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CN110141369A - A cut protector adapted to small cuts - Google Patents

A cut protector adapted to small cuts
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Publication number
CN110141369A
CN110141369ACN201910412707.6ACN201910412707ACN110141369ACN 110141369 ACN110141369 ACN 110141369ACN 201910412707 ACN201910412707 ACN 201910412707ACN 110141369 ACN110141369 ACN 110141369A
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ring
reel
cutting
wall
wire
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CN110141369B (en
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张琼
胡越
赵宇
李文桔
胡佳宁
徐丰铭
杜心怡
朱旦华
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Second Affiliated Hospital and Yuying Childrens Hospital of Wenzhou Medical University
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Second Affiliated Hospital and Yuying Childrens Hospital of Wenzhou Medical University
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Publication of CN110141369ApublicationCriticalpatent/CN110141369A/en
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Abstract

Translated fromChinese

本发明公开了一种适应小切口的切口保护器,其技术方案要点是包括用于形成手术通道的薄膜套管、设置在薄膜套管顶部的外环、设置在薄膜套管底部的置入环,置入环内设置有空腔,置入环内壁设置有用于撑开置入环口径的金属丝,金属丝的一端设置有安装块,安装块固定设置在置入环内壁上,安装块上设置有通孔,金属丝穿过通孔,其安装块套接金属丝形成一个可活动的环形圈,薄膜套管内设置有容纳腔,该容纳腔与置入环的空腔相互贯通,金属丝另一端通过容纳腔进入外环,外环上设置有收卷组件,金属丝伸入外环的一端连接在收卷组件上,收卷组件用于调节环形圈直径大小,本发明的有益效果为方便调节置入环的口径大小,便于置入环伸入切口和取出。

The invention discloses an incision protector adapted to small incisions. The key points of its technical scheme include a film sleeve used to form an operation channel, an outer ring arranged at the top of the film sleeve, and an insertion ring arranged at the bottom of the film sleeve. , there is a cavity in the inserting ring, and the inner wall of the inserting ring is provided with a metal wire for expanding the caliber of the inserting ring. One end of the metal wire is provided with a mounting block, and the mounting block is fixedly arranged on the inner wall of the inserting ring. A through hole is provided through which the metal wire passes, and the mounting block is sleeved with the metal wire to form a movable annular ring. A housing chamber is provided in the film sleeve, and the housing chamber communicates with the cavity of the ring, and the metal wire The other end enters the outer ring through the housing cavity, and the outer ring is provided with a winding assembly, and one end of the metal wire extending into the outer ring is connected to the winding assembly, and the winding assembly is used to adjust the diameter of the annular ring. The beneficial effects of the present invention are as follows: It is convenient to adjust the caliber size of the insertion ring, and it is convenient for the insertion ring to extend into the incision and take it out.

Description

Translated fromChinese
一种适应小切口的切口保护器A cut protector adapted to small cuts

技术领域technical field

本发明涉及一种切口保护器,更具体的说是涉及一种适应小切口的切口保护器。The present invention relates to an incision protector, more specifically relates to an incision protector adapted to small incisions.

背景技术Background technique

在外科剖腹手术中,当医生切开患者手术部位后,因为组织收缩作用,切口会呈闭合状态。过去,医生会在患者皮肤切开后利用金属牵拉器或者拉钩将切口拉开,从而达到暴露手术视野的目的,但经常发生牵拉过度至撕裂伤口或暴露角度不够的情况。目前已经研发出各种切口保护器应用于临床,通常为外环、置入环及两者之间的套筒状薄膜。现阶段,将切口保护器的置入环伸入至切口内,外环停留在体外,从而达到使切口张开的目的,医生可以在套筒状薄膜形成的手术通道中,对患者施以手术。然而,现有的切口保护器的置入环大小固定,置入环的口径大小不能进行调节,在一些小切口的手术中,需要按压置入环,使置入环形变收缩后再放入切口中,若操作不当,容易牵拉切口,使得切口开口面积增大,增加了患者伤口愈合的时间;同时,在小切口手术结束时,由于置入环难以变形,导致置入环取出困难。In a surgical laparotomy, when the doctor cuts open the patient's surgical site, the incision is closed due to tissue contraction. In the past, doctors used metal retractors or hooks to open the incision after incision of the patient's skin, so as to expose the surgical field of view. However, excessive retraction often caused tearing of the wound or insufficient exposure angle. At present, various incision protectors have been developed for clinical application, usually an outer ring, an insertion ring and a sleeve-shaped film between the two. At this stage, the inserting ring of the incision protector is inserted into the incision, and the outer ring stays outside the body, so as to achieve the purpose of opening the incision. The doctor can perform surgery on the patient in the surgical channel formed by the sleeve-shaped film. . However, the size of the insertion ring of the existing incision protector is fixed, and the diameter of the insertion ring cannot be adjusted. In some operations with small incisions, it is necessary to press the insertion ring so that the insertion ring shrinks and then put into the incision In the case of improper operation, it is easy to pull the incision, which increases the opening area of the incision and increases the wound healing time of the patient. At the same time, at the end of the small incision operation, it is difficult to remove the inserted ring because it is difficult to deform.

发明内容Contents of the invention

针对现有技术存在的不足,本发明的目的在于提供一种适应小切口的切口保护器,该切口保护器方便调节置入环的口径大小,便于置入环伸入切口和取出。Aiming at the deficiencies in the prior art, the object of the present invention is to provide an incision protector suitable for small incisions. The incision protector is convenient for adjusting the caliber of the inserting ring, and is convenient for inserting the inserting ring into the incision and taking it out.

为实现上述目的,本发明提供了如下技术方案:一种适应小切口的切口保护器,包括用于形成手术通道的薄膜套管、设置在薄膜套管顶部的外环、设置在薄膜套管底部的置入环,所述置入环内设置有空腔,所述空腔内设置有用于撑开置入环口径的金属丝,所述金属丝的一端设置有安装块,所述安装块固定设置在置入环内壁上,所述安装块上设置有通孔,所述金属丝穿过通孔,其安装块套接金属丝形成一个可活动的环形圈,所述薄膜套管内设置有容纳腔,该容纳腔与置入环的空腔相互贯通,所述金属丝另一端通过容纳腔进入外环,所述外环上设置有收卷组件,所述金属丝伸入外环的一端连接在收卷组件上,所述收卷组件用于调节环形圈直径大小。In order to achieve the above object, the present invention provides the following technical solutions: an incision protector adapted to small incisions, comprising a film sleeve used to form an operation channel, an outer ring arranged on the top of the film sleeve, and an outer ring arranged at the bottom of the film sleeve. The insertion ring is provided with a cavity, the cavity is provided with a metal wire for expanding the diameter of the insertion ring, and one end of the wire is provided with a mounting block, and the mounting block is fixed It is arranged on the inner wall of the insertion ring, the installation block is provided with a through hole, and the metal wire passes through the through hole, and the installation block is sleeved with the wire to form a movable annular ring, and the film sleeve is provided with a housing cavity, the accommodating cavity communicates with the cavity of the insertion ring, the other end of the metal wire enters the outer ring through the accommodating cavity, the outer ring is provided with a winding assembly, and one end of the metal wire extending into the outer ring is connected On the winding assembly, the winding assembly is used to adjust the diameter of the annular ring.

作为本发明的进一步改进,所述收卷组件包括用于收卷金属丝的卷筒以及驱动卷筒转动的驱动组件,所述外环远离置入环的一面上设置有上端开口的凹槽,所述凹槽包括背向开口侧的底板和靠近容纳腔一侧的第一侧板,所述卷筒转动设置在底板上,所述第一侧板上设置有通孔,所述金属丝远离安装块的一端穿过通孔连接在卷筒的外周壁上,所述驱动组件包括第一齿环、套环以及第二齿环,所述套环套设在外环的外壁上,所述凹槽包括靠近套环一侧的第二侧板,所述第二侧板上设置有通槽,所述第一齿环固定套设在卷筒的外周壁上,且远离容纳腔的一侧从通槽中伸出,所述第二齿环设置在套管内壁上,与从通槽伸出的第一齿环啮合,当转动套环时,第一齿环与第二齿环啮合转动,卷筒转动,金属丝收卷于卷筒上。As a further improvement of the present invention, the winding assembly includes a reel for winding the metal wire and a drive assembly for driving the reel to rotate, and a groove with an upper end opening is provided on the side of the outer ring away from the insertion ring, The groove includes a bottom plate on the side facing away from the opening and a first side plate on the side close to the accommodating cavity, the reel is rotatably arranged on the bottom plate, a through hole is provided on the first side plate, and the metal wire is away from One end of the mounting block is connected to the outer peripheral wall of the reel through the through hole, the drive assembly includes a first gear ring, a collar and a second gear ring, the collar is sleeved on the outer wall of the outer ring, the The groove includes a second side plate on the side close to the collar, the second side plate is provided with a through groove, the first toothed ring is fixedly sleeved on the outer peripheral wall of the reel, and the side away from the accommodating cavity Protruding from the through groove, the second gear ring is arranged on the inner wall of the casing and meshes with the first gear ring protruding from the through groove. When the collar is rotated, the first gear ring and the second gear ring are engaged and rotated , the reel rotates, and the metal wire is wound on the reel.

作为本发明的进一步改进,所述收卷组件还包括用于锁定卷筒的锁定机构,所述锁定机构包括插条和弹簧,所述卷筒的外周璧上设置有向径向延伸的限位孔,所述插条放置于限位孔内,所述弹簧一端连接在第二侧板面向卷筒的一面上,另一端连接在插条上,所述弹簧保持插条伸入限位孔内。As a further improvement of the present invention, the winding assembly also includes a locking mechanism for locking the reel, the locking mechanism includes an insertion strip and a spring, and the outer peripheral wall of the reel is provided with a radially extending limit hole, the insertion strip is placed in the limiting hole, one end of the spring is connected to the side of the second side plate facing the reel, and the other end is connected to the insertion strip, and the spring keeps the insertion strip extending into the limiting hole .

作为本发明的进一步改进,还设置有用于解除卷筒的锁定状态的解锁机构,所述解锁机构包括滑动设置在卷筒上的按压杆和设置在按压杆外周壁上的抵触块,所述卷筒背向底板的一面上设置有容纳按压杆的容纳槽,所述按压杆滑动连接在容纳槽内,所述限位孔向内延伸有与容纳槽贯通的第一滑槽,所述插条伸入卷筒的一端位于第一滑槽内,且端部对应在按压杆滑移方向上的侧面设置有供抵触块抵触的第一斜面,当按压杆带动抵触块沿第一滑槽移动时,抵触块沿第一斜面推动插条向脱离限位孔一侧移动,所述插条伸入限位孔一端在相对卷筒转动切线方向上的两侧设置有第二斜面,所述第二斜面用于与限位孔内壁抵触,当按压杆沿容纳槽向底板移动时,抵触块沿第一滑槽移动,直至抵触块与第一斜面抵触时,插条向第二侧板移动,弹簧压缩,直至第二斜面伸出限位孔,转动套环,第一齿环与第二齿环啮合转动,卷筒转动,第二斜面与限位孔内壁抵触,弹簧继续压缩,插条脱离限位孔。As a further improvement of the present invention, an unlocking mechanism for releasing the locked state of the reel is also provided, and the unlocking mechanism includes a pressing rod slidably arranged on the reel and an interference block arranged on the outer peripheral wall of the pressing rod. On the side of the cylinder facing away from the bottom plate, there is an accommodation groove for accommodating the pressing rod. The pressing rod is slidably connected in the accommodation groove. One end protruding into the reel is located in the first chute, and the side of the end corresponding to the sliding direction of the pressing rod is provided with a first inclined surface for the collision block to touch. When the pressing rod drives the collision block to move along the first chute , the conflicting block pushes the insert along the first inclined plane to move away from the side of the limit hole, and one end of the insert inserted into the limit hole is provided with a second inclined plane on both sides in the tangential direction relative to the rotation of the reel, and the second The inclined surface is used for conflicting with the inner wall of the limit hole. When the pressing rod moves toward the bottom plate along the receiving groove, the resisting block moves along the first chute until the resisting block conflicts with the first inclined plane, and the insertion strip moves toward the second side plate, and the spring Compress until the second slope protrudes from the limit hole, turn the collar, the first toothed ring and the second toothed ring rotate, the reel rotates, the second slope touches the inner wall of the limit hole, the spring continues to compress, and the insert is out of the limit Bit hole.

作为本发明的进一步改进,所述按压杆伸出容纳槽的一段设置有卡槽,所述卷筒背向底板的一面上转动设置有凸轮,所述凸轮包括突出部,当凸轮转动,突出部嵌入卡槽锁定按压杆。As a further improvement of the present invention, a section of the pressing rod protruding from the receiving groove is provided with a card slot, and a cam is rotated on the side of the reel facing away from the bottom plate, and the cam includes a protruding part. When the cam rotates, the protruding part Insert the card slot to lock the pressing lever.

作为本发明的进一步改进,所述第二侧板在插条相对卷筒转动切线方向上的两侧设置有挡板,所述挡板用于保持插条直线移动。As a further improvement of the present invention, the second side plate is provided with baffles on both sides in the tangential direction of rotation of the cutting strips relative to the reel, and the baffles are used to keep the cutting strips moving in a straight line.

作为本发明的进一步改进,所述外环的外壁上设置有滑块,所述套环内壁上设置有供滑块周向移动的第二滑槽,所述第二滑槽与滑块可滑动连接。As a further improvement of the present invention, a slider is provided on the outer wall of the outer ring, and a second slide groove for the slider to move circumferentially is provided on the inner wall of the collar, and the second slide groove and the slider can slide connect.

本发明的有益效果:本发明中通过收卷组件收卷或展开金属丝,使得环形圈的直径大小可调,从而改变置入环的口径大小,提高了该切口保护器的使用范围;与现有技术中相比,操作简单,口径变小后的置入2放入切口内部或从切口取出较为容易,降低了手术的难度;在放入置入环的过程中,大幅度减小置入环对切口的拉扯,提高了手术的安全性。Beneficial effects of the present invention: In the present invention, the diameter of the annular ring can be adjusted by rewinding or unwinding the metal wire through the rewinding assembly, thereby changing the caliber of the inserted ring and improving the use range of the incision protector; Compared with the existing technology, the operation is simple, and it is easier to insert the smaller caliber 2 into the incision or take it out from the incision, which reduces the difficulty of the operation; during the process of inserting the insert ring, the inserting ring is greatly reduced. The pulling of the ring to the incision improves the safety of the operation.

附图说明Description of drawings

图1为本发明外部示意图;Fig. 1 is the external schematic diagram of the present invention;

图2为本发明内部剖视图;Fig. 2 is an internal sectional view of the present invention;

图3为置入环仰视状态下的内部视图;Fig. 3 is an internal view of the insertion ring looking up;

图4为图2中A处放大视图;Fig. 4 is the enlarged view of place A in Fig. 2;

图5为卷筒在解除锁定状态下的内部剖视图;Fig. 5 is an internal sectional view of the reel in an unlocked state;

图6为卷筒在第二斜面伸出限位孔的俯视图。Fig. 6 is a top view of the reel protruding from the limiting hole on the second slope.

附图标记:1、外环;10、凹槽;111、底板;101、第一侧板;102、第二侧板;1010、通孔;1020、通槽;12、滑块;2、置入环;20、空腔;21、安装块;210、引导孔;22、金属丝;23、环形圈;3、薄膜套管;30、容纳腔;41、卷筒;410、限位孔;411、容纳槽;412、第一滑槽;43、插条;431、第一斜面;432、第二斜面;44、弹簧;45、套环;450、第二滑槽;46、第一齿环;47、第二齿环;5、按压杆;51、抵触块;50、卡槽;6、挡板;7、凸轮;71、突出部。Reference signs: 1, outer ring; 10, groove; 111, bottom plate; 101, first side plate; 102, second side plate; 1010, through hole; 1020, through groove; 12, slider; 2, setting 20, cavity; 21, mounting block; 210, guide hole; 22, metal wire; 23, annular ring; 3, film sleeve; 30, accommodation cavity; 41, reel; 410, limit hole; 411, accommodation groove; 412, first chute; 43, cutting strip; 431, first inclined plane; 432, second inclined plane; 44, spring; 45, collar; 450, second chute; 46, first tooth Ring; 47, the second gear ring; 5, the pressing rod; 51, the collision block; 50, the slot; 6, the baffle plate; 7, the cam;

具体实施方式Detailed ways

下面结合附图和实施例,对本发明进一步详细说明。其中相同的零部件用相同的附图标记表示。The present invention will be described in further detail below in conjunction with the accompanying drawings and embodiments. Wherein the same components are denoted by the same reference numerals.

参照图1-6所示,本实施例的一种适应小切口的切口保护器,包括用于形成手术通道的薄膜套管3、设置在薄膜套管3顶部的外环1、设置在薄膜套管3底部的置入环2,所述置入环2内设置有空腔20,所述空腔内设置有用于撑开置入环2口径的金属丝22,所述金属丝22的一端设置有安装块21,所述安装块21固定设置在置入环2内壁上,所述安装块21上设置有引导孔210,所述金属丝22穿过引导孔210,其安装块21套接金属丝22形成一个可活动的环形圈23,所述薄膜套管3内设置有容纳腔30,该容纳腔30与置入环2的空腔20相互贯通,所述金属丝22另一端通过容纳腔30进入外环1,所述外环1上设置有收卷组件,所述金属丝22伸入外环1的一端连接在收卷组件上,所述收卷组件用于调节环形圈23直径大小。With reference to Fig. 1-6 shown, a kind of incision protector adapting to the small incision of the present embodiment, comprises the film sleeve 3 that is used to form operation channel, the outer ring 1 that is arranged on the top of film sleeve 3, is arranged on the film sleeve The insertion ring 2 at the bottom of the tube 3, the insertion ring 2 is provided with a cavity 20, the cavity is provided with a metal wire 22 for expanding the diameter of the insertion ring 2, and one end of the metal wire 22 is provided There is a mounting block 21, which is fixedly arranged on the inner wall of the insertion ring 2, and a guide hole 210 is provided on the mounting block 21, and the metal wire 22 passes through the guide hole 210, and the mounting block 21 is sleeved with a metal The wire 22 forms a movable annular ring 23, and the film sleeve 3 is provided with an accommodation cavity 30, which communicates with the cavity 20 of the insertion ring 2, and the other end of the metal wire 22 passes through the accommodation cavity 30 enters the outer ring 1, the outer ring 1 is provided with a winding assembly, and one end of the metal wire 22 extending into the outer ring 1 is connected to the winding assembly, and the winding assembly is used to adjust the diameter of the annular ring 23 .

本实施例中外环1和内环用于分别撑开薄膜套管3的上下两个口径,外环1不具有弹性,薄膜套管3连接在外环1的下端面上,置入环2由具有弹性的柔软的医用的高分子材料制成,金属丝22位于置入环2内,所述金属丝22硬质光滑,具有记忆弹性功能,在不受外力的状态下,形成一个可撑开置入环2的环形圈23,置入环2的口径大小由环形圈23的直径决定,当需要减小置入环2口径时,通过收卷组件,使金属丝22不连接在安装块21的一端被收卷于收卷组件内,位于收卷组件外的金属丝22的长度减小,环形圈23的直径减小,使得置入环2口径减小,此时,置入环2方便进入切口,待置入环2切口后,再次通过收卷组件,使得位于收卷组件外的金属丝22的重新长度增加,环形圈23具有弹性记忆功能,使得环形圈23的直径重新增大,置入环2的口径增大,此时,置入环2不易从切口滑出,不影响后续的手术操作。In this embodiment, the outer ring 1 and the inner ring are used to stretch the upper and lower diameters of the film sleeve 3 respectively. The outer ring 1 has no elasticity, and the film sleeve 3 is connected to the lower end surface of the outer ring 1 and inserted into the ring 2. Made of elastic and soft medical polymer material, the metal wire 22 is located in the insertion ring 2. The metal wire 22 is hard and smooth, has a memory elastic function, and forms a supportable ring under the condition of no external force. Open the annular ring 23 of the insertion ring 2. The diameter of the insertion ring 2 is determined by the diameter of the annular ring 23. When it is necessary to reduce the diameter of the insertion ring 2, the metal wire 22 is not connected to the installation block through the winding assembly. One end of 21 is wound up in the winding assembly, the length of the metal wire 22 outside the winding assembly is reduced, and the diameter of the annular ring 23 is reduced, so that the caliber of the insertion ring 2 is reduced. At this time, the insertion ring 2 It is convenient to enter the incision. After being placed in the incision of the ring 2, it passes through the winding assembly again, so that the length of the metal wire 22 outside the winding assembly increases again. The annular ring 23 has an elastic memory function, so that the diameter of the annular ring 23 increases again. Larger, the caliber of the insertion ring 2 increases. At this time, the insertion ring 2 is not easy to slip out of the incision, and does not affect the subsequent operation.

本发明中通过收卷组件收卷或展开金属丝22,使得环形圈23的直径大小可调,从而改变置入环2的口径大小,提高了该切口保护器的使用范围;与现有技术中相比,操作简单,口径变小后的置入环2放入切口内部或从切口取出较为容易,降低了手术的难度;在放入置入环2的过程中,大幅度减小置入环2对切口的拉扯,提高了手术的安全性。In the present invention, the wire 22 is rewound or unrolled by the rewinding assembly, so that the diameter of the annular ring 23 is adjustable, thereby changing the caliber of the insert ring 2 and improving the scope of use of the cut protector; compared with the prior art In contrast, the operation is simple, and the insertion ring 2 with a smaller caliber is easier to put into the incision or take out from the incision, which reduces the difficulty of the operation; 2. The pulling of the incision improves the safety of the operation.

作为改进的一种具体实施方式,所述收卷组件包括用于收卷金属丝22的卷筒41以及驱动卷筒41转动的驱动组件,所述外环1远离置入环2的一面上设置有上端开口的凹槽10,所述凹槽10包括背向开口侧的底板111和靠近容纳腔30一侧的第一侧板101,所述卷筒41转动设置在底板111上,所述第一侧板101上设置有通孔1010,所述金属丝22远离安装块21的一端穿过通孔1010连接在卷筒41的外周壁上,所述驱动组件包括第一齿环46、套环45以及第二齿环47,所述套环45套设在外环1的外壁上,所述凹槽10包括靠近套环45一侧的第二侧板102,所述第二侧板102上设置有通槽1020,所述第一齿环46固定套设在卷筒41的外周壁上,且远离容纳腔30的一侧从通槽1020中伸出,所述第二齿环47设置在套管内壁上,与从通槽1020伸出的第一齿环46啮合,当转动套环45时,第一齿环46与第二齿环47啮合转动,卷筒41转动,金属丝22收卷于卷筒41上。As an improved specific embodiment, the winding assembly includes a reel 41 for rewinding the wire 22 and a drive assembly for driving the reel 41 to rotate, and the outer ring 1 is set on the side away from the insertion ring 2 There is a groove 10 with an open upper end, the groove 10 includes a bottom plate 111 on the side facing away from the opening and a first side plate 101 on the side close to the accommodating cavity 30, the reel 41 is rotatably arranged on the bottom plate 111, the first side plate 101 The side plate 101 is provided with a through hole 1010, and the end of the metal wire 22 away from the mounting block 21 passes through the through hole 1010 and is connected to the outer peripheral wall of the reel 41. The driving assembly includes a first toothed ring 46, a collar 45 and the second gear ring 47, the collar 45 is sleeved on the outer wall of the outer ring 1, the groove 10 includes a second side plate 102 on the side of the collar 45, on the second side plate 102 A through groove 1020 is provided, the first gear ring 46 is fixedly sleeved on the outer peripheral wall of the reel 41 , and protrudes from the through groove 1020 on the side away from the accommodating chamber 30 , and the second gear ring 47 is set on the On the inner wall of the casing, it meshes with the first toothed ring 46 protruding from the through groove 1020. When the collar 45 is rotated, the first toothed ring 46 and the second toothed ring 47 are meshed and rotated, the reel 41 rotates, and the wire 22 is retracted. Rolled on the reel 41.

本实施例中,第一齿环46固定套设在卷筒41靠近底板111的一侧,金属丝22远离安装块21的一端连接在卷筒41的中部,当需要转动卷筒41来收卷金属丝22时,转动套环45,使得套环45内壁上的第二齿环47与卷筒41上的第一齿环46啮合转动,卷筒41转动,金属丝22被收卷于卷筒41上。本发明中通过转动套环45即可收卷金属丝22,结构简单,操作方便,且套环45套设在外环1上,体积较小,与设置成手柄相比,不容易因意外触动。In this embodiment, the first gear ring 46 is fixedly sleeved on the side of the reel 41 close to the bottom plate 111, and the end of the metal wire 22 away from the mounting block 21 is connected to the middle of the reel 41. When the reel 41 needs to be rotated to rewind When the metal wire 22 is rotated, the collar 45 is rotated so that the second toothed ring 47 on the inner wall of the collar 45 meshes with the first toothed ring 46 on the reel 41 to rotate, the reel 41 rotates, and the wire 22 is wound on the reel 41 on. In the present invention, the metal wire 22 can be rewound by turning the collar 45, which has a simple structure and is convenient to operate, and the collar 45 is set on the outer ring 1, and the volume is small. Compared with setting it as a handle, it is not easy to be accidentally touched .

作为改进的一种具体实施方式,所述收卷组件还包括用于锁定卷筒41的锁定机构,所述锁定机构包括插条43和弹簧44,所述卷筒41的外周璧上设置有向径向延伸的限位孔410,所述插条43放置于限位孔410内,所述弹簧44一端连接在第二侧板102面向卷筒41的一面上,另一端连接在插条43上,所述弹簧44保持插条43伸入限位孔410内。As an improved specific implementation, the winding assembly also includes a locking mechanism for locking the reel 41, the locking mechanism includes an insertion strip 43 and a spring 44, and the outer peripheral wall of the reel 41 is provided with a direction radially extending limiting hole 410 , the insertion strip 43 is placed in the limiting hole 410 , one end of the spring 44 is connected to the side of the second side plate 102 facing the reel 41 , and the other end is connected to the insertion strip 43 , the spring 44 keeps the insertion strip 43 extending into the limiting hole 410 .

本实施例通过在限位孔410内放置插条43,并通过设置第一弹簧44,使得保持插条43向限位孔410移动,使得卷筒41被锁定,不能自由转动,本发明例通过设置锁定机构,避免了收卷在卷筒41上的金属丝22仍具有复原的弹性,而主动脱离卷筒41的情况。In this embodiment, the insertion strip 43 is placed in the limiting hole 410, and the first spring 44 is provided to keep the insertion strip 43 moving toward the limiting hole 410, so that the reel 41 is locked and cannot rotate freely. The locking mechanism is provided to avoid the situation that the metal wire 22 wound on the reel 41 still has the elasticity of restoration and actively disengages from the reel 41 .

作为改进的一种具体实施方式,还设置有用于解除卷筒41的锁定状态的解锁机构,所述解锁机构包括滑动设置在卷筒41内部的按压杆5和设置在按压杆5外周壁上的抵触块51,所述卷筒41背向底板111的一面上设置有容纳按压杆5的容纳槽411,所述按压杆5滑动连接在容纳槽411内,所述限位孔410向内延伸有与容纳槽411贯通的第一滑槽412,所述插条43伸入卷筒41的一端位于第一滑槽412内,且端部对应在按压杆5滑移方向上的侧面设置有供抵触块51抵触的第一斜面431,当按压杆5带动抵触块51沿第一滑槽412移动时,抵触块51沿第一斜面431推动插条43向脱离限位孔410一侧移动,所述插条43伸入限位孔410一端在相对卷筒41转动切线方向上的两侧设置有第二斜面432,所述第二斜面432用于与限位孔410内壁抵触,当按压杆5沿容纳槽411向底板111移动时,抵触块51沿第一滑槽412移动,直至抵触块51与第一斜面431抵触时,插条43向第二侧板102移动,弹簧44压缩,直至第二斜面432伸出限位孔410,转动套环45,第一齿环46与第二齿环47啮合转动,卷筒41转动,第二斜面432与限位孔410内壁抵触,弹簧44继续压缩,插条43脱离限位孔410。As an improved specific embodiment, an unlocking mechanism for releasing the locked state of the reel 41 is also provided. Contradicting the block 51, the side of the reel 41 facing away from the bottom plate 111 is provided with a receiving groove 411 for accommodating the pressing rod 5, the pressing rod 5 is slidably connected in the receiving groove 411, and the limiting hole 410 extends inwardly. The first chute 412 connected with the receiving groove 411, one end of the insertion strip 43 extending into the reel 41 is located in the first chute 412, and the end corresponding to the side in the sliding direction of the pressing rod 5 is provided with a contact The first slope 431 that the block 51 touches, when the pressing rod 5 drives the collision block 51 to move along the first chute 412, the collision block 51 pushes the insertion strip 43 along the first slope 431 to move away from the limit hole 410. One end of the insertion strip 43 protruding into the limiting hole 410 is provided with a second slope 432 on both sides in the tangential direction relative to the rotation of the reel 41. The second slope 432 is used to conflict with the inner wall of the limiting hole 410. When the pressing rod 5 moves along When the accommodating groove 411 moves toward the bottom plate 111, the resisting block 51 moves along the first chute 412 until the resisting block 51 collides with the first slope 431, the insertion strip 43 moves toward the second side plate 102, and the spring 44 compresses until the second The inclined surface 432 extends out of the limit hole 410, and the collar 45 is rotated, the first toothed ring 46 and the second toothed ring 47 are meshed and rotated, the reel 41 is rotated, the second inclined surface 432 is in conflict with the inner wall of the limited hole 410, and the spring 44 continues to compress, The insertion strip 43 escapes from the limiting hole 410 .

本实施例在初始状态下,插条43伸入限位块,且插条43远离第二侧板102的一端位于第一滑槽412内,抵触块51位于插条43背对底板111的一侧,当需要解除卷筒41的锁定状态时,通过按压按压杆5,使得按压杆5以及抵触块51分别沿容纳槽411和第一滑槽412移动,直至抵触块51移动至与第一斜面431抵触时,插条43沿限位孔410向第二侧板102移动,弹簧44压缩,直至抵触块51与第一斜面431脱离,抵触块51与第一滑槽412的内壁抵触时,此时按压杆5不能继续向下移动,在弹簧44的弹力下,抵触块51仍与插条43抵触,设置在插条43远离第二侧板102的一端上的第二斜面432伸出限位孔410,转动套环45,第一齿环46与第二齿环47啮合转动,带动卷筒41转动,第二斜面432与限位孔410内壁抵触,弹簧44继续压缩,插条43脱离限位孔410,在卷筒41的转动过程中,由于弹簧44的弹力作用下,使得插条43仍具有背向第二侧板102移动的运动趋势,当限位孔410随卷筒41转动至位于插条43一侧时,弹簧44重新伸长,插条43进入限位孔410,此时继续转动套环45,使得卷筒41转动,通过第二斜面432与限位孔410内壁抵触,使得弹簧44又一次压缩,插条43重新脱离限位孔410,不影响卷筒41继续收卷金属丝22。当转动若干圈后,需要重新锁定卷筒41时,将插条43重新对准限位孔410,弹簧44伸长,插条43进入限位孔410,再背向容纳槽411方向移动按压杆5,使得按压杆5上的抵触块51与插条43脱离,弹簧44继续伸长,插条43向第一滑槽412移动,直至插条43又一次与第一滑槽412内壁抵触,即处于锁定状态。In the initial state of this embodiment, the insertion strip 43 extends into the limit block, and the end of the insertion strip 43 away from the second side plate 102 is located in the first sliding groove 412, and the interference block 51 is located at the end of the insertion strip 43 facing away from the bottom plate 111. side, when it is necessary to release the locked state of the reel 41, by pressing the pressing lever 5, the pressing lever 5 and the resisting block 51 move along the receiving groove 411 and the first sliding groove 412 respectively until the resisting block 51 moves to the first inclined plane. When 431 collides, the insertion strip 43 moves toward the second side plate 102 along the limiting hole 410, and the spring 44 is compressed until the conflicting block 51 is separated from the first inclined surface 431, and when the conflicting block 51 is in conflict with the inner wall of the first chute 412, then At this time, the pressing bar 5 cannot continue to move downwards. Under the elastic force of the spring 44, the contact block 51 still conflicts with the insertion strip 43, and the second slope 432 arranged on the end of the insertion strip 43 away from the second side plate 102 stretches out to limit the position. hole 410, turn the collar 45, the first toothed ring 46 and the second toothed ring 47 mesh and rotate, drive the reel 41 to rotate, the second inclined surface 432 conflicts with the inner wall of the limiting hole 410, the spring 44 continues to compress, and the insertion strip 43 breaks away from the limit The position hole 410, during the rotation of the reel 41, due to the elastic force of the spring 44, the insertion strip 43 still has a movement tendency to move away from the second side plate 102. When the position limit hole 410 rotates with the reel 41 to When it is on the side of the insertion strip 43, the spring 44 is stretched again, and the insertion strip 43 enters the limiting hole 410. At this time, the collar 45 continues to rotate, so that the reel 41 rotates, and the second inclined surface 432 is in conflict with the inner wall of the limiting hole 410. The spring 44 is compressed again, and the insertion strip 43 breaks away from the limiting hole 410 again, without affecting the reel 41 to continue winding the wire 22 . When the reel 41 needs to be re-locked after several turns, align the insertion strip 43 with the limit hole 410 again, the spring 44 is stretched, the insertion strip 43 enters the limit hole 410, and then moves the pressing rod in the direction away from the receiving groove 411 5. Make the conflicting block 51 on the pressing rod 5 disengage from the insertion strip 43, the spring 44 continues to elongate, and the insertion strip 43 moves toward the first chute 412 until the insertion strip 43 is in conflict with the inner wall of the first chute 412 again, that is, is locked.

本发明通中的解锁机构,仅需要使用者手动向容纳槽411方向按压按压杆5即可解除锁定,在保持按压杆5被按压的同时,转动套管,即可将金属丝22收卷在卷筒41上,当需要重新锁定时,将插条43重新对准限位孔410,背向容纳槽411方向移动按压杆5即可,结构简单,操作方便,解锁机构设置在内环的内部,减少了对手术视野的遮挡。The unlocking mechanism in the present invention only needs the user to manually press the pressing lever 5 toward the receiving groove 411 to release the lock, and while keeping the pressing lever 5 pressed, turn the sleeve to wind up the metal wire 22 in the On the reel 41, when it needs to be re-locked, align the insertion strip 43 with the limit hole 410, and move the pressing rod 5 in the direction away from the receiving groove 411. The structure is simple and the operation is convenient. The unlocking mechanism is set inside the inner ring , reducing the occlusion of the surgical field of view.

作为改进的一种具体实施方式,所述按压杆5伸出容纳槽411的一段设置有卡槽50,所述卷筒41背向底板111的一面上转动设置有凸轮7,所述凸轮7包括突出部71,当凸轮7转动,突出部71嵌入卡槽50锁定按压杆5。As an improved specific embodiment, a section of the pressing rod 5 protruding from the accommodating groove 411 is provided with a card slot 50, and a cam 7 is provided on the side of the reel 41 facing away from the bottom plate 111, and the cam 7 includes The protruding part 71 , when the cam 7 rotates, the protruding part 71 is inserted into the slot 50 to lock the pressing rod 5 .

本实施例在通过按压按压杆5解除锁定状态时,第二斜面432已伸出限位孔410,设置在按压杆5上的卡槽50与凸轮7位于同一平面上,通过转动凸轮7,使得突出部71嵌入卡槽50,即可锁定按压杆5,使用者可单手转动套环45即可收卷金属丝22,而不需要同时按压按压杆5,提高了本发明的便捷性。In this embodiment, when the locking state is released by pressing the pressing lever 5, the second slope 432 has extended out of the limit hole 410, and the slot 50 and the cam 7 arranged on the pressing lever 5 are located on the same plane. By rotating the cam 7, the The protruding part 71 is inserted into the card slot 50 to lock the pressing rod 5, and the user can turn the collar 45 with one hand to wind up the wire 22 without pressing the pressing rod 5 at the same time, which improves the convenience of the present invention.

作为改进的一种具体实施方式,所述第二侧板102在插条43相对卷筒41转动切线方向上的两侧设置有挡板6,所述挡板6用于保持插条43直线移动。As an improved specific embodiment, the second side plate 102 is provided with baffles 6 on both sides of the inserting strip 43 in the direction tangential to the rotation of the reel 41, and the baffles 6 are used to keep the inserting strip 43 moving linearly .

通过上述技术方案,插条43位于两个挡板6之间,与挡板6相抵,通过设置挡板6,使得插条43在锁定卷筒41状态下时,避免了由于弹簧44具有柔性,卷筒41在受到外力容易转动的情形,提高了锁定插条43锁定卷筒41的效果。Through the above technical scheme, the insertion strip 43 is located between the two baffles 6 and is against the baffle 6. By setting the baffle 6, when the insertion strip 43 is in the state of locking the reel 41, it avoids the flexibility of the spring 44. When the reel 41 is easily rotated under external force, the effect of locking the reel 41 by the locking insert 43 is improved.

作为改进的一种具体实施方式,所述外环1的外壁上设置有滑块12,所述套环45内壁上设置有供滑块12周向移动的第二滑槽450,所述第二滑槽450与滑块12可滑动连接。As an improved specific embodiment, the outer wall of the outer ring 1 is provided with a slider 12, and the inner wall of the collar 45 is provided with a second slide groove 450 for the slider 12 to move in the circumferential direction. The chute 450 is slidably connected with the slider 12 .

通过上述技术方案,通过设置第二滑槽450和滑块12,使得套环45可相对外环1转动,且在第一齿环46和第二齿环47始终处于啮合状态状态,套环45不易脱离外环1。Through the above technical solution, by setting the second sliding groove 450 and the slider 12, the collar 45 can rotate relative to the outer ring 1, and when the first gear ring 46 and the second gear ring 47 are always in the meshing state, the collar 45 It is not easy to break away from the outer ring 1.

以上所述仅是本发明的优选实施方式,本发明的保护范围并不仅局限于上述实施例,凡属于本发明思路下的技术方案均属于本发明的保护范围。应当指出,对于本技术领域的普通技术人员来说,在不脱离本发明原理前提下的若干改进和润饰,这些改进和润饰也应视为本发明的保护范围。The above descriptions are only preferred implementations of the present invention, and the protection scope of the present invention is not limited to the above-mentioned embodiments, and all technical solutions under the idea of the present invention belong to the protection scope of the present invention. It should be pointed out that for those skilled in the art, some improvements and modifications without departing from the principles of the present invention should also be regarded as the protection scope of the present invention.

Claims (7)

1. a kind of Wound protector for adapting to small notch, it is characterised in that: the membrane casing including being used to form operation path(3), merging ring (2) of the outer ring (1), setting being arranged at the top of membrane casing (3) in membrane casing (3) bottom, the mergingIt is provided with cavity (20) in ring (2), the wire (22) for strutting merging ring (2) bore is provided in the cavity (20),One end of the wire (22) is provided with mounting blocks (21), and the mounting blocks (21) are fixed on merging ring (2) inner wall,It is provided with guide hole (210) on the mounting blocks (21), the wire (22) passes through guide hole (210), mounting blocks (21)It is socketed wire (22) and forms a mobilizable annular ring (23), be provided with accommodating chamber (30) in the membrane casing (3), it shouldAccommodating chamber (30) and be placed in ring (2) cavity (20) be mutually communicated, wire (22) other end by accommodating chamber (30) intoEnter outer ring (1), winding component is provided on the outer ring (1), one end that the wire (22) protrudes into outer ring (1) is connected to receiptsOn wound module, the winding component is for adjusting annular ring (23) diameter.
2. a kind of Wound protector for adapting to small notch according to claim 1, it is characterised in that: the winding component packetIt includes the reel (41) for winding wire (22) and the driving assembly of driving reel (41) rotation, the outer ring (1) is separateIt is placed in the groove (10) that upper end opening is provided in the one side of ring (2), the groove (10) includes the bottom plate backwards to open side(111) it is rotatably arranged on bottom plate (111) with the first side plate (101) close to accommodating chamber (30) side, the reel (41), instituteIt states and is provided on the first side plate (101) through-hole (1010), the wire (22) passes through through-hole far from the one end of mounting blocks (21)(1010) it is connected on the periphery wall of reel (41), the driving component includes the first ring gear (46), lantern ring (45) and secondRing gear (47), the lantern ring (45) are set on the outer wall of outer ring (1), and the groove (10) includes close to lantern ring (45) sideSecond side plate (102) is provided with through slot (1020) on second side plate (102), and the first ring gear (46) fixation is set inOn the periphery wall of reel (41), and the side far from accommodating chamber (30) is stretched out from through slot (1020), second ring gear (47)It is arranged on internal surface of sleeve pipe, is engaged with the first ring gear (46) stretched out from through slot, when rotational lantern ring (45), the first ring gear (46)With the second ring gear (47) engagement rotation, reel (41) rotation, wire (22) is wound on reel (41).
4. a kind of Wound protector for adapting to small notch according to claim 3, it is characterised in that: be additionally provided with for solvingExcept the unlocking mechanism of the lock state of reel (41), the unlocking mechanism includes the pressing lever being slidably arranged on reel (41)(5) and conflict block (51) on pressing lever (5) periphery wall is set, the reel (41) sets in the one side of bottom plate (111)It is equipped with the holding tank (411) for accommodating pressing lever (5), the pressing lever (5) is slidably connected in holding tank (411), the limitHole (410), which extends internally, the first sliding groove (412) penetrated through with holding tank (411), and the cutting (43) protrudes into reel (41)One end is located in first sliding groove (412), and the corresponding side in pressing lever (5) glide direction in end is provided with for conflict block(51) the first inclined-plane (431) contradicted, when pressing lever (5) drive conflict block (51) mobile along first sliding groove (412), conflict block(51) push cutting (43) mobile to limit hole (410) side is detached from along the first inclined-plane (431), the cutting (43) protrudes into limitHole (410) one end is provided with the second inclined-plane (432) in the two sides in reel (41) rotation tangential direction, second inclined-plane(432) it for being contradicted with limit hole (410) inner wall, when pressing lever (5) is mobile to bottom plate (111) along holding tank (411), contradictsBlock (51) is mobile along first sliding groove (412), until when conflict block (51) and the first inclined-plane (431) contradict, cutting (43) is to secondSide plate (102) is mobile, spring (44) compression, until the second inclined-plane (432) stretch out limit hole (410), rotational lantern ring (45), firstRing gear (46) and the second ring gear (47) engagement rotation, reel (41) rotation, the second inclined-plane (432) are supported with limit hole (410) inner wallTouching, spring (44) continue to compress, and cutting (43) is detached from limit hole (410).
CN201910412707.6A2019-05-172019-05-17 An incision protector adapted to small incisionsActiveCN110141369B (en)

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CN112426230A (en)*2020-11-232021-03-02常州安康医疗器械有限公司Disposable incision protective sheath of adjustable incision size

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CN107854149A (en)*2017-12-132018-03-30杜丰颖Disposable adjustable slot protector
CN107874844A (en)*2018-01-152018-04-06杜丰颖Disposable celiac mirror can adjust hand-actuated accelerator, clutch and brake
CN108939256A (en)*2018-07-182018-12-07中国人民解放军陆军军医大学第三附属医院(野战外科研究所)A kind of guide wire collecting device

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* Cited by examiner, † Cited by third party
Publication numberPriority datePublication dateAssigneeTitle
EP2272447A2 (en)*2005-10-142011-01-12Applied Medical Resources CorporationSplit hoop wound retractor
CN101843506A (en)*2008-10-302010-09-29伊西康内外科公司Surgical access port with adjustable ring geometry
CN201798796U (en)*2010-05-142011-04-20廖国庆Minimally invasive incision protective sleeve
CN202263056U (en)*2011-09-282012-06-06仁齐企业有限公司 Surgical wound protector
CN203597986U (en)*2013-10-142014-05-21财团法人精密机械研究发展中心Protective expander for surgical surface wound
CN206776460U (en)*2017-05-082017-12-22苏州哈格派特宠物用品有限公司Pet leash
CN107854149A (en)*2017-12-132018-03-30杜丰颖Disposable adjustable slot protector
CN107874844A (en)*2018-01-152018-04-06杜丰颖Disposable celiac mirror can adjust hand-actuated accelerator, clutch and brake
CN108939256A (en)*2018-07-182018-12-07中国人民解放军陆军军医大学第三附属医院(野战外科研究所)A kind of guide wire collecting device

Cited By (1)

* Cited by examiner, † Cited by third party
Publication numberPriority datePublication dateAssigneeTitle
CN112426230A (en)*2020-11-232021-03-02常州安康医疗器械有限公司Disposable incision protective sheath of adjustable incision size

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