CN105997197A - Rotary type high-pressure water jet surgical operating instrument - Google Patents

Rotary type high-pressure water jet surgical operating instrument Download PDF

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Publication number
CN105997197A
CN105997197A CN201610421115.7A CN201610421115A CN105997197A CN 105997197 A CN105997197 A CN 105997197A CN 201610421115 A CN201610421115 A CN 201610421115A CN 105997197 A CN105997197 A CN 105997197A
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CN
China
Prior art keywords
rotary shaft
bearing
sealing
rotating disk
hollow rotary
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Granted
Application number
CN201610421115.7A
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Chinese (zh)
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CN105997197B (en
Inventor
李宏伟
徐凯
栗忠强
魏永鸽
付金芳
杨杨
张伟
张家薇
薛冰
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Huanghe Science and Technology College
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Huanghe Science and Technology College
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Priority to CN201610421115.7A priority Critical patent/CN105997197B/en
Publication of CN105997197A publication Critical patent/CN105997197A/en
Application granted granted Critical
Publication of CN105997197B publication Critical patent/CN105997197B/en
Expired - Fee Related legal-status Critical Current
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/3203Fluid jet cutting instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/3205Excision instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00743Type of operation; Specification of treatment sites
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00982General structural features

Abstract

A rotary type high-pressure water jet surgical operating instrument comprises a high-pressure water pump, an installation cylinder and a handle installed on the upper portion of the outer side of the installation cylinder. The installation cylinder is internally provided with an upper bearing pedestal, a lower bearing pedestal, a drive motor and a rotary sealing connection device. The upper bearing pedestal and the lower bearing pedestal are internally and rotationally connected with a hollow transmission shaft through a first bearing and a second bearing respectively. Connection groove holes are formed in the center of the upper end of the hollow transmission shaft. The lower end of the rotary sealing connection device and the upper end of the hollow transmission shaft are coaxially fixed and connected in a sealing mode. The lower end of the hollow transmission shaft is provided with a rotary jet device located below the installation cylinder. The rotary type high-pressure water jet surgical operating instrument is novel in design, compact in structure, convenient to operate, good in sealing performance, safe and reliable. The radius of jet flow can be adjusted according to the sizes of lipomyomas or fibromas so that the lipomyomas or fibromas can be excided at a time, the surgical time is greatly shortened, it is not required to move the rotary type high-pressure water jet surgical operating instrument in the surgical process, and the rotary type high-pressure water jet surgical operating instrument is suitable for being operated by doctors with different experience.

Description

Rotating type high-pressure water jet surgery apparatus
Technical field
The present invention relates to a kind of surgical operating instrument, be specifically related to a kind of rotating type high-pressure water jet surgery apparatus.
Background technology
Clinically when winning the operation of the sarcoma such as lipoma or fibroma, it is usually to clamp with surgical forceps and takes lipoma or fibroma part, cut with scalpel again, so operate cumbersome, waste time and energy, add great work difficulty to medical worker, and need to be equipped with different operational tool according to taking lipoma or fibromatous size, needs are fixed and are taken lipoma or fibroma part is excised, and difficulty is relatively big, and the misery brought to patient is the biggest.
In the last few years, along with science and technology growing, be progressively employed to come by means of high-pressure water jet surgery device.The nozzle of existing high-pressure water jet surgery device can only spray water under high pressure, and the track of high-pressure water jet needs to move along the track of excision with hands by doctor, and procedure efficiency is relatively low, and requires at a relatively high to the technology of doctor.Rotatory sealing for high-pressure water jet is always a scabrous technical problem of comparison.
Summary of the invention
The present invention is to solve weak point of the prior art, it is provided that a kind of simple in construction, easy to operate, sealing property is strong, procedure efficiency is high and can be according to the rotating type high-pressure water jet surgery apparatus of lipoma or fibromatous size adjustment jet radius.
For solving above-mentioned technical problem, the present invention adopts the following technical scheme that rotating type high-pressure water jet surgery apparatus, including high-pressure hydraulic pump, mounting cylinder and the hands handle being located at mounting cylinder outer upper, the centrage of mounting cylinder is arranged in vertical, it is provided with top chock in mounting cylinder, step, drive motor and rotatory sealing attachment means, top chock and step are correspondingly arranged up and down, it is rotatably connected to Hollow Transmission Shafts by clutch shaft bearing and the second bearing respectively in top chock and step, Hollow Transmission Shafts outer wall is bonded the driven gear being connected between top chock and step, the spindle drive driving motor connects driving gear, driving gear engages with driven gear, connection slotted eye is offered at Hollow Transmission Shafts upper end center;Hollow Transmission Shafts lower end is provided with the rotating jet device being positioned at below mounting cylinder;Rotatory sealing attachment means lower end is coaxial with Hollow Transmission Shafts upper end fixing and is tightly connected;
nullRotatory sealing attachment means includes the sleeve pipe being arranged in vertical,Sleeve pipe is fixed in mounting cylinder,Coaxial in sleeve pipe it is provided with hollow rotary shaft,Hollow rotary shaft bottom is rotatably connected in sleeve pipe by the 3rd bearing and the 4th bearing,The annular housing between the 3rd bearing and the 4th bearing is formed between sleeve pipe and hollow rotary shaft,Hollow rotary shaft top is arranged with bearing trim ring,The first sealing ring it is provided with between bearing trim ring bottom and hollow rotary shaft outer wall,Formed between bearing trim ring inside and hollow rotary shaft and be positioned at the permeable chamber above the first sealing ring,Bearing trim ring outer wall is provided with cannelure,In bearing trim ring, level is communicated with the water-permeable passage of permeable chamber and cannelure,The first O being positioned at below cannelure it is provided with between bearing trim ring outer wall and internal surface of sleeve pipe,Detachable logical watertight construction it is provided with in sleeve upper end mouth,Detachable logical watertight construction lower end and bearing trim ring upper surface top press-fit,Detachable logical watertight construction upper end is by there being high-pressure water pipe to be connected with the outlet of high-pressure hydraulic pump;Its lower end mouth is threaded lower fastening silk braid, pushes up press-fit, be provided with the second sealing ring between lower fastening silk braid and hollow rotary shaft outer wall bottom lower fastening silk braid upper end and the 4th bearing;
Hollow rotary shaft lower end is stretched out sleeve pipe and extend in connection slotted eye, and hollow rotary shaft lower end is tightly connected by jointing clip is coaxial with Hollow Transmission Shafts upper end, and the centre bore of hollow rotary shaft and the centre bore of Hollow Transmission Shafts are the most corresponding through.
Described rotating jet device includes inner hollow and rotating disk in disk form, disk upper surface center is provided with connection seat, disk lower surface center is provided with cross laser indicator, connect seat and be provided with the connecting hole that connect internal with rotating disk, connect in Hollow Transmission Shafts lower end extend into connecting hole and with being connected seat thread seal;Radially offering one jet orifice bottom rotating disk, one end of jet orifice is positioned at the center of rotating disk, and the other end of jet orifice is positioned at the edge of rotating disk, is provided with control jet orifice and the sealing regulating of jet radius size in rotating disk.
Sealing regulating includes the first seal box and the second seal box, and the first seal box is positioned at rotating disk, and the second seal box is positioned at outside rotating disk and fixes with rotating disk and is connected;The guide rail being positioned at jet orifice both sides it is provided with in rotating disk;
It is provided with the first regulation motor and first in first seal box and seals regulating block, first seals regulating block lower surface is provided with the first guide groove along rotating disk radial direction, guide rail is positioned at the one end at center of turntable and extend into the first guide groove, first seal box is provided with and seals, with first, the first sealing structure that regulating block is slidably matched, first sealing regulating block lower surface and the first guide groove inwall are respectively equipped with the first corrosion protection sealing gasket coordinated with rotating disk inner bottom surface and guiding cheekn slipper seal, first seals regulating block sidepiece is provided with the first tooth bar with guide rail parallel, the spindle drive of the first regulation motor connects the first gear, first gear and the engagement of the first tooth bar;
It is provided with the second regulation motor and second in second seal box and seals regulating block, second seals regulating block lower surface is provided with the second guide groove along rotating disk radial direction, guide rail is positioned at the one end at disk edge and extend into the second guide groove, second seal box is provided with and seals, with second, the second sealing structure that regulating block is slidably matched, second sealing regulating block lower surface and the second guide groove inwall are respectively equipped with the second corrosion protection sealing gasket coordinated with rotating disk inner bottom surface and guiding cheekn slipper seal, second seals regulating block sidepiece is provided with the second tooth bar with guide rail parallel, the spindle drive of the second regulation motor connects the second gear, second gear and the engagement of the second tooth bar.
nullDetachable logical watertight construction includes top connection,Top connection outer wall thread connects upper fastening silk braid,Upper fastening silk braid outer wall is threadeded with internal surface of sleeve pipe,It is provided with outside top connection and the upper ring-shaped step of upper fastening silk braid lower end top press-fit,Top connection lower end is provided with and the lower ring-shaped step of bearing trim ring upper surface top press-fit,Top connection upper end offers the connector being connected with high-pressure water pipe,Blasthole and pilot hole it is provided with in top connection,Blasthole top and bottom connect with connector and pilot hole respectively,The internal diameter of blasthole is less than the internal diameter of pilot hole,Hollow rotary shaft top extend in pilot hole through bearing trim ring,Bearing trim ring top is provided with the support set extending in pilot hole,The upper surface of support set is less than the upper surface of hollow rotary shaft,Support set inwall and hollow rotary shaft wall contacts,Support set outer wall and pilot hole contact internal walls,Hollow rotary shaft outer wall and pilot hole inwall are filled with the filling sealing ring being positioned on support set,Fill and be provided with the second O between sealing ring upper outside and pilot hole inwall,The gland being positioned at above hollow rotary shaft it is provided with in pilot hole,Gland top is communicated with the through hole of pilot hole and blasthole,Press-fit is pushed up with filling sealing ring upper end in gland lower end,Gland upper end and the top press-fit of pilot hole top inner wall.
Sleeve pipe is externally provided with weeper and lubrication hole, and weeper connection corresponding with cannelure, lubrication hole connects with annular housing, is provided with plug in lubrication hole.
Use technique scheme, the work use principle of the present invention is: determine the distance of distance center of turntable at the injection of jet orifice according to lipoma or fibromatous size, concrete regulation is by opening the first regulation motor and the second regulation motor, first regulation motor drives the first tooth bar by the first gear, first rack drives first seals regulating block and moves along guide rail, second regulation motor drives the second tooth bar by the second gear, second rack drives second seals regulating block and moves along guide rail, second end sealing regulating block and first seals the gap of the end formation 0.1mm of regulating block, so the width of jet orifice is just for 0.1mm.When carrying out excision lipoma or fibroma, first pass through the center of cross laser indicator localized resection, the hand-held handle of doctor, open high-pressure hydraulic pump and drive motor, distilled water supercharging is entered the hollow rotary shaft in rotatory sealing attachment means by high-pressure hydraulic pump through high-pressure water pipe, again through Hollow Transmission Shafts, finally enter in rotating disk, by the jet orifice ejection water under high pressure regulated;Simultaneously driving motor, by driving gear, rotational action is passed to driven gear, driven gear drives Hollow Transmission Shafts to rotate, and is sealedly and fixedly connected by jointing clip between Hollow Transmission Shafts and hollow rotary shaft, realizes the rotation of rotating disk while sealing.Thus rapidly lipoma or fibroma can be excised in cortex, re-use tweezers and lipoma or fibroma are pressed from both sides out.The external diameter of driven gear, more than the external diameter of driving gear, so can reduce the rotary speed of rotating disk.
The operation principle of the rotatory sealing attachment means in the present invention is: water under high pressure enters into the blasthole of top connection through high-pressure water pipe, then enters in Hollow Transmission Shafts in sequentially passing through through hole, pilot hole, hollow rotary shaft;Owing to through hole internal diameter is less than blasthole internal diameter, under the effect of High-Pressure Water, gland lower end is to filling sealing ring extruding, and extruding force is delivered on the second O, and the second O is deformed thus plays sealing function, and the second O is made by special substance;Make filling sealing ring and hollow rotary shaft tight fit, High-Pressure Water flows out through hollow rotary shaft, hollow rotary shaft uses special process to process with filling the sealing ring place of cooperation, in order to reduce the frictional force of itself and filling sealing ring, fills sealing ring and uses special substance to be made;Hollow rotary shaft is arranged in sleeve pipe by the 3rd bearing and the 4th bearing, and hollow rotary shaft can rotate under external force;And the 3rd bearing and the 4th bearing in use need lubrication, the lubrication hole oil addition being provided with by sleeve pipe can lubricate bearing, and the first O and the second sealing ring are used for stopping oil leakage;Bearing trim ring lower surface compresses the 3rd bearing, and bearing trim ring endoporus is slidably matched with hollow rotary shaft, and the support set at bearing trim ring top is used for supporting filling sealing ring, and bearing trim ring uses special substance to be made, to reduce the frictional force of itself and hollow rotary shaft.
When leaking occurs in the detachable logical watertight construction in rotatory sealing attachment means, i.e. filling sealing ring and the second O damages, water under high pressure can enter into permeable intracavity along hollow rotary shaft surface, and flows out sleeve pipe by water-permeable passage, cannelure and weeper;Water under high pressure or penetrate into bearing trim ring upper surface along pilot hole inwall, then it is flowed into weeper through internal surface of sleeve pipe.If weeper water outlet, it is necessary to fasten silk braid on dismounting is lower, filling sealing ring and the second O are replaced.First O plays and prevents water from entering in the 3rd bearing and the 4th bearing.
The effect of critical piece of the present invention and feature:
Drive motor: for the powered rotation of rotating disk, final drive rotating disk rotates and realizes circumgyration incision;
Rotatory sealing attachment means: realize the connection between fixing high-pressure water pipe and the Hollow Transmission Shafts of high speed rotating, and play good sealing function, meets rotating and the requirement sealed under high pressure conditions;
High-pressure water pipe: the flow pipe of High-Pressure Water;
Hollow rotary shaft: can rotate in revolving joint and and revolving joint between excellent sealing, it is achieved High-Pressure Water rotation docking;
Jointing clip: play coaxial connection fixation hollow rotary shaft and the effect of Hollow Transmission Shafts;
Rotating disk: be used for installing sealing regulating, and make High-Pressure Water disperse, by driving the drive of motor, carry out rotating jet cutting operation;
Owing to needing to bear the high pressure of water under high pressure in rotating disk, this is accomplished by sufficiently sealing, therefore arrange on the first seal box and seal, with first, the first sealing structure that regulating block is slidably matched, it is respectively provided with the first corrosion protection sealing gasket coordinated with rotating disk inner bottom surface and guiding cheekn slipper seal at the first sealing regulating block lower surface and the first guide groove inwall, second seal box is arranged and seals, with second, the second sealing structure that regulating block is slidably matched, regulating block lower surface and the second guide groove inwall this second corrosion protection sealing gasket coordinated with rotating disk inner bottom surface and guiding cheekn slipper seal respectively is sealed second.Water under high pressure will not be entered in thus can ensure that the first seal box and the second seal box.
In sum, the present invention is novel in design, compact conformation, easy to operate, good airproof performance, safe and reliable, the radius of jet can be adjusted according to lipoma or fibromatous size, disposably lipoma or fibroma are excised, operating time is greatly shortened, and need not move in operation process, and the doctor being suitable for different experience operates.
Accompanying drawing explanation
Fig. 1 is the structural representation of the present invention;
Fig. 2 is the structural representation of the vertical view in the present invention within rotating jet device;
Fig. 3 is A-A sectional view in Fig. 2;
Fig. 4 is the structural representation of rotatory sealing attachment means in Fig. 1;
Fig. 5 is the structural representation of Fig. 4 middle (center) bearing trim ring.
Detailed description of the invention
nullSuch as Fig. 1、Fig. 2、Fig. 3、Shown in Fig. 4 and Fig. 5,The rotating type high-pressure water jet surgery apparatus of the present invention,Including high-pressure hydraulic pump 1、Mounting cylinder 2 and the handle 3 being located at mounting cylinder 2 outer upper,The centrage of mounting cylinder 2 is arranged in vertical,It is provided with top chock 4 in mounting cylinder 2、Step 5、Drive motor 6 and rotatory sealing attachment means 7,Top chock 4 and step about 5 are correspondingly arranged,It is rotatably connected to Hollow Transmission Shafts 10 by clutch shaft bearing 8 and the second bearing 9 respectively in top chock 4 and step 5,Hollow Transmission Shafts 10 outer wall is bonded the driven gear 11 being connected between top chock 4 and step 5,The spindle drive driving motor 6 connects driving gear 12,Driving gear 12 engages with driven gear 11,Connection slotted eye is offered at Hollow Transmission Shafts 10 upper end center;Hollow Transmission Shafts 10 lower end is provided with the rotating jet device 13 being positioned at below mounting cylinder 2.
nullRotatory sealing attachment means 7 includes the sleeve pipe 27 being arranged in vertical,Sleeve pipe is fixed in mounting cylinder,Coaxial in sleeve pipe 27 it is provided with hollow rotary shaft 15,Hollow rotary shaft 15 bottom is rotatably connected in sleeve pipe 27 by the 3rd bearing 28 and two the 4th bearings 29,The annular housing 30 between the 3rd bearing 28 and the 4th bearing 29 is formed between sleeve pipe 27 and hollow rotary shaft 15,Hollow rotary shaft 15 top is arranged with bearing trim ring 31,The first sealing ring 32 it is provided with between bearing trim ring 31 bottom and hollow rotary shaft 15 outer wall,Formed between bearing trim ring 31 inside and hollow rotary shaft 15 and be positioned at the permeable chamber 33 above the first sealing ring 32,Bearing trim ring 31 outer wall is provided with cannelure 34,In bearing trim ring 31, level is communicated with the water-permeable passage 35 of permeable chamber 33 and cannelure 34,The first O 36 being positioned at below cannelure 34 it is provided with between bearing trim ring 31 outer wall and sleeve pipe 27 inwall,Detachable logical watertight construction it is provided with in sleeve pipe 27 upper port,Detachable logical watertight construction lower end and the top press-fit of bearing trim ring 31 upper surface,Detachable logical watertight construction is connected with the outlet of high-pressure hydraulic pump 1 by high-pressure water pipe 16;Sleeve pipe 27 lower port is threaded lower fastening silk braid 37, pushes up press-fit, be provided with the second sealing ring 38 between lower fastening silk braid 37 and hollow rotary shaft 15 outer wall bottom lower fastening silk braid 37 upper end and the 4th bearing 29.
Hollow rotary shaft 15 lower end is stretched out sleeve pipe 27 and extend in connection slotted eye, and hollow rotary shaft 15 lower end is tightly connected by jointing clip 39 is coaxial with Hollow Transmission Shafts 10 upper end.The centre bore of hollow rotary shaft 15 and the centre bore of Hollow Transmission Shafts 10 are the most corresponding through.
Rotating jet device 13 includes inner hollow and rotating disk 14 in disk form, rotating disk 14 upper surface center is provided with connection seat 17, rotating disk 14 lower surface center is provided with cross laser indicator 18, connect seat 17 and be provided with the connecting hole that connect internal with rotating disk 14, connect in Hollow Transmission Shafts 10 lower end extend into connecting hole and with being connected seat 17 thread seal;Radially offering one jet orifice 19 bottom rotating disk 14, one end of jet orifice 19 is positioned at the center of rotating disk 14, and the other end of jet orifice 19 is positioned at the edge of rotating disk 14, is provided with control jet orifice 19 and the sealing regulating of jet radius size in rotating disk 14.
Sealing regulating includes the first seal box 60 and the second seal box 61, and the first seal box 60 is positioned at rotating disk 14, and the second seal box 61 is positioned at outside rotating disk 14 and fixes with rotating disk 14 and is connected;The guide rail 62 being positioned at jet orifice 19 both sides it is provided with in rotating disk 14.
It is provided with the first regulation motor and first in first seal box 60 and seals regulating block 64, first seals regulating block 64 lower surface is provided with the first guide groove along rotating disk 14 radial direction, guide rail 62 is positioned at one end of rotating disk 14 center and extend into the first guide groove, first seal box 60 is provided with and seals, with first, the first sealing structure 65 that regulating block 64 is slidably matched, first sealing regulating block 64 lower surface and the first guide groove inwall are respectively equipped with and seal, with rotating disk 14 inner bottom surface and guide rail 62 side walls, the first corrosion protection sealing gasket 66 coordinated, first seals regulating block 64 sidepiece is provided with first tooth bar 67 parallel with guide rail 62, the spindle drive of the first regulation motor connects the first gear 68, first gear 68 engages with the first tooth bar 67.
It is provided with the second regulation motor and second in second seal box 61 and seals regulating block 70, second seals regulating block 70 lower surface is provided with the second guide groove along rotating disk 14 radial direction, guide rail 62 is positioned at one end of rotating disk 14 edge and extend into the second guide groove, second seal box 61 is provided with and seals, with second, the second sealing structure 71 that regulating block 70 is slidably matched, second sealing regulating block 70 lower surface and the second guide groove inwall are respectively equipped with and seal, with rotating disk 14 inner bottom surface and guide rail 62 side walls, the second corrosion protection sealing gasket coordinated, second seals regulating block 70 sidepiece is provided with second tooth bar 73 parallel with guide rail 62, the spindle drive of the second regulation motor connects the second gear 74, second gear 74 engages with the second tooth bar 73.
nullDetachable logical watertight construction includes top connection 40,Top connection 40 outer wall thread connects upper fastening silk braid 41,Upper fastening silk braid 41 outer wall is connected with sleeve pipe 27 inner thread,Top connection 40 is outside to be provided with and the upper ring-shaped step 42 of upper fastening silk braid 41 lower end top press-fit,Top connection 40 lower end is provided with and the lower ring-shaped step 43 of bearing trim ring 31 upper surface top press-fit,Top connection 40 upper end offers the connector 44 being connected with high-pressure water pipe 16,Blasthole 45 and pilot hole 46 it is provided with in top connection 40,Blasthole 45 top and bottom connect with connector 44 and pilot hole 46 respectively,The internal diameter of blasthole 45 is less than the internal diameter of pilot hole 46,Hollow rotary shaft 15 top extend in pilot hole 46 through bearing trim ring,Bearing trim ring 31 top is provided with the support set 47 extending in pilot hole 46,The upper surface of support set 47 is less than the upper surface of hollow rotary shaft 15,Support set 47 inwall and hollow rotary shaft 15 wall contacts,Support set 47 outer wall and pilot hole 46 contact internal walls,Hollow rotary shaft 15 outer wall and pilot hole 46 inwall are filled with the filling sealing ring 48 being positioned on support set 47,Fill and be provided with the second O 49 between sealing ring 48 upper outside and pilot hole 46 inwall,The gland 50 being positioned at above hollow rotary shaft 15 it is provided with in pilot hole 46,Gland 50 top is communicated with the through hole 51 of pilot hole 46 and blasthole 45,Through hole 51 internal diameter is less than blasthole 45 internal diameter,Press-fit is pushed up with filling sealing ring 48 upper end in gland 50 lower end,Gland 50 upper end and the top press-fit of pilot hole 46 top inner wall.
Sleeve pipe 27 is externally provided with weeper 52 and lubrication hole 53, and weeper 52 connection corresponding with cannelure 34, lubrication hole 53 connects with annular housing 30, is provided with plug in lubrication hole 53.
The work use principle of the present invention is: determine the distance at distance rotating disk 14 center at the injection of jet orifice 19 according to lipoma or fibromatous size, concrete regulation is by opening the first regulation motor and the second regulation motor, first regulation motor drives the first tooth bar 67 by the first gear 68, first tooth bar 67 drives the first sealing regulating block 64 to move along guide rail 62, second regulation motor drives the second tooth bar 73 by the second gear 74, second tooth bar 73 drives the second sealing regulating block 70 to move along guide rail 62, second end sealing regulating block 70 and first seals the gap of the end formation 0.1mm of regulating block 64, so the width of jet orifice 19 is just for 0.1mm.When carrying out excision lipoma or fibroma, first pass through the center of cross laser indicator 18 localized resection, the hand-held handle of doctor 3, open high-pressure hydraulic pump 1 and drive motor 6, distilled water supercharging is entered the hollow rotary shaft in rotatory sealing attachment means 7 by high-pressure hydraulic pump 1 through high-pressure water pipe, again through Hollow Transmission Shafts 10, finally enter in rotating disk 14, spray water under high pressure by the jet orifice 19 regulated;Simultaneously drive motor 6 and pass to driven gear 11 by 12 rotational action of driving gear, driven gear 11 drives Hollow Transmission Shafts 10 to rotate, it is sealedly and fixedly connected by jointing clip 39 between Hollow Transmission Shafts 10 and hollow rotary shaft, while sealing, realizes the rotation of rotating disk 14.Thus rapidly lipoma or fibroma can be excised in cortex, re-use tweezers and lipoma or fibroma are pressed from both sides out.The external diameter of driven gear 11, more than the external diameter of driving gear 12, so can reduce the rotary speed of rotating disk 14.
The operation principle of the rotatory sealing attachment means 7 in the present invention is: water under high pressure enters into the blasthole 45 of top connection 40 through high-pressure water pipe 16, then enters in Hollow Transmission Shafts 10 in sequentially passing through through hole 51, pilot hole 46, hollow rotary shaft 15;Owing to through hole 51 internal diameter is less than blasthole 45 internal diameter, under the effect of High-Pressure Water, gland 50 lower end extrudes filling sealing ring 48, and extruding force is delivered on the second O 49, second O 49 is deformed thus plays sealing function, and the second O 49 is made by special substance;Make filling sealing ring 48 and hollow rotary shaft 15 tight fit, High-Pressure Water flows out through hollow rotary shaft 15, hollow rotary shaft 15 uses special process to process with filling sealing ring 48 place of cooperation, in order to reduce the frictional force of itself and filling sealing ring 48, fills sealing ring 48 and uses special substance to be made;Hollow rotary shaft 15 is arranged in sleeve pipe 27 by the 3rd bearing 28 and the 4th bearing 29, and hollow rotary shaft 15 can rotate under external force;And the 3rd bearing 28 and the 4th bearing 29 in use need lubrication, lubrication hole 53 oil addition being provided with by sleeve pipe 27 can lubricate bearing, and the first O 36 and the second sealing ring 38 are used for stopping oil leakage;Bearing trim ring 31 lower surface compresses the 3rd bearing 28, bearing trim ring 31 endoporus is slidably matched with hollow rotary shaft 15, the support set 47 at bearing trim ring 31 top is used for supporting filling sealing ring 48, and bearing trim ring 31 uses special substance to be made, to reduce the frictional force of itself and hollow rotary shaft 15.
When leaking occurs in the detachable logical watertight construction in rotatory sealing attachment means 7, i.e. fill sealing ring 48 and the second O 49 damages, water under high pressure can enter in permeable chamber 33 along hollow rotary shaft 15 surface, and flows out sleeve pipe 27 by water-permeable passage 35, cannelure 34 and weeper 52;Water under high pressure or penetrate into bearing trim ring upper surface along pilot hole 46 inwall, then it is flowed into weeper 52 through sleeve pipe 27 inwall.If weeper 52 water outlet, it is necessary to the lower upper fastening silk braid 41 of dismounting, filling sealing ring 48 and the second O 49 are replaced.First O 36 plays and prevents water from entering in the 3rd bearing 28 and the 4th bearing 29.
Above example is only in order to illustrative not limiting technical scheme, although the present invention being described in detail with reference to above-described embodiment, it will be understood by those within the art that: still the present invention can be modified or equivalent, any modification or partial replacement without departing from the spirit and scope of the present invention, it all should be contained in the middle of scope of the presently claimed invention.

Claims (5)

1. rotating type high-pressure water jet surgery apparatus, it is characterized in that: include high-pressure hydraulic pump, mounting cylinder and the hands handle being located at mounting cylinder outer upper, the centrage of mounting cylinder is arranged in vertical, it is provided with top chock in mounting cylinder, step, drive motor and rotatory sealing attachment means, top chock and step are correspondingly arranged up and down, it is rotatably connected to Hollow Transmission Shafts by clutch shaft bearing and the second bearing respectively in top chock and step, Hollow Transmission Shafts outer wall is bonded the driven gear being connected between top chock and step, the spindle drive driving motor connects driving gear, driving gear engages with driven gear, connection slotted eye is offered at Hollow Transmission Shafts upper end center;Hollow Transmission Shafts lower end is provided with the rotating jet device being positioned at below mounting cylinder;Rotatory sealing attachment means lower end is coaxial with Hollow Transmission Shafts upper end fixing and is tightly connected;
nullRotatory sealing attachment means includes the sleeve pipe being arranged in vertical,Sleeve pipe is fixed in mounting cylinder,Coaxial in sleeve pipe it is provided with hollow rotary shaft,Hollow rotary shaft bottom is rotatably connected in sleeve pipe by the 3rd bearing and the 4th bearing,The annular housing between the 3rd bearing and the 4th bearing is formed between sleeve pipe and hollow rotary shaft,Hollow rotary shaft top is arranged with bearing trim ring,The first sealing ring it is provided with between bearing trim ring bottom and hollow rotary shaft outer wall,Formed between bearing trim ring inside and hollow rotary shaft and be positioned at the permeable chamber above the first sealing ring,Bearing trim ring outer wall is provided with cannelure,In bearing trim ring, level is communicated with the water-permeable passage of permeable chamber and cannelure,The first O being positioned at below cannelure it is provided with between bearing trim ring outer wall and internal surface of sleeve pipe,Detachable logical watertight construction it is provided with in sleeve upper end mouth,Detachable logical watertight construction lower end and bearing trim ring upper surface top press-fit,Detachable logical watertight construction upper end is by there being high-pressure water pipe to be connected with the outlet of high-pressure hydraulic pump;Its lower end mouth is threaded lower fastening silk braid, pushes up press-fit, be provided with the second sealing ring between lower fastening silk braid and hollow rotary shaft outer wall bottom lower fastening silk braid upper end and the 4th bearing;
Hollow rotary shaft lower end is stretched out sleeve pipe and extend in connection slotted eye, and hollow rotary shaft lower end is tightly connected by jointing clip is coaxial with Hollow Transmission Shafts upper end, and the centre bore of hollow rotary shaft and the centre bore of Hollow Transmission Shafts are the most corresponding through.
Rotating type high-pressure water jet surgery apparatus the most according to claim 1, it is characterized in that: described rotating jet device includes inner hollow and rotating disk in disk form, disk upper surface center is provided with connection seat, disk lower surface center is provided with cross laser indicator, connect seat and be provided with the connecting hole that connect internal with rotating disk, connect in Hollow Transmission Shafts lower end extend into connecting hole and with being connected seat thread seal;Radially offering one jet orifice bottom rotating disk, one end of jet orifice is positioned at the center of rotating disk, and the other end of jet orifice is positioned at the edge of rotating disk, is provided with control jet orifice and the sealing regulating of jet radius size in rotating disk.
Rotating type high-pressure water jet surgery apparatus the most according to claim 2, it is characterised in that: sealing regulating includes the first seal box and the second seal box, and the first seal box is positioned at rotating disk, and the second seal box is positioned at outside rotating disk and fixes with rotating disk and is connected;The guide rail being positioned at jet orifice both sides it is provided with in rotating disk;
It is provided with the first regulation motor and first in first seal box and seals regulating block, first seals regulating block lower surface is provided with the first guide groove along rotating disk radial direction, guide rail is positioned at the one end at center of turntable and extend into the first guide groove, first seal box is provided with and seals, with first, the first sealing structure that regulating block is slidably matched, first sealing regulating block lower surface and the first guide groove inwall are respectively equipped with the first corrosion protection sealing gasket coordinated with rotating disk inner bottom surface and guiding cheekn slipper seal, first seals regulating block sidepiece is provided with the first tooth bar with guide rail parallel, the spindle drive of the first regulation motor connects the first gear, first gear and the engagement of the first tooth bar;
It is provided with the second regulation motor and second in second seal box and seals regulating block, second seals regulating block lower surface is provided with the second guide groove along rotating disk radial direction, guide rail is positioned at the one end at disk edge and extend into the second guide groove, second seal box is provided with and seals, with second, the second sealing structure that regulating block is slidably matched, second sealing regulating block lower surface and the second guide groove inwall are respectively equipped with the second corrosion protection sealing gasket coordinated with rotating disk inner bottom surface and guiding cheekn slipper seal, second seals regulating block sidepiece is provided with the second tooth bar with guide rail parallel, the spindle drive of the second regulation motor connects the second gear, second gear and the engagement of the second tooth bar.
null4. according to the rotating type high-pressure water jet surgery apparatus described in claim 1 or 2 or 3,It is characterized in that: detachable logical watertight construction includes top connection,Top connection outer wall thread connects upper fastening silk braid,Upper fastening silk braid outer wall is threadeded with internal surface of sleeve pipe,It is provided with outside top connection and the upper ring-shaped step of upper fastening silk braid lower end top press-fit,Top connection lower end is provided with and the lower ring-shaped step of bearing trim ring upper surface top press-fit,Top connection upper end offers the connector being connected with high-pressure water pipe,Blasthole and pilot hole it is provided with in top connection,Blasthole top and bottom connect with connector and pilot hole respectively,The internal diameter of blasthole is less than the internal diameter of pilot hole,Hollow rotary shaft top extend in pilot hole through bearing trim ring,Bearing trim ring top is provided with the support set extending in pilot hole,The upper surface of support set is less than the upper surface of hollow rotary shaft,Support set inwall and hollow rotary shaft wall contacts,Support set outer wall and pilot hole contact internal walls,Hollow rotary shaft outer wall and pilot hole inwall are filled with the filling sealing ring being positioned on support set,Fill and be provided with the second O between sealing ring upper outside and pilot hole inwall,The gland being positioned at above hollow rotary shaft it is provided with in pilot hole,Gland top is communicated with the through hole of pilot hole and blasthole,Press-fit is pushed up with filling sealing ring upper end in gland lower end,Gland upper end and the top press-fit of pilot hole top inner wall.
Rotating type high-pressure water jet surgery apparatus the most according to claim 4, it is characterised in that: sleeve pipe is externally provided with weeper and lubrication hole, and weeper connection corresponding with cannelure, lubrication hole connects with annular housing, is provided with plug in lubrication hole.
CN201610421115.7A 2016-06-16 2016-06-16 Rotating type high-pressure water jet surgery apparatus Expired - Fee Related CN105997197B (en)

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Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2000059385A1 (en) * 1999-03-31 2000-10-12 Ammann-Technik Ag Device for producing a jet for removing especially biological tissue
EP1683495A1 (en) * 2005-01-19 2006-07-26 DePuy Mitek, Inc. Fluid cutting device and method of use
WO2009059742A1 (en) * 2007-11-06 2009-05-14 Erbe Elektromedizin Gmbh Surgical device using water jet and method for operating said device
CN104434264A (en) * 2013-09-20 2015-03-25 精工爱普生株式会社 Liquid ejecting apparatus for medical treatment

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2000059385A1 (en) * 1999-03-31 2000-10-12 Ammann-Technik Ag Device for producing a jet for removing especially biological tissue
EP1683495A1 (en) * 2005-01-19 2006-07-26 DePuy Mitek, Inc. Fluid cutting device and method of use
WO2009059742A1 (en) * 2007-11-06 2009-05-14 Erbe Elektromedizin Gmbh Surgical device using water jet and method for operating said device
CN101848681A (en) * 2007-11-06 2010-09-29 爱尔博电子医疗仪器股份有限公司 Surgical device using water jet and method for operating said device
CN104434264A (en) * 2013-09-20 2015-03-25 精工爱普生株式会社 Liquid ejecting apparatus for medical treatment

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