CN110522625A - The minimally invasive intrathoracic press device of one kind and its application method - Google Patents
The minimally invasive intrathoracic press device of one kind and its application method Download PDFInfo
- Publication number
- CN110522625A CN110522625A CN201910714678.9A CN201910714678A CN110522625A CN 110522625 A CN110522625 A CN 110522625A CN 201910714678 A CN201910714678 A CN 201910714678A CN 110522625 A CN110522625 A CN 110522625A
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- Prior art keywords
- block
- press device
- mirror sheath
- pull rod
- minimally invasive
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
- 238000000034 method Methods 0.000 title claims abstract description 12
- 210000000115 thoracic cavity Anatomy 0.000 claims abstract description 13
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 claims abstract description 6
- 239000000741 silica gel Substances 0.000 claims abstract description 6
- 229910002027 silica gel Inorganic materials 0.000 claims abstract description 6
- 244000309464 bull Species 0.000 claims description 19
- 239000004744 fabric Substances 0.000 claims description 7
- 238000009429 electrical wiring Methods 0.000 claims description 3
- 210000000988 bone and bone Anatomy 0.000 claims 1
- 206010042566 Superinfection Diseases 0.000 abstract description 3
- 239000000463 material Substances 0.000 abstract description 2
- 230000008569 process Effects 0.000 abstract description 2
- 239000007779 soft material Substances 0.000 abstract description 2
- 238000012800 visualization Methods 0.000 abstract description 2
- 230000009286 beneficial effect Effects 0.000 abstract 1
- 230000000747 cardiac effect Effects 0.000 description 3
- 210000000038 chest Anatomy 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 210000003516 pericardium Anatomy 0.000 description 2
- 208000010496 Heart Arrest Diseases 0.000 description 1
- 208000029224 Thoracic injury Diseases 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 230000003592 biomimetic effect Effects 0.000 description 1
- 230000000739 chaotic effect Effects 0.000 description 1
- 230000006835 compression Effects 0.000 description 1
- 238000007906 compression Methods 0.000 description 1
- 238000002788 crimping Methods 0.000 description 1
- 230000006870 function Effects 0.000 description 1
- 238000000338 in vitro Methods 0.000 description 1
- 230000003601 intercostal effect Effects 0.000 description 1
- 230000009191 jumping Effects 0.000 description 1
- 210000002445 nipple Anatomy 0.000 description 1
- 238000004659 sterilization and disinfection Methods 0.000 description 1
- 210000001562 sternum Anatomy 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 208000003663 ventricular fibrillation Diseases 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H31/00—Artificial respiration or heart stimulation, e.g. heart massage
- A61H31/004—Heart stimulation
- A61H31/007—Manual driven
Landscapes
- Health & Medical Sciences (AREA)
- Cardiology (AREA)
- Heart & Thoracic Surgery (AREA)
- Emergency Medicine (AREA)
- Pulmonology (AREA)
- Epidemiology (AREA)
- Pain & Pain Management (AREA)
- Physical Education & Sports Medicine (AREA)
- Rehabilitation Therapy (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Measuring And Recording Apparatus For Diagnosis (AREA)
Abstract
The invention discloses a kind of minimally invasive intrathoracic press device and its application methods, it includes that block, mirror sheath, pull rod and bionical press device are held in pressing, block connecting rod is held in pressing, the lower end of pull rod connects bionical press device, mirror sheath is cavity structure up and down, the top that block is located at mirror sheath is held in pressing, and bionical press device is located at the lower section of mirror sheath.The beneficial effects of the present invention are as follows: reducing the probability of superinfection it is not necessary that hand to be deep into thoracic cavity;Mirror sheath end is equipped with microcam, and whole process is in visualization status, and operation safety greatly improves;Operative incision greatly reduces, and only needs the notch of a mirror sheath diameter;Equipped with negative pressure road, makes interior link block that heart be sucked by external negative pressure device, ensure that stability when pressing;Bionical press device and heart contact portion use soft material, such as silica gel material, and rigid is avoided to damage heart.
Description
Technical field
The present invention relates to a kind of minimally invasive intrathoracic press device and its application methods, belong to the field of medical instrument technology.
Background technique
Intrathoracic cardiac massage art is a kind of hand for thoracic injury cardiac arrest patient or closed cardiac massage nonresponder
Art, surgical procedure are usually that patient lies down or slightly lies on one's side to the right, and skin simply sterilizes or flanging disinfection is pressed on side in vitro, lack assistant
Can not also in emergency circumstances sterilize.Make arc incision from left border of sternum to anterior axillary line under the nipple of left side, enters through the 4th intercostal
Chest cuts off the 4th rib cage.The right hand protrudes into thoracic cavity, lays one's hand on heart, distinguish stop jumping, heartbeat inability or when ventricular fibrillation, first make the heart
Wrap outer cardiac compression.Be subsequently placed into machine for chest-opening retract thoracic cavity, cut off pericardium in nervus phrenicus front wale, in pericardium of changing one's profession heart by
Pressure.Carrying out pressing by going deep into thoracic cavity is easy to cause superinfection in this way, and to make to go smoothly to go deep into thoracic cavity, need biggish notch
.
Summary of the invention
The technical problem to be solved in the present invention is to provide the minimally invasive intrathoracic press device of one kind and its application method, the heart
Dirty press device can simulate manpower pressing heart, and notch greatly reduces, and the safety is improved.
The present invention is realized by following proposal: a kind of minimally invasive intrathoracic press device comprising block, mirror sheath, pull rod are held in pressing
With bionical press device, the pressing holds block and connects the pull rod, and the lower end of the pull rod connects the bionical press device, institute
Stating mirror sheath is cavity structure up and down, and the top that block is located at the mirror sheath is held in the pressing, and the pull rod passes through the mirror
Sheath, the bionical press device are located at the lower section of the mirror sheath.
The pressing is held the block control pull rod and is moved up and down, and the bionical press device folding is driven.
The pressing hold block include above hold block and under hold block, it is described on hold the lower end connection central tube of block, the pull rod position
In in the central tube, the side of the central tube is provided with channel, and one end that block is held under described passes through the channel, is located at described
In central tube, the end that block is held under described is connected by connecting rod with the pull rod, it is described on hold block and it is described under hold block it
Between be connected by fixed link with spring.
The upper end of the fixed link, which is connected on described, holds block, and the upper side that block is held under described is provided with groove, the groove
Inside connect bull stick A, the fixed link is located in the groove, and covers in the outside of the bull stick A, and the spring is equipped with two
It is a, be connected on described hold block and it is described under hold between block, the fixed link is close to the central tube.
The pull rod is hollow structure, and internal is negative pressure road, and the upper end of the pull rod vertically connects negative pressure connector, described
Negative pressure connector passes through the channel and is connected to external depression generator.
The surrounding of the central tube lower end connects four pieces of outer link blocks, and the outside of the pull rod lower end connects to be connected in four pieces
Block, the interior link block are located on the inside of the outer link block, and the bionical press device is connected to the outer link block and described
Interior link block.
The bionical press device is made of four skeletons and connection cloth, passes through institute between two adjacent skeletons
Connection cloth connection is stated, connects bull stick B between the adjacent outer link block, connection turns between two adjacent interior link blocks
Bar C, four skeletons are respectively fitted between the corresponding bull stick B and the bull stick C, and the outside of skeleton is equipped with one layer of silica gel
Layer.
The lower end of the mirror sheath is equipped with miniature webcam, and the miniature webcam is connected by electrical wiring to display screen, described
Display screen be it is detachable and rotatable, the side wall of the mirror sheath is provided with sluice way, and upper end and the sluice way of the sluice way connect
Head is connected, and the sluice way connector is located at the upper end of the mirror sheath, and the sluice way runs through the entire mirror sheath.
The length of the mirror sheath is 30-40cm, diameter 4-6cm.
A kind of application method of minimally invasive intrathoracic press device comprising following steps,
Step 1: mirror sheath is put into thoracic cavity, behind position needed for reaching, bionical press device is put into from mirror sheath inner cavity, is entered
In thoracic cavity;
Step 2: holding block by pressing of holding with a firm grip, so that pull rod moves up, four skeletons are opened as pull rod moves up, and encase heart,
And the negative pressure road in pull rod is in contact with heart;
Step 3: depression generator is opened, so that heart is sucked with pull rod;
Step 4: block is held in release pressing of constantly holding with a firm grip, so that skeleton constantly opens, close, to press heart.
The invention has the benefit that
1, mirror sheath is first put into thoracic cavity by a kind of minimally invasive intrathoracic press device of the present invention when in use, behind position needed for reaching, In
Bionical press device is put into from mirror sheath inner cavity, holds block up and down by controlling, so that bionical press device simulates manpower to heart
It is pressed, in this way it is not necessary that hand to be deep into thoracic cavity, reduces the probability of superinfection;
2, a kind of mirror sheath end of minimally invasive intrathoracic press device of the present invention is equipped with microcam, and whole process is in visualization shape
State, operation safety greatly improve;
3, a kind of operative incision of minimally invasive intrathoracic press device of the present invention greatly reduces, and only needs the notch of a mirror sheath diameter
;
4, a kind of minimally invasive intrathoracic press device of the present invention is equipped with negative pressure road, makes interior link block that the heart be sucked by external negative pressure device
It is dirty, it ensure that stability when pressing;
5, a kind of bionical press device of minimally invasive intrathoracic press device of the present invention and heart contact portion are using soft material, such as silica gel
Material etc. avoids rigid from damaging heart.
Detailed description of the invention
Fig. 1 is that a kind of face cross-section structure of the bionical press device of minimally invasive intrathoracic press device of the present invention when closing shows
It is intended to.
Fig. 2 is that a kind of face cross-section structure of the bionical press device of minimally invasive intrathoracic press device of the present invention when opening shows
It is intended to.
Fig. 3 is enlarged structure schematic diagram at A in Fig. 1.
Fig. 4 is enlarged structure schematic diagram at B in Fig. 1.
Fig. 5 is a kind of present invention looks up structural representation of the bionical press device of minimally invasive intrathoracic press device of the present invention.
In figure: 1 is mirror sheath, and 2 be pull rod, and 3 be bionical press device, and 4 is above hold block, 5 be under hold block, cylinder centered on 6,7
For channel, 8 be connecting rod, and 9 be fixed link, and 10 be spring, and 11 be groove, and 12 be bull stick A, and 13 be negative pressure road, and 14 are negative crimping
Head, 15 be outer link block, and 16 be interior link block, and 17 be skeleton, and 18 be connection cloth, and 19 be bull stick B, and 20 be bull stick C, and 21 be silica gel
Layer, 22 be miniature webcam, and 23 be sluice way, and 24 be sluice way connector, and 25 be display screen.
Specific embodiment
Below with reference to Fig. 1-5, the present invention is further described, but the scope of the present invention does not limit to the content.
Wherein identical components are presented with like reference characters.It should be noted that word used in the following description
Language "front", "rear", "left", "right", "up" and "down" refer to that the direction in attached drawing, word "inner" and "outside" refer respectively to court
To or far from geometric center of specific component direction, and attached drawing is all made of very simplified form and uses non-accurate ratio
Rate, only for the purpose of facilitating and clarifying the purpose of the embodiments of the invention.
For clarity, not describing whole features of practical embodiments, in the following description, it is not described in detail well known function
And structure, because they can make the present invention chaotic due to unnecessary details, it will be understood that opening in any practical embodiments
In hair, it is necessary to make a large amount of implementation details to realize the specific objective of developer, such as according to related system or related business
Limitation, changes into another embodiment by one embodiment, additionally, it should think that this development may be complicated and expend
Time, but to those skilled in the art it is only routine work.
A kind of minimally invasive intrathoracic press device comprising block, mirror sheath 1, pull rod 2 and bionical press device 3 are held in pressing, and pressing is held
Block connecting rod 2, the lower end of pull rod 2 connect bionical press device 3, and mirror sheath 1 is cavity structure up and down, and block position is held in pressing
In the top of mirror sheath 1, pull rod 2 passes through mirror sheath 1, and bionical press device 3 is located at the lower section of mirror sheath 1.
Pressing is held block control pull rod 2 and is moved up and down, and bionical press device 3 is driven to open and close.
It includes above holding block 4 to hold block 5 under that block is held in pressing, above holds the lower end connection central tube 6 of block 4, and pull rod 2 is located at central tube
In 6, the side of central tube 6 is provided with channel 7, under hold one end of block 5 and pass through channel 7, be located in central tube 6, under hold the end of block 5
Be connected by connecting rod 8 with pull rod 2, above hold block 4 and under hold and be connected with spring 10 between block 5 by fixed link 9.
The upper end of fixed link 9, which is connected to, holds block 4, under hold the upper side of block 5 and be provided with groove 11, the inside connection of groove 11
Bull stick A12, fixed link 9 are located in groove 11, and cover in the outside of bull stick A12, and spring 10 is connected to and holds there are two setting
Block 4 and under hold between block 5, fixed link 9 is close to central tube 6.
Pull rod 2 is hollow structure, and internal is negative pressure road 13, and the upper end of pull rod 2 vertically connects negative pressure connector 14, and negative pressure connects
First 14, which pass through channel 7, is connected to external depression generator.
The surrounding of 6 lower end of central tube connects four pieces of outer link blocks 15, and the outside of 2 lower end of pull rod connects link block in four pieces
16, interior link block 16 is located at outer 15 inside of link block, and bionical press device 3 is connected to outer link block 15 and interior link block 16.
Bionical press device 3 is made of four skeletons 17 and connection cloth 18, passes through company between two adjacent skeletons 17
The connection of cloth 18 is connect, bull stick B19 is connected between adjacent outer link block 15, connects bull stick between two adjacent interior link blocks 16
C20, four skeletons 17 are respectively fitted between corresponding bull stick B19 and bull stick C20, and the outside of skeleton 17 is equipped with one layer of layer of silica gel
21。
The lower end of mirror sheath 1 is equipped with miniature webcam 22, and miniature webcam 22 is connected by electrical wiring to external display screen 25,
Display screen 25 be it is detachable and rotatable, adjust direction, convenient for operation when, doctor can preferably watch, the side of mirror sheath 1
Wall is provided with sluice way 23, and the upper end of sluice way 23 is connected with sluice way connector 24, and sluice way connector 24 is located at the upper of mirror sheath 1
End, sluice way 23 run through entire mirror sheath 1.
The length of mirror sheath 1 is 30-40cm, diameter 4-6cm.
A kind of application method of minimally invasive intrathoracic press device comprising following steps,
Step 1: mirror sheath 1 is put into thoracic cavity, behind position needed for reaching, bionical press device 3 is put into from 1 inner cavity of mirror sheath, into
Enter in thoracic cavity;
Step 2: holding block by pressing of holding with a firm grip, so that pull rod 2 moves up, four skeletons 17 are opened as pull rod 2 moves up, and are encased
Heart, and the negative pressure road 13 in pull rod 2 is in contact with heart;
Step 3: depression generator is opened, so that heart is sucked with pull rod 2;
Step 4: block is held in release pressing of constantly holding with a firm grip, so that skeleton 17 constantly opens, close, to press heart.
The structure of the bionical press device 3 indicated in attached drawing is a kind of mode of the invention, and claw-type, there are also other
Biomimetic features, such as lower part Tuo Shi, umbrella-type, the invention is not limited to above-mentioned several ways.
Although having done more detailed elaboration to technical solution of the present invention and having enumerated, it should be understood that for ability
For field technique personnel, modifications to the embodiments described above may be made or uses equivalent alternative solution, this is to those skilled in the art
It is it is clear that these modifications or improvements without departing from theon the basis of the spirit of the present invention, belong to the present invention for member
Claimed range.
Claims (10)
1. a kind of minimally invasive intrathoracic press device, it is characterised in that: it includes pressing to hold block, mirror sheath (1), pull rod (2) and bionical press
Pressure device (3), the pressing hold block and connect the pull rod (2), and the lower end of the pull rod (2) connects the bionical press device
(3), the mirror sheath (1) is cavity structure up and down, and the top that block is located at the mirror sheath (1), the drawing are held in the pressing
Bar (2) passes through the mirror sheath (1), and the bionical press device (3) is located at the lower section of the mirror sheath (1).
2. the minimally invasive intrathoracic press device of one kind according to claim 1, it is characterised in that: the pressing is held described in block control
Pull rod (2) moves up and down, and drives bionical press device (3) folding.
3. the minimally invasive intrathoracic press device of one kind according to claim 1, it is characterised in that: it includes above holding that block is held in the pressing
Block (4) and under hold block (5), it is described on hold lower end connection central tube (6) of block (4), the pull rod (2) is located at the central tube
(6) in, the side of the central tube (6) is provided with channel (7), and one end that block (5) is held under described passes through the channel (7), is located at
In the central tube (6), the end that block (5) is held under described is connected by connecting rod (8) with the pull rod (2), it is described on hold
Block (4) and it is described under hold and be connected with spring (10) between block (5) by fixed link (9).
4. the minimally invasive intrathoracic press device of one kind according to claim 3, it is characterised in that: the upper end of the fixed link (9)
It is connected on described and holds block (4), the upper side that block (5) is held under described is provided with groove (11), the inside connection of the groove (11)
Bull stick A(12), the fixed link (9) is located in the groove (11), and covers in the bull stick A(12) outside, the spring
(10) there are two setting, be connected on described hold block (4) and it is described under hold between block (5), the fixed link (9) is close to described
Central tube (6).
5. the minimally invasive intrathoracic press device of one kind according to claim 3, it is characterised in that: the pull rod (2) is hollow knot
Structure, internal is negative pressure road (13), and the upper end of the pull rod (2) vertically connects negative pressure connector (14), the negative pressure connector (14)
External depression generator is connected to across the channel (7).
6. the minimally invasive intrathoracic press device of one kind according to claim 3, it is characterised in that: central tube (6) lower end
Surrounding connects four pieces of outer link blocks (15), and the outside of pull rod (2) lower end connects link block (16) in four pieces, the interior connection
Block (16) is located on the inside of the outer link block (15), and the bionical press device (3) is connected to the outer link block (15) and institute
State interior link block (16).
7. the minimally invasive intrathoracic press device of one kind according to claim 3, it is characterised in that: the bionical press device (3)
It is made of four skeletons (17) and connection cloth (18), passes through the connection cloth (18) between two adjacent skeletons (17)
Connection connects bull stick B(19 between the adjacent outer link block (15)), connect between two adjacent interior link blocks (16)
Switch through bar C(20), four skeletons (17) are respectively fitted over the corresponding bull stick B(19) and the bull stick C(20) between, bone
The outside of frame (17) is equipped with one layer of layer of silica gel (21).
8. the minimally invasive intrathoracic press device of one kind according to claim 1, it is characterised in that: the lower end of the mirror sheath (1) is set
Have miniature webcam (22), the miniature webcam (22) is connected by electrical wiring to display screen (25), and the display screen (25) is
Detachable and rotatable, the side wall of the mirror sheath (1) is provided with sluice way (23), the upper end of the sluice way (23) and drainage
Road connector (24) is connected, and the sluice way connector (24) is located at the upper end of the mirror sheath (1), and the sluice way (23) is through whole
A mirror sheath (1).
9. the minimally invasive intrathoracic press device of one kind according to claim 1, it is characterised in that: the length of the mirror sheath (1) is
30-40cm, diameter 4-6cm.
10. a kind of application method of minimally invasive intrathoracic press device, it is characterised in that: it includes the following steps,
Step 1: mirror sheath (1) is put into thoracic cavity, behind position needed for reaching, by bionical press device (3) from mirror sheath (1) inner cavity
It is put into, into thoracic cavity;
Step 2: holding block by pressing of holding with a firm grip, so that pull rod (2) moves up, four skeletons (17) are opened as pull rod (2) moves up
It opens, encases heart, and the negative pressure road (13) in pull rod (2) is in contact with heart;
Step 3: depression generator is opened, so that heart is sucked with pull rod (2);
Step 4: block is held in release pressing of constantly holding with a firm grip, so that skeleton (17) constantly opens, close, to press heart.
Priority Applications (1)
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CN201910714678.9A CN110522625A (en) | 2019-08-04 | 2019-08-04 | The minimally invasive intrathoracic press device of one kind and its application method |
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CN201910714678.9A CN110522625A (en) | 2019-08-04 | 2019-08-04 | The minimally invasive intrathoracic press device of one kind and its application method |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN113171286A (en) * | 2021-04-29 | 2021-07-27 | 中南大学湘雅医院 | Heart pressing device in pericardial cavity |
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Application publication date: 20191203 |