技术领域technical field
本发明涉及腹部手术牵开器械,具体地来说是涉及分离型双头全调式腹部牵开器,属于医疗器械技术领域。The invention relates to a retractor for abdominal surgery, in particular to a separated double-head fully adjustable abdominal retractor, which belongs to the technical field of medical devices.
背景技术Background technique
腹部手术的施行,如肝部分切除术、胰十二指肠切除术、脾切除术及门奇静脉断流术,离不开腹部牵开器的使用。虽然现有的腹部牵开器已经替代了以往第二、第三助手的人力牵拉,节约了一定的时间和体力,但它们仍存在着一定的缺陷,如拉钩的大小、形状固定,限制了主刀医生根据手术需要和手术视野的不同对牵开器的角度和方位的调整,使得手术视野的显露有限且调整不便;部分牵开器组成部件较多,框架较大,不仅安装复杂而且阻碍手术操作,给术者带来了一定的困扰。The implementation of abdominal surgery, such as partial hepatectomy, pancreaticoduodenectomy, splenectomy and portal azygos devascularization, cannot do without the use of abdominal retractor. Although the existing abdominal retractors have replaced the manual pulling of the second and third assistants in the past, saving a certain amount of time and physical strength, they still have certain defects, such as the fixed size and shape of the retractors, which limit the The surgeon adjusts the angle and orientation of the retractor according to the needs of the operation and the difference in the surgical field of view, which makes the exposure of the surgical field of view limited and inconvenient to adjust; some retractors have many components and a large frame, which is not only complicated to install but also hinders the operation The operation has brought some troubles to the operator.
同时,由于在手术中,一个暴露良好的手术视野对任何一个手术过程都是至关重要的。而现在用于手术中的暴露器械手式拉钩是最常用的,而使用拉钩牵拉时,由于拉钩与手术切口边缘多为点接触,因此,通常每一个拉钩只能牵拉出一个三角形的手术视野,要达到较开阔的手术视野,需要多只手用多个拉钩对手术切口边缘的多个点同时进行牵拉,而这样的操作却是费时费力、非常不方便。At the same time, because in surgery, a well-exposed surgical field of view is crucial to any surgical procedure. However, the hand-type retractors for exposed instruments used in surgery are the most commonly used. When pulling with retractors, since the retractors are mostly in point contact with the edge of the surgical incision, usually each retractor can only pull out a triangular shape. Field of view, in order to achieve a wider surgical field of view, it is necessary for multiple hands to simultaneously pull multiple points on the edge of the surgical incision with multiple retractors, but such an operation is time-consuming, laborious, and very inconvenient.
目前市场上虽有部分设备,然而这些设备均为零散的自制,致使器械在使用过程中均存在着牵开器调节性能较差,不能稳固固定,进而使得牵开时肌肉牵拉力较小,而且有时会因为牵开器过大影响手术视野,临床使用不便,费时费力,降低手术操作的稳定性,影响手术操作的顺利进行,降低手术效率,延长手术时间,不便手术操作,推广应用受限。Although there are some devices on the market at present, these devices are scattered and self-made, resulting in poor adjustment performance of the retractor during the use of the device, which cannot be firmly fixed, which in turn makes the muscle pulling force smaller when retracting. And sometimes because the retractor is too large, it affects the surgical field of view, which is inconvenient for clinical use, time-consuming and laborious, reduces the stability of the surgical operation, affects the smooth progress of the surgical operation, reduces the operation efficiency, prolongs the operation time, is inconvenient for the operation, and is limited in popularization and application. .
发明内容Contents of the invention
针对上述背景技术中存在的诸多的缺陷与不足,本发明对此加以改进和创新,旨在提供一种设计新颖、结构简单,构造简易的分离型双头全调式腹部牵开器。该设计结构的分离型双头全调式腹部牵开器无需人工就可在手术过程中一直将切口拉开,既方便了医生的手术,又能减小病人的创伤,同时也有效的保证了手术操作的顺利进行,提高了手术效率,实为一理想的医疗器械。In view of the many defects and deficiencies in the above-mentioned background technology, the present invention improves and innovates them, and aims to provide a separate double-head fully adjustable abdominal retractor with novel design, simple structure and simple structure. The separate double-head fully adjustable abdominal retractor with this design structure can keep the incision open during the operation without manual work, which not only facilitates the doctor's operation, but also reduces the trauma of the patient, and effectively ensures the safety of the operation. The operation is carried out smoothly, and the operation efficiency is improved, so it is actually an ideal medical device.
为实现上述的发明目的,本发明是通过采用如下的设计结构以及采用如下的设计方案来实现的:For realizing above-mentioned purpose of the invention, the present invention realizes by adopting following design structure and adopting following design scheme:
分离型双头全调式腹部牵开器,该全调式腹部牵开器包括牵开器本体(1),其特征在于:牵开器本体(1)是由第一牵开器拉钩(11)和第二牵开器拉钩(12)构成,第一牵开器拉钩(11)与第二牵开器拉钩(12)的一端均固定连接在牵开器拉杆(2)上,第一牵开器拉钩(11)和第二牵开器拉钩(12)的另一端端头均设置为钩状。A separate double-head fully adjustable abdominal retractor, the fully adjustable abdominal retractor includes a retractor body (1), characterized in that: the retractor body (1) is composed of the first retractor hook (11) and The second retractor pull hook (12) constitutes, and one end of the first retractor pull hook (11) and the second retractor pull hook (12) are all fixedly connected on the retractor pull rod (2), and the first retractor The other ends of the drag hook (11) and the second retractor hook (12) are both hook-shaped.
作为本发明上述分离型双头全调式腹部牵开器的改进,在第一牵开器拉钩(11)与第二牵开器拉钩(12)上均开有第一长形通槽(3)和第二长形通槽(4)。As an improvement of the separated double-headed fully adjustable abdominal retractor of the present invention, a first elongated through slot (3) is opened on both the first retractor hook (11) and the second retractor hook (12) And the second elongated slot (4).
作为本发明上述的改进,所述第一牵开器拉钩(11)和第二牵开器拉钩(12)的第一长形通槽(3)通过蝶形螺栓(6)固定,使第一牵开器拉钩(11)和第二牵开器拉钩(12)交叉连接为一体;第一牵开器拉钩(11)与第二牵开器拉钩(12)之间为松紧连接;所述第二长形通槽(4)连接牵开器拉杆(2)。As the above-mentioned improvement of the present invention, the first elongated through groove (3) of the first retractor hook (11) and the second retractor hook (12) is fixed by a butterfly bolt (6), so that the first The retractor pull hook (11) and the second retractor pull hook (12) are cross-connected as one; the first retractor pull hook (11) is elastically connected with the second retractor pull hook (12); The two elongated slots (4) are connected to the pull rods (2) of the retractor.
作为本发明上述的更进一步改进,在第一牵开器拉钩(11)与第二牵开器拉钩(12)上均开有一条长形通槽(5)。As a further improvement of the present invention, a long slot (5) is formed on both the first retractor hook (11) and the second retractor hook (12).
作为本发明上述的进一步改进,所述第一牵开器拉钩(11)与第二牵开器拉钩(12)通过蝶形螺栓(6)固定连接在牵开器固定片(7)上,牵开器固定片(7)与第一牵开器拉钩(11)和第二牵开器拉钩(12)之间为松紧连接,牵开器固定片(7)连接牵开器拉杆(2)。As the above-mentioned further improvement of the present invention, the first retractor hook (11) and the second retractor hook (12) are fixedly connected to the retractor fixing piece (7) through butterfly bolts (6), and The retractor fixing piece (7) is elastically connected with the first retractor pull hook (11) and the second retractor pull hook (12), and the retractor fixing piece (7) is connected with the retractor pull rod (2).
作为本发明上述的再进一步改进,所述牵开器固定片(7)采用“凸”型结构设计,牵开器固定片(7)的一端上开有通孔(71),在牵开器固定片(7)上还开有长形滑槽(72)。As the above-mentioned further improvement of the present invention, the retractor fixing piece (7) adopts a “convex” structure design, and a through hole (71) is opened on one end of the retractor fixing piece (7). Also have elongated chute (72) on the fixed piece (7).
作为本发明上述的再更进一步改进,所述第一牵开器拉钩(11)和所述第二牵开器拉钩(12)的形状结构均相同,彼此呈并排设置,第一牵开器拉钩(11)与第二牵开器拉钩(12)通过长形通槽(5)与牵开器固定片(7)上的长形滑槽(72)相互配合实现全方位转动调节牵拉的角度以及位置,最后通过蝶形螺栓(6)连接固定。As the above-mentioned further improvement of the present invention, the shape and structure of the first retractor hook (11) and the second retractor hook (12) are the same, and they are arranged side by side with each other. (11) Cooperate with the second retractor hook (12) through the elongated through slot (5) and the elongated chute (72) on the retractor fixed piece (7) to realize all-round rotation and adjust the pulling angle And the position, connect and fix by wing bolt (6) at last.
作为本发明上述的又再更加进一步改进,在牵开器拉杆(2)上固定设置有手摇装置(8),手摇装置(8)上设置有摇柄(81),摇柄(81)上设置有固定拉钩(811),固定拉钩(811)固定在牵开器拉杆(2)上,以防止回弹,固定拉钩(811)与摇柄(81)设置为一体成型结构。As the above-mentioned further improvement of the present invention, a hand-operated device (8) is fixedly arranged on the retractor pull rod (2), and the hand-operated device (8) is provided with a rocking handle (81), and the rocking handle (81) A fixed drag hook (811) is arranged on the top, and the fixed drag hook (811) is fixed on the retractor pull bar (2) to prevent rebounding. The fixed drag hook (811) and the rocking handle (81) are arranged as an integrated structure.
为本发明上述的又进一步改进,所述牵开器拉杆(2)为带齿条的长形杆,带齿条的长形杆穿过手摇装置(8)的中部,手摇装置(8)内设置有旋转齿条,旋转齿条与带齿条的长形杆相啮合;所述手摇装置(8)的下方由半圆型的压头通过铰接的方式固定设置有可调支撑杆(9),可调支撑杆(9)是由小直径固定杆(91)和大直径固定杆(92)构成,其中,小直径固定杆(91)穿入大直径固定杆(92)中,在大直径固定杆(92)与小直径固定杆(91)上对应设有至少五个孔(93),小直径固定杆(91)和大直径固定杆(92)升降后通过定位销钉(10)固定。For the above-mentioned further improvement of the present invention, the retractor pull rod (2) is an elongated bar with a rack, and the elongated bar with a rack passes through the middle part of the hand-operated device (8), and the hand-operated device (8) A rotating rack is arranged inside, and the rotating rack is engaged with the elongated rod with the rack; the lower part of the hand-cranking device (8) is fixed with an adjustable support rod (9 ), the adjustable support rod (9) is composed of a small-diameter fixed rod (91) and a large-diameter fixed rod (92), wherein the small-diameter fixed rod (91) penetrates the large-diameter fixed rod (92). The diameter fixed rod (92) and the small diameter fixed rod (91) are correspondingly provided with at least five holes (93), and the small diameter fixed rod (91) and the large diameter fixed rod (92) are lifted and fixed by positioning pins (10) .
为本发明上述的又更进一步改进,所述可调支撑杆(9)的下端固定连接在可移动底座(11a)上,可移动底座(11a)的一端设有手柄(12a);另一端开设固定卡槽(13a);固定卡槽(13a)与手术床相应一侧的床体边卡合固定;可调支撑杆(9)通过手柄(12a)进行调整固定,可调支撑杆(9)与可移动底座(11a)呈分体状态。For the above-mentioned further improvement of the present invention, the lower end of the adjustable support rod (9) is fixedly connected to the movable base (11a), and one end of the movable base (11a) is provided with a handle (12a); the other end is provided with The fixed card slot (13a); the fixed card slot (13a) is engaged and fixed with the side of the bed body on the corresponding side of the operating bed; the adjustable support rod (9) is adjusted and fixed through the handle (12a), and the adjustable support rod (9) It is separated from the movable base (11a).
工作原理是:上述已设计好的分离型双头全调式腹部牵开器在进行使用时,先将本发明设计的可调支撑杆(9)由巡回护士在手术医生的指导下固定于手术床边,即具体的是首先将可移动底座(11a)通过固定卡槽(13a)将其固定卡合在床体边上,然后再将可调支撑杆(9)固定连接在可移动底座(11a)上;以此同时再通过手柄(12a)进行调整固定,固定完成后,医护人员再根据手术的需要将该可调支撑杆(9)调节到合适的高度后再通过定位销钉(10)进行固定,使其实现调节牵开器的整体的高度,之后根据手术视野的显露要求,选择大小合适的牵开器本体(1)通过调整牵开器本体(1)前端的拉钩头的宽度及方向后再连接到牵开器拉杆(2)上,即使用前通过医护人员移动调整使第一牵开器拉钩(11)与第二牵开器拉钩(12)位于合适的位置后,最后通过采用蝶形螺栓(6)将第一牵开器拉钩(11)与第二牵开器拉钩(12)进行连接固定后再将其连接到牵开器拉杆(2)上,之后具有倾斜角度的牵开器本体(1)的头端即可插入病人手术切口内;如果需要双向拉开,可在手术床另一侧再安置一个本发明的牵开器即可;病人切口的拉开度大小以及牵开器悬挂的力度通过在牵开器拉杆(2)上固定设置的手摇装置(8)来完成。当转动摇柄(81)时,手摇装置(8)转动,它通过手摇装置(8)内的旋转齿条配合牵开器拉杆(2)上的齿条使牵开器拉杆(2)作水平移动,由于摇柄(81)上设置有固定拉钩(811),因此,在牵拉完成后,本发明始终保持稳定的定向和定位,保证牵开器本体(1)始终处于与病人切口合适的角度以及位置,防止回弹,从而将病人切口拉开至合适开度,较为理想的控制了牵开的程度,方便让主刀医生手术操作,效果十分理想。同时由于手摇装置(8)内的旋转齿条与牵开器拉杆(2)上的齿条相互之间的配合连接结构,就可使牵开器本体(1)的牵拉力度大大增加的同时也降低了手术的时间,以暴露切口,便于手术,最后再将该牵开器取出后进行高温消毒处理后,之后在用于下次进行周转循环使用。The working principle is: when the above-mentioned separated double-head fully adjustable abdominal retractor is used, the adjustable support rod (9) designed by the present invention is first fixed on the operating bed by the itinerant nurse under the guidance of the surgeon. side, that is, at first the movable base (11a) is fixedly engaged on the side of the bed body through the fixing slot (13a), and then the adjustable support rod (9) is fixedly connected to the movable base (11a ) at the same time through the handle (12a) for adjustment and fixation. After the fixation is completed, the medical staff will adjust the adjustable support rod (9) to a suitable height according to the needs of the operation, and then use the positioning pin (10) to adjust and fix it. Fix it so that it can adjust the overall height of the retractor, and then select a suitable size retractor body (1) according to the exposure requirements of the surgical field of view by adjusting the width and direction of the retractor head at the front end of the retractor body (1) Then it is connected to the retractor pull rod (2), that is, after the first retractor pull hook (11) and the second retractor pull hook (12) are located in a suitable position through the movement and adjustment of the medical staff before use, finally by using The butterfly bolt (6) connects and fixes the first retractor pull hook (11) and the second retractor pull hook (12) and then connects it to the retractor pull rod (2). The head end of the retractor body (1) can be inserted into the patient's surgical incision; if two-way pulling is required, a retractor of the present invention can be placed on the other side of the operating bed; the opening degree of the patient's incision and the The strength of the suspension of the retractor is accomplished by a hand-operated device (8) fixedly arranged on the retractor pull rod (2). When the crank handle (81) is turned, the hand-operated device (8) rotates, and it cooperates with the rack on the retractor rod (2) to make the retractor rod (2) For horizontal movement, since the rocking handle (81) is provided with a fixed pull hook (811), therefore, after the pulling is completed, the present invention always maintains a stable orientation and positioning, ensuring that the retractor body (1) is always in contact with the incision of the patient. Appropriate angle and position can prevent rebound, so that the patient's incision can be opened to a suitable opening, and the degree of retraction can be controlled ideally, which is convenient for the surgeon to operate, and the effect is very ideal. Simultaneously, due to the cooperative connection structure between the rotating rack in the hand-cranking device (8) and the rack on the retractor pull rod (2), the pulling force of the retractor body (1) can be greatly increased. Simultaneously, the time of the operation is also reduced to expose the incision and facilitate the operation. Finally, after the retractor is taken out, it is subjected to high-temperature disinfection, and then it is used for the next turnover cycle.
本发明与现有技术相比所产生的有益效果是:The beneficial effect that the present invention produces compared with prior art is:
1.本发明中的牵开器本体前端的拉钩头可以根据术中术者需要通过任意调整第一牵开器拉钩与第二牵开器拉钩它们之间的双头钩间的距离和角度来适应暴露的需要;1. The hook head at the front end of the retractor body in the present invention can be adjusted according to the needs of the operator during the operation by arbitrarily adjusting the distance and angle between the first retractor hook and the second retractor hook between them. Adapt to exposure needs;
2.本发明中牵开器的高低可以根据调整可调支撑杆上设计的孔来实现,从而有效的避免和解决了需要巡回护士调整和污染的问题;2. The height of the retractor in the present invention can be realized by adjusting the holes designed on the adjustable support rod, thereby effectively avoiding and solving the problems of adjustment and contamination by itinerant nurses;
3.本发明中摇柄上设置的固定拉钩设计成钩状防止回弹。3. In the present invention, the fixed hook provided on the crank handle is designed in a hook shape to prevent rebound.
附图说明Description of drawings
下面结合附图对本发明的具体实施方式作进一步更详细的说明,其中:Specific embodiments of the present invention will be further described in more detail below in conjunction with the accompanying drawings, wherein:
图1是本发明的第一种结构形式;Fig. 1 is the first structural form of the present invention;
图2是本发明的第二种结构形式;Fig. 2 is the second structural form of the present invention;
图3是本发明的使用状态图;Fig. 3 is the use state figure of the present invention;
其中,图中标示:1—牵开器本体,11—第一牵开器拉钩,12—第二牵开器拉钩;Wherein, marked in the figure: 1—the retractor body, 11—the first retractor hook, 12—the second retractor hook;
2—牵开器拉杆;2—Retractor pull rod;
3—第一长形通槽;3—the first long slot;
4—第二长形通槽;4—the second elongated slot;
5—长形通槽;5—long slot;
6—蝶形螺栓;6—wing bolt;
7—牵开器固定片,71—通孔,72—长形滑槽;7—retractor fixed piece, 71—through hole, 72—elongated chute;
8—手摇装置,81—摇柄,811—固定拉钩;8—hand device, 81—handle, 811—fixed hook;
9—可调支撑杆,91—小直径固定杆,92—大直径固定杆,93—孔;9—adjustable support rod, 91—small diameter fixed rod, 92—large diameter fixed rod, 93—hole;
10—定位销钉;10—locating pin;
11a—可移动底座,12a—手柄,13a—固定卡槽。11a—movable base, 12a—handle, 13a—fixed slot.
具体实施方式detailed description
为了使本发明实现的技术手段、创作特征、达成目的与功效易于明白了解,下面结合附图以及具体实施方式对本发明的技术方案作更进一步详细的说明。In order to make the technical means, creative features, goals and effects achieved by the present invention easy to understand, the technical solutions of the present invention will be further described in detail below in conjunction with the accompanying drawings and specific implementation methods.
实施例1Example 1
图1是本发明的整体结构示意图;如图所示,分离型双头全调式腹部牵开器,该全调式腹部牵开器包括牵开器本体1,牵开器本体1是由第一牵开器拉钩11和第二牵开器拉钩12构成,第一牵开器拉钩11与第二牵开器拉钩12的一端均固定连接在牵开器拉杆2上,第一牵开器拉钩11和第二牵开器拉钩12的另一端端头均设置为钩状。Fig. 1 is a schematic diagram of the overall structure of the present invention; as shown in the figure, the separate double-headed fully adjustable abdominal retractor includes a retractor body 1, which is composed of a first retractor The retractor pull hook 11 and the second retractor pull hook 12 constitute, and one end of the first retractor pull hook 11 and the second retractor pull hook 12 is fixedly connected on the retractor pull rod 2, the first retractor pull hook 11 and The other ends of the second retractor hooks 12 are both hook-shaped.
具体的是,第一牵开器拉钩11与第二牵开器拉钩12通过蝶形螺栓6固定连接在牵开器固定片7上,牵开器固定片7与第一牵开器拉钩11和第二牵开器拉钩12之间为松紧连接。Specifically, the first retractor hook 11 and the second retractor hook 12 are fixedly connected on the retractor fixed piece 7 through the butterfly bolt 6, and the retractor fixed piece 7 is connected with the first retractor hook 11 and The hooks 12 of the second retractor are elastically connected.
在第一牵开器拉钩11与第二牵开器拉钩12上均开有一条长形通槽5。A long slot 5 is opened on the first retractor hook 11 and the second retractor hook 12 .
第一牵开器拉钩11与第二牵开器拉钩12通过蝶形螺栓6固定连接在牵开器固定片7上,牵开器固定片7与第一牵开器拉钩11和第二牵开器拉钩12之间为松紧连接,牵开器固定片7连接牵开器拉杆2。The first retractor hook 11 and the second retractor hook 12 are fixedly connected on the retractor fixing piece 7 through the butterfly bolt 6, and the retractor fixing piece 7 is connected with the first retractor hook 11 and the second retractor fixing piece 7. The retractor pull hooks 12 are elastically connected, and the retractor fixing piece 7 is connected to the retractor pull rod 2 .
牵开器固定片7采用“凸”型结构设计,牵开器固定片7的一端上开有通孔71,在牵开器固定片7上还开有长形滑槽72。The retractor fixed piece 7 adopts a "convex" structure design, and one end of the retractor fixed piece 7 has a through hole 71, and also has an elongated chute 72 on the retractor fixed piece 7.
第一牵开器拉钩11和所述第二牵开器拉钩12的形状结构均相同,彼此呈并排设置,第一牵开器拉钩11与第二牵开器拉钩12通过长形通槽5与牵开器固定片7上的长形滑槽72相互配合实现全方位转动调节牵拉的角度以及位置,最后通过蝶形螺栓6连接固定。The shape and structure of the first retractor hook 11 and the second retractor hook 12 are all the same, and they are arranged side by side with each other. The first retractor hook 11 and the second retractor hook 12 pass through the elongated through groove 5 and The elongated chute 72 on the retractor fixing piece 7 cooperates with each other to realize the omni-directional rotation to adjust the pulling angle and position, and finally connect and fix through the butterfly bolt 6 .
在牵开器拉杆2上固定设置有手摇装置8,手摇装置8上设置有摇柄81,摇柄81上设置有固定拉钩811,固定拉钩811固定在牵开器拉杆2上,以防止回弹,固定拉钩811与摇柄81设置为一体成型结构。On the retractor pull rod 2, a hand-operated device 8 is fixedly arranged, and the hand-operated device 8 is provided with a rocking handle 81. The rocking handle 81 is provided with a fixed hook 811, and the fixed pull hook 811 is fixed on the retractor pull rod 2 to prevent For rebounding, the fixed hook 811 and the rocker 81 are provided as an integrated structure.
牵开器拉杆2为带齿条的长形杆,带齿条的长形杆穿过手摇装置8的中部,手摇装置8内设置有旋转齿条,旋转齿条与带齿条的长形杆相啮合;目的是保证牵开器拉杆2只能平移不能转动。The retractor pull bar 2 is an elongated bar with a rack, and the elongated bar with the rack passes through the middle part of the hand-operated device 8. The hand-operated device 8 is provided with a rotating rack, and the rotating rack and the elongated bar with the rack The purpose is to ensure that the pull rod 2 of the retractor can only translate and not rotate.
手摇装置8的下方由半圆型的压头通过铰接的方式固定设置有可调支撑杆9,可调支撑杆9是由小直径固定杆91和大直径固定杆92构成,其中,小直径固定杆91穿入大直径固定杆92中,在大直径固定杆92与小直径固定杆91上对应设有至少五个孔93,小直径固定杆91和大直径固定杆92升降后通过定位销钉10固定。The bottom of the hand-cranking device 8 is fixedly provided with an adjustable support rod 9 through a hinged mode by a semicircular pressure head. The adjustable support rod 9 is composed of a small diameter fixed rod 91 and a large diameter fixed rod 92, wherein the small diameter is fixed. Rod 91 penetrates in the large-diameter fixed rod 92, is provided with at least five holes 93 correspondingly on the large-diameter fixed rod 92 and the small-diameter fixed rod 91, after the small-diameter fixed rod 91 and the large-diameter fixed rod 92 go up and down, pass the positioning pin 10 fixed.
本发明的大直径固定杆92与小直径固定杆91均对应设有孔93,它一方面调节可调支撑杆9的上下高度,从而进一步的实现调节牵开器的整体的高度,另一方面小直径固定杆91和大直径固定杆92连接固定为一体,从而保证工作的可靠性。The large-diameter fixed rod 92 and the small-diameter fixed rod 91 of the present invention are all correspondingly provided with a hole 93, which on the one hand adjusts the up and down height of the adjustable support rod 9, thereby further realizing the adjustment of the overall height of the retractor; on the other hand The small-diameter fixed rod 91 and the large-diameter fixed rod 92 are connected and fixed as one, thereby ensuring the reliability of the work.
可调支撑杆9的下端固定连接在可移动底座11a上,可移动底座11a的一端设有手柄12a;另一端开设固定卡槽13a;固定卡槽13a与手术床相应一侧的床体边卡合固定;可调支撑杆9通过手柄12a进行调整固定,可调支撑杆9与可移动底座11a呈分体状态。The lower end of the adjustable support rod 9 is fixedly connected to the movable base 11a. One end of the movable base 11a is provided with a handle 12a; the other end is provided with a fixed card slot 13a; The adjustable support rod 9 is adjusted and fixed through the handle 12a, and the adjustable support rod 9 and the movable base 11a are in a separate state.
综上所述,该设计结构通过将牵开器本体连接在牵开器固定片上,实现了牵开器本体可在该固定片上任意调整牵拉的范围、方向以及角度,通过蝶形螺栓可将拉钩固定在所需的最佳位置。第一牵开器拉钩11与第二牵开器拉钩12之间的距离也可以调整,以开阔手术视野方便操作以及适应不同患者。To sum up, this design structure realizes that the retractor body can adjust the range, direction and angle of pulling on the fixed piece arbitrarily by connecting the retractor body to the fixed piece of the retractor. The pull hook is fixed in the desired optimal position. The distance between the first retractor hook 11 and the second retractor hook 12 can also be adjusted, so as to broaden the surgical field of view, facilitate operation and adapt to different patients.
与现有技术相比,大大扩大了手术视野,提高了手术的质量,操作灵活。Compared with the prior art, the operating field of view is greatly enlarged, the quality of the operation is improved, and the operation is flexible.
同时,本发明也实现了在使用的过程中可沿长形滑槽72任意移动,At the same time, the present invention also realizes that it can move arbitrarily along the elongated chute 72 during use,
从而可以根据术中切口的大小和手术需要实时调整拉钩的宽度。Therefore, the width of the retractor can be adjusted in real time according to the size of the incision in the operation and the operation needs.
松开蝶形螺栓6,第一牵开器拉钩11与第二牵开器拉钩12可沿牵开器固定片7上的长形滑槽72滑动,拧紧蝶形螺栓6可使第一牵开器拉钩11与第二牵开器拉钩12与牵开器固定片7相对固定。Loosen the butterfly bolt 6, the first retractor hook 11 and the second retractor hook 12 can slide along the elongated chute 72 on the retractor fixed piece 7, tighten the butterfly bolt 6 to make the first retractor The retractor hook 11, the second retractor hook 12 and the retractor fixing piece 7 are relatively fixed.
上述设计结构的分离型双头全调式腹部牵开器更为具体的实施方式是:A more specific implementation of the separated double-head fully adjustable abdominal retractor with the above-mentioned design structure is:
本发明在使用前,分离型双头全调式腹部牵开器采用不锈钢材料制造,它的安装需要巡回、洗手护士和手术医生的相互配合,具体的是:Before the use of the present invention, the separated double-head fully adjustable abdominal retractor is made of stainless steel, and its installation requires the cooperation of patrolling, hand-washing nurses and surgeons, specifically:
上述已设计完整的分离型双头全调式腹部牵开器在进行使用时,如图3所示,先将本发明设计的可调支撑杆9由巡回护士在手术医生的指导下固定于手术床边,即具体的是首先将可移动底座11a通过固定卡槽13a将其固定卡合在床体边上,然后再将可调支撑杆9固定连接在可移动底座11a上;以此同时再通过手柄12a进行调整固定,固定完成后,医护人员再根据手术的需要将该可调支撑杆9调节到合适的高度后再通过定位销钉10进行固定,使其实现调节牵开器的整体的高度,之后根据手术视野的显露要求,选择大小合适的牵开器本体1将其调整固定在牵开器固定片7上,然后通过调整第一牵开器拉钩11与第二牵开器拉钩12的宽度及方向后通过采用蝶形螺栓6固定后再连接到牵开器拉杆2上,具体的是医护人员根据术中切口的大小和手术需要将第一牵开器拉钩11与第二牵开器拉钩12上设置的长形通槽5配合牵开器固定片7上设置的长形滑槽72并通过移动调整使第一牵开器拉钩11与第二牵开器拉钩12位于合适的位置后,最后通过采用蝶形螺栓6将第一牵开器拉钩11和第二牵开器拉钩12与牵开器固定片7进行连接固定后再连接到牵开器拉杆2上,之后固定连接在牵开器固定片7上具有倾斜角度的牵开器本体1的头端即可插入病人手术切口内;如果需要双向拉开,可在手术床另一侧再安置一个本发明的牵开器即可;病人切口的拉开度大小以及牵开器悬挂的力度通过在牵开器拉杆2上固定设置的手摇装置8来完成。当转动摇柄81时,手摇装置8转动,它通过手摇装置8内的旋转齿条配合牵开器拉杆2上的齿条使牵开器拉杆2作水平移动,由于摇柄81上设置有固定拉钩811,因此,在牵拉过程中,本发明始终保持稳定的定向和定位,保证牵开器本体1始终处于与病人切口合适的角度以及位置,防止回弹,从而将病人切口拉开至合适开度,较为理想的控制了牵开的程度,方便让主刀医生手术操作,效果十分理想。同时由于手摇装置8内的旋转齿条与牵开器拉杆2上的齿条相互之间的配合连接结构,就可使牵开器本体1的牵拉力度大大增加的同时也降低了手术的时间,以暴露切口,便于手术,最后再将该牵开器取出后进行高温消毒处理后,之后在用于下次进行周转循环使用。When the above-mentioned completely designed separated double-head fully adjustable abdominal retractor is in use, as shown in Figure 3, first the adjustable support rod 9 designed by the present invention is fixed on the operating bed by the itinerant nurse under the guidance of the surgeon. side, that is to say, the movable base 11a is fixedly engaged on the side of the bed through the fixed slot 13a first, and then the adjustable support rod 9 is fixedly connected to the movable base 11a; The handle 12a is adjusted and fixed. After the fixation is completed, the medical staff adjusts the adjustable support rod 9 to a suitable height according to the needs of the operation, and then fixes it through the positioning pin 10, so that it can adjust the overall height of the retractor. Afterwards, according to the exposure requirements of the surgical field of view, select a retractor body 1 with an appropriate size, adjust and fix it on the retractor fixing piece 7, and then adjust the width of the first retractor hook 11 and the second retractor hook 12. And the direction is connected to the retractor pull rod 2 by adopting butterfly bolt 6 to fix it again. Specifically, the medical personnel connect the first retractor pull hook 11 with the second retractor pull hook according to the size of the incision in the operation and the operation needs. The elongated through groove 5 provided on the 12 cooperates with the elongated chute 72 provided on the retractor fixing piece 7 and after moving and adjusting the first retractor hook 11 and the second retractor hook 12 to be in a suitable position, Finally, the first retractor hook 11 and the second retractor hook 12 are connected and fixed with the retractor fixed piece 7 by using the butterfly bolt 6 and then connected to the retractor pull rod 2, and then fixedly connected to the retractor. The head end of the retractor body 1 with an inclined angle on the device fixing piece 7 can be inserted into the patient's surgical incision; if two-way pulling is required, a retractor of the present invention can be placed on the other side of the operating bed to get final product; The degree of opening of the patient's incision and the strength of the suspension of the retractor are accomplished by the hand-operated device 8 fixedly arranged on the pull rod 2 of the retractor. When the handle 81 is rotated, the hand-operated device 8 rotates, and it moves the retractor rod 2 horizontally through the rotating rack in the hand-operated device 8 and the rack on the retractor rod 2. There is a fixed pull hook 811, therefore, in the pulling process, the present invention always maintains stable orientation and positioning, ensures that the retractor body 1 is always at a suitable angle and position with the patient's incision, prevents rebound, and thereby pulls the patient's incision apart To the appropriate opening, the degree of retraction is ideally controlled, which is convenient for the chief surgeon to operate, and the effect is very ideal. Simultaneously, because the rotating rack in the hand-cranking device 8 and the rack on the pull bar 2 of the retractor cooperate and connect each other, the pulling strength of the retractor body 1 can be greatly increased while reducing the operation time. time, to expose the incision to facilitate the operation, and finally take out the retractor and carry out high-temperature disinfection treatment, and then use it for the next turnover cycle.
实施例2Example 2
图2是本发明的第二种结构形式;如图所示,分离型双头全调式腹部牵开器,该全调式腹部牵开器包括牵开器本体1,牵开器本体1是由第一牵开器拉钩11和第二牵开器拉钩12构成,第一牵开器拉钩11与第二牵开器拉钩12的一端均固定连接在牵开器拉杆2上,第一牵开器拉钩11和第二牵开器拉钩12的另一端端头均设置为钩状。Fig. 2 is the second structural form of the present invention; As shown in the figure, the separated double-headed fully adjustable abdominal retractor includes a retractor body 1, which is formed by the first retractor body. A retractor pull hook 11 and a second retractor pull hook 12 constitute, and one end of the first retractor pull hook 11 and the second retractor pull hook 12 are all fixedly connected on the retractor pull rod 2, and the first retractor pull hook 11 and the other end of the second retractor hook 12 are all set in a hook shape.
具体的是,在第一牵开器拉钩11与第二牵开器拉钩12上均开有第一长形通槽3和第二长形通槽4。Specifically, a first elongated through slot 3 and a second elongated through slot 4 are formed on the first retractor hook 11 and the second retractor hook 12 .
第一牵开器拉钩11和第二牵开器拉钩12的第一长形通槽3通过蝶形螺栓6固定,使第一牵开器拉钩11和第二牵开器拉钩12交叉连接为一体;第一牵开器拉钩11与第二牵开器拉钩12之间为松紧连接;所述第二长形通槽4连接牵开器拉杆2。The first elongated slot 3 of the first retractor hook 11 and the second retractor hook 12 is fixed by the butterfly bolt 6, so that the first retractor hook 11 and the second retractor hook 12 are cross-connected as one The first retractor hook 11 and the second retractor hook 12 are elastically connected; the second elongated slot 4 is connected to the retractor rod 2 .
在牵开器拉杆2上固定设置有手摇装置8,手摇装置8上设置有摇柄81,摇柄81上设置有固定拉钩811,固定拉钩811固定在牵开器拉杆2上,以防止回弹,固定拉钩811与摇柄81设置为一体成型结构。On the retractor pull rod 2, a hand-operated device 8 is fixedly arranged, and the hand-operated device 8 is provided with a rocking handle 81. The rocking handle 81 is provided with a fixed hook 811, and the fixed pull hook 811 is fixed on the retractor pull rod 2 to prevent For rebounding, the fixed hook 811 and the rocker 81 are provided as an integrated structure.
牵开器拉杆2为带齿条的长形杆,带齿条的长形杆穿过手摇装置8的中部,手摇装置8内设置有旋转齿条,旋转齿条与带齿条的长形杆相啮合;手摇装置8的下方由半圆型的压头通过铰接的方式固定设置有可调支撑杆9,可调支撑杆9是由小直径固定杆91和大直径固定杆92构成,其中,小直径固定杆91穿入大直径固定杆92中,在大直径固定杆92与小直径固定杆91上对应设有至少五个孔93,小直径固定杆91和大直径固定杆92升降后通过定位销钉10固定。The retractor pull bar 2 is an elongated bar with a rack, and the elongated bar with the rack passes through the middle part of the hand-operated device 8. The hand-operated device 8 is provided with a rotating rack, and the rotating rack and the elongated bar with the rack The rods are engaged; the bottom of the hand-cranking device 8 is fixedly provided with an adjustable support rod 9 through a hinged mode by a semicircular pressure head, and the adjustable support rod 9 is composed of a small-diameter fixed rod 91 and a large-diameter fixed rod 92, wherein , the small-diameter fixed rod 91 penetrates the large-diameter fixed rod 92, and at least five holes 93 are correspondingly arranged on the large-diameter fixed rod 92 and the small-diameter fixed rod 91. After the small-diameter fixed rod 91 and the large-diameter fixed rod 92 are lifted Secured with dowel pin 10.
可调支撑杆9的下端固定连接在可移动底座11a上,可移动底座11a的一端设有手柄12a;另一端开设固定卡槽13a;固定卡槽13a与手术床相应一侧的床体边卡合固定;所述可调支撑杆9通过手柄12a进行调整固定,可调支撑杆9与可移动底座11a呈分体状态。The lower end of the adjustable support rod 9 is fixedly connected to the movable base 11a. One end of the movable base 11a is provided with a handle 12a; the other end is provided with a fixed card slot 13a; The adjustable support rod 9 is adjusted and fixed through the handle 12a, and the adjustable support rod 9 and the movable base 11a are in a separate state.
采用该设计结构的分离型双头全调式腹部牵开器在进行使用时,先将本发明设计的可调支撑杆9由巡回护士在手术医生的指导下固定于手术床边,即具体的是首先将可移动底座11a通过固定卡槽13a将其固定卡合在床体边上,然后再将可调支撑杆9固定连接在可移动底座11a上;以此同时再通过手柄12a进行调整固定,固定完成后,医护人员再根据手术的需要将该可调支撑杆9调节到合适的高度后再通过定位销钉10进行固定,使其实现调节牵开器的整体的高度,之后根据手术视野的显露要求,选择大小合适的拉钩通过调整拉钩本体1的宽度及方向后通过采用蝶形螺栓6固定后再连接到牵开器拉杆2上,具体的是医护人员根据术中切口的大小和手术需要通过第一牵开器拉钩11与第二牵开器拉钩12上设置的第一长形通槽3使第一牵开器拉钩11和第二牵开器拉钩12交叉连接为一体;然后通过移动调整使第一牵开器拉钩11与第二牵开器拉钩12位于合适的位置,再通过蝶形螺栓6固定,之后具有倾斜角度的牵开器本体1的头端即可插入病人手术切口内;如果需要双向拉开,可在手术床另一侧再安置一个本发明的牵开器即可;病人切口的拉开度大小以及牵开器悬挂的力度通过在牵开器拉杆2上固定设置的手摇装置8来完成。当转动摇柄81时,手摇装置8转动,它通过手摇装置8内的旋转齿条配合牵开器拉杆2上的齿条使牵开器拉杆2作水平移动,由于摇柄81上设置有固定拉钩811,因此,在牵拉过程中,本发明始终保持稳定的定向和定位,保证牵开器本体1始终处于与病人切口合适的角度以及位置,从而将病人切口拉开至合适开度,较为理想的控制了牵开的程度,方便让主刀医生手术操作,效果十分理想。同时由于手摇装置8内的旋转齿条与牵开器拉杆2上的齿条相互之间的配合连接结构,就可使牵开器本体1的牵拉力度大大增加的同时也降低了手术的时间,以暴露切口,便于手术,最后再将该牵开器取出后进行高温消毒处理后,之后在用于下次进行周转循环使用。When the separated double-head fully adjustable abdominal retractor adopting this design structure is used, the adjustable support rod 9 designed by the present invention is first fixed on the side of the operating bed by the itinerant nurse under the guidance of the operating doctor, that is, specifically First, the movable base 11a is fixedly engaged on the side of the bed body through the fixed card slot 13a, and then the adjustable support rod 9 is fixedly connected to the movable base 11a; at the same time, the handle 12a is used for adjustment and fixation. After the fixation is completed, the medical staff adjusts the adjustable support rod 9 to a suitable height according to the needs of the operation, and then fixes it through the positioning pin 10, so that it can adjust the overall height of the retractor, and then adjust it according to the exposure of the surgical field of view. Requirements, select a retractor with a suitable size, adjust the width and direction of the retractor body 1, fix it with a wing bolt 6, and then connect it to the retractor pull rod 2. The first elongated through groove 3 provided on the first retractor hook 11 and the second retractor hook 12 makes the first retractor hook 11 and the second retractor hook 12 cross-connected as one; The first retractor hook 11 and the second retractor hook 12 are located in a suitable position, and then fixed by the butterfly bolt 6, and then the head end of the retractor body 1 with an inclined angle can be inserted into the patient's surgical incision; If two-way pulling is required, a retractor of the present invention can be placed on the other side of the operating bed; Hand-operated device 8 completes. When the handle 81 is rotated, the hand-operated device 8 rotates, and it moves the retractor rod 2 horizontally through the rotating rack in the hand-operated device 8 and the rack on the retractor rod 2. There is a fixed pull hook 811, therefore, during the pulling process, the present invention always maintains a stable orientation and positioning, ensuring that the retractor body 1 is always at a suitable angle and position with the patient's incision, thereby pulling the patient's incision to a suitable opening , which ideally controls the degree of retraction, which is convenient for the chief surgeon to operate, and the effect is very ideal. Simultaneously, because the rotating rack in the hand-cranking device 8 and the rack on the pull bar 2 of the retractor cooperate and connect each other, the pulling strength of the retractor body 1 can be greatly increased while reducing the operation time. time, to expose the incision to facilitate the operation, and finally take out the retractor and carry out high-temperature disinfection treatment, and then use it for the next turnover cycle.
在本发明中,还可以根据手术病人的年龄以及手术中切口不同更换不同规格的牵开器本体,以实现最佳的牵开状态,所以本发明具有结构简单、可根据手术病人切口的大小调节牵拉程度,消除了手术中牵拉过度或不足的现象,开阔了手术视野,缩短手术时间等的优点。In the present invention, retractor bodies of different specifications can also be replaced according to the age of the surgical patient and the different incisions during the operation to achieve the best retraction state, so the present invention has a simple structure and can be adjusted according to the size of the surgical patient's incision. The degree of traction eliminates the phenomenon of excessive or insufficient traction during the operation, broadens the surgical field of vision, and shortens the operation time.
本发明在具体的实施方式中具有的优点是:The advantage that the present invention has in specific embodiment is:
1.本发明可根据手术需要改变拉钩本体的深浅和方向,通过伸缩钉插入来调整高度拉杆相对于床的高度,使用方便灵活。1. The present invention can change the depth and direction of the retractor body according to the needs of the operation, and adjust the height of the pull rod relative to the bed by inserting telescopic nails, which is convenient and flexible to use.
2.本发明的牵开器本体固定的方位、牵引的力度可任意调节;2. The fixed orientation of the retractor body of the present invention and the strength of traction can be adjusted arbitrarily;
3.本发明牵引稳定,避免了人工牵引的钩板经常脱钩影响手术视野暴露的缺点;3. The traction of the present invention is stable, avoiding the disadvantage that the hook plate of manual traction is often unhooked and affects the exposure of the surgical field of view;
4.本发明极大地节省了人工;使手术者能专心于操作,效果十分理想;4. The present invention greatly saves labor; enables the operator to concentrate on the operation, and the effect is very ideal;
5.本发明消毒、携带方便,因此从大型综合性医院到农村卫生院均可普及推广,效果十分理想;5. The invention is easy to disinfect and carry, so it can be popularized from large general hospitals to rural health centers, and the effect is very ideal;
6.本发明具有结构简单、设计灵活,各个部件均可以进行活动拆卸,因此维修及使用方便,同时,可根据手术者切口的大小调节牵开程度,消除了牵开过度或不足现象,开阔了手术视野,减少手术助手,缩短手术时间等优点,是一种极具推广、使用价值的新医疗器械;6. The present invention has a simple structure and flexible design, and each component can be disassembled, so maintenance and use are convenient. At the same time, the degree of retraction can be adjusted according to the size of the incision of the operator, eliminating excessive or insufficient retraction, and widening the gap. Surgical field of view, less surgical assistants, shorter operating time and other advantages, it is a new medical device with great promotion and use value;
7.本医疗器械为普通不锈钢制成,消毒同一般器械,综合利用价值高。7. The medical device is made of ordinary stainless steel, and the disinfection is the same as that of ordinary devices, with high comprehensive utilization value.
8.本发明中的第一牵开器拉钩与第二牵开器拉钩之间的距离以及拉钩的宽度及方向可以调整,以适应不同患者。8. The distance between the hook of the first retractor and the hook of the second retractor as well as the width and direction of the hook in the present invention can be adjusted to suit different patients.
综上所述,以上技术特征构成了本发明的最佳实施例,其具有较强的适应性和最佳实施效果,可根据实际需要增减非必要的技术特征,来满足不同情况的需求。In summary, the above technical features constitute the best embodiment of the present invention, which has strong adaptability and best implementation effect, and non-essential technical features can be increased or decreased according to actual needs to meet the needs of different situations.
最后,需要说明的是,本发明的保护范围不仅仅局限于上述实施例,上述实施例只是为了帮助解释和说明本发明,而不是对本发明的保护范围进行限制,只要结构与本发明的结构相同或者是只要是等同替换的都落在本发明所要求保护的范围。Finally, it should be noted that the protection scope of the present invention is not limited to the above-mentioned embodiments. The above-mentioned embodiments are only to help explain and illustrate the present invention, rather than limit the protection scope of the present invention, as long as the structure is the same as that of the present invention Or as long as they are equivalent replacements, they all fall within the scope of protection claimed by the present invention.
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610971491.3ACN106344089A (en) | 2016-11-04 | 2016-11-04 | Separated-type double-end completely-adjustable abdominal retractor |
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610971491.3ACN106344089A (en) | 2016-11-04 | 2016-11-04 | Separated-type double-end completely-adjustable abdominal retractor |
| Publication Number | Publication Date |
|---|---|
| CN106344089Atrue CN106344089A (en) | 2017-01-25 |
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201610971491.3APendingCN106344089A (en) | 2016-11-04 | 2016-11-04 | Separated-type double-end completely-adjustable abdominal retractor |
| Country | Link |
|---|---|
| CN (1) | CN106344089A (en) |
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| Date | Code | Title | Description |
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| C06 | Publication | ||
| PB01 | Publication | ||
| SE01 | Entry into force of request for substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| RJ01 | Rejection of invention patent application after publication | Application publication date:20170125 | |
| RJ01 | Rejection of invention patent application after publication |