Accurate-positioning reduction fixing forceps for traumatic orthopedics departmentTechnical Field
The invention relates to the technical field of medical instruments, in particular to a reduction fixing clamp for traumatic orthopedics with accurate positioning.
Background
Orthopedics is one of the most common departments in all hospitals, and mainly studies the anatomy, physiology and pathology of the skeletal muscle system, and maintains and develops the normal form and function of the system by using medicines, operations and physical methods. With the change of times and society, the orthopedic injury spectrum has obvious changes, for example, diseases such as osteoarticular tuberculosis, osteomyelitis, poliomyelitis and the like are obviously reduced, and the injuries caused by traffic accidents are obviously increased. Common orthopedic diseases are: patellar fracture, ulnar nerve injury, congenital hip varus, severed finger replantation, inter-digital neuralgia, fracture of external tubercle after talus, thumb reconstruction, congenital tibial defect, catarrh, infectious costal chondritis, temporomandibular joint stiffness, rheumatic fever, fracture of orbital fracture, popliteal tendonitis, metatarsophalangeal arthralgia, posterior tibial neuralgia, anterior tendonitis of achilles, fibromyalgia, bursitis, infectious arthritis, scaphoid osteochondrosis of foot, postural pain in waist and lower extremities, Reiter syndrome, causalgia, fibromyalgia syndrome and the like.
After fracture, reduction forceps are generally used to reduce the fractured bone and fix the fractured bone through steel plates, screws and the like. When using, medical personnel utilize the pincers that reset to carry the fractured bone, then remove and reset, but the pincers that reset do not have the locking function, cause the dropping of fractured bone easily to influence the operation of operation, though reset among the prior art and inlayed locking function but its operation complicacy, increased the degree of difficulty of operation, current fixed pincers carry out the centre gripping through two tips simultaneously, poor stability, easy slippage.
Disclosure of Invention
The invention aims to provide reduction fixing forceps for wound orthopedics with accurate positioning to solve the problems in the background technology.
In order to achieve the purpose, the invention provides the following technical scheme: the reduction fixing forceps for the trauma orthopedics department with accurate positioning comprise a fixing block, a first inlay and a second inlay, wherein the first inlay and the second inlay are symmetrically hinged to one side of the fixing block;
the front ends of the first inlay and the second inlay are hinged with clamping chains, hinged joints of the first inlay and the clamping chains, the second inlay and the clamping chains are located on one side of the first inlay opposite to the second inlay, an elastic belt I is fixed between one side of the first inlay and the second inlay far away from the hinged joints and the clamping chains, each clamping chain is formed by hinging a plurality of rectangular body fixing blocks, the hinged joints of the adjacent rectangular body fixing blocks are located on one side of the first inlay opposite to the second inlay, an elastic belt II is arranged between one side of the adjacent rectangular body fixing blocks far away from the hinged joints, one side of the rectangular body fixing blocks close to the hinged joints is provided with a groove, a first sliding groove is arranged inside the rectangular body fixing block on one side of the groove, and a second sliding groove is arranged inside the rectangular body fixing block on one side of the first inlay or the second inlay, a pressing block is arranged inside the groove in a sliding mode, a first spring is arranged between the pressing block and one side of the groove, a sliding strip is arranged inside the first sliding groove in a sliding mode, one end of the sliding strip is fixedly connected with the pressing block, a first inclined plane inclined towards a second sliding groove is arranged at the other end of the sliding strip, a push rod is arranged inside the second sliding groove in a sliding mode, one end of the push rod extends into the first sliding groove and is provided with a second inclined plane matched with the first inclined plane, and the second inclined plane is attached to the first inclined plane;
one end of the second fixing column penetrates through the fixing block and is fixedly connected with a third gear, one side, close to the fixing block, of the third gear is provided with a first annular friction plate, the fixing block on one side of the first annular friction plate is provided with a second annular friction plate, the first annular friction plate is abutted against the second annular friction plate, one side of the third gear is provided with a locking mechanism, the locking mechanism comprises a fixing cylinder fixed on the side wall of the fixing block, a movable block arranged in the fixing cylinder in a sliding mode, a second spring arranged on one side, far away from the third gear, of the movable block and an inserted rod vertically arranged on one side, close to the third gear, of the movable block, and one end of the inserted rod penetrates through the fixing cylinder and extends to the space between teeth of the third gear;
the tail end of inlay one is provided with locking canceling mechanism, locking canceling mechanism sets up two hydraulic pressure section of thick bamboos in both sides about the ring including ring, the symmetry of fixing on inlay one, slides and sets up piston and the perpendicular piston rod that sets up in piston near ring one side in hydraulic pressure section of thick bamboo inside, the free end of piston rod extends to ring inside and is provided with the arc pressing sheet, be provided with the connecting pipe on inlay one of ring one side, and the one end of connecting pipe extends to fixed block one side fixedly connected with hose along setting up inlay one, the one end that the connecting pipe was kept away from to the hose is connected with the solid fixed cylinder that is located between movable block and the gear three, the other end that the ring was kept away from to the hydraulic pressure section of thick bamboo is connected with the connecting pipe through solid fixed pipe.
Preferably, an inner ring is arranged between the two arc pressing sheets, and the inner ring is connected with the finger ring through a rubber connecting column.
Preferably, the tail end of the second inlay is provided with a snap ring.
Preferably, the transmission ratio of the first gear to the second gear is 1: 1.
preferably, the first elastic belt and the second elastic belt are made of silica gel.
Preferably, the movable block is close to the fixed cylinder in the gear III, the connecting pipe and the hydraulic cylinder are internally provided with hydraulic oil.
Preferably, the friction coefficient of the second annular friction plate and the first annular friction plate is larger than the stiffness coefficient of the second spring.
Compared with the prior art, the invention has the beneficial effects that:
(1) one end of a second fixing column penetrates through a fixing block to be fixedly connected with a third gear, one side of the third gear is provided with a locking mechanism, and the tail end of a first inlay is provided with a locking and unlocking mechanism, when the medical staff uses the medical staff, the medical staff can operate the medical staff by one hand, the use is convenient, the operation time is saved, namely, a thumb is inserted into an inner ring, other four fingers are inserted into snap rings, when the first inlay and the first inlay are required to be opened, an inserted rod of the locking and unlocking mechanism is positioned between teeth of the third gear, the thumb and the four fingers are locked, and force is slowly applied by the thumb and the first annular friction plate, because the friction coefficient of the second annular friction plate and the first annular friction plate is larger than the stiffness coefficient of a second spring, when the force reaches a certain value, the thumb extrudes hydraulic oil in a hydraulic cylinder by pushing a piston rod below the arc pressing sheet, and then the first movable block extrudes the first spring to drive the inserted bar to move upwards to move out of the teeth of the third gear to unlock, and then the friction between the second annular friction plate and the first annular friction plate is overcome, so that the first inlay and the second inlay open at a proper angle.
(2) In the invention, the front ends of a first inlay and a second inlay are hinged with a clamping chain, the hinging average points of the first inlay, the clamping chain and the second inlay, which are hinged with the clamping chain, are positioned at one side of the first inlay, which is opposite to the two inlays, an elastic belt I is fixed between one side of the first inlay and the second inlay, which is far away from a hinging point, and the clamping chain is formed by mutually hinging a plurality of rectangular body fixing blocks, the hinging point, which is adjacent to the rectangular body fixing blocks, is positioned at one side of the first inlay, which is opposite to the two inlays, and an elastic belt II is arranged between one sides of the adjacent rectangular body fixing blocks, which are far away from the hinging point, when in application, when the first inlay and the second inlay are opened, and when the opening angle of the front ends of the first inlay and the second inlay is overlarge due to misoperation of medical personnel, the plurality of rectangular body fixing blocks of the clamping chain can stretch the elastic belt II and the inner side of the elastic belt I and the elastic belt, so as to avoid damaging other soft tissues, causing harm to the patient.
(3) The invention is characterized in that one side of a rectangular body fixing block close to a hinge joint is provided with a groove, a first sliding groove is arranged in the rectangular body fixing block at one side of the groove, a second sliding groove is arranged in the rectangular body fixing block at one side of an inlay body or an inlay body, a pressing block is arranged in the groove in a sliding manner, a first spring is arranged between the pressing block and one side of the groove, a sliding strip is arranged in the sliding groove in a sliding manner, one end of the sliding strip is fixedly connected with the pressing block, the other end of the sliding strip is provided with a first inclined surface inclined towards the sliding groove, a push rod is arranged in the sliding groove in a sliding manner, one end of the push rod extends into the sliding groove I and is provided with a second inclined surface matched with the first inclined surface, the second inclined surface is attached with the first inclined surface, when two clamping chains are close, the pressing block of a certain rectangular body fixing block of the clamping chains is firstly contacted with the surface of a bone and slowly approaches with the clamping chains due to the arc-shaped surface of the bone, make briquetting rebound extension spring drive the sliding strip in the lump and move to two inside removals in sliding tray, and the inclined plane of sliding strip two with the laminating of push rod inclined plane one, and then can promote the push rod and remove, and the push rod removes and can promote its left cuboid fixed block, make the cuboid fixed block overturn round its left cuboid fixed block, thereby make the centre gripping chain form and carry out the centre gripping with the shape that the bone arcuation matches each other, the poor stability of centre gripping has been improved, avoid the slippage.
Drawings
FIG. 1 is a schematic front view of the present invention;
FIG. 2 is a schematic view of a portion of FIG. 1 at A;
FIG. 3 is a schematic view of a portion of FIG. 1 at B;
FIG. 4 is a partial schematic view of FIG. 1 at C;
FIG. 5 is a schematic view of the locking mechanism of the present invention;
fig. 6 is a schematic side view of the locking mechanism of the present invention.
In the figure: 1. a fixed block; 2. a first inlay; 3. a second inlay; 4, fixing a column I; 5. fixing a second column; 6. a first gear; 7. a second gear; 8, clamping the chain; 81. a rectangular body fixing block; 82. a second elastic band; 83. a groove; 84. a first sliding groove; 85. a second sliding groove; 86. briquetting; 87. a first spring; 88. a slide bar; 89. a first inclined plane; 810. a push rod; 811. a second inclined plane; 9. a first elastic belt; 10. a third gear; 11. a fixed cylinder; 12. a movable block; 13. a second spring; 14. inserting a rod; 15. a ring; 16. a hydraulic cylinder; 17. a piston; 18. a piston rod; 19. an arc pressing sheet; 20. a connecting pipe; 21. a hose; 22. a fixed tube; 23. an inner ring; 24. a rubber connecting column; 25. a snap ring; 26. a second annular friction plate; 27. and a first annular friction plate.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
Referring to fig. 1-6, an embodiment of the present invention is shown: the utility model provides a fixed pincers that reset for traumatic orthopedics of location accuracy, including fixedblock 1 and the articulatedinlay 2 and the inlay two 3 that set up in fixedblock 1 one side of symmetry,inlay 2 and inlay two 3 go up to run through respectively and be provided with fixed column 4 and fixed column two 5, fixed column 4 and fixed column two 5 respectively with inlay one 2 and inlay two 3 fixed connection, the one end of fixed column 4 and fixed column two 5 all sets up in fixedblock 1 one side by side through the bearing, the other end of fixed column 4 and fixed column two 5 is provided with gear 6 and gear two 7 respectively, gear 6 and gear two 7 intermeshing, gear 6 is 1 with the drive ratio of gear two 7: 1;
the front ends of the first inlay 2 and the second inlay 3 are hinged with a clamping chain 8, hinged points of the first inlay 2 and the clamping chain 8 and the second inlay 3 and the clamping chain 8 are positioned on one side of the first inlay 2 opposite to the second inlay 3, an elastic belt I9 is fixed between one side of the first inlay 2 and the second inlay 3 away from the hinged points and the clamping chain 8, the clamping chain 8 is formed by mutually hinging a plurality of rectangular body fixing blocks 81, the hinged points of the adjacent rectangular body fixing blocks 81 are positioned on one side of the first inlay 2 opposite to the second inlay 3, an elastic belt II 82 is arranged between one sides of the adjacent rectangular body fixing blocks 81 away from the hinged points, a groove 83 is arranged on one side of the rectangular body fixing blocks 81 close to the hinged points, a sliding groove I84 is arranged inside the rectangular body fixing block 81 on one side of the groove 83, a sliding groove II 85 is arranged inside the rectangular body fixing block 81 on one side of the sliding groove I84 close to the first inlay 2 or the second inlay 3, a pressing block 86 is arranged inside the groove 83 in a sliding mode, a first spring 87 is arranged between the pressing block 86 and one side of the groove 83, a sliding strip 88 is arranged inside the first sliding groove 84 in a sliding mode, one end of the sliding strip 88 is fixedly connected with the pressing block 86, a first inclined plane 89 inclined towards a second sliding groove 85 is arranged at the other end of the sliding strip 88, a push rod 810 is arranged inside the second sliding groove 85 in a sliding mode, a second inclined plane 811 matched with the first inclined plane 89 is arranged at one end of the push rod 810 extending into the first sliding groove 84, the second inclined plane 811 is attached to the first inclined plane 89, and the first elastic belt 9 and the second elastic belt 82 are made of silica gel;
one end of thesecond fixing column 5 penetrates through thefirst fixing block 1 and is fixedly connected with athird gear 10, one side, close to thefirst fixing block 1, of thethird gear 10 is provided with a firstannular friction plate 27, the firstannular friction plate 26 is arranged on thefirst fixing block 1 on one side of the firstannular friction plate 27, the firstannular friction plate 27 is abutted to the secondannular friction plate 26, one side of thethird gear 10 is provided with a locking mechanism, the locking mechanism comprises a fixingcylinder 11 fixed on the side wall of the fixingblock 1, amovable block 12 arranged in the fixingcylinder 11 in a sliding mode, asecond spring 13 arranged on one side, far away from thethird gear 10, of themovable block 12 and an inserted bar 14 vertically arranged on one side, close to thethird gear 10, of themovable block 12, one end of the inserted bar 14 penetrates through the fixingcylinder 11 and extends to between teeth of thethird gear 10;
the tail end of the inlay body I2 is provided with a locking and unlocking mechanism, the locking and unlocking mechanism comprises a ring 15 fixed on the inlay body I2, two hydraulic cylinders 16 symmetrically arranged at the upper side and the lower side of the ring 15, a piston 17 arranged in the hydraulic cylinders 16 in a sliding manner and a piston rod 18 vertically arranged at one side of the piston 17 close to the ring 15, the free end of the piston rod 18 extends into the ring 15 and is provided with an arc-shaped pressing piece 19, the inlay body I2 at one side of the ring 15 is provided with a connecting pipe 20, one end of the connecting pipe 20 extends to one side of the fixed block 1 along with the inlay body I2, a hose 21 is fixedly connected with one end of the hose 21 far away from the connecting pipe 20 and is connected with the fixed cylinder 11 positioned between the movable block 12 and the gear III 10, the other end of the hydraulic cylinder 16 far away from the ring 15 is connected with the connecting pipe 20 through a fixed pipe 22, an inner ring 23 is arranged between the two arc-shaped pressing pieces 19, and the inner ring 23 is connected with the ring 15 through a rubber connecting column 24, the tail end of the second inlay 3 is provided with a snap ring 25, and the movable block 12 is provided with hydraulic oil inside the fixed cylinder 11, the connecting pipe 20 and the hydraulic cylinder 17 which are close to the third gear 10.
The working principle is as follows: when the medical staff is used, the medical staff can operate with one hand, the use is convenient, the operation time is saved, namely, the thumb is inserted into the inner ring 23, the other four fingers are inserted into the snap ring 25, when the inlay body I2 and the inlay body I3 are required to be opened, the inserted rod 14 of the locking releasing mechanism is positioned between the teeth of the gear III 10, namely, the locking is carried out, the thumb and the four fingers apply force slowly, because the friction coefficient of the annular friction plate II 26 and the annular friction plate I27 is larger than the stiffness coefficient of the spring II 13, when the force reaches a certain value, the thumb presses the arc-shaped pressing sheet 19 at the lower side of the ring 15 to push the piston 17 to press the hydraulic oil in the hydraulic cylinder 16 through the piston rod 18 below the arc-shaped pressing sheet, so that the hydraulic oil in the hydraulic cylinder 16 is led into the fixed cylinder 11 through the fixed pipe 22, the connecting pipe 20 and the hose 21, and further the movable block 12 presses the spring I87 to drive the inserted rod 14 to move upwards to move out of the teeth of the gear III 10 to release the locking, then, the friction between the annular friction plate II 26 and the annular friction plate I27 is overcome, so that the inlay I2 and the inlay II 3 are opened at a proper angle, when the inlay I2 and the inlay I3 are required to be closed, according to the principle, the thumb presses the arc-shaped pressing sheet 19 on the upper side of the ring 15, so that the movable block 12 presses the spring I87 to enable the inserted bar 14 to drive the inserted bar 14 to move upwards and move out of the teeth of the gear III 10 to be unlocked, when the clamping is completed and the force of the thumb and the four fingers disappears, under the action of the spring II 13, the movable block 12 pushes the inserted bar 14 to move downwards to be inserted into the teeth of the gear III 10, the locking is automatically completed, the locking is not required to be performed by the additional operation of medical personnel, the steps of the operation are simplified, the use is convenient, when the inlay I2 and the inlay II 3 are opened, when the operation error of the medical personnel causes the opening angle of the front ends of the inlay I2 and the inlay II 3 to be too large, when the inlay body 2 and the inlay body 3 are clamped in a closed manner, because the bone surface is arc-shaped, when the two clamping chains 8 approach, the pressing block 86 of one rectangular body fixing block 81 of the clamping chain 8 firstly contacts with the bone surface, along with the gradual approach of the clamping chains 8, the pressing block 86 moves the first extension spring 87 upwards and drives the sliding strip 88 to move towards the inside of the second sliding groove 85, the second inclined surface 811 of the sliding strip 88 is attached to the first push rod inclined surface 89, the push rod 810 is pushed to move, the push rod 810 moves to push the rectangular body fixing block 81 on the left side, the rectangular body fixing block 81 is overturned around the rectangular body fixing block 81 on the left side, and the clamping chain 8 forms a shape matched with the arc shape of the bone for clamping, the poor stability of centre gripping has been improved, the slippage is avoided.
Although the present invention has been described in detail with reference to the foregoing embodiments, it will be apparent to those skilled in the art that various changes in the embodiments and/or modifications of the invention can be made, and equivalents and modifications of some features of the invention can be made without departing from the spirit and scope of the invention.