Intraoperative three-dimensional traction assembly

Abstract

The intraoperative three-dimensional traction assembly comprises a base, a first ventilation groove is formed in the top of the base, and at least three non-collinear lifting rods and rollers capable of being braked are arranged at the bottom of the base; the sliding rails are matched with the rollers capable of being braked; the cushion block device is placed at the top of the base and at least divided into a first cushion block and a second cushion block which are distributed left and right, the first cushion block and the second cushion block are located on the two sides of the first ventilation groove respectively, and the first cushion block and the second cushion block are further connected with an adjusting rod; and a traction device. During traction, the base and the cushion block device slide along with the skull of the patient, and the risk that the face of the patient is pressed and rubbed by the cushion block device is reduced; by arranging an adjusting rod, the size of a containing groove of the cushion block device can be flexibly adjusted according to the size of the face of the patient; the arrangement of the at least three independent lifting rods enables the base to be changed into four different inclined states from a horizontal state, so that the skull and the cervical vertebra of a patient can be subjected to forward bending, backward bending, left rotating and right rotating actions, a traction device is assisted, and a better operation effect is achieved.

Description

Technical Field

[0001] The invention relates to the technical field of orthopedic medical instruments, and in particular to an intraoperative three-dimensional traction component. Background Art

[0002] Cervical dislocation is a serious disease that causes changes in the physiological curvature of the neck, which in turn causes spinal cord injury, partial or complete limb paralysis, and incontinence. Trauma or congenital cervical dysplasia can lead to cervical dislocation, with or without cervical fracture. In the treatment of cervical fracture dislocation, skull traction is an essential basic treatment.

[0003] Traction is the use of external traction and counter-traction to pull the limbs or trunk to achieve the purpose of treatment and auxiliary treatment. It is widely used in orthopedics. Skull traction is the use of bone pins, traction bows, ropes, traction frames (pulleys), traction weights and other instruments fixed to the temporal part of the skull to slowly reduce cervical fractures and dislocations.

[0004] Existing skull traction devices have the following defects: First, during the traction process during surgery, the position of the front face of the patient lying on the operating table and the pad device fixed on the operating table changes, and there is a risk of friction and pressure on the patient's facial features; second, the pad device cannot be adjusted in size according to the face shape of different patients and cannot fit the face shape of different patients; third, it is impossible to assist in traction by flexing, tilting back, rotating left or right the patient's skull and cervical spine during surgery, and the traction effect is average. Summary of the invention

[0005] In view of the shortcomings of the background technology, the purpose of the present invention is to provide an intraoperative three-dimensional traction component.

[0006] To achieve the above object, the present invention provides the following technical solutions:

[0007] A three-dimensional traction component for cervical fracture and dislocation surgery, comprising:

[0008] A base, wherein a first air-permeable groove is provided on the top of the base, and at least three non-collinear lifting rods are provided on the bottom of the base, one end of each lifting rod is hinged to the base, and the other end of each lifting rod is connected to a brakeable roller;

[0009] A slide rail adapted for the brakeable roller, and the slide rail is detachably connected to the operating table;

[0010] A cushion block device is placed on the top of the base, the cushion block device is divided into at least a first cushion block and a second cushion block distributed on the left and right, and are respectively located on both sides of the first air permeable groove, the first cushion block is provided with a first groove, the second cushion block is provided with a second groove, the first groove and the second groove are spliced ​​on the left and right to form a receiving groove for the patient's head to lie prone, the receiving groove is provided with a second air permeable groove aligned with the first air permeable groove, the first cushion block and the second cushion block are also connected with adjustment rods, and each of the adjustment rods is detachably fixed to the top of the base; and

[0011] The traction device is arranged on a side of the base away from the operating table.

[0012] Furthermore, a first lifting rod and a second lifting rod are hinged at the bottom of one side of the base, and a third lifting rod and a fourth lifting rod are hinged at the bottom of the other side of the base. Each of the lifting rods is electrically connected to the first control button, the second control button, the third control button and the fourth control button, respectively. The bottom of the base is also provided with a power supply module connected to each corresponding lifting rod.

[0013] Furthermore, the slide rail includes a first slide rail and a second slide rail, and the brakeable rollers corresponding to one side of the base and the other side of the base are slidably adapted to the first slide rail and the second slide rail respectively, and the first slide rail and the second slide rail are detachably connected to both sides of the operating bed respectively.

[0014] Furthermore, the first slide rail and the second slide rail are detachably connected to both sides of the operating bed through a first locking device, respectively. The first locking device includes a first fixing seat and a first locking member. After the first locking member is threaded through one side of the first fixing seat, the corresponding outer side wall of the slide rail in the first fixing seat and the bottom rod of the operating bed are abutted against the other side of the first fixing seat.

[0015] Furthermore, the first pad includes a first sub-pad, a second sub-pad and a third sub-pad which are sequentially arranged from top to bottom along the length direction of the patient's face, and the first groove includes a first sub-groove, a first sub-groove and a third sub-groove; the second pad includes a fourth sub-pad, a fifth sub-block and a sixth sub-pad which are sequentially arranged from top to bottom along the length direction of the patient's face, and the second groove includes a fourth sub-groove, a fifth sub-groove and a sixth sub-groove; each of the sub-pads is provided with a corresponding adjustment rod.

[0016] Furthermore, each of the adjusting rods is detachably fixed to the top of the base by a second locking device, the second locking device includes a second fixing seat and a second locking member, the second fixing seat is at least partially fixed to the top of the base, and after the second locking member is threaded through one side of the second fixing seat, the adjusting rod in the second fixing seat is abutted against the other side of the second fixing seat.

[0017] Furthermore, the traction device includes a traction seat fixed to the base, the traction seat is provided with a pulley, and also includes a traction bow for fixing the patient's head, screws are provided on both sides of the traction bow, and also includes a traction rope, one end of the traction rope is connected to the traction bow, and the other end of the traction rope is connected to the traction object after passing around the pulley.

[0018] Furthermore, the traction bow is in a semicircular ring shape, and the traction object is a weight.

[0019] The beneficial effects of the present invention are:

[0020] 1. The present invention provides an intraoperative three-dimensional traction assembly, comprising a base, a first air permeable groove being provided on the top of the base, at least three non-collinear lifting rods being provided on the bottom of the base, one end of each lifting rod being hinged to the base, and the other end of each lifting rod being connected to a brakeable roller; a slide rail being adapted to the brakeable roller, and the slide rail being detachably connected to an operating bed; a pad device being placed on the top of the base, the pad device being divided into at least a first pad and a second pad distributed on the left and right, and being respectively located on both sides of the first air permeable groove, the first pad being provided with a first groove, the second pad being provided with a second groove, the first groove and the second groove being spliced ​​from left to right to form a receiving groove for placing a patient's head prone, the receiving groove being provided with a second air permeable groove aligned with the first air permeable groove, the first pad and the second pad being further connected with an adjusting rod, and each adjusting rod being detachably fixed to the top of the base; and a traction device being arranged on a side of the base away from the operating bed. During traction, the base together with the cushion device slides with the patient's skull, reducing the risk of pressure on the patient's face and friction on the cushion device; the setting of the adjustment rod facilitates the flexible adjustment of the size of the accommodating groove of the cushion device according to the size of the patient's face; the setting of at least three independent lifting rods facilitates the change of the base from a horizontal state to four different inclined states, thereby performing forward flexion, backward tilt, left rotation and right rotation on the patient's skull and cervical spine, assisting the traction device and achieving better surgical results.

[0021] 2. The present invention proposes an intraoperative three-dimensional traction assembly, wherein the first pad includes a first sub-pad, a second sub-pad and a third sub-pad arranged in sequence from top to bottom along the length direction of the patient's face, and the first groove includes a first sub-groove, a first sub-groove and a third sub-groove; the second pad includes a fourth sub-pad, a fifth sub-pad and a sixth sub-pad arranged in sequence from top to bottom along the length direction of the patient's face, and the second groove includes a fourth sub-groove, a fifth sub-groove and a sixth sub-groove; each sub-pad is provided with a corresponding adjustment rod. The arrangement of the six sub-pads and the adjustment rods can more flexibly adjust the size of the receiving groove according to the patient's face shape, so that the patient's face and the receiving groove are more compatible. BRIEF DESCRIPTION OF THE DRAWINGS

[0022] In order to more clearly illustrate the embodiments of the invention or the technical solutions in the prior art, the drawings required for use in the embodiments or the description of the prior art will be briefly introduced below. Obviously, the drawings described below are only some embodiments of the invention. For ordinary technicians in this field, other drawings can be obtained based on these drawings without paying any creative work.

[0023] Figure 1 This is one of the schematic diagrams of an intraoperative three-dimensional traction assembly of the present invention;

[0024] Figure 2 This is a second schematic diagram of an intraoperative three-dimensional traction assembly of the present invention;

[0025] Figure 3 This is a third schematic diagram of an intraoperative three-dimensional traction assembly of the present invention;

[0026] Figure 4 A top view of a three-dimensional traction assembly during surgery according to the present invention;

[0027] Figure 5 for Figure 1 A magnified schematic diagram of point A;

[0028] Figure 6 for Figure 2 An enlarged schematic diagram of point B;

[0029] Figure 7 for Figure 2 An enlarged schematic diagram of point C;

[0030] In the figure, 10, base; 101, first air-permeable groove; 201, first lifting rod; 202, second lifting rod; 203, third lifting rod; 204, fourth lifting rod; 30, brakeable roller; 40, pad device; 401, receiving groove; 402, second air-permeable groove; 403, first pad; 4031, first sub-pad; 4032, second sub-pad; 4033, third sub-pad; 404, second pad; 4041, fourth sub-pad; 40 42. The fifth sub-pad; 4043. The sixth sub-pad; 50. The adjusting rod; 60. The traction device; 601. The traction seat; 602. The pulley; 603. The traction bow; 604. The screw; 605. The traction rope; 606. The traction object; 701. The first slide rail; 702. The second slide rail; 80. The first locking device; 801. The first fixed seat; 802. The first locking piece; 90. The second locking device; 901. The second fixed seat; 902. The second locking piece. DETAILED DESCRIPTION

[0031] Combine the following Figure 1-7 The present invention is described in detail.

[0032] An intraoperative three-dimensional traction assembly, comprising a base 10, a first ventilation groove 101 is provided at the top of the base 10, at least three non-collinear lifting rods are provided at the bottom of the base 10, one end of each lifting rod is hinged to the base 10, and the other end of each lifting rod is connected with a brakeable roller 30; a slide rail, adapted to the brakeable roller 30, and the slide rail is detachably connected to the operating table; a cushion device 40, which is placed on the top of the base 10, the cushion device 40 is at least divided into a first cushion 403 and a second cushion 404 distributed left and right, and are respectively located on both sides of the first ventilation groove 101, the first cushion 403 is provided with a first groove, the second cushion 404 is provided with a second groove, and the first groove and the second groove are spliced left and right to form a receiving groove 401 for lying on the patient's head, the receiving groove 401 is provided with a second ventilation groove 402 aligned with the first ventilation groove 101, the first cushion 403 and the second cushion 404 are also connected with adjusting rods 50, and each adjusting rod 50 is detachably fixed to the top of the base 10; and a traction device 60, which is arranged on one side of the base 10 away from the operating table.

[0033] Specifically, the structure of the brakeable roller 30 can refer to the prior art; at least three lifting rods are provided and the three are non-collinear (the three lifting rods are divided into two rows and two columns, arranged in an L shape), generally four are provided (divided into two rows and two columns, arranged in a square shape), and more can also be provided (such as six, divided into two rows and three columns, arranged in a horizontal "day" shape), each lifting rod can be independently controlled, and the control method can adopt manual telescoping (the telescoping of the umbrella rod of a folding umbrella can be referred to), or can be telescoped and lifted through a motor and a control button; the size of the second ventilation groove 402 is at least adapted to the size of the patient's mouth and nose area, for aligning with the patient's mouth and nose position, and the patient needs to be intubated, and the tube passes through the second ventilation groove 402 and the first ventilation groove 101 in sequence to connect to an external ventilator.

[0034] In this embodiment, a first lifting rod 201 and a second lifting rod 202 are hinged to the bottom of one side of the base 10, and a third lifting rod 203 and a fourth lifting rod 204 are hinged to the bottom of the other side of the base 10, each lifting rod is electrically connected to a first control button, a second control button, a third control button and a fourth control button, and a power supply module for connecting each corresponding lifting rod is also provided at the bottom of the base 10. Specifically, as Figure 1 shown, one side of the base 10 refers to the left side of the base 10, the other side of the base 10 refers to the right side of the base 10, the first lifting rod 201 and the second lifting rod 202 are the upper and lower two on the left side, and the third lifting rod 203 and the fourth lifting rod 204 are the upper and lower two on the right side.

[0035] In this embodiment, the slide rail includes a first slide rail 701 and a second slide rail 702, the brakeable rollers 30 corresponding to one side and the other side of the base 10 are respectively slidably adapted to the first slide rail 701 and the second slide rail 702, and the first slide rail 701 and the second slide rail 702 are respectively detachably connected to both sides of the operating table.

[0036] In this embodiment, the first slide rail 701 and the second slide rail 702 are detachably connected to both sides of the operating bed through the first locking device 80, respectively. The first locking device 80 includes a first fixing seat 801 and a first locking member 802. After the first locking member 802 is threaded through one side of the first fixing seat 801, the outer side wall of the corresponding slide rail in the first fixing seat 801 and the bottom rod of the operating bed are abutted against the other side of the first fixing seat 801. The first locking device 80 is a common U-shaped vise, and other common structures can also be used to detachably fix the slide rail and the operating bed.

[0037] In this embodiment, the first pad 403 includes a first sub-pad 4031, a second sub-pad 4032 and a third sub-pad 4033 arranged in sequence from top to bottom along the length direction of the patient's face, and the first groove includes a first sub-groove, a first sub-groove and a third sub-groove; the second pad 404 includes a fourth sub-pad 4041, a fifth sub-pad 4042 and a sixth sub-pad 4043 arranged in sequence from top to bottom along the length direction of the patient's face, and the second groove includes a fourth sub-groove, a fifth sub-groove and a sixth sub-groove; each sub-pad is provided with a corresponding adjustment rod 50. Specifically, each sub-pad is made of a flexible material, such as sponge or silica gel; the six sub-grooves are arranged in three rows and two columns, and after splicing, they form a receiving groove 401.

[0038] In this embodiment, each adjusting rod 50 is detachably fixed to the top of the base 10 by a second locking device 90, and the second locking device 90 includes a second fixing seat 901 and a second locking member 902. The second fixing seat 901 is at least partially fixed to the top of the base 10. After the second locking member 902 is threaded through one side of the second fixing seat 901, the adjusting rod 50 in the second fixing seat 901 is abutted against the other side of the second fixing seat 901. The second locking device 90 is a common U-shaped vise, and other common structures can also be used to detachably fix the adjusting rod 50 to the top of the base 10.

[0039] In this embodiment, the traction device 60 includes a traction seat 601 fixed to the base 10, the traction seat 601 is provided with a pulley 602, and also includes a traction bow 603 for fixing the patient's head, and screws 604 are provided on both sides of the traction bow 603, and also includes a traction rope 605, one end of the traction rope 605 is connected to the traction bow 603, and the other end of the traction rope 605 is connected to the traction object 606 after passing through the pulley 602. The traction device 60 is a common device in the art, and its structure and principle refer to the prior art, which will not be repeated here.

[0040] In this embodiment, the traction bow 603 is in a semicircular ring shape, and the traction object 606 is a weight.

[0041] The use process of the intraoperative three-dimensional traction component proposed by the present invention is as follows:

[0042] The patient's torso lies on the operating table, and the patient's head lies in the receiving groove 401 of the cushion block device 40 of the base 10, with the mouth and nose aligned with the second ventilation groove 402. The cushion block device 40 is adjusted by the six adjustment rods 50: the second locking member 902 of the second locking device 90 is unscrewed, and each adjustment rod 50 drives each cushion block to move to a suitable position according to the size of the patient's face (mainly to move each adjustment rod 50 horizontally along its axial direction according to the width of the patient's face), and then the second locking member 902 is tightened again after the movement. The six adjustment rods 50 are only loosened when adjusting their own positions, and are locked at the top of the base 10 at other times.

[0043] The patient is pulled by the traction device 60: a hole is drilled at a designated position on the patient's skull with a limited depth drill bit, the depth of which does not exceed the inner plate of the skull, and then the traction bow 603 is placed on the skull and fixed with a screw 604 (the traction bow 603 in the figure is not suspended in the air, but is fixed on the patient's skull, but the patient and his skull are not drawn), and then the traction rope 605 is tied to the middle of the traction bow 603, and the traction rope 605 passes through the pulley 602, and the traction object 606 is tied to the end of the traction rope 605. The weight of the traction object 606 can be appropriately changed according to the degree of traction. During traction, not only the patient's skull is pulled and moved away from the operating bed, but the base 10 with the brake roller 30 is also indirectly driven to move away from the operating bed, and the pad device 40 fixed on the base 10 also moves with it, which is equivalent to the front face of the patient and the pad device 40 being relatively still, reducing the risk of the face being rubbed by the pad device 40.

[0044] During the traction process, in order to achieve a better traction effect, the patient's skull and cervical spine can be flexed, tilted backward, rotated left or right as needed to achieve a three-dimensional traction effect: lower the first lifting rod 201 and the third lifting rod 203, raise the second lifting rod 202 and the fourth lifting rod 204, so that the top of the base 10 is tilted away from the operating bed to achieve "flexion"; lower the second lifting rod 202 and the fourth lifting rod 204, raise the first lifting rod 201 and the third lifting rod 203, so that the top of the base 10 is tilted toward the direction close to the operating bed to achieve "tilt / extension"; lower the first lifting rod 201 and the second lifting rod 202, raise the third lifting rod 203 and the fourth lifting rod 204, and achieve "left rotation"; lower the third lifting rod 203 and the fourth lifting rod 204, and raise the first lifting rod 201 and the second lifting rod 202 to achieve "right rotation".

[0045] After the traction is completely completed, the traction object 606 is removed, and then the screw 604 is loosened to remove the traction bow 603.

[0046] The embodiments are only for illustrating the technical concept and features of the present invention, and their purpose is to enable those skilled in the art to understand the content of the present invention and implement it, and they cannot be used to limit the protection scope of the present invention. Any equivalent changes or modifications made according to the spirit of the present invention should be included in the protection scope of the present invention.

Claims

1. A three-dimensional traction assembly for cervical fracture and dislocation surgery, characterized in that: include: A base, wherein a first air-permeable groove is provided on the top of the base, and at least three non-collinear lifting rods are provided on the bottom of the base, one end of each lifting rod is hinged to the base, and the other end of each lifting rod is connected to a brakeable roller; A slide rail adapted for the brakeable roller, and the slide rail is detachably connected to the operating table; A cushion block device is placed on the top of the base, the cushion block device is divided into at least a first cushion block and a second cushion block distributed on the left and right, and are respectively located on both sides of the first air permeable groove, the first cushion block is provided with a first groove, the second cushion block is provided with a second groove, the first groove and the second groove are spliced ​​on the left and right to form a receiving groove for the patient's head to lie prone, the receiving groove is provided with a second air permeable groove aligned with the first air permeable groove, the first cushion block and the second cushion block are also connected with adjustment rods, and each of the adjustment rods is detachably fixed to the top of the base; and The traction device is arranged on a side of the base away from the operating table.

2. The intraoperative three-dimensional traction assembly according to claim 1, characterized in that: A first lifting rod and a second lifting rod are hinged at the bottom of one side of the base, and a third lifting rod and a fourth lifting rod are hinged at the bottom of the other side of the base. Each of the lifting rods is electrically connected to the first control button, the second control button, the third control button and the fourth control button respectively. The bottom of the base is also provided with a power module connected to each corresponding lifting rod.

3. The intraoperative three-dimensional traction assembly according to claim 1, characterized in that: The slide rail comprises a first slide rail and a second slide rail, and the brakeable rollers corresponding to one side of the base and the other side of the base are slidably adapted to the first slide rail and the second slide rail respectively, and the first slide rail and the second slide rail are detachably connected to the two sides of the operating bed respectively.

4. The intraoperative three-dimensional traction assembly according to claim 3, characterized in that: The first slide rail and the second slide rail are detachably connected to the two sides of the operating bed through a first locking device, respectively. The first locking device includes a first fixing seat and a first locking member. After the first locking member is threaded through one side of the first fixing seat, the corresponding outer side wall of the slide rail in the first fixing seat and the bottom rod of the operating bed are abutted against the other side of the first fixing seat.

5. The intraoperative three-dimensional traction assembly according to claim 1, characterized in that: The first pad includes a first sub-pad, a second sub-pad and a third sub-pad which are arranged in sequence from top to bottom along the length direction of the patient's face, and the first groove includes a first sub-groove, a first sub-groove and a third sub-groove; the second pad includes a fourth sub-pad, a fifth sub-pad and a sixth sub-pad which are arranged in sequence from top to bottom along the length direction of the patient's face, and the second groove includes a fourth sub-groove, a fifth sub-groove and a sixth sub-groove; each of the sub-pads is provided with a corresponding adjusting rod.

6. The intraoperative three-dimensional traction assembly according to claim 5, characterized in that: Each of the adjusting rods is detachably fixed to the top of the base by a second locking device, the second locking device includes a second fixing seat and a second locking member, the second fixing seat is at least partially fixed to the top of the base, and after the second locking member is threaded through one side of the second fixing seat, the adjusting rod in the second fixing seat is abutted against the other side of the second fixing seat.

7. The intraoperative three-dimensional traction assembly according to claim 1, characterized in that: The traction device includes a traction seat fixed to the base, the traction seat is provided with a pulley, and also includes a traction bow for fixing the patient's head, screws are provided on both sides of the traction bow, and also includes a traction rope, one end of the traction rope is connected to the traction bow, and the other end of the traction rope is connected to the traction object after passing around the pulley.

8. The intraoperative three-dimensional traction assembly according to claim 7, characterized in that: The traction bow is in a semicircular ring shape, and the traction object is a weight.

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