Combined operating table capable of seeing through X-rays
By designing a combined carbon fiber rod and a traction belt-supported surgical bed, the problem of X-ray fluoroscopy in orthopedic surgery is solved, and the accessibility and flexible combination is achieved, adapting to different patients' needs, reducing the risk and cost of surgery, suitable for Various hospitals.
Patent Information
- Application Number
- CN201811504437.3
- Authority / Receiving Office
- CN · China
- Patent Type
- Patents(China)
- Current Assignee / Owner
- Filing Date
- 2018-12-10
- Publication Date
- 2024-12-20
- Estimated Expiration
- 2038-12-10
AI Technical Summary
The existing orthopedic surgery beds are difficult to see the X-rays of the orthopedic surgery, especially when performing orthopedic surgery, and it is necessary to move anesthetized patients to reduce metal obstruction, resulting in inconvenient operation and image artifacts. , prolong the operation time, increase the risk of infection, and is expensive, making it difficult to popularize it in small and medium-sized hospitals.
Design a combined surgical bed consisting of multiple bed sheets, each with a horizontally arranged U-shaped upper frame and support legs, supported by carbon fiber rods and traction belts, and flexible combinations are achieved through connections and tensioning mechanisms. and adjust to ensure that X-ray fluorescence is not disturbed, adapt to different patient body types, and adjust the traction degree and support height.
It has achieved barrier-free fluoroscopy X-rays in orthopedic surgery, simplified the surgical process, reduced the risk of infection, and reduced costs. It is suitable for various hospitals, flexible and diverse, and adapted to the needs of different patients.
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Figure CN109350433B_ABST
Abstract
Description
Technical Field
[0001] The invention belongs to the technical field of operating tables, and in particular relates to a combined operating table capable of seeing through X-rays during an operation. Background Art
[0002] Orthopedic surgery, especially internal fixation surgery for limb fractures, relies heavily on intraoperative fluoroscopy, which is of great reference value for the fracture reduction effect and the accuracy of the internal fixation position. With the help of fluoroscopy results, it is possible to timely discover unsatisfactory fracture reduction and poor internal fixation position, and timely correct and solve them during surgery to eliminate medical risks. Whether the operating table can facilitate the operation will directly affect the progress and effect of the operation. Intraoperative C-arm X-ray fluoroscopy is often required in orthopedic surgery to determine anatomical landmarks or fracture reduction. Existing orthopedic operating tables include ordinary operating tables and orthopedic traction tables. The characteristics of this type of operating table are that the bed surface is mostly made of metal structure, the back is uneven, and the bed support is located in the middle, mostly in a large cylindrical shape. Therefore, this type of operating table can only take lateral X-rays during orthopedic surgery. Frontal X-rays are often blocked by the cylindrical pillars or affected by various metal parts of the bed. The impact is most serious when orthopedic surgeries in the middle part of the human body, such as pelvic fractures and hip fractures, require fluoroscopy. Therefore, when frontal X-rays are required, the anesthetized patient often needs to be moved to minimize metal obstruction, which brings inconvenience to the surgical operation process.
[0003] Some other operating tables only have the bed panel made of X-ray-permeable carbon fiber plate or other materials, and the bed panel is supported by a metal frame around it. When projecting the C-arm anteroposterior film, since the position of the limbs does not need to be changed too much, it can basically meet the development needs. However, when projecting lateral oblique X-rays, since the bed frame and bracket are made of metal materials, the rays will be blocked and cannot be transmitted through the X-rays. Even if the bed panel can transmit X-rays, it will overlap with the contralateral limbs or trunk and cannot be accurately developed. In addition, due to the anesthesia effect, the patient's limbs cannot be coordinated to place in the correct perspective position. It is often necessary for the surgeon to lift the patient, avoid and interleave with the contralateral limbs or trunk before exposure and development, so that a reliable image can be fully projected. Lifting the patient's body by hand will still cause micro-movement during exposure and development, which will also cause artifacts in the image and unclear development, making it difficult to accurately judge the fracture reduction effect during surgery, prolonging the operation time, increasing the chance of intraoperative contamination and postoperative infection rate, which is not good for the health of doctors and the safety of patients' surgery, and causing medical risks.
[0004] Existing pure fiber orthopedic operating tables are mostly made by foreign professional companies and are monopolized products. Their manufacturing process is complex, they are all modular, inconvenient to use, easy to damage, and especially expensive, costing millions to tens of millions, and are generally unavailable to small and medium-sized hospitals below the county level. Given the very low per capita medical level in my country, developing an operating table with a simple structure, low cost, and barrier-free perspective can significantly reduce treatment costs and benefit more patients. Summary of the invention
[0005] In view of the defects and problems existing in the existing operating tables, the present invention provides an operating table that can see through X-rays and can be freely combined to meet the needs of different patients.
[0006] The solution adopted by the present invention to solve its technical problems is: a combined operating table capable of seeing through X-rays, which is composed of a plurality of bed units connected in sequence, each of which comprises a U-shaped upper frame arranged horizontally, the U-shaped upper frame comprises two side rods and a bottom rod, and support legs are respectively connected downward at four top corners or part of the top corners of the U-shaped upper frame; the ends of the two side rods of the opening end of the U-shaped upper frame are respectively provided with supports, the two ends of the carbon fiber rod are respectively sleeved in the two side supports, and a traction belt is connected between the two side rods of the U-shaped upper frame; the carbon fiber rods of the plurality of bed units constituting the operating table are located on the left or right side of the bed body.
[0007] Among them, multiple bed units that constitute the operating bed are connected as a whole through connecting parts. The connecting parts are fixed baffles respectively arranged on the supporting legs of adjacent bed units, and the supporting legs on the upper sides of each fixed baffle are equipped with a transverse rotation sleeve, and each transverse rotation sleeve is transversely welded with a screw rod, and the thread directions of the two screw rods are opposite, and a screw sleeve is connected between the two corresponding screw rods; or, the connecting parts are transverse through holes respectively arranged on the supporting legs of adjacent bed units, and connecting bolts are installed through them; or, the connecting parts are on the supporting legs of adjacent bed units or adjacent U-shaped Fixed transverse sleeves are respectively installed on the bottom surfaces of the upper frames, and through rods are installed through each fixed transverse sleeve and fixed by through pins; or, the connecting piece is a fixed stop platform provided on one supporting leg of the adjacent bed unit, a transverse slot is provided on the other supporting leg, a transverse rotation sleeve is provided on the supporting leg on the upper side of the fixed stop platform, a rocker rod is laterally welded on each transverse rotation sleeve, and the end of the rocker rod is matched with the transverse slot through a clamping block and fixed together by a through pin; or, the connecting piece is a transverse sleeve and a sleeve rod provided on the supporting legs of the adjacent bed unit, which are locked by a through pin after being butt-jointed.
[0008] In addition, a tensioning mechanism is provided at one or both ends of the traction belt, and the tensioning mechanism is fixed with a fixed seat on the inner side of the side rod on one side or both sides, and a fixed end head is fixed to the end of the traction end, and a tensioning screw is connected between the fixed seat and the fixed end head, and the two tensioning belts are tightened outward by adjusting the tensioning screw; or, the tensioning mechanism is a sleeve mounted on the side rod on one or both sides, and a lever is fixedly connected to the lower side of the sleeve, and the levers under the side rods on both sides are connected by steel wire ropes, and a tensioning component is provided in the middle of the steel wire rope, and the two tensioning belts are tightened outward by adjusting the tensioning screw; or, the tensioning mechanism is to connect the ends of the traction belts wrapped around the side rods on both sides through a tensioning screw, and the ends of the two tensioning belts are retracted inward by adjusting the tensioning screw.
[0009] Furthermore, each support leg is in an inner and outer sleeve sleeve relationship, can be telescopic, and is provided with a locking pin. At the same time, the upper end of each support leg is respectively hinged to the bottom of the U-shaped upper frame through a pin shaft.
[0010] Alternatively, the two side bars or the bottom bar of the U-shaped upper frame can be in an inner and outer sleeve sleeve relationship, can be telescopic, and are provided with locking pins.
[0011] Beneficial effects of the present invention: One side of each bed unit of the combined operating bed of the present invention adopts a carbon fiber rod as a support, and the side rods of the U-shaped upper frame are pulled by means of a traction belt, so that the U-shaped upper frame is in a firm state as the support surface of the operating bed by means of the support and traction. The structure is simple and effective. During orthopedic surgery or surgery that requires X-rays, it will not cause interference during projection, which is conducive to the smooth progress of the surgery and avoids repeatedly pushing the surgical patient during the surgery, affecting the operation and increasing the risk of infection. The structure of the present invention has a low cost to realize, is easy to manufacture and implement, and is easy to promote and apply to large, medium and small hospitals.
[0012] The present invention can also form a combined operating bed by connecting and combining multiple bed units, and can best assemble and transform the operating bed according to the patient's body shape to accommodate adults and children, as well as patients of different heights, fatness and thinness, etc. In addition, the present invention can also transform the operating bed by extending the side to facilitate supporting the patient's arm and performing the operation, and the use method is flexible and diverse, and very convenient.
[0013] The present invention can also appropriately adjust the degree of traction of the traction end to change the hardness and softness of the operating table. The present invention can also adjust the height of the supporting legs to achieve the height and lowering of the partial bed unit, which is convenient for patients to lie down for surgery. And after installing universal wheels, patients can be flexibly transported. The present invention is also convenient for transportation and storage. BRIEF DESCRIPTION OF THE DRAWINGS
[0014] Figure 1 It is a three-dimensional schematic diagram of the present invention.
[0015] Figure 2 yes Figure 1 Top view of the .
[0016] Figure 3 It is one of the connecting structures connecting two bed units.
[0017] Figure 4 It is the second connecting structure connecting two bed units.
[0018] Figure 5 It is the third connecting structure connecting two bed units.
[0019] Figure 6 It is one of the connecting structures connecting two bed units.
[0020] Figure 7 It is one of the connecting structures connecting two bed units.
[0021] Figure 8 The utility model is an implementation method of a traction belt tensioning mechanism.
[0022] Fig. 9 It is another implementation of the traction belt tensioning mechanism.
[0023] Fig.10 It is a schematic diagram of a bed unit structure with a fixed height.
[0024] Fig.11 It is one of the structural schematic diagrams of a height-adjustable bed unit.
[0025] Fig.12 It is a schematic diagram of the bed unit structure with universal wheels installed.
[0026] Fig.13 This is the second structural schematic diagram of a height-adjustable bed unit.
[0027] Fig.14 The utility model relates to a special-shaped combined operating table adopting the present invention.
[0028] 1 is a U-shaped upper frame, 2 is a supporting leg, 2a is a lower sleeve, 2b is an upper sleeve, 3 is a carbon fiber rod, 4 is a support, 5 is a traction belt, 6 is a support kit, 7 is a connecting bolt, 8 is a fixed stopper, 9 is a horizontal rotation sleeve, 10 is a screw rod, 11 is a screw sleeve, 12 is a fixed horizontal sleeve, 13 is a through rod, 14 is a movable stopper, 15 is a pin hole, 16 is a through pin, 17 is a horizontal slot, 18 is a swing rod, 19 is a block, 20 is a connecting rod, 21 is a stop slot, 22 is a fixed seat, 23 is a fixed end, 24 is a tensioning screw, 25 is a sleeve, 26 is a lever, 27 is a traction seat, 28 is a wire rope, 29 is a tensioning component, 30 is a fixing nail, 31 is a hinge seat, 32 is a pin shaft, 33 is a locking pin, 34 is a universal wheel, 35 is a collar, and 36 is a C-arm X-ray machine. DETAILED DESCRIPTION
[0029] The present invention aims to improve an operating table capable of seeing through X-rays, Figure 1-Figure 14 Various embodiments shown, as well as other embodiments not included in the figures, are described in detail below.
[0030] Example 1: Basic version of the combined operating table Figure 1 and Figure 2 As shown, about 3-5 bed units are connected in sequence to form a connected structure for use as an operating bed. Figure 1 and Figure 2 Only the most streamlined mode of the operating bed is shown, and further additional components can be added to the combination, such as adding slides or kits on its side for installing surgical instruments. The model of each bed unit that constitutes the combined bed is as consistent as possible to facilitate random assembly. However, they can also be inconsistent. For example, the bed units near the head of the bed or the bed are set separately, while the model of the bed unit in the middle remains consistent. Regardless of whether the bed unit model changes, the connecting parts are basically the same, so as to simplify the installation procedure and achieve fast and unified assembly. In this embodiment, a combined operating bed is formed by connecting and combining multiple bed units. The operating bed can be optimally assembled and modified according to the patient's body shape to accommodate adults and children, as well as patients of different heights, fatness, and thinness.
[0031] Each bed unit includes a horizontally arranged U-shaped upper frame 1 and a plurality of supporting legs 2. The U-shaped upper frame 1 includes two side bars and a bottom bar, which are located at the four top corners of the U-shaped upper frame 1 and are connected downward to the corresponding supporting legs 2. The U-shaped upper frame 1 or the supporting legs 2 of the bed unit can be made of square tubes such as Figure 1 , or use a round tube such as Fig.10 , and a combination of square tubes and round tubes.
[0032] like Figure 2As shown, the ends of the two side rods of the open end of the U-shaped upper frame 1 are respectively provided with supports 4, and the two ends of the carbon fiber rod 3 are respectively sleeved in the two side supports 4. In this embodiment, the carbon fiber rod 3 only provides support. At the same time, a plurality of parallel traction belts 5 are sleeved and connected between the two side rods of the U-shaped upper frame 1. The two side rods and the bottom rod of the U-shaped upper frame 1 are metal rods with sufficient strength, while there is no metal rod connection at the open end of the U-shaped upper frame 1, which is a weak force-bearing part, but through the support of the carbon fiber rod 3 and the tightening of the traction belt 5, a high-strength stable structure can still be formed. In this embodiment, the carbon fiber rod 3 is used as a support, and the two side rods of the U-shaped upper frame 1 are pulled by the traction belt 5, so that the U-shaped upper frame 1 is in a firm state as the support surface of the operating bed. Among them, the carbon fiber rods 3 of the multiple bed monomers constituting the operating bed are located on the left or right side of the bed body, that is, close to the side of the C-arm X-ray machine 36. During orthopedic surgery, a C-arm X-ray machine 36 is required for perspective. The carbon fiber rod 3 at the open end of the U-shaped upper frame 1 will not cause interference during projection, which is conducive to the smooth progress of the surgery and avoids repeated pushing of the surgical patient during the surgery, affecting the surgery and increasing the risk of infection.
[0033] The multiple bed units constituting the operating bed are connected as a whole by connecting members. In this embodiment, the connecting members are provided with transverse through holes on the supporting legs 2 of the adjacent bed units, and connecting bolts 7 are installed through them. Figure 1 or Figure 4 The connection structure shown is this connection method.
[0034] It can be seen that the above structure of this embodiment has fewer parts, lower implementation cost, is easy to manufacture and implement, and is convenient for promotion and application in large, medium and small hospitals. Moreover, it is convenient to carry and store in the disassembled state.
[0035] Embodiment 2: Based on Embodiment 1, the multiple bed units constituting the operating bed are connected as a whole through connectors, but the connectors are different. Figure 3 As shown, in this embodiment, the connecting piece is a fixed stop 8 is respectively set on the supporting legs 2 of the adjacent bed units, and a horizontal rotation sleeve 9 is mounted on the supporting legs 2 on the upper side of each fixed stop 8. A screw is welded horizontally on each horizontal rotation sleeve 9. The thread directions of the two screws are opposite, and a screw sleeve is connected between the two corresponding screws. With the connection method of this embodiment, the horizontal rotation sleeve 9 carrying the screw can be rotated at will, and after rotating 90 degrees, it can be combined into the following Fig.14 The partially widened side structure shown is beneficial for supporting the patient's arm and performing surgery, and the usage is flexible and diverse, which is very convenient.
[0036] Embodiment 3: Based on Embodiment 1, the connecting member is Figure 5In the structure shown, fixed transverse sleeves 12 are respectively installed on the supporting legs 2 of adjacent bed units, and through-rods 13 are installed through each fixed transverse sleeve 12 and fixed by through-pins 16. In the non-assembled state, the through-rods 13 are retracted and led out from under the bed body and are not exposed.
[0037] Embodiment 4: Based on Embodiment 1, the connecting member is Figure 7 In the structure shown, fixed transverse sleeves 12 are respectively installed on the bottom surfaces of adjacent U-shaped upper frames 1 of adjacent bed units, and through-rods 13 are installed through each fixed transverse sleeve 12 and fixed by through pins 16. This embodiment is suitable for the case where adjacent bed units partially lack support legs 2.
[0038] Embodiment 5: Based on Embodiment 1, the connecting member is Figure 6 The structure shown is that a fixed stop 8 is provided on one supporting leg 2 of the adjacent bed unit, and a transverse slot 17 is provided on the other supporting leg 2. A transverse sleeve 9 is mounted on the supporting leg 2 on the upper side of the fixed stop 8. A swing rod is transversely welded on each transverse sleeve 9. The end of the swing rod is matched with the transverse slot 17 through a clamping block and is locked through a through pin 16. This embodiment can also make the swing rod in a flipped and hidden state when not in use.
[0039] In addition, the connecting piece may also be other connection forms, for example, a transverse sleeve and a sleeve rod are respectively provided on the supporting legs 2 of the adjacent bed units, and the two are locked by a through pin 16 after being butted together.
[0040] Embodiment 6: Based on Embodiment 1, a function of adjusting the traction degree of the traction end is also provided, that is, a tensioning mechanism is provided at one or both ends of the traction belt 5. Figure 8 A tensioning mechanism shown is a fixing seat 22 fixed to the inner side of the side bar on one or both sides, a fixing end head 23 fixed to the end of the traction end, a tensioning screw 24 connected between the fixing seat 22 and the fixing end head 23, and the two tensioning belts are tightened outward by adjusting the tensioning screw 24. In this embodiment, the traction degree of the traction end can be appropriately adjusted to change the hardness of the operating table.
[0041] Embodiment 7: Based on Embodiment 1, a tensioning mechanism for adjusting the traction degree of the traction end is provided at one or both ends of the traction belt 5. Fig. 9The tensioning mechanism shown is a sleeve mounted on one or both side bars, a lever is fixedly connected to the lower side of the sleeve, the levers under the side bars on both sides are connected by a steel wire 28, and a tensioning component 29 is arranged in the middle of the steel wire 28, and the two tensioning belts are tightened outward by adjusting the tensioning screw 24. The ends of each traction belt are fixed on the sleeve by a fixing nail, so that when the sleeve is driven to rotate by the lever, the sleeve can drive each traction belt to be tensioned at the same time. The levers on both sides are tightened and locked by the steel wire rope, and the tensioning component 29 is adopted in various ways, for example, one end of the steel wire rope can be fixed on a fixed disk, a one-way wheel is installed at the center of the fixed disk through a rotating shaft, the other end of the steel wire rope is wound around the one-way wheel, and the one-way wheel is provided with a crank. Alternatively, one end of the wire rope is fixed on a fixed disk, a V-shaped wheel is installed at the center of the fixed disk through a rotating shaft, the other end of the wire rope is wound on the V-shaped wheel, a worm is installed on one side through a pin shaft, and a clamping wheel is provided on one side of the V-shaped wheel to cooperate with the worm. And other traction structures.
[0042] Embodiment 8: Based on Embodiment 1, a tensioning mechanism for adjusting the traction degree of the traction end is provided at one or both ends of the traction belt 5. The tensioning mechanism connects the ends of the traction belt 5 wrapped around the two side bars through a tensioning screw 24, and the ends of the two tensioning belts are retracted inwardly by adjusting the tensioning screw 24.
[0043] Example 9: Fig.11 and Fig.12 As shown, each support leg 2 is in an inner and outer sleeve sleeve relationship to achieve telescopic adjustment function, and is provided with a locking pin to meet the height adjustment positioning requirements. At the same time, the upper end of each support leg 2 is respectively hinged to the bottom of the U-shaped upper frame 1 through a pin shaft, so that the bed unit can be adjusted as follows Fig.11 and Fig.12 The height of one side is greater than the height of the other side. In this embodiment, the height of the support leg 2 can be adjusted to achieve the raising and lowering of the partial bed unit, which is convenient for the patient to lie down for surgery. Fig.12 As shown, the patient can be flexibly transported by installing universal wheels 34 and braking.
[0044] Embodiment 10: Based on the embodiments 1-9, the two side bars or bottom bars of the U-shaped upper frame 1 can also be in an inner and outer sleeve sleeve relationship, which can be telescopic and provided with a locking pin. Thus, the length and width of the bed unit can be adjusted to meet the corresponding needs according to the corresponding patient body shape of each department.
Claims
1. A combined operating table capable of seeing through X-rays, Its characteristics are: The invention is composed of a plurality of bed units connected in sequence, each of which comprises a U-shaped upper frame arranged horizontally, the U-shaped upper frame comprising two side bars and a bottom bar, the two side bars or the bottom bar of the U-shaped upper frame are in an inner and outer sleeve fitting relationship, can be telescopic, and are provided with a locking pin; the four top corners of the U-shaped upper frame are respectively connected downward with support legs; each support leg is in an inner and outer sleeve fitting relationship, can be telescopic, and is provided with a locking pin; the two side bar ends of the opening end of the U-shaped upper frame are respectively provided with supports, the two ends of the carbon fiber rod are respectively fitted in the two side supports, and a traction belt is connected between the two side bars of the U-shaped upper frame; a high-strength stable structure is formed by the support of the carbon fiber rod and the tightening of the traction belt, the carbon fiber rod serves as a support, and the two side bar of the U-shaped upper frame is pulled by the traction belt, so that the U-shaped upper frame is in a firm state as a support surface for the operating bed; the carbon fiber rods of the plurality of bed units constituting the operating bed are located on the left or right side of the bed body, that is, close to the side of the C-arm X-ray machine.
2. The combined operating table capable of seeing through X-rays according to claim 1, Its characteristics are: The multiple bed units constituting the operating bed are connected as a whole through a connecting piece, wherein the connecting piece is a fixed stopper respectively arranged on the supporting legs of the adjacent bed units, a lateral rotation sleeve is mounted on the supporting leg on the upper side of each fixed stopper, a screw is transversely welded on each lateral rotation sleeve, the thread directions of the two screws are opposite, and a screw sleeve is connected between the two corresponding screws; or, the connecting piece is a transverse through-hole respectively arranged on the supporting legs of the adjacent bed units, and a connecting bolt is installed through the through-hole; or, the connecting piece is on the supporting legs of the adjacent bed units or the adjacent U-shaped upper frames. Fixed transverse sleeves are respectively installed on the bottom surface, and through rods are installed through each fixed transverse sleeve and fixed by through pins; or, the connecting piece is a fixed stop platform provided on one supporting leg of the adjacent bed unit, and a transverse slot is provided on the other supporting leg, a transverse rotation sleeve is provided on the supporting leg on the upper side of the fixed stop platform, and a rocker rod is horizontally welded on each transverse rotation sleeve, and the end of the rocker rod is matched with the transverse slot through a clamping block and fixed together by a through pin; or, the connecting piece is a transverse sleeve and sleeve rod respectively provided on the supporting legs of the adjacent bed unit, and the two are locked by a through pin after being connected.
3. The combined operating table capable of seeing through X-rays according to claim 1, Its characteristics are: A tensioning mechanism is provided at one or both ends of the traction belt, and the tensioning mechanism is a fixed seat fixed on the inner side of the side rod on one side or both sides, and a fixed end head is fixed at the end of the traction belt, and a tensioning screw is connected between the fixed seat and the fixed end head, and the two tensioning belts are tightened outward by adjusting the tensioning screw; or, the tensioning mechanism is a sleeve mounted on the side rod on one or both sides, and a lever is fixedly connected to the lower side of the sleeve, and the levers under the side rods on both sides are connected by steel wire ropes, and a tensioning component is provided in the middle of the steel wire ropes, and the two tensioning belts are tightened outward by adjusting the tensioning screw; or, the tensioning mechanism is a sleeve mounted on the side rods on both sides, and a tensioning screw is used to connect the ends of the traction belts wrapped around the side rods on both sides, and the tensioning screw is used to adjust the tensioning screw to shrink the ends of the two tensioning belts inward.
4. The combined operating table capable of seeing through X-rays according to claim 1, Its characteristics are: The upper end of each supporting leg is hinged to the bottom of the U-shaped upper frame through a pin shaft.
Citation Information
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