Intraoperative three-dimensional traction assembly
By designing a three-dimensional traction component, the problems of pressure and friction on the patient's face and inability to adjust and adapt in the skull traction device were solved, three-dimensional traction movement was achieved, and the effect of cervical fracture and dislocation treatment was improved.
Patent Information
- Application Number
- CN202422585591.5
- Authority / Receiving Office
- CN · China
- Patent Type
- Utility models(China)
- Current Assignee / Owner
- Filing Date
- 2024-10-25
- Publication Date
- 2025-10-17
- Estimated Expiration
- 2034-10-25
AI Technical Summary
Existing skull traction devices have problems such as friction on the patient's facial features during surgery, inability to adjust to the patient's facial shape, and inability to perform three-dimensional traction movements.
A three-dimensional traction assembly including a base, a slide rail, a pad device and a traction device is designed. The top of the base is provided with a ventilation groove, the bottom has a lifting rod and a brake roller, the pad device can be adjusted in size, the slide rail can be detached and connected to the operating table, and the traction device can perform three-dimensional traction movements.
It reduces the risk of pressure and friction on the patient's face, can be adjusted according to the patient's face shape, and realizes three-dimensional traction movements of flexion, backward leaning, left rotation, and right rotation, thereby improving the traction effect.
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Figure CN223438618U_ABST
Abstract
Description
TECHNICAL FIELD
[0001] The utility model relates to orthopedics medical instrument technical field especially relates to a three -dimensional traction assembly in operation. BACKGROUND
[0002] Cervical vertebra dislocation is the serious disease that causes the change of neck physiological curvature, then causes spinal cord injury, leads to partial or whole body paralysis, incontinence, trauma or congenital cervical vertebra dysplasia can lead to cervical vertebra dislocation, with or without cervical vertebra fracture, in the treatment of cervical vertebra fracture and dislocation, skull traction is an essential basic treatment.
[0003] Traction is to use external traction force and counter traction force to pull the limbs or trunk to achieve the purpose of treatment and auxiliary treatment, and is widely used in orthopedics, skull traction is to slowly reset cervical vertebra fracture and dislocation through bone needle fixed on the temporal bone of skull, traction bow, rope, traction frame (pulley) and traction weight and other appliances.
[0004] The existing skull traction device has the following defects: one, in the process of intraoperative traction, the patient lying on the operating bed changes the position between the face and the pad device fixed on the operating bed, there is a risk that the patient's facial features are rubbed and pressed, two, the pad device cannot adjust the size according to the face shape of different patients, and cannot fit the face shape of different patients, three, the skull and cervical vertebra of the patient cannot be flexed, tilted, rotated left and right during operation to assist traction, and the traction effect is general. UTILITY MODEL CONTENT
[0005] In view of the deficiencies in the background art, the utility model aims at providing a three-dimensional traction assembly in operation.
[0006] To achieve the above-mentioned purpose, the utility model provides the following technical scheme:
[0007] A three-dimensional traction assembly in operation for cervical vertebra fracture and dislocation, comprising:
[0008] The base is provided with a first air slot on the top, and the bottom of the base is provided with at least three non-collinear lifting rods, one end of each lifting rod is hinged to the base, and the other end of each lifting rod is connected with a brakeable roller;
[0009] The slide rail is adapted to the brakeable roller, and the slide rail is detachably connected to the operating bed.
[0010] A cushion device is placed on the top of the base, the cushion device is divided into at least a first cushion and a second cushion distributed on the left and right sides, and is respectively located on both sides of the first air slot, the first cushion is provided with a first groove, the second cushion is provided with a second groove, the first groove and the second groove are spliced left and right to form a containing groove for the head of a patient lying on his stomach, the containing groove is provided with a second air slot aligned with the first air slot, and the first cushion and the second cushion are further connected with adjusting rods, and each adjusting rod is detachably fixed to the top of the base.
[0011] A traction device is arranged on the side of the base away from the operating bed.
[0012] Further, the bottom of one side of the base is hingedly connected with a first lifting rod and a second lifting rod, the bottom of the other side of the base is hingedly connected with a third lifting rod and a fourth lifting rod, each lifting rod is electrically connected with a first control knob, a second control knob, a third control knob and a fourth control knob, and the bottom of the base is further provided with a power module connected with each corresponding lifting rod.
[0013] Further, the slide rail includes a first slide rail and a second slide rail, the corresponding brakeable rollers on one side of the base and the other side of the base are respectively slidably adapted to the first slide rail and the second slide rail, and the first slide rail and the second slide rail are respectively detachably connected to the two sides of the operating bed.
[0014] Further, the first slide rail and the second slide rail are respectively detachably connected to the two sides of the operating bed through a first locking device, the first locking device includes a first fixed seat and a first locking piece, the first locking piece is threaded through one side of the first fixed seat, and the outer side wall of the slide rail and the bottom rod of the operating bed in the first fixed seat are abutted on the other side of the first fixed seat.
[0015] Further, the first cushion includes a first sub-cushion, a second sub-cushion and a third sub-cushion arranged in sequence from top to bottom along the length direction of the patient's face, and the first groove includes a first sub-groove, a first sub-groove and a third sub-groove; the second cushion includes a fourth sub-cushion, a fifth sub-cushion and a sixth sub-cushion arranged in sequence from top to bottom along the length direction of the patient's face, and the second groove includes a fourth sub-groove, a fifth sub-groove and a sixth sub-groove; each sub-cushion is provided with a corresponding adjusting rod.
[0016] Further, each adjusting rod is detachably fixed to the top of the base through a second locking device, the second locking device includes a second fixed seat and a second locking piece, the second fixed seat is at least partially fixed to the top of the base, and the second locking piece is threaded through one side of the second fixed seat, and the adjusting rod in the second fixed seat is abutted on the other side of the second fixed seat.
[0017] Further, the traction device comprises a traction seat fixed to the base, the traction seat is provided with a pulley, further comprises a traction bow for fixing the head of the patient, the traction bow is provided with screws on both sides, further comprises a traction rope, one end of the traction rope is connected with the traction bow, the other end of the traction rope is connected with a traction object after passing through the pulley.
[0018] Further, the traction bow is in the shape of a semicircular ring, and the traction object is a weight.
[0019] The utility model discloses the beneficial effect is:
[0020] 1. The utility model provides a three -dimensional traction assembly in operation, including the base, be equipped with the first air slot in the base top, the base bottom is equipped with at least three non - collinear lift rod, each lift rod one end is hinged to the base, each lift rod other end is connected with the brakeable gyro wheel, slide rail is suitable for brakeable gyro wheel, and slide rail can detachable connection in operating bed, cushion device is placed in the base top, and cushion device is divided into left and right distribution's first cushion and second cushion at least, and is located the both sides of first air slot respectively, first cushion is equipped with the first recess, and second cushion is equipped with the second recess, and first recess and second recess are spliced after left and right and constitute the containing groove for the head of patient who lies down, and containing groove is equipped with the second air slot of alignment first air slot, and first cushion and second cushion are connected with the adjusting rod still, and each adjusting rod can detachable fixed on the top of base, and traction device is located in the side of base away from operating bed. When traction, the base is along with cushion device together with the skull of patient and slides, reduces the risk that patient's face is pressed and is rubbed by cushion device, and the size of the containing groove of cushion device is conveniently adjusted according to the size of patient's face by the setting of adjusting rod, and the setting of at least three independent lift rods is convenient for making the base change from horizontal state to four different inclined states, thereby the action of forward bending, backward bending, left rotation, right rotation of the skull and cervical vertebra of patient is carried out, the traction device is assisted, and better surgical effect is realized.
[0021] 2. The utility model provides a three -dimensional traction assembly in operation, and first cushion includes first sub -cushion, second sub -cushion and third sub -cushion who set gradually from top to bottom along the length direction of patient's face, and first recess includes first sub - recess, first sub - recess and third sub - recess, and second cushion includes fourth sub -cushion, fifth sub -cushion and sixth sub -cushion who set gradually from top to bottom along the length direction of patient's face, and second recess includes fourth sub - recess, fifth sub - recess and sixth sub - recess, and each sub -cushion is equipped with corresponding adjusting rod. The size of containing groove can be more flexibly adjusted according to the face shape of patient by the setting of six sub -cushions and adjusting rods, and the face of patient is higher with containing groove adaptation degree. DRAWINGS
[0022] In order to more clearly illustrate the technical solutions in the embodiments of the present application or the prior art, the following will briefly introduce the drawings needed in the description of the embodiments or the prior art. Obviously, the drawings in the following description are only some embodiments of the present application, and for those skilled in the art, other drawings can also be obtained from these drawings without creative labor.
[0023] Figure 1 Figure 1 is a schematic view of the intraoperative three-dimensional traction assembly of the present application;
[0024] Figure 2 Figure 2 is a schematic view of the intraoperative three-dimensional traction assembly of the present application;
[0025] Figure 3 Figure 3 is a schematic view of the intraoperative three-dimensional traction assembly of the present application;
[0026] Figure 4 Figure 4 is a top view of the intraoperative three-dimensional traction assembly of the present application;
[0027] Figure 5 Figure 5 is an enlarged view of A of figure 1; Figure 1
[0028] Figure 6 is an enlarged view of B of figure 1; Figure 6 Figure 2 Figure 7 is an enlarged view of C of figure 1;
[0029] Figure 7 Figure 2 Figure 8 is a sectional view of the intraoperative three-dimensional traction assembly of the present application;
[0030] In the figure, 10 is a base, 101 is a first air passage, 201 is a first lifting rod, 202 is a second lifting rod, 203 is a third lifting rod, 204 is a fourth lifting rod, 30 is a brakeable roller, 40 is a cushion device, 401 is a containing groove, 402 is a second air passage, 403 is a first cushion, 4031 is a first sub-cushion, 4032 is a second sub-cushion, 4033 is a third sub-cushion, 404 is a second cushion, 4041 is a fourth sub-cushion, 4042 is a fifth sub-cushion, 4043 is a sixth sub-cushion, 50 is an adjusting rod, 60 is a traction device, 601 is a traction seat, 602 is a pulley, 603 is a traction bow, 604 is a screw, 605 is a traction rope, 606 is a traction object, 701 is a first sliding rail, 702 is a second sliding rail, 80 is a first locking device, 801 is a first fixed seat, 802 is a first locking piece, 90 is a second locking device, 901 is a second fixed seat, and 902 is a second locking piece. DETAILED DESCRIPTION
[0031] The present application will be described in detail below in combination with Figures 1-7 The present application will be described in detail below in combination with
[0032] An intraoperative three-dimensional traction assembly, comprising a base 10, a first air-permeable groove 101 being provided on the top of the base 10, at least three lifting rods being provided on the bottom of the base 10, each of the lifting rods being hingedly connected to the base 10 at one end and being connected with a brakeable roller 30 at the other end; a slide rail being adapted to the brakeable roller 30 and being detachably connected to an operating bed; a cushion device 40 being placed on the top of the base 10, the cushion device 40 being divided into at least a first cushion 403 and a second cushion 404 which are distributed on the left and right sides respectively and are located on the two sides of the first air-permeable groove 101, the first cushion 403 being provided with a first recess and the second cushion 404 being provided with a second recess, the first recess and the second recess being spliced together to form a containing groove 401 for placing the head of a patient in a prone position, the containing groove 401 being provided with a second air-permeable groove 402 which is aligned with the first air-permeable groove 101, the first cushion 403 and the second cushion 404 being further connected with an adjusting rod 50, each of the adjusting rods 50 being detachably fixed to the top of the base 10; and a traction device 60 being provided on the side of the base 10 which is away from the operating bed.
[0033] Specifically, the structure of the brakeable roller 30 can refer to the prior art; the lifting rods are at least three and are not collinear (the three lifting rods are divided into two rows and two columns and are arranged in an L shape), are generally four (are divided into two rows and two columns and are arranged in a mouth shape), or can be more (such as six, are divided into two rows and three columns and are arranged in a horizontal "sun" shape), each of the lifting rods can be independently controlled, the control mode can adopt manual extension and retraction (which can refer to the extension and retraction of the folding umbrella rod), or can be extended and retracted by a motor and a control knob; the size of the second air-permeable groove 402 is at least adapted to the size of the oral and nasal region of the patient, is used for aligning with the oral and nasal position of the patient, and the patient needs to be intubated, the tube is connected with a breathing machine outside in sequence through the second air-permeable groove 402 and the first air-permeable groove 101.
[0034] In this embodiment, the bottom of one side of the base 10 is hingedly connected with a first lifting rod 201 and a second lifting rod 202, the bottom of the other side of the base 10 is hingedly connected with a third lifting rod 203 and a fourth lifting rod 204, each of the lifting rods is electrically connected with a first control knob, a second control knob, a third control knob and a fourth control knob, and the bottom of the base 10 is further provided with a power module connected with each corresponding lifting rod. Specifically, as shown in the figure, the one side of the base 10 refers to the left side of the base 10, the other side of the base 10 refers to the right side of the base 10, the first lifting rod 201 and the second lifting rod 202 are the two rods on the left side, and the third lifting rod 203 and the fourth lifting rod 204 are the two rods on the right side. Figure 1
[0035] In this embodiment, the slide rail comprises a first slide rail 701 and a second slide rail 702, the brakeable rollers 30 on the one side of the base 10 and the other side of the base 10 are slidably adapted to the first slide rail 701 and the second slide rail 702 respectively, and the first slide rail 701 and the second slide rail 702 are detachably connected to the two sides of the operating bed respectively.
[0036] In the embodiment, the first slide rail 701 and the second slide rail 702 are detachably connected to the two sides of the operating bed through the first locking device 80 respectively, the first locking device 80 comprises a first fixing seat 801 and a first locking piece 802, the first locking piece 802 is screwed through one side of the first fixing seat 801, and then the outer side wall of the corresponding slide rail in the first fixing seat 801 and the bottom rod of the operating bed are abutted to the other side of the first fixing seat 801. The first locking device 80 is a common U-shaped tiger clamp, and other common structures can also be used for detachable fixing between the slide rail and the operating bed.
[0037] In the embodiment, the first cushion block 403 comprises a first sub-cushion block 4031, a second sub-cushion block 4032 and a third sub-cushion block 4033 arranged in sequence from top to bottom along the length direction of the patient's face, and the first groove comprises a first sub-groove, a first sub-groove and a third sub-groove; the second cushion block 404 comprises a fourth sub-cushion block 4041, a fifth sub-cushion block 4042 and a sixth sub-cushion block 4043 arranged in sequence from top to bottom along the length direction of the patient's face, and the second groove comprises a fourth sub-groove, a fifth sub-groove and a sixth sub-groove; each sub-cushion block is provided with a corresponding adjusting rod 50. Specifically, each sub-cushion block is made of flexible material, such as sponge or silica gel; the six sub-grooves are arranged in three rows and two columns, and after splicing, the accommodating groove 401 is formed.
[0038] In the embodiment, each adjusting rod 50 is detachably fixed to the top of the base 10 through the second locking device 90, the second locking device 90 comprises a second fixing seat 901 and a second locking piece 902, the second fixing seat 901 is at least partially fixed to the top of the base 10, and the second locking piece 902 is screwed through one side of the second fixing seat 901, and then the adjusting rod 50 in the second fixing seat 901 is abutted to the other side of the second fixing seat 901. The second locking device 90 is a common U-shaped tiger clamp, and other common structures can also be used for detachable fixing between the adjusting rod 50 and the top of the base 10.
[0039] In the embodiment, the traction device 60 comprises a traction seat 601 fixed to the base 10, the traction seat 601 is provided with a pulley 602, further comprises a traction bow 603 for fixing the head of the patient, the traction bow 603 is provided with a screw 604 on both sides, and further comprises a traction rope 605, one end of the traction rope 605 is connected with the traction bow 603, the other end of the traction rope 605 is connected with a traction object 606 after passing through the pulley 602. The traction device 60 is a common device in the art, and its structure and principle refer to the prior art, which will not be described here.
[0040] In the embodiment, the traction bow 603 is in the shape of a semicircular ring, and the traction object 606 is a weight.
[0041] The use process of the intraoperative three-dimensional traction assembly is as follows:
[0042] The patient's torso is placed face down on the operating table, and the patient's head is placed in the accommodating groove 401 of the cushion device 40 on the base 10, with the mouth and nose aligned with the second air-permeable groove 402. The adjustment of the cushion device 40 is started by adjusting the six adjustment rods 50: the second locking member 902 of the second locking device 90 is loosened, each adjustment rod 50 is used to move each sub-cushion to the appropriate position according to the size of the patient's face (mainly according to the width of the patient's face to move each adjustment rod 50 horizontally along its axial direction), and then the second locking member 902 is tightened. The six adjustment rods 50 are loosened only when adjusting their positions, and are locked on the top of the base 10 at all other times.
[0043] The patient is pulled by the traction device 60: a drill with a limited depth is used to drill a hole in a designated position on the patient's skull, the depth of which does not exceed the inner plate of the skull, and then the traction bow 603 is placed on the skull and fixed with the screw 604 (the traction bow 603 in the figure is not suspended in the air, but is fixed to the patient's skull, only the patient and his skull are not drawn), and then the traction rope 605 is tied in the middle of the traction bow 603, passes through the pulley 602, and the traction object 606 is tied at the end of the traction rope 605. The weight of the traction object 606 can be appropriately changed according to the degree of traction. During traction, not only is the patient's skull pulled and moved away from the operating table, but the base 10 provided with the brakeable roller 30 is also indirectly pulled and moved away from the operating table, and the cushion device 40 fixed on the base 10 also moves accordingly, which is equivalent to the patient's forehead being relatively stationary with the cushion device 40, reducing the risk of friction between the face and the cushion device 40.
[0044] During the traction process, in order to achieve better traction effect, the patient's skull and cervical spine can be flexed forward, tilted backward, rotated left and right according to needs, to achieve the effect of three-dimensional traction: lower the first lifting rod 201 and the third lifting rod 203, raise the second lifting rod 202 and the fourth lifting rod 204, tilt the top of the base 10 away from the operating table to achieve "flexion"; lower the second lifting rod 202 and the fourth lifting rod 204, raise the first lifting rod 201 and the third lifting rod 203, tilt the top of the base 10 towards the operating table to achieve "tilt back / extension"; lower the first lifting rod 201 and the second lifting rod 202, raise the third lifting rod 203 and the fourth lifting rod 204 to achieve "left rotation"; lower the third lifting rod 203 and the fourth lifting rod 204, raise the first lifting rod 201 and the second lifting rod 202 to achieve "right rotation".
[0045] After the traction is completed, the traction object 606 is removed, and the screw 604 is loosened to remove the traction bow 603.
[0046] The embodiments only illustrate the technical concept and characteristics of the utility model, and the purpose is to enable the person skilled in the art to understand the utility model content and implement, and cannot limit the protection scope of the utility model. Any equivalent change or modification according to the spirit and essence of the utility model should be covered in the protection scope of the utility model.
Claims
1. A three-dimensional traction assembly for cervical fracture and dislocation surgery, characterized in that: include: A base, wherein a first ventilation groove is provided on the top of the base, and at least three non-collinear lifting rods are provided on the bottom of the base, one end of each lifting rod is hinged to the base, and the other end of each lifting rod is connected to a brakeable roller; A slide rail adapted for the brakeable roller, and the slide rail is detachably connected to the operating table; A cushion block device is placed on the top of the base, the cushion block device is divided into at least a first cushion block and a second cushion block distributed on the left and right, and are respectively located on both sides of the first ventilation groove, the first cushion block is provided with a first groove, the second cushion block is provided with a second groove, the first groove and the second groove are spliced left and right to form a receiving groove for placing the patient's head, the receiving groove is provided with a second ventilation groove aligned with the first ventilation groove, the first cushion block and the second cushion block are further connected to an adjustment rod, and each of the adjustment rods is detachably fixed to the top of the base; and The traction device is arranged on a side of the base away from the operating bed.
2. The intraoperative three-dimensional traction assembly according to claim 1, characterized in that: The bottom of one side of the base is hinged with a first lifting rod and a second lifting rod, and the bottom of the other side of the base is hinged with a third lifting rod and a fourth lifting rod. Each of the lifting rods is electrically connected to the first control button, the second control button, the third control button and the fourth control button respectively. The bottom of the base is also provided with a power supply module connected to each corresponding lifting rod.
3. The intraoperative three-dimensional traction assembly according to claim 1, characterized in that: The slide rail includes a first slide rail and a second slide rail. The brakeable rollers corresponding to one side of the base and the other side of the base are respectively slidably adapted to the first slide rail and the second slide rail. The first slide rail and the second slide rail are respectively detachably connected to the two sides of the operating bed.
4. The intraoperative three-dimensional traction assembly according to claim 3, characterized in that: The first slide rail and the second slide rail are detachably connected to both sides of the operating bed through a first locking device. The first locking device includes a first fixing seat and a first locking member. After the first locking member is threaded through one side of the first fixing seat, the outer side wall of the corresponding slide rail in the first fixing seat and the bottom rod of the operating bed are abutted against the other side of the first fixing seat.
5. The intraoperative three-dimensional traction assembly according to claim 1, characterized in that: The first pad includes a first sub-pad, a second sub-pad and a third sub-pad arranged in sequence from top to bottom along the length direction of the patient's face, and the first groove includes a first sub-groove, a first sub-groove and a third sub-groove; the second pad includes a fourth sub-pad, a fifth sub-groove and a sixth sub-pad arranged in sequence from top to bottom along the length direction of the patient's face, and the second groove includes a fourth sub-groove, a fifth sub-groove and a sixth sub-groove; each of the sub-pads is provided with a corresponding adjustment rod.
6. The intraoperative three-dimensional traction assembly according to claim 5, characterized in that: Each of the adjusting rods is detachably fixed to the top of the base by a second locking device. The second locking device includes a second fixing seat and a second locking member. The second fixing seat is at least partially fixed to the top of the base. After the second locking member is threaded through one side of the second fixing seat, the adjusting rod in the second fixing seat is abutted against the other side of the second fixing seat.
7. The intraoperative three-dimensional traction assembly according to claim 1, characterized in that: The traction device includes a traction seat fixed to the base, the traction seat is provided with a pulley, a traction bow for fixing the patient's head, screws are provided on both sides of the traction bow, and a traction rope, one end of the traction rope is connected to the traction bow, and the other end of the traction rope is connected to the traction object after passing through the pulley.
8. The intraoperative three-dimensional traction assembly according to claim 7, characterized in that: The traction bow is in a semicircular ring shape, and the traction object is a weight.