CN112674984B - Auxiliary instrument for enlarging operation visual field - Google Patents
Auxiliary instrument for enlarging operation visual field Download PDFInfo
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- CN112674984B CN112674984B CN202011594099.4A CN202011594099A CN112674984B CN 112674984 B CN112674984 B CN 112674984B CN 202011594099 A CN202011594099 A CN 202011594099A CN 112674984 B CN112674984 B CN 112674984B
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- 230000007246 mechanism Effects 0.000 claims abstract description 36
- 210000003205 muscle Anatomy 0.000 claims abstract description 32
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- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 description 24
- 239000000741 silica gel Substances 0.000 description 24
- 229910002027 silica gel Inorganic materials 0.000 description 24
- 210000002414 leg Anatomy 0.000 description 19
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- 239000002390 adhesive tape Substances 0.000 description 6
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 6
- 229910052760 oxygen Inorganic materials 0.000 description 6
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- 102100040428 Chitobiosyldiphosphodolichol beta-mannosyltransferase Human genes 0.000 description 5
- 239000000463 material Substances 0.000 description 3
- 210000003928 nasal cavity Anatomy 0.000 description 3
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- 238000001356 surgical procedure Methods 0.000 description 3
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- 229920001296 polysiloxane Polymers 0.000 description 2
- 229920000742 Cotton Polymers 0.000 description 1
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- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
- A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
- A61G13/1205—Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
- A61G13/121—Head or neck
- A61G13/1215—Head or neck with patient airway positioning devices
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
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Abstract
An auxiliary apparatus for expanding the operation visual field comprises a fixed backing plate and a head supporting mechanism arranged at the front end of the fixed backing plate and used for supporting the head of a patient, when the fixed backing plate is laid on an operation bed and the patient lies on the fixed backing plate, the shoulder position of the fixed backing plate is higher than the head position, so that the neck is exposed, a shoulder muscle stretching and fixing device is arranged on the fixed backing plate, and two stretching belts arranged in the shoulder muscle stretching and fixing device respectively pull and fix the muscles of the shoulders at two sides backwards, so that the rear part of the cervical vertebra is completely exposed. When the auxiliary instrument is used, the auxiliary instrument is laid on an operation bed, after a patient is placed on the fixed cushion plate, the two stretching belts in the shoulder muscle stretching and fixing device are used for pulling and fixing the muscles on the two sides of the shoulder to the rear part, so that the rear part of the cervical vertebra is completely exposed.
Description
The patent application of the invention is a divisional application with application number of 2019105523380, the original application date is 2019, 6 and 25, and the application numbers are as follows: 2019105523380, the name of invention creation is: an auxiliary instrument for exposing an operation visual field in a cervical vertebra posterior operation.
Technical Field
The invention relates to an auxiliary instrument used in medical operation, in particular to an auxiliary instrument used for enlarging an operation visual field.
Background
When the cervical vertebra posterior surgery is performed, a patient needs to lie on an operating bed and perform open-cut surgery on the back side of the neck of the patient; the front part of the existing operation bed is provided with a U-shaped head ring for supporting the head of a patient, the U-shaped head ring is made of flexible materials such as sponge, and the like, so that the head of the patient can be supported when the patient is prone, and pipelines such as an oxygen tube and the like inserted into the nasal cavity of the patient during operation are inserted into the nasal cavity from the bottom of the U-shaped head ring.
However, such an operating table has the following problems:
1) the U-shaped head ring supports the head of a patient, namely the head of the patient is actually supported on the face and the forehead on two sides of the patient, and the weight of the whole body of the patient is completely pressed on the supporting part due to the fact that the patient is in a general anesthesia state during operation, so that skin pressure sores can be caused on the face and the forehead in the long-time operation process;
moreover, as the sizes of the faces of the patients are different, for the patient with a large face, the U-shaped head ring can press the eyes of the patient, and even the eyes are blinded due to long-time pressing;
2) because the oxygen tube and other pipelines are inserted into the nasal cavity from bottom to top through the middle of the U-shaped head ring, the oxygen tube and other pipelines can fall off due to unconscious shaking of the patient in the actual operation, and medical staff is required to bend down to observe whether the oxygen tube of the patient falls off irregularly;
3) when a patient lies on the operation bed, the arms of the patient are close to the two sides of the body, so that muscles on the shoulders can gather towards the middle and are accumulated at the cervical vertebra, and the obstruction and the influence of the operation vision are caused, particularly for fat patients; the existing solution measures are as follows: medical staff are fixed by two wide adhesive tapes, one end of one wide adhesive tape is adhered to the meat of the left shoulder, the other end of the wide adhesive tape is obliquely pulled back from the back of the patient and is finally fixed between the right waist of the patient, and one end of the other wide adhesive tape is adhered to the meat of the right shoulder and is finally fixed between the left waist of the patient; such a fixing method is not only troublesome, but most importantly, since the viscosity of the adhesive tape is reduced due to the presence of blood, body fluid and other liquids during the operation, the adhesive tape is easily detached, and a long-time operation requires a plurality of times of fixing.
Disclosure of Invention
In order to solve the problem that the muscle of the shoulder of a patient is gathered towards the middle to influence the operation visual field during the existing cervical vertebra posterior operation, the invention provides an auxiliary instrument for expanding the operation visual field, the auxiliary instrument is laid on an operation bed when in use, after the patient is placed on a fixed cushion plate, the muscle of the shoulder at two sides is pulled and fixed backwards by two stretching belts in a shoulder muscle stretching and fixing device, so that the cervical vertebra posterior part is completely exposed.
The technical scheme adopted by the invention to solve the technical problems is as follows: an auxiliary apparatus for expanding the operation visual field comprises a fixed backing plate and a head supporting mechanism arranged at the front end of the fixed backing plate and used for supporting the head of a patient, when the fixed backing plate is laid on an operation bed and the patient lies on the fixed backing plate, the shoulder position of the fixed backing plate is higher than the head position, so that the neck is exposed, a shoulder muscle stretching and fixing device is arranged on the fixed backing plate, and two stretching belts arranged in the shoulder muscle stretching and fixing device respectively pull and fix the muscles of the shoulders at two sides backwards, so that the rear part of the cervical vertebra is completely exposed.
In a preferred embodiment of the invention, the shoulder muscle stretching and fixing device further comprises an adjusting and bearing mechanism, the adjusting and bearing mechanism comprises a bearing plate for bearing the trunk of the upper body of the patient, the bearing plate slides in two sliding grooves formed in the surface of a fixed backing plate through sliding blocks symmetrically arranged on two sides of the bottom of the bearing plate, a flexible pad is laid on the surface of the bearing plate, rolled friction silica gel pads are arranged on two sides of the front end of the flexible pad, and a channel for the head and the neck of the patient to pass through is formed between the two friction silica gel pads; the front ends of the two stretching belts are respectively fixed on two sides of the front end of the bearing plate, when the tail ends of the two stretching belts are stretched backwards, the two friction silica gel pads can be squeezed to enable the two friction silica gel pads to be tightly attached to shoulders on two sides, and then after the tail ends of the two stretching belts are fixed, muscles on the shoulders on two sides are pulled backwards by means of the two friction silica gel pads, so that the rear part of the cervical vertebra is completely exposed.
Another preferred embodiment of the invention is that the two stretching belts are fixed by a fixing mechanism, the fixing mechanism comprises two fixing rods and an internal thread sleeve which is arranged inside the rear end of the fixing backing plate and is parallel to the width direction of the operation bed, the front ends of the two stretching belts are fixed with the front end of the bearing plate, the tail ends of the two stretching belts are fixed on a clamping plate, one end of each fixing rod is provided with an external thread which is matched with the internal thread sleeve, the other end of each fixing rod is provided with a rotating handle, a through groove which the clamping plate can be inserted into and fixed is arranged on the rod body close to one end of the rotating handle, the clamping plates at the tail ends of the two stretching belts are respectively inserted into the through grooves of the two fixing rods, the two fixing rods are screwed into the two ends of the internal thread sleeve in a rotating way, the two fixing rods are rotated to adjust the lengths of the two stretching belts, and the two stretching belts press the two friction silica gel pads to be tightly attached to the shoulders, and then draw the muscle of both sides shoulder backward with the help of two friction silica gel pads to expose cervical vertebra rear portion completely.
In an improved scheme of the above preferred embodiment of the present invention, two sides of the front end of the bearing plate are respectively and vertically provided with shoulder plates, the front side surfaces of the two shoulder plates are provided with slots inclined upwards, the front ends of the two stretching belts are respectively fixed on an insert, and the front ends of the stretching belts are fixed by inserting the insert into the slots.
In another preferred embodiment of the present invention, when the two stretching straps are used to pull the muscles of the shoulders backward, the pulling directions of the two stretching straps cross each other.
Another preferred embodiment of the invention is that the rear end of the fixed base plate is sequentially provided with an abdomen supporting air bag and a lower abdomen lifting air bag, and the abdomen supporting air bag and the lower abdomen lifting air bag are respectively inflated by an air compressor and a three-way valve, so that the abdominal cavity and the lower abdomen of the patient are jacked up to lift the hip of the patient, the relative position of the trunk and the head of the patient is further changed, the rear part of the cervical vertebra is completely exposed, and meanwhile, the pressure of the face of the patient and the head supporting mechanism is reduced.
In a further preferred embodiment of the present invention, the rear end of the fixing pad is provided with a leg support plate via an elastic stretching frame, the abdomen support airbag is provided on the elastic stretching frame, the lower abdomen raising airbag is provided at the front end of the leg support plate, the leg support plate is provided with a U-shaped groove having a rearward opening, and the crotch and both legs of the patient are supported by inserting the U-shaped frame plate into the U-shaped groove.
An improvement scheme of the last preferred embodiment of the invention is that the elastic stretching frame comprises two connecting plates and a plurality of inflation tubes which are arranged in parallel and horizontally, each inflation tube is provided with a valve inside, an expansion gap is arranged between every two adjacent inflation tubes, the outside of each inflation tube is wrapped with a supporting framework formed by a reticular metal wire, and after two ends of each inflation tube respectively penetrate through holes on the two connecting plates, the supporting framework on the inflation tube is fixed with the inner wall of the hole; the two connecting plates are provided with bolt holes, and connecting bolts are inserted into the bolt holes so as to fix the two connecting plates with the rear end of the fixed base plate and the front end of the leg supporting plate respectively.
Another improvement of the preferred embodiment of the present invention is that a horizontal support plate is disposed at the rear end of the leg support plate, the front end of the horizontal support plate is slidably disposed in an open slot disposed at the rear end of the leg support plate, a support plate for supporting both feet of the patient is vertically disposed at the rear end, the bottom end of the support plate passes over the horizontal support plate to form an extended section, corresponding threaded holes are disposed on the extended section and the rear end face of the leg support plate, a screw with a handle is disposed in the threaded hole, and the support plate and the horizontal support plate are driven to slide into or out of the open slot by rotating the screw, so as to adapt to patients with different body lengths.
In another preferred embodiment of the present invention, the head support mechanism includes a U-shaped support ring for supporting the head of the patient and a fixing support connected to the front end of the fixing cushion plate, wherein a flexible cushion contacting the head is laid around the inner wall and the upper surface of the U-shaped support ring, the two fixing supports are symmetrical, a fixing shaft parallel to the width direction of the operating table is disposed between the two fixing supports, two support columns are symmetrically disposed on the fixing shaft, one side of the top ends of the two support columns, which is close to the fixing cushion plate, is hinged to the bottom wall of the U-shaped support ring through a rotating pin, an air bag hole with an opening at the top is disposed on one side of the two support columns, which is far from the fixing cushion plate, and an air bag is disposed in the air bag hole and inflated to expand the air bag, so as to adjust the inclination angle of the U-shaped support ring.
In a modification of the above preferred embodiment of the present invention, the U-shaped supporting ring has a groove penetrating through an outer wall and an inner wall thereof, a block for closing a surface of the groove is inserted into the groove, and the closed groove forms a through hole for passing an auxiliary conduit during an operation.
Compared with the prior art, the invention has the following beneficial effects:
1) when the auxiliary instrument is used, the auxiliary instrument is laid on an operating bed, after a patient is placed on the fixed backing plate, the two stretching belts in the shoulder muscle stretching and fixing device are used for pulling and fixing the muscles on the two sides of the shoulder to the rear part, so that the rear part of the cervical vertebra is completely exposed, and the fixing mode is simple and convenient and very stable, and the phenomenon of slippage cannot occur in the operation process;
2) the fixed backing plate can be further provided with an adjusting and bearing mechanism, the main body of the adjusting and bearing mechanism is a bearing plate which is arranged on the fixed backing plate in a sliding mode, flexible pads are laid on the bearing plate, rolled friction silica gel pads are arranged on two sides of the front end of each flexible pad, and the front end of a stretching belt is arranged below the two friction silica gel pads on the bearing plate;
3) the two stretching belts are fixed through the fixing mechanism, the core of the fixing mechanism is an internal thread sleeve arranged inside the rear end of the fixed base plate, two fixing rods are respectively in threaded fit with two ends of the internal thread sleeve, through grooves are formed in the fixing rods, so that clamping pieces at the end parts of the stretching belts can be clamped into the through grooves, the fixing rods are further rotated, the stretching belts are wound on the fixing rods to be fixed, and the fixing mechanism is matched with the adjusting bearing mechanism to adjust the position and the stretching force of a patient; the front end of the stretching belt is provided with an inserting sheet which is inserted into the slot on the shoulder plate at the front end of the bearing plate, so that medical personnel can easily realize the fixation of the stretching belt and the operation is convenient;
4) the back end of the fixed cushion plate is provided with the abdomen supporting air bag and the lower abdomen lifting air bag at one time, and the abdomen supporting air bag and the lower abdomen lifting air bag are respectively inflated by the air compressor and the three-way valve, so that the abdominal cavity and the lower abdomen of a patient are jacked up to lift the hip of the patient, the relative position of the trunk and the head of the patient is changed, the back part of the cervical vertebra is completely exposed, and the pressure of the face and the head supporting mechanism of the patient is reduced;
5) the rear end of a fixed backing plate is provided with a leg supporting plate through an elastic stretching frame, the rear end of the leg supporting plate is provided with a horizontal supporting plate, the front end of the horizontal supporting plate is arranged in an open slot arranged at the rear end of the leg supporting plate in a sliding manner, the rear end of the horizontal supporting plate is vertically provided with a supporting plate used for supporting the feet of a patient, the bottom end of the supporting plate passes over the horizontal supporting plate to form an extension section, the extension section and the rear end surface of the leg supporting plate are provided with corresponding threaded holes, screw rods with handles are arranged in the threaded holes, and the supporting plate and the horizontal supporting plate are driven to slide into or slide out of the open slot by rotating the screw rods so as to adapt to patients with different body lengths; the support plate has the functions that when the buttocks and the waist of a patient are lifted, both feet can be abutted against the support plate to provide a certain supporting force;
6) the core of the elastic stretching frame is the inflation tube which is externally wrapped with the reticular metal wire as a supporting framework, so that the connection strength of the leg supporting plate and the fixed base plate can be ensured, corresponding elasticity can be provided, and the comfort requirement can be met;
7) according to the invention, the head supporting mechanism is improved, one side of the U-shaped supporting ring of the head supporting mechanism, which is close to the fixed base plate, is provided with the rotating pin shaft, and the other side of the U-shaped supporting ring controls the inclination angle of the U-shaped supporting ring through the air bag, so that the neck of a patient is exposed as much as possible; and the U-shaped supporting ring is provided with a groove penetrating through the outer wall and the inner wall of the U-shaped supporting ring, and the surface of the groove is sealed by a clamping block, so that a through hole for the auxiliary pipeline to pass through is formed, and the through hole can play a role in fixing the operation pipeline such as an oxygen tube and the like, and can prevent the operation pipeline from falling off easily.
Drawings
FIG. 1 is a schematic top view of the present invention;
FIG. 2 is a schematic side view of FIG. 1;
FIG. 3 is a schematic structural diagram of an adjustment carrying mechanism;
FIG. 4 is a schematic structural view of an elastic stretching frame;
FIG. 5 is a schematic view of the head support mechanism;
reference numerals are as follows: 1. a fixed backing plate, 2, an abdomen supporting air bag, 3, a lower abdomen lifting air bag, 4, an adjusting bearing mechanism, 401, a bearing plate, 402, a shoulder plate, 403, a flexible pad, 404, a channel, 405, a friction silica gel pad, 406, a sliding chute, 407, a sliding block, 5, a fixing mechanism, 501, a stretching belt, 502, a fixing rod, 503, an internal thread sleeve, 504, a clamping plate, 505, an inserting sheet, 6, a leg supporting plate, 601, a U-shaped frame plate, 602, an open slot, 7, a horizontal supporting plate, 701, a supporting plate, 702, a screw, 8, a head supporting mechanism, 801, a U-shaped supporting ring, 802, a flexible pad, 803, a space, 804, a groove, 805, a clamping block, 806, an air bag, 807, a supporting column, 808, a rotating pin shaft, 809, a fixing shaft, 8010, a fixing bracket, 9, an elastic stretching frame, 901, an inflation tube, 902, an inflation gap, 903, a valve core, 904, a supporting framework, 905 and a connecting plate, 906. bolt hole, 10, three-way valve, 11, aerostatic press.
Detailed Description
The invention is further illustrated with reference to specific examples. The following embodiments of the present invention are not described in detail in the prior art, and therefore, the structure and connection are not described in detail.
Example 1
As shown in Figs. 1 and 2, an auxiliary instrument for expanding a surgical field comprises a fixed mat 1 and a head support mechanism 8 provided at a front end of the fixed mat 1 for supporting a head of a patient, and when the fixed mat 1 is laid on an operation bed with the patient lying on his/her stomach, the shoulder position thereof is higher than the head position thereof to expose the neck, and a shoulder muscle stretching fixing device having two stretching straps 501 for respectively pulling and fixing the muscles of both sides of the shoulder in the rear direction is provided on the fixed mat 1 to completely expose the rear part of the cervical vertebrae.
In this embodiment, the lower bottom surface of the fixing cushion plate 1 is a plane, and is attached to the surface of the operating table, and the upper surface is parallel to the lower surface, or gradually decreases from the front end to the rear end, so that the patient keeps a posture that the shoulders are high and the waist is low, the stress on the face is reduced, and the probability of pressure sores is reduced.
In this embodiment, the so-called stretch tape 501 is a cotton tape having a width of 8 to 12 CM.
When the device is used, the fixed cushion plate 1 of the auxiliary device is paved on the surface of the existing operating table, and then the anaesthetized patient is placed on the fixed cushion plate 1 in the prone position, so that the upper body of the patient is pressed on the fixed cushion plate 1; thereafter, the two tension bands 501 are pulled backward from the front of the patient's shoulders, so that the muscles holding the patient's shoulders are pulled backward, exposing the surgical field.
Example 2
As shown in fig. 1, 2 and 3, this embodiment is a modified scheme based on embodiment 1, and its main body is the same as embodiment 1, and the improvement lies in: the shoulder muscle stretching and fixing device further comprises an adjusting and bearing mechanism 4, the adjusting and bearing mechanism 4 comprises a bearing plate 401 for bearing the upper body of a patient, the bearing plate 401 slides in two sliding grooves 406 formed in the surface of the fixed base plate 1 through sliding blocks 407 symmetrically arranged on two sides of the bottom of the bearing plate 401, the sliding grooves and the sliding grooves are in surface contact friction sliding, and the surface contact friction sliding can realize sliding position adjustment under the action of external force while being stable; the flexible pad 403 is laid on the surface of the bearing plate 401, rolled friction silica gel pads 405 are arranged on two sides of the front end of the flexible pad 403, the height of the rolled friction silica gel pads 405 is 15-25cm, the rolled friction silica gel pads are arc-shaped, the width of the rolled friction silica gel pads is the same as or slightly smaller than that of shoulders of a person, and the flexible pad 403 can be directly adhered to the surface of the bearing plate 401; a channel 404 for the head and the neck of the patient to pass through is arranged between the two friction silica gel pads 405, the width of the channel 404 is equal to the width of the two sides of the head, so that the neck can pass through the channel, and an operation space is left on the two sides; the front ends of the two stretching bands 501 are respectively fixed on two sides of the front end of the bearing plate 401, when the tail ends of the two stretching bands 501 are stretched backwards, the two friction silica gel pads 405 can be squeezed to enable the two friction silica gel pads to be tightly attached to shoulders on two sides, and then after the tail ends of the two stretching bands 501 are fixed, muscles on the shoulders on two sides are pulled backwards by means of the two friction silica gel pads 405, so that the rear part of the cervical vertebra is completely exposed.
In this embodiment, the flexible pad 403 is made of a silicone material, and the length thereof exceeds the rear end of the bearing plate 401; friction silica gel pad 405 is the gasket that adopts the silica gel material to make in fact, and it has unevenness's arch and sunken to distribute on its surface with the shoulder contact to increase frictional force, and then make it inseparabler with the shoulder contact, can drag the muscle production on the shoulder better.
When the device is used, the fixed cushion plate 1 of the auxiliary device is paved on the surface of the existing operating table, and then the anesthetized patient is placed on the bearing plate 401 in the prone position, so that the upper body of the patient is completely pressed on the flexible cushion 403 on the bearing plate 401, and the two friction silica gel cushions 405 are respectively contacted with the two shoulder surfaces of the patient; thereafter, the two tension bands 501 are pulled backward from the front of the patient's shoulders, so that the muscles holding the patient's shoulders are pulled backward, exposing the surgical field.
Example 3
As shown in fig. 1, 2 and 3, this embodiment is a modified version based on embodiment 1 or 2, and its main body is the same as embodiment 1 or 2, and the improvement lies in: the two stretching belts 501 are fixed by a fixing mechanism 5, the fixing mechanism 5 comprises two fixing rods 502 and an internal thread sleeve 503 which is arranged inside the rear end of the fixing cushion plate 1 and is parallel to the width direction of the operating table, the front ends of the two stretching belts 501 are fixed with the front end of the bearing plate 401, the tail ends of the two stretching belts 501 are fixed on a clamping piece 504, one end of each fixing rod 502 is provided with an external thread matched with the internal thread sleeve 503, the other end of each fixing rod is provided with a rotating handle, a through groove for the clamping piece 504 to be inserted into and fixed is arranged on the rod body close to one end of the rotating handle, the clamping pieces 504 at the tail ends of the two stretching belts 501 are respectively inserted into the through grooves of the two fixing rods 502, the two fixing rods 502 are screwed into the two ends of the internal thread sleeve 503 in a rotating manner, the two fixing rods 502 are rotated to adjust the lengths of the two stretching belts 501, so that the two stretching belts 501 extrude the two friction silica gel pads 405 to be clung to the shoulders, the muscles of both shoulders are then pulled backward by means of two friction silicone pads 405, thereby completely exposing the rear part of the cervical vertebrae.
When the device is used, the fixed cushion plate 1 of the auxiliary device is paved on the surface of the existing operating table, and then the anesthetized patient is placed on the bearing plate 401 in the prone position, so that the upper body of the patient is completely pressed on the flexible cushion 403 on the bearing plate 401, and the two friction silica gel cushions 405 are respectively contacted with the two shoulder surfaces of the patient; then, two fixing rods 502 are screwed into two ends of the internal thread sleeve 503 in a rotating mode, the front ends of the two stretching belts 501 are fixed with the front end of the bearing plate 401, the clamping pieces 504 at the tail ends are inserted into the through grooves in the fixing rods 502, the fixing rods 502 are rotated, the two stretching belts 501 are stretched backwards from the front of the shoulders of the patient after being tightened, accordingly, muscles of the patient, which are used for holding the shoulders of the patient, are pulled backwards, and the operation visual field is exposed.
Example 4
As shown in fig. 1, 2 and 3, this embodiment is a modified solution based on embodiment 3, and its main body is the same as embodiment 3, and the improvement lies in: the utility model discloses a tensile area of bearing board 401, including bearing board 401, bearing board 401 front end both sides are provided with shoulder board 402 respectively perpendicularly, and these two shoulder boards 402 highly are less than two friction silica gel pads 405 roll up the height, are provided with tilt up's slot on the front side of these two shoulder boards 402, the front end of two tensile areas 501 is fixed respectively on an inserted sheet 505, and it is fixed to insert the front end that makes tensile area 501 in the slot through this inserted sheet 505, and inserted sheet 505 is an inclined picture peg that inserts in the slot, has a vertical baffle at the tip of picture peg, and this baffle can paste on the front side of shoulder board 402.
When the muscles of both shoulders are pulled rearward, the two tension bands 501 are pulled in two ways, i.e., in the same side or in the cross:
the cross-pulling means that the pulling directions of the two are crossed, and after the pulling belt 501 extending from the left shoulder direction of the patient is pulled backwards, the tail end of the pulling belt is fixed to the position between the right waist of the patient; after the stretching strap 501 extending from the right shoulder of the patient is pulled backwards, the tail end of the stretching strap is fixed to the left waist of the patient;
the term "pulling on the same side" means that the pulling band 501 extending from the left shoulder of the patient is pulled back and the end thereof is fixed to the left waist of the patient; the tension band 501 extending from the right shoulder of the patient is pulled backward, and the end thereof is fixed to the right waist of the patient.
Example 5
As shown in fig. 1, 2 and 3, this embodiment is a modified scheme based on embodiment 1, and its main body is the same as embodiment 1, and the improvement lies in: the fixed bolster 1 rear end has set gradually belly support gasbag 2 and belly and has raised gasbag 3, aerifys to both in to respectively through an air compressor 11 and three-way valve 10 to jack-up patient's abdominal cavity and belly are in order to raise patient's buttock, and then change the relative position of patient's truck and head, when making the cervical vertebra rear portion expose completely, reduce the pressure of patient's face and head supporting mechanism 8.
In this embodiment, the abdominal support balloon 2 and the lower abdomen raising balloon 3 may be provided with fixing bands at both sides thereof to fix the patient against slipping.
In this embodiment, the abdomen supporting airbag 2 and the lower abdomen raising airbag 3 are configured such that the height of the surface thereof is flush with or slightly lower than the height of the upper surface of the fixing mat 1 when they are not inflated, and the abdomen supporting airbag 2 and the lower abdomen raising airbag 3 are configured such that they can be inflated only upward by providing a baffle plate at the side thereof after they are inflated.
When the auxiliary instrument is used, the fixed cushion plate 1 of the auxiliary instrument is paved on the surface of the existing operating table, and then an anesthetized patient is placed on the fixed cushion plate 1 in a prone position, so that the upper body of the patient is pressed on the fixed cushion plate 1, and the abdomen and the lower abdomen are supported and fixed by the abdomen supporting air bag 2 and the lower abdomen lifting air bag 3 respectively; then, the abdominal supporting air bag 2 and the lower abdomen lifting air bag 3 are inflated by opening the air compressor 11 and the three-way valve 10, so that the abdominal cavity and the lower abdomen of the patient are jacked up to lift the hip of the patient, the relative position of the trunk and the head of the patient is changed, the rear part of the cervical vertebra is completely exposed, and meanwhile, the pressure of the face and the head supporting mechanism of the patient is reduced; finally, the two tension bands 501 are stretched backward from the front of the patient's shoulders, so that the muscles holding the patient's shoulders are pulled backward, exposing the operative field.
Example 6
As shown in fig. 1, 2 and 3, this embodiment is a modified version based on embodiment 5, and the main body is the same as embodiment 5, and the improvement lies in: the rear end of fixed bolster 1 is provided with shank backup pad 6 through elastic stretching frame 9, belly support gasbag 2 sets up on elastic stretching frame 9, and the gasbag 3 setting is raised at the front end of shank backup pad 6 to the lower abdomen, be provided with the opening U-shaped groove backward on the shank backup pad 6, through inserting U-shaped frame plate 601 at this U-shaped inslot to crotch portion and both legs to the patient support.
In this embodiment the elastic tension bracket 9 is flush with the bottom of the fixed bolster 1.
The using method is the same as that of the embodiment 5, and the difference is that the legs of the patient are separated, and the patient is supported by the U-shaped frame plate 601, so that the crotch of the patient is supported and fixed, and the slip caused by the unconscious shake of the lower abdomen and the abdomen of the patient after being lifted is prevented.
Example 7
As shown in fig. 1, 2 and 3, this embodiment is a modified version based on embodiment 6, and its main body is the same as embodiment 6, and the improvement lies in: as shown in fig. 4, the elastic stretching frame 9 includes two connecting plates 905 and a plurality of parallel and horizontally arranged inflation tubes 901, each inflation tube 901 is provided with a valve core 903, an expansion gap 902 is provided between two adjacent inflation tubes 901, a support skeleton 904 formed by a mesh metal wire is wrapped outside each inflation tube 901, and after two ends of each inflation tube 901 respectively pass through holes on the two connecting plates 905, the support skeleton 904 on the inflation tube is fixed with the inner wall of the hole; the two connecting plates 905 are provided with bolt holes 906, and connecting bolts are inserted into the bolt holes 906 to fix the two connecting plates 905 to the rear end of the fixing backing plate 1 and the front end of the leg support plate 6 respectively.
The application method of this embodiment is the same as that of embodiment 5, except that each inflation tube 901 is inflated first to be flat, so that the table can be better laid on the operating table.
Example 8
As shown in fig. 1, 2 and 3, this embodiment is a modified version based on embodiment 6, and its main body is the same as embodiment 6, and the improvement lies in: the rear end of shank backup pad 6 is provided with a horizontal support plate 7, the front end of this horizontal support plate 7 slides and sets up in the open slot 602 that the rear end of shank backup pad 6 was equipped with, the rear end is provided with the extension board 701 that is used for supporting patient's both feet perpendicularly, horizontal support plate 7 formation extension section is crossed to this extension board 701's bottom, be equipped with corresponding screw hole on extension section and shank backup pad 6 rear end face, threaded hole is provided with threaded rod 702 who takes the handle, through rotating threaded rod 702, thereby drive extension board 701 and horizontal support plate 7 slip-in or roll-off open slot 602, with the patient of adaptation different body lengths.
The application method of this embodiment is the same as that of embodiment 5, except that each inflation tube 901 is inflated first to be flat, so that the table can be better laid on the operating table. Then, the legs of the patient are placed on the leg supporting plate 6, the screw 702 is rotated, the supporting plate 701 can move towards the feet of the patient in the rotating process of the screw 702, and finally the feet of the patient are pedaled on the supporting plate 701 to complete the force assisting.
Example 9
As shown in fig. 1, 2 and 3, this embodiment is an improved solution based on embodiment 1, and the main body of the embodiment is the same as embodiment 1, and the improvement is that the head support mechanism 8 is also improved, as shown in fig. 5, the head support mechanism 8 includes a U-shaped support ring 801 for supporting the head of the patient and a fixed support 8010 connected to the front end of the fixed cushion plate 1, wherein a flexible cushion 802 contacting the head is laid around the inner wall and the upper surface of the U-shaped support ring 801, the fixed support 8010 is two symmetrical, a fixed shaft 809 parallel to the width direction of the operating table is arranged between the two fixed support rings, two support columns 807 are symmetrically arranged on the fixed shaft 809, and one side of the top ends of the two support columns 807 close to the fixed cushion plate 1 is hinged to the bottom wall of the U-shaped support ring 801 through a rotating pin 808, one side of the two support columns 807 far away from the fixed cushion plate 1 is provided with a hole with an opening at the top, an airbag 806 is provided in the airbag hole, and the inclination angle of the U-shaped stay 801 is adjusted by inflating and inflating the airbag 806.
In this embodiment, in order to adapt the head support mechanism 8 to patients with different head types and sizes, an inflatable bag can be laid under the flexible cushion 802 and arranged around the inner wall and the upper surface of the U-shaped support ring 801, so that after inflation, the size of the space 803 in the middle of the U-shaped support ring 801 can be reduced or increased, thereby adapting the head support mechanism to patients with different head types and sizes.
Example 10
As shown in fig. 1, 2 and 3, this embodiment is a modified version based on embodiment 9, and the main body of the embodiment is the same as embodiment 9, and the modified point is that, as shown in fig. 5, the U-shaped supporting ring 801 has a groove 804 penetrating through the outer wall and the inner wall thereof, a block 805 for blocking the surface of the groove 804 is clamped in the groove 804, and the closed groove 804 forms a through hole for passing an auxiliary pipeline during surgery, such as an oxygen tube or the like.
Claims (3)
1. An auxiliary instrument for enlarging a surgical field, which comprises a fixed mat (1) and a head support mechanism (8) provided at a front end of the fixed mat (1) for supporting a head of a patient, and has a shoulder position higher than a head position when the fixed mat (1) is laid on an operation bed with the patient lying on his/her stomach, thereby exposing a neck, characterized in that: a shoulder muscle stretching and fixing device is arranged on the fixing cushion plate (1), and two stretching belts (501) in the shoulder muscle stretching and fixing device respectively pull and fix the muscles of the shoulders at the two sides backwards, so that the back part of the cervical vertebra is completely exposed;
the upper surface of the fixed backing plate (1) is gradually reduced from the front end to the rear end, so that the patient keeps a posture that the shoulders are higher and the waist is lower, the stress on the face is reduced, and the occurrence probability of pressure sores is reduced;
the rear end of the fixed cushion plate (1) is sequentially provided with an abdomen supporting air bag (2) and a lower abdomen lifting air bag (3), and the abdomen supporting air bag and the lower abdomen lifting air bag are respectively inflated by an air compressor (11) and a three-way valve (10), so that the abdominal cavity and the lower abdomen of a patient are jacked to lift the hip of the patient, the relative position of the trunk and the head of the patient is changed, the rear part of the cervical vertebra is completely exposed, and meanwhile, the pressure of the face of the patient and a head supporting mechanism (8) is reduced;
the rear end of the fixed cushion plate (1) is provided with a leg supporting plate (6) through an elastic stretching frame (9), the abdomen supporting air bag (2) is arranged on the elastic stretching frame (9), the lower abdomen lifting air bag (3) is arranged at the front end of the leg supporting plate (6), a U-shaped groove with a backward opening is arranged on the leg supporting plate (6), and a U-shaped frame plate (601) is inserted into the U-shaped groove, so that the crotch and the two legs of a patient are supported;
the elastic stretching frame (9) comprises two connecting plates (905) and a plurality of inflation tubes (901) which are arranged in parallel and horizontally, each inflation tube (901) is provided with a valve core (903), an expansion gap (902) is formed between every two adjacent inflation tubes (901), the outside of each inflation tube (901) is wrapped with a support framework (904) formed by a mesh metal wire, and after two ends of each inflation tube (901) respectively penetrate through holes in the two connecting plates (905), the support framework (904) on each inflation tube is fixed with the inner wall of the hole; the two connecting plates (905) are provided with bolt holes (906), and connecting bolts are inserted into the bolt holes (906) so that the two connecting plates (905) are fixed to the rear end of the fixed base plate (1) and the front end of the leg supporting plate (6) respectively.
2. An aid for extending a surgical field according to claim 1, wherein: the head supporting mechanism (8) comprises a U-shaped supporting ring (801) for supporting the head of a patient and a fixing support (8010) connected with the front end of the fixing base plate (1), wherein a space (803) for exposing the face of the patient is formed in the middle of the U-shaped supporting ring (801), flexible cushions (802) in contact with the head are laid around the inner wall and the upper surface of the U-shaped supporting ring (801), the fixing supports (8010) are symmetrical, a fixing shaft (809) parallel to the width direction of the operating table is arranged between the fixing supports (8010), two supporting columns (807) are symmetrically arranged on the fixing shaft (809), one sides, close to the fixing base plate (807), of the top ends of the two supporting columns (807) are hinged to the bottom wall of the U-shaped supporting ring (801) through a rotating pin shaft (808), and air bag holes with top openings are formed in one sides, far away from the fixing base plate (1), of the two supporting columns (807), an air bag (806) is provided in the air bag hole, and the inclination angle of the U-shaped stay (801) is adjusted by inflating and inflating the air bag (806).
3. An aid for extending a surgical field according to claim 2, wherein: the U-shaped supporting ring (801) is provided with a groove (804) penetrating through the outer wall and the inner wall of the U-shaped supporting ring, a clamping block (805) for sealing the surface of the groove (804) is clamped in the groove (804), and the sealed groove (804) forms a through hole for the auxiliary pipeline to pass through during the operation.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202011594099.4A CN112674984B (en) | 2019-06-25 | 2019-06-25 | Auxiliary instrument for enlarging operation visual field |
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202011594099.4A CN112674984B (en) | 2019-06-25 | 2019-06-25 | Auxiliary instrument for enlarging operation visual field |
| CN201910552338.0A CN110151479B (en) | 2019-06-25 | 2019-06-25 | Auxiliary instrument for exposing operation visual field in cervical vertebra rear operation |
Related Parent Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201910552338.0A Division CN110151479B (en) | 2019-06-25 | 2019-06-25 | Auxiliary instrument for exposing operation visual field in cervical vertebra rear operation |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN112674984A CN112674984A (en) | 2021-04-20 |
| CN112674984B true CN112674984B (en) | 2022-08-16 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201910552338.0A Expired - Fee Related CN110151479B (en) | 2019-06-25 | 2019-06-25 | Auxiliary instrument for exposing operation visual field in cervical vertebra rear operation |
| CN202011594099.4A Active CN112674984B (en) | 2019-06-25 | 2019-06-25 | Auxiliary instrument for enlarging operation visual field |
| CN202011594420.9A Active CN112545822B (en) | 2019-06-25 | 2019-06-25 | Auxiliary instrument for stretching shoulders to expand operation visual field |
| CN202011593975.1A Active CN112690839B (en) | 2019-06-25 | 2019-06-25 | Visual field expanding auxiliary instrument for prone position cervical vertebra operation |
Family Applications Before (1)
| Application Number | Title | Priority Date | Filing Date |
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| CN201910552338.0A Expired - Fee Related CN110151479B (en) | 2019-06-25 | 2019-06-25 | Auxiliary instrument for exposing operation visual field in cervical vertebra rear operation |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202011594420.9A Active CN112545822B (en) | 2019-06-25 | 2019-06-25 | Auxiliary instrument for stretching shoulders to expand operation visual field |
| CN202011593975.1A Active CN112690839B (en) | 2019-06-25 | 2019-06-25 | Visual field expanding auxiliary instrument for prone position cervical vertebra operation |
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| CN (4) | CN110151479B (en) |
Families Citing this family (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111821135B (en) * | 2020-07-25 | 2022-05-17 | 徐军平 | Adjustable anterior cervical operation body position placing device for spinal surgery |
| WO2022179707A1 (en) * | 2021-02-26 | 2022-09-01 | Rudez Jasna | Shoulder surgery attachment for a surgical table |
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Also Published As
| Publication number | Publication date |
|---|---|
| CN112545822B (en) | 2022-06-10 |
| CN110151479A (en) | 2019-08-23 |
| CN112545822A (en) | 2021-03-26 |
| CN112674984A (en) | 2021-04-20 |
| CN112690839A (en) | 2021-04-23 |
| CN112690839B (en) | 2022-07-19 |
| CN110151479B (en) | 2021-03-16 |
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