Cardiac surgery sternum spreader for preventing rib fractures
By introducing pressure detection and braking mechanisms into the sternum opener, the problem of rib fractures caused by excessive sternum opener is solved, and the prevention of rib fractures and the improvement of the comfort of patients' postoperative recovery is achieved.
Patent Information
- Application Number
- CN202510276868.2
- Authority / Receiving Office
- CN · China
- Patent Type
- Patents(China)
- Current Assignee / Owner
- Filing Date
- 2025-03-10
- Publication Date
- 2025-09-02
- Estimated Expiration
- 2045-03-10
AI Technical Summary
The existing sternum opener is prone to fracture of ribs due to excessive pressure during use, which increases the discomfort in the patient's postoperative recovery.
A cardiac surgical sternum opener to prevent rib fractures is designed, including a first open arm, a guide plate, a second open arm, a open plate, a pressure gauge, a brake member and a controller. The pressure gauge detects the open pressure in real time. The controller controls the brake member to fix the position of the second open arm when the pressure is too high to avoid excessive pressure causing rib fractures.
It effectively avoids rib fractures caused by excessive opening pressure, reduces the discomfort in the patient's postoperative recovery, and improves the safety and comfort of the operation.
Smart Images

Figure CN119970119B_ABST
Abstract
Description
Technical Field
[0001] The present invention relates to the technical field of medical devices, and in particular to a sternal spreader for cardiac surgery for preventing rib fractures. Background Art
[0002] During heart surgery, after splitting the sternum, surgeons often face emergencies such as bleeding behind the sternum. The first priority is to quickly open the sternum. To do this, the surgeon immediately places a sternal spreader into the sternum and forcefully opens the sternum by rapidly turning the crank.
[0003] However, at present, the use of sternal spreaders is highly dependent on the doctor's experience and hand feel. Therefore, during use, many patients will suffer from secondary injuries such as rib fractures due to excessive spreading pressure, which causes the sternum to squeeze the ribs. Although this fracture does not hinder the smooth progress of the operation and does not require additional surgical treatment for this fracture, it will have a certain impact on the patient's postoperative recovery, increase the discomfort such as sternal pain at the incision site, and bring additional physical pain to the patient. Summary of the Invention
[0004] The present invention aims to solve one of the technical problems in the related art at least to a certain extent.
[0005] To this end, one purpose of the present invention is to propose a cardiac surgery sternal spreader for preventing rib fractures, which can detect the sternal spread pressure and brake when the pressure is too high, thereby avoiding the occurrence of secondary injuries such as rib fractures caused by excessive spread pressure, thereby reducing the patient's discomfort during postoperative recovery.
[0006] To achieve the above-mentioned purpose, the present invention proposes a cardiac surgery sternal spreader for preventing rib fractures, comprising a first spreader arm, a guide plate, a second spreader arm, a spreader plate, a pressure gauge, a brake component and a controller, wherein the first spreader arm is fixed at one end of the guide plate; the second spreader arm is arranged on the guide plate and can move along the guide plate; a guide groove is provided on the opposite side of the first spreader arm and the second spreader arm, and the spreader plate is respectively inserted into each guide groove, and the spreader plate can move relative to the length and height direction of the guide groove; the first spreader arm and the second spreader arm are respectively provided with a plurality of guide grooves. The pressure gauge is separately slidingly provided, and the detection end of the pressure gauge can be in contact with the corresponding expansion plate to detect the pressure value during the process of the expansion plate expanding the sternum; the braking component is provided on the second expansion arm, and the braking component can be adsorbed on the guide plate to fix the position of the second expansion arm; the controller is provided on the first expansion arm, and the controller is respectively connected to the pressure gauge and the braking component, and is used to control the braking component to be adsorbed on the guide plate to fix the position of the second expansion arm when it is judged that the pressure value is greater than the first preset pressure value.
[0007] The cardiac surgery sternal spreader for preventing rib fractures of the present invention can make the detection end of the pressure gauge contact the spreader plate during the process of sternal spread. The pressure gauge is used to detect the pressure value in real time during the process of the spreader plate spreading the sternum, and to feed back the acquired pressure value to the controller in real time. If the controller determines that the current pressure value exceeds the pre-set first preset pressure value, the controller will immediately control the braking component to be quickly adsorbed on the guide plate, fix the position of the second spreader arm, and prevent the second spreader arm from continuing to move. Therefore, the sternal spread pressure can be detected, and the brake can be applied when the pressure is too high, thereby avoiding the occurrence of secondary injuries such as rib fractures caused by excessive spread pressure, thereby reducing the patient's discomfort during postoperative recovery.
[0008] In addition, the cardiac surgery sternum spreader for preventing rib fractures proposed in the application may also have the following additional technical features:
[0009] Specifically, the pressure gauge has an alarm sound, and the controller is set to multiple alarm levels according to the detected pressure value. As the alarm levels increase step by step, the controller controls the frequency of the alarm sound emitted by the pressure gauge to gradually become rapid.
[0010] Specifically, the support plate includes a first fixing portion, a second fixing portion, and a support portion with a U-shaped opening, wherein the first fixing portion is vertically fixed to the support portion and can abut against the detection end of the pressure gauge; the second fixing portion is vertically fixed to the first fixing portion, and the second fixing portion is inserted into the guide groove, and the second fixing portion can move relative to the length and height directions of the guide groove;
[0011] The U-shaped opening on the expansion portion faces a side away from the second fixing portion.
[0012] Specifically, the braking component includes a spring and an electromagnet, wherein the electromagnet is connected to the controller, the spring is arranged on one side of the second spreading arm, the electromagnet is fixed on the spring, and the electromagnet can be adsorbed and connected to the guide plate.
[0013] Specifically, there are multiple braking components.
[0014] Specifically, it also includes a driving mechanism, a through slot is provided on the second spreading arm, the guide plate is passed through the through slot, the driving mechanism is arranged on the second spreading arm, the driving end of the driving mechanism is arranged in the through slot and engages with the tooth slot provided on the guide plate, and the driving mechanism can drive the second spreading arm to move along the guide plate.
[0015] Specifically, the driving mechanism includes a driving rod, a gear and a rocker, wherein one end of the driving rod is rotatably connected in the through slot, and the other end of the driving rod extends to the outside of the through slot; the gear is fixed on the driving rod, and the gear is located in the through slot and engages with the tooth groove; the rocker is hinged on the driving rod.
[0016] Specifically, the driving mechanism includes a self-locking motor and a gear. The self-locking motor is arranged on the second stretching arm, and the output shaft of the self-locking motor passes through the second stretching arm and extends to the through slot. The self-locking motor is connected to the controller; the gear is fixed on the output shaft, and the gear is located in the through slot and engages with the tooth groove.
[0017] Specifically, it also includes a slider and a slide rail, wherein the slide rail is arranged on the first spreading arm or the second spreading arm, the slider is slidably connected to the slide rail, and the pressure gauge is arranged on the slider.
[0018] Specifically, it also includes a fastener and a limit rod, the fastener is threadedly connected to the slider, and the end of the fastener can abut against the first expansion arm or the second expansion arm, the limit rod is fixed to the expansion plate, and one end of the limit rod is inserted into the limit hole opened on the slider, and the limit rod can move relative to the limit hole. BRIEF DESCRIPTION OF THE DRAWINGS
[0019] The accompanying drawings, which are incorporated in and constitute a part of this specification, illustrate embodiments consistent with the invention and, together with the description, serve to explain the principles of the invention.
[0020] In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the following briefly introduces the drawings required for use in the embodiments or the description of the prior art. Obviously, for ordinary technicians in this field, other drawings can be obtained based on these drawings without paying any creative labor.
[0021] Figure 1 Schematic diagram of the structure of a cardiac surgery sternum spreader for preventing rib fractures according to one embodiment of the present invention;
[0022] Figure 2 A schematic structural diagram of a sternal spreader for cardiac surgery for preventing rib fractures according to another perspective of an embodiment of the present invention;
[0023] Figure 3 A schematic diagram of a partial cross-sectional structure of a cardiac surgery sternum spreader for preventing rib fractures according to one embodiment of the present invention;
[0024] Figure 4 According to the present invention Figure 1 Schematic diagram of the enlarged structure of area A in the middle.
[0025] As shown in the figure:
[0026] 1. First spreading arm; 10. Guide groove;
[0027] 2. Guide plate; 20. Tooth groove;
[0028] 3. Second spreading arm; 30. Through slot;
[0029] 4. Opening plate; 40. First fixing portion; 41. Second fixing portion; 42. Opening portion;
[0030] 5. Pressure gauge;
[0031] 6. Braking component; 60. Shrapnel; 61. Electromagnet;
[0032] 7. Controller;
[0033] 8. Driving mechanism; 80. Driving rod; 81. Rocker;
[0034] 90. Slider; 91. Slide rail; 92. Fastener; 93. Limit rod; 900. Limit hole. DETAILED DESCRIPTION
[0035] In order to more clearly understand the above-mentioned objectives, features and advantages of the present invention, the scheme of the present invention will be further described below. It should be noted that, in the absence of conflict, the embodiments of the present invention and the features therein can be combined with each other.
[0036] In the following description, many specific details are set forth to facilitate a full understanding of the present invention, but the present invention may also be implemented in other ways different from those described herein; it is obvious that the embodiments in the specification are only part of the embodiments of the present invention, rather than all the embodiments.
[0037] The following describes a cardiac surgery sternum spreader for preventing rib fractures according to an embodiment of the present invention with reference to the accompanying drawings.
[0038] like Figures 1-4 As shown, the cardiac surgery sternal spreader for preventing rib fractures according to an embodiment of the present invention may include a first spreader arm 1 , a guide plate 2 , a second spreader arm 3 , a spreader plate 4 , a pressure gauge 5 , a braking component 6 and a controller 7 .
[0039] The first spreading arm 1 is fixed to one end of the guide plate 2, while the second spreading arm 3 is positioned on and movable along the guide plate 2. This design allows medical staff to precisely adjust the spacing between the second spreading arm 3 and the first spreading arm 1 according to surgical needs, quickly adjusting the size of the sternal opening. This flexible spacing adjustment capability helps better expose the surgical area during surgery and provides the doctor with a clear operating field.
[0040] A guide groove 10 is formed on the opposite side of the first spreading arm 1 and the second spreading arm 3 . A spreading plate 4 is inserted into each guide groove 10 , and the spreading plate 4 can move relative to the guide groove 10 in length and height directions.
[0041] The expansion plate 4 not only provides a stable placement space for the sternum, but also acts as a limiter. When the second expansion arm 3 moves, it can drive the corresponding expansion plate 4 to move together, thereby pushing the sternum to move in a predetermined direction.
[0042] It should be noted that, please refer to Figure 3, the expansion plate 4 moves relative to the length direction of the guide groove 10, which means that the expansion plate 4 has the freedom of movement in the length direction of the guide groove 10. In the process of expanding the sternum, the expansion plate 4 will be subjected to the reverse thrust of the sternum and move along the length direction of the guide groove 10, and finally hit the detection end of the pressure gauge 5, so as to achieve the accuracy of the detection end of the pressure gauge 5 in detecting the force on the expansion plate 4, thereby making the detection more effective.
[0043] In addition, the expansion plate 4 can also be adjusted in the height direction of the guide groove 10. By changing the position of the expansion plate 4, medical staff can find the best position to support and open the sternum, thereby better exposing the surgical area.
[0044] Pressure gauges 5 are slidably provided on the first expansion arm 1 and the second expansion arm 3 respectively. The detection end of the pressure gauge 5 can be in contact with the corresponding expansion plate 4 to detect the pressure value when the expansion plate 4 expands the sternum.
[0045] It should be noted that the pressure gauge 5 in this application utilizes an electronic pressure gauge design with a numerical display. This electronic pressure gauge not only has high-precision detection capabilities, but also can clearly display the pressure value during the sternal expansion process in real time in digital form. This allows medical staff to easily understand the current pressure applied to the sternum, thereby enabling more precise control of the expansion force.
[0046] The braking component 6 is provided on the second spreading arm 3 , and the braking component 6 can be adsorbed on the guide plate 2 to fix the position of the second spreading arm 3 .
[0047] It should be noted that the guide plate 2 is made of iron coated with anti-rust paint, or more preferably martensitic stainless steel. Martensitic stainless steel not only has excellent corrosion resistance, but also has magnetic properties and can be magnetically attracted by the brake component 6.
[0048] The controller 7 is set on the first expansion arm 1, and the controller 7 is respectively connected to the pressure gauge 5 and the braking component 6, and is used to control the braking component 6 to be adsorbed on the guide plate 2 when it is judged that the pressure value is greater than the first preset pressure value, so as to fix the position of the second expansion arm 3. The first preset pressure value can be selected according to actual conditions. For example, the first preset pressure value can be 15 MPa, and the first preset pressure value can be set in the controller 7 in advance.
[0049] The controller 7 described in this embodiment can be connected to an external host computer via a wired or wireless manner, so that relevant personnel can control the controller 7 through the external host computer. The controller 7 may include a display screen and input buttons, so that relevant personnel can view the data of the cardiac surgery sternal spreader for preventing rib fractures during operation through the display screen, and can adjust the controller 7 conveniently through the input buttons.
[0050] Specifically, during the actual operation of the sternal spreader of the present application, the medical staff will first place the sternal spreader of the present application on the split chest area and ensure that the two spreader plates 4 are respectively engaged with the sternum on both sides. Then, by driving the second spreader arm 3 to move slowly, the sternum is gradually spread open, and the sternum gradually presses against the ribs.
[0051] During the expansion process, the detection end of the pressure gauge 5 contacts the expansion plate 4. The pressure gauge 5 is used to detect the pressure value of the expansion plate 4 during the expansion process of the sternum in real time, and feed the obtained pressure value back to the controller 7 in real time.
[0052] If the controller 7 determines that the current pressure value exceeds the pre-set first preset pressure value, the controller 7 will immediately control the braking component 6 to quickly adsorb on the guide plate 2, and fix the position of the second expansion arm 3 to prevent the second expansion arm 3 from continuing to move, thereby avoiding the occurrence of secondary injuries such as rib fractures caused by excessive expansion pressure, thereby ensuring the patient's smooth recovery after surgery.
[0053] In one embodiment of the present invention, Figure 1 As shown, the pressure gauge 5 has an alarm sound, and the controller 7 is set to multiple alarm gears according to the detected pressure value. As the alarm gear increases step by step, the controller 7 controls the frequency of the alarm sound emitted by the pressure gauge 5 to gradually become rapid.
[0054] It should be noted that the pressure gauge 5 has the function of emitting an alarm sound, namely, it has an integrated buzzer as a sounding device. The frequency and pitch of the alarm sound can be flexibly set according to actual design requirements to provide different levels of alarm prompts. The design of the alarm level is very flexible and can be 2 levels, 3 levels, 4 levels, etc., depending on the specific needs of the actual application scenario.
[0055] By dividing the detected pressure value into multiple alarm levels and gradually increasing the frequency of the alarm sound, medical staff can intuitively perceive the current pressure risk state, allowing them to respond quickly and effectively prevent medical accidents caused by secondary injuries due to overpressure. This design not only improves surgical safety but also allows medical staff to roughly judge the pressure level when the sternum is stretched without having to constantly monitor the pressure gauge 5.
[0056] For example, three alarm levels are used as an example for explanation:
[0057] In the first gear, when the pressure value is greater than the third preset pressure value and less than the second preset pressure value, the controller 7 will control the pressure gauge 5 to sound an alarm to remind medical staff that the sternum pressure value is in the first gear and needs attention.
[0058] In the second gear, when the pressure value is greater than the second preset pressure value and less than the first preset pressure value, the controller 7 will control the pressure gauge 5 to further increase the frequency of the alarm sound, making it gradually become rapid, further reminding medical staff that the sternum pressure value is in the second gear and they need to operate with caution.
[0059] In the third gear, when the pressure value is greater than the first preset pressure value, the controller 7 will control the pressure gauge 5 to increase the frequency of the alarm sound again. Compared with the second gear, the alarm sound is more urgent, which strongly reminds medical staff that the sternum pressure value is already in the third gear and the operation should be stopped immediately to ensure the safety of the operation.
[0060] Among them, the first preset pressure value, the second preset pressure value and the third preset pressure value can be pre-set in the controller 7. For example, the first preset pressure value can be set to 15 MPa, the second preset pressure value can be set to 13 MPa, and the third preset pressure value can be set to 10 MPa. Then the first gear is between 10-13 MPa, the second gear is between 13-15 MPa, and the third gear is greater than 15 MPa.
[0061] In one embodiment of the present invention, Figure 2 and Figure 3 As shown, the expansion plate 4 includes a first fixing portion 40 , a second fixing portion 41 and an expansion portion 42 having a U-shaped opening.
[0062] Among them, the first fixing part 40 is vertically fixed on the support part 42, and the first fixing part 40 can be in contact with the detection end of the pressure gauge 5, the second fixing part 41 is vertically fixed on the first fixing part 40, and the second fixing part 41 is inserted into the guide groove 10, and the second fixing part 41 can move relative to the length and height direction of the guide groove 10, and the U-shaped opening on the support part 42 faces the side away from the second fixing part 41.
[0063] In the above solution, the design of the U-shaped opening cleverly provides sufficient accommodation space for the sternum, while increasing the contact area with the sternum, effectively improving the limiting effect on the sternum, and thereby enhancing the stability of the expansion part 42 during the expansion process of the sternum.
[0064] In addition, the first fixing portion 40, the second fixing portion 41, and the expansion portion 42 are integrally formed, making the expansion strength more stable and reliable. The second fixing portion 41 is adapted to the guide groove 10 in width, so that the guide groove 10 plays a good role in limiting the second fixing portion 41 in the width direction. At the same time, the height of the guide groove 10 is designed to be greater than the height of the second fixing portion 41, which facilitates the flexible movement of the second fixing portion 41 in the height direction, thereby adjusting the position of the expansion portion 42, allowing medical staff to accurately find the optimal position to support and open the sternum to better expose the surgical area. Moreover, the second fixing portion 41 can be easily removed from the guide groove 10, facilitating the disinfection of the expansion plate 4.
[0065] The first fixing portion 40 is responsible for contacting the detection end of the pressure gauge 5 when the expansion portion 42 is subjected to force, and using the pressure gauge 5 to detect the pressure value during the expansion of the sternum.
[0066] In one embodiment of the present invention, Figure 1 and Figure 2 As shown, the braking component 6 may include a spring clip 60 and an electromagnet 61, wherein the electromagnet 61 is connected to the controller 7, the spring clip 60 is arranged on one side of the second spreading arm 3, the electromagnet 61 is fixed on the spring clip 60, and the electromagnet 61 can be adsorbed and connected to the guide plate 2.
[0067] Specifically, when the current pressure value received by the controller 7 exceeds a pre-set first pressure value, the controller 7 activates the electromagnet 61, causing it to firmly adhere to the guide plate 2, thereby effectively fixing the position of the second spreading arm 3. The design of the electromagnet 61 provides rapid response, convenient operation, low cost, and high practicality.
[0068] Furthermore, when electromagnet 61 is attached to guide plate 2, it forces spring 60 to bend and deform. To release the second expansion arm 3 from its sternal expansion, medical personnel simply deactivate electromagnet 61 via controller 7, causing it to lose its magnetism. The elastic potential energy accumulated in spring 60 due to its bending is rapidly released, driving electromagnet 61 upward and away from guide plate 2, allowing medical personnel to easily move the second expansion arm 3.
[0069] Further, if Figure 1 As shown, there are multiple braking components 6, for example, 2, 3, 4, etc., which can be selected according to actual conditions. By adopting the design of multiple braking components 6, the stability of the second expansion arm 3 after fixation can be significantly enhanced.
[0070] In one embodiment of the present invention, Figure 1As shown, the cardiac surgery sternal spreader for preventing rib fractures may also include a driving mechanism 8, a through slot 30 is provided on the second spreading arm 3, the guide plate 2 is passed through the through slot 30, the driving mechanism 8 is provided on the second spreading arm 3, the driving end of the driving mechanism 8 is arranged in the through slot 30, and engages with the tooth groove 20 provided on the guide plate 2, and the driving mechanism 8 can drive the second spreading arm 3 to move along the guide plate 2.
[0071] Specifically, the driving mechanism 8 is provided to drive the second spreading arm 3 to move along the guide plate 2 , thereby changing the distance between the second spreading arm 3 and the first spreading arm 1 , thereby avoiding the difficulty of manually spreading the arms.
[0072] Furthermore, in order to ensure the stability of the driving mechanism 8 when driving the second expansion arm 3 to move relative to the guide plate 2, a guide rod (not shown in the figure) can be added to the first expansion arm 1. Accordingly, a guide hole (not shown in the figure) is opened on the second expansion arm 3. The guide rod extends along the length direction of the guide plate 2 and passes through the limit hole. Through the mutual cooperation and constraint of the guide hole and the guide rod, the movement of the second expansion arm 3 in the height direction can be effectively limited, thereby further improving the stability of the second expansion arm 3 during the driving process.
[0073] In one embodiment of the present invention, Figure 1 As shown, the driving mechanism 8 includes a driving rod 80 , a gear (not shown in the drawings) and a rocker 81 .
[0074] Among them, one end of the driving rod 80 is rotatably connected to the through slot 30, and the other end of the driving rod 80 extends to the outside of the through slot 30, the gear is fixed on the driving rod 80, and the gear is located in the through slot 30 and engages with the tooth groove 20, and the rocker 81 is hinged to the driving rod 80. The design cost of this driving mechanism 8 is lower.
[0075] Specifically, medical personnel can rotate the rocker 81, transmitting power through the drive rod 80, causing the gear to begin rotating. Due to the meshing design between the gear and the tooth groove 20, the gear moves along the tooth groove 20 in a specific direction. This movement of the gear drives the second expansion arm 3 to move accordingly, achieving the expansion operation.
[0076] In another embodiment of the present invention, the driving mechanism 8 may include a self-locking motor (not shown in the figure) and a gear. The self-locking motor is arranged on the second spreading arm 3, and the output shaft of the self-locking motor passes through the second spreading arm 3 and extends to the through slot 30. The self-locking motor is connected to the controller 7, and the gear is fixed on the output shaft. The gear is located in the through slot 30 and engages with the tooth groove 20. The design of this driving mechanism 8 is more intelligent.
[0077] Specifically, medical personnel can easily activate the self-locking motor simply through the controller 7. The self-locking motor rotates its output shaft, driving the gear to move relative to the tooth groove 20, thereby achieving movement of the second expansion arm 3 relative to the first expansion arm 1, greatly simplifying the tedious manual control. Furthermore, when the current pressure value detected by the controller 7 exceeds a pre-set first preset pressure value, the self-locking motor can be driven into a self-locking state, further locking the position of the second expansion arm 3, thereby significantly enhancing the stability of the second expansion arm 3 when subjected to force after the sternum is expanded.
[0078] In one embodiment of the present invention, Figure 4 As shown, the cardiac surgery sternal spreader for preventing rib fractures also includes a slider 90 and a slide rail 91, wherein the slide rail 91 is arranged on the first spread arm 1 or the second spread arm 3, the slider 90 is slidably connected to the slide rail 91, and the pressure gauge 5 is arranged on the slider 90.
[0079] In the above solution, the cooperation between slider 90 and rail 91 not only provides stable support for the pressure gauge 5 but also ensures flexible movement of the pressure gauge 5 in the height direction. Thus, when the position of the expansion plate 4 is adjusted, the pressure gauge 5 can move easily with it, always maintaining its position in line with the expansion plate 4. This design effectively ensures uniform force on the pressure gauge 5, thereby ensuring the accuracy of its detection.
[0080] In one embodiment of the present invention, Figure 4 As shown, the cardiac surgery sternal spreader for preventing rib fractures also includes a fastener 92 and a limiting rod 93. The fastener 92 is threadedly connected to the slider 90, and the end of the fastener 92 can abut against the first spreading arm 1 or the second spreading arm 3. The limiting rod 93 is fixed on the spreading plate 4, and one end of the limiting rod 93 is inserted into the limiting hole 900 opened on the slider 90. The limiting rod 93 can move relative to the limiting hole 900. The fastener 92 can be a bolt or a screw, which can be selected according to actual conditions.
[0081] In the above scheme, by rotating the fastener 92, one end of it can be driven to tightly contact the first stretching arm 1 or the second stretching arm 3. Specifically, the fastener 92 on the first stretching arm 1 contacts the first stretching arm 1, and the fastener 92 on the second stretching arm 3 contacts the second stretching arm 3, thereby fixing the position of the slider 90 and effectively improving the stability of the pressure gauge 5 during detection.
[0082] Furthermore, the solution cleverly incorporates a stopper rod 93 and a stopper hole 900 to secure the height of the expansion plate 4, ensuring its exceptional stability when supporting the sternum. Furthermore, the stopper rod 93 is able to flexibly move within the stopper hole 900, allowing the expansion plate 4 to move toward the pressure gauge 5 when subjected to force, thereby contacting the pressure gauge's detection end, thus ensuring the expansion plate 4's longitudinal freedom of movement.
[0083] In summary, the cardiac surgery sternum spreader for preventing rib fractures according to the embodiment of the present invention can detect the sternum spreading pressure and brake when the pressure is too high, thereby avoiding the secondary injury of rib fractures caused by excessive spreading pressure, thereby reducing the patient's discomfort during postoperative recovery.
[0084] It should be noted that, in this document, relational terms such as "first" and "second" are used only to distinguish one entity or operation from another entity or operation, and do not necessarily require or imply any actual relationship or order between these entities or operations. Moreover, the terms "comprises," "comprising," or any other variations thereof are intended to cover non-exclusive inclusion, so that a process, method, article, or device comprising a series of elements includes not only those elements, but also other elements not explicitly listed, or elements inherent to such process, method, article, or device. In the absence of further limitations, an element defined by the phrase "comprising a ..." does not exclude the presence of other identical elements in the process, method, article, or device comprising the element.
[0085] The foregoing description is intended only to provide specific embodiments of the present invention, which will enable those skilled in the art to understand and implement the present invention. Various modifications to these embodiments will be readily apparent to those skilled in the art, and the general principles defined herein may be implemented in other embodiments without departing from the spirit or scope of the present invention. Therefore, the present invention is not intended to be limited to the embodiments described herein, but is to be construed in the widest manner consistent with the principles and novel features disclosed herein.
Claims
1. A sternal spreader for cardiac surgery to prevent rib fractures, characterized in that: It includes a first spreading arm, a guide plate, a second spreading arm, a spreading plate, a pressure gauge, a braking component and a controller, wherein: The first spreading arm is fixed to one end of the guide plate; The second spreading arm is arranged on the guide plate and is capable of moving along the guide plate; A guide groove is provided on the opposite side of the first spreading arm and the second spreading arm, and the spreading plate is inserted into each guide groove, and the spreading plate can move relative to the guide groove in the length and height direction; The pressure gauge is slidably provided on the first spreading arm and the second spreading arm, respectively. The detection end of the pressure gauge can be in contact with the corresponding spreading plate to detect the pressure value during the process of the spreading plate spreading the sternum; The braking component is provided on the second spreading arm, and the braking component can be adsorbed on the guide plate to fix the position of the second spreading arm; The controller is disposed on the first spreading arm and is connected to the pressure gauge and the braking component, respectively, and is configured to control the braking component to be adsorbed on the guide plate to fix the position of the second spreading arm when it is determined that the pressure value is greater than a first preset pressure value; The support plate includes a first fixing portion, a second fixing portion and a support portion with a U-shaped opening, wherein: The first fixing portion is vertically fixed to the opening portion, and the first fixing portion can contact the detection end of the pressure gauge; The second fixing portion is vertically fixed on the first fixing portion, and the second fixing portion is inserted into the guide groove, and the second fixing portion can move relative to the guide groove in the length and height directions; The U-shaped opening on the expansion portion faces a side away from the second fixing portion; The invention also includes a driving mechanism, wherein a through slot is formed on the second spreading arm, the guide plate is passed through the through slot, the driving mechanism is provided on the second spreading arm, a driving end of the driving mechanism is arranged in the through slot and engages with a tooth groove formed on the guide plate, and the driving mechanism is capable of driving the second spreading arm to move along the guide plate; The driving mechanism includes a self-locking motor and a gear. The self-locking motor is arranged on the second opening arm, and the output shaft of the self-locking motor passes through the second opening arm and extends to the through slot. The self-locking motor is connected to the controller. The gear is fixed on the output shaft, and the gear is located in the through groove and meshes with the tooth groove.
2. The cardiac surgery sternum spreader for preventing rib fractures according to claim 1, characterized in that: The pressure gauge is provided with an alarm sound, and the controller is set to a plurality of alarm gears according to the detected pressure value. As the alarm gears increase step by step, the controller controls the frequency of the alarm sound emitted by the pressure gauge to gradually become more rapid.
3. The cardiac surgery sternum spreader for preventing rib fractures according to claim 1, characterized in that: The braking component includes a spring and an electromagnet, wherein the electromagnet is connected to the controller, the spring is arranged on one side of the second spreading arm, the electromagnet is fixed on the spring, and the electromagnet can be adsorbed and connected to the guide plate.
4. The cardiac surgery sternum spreader for preventing rib fractures according to claim 1, characterized in that: There are multiple braking components.
5. The cardiac surgery sternum spreader for preventing rib fractures according to claim 1, characterized in that: The driving mechanism includes a driving rod, a gear and a rocker, wherein: One end of the driving rod is rotatably connected to the through slot, and the other end of the driving rod extends to the outside of the through slot; The gear is fixed on the driving rod, and the gear is located in the through groove and meshes with the tooth groove; The rocker is hinged on the driving rod.
6. The cardiac surgery sternum spreader for preventing rib fractures according to claim 1, characterized in that: It also includes a slider and a slide rail, wherein the slide rail is arranged on the first spreading arm or the second spreading arm, the slider is slidably connected to the slide rail, and the pressure gauge is arranged on the slider.
7. The cardiac surgery sternum spreader for preventing rib fractures according to claim 6, characterized in that: It also includes a fastener and a limit rod, the fastener is threadedly connected to the slider, and the end of the fastener can abut against the first support arm or the second support arm, the limit rod is fixed to the support plate, and one end of the limit rod is inserted into the limit hole opened on the slider, and the limit rod can move relative to the limit hole.
Citation Information
Patent Citations
Sternum supporting frame for orthopedics department
CN111920466A
Sternum distraction device
CN112043322A