阅读说明：本技术 一种胸外科医生用肋骨牵开装置 (Rib retractor for thoracic surgeon ) 是由 田伟 豆亚伟 王宏涛 于 2021-09-15 设计创作，主要内容包括：本发明涉及胸外科技术领域,具体为一种胸外科医生用肋骨牵开装置,包括：牵开器本体,所述牵开器本体包括翻转板,所述翻转板的内部固定安装有第一微型电机,所述第一微型电机的输出端固定连接有旋转杆,所述旋转杆上活动安装有两组活动块；牵引结构,所述牵引结构包括活动臂,所述活动臂固定安装在活动块的前端,所述活动臂的底面固定安装有照明灯。本发明的肋骨牵开器通过设置有两组活动臂,可同时对两侧肋骨进行牵引,减少对肋骨的牵引幅度,降低组织的损伤,同时单组活动臂上设置有两组卡爪,交替对肋骨进行压迫固定,可减少对肋间肌的损伤,降低患者术后疼痛,提高了器械的实用性。(The invention relates to the technical field of thoracic surgery, in particular to a rib retracting device for a thoracic surgery doctor, which comprises: the retractor comprises a retractor body, wherein the retractor body comprises a turnover plate, a first micro motor is fixedly arranged in the turnover plate, the output end of the first micro motor is fixedly connected with a rotating rod, and two groups of movable blocks are movably arranged on the rotating rod; draw the structure, draw the structure and include the digging arm, digging arm fixed mounting is at the front end of movable block, the bottom surface fixed mounting of digging arm has the light. The rib retractor provided by the invention can be used for simultaneously towing ribs on two sides, so that the towing amplitude of the ribs is reduced, the tissue damage is reduced, meanwhile, the single-group movable arms are provided with the two groups of clamping jaws for alternately compressing and fixing the ribs, the damage to intercostal muscles is reduced, the postoperative pain of a patient is reduced, and the practicability of the device is improved.)

1. A rib retraction device for a thoracic surgeon, comprising:

the retractor comprises a retractor body (1), wherein the retractor body (1) comprises a turnover plate (11), a first micro motor (12) is fixedly installed inside the turnover plate (11), the output end of the first micro motor (12) is fixedly connected with a rotating rod (13), and two groups of movable blocks (14) are movably installed on the rotating rod (13);

draw structure (2), draw structure (2) including digging arm (21), digging arm (21) fixed mounting is at the front end of movable block (14), the bottom surface fixed mounting of digging arm (21) has light (22), movable slot (23) have been seted up to the inside of digging arm (21), the inside movable mounting of movable slot (23) has first movable plate (24), spacing groove (25) have been seted up to the top surface of first movable plate (24), there are jack catch (26) at the both ends of first movable plate (24) through screwed connection, the upside movable mounting of first movable plate (24) has second movable plate (27), one side fixed mounting of first movable plate (24) has second micro motor (28), the output fixedly connected with first gear (29) of second micro motor (28), one side movable mounting of first gear (29) has second gear (210), the upper surface and the lower surface of the second gear (210) are fixedly provided with fixing columns (211), the upper end of the second gear (210) is sleeved with a belt (212), and the lower end of the second gear (210) is sleeved with a limiting ring (213).

2. A rib retraction device for thoracic surgeons, according to claim 1, characterized in that: fixed knot constructs (3), fixed knot constructs (3) including bottom plate (31), the downside at returning face plate (11) is installed in bottom plate (31), the bottom surface fixedly connected with of bottom plate (31) screws subassembly (32), the top surface movable mounting of screwing subassembly (32) has rotation axis (33), movable mounting has connecting block (34) on rotation axis (33), one side fixed mounting of connecting block (34) has fixed plate (35), fixed mounting has leather packing (36) on the lateral wall of fixed plate (35), spout (37) have been seted up on the inside wall of fixed plate (35), fixed mounting has connecting rod (38) on the inboard of fixed plate (35), the jack has been seted up on the top of spout (37).

3. A rib retraction device for thoracic surgeons, according to claim 1, characterized in that: fixed axle (15) are fixedly mounted on the two side walls of roll-over plate (11), a slide bar (16) is fixedly mounted on one side wall of roll-over plate (11), a spring (17) is fixedly mounted inside slide bar (16), and a clamping column (18) is fixedly connected to the top end of spring (17).

4. A rib retraction device for thoracic surgeons, according to claim 3, characterized in that: install the controller on the lateral wall of returning face plate (11), rotary rod (13) and movable block (14) constitute the ball screw structure, set up two sets of reverse thread grooves on rotary rod (13), two sets of movable block (14) are located two sets of thread grooves respectively, the lateral wall of returning face plate (11) is exposed to the front end of movable block (14), fixed axle (15) movable mounting is in the inside of fixed plate (35), the top movable mounting of slide bar (16) is in the inside of spout (37), the top card of card post (18) is in the inside of jack.

5. A rib retraction device for thoracic surgeons, according to claim 1, characterized in that: the utility model discloses a portable electronic device, including movable arm (21), first fly leaf (24) and second fly leaf (27), movable arm (21) are total two sets ofly, and are two sets ofly movable arm (21) laminates each other, first fly leaf (24) and second fly leaf (27) all are "door" font structure, the length of second fly leaf (27) is greater than the length of first fly leaf (24), first fly leaf (24) are located the inboard of second fly leaf (27), the bottom parallel and level of first fly leaf (24) and second fly leaf (27), and expose the bottom surface of movable arm (21).

6. A rib retraction device for thoracic surgeons, according to claim 1, characterized in that: the jack catch (26) is located the bottom surface of digging arm (21), second micro motor (28) fixed mounting is in the bottom surface of activity groove (23), and is a set of the internally mounted of digging arm (21) has two sets of second gears (210), first gear (29) and second gear (210) meshing, second gear (210) are located between first digging plate (24) and second digging plate (27), spacing groove (25) have also been seted up to the bottom surface of second digging plate (27), and the length of spacing groove (25) is greater than the diameter of second gear (210).

7. A rib retraction device for thoracic surgeons, according to claim 1, characterized in that: the top ends of the two groups of fixed columns (211) are respectively inserted into the limiting grooves (25) on the first movable plate (24) and the second movable plate (27), the two groups of fixed columns (211) are symmetrically arranged on the edges of the upper surface and the lower surface of the second gear (210), the side wall of the limiting ring (213) is fixedly connected with the inner wall of the movable groove (23), and one end of the belt (212) is sleeved on the other group of second gear (210).

8. A rib retraction device for thoracic surgeons, according to claim 2, characterized in that: the bottom fixedly connected with micro motor of rotation axis (33), rotation axis (33) and connecting block (34) constitute the ball screw structure, and are two sets of fixed plate (35) are installed respectively on the lateral wall of two sets of connecting block (34), and are two sets of fixed plate (35) are through connecting rod (38) fixed connection.

9. A rib retraction device for thoracic surgeons, according to claim 2, characterized in that: the sliding groove (37) is of an arc-shaped structure, the insertion hole penetrates through the outer side wall of the fixing plate (35), and the leather pad (36) is fixedly installed at one end of the insertion hole.

Technical Field

The invention relates to the technical field of thoracic surgery, in particular to a rib retracting device for a thoracic surgery doctor.

Background

Thoracic surgery is a medical special department, which is specialized in the diagnosis and treatment of pathological changes of the thoracic cavity, mainly esophagus, lung and mediastinum, and the field of mammary gland surgery is also classified into the special department, wherein lung surgery and esophageal surgery are mainly used. When a surgeon performs an open-chest operation, in order to facilitate the operation of inserting a scalpel into a body, the surgeon must open an incision by using a rib retractor so as to widen the visual field and facilitate exploration and operation.

However, when the existing rib retractor is used, strong extrusion and long-time compression are caused to the upper rib and the lower intercostal muscle of the upper rib, and the intercostal muscle is damaged, so that postoperative pain is caused.

Therefore, in order to solve the above problems, a rib retracting device for a thoracic surgeon is proposed.

Disclosure of Invention

The present invention aims to provide a rib retractor for a thoracic surgeon, which solves the problems that the existing rib retractor proposed in the background art can cause strong extrusion and long-time compression to the upper rib and the lower intercostal muscle thereof, which causes injury to the intercostal muscle, and causes postoperative pain, and the existing rib retractor is composed of a fixed arm and a movable arm, and when in use, the rib retraction operation can be realized only by moving the movable arm alone, so that the rib retractor is inconvenient to use, and the single-side rib can be greatly moved, and the tissue on one side can be injured.

In order to achieve the purpose, the invention provides the following technical scheme: a rib retraction device for a thoracic surgeon, comprising:

the retractor comprises a retractor body, wherein the retractor body comprises a turnover plate, a first micro motor is fixedly arranged in the turnover plate, the output end of the first micro motor is fixedly connected with a rotating rod, and two groups of movable blocks are movably arranged on the rotating rod;

the traction structure comprises a movable arm which is fixedly arranged at the front end of a movable block, the bottom surface of the movable arm is fixedly provided with a lighting lamp, the movable arm is internally provided with a movable groove, a first movable plate is movably arranged in the movable groove, the top surface of the first movable plate is provided with a limit groove, the two ends of the first movable plate are connected with clamping jaws through screws, a second movable plate is movably arranged on the upper side of the first movable plate, a second micro motor is fixedly arranged on one side of the first movable plate, the output end of the second micro motor is fixedly connected with a first gear, a second gear is movably arranged on one side of the first gear, a fixed column is fixedly arranged on the upper surface and the lower surface of the second gear, the upper end cover of second gear is equipped with the belt, the lower pot head of second gear is equipped with the spacing ring.

Preferably, fixed knot constructs including the bottom plate, the downside at the returning face plate is installed to the bottom plate, the bottom surface fixedly connected with subassembly of screwing of bottom plate, the top surface movable mounting of the subassembly of screwing has the rotation axis, movable mounting has the connecting block on the rotation axis, one side fixed mounting of connecting block has the fixed plate, fixed mounting has the leather packing on the lateral wall of fixed plate, the spout has been seted up on the inside wall of fixed plate, fixed mounting has the connecting rod on the inboard of fixed plate, the jack has been seted up on the top of spout.

Preferably, the fixed shafts are fixedly mounted on two side walls of the turnover plate, the slide rod is fixedly mounted on one side wall of the turnover plate, the spring is fixedly mounted inside the slide rod, and the clamping column is fixedly connected to the top end of the spring.

Preferably, install the controller on the lateral wall of returning face plate, the rotary rod constitutes the ball screw structure with the movable block, set up two sets of reverse thread grooves on the rotary rod, it is two sets of the movable block is located two sets of thread grooves respectively, the front end of movable block exposes the lateral wall of returning face plate, fixed axle movable mounting is in the inside of fixed plate, the top movable mounting of slide bar is in the inside of spout, the top card of card post is in the inside of jack.

Preferably, the digging arm is total two sets ofly, two sets of the digging arm is laminated each other, first fly leaf and second fly leaf all are "door" font structure, the length of second fly leaf is greater than the length of first fly leaf, first fly leaf is located the inboard of second fly leaf, the bottom parallel and level of first fly leaf and second fly leaf, and exposes the bottom surface of digging arm.

Preferably, the jack catch is located the bottom surface of digging arm, second micro motor fixed mounting is in the bottom surface of activity groove, and is a set of the internally mounted of digging arm has two sets of second gears, first gear and second gear meshing, the second gear is located between first fly leaf and the second fly leaf, the spacing groove has also been seted up to the bottom surface of second fly leaf, and the length of spacing groove is greater than the diameter of second gear.

Preferably, the top ends of the two groups of fixing columns are respectively inserted into the limiting grooves on the first movable plate and the second movable plate, the two groups of fixing columns are symmetrically arranged on the edges of the upper surface and the lower surface of the second gear, the side wall of the limiting ring is fixedly connected with the inner wall of the movable groove, and one end of the belt is sleeved on the other group of second gear.

Preferably, the bottom fixedly connected with micro motor of rotation axis, the rotation axis constitutes the ball screw structure with the connecting block, and is two sets of the fixed plate is installed respectively on the lateral wall of two sets of connecting blocks, and is two sets of the fixed plate passes through connecting rod fixed connection.

Preferably, the sliding groove is of an arc-shaped structure, the insertion hole penetrates through the outer side wall of the fixing plate, and the leather pad is fixedly installed at one end of the insertion hole.

Compared with the prior art, the invention has the beneficial effects that: the rib retractor provided by the invention can be used for simultaneously towing ribs on two sides, so that the towing amplitude of the ribs is reduced, the tissue damage is reduced, meanwhile, the single-group movable arms are provided with the two groups of clamping jaws for alternately compressing and fixing the ribs, the damage to intercostal muscles is reduced, the postoperative pain of a patient is reduced, and the practicability of the device is improved.

Be provided with rotary rod and movable block, seted up two sets of reverse thread grooves on the rotary rod, and two sets of movable blocks are located two sets of thread grooves respectively, can drive two sets of movable blocks reverse movement when the rotary rod is rotatory to the realization is dragged the both sides rib simultaneously, reduces the range of pulling of unilateral rib, reduces the damage of tissue.

Be provided with second gear and fixed column, the rotation of second gear can drive two sets of fixed columns and be circular motion, make two sets of fixed columns respectively at the activity of the spacing inslot on first fly leaf and second fly leaf surface, and two sets of fixed columns are located the both sides of second gear upper and lower face respectively, the activity of fixed column can drive first fly leaf and second fly leaf and be repeated reverse motion, in order to drive the jack catch at first fly leaf and second fly leaf both ends and the laminating of intercostal muscle in turn, shorten the oppression time to local intercostal muscle, the jack catch is provided with the cushion with the laminating department of tissue simultaneously, can reduce the oppression intensity to the tissue, further reduce intercostal nerve damage, reduce patient's postoperative pain, the practicality of apparatus has been improved.

Be provided with the subassembly of screwing, can fix the retractor body at the sick bed border through the subassembly of screwing, be convenient for fix the retractor body, need not to place the retractor body on patient's health, reduce the oppression to the patient, be provided with fixed axle and card post, the returning face plate can be rotatory in the inboard of fixed plate, is convenient for accomodate the digging arm, and through blocking the post card inside the jack, can fix the angle of digging arm, is convenient for operate the retractor body.

Drawings

Fig. 1 is a schematic front view of the construction of the retractor body according to the invention;

figure 2 is a schematic view of an exploded structure of the retractor body of the invention;

FIG. 3 is a schematic front view of the blast structure of the roll-over panel of the present invention;

FIG. 4 is an enlarged view of the movable block according to the present invention;

FIG. 5 is a schematic bottom view of the movable arm of the present invention;

FIG. 6 is a schematic sectional top view of the structure of the movable slot of the present invention;

FIG. 7 is an exploded view of the first movable plate of the present invention;

fig. 8 is an exploded view of the second gear of the present invention.

In the figure: 1. a retractor body; 11. a turnover plate; 12. a first micro motor; 13. rotating the rod; 14. a movable block; 15. a fixed shaft; 16. a slide bar; 17. a spring; 18. clamping the column; 2. a traction structure; 21. a movable arm; 22. an illuminating lamp; 23. a movable groove; 24. a first movable plate; 25. a limiting groove; 26. a claw; 27. a second movable plate; 28. a second micro motor; 29. a first gear; 210. a second gear; 211. fixing a column; 212. a belt; 213. a limiting ring; 3. a fixed structure; 31. a base plate; 32. screwing the assembly; 33. a rotating shaft; 34. connecting blocks; 35. a fixing plate; 36. a leather pad; 37. a chute; 38. a connecting rod.

Detailed Description

The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.

Referring to fig. 1-8, an embodiment of the present invention: a rib retraction device for a thoracic surgeon, comprising:

the retractor comprises a retractor body 1, wherein the retractor body 1 comprises a turnover plate 11, a first micro motor 12 is fixedly arranged inside the turnover plate 11, the output end of the first micro motor 12 is fixedly connected with a rotating rod 13, and two groups of movable blocks 14 are movably arranged on the rotating rod 13;

the traction structure 2 comprises a movable arm 21, the movable arm 21 is fixedly installed at the front end of a movable block 14, an illuminating lamp 22 is fixedly installed on the bottom surface of the movable arm 21, a movable groove 23 is formed in the movable arm 21, a first movable plate 24 is movably installed in the movable groove 23, a limit groove 25 is formed in the top surface of the first movable plate 24, two ends of the first movable plate 24 are connected with clamping jaws 26 through screws, a second movable plate 27 is movably installed on the upper side of the first movable plate 24, a second micro motor 28 is fixedly installed on one side of the first movable plate 24, a first gear 29 is fixedly connected with the output end of the second micro motor 28, a second gear 210 is movably installed on one side of the first gear 29, fixed columns 211 are fixedly installed on the upper and lower surfaces of the second gear 210, a belt 212 is sleeved on the upper end of the second gear 210, and a limit ring 213 is sleeved on the lower end of the second gear 210, the bottom of the movable arm 21 is provided with two sets of claws 26, and two sets of claws 26 move in turn, can oppress fixedly to the rib alternately, reduce the injury to intercostal muscle, reduce patient's postoperative pain, improved retractor body 1's practicality.

Further, the fixed structure 3 includes a bottom plate 31, the bottom plate 31 is installed at the lower side of the turnover plate 11, the bottom surface of the bottom plate 31 is fixedly connected with a screwing component 32, the top surface of the screwing component 32 is movably installed with a rotating shaft 33, a connecting block 34 is movably installed on the rotating shaft 33, one side of the connecting block 34 is fixedly installed with a fixing plate 35, a leather pad 36 is fixedly installed on the outer side wall of the fixing plate 35, a chute 37 is formed on the inner side wall of the fixing plate 35, a connecting rod 38 is fixedly installed on the inner side of the fixing plate 35, a jack is formed at the top end of the chute 37, the retractor body 1 can be fixed at the edge of a hospital bed through the screwing component 32, the retractor body 1 is convenient to fix, the retractor body 1 does not need to be placed on the body of a patient, the compression on the patient is reduced, the turnover plate 11 can be turned over at the inner side of the fixing plate 35, and can be accommodated in the movable arm 21, and the clamping column 18 is clamped in the jack, so that the angle of the movable arm 21 can be fixed, and the retractor body 1 can be conveniently operated.

Furthermore, a fixing shaft 15 is fixedly mounted on two side walls of the turnover plate 11, a sliding rod 16 is fixedly mounted on one side wall of the turnover plate 11, a spring 17 is fixedly mounted inside the sliding rod 16, a clamping column 18 is fixedly connected to the top end of the spring 17, the fixing shaft 15 provides a fulcrum for turnover of the turnover plate 11, and the clamping column 18 is clamped inside the jack and can fix the turnover plate 11.

Further, install the controller on the lateral wall of returning face plate 11, rotary rod 13 constitutes the ball screw structure with movable block 14, two sets of reverse thread grooves have been seted up on the rotary rod 13, two sets of movable block 14 are located two sets of thread grooves respectively, the lateral wall of returning face plate 11 is exposed to the front end of movable block 14, fixed axle 15 movable mounting is in the inside of fixed plate 35, the top movable mounting of slide bar 16 is in the inside of spout 37, the top card of card post 18 is in the inside of jack, the rotation of rotary rod 13 can drive two sets of movable block 14 at the inside reverse movement of returning face plate 11, so that pull simultaneously the both sides rib, reduce the range of pulling of unilateral rib, reduce the damage of tissue.

Further, the two sets of movable arms 21 are provided, the two sets of movable arms 21 are attached to each other, the first movable plate 24 and the second movable plate 27 are both in a "door" shape, the length of the second movable plate 27 is greater than that of the first movable plate 24, the first movable plate 24 is located on the inner side of the second movable plate 27, the bottom ends of the first movable plate 24 and the second movable plate 27 are flush with each other and exposed out of the bottom surface of the movable arm 21, the first movable plate 24 and the second movable plate 27 are not in contact with each other, and the movement tracks of the first movable plate 24 and the second movable plate 27 are not overlapped with each other, so that the first movable plate 24 and the second movable plate 27 are prevented from colliding with each other, and the stability of the operation of the retractor body 1 is ensured.

Further, the claws 26 are located on the bottom surface of the movable arm 21, the second micro motor 28 is fixedly installed on the bottom surface of the movable groove 23, two sets of second gears 210 are installed inside one set of the movable arm 21, the first gear 29 is engaged with the second gears 210, the second gears 210 are located between the first movable plate 24 and the second movable plate 27, the bottom surface of the second movable plate 27 is also provided with a limiting groove 25, the length of the limiting groove 25 is greater than the diameter of the second gears 210, and the second gears 210 are respectively arranged at the two ends of the first movable plate 24, so that the stability of the first movable plate 24 and the second movable plate 27 during movement can be improved, and the first movable plate 24 and the second movable plate 27 are always kept parallel.

Further, the top ends of the two sets of fixed columns 211 are respectively inserted into the limiting grooves 25 on the first movable plate 24 and the second movable plate 27, the two sets of fixed columns 211 are symmetrically installed at the edges of the upper and lower surfaces of the second gear 210, the side wall of the limiting ring 213 is fixedly connected with the inner wall of the movable groove 23, one end of the belt 212 is sleeved on the other set of second gear 210, so that the rotation of the second gear 210 can drive the two sets of fixed columns 211 to make symmetrical circular motion, the top ends of the fixed columns 211 can slide in the limiting grooves 25, so as to facilitate the pushing of the first movable plate 24 and the second movable plate 27 to move in opposite directions, and the limiting ring 213 provides support for the rotation of the second gear 210.

Further, the bottom fixedly connected with micromotor of rotation axis 33, rotation axis 33 and connecting block 34 constitute the ball screw structure, and two sets of fixed plates 35 are installed respectively on the lateral wall of two sets of connecting blocks 34, and two sets of fixed plates 35 pass through connecting rod 38 fixed connection, and the rotation of rotation axis 33 can drive connecting block 34 and go up and down to in the height of adjustment returning face plate 11.

Further, the chute 37 is of an arc-shaped structure, the insertion hole penetrates through the outer side wall of the fixing plate 35, the leather pad 36 is fixedly installed at one end of the insertion hole, the clamping column 18 can be pushed out of the insertion hole conveniently by pressing the leather pad 36, fixing of the turnover plate 11 is removed, and the movable arm 21 is convenient to store.

The working principle is as follows: during the use, place bottom plate 31 on the sick bed border, then it is fixed through subassembly 32 of screwing, then upset returning face plate 11, turn out digging arm 21, slide bar 16 slides in the inside of spout 37, and when returning face plate 11 level, card post 18 can block inside the jack, in order to realize the fixed of digging arm 21 angle, operate the controller on returning face plate 11 after that, control micro motor starts, micro motor drives rotation axis 33 and rotates, rotation axis 33 drives connecting block 34 and goes up and down, so that adjust the height of returning face plate 11, make jack catch 26 and tissue contact.

Then, the first micro motor 12 is started, the first micro motor 12 drives the rotating rod 13 to rotate, and the rotating rod 13 drives the two sets of movable blocks 14 to move in the opposite direction, so that the two side ribs are simultaneously pulled, the pulling amplitude of the single side rib is reduced, and the tissue damage is reduced.

Then, the second micro motor 28 is started, the second micro motor 28 drives the first gear 29 to rotate, the first gear 29 is meshed with the second gear 210 to drive the second gear 210 to rotate, the second gear 210 drives the two groups of fixing columns 211 to do circular motion, so that the two groups of fixing columns 211 respectively move in the limiting grooves 25 on the surfaces of the first movable plate 24 and the second movable plate 27 to drive the first movable plate 24 and the second movable plate 27 to do repeated reverse motion so as to drive the two groups of clamping jaws 26 to alternately adhere to intercostal muscles, the pressing time of local intercostal muscles is shortened, meanwhile, the adhering positions of the clamping jaws 26 and tissues are provided with soft pads, the pressing strength of the tissues can be reduced, the intercostal nerve injury is further reduced, the postoperative pain of a patient is reduced, and the practicability of the retractor body 1 is improved.

It will be evident to those skilled in the art that the invention is not limited to the details of the foregoing illustrative embodiments, and that the present invention may be embodied in other specific forms without departing from the spirit or essential attributes thereof. The present embodiments are therefore to be considered in all respects as illustrative and not restrictive, the scope of the invention being indicated by the appended claims rather than by the foregoing description, and all changes which come within the meaning and range of equivalency of the claims are therefore intended to be embraced therein. Any reference sign in a claim should not be construed as limiting the claim concerned.