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CN114886535B - Minimally invasive surgical instrument for orthopedics department - Google Patents

Minimally invasive surgical instrument for orthopedics department Download PDF

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Publication number
CN114886535B
CN114886535B CN202210334953.6A CN202210334953A CN114886535B CN 114886535 B CN114886535 B CN 114886535B CN 202210334953 A CN202210334953 A CN 202210334953A CN 114886535 B CN114886535 B CN 114886535B
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fixedly connected
ring
wound
column
operating
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CN114886535A (en
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刘宏君
顾加祥
张文忠
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Northern Jiangsu Peoples Hospital
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Northern Jiangsu Peoples Hospital
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8866Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices for gripping or pushing bones, e.g. approximators

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgery (AREA)
  • Biomedical Technology (AREA)
  • Engineering & Computer Science (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)

Abstract

The invention discloses an orthopedic minimally invasive surgical instrument, and relates to the technical field of orthopedic surgery. Including surface of a wound mechanism, surface of a wound mechanism is including creating the panel, the quantity of creating the panel is two, the even fixedly connected with of the one side equidistance that the lower extreme of two face boards leaves mutually fills up one, the even fixedly connected with of the one side equidistance that the upper end of two face boards leaves mutually fills up two, the outside of surface of a wound mechanism is provided with fixture, fixture includes grip block one, the grip block cup joints in the outside of creating the panel, the equal fixedly connected with grip block two in both sides of grip block one, it has screw thread post one to be in two grip block two with the left side or with the right side run through threaded connection jointly, the top of surface of a wound mechanism is provided with adjustment mechanism, adjustment mechanism includes the adjustable ring, this orthopedics minimal access surgery apparatus can save the stage of waiting for skin production, compare in the operation of punching and say through the supplementary trompil of above-mentioned structure, make that the patient can resume faster.

Description

骨科微创手术器械Orthopedic minimally invasive surgical instruments

技术领域technical field

本发明涉及骨科手术技术领域,具体为骨科微创手术器械。The invention relates to the technical field of orthopedic surgery, in particular to an orthopedic minimally invasive surgical instrument.

背景技术Background technique

骨科器械一般指专门用于骨科手术用的专业医疗器械。按国家食品药品监督局的分类划分常分为:一类;二类和三类。按照使用用途和性能主要分为骨科用刀、骨科用剪、骨科用钳、骨科用钩、骨科用针、骨科用刮、骨科用锥、骨科用钻、骨科用锯、骨科用凿、骨科用锉/铲、骨科用有源器械等。Orthopedic devices generally refer to professional medical devices specially used for orthopedic surgery. According to the classification of the State Food and Drug Administration, it is often divided into: Class I; Class II and Class III. According to the use and performance, it is mainly divided into orthopedic knives, orthopedic scissors, orthopedic forceps, orthopedic hooks, orthopedic needles, orthopedic scrapers, orthopedic cones, orthopedic drills, orthopedic saws, orthopedic chisels, orthopedic. Files/shovels, active instruments for orthopedics, etc.

微创手术更注重病人的心理、社会、生理(疼痛)、精神风貌、生活质量的改善与康复,能够体贴病人,减轻病人的痛苦。随着科学技术的发展进步,“微创”这一概念已深入到外科手术的各种领域,如脊柱外科、骨科。Minimally invasive surgery pays more attention to the improvement and rehabilitation of the patient's psychology, society, physiology (pain), mental outlook, quality of life, and can be considerate to the patient and relieve the pain of the patient. With the development and progress of science and technology, the concept of "minimally invasive" has penetrated into various fields of surgery, such as spine surgery and orthopedics.

目前市面上大部分对于骨科的微创手术由于需要对患者的骨头进行操作,为了使得主治医生能够更加方便的在微小的创口上对患者的骨头进行接肢,经常会在骨头创伤对应的皮肤表面开洞,这样使得患者皮肤表面存在一定的空间,使得医生能够更加方便的进行手术操作,但是对于皮肤开洞的处理会使得患者损失一部分的皮肤,从而在手术后期对于患者创口的缝合上会存在着些许的麻烦,且后期恢复状态下,患者需等待皮肤生长,不然伤口可能会由于皮肤存在拉拽现象而重新撕裂,从而使得患者的恢复期相较于切割创面来说更长,因此亟需骨科微创手术器械,以解决上述存在的问题。At present, most of the minimally invasive surgery for orthopedics on the market needs to operate on the patient's bones. In order to make it more convenient for the attending doctor to graft the patient's bones on tiny wounds, the skin surface corresponding to the bone trauma is often used. Open holes, so that there is a certain space on the surface of the patient's skin, so that the doctor can perform the operation more conveniently, but the treatment of the skin hole will cause the patient to lose part of the skin, so there will be problems in suturing the patient's wound in the later stage of the operation. It is a little troublesome, and in the later recovery state, the patient needs to wait for the skin to grow, otherwise the wound may be torn again due to the pulling phenomenon of the skin, which makes the recovery period of the patient longer than that of the incision wound, so it is urgent Orthopedic minimally invasive surgical instruments are needed to solve the above-mentioned problems.

发明内容Contents of the invention

本发明的目的在于提供骨科微创手术器械,以解决上述背景技术中提出的问题。The object of the present invention is to provide an orthopedic minimally invasive surgical instrument to solve the problems raised in the above-mentioned background technology.

为实现上述目的,本发明提供如下技术方案:骨科微创手术器械,包括创面机构,所述创面机构包括创面板,所述创面板的数量为两个,两个所述创面板的下端相背离的那一面等距均匀的固定连接有创面垫一,两个所述创面板的上端相背离的那一面等距均匀的固定连接有创面垫二,所述创面机构的外侧设置有夹持机构,所述夹持机构包括夹持板一,所述夹持板一套接在创面板的外侧,所述夹持板一的两侧均固定连接有夹持板二,处于同左侧或者同右侧的两个所述夹持板二共同贯穿螺纹连接有螺纹柱一,所述创面机构的上方设置有调节机构,所述调节机构包括调节环,所述调节环呈现圆环型,所述调节环的下表面中部开设有环槽一,所述环槽一与创面垫二正对且适配,所述环槽一罩接在创面垫二的外侧,所述调节环与创面板正对。In order to achieve the above object, the present invention provides the following technical solutions: orthopedic minimally invasive surgical instruments, including a wound mechanism, the wound mechanism includes a wound plate, the number of the wound plate is two, and the lower ends of the two wound plates are away from each other. Wound Pad 1 is equidistantly and evenly fixedly connected to the side of the two wound plates, equidistantly and evenly fixedly connected to the side of the upper ends of the two wound panels facing away from each other is equidistantly and uniformly connected to Wound Pad 2, and a clamping mechanism is arranged on the outside of the wound mechanism, The clamping mechanism includes a clamping plate 1, which is sleeved on the outside of the wound plate, and both sides of the clamping plate 1 are fixedly connected with a clamping plate 2, which is on the same left side or the same right side. The two clamping plates 2 on the side are threaded and connected with a threaded column 1. An adjustment mechanism is arranged above the wound surface mechanism. The adjustment mechanism includes an adjustment ring, and the adjustment ring is in the shape of a ring. The middle part of the lower surface of the ring is provided with a ring groove 1, the ring groove 1 is facing and adapted to the wound pad 2, the ring groove 1 is connected to the outside of the wound pad 2, and the adjusting ring is facing the wound plate.

优选的,两个所述创面板左右对称设置,两个所述创面板具有弹性。Preferably, the two wound plates are symmetrically arranged left and right, and the two wound plates are elastic.

优选的,所述夹持板一的数量为两个,两个所述夹持板一前后对称设置,所述夹持板一呈现半圆弧板型,两个所述夹持板一的中部向相背离的方向弯曲,所述螺纹柱一的前后两端均固定连接有挡板,处于同左侧或者同右侧的所述夹持板二的下端均固定连接有绑带,处于同左侧或者同右侧的所述绑带前后对称设置,处于同左侧或者同右侧的所述绑带的下外壁均开设有连接槽,处于同左侧或者同右侧的两个所述连接槽的内部嵌入粘贴有连接带,所述绑带和连接带具有弹性。Preferably, the number of the clamping plates 1 is two, and the two clamping plates 1 are symmetrically arranged front and rear, the clamping plates 1 present a semi-circular arc plate shape, and the middle parts of the two clamping plates 1 Bend in a direction away from each other, the front and rear ends of the threaded column one are fixedly connected with baffle plates, and the lower ends of the clamping plate two on the same left or right side are fixedly connected with straps, and are on the same left side. The straps on the same side or the right side are arranged symmetrically front and back, the lower outer walls of the straps on the same left or the right side are provided with connecting grooves, and the two connecting straps on the same left or right side A connecting strip is embedded and pasted inside the groove, and the binding strip and the connecting strip are elastic.

优选的,所述调节环的上表面中部开设有环槽二,所述调节环的内圈侧壁上开设有环槽三,所述环槽三和环槽二连通,所述环槽二和环槽三的右侧内部插接有连接块,所述连接块呈现L型,所述连接块与环槽二和环槽三适配,所述连接块固定连接创面板,所述环槽二的内部插接有螺纹柱二,所述螺纹柱二处于环槽二的左侧,所述螺纹柱二的下端右侧固定连接有横杆,所述横杆在远离螺纹柱二的那一端从环槽三中穿出,所述螺纹柱二的外侧螺纹套接有固定环,所述固定环处于调节环的上方。Preferably, the middle part of the upper surface of the adjustment ring is provided with a ring groove 2, and the inner ring side wall of the adjustment ring is provided with a ring groove 3, and the ring groove 3 is connected with the ring groove 2, and the ring groove 2 and the ring groove 2 are connected. The right side of the ring groove three is inserted with a connecting block. The connecting block is L-shaped. The connecting block is adapted to the ring groove two and the ring groove three. The connecting block is fixedly connected to the wound plate. Threaded column 2 is plugged into the inside of the threaded column 2. The threaded column 2 is located on the left side of the ring groove 2. The lower end of the threaded column 2 is fixedly connected to the right side of the cross bar. The ring groove three passes through, and the outer thread of the threaded column two is sleeved with a fixing ring, and the fixing ring is above the adjusting ring.

优选的,所述横杆接近调节环内圈的那一方设置有操作机构一,所述操作机构一处于调节环的中心处,所述操作机构一包括操作环,所述操作环的左侧外壁固定连接横杆,所述操作环的表面中部贯穿开设有球槽,所述球槽的侧壁呈现弧度,所述球槽的内部活动卡接有转动球,所述转动球呈现球型且与球槽适配,所述转动球的上表面贯穿开设有圆孔,所述圆孔的前内壁开设有方槽,所述方槽上下贯穿转动球。Preferably, the side of the crossbar close to the inner ring of the adjustment ring is provided with an operating mechanism one, the operating mechanism one is located at the center of the adjustment ring, the operating mechanism one includes an operation ring, and the left outer wall of the operation ring The cross bar is fixedly connected, and the middle part of the surface of the operation ring is penetrated with a ball groove. The side wall of the ball groove presents a radian. The ball groove is adapted, the upper surface of the rotating ball is penetrated with a circular hole, and the front inner wall of the circular hole is provided with a square groove, and the square groove penetrates the rotating ball up and down.

优选的,所述操作环的右侧设置有伸缩机构,所述伸缩机构包括伸缩筒一,所述伸缩筒一的右侧套接有伸缩筒二,所述伸缩筒二的左侧壁固定连接有弹簧一,所述弹簧一在远离伸缩筒二的那一端固定连接伸缩筒一的内壁,所述伸缩筒二的右侧套接有伸缩柱,所述伸缩柱的左侧壁固定连接有弹簧二,所述弹簧二在远离伸缩柱的那一端固定连接伸缩筒二的内壁,所述伸缩筒一的左侧壁通过轴承转动套接在操作环的外侧壁上端。Preferably, a telescopic mechanism is provided on the right side of the operating ring, and the telescopic mechanism includes a telescopic cylinder 1, a telescopic cylinder 2 is sleeved on the right side of the telescopic cylinder 1, and the left side wall of the telescopic cylinder 2 is fixedly connected There is a spring 1, the spring 1 is fixedly connected to the inner wall of the telescopic cylinder 1 at the end far away from the telescopic cylinder 2, the right side of the telescopic cylinder 2 is sleeved with a telescopic column, and the left side wall of the telescopic column is fixedly connected to a spring Second, the end of the spring two away from the telescopic column is fixedly connected to the inner wall of the telescopic cylinder two, and the left side wall of the telescopic cylinder one is rotatably socketed on the upper end of the outer wall of the operation ring through a bearing.

优选的,所述伸缩柱的右端固定连接有操作机构二,所述操作机构二和操作机构一相同。Preferably, a second operating mechanism is fixedly connected to the right end of the telescopic column, and the second operating mechanism is the same as the first operating mechanism.

优选的,所述操作机构一和操作机构二的内部均设置有操作杆机构,所述操作杆机构包括操作杆,所述操作杆套接在圆孔中且与圆孔适配,所述操作杆的前侧壁固定连接有方柱,所述方柱插入方槽中且与方槽适配,所述操作杆的上表面中部固定连接有上柱,所述上柱的上端固定连接有把手,所述上柱的外侧套接有拉动环,所述操作杆的内部左右均开设有绳槽,所述绳槽上下贯穿操作杆,所述绳槽的内部套接有拉绳,所述拉绳具有弹性,所述拉绳的上端伸出绳槽且对应贯穿固定连接拉动环。Preferably, the operating mechanism 1 and the operating mechanism 2 are both provided with an operating rod mechanism, the operating rod mechanism includes an operating rod, the operating rod is sleeved in the round hole and adapted to the round hole, the operating The front side wall of the lever is fixedly connected with a square column, the square column is inserted into the square groove and adapted to the square groove, the middle part of the upper surface of the operating rod is fixedly connected with an upper column, and the upper end of the upper column is fixedly connected with a handle , the outer side of the upper column is sleeved with a pull ring, the inside of the operating rod is provided with a rope groove on the left and right, the rope groove runs through the operating rod up and down, and the inside of the rope groove is sleeved with a pull rope. The rope has elasticity, and the upper end of the pull rope extends out of the rope groove and correspondingly passes through and fixedly connects with the pull ring.

优选的,所述操作杆机构的下方设置有万向机构,所述万向机构包括万向柱一,所述万向柱一的上表面左右两侧均固定连接有侧板一,两个所述侧板一相对的那一面上端均嵌入固定连接有侧轴一,两个所述侧板一之间设置有中心块,所述中心块呈现方块型,两个所述侧轴一相对的那一端均对应插入中心块中且与中心块通过轴承转动连接,所述万向柱一的上方设置有万向柱二,所述万向柱二与万向柱一相同,所述万向柱二的上表面固定连接操作杆的下表面,所述万向柱二的下表面前后均固定连接有侧板二,两个所述侧板二相对的那一面下端均嵌入固定连接有侧轴二,两个所述侧轴二相对的那一端均对应插入中心块中且与中心块通过轴承转动连接。Preferably, a universal mechanism is provided below the operating lever mechanism, and the universal mechanism includes a universal column 1, and side plates 1 are fixedly connected to the left and right sides of the upper surface of the universal column 1, and the two sides The upper end of the opposite side of the side plate 1 is embedded and fixedly connected with the side shaft 1, and a central block is arranged between the two side plates 1, and the central block is in the shape of a square. One end is correspondingly inserted into the center block and connected with the center block through bearing rotation, and the upper part of the universal column is provided with the second universal column, the second universal column is the same as the first universal column, and the second universal column is The upper surface of the upper surface is fixedly connected to the lower surface of the operating rod, the lower surface of the universal column 2 is fixedly connected with the side plate 2 at the front and rear, and the lower end of the opposite side of the two side plates 2 is embedded and fixedly connected with the side shaft 2, The opposite ends of the two side shafts are correspondingly inserted into the center block and are rotatably connected with the center block through bearings.

优选的,所述万向机构的下方设置有定钉机构,所述定钉机构包括定头,所述定头的上端固定连接万向柱一,所述定头的下端呈现尖端,所述定头的外侧等距均匀的开设有钉槽,所述定头的左右两侧中部均固定连接有小柱,所述小柱在远离定头的那一方通过弹簧轴固定连接有定板,两个所述定板的下端呈现L型,两个所述定板的下端相互接近,两个所述定板的上端内侧对应固定连接拉绳。Preferably, a nail fixing mechanism is provided below the universal mechanism, the nail fixing mechanism includes a fixed head, the upper end of the fixed head is fixedly connected to the universal column one, the lower end of the fixed head presents a tip, and the fixed head The outside of the head is equidistantly and evenly provided with nail grooves, and the middle parts of the left and right sides of the fixed head are fixedly connected with small posts, and the side of the small post away from the fixed head is fixedly connected with a fixed plate through a spring shaft. The lower ends of the fixed plates are L-shaped, the lower ends of the two fixed plates are close to each other, and the inner sides of the upper ends of the two fixed plates are correspondingly fixedly connected with the pull cords.

与现有技术相比,本发明的有益效果是:Compared with prior art, the beneficial effect of the present invention is:

(1)、该骨科微创手术器械,通过创面机构和夹持机构的设计,使得医生在进行微创手术的时候,通过使用手术刀切割伤口,接着将两个创面板对应插入伤口创面内部,使得创面垫一处于患者创面皮下,随后将夹持板一套接在创面机构的前后,随后通过旋转挡板带动螺纹柱一旋转,从而使得前后侧的夹持板一相互接近,从而挤压创面板使得两个创面板相互远离,从而使得创面板支撑着伤口创面逐渐的将创面带成类圆形,这样来代替直接手术打孔,使得患者在手术后,患者的皮肤不会有所缺少,便于医生对伤口进行缝合,同时可以省去等待皮肤生产的阶段,相比于打孔手术来说通过上述结构辅助开孔,使得患者可以恢复的更加快速。(1) The orthopedic minimally invasive surgical instrument, through the design of the wound mechanism and the clamping mechanism, allows the doctor to use a scalpel to cut the wound when performing minimally invasive surgery, and then insert the two wound plates into the wound surface correspondingly, Make the wound pad one under the skin of the patient's wound, and then set the clamping plate on the front and rear of the wound mechanism, and then drive the threaded column one to rotate through the rotating baffle, so that the clamping plate one on the front and rear sides are close to each other, thereby squeezing the wound The face plate makes the two wound plates far away from each other, so that the wound plate supports the wound surface and gradually brings the wound surface into a circular shape, which replaces direct surgical perforation, so that the patient’s skin will not be missing after the operation. It is convenient for doctors to suture the wound, and at the same time, it can save the stage of waiting for skin production. Compared with perforation surgery, the above-mentioned structure assists in opening the hole, so that the patient can recover more quickly.

(2)、该骨科微创手术器械,在对创面进行开口之后,将调节机构卡接在创面垫二上,随后医护人员可以通过操作机构一和操作机构二内部的操作杆机构、定钉机构和万向机构对患者断裂的骨头进行对接,通过操作机构一和操作机构二的不同连接,首先调节环正对创面板,便是得调节环正对骨头的断裂处,另外操作机构一也处于调节环的中心部位,因而医生通过操作机构一便可以准确的定位到患者的骨头断裂处,另外操作机构二通过伸缩机构与操作机构一进行连接,因而使得被操作机构二控制的操作杆机构可以在调节环的内圈处任意移动,因而医生通过操作机构一和操作机构二内部的操作杆机构进行手术,一方面伸缩机构的连接使得操作机构二内部的操作杆机构可以在医生的控制下进行任意的移动,另一方面伸缩机构的连接使得操作机构二和操作机构一之间的移动更加的规范化,从而有效减小医生手持操作的误差,帮助医生提高容错率,使得手术的规范化程度增加。(2) The orthopedic minimally invasive surgical instrument, after opening the wound, clamps the adjustment mechanism on the wound pad 2, and then the medical staff can use the operating mechanism 1 and the operating lever mechanism and the nail fixing mechanism inside the operating mechanism 2. The patient's fractured bone is docked with the universal mechanism. Through the different connections between the first operating mechanism and the second operating mechanism, the first adjustment ring is facing the wound plate, that is, the adjustment ring is facing the fracture of the bone. In addition, the first operating mechanism is also in the Adjust the central part of the ring, so the doctor can accurately locate the patient's bone fracture through the operating mechanism one, and the second operating mechanism is connected with the first operating mechanism through the telescopic mechanism, so that the operating rod mechanism controlled by the second operating mechanism can be The inner ring of the adjustment ring can be moved freely, so the doctor can perform surgery through the operating lever mechanism inside the operating mechanism 1 and the operating mechanism 2. On the one hand, the connection of the telescopic mechanism allows the operating lever mechanism inside the operating mechanism 2 to be performed under the control of the doctor. Arbitrary movement, on the other hand, the connection of the telescopic mechanism makes the movement between the second operating mechanism and the first operating mechanism more standardized, thereby effectively reducing the error of the doctor's hand-held operation, helping the doctor to improve the error tolerance rate, and increasing the standardization of the operation.

(3)、该骨科微创手术器械,通过操作机构一和操作机构二的设计,首先被转动球控制的操作杆机构可以以操作环的中心为轴进行旋转,另外通过转动球和球槽的连接,使得转动球也可以在球槽控制的范围内部任意转动,另外在通过伸缩机构和操作机构一的连接,使得操作机构二可以以操作机构一为轴和伸缩机构的长度为半径进行任意角度的圆周运动,从而在操作机构一和操作机构二的配合下,使得医生可以控制操作杆机构移动到创面板所限定的任意范围内,从而使得装置可以使得医生手持操作杆机构进行全方位的移动,便于医生进行手术,增加了装置的可辅助调节的范围。(3) The orthopedic minimally invasive surgical instrument, through the design of the operating mechanism 1 and the operating mechanism 2, firstly, the operating rod mechanism controlled by the rotating ball can rotate around the center of the operating ring, and in addition, through the rotation of the rotating ball and the ball groove Connection, so that the rotating ball can also rotate freely within the range controlled by the ball groove. In addition, through the connection between the telescopic mechanism and the operating mechanism 1, the operating mechanism 2 can make any angle with the operating mechanism 1 as the axis and the length of the telescopic mechanism as the radius. Circular movement, so that with the cooperation of operating mechanism 1 and operating mechanism 2, the doctor can control the operating lever mechanism to move to any range limited by the wound plate, so that the device can make the doctor hold the operating lever mechanism to move in all directions , it is convenient for doctors to perform operations, and the auxiliary adjustable range of the device is increased.

(4)、该骨科微创手术器械,通过操作机构一和操作机构二内部的操作杆机构的设计,使得医生在对患者进行手术的时候,可以单手拿持操作杆机构进行手术,也可以双持操作杆机构进行配合手术,且通过操作机构一和操作机构二的套接操作杆机构,使得医生在手持操作杆机构的时候存在控制的支点,从而使得医生可以对操作杆机构的拿持和操作更加的方便和稳定,从而有效的降低医生手术的难度,有效的辅助医生进行手术。(4) The orthopedic minimally invasive surgical instrument, through the design of the operating lever mechanism inside the operating mechanism 1 and the operating mechanism 2, allows the doctor to hold the operating lever mechanism with one hand when performing surgery on the patient, or Double-holding the operating lever mechanism to cooperate with the operation, and through the socket operating lever mechanism of the operating mechanism 1 and the operating mechanism 2, the doctor has a fulcrum of control when holding the operating lever mechanism, so that the doctor can hold the operating lever mechanism And the operation is more convenient and stable, thereby effectively reducing the difficulty of the doctor's operation and effectively assisting the doctor to perform the operation.

(5)、该骨科微创手术器械,通过操作杆机构、定钉机构和万向机构的配合,首先通过转动操作机构二中的操作杆机构,从而将操作机构二中的定钉机构的尖端翻上,通过定钉机构夹持固定钉和钉板将其在放入到患者的骨头伤断处,随后通过操作机构二中的定钉机构进行定位,在通过操作机构一中的定钉机构,首先将操作机构一中的拉动环向上拽起,拉动环带动拉绳上移,从而使得定板的上端向定头的位置收缩,从而打开定板的下端,使得定板夹持顶板上的另一固定钉,随后通过转动操作机构一中操作杆机构进行另一固定钉的固定,随后在通过调节操作机构二中的操作杆机构进行固定钉的固定,通过操作机构二的外翻以及定钉机构的夹取固定钉的功能,可以使得两侧的操作杆机构相互配合,从而将患者断裂的骨头进行复接,简化了手术的操作,使得手术的效率提高。(5) The orthopedic minimally invasive surgical instrument, through the cooperation of the operating lever mechanism, the nail fixing mechanism and the universal mechanism, first rotates the operating lever mechanism in the operating mechanism 2, so that the tip of the nail fixing mechanism in the operating mechanism 2 Turn it up, clamp the nail and the nail plate through the nail fixing mechanism and put it into the patient's bone injury, and then perform positioning through the nail fixing mechanism in the operating mechanism two, and then through the nail fixing mechanism in the operating mechanism one , first pull up the pull ring in the operating mechanism one, and the pull ring drives the pull rope to move up, so that the upper end of the fixed plate shrinks to the position of the fixed head, thereby opening the lower end of the fixed plate, so that the fixed plate clamps the top plate. Another fixation nail, carry out the fixation of another fixation nail by rotating the operating lever mechanism in the operating mechanism one subsequently, carry out the fixation of the fixing nail by adjusting the operating lever mechanism in the operating mechanism two subsequently, through the valgus of the operating mechanism two and the fixed nail The nail mechanism's function of clamping and fixing nails can make the operating lever mechanisms on both sides cooperate with each other, thereby rejoining the patient's broken bones, simplifying the operation of the operation, and improving the efficiency of the operation.

附图说明Description of drawings

图1为本发明的结构示意图;Fig. 1 is a structural representation of the present invention;

图2为本发明创面机构位置示意图;Fig. 2 is a schematic diagram of the position of the wound mechanism of the present invention;

图3为本发明创面机构示意图;Fig. 3 is a schematic diagram of the wound mechanism of the present invention;

图4为本发明夹持机构示意图;Fig. 4 is a schematic diagram of the clamping mechanism of the present invention;

图5为本发明连接槽示意图;Fig. 5 is a schematic diagram of the connection groove of the present invention;

图6为本发明调节机构连接示意图;Fig. 6 is a schematic diagram of the connection of the adjustment mechanism of the present invention;

图7为本发明调节机构内部示意图;Fig. 7 is the internal schematic diagram of the adjustment mechanism of the present invention;

图8为本发明操作机构一示意图;Fig. 8 is a schematic diagram of the operating mechanism of the present invention;

图9为本发明伸缩机构示意图;Fig. 9 is a schematic diagram of the telescoping mechanism of the present invention;

图10为本发明操作杆机构连接示意图;Figure 10 is a schematic diagram of the connection of the operating rod mechanism of the present invention;

图11为本发明定钉机构示意图;Fig. 11 is a schematic diagram of the nail fixing mechanism of the present invention;

图12为本发明万向机构示意图;Fig. 12 is a schematic diagram of the universal mechanism of the present invention;

图13为本发明操作杆机构示意图。Fig. 13 is a schematic diagram of the operating rod mechanism of the present invention.

图中:1、创面机构;101、创面板;102、创面垫一;103、创面垫二;2、夹持机构;201、夹持板一;202、夹持板二;203、螺纹柱一;204、挡板;205、绑带;206、连接槽;207、连接带;3、调节机构;301、调节环;302、环槽一;303、环槽二;304、环槽三;305、连接块;306、螺纹柱二;307、横杆;308、固定环;4、操作机构一;401、操作环;402、球槽;403、转动球;404、圆孔;405、方槽;5、伸缩机构;501、伸缩筒一;502、伸缩筒二;503、弹簧一;504、伸缩柱;505、弹簧二;6、操作机构二;7、操作杆机构;701、操作杆;702、方柱;703、上柱;704、把手;705、拉动环;706、绳槽;707、拉绳;8、定钉机构;801、定头;802、钉槽;803、小柱;804、定板;9、万向机构;901、万向柱一;902、侧板一;903、侧轴一;904、中心块;905、万向柱二;906、侧板二;907、侧轴二。In the figure: 1, wound mechanism; 101, wound plate; 102, wound pad one; 103, wound pad two; 2, clamping mechanism; 201, clamping plate one; 202, clamping plate two; 203, thread column one ; , connecting block; 306, threaded column two; 307, crossbar; 308, fixed ring; 4, operating mechanism one; 401, operating ring; 402, ball groove; 403, rotating ball; 404, round hole; 405, square groove 5, telescopic mechanism; 501, telescopic cylinder one; 502, telescopic cylinder two; 503, spring one; 504, telescopic column; 505, spring two; 6, operating mechanism two; 7, operating lever mechanism; 701, operating lever; 702, square column; 703, upper column; 704, handle; 705, pull ring; 706, rope groove; 707, pull rope; 8, fixed nail mechanism; 801, fixed head; 802, nail groove; 803, small column; 804, fixed plate; 9, universal mechanism; 901, universal column one; 902, side plate one; 903, side shaft one; 904, center block; 905, universal column two; 906, side plate two; 907, Side shaft two.

具体实施方式detailed description

下面将结合本发明实施例中的附图,对本发明实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本发明一部分实施例,而不是全部的实施例。基于本发明中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。The following will clearly and completely describe the technical solutions in the embodiments of the present invention with reference to the accompanying drawings in the embodiments of the present invention. Obviously, the described embodiments are only some, not all, embodiments of the present invention. Based on the embodiments of the present invention, all other embodiments obtained by persons of ordinary skill in the art without making creative efforts belong to the protection scope of the present invention.

请参阅图1-13,本发明提供一种技术方案:骨科微创手术器械,包括创面机构1,创面机构1包括创面板101,创面板101的数量为两个,两个创面板101的下端相背离的那一面等距均匀的固定连接有创面垫一102,两个创面板101的上端相背离的那一面等距均匀的固定连接有创面垫二103,创面机构1的外侧设置有夹持机构2,夹持机构2包括夹持板一201,夹持板一201套接在创面板101的外侧,夹持板一201的两侧均固定连接有夹持板二202,处于同左侧或者同右侧的两个夹持板二202共同贯穿螺纹连接有螺纹柱一203,创面机构1的上方设置有调节机构3,调节机构3包括调节环301,调节环301呈现圆环型,调节环301的下表面中部开设有环槽一302,环槽一302与创面垫二103正对且适配,环槽一302罩接在创面垫二103的外侧,调节环301与创面板101正对。Please refer to Fig. 1-13, the present invention provides a kind of technical proposal: orthopedics minimally invasive surgical instrument, comprises wound surface mechanism 1, and wound surface mechanism 1 comprises wound plate 101, and the quantity of wound plate 101 is two, and the lower end of two wound plate 101 The side facing away from each other is fixedly connected with wound pad 1 102 equidistantly and evenly, and the side of the upper ends of the two wound plates 101 facing away from each other is fixedly connected with wound pad 2 103 equidistantly and evenly, and the outer side of the wound mechanism 1 is provided with clamping Mechanism 2, the clamping mechanism 2 includes a clamping plate 1 201, the clamping plate 1 201 is sleeved on the outside of the wound panel 101, both sides of the clamping plate 1 201 are fixedly connected with the clamping plate 2 202, which is on the same left side Or the two clamping plates 202 on the right side are threaded and connected with a threaded post 1 203. An adjustment mechanism 3 is arranged above the wound mechanism 1. The adjustment mechanism 3 includes an adjustment ring 301. The adjustment ring 301 presents a ring shape. The middle part of the lower surface of the ring 301 is provided with a ring groove 1 302. The ring groove 1 302 is facing and adapted to the wound pad 2 103. The ring groove 1 302 is connected to the outside of the wound pad 103. right.

两个创面板101左右对称设置,两个创面板101具有弹性。The two wound plates 101 are symmetrically arranged left and right, and the two wound plates 101 are elastic.

夹持板一201的数量为两个,两个夹持板一201前后对称设置,夹持板一201呈现半圆弧板型,两个夹持板一201的中部向相背离的方向弯曲,螺纹柱一203的前后两端均固定连接有挡板204,处于同左侧或者同右侧的夹持板二202的下端均固定连接有绑带205,处于同左侧或者同右侧的绑带205前后对称设置,处于同左侧或者同右侧的绑带205的下外壁均开设有连接槽206,处于同左侧或者同右侧的两个连接槽206的内部嵌入粘贴有连接带207,绑带205和连接带207具有弹性。The number of clamping plates 1 201 is two, and the two clamping plates 1 201 are arranged symmetrically front and back. The clamping plates 1 201 present a semi-circular arc plate shape, and the middle parts of the two clamping plates 1 201 are bent in a direction away from each other. The front and rear ends of the threaded column one 203 are fixedly connected with baffle plates 204, and the lower ends of the clamping plate two 202 on the same left or right side are all fixedly connected with straps 205. The straps 205 are arranged symmetrically front and back, and the lower outer walls of the straps 205 on the same left or right side are provided with connecting grooves 206, and the insides of the two connecting grooves 206 on the same left or right side are embedded with connecting straps 207 , the strap 205 and the connecting strap 207 are elastic.

调节环301的上表面中部开设有环槽二303,调节环301的内圈侧壁上开设有环槽三304,环槽三304和环槽二303连通,环槽二303和环槽三304的右侧内部插接有连接块305,连接块305呈现L型,连接块305与环槽二303和环槽三304适配,连接块305固定连接创面板101,环槽二303的内部插接有螺纹柱二306,螺纹柱二306处于环槽二303的左侧,螺纹柱二306的下端右侧固定连接有横杆307,横杆307在远离螺纹柱二306的那一端从环槽三304中穿出,螺纹柱二306的外侧螺纹套接有固定环308,固定环308处于调节环301的上方。The middle part of the upper surface of the adjustment ring 301 is provided with a ring groove 2 303, and the inner ring side wall of the adjustment ring 301 is provided with a ring groove 3 304. A connection block 305 is plugged into the right side of the inner side, and the connection block 305 presents an L shape. The connection block 305 is adapted to the ring groove 2 303 and the ring groove 3 304. Connected with threaded column 2 306, threaded column 2 306 is on the left side of ring groove 2 303, and the right side of the lower end of threaded column 2 306 is fixedly connected with cross bar 307, and cross bar 307 is at the end away from threaded post 2 306 from ring groove The third 304 passes through, and the outer thread of the threaded column 2 306 is sleeved with a fixing ring 308 , and the fixing ring 308 is located above the adjusting ring 301 .

横杆307接近调节环301内圈的那一方设置有操作机构一4,操作机构一4处于调节环301的中心处,操作机构一4包括操作环401,操作环401的左侧外壁固定连接横杆307,操作环401的表面中部贯穿开设有球槽402,球槽402的侧壁呈现弧度,球槽402的内部活动卡接有转动球403,转动球403呈现球型且与球槽402适配,转动球403仅能在球槽402限制的范围内转动,转动球403的上表面贯穿开设有圆孔404,圆孔404的前内壁开设有方槽405,方槽405上下贯穿转动球403。The side of the cross bar 307 close to the inner circle of the adjustment ring 301 is provided with an operating mechanism 4, which is located at the center of the adjustment ring 301. The operating mechanism 4 includes an operating ring 401, and the left outer wall of the operating ring 401 is fixedly connected to the Rod 307, the middle part of the surface of the operating ring 401 is provided with a ball groove 402, the side wall of the ball groove 402 presents a radian, and the internal activity of the ball groove 402 is connected with a rotating ball 403, which is spherical and fits with the ball groove 402. Matching, the rotating ball 403 can only rotate within the range limited by the ball groove 402, the upper surface of the rotating ball 403 is provided with a circular hole 404, the front inner wall of the circular hole 404 is provided with a square groove 405, and the square groove 405 runs through the rotating ball 403 up and down .

操作环401的右侧设置有伸缩机构5,伸缩机构5包括伸缩筒一501,伸缩筒一501的右侧套接有伸缩筒二502,伸缩筒二502的左侧壁固定连接有弹簧一503,弹簧一503在远离伸缩筒二502的那一端固定连接伸缩筒一501的内壁,伸缩筒二502的右侧套接有伸缩柱504,伸缩柱504的左侧壁固定连接有弹簧二505,弹簧二505在远离伸缩柱504的那一端固定连接伸缩筒二502的内壁,伸缩筒一501的左侧壁通过轴承转动套接在操作环401的外侧壁上端。The right side of the operating ring 401 is provided with a telescopic mechanism 5, the telescopic mechanism 5 includes a telescopic cylinder 1 501, the right side of the telescopic cylinder 1 501 is sleeved with a telescopic cylinder 2 502, and the left side wall of the telescopic cylinder 2 502 is fixedly connected with a spring 1 503 The first spring 503 is fixedly connected to the inner wall of the first telescopic cylinder 501 at the end far away from the second telescopic cylinder 502, the right side of the second telescopic cylinder 502 is sleeved with a telescopic column 504, and the left side wall of the telescopic column 504 is fixedly connected with a spring two 505, The second spring 505 is fixedly connected to the inner wall of the telescopic cylinder 2 502 at the end away from the telescopic column 504, and the left side wall of the telescopic cylinder 1 501 is rotatably socketed on the upper end of the outer wall of the operation ring 401 through a bearing.

伸缩柱504的右端固定连接有操作机构二6,操作机构二6和操作机构一4相同。The right end of telescopic column 504 is fixedly connected with operating mechanism two 6, and operating mechanism two 6 is identical with operating mechanism one 4.

操作机构一4和操作机构二6的内部均设置有操作杆机构7,操作杆机构7包括操作杆701,操作杆701套接在圆孔404中且与圆孔404适配,操作杆701的前侧壁固定连接有方柱702,方柱702插入方槽405中且与方槽405适配,操作杆701的上表面中部固定连接有上柱703,上柱703的上端固定连接有把手704,上柱703的外侧套接有拉动环705,操作杆701的内部左右均开设有绳槽706,绳槽706上下贯穿操作杆701,绳槽706的内部套接有拉绳707,拉绳707具有弹性,拉绳707的上端伸出绳槽706且对应贯穿固定连接拉动环705,初始情况下,拉动环705的下表面贴合操作杆701的上表面。Operating mechanism 1 4 and operating mechanism 2 6 are provided with operating lever mechanism 7 inside, operating lever mechanism 7 includes operating lever 701, operating lever 701 is sleeved in circular hole 404 and is adapted to circular hole 404, operating lever 701 The front side wall is fixedly connected with a square column 702, and the square column 702 is inserted into the square groove 405 and adapted to the square groove 405. The middle part of the upper surface of the operating rod 701 is fixedly connected with an upper column 703, and the upper end of the upper column 703 is fixedly connected with a handle 704. , the outer side of the upper column 703 is sleeved with a pull ring 705, the inside of the operating rod 701 is provided with a rope groove 706 on the left and right, the rope groove 706 runs through the operating rod 701 up and down, the inside of the rope groove 706 is sleeved with a pull rope 707, and the pull rope 707 With elasticity, the upper end of the pull rope 707 protrudes from the rope groove 706 and correspondingly passes through and fixedly connects with the pull ring 705 . Initially, the lower surface of the pull ring 705 is attached to the upper surface of the operating rod 701 .

操作杆机构7的下方设置有万向机构9,万向机构9包括万向柱一901,万向柱一901的上表面左右两侧均固定连接有侧板一902,两个侧板一902相对的那一面上端均嵌入固定连接有侧轴一903,两个侧板一902之间设置有中心块904,中心块904呈现方块型,两个侧轴一903相对的那一端均对应插入中心块904中且与中心块904通过轴承转动连接,万向柱一901的上方设置有万向柱二905,万向柱二905与万向柱一901相同,万向柱二905的上表面固定连接操作杆701的下表面,万向柱二905的下表面前后均固定连接有侧板二906,两个侧板二906相对的那一面下端均嵌入固定连接有侧轴二907,两个侧轴二907相对的那一端均对应插入中心块904中且与中心块904通过轴承转动连接。The bottom of the operating rod mechanism 7 is provided with a universal mechanism 9. The universal mechanism 9 includes a universal column 901, and the left and right sides of the upper surface of the universal column 901 are fixedly connected with a side plate 902. Two side plates 902 The upper end of the opposite side is embedded and fixedly connected with a side shaft one 903, and a center block 904 is arranged between the two side plates one 902. The center block 904 presents a square shape, and the opposite ends of the two side shafts one 903 are inserted into the center correspondingly. In the block 904 and connected with the center block 904 by bearing rotation, the top of the universal column 901 is provided with the universal column 2 905, the universal column 905 is the same as the universal column 1 901, and the upper surface of the universal column 905 is fixed Connect the lower surface of the operating rod 701, the lower surface of the universal column 2 905 is fixedly connected with the side plate 2 906 front and rear, and the lower end of the opposite side of the two side plates 906 is embedded and fixedly connected with the side shaft 2 907. The opposite end of the second shaft 907 is correspondingly inserted into the center block 904 and is rotatably connected with the center block 904 through a bearing.

万向机构9的下方设置有定钉机构8,定钉机构8包括定头801,定头801的上端固定连接万向柱一901,定头801的下端呈现尖端,定头801的外侧等距均匀的开设有钉槽802,定头801的左右两侧中部均固定连接有小柱803,小柱803在远离定头801的那一方通过弹簧轴固定连接有定板804,两个定板804的下端呈现L型,两个定板804的下端相互接近,两个定板804的上端内侧对应固定连接拉绳707。The bottom of the universal mechanism 9 is provided with a fixed nail mechanism 8, the fixed nail mechanism 8 includes a fixed head 801, the upper end of the fixed head 801 is fixedly connected to the universal column one 901, the lower end of the fixed head 801 presents a sharp point, and the outer sides of the fixed head 801 are equidistant Nail grooves 802 are evenly opened, and the middle parts of the left and right sides of the fixed head 801 are fixedly connected with small columns 803. The lower ends of the two fixed plates 804 are L-shaped, the lower ends of the two fixed plates 804 are close to each other, and the inner sides of the upper ends of the two fixed plates 804 are correspondingly fixedly connected with the stay rope 707.

工作原理:working principle:

第一步:通过创面机构1和夹持机构2的设计,使得医生在进行微创手术的时候,通过使用手术刀切割伤口,接着将两个创面板101对应插入伤口创面内部,使得创面垫一102处于患者创面皮下,随后将夹持板一201套接在创面机构1的前后,随后通过旋转挡板204带动螺纹柱一203旋转,从而使得前后侧的夹持板一201相互接近,从而挤压创面板101使得两个创面板101相互远离,从而使得创面板101支撑着伤口创面逐渐的将创面带成类圆形,这样来代替直接手术打孔,使得患者在手术后,患者的皮肤不会有所缺少,便于医生对伤口进行缝合,同时可以省去等待皮肤生产的阶段,相比于打孔手术来说通过上述结构辅助开孔,使得患者可以恢复的更加快速。Step 1: Through the design of the wound mechanism 1 and the clamping mechanism 2, the doctor cuts the wound with a scalpel when performing minimally invasive surgery, and then inserts the two wound plates 101 into the wound surface correspondingly, so that the wound pad 102 is placed under the skin of the patient's wound, and then the clamping plate 1 201 is sleeved on the front and rear of the wound mechanism 1, and then the threaded column 1 203 is driven to rotate through the rotating baffle 204, so that the clamping plates 1 201 on the front and rear sides are close to each other, thereby squeezing The pressure wound plate 101 makes the two wound plates 101 far away from each other, so that the wound plate 101 supports the wound surface and gradually brings the wound surface into a circle, which replaces the direct surgical perforation, so that after the operation, the patient’s skin does not There will be something missing, which is convenient for the doctor to suture the wound, and at the same time can save the stage of waiting for skin production. Compared with the perforation surgery, the above-mentioned structure assists the perforation, so that the patient can recover faster.

第二步:在对创面进行开口之后,将调节机构3卡接在创面垫二103上,随后医护人员可以通过操作机构一4和操作机构二6内部的操作杆机构7、定钉机构8和万向机构9对患者断裂的骨头进行对接,通过操作机构一4和操作机构二6的不同连接,首先调节环301正对创面板101,便是得调节环301正对骨头的断裂处,另外操作机构一4也处于调节环301的中心部位,因而医生通过操作机构一4便可以准确的定位到患者的骨头断裂处,另外操作机构二6通过伸缩机构5与操作机构一4进行连接,因而使得被操作机构二6控制的操作杆机构7可以在调节环301的内圈处任意移动,因而医生通过操作机构一4和操作机构二6内部的操作杆机构7进行手术,一方面伸缩机构5的连接使得操作机构二6内部的操作杆机构7可以在医生的控制下进行任意的移动,另一方面伸缩机构5的连接使得操作机构二6和操作机构一4之间的移动更加的规范化,从而有效减小医生手持操作的误差,帮助医生提高容错率,使得手术的规范化程度增加。Step 2: After the wound is opened, the adjustment mechanism 3 is clamped on the wound pad 2 103, and then the medical staff can use the operating lever mechanism 7, nail fixing mechanism 8 and The universal mechanism 9 docks the broken bone of the patient. Through the different connections of the first operating mechanism 4 and the second operating mechanism 6, the adjusting ring 301 is first facing the wound plate 101, so that the adjusting ring 301 is facing the fractured part of the bone. The operating mechanism one 4 is also located at the center of the adjustment ring 301, so the doctor can accurately locate the fractured bone of the patient through the operating mechanism one 4. In addition, the operating mechanism two 6 is connected with the operating mechanism one 4 through the telescopic mechanism 5, thus The operating lever mechanism 7 controlled by the operating mechanism 2 6 can move arbitrarily at the inner ring of the adjustment ring 301, so the doctor performs surgery through the operating lever mechanism 7 inside the operating mechanism 4 and the operating mechanism 2 6. On the one hand, the telescopic mechanism 5 The connection of the operating mechanism 2 6 allows the operating rod mechanism 7 inside the operating mechanism 6 to move arbitrarily under the control of the doctor. On the other hand, the connection of the telescopic mechanism 5 makes the movement between the operating mechanism 2 6 and the operating mechanism 1 4 more standardized. Thereby effectively reducing the error of the doctor's hand-held operation, helping the doctor to improve the error tolerance rate, and increasing the standardization of the operation.

第三步:通过操作机构一4和操作机构二6的设计,首先被转动球403控制的操作杆机构7可以以操作环401的中心为轴进行旋转,另外通过转动球403和球槽402的连接,使得转动球403也可以在球槽402控制的范围内部任意转动,另外在通过伸缩机构5和操作机构一4的连接,使得操作机构二6可以以操作机构一4为轴和伸缩机构5的长度为半径进行任意角度的圆周运动,从而在操作机构一4和操作机构二6的配合下,使得医生可以控制操作杆机构7移动到创面板101所限定的任意范围内,从而使得装置可以使得医生手持操作杆机构7进行全方位的移动,便于医生进行手术,增加了装置的可辅助调节的范围。The third step: through the design of operating mechanism one 4 and operating mechanism two 6, the operating lever mechanism 7 controlled by the rotating ball 403 can rotate with the center of the operating ring 401 as the axis, and in addition through the rotation of the rotating ball 403 and the ball groove 402 connection, so that the rotating ball 403 can also rotate arbitrarily within the range controlled by the ball groove 402; in addition, through the connection between the telescopic mechanism 5 and the operating mechanism one 4, the operating mechanism two 6 can take the operating mechanism one 4 as the axis and the telescopic mechanism 5 The length of the radius is the circular motion at any angle, so that with the cooperation of the first operating mechanism 4 and the second operating mechanism 6, the doctor can control the operating rod mechanism 7 to move to any range defined by the wound plate 101, so that the device can The doctor holds the operating rod mechanism 7 to move in all directions, which is convenient for the doctor to perform surgery and increases the auxiliary adjustment range of the device.

第四步:通过操作机构一4和操作机构二6内部的操作杆机构7的设计,使得医生在对患者进行手术的时候,可以单手拿持操作杆机构7进行手术,也可以双持操作杆机构7进行配合手术,且通过操作机构一4和操作机构二6的套接操作杆机构7,使得医生在手持操作杆机构7的时候存在控制的支点,从而使得医生可以对操作杆机构7的拿持和操作更加的方便和稳定,从而有效的降低医生手术的难度,有效的辅助医生进行手术。Step 4: Through the design of the operating lever mechanism 7 inside the operating mechanism 1 4 and the operating mechanism 2 6, the doctor can hold the operating lever mechanism 7 with one hand when performing surgery on the patient, or operate with both hands The rod mechanism 7 is used for coordinating operations, and through the socket operation rod mechanism 7 of the operating mechanism 4 and the operating mechanism 2 6, the doctor has a fulcrum of control when holding the operating rod mechanism 7, so that the doctor can control the operating rod mechanism 7 It is more convenient and stable to hold and operate, thus effectively reducing the difficulty of the doctor's operation and effectively assisting the doctor to perform the operation.

第五步:通过操作杆机构7、定钉机构8和万向机构9的配合,首先通过转动操作机构二6中的操作杆机构7,从而将操作机构二6中的定钉机构8的尖端翻上,通过定钉机构8夹持固定钉和钉板将其在放入到患者的骨头伤断处,随后通过操作机构二6中的定钉机构8进行定位,在通过操作机构一4中的定钉机构8,首先将操作机构一4中的拉动环705向上拽起,拉动环705带动拉绳707上移,从而使得定板804的上端向定头801的位置收缩,从而打开定板804的下端,使得定板804夹持顶板上的另一固定钉,随后通过转动操作机构一4中操作杆机构7进行另一固定钉的固定,随后在通过调节操作机构二6中的操作杆机构7进行固定钉的固定,通过操作机构二6的外翻以及定钉机构8的夹取固定钉的功能,可以使得两侧的操作杆机构7相互配合,从而将患者断裂的骨头进行复接,简化了手术的操作,使得手术的效率提高。The fifth step: through the cooperation of the operating lever mechanism 7, the nail fixing mechanism 8 and the universal mechanism 9, at first by rotating the operating lever mechanism 7 in the operating mechanism two 6, the tip of the nail fixing mechanism 8 in the operating mechanism two 6 Turn up, clamp the nail and the nail plate by the nail fixing mechanism 8 and put it into the patient's bone injury, then perform positioning through the nail fixing mechanism 8 in the operating mechanism two 6, and pass through the operating mechanism one 4 The fixed nail mechanism 8 first pulls up the pull ring 705 in the operating mechanism one 4, and the pull ring 705 drives the stay rope 707 to move up, so that the upper end of the fixed plate 804 shrinks toward the position of the fixed head 801, thereby opening the fixed plate The lower end of 804 makes the fixed plate 804 clamp another fixing nail on the top plate, then carry out the fixing of another fixing nail by operating lever mechanism 7 in operating mechanism one 4, then by adjusting the operating lever in operating mechanism two 6 Mechanism 7 fixes the fixation nails. Through the function of the valgus of the operating mechanism 2 6 and the clamping of the fixation nails by the fixation mechanism 8, the operating lever mechanisms 7 on both sides can cooperate with each other, thereby rejoining the patient's fractured bones. , which simplifies the operation of the operation and improves the efficiency of the operation.

尽管已经示出和描述了本发明的实施例,对于本领域的普通技术人员而言,可以理解在不脱离本发明的原理和精神的情况下可以对这些实施例进行多种变化、修改、替换和变型,本发明的范围由所附权利要求及其等同物限定。Although the embodiments of the present invention have been shown and described, those skilled in the art can understand that various changes, modifications and substitutions can be made to these embodiments without departing from the principle and spirit of the present invention. and modifications, the scope of the invention is defined by the appended claims and their equivalents.

Claims (2)

1.骨科微创手术器械,包括创面机构(1),所述创面机构(1)包括创面板(101),所述创面板(101)的数量为两个,两个所述创面板(101)左右对称设置,两个所述创面板(101)具有弹性,两个所述创面板(101)的下端相背离的那一面等距均匀的固定连接有创面垫一(102),两个所述创面板(101)的上端相背离的那一面等距均匀的固定连接有创面垫二(103),其特征在于:所述创面机构(1)的外侧设置有夹持机构(2),所述夹持机构(2)包括夹持板一(201),所述夹持板一(201)的数量为两个,两个所述夹持板一(201)前后对称设置,所述夹持板一(201)呈现半圆弧板型,两个所述夹持板一(201)的中部向相背离的方向弯曲,两个所述夹持板一(201)套接在两个所述创面板(101)的外侧,两个所述夹持板一(201)的两侧均固定连接有夹持板二(202),处于同左侧或者同右侧的两个所述夹持板二(202)共同贯穿螺纹连接有螺纹柱一(203),所述创面机构(1)的上方设置有调节机构(3),所述调节机构(3)包括调节环(301),所述调节环(301)呈现圆环型,所述调节环(301)的下表面中部开设有环槽一(302),所述环槽一(302)与创面垫二(103)正对且适配,所述环槽一(302)罩接在创面垫二(103)的外侧,所述调节环(301)与创面板(101)正对;1. Orthopedic minimally invasive surgical instruments, including a wound mechanism (1), the wound mechanism (1) includes a wound plate (101), the number of the wound plate (101) is two, and the two wound plates (101) ) are symmetrically arranged left and right, the two wound plates (101) are elastic, and the sides facing away from the lower ends of the two wound plates (101) are equidistantly and uniformly fixedly connected with a wound pad one (102), and the two wound plates (101) are The upper end of the wound panel (101) facing away from each other is fixedly connected with a wound pad 2 (103) equidistantly and evenly, and is characterized in that a clamping mechanism (2) is arranged on the outside of the wound mechanism (1), so that The clamping mechanism (2) includes a clamping plate one (201), the number of the clamping plate one (201) is two, and the two clamping plates one (201) are arranged symmetrically front and back, and the clamping plate one (201) Plate 1 (201) presents a semi-circular arc plate shape, the middle parts of the two clamping plates 1 (201) are bent in the direction away from each other, and the two clamping plates 1 (201) are sleeved on the two On the outer side of the wound plate (101), two clamping plates (202) are fixedly connected to both sides of the two clamping plates one (201), and the two clamping plates on the same left or right side The two (202) are threaded and connected with threaded column one (203), and an adjustment mechanism (3) is arranged above the wound surface mechanism (1), and the adjustment mechanism (3) includes an adjustment ring (301). The ring (301) is in the shape of a ring, and the middle part of the lower surface of the adjustment ring (301) is provided with a ring groove 1 (302), and the ring groove 1 (302) is facing and adapted to the wound pad 2 (103), The first ring groove (302) is connected to the outer side of the second wound pad (103), and the adjustment ring (301) is facing the wound plate (101); 所述调节环(301)的上表面中部开设有环槽二(303),所述调节环(301)的内圈侧壁上开设有环槽三(304),所述环槽三(304)和环槽二(303)连通,所述环槽二(303)和环槽三(304)的内部插接有连接块(305),所述连接块(305)呈现L型,所述连接块(305)与环槽二(303)和环槽三(304)适配,所述环槽二(303)的内部插接有螺纹柱二(306),所述螺纹柱二(306)的下端右侧固定连接有横杆(307),所述横杆(307)在远离螺纹柱二(306)的那一端从环槽三(304)中穿出,所述螺纹柱二(306)的外侧螺纹套接有固定环(308),所述固定环(308)处于调节环(301)的上方;The middle part of the upper surface of the adjustment ring (301) is provided with the second ring groove (303), the inner ring side wall of the adjustment ring (301) is provided with the third ring groove (304), and the third ring groove (304) It communicates with the second ring groove (303), and a connecting block (305) is inserted inside the second ring groove (303) and the third ring groove (304). The connecting block (305) is L-shaped, and the connecting block (305) fits with the second ring groove (303) and the third ring groove (304). The second ring groove (303) is inserted with the second threaded column (306), and the lower end of the second threaded column (306) The right side is fixedly connected with a cross bar (307). The end of the cross bar (307) away from the second threaded post (306) passes through the ring groove three (304). The outer side of the second threaded post (306) A fixing ring (308) is sleeved on the thread, and the fixing ring (308) is above the adjusting ring (301); 所述横杆(307)穿出的那一端上设置有操作机构一(4),所述操作机构一(4)处于调节环(301)的中心处,所述操作机构一(4)包括操作环(401),所述操作环(401)的左侧外壁固定连接横杆(307),所述操作环(401)的表面中部贯穿开设有球槽(402),所述球槽(402)的侧壁呈现弧度,所述球槽(402)的内部活动卡接有转动球(403),所述转动球(403)呈现球型且与球槽(402)适配,所述转动球(403)的上表面贯穿开设有圆孔(404),所述圆孔(404)的前内壁开设有方槽(405),所述方槽(405)上下贯穿转动球(403);The end of the cross bar (307) passing through is provided with an operating mechanism one (4), the operating mechanism one (4) is located at the center of the adjustment ring (301), and the operating mechanism one (4) includes Ring (401), the left outer wall of the operation ring (401) is fixedly connected to the cross bar (307), the middle part of the surface of the operation ring (401) is opened with a ball groove (402), and the ball groove (402) The side wall of the ball groove (402) is curved, and a rotating ball (403) is engaged inside the ball groove (402). The rotating ball (403) is spherical and fits with the ball groove (402). A round hole (404) is opened through the upper surface of 403), and a square slot (405) is opened on the front inner wall of the round hole (404), and the square slot (405) runs through the rotating ball (403) up and down; 所述操作环(401)的右侧设置有伸缩机构(5),所述伸缩机构(5)包括伸缩筒一(501),所述伸缩筒一(501)的右侧套接有伸缩筒二(502),所述伸缩筒二(502)的左侧壁固定连接有弹簧一(503),所述弹簧一(503)在远离伸缩筒二(502)的那一端固定连接伸缩筒一(501)的内壁,所述伸缩筒二(502)的右侧套接有伸缩柱(504),所述伸缩柱(504)的左侧壁固定连接有弹簧二(505),所述弹簧二(505)在远离伸缩柱(504)的那一端固定连接伸缩筒二(502)的内壁,所述伸缩筒一(501)的左侧壁通过轴承转动套接在操作环(401)的外侧壁上端;The right side of the operation ring (401) is provided with a telescopic mechanism (5), and the telescopic mechanism (5) includes a telescopic cylinder one (501), and a telescopic cylinder two is sleeved on the right side of the telescopic cylinder one (501). (502), the left side wall of the telescopic cylinder two (502) is fixedly connected with a spring one (503), and the spring one (503) is fixedly connected with the telescopic cylinder one (501) at the end far away from the telescopic cylinder two (502). ), the right side of the telescopic tube 2 (502) is sleeved with a telescopic column (504), the left side wall of the telescopic column (504) is fixedly connected with a spring 2 (505), and the spring 2 (505 ) is fixedly connected to the inner wall of the telescopic tube 2 (502) at the end away from the telescopic column (504), and the left side wall of the telescopic tube 1 (501) is rotatably socketed on the upper end of the outer wall of the operation ring (401); 所述伸缩柱(504)的右端固定连接有操作机构二(6),所述操作机构二(6)和操作机构一(4)结构相同,所述操作机构二(6)的右端固定连接所述连接块(305);所述操作机构一(4)和操作机构二(6)的内部均设置有操作杆机构(7),所述操作杆机构(7)包括操作杆(701),所述操作杆(701)套接在圆孔(404)中且与圆孔(404)适配,所述操作杆(701)的前侧壁固定连接有方柱(702),所述方柱(702)插入方槽(405)中且与方槽(405)适配,所述操作杆(701)的上表面中部固定连接有上柱(703),所述上柱(703)的上端固定连接有把手(704),所述上柱(703)的外侧套接有拉动环(705),所述操作杆(701)的内部左右均开设有绳槽(706),所述绳槽(706)上下贯穿操作杆(701),所述绳槽(706)的内部设有拉绳(707),所述拉绳(707)具有弹性,所述拉绳(707)的上端伸出绳槽(706)且对应贯穿固定连接拉动环(705);The right end of the telescopic column (504) is fixedly connected to the operating mechanism two (6), the operating mechanism two (6) and the operating mechanism one (4) have the same structure, and the right end of the operating mechanism two (6) is fixedly connected to the The connection block (305); the operating mechanism one (4) and the operating mechanism two (6) are equipped with an operating lever mechanism (7), and the operating lever mechanism (7) includes an operating lever (701). The operating rod (701) is sleeved in the round hole (404) and adapted to the round hole (404), the front side wall of the operating rod (701) is fixedly connected with a square column (702), and the square column ( 702) inserted into the square groove (405) and adapted to the square groove (405), the middle part of the upper surface of the operating rod (701) is fixedly connected with the upper column (703), and the upper end of the upper column (703) is fixedly connected There is a handle (704), a pulling ring (705) is sleeved on the outer side of the upper column (703), and rope grooves (706) are opened on the left and right inside the operating rod (701), and the rope grooves (706) The operating rod (701) runs through up and down, and the inside of the rope groove (706) is provided with a pull rope (707). ) and corresponds to the pull ring (705) through the fixed connection; 所述操作杆机构(7)的下方设置有万向机构(9),所述万向机构(9)包括万向柱一(901),所述万向柱一(901)的上表面左右两侧均固定连接有侧板一(902),两个所述侧板一(902)相对的那一面上端均嵌入固定连接有侧轴一(903),两个所述侧板一(902)之间设置有中心块(904),所述中心块(904)呈现方块型,两个所述侧轴一(903)相对的那一端均对应插入中心块(904)中且与中心块(904)通过轴承转动连接,所述万向柱一(901)的上方设置有万向柱二(905),所述万向柱二(905)与万向柱一(901)结构相同,所述万向柱二(905)的上表面固定连接操作杆(701)的下表面,所述万向柱二(905)的下表面前后均固定连接有侧板二(906),两个所述侧板二(906)相对的那一面下端均嵌入固定连接有侧轴二(907),两个所述侧轴二(907)相对的那一端均对应插入中心块(904)中且与中心块(904)通过轴承转动连接;A universal mechanism (9) is provided below the operating rod mechanism (7), and the universal mechanism (9) includes a universal column (901), and the upper surface of the universal column (901) has two left and right sides. Both sides are fixedly connected with side plate one (902), the upper end of the opposite side of the two side plates one (902) is embedded and fixedly connected with side shaft one (903), and the two side plates one (902) A central block (904) is arranged between them, and the central block (904) presents a square shape, and the opposite ends of the two side shafts one (903) are correspondingly inserted into the central block (904) and connected to the central block (904) The second universal column (905) is arranged above the first universal column (901) through bearing rotation connection, and the second universal column (905) has the same structure as the first universal column (901). The upper surface of the second column (905) is fixedly connected to the lower surface of the operating rod (701), and the lower surface of the second universal column (905) is fixedly connected with the second side plate (906). The lower end of the opposite side (906) is embedded and fixedly connected with the side shaft two (907), and the opposite ends of the two side shafts (907) are correspondingly inserted into the center block (904) and connected to the center block (904) Rotationally connected by bearings; 所述万向机构(9)的下方设置有定钉机构(8),所述定钉机构(8)包括定头(801),所述定头(801)的上端固定连接万向柱一(901),所述定头(801)的下端呈现尖端,所述定头(801)的外侧等距均匀的开设有钉槽(802),所述定头(801)的左右两侧中部均固定连接有小柱(803),所述小柱(803)在远离定头(801)的那一方通过弹簧轴固定连接有定板(804),两个所述定板(804)的下端呈现L型,两个所述定板(804)的下端相互接近,两个所述定板(804)的上端内侧对应固定连接拉绳(707)。A nail fixing mechanism (8) is provided below the universal mechanism (9), and the nail fixing mechanism (8) includes a fixed head (801), and the upper end of the fixed head (801) is fixedly connected to the universal column one ( 901), the lower end of the fixed head (801) presents a sharp point, and the outer side of the fixed head (801) is uniformly provided with nail grooves (802), and the middle parts of the left and right sides of the fixed head (801) are fixed A small column (803) is connected, and the side of the small column (803) away from the fixed head (801) is fixedly connected with a fixed plate (804) through a spring shaft, and the lower ends of the two fixed plates (804) present an L type, the lower ends of the two fixed plates (804) are close to each other, and the inner sides of the upper ends of the two fixed plates (804) are correspondingly fixedly connected with the stay ropes (707). 2.根据权利要求1所述的骨科微创手术器械,其特征在于:所述螺纹柱一(203)的前后两端均固定连接有挡板(204),处于同左侧或者同右侧的所述夹持板二(202)的下端均固定连接有绑带(205),处于同左侧或者同右侧的所述绑带(205)前后对称设置,处于同左侧或者同右侧的所述绑带(205)的下外壁均开设有连接槽(206),处于同左侧或者同右侧的两个所述连接槽(206)的内部嵌入粘贴有连接带(207),所述绑带(205)和连接带(207)具有弹性。2. The orthopedic minimally invasive surgical instrument according to claim 1, characterized in that: the front and rear ends of the threaded column one (203) are fixedly connected with baffles (204), which are located on the same left side or the same right side. The lower end of the clamping plate 2 (202) is fixedly connected with straps (205), and the straps (205) on the same left or right The lower outer wall of the strap (205) is provided with a connection groove (206), and a connection belt (207) is embedded and pasted inside the two connection grooves (206) on the same left side or the same right side. The strap (205) and the connecting strap (207) are elastic.
CN202210334953.6A 2022-03-31 2022-03-31 Minimally invasive surgical instrument for orthopedics department Active CN114886535B (en)

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DE69928128T2 (en) * 1998-12-01 2006-07-06 Atropos Ltd., Bray SURGICAL DEVICE FOR RETRACTION AND / OR FOR THE CLOSURE OF AN INSERT
WO2014153473A2 (en) * 2013-03-20 2014-09-25 Prescient Surgical, Inc. Methods and apparatus for reducing the risk of surgical site infections
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