双头立体偏置任向安装多功能手术刀柄的设计  

Design of Freedom From Choosing Direction Install Multifunctional Stereo Double Bias Scalpel Handle

作　　者：李懿[1] 林秧厦门医学院护理系 蔡秀群 陈智[3] 方克恒 陈宇博 LI Yi;LIN Yang;CAI Xiu-qun;CHEN Zhi;FANG Ke-heng;CHEN Yu-bo(Department of Orthopaedics Jinjiang Hospital, Jinjiang Fujian 362200, China;Department of Nursing, Xiamen Medical College, Xiamen Fujian 361023, China;Department of Medical Administration, Xiamen Traditional Chinese Medicine Hospital, Xiamen Fujian 361009, China;Department of Orthopaedics, Zhangpu County Hospital, Zhangpu Fujian 363200, China;Huisman (China), Zhangzhou Fujian 363105, China;Department of Surgery, Jinjiang Hospital, Jinjiang Fujian 362200, China)

机构地区：[1]晋江市医院骨科,福建晋江362200 [2]晋江市医院外科,福建晋江362200 [3]厦门市中医院医务部,福建厦门361009 [4]漳浦县医院骨科,福建漳浦363200 [5]豪氏威马(中国),福建漳州363105

出　　处：《中国医疗设备》2017年第8期33-37,共5页China Medical Devices

基　　金：福建省医学创新课题(2017-CXB-21)

摘　　要：目的为减少弯头特型手术刀柄术前备械、术中与刀片刃向匹配的繁琐,本研究人机化、集约化设计了双头立体偏置任向安装多功能手术刀柄。方法参照国标(GB)设计捷卸易装刀架、任向安刀尾座及多功能握柄等人机化结构,制成集双偏头手术刀柄、骨锉尺、线锯手柄、通配螺纹针螺帽扳手、磁性针板折弯器及掰瓿器等十种矫外及基础术械功能于一体的手术刀柄部件模块并验证使用。结果验证应用表明双偏刀柄不但俱备了多型弯头刀柄的功能,还克服了普通刀柄功寡缓拾、装卸滞畅、择向装刀、绷断弹射等不足。达到预设目标。结论双偏刀柄具有一械多用、便拾舒握、任向装刀、左右利手、拆卸简捷、事半功倍、主动防护、操控安全、携储两便、性价比高及平战皆宜的特性。有助于减少人因失误、实现患者安全目标及落实JCI认证标准,降耗增效、提升手术功效、预防锐器伤并降低职业伤害风险。Objective To reduce the cumbersome works,such as the preoperative preparation of various elbow type scalpel handles,which behaves well in intensive and ergonomics,this research aims to design a freedom from choosing direction install multifunctional stereo double bias scalpel handle.Methods According to the national standard(GB),ergonomics structures such as the scalpel rack of convenient and easy to install and dismount,free directivity blade assemble tailstock and multifunctional handle were designed.The scalpel handle component module was equipped with double bias heads scalpel handle,bone file ruler,wiresaw handle,universal screw needle and screw nut wrenchs,magnetic bending device of needles and plates,breaking the ampoule opening device and etc,which integrated ten kinds of functions for orthopedic and basic surgical instruments and applied for verification.Results The verifiable application showed that the double bias heads scalpel handle not only had functions of several types elbow head scalpel handles,but also overcame the defects of the general scalpel handle,such as single function and inconvenience picking up,poor disassemble and assemble,install directivity,easy to break and ejection injury problems,and met the desired requirements.Conclusion The double bias heads scalpel handle gains advantages in multipurpose,convenient picking up and comfortable grip,free directivity assembling blade,left and right handedness,simple and quick disassembly,twice the result with half the effort,active protection,operation safety,easy to carry and store,cost-effective,suitable both in peacetime and wartime.It can be conducive to reducing human error,achieving the goals of patient safety and the implementation of joint commission on accreditation of healthcare organization(JCI)certification standards,reducing cost and increasing efficiency,enhancing operation efficiency,preventing sharp instrument injury and decreasing vocational hazard.

关 键 词：手术刀柄 主动防护 患者安全 人因失误 锐器伤 人体工学设计 

分 类 号：R318.6[医药卫生—生物医学工程] TH777[医药卫生—基础医学]