A kind of Orthopeadic Surgery is used for the bone saw device of lower limbTechnical field
The present invention relates to the field of medical instrument technology, and in particular to a kind of Orthopeadic Surgery is used for the bone saw device of lower limb.
Background technique
Orthopeadic Surgery is one of most common department of various big hospital, the main dissection for studying skeletal musculature, physiology and diseaseReason keeps with drug, operation and physical method and develops the normal morphology and function of this system.With epoch and societyChange, the sick and wounded spectrum of Orthopeadic Surgery has apparent variation, for example, the diseases such as tuberculous osteoarthropathy, osteomyelitis, infantile paralysis obviously subtractFew, wound caused by traffic accident increased significantly.
Bone is the hard organ for forming vertebrate endoskeleton, and function is movement, supports and protect body, manufactures red bloodBall and white blood cell store minerals.Bone is made of a variety of different shapes, is had complicated inherence and formal structure, is made boneIt is able to maintain while mitigating weight hard.The ingredient of bone first is that the skeletal tissue of Mineralization, inside be hardHoneycomb stereochemical structure；Its hetero-organization further comprises marrow, periosteum, nerve, blood vessel and cartilage.Human skeleton plays supportThe effect of body is a part of human motion system.Adult has 206 pieces of bones, is generally connected with joint and ligament between bone and boneIt picks up and.
When part head necrosis, when drug therapy does not act on, by needing to carry out bone excision, at the time of surgery,Medical saw is usually purchased to use for doctor, using medical saw come the necrotic tissue of cut-out, existing medical saw and our daysOften life in household be not obvious according to difference, cause with the presence of some problem, it is existing it is medical saw when in use, if holdIt is bad, the surrounding normal tissue of necrotic tissue can be damage, the pain of patient is increased；Currently generally there is manual and electric operating twoThe bone saw of seed type, but manual bone saw operates and needs to expend longer time and be easy to aggravate the fatigue of medical workerSense, and electric bone saw carry out saw bone processing when, staff be difficult to control bone saw cut-in angle and dynamics, it is easy to troublePerson causes unnecessary injury.
Summary of the invention
For the above technical problems, the present invention provides a kind of efficient Orthopeadic Surgerys easy to use, safe to be used forThe bone saw device of lower limb.
The technical solution of the present invention is as follows: a kind of Orthopeadic Surgery is used for the bone saw device of lower limb, main includes ground bottom plate, supportFrame, lower limb fixation kit, bone saw component, control device, power supply, support frame include telescopic prop, crossbeam；Lower limb fixation kit packetInclude clamping device, lower clamping device and bracket；Bone saw component includes active motor, fixed plate, driven gear, saw blade；ControlDevice includes controller, processor, remote controler；Cleaning device and waste collecting device are provided on bottom plate, cleaning device is used forPatient wound is cleaned, waste collecting device is for collecting cleaning waste liquid；There are two telescopic props, two telescopic props pointThe upper surface middle part two sides of bottom plate are not set, and the top of two telescopic props is arranged in crossbeam, and rack rails is provided on crossbeam, horizontalSlide assemblies are movably set on beam；Upper clamping device includes fixed frame, upper strap, telescopic cylinder one, lower clamping deviceIncluding lower strap and telescopic cylinder two, bracket includes telescopic cylinder three and arc pallet；Fixed mount setting is on bottom plate, positionIn the front end of support frame, telescopic cylinder one is arranged in straight down in fixed frame inside top, and upper strap setting is flexibleOne lower end of cylinder, telescopic cylinder two are arranged vertically upwards on bottom plate, and the setting of lower strap is upper solid in two upper end of telescopic cylinderClamp plate and lower strap are located on same vertical line, and telescopic cylinder three is arranged on bottom plate, positioned at the rear end of support frame,Arc pallet is arranged on telescopic cylinder three；Active motor is arranged on slide assemblies, and fixed plate is arranged in slide assemblies lower end,Driven gear is movably arranged on lower end, and saw blade is for connecting active motor and driven gear；Controller be it is commercially available, controller and stretchContracting pillar, telescopic rod, active motor connection, processor, remote controler are connected with controller；Power supply is telescopic prop, telescopic rod, masterDynamic motor provides power supply.
Further, slide assemblies include sliding sleeve, connector sleeve, motion bar, and sliding sleeve is slidably arranged on crossbeam, are set on sliding sleeveIt is equipped with regulation cock, regulation cock is engaged with rack rails, and connection is set on sliding sleeve side, adjusting tooth post is provided on connector sleeve, activityRod set is located inside connector sleeve, and rack gear is provided on motion bar, and rack gear engages connection with tooth post is adjusted, and active motor is arranged in workLever lower end adjusts the distance between bone saw component and patient by slide assemblies, improves the safety and reliability of device.
Further, it is provided with cradle-splint on upper strap and lower strap, cradle-splint there are 6,6 cradle-splintsIt is uniformly arranged on strap and lower strap, 6 cradle-splints are all provided with upper strap and lower strap junctionIt is equipped with adjusting rod one, different building shape patient can be fixed, the use scope of expansion instrument.
Further, slide assemblies lower surface is provided with backplate, and there are two backplates, and two backplates are located at bone saw componentThe left and right sides, prevent in bone sawing process, staff contacts with saw blade, damages to staff.
Further, cleaning device includes cleaning fluid tank, handle, cleaning head, and cleaning fluid tank is arranged on bottom plate, handleInner cavity is connect with cleaning fluid tank, and junction is provided with micropump, and flow regulator, the inner cavity of cleaning head and handle are arranged on handleConnection, cleaning head edge are provided with aseptic cotton ring, are cleaned using cleaning head to patient wound, the stain on woundMalice carries out wiping cleaning with aseptic cotton ring.
Further, waste collecting device includes collecting box and catch tray, and collecting box is arranged on bottom plate, inside collecting boxIt is provided with ultraviolet sterilizer and filter plate, catch tray is connect with collecting box, and the cleaning waste liquid in cleaning process enters through catch trayCollecting box first passes around ultraviolet sterilizer sterilizing, using filter plate, avoids the spread of germs in cleaning waste liquid,It causes damages to staff.
Further, there are two driven gears, two driven gears are movably connected in fixed plate or so two by connecting plateSide is provided with adjusting rod two between two connecting plates, convenient for staff according to patient injury position, carries out to bone saw entryIt adjusts, improves the accuracy for the treatment of.
The operation principle of the present invention is that: in use, the device is moved on patient's hospital bed, the lower limb of patient injury are putIt sets on lower limb fixation kit, patient injury position is between upper fixed device, lower fixed device and bracket；Power on,Remote controller adjusts telescopic cylinder one, telescopic cylinder two and telescopic cylinder three and starts, and tentatively fix to patient's lower limb,Controller controls adjusting rod one and starts, and further fixes to patient's lower limb, and controller controls telescopic prop starting, telescopic prop bandDynamic crossbeam moves down, and bone saw component is pushed to reach right above patient affected part, rotates regulation cock, adjusts the position of bone saw component；Slowly rotation adjusts tooth post, so that motion bar pushes bone saw component to carry out saw bone processing, cleaning device carries out patient wound clearIt washes, disinfect, waste collecting device is collected cleaning waste liquid, and disinfects.
Compared with prior art, the invention has the benefit that cleaning device cleans patient wound, sterilizes, preventOnly wound infection；Waste collecting device can be collected processing to cleaning waste liquid, prevent spread of germs；The setting of cradle-splint,Patient's lower limb can be not only fixed, while play the role of hemostasis by compression；The setting of backplate, prevents in bone sawing process,Bone chips and cleaning solution splash, polluting device, while avoiding causing damages to staff；Two driven gears are set, twoA driven gear is movably connected at left and right sides of fixed plate by connecting plate, is provided with adjusting rod two between two connecting plates, justIn staff according to patient injury position, bone saw is adjusted, improves the accuracy for the treatment of, the setting of slide assemblies, justBone saw component is controlled in medical staff, improves the safety of device.
Detailed description of the invention
Fig. 1 is main view of the invention；
Fig. 2 is right view of the invention；
Fig. 3 is the structural schematic diagram of cleaning device of the invention；
Fig. 4 is the structural schematic diagram of waste collecting device of the invention；
Fig. 5 is the attachment structure schematic diagram of slide assemblies and crossbeam of the invention；
Fig. 6 is the attachment structure schematic diagram of upper clamping device and lower clamping device of the invention；
Fig. 7 is the structural schematic diagram of bracket of the invention；
Fig. 8 is the attachment structure schematic diagram of driven gear and fixed plate of the invention；
Fig. 9 is control block diagram of the invention；
Wherein, 1- bottom plate, 11- cleaning device, 110- cleaning fluid tank, 111- handle, 112- cleaning head, 113- micropump,12- waste collecting device, 120- collecting box, 121- catch tray, 122- ultraviolet sterilizer, 123- filter plate, 2- support frame, 21-Telescopic prop, 22- crossbeam, 220- rack rails, 23- slide assemblies, 230- sliding sleeve, 231- connector sleeve, 232- motion bar, 233- are adjustedBolt, 234- adjust tooth post, 235- rack gear, 3- lower limb fixation kit, the upper clamping device of 31-, 310- fixed frame, the upper fixing clamp of 311-Clamping device, 320- strap, 321- telescopic cylinder two, 33- bracket, 330- are flexible under plate, 312- telescopic cylinder one, 32-Cylinder three, 331- arc pallet, 34- cradle-splint, 35- adjusting rod one, 4- bone saw component, 41- active motor, 42- fixed plate,43- driven gear, 44- saw blade, 45- backplate, 46- connecting plate, 47- adjusting rod two, 5- control device, 51- controller, at 52-Manage device, 53- remote controler, 6- power supply.
Specific embodiment
Embodiment: a kind of Orthopeadic Surgery as shown in Figure 1,2,3, 4 is used for the bone saw device of lower limb, it is main include ground bottom plate 1,Support frame 2, lower limb fixation kit 3, bone saw component 4, control device 5, power supply 6；Cleaning device 11 and waste liquid are provided on bottom plate 1Collection device 12, for cleaning device 11 for cleaning to patient wound, cleaning device 11 includes cleaning fluid tank 110, handle111, cleaning head 112, cleaning fluid tank 110 are arranged on bottom plate 1, and the inner cavity of handle 111 is connect with cleaning fluid tank 110, junctionIt is provided with micropump 113, flow regulator is set on handle 111, cleaning head 112 is connect with the inner cavity of handle 111, cleaning head112 edges are provided with aseptic cotton ring；Waste collecting device 12 is for collecting cleaning waste liquid；Waste collecting device 12 includes collectingCase 120 and catch tray 121, collecting box 120 are arranged on bottom plate 1, and collecting box 120 is internally provided with ultraviolet sterilizer 122 and mistakeFilter plate 123, catch tray 121 are connect with collecting box 120；
As shown in figure 5, support frame 2 includes telescopic prop 21, crossbeam 22；There are two telescopic props 21, two telescopic props21 are separately positioned on the upper surface middle part two sides of bottom plate 1, and crossbeam 22 is arranged in the top of two telescopic props 21, sets on crossbeam 22It is equipped with rack rails 220, slide assemblies 23 are movably set on crossbeam 22, slide assemblies 23 include sliding sleeve 230, connector sleeve 231, activityBar 232, sliding sleeve 230 are slidably arranged on crossbeam 22, and regulation cock 233 is provided on sliding sleeve 230, and regulation cock 233 is nibbled with rack rails 220It closes, the setting of connector sleeve 231 is provided on 230 side of sliding sleeve, connector sleeve 231 adjusts tooth post 234,232 company of being set in of motion barInside female connector 231, rack gear 235 is provided on motion bar 232, rack gear 235 engages connection, active motor 41 with tooth post 234 is adjustedIt is arranged in 232 lower end of motion bar；
As shown in Figure 6,7, lower limb fixation kit 3 includes upper clamping device 31, lower clamping device 32 and bracket 33；Upper clampingDevice 31 includes fixed frame 310, upper strap 311, telescopic cylinder 1, and lower clamping device 32 includes lower strap 320With telescopic cylinder 2 321, bracket 33 includes telescopic cylinder 3 330 and arc pallet 331；Fixed frame 310 is arranged on bottom plate 1,Positioned at the front end of support frame 2,310 inside top of fixed frame, upper strap 311 is arranged in telescopic cylinder 1 straight downIt is arranged in one 312 lower end of telescopic cylinder, telescopic cylinder 2 321 is arranged vertically upwards on bottom plate 1, and lower strap 320 is arrangedIn 2 321 upper end of telescopic cylinder, upper strap 311 and lower strap 320 are located on same vertical line, telescopic cylinder three330 are arranged on bottom plate 1, and positioned at the rear end of support frame 2, arc pallet 331 is arranged on telescopic cylinder 3 330, upper fixing clampCradle-splint 34 is provided on plate 311 and lower strap 320, cradle-splint 34 there are 6, and 6 cradle-splints 34 are uniformly arranged on solidOn clamp plate 311 and lower strap 320,6 cradle-splints 34 and upper strap 311 and lower 320 junction of strap are equalIt is provided with adjusting rod 1；
As shown in figure 8, bone saw component 4 includes active motor 41, fixed plate 42, driven gear 43, saw blade 44；Active motor41 are fixed on slide assemblies 23, and fixed plate 42 is arranged in 23 lower end of slide assemblies, and driven gear 43 is movably arranged on 42Lower end, for saw blade 44 for connecting active motor 41 and driven gear 43,23 lower surface of slide assemblies is provided with backplate 45, backplate 45There are two, two backplates 45 are located at the left and right sides of bone saw component 4, and there are two driven gears 43, two driven gears 43It is movably connected in 42 left and right sides of fixed plate by connecting plate 46, is provided with adjusting rod 2 47 between two connecting plates 43；
As shown in Figure 1, control device 5 includes controller 51, processor 52, remote controler 53；Controller 51 commercially available, controlDevice 51 and micropump 113, telescopic prop 21, telescopic rod 221, adjusting rod 1, active motor 41, are adjusted ultraviolet sterilizer 122Bar 2 47 connects, and processor 52, remote controler 53 and controller 51 connect；Power supply 6 is micropump 113, ultraviolet sterilizer 122, stretchesContracting pillar 21, telescopic rod 221, adjusting rod 1, active motor 41, adjusting rod 2 47 provide power supply.
The operation principle of the present invention is that: in use, the device is moved on patient's hospital bed, the lower limb of patient injury are putIt sets on lower limb fixation kit 3, patient injury position is between upper fixed device 31, lower fixed device 32 and bracket 33；It connectsEnergization source 6, remote controller 53 adjust telescopic cylinder 1, telescopic cylinder 2 321 and telescopic cylinder 3 330 and start, to troublePerson's lower limb tentatively fix, and controller 51 controls adjusting rod 1 and starts, and further fixes to patient's lower limb, and controller 51 is controlledTelescopic prop 21 processed starts, and telescopic prop 21 drives crossbeam 22 to move down, push bone saw component 4 reach patient affected part just onSide rotates regulation cock 233, adjusts the position of bone saw component 4；Slowly rotation adjusts tooth post 234, so that motion bar 232 pushes boneSaw componet 4 carries out saw bone processing, and cleaning device 11 cleans patient wound, disinfects, and waste collecting device 12 is to clearIt washes waste liquid to be collected, and disinfects.
Clinical application example
This city hospital 2 months 25-June 5 in 2018, clinic income 38 needs to saw the patients of bone-specific drug, by 38Patient's random division is equal two groups of number, i.e. 19 patients of experimental group, 19 patients of control group；19 patients of experimental groupSaw bone-specific drug is carried out using the present invention, 19 patients of control group carry out saw bone-specific drug using the bone saw of the prior art；Treatment endAfterwards, standard is set to the wound flatness of the patient of experimental group and control group, bleeding amount of wound, postoperative wound infection situation, the saw position of boneTrue property is investigated and analysed；The result shows that having 2 patients over the course for the treatment of, limbs shake in 19 patients of control groupIt is dynamic, cause wound obvious notch occur, and bone saw inconsistent phenomenon occur, during having 1 patients surgery, amount of bleeding is larger,There are 3 patient's postoperative wounds to infect；19 patients of experimental group, bone saw notch is more smooth, only few in surgical procedureBlood is measured, postoperative not occur the case where wound infection, the saw position of bone is set accurately, does not occur inconsistent phenomenon.
In conclusion the present invention has high safety, reliability and accuracy, the pain of patient can reduce, contractShort patient postoperative recovery time is suitable for large-scale popularization.
Finally, it should be noted that the above embodiments are merely illustrative of the technical solutions of the present invention, rather than its limitations；AlthoughPresent invention has been described in detail with reference to the aforementioned embodiments, those skilled in the art should understand that: it still may be usedTo modify to technical solution documented by previous embodiment or equivalent replacement of some of the technical features；AndThese are modified or replaceed, the spirit and model of technical solution of the embodiment of the present invention that it does not separate the essence of the corresponding technical solutionIt encloses.