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CN204890063U - Chest brestbone distraction device postpones to close - Google Patents

Chest brestbone distraction device postpones to close
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Publication number
CN204890063U
CN204890063UCN201520621579.3UCN201520621579UCN204890063UCN 204890063 UCN204890063 UCN 204890063UCN 201520621579 UCN201520621579 UCN 201520621579UCN 204890063 UCN204890063 UCN 204890063U
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sternal
groove
sternum
spring
distraction device
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杨玉忠
莫绪明
王杰
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Nanjing Children's Hospital of Nanjing Medical University
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Nanjing Children's Hospital of Nanjing Medical University
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Abstract

The utility model relates to a chest brestbone distraction device postpones to close, a serial communication port, distraction device includes base portion and brestbone groove upper portion, base portion is including bow board and brestbone groove lower part, wherein bends the board setting in the centre, and the setting of brestbone groove lower part symmetry is at the both ends of bending the board. The device overall structure design is compact ingenious, and the location is accurate, easy operation, operation time is short, the infant damage is little, the use to strut the ware model many, be applicable to different ages, different kinds of infant, use extensively.

Description

Translated fromChinese
一种延迟关胸胸骨撑开装置A device for delaying the closing of the sternum and the sternum

技术领域technical field

本实用新型涉及一种撑开装置,具体来说涉及一种延迟关胸胸骨撑开装置,属于医疗器械领域。The utility model relates to a stretching device, in particular to a delayed closing sternum stretching device, which belongs to the field of medical instruments.

背景技术Background technique

先天性心脏病是婴幼儿中的常见病、多发病。我国先天性心脏病发病率高达7-8‰。据统计,我国每年约有15-20万新增病人,其中复杂性先天性心脏病患儿占30%-40%。江苏省先天性心脏病诊疗中心手术量约1200例/年,手术成功率为98%以上。但是多种复杂性先天性心脏病,如大血管错位、肺动脉闭锁、单心室等,因其血流动力学与正常儿童完全不同,一般情况下,年龄均偏小,手术打击太大,手术死亡率、并发症发生率均较高,仍然是小儿心脏外科面临的巨大挑战。Congenital heart disease is a common and frequently-occurring disease in infants and young children. The incidence rate of congenital heart disease in my country is as high as 7-8‰. According to statistics, there are approximately 150,000-200,000 new patients each year in my country, of which children with complex congenital heart disease account for 30%-40%. The Jiangsu Provincial Congenital Heart Disease Diagnosis and Treatment Center operates about 1,200 cases per year, with a success rate of over 98%. However, a variety of complex congenital heart diseases, such as great vessel dislocation, pulmonary atresia, single ventricle, etc., because of their hemodynamics are completely different from normal children, in general, the age is relatively young, the surgical blow is too large, and the surgical death The incidence rate and complication rate are high, and it is still a huge challenge for pediatric cardiac surgery.

这些复杂性先天性心脏病患儿,往往由于术前心功能差,体外循环时间长,手术创伤大而影响治疗效果,手术成功率受到一定的限制。能否帮助危重患儿顺利度过术后心肌水肿、心功能低下的急性期,尤为重要。Children with complex congenital heart disease often have poor preoperative cardiac function, long extracorporeal circulation time, and large surgical trauma, which affect the therapeutic effect and the success rate of the operation is limited to a certain extent. It is particularly important to help critically ill children successfully pass the acute stage of postoperative myocardial edema and low heart function.

延迟关胸作为心脏围手术期一项重要技术和措施,可以挽救许多患儿的生命。目前临床上有两种方式:一种是手术结束后保持胸骨敞开,称之为原发性延迟关胸;另一种是手术完成后关闭胸骨,如果循环不稳定则重新打开胸骨,称之为继发性延迟关胸。延迟关胸的适应症:1.术后心脏功能不佳,心脏扩大,与纵隔容积大小不相称,试关胸后血压下降、心房压上升、心跳无力及心律失常等表现。2.安装心室辅助泵的需要。3.应用人造血管或同种带瓣管道,胸骨压迫管道,引起血液循环不稳定。4.胸骨发育不良、胸骨畸形,内凹的胸骨内向压迫心脏,影响心脏跳动。Delayed chest closure is an important technique and measure in the perioperative period of the heart, which can save the lives of many children. At present, there are two clinical methods: one is to keep the sternum open after the operation, which is called primary delayed chest closure; the other is to close the sternum after the operation, and reopen the sternum if the circulation is unstable, which is called primary delayed chest closure. Secondary delayed chest closure. Indications for delayed chest closure: 1. Poor heart function after surgery, heart enlargement, disproportionate to mediastinum volume, blood pressure drops, atrial pressure rises, weak heartbeat, and arrhythmia after trial chest closure. 2. The need to install a ventricular assist pump. 3. The application of artificial blood vessels or homogeneous valved pipes, the sternum compresses the pipes, causing unstable blood circulation. 4. Sternal dysplasia, sternal deformity, the concave sternum compresses the heart inwardly, affecting the beating of the heart.

延迟关胸这一重要的外科方法,在国内、国外先天性心脏病外科治疗的临床实践中被广泛证实是可操作而且是行之有效的,可以帮助部分危重患儿顺利度过血液循环不稳定的围手术期,为进一步的治疗和处理争取了宝贵的时间和机会,从而挽救了众多危重复杂性先天性心脏病患儿的性命。目前在先天性心脏病手术治疗领域尚缺乏可供小儿心脏外科医师选择的适宜的延迟关胸胸骨撑开器。目前小儿心脏外科常用的方法为:1.直接缝合皮缘;2.采用塑料注射针筒裁剪后撑开胸骨,边缘与胸骨缝合固定,游离皮下后缝合皮缘;3.在2的基础上不缝合皮缘,手术用橡胶手套裁剪成需要的形状,与皮缘缝合。第一种方法因胸骨无支撑,不能维持胸骨张开的状态,胸腔容积不固定,没有达到预期效果。后两种方法因需要现场加工器材,会延长手术时间,而且现场加工的器材不规范,固定难度大,易于滑脱。Delayed chest closure, an important surgical method, has been widely proven to be operable and effective in the clinical practice of surgical treatment of congenital heart disease at home and abroad, and it can help some critically ill children successfully overcome blood circulation instability During the perioperative period, valuable time and opportunities were gained for further treatment and treatment, thus saving the lives of many critically ill children with complex congenital heart disease. At present, in the field of surgical treatment of congenital heart disease, there is still a lack of suitable delayed closing sternal distractors for pediatric cardiac surgeons to choose. At present, the commonly used methods in pediatric cardiac surgery are: 1. Directly suture the skin edge; 2. Use a plastic injection syringe to cut and stretch the sternum, suture and fix the edge to the sternum, and suture the skin edge after freeing the subcutaneous tissue; 3. On the basis of 2. Suture the skin edge, cut the surgical rubber gloves into the desired shape, and sew them to the skin edge. The first method does not achieve the expected effect because the sternum is not supported and cannot maintain the open state of the sternum, and the chest volume is not fixed. The latter two methods will prolong the operation time due to the need for on-site processing equipment, and the on-site processing equipment is not standardized, it is difficult to fix, and it is easy to slip.

因此,如何提供一种用于延迟关胸的胸骨撑开器,使其结构简单,具有较小的体积,方便使用,既能增加胸腔空间,避免心脏受压,又便于手术创口的缝合,降低感染的风险,缩短手术时间,成为小儿心脏外科领域亟待解决的重要问题。Therefore, how to provide a sternal spreader for delaying chest closure, which has a simple structure, a small volume, is convenient to use, can increase the space in the chest cavity, avoid heart pressure, facilitate the suturing of surgical wounds, and reduce the The risk of infection and shortening the operation time have become important problems to be solved in the field of pediatric cardiac surgery.

实用新型内容Utility model content

本实用新型正是针对现有技术中存在的技术问题,提供一种延迟关胸胸骨撑开装置,该装置整体结构设计紧凑巧妙,定位准确,操作简单,手术时间短,患儿损伤小,使用的撑开器型号多,适用于不同年龄、不同类型的患儿,应用广泛。The utility model aims at the technical problems existing in the prior art, and provides a delayed sternum and sternal distraction device. The overall structure of the device is compact and ingenious in design, accurate in positioning, simple in operation, short in operation time, less injured in children, and easy to use. There are many types of retractors, which are suitable for children of different ages and types, and are widely used.

为了实现上述目的,本实用新型的技术方案如下,延迟关胸胸骨撑开装置,其特征在于,所述撑开装置包括底座部和胸骨槽上部,所述底座部包括弓板部和胸骨槽下部,其中弓板部设置在中间,胸骨槽下部对称的设置在弓板部的两端。该装置整体结构设计紧凑巧妙,撑开胸骨固定牢固,操作简便,对患者损伤小。而且不同年龄的患儿有不同长度的撑开器,做到根据需求,因人而异。In order to achieve the above object, the technical solution of the present utility model is as follows: a device for delaying the closing of the sternum and sternum. , wherein the arch plate is set in the middle, and the lower part of the sternal groove is symmetrically arranged at both ends of the arch plate. The overall structure of the device is compact and ingenious in design, the sternum is firmly fixed, the operation is simple, and the patient is less injured. Moreover, children of different ages have different lengths of spreaders, which vary from person to person according to needs.

作为本实用新型的一种改进,所述胸骨槽下部包括胸骨槽下叶和两个下连接点,所述胸骨槽上部包括弹簧、横杆、两个上连接点、胸骨槽上叶及胸骨槽上叶尾部构成,所述上、下连接点上均有一个圆形小孔,所述上、下连接点通过横杆与胸骨槽下部共同构成胸骨槽,所述弹簧包括弹簧上臂、弹簧下臂和螺旋部分,弹簧下臂固定于弓板部的弹簧槽内,弹簧上臂固定于胸骨槽尾部的弹簧槽内。As an improvement of the present utility model, the lower part of the sternal groove includes the lower leaf of the sternal groove and two lower connection points, and the upper part of the sternal groove includes a spring, a cross bar, two upper connection points, the upper leaf of the sternal groove and the upper leaf of the sternal groove The tail of the upper lobe is formed. There is a small circular hole on the upper and lower connection points. The upper and lower connection points form the sternal groove through the cross bar and the lower part of the sternal groove. The spring includes a spring upper arm and a spring lower arm. And the spiral part, the lower arm of the spring is fixed in the spring groove of the bow plate, and the upper arm of the spring is fixed in the spring groove at the end of the sternal groove.

作为本实用新型的一种改进,所述胸骨槽内有内衬弧形铁片,胸骨槽内衬弧形铁片,这使得胸骨没有直接接触胸骨槽上下连接部位及弹簧,而是直接接触没有棱角的铁片,减轻了胸骨的损伤及患儿的痛苦。As an improvement of the utility model, the sternal groove is lined with arc-shaped iron sheets, and the sternal groove is lined with arc-shaped iron sheets, which makes the sternum not directly contact the upper and lower connection parts of the sternal groove and the spring, but directly contacts without The angular iron sheet reduces the damage to the sternum and the pain of the child.

作为本实用新型的一种改进,所述底座部的弓板部与胸骨槽下部为一体结构,使得撑开器更加稳定,所述弓板部为宽5—10mm,厚2—4mm的钢板,且有生理弧度,所述弧度为10度-40度。弓板部有生理弧度的弓形及不同的长度,适合于不同年龄、不同胸骨撑开要求的患儿。As an improvement of the present utility model, the bow plate of the base part is integrated with the lower part of the sternal groove, making the spreader more stable. The bow plate is a steel plate with a width of 5-10 mm and a thickness of 2-4 mm. And there is a physiological radian, and the radian is 10-40 degrees. The bow plate has a physiological arc and different lengths, which is suitable for children of different ages and different requirements for sternum expansion.

作为本实用新型的一种改进,所述弓板部的长度为2cm-10cm。弓板部可以设置为不同长度,5mm为一个单位,根据需要设置。As an improvement of the utility model, the length of the bow-plate part is 2cm-10cm. The bow plate can be set to different lengths, 5mm as a unit, set according to needs.

作为本实用新型的一种改进,所述胸骨槽上叶宽10mm,前端两边缘各有一个与胸骨槽上叶垂直的、朝向胸骨槽下部的圆柱形咬齿,咬齿直径为1mm,长度3mm。胸骨槽上叶前端设置有两根圆柱形咬齿,由咬齿固定撑开器,无需缝合固定,操作简单、缩短手术时间,同时,减轻患儿痛苦。As an improvement of the present utility model, the width of the upper leaf of the sternal groove is 10 mm, and each of the front two edges has a cylindrical bite perpendicular to the upper leaf of the sternal groove and facing the lower part of the sternal groove. The diameter of the teeth is 1 mm and the length is 3 mm. . The front end of the upper lobe of the sternal trough is equipped with two cylindrical teeth, which fix the spreader without sutures. The operation is simple, the operation time is shortened, and the pain of the child is relieved at the same time.

作为本实用新型的一种改进,所述胸骨槽下叶宽10mm。上叶、下叶宽度相同,美观,稳定性好,支撑稳固。As an improvement of the utility model, the width of the lower leaf of the sternal groove is 10mm. The upper and lower leaves have the same width, beautiful appearance, good stability and firm support.

作为本实用新型的一种改进,所述下连接点设置在胸骨槽下部与弓板部连接处,所述下连接点设置为三角形并垂直于弓板部,所述下连接点上各有一个圆孔;所述上连接点设置在胸骨槽上叶与尾部的连接处,所述上连接点设置为三角形,所述上连接点上各有一个圆孔;横杆穿过四个连接点上的小孔固定胸骨槽上部、下部。As an improvement of the present utility model, the lower connection point is set at the joint between the lower part of the sternal groove and the arch plate, the lower connection point is set in a triangle and is perpendicular to the arch plate, and each of the lower connection points has a Round holes; the upper connecting points are arranged at the connection between the upper leaf of the sternal groove and the tail, and the upper connecting points are arranged as triangles, and each of the upper connecting points has a round hole; the cross bar passes through the four connecting points The small hole fixes the upper and lower parts of the sternal groove.

作为本实用新型的一种改进,所述横杆两端为膨大球形,球形直径比横杆直径大2mm,球形直径大于四个连接点上小孔的直径,所述横杆两端为膨大球形,球形直径比横杆直径大2mm,球形直径大于四个连接点上小孔的直径,使得整个撑开器连接在一起,且横杆不易脱落。As an improvement of the utility model, the two ends of the cross bar are inflated spherical shape, the spherical diameter is 2mm larger than the diameter of the cross bar, and the spherical diameter is larger than the diameter of the small holes on the four connection points, and the two ends of the cross bar are in the shape of an enlarged spherical , the spherical diameter is 2mm larger than the diameter of the cross bar, and the spherical diameter is larger than the diameter of the small holes on the four connection points, so that the entire spreader is connected together, and the cross bar is not easy to fall off.

相对于现有技术,本实用新型的优点如下:1)本实用新型整体结构设计巧妙,结构紧凑,实用性强;2)该技术方案中所述的胸骨撑开装置,可以反复使用,降低先天性心脏病患儿的住院费用;3)该技术方案中所述的胸骨撑开装置,胸骨槽上叶有咬齿,且有弹簧的张力,可固定撑开器,无需缝合固定,这样操作简便,无需缝合,无需拆线,减轻患儿痛苦;4)该技术方案中所述的胸骨撑开装置,弓板部存在生理性弧度,接近生理曲线,使得撑开器固定牢固,胸腔撑开效果更佳。不同的人胸廓的形状不一,前胸壁的弧度也不一样。胸骨撑开的距离不同,前胸壁的弧度也不相同;因此,很难精确到撑开器的弧度为多少度。但有一定的弧度,固定牢靠,撑开的效果更好;5)该技术方案中所述的胸骨撑开装置,胸骨槽为有弹簧的夹子,对不同厚度的胸骨均适合。避免因胸骨槽宽度固定,胸骨槽与胸骨不适应,导致撑开器固定不稳,甚至滑脱,造成额外的伤害;6)该技术方案中所述的胸骨撑开装置,夹子样的胸骨槽,操作简单,适用于不同厚度的胸骨,无需现场调节胸骨槽的张力,节省手术时间;7)该技术方案中所述的胸骨撑开装置,弓板部有不同的长度,对于不同年龄的患儿,有不同的选择。手术医师可根据具体情况,选择适宜的长度;8)该技术方案中所述的胸骨撑开装置,胸骨槽内衬弧形铁片,这使得胸骨没有直接接触胸骨槽上下连接部位及弹簧,而是没有棱角的铁片,减轻了胸骨的损伤及患儿的痛苦;9)该技术方案中所述的胸骨撑开装置,胸骨槽是不闭合的。胸骨槽上叶的咬齿在未使用时与弓板部的切线相交,这样使得胸骨受到的压力不至于过大,造成不必要的损伤;10)该技术方案成本较低,便于大规模的推广应用。Compared with the prior art, the utility model has the following advantages: 1) The overall structure of the utility model is ingeniously designed, compact in structure and strong in practicability; 2) The sternum spreading device described in the technical solution can be used repeatedly, reducing the inherent 3) The sternal distraction device described in this technical plan has teeth on the upper lobe of the sternal groove and spring tension, which can fix the spreader without suture fixation, which is easy to operate , no need to suture, no need to remove stitches, reducing the pain of children; 4) The sternal distraction device described in this technical solution has a physiological curvature in the arch plate, which is close to the physiological curve, so that the spreader is firmly fixed and the chest cavity is stretched. better. The shape of the chest varies from person to person, and the curvature of the front chest wall also varies. Depending on how far the sternum is distracted, the curvature of the anterior chest wall will vary; therefore, it is difficult to pinpoint exactly how many degrees the distractor is curved. But there is a certain radian, the fixation is firm, and the effect of stretching is better; 5) The sternum stretching device described in this technical solution, the sternal groove is a clip with a spring, which is suitable for sternums of different thicknesses. To avoid the fixed width of the sternal groove, the incompatibility between the sternal groove and the sternum, resulting in unstable fixation of the spreader, or even slipping, causing additional injuries; Simple operation, suitable for sternums of different thicknesses, no need to adjust the tension of the sternal groove on site, saving operation time; 7) The sternal distraction device described in the technical proposal has different lengths of the arch plate, suitable for children of different ages , with different options. The surgeon can choose the appropriate length according to the specific situation; 8) The sternal opening device described in this technical proposal, the sternal groove is lined with an arc-shaped iron sheet, which prevents the sternum from directly contacting the upper and lower connection parts of the sternal groove and the spring, and It is an iron sheet without edges and corners, which reduces the injury of the sternum and the pain of the child; 9) The sternal opening device described in the technical proposal does not close the sternal groove. The occlusal teeth of the upper lobe of the sternal groove intersect with the tangent line of the arch plate when not in use, so that the pressure on the sternum will not be too large, causing unnecessary damage; 10) The cost of this technical solution is low, and it is convenient for large-scale promotion application.

附图说明Description of drawings

图1为本实用新型整体结构示意图;Fig. 1 is a schematic diagram of the overall structure of the utility model;

图2为连接部局部示意图;Figure 2 is a partial schematic view of the connection part;

图3为弹簧槽结构示意图;Fig. 3 is a schematic diagram of the spring groove structure;

图中:1、弓板部,2、胸骨槽下叶,3、胸骨槽上叶,4、咬齿,5、胸骨槽上叶尾部,6、下连接点,7、上连接点,8、下连接孔,9、上连接孔,10、横杆,11、横杆球形端,12、弹簧13、弹簧槽,14、铁片,15、弹簧上臂,16、弹簧下臂。In the figure: 1. arch plate, 2. lower lobe of sternal trough, 3. upper sternal trough lobe, 4. occlusal teeth, 5. tail of upper sternal trough lobe, 6. lower connection point, 7. upper connection point, 8. Lower connecting hole, 9, upper connecting hole, 10, cross bar, 11, spherical end of cross bar, 12, spring 13, spring groove, 14, iron sheet, 15, spring upper arm, 16, spring lower arm.

具体实施方式Detailed ways

为了加深对本实用新型的理解和认识,下面结合附图和具体实施方式对本实用新型作进一步描述和介绍。In order to deepen the understanding and recognition of the utility model, the utility model will be further described and introduced below in conjunction with the accompanying drawings and specific embodiments.

实施例1:参见图1、图2,延迟关胸胸骨撑开装置,所述撑开装置包括底座部和胸骨槽上部,所述底座部包括弓板部1和胸骨槽下部,其中弓板部1设置在中间,胸骨槽下部对称的设置在弓板部1的两端。该装置整体结构设计紧凑巧妙,撑开胸骨固定牢固,操作简便,对患者损伤小。而且不同年龄的患儿有不同长度的撑开器,做到根据需求,因人而异。所述胸骨槽下部包括胸骨槽下叶2和两个下连接点6,所述胸骨槽上部包括弹簧12、横杆10、两个上连接点7、胸骨槽上叶3及胸骨槽上叶尾部5构成,所述上连接点7上设置有上连接孔9、下连接点6上设置有下连接孔8,所述上、下连接点通过横杆10与胸骨槽下部共同构成胸骨槽,所述弹簧12包括弹簧上臂15、弹簧下臂16和螺旋部分,弹簧下臂固定于弓板部的弹簧槽内,弹簧上臂固定于胸骨槽尾部的弹簧槽内。Embodiment 1 : Referring to Fig. 1 and Fig. 2, the device for delaying the closing of the sternum and the sternum, the device includes a base part and an upper part of the sternal groove, and the base part includes the arch plate part 1 and the lower part of the sternal groove, wherein the arch plate part 1 is set in the middle, and the lower part of the sternal groove is symmetrically set at both ends of the arch plate 1. The overall structure of the device is compact and ingenious in design, the sternum is firmly fixed, the operation is simple, and the patient is less injured. Moreover, children of different ages have different lengths of spreaders, which vary from person to person according to needs. The lower part of the sternal groove includes the lower leaf 2 of the sternal groove and two lower connection points 6, and the upper part of the sternal groove includes a spring 12, a cross bar 10, two upper connection points 7, the upper leaf 3 of the sternal groove and the tail of the upper leaf of the sternal groove 5, the upper connection point 7 is provided with an upper connection hole 9, and the lower connection point 6 is provided with a lower connection hole 8, the upper and lower connection points form the sternal groove together with the lower part of the sternal groove through the cross bar 10, so The spring 12 includes a spring upper arm 15, a spring lower arm 16 and a helical part, the spring lower arm is fixed in the spring groove of the bow plate, and the spring upper arm is fixed in the spring groove at the tail of the sternal groove.

实施例2:参见图1、图2,作为本实用新型的一种改进,所述胸骨槽内有内衬弧形铁片14。胸骨槽内衬弧形铁片14,这使得胸骨没有直接接触胸骨槽上下连接部位及弹簧,而是直接接触没有棱角的铁片,减轻了胸骨的损伤及患儿的痛苦。其余结构和优点与实施例1完全相同。Embodiment 2 : Referring to Fig. 1 and Fig. 2, as an improvement of the present utility model, there is a liner arc-shaped iron sheet 14 in the described sternal groove. The sternal groove is lined with an arc-shaped iron sheet 14, which makes the sternum not directly contact the upper and lower connection parts of the sternal groove and the spring, but directly contacts the iron sheet without edges and corners, which reduces the damage of the sternum and the pain of the child. The rest of the structures and advantages are exactly the same as in Embodiment 1.

实施例3:参见图1、图2,作为本实用新型的一种改进,所述底座部的弓板部与胸骨槽下部为一体结构,使得撑开器更加稳定,所述弓板部为宽5—10mm,优选为8mm,厚2—4mm优选为3mm的钢板,且有生理弧度,所述弧度为10度-40度,所述弓板部的长度为2cm-10cm,弓板部有生理弧度的弓形及不同的长度,适合于不同年龄、不同胸骨撑开要求的患儿。其余结构和优点与实施例1完全相同。Embodiment 3 : Referring to Fig. 1 and Fig. 2, as an improvement of the present utility model, the arch plate of the base part is integrated with the lower part of the sternal groove, so that the spreader is more stable, and the arch plate is wide 5-10mm, preferably 8mm, 2-4mm thick, preferably 3mm steel plate, and have a physiological curvature, the curvature is 10-40 degrees, the length of the arch-plate part is 2cm-10cm, and the arch-plate part has a physiological curvature. The curved bow shape and different lengths are suitable for children of different ages and different requirements for sternum expansion. The rest of the structures and advantages are exactly the same as in Embodiment 1.

实施例4:参见图1、图2,作为本实用新型的一种改进,所述胸骨槽下叶宽10mm,所述胸骨槽上叶3宽10mm,前端两边缘各有一个与胸骨槽上叶垂直的、朝向胸骨槽下部的圆柱形咬齿4,咬齿4直径为1mm,长度3mm。胸骨槽上叶前端设置有两根圆柱形咬齿,由咬齿固定撑开器,无需缝合固定,操作简单、缩短手术时间,同时,减轻患儿痛苦。其余结构和优点与实施例1完全相同。Embodiment 4 : referring to Fig. 1, Fig. 2, as a kind of improvement of the present utility model, described sternal groove lower lobe width 10mm, described sternal groove upper lobe 3 wide 10mm, front end two edges respectively have one and sternal groove upper lobe Vertical cylindrical bite 4 facing the lower part of the sternal groove, the diameter of the bite 4 is 1mm, and the length is 3mm. The front end of the upper lobe of the sternal trough is equipped with two cylindrical teeth, which fix the spreader without sutures. The operation is simple, the operation time is shortened, and the pain of the child is relieved at the same time. The rest of the structures and advantages are exactly the same as in Embodiment 1.

实施例5:参见图1、图2,作为本实用新型的一种改进,所述下连接点6设置在胸骨槽下部与弓板部连接处,所述下连接点6设置为三角形并垂直于弓板部,所述下连接点上各有一个圆孔;所述上连接点7设置在胸骨槽上叶与尾部的连接处,所述上连接点7设置为三角形,所述上连接点上各有一个圆孔;横杆穿过四个连接点上的小孔固定胸骨槽上部、下部。其余结构和优点与实施例1完全相同。Embodiment 5 : referring to Fig. 1, Fig. 2, as a kind of improvement of the present utility model, described lower connecting point 6 is arranged at the junction of sternal groove bottom and bow plate part, and described lower connecting point 6 is arranged as triangular and perpendicular to Arch plate, each of the lower connection points has a round hole; the upper connection point 7 is set at the connection between the upper lobe of the sternal groove and the tail, the upper connection point 7 is set in a triangle, and the upper connection point Each has a round hole; the crossbar passes through the small holes on the four connection points to fix the upper part and the lower part of the sternal groove. The rest of the structures and advantages are exactly the same as in Embodiment 1.

实施例6:参见图1、图2,作为本实用新型的一种改进,所述横杆10两端为膨大球形,球形直径比横杆直径大2mm,球形直径大于四个连接点上小孔的直径,所述横杆两端为膨大球形,球形直径比横杆直径大2mm,球形直径大于四个连接点上小孔的直径,使得整个撑开器连接在一起,且横杆不易脱落。其余结构和优点与实施例1完全相同。Embodiment 6 : referring to Fig. 1, Fig. 2, as a kind of improvement of the present utility model, described cross bar 10 two ends are expanded spherical shape, and spherical diameter is larger than cross bar diameter 2mm, and spherical diameter is larger than the small hole on four connection points The two ends of the cross bar are inflated spherical, the spherical diameter is 2mm larger than the cross bar diameter, and the spherical diameter is larger than the diameter of the small holes on the four connection points, so that the entire spreader is connected together, and the cross bar is not easy to fall off. The rest of the structures and advantages are exactly the same as in Embodiment 1.

本实用新型还可以将实施例2、3、4、5、6所述技术特征中的至少一个与实施例1组合形成新的实施方式。The utility model can also combine at least one of the technical features described in embodiments 2, 3, 4, 5, and 6 with embodiment 1 to form a new embodiment.

需要说明的是上述实施例,并非用来限定本实用新型的保护范围,在上述技术方案的基础上所作出的等同变换或替代均落入本实用新型权利要求所保护的范围。It should be noted that the above-mentioned embodiments are not used to limit the protection scope of the present utility model, and equivalent transformations or substitutions made on the basis of the above-mentioned technical solutions all fall within the protection scope of the claims of the present utility model.

Claims (9)

Translated fromChinese
1.延迟关胸胸骨撑开装置,其特征在于,所述撑开装置包括底座部和胸骨槽上部,所述底座部包括弓板部和胸骨槽下部,其中弓板部设置在中间,胸骨槽下部对称的设置在弓板部的两端。1. Delayed closing of the sternum and sternum distraction device, characterized in that the distraction device includes a base part and an upper part of the sternal groove, and the base part includes a bow plate part and a lower part of the sternal groove, wherein the bow plate part is arranged in the middle, and the sternal groove The lower part is arranged symmetrically at both ends of the bow plate part.2.根据权利要求1所述的延迟关胸胸骨撑开装置,其特征在于,所述胸骨槽下部包括胸骨槽下叶和两个下连接点,所述胸骨槽上部包括弹簧、横杆、两个上连接点、胸骨槽上叶及胸骨槽上叶尾部构成,所述上、下连接点上均有一个圆形小孔,所述上、下连接点通过横杆与胸骨槽下部共同构成胸骨槽,所述弹簧包括弹簧上臂、弹簧下臂和螺旋部分,弹簧下臂固定于弓板部的弹簧槽内,弹簧上臂固定于胸骨槽尾部的弹簧槽内。2. The delayed closing sternum sternum expansion device according to claim 1, characterized in that, the lower part of the sternal groove comprises a lower leaf of the sternal groove and two lower connection points, and the upper part of the sternal groove comprises a spring, a cross bar, two It consists of an upper connection point, the upper lobe of the sternal groove and the tail of the upper lobe of the sternal groove. Both the upper and lower connection points have a small circular hole. The upper and lower connection points form the sternum together with the lower part of the sternal groove through a cross bar. The spring includes a spring upper arm, a spring lower arm and a helical part, the spring lower arm is fixed in the spring groove of the bow plate, and the spring upper arm is fixed in the spring groove at the end of the sternal groove.3.根据权利要求2所述的延迟关胸胸骨撑开装置,其特征在于,所述胸骨槽内有内衬弧形铁片。3. The sternal distraction device for delayed closing of the sternum according to claim 2, wherein the sternal groove is lined with an arc-shaped iron sheet.4.根据权利要求3所述的延迟关胸胸骨撑开装置,其特征在于,所述底座部的弓板部与胸骨槽下部为一体结构,所述弓板部为宽5—10mm,厚2—4mm的钢板,且有生理弧度,所述弧度为10度-40度。4. The sternal distraction device for delayed closing of the sternum according to claim 3, characterized in that, the arch plate of the base part is integrated with the lower part of the sternal groove, and the arch plate is 5-10 mm wide and 2 mm thick. - A 4mm steel plate with a physiological curvature, the curvature being 10°-40°.5.根据权利要求3或4所述的延迟关胸胸骨撑开装置,其特征在于,所述弓板部的长度为2cm-10cm。5. The sternal distraction device for delayed sternum closure according to claim 3 or 4, characterized in that the length of the arch plate is 2cm-10cm.6.根据权利要求5所述的延迟关胸胸骨撑开装置,其特征在于,所述胸骨槽上叶宽10mm,前端两边缘各有一个与胸骨槽上叶垂直的、朝向胸骨槽下部的圆柱形咬齿,咬齿直径为1mm,长度3mm。6. The sternal distraction device for delayed closing of the sternum according to claim 5, characterized in that the upper lobe of the sternal groove is 10 mm wide, and the front two edges each have a column perpendicular to the upper lobe of the sternal groove and facing the lower part of the sternal groove Shaped teeth, the diameter of the teeth is 1mm, and the length is 3mm.7.根据权利要求6所述的延迟关胸胸骨撑开装置,其特征在于,所述胸骨槽下叶宽10mm。7. The sternal distraction device according to claim 6, characterized in that the width of the lower leaf of the sternal groove is 10mm.8.根据权利要求7所述的延迟关胸胸骨撑开装置,其特征在于,所述下连接点设置在胸骨槽下部与弓板部连接处,所述下连接点设置为三角形并垂直于弓板部,所述下连接点上各有一个圆孔;所述上连接点设置在胸骨槽上叶与尾部的连接处,所述上连接点设置为三角形,所述上连接点上各有一个圆孔;横杆穿过四个连接点上的小孔固定胸骨槽上部、下部。8. The delayed closing sternum and sternum distraction device according to claim 7, characterized in that, the lower connection point is set at the connection between the lower part of the sternal groove and the arch plate, and the lower connection point is set in a triangular shape and perpendicular to the arch There is a round hole on each of the lower connection points; the upper connection point is set at the connection between the upper leaf of the sternal groove and the tail, the upper connection point is set as a triangle, and each of the upper connection points has a Round holes; the crossbar passes through the small holes on the four connection points to fix the upper and lower parts of the sternal groove.9.根据权利要求7或8所述的延迟关胸胸骨撑开装置,其特征在于,所述横杆两端为膨大球形,球形直径比横杆直径大2mm,球形直径大于四个连接点上小孔的直径。9. The delayed sternum and sternum distraction device according to claim 7 or 8, characterized in that, the two ends of the crossbar are in the shape of an enlarged sphere, the diameter of the sphere is 2mm larger than the diameter of the crossbar, and the diameter of the sphere is greater than that of the four connection points. The diameter of the hole.
CN201520621579.3U2015-08-182015-08-18Chest brestbone distraction device postpones to closeWithdrawn - After IssueCN204890063U (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication numberPriority datePublication dateAssigneeTitle
CN105054982A (en)*2015-08-182015-11-18南京医科大学附属南京儿童医院Sternum expanding device with sternal closure delaying function
CN105962978A (en)*2016-04-192016-09-28常州优复瑞医疗器械有限公司Human body surgery intracavity exposure support device
CN111493991A (en)*2020-03-232020-08-07温州医科大学附属第二医院、温州医科大学附属育英儿童医院Sternoclavicular joint crossing type steel plate with adjustable angle

Cited By (3)

* Cited by examiner, † Cited by third party
Publication numberPriority datePublication dateAssigneeTitle
CN105054982A (en)*2015-08-182015-11-18南京医科大学附属南京儿童医院Sternum expanding device with sternal closure delaying function
CN105962978A (en)*2016-04-192016-09-28常州优复瑞医疗器械有限公司Human body surgery intracavity exposure support device
CN111493991A (en)*2020-03-232020-08-07温州医科大学附属第二医院、温州医科大学附属育英儿童医院Sternoclavicular joint crossing type steel plate with adjustable angle

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