Thyroid surgery drag hook adjusting device

By designing an automated thyroid surgery retractor adjustment device, the problem of needing to manually hold the retractor for extended periods during surgery was solved, enabling efficient use of medical human resources during the procedure and improving surgical efficiency and safety.

CN115363655BActive Publication Date: 2025-12-19XIANGYA HOSPITAL CENT SOUTH UNIV
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Patent Information

Application Number
CN202211155981.8
Authority / Receiving Office
CN · China
Patent Type
Patents(China)
Current Assignee / Owner
Filing Date
2022-09-22
Publication Date
2025-12-19
Estimated Expiration
2042-09-22

AI Technical Summary

Technical Problem

The surgical retractor during thyroid surgery requires prolonged manual handling, resulting in low utilization of medical human resources.

Method used

A thyroid surgery retractor adjustment device was designed, including a controller, a worktable, a support block, a connecting rail, and a connecting mechanism. Through an electrically controlled slide, an electrically controlled lead screw, and a motor drive, the device achieves automated fixation and angle adjustment of the surgical retractor, reducing reliance on manual labor.

Benefits of technology

It improved the utilization rate of medical human resources, reduced the need for assistants, and improved surgical efficiency and safety.

✦ Generated by Eureka AI based on patent content.

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Abstract

The application discloses a thyroid surgery drag hook adjusting device, which comprises a controller, a workbench, a supporting block, a connecting track and at least one connecting mechanism, the connecting track and the supporting block are arranged on the top side of the workbench respectively, the connecting track is used for forming an accommodating space by being recessed towards the direction of the patient's head, the two ends of the connecting track are arranged at intervals, the supporting block is located in the accommodating space, the accommodating space is used for the patient's head to enter from between the two ends of the connecting track, so that the patient's head and neck enter the accommodating space, each connecting mechanism is slidably connected with the connecting track, the controller is electrically connected with the connecting mechanism, and the controller is used for controlling each connecting mechanism to slide along the connecting track, so that each connecting mechanism fixes the surgery drag hook at any position of the connecting track. In the technical scheme, the connecting mechanism can fix the surgery drag hook from different angles, the fixing of the surgery drag hook is assisted through the arrangement of the connecting mechanism and the connecting track, and the utilization rate of medical human resources is improved.
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Description

TECHNICAL FIELD

[0001] The present application relates to the technical field of medical devices, in particular to a thyroid surgery retractor adjusting device. BACKGROUND

[0002] The thyroid surgery generally refers to total thyroidectomy, mainly refers to the total removal of one side of the thyroid of the human body, not the total removal of both lobes of the thyroid, and often retains the whole or part of the thyroid tissue on the opposite side to maintain the required physiological function. During the thyroid surgery, the retractor is needed to pull open the surgical incision to expose the thyroid, so as to facilitate the surgery. The surgical retractor is generally held by an assistant for a long time to ensure that the surgical incision is pulled open. However, the thyroid surgery time is relatively long, and multiple assistants are needed to hold the retractor alternately to ensure that the retractor remains stable for a long time, which makes a large number of assistants participate in a single surgery. However, the human resources of the hospital are relatively tight, and a large number of personnel repeatedly perform these simple mechanical work, resulting in low utilization rate of medical human resources. SUMMARY

[0003] The main purpose of the present application is to provide a thyroid surgery retractor adjusting device, which aims to solve the problem of low utilization rate of medical human resources caused by manual holding of the thyroid surgery retractor.

[0004] To achieve the above-mentioned purpose, the technical solution provided by the present application is:

[0005] A thyroid surgery retractor adjusting device, comprising a controller, a workbench, a support block, a connecting track and at least one connecting mechanism, the connecting track and the support block are respectively arranged on the top side of the workbench, the support block is used for supporting the back of the neck of the patient; the connecting track is used for recessing to form an accommodation space in the direction of entering the head of the patient; the two ends of the connecting track are spaced apart, the support block is located in the accommodation space, the accommodation space is used for the head of the patient to enter from between the two ends of the connecting track, so that the head and neck of the patient enter the accommodation space; each connecting mechanism is slidably connected to the connecting track, the controller is electrically connected to the connecting mechanism, and the controller is used for controlling each connecting mechanism to slide along the connecting track, so that each connecting mechanism fixes the surgical retractor at any position of the connecting track.

[0006] Preferably, the connecting mechanism comprises a first electric control sliding base, a shell, a first electric control screw rod, an adjusting device and a fixing device, the shell is connected with the first electric control sliding base; the first electric control screw rod is arranged in the shell and vertically arranged; a rectangular through hole is arranged on the side of the shell facing the accommodating space, the rectangular through hole extends vertically, and a first sliding table of the first electric control screw rod is arranged facing the rectangular through hole; the fixing device is arranged on one side of the shell and is used for detachably connecting a surgical retractor; the adjusting device is arranged between the fixing device and the shell, the adjusting device is connected with the first sliding table of the first electric control screw rod through the rectangular through hole, the adjusting device is drivingly connected with the fixing device, and the adjusting device is used for adjusting a horizontal angle of pulling a surgical incision by the fixing device; and the controller is electrically connected with the first electric control screw rod and the adjusting device, and is used for controlling the first electric control screw rod and the adjusting device respectively, so that the fixing device is moved to a corresponding position to pull the surgical retractor.

[0007] Preferably, the adjusting device comprises a first connecting column and a first motor, the first connecting column is transversely arranged, one end of the first connecting column is connected with the first sliding table of the first electric control screw rod, and the other end of the first connecting column drives the fixing device through the first motor; the output end of the first motor is vertically arranged, the output end of the first motor is connected with the fixing device, the first motor is electrically connected with the controller, the controller is electrically connected with the first motor, and the controller is used for controlling the first motor to drive the fixing device to horizontally rotate, so that the stretching path of the fixing device and the stretching path of the surgical retractor coincide.

[0008] Preferably, the adjusting device further comprises a second connecting column and a second motor, the second motor is arranged at the end of the first connecting column away from the first electric control screw rod, and the output end of the second motor is transversely arranged; the second connecting column is vertically arranged, one end of the output end of the second motor is connected with the second connecting column, and the other end of the second connecting column is arranged with the first motor; the controller is electrically connected with the second motor, and the controller is used for controlling the second motor to drive the second connecting column to rotate, so that the second motor adjusts the horizontal height of the fixing device.

[0009] Preferably, the fixing device comprises an extender, a third connecting column, a fixing base and a mounting structure, the third connecting column is arranged transversely, one end of the third connecting column is connected to the adjusting device, the other end of the third connecting column is provided with the extender, and the output end of the extender is used for transverse extension; the fixing base comprises a fixing plate, a connecting shaft and two connecting plates, one side of the fixing plate is connected to the output end of the extender, the two connecting plates are located at the end of the fixing plate away from the extender, and the two connecting plates are arranged in parallel and at intervals; one end of the fixing plate is connected to the end of one of the connecting plates close to the extender, and the other end of the fixing plate is connected to the end of the other connecting plate close to the extender; the connecting shaft penetrates through the mounting structure, and the connecting shaft and the mounting structure are fixedly connected; one end of the connecting shaft is rotatably connected to one of the connecting plates, and the other end of the connecting shaft is rotatably connected to the other connecting plate; the mounting structure is used for being rotated through the connecting shaft to adjust the inclination angle of the surgical retractor; the controller is electrically connected to the extender, and the controller is used for controlling the extender to drive the mounting structure to pull the surgical retractor after the mounting structure adjusts the inclination angle of the surgical retractor, so that the exposure range of the surgical field is expanded.

[0010] Preferably, the mounting structure comprises a block and a pressing plate, the connecting shaft penetrates through the block, one side of the block away from the connecting shaft is provided with a containing through groove, the extending direction of the containing through groove is perpendicular to the connecting shaft, the block is provided with a limiting through hole, the limiting through hole is perpendicular to the extending direction of the containing through groove, and one end of the limiting through hole is communicated with the groove bottom of the containing through groove; the containing through groove is used for containing the hand-held part of the surgical retractor, so that one of the bent ends of the surgical retractor is inserted into the limiting through hole; the block is provided with two connecting screw holes on one side of the containing through groove, and the containing through groove is located between the two connecting screw holes; the pressing plate is provided with two connecting through holes, and the pressing plate is used for being threadedly connected to one of the connecting screw holes through one bolt penetrating through one of the connecting through holes first, and then being threadedly connected to the other connecting screw hole through another bolt penetrating through the other connecting through hole, so that the pressing plate fixes the surgical retractor in the containing through groove.

[0011] Preferably, the thyroid surgery retractor adjusting device further comprises a frame, a base and a second electric control sliding seat, the base is connected to the bottom end of the frame; the frame is provided with a vertical slide, the second electric control sliding seat is slidably connected to the slide, and the second electric control sliding seat is connected to the bottom side of the workbench; the controller is electrically connected to the second electric control sliding seat, and the controller is used for controlling the second electric control sliding seat to slide along the slide, so that the side of the support block provided on the workbench is flush with the top side of the surgical bed.

[0012] Preferably, the workbench is respectively provided with a limiting mechanism and a fixing mechanism, the fixing mechanism is arranged on the side of the workbench away from the connecting rail, the limiting mechanism comprises two limiting plates, the two limiting plates are arranged in parallel and at intervals, the two limiting plates are arranged on the side of the workbench provided with the connecting rail, and the connecting rail is located between the two limiting plates; the two limiting plates are perpendicular to the slide, one end of the two limiting plates away from the frame body extends to the outside of the workbench, and the bottom sides of the two limiting plates are respectively provided with sensors for sensing the table top of the operating bed; a controller is electrically connected with the fixing mechanism and the two sensors respectively, the controller is used for acquiring data sent by the sensors and controlling the first electric control sliding seat, so that the top sides of the workbench and the operating bed are flush; and the controller is also used for controlling the fixing mechanism after the two workbenches and the operating bed are flush, so that the fixing mechanism and the two limiting plates clamp the operating bed.

[0013] Preferably, the limiting mechanism further comprises a second electric control screw rod and a cross plate, the second electric control screw rod and a second sliding table form a second screw rod and sliding table module; the second electric control screw rod is perpendicular to the slide, the second sliding table of the second electric control screw rod is connected with the cross plate, the cross plate is perpendicular to the second electric control screw rod, and the cross plate is parallel to the workbench; two vertical plates are arranged on the outside of the workbench, one end of the cross plate is connected with one of the limiting plates through one of the vertical plates, and the other end of the cross plate is connected with the other limiting plate through the other vertical plate; the controller is electrically connected with the second electric control screw rod, and the controller is used for controlling the second electric control screw rod to drive the two limiting plates to move, so that when the top sides of the workbench and the operating bed are aligned, the end portions of the two limiting plates provided with the sensors extend to the outside of the workbench.

[0014] Preferably, the fixing mechanism comprises a lifter and a clamping plate, the lifter is arranged on the side of the cross plate away from the second electric control screw rod, the clamping plate is located on the side of the lifter away from the second electric control screw rod, the output end of the lifter is connected with the clamping plate, the controller is electrically connected with the lifter, and the controller is used for controlling the lifter after the workbench and the lifter are aligned, so that the clamping plate and the two limiting plates clamp the operating bed, and the position of the workbench is fixed.

[0015] Compared with the prior art, the present application has at least the following beneficial effects:

[0016] The connecting rail extending along the outer edge of the human head is arranged, so that the connecting mechanism can fix the surgical hook from different angles, the fixing of the surgical hook is assisted through the arrangement of the connecting mechanism and the connecting rail, and the utilization rate of medical human resources is improved. BRIEF DESCRIPTION OF DRAWINGS

[0017] In order to make the technical solutions in the embodiments of the present application or the prior art clearer, the accompanying drawings needed in the embodiments or prior art description will be briefly introduced. Obviously, the accompanying drawings in the following description only constitute some embodiments of the present application, and for ordinary skilled people in the art, other drawings can be obtained according to the structures shown in the drawings without any creative effort.

[0018] Figure 1 It is a structural schematic view of an embodiment of the thyroid surgery drag hook adjusting device of the present application.

[0019] Figure 2 It is a structural schematic view of the workbench from the top.

[0020] Figure 3 It is Figure 1 It is a structural schematic view of the enlarged A in the middle.

[0021] Figure 4 It is a structural schematic view of the fixed device.

[0022] Explanation of the reference numerals:

[0023] 1- frame; 11- base; 12- second electric control sliding seat; 13- slide; 14- camera; 15- display;

[0024] 2- workbench; 21- support block; 22- limiting mechanism; 23- limiting plate; 24- second electric control screw rod; 25- cross plate; 26- vertical plate; 27- fixing mechanism; 28- lifter; 29- clamping plate;

[0025] 3- connecting track; 31- first track; 32- second track; 33- third track; 34- containing space;

[0026] 4- connecting mechanism; 41- first electric control sliding seat; 42- shell; 43- first electric control screw rod; 44- rectangular through hole;

[0027] 5- adjusting device; 51- first connecting column; 52- first motor; 53- second connecting column; 54- second motor;

[0028] 6- fixed device; 61- extender; 62- third connecting column; 63- fixing seat; 64- fixing plate; 65- connecting shaft; 66- connecting plate;

[0029] 7- mounting structure; 71- block; 72- pressing plate; 73- containing slot; 74- limiting through hole;

[0030] The implementation, functional features and advantages of the present application will be further described with reference to the embodiments and the accompanying drawings. DETAILED DESCRIPTION

[0031] The technical solutions in the embodiments of the present application will be clearly and completely described below with reference to the drawings in the embodiments of the present application. Obviously, the described embodiments are only part of the embodiments of the present application, rather than all the embodiments of the present application. Based on the embodiments in the present application, all other embodiments obtained by a person of ordinary skill in the art without creative effort are within the protection scope of the present application.

[0032] It should be noted that all directional indications, such as up, down, left, right, front, back, etc., in the embodiments of the present application are only used to explain the relative position relationship, movement condition, etc. between components in a certain posture (as shown in the drawings), and if the certain posture changes, the directional indications also change accordingly.

[0033] In addition, the description such as "first", "second" and the like in the present application is only for the purpose of description, and cannot be understood as indicating or implying the relative importance of the technical features indicated, or implicitly indicating the number of the technical features indicated. Therefore, the features defined as "first", "second" can explicitly or implicitly include at least one of the features. In the description of the present application, the meaning of "a plurality of" is at least two, for example, two, three, etc., unless otherwise specifically limited.

[0034] In the present application, unless otherwise specifically defined and limited, the terms "connection", "fixation" and the like should be understood in a broad sense, for example, "fixation" can be fixed connection, or detachable connection, or integral; can be mechanical connection, or electrical connection; can be direct connection, or indirect connection through an intermediate medium; can be the internal communication of two elements or the interaction relationship between two elements, unless otherwise specifically limited. For a person of ordinary skill in the art, the specific meaning of the above terms in the present application can be understood according to the specific circumstances.

[0035] In addition, the technical solutions of each embodiment of the present application can be combined with each other, but it must be based on the fact that a person of ordinary skill in the art can realize it, and when the combination of technical solutions appears contradictory or unachievable, it should be considered that the combination of technical solutions does not exist, and is not within the protection scope required by the present application.

[0036] The present application provides a thyroid surgery retractor adjusting device.

[0037] Figures 1 to 4The shown thyroid surgery retractor adjusting device comprises a controller, a workbench 2, a support block 21, a connecting rail 3 and at least one connecting mechanism 4. The connecting rail 3 and the support block 21 are arranged on the top side of the workbench 2 respectively. The support block 21 is used to support the back of the patient's neck. The connecting rail 3 is used to recess to form a containing space 34 in the direction of the patient's head. The two ends of the connecting rail 3 are arranged at intervals. The support block 21 is located in the containing space 34. The containing space 34 is used for the patient's head to enter from between the two ends of the connecting rail 3, so that the patient's head and neck enter the containing space 34. Each connecting mechanism 4 is slidably connected to the connecting rail 3. The controller is electrically connected to the connecting mechanism 4. The controller is used to control each connecting mechanism 4 to slide along the connecting rail 3, so that each connecting mechanism 4 can fix the surgical retractor at any position of the connecting rail 3.

[0038] The connecting rail 3 extending along the outer edge of the human head is arranged, so that the connecting mechanism 4 can fix the surgical retractor from different angles. The arrangement of the connecting mechanism 4 and the connecting rail 3 assists the fixation of the surgical retractor, and improves the utilization rate of medical human resources.

[0039] Specifically, the connecting rail 3 comprises a first rail 31, a second rail 32 and a third rail 33 which are sequentially connected. The first rail 31 and the third rail 33 are arranged in parallel at intervals. The second rail 32 is arranged between the first rail 31 and the third rail 33. The second rail 32 is perpendicular to the first rail 31 and the third rail 33 respectively. The first rail 31 and the third rail 33 are used to be arranged on both sides of the patient's head respectively. The second rail 32 is used to be arranged at the top of the patient's head. The first rail 31, the second rail 32 and the third rail 33 form the containing space 34. The connecting mechanism 4 moves around the user's head, so that the connecting mechanism 4 can fix the surgical retractor from different angles.

[0040] The connecting mechanism 4 comprises a first electric control sliding seat 41, a shell 42, a first electric control screw rod 43, an adjusting device 5 and a fixing device 6. The first electric control screw rod 43 and the first sliding table constitute a first screw rod sliding table module, and the shell 42 is connected with the first electric control sliding seat 41. The first electric control screw rod 43 is arranged in the shell 42 and is vertically arranged. A rectangular through hole 44 is arranged on the side of the shell 42 facing the accommodating space 34, the rectangular through hole 44 extends vertically, and the first sliding table of the first electric control screw rod 43 faces the rectangular through hole 44. The fixing device 6 is arranged on one side of the shell 42 and is used for detachably connecting a surgical retractor. The adjusting device 5 is arranged between the fixing device 6 and the shell 42, passes through the rectangular through hole 44 and is connected with the first sliding table of the first electric control screw rod 43, drives the fixing device 6, and is used for adjusting the horizontal angle of the surgical retractor by the fixing device 6. A controller is electrically connected with the first electric control screw rod 43 and the adjusting device 5, and is used for controlling the first electric control screw rod 43 and the adjusting device 5 respectively, so that the fixing device 6 moves to a corresponding position to pull the surgical retractor. The first electric control screw rod 43 and the first electric control sliding seat 41 can adjust the horizontal height of the surgical retractor at will and move the position of the surgical retractor.

[0041] The adjusting device 5 comprises a first connecting column 51 and a first motor 52. The first connecting column 51 is transversely arranged, one end of the first connecting column 51 is connected with the first sliding table of the first electric control screw rod 43, and the other end of the first connecting column 51 drives the fixing device 6 through the first motor 52. The output end of the first motor 52 is vertically arranged, the output end of the first motor 52 is connected with the fixing device 6, the first motor 52 is electrically connected with a controller, the controller is electrically connected with the first motor 52, and the controller is used for controlling the first motor 52 to drive the fixing device 6 to rotate horizontally, so that the stretching path of the fixing device 6 coincides with the stretching path of the surgical retractor. The first motor 52 fixes the stretching path of the fixing device 6 in the horizontal direction, so that the fixing device 6 can better fix and pull the surgical retractor.

[0042] The adjusting device 5 further comprises a second connecting column 53 and a second motor 54. The second motor 54 is arranged at the end of the first connecting column 51 away from the first electric control screw rod 43, and the output end of the second motor 54 is transversely arranged. The second connecting column 53 is vertically arranged, one end of the second connecting column 53 is connected with the output end of the second motor 54, and the other end of the second connecting column 53 is arranged with the first motor 52. The controller is electrically connected with the second motor 54, and the controller is used for controlling the second motor 54 to drive the second connecting column 53 to rotate, so that the second motor 54 adjusts the horizontal height of the fixing device 6. The second motor 54 drives the second connecting column 53 to rotate, adjusts the fixing device 6 to a position higher than the first connecting column 51, or adjusts the fixing device 6 to a position lower than the first connecting column 51, and further increases the adjustment range of the fixing device 6 in the vertical height.

[0043] Specifically, the first motor 52 and the second motor 54 are both servo motors.

[0044] Specifically, when the surgical retractor is in a low position, the fixed device 6 is driven to move vertically by the first electric screw rod 43, and the second motor 54 drives the fixed device 6 to be in a position lower than the first connecting column 51; when the surgical retractor is in a high position, the fixed device 6 is driven to move vertically by the first electric screw rod 43, and the second motor 54 drives the fixed device 6 to be in a position higher than the first connecting column 51.

[0045] The fixed device 6 includes an extender 61, a third connecting column 62, a fixed seat 63, and a mounting structure 7. The third connecting column 62 is transversely arranged, one end of the third connecting column 62 is connected to the adjusting device 5, and the other end of the third connecting column 62 is provided with the extender 61, and the output end of the extender 61 is used for transverse extension. The fixed seat 63 includes a fixed plate 64, a connecting shaft 65, and two connecting plates 66. One side of the fixed plate 64 is connected to the output end of the extender 61, and the two connecting plates 66 are located at the end of the fixed plate 64 away from the extender 61, and the two connecting plates 66 are parallel and spaced apart. One end of the fixed plate 64 is connected to the end of one of the connecting plates 66 close to the extender 61, and the other end of the fixed plate 64 is connected to the end of the other connecting plate 66 close to the extender 61. The connecting shaft 65 passes through the mounting structure 7, and the connecting shaft 65 and the mounting structure 7 are fixedly connected. One end of the connecting shaft 65 is rotatably connected to one of the connecting plates 66, and the other end of the connecting shaft 65 is rotatably connected to the other connecting plate 66. The mounting structure 7 is used to rotate through the connecting shaft 65 to adjust the inclination angle of the surgical retractor. The controller is electrically connected to the extender 61, and the controller is used to control the extender 61 to drive the mounting structure 7 to pull the surgical retractor after the mounting structure 7 adjusts the inclination angle of the surgical retractor, so as to expand the exposure range of the surgical field. The arrangement of the extender 61 can assist the physician to expand the surgical field, and further assist the physician to perform the operation.

[0046] The mounting structure 7 comprises a block 71 and a pressing plate 72, the connecting shaft 65 passes through the block 71, the block 71 is provided with a containing through groove 73 on one side away from the connecting shaft 65, the containing through groove 73 extends perpendicularly to the connecting shaft 65, the block 71 is provided with a limiting through hole 74, the limiting through hole 74 extends perpendicularly to the containing through groove 73, one end of the limiting through hole 74 communicates with the groove bottom of the containing through groove 73, the containing through groove 73 is used for containing the hand holding part of the surgical retractor, so that one of the bent ends of the surgical retractor is inserted into the limiting through hole 74; the block 71 is provided with two connecting screw holes on one side of the containing through groove 73, and the containing through groove 73 is located between the two connecting screw holes; the pressing plate 72 is provided with two connecting through holes, the pressing plate 72 is used for being first threadedly connected to one of the connecting screw holes through one of the bolts passing through one of the connecting through holes, and then being threadedly connected to the other connecting screw hole through the other bolt passing through the other connecting through hole, so that the pressing plate 72 fixes the surgical retractor in the containing through groove. Both ends of the surgical retractor are bent ends, the mounting structure 7 fixes one end of the surgical retractor by using the structural characteristics of the surgical retractor, and then cooperates with the connecting shaft 65, so that the surgical retractor can be inclined to pull the surgical incision, and the flexibility of the surgical retractor is further improved.

[0047] The thyroid surgery retractor adjusting device further comprises a frame body 1, a base 11 and a second electric control sliding seat 12, the base 11 is connected to the bottom end of the frame body 1; the frame body 1 is provided with a vertical slide 13, the second electric control sliding seat 12 is slidingly connected to the slide 13, and the second electric control sliding seat 12 is connected to the bottom side of the workbench 2; a controller is electrically connected to the second electric control sliding seat 12, and the controller is used to control the second electric control sliding seat 12 to slide along the slide 13, so that one side of the workbench 2 provided with the supporting block 21 is flush with the top side of the operating bed.

[0048] Specifically, the frame body 1 is further provided with a camera 14 and a display 15, the camera 14 is arranged at a position above the containing space 34, the display 15 is arranged at a position at the top end of the slide 13, a controller is electrically connected to the camera 14 and the display 15 respectively, the camera 14 is used to acquire a surgical image and send it to the controller, the controller is used to determine at least one working position and at least one working angle of the connecting mechanism 4 according to the surgical image, so that the display 15 displays the working position and the working angle of the connecting mechanism 4. The surgical image is an image of a surgical incision, the position of the surgical retractor is determined according to the surgical incision image, and the horizontal angle at the corresponding position is selected by a doctor, so that the difficulty of the surgery is reduced.

[0049] Specifically, the display 15 further displays an operation flow, and the physician shields an area above the selected working position to enable the camera 14 to acquire a confirmation image and send the confirmation image to the controller; the controller is further configured to determine the working position and working angle selected by the physician according to the confirmation image, so that the connecting mechanism 4 moves to the working position. The physician moves the hand above the working position, so that the controller confirms the working position selected by the physician according to the shielding position, for example, the display 1, 2 and 3 positions in the surgical image, the physician moves the palm above the 1 position, the 1 position in the confirmation image acquired by the camera 14 is shielded by the physician, and the controller confirms the moving position of the connecting mechanism according to the shielding position.

[0050] Specifically, the controller is further configured to acquire a lesion image of the patient, and complete the surgical image according to the lesion image, so that the display 15 displays the image at the surgical incision and the preset image of the unexposed lesion. The lesion image is various examination images (such as sound wave pictures and X-ray pictures) taken before the surgery of the patient. By displaying the preset image of the unexposed lesion, the physician can be further assisted to confirm the position of the surgical retractor.

[0051] Specifically, the controller is configured to acquire an exposed edge position of the lesion at the surgical incision, and determine whether normal tissue separates the exposed edge position and the corresponding preset image of the lesion when the normal tissue exists between the exposed edge position and the corresponding preset image of the lesion, and change the color of the corresponding preset image of the lesion when the normal tissue separates the exposed edge position and the corresponding preset image of the lesion, so that the display 15 displays the preset image of the lesion after the color change. The appearance of normal tissue between the edge position and the corresponding preset image of the lesion and the complete separation indicate that the preset image of the lesion may be incorrect, and the color change is prompted.

[0052] The workbench 2 is respectively provided with a limiting mechanism 22 and a fixing mechanism 27, the fixing mechanism 27 is arranged on the side of the workbench 2 away from the connecting rail 3; the limiting mechanism 22 includes two limiting plates 23, the two limiting plates 23 are arranged in parallel and spaced apart, the two limiting plates 23 are arranged on the side of the workbench 2 provided with the connecting rail 3, and the connecting rail 3 is located between the two limiting plates 23; the two limiting plates 23 are perpendicular to the slide 13, one end of the two limiting plates 23 away from the rack 1 extends to the outside of the workbench 2, and the bottom side of the two limiting plates 23 is respectively provided with a sensor, and the sensor is used to sense the tabletop of the operating bed; the controller is respectively electrically connected with the fixing mechanism 27 and the two sensors, and the controller is used to acquire the data sent by the sensors to control the first electric control sliding seat 41, so that the top side of the workbench 2 and the operating bed are flush; the controller is further configured to control the fixing mechanism 27 after the two workbenches 2 and the operating bed are flush, so that the fixing mechanism 27 and the two limiting plates 23 clamp the operating bed. The arrangement of the two limiting plates 23 enables the second electric control sliding seat 12 to quickly drive the workbench 2 and the operating bed to be flush.

[0053] Specifically, the sensor is a pressure sensor.

[0054] The limiting mechanism 22 further comprises a second electric control screw rod 24 and a cross plate 25, the second electric control screw rod 24 is perpendicular to the slide 13, the second electric control screw rod 24 and the second slide constitute a second screw rod slide module, the second slide of the second electric control screw rod 24 is connected with the cross plate 25, the cross plate 25 is perpendicular to the second electric control screw rod 24, and the cross plate 25 is parallel to the workbench 2; two vertical plates 26 are arranged outside the workbench 2, one end of the cross plate 25 is connected with one limiting plate 23 through one vertical plate 26, and the other end of the cross plate 25 is connected with the other limiting plate 23 through the other vertical plate 26; the controller is electrically connected with the second electric control screw rod 24, and the controller is used for controlling the second electric control screw rod 24 to drive the two limiting plates 23 to move, so that when the workbench 2 and the top side of the operating bed are aligned, the end of the two limiting plates 23 provided with the inductor extends to the outside of the workbench 2. The second electric control screw rod 24 can facilitate the control of the two limiting plates 23, so that the two limiting plates 23 extend to the outside of the workbench 2 in use, and retract into the workbench 2 when not in use.

[0055] The fixing mechanism 27 comprises a lifter 28 and a clamping plate 29, the lifter 28 is arranged on the side, away from the second electric control screw rod 24, of the cross plate 25, the clamping plate 29 is located on the side, away from the second electric control screw rod 24, of the lifter 28, the output end of the lifter 28 is connected with the clamping plate 29, the controller is electrically connected with the lifter 28, and the controller is used for controlling the lifter 28 after the workbench 2 and the lifter 28 are aligned, so that the clamping plate 29 and the two limiting plates 23 clamp the operating bed, and the position of the workbench 2 is fixed. The cooperation of the clamping plate 29 and the two limiting plates 23 enables the workbench 2 to be firmly fixed with the operating table.

[0056] The above merely describes the preferred embodiments of the present application and does not limit the patent scope of the present application, and any equivalent structural transformation made according to the content of the specification and drawings of the present application or direct / indirect application in other related technical fields within the inventive concept of the present application is included in the patent protection scope of the present application.

Claims

1. A thyroid surgery retractor adjustment device, characterized by, The device comprises a controller, a workbench, a support block, a connecting rail and at least one connecting mechanism. The connecting rail and the support block are arranged on the top side of the workbench. The support block is used to support the back of the patient's neck. The connecting rail is recessed to form a receiving space in the direction of the patient's head. The two ends of the connecting rail are spaced apart. The support block is located in the receiving space. The receiving space is used for the patient's head to enter from between the two ends of the connecting rail, so that the patient's head and neck enter the receiving space. Each connecting mechanism is connected to the connecting rail. The controller is electrically connected to the connecting mechanism. The controller is used to control each connecting mechanism to slide along the connecting rail, so that each connecting mechanism can fix the surgical retractor at any position of the connecting rail. The connecting mechanism comprises a first electric control sliding seat, a housing, a first electric control screw rod, an adjusting device and a fixing device. The housing is connected to the first electric control sliding seat. The first electric control screw rod is arranged in the housing and is vertically arranged. A rectangular through hole is arranged on the side of the housing facing the receiving space. The rectangular through hole extends vertically. A first sliding table of the first electric control screw rod is arranged on the side of the housing facing the rectangular through hole. The fixing device is arranged on one side of the housing and is used to detachably connect the surgical retractor. The adjusting device is arranged between the fixing device and the housing. The adjusting device is connected to the first sliding table of the first electric control screw rod through the rectangular through hole. The adjusting device is drivingly connected to the fixing device. The adjusting device is used to adjust the horizontal angle of the surgical incision by the fixing device. The controller is electrically connected to the first electric control screw rod and the adjusting device. The controller is used to control the first electric control screw rod and the adjusting device, respectively, so that the fixing device moves to the corresponding position to pull the surgical retractor. The adjusting device comprises a first connecting column and a first motor. The first connecting column is transversely arranged. One end of the first connecting column is connected to the first sliding table of the first electric control screw rod. The other end of the first connecting column drives the fixing device through the first motor. The output end of the first motor is vertically arranged. The output end of the first motor is connected to the fixing device. The first motor is electrically connected to the controller. The controller is electrically connected to the first motor. The controller is used to control the first motor to drive the fixing device to rotate horizontally, so that the stretching path of the fixing device coincides with the stretching path of the surgical retractor. The adjusting device further comprises a second connecting column and a second motor. The second motor is arranged at the end of the first connecting column away from the first electric control screw rod. The output end of the second motor is transversely arranged. The second connecting column is vertically arranged. The output end of the second motor is connected to one end of the second connecting column. The other end of the second connecting column is arranged with the first motor. The controller is electrically connected to the second motor. The controller is used to control the second motor to drive the second connecting column to rotate, so that the second motor adjusts the horizontal height of the fixing device. The thyroid surgery drag hook adjusting device further comprises a frame body, a base and a second electric control sliding seat, the base is connected to the bottom end of the frame body; the frame body is provided with a vertical slide, the second electric control sliding seat is slidingly connected to the slide, and the second electric control sliding seat is connected to the bottom side of the workbench; the controller is electrically connected to the second electric control sliding seat, and the controller is used to control the second electric control sliding seat to slide along the slide, so that the workbench is flush with one side of the support block and the top side of the operating bed; The frame body is further provided with a camera and a display, the camera is arranged at an upper position of the accommodating space, and the display is arranged at a top end position of the slide; the controller is electrically connected to the camera and the display, respectively; the camera is used to acquire a surgical image and send the surgical image to the controller; and the controller is used to determine at least one working position and at least one working angle of the connecting mechanism according to the surgical image, so that the display displays the working position and the working angle of the connecting mechanism.

2. The thyroid surgery drag adjustment device of claim 1, wherein, The fixing device comprises a telescoping device, a third connecting column, a fixing base and a mounting structure, the third connecting column is arranged transversely, one end of the third connecting column is connected to the adjusting device, the other end of the third connecting column is provided with the telescoping device, and the output end of the telescoping device is used for transverse telescoping; the fixing base comprises a fixed plate, a connecting shaft and two connecting plates, one side of the fixed plate is connected to the output end of the telescoping device, the two connecting plates are located at one end of the fixed plate away from the telescoping device, and the two connecting plates are arranged in parallel and at intervals; one end of the fixed plate is connected to one end of one of the connecting plates close to the telescoping device, and the other end of the fixed plate is connected to one end of the other connecting plate close to the telescoping device; the connecting shaft penetrates through the mounting structure, and the connecting shaft and the mounting structure are fixedly connected; one end of the connecting shaft is rotationally connected to one of the connecting plates, and the other end of the connecting shaft is rotationally connected to the other connecting plate; the mounting structure is used to rotate through the connecting shaft, so that the mounting structure adjusts the inclination angle of the surgical drag hook; the controller is electrically connected to the telescoping device, and the controller is used to control the telescoping device to drive the mounting structure to pull the surgical drag hook after the mounting structure adjusts the inclination angle of the surgical drag hook, so that the exposure range of the surgical field is expanded.

3. The thyroid surgery drag adjustment device of claim 2, wherein, The mounting structure comprises a block and a pressing plate, the connecting shaft passes through the block, the block is provided with a containing through groove on one side away from the connecting shaft, the containing through groove extends perpendicularly to the connecting shaft, the block is provided with a limiting through hole, the limiting through hole extends perpendicularly to the containing through groove, one end of the limiting through hole communicates with the groove bottom of the containing through groove, the containing through groove is used for containing the hand holding part of the surgical retractor, so that one of the bent ends of the surgical retractor is inserted into the limiting through hole; the block is provided with two connecting screw holes on one side of the containing through groove, and the containing through groove is located between the two connecting screw holes; the pressing plate is provided with two connecting through holes, the pressing plate is used for being threadedly connected to one of the connecting screw holes through one of the bolts passing through one of the connecting through holes, and being threadedly connected to the other connecting screw hole through the other bolt passing through the other connecting through hole, so that the pressing plate fixes the surgical retractor in the containing through groove.

4. The thyroid surgery drag adjustment device of claim 1, wherein, The workbench is respectively provided with a limiting mechanism and a fixing mechanism, and the fixing mechanism is arranged on the side of the workbench away from the connecting rail; the limiting mechanism comprises two limiting plates which are arranged in parallel and at intervals, and the two limiting plates are arranged on the side of the workbench provided with the connecting rail, and the connecting rail is located between the two limiting plates; the two limiting plates are perpendicular to the slide, and one end of the two limiting plates away from the frame body extends to the outside of the workbench, and the bottom side of the two limiting plates is respectively provided with a sensor for sensing the table top of the operating bed; a controller is electrically connected to the fixing mechanism and the two sensors, and the controller is used for acquiring data sent by the sensor to control the first electric control sliding seat, so that the top sides of the workbench and the operating bed are flush; the controller is also used for controlling the fixing mechanism after the two workbenches and the operating bed are flush, so that the fixing mechanism and the two limiting plates clamp the operating bed.

5. The thyroid surgery drag adjustment device of claim 4, wherein, The limiting mechanism further comprises a second electric control screw rod and a cross plate, and the second electric control screw rod and a second sliding table form a second screw rod sliding table module; the second electric control screw rod is perpendicular to the slide, the second sliding table of the second electric control screw rod is connected to the cross plate, the cross plate is perpendicular to the second electric control screw rod, and the cross plate is parallel to the workbench; two vertical plates are arranged on the outside of the workbench, one end of the cross plate is connected to one of the limiting plates through one of the vertical plates, and the other end of the cross plate is connected to the other limiting plate through the other vertical plate; the controller is electrically connected to the second electric control screw rod, and the controller is used for controlling the second electric control screw rod to drive the two limiting plates to move, so that when the top sides of the workbench and the operating bed are aligned, the end portions of the two limiting plates provided with the sensors extend to the outside of the workbench.

6. The thyroid surgery drag adjustment device of claim 5, wherein, The fixing mechanism comprises a lifter and a clamping plate, the lifter is arranged on the side of the horizontal plate away from the second electric control screw rod, the clamping plate is arranged on the side of the lifter away from the second electric control screw rod, the output end of the lifter is connected with the clamping plate, and the controller is electrically connected with the lifter, and the controller is used for controlling the lifter after the workbench and the lifter are aligned, so that the clamping plate and the two limiting plates clamp the operating bed, and the position of the workbench is fixed.

Citation Information

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