CN111419303A - Minimally invasive surgical distraction device and minimally invasive surgical distraction system - Google Patents
Minimally invasive surgical distraction device and minimally invasive surgical distraction system Download PDFInfo
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- 230000005540 biological transmission Effects 0.000 claims description 33
- 230000007480 spreading Effects 0.000 claims description 27
- 210000001503 joint Anatomy 0.000 claims description 15
- 239000000463 material Substances 0.000 claims description 7
- 239000012780 transparent material Substances 0.000 claims description 6
- 229920000049 Carbon (fiber) Polymers 0.000 claims description 3
- 239000004696 Poly ether ether ketone Substances 0.000 claims description 3
- JUPQTSLXMOCDHR-UHFFFAOYSA-N benzene-1,4-diol;bis(4-fluorophenyl)methanone Chemical compound OC1=CC=C(O)C=C1.C1=CC(F)=CC=C1C(=O)C1=CC=C(F)C=C1 JUPQTSLXMOCDHR-UHFFFAOYSA-N 0.000 claims description 3
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
- A61B17/0218—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors for minimally invasive surgery
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
- A61B17/025—Joint distractors
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- A—HUMAN NECESSITIES
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- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
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- A—HUMAN NECESSITIES
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- A61B17/00—Surgical instruments, devices or methods
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
- A61B17/025—Joint distractors
- A61B2017/0256—Joint distractors for the spine
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Abstract
本发明涉及一种微创手术撑开装置以及微创手术撑开系统,其解决了现有脊柱微创手术撑开装置操作难度大,撑开角度是固定的,不能自由调节;撑开动作不够平稳,容易造成肌肉组织的损伤的技术问题,其包括撑开圆筒组件、支撑架、基座、螺纹驱动杆外套、光源接口部件、螺纹驱动杆,撑开圆筒组件包括左撑开半圆筒和右撑开半圆筒,左撑开半圆筒的顶部通过第一转轴与基座转动连接,右撑开半圆筒的顶部通过第二转轴与基座转动连接,螺纹驱动杆外套与基座连接,螺纹驱动杆与螺纹驱动杆外套连接配合,螺纹驱动杆的顶部连接有螺钉;螺纹驱动杆的底部通过第一传动连杆与左撑开半圆筒连接,螺纹驱动杆的底部通过第二传动连杆与右撑开半圆筒连接。本发明广泛用于医疗器械技术领域。
The invention relates to a minimally invasive surgery distraction device and a minimally invasive surgery distraction system, which solve the problem that the existing spine minimally invasive surgery distraction device is difficult to operate, the distraction angle is fixed and cannot be freely adjusted; the distraction action is not enough The technical problem is stable and easy to cause muscle tissue damage, which includes a spreader cylinder assembly, a support frame, a base, a threaded drive rod jacket, a light source interface component, and a threaded drive rod. The spreader cylinder assembly includes a left spreader semi-cylinder The top of the left open semi-cylinder is rotatably connected to the base through the first rotating shaft, the top of the right open semi-cylinder is rotatably connected to the base through the second rotating shaft, and the threaded drive rod jacket is connected to the base. The threaded driving rod is connected and matched with the outer casing of the threaded driving rod. The top of the threaded driving rod is connected with a screw; Connect with the right open half cylinder. The present invention is widely used in the technical field of medical devices.
Description
技术领域technical field
本发明涉及脊柱外科微创手术技术领域,具体而言,涉及一种微创手术撑开装置以及微创手术撑开系统。The invention relates to the technical field of minimally invasive surgery in spinal surgery, in particular to a minimally invasive surgery distraction device and a minimally invasive surgery distraction system.
背景技术Background technique
在脊柱外科微创手术技术领域,脊柱微创手术具有切口小,创伤少,恢复快等优点,是脊柱手术的发展趋势;对于只需要做单节段椎体置钉置棒手术及只做简单的椎间盘减压手术来说,只需要一个小的通道即可打开手术视野,进行手术操作。In the field of minimally invasive spine surgery technology, minimally invasive spine surgery has the advantages of small incision, less trauma, and quick recovery, and is the development trend of spine surgery; For intervertebral disc decompression surgery, only a small channel is needed to open the surgical field and perform surgical operations.
公布号为CN110384526A的发明专利申请,公开了一种微创手术撑开装置及撑开器,然而该撑开装置操作难度大,撑开角度是固定的,不能自由调节;撑开动作不够平稳,容易造成肌肉组织的损伤。The invention patent application with the publication number of CN110384526A discloses a minimally invasive surgery spreading device and a spreading device. However, the spreading device is difficult to operate, the opening angle is fixed and cannot be adjusted freely; the opening action is not stable enough, It can easily cause damage to muscle tissue.
发明内容SUMMARY OF THE INVENTION
本发明就是为了解决现有脊柱微创手术撑开装置操作难度大,撑开角度是固定的,不能自由调节;撑开动作不够平稳,容易造成肌肉组织的损伤的技术问题,提供了一种操作方便,撑开角度可自由调节,撑开动作平稳可靠的微创手术撑开装置以及微创手术撑开系统。The present invention is to solve the technical problems that the existing spinal minimally invasive surgery distraction device is difficult to operate, the distraction angle is fixed and cannot be adjusted freely; It is convenient, the opening angle can be adjusted freely, and the opening action is stable and reliable for the minimally invasive surgical opening device and the minimally invasive surgical opening system.
本发明提供一种微创手术撑开装置,包括撑开圆筒组件、支撑架、基座、螺纹驱动杆外套、光源接口部件、螺纹驱动杆、第一传动连杆和第二传动连杆,支撑架与基座连接,光源接口部件与基座连接,撑开圆筒组件包括左撑开半圆筒和右撑开半圆筒,左撑开半圆筒的顶部连接有第一转轴,第一转轴与基座转动连接,右撑开半圆筒的顶部连接有第二转轴,第二转轴与基座转动连接,螺纹驱动杆外套与基座连接,螺纹驱动杆外套设有内螺纹,螺纹驱动杆设有外螺纹,螺纹驱动杆的外螺纹与螺纹驱动杆外套的内螺纹连接配合,螺纹驱动杆的顶部连接有螺钉;第一传动连杆的上端与螺纹驱动杆的底部铰接,第一传动连杆的下端与左撑开半圆筒铰接,第二传动连杆的上端与螺纹驱动杆的底部铰接,第二传动连杆的下端与右撑开半圆筒铰接。The invention provides a minimally invasive surgery spreading device, comprising a spreading cylinder assembly, a support frame, a base, a threaded drive rod jacket, a light source interface component, a threaded drive rod, a first transmission link and a second transmission link, The support frame is connected with the base, the light source interface part is connected with the base, the opening cylinder assembly includes a left opening semi-cylinder and a right opening semi-cylinder, the top of the left opening semi-cylinder is connected with a first rotating shaft, and the first rotating shaft is connected with the first rotating shaft. The base is rotatably connected, the top of the right open semi-cylinder is connected with a second rotating shaft, the second rotating shaft is rotatably connected with the base, and the threaded drive rod jacket is connected with the base, the threaded drive rod jacket is provided with an inner thread, and the threaded drive rod is provided with External thread, the external thread of the threaded drive rod is connected and matched with the internal thread of the threaded drive rod casing, the top of the threaded drive rod is connected with a screw; the upper end of the first transmission link is hinged with the bottom of the threaded drive rod, and the The lower end is hinged with the left opening semi-cylinder, the upper end of the second transmission link is hinged with the bottom of the threaded drive rod, and the lower end of the second transmission link is hinged with the right opening semi-cylinder.
优选地,左撑开半圆筒11的顶部设有第一撑开角度限制槽,右撑开半圆筒的顶部设有第二撑开角度限制槽,基座上连接有第一限位柱和第二限位柱,第一限位柱穿过第一撑开角度限制槽,第二限位柱穿过第二撑开角度限制槽。Preferably, the top of the left
优选地,撑开圆筒组件由透X光的材料制成。Preferably, the spreader cylinder assembly is made of an X-ray transparent material.
优选地,透X光的材料为碳纤维材料或PEEK材料。Preferably, the X-ray transparent material is carbon fiber material or PEEK material.
优选地,光源接口部件设有3个用于安装光源的光源连接斜孔。Preferably, the light source interface component is provided with three light source connection inclined holes for installing the light source.
优选地,撑开圆筒组件的上端外围设有防滑螺纹。Preferably, an anti-skid thread is provided on the periphery of the upper end of the opening cylinder assembly.
优选地,支撑架连接有位置调节手柄。Preferably, the support frame is connected with a position adjustment handle.
本发明还提供一种微创手术撑开系统,包括微创手术撑开装置和万向臂,所示包括调节杆、固定装置、高度调节块、锁紧旋钮、后部连杆、中部连杆、前部连杆、末端连杆、后关节、中部关节、前关节和关节锁紧旋钮,固定装置与调节杆的下端连接;The present invention also provides a minimally invasive surgical distraction system, including a minimally invasive surgical distraction device and a universal arm, as shown, including an adjusting rod, a fixing device, a height adjusting block, a locking knob, a rear connecting rod, and a middle connecting rod , the front link, the end link, the rear joint, the middle joint, the front joint and the joint locking knob, the fixing device is connected with the lower end of the adjusting rod;
高度调节块与调节杆滑动连接,锁紧旋钮通过螺纹结构与高度调节块连接,锁紧旋钮穿过高度调节块顶压调节杆;The height adjustment block is slidably connected with the adjustment rod, the locking knob is connected with the height adjustment block through a threaded structure, and the locking knob passes through the height adjustment block to press the adjustment rod;
后部连杆的一端与高度调节块固定连接,后部连杆的另一端通过后关节与中部连杆的后端连接,中部连杆的前端通过中部关节与前部连杆的后端连接,前部连杆的前端通过前关节与末端连杆的后端连接,关节锁紧旋钮与中部关节连接;One end of the rear link is fixedly connected with the height adjustment block, the other end of the rear link is connected with the rear end of the middle link through the rear joint, and the front end of the middle link is connected with the rear end of the front link through the middle joint. The front end of the front link is connected with the rear end of the end link through the front joint, and the joint locking knob is connected with the middle joint;
所示微创手术撑开装置包括撑开圆筒组件、支撑架、基座、螺纹驱动杆外套、光源接口部件、螺纹驱动杆、第一传动连杆和第二传动连杆,支撑架与基座连接,光源接口部件与基座连接,撑开圆筒组件包括左撑开半圆筒和右撑开半圆筒,左撑开半圆筒的顶部连接有第一转轴,第一转轴与基座转动连接,右撑开半圆筒的顶部连接有第二转轴,第二转轴与基座转动连接,螺纹驱动杆外套与基座连接,螺纹驱动杆外套设有内螺纹,螺纹驱动杆设有外螺纹,螺纹驱动杆的外螺纹与螺纹驱动杆外套的内螺纹连接配合,螺纹驱动杆的顶部连接有螺钉;第一传动连杆的上端与螺纹驱动杆的底部铰接,第一传动连杆的下端与左撑开半圆筒铰接,第二传动连杆的上端与螺纹驱动杆的底部铰接,第二传动连杆的下端与右撑开半圆筒铰接;The shown minimally invasive surgery spreading device includes a spreading cylinder assembly, a support frame, a base, a threaded drive rod cover, a light source interface component, a threaded drive rod, a first transmission link and a second transmission link, the support frame and the base. The base is connected, the light source interface part is connected with the base, the opening cylinder assembly includes a left opening semi-cylinder and a right opening semi-cylinder, the top of the left opening semi-cylinder is connected with a first rotating shaft, and the first rotating shaft is rotatably connected with the base , the top of the right open semi-cylinder is connected with a second rotating shaft, the second rotating shaft is rotatably connected with the base, the threaded drive rod jacket is connected with the base, the threaded drive rod jacket is provided with an internal thread, the threaded drive rod is provided with an external thread, and the threaded drive rod is provided with an external thread. The outer thread of the drive rod is connected and matched with the inner thread of the threaded drive rod jacket, and the top of the threaded drive rod is connected with a screw; the upper end of the first transmission link is hinged with the bottom of the threaded drive rod, and the lower end of the first transmission link is connected with the left support The opening semi-cylinder is hinged, the upper end of the second transmission link is hinged with the bottom of the threaded drive rod, and the lower end of the second transmission link is hinged with the right open semi-cylinder;
支撑架与末端连杆的前端固定连接。The support frame is fixedly connected with the front end of the end link.
优选地,固定装置包括下固定卡爪、上固定卡爪、夹紧旋钮、弹簧支撑套、弹簧和导向柱,下固定卡爪与调节杆的下端固定连接,弹簧支撑套与调节杆的下部固定连接,调节杆的下部穿过固定卡爪,上固定卡爪套在弹簧支撑套上,上固定卡爪设有弹簧容纳室,弹簧设于弹簧容纳室中,弹簧的下端与弹簧支撑套的顶部抵触,下固定卡爪设有导向孔,导向柱与上固定卡爪固定连接,导向柱位于导向孔中,夹紧旋钮设有内螺纹,夹紧旋钮的内螺纹与调节杆下部的外螺纹配合连接,夹紧旋钮位于上固定卡爪的上方,上固定卡爪能够沿着弹簧支撑套向下固定卡爪方向滑动。Preferably, the fixing device comprises a lower fixing claw, an upper fixing claw, a clamping knob, a spring support sleeve, a spring and a guide column, the lower fixing claw is fixedly connected with the lower end of the adjusting rod, and the spring supporting sleeve is fixed with the lower part of the adjusting rod Connection, the lower part of the adjustment rod passes through the fixed claw, the upper fixed claw is sleeved on the spring support sleeve, the upper fixed claw is provided with a spring accommodating chamber, the spring is arranged in the spring accommodating chamber, and the lower end of the spring is connected to the top of the spring support sleeve. The lower fixed claw is provided with a guide hole, the guide column is fixedly connected with the upper fixed claw, the guide column is located in the guide hole, the clamping knob is provided with an inner thread, and the inner thread of the clamping knob is matched with the outer thread of the lower part of the adjusting rod connection, the clamping knob is located above the upper fixed claw, and the upper fixed claw can slide in the direction of the downward fixed claw along the spring support sleeve.
优选地,固定装置还包括垫圈,垫圈套在调节杆的下部,垫圈位于夹紧旋钮和固定卡爪之间。Preferably, the fixing device further comprises a washer, the washer is sleeved on the lower part of the adjusting rod, and the washer is located between the clamping knob and the fixing claw.
优选地,左撑开半圆筒的顶部设有第一撑开角度限制槽,右撑开半圆筒的顶部设有第二撑开角度限制槽,基座上连接有第一限位柱和第二限位柱,第一限位柱穿过第一撑开角度限制槽,第二限位柱穿过第二撑开角度限制槽。Preferably, the top of the left stretched semi-cylinder is provided with a first stretched angle limiting groove, the top of the right stretched semi-cylinder is provided with a second stretched angle limiting groove, and the base is connected with a first limiting post and a second limiting post. Limiting columns, the first limiting column passes through the first opening angle limiting groove, and the second limiting column passes through the second opening angle limiting groove.
本发明的有益效果是,操作方便,稳定可靠,医生可根据实际需要任意调整撑开角度和距离的大小,撑开过程中,停留任何一个位置撑开距离不变。螺纹驱动杆和螺纹驱动杆外套通过螺纹配合,使得撑开动作平稳、精度高。设计限位结构确定最大撑开角度,避免撑开过大损伤肌肉组织的情况发生。在撑开圆筒组件的外围设置防滑螺纹,避免撑开圆筒组件进入人体内与肌肉接触撑开时向外打滑的情况发生。撑开圆筒组件的材质优选透X光的材料,方便手术透视,方便医生判断位置。The beneficial effect of the invention is that the operation is convenient, stable and reliable, the doctor can arbitrarily adjust the size of the opening angle and the distance according to actual needs, and the opening distance remains unchanged in any position during the opening process. The threaded driving rod and the threaded driving rod casing are matched by threads, so that the opening action is stable and the precision is high. The limit structure is designed to determine the maximum opening angle, so as to avoid the occurrence of excessive opening and damage to the muscle tissue. Anti-skid threads are arranged on the periphery of the opening cylinder assembly to avoid the situation of slipping outward when the opening cylinder assembly enters the human body and is in contact with the muscles. The material of the opening cylinder assembly is preferably an X-ray transparent material, which is convenient for surgical fluoroscopy and convenient for doctors to determine the position.
本发明进一步的特征,将在以下具体实施方式的描述中,得以清楚地记载。Further features of the present invention will be clearly described in the following description of the specific embodiments.
附图说明Description of drawings
图1是本发明微创手术撑开装置的立体图;1 is a perspective view of a minimally invasive surgery distraction device of the present invention;
图2是图1所示结构的主视图;Fig. 2 is the front view of the structure shown in Fig. 1;
图3是图1所示结构的俯视图;Fig. 3 is the top view of the structure shown in Fig. 1;
图4是图1所示结构的右视图;Fig. 4 is the right side view of the structure shown in Fig. 1;
图5是图4所示结构中,撑开圆筒组件、基座和螺纹驱动杆外套连接在一起的示意图;Figure 5 is a schematic view of the structure shown in Figure 4, the expansion cylinder assembly, the base and the threaded drive rod casing are connected together;
图6是图5中A-A方向的剖视图;Fig. 6 is the sectional view of A-A direction in Fig. 5;
图7是图5中B-B方向的剖视图;Fig. 7 is the sectional view of the direction B-B in Fig. 5;
图8是图7所示结构中,螺纹驱动杆通过两个连杆与撑开圆筒组件连接的示意图;Figure 8 is a schematic view of the structure shown in Figure 7, the threaded drive rod is connected to the opening cylinder assembly through two connecting rods;
图9是微创手术撑开装置中撑开圆筒组件的左撑开半圆筒和右撑开半圆筒处于撑开状态的结构示意图;FIG. 9 is a schematic structural diagram of the left spreading semi-cylinder and the right spreading semi-cylinder in the spreading state of the spreading cylinder assembly in the minimally invasive surgery spreading device;
图10是图9所示结构的俯视图;Figure 10 is a top view of the structure shown in Figure 9;
图11是扳手作用在螺纹驱动杆顶部螺钉上的示意图;Figure 11 is a schematic diagram of the wrench acting on the screw at the top of the threaded drive rod;
图12是万向臂的俯视图;Figure 12 is a top view of the gimbal arm;
图13是万向臂的主视图;Figure 13 is a front view of the gimbal arm;
图14是万向臂的右视图;Figure 14 is a right side view of the gimbal arm;
图15是万向臂的剖视图;Figure 15 is a cross-sectional view of a gimbal arm;
图16是图15中P处的局部放大图。FIG. 16 is a partial enlarged view of P in FIG. 15 .
图中符号说明:Description of symbols in the figure:
10.撑开圆筒组件,11.左撑开半圆筒,11-1.第一转轴,11-2.第一撑开角度限制槽,12.右撑开半圆筒,12-1.第二转轴,12-2.第二撑开角度限制槽,10-1.防滑螺纹,20.支撑架,30.基座,30-1.第一限位柱,30-2.第二限位柱,40.螺纹驱动杆外套,50.光源接口部件,60.螺纹驱动杆,61.螺钉,70.第一传动连杆,80.第二传动连杆;90.扳手,100.位置调节手柄;B1.调节杆,B2.下固定卡爪,B2-1.导向孔,B3.上固定卡爪,B3-1.弹簧容纳室,B4.夹紧旋钮,B5.螺钉,B6.弹簧支撑套,B7.垫圈,B8.弹簧,B9.导向柱,B10.高度调节块,B11.锁紧旋钮,B12.后部连杆,B13.中部连杆,B14.前部连杆,B15.末端连杆,B17.后关节,B18.中部关节,B19.前关节,B20.关节锁紧旋钮,B21.硅橡胶垫片,B22.螺栓。10. Open cylinder assembly, 11. Left open semi-cylinder, 11-1. First shaft, 11-2. First open angle limiting groove, 12. Right open semi-cylinder, 12-1. Second Rotating shaft, 12-2. Second opening angle limiting groove, 10-1. Anti-skid thread, 20. Support frame, 30. Base, 30-1. First limit post, 30-2. Second limit post , 40. Threaded drive rod cover, 50. Light source interface parts, 60. Threaded drive rod, 61. Screw, 70. First transmission link, 80. Second transmission link; 90. Wrench, 100. Position adjustment handle; B1. Adjusting rod, B2. Lower fixed jaw, B2-1. Guide hole, B3. Upper fixed jaw, B3-1. Spring accommodating chamber, B4. Clamping knob, B5. Screw, B6. Spring support sleeve, B7. Washer, B8. Spring, B9. Guide post, B10. Height adjustment block, B11. Lock knob, B12. Rear link, B13. Middle link, B14. Front link, B15. End link , B17. Rear joint, B18. Middle joint, B19. Front joint, B20. Joint locking knob, B21. Silicone rubber gasket, B22. Bolt.
具体实施方式Detailed ways
以下参照附图,以具体实施例对本发明作进一步详细说明。Hereinafter, the present invention will be further described in detail with specific embodiments with reference to the accompanying drawings.
如图1-8所示的微创手术撑开装置(处于闭合状态),其包括撑开圆筒组件10、支撑架20、基座30、螺纹驱动杆外套40、光源接口部件50、螺纹驱动杆60、第一传动连杆70、第二传动连杆80,支撑架20与基座30连接,撑开圆筒组件10包括左撑开半圆筒11和右撑开半圆筒12,左撑开半圆筒11的顶部连接有第一转轴11-1,第一转轴11-1与基座30转动连接,右撑开半圆筒12的顶部连接有第二转轴12-1,第二转轴12-1与基座30转动连接,螺纹驱动杆外套40与基座30连接,螺纹驱动杆外套40设有内螺纹,螺纹驱动杆60设有外螺纹,螺纹驱动杆60的外螺纹与螺纹驱动杆外套40的内螺纹连接配合,螺纹驱动杆60的顶部连接有螺钉61;第一传动连杆70的上端与螺纹驱动杆60的底部铰接,第一传动连杆70的下端与左撑开半圆筒11铰接,第二传动连杆80的上端与螺纹驱动杆60的底部铰接,第二传动连杆80的下端与右撑开半圆筒12铰接。光源接口部件50与基座30连接,光源接口部件50设有用于安装光源的光源连接斜孔,该斜孔的数量优选为3个,安装3个光源后手术视野更好。The minimally invasive surgical spreading device shown in Figures 1-8 (in a closed state), which includes a spreading
使用上述微创手术撑开装置时,将处于闭合状态的撑开圆筒组件10插入人体,然后如图11所示用扳手90旋转螺钉61进而让螺纹驱动杆60在螺纹驱动杆外套40中向下运动,螺纹驱动杆60带动通过第一传动连杆70、第二传动连杆80使左撑开半圆筒11和右撑开半圆筒12分开一定角度(如图9和10所示),完成撑开动作;可见,医生可根据实际需要任意调整撑开角度和距离的大小,撑开过程中,停留任何一个位置撑开距离不变。反方向旋转螺钉61可使左撑开半圆筒11和右撑开半圆筒12复位。When using the above-mentioned minimally invasive surgical expansion device, insert the
撑开圆筒组件进入人体内与肌肉接触撑开时,为了防止向外打滑,在撑开圆筒组件10的上端外围设置防滑螺纹10-1。When the opening cylinder assembly enters the human body and contacts the muscles, in order to prevent outward slippage, a non-slip thread 10 - 1 is provided on the periphery of the upper end of the
为了限制左撑开半圆筒11和右撑开半圆筒12撑开的角度(主要是避免撑开过大损伤肌肉组织的情况发生),在左撑开半圆筒11的顶部设置第一撑开角度限制槽11-2,在右撑开半圆筒12的顶部设置第二撑开角度限制槽12-2,在基座30上连接第一限位柱30-1和第二限位柱30-2,第一限位柱30-1穿过第一撑开角度限制槽11-2,第二限位柱30-2穿过第二撑开角度限制槽12-2。左撑开半圆筒11和右撑开半圆筒12撑开过程中,第一限位柱30-1和第二限位柱30-2位置不变,第一撑开角度限制槽11-2的顶部与第一限位柱30-1接触,同时第二撑开角度限制槽12-2的顶部与第二限位柱30-2接触,此时左撑开半圆筒11和右撑开半圆筒12不会在继续分开,即达到最大撑开角度。In order to limit the opening angle of the
需要说明的是,撑开圆筒组件10可以采用透X光的材料制备(方便手术透视,方便医生判断位置),比如采用碳纤维材料或PEEK材料。It should be noted that, the expanding
如图11所示,使用上述微创手术撑开装置时,可以使用位置调节手柄100进行辅助作业,位置调节手柄100与支撑架20连接,整个微创手术撑开装置支撑在位置调节手柄100上进而调整撑开圆筒组件10的位置。As shown in FIG. 11 , when the above-mentioned minimally invasive surgery distraction device is used, the position adjustment handle 100 can be used for auxiliary operations. The position adjustment handle 100 is connected to the
如图12-16所示,使用上述微创手术撑开装置时,可以使用万向臂进行辅助作业,万向臂包括调节杆B1、下固定卡爪B2、上固定卡爪B3、夹紧旋钮B4、螺钉B5、弹簧支撑套B6、垫圈B7、弹簧B8、导向柱B9、高度调节块B10、锁紧旋钮B11、后部连杆B12、中部连杆B13、前部连杆B14、末端连杆B15、后关节B17、中部关节B18、前关节B19、关节锁紧旋钮B20、硅橡胶垫片B21。As shown in Figures 12-16, when using the above-mentioned minimally invasive surgical distraction device, a universal arm can be used for auxiliary operations. The universal arm includes an adjustment rod B1, a lower fixed claw B2, an upper fixed claw B3, and a clamping knob. B4, screw B5, spring support sleeve B6, washer B7, spring B8, guide post B9, height adjustment block B10, locking knob B11, rear link B12, middle link B13, front link B14, end link B15, rear joint B17, middle joint B18, front joint B19, joint locking knob B20, silicone rubber gasket B21.
下固定卡爪B2通过螺钉B5固定安装在调节杆B1的下端,弹簧支撑套B6与调节杆B1的下部以过盈配合方式固定连接,调节杆B1的下部穿过固定卡爪B3,上固定卡爪B3套在弹簧支撑套B6上,上固定卡爪B3设有弹簧容纳室B3-1,弹簧B8放置在弹簧容纳室B3-1中,弹簧B8的下端与弹簧支撑套B6的顶部抵触,下固定卡爪B2设有导向孔B2-1,导向柱B9与上固定卡爪B3固定连接,导向柱B9位于导向孔B2-1中(导向柱B9能够在导向孔B2-1中滑动),夹紧旋钮B4设有内螺纹,夹紧旋钮B4的内螺纹与调节杆B1下部的外螺纹配合连接,夹紧旋钮B4位于上固定卡爪B3的上方,垫圈B7套在调节杆B1的下部,垫圈B7位于夹紧旋钮B4和固定卡爪B3之间。医生用手旋拧夹紧旋钮B4,夹紧旋钮B4向垫圈B7、上固定卡爪B3施加推力,上固定卡爪B3沿着弹簧支撑套B6向下固定卡爪B2方向滑动,弹簧B8被压缩,导向柱B9在导向孔B2-1中向下滑动,上固定卡爪B3与下固定卡爪B2之间的间距逐渐变小进而夹持在手术床上,实现调节杆B1的固定。从手术床上松开上固定卡爪B3和下固定卡爪B2时,反向旋拧夹紧旋钮B4即可。需要说明的时,下固定卡爪B2、上固定卡爪B3、夹紧旋钮B4、螺钉B5、弹簧支撑套B6、垫圈B7、弹簧B8和导向柱B9组成的机构,也可以用现有技术的其他固定装置代替。The lower fixed claw B2 is fixedly installed on the lower end of the adjusting rod B1 through the screw B5, the spring support sleeve B6 is fixedly connected with the lower part of the adjusting rod B1 by means of interference fit, the lower part of the adjusting rod B1 passes through the fixed claw B3, and the upper fixed clamp The claw B3 is sleeved on the spring support sleeve B6, the upper fixed claw B3 is provided with a spring accommodating chamber B3-1, and the spring B8 is placed in the spring accommodating chamber B3-1. The fixed claw B2 is provided with a guide hole B2-1, the guide column B9 is fixedly connected with the upper fixed claw B3, the guide column B9 is located in the guide hole B2-1 (the guide column B9 can slide in the guide hole B2-1), the clip The tightening knob B4 is provided with an inner thread, the inner thread of the clamping knob B4 is matched with the outer thread of the lower part of the adjusting rod B1, the clamping knob B4 is located above the upper fixing claw B3, and the washer B7 is sleeved on the lower part of the adjusting rod B1. B7 is located between the clamping knob B4 and the fixed jaw B3. The doctor twists the clamping knob B4 by hand, and the clamping knob B4 applies a thrust to the washer B7 and the upper fixed claw B3, and the upper fixed claw B3 slides along the spring support sleeve B6 in the downward direction of the fixed claw B2, and the spring B8 is compressed , the guide post B9 slides downward in the guide hole B2-1, and the distance between the upper fixed claw B3 and the lower fixed claw B2 gradually decreases and is clamped on the operating bed to realize the fixation of the adjusting rod B1. When loosening the upper fixed claw B3 and the lower fixed claw B2 from the operating bed, turn the clamping knob B4 in the opposite direction. When it needs to be explained, the mechanism composed of the lower fixed claw B2, the upper fixed claw B3, the clamping knob B4, the screw B5, the spring support sleeve B6, the washer B7, the spring B8 and the guide column B9 can also use the existing technology. other fixtures instead.
高度调节块B10套在调节杆1上,高度调节块B10能够沿着调节杆B1上下滑动。锁紧旋钮B11通过螺纹结构与高度调节块B10连接,锁紧旋钮B11穿过高度调节块B10顶压调节杆B1。The height adjustment block B10 is sleeved on the adjustment rod 1, and the height adjustment block B10 can slide up and down along the adjustment rod B1. The locking knob B11 is connected with the height adjustment block B10 through a threaded structure, and the locking knob B11 passes through the height adjustment block B10 and pushes the adjustment rod B1.
后部连杆B12的一端通过螺纹结构与高度调节块B10固定连接,后部连杆B12的另一端通过后关节B17与中部连杆B13的后端连接,中部连杆B13的前端通过中部关节B18与前部连杆B14的后端连接,前部连杆B14的前端通过前关节B19与末端连杆B15的后端连接,用螺栓B22将支撑架20与末端连杆B15的前端固定连接。关节锁紧旋钮B20与中部关节B18连接,用于锁紧中部关节B18;关节锁紧旋钮B20与中部关节B18之间连接有硅橡胶垫片B21,可增强锁紧固定效果。One end of the rear link B12 is fixedly connected to the height adjustment block B10 through a threaded structure, the other end of the rear link B12 is connected to the rear end of the middle link B13 through the rear joint B17, and the front end of the middle link B13 is connected through the middle joint B18 It is connected to the rear end of the front link B14, the front end of the front link B14 is connected to the rear end of the end link B15 through the front joint B19, and the
使用上述万向臂时,后关节B17、中部关节B18和前关节B19松开状态可随意万向摆动,直到撑开圆筒组件10被调整到理想位置,医生用手旋转关节锁紧旋钮B20使中部关节B18锁紧定位,从而将撑开圆筒组件10支撑、定位在理想位置。When using the above universal arm, the rear joint B17, the middle joint B18 and the front joint B19 can swing freely in the released state until the
需要说明书的是,前部连杆B14、末端连杆B15组成的机构可以设置两组,以满足两个撑开装置的支撑、定位。It should be noted that, the mechanism composed of the front link B14 and the end link B15 can be provided with two groups to meet the support and positioning of the two spreading devices.
后部连杆B12、中部连杆B13、前部连杆B14和末端连杆B15可以选用钛合金材料制成,降低自身的重量,有利于撑开器的稳定性。The rear connecting rod B12, the middle connecting rod B13, the front connecting rod B14 and the end connecting rod B15 can be made of titanium alloy material, which can reduce its own weight and help the stability of the spreader.
后关节B17、中部关节B18和前关节B19和相应连杆连接处均设置金刚石涂层,增强抗摩擦性能。The rear joint B17, the middle joint B18, the front joint B19 and the connection of the corresponding connecting rod are all provided with diamond coating to enhance the anti-friction performance.
上述万向臂,操作方便,稳定可靠,可实现撑开圆筒组件10任意位置的支撑、定位,满足手术实际操作需要。The above-mentioned universal arm is easy to operate, stable and reliable, and can realize the support and positioning of the
以上示意性的对本发明及其实施方式进行了描述,如果本领域的技术人员受其启示,在不脱离本发明创造宗旨的情况下,采用其它形式的零件构型、驱动装置以及连接方式不经创造性的设计与该技术方案相似的结构方式及实施例,均应属于本发明的保护范围。The present invention and its embodiments have been schematically described above. If those skilled in the art are inspired by it, without departing from the inventive concept of the present invention, other forms of component configurations, driving devices and connection methods can be used without modification. The inventive design and the similar structural modes and embodiments of the technical solution shall all belong to the protection scope of the present invention.
Claims (11)
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