rod body is provided with a plurality of second grooves arranged in parallel along the second moving direction; the sliding seat is provided with a second hole and a second accommodating groove; the sliding seat is rotatably provided with a second groove; Two adjustment plates, the first part of the second adjustment plate corresponds to the second hole, the first part of the second adjustment plate is provided with a second buckle, the second buckle is located in the second hole and can be locked with the second groove The second part of the second regulating plate corresponds to the second accommodating groove, and the second accommodating groove is provided with a second spring. Optionally, the second spring is preloaded in the second accommodating groove.

可替换地,所述第二杆体包括滑轨,滑座上开设与滑轨匹配的第三凹槽; 所述滑座上还设置有第三调节件,包括第一螺纹杆和位于第一螺纹杆第一端的旋转头,其中,旋转头位于滑座外部,第一螺纹杆与滑座螺纹连接并延伸至第三凹槽处。Alternatively, the second rod body includes a slide rail, and the slide seat is provided with a third groove matching the slide rail; the slide seat is also provided with a third adjusting member, which includes a first threaded rod and a third groove located on the first thread. A rotating head at the first end of the rod, wherein the rotating head is located outside the sliding seat, and the first threaded rod is threadedly connected with the sliding seat and extends to the third groove.

可选地,第一螺纹杆的第二端设置有接触垫,位于第三凹槽处。Optionally, the second end of the first threaded rod is provided with a contact pad located at the third groove.

可选地,第三凹槽内壁设有可容纳珠体的一个或多个第四凹槽,珠体与滑轨之间滚动接触。Optionally, the inner wall of the third groove is provided with one or more fourth grooves capable of accommodating beads, and the beads are in rolling contact with the slide rail.

可选地,第二杆体的长度为20-25cm。Optionally, the length of the second rod body is 20-25cm.

可选地,第二杆体与安装部之间设有连接部,其中,安装部安装在连接部上,第二杆体第一端与连接部之间可移动连接,以调节安装部至第二杆体自由端的第二长度。Optionally, a connecting portion is provided between the second rod body and the mounting portion, wherein the mounting portion is mounted on the connecting portion, and the first end of the second rod body and the connecting portion are movably connected to adjust the mounting portion to the second rod body the second length of the free end.

可选地,所述连接部为筒体结构;第二杆体第一端插入筒体结构中;筒体结构上设有能够与第二杆体抵触的一个或多个调节螺栓。Optionally, the connecting portion is a cylindrical structure; the first end of the second rod body is inserted into the cylindrical structure; the cylindrical structure is provided with one or more adjustment bolts that can interfere with the second rod body.

可选地,所述第二杆体沿着第二移动方向上开设第五凹槽;筒体结构靠近滑座的一端设有第一凸起,其延伸至第五凹槽内;第二杆体第一端设有第二凸起,其也延伸至第五凹槽;使得第一凸起能够限制第二凸起脱离筒体结构。Optionally, the second rod body is provided with a fifth groove along the second moving direction; one end of the cylinder structure close to the sliding seat is provided with a first protrusion, which extends into the fifth groove; One end is provided with a second protrusion, which also extends to the fifth groove; so that the first protrusion can restrain the second protrusion from leaving the cylindrical structure.

可替换地,所述连接部为U型结构,沿着第二移动方向设有间隔排布的多个齿,形成齿列;相邻的两个齿之间形成间隙;所述第二杆体第一端设有弹性件,弹性件在自由状态下位于间隙中。Alternatively, the connecting portion is a U-shaped structure, and is provided with a plurality of teeth arranged at intervals along the second moving direction to form a tooth row; a gap is formed between two adjacent teeth; the second rod body is the first One end is provided with an elastic piece, and the elastic piece is located in the gap in a free state.

可选地,第一杆体与球头之间可拆卸地连接;其中,第一杆体上设有第三卡件,球头上设有连接体,连接体上开设与第三卡件卡合的开口。Optionally, the first rod body and the ball head are detachably connected; wherein, the first rod body is provided with a third clamping piece, the ball head is provided with a connecting body, and a connection body is provided on the connecting body for engaging with the third clamping piece. Open your mouth.

可选地,所述球头座上设有第四调节件,采用以下方案中的其中一种:Optionally, a fourth adjusting member is provided on the ball socket, and one of the following solutions is adopted:

方案1:所述第四调节件包括第二螺纹杆和位于第二螺纹杆一端的调节头,调节头位于球头座外部,第二螺纹杆与球头座之间螺纹连接并延伸至第一空腔处。Option 1: The fourth adjusting member includes a second threaded rod and an adjusting head located at one end of the second threaded rod, the adjusting head is located outside the ball socket, and the second threaded rod and the ball socket are threadedly connected and extend to the first at the cavity.

方案2:所述第四调节件包括锁紧螺母,所述球头座上设有与锁紧螺母匹配的外螺纹;所述锁紧螺母还具有盖体,其上开设供球头的一部分外露的第 五孔。Option 2: The fourth adjusting member includes a lock nut, and the ball head seat is provided with an external thread matching the lock nut; the lock nut also has a cover on which a part of the ball head is exposed the fifth hole.

可选地,所述托部具有容纳患者下颌的凹部。Optionally, the holder has a recess for accommodating the patient's lower jaw.

本申请的第二方面提供了一种托下颌支架的应用,采用两个前文任一技术方案所述的托下颌支架,二者大致对称设置;其中,各个托下颌支架的第二杆体均大致与患者的肩部平行,各个托下颌支架的托部分别支撑患者脸部两侧的下颌部位。A second aspect of the present application provides an application of a mandibular support bracket, using two mandibular support brackets described in any of the foregoing technical solutions, and the two are substantially symmetrically arranged; wherein, the second rod body of each mandibular support bracket is substantially the same as that of the mandibular support bracket. The shoulders of the patient are parallel, and the supporting parts of each mandibular support bracket respectively support the mandibular parts on both sides of the patient's face.

可选地,所述托下颌支架应用于麻醉手术中。Optionally, the mandibular support bracket is used in anesthesia surgery.

与现有技术相比,本申请的优点和积极效果如下:Compared with the prior art, the advantages and positive effects of the present application are as follows:

1.本申请至少一种实施方式提供的托下颌支架解决了面罩加压供氧过程中麻醉医生需要操作者用双手或单手托起病人下颌,从而占据麻醉医生的双手,使得麻醉医生无法同时完成记录、用药等其他工作,给临床工作带来困扰的难题。1. The mandibular support provided by at least one embodiment of the present application solves the problem that the anesthesiologist needs the operator to hold the patient's jaw with both hands or one hand during the mask pressurized oxygen supply process, thereby occupying the anesthesiologist's hands, so that the anesthesiologist cannot simultaneously. Completion of records, medication, and other tasks bring trouble to clinical work.

2.本申请至少一种实施方式提供的托下颌支架可以灵活机动地按照麻醉医生的手法塑型,固定托下颌支架,并固定面罩,实现了非插管全麻下机械化通气,也为保留自主呼吸全麻提高了安全指数,解放了麻醉医生的双手。2. The mandibular support provided by at least one embodiment of the present application can flexibly and flexibly be shaped according to the manipulation of an anesthesiologist, fix the mandibular support, and fix the face mask, so as to realize mechanized ventilation under non-intubation general anesthesia, and also to preserve autonomy. Respiratory general anesthesia improves the safety index and frees the hands of the anesthesiologist.

3.本申请至少一种实施方式提供的托下颌支架具有灵活、便利、创伤小、费用低等特点,适合临床实际应用。3. The jaw support bracket provided by at least one embodiment of the present application has the characteristics of flexibility, convenience, little trauma, and low cost, and is suitable for clinical practical application.

附图说明Description of drawings

图1是一种实施方式的托下颌支架的剖视图;1 is a cross-sectional view of a chin rest support according to an embodiment;

图2是图1的第一局部放大图;Fig. 2 is the first partial enlarged view of Fig. 1;

图3是图1的第二局部放大图;Fig. 3 is the second partial enlarged view of Fig. 1;

图4是一种实施方式的托下颌支架示意图;FIG. 4 is a schematic diagram of a mandibular support bracket according to an embodiment;

图5是一种实施方式的滑座示意图;5 is a schematic view of a sliding seat of an embodiment;

图6是一种实施方式的托下颌支架局部爆炸图;Fig. 6 is a partial exploded view of the chin support bracket of an embodiment;

图7是第一调节件与第一凹槽的配合示意图;7 is a schematic diagram of the cooperation between the first adjusting member and the first groove;

图8是一种实施方式的滑座示意图;8 is a schematic view of a sliding seat of an embodiment;

图9是一种实施方式的安装部与第二杆体结合示意图;9 is a schematic diagram of the combination of the mounting portion and the second rod body according to an embodiment;

图10是一种实施方式的第一杆体与球头结合示意图;10 is a schematic diagram of the combination of the first rod body and the ball head according to an embodiment;

图11是一种实施方式的第一杆体与连接座连接示意图;11 is a schematic diagram of the connection between the first rod body and the connecting seat according to an embodiment;

图12是图11的连接座的剖视图;Figure 12 is a cross-sectional view of the connector of Figure 11;

其中:1第一杆体,101第一凹槽,1011第二倾斜面,102第三卡件,1021板体,1022第三凸起;2球头,201连接体,202开口;3升降部,4托部,401凹部,5第二杆体,501第二杆体第一端,502第二杆体第二端,503第二凹槽,504滑轨,505第二凸起,506弹性件;6滑座,601第二孔,602第二容纳槽,603第三凹槽,604内壁,605第四凹槽,606珠体;7球头座,701第一空腔,702槽口,703外螺纹;8安装部;9套筒,901第一孔,902第一容纳槽;10第一调节件,1001第一调节板,1002第一旋转轴,1003第一卡扣,10031第一倾斜面,1004第一弹簧;11第二调节件,1101第二调节板,1102第二旋转轴,1103第二卡扣,1104第二弹簧;12第三调节件,1201第一螺纹杆,1202旋转头,1203接触垫;13连接部;14筒体结构,1401第一凸起;15调节螺栓;16第五凹槽;17齿;18间隙;19第四调节件,1901第二螺纹杆,1902调节头;20锁紧螺母,2001盖体,2002第五孔;21连接座,2101第二空腔,2102第三空腔;22连接段,2201扩展段;23第三旋转轴;L1第一长度,L2第二长度,X1第一移动方向,X2第二移动方向。Among them: 1 first rod body, 101 first groove, 1011 second inclined surface, 102 third clip, 1021 plate body, 1022 third protrusion; 2 ball head, 201 connecting body, 202 opening; 3 lifting part, 4 Holder, 401 Recess, 5 Second Rod, 501 First End of Second Rod, 502 Second End of Second Rod, 503 Second Groove, 504 Slide Rail, 505 Second Protrusion, 506 Elastic Part; 6 Slide Seat, 601 second hole, 602 second accommodating groove, 603 third groove, 604 inner wall, 605 fourth groove, 606 ball; 7 ball socket, 701 first cavity, 702 notch, 703 external thread ; 8 mounting parts; 9 sleeves, 901 first holes, 902 first accommodating grooves; 10 first adjustment pieces, 1001 first adjustment plates, 1002 first rotation shafts, 1003 first buckles, 10031 first inclined surfaces, 1004 first spring; 11 second adjustment piece, 1101 second adjustment plate, 1102 second rotation shaft, 1103 second buckle, 1104 second spring; 12 third adjustment piece, 1201 first threaded rod, 1202 rotating head, 1203 contact pad; 13 connecting part; 14 cylinder structure, 1401 first protrusion; 15 adjusting bolt; 16 fifth groove; 17 teeth; 18 clearance; 19 fourth adjusting piece, 1901 second threaded rod, 1902 adjusting head ; 20 lock nut, 2001 cover, 2002 fifth hole; 21 connecting seat, 2101 second cavity, 2102 third cavity; 22 connecting section, 2201 expansion section; 23 third rotating shaft; L1 first length, L2 is the second length, X1 is the first moving direction, and X2 is the second moving direction.

具体实施方式Detailed ways

以下结合具体实施方式对本申请的技术方案进行详实的阐述,然而应当理解,在没有进一步叙述的情况下,一个实施方式中的元件、结构和特征也可以有益地结合到其他实施方式中。The technical solutions of the present application will be described in detail below in conjunction with specific embodiments, however, it should be understood that elements, structures and features in one embodiment can also be beneficially combined into other embodiments without further description.

在本申请的描述中,需要理解的是,术语“第一”、“第二”仅用于描述目的,而不能理解为指示或暗示相对重要性或者隐含指明所指示的技术特征的数量。由此,限定有“第一”、“第二”的特征可以明示或者隐含地包括一个或者更多个该特征。In the description of the present application, it should be understood that the terms "first" and "second" are only used for description purposes, and cannot be interpreted as indicating or implying relative importance or implicitly indicating the number of indicated technical features. Thus, a feature defined as "first" or "second" may expressly or implicitly include one or more of that feature.

在本申请的描述中,需要理解的是,术语“上”、“下”、“底”、“内” 等指示的方位或位置关系主要是基于附图1所示的方位或位置关系,仅是为了便于描述本申请和简化描述,而不是指示或暗示所指的装置或元件必须具有特定的方位、以特定的方位构造和操作,因此不能理解为对本申请的限制。In the description of this application, it should be understood that the orientation or positional relationship indicated by the terms "upper", "lower", "bottom", "inside", etc. is mainly based on the orientation or positional relationship shown in FIG. It is for the convenience of describing the present application and to simplify the description, rather than indicating or implying that the referred device or element must have a particular orientation, be constructed and operate in a particular orientation, and therefore should not be construed as a limitation of the present application.

在本申请的描述中,需要说明的是,除非另有明确的规定和限定,术语“相连”、“连接”应做广义理解,例如,可以是固定连接,也可以是可拆卸连接,或一体地连接;可以是直接相连,也可以通过中间媒介间接相连,可以是两个元件内部的连通。对于本领域的普通技术人员而言,可以具体情况理解上述术语在本申请中的具体含义。In the description of this application, it should be noted that, unless otherwise expressly specified and limited, the terms "connected" and "connected" should be understood in a broad sense, for example, it may be a fixed connection, a detachable connection, or an integrated connection. Ground connection; it can be directly connected, or indirectly connected through an intermediate medium, and it can be the internal communication of two elements. For those of ordinary skill in the art, the specific meanings of the above terms in this application can be understood in specific situations.

本申请的第一种实施方式提供了一种托下颌支架,可用于在麻醉手术中托住患者的下颌,使得医生或护士可以腾出手来开展其他工作;如图1-4所示,所述托下颌支架包括:The first embodiment of the present application provides a mandibular support bracket, which can be used to hold a patient's mandible during anesthesia surgery, so that doctors or nurses can free their hands for other work; as shown in Figures 1-4, the The chin rest includes:

第一杆体1,其第一端设有作为连接件的球头2;The first rod body 1, the first end of which is provided with a ball head 2 as a connecting piece;

升降部3,其上设有能够托起患者下颌的托部4;所述升降部3与第一杆体1可移动地连接,以控制托部4和球头2之间的第一长度L1;The lift portion 3 is provided with a support portion 4 capable of holding up the lower jaw of the patient; the lift portion 3 is movably connected with the first rod body 1 to control the first length L1 between the support portion 4 and the ball head 2;

第二杆体5,其上设有能够沿第二杆体5移动的滑座6;滑座6上设有作为连接座的球头座7,球头座7上开设能够容纳球头2的第一空腔701;The second rod body 5 is provided with a sliding seat 6 that can move along the second rod body 5; cavity 701;

其中,所述球头2的至少一部分位于第一空腔701内,能够在第一空腔701内转动,从而使得第一杆体1可以向多方向转动。Wherein, at least a part of the ball head 2 is located in the first cavity 701 and can be rotated in the first cavity 701, so that the first rod body 1 can be rotated in multiple directions.

第二杆体第一端501设有安装部8,用于将第二杆体5安装于手术床等固定物上,以便使得整个托下颌支架使用时比较稳定。如图1和图4所示,所述安装部8可以为与第二杆体5大致垂直设置的插板,沿着床沿垂下,通过手术床等固定物上的固定件将插板紧压在固定件和床沿之间,从而实现对第二杆体5的固定。The first end 501 of the second rod body is provided with a mounting portion 8 for mounting the second rod body 5 on a fixed object such as an operating bed, so as to make the entire chin rest support relatively stable during use. As shown in FIGS. 1 and 4 , the mounting portion 8 can be an insert plate arranged substantially perpendicular to the second rod body 5 , and hangs down along the edge of the bed, and the insert plate is pressed to the fixed position by a fixing member on a fixed object such as an operating bed. between the part and the bed edge, so as to realize the fixation of the second rod body 5 .

作为一种可选地实施方式,如图1、4和6所示,所述升降部3为套设于第一杆体1上的并与第一杆体1活动连接的套筒9。第一杆体1相对固定地设置,套筒9可相对于第一杆体1移动,从而增加升降部3和第一杆体1的整体长度,以达到增加第一长度L1的目的。As an optional embodiment, as shown in FIGS. 1 , 4 and 6 , the lifting portion 3 is a sleeve 9 sleeved on the first rod body 1 and movably connected with the first rod body 1 . The first rod body 1 is relatively fixed, and the sleeve 9 can move relative to the first rod body 1 , thereby increasing the overall length of the lifting portion 3 and the first rod body 1 to achieve the purpose of increasing the first length L1 .

作为一种具体地实施方式,如图6所示,所述第一杆体1沿第一移动方向X1(为第一杆体的轴向)设有多个大致平行布置的第一凹槽101。所述套筒9上开设有第一孔901和第一容纳槽902。所述套筒9上设置有控制套筒9与第一杆体1的相对位置的第一调节件10,其包括第一调节板1001;第一调节板1001可旋转地安装在套筒9上,例如通过第一旋转轴1002安装在第一孔901和第一容纳槽902之间,从而使得第一调节板第一部10011、第二部10012与第一旋转轴1002之间大致形成跷跷板结构:当按动第二部10012时,第一部10011会翘起;当松开第二部10012时,第一部10011会下降,从而第二部10012形成一个调节用的按钮。第一调节板第一部10011设置有第一卡扣1003,该第一卡扣1003位于套筒的第一孔901中,并且能够穿过第一孔901而嵌入第一凹槽101中,以限制套筒9的运动。套筒9的第一容纳槽902中设置有第一弹簧1004,第一弹簧1004与第一调节板第二部10012对应设置,可以安装在第一调节板第二部10012上,也可以不用安装在其上,而自由地位于第一容纳槽902中。第一弹簧1004能够与第一调节板第二部10012相接触,以控制其绕旋转轴转动;优选地,所述第一弹簧1004始终处于压缩状态,即第一弹簧1004预压在第一容纳槽902中。As a specific embodiment, as shown in FIG. 6 , the first rod body 1 is provided with a plurality of substantially parallel first grooves 101 along the first movement direction X1 (which is the axial direction of the first rod body). The sleeve 9 is provided with a first hole 901 and a first accommodating groove 902 . The sleeve 9 is provided with a first adjustment member 10 for controlling the relative position of the sleeve 9 and the first rod body 1 , which includes a first adjustment plate 1001; the first adjustment plate 1001 is rotatably mounted on the sleeve 9, For example, the first rotating shaft 1002 is installed between the first hole 901 and the first accommodating groove 902, so that the first part 10011, the second part 10012 of the first adjusting plate and the first rotating shaft 1002 roughly form a seesaw structure: When the second part 10012 is pressed, the first part 10011 will lift; when the second part 10012 is released, the first part 10011 will descend, so that the second part 10012 forms an adjustment button. The first part 10011 of the first adjusting plate is provided with a first buckle 1003, the first buckle 1003 is located in the first hole 901 of the sleeve, and can be inserted into the first groove 101 through the first hole 901, so as to The movement of the sleeve 9 is restricted. A first spring 1004 is arranged in the first accommodating groove 902 of the sleeve 9. The first spring 1004 is arranged corresponding to the second part 10012 of the first adjustment plate, and can be installed on the second part 10012 of the first adjustment plate, or not required. On it, it is freely located in the first accommodating groove 902 . The first spring 1004 can be in contact with the second part 10012 of the first regulating plate to control its rotation around the rotation axis; preferably, the first spring 1004 is always in a compressed state, that is, the first spring 1004 is preloaded in the first receiving slot 902.

作为一种优选的实施方式,如图7所示(图中为了便于理解省略了套筒9),所述第一卡扣1003设置有朝向托部4的第一倾斜面10031,能够与第一凹槽101接触。所述各个第一凹槽101设置有朝向连接件(球头2)的第二倾斜面1011,使得第一凹槽101大致形成朝向连接件的锯齿形。其中,可以同时设置第一倾斜面10031和第二倾斜面1011,也可以分别单独设置其中之一。通过设置倾斜面,可以在使用前将第一长度L1控制得比较短,使用时只需要向图7中向上的方向拖动套筒9就可以延伸第一长度L1直至与患者下颌接触,并且在拖动完成后第一弹簧1004和第一卡扣1003实现自动卡合,防止套筒9回缩。这样的操作可以在不需要按动第一调节板第二部10012的情况下延长第一长度L1,从而调整托部4和患者下颌的匹配;由于此时不需要额外用手去按动第一调节板,因此操作更加方便快捷。As a preferred embodiment, as shown in FIG. 7 (the sleeve 9 is omitted in the figure for ease of understanding), the first buckle 1003 is provided with a first inclined surface 10031 facing the receiving portion 4, which can be connected with the first The grooves 101 are in contact. Each of the first grooves 101 is provided with a second inclined surface 1011 facing the connecting piece (ball head 2 ), so that the first grooves 101 generally form a zigzag shape facing the connecting piece. Wherein, the first inclined surface 10031 and the second inclined surface 1011 may be provided at the same time, or one of them may be provided separately. By setting the inclined surface, the first length L1 can be controlled to be relatively short before use, and the first length L1 can be extended by dragging the sleeve 9 in the upward direction in FIG. 7 until it is in contact with the lower jaw of the patient. After the dragging is completed, the first spring 1004 and the first buckle 1003 are automatically engaged to prevent the sleeve 9 from retracting. Such an operation can extend the first length L1 without pressing the second part 10012 of the first adjusting plate, so as to adjust the matching between the rest part 4 and the lower jaw of the patient; at this time, there is no need to manually press the first length L1. Adjustment plate, so the operation is more convenient and fast.

通过上述的设置,可以实现升降部3和第一杆体1之间的调节定位,从而控制第一长度L1。具体地,当需要调节第一长度L1时,医生或护士等操作人员按下第一调节板第二部10012(按钮),使得第一弹簧1004被压缩或者被进一步压缩(若处于预压状态),此时第一调节板第一部10011翘起并带动第一卡扣1003离开当前的第一凹槽101,由于第一卡扣1003失去与第一凹槽101的卡合,升降部3可以沿着第一杆体1自由运动。当调节到合适的长度后,操作人员松开第一调节板第二部10012,此时第一弹簧1004恢复以提供弹力,使得第一调节板第一部10011被压下,第一部10011带动第一卡扣1003嵌入新的第一凹槽101中,实现第一卡扣1003与新的第一凹槽101的卡合,从而升降部3无法继续沿第一杆体1移动,限定了第一长度L1。Through the above arrangement, the adjustment and positioning between the lifting portion 3 and the first rod body 1 can be realized, so as to control the first length L1. Specifically, when the first length L1 needs to be adjusted, an operator such as a doctor or a nurse presses the second part 10012 (button) of the first adjustment plate, so that the first spring 1004 is compressed or further compressed (if it is in a pre-compressed state) , at this time, the first part 10011 of the first adjusting plate is lifted up and drives the first buckle 1003 to leave the current first groove 101. Since the first buckle 1003 loses the engagement with the first groove 101, the lifting part 3 can Free movement along the first rod body 1 . After adjusting to an appropriate length, the operator releases the second part 10012 of the first adjustment plate, and the first spring 1004 recovers to provide elastic force, so that the first part 10011 of the first adjustment plate is pressed down, and the first part 10011 drives the The first buckle 1003 is embedded in the new first groove 101 to realize the engagement between the first buckle 1003 and the new first groove 101, so that the lifting part 3 cannot continue to move along the first rod body 1, which limits the first length L1.

所述第二杆体5与滑座6之间也可以采用与第一调节件10相同或相似的结构以实现二者之间的可移动连接;然而与第一调节件10调节第一长度L1的作用不同的是,滑座6在第二杆体5上的移动主要是为了选择更好的角度与患者下颌匹配,或者是为了协调第一杆体1和升降部3。更具体地,如图4和图5所示,第二杆体5沿第二移动方向X2(为第二杆体的轴向)设有多个大致平行布置的第二凹槽503。所述滑座6上开设有第二孔601和第二容纳槽602。滑座6上设有控制滑座6在第二杆体5上的位置的第二调节件11,其包括第二调节板1101;第二调节板1101可旋转地安装在滑座6上,例如通过第二旋转轴1102安装在第二孔601和第二容纳槽602之间,从而使得第二调节板1101第一部11011、第二部11012与第二旋转轴1102之间大致形成跷跷板结构,第二部11012为调节按钮。第二调节板第一部11011设置有第二卡扣1103,其位于第二孔601中,并且能够穿过第二孔601与第二凹槽503卡合,以限制滑座6的运动。第二容纳槽602中设置有第二弹簧1104,其与第二调节板第二部11012对应设置,可以安装在第二调节板第二部11012上,也可以不用安装在其上,而自由地位于第二容纳槽602中。第二弹簧1104能够与第二调节板第二部11012相接触,以控制其绕旋转轴转动;优选地,所述第二弹簧1104处于预压状态。通过上述的设置,可以实现滑座6在第二 杆体5上的移动,移动方式可参考上文,此处不再赘述。The same or similar structure as the first adjusting member 10 can also be used between the second rod body 5 and the sliding seat 6 to realize the movable connection between the two; The difference is that the movement of the sliding seat 6 on the second rod body 5 is mainly to select a better angle to match the lower jaw of the patient, or to coordinate the first rod body 1 and the lifting part 3 . More specifically, as shown in FIGS. 4 and 5 , the second rod body 5 is provided with a plurality of substantially parallel second grooves 503 along the second movement direction X2 (which is the axial direction of the second rod body). The sliding seat 6 is provided with a second hole 601 and a second accommodating groove 602 . The sliding seat 6 is provided with a second adjusting member 11 for controlling the position of the sliding seat 6 on the second rod body 5, which includes a second regulating plate 1101; the second regulating plate 1101 is rotatably mounted on the sliding seat 6, for example by The second rotating shaft 1102 is installed between the second hole 601 and the second accommodating groove 602, so that the first part 11011, the second part 11012 of the second adjusting plate 1101 and the second rotating shaft 1102 generally form a seesaw structure. The second part 11012 is an adjustment button. The first part 11011 of the second adjusting plate is provided with a second buckle 1103 , which is located in the second hole 601 and can be engaged with the second groove 503 through the second hole 601 to limit the movement of the sliding seat 6 . The second accommodating groove 602 is provided with a second spring 1104, which is arranged corresponding to the second portion 11012 of the second adjusting plate, and can be installed on the second portion 11012 of the second adjusting plate, or can be freely installed without being installed thereon. is located in the second accommodating groove 602 . The second spring 1104 can be in contact with the second part 11012 of the second regulating plate to control it to rotate around the rotation axis; preferably, the second spring 1104 is in a preloaded state. Through the above-mentioned settings, the movement of the sliding seat 6 on the second rod body 5 can be realized, and the movement method can be referred to above, and will not be repeated here.

所述托下颌支架在操作时,(1)根据平躺在手术床上的患者的位置,先将托下颌支架的安装部8在床沿处固定,第二杆体5伸向患者颈部方向,大致与肩部平行;(2)根据患者的体型以及托部4与患者下颌之间的距离,通过第二调节件11调节滑座6在第二杆体5上的位置;(3)调节球头2的角度以及通过第一调节件10调节升降部3以控制第一长度L1,从而将托部4支撑在患者下颌处。本实施方式中的移动滑座6一方面可以调节第一杆体1与患者下颌的角度,另一方面可以对第一长度L1实现补充。During the operation of the mandibular support bracket, (1) according to the position of the patient lying flat on the operating bed, first fix the mounting part 8 of the mandibular support support at the edge of the bed, and the second rod body 5 extends to the direction of the patient's neck, which is roughly the same as that of the patient's neck. The shoulders are parallel; (2) according to the patient's body shape and the distance between the holder 4 and the patient's lower jaw, adjust the position of the sliding seat 6 on the second rod body 5 through the second adjusting member 11; (3) adjust the position of the ball head 2 The angle and the first adjusting member 10 are used to adjust the lift portion 3 to control the first length L1, so as to support the holder portion 4 at the lower jaw of the patient. The moving slide 6 in this embodiment can adjust the angle between the first rod body 1 and the lower jaw of the patient on the one hand, and can supplement the first length L1 on the other hand.

作为一种可替换的实施方式,所述第二杆体5与滑座6之间还可以采用以下技术方案实现滑座6在第二杆体5上的移动。如图6和图8所示,所述第二杆体5包括滑轨504,滑座6上开设与滑轨504匹配的第三凹槽603,从而使得滑座6可沿着滑轨504滑动。所述滑座6上还配置有第三调节件12,其包括第一螺纹杆1201,以及分别位于第一螺纹杆1201两端的旋转头1202和接触垫1203;其中,第三调节件12与滑座6之间通过第一螺纹杆1201和滑座6开设的螺纹孔实现螺纹连接;旋转头1202位于滑座6外部,可手动旋转操作;接触垫1203位于第三凹槽603处。这样的配置使得当需要调节滑座6在第二杆体5上的位置时,向外旋出接触垫1203,以免接触垫1203阻止滑座6的滑动;当滑座6滑动至合适的位置后,向内旋入接触垫1203,使得接触垫1203与滑轨504接触,防止滑座6继续滑动。As an alternative embodiment, the following technical solutions can also be used between the second rod body 5 and the sliding seat 6 to realize the movement of the sliding seat 6 on the second rod body 5 . As shown in FIGS. 6 and 8 , the second rod body 5 includes a slide rail 504 , and a third groove 603 matching the slide rail 504 is defined on the slide base 6 , so that the slide base 6 can slide along the slide rail 504 . The sliding seat 6 is also provided with a third adjusting member 12, which includes a first threaded rod 1201, a rotating head 1202 and a contact pad 1203 respectively located at both ends of the first threaded rod 1201; wherein, the third adjusting member 12 and the sliding The first threaded rod 1201 and the threaded hole in the sliding seat 6 are used for threaded connection between the seats 6 ; the rotating head 1202 is located outside the sliding seat 6 and can be rotated manually; Such a configuration enables when the position of the sliding seat 6 on the second rod body 5 needs to be adjusted, the contact pad 1203 is rotated out to prevent the contact pad 1203 from preventing the sliding seat 6 from sliding; when the sliding seat 6 slides to an appropriate position, The contact pads 1203 are screwed inwards so that the contact pads 1203 are in contact with the slide rails 504 to prevent the sliding seat 6 from continuing to slide.

为了使得第三凹槽603与滑轨504之间的运动更顺畅,如图8所示,第三凹槽603的内壁604上还设有可以容纳多个珠体606的一个或多个第四凹槽605,珠体606与滑轨504之间为滚动接触,以实现滑座6在滑轨504上的滑动。优选所述珠体606选择球形珠,例如不锈钢珠。图8中第三凹槽603的内壁604沿着第二移动方向X2设置有多条第四凹槽605,但是第四凹槽605的设置并不限于沿着第二移动方向X2,也可以沿着垂直于第二移动方向X2设置,形成环形或环形的一部分(类似轴承)。In order to make the movement between the third groove 603 and the slide rail 504 smoother, as shown in FIG. 8 , the inner wall 604 of the third groove 603 is further provided with one or more fourth grooves 606 capable of accommodating a plurality of beads 606 . The grooves 605 , the balls 606 and the slide rail 504 are in rolling contact, so as to realize the sliding of the slide seat 6 on the slide rail 504 . Preferably, spherical beads, such as stainless steel beads, are selected for the beads 606 . In FIG. 8 , the inner wall 604 of the third groove 603 is provided with a plurality of fourth grooves 605 along the second moving direction X2, but the arrangement of the fourth grooves 605 is not limited to the second moving direction X2, and can also be along the second moving direction X2. It is arranged perpendicular to the second movement direction X2 and forms an annular shape or a part of an annular shape (similar to a bearing).

可选地,第二杆体1的长度为15-30cm,例如为15cm,18cm,20cm, 22cm,25cm,28cm,30cm等等;这样的长度几乎适合所有的患者。Optionally, the length of the second rod body 1 is 15-30 cm, such as 15 cm, 18 cm, 20 cm, 22 cm, 25 cm, 28 cm, 30 cm, etc.; such a length is suitable for almost all patients.

可选地,如图1和图4所示,所述第二杆体5与安装部8之间设有与第二杆体5大致平行的连接部13,其中,所述安装部8固定在连接部13上或可一体成型,所述第二杆体5与连接部13之间可移动地连接,以调节安装部8至第二杆体第二端502的第二长度L2。所述第二杆体第二端502为与第二杆体第一端501相对的自由端。Optionally, as shown in FIG. 1 and FIG. 4 , a connecting portion 13 substantially parallel to the second rod body 5 is provided between the second rod body 5 and the mounting portion 8 , wherein the mounting portion 8 is fixed on the connecting portion 13 or can be integrally formed, the second rod body 5 and the connecting portion 13 are movably connected to adjust the mounting portion 8 to the second length L2 of the second end 502 of the second rod body. The second end 502 of the second rod body is a free end opposite to the first end 501 of the second rod body.

作为一种具体的实施方式,如图1、3和4所示,所述连接部13为筒体结构14。第二杆体5插入筒体结构14中,筒体结构14上设有调节螺栓15,其与筒体结构14螺纹连接,并能够与第二杆体5相抵接。当需要调节第二长度L2,将调节螺栓15旋出,使得第二杆体5可相对于筒体结构14移动;当调节至合适的长度后,旋紧调节螺栓15与第二杆体5抵接,以限制其运动。常规地,医院使用的病床或者手术床的宽度非常有限,当患者躺下后,患者颈部左右两侧的空间也非常有限了。如果第二杆体5太长,可能无法放置在患者颈部两侧;如果第二杆体5太短,又可能导致托部4无法到达患者下颌。同时考虑到不同患者预留的空间不同,因此,第二杆体5的长度(也即为第二长度L2的最短长度)需要让各种患者都有躺下的空间;针对不同患者,最好还可以使得第二长度L2可调,进一步满足不同的患者。As a specific embodiment, as shown in FIGS. 1 , 3 and 4 , the connecting portion 13 is a cylindrical structure 14 . The second rod body 5 is inserted into the cylindrical body structure 14 , and the cylindrical body structure 14 is provided with an adjusting bolt 15 , which is threadedly connected with the cylindrical body structure 14 and can abut with the second rod body 5 . When the second length L2 needs to be adjusted, the adjusting bolt 15 is unscrewed so that the second rod body 5 can move relative to the cylindrical structure 14; when the length is adjusted to an appropriate length, the adjusting bolt 15 is tightened to abut against the second rod body 5, to limit its movement. Conventionally, the width of hospital beds or operating beds used in hospitals is very limited, and when a patient lies down, the space on the left and right sides of the patient's neck is also very limited. If the second rod body 5 is too long, it may not be placed on both sides of the patient's neck; if the second rod body 5 is too short, the rest 4 may not reach the lower jaw of the patient. At the same time, considering that the space reserved for different patients is different, the length of the second rod body 5 (that is, the shortest length of the second length L2) needs to allow all kinds of patients to have space to lie down; for different patients, it is best to also The second length L2 can be adjusted to further satisfy different patients.

作为一种可选的实施方式,如图1-4所示,所述第二杆体5上沿着第二移动方向X2开设第五凹槽16,筒体结构14内靠近滑座5的一端设有第一凸起1401,其延伸至第五凹槽16内;第二杆体5第一端501设有第二凸起505,其也延伸至第五凹槽16内;从而第一凸起1401能够限制第二凸起505脱离筒体结构14,使得在调节第二长度L2时,第二杆体5不会脱离筒体结构14,使得操作更加方便;此外,第一凸起和第二凸起还可以限制第二杆体转动,使得操作更方便。As an optional embodiment, as shown in FIGS. 1-4 , a fifth groove 16 is formed on the second rod body 5 along the second moving direction X2, and an end of the cylinder structure 14 close to the sliding seat 5 is formed There is a first protrusion 1401, which extends into the fifth groove 16; the first end 501 of the second rod body 5 is provided with a second protrusion 505, which also extends into the fifth groove 16; thus the first protrusion 1401 The second protrusion 505 can be restricted from being separated from the cylindrical structure 14, so that when the second length L2 is adjusted, the second rod body 5 will not be separated from the cylindrical structure 14, which makes the operation more convenient; in addition, the first protrusion and the second protrusion The rotation of the second rod body can also be restricted, so that the operation is more convenient.

当设置有第五凹槽16时,调节螺栓15可以延伸至第五凹槽16内,一方面可以实现对第二杆体5水平运动的限制,另一方面还可以限制其旋转。When the fifth groove 16 is provided, the adjusting bolt 15 can extend into the fifth groove 16, which can limit the horizontal movement of the second rod body 5 on the one hand, and limit its rotation on the other hand.

当设置有第五凹槽16时,滑座6上的第三调节件12可以延伸至第五凹 槽16内,一方面可以实现对滑座6水平运动的限制,另一方面还可以限制其旋转。When the fifth groove 16 is provided, the third adjusting member 12 on the sliding seat 6 can extend into the fifth groove 16, on the one hand, it can limit the horizontal movement of the sliding seat 6, and on the other hand, it can also limit its rotate.

作为筒体结构14的一种替代方式,如图9所示,所述连接部13大致为U型结构,其内沿着第二移动方向X2上均匀间隔排布有多个齿17,形成齿列,相邻两个齿之间形成有间隙18。图9所示的连接部13上形成有两个齿列。所述第二杆体5,主要是第二杆体第一端501上设有弹性件506,弹性件506在自由状态下位于间隙18中。当采用外力移动第二杆体5时,弹性件506被齿17挤压;如果撤销外力,那么弹性件506将比较稳定地位于间隙18中,从而限制第二杆体5移动。第二杆体5上可以设置一个或多个弹性件506与同一齿列匹配。例如本实施方式中,第二杆体5上一共设置有四个弹性件506,其中两个与第一齿列匹配,另外两个与第二齿列匹配。As an alternative to the cylindrical structure 14 , as shown in FIG. 9 , the connecting portion 13 is substantially a U-shaped structure, and a plurality of teeth 17 are evenly spaced therein along the second moving direction X2 to form teeth. A gap 18 is formed between two adjacent teeth. The connecting portion 13 shown in FIG. 9 is formed with two tooth rows. The second rod body 5 is mainly provided with an elastic member 506 on the first end 501 of the second rod body, and the elastic member 506 is located in the gap 18 in a free state. When an external force is used to move the second rod body 5 , the elastic member 506 is squeezed by the teeth 17 ; if the external force is withdrawn, the elastic member 506 will be relatively stably located in the gap 18 , thereby restricting the movement of the second rod body 5 . One or more elastic members 506 may be arranged on the second rod body 5 to match the same tooth row. For example, in this embodiment, a total of four elastic members 506 are provided on the second rod body 5 , two of which are matched with the first dentition, and the other two are matched with the second dentition.

作为一种可选的实施方式,所述第一杆体1与球头2(连接件)之间可拆卸地连接,从而可以根据不同的患者更换不同的第一杆体1、升降部3和托部4,以免交叉感染。一种具体地实施方式可参考图10,第一杆体1上设有弹性的第三卡件102,本实施方式中为两个可变形的板体1021,各个板体的自由端具有第三凸起1022。对应地,所述球头2上设有连接体201,其上开设有分别与两个板体1021一一对应的两个开口202。如图中箭头方向所示,同时向内挤压两个第三卡件102,可以将第三卡件102卡入开口202中,从而实现第一杆体1与球头2之间的可拆卸的连接。As an optional embodiment, the first rod body 1 and the ball head 2 (connector) are detachably connected, so that different first rod bodies 1, lifting parts 3 and support parts can be replaced according to different patients 4, to avoid cross infection. For a specific implementation, please refer to FIG. 10 . The first rod body 1 is provided with an elastic third clamping member 102 . In this embodiment, there are two deformable plate bodies 1021 , and the free end of each plate body has a third protrusion. from 1022. Correspondingly, the ball head 2 is provided with a connecting body 201 , and two openings 202 corresponding to the two plate bodies 1021 are formed thereon. As shown in the direction of the arrows in the figure, by pressing the two third clips 102 inward at the same time, the third clips 102 can be clipped into the opening 202 , thereby realizing the detachable connection between the first rod body 1 and the ball head 2 . connect.

作为一种可选的实施方式,所述球头座7(连接座21)可以与滑座6为一体成型结构,即可以直接在滑座6上开设第一空腔701,二者也可以是分体结构。如图1和图6所示,球头座7(连接座21)竖向设置,从而当第一杆体1和升降部3倾斜着去支撑平躺着的患者下颌时,球头座7(连接座21)能够为球头2提供较大的抵触面,使得第一杆体1和升降部3位于球头座7和患者下颌之间的支撑更稳定。可以理解的是,第一空腔701大致为球形,即为球形或球形的一部分。As an optional embodiment, the ball socket 7 (connecting seat 21 ) can be integrally formed with the sliding seat 6 , that is, the first cavity 701 can be directly opened on the sliding seat 6 , or the two can be Split structure. As shown in FIG. 1 and FIG. 6 , the ball seat 7 (connection seat 21 ) is arranged vertically, so that when the first rod body 1 and the lifting part 3 are inclined to support the lower jaw of the patient lying on the back, the ball seat 7 (connection seat 21 ) is vertically arranged. The seat 21) can provide a larger contact surface for the ball head 2, so that the support of the first rod body 1 and the lifting part 3 between the ball head seat 7 and the lower jaw of the patient is more stable. It can be understood that the first cavity 701 is substantially spherical, that is, a spherical shape or a part of a spherical shape.

作为一种可选的实施方式,如图10所示,所述球头座7上靠近第一杆体 1处还开设有一个或多个槽口702。当不再需要托下颌支架支撑患者下颌时,可以从槽口702处将第一杆体1大致放平,以免阻扰医生或护士的其他医护工作。As an optional embodiment, as shown in FIG. 10 , one or more notches 702 are further opened on the ball socket 7 near the first rod body 1 . When the jaw support is no longer needed to support the patient's lower jaw, the first rod body 1 can be placed approximately flat from the notch 702 , so as not to interfere with other medical care work of doctors or nurses.

作为一种可选的实施方式,如图6所示,所述球头座7上还可以设有第四调节件19,第四调节件19包括第二螺纹杆1901和位于第二螺纹杆1901一端的调节头1902,调节头1902位于球头座7外部,第二螺纹杆1901与球头座7螺纹连接并延伸至第一空腔701中。当患者下颌的支撑比较困难或者球头2太松动时,可以通过旋入第二螺纹杆1901与球头2接触,从而稳定托部4。As an optional embodiment, as shown in FIG. 6 , the ball socket 7 may also be provided with a fourth adjusting member 19 , and the fourth adjusting member 19 includes a second threaded rod 1901 and a second threaded rod 1901 located on the second threaded rod 1901 . One end of the adjusting head 1902, the adjusting head 1902 is located outside the ball socket 7, and the second threaded rod 1901 is threadedly connected with the ball socket 7 and extends into the first cavity 701. When it is difficult to support the patient's lower jaw or the ball head 2 is too loose, the second threaded rod 1901 can be screwed into contact with the ball head 2 to stabilize the holder 4 .

作为一种可选的实施方式,所述球头座7上的第四调节件19还可以采用锁紧螺母20。具体地,如图2所示,所述球头座7上设有外螺纹703,锁紧螺母20与球头座的外螺纹703配合。锁紧螺母20还具有盖体2001,其上开设有供球头2的一部分外露的第五孔2002。当旋紧锁紧螺母20时,可通过盖体2001等压紧球头2,使得其稳定而不随意转动。As an optional implementation manner, the fourth adjusting member 19 on the ball socket 7 may also adopt a locking nut 20 . Specifically, as shown in FIG. 2 , the ball socket 7 is provided with an external thread 703 , and the locking nut 20 is matched with the external thread 703 of the ball socket. The lock nut 20 also has a cover body 2001 on which a fifth hole 2002 for exposing a part of the ball head 2 is opened. When the lock nut 20 is tightened, the ball head 2 can be pressed by the cover body 2001, etc., so that it is stable and does not rotate randomly.

如图4所示,所述托部4具有容纳患者下颌的凹部401,以便更好地与患者下颌贴合。所述托部4还可以套设有保护套;采用柔性材质制成,例如采用硅胶、橡胶、海绵、树脂等材质制成,以便有一定的柔韧性,避免对患者下颌造成伤害。As shown in FIG. 4 , the holder 4 has a concave portion 401 for accommodating the lower jaw of the patient, so as to better fit the lower jaw of the patient. The holder 4 can also be covered with a protective cover; it is made of a flexible material, such as silica gel, rubber, sponge, resin, etc., so as to have a certain flexibility and avoid injury to the patient's lower jaw.

本申请的第二种实施方式提供了一种托下颌支架,与第一种实施方式不同的是,第一杆体1与球头座7(连接座21)的连接方式不同(非球头连接),其他的技术方案均相同或相似,因此,可以理解的是用于第一种实施方式的多个技术方案,也可以毫无保留地用于本实施方式,对此不再赘述。不同于球头连接方式,如图11和12所示,本实施方式中,所述滑座6上设有连接座21,其内开设有圆柱形的第二空腔2101。圆柱体形的连接件22嵌入第二空腔2101内,从而可在连接座21中旋转。连接件22的第一端位于第二空腔2101外,其上设有第三旋转轴23,所述第一杆体1与第三旋转轴23相连,从而可以通过连接件22和第三旋转轴23实现第一杆体1的多方向旋转。The second embodiment of the present application provides a chin support bracket, which is different from the first embodiment in that the connection between the first rod body 1 and the ball head seat 7 (connection seat 21 ) is different (non-ball head connection) , and other technical solutions are the same or similar. Therefore, it can be understood that a plurality of technical solutions used in the first embodiment can also be used in this embodiment without reservation, which will not be repeated here. Different from the ball joint connection, as shown in FIGS. 11 and 12 , in this embodiment, the sliding seat 6 is provided with a connecting seat 21 , and a cylindrical second cavity 2101 is opened therein. The cylindrical connecting piece 22 is embedded in the second cavity 2101 so as to be rotatable in the connecting seat 21 . The first end of the connecting member 22 is located outside the second cavity 2101, and a third rotating shaft 23 is provided on it. The first rod body 1 is connected with the third rotating shaft 23, so that the connecting member 22 and the third rotating shaft can pass through 23 realizes multi-directional rotation of the first rod body 1 .

可选地,所述第二空腔2101内进一步设有半径扩大的第三空腔2102,对应地,所述连接件22上设有半径扩大的扩展段2201,扩展段2201位于第三空腔2102中,从而可以防止连接件22脱离连接座21。Optionally, the second cavity 2101 is further provided with a third cavity 2102 with an enlarged radius. Correspondingly, the connector 22 is provided with an expanded section 2201 with an expanded radius, and the expanded section 2201 is located in the third cavity 2102, so that the connecting piece 22 can be prevented from being separated from the connecting seat 21.

通过上述的设置,一方面第一杆体1可以绕第三旋转轴23转动,还可以跟随第三旋转轴23绕连接件22转动,从而达到多向转动的目的,与前文的球头转动设置有异曲同工之妙。Through the above arrangement, on the one hand, the first rod body 1 can rotate around the third rotating shaft 23, and can also follow the third rotating shaft 23 to rotate around the connecting piece 22, so as to achieve the purpose of multi-directional rotation. The same thing works.

本申请的第三种实施方式提供了一种托下颌支架的应用,采用两个前文任一实施方式所述的托下颌支架,二者大致对称设置;其中,各个托下颌支架的第二杆体均大致与平躺的患者的肩部平行,各个托下颌支架的托部分别支撑患者脸部两侧的下颌部位。The third embodiment of the present application provides an application of a mandibular support bracket, using two mandibular support brackets described in any of the foregoing embodiments, and the two are substantially symmetrically arranged; wherein, the second rods of each mandibular support support are Roughly parallel to the shoulders of the patient lying on the back, the rests of each chin rest support respectively support the mandibles on both sides of the patient's face.

可选地,所述托下颌支架能够应用于麻醉手术中。Optionally, the mandibular support bracket can be used in anesthesia surgery.

在使用过程中,当患者在手术床躺下后,将两个托下颌支架的插板分别插入两侧床沿的插槽内并固定,各个第二杆体5分别与患者肩部大致平行,患者颈部位于两个第二杆体5之间。双侧平移滑座6至合适位置处固定。待患者麻醉后,双手持托部4托起患者下颌,同时移动升降部3使得两个托部分别从两侧托起患者下颌。双手松开,下颌托支架卡位,使得托下颌支架托起患者下颌。进一步还可以继续使得双侧绷带与面罩卡位,打开呼吸机,完成整个准备过程。During use, when the patient is lying down on the operating bed, insert the two jaw support inserts into the slots on both sides of the bed and fix them. Each second rod body 5 is roughly parallel to the patient's shoulder, and the patient's neck The part is located between the two second rod bodies 5 . The two-sided translation slide 6 is fixed at a suitable position. After the patient is anesthetized, hold the patient's lower jaw with both hands, and simultaneously move the lifting part 3 so that the two brackets support the patient's lower jaw from both sides. Release both hands, and the chin rest bracket is locked in place, so that the chin rest bracket supports the patient's chin. Further, you can continue to make the bilateral bandages and the mask in place, turn on the ventilator, and complete the entire preparation process.

值得理解的是本申请所提供的托下颌支架也可以用于其他领域或者其他医疗部门所需要的情况,可以并不局限于本申请所描述的麻醉手术的使用。It should be understood that the mandibular support provided in this application can also be used in other fields or other medical departments, and is not limited to the use of anesthesia surgery described in this application.

所述的实施方式仅仅是对本申请的优选实施方式进行描述,并非对本申请的范围进行限定,在不脱离本申请设计精神的前提下,本领域普通技术人员对本申请的技术方案作出的各种变形和改进,均应落入本申请权利要求书确定的保护范围内。The described embodiments are only to describe the preferred embodiments of the present application, and do not limit the scope of the present application. On the premise of not departing from the design spirit of the present application, various modifications made by those of ordinary skill in the art to the technical solutions of the present application and improvements, shall fall within the scope of protection determined by the claims of this application.

Claims (11)

一种托下颌支架,包括:A mandibular support, comprising: 第一杆体;the first rod body; 升降部,其上设有能够托起患者下颌的托部;所述升降部与第一杆体可移动地连接,以控制托部和第一杆体第一端之间的第一长度;a lift part, which is provided with a support part capable of holding up the lower jaw of the patient; the lift part is movably connected with the first rod body to control the first length between the support part and the first end of the first rod body; 第二杆体,其上设有能够沿第二杆体移动的滑座;滑座上设有连接座,连接座内设有与第一杆体第一端连接的连接件;The second rod body is provided with a sliding seat that can move along the second rod body; the sliding seat is provided with a connecting seat, and the connecting seat is provided with a connecting piece connected with the first end of the first rod body; 其中,所述连接件的至少一部分位于连接座内,能够在连接座内转动,从而使得第一杆体能够向多方向转动。Wherein, at least a part of the connecting piece is located in the connecting seat and can be rotated in the connecting seat, so that the first rod body can be rotated in multiple directions. 根据权利要求1所述的托下颌支架,其中,连接件和连接座选择以下方案中的一种:The chin support bracket according to claim 1, wherein the connecting piece and the connecting seat are selected from one of the following schemes: 第一方案:所述连接件为球头;所述连接座为球头座,其内开设大致为球形的第一空腔;所述球头的至少一部分位于第一空腔中,能够在第一空腔中多方向转动;The first solution: the connecting piece is a ball head; the connecting seat is a ball head seat, and a first substantially spherical cavity is opened therein; at least a part of the ball head is located in the first cavity and can multi-directional rotation in a cavity; 第二方案:所述连接座内开设圆柱形的第二空腔,连接件为圆柱体且位于第二空腔中;连接件第一端位于第二空腔外,其上设有第三旋转轴;第一杆体第一端与第三旋转轴相连。The second solution: a cylindrical second cavity is set in the connecting seat, the connecting piece is a cylinder and is located in the second cavity; the first end of the connecting piece is located outside the second cavity, and a third rotating shaft; the first end of the first rod body is connected with the third rotating shaft. 根据权利要求2所述的托下颌支架,其中,所述第二杆体设有用于固定安装第二杆体的安装部;所述安装部为与第二杆体大致垂直的插板。The chin support bracket according to claim 2, wherein the second rod body is provided with a mounting portion for fixedly installing the second rod body; the mounting portion is an insert plate substantially perpendicular to the second rod body. 根据权利要求1-3任一项所述的托下颌支架,其中,所述升降部为套设于第一杆体上的套筒,该套筒与第一杆体活动连接,以调节第一杆体第一端至托部的第一长度。The chin support bracket according to any one of claims 1-3, wherein the lifting portion is a sleeve sleeved on the first rod body, and the sleeve is movably connected with the first rod body to adjust the first rod body. One end to the first length of the holder. 根据权利要求4所述的托下颌支架,其中,所述第一杆体沿第一移动方向设有多个平行的第一凹槽;所述套筒上开设第一孔和第一容纳槽;套筒上可旋转地设置有第一调节板,第一调节板的第一部与第一孔对应,第一调节板第一部上设有第一卡扣,第一卡扣位于第一孔中且能够与第一凹槽卡合;第一调节板的第二部与第一容纳槽对应,第一容纳槽中设有第一弹簧。The chin support bracket according to claim 4, wherein the first rod body is provided with a plurality of parallel first grooves along the first moving direction; the sleeve is provided with a first hole and a first accommodating groove; the sleeve The cylinder is rotatably provided with a first adjusting plate, the first part of the first adjusting plate corresponds to the first hole, the first part of the first adjusting plate is provided with a first buckle, and the first buckle is located in the first hole The second part of the first adjusting plate corresponds to the first accommodating groove, and the first accommodating groove is provided with a first spring. 根据权利要求5所述的托下颌支架,其中,所述第一卡扣设有朝向托部的第一倾斜面,能够与第一凹槽接触;和/或,所述各个第一凹槽设置有朝向连接件的第二倾斜面,能够与第一卡扣接触。The chin support bracket according to claim 5, wherein the first buckle is provided with a first inclined surface facing the support portion, which can be in contact with the first groove; and/or each of the first grooves is provided There is a second inclined surface facing the connecting piece, which can be in contact with the first buckle. 根据权利要求1-3,5或6任一项所述的托下颌支架,其中,滑座在第二杆体上的移动选择以下方案中的一种:The chin support bracket according to any one of claims 1-3, 5 or 6, wherein the movement of the sliding seat on the second rod body is selected from one of the following schemes: 第三方案:所述第二杆体沿第二移动方向设有多个平行的第二凹槽;所述滑座上开设第二孔和第二容纳槽;滑座上可旋转地设置有第二调节板,第二调节板的第一部与第二孔对应,第二调节板第一部上设有第二卡扣,第二卡扣位于第二孔中且能够与第二凹槽卡合;第二调节板第二部与第二容纳槽对应,第二容纳槽中设有第二弹簧;The third solution: the second rod body is provided with a plurality of parallel second grooves along the second moving direction; the sliding seat is provided with a second hole and a second accommodating groove; the sliding seat is rotatably provided with a second groove Adjustment plate, the first part of the second adjustment plate corresponds to the second hole, the first part of the second adjustment plate is provided with a second buckle, the second buckle is located in the second hole and can be engaged with the second groove ; the second part of the second adjusting plate corresponds to the second accommodating groove, and the second accommodating groove is provided with a second spring; 第四方案:所述第二杆体包括滑轨,滑座上开设与滑轨匹配的第三凹槽;所述滑座上还设置有第三调节件,包括第一螺纹杆和位于第一螺纹杆第一端的旋转头,其中,旋转头位于滑座外部,第一螺纹杆与滑座螺纹连接并延伸至第三凹槽处。The fourth solution: the second rod body includes a slide rail, and the slide seat is provided with a third groove matching the slide rail; the slide seat is also provided with a third adjusting member, including a first threaded rod and a A rotating head at the first end of the rod, wherein the rotating head is located outside the sliding seat, and the first threaded rod is threadedly connected with the sliding seat and extends to the third groove. 根据权利要求7所述的托下颌支架,其中,第二杆体的长度为20-25cm;第二杆体与安装部之间设有连接部,其中,安装部安装在连接部上,第二杆体第一端与连接部之间可移动连接,以调节安装部至第二杆体自由端的第二长度。The chin support bracket according to claim 7, wherein the length of the second rod body is 20-25cm; a connecting portion is provided between the second rod body and the mounting portion, wherein the mounting portion is mounted on the connecting portion, and the second rod body is first One end is movably connected with the connecting portion to adjust the second length of the mounting portion to the free end of the second rod body. 根据权利要求8所述的托下颌支架,其中,所述连接部选自以下方案中的一种:The chin support bracket according to claim 8, wherein the connecting portion is selected from one of the following schemes: 第五方案:所述连接部为筒体结构;第二杆体第一端插入筒体结构中;筒体结构上设有能够与第二杆体抵触的一个或多个调节螺栓;Fifth solution: the connecting part is a cylindrical structure; the first end of the second rod body is inserted into the cylindrical structure; the cylindrical structure is provided with one or more adjustment bolts that can interfere with the second rod body; 所述第二杆体沿着第二移动方向上开设第五凹槽;筒体结构靠近滑座的一端设有第一凸起,其延伸至第五凹槽内;第二杆体第一端设有第二凸起,其延伸至第五凹槽内;使得第一凸起能够限制第二凸起脱离筒体结构;The second rod body is provided with a fifth groove along the second moving direction; one end of the cylinder structure close to the sliding seat is provided with a first protrusion, which extends into the fifth groove; the first end of the second rod body is provided with a first protrusion The second protrusion extends into the fifth groove; so that the first protrusion can restrict the second protrusion from being separated from the cylindrical structure; 第六方案:所述连接部为U型结构,沿着第二移动方向设有间隔排布的多个齿,相邻的两个齿之间形成间隙;所述第二杆体上设有弹性件,弹性件 在自由状态下位于间隙中。The sixth solution: the connecting part is a U-shaped structure, and a plurality of teeth are arranged at intervals along the second moving direction, and a gap is formed between two adjacent teeth; an elastic member is provided on the second rod body , the elastic piece is located in the gap in the free state. 根据权利要求2所述的托下颌支架,其中,第一杆体与球头之间可拆卸地连接;其中,第一杆体上设有第三卡件,球头上设有连接体,连接体上开设与第三卡件卡合的开口。The chin support bracket according to claim 2, wherein the first rod body and the ball head are detachably connected; wherein, the first rod body is provided with a third clip, the ball head is provided with a connecting body, and the connecting body is provided with An opening for engaging with the third clip is opened. 一种托下颌支架的应用,采用权利要求1-10任一项所述的两个托下颌支架,大致对称设置;其中,各个托下颌支架的第二杆体均大致与患者的肩部平行,各个托下颌支架的托部分别支撑患者脸部两侧的下颌部位。An application of a mandibular support bracket, using the two mandibular support brackets described in any one of claims 1-10, which are arranged roughly symmetrically; The support parts of the mandibular support support respectively support the mandibles on both sides of the patient's face.
PCT/CN2022/082204 2021-04-02 2022-03-22 Mandibular support and application thereof Ceased WO2022206473A1 (en)

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