CN206777492U - A kind of intravertebral anesthesia Postural immobilization support - Google Patents
A kind of intravertebral anesthesia Postural immobilization support Download PDFInfo
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- CN206777492U CN206777492U CN201621492786.4U CN201621492786U CN206777492U CN 206777492 U CN206777492 U CN 206777492U CN 201621492786 U CN201621492786 U CN 201621492786U CN 206777492 U CN206777492 U CN 206777492U
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Abstract
本实用新型公开了一种椎管内麻醉体位固定支架,包括游离端可实现上下调节和前后调节的支撑体、夹持体、以及连接支撑体和夹持体的曲杆。该支架固定于手术床侧边栏,通过夹持体进行固定,曲杆使支撑体向前一段距离,患者将下颌放于支撑体上时,身体呈弓形,此时患者椎间隙拉开程度最利于椎管内麻醉的穿刺操作。本实用新型实现了颌托的上下、前后移动,脚踏装置的上下移动,以及在手术床侧栏上的有效固定。通过设置具有一定弧度的曲杆,使患者将下颌放入颌托时,背部呈弓状以方便麻醉医生进行椎管内麻醉的穿刺操作,从而提高椎管内麻醉的穿刺成功率,特别适用于肥胖患者和椎管内麻醉穿刺困难的患者。
The utility model discloses an anesthesia position fixation bracket in the spinal canal, which comprises a support body whose free end can be adjusted up and down and back and forth, a clamping body, and a curved rod connecting the support body and the clamping body. The bracket is fixed on the side rail of the operating bed, fixed by the clamping body, and the curved rod makes the support body forward for a certain distance. When the patient puts the mandible on the support body, the body is arched, and the intervertebral space of the patient is opened the most. Conducive to the puncture operation of spinal anesthesia. The utility model realizes the up and down, front and back movement of the jaw support, the up and down movement of the pedal device, and the effective fixing on the side rail of the operating bed. By setting a curved rod with a certain radian, when the patient puts the mandible into the jaw rest, the back is arched to facilitate the anesthesiologist to perform the puncture operation of the spinal canal anesthesia, thereby improving the puncture success rate of the spinal canal anesthesia, especially suitable for Obese patients and patients with difficult neuraxial anesthesia puncture.
Description
技术领域technical field
本实用新型涉及医疗器械领域,具体地说涉及一种椎管内麻醉体位固定支架。The utility model relates to the field of medical instruments, in particular to a bracket for fixing the anesthesia position in the spinal canal.
背景技术Background technique
椎管内麻醉操作的成功与否很大程度地取决于患者的配合程度和患者的体位,而舒适的体位往往能提高患者的依从性。椎管内麻醉的穿刺体位有侧卧位和坐位两种,由于国内外目前缺少专用的椎管内麻醉穿刺固定支架,所以坐位穿刺方法的应用比例低于侧卧位,只在肥胖患者或者是侧卧位穿刺失败时才使用坐位穿刺法。由于没有专用的坐位穿刺固定支架只能用普通的靠背椅代替,患者必须从手术床上移到椅子上,在椅子上穿刺成功后再移回手术床,在移动的过程中增加患者出现意外的风险。The success of neuraxial anesthesia depends largely on the patient's cooperation and the patient's position, and a comfortable position can often improve patient compliance. There are two puncture positions for spinal anesthesia: lateral position and sitting position. Due to the lack of special spinal anesthesia puncture fixation brackets at home and abroad, the application rate of sitting position puncture method is lower than that of lateral position. It is only used in obese patients or The sitting position puncture method is only used when the lateral position puncture fails. Since there is no special seat puncture fixing bracket, ordinary chairs can only be used instead. The patient must move from the operating table to the chair, and then move back to the operating table after the puncture is successful on the chair, which increases the risk of accidents for the patient during the moving process. .
移动的椅子替代固定的穿刺支架有很多的不安全因素:第一、椎管内麻醉的穿刺操作要求患者绝对不动,任何的移动都会增加损伤血管神经的风险,造成严重的麻醉并发症,而移动的椅子无法做到这一点。第二、坐位穿刺过程中,患者需面对椅背骑跨在椅子上,椅背的弧度无法将患者的椎间隙完全拉开,增加了穿刺的难度,特别是孕产妇患者,增大的子宫使得这个动作更加的困难。第三、这种面对椅背骑跨在椅子上的姿势非常的不舒服,患者无法长时间保持该姿势,使得患者的依从性降低,增加了患者非主观的不配合。There are many unsafe factors in the replacement of fixed puncture brackets by moving chairs: first, the puncture operation of spinal anesthesia requires the patient to be absolutely still, and any movement will increase the risk of damage to blood vessels and nerves, resulting in serious anesthesia complications, while A moving chair can't do that. Second, during the sitting puncture process, the patient needs to ride on the chair facing the back of the chair. The curvature of the back of the chair cannot completely open the intervertebral space of the patient, which increases the difficulty of puncture, especially for pregnant women. making this action more difficult. Third, this posture facing the back of the chair and straddling the chair is very uncomfortable, and the patient cannot maintain this posture for a long time, which reduces the patient's compliance and increases the non-subjective non-cooperation of the patient.
实用新型内容Utility model content
发明目的:为了克服现有技术中存在的不足,本实用新型提供一种自由可调的椎管内滞麻醉体位固定支架。Purpose of the invention: In order to overcome the deficiencies in the prior art, the utility model provides a freely adjustable spinal canal internal stagnation anesthesia position fixation bracket.
技术方案:本实用新型的一种椎管内麻醉体位固定支架,包括游离端可实现上下调节和前后调节的支撑体、夹持体、以及连接支撑体和夹持体的曲杆。该支架固定于手术床侧边栏,通过夹持体进行固定,曲杆使支撑体向前一段距离,患者将下颌放于支撑体上时,身体呈弓形,此时患者椎间隙拉开程度最利于椎管内麻醉的穿刺操作。Technical solution: The utility model provides an anesthesia position fixation bracket in the spinal canal, which includes a support body whose free end can be adjusted up and down and front and rear, a clamping body, and a curved rod connecting the support body and the clamping body. The bracket is fixed on the side rail of the operating bed, fixed by the clamping body, and the curved rod makes the support body forward for a certain distance. When the patient puts the mandible on the support body, the body is arched, and the intervertebral space of the patient is opened the most. Conducive to the puncture operation of spinal anesthesia.
进一步地,所述支撑体包括滑动组合的基座和水平运动的滑块,所述滑块上表面上连接直立的第一支撑杆,所述第一支撑杆自由端设有颌托。所述基座设有轨槽,轨槽沿滑块滑动方向设有若干滑块销孔,所述滑块从上表面开孔并安装有插入滑块销孔的插销。所述基座侧面设有腰形孔,滑块两侧各自水平安装有一根手执杆从腰型孔伸出。Further, the support body includes a sliding combined base and a horizontally moving slider, the upper surface of the slider is connected to an upright first support rod, and the free end of the first support rod is provided with a jaw rest. The base is provided with rail grooves, and the rail grooves are provided with a plurality of slider pin holes along the sliding direction of the slider. The slider is opened from the upper surface and is installed with a latch inserted into the slider pin holes. A waist-shaped hole is provided on the side of the base, and a handle bar is installed horizontally on both sides of the slider protruding from the waist-shaped hole.
所述基座下部为侧面开设侧孔的筒形部,筒形部内设有与所述曲杆上端固定的升降杆,升降杆设有若干不同高度分布的调高销孔,调高销孔与筒形部侧孔通过调高插销连接。调节筒形部和升降杆之间的高度,在调高销孔与侧孔对应的时候插入调高插销,实现高度的调节和固定。The lower part of the base is a cylindrical part with side holes on the side, and a lifting rod fixed to the upper end of the curved rod is arranged in the cylindrical part. The lifting rod is provided with several height-adjusting pin holes distributed at different heights. It is connected with the side hole of the cylindrical part through the height adjustment pin. Adjust the height between the cylindrical part and the lifting rod, and insert the height adjustment pin when the height adjustment pin hole corresponds to the side hole to realize height adjustment and fixation.
所述夹持体包括相互铰接的卡座和夹子,卡座与曲杆下端连接,卡座设有从上端卡住手术床侧栏的上卡齿,夹子铰接处的一端设有卡住手术床侧栏下端的下卡齿,另一端延伸形成压柄。压柄的形状根据实际情况可进行调整。当夹持体还安装有脚踏装置的时候,压柄和下卡齿设于卡座中间的时候会影响使用,将其中间开设槽口使脚踏装置的第二支撑杆穿过,可保证使用压柄的时候不会被阻碍。The clamping body includes a deck and a clip hinged to each other, the deck is connected to the lower end of the curved rod, the deck is provided with an upper latch that clamps the side rail of the operating bed from the upper end, and one end of the hinged part of the clip is provided with a clip that clamps the operating bed. The lower locking tooth at the lower end of the side rail is extended to form a pressing handle at the other end. The shape of the pressure handle can be adjusted according to actual conditions. When the clamping body is also equipped with a pedal device, when the pressure handle and the lower latch are arranged in the middle of the card seat, it will affect the use. A slot is opened in the middle to allow the second support rod of the pedal device to pass through, which can ensure It will not be hindered when using the press handle.
作为本实用新型的优选方案,所述夹持体下端安装有高度可调的脚踏装置。所述脚踏装置包括安装于夹持体下端的第二支撑杆、以及水平安装于第二支撑杆两侧的第一脚踏板和第二脚踏板;所述第二支撑杆两侧分别设有用于固定第一脚踏板和第二脚踏板实现高度调节的一排插口。As a preferred solution of the present utility model, a height-adjustable pedal device is installed at the lower end of the clamping body. The pedal device includes a second support rod installed on the lower end of the clamping body, and a first pedal and a second pedal horizontally installed on both sides of the second support rod; the two sides of the second support rod are respectively There is a row of sockets for fixing the first footrest and the second footrest for height adjustment.
所述第一脚踏板和第二脚踏板分别设有水平接于插口并相互连接的一对横杆、以及安装于横杆上的脚踏板。The first pedal and the second pedal are respectively provided with a pair of horizontal bars connected horizontally to the socket and connected to each other, and a pedal installed on the horizontal bar.
本实用新型的颌托上表面形成中间下凹的弧面,颌托表面设有硅胶垫。The upper surface of the jaw support of the utility model forms a concave arc surface in the middle, and the surface of the jaw support is provided with a silica gel pad.
一般来说,夹持体与颌托的连线与颌托所在垂线的夹角为10°~35°,患者在该角度下保持弓形体位是最舒适的,在此弓形体位下患者能最大程度地拉开椎间隙。Generally speaking, the angle between the line connecting the clamping body and the jaw rest and the vertical line where the jaw rest is located is 10° to 35°. It is most comfortable for the patient to maintain an arched position at this angle. In this arched position, the patient can reach the maximum Widen the intervertebral space to a certain extent.
有益效果:本实用新型实现了颌托的上下、前后移动,脚踏装置的上下移动,以及在手术床侧栏上的有效固定。通过设置具有一定弧度的曲杆,使患者将下颌放入颌托时,背部呈弓状以方便麻醉医生进行椎管内麻醉的穿刺操作,从而提高椎管内麻醉的穿刺成功率,特别适用于肥胖患者和椎管内麻醉穿刺困难的患者。Beneficial effects: the utility model realizes the up and down, front and back movement of the jaw support, the up and down movement of the pedal device, and the effective fixation on the side rail of the operating bed. By setting a curved rod with a certain radian, when the patient puts the mandible into the jaw rest, the back is arched to facilitate the anesthesiologist to perform the puncture operation of spinal canal anesthesia, thereby improving the puncture success rate of spinal canal anesthesia, especially suitable for Obese patients and patients with difficulty in neuraxial anesthesia puncture.
附图说明Description of drawings
图1是本实用新型的结构示意图;Fig. 1 is a structural representation of the utility model;
图2是图1的侧视图。FIG. 2 is a side view of FIG. 1 .
具体实施方式detailed description
下面结合附图对本实用新型作更进一步的说明。Below in conjunction with accompanying drawing, the utility model is described further.
如图1、图2所示,一种椎管内麻醉体位固定支架,包括游离端可实现上下调节和前后调节的支撑体1、夹持体2、以及连接支撑体1和夹持体2的曲杆3。支撑体1包括滑动组合的基座11和水平运动的滑块12,滑块12上表面上连接直立的第一支撑杆13,第一支撑杆13自由端设有颏托14。基座设有轨槽,轨槽沿滑块12滑动方向设有若干滑块销孔,滑块12从上表面开孔并安装有插入滑块12销孔的插销15。基座侧面设有腰形孔110,滑块12两侧各自水平安装有一根手执杆120从腰型孔110伸出。基座11下部为侧面开设侧孔17的筒形部16,筒形部16内设有与曲杆3上端固定的升降杆31,升降杆31设有若干不同高度分布的调高销孔32,调高销孔32与筒形部侧孔17通过调高插销18连接。As shown in Figure 1 and Figure 2, a spinal anesthesia position fixation bracket includes a support body 1, a clamping body 2, and a support body 1 and a clamping body 2 that can be adjusted up and down and front and rear at the free end. Curved rod 3. The supporting body 1 includes a base 11 which slides and combines and a sliding block 12 which moves horizontally. The upper surface of the sliding block 12 is connected with an upright first supporting rod 13 , and a chin rest 14 is provided at the free end of the first supporting rod 13 . The base is provided with rail grooves, and the rail grooves are provided with some slider pin holes along the sliding direction of the slider 12. The slider 12 is perforated from the upper surface and is equipped with a latch 15 inserted into the slider 12 pin holes. A waist-shaped hole 110 is provided on the side of the base, and a handle bar 120 is installed horizontally on both sides of the slider 12 protruding from the waist-shaped hole 110 . The lower part of the base 11 is a cylindrical part 16 with a side hole 17 on the side. The cylindrical part 16 is provided with a lifting rod 31 fixed to the upper end of the curved rod 3. The lifting rod 31 is provided with a number of height-adjusting pin holes 32 distributed at different heights. The height adjustment pin hole 32 is connected with the side hole 17 of the cylindrical part through the height adjustment bolt 18 .
夹持体2包括相互铰接的卡座21和夹子22,卡座21与曲杆3下端连接,卡座21设有从上端卡住手术床侧栏5的上卡齿23,夹子22铰接处的一端设有卡住手术床侧栏5下端的下卡齿24,另一端延伸形成压柄25。The clamping body 2 includes a mutually hinged deck 21 and a clip 22, the deck 21 is connected to the lower end of the curved bar 3, the deck 21 is provided with an upper locking tooth 23 that clamps the side rail 5 of the operating bed from the upper end, and the clip 22 is hinged. One end is provided with a lower locking tooth 24 that clamps the lower end of the side rail 5 of the operating bed, and the other end is extended to form a pressing handle 25 .
夹持体2下端安装有高度可调的脚踏装置4。脚踏装置4包括安装于夹持体2下端的第二支撑杆41、以及水平安装于第二支撑杆41两侧的第一脚踏板42和第二脚踏板43;第二支撑杆41两侧分别设有用于固定第一脚踏板42和第二脚踏板43实现高度调节的一排插口44。第一脚踏板42和第二脚踏板43分别设有水平接于插口44并相互连接的一对横杆45、以及安装于横杆上的脚踏板46。A height-adjustable pedal device 4 is installed at the lower end of the holding body 2 . Pedal device 4 comprises the second support rod 41 that is installed in clamping body 2 lower ends, and the first pedal 42 and the second pedal 43 that are horizontally installed on the second support rod 41 both sides; A row of sockets 44 for fixing the first footrest 42 and the second footrest 43 for height adjustment are respectively provided on both sides. The first pedal 42 and the second pedal 43 are respectively provided with a pair of cross bars 45 horizontally connected to the socket 44 and connected to each other, and a foot board 46 installed on the cross bars.
以上所述仅是本实用新型的优选实施方式,应当指出:对于本技术领域的普通技术人员来说,在不脱离本实用新型原理的前提下,还可以做出若干改进和润饰,这些改进和润饰也应视为本实用新型的保护范围。The above is only a preferred embodiment of the utility model, it should be pointed out that for those of ordinary skill in the art, without departing from the principle of the utility model, some improvements and modifications can also be made. Retouching should also be regarded as the scope of protection of the present utility model.
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| CN201621492786.4U CN206777492U (en) | 2016-12-30 | 2016-12-30 | A kind of intravertebral anesthesia Postural immobilization support |
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| CN201621492786.4U CN206777492U (en) | 2016-12-30 | 2016-12-30 | A kind of intravertebral anesthesia Postural immobilization support |
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Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107049693A (en) * | 2016-12-30 | 2017-08-18 | 南京市妇幼保健院 | A kind of intravertebral anesthesia Postural immobilization support |
| CN110575236A (en) * | 2019-09-04 | 2019-12-17 | 贵州医科大学 | A puncture integrated device for multi-index precise positioning for spinal anesthesia |
| CN111938697A (en) * | 2020-08-18 | 2020-11-17 | 贵州医科大学附属医院 | An interventional ultrasonic medical device |
-
2016
- 2016-12-30 CN CN201621492786.4U patent/CN206777492U/en not_active Expired - Fee Related
Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107049693A (en) * | 2016-12-30 | 2017-08-18 | 南京市妇幼保健院 | A kind of intravertebral anesthesia Postural immobilization support |
| CN110575236A (en) * | 2019-09-04 | 2019-12-17 | 贵州医科大学 | A puncture integrated device for multi-index precise positioning for spinal anesthesia |
| CN110575236B (en) * | 2019-09-04 | 2022-09-20 | 贵州医科大学 | Puncture integrated device with multiple indexes and accurate positioning for spinal anesthesia |
| CN111938697A (en) * | 2020-08-18 | 2020-11-17 | 贵州医科大学附属医院 | An interventional ultrasonic medical device |
| CN111938697B (en) * | 2020-08-18 | 2023-04-28 | 贵州医科大学附属医院 | Interventional ultrasonic medical instrument |
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