CN220459563U - Adjustable upper limb universal fixation frame for operating table - Google Patents

Adjustable upper limb universal fixation frame for operating table Download PDF

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CN220459563U
CN220459563U CN202321948165.2U CN202321948165U CN220459563U CN 220459563 U CN220459563 U CN 220459563U CN 202321948165 U CN202321948165 U CN 202321948165U CN 220459563 U CN220459563 U CN 220459563U
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opening groove
sliding rod
universal
plate
ball seat
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黄小清
吴俊�
刘锦波
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First Peoples Hospital of Changzhou
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First Peoples Hospital of Changzhou
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Abstract

本实用新型公开了一种手术床用可调式上肢万向固定架,包括C形托板、万向球头关节和支承板,万向球头关节包括万向球和球座及紧定螺钉,万向球套装在球座内,紧定螺钉与球座螺纹连接,万向球上方设有竖向布置的连接杆,球座下方设有竖向布置的滑动杆,支承板由沿手术床长度方向布置的水平板和沿手术床宽度方向布置的横向板以及沿手术床高度方向布置的竖向板构成,在水平板上设有第一开口槽,在横向板上设有第二开口槽,在竖向板上设有第三开口槽,滑动杆的圆柱段与第一、第二开口槽滑动连接,滑动杆的螺纹段置于第一、第二开口槽下方且与紧固螺母螺纹连接。本实用新型缩短了手术时间,减少了透视次数,避免了肘部神经受损及双上肢皮肤压力性损伤。

The utility model discloses an adjustable upper limb universal fixation frame for an operating bed, which includes a C-shaped support plate, a universal ball joint and a support plate. The universal ball joint includes a universal ball, a ball seat and a set screw. The universal ball is set in the ball seat, and the set screw is threadedly connected to the ball seat. There is a connecting rod arranged vertically above the universal ball, and a sliding rod arranged vertically below the ball seat. The support plate is formed along the length of the operating table. It consists of a horizontal plate arranged in the direction of the operating bed, a transverse plate arranged along the width direction of the operating bed, and a vertical plate arranged along the height direction of the operating bed. The horizontal plate is provided with a first opening slot, and the transverse plate is provided with a second opening slot. A third open slot is provided on the vertical plate. The cylindrical section of the sliding rod is slidingly connected to the first and second open slots. The threaded section of the sliding rod is placed below the first and second open slots and is threadedly connected to the fastening nut. . The utility model shortens the operation time, reduces the number of fluoroscopy times, and avoids damage to the nerves in the elbow and pressure damage to the skin of both upper limbs.

Description

手术床用可调式上肢万向固定架Adjustable upper limb universal fixation frame for operating table

技术领域Technical field

本实用新型涉及一种医疗器械,特别是涉及一种用于手术床的可调式上肢万向固定架。The utility model relates to a medical instrument, in particular to an adjustable upper limb universal fixation frame for an operating bed.

背景技术Background technique

脊柱内镜等手术是治疗腰椎间盘突出、椎管狭窄的常规微创手术,近几年来,由于外科技术及内镜仪器器械的不断发展,已将腰椎后路减压融合手术逐步微创化、内镜化。Spine endoscopy and other surgeries are routine minimally invasive surgeries for the treatment of lumbar disc herniation and spinal stenosis. In recent years, due to the continuous development of surgical technology and endoscopic instruments, posterior lumbar decompression and fusion surgeries have gradually become minimally invasive, Endoscopy.

内镜下腰椎后路减压融合手术时,病人体位通常采取俯卧位,将双上肢分别置于手术床两侧的长方形搁手架上,并且在术前进行椎体定位,在术中进行经皮植入定位导丝、椎弓根钉棒和镜下植入融合器,在术后对植入物进行再次确认。由于在术前、术中和术后的这些关键时段都需要使用G型臂进行术中透视,该G型臂在透视过程中为不影响手术进程需要在手术床前后移动,此时使用手术床常规配置的长方形搁手架存在以下缺点:(1)由于常规搁手架体积大,占用空间大,而手术空间范围固定,因此,一方面因常规搁手架的遮挡会大大阻碍G型臂的移动速度,导致手术时间延长,另一方面因常规搁手架的遮挡会在透视的过程中不断调整手术床的高度而增加透视次数;(2)由于常规搁手架分别固定在手术床两侧,对于不同体型患者的双上肢不能随意调整角度,导致影响G型臂的操控;(3)由于常规搁手架占用空间大,使得G型臂工作空间小,G型臂在小空间中移动时会对患者肘部造成压迫,导致肘部神经受损及双上肢皮肤压力性损伤的发生。During endoscopic posterior lumbar decompression and fusion surgery, the patient is usually positioned prone, with both upper limbs placed on the rectangular handrests on both sides of the operating bed, and the vertebral body is positioned before the operation, and the vertebral body is positioned during the operation. The skin is implanted with positioning guide wires, pedicle screw rods and fusion cages under the microscope, and the implants are reconfirmed after surgery. Since the G-arm needs to be used for intraoperative fluoroscopy during these critical periods before, during and after surgery, the G-arm needs to move back and forth on the operating bed during the fluoroscopy process in order not to affect the surgical process. At this time, the operating bed is used The conventionally configured rectangular armrest has the following disadvantages: (1) Since the conventional armrest is large in size and takes up a lot of space, and the surgical space is fixed, on the one hand, the obstruction of the conventional armrest will greatly hinder the movement of the G-arm. The speed of movement leads to prolonged operation time. On the other hand, the obstruction of the conventional armrest will continuously adjust the height of the operating table during the fluoroscopy process, thereby increasing the number of fluoroscopy; (2) Since the conventional armrests are fixed on both sides of the operating bed, , the angle of the upper limbs of patients with different body types cannot be adjusted at will, which affects the control of the G-arm; (3) Because the conventional arm rest takes up a large space, the G-arm working space is small, and the G-arm will move when moving in a small space. It causes compression to the patient's elbow, causing damage to the nerves in the elbow and pressure injuries to the skin of both upper limbs.

实用新型内容Utility model content

本实用新型要解决的技术问题是克服现有技术的不足,提供一种手术床用可调式上肢万向固定架,其体积小,占用空间小,能减少术中透视次数,缩短手术时间,并且能随意调整角度,利于G型臂操控,并能避免发生肘部神经受损及双上肢皮肤压力性损伤。The technical problem to be solved by this utility model is to overcome the shortcomings of the existing technology and provide an adjustable upper limb universal fixation frame for an operating bed, which is small in size, takes up little space, can reduce the number of intraoperative fluoroscopy and shorten the operation time, and The angle can be adjusted at will, which is convenient for G-arm control and can avoid nerve damage in the elbow and pressure damage to the skin of both upper limbs.

为解决上述技术问题,本实用新型采用这样一种手术床用可调式上肢万向固定架,包括C形托板、万向球头关节和支承板,所述万向球头关节包括万向球和球座以及紧定螺钉,所述万向球套装在所述球座内,所述紧定螺钉与球座螺纹连接,在所述万向球的上方设有竖向布置的连接杆,所述连接杆下端与万向球顶部固定连接,所述连接杆上端与所述C形托板底部固定连接,在所述球座的下方设有竖向布置的滑动杆,所述滑动杆上部为圆柱段、下部为螺纹段,所述滑动杆上端与球座底部固定连接;所述支承板由沿手术床长度方向布置的水平板和沿手术床宽度方向布置的横向板以及沿手术床高度方向布置的竖向板构成,在所述水平板上沿长度方向开设有第一开口槽,在所述横向板上沿长度方向开设有第二开口槽,在所述竖向板上沿长度方向开设有第三开口槽,所述第一开口槽与第二开口槽相连通,所述滑动杆的圆柱段置于第一开口槽、第二开口槽中且所述圆柱段与第一开口槽、第二开口槽滑动连接,所述滑动杆的螺纹段置于第一开口槽、第二开口槽下方且与紧固螺母螺纹连接,所述支承板通过穿过所述第三开口槽的螺栓与手术床固定连接。In order to solve the above technical problems, the utility model adopts such an adjustable upper limb universal fixator for operating beds, which includes a C-shaped supporting plate, a universal ball joint and a support plate. The universal ball joint includes a universal ball. and a ball seat and a set screw. The universal ball is sleeved in the ball seat. The set screw is threadedly connected to the ball seat. A connecting rod is arranged vertically above the universal ball. The lower end of the connecting rod is fixedly connected to the top of the universal ball, the upper end of the connecting rod is fixedly connected to the bottom of the C-shaped support plate, and a vertically arranged sliding rod is provided below the ball seat, and the upper part of the sliding rod is The cylindrical section and the lower part are threaded sections, and the upper end of the sliding rod is fixedly connected to the bottom of the ball seat; the support plate consists of a horizontal plate arranged along the length direction of the operating bed, a transverse plate arranged along the width direction of the operating bed, and a horizontal plate arranged along the height direction of the operating bed. The arrangement is composed of vertical plates, a first opening slot is opened along the length direction on the horizontal plate, a second opening slot is opened along the length direction on the transverse plate, and a second opening slot is opened along the length direction on the vertical plate. There is a third open groove, the first open groove is connected with the second open groove, the cylindrical section of the sliding rod is placed in the first open groove and the second open groove, and the cylindrical section is connected with the first open groove and the second open groove. The second open slot is slidingly connected. The threaded section of the sliding rod is placed under the first open slot and the second open slot and is threadedly connected to the fastening nut. The support plate is connected to the support plate through bolts passing through the third open slot. The operating table is fixedly connected.

作为本实用新型的一种优选实施方式,在所述C形托板的内壁面上铺设有软垫。As a preferred embodiment of the present invention, a soft cushion is laid on the inner wall surface of the C-shaped pallet.

作为本实用新型的一种优选实施方式,在所述C形托板的外壁面上设有若干个尼龙搭扣带。As a preferred embodiment of the present invention, several velcro straps are provided on the outer wall of the C-shaped support plate.

采用上述结构后,本实用新型具有以下有益效果:After adopting the above structure, the utility model has the following beneficial effects:

本实用新型采用C形托板、万向球头关节和支承板,手术时,上肢放置在C形托板内,并可采用尼龙搭扣带进行固定,C形托板可通过滑动杆在第一开口槽内前后滑动从而调节上肢的前后位置,C形托板可通过滑动杆在第二开口槽内左右滑动从而调节上肢的左右位置,C形托板可通过第三开口槽实现上下移动从而调节上肢的高度位置,C形托板可通过万向球在球座内摆动从而使上肢在任意方向进行角度微调。本实用新型固定架相较于常规搁手架,体积至少缩小了一半,占用空间更小,工作时能提升G型臂的移动速度,缩短手术时间,在透视的过程中也无需调整手术床的高度从而减少了透视次数,并且由于C形托板的前后、左右、上下位置均能调节,角度也能随意调整,从而大大方便了G型臂的操控。由于本实用新型固定架占用空间小,从而扩大了G型臂的工作空间,G型臂在移动时不会对患者肘部造成压迫,避免了肘部神经受损及双上肢皮肤压力性损伤事故的发生。The utility model adopts a C-shaped supporting plate, a universal ball joint and a supporting plate. During the operation, the upper limbs are placed in the C-shaped supporting plate and can be fixed with nylon straps. The C-shaped supporting plate can be moved on the third side through a sliding rod. The C-shaped support plate can slide left and right in the second open slot through the sliding rod to adjust the left and right position of the upper limb. The C-shaped support plate can move up and down through the third open slot. To adjust the height position of the upper limbs, the C-shaped support plate can swing in the ball seat through the universal ball to finely adjust the angle of the upper limbs in any direction. Compared with the conventional arm rest, the fixed frame of this utility model is at least half smaller in size and takes up less space. It can increase the moving speed of the G-arm during operation and shorten the operation time. There is no need to adjust the operating bed during the fluoroscopy process. The height thus reduces the number of perspective views, and since the front and rear, left and right, up and down positions of the C-shaped support plate can be adjusted, the angle can also be adjusted at will, which greatly facilitates the control of the G-arm. Since the fixed frame of this utility model occupies a small space, the working space of the G-shaped arm is enlarged. The G-shaped arm will not cause pressure on the patient's elbow when moving, thus avoiding elbow nerve damage and pressure injury accidents to the skin of both upper limbs. happened.

本实用新型在C形托板的内壁面上铺设软垫,能起到保暖防撞的效果,而且上肢放置在C形托板内,能保持上肢无大面积裸露,开放面利于术中对患者肢体及静脉通路的观察。This utility model lays soft pads on the inner wall of the C-shaped support plate, which can keep warm and prevent collisions. Moreover, the upper limbs are placed in the C-shaped support plate, which can keep the upper limbs from being exposed in large areas. The open surface is conducive to the patient's care during the operation. Observation of limbs and venous access.

本实用新型结构简单,制造方便。The utility model has a simple structure and is convenient to manufacture.

附图说明Description of drawings

以下结合附图对本实用新型的具体实施方式作进一步的详细说明。The specific embodiments of the present invention will be further described in detail below with reference to the accompanying drawings.

图1为本实用新型手术床用可调式上肢万向固定架的一种结构示意图。Figure 1 is a structural schematic diagram of the adjustable upper limb universal fixation frame for the operating table of the present invention.

图2为本实用新型中万向球头关节的一种结构示意图。Figure 2 is a structural schematic diagram of the universal ball joint in the present utility model.

具体实施方式Detailed ways

参见图1、2所示的一种手术床用可调式上肢万向固定架,包括长条形的C形托板1、万向球头关节2和支承板3,所述C形托板1也可呈U形或半圆形等形状,所述万向球头关节2包括万向球2-1和球座2-2以及紧定螺钉2-3,所述万向球2-1套装在所述球座2-2内,所述紧定螺钉2-3与球座2-2螺纹连接,紧定螺钉2-3的钉头与万向球2-1相抵,当万向球2-1转动到设定角度时,通过手动拧紧紧定螺钉2-3即可锁定万向球2-1,在所述万向球2-1的上方设有竖向布置的连接杆2-4,所述连接杆2-4下端与万向球2-1顶部固定连接,所述连接杆2-4上端与所述C形托板1底部固定连接,在所述球座2-2的下方设有竖向布置的滑动杆2-5,所述滑动杆2-5上部为圆柱段2a、下部为螺纹段2b,所述滑动杆2-5上端与球座2-2底部固定连接;所述支承板3由沿手术床长度方向布置的水平板3-1和沿手术床宽度方向布置的横向板3-2以及沿手术床高度方向布置的竖向板3-3构成,水平板3-1、横向板3-2和竖向板3-3是经直角折弯制成的一整体件,在所述水平板3-1上沿长度方向开设有第一开口槽3a,在所述横向板3-2上沿长度方向开设有第二开口槽3b,在所述竖向板3-3上沿长度方向开设有第三开口槽3c,所述第一开口槽3a与第二开口槽3b相连通,所述滑动杆2-5的圆柱段2a置于第一开口槽3a、第二开口槽3b中且所述圆柱段2a与第一开口槽3a、第二开口槽3b滑动连接,所述滑动杆2-5的螺纹段2b置于第一开口槽3a、第二开口槽3b下方且与紧固螺母4螺纹连接,所述支承板3通过穿过所述第三开口槽3c的螺栓与手术床固定连接,图中未示螺栓。在本实用新型中,紧固螺母4优选采用手动翼形螺母,通过手旋即可拧紧螺母。Referring to Figures 1 and 2, an adjustable upper limb universal fixation frame for an operating bed includes a long C-shaped support plate 1, a universal ball joint 2 and a support plate 3. The C-shaped support plate 1 It can also be U-shaped or semicircular. The universal ball joint 2 includes a universal ball 2-1, a ball seat 2-2 and a set screw 2-3. The universal ball 2-1 is set In the ball seat 2-2, the set screw 2-3 is threadedly connected to the ball seat 2-2, and the head of the set screw 2-3 is against the universal ball 2-1. When the universal ball 2 -1 When turning to the set angle, the universal ball 2-1 can be locked by manually tightening the set screw 2-3. There is a vertically arranged connecting rod 2-4 above the universal ball 2-1. , the lower end of the connecting rod 2-4 is fixedly connected to the top of the universal ball 2-1, the upper end of the connecting rod 2-4 is fixedly connected to the bottom of the C-shaped supporting plate 1, below the ball seat 2-2 There is a vertically arranged sliding rod 2-5. The upper part of the sliding rod 2-5 is a cylindrical section 2a and the lower part is a threaded section 2b. The upper end of the sliding rod 2-5 is fixedly connected to the bottom of the ball seat 2-2; so The support plate 3 is composed of a horizontal plate 3-1 arranged along the length direction of the operating bed, a transverse plate 3-2 arranged along the width direction of the operating bed, and a vertical plate 3-3 arranged along the height direction of the operating bed. The horizontal plate 3-3 1. The horizontal plate 3-2 and the vertical plate 3-3 are an integral piece made by bending at right angles. The horizontal plate 3-1 is provided with a first opening slot 3a along the length direction. The plate 3-2 is provided with a second opening groove 3b along the length direction, and the vertical plate 3-3 is provided with a third opening groove 3c along the length direction. The first opening groove 3a and the second opening groove 3b are are connected, the cylindrical section 2a of the sliding rod 2-5 is placed in the first open groove 3a and the second open groove 3b, and the cylindrical section 2a is slidingly connected with the first open groove 3a and the second open groove 3b, so The threaded section 2b of the sliding rod 2-5 is placed under the first opening groove 3a and the second opening groove 3b and is threadedly connected with the fastening nut 4. The support plate 3 is passed through the bolt passing through the third opening groove 3c. Fixed connection with the operating table, bolts not shown in the picture. In the present utility model, the fastening nut 4 is preferably a manual wing nut, and the nut can be tightened by hand rotation.

作为本实用新型的一种优选实施方式,如图1所示,在所述C形托板1的内壁面上铺设有软垫5。所述软垫5优选采用二层结构,内层为海绵,外层为人造革。As a preferred embodiment of the present invention, as shown in Figure 1, a soft cushion 5 is laid on the inner wall surface of the C-shaped pallet 1. The soft cushion 5 preferably adopts a two-layer structure, with an inner layer made of sponge and an outer layer made of artificial leather.

作为本实用新型的一种优选实施方式,如图1所示,在所述C形托板1的外壁面上设有若干个尼龙搭扣带6,图中显示有4个,当然可以更多个,例如6个等。As a preferred embodiment of the present invention, as shown in Figure 1, several velcro straps 6 are provided on the outer wall of the C-shaped pallet 1. Four are shown in the figure, and of course there can be more. , such as 6 etc.

作为本实用新型的一种优选实施方式,第一开口槽3a到竖向板3-3的距离等于1/2 的C形托板1宽度,这样C形托板1正好与手术床的床沿相贴。As a preferred embodiment of the present invention, the distance from the first opening slot 3a to the vertical plate 3-3 is equal to 1/2 the width of the C-shaped support plate 1, so that the C-shaped support plate 1 is exactly in line with the edge of the operating bed. stick.

在手术时,在手术床两侧分别安装本实用新型固定架,上肢放置在C形托板1内,可采用尼龙搭扣带6进行固定,C形托板1可通过滑动杆2-5的圆柱段2a在第一开口槽3a内前后滑动从而调节上肢的前后位置,C形托板1可通过滑动杆2-5的圆柱段2a在第二开口槽3b内左右滑动从而调节上肢的左右位置,C形托板1可通过第三开口槽3c实现上下移动从而调节上肢的高度位置,C形托板1可通过万向球2-1在球座2-2内摆动从而使上肢在任意方向进行角度微调,图中未示上肢。During the operation, the fixed frames of the utility model are respectively installed on both sides of the operating bed. The upper limbs are placed in the C-shaped support plate 1 and can be fixed with nylon straps 6. The C-shaped support plate 1 can be fixed by the sliding rods 2-5. The cylindrical section 2a slides back and forth in the first opening groove 3a to adjust the front and rear position of the upper limb. The C-shaped support plate 1 can slide left and right in the second opening groove 3b through the cylindrical section 2a of the sliding rod 2-5 to adjust the left and right position of the upper limb. , the C-shaped support plate 1 can move up and down through the third opening slot 3c to adjust the height position of the upper limbs, and the C-shaped support plate 1 can swing in the ball seat 2-2 through the universal ball 2-1 to move the upper limbs in any direction. Make fine adjustments to the angle, the upper limbs are not shown in the picture.

经过试用,本实用新型占用空间小,减少了透视次数,并且能随意调整角度,G型臂操控方便,缩短了手术时间的同时能避免发生肘部神经受损及双上肢皮肤压力性损伤,取得了良好的效果。After trial, the utility model occupies a small space, reduces the number of fluoroscopy, and can adjust the angle at will. The G-arm is easy to operate, shortens the operation time, and can avoid elbow nerve damage and pressure damage to the skin of both upper limbs, achieving great results. achieved good results.

Claims (3)

1. An adjustable upper limb universal fixing frame for an operating table is characterized in that: the ball seat comprises a C-shaped supporting plate (1), a universal ball joint (2) and a supporting plate (3), wherein the universal ball joint (2) comprises a universal ball (2-1), a ball seat (2-2) and a set screw (2-3), the universal ball (2-1) is sleeved in the ball seat (2-2), the set screw (2-3) is in threaded connection with the ball seat (2-2), a vertically arranged connecting rod (2-4) is arranged above the universal ball (2-1), the lower end of the connecting rod (2-4) is fixedly connected with the top of the universal ball (2-1), the upper end of the connecting rod (2-4) is fixedly connected with the bottom of the C-shaped supporting plate (1), a vertically arranged sliding rod (2-5) is arranged below the ball seat (2-2), the upper part of the sliding rod (2-5) is a cylindrical section (2 a), the lower part of the sliding rod is a threaded section (2 b), and the upper end of the sliding rod (2-5) is fixedly connected with the bottom of the ball seat (2-2). The support plate (3) is composed of a horizontal plate (3-1) arranged along the length direction of an operating table, a transverse plate (3-2) arranged along the width direction of the operating table and a vertical plate (3-3) arranged along the height direction of the operating table, wherein a first opening groove (3 a) is formed in the horizontal plate (3-1) along the length direction, a second opening groove (3 b) is formed in the transverse plate (3-2) along the length direction, a third opening groove (3 c) is formed in the vertical plate (3-3) along the length direction, the first opening groove (3 a) is communicated with the second opening groove (3 b), a cylindrical section (2 a) of the sliding rod (2-5) is arranged in the first opening groove (3 a) and the second opening groove (3 b), the cylindrical section (2 a) is connected with the first opening groove (3 a) and the second opening groove (3 b) in a sliding mode, a threaded section (2 b) of the sliding rod (2-5) is arranged in the first opening groove (3 a), the second opening groove (3 b) is connected with the threaded section (2 b) of the sliding rod (2-5) along the length direction, the first opening groove (3 b) is connected with the threaded section (3 b) through the threaded section (3 b) and the threaded section (3 b) is connected with the threaded section through the fastening nut (3 c).
2. The adjustable upper limb universal fixing frame for the operating table according to claim 1, wherein: a soft cushion (5) is paved on the inner wall surface of the C-shaped supporting plate (1).
3. The adjustable upper limb universal mount for an operating table according to claim 1 or 2, wherein: the outer wall surface of the C-shaped supporting plate (1) is provided with a plurality of nylon fastener tapes (6).
CN202321948165.2U 2023-07-24 2023-07-24 Adjustable upper limb universal fixation frame for operating table Active CN220459563U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202321948165.2U CN220459563U (en) 2023-07-24 2023-07-24 Adjustable upper limb universal fixation frame for operating table

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202321948165.2U CN220459563U (en) 2023-07-24 2023-07-24 Adjustable upper limb universal fixation frame for operating table

Publications (1)

Publication Number Publication Date
CN220459563U true CN220459563U (en) 2024-02-09

Family

ID=89803277

Family Applications (1)

Application Number Title Priority Date Filing Date
CN202321948165.2U Active CN220459563U (en) 2023-07-24 2023-07-24 Adjustable upper limb universal fixation frame for operating table

Country Status (1)

Country Link
CN (1) CN220459563U (en)

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