模块化免择向易装畅卸便携式手术刀柄设计  

Design of modular two-direction scalpel handle with easy assembly and disassembly

作　　者：李懿[1] 林秧 蔡秀群 陈智[3] 方克恒 陈宇博 

机构地区：[1]晋江市医院,福建晋江362200 [2]厦门医学院,福建厦门360123 [3]厦门市中医院,福建厦门361009 [4]漳浦县医院,福建漳浦363200 [5]豪氏威马Huisman中国,福建漳州363105

出　　处：《医疗卫生装备》2017年第6期17-21,26,共6页Chinese Medical Equipment Journal

摘　　要：目的 :为克服普通手术刀柄功能单一、择向装刀、装卸滞畅、绷断弹射、拾取不便等缺欠,设计模块化免择向易装畅卸便携式手术刀柄。方法:遵从国标创新设计单槽双面刀架及柄尾曲颈偏置等人机化结构,制成集免择向畅卸式双面刀架、通配曲颈扳手、探针套导器、针刀助拔器及通捷量具等10余种矫外或基础术械功能于一体的手术刀柄部件模块,并经实验室模拟试验、临床手术与相关术械参照对比验证其应用效果。结果:该刀柄相较于普通刀柄安全便捷、左右利手、事半功倍,有助于预防锐器伤、提升手术功效、减少人因失误,达到了预设目标。结论:该刀柄人机模块化、集约一体化,具有一械多用、免择向性、拆装便捷、操控安全、携储两便及性价比高等特性,可以实现患者安全目标及落实国际医疗卫生机构认证联合委员会(Joint Commission on Accreditation of Healthcare Organization,JCAHO,简称"JCI")认证标准,平战皆宜。Objective To design a modular two-direction scalpel handle with easy assembly and disassembly to solve the problems of common handle in function singleness, directivity, assembling and disassembling, pick-up and etc. Methods A scalpel handle module involving in a single-groove two-direction tailstock, multifunctional handle and etc was designed according to international standards, which consisted of more than 10 kinds of instruments for orthopedic surgery and etc such as two-direction scalpel handle with easy assembly and disassembly, bent wrench, probe introducer, needle-knife remover and measuring tools. Simulation experiment, clinical trial and control test were carried out to verify the efficacy of the handle module. Results It′s proved that the handle module gained advantages in safety, convenience, prevention of sharp instrument injury, decrease of human errors and etc. Conclusion The handle module behaves well in modularity, integration,multifunction, two-direction adaptability, easy assembly and disassembly, safety, storage and carrying, high costperformance ratio and etc, meets the requirements of Joint Commission on Accreditation of Healthcare Organization, and is suitable for military and civilian uses.

关 键 词：手术刀柄 模块化 主动防护 患者安全 人因失误 卫生装备 职业伤害 

分 类 号：TH777[机械工程—仪器科学与技术]