CN105997197B - Rotating type high-pressure water jet surgery apparatus - Google Patents

Rotating type high-pressure water jet surgery apparatus Download PDF

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Publication number
CN105997197B
CN105997197B CN201610421115.7A CN201610421115A CN105997197B CN 105997197 B CN105997197 B CN 105997197B CN 201610421115 A CN201610421115 A CN 201610421115A CN 105997197 B CN105997197 B CN 105997197B
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China
Prior art keywords
sealing
rotary shaft
bearing
rotating disk
hollow
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CN201610421115.7A
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CN105997197A (en
Inventor
李宏伟
徐凯
付金芳
魏永鸽
郭宝中
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

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Earth Drilling (AREA)
  • Surgical Instruments (AREA)

Abstract

Rotating type high-pressure water jet surgery apparatus, including high-pressure hydraulic pump, mounting cylinder and the handle for being located at mounting cylinder outer upper, top chock, step, motor and rotatory sealing attachment means are provided with mounting cylinder, Hollow Transmission Shafts are rotatably connected to by clutch shaft bearing and second bearing respectively in top chock and step, connection slotted eye is offered at Hollow Transmission Shafts upper end center;The fixation coaxial with Hollow Transmission Shafts upper end of rotatory sealing attachment means lower end is simultaneously tightly connected, and Hollow Transmission Shafts lower end is provided with the rotating jet device below mounting cylinder;The present invention is novel in design, compact-sized, it is easy to operate, good airproof performance, securely and reliably, the radius of jet can be adjusted according to lipoma or fibromatous size, disposably to cut off lipoma or fibroma, operating time greatly shortens, and do not have to movement in surgical procedure, be adapted to the doctor of different experiences to be operated.

Description

Rotating type high-pressure water jet surgery apparatus
Technical field
The present invention relates to a kind of surgical operating instrument, and in particular to a kind of rotating type high-pressure water jet surgery apparatus.
Background technology
Clinically when winning the operation of the sarcomas such as lipoma or fibroma, usually clamped with surgical forceps and take lipoma or fibre Knurl part is tieed up, then is cut with scalpel, so operates cumbersome, wastes time and energy, added greatly to medical worker Work difficulty, and need basis to take lipoma or fibromatous size to be equipped with different operational tools and take fat, it is necessary to fix Fat knurl or fibroma part are cut off, and difficulty is larger, and the pain brought to patient is also big.
In the last few years, with science and technology it is growing, be progressively employed out by means of high-pressure water jet surgery device Come.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 is needed by doctor Life hand moves along the track of excision, and procedure efficiency is relatively low, and at a relatively high to the technical requirements of doctor.For high-pressure water shot The rotatory sealing of stream is always a more scabrous technical problem.
The content of the invention
The present invention is in order to solve weak point of the prior art, there is provided a kind of simple in construction, easy to operate, sealing property By force, procedure efficiency is high and can be according to lipoma or the rotating type high-pressure water jet surgery of fibromatous big minor adjustment jet radius Operating theater instruments.
In order to solve the above technical problems, the present invention adopts the following technical scheme that:Rotating type high-pressure water jet surgery device Tool, including high-pressure hydraulic pump, mounting cylinder and the handle for being located at mounting cylinder outer upper, the center line of mounting cylinder are vertically set Put, top chock, step, motor and rotatory sealing attachment means, top chock and lower axle are provided with mounting cylinder Bearing is correspondingly arranged up and down, is rotatably connected to respectively by clutch shaft bearing and second bearing in top chock and step hollow Power transmission shaft, Hollow Transmission Shafts outer wall key connection have the driven gear between top chock and step, motor Spindle drive is connected with driving gear, and driving gear engages with driven gear, and connection is offered at Hollow Transmission Shafts upper end center Slotted eye;Hollow Transmission Shafts lower end is provided with the rotating jet device below mounting cylinder;Rotatory sealing attachment means lower end and sky The coaxial fixation in heart power transmission shaft upper end is simultaneously tightly connected;
Rotatory sealing attachment means include the sleeve pipe being arranged in vertical, and sleeve pipe is fixed in mounting cylinder, same in sleeve pipe It is axially arranged with hollow rotary shaft, hollow rotary shaft bottom is rotatably connected in sleeve pipe by 3rd bearing and fourth bearing, sleeve pipe The annular housing formed between hollow rotary shaft between 3rd bearing and fourth bearing, hollow rotary shaft top is arranged with Bearing trim ring, the first sealing ring, bearing trim ring inside and hollow rotation are provided between bearing trim ring bottom and hollow rotary shaft outer wall The permeable chamber formed between rotating shaft above the first sealing ring, bearing trim ring outer wall are provided with annular groove, level in bearing trim ring The water-permeable passage of permeable chamber and annular groove is communicated with, is provided between bearing trim ring outer wall and internal surface of sleeve pipe below annular groove The first O-ring, sleeve upper end is intraoral to be provided with detachable water flowing sealing structure, detachable water flowing sealing structure lower end and bearing pressure Enclose upper surface top pressure to coordinate, detachable water flowing sealing structure upper end is by there is the delivery port of high-pressure water pipe and high-pressure hydraulic pump to connect; Its lower end mouth is threaded with lower fastening silk braid, and lower fastening silk braid upper end coordinates with fourth bearing bottom top pressure, lower fastening silk The second sealing ring is provided between set and hollow rotary shaft outer wall;
Hollow rotary shaft lower end stretch out sleeve pipe simultaneously extend into connection slotted eye in, hollow rotary shaft lower end by jointing clip with The coaxial sealed connection in Hollow Transmission Shafts upper end, the centre bore of hollow rotary shaft and the centre bore of Hollow Transmission Shafts correspond to pass through up and down It is logical.
The rotating jet device includes inner hollow and rotating disk in disk form, and connection is provided with disk upper surface center , cross laser indicator is provided with disk lower surface center, connecting seat is provided with the connecting hole with being connected inside rotating disk, hollow Power transmission shaft lower end extend into connecting hole and is connected with connecting seat thread seal;Rotating disk bottom radially offers to be penetrated together Discharge orifice, one end of jet orifice are located at the center of rotating disk, and the other end of jet orifice is located at the edge of rotating disk, and control is provided with rotating disk The sealing regulating of jet orifice and jet radius size processed.
Sealing regulating includes the first seal box and the second seal box, and the first seal box is located in rotating disk, the second sealing Case is located at outside rotating disk and is fixedly connected with rotating disk;The guide rail positioned at jet orifice both sides is provided with rotating disk;
The first regulation motor and the first sealing regulating block are provided with first seal box, the first sealing regulating block lower surface edge turns Disk radial direction is provided with the first guide groove, and one end that guide rail is located at center of turntable is extend into the first guide groove, on the first seal box Provided with the first sealing structure being slidably matched with the first sealing regulating block, first seals in regulating block lower surface and the first guide groove Wall is respectively equipped with the first corrosion protection sealing gasket that cooperation is slidingly sealed with rotating disk inner bottom surface and guiding cheekn, the first sealing regulation Block sidepiece is provided with the first rack with guide rail parallel, and the spindle drive of the first regulation motor is connected with first gear, first gear Engaged with the first rack;
The second regulation motor and the second sealing regulating block are provided with second seal box, the second sealing regulating block lower surface edge turns Disk radial direction is provided with the second guide groove, and one end that guide rail is located at disk edge is extend into the second guide groove, on the second seal box Provided with the second seals structure being slidably matched with the second sealing regulating block, second seals in regulating block lower surface and the second guide groove Wall is respectively equipped with the second corrosion protection sealing gasket that cooperation is slidingly sealed with rotating disk inner bottom surface and guiding cheekn, the second sealing regulation Block sidepiece is provided with the second rack with guide rail parallel, and the spindle drive of the second regulation motor is connected with second gear, second gear Engaged with the second rack.
Detachable water flowing sealing structure includes top connection, and top connection outer wall thread is connected with fastening silk braid, upper fastening silk Set outer wall is threadedly coupled with internal surface of sleeve pipe, and the upper ring-shaped step coordinated with upper fastening silk braid lower end top pressure is provided with outside top connection, Top connection lower end is provided with the lower ring-shaped step coordinated with bearing trim ring upper surface top pressure, and top connection upper end offers and high-pressure water pipe The connector of connection, is provided with blasthole and pilot hole in top connection, blasthole top and bottom respectively with connector and pilot hole Connection, the internal diameter of blasthole are less than the internal diameter of pilot hole, and hollow rotary shaft top is extend into pilot hole through bearing trim ring, axle The support set extending into pilot hole is provided with the top of bearing ring, the upper surface of support set is less than the upper surface of hollow rotary shaft, branch Support set inwall and hollow rotary shaft wall contacts, support set outer wall contact with pilot hole inwall, hollow rotary shaft outer wall and assembling Hole inwall is filled with the filling sealing ring on the support set, fills and the is provided between sealing ring upper outside and pilot hole inwall Two O-rings, the gland being provided with pilot hole above hollow rotary shaft, pilot hole and blasthole are communicated with the top of gland Through hole, gland lower end coordinate with filling sealing ring upper end top pressure, and gland upper end coordinates with pilot hole top inner wall top pressure.
Sleeve pipe is externally provided with weeper and lubrication hole, weeper connection corresponding with annular groove, and lubrication hole connects with annular housing, Plug is provided with lubrication hole.
Using above-mentioned technical proposal, work use principle of the invention is:Determined according to lipoma or fibromatous size Apart from the distance of center of turntable at the injection of jet orifice, specific regulation, which passes through, opens the first regulation motor and the second regulation motor, First regulation motor drives the first rack by first gear, and the first rack drives first sealing regulating block moves along guide rail, the Two regulation motors drive the second rack by second gear, and the second rack drives second sealing regulating block moves along guide rail, and second Seal the end of regulating block and the end of the first sealing regulating block and form 0.1mm gap, the width of such jet orifice is just 0.1mm.When carrying out surgery excision lipoma or fibroma, the center of cross laser indicator localized resection is first passed through, Doctor's hand-held handle, opens high-pressure hydraulic pump and motor, and distilled water supercharging is entered rotation by high-pressure hydraulic pump by high-pressure water pipe Hollow rotary shaft in sealing and connecting device, then through Hollow Transmission Shafts, finally enter in rotating disk, sprayed by the jet orifice regulated Go out water under high pressure;Rotational action is passed to driven gear by motor by driving gear simultaneously, and driven gear drives hollow biography Moving axis rotates, and is sealedly and fixedly connected between Hollow Transmission Shafts and hollow rotary shaft by jointing clip, is realized while sealing The rotation of rotating disk.Thus rapidly lipoma or fibroma can be cut off out of cortex, reuse tweezers by lipoma or Fibroma is pressed from both sides out.The external diameter of driven gear is more than the external diameter of driving gear, can so reduce the rotary speed of rotating disk.
The operation principle of rotatory sealing attachment means in the present invention is:Water under high pressure enters top connection through high-pressure water pipe Blasthole, then successively by being entered in through hole, pilot hole, hollow rotary shaft in Hollow Transmission Shafts;Because through hole internal diameter is less than Blasthole internal diameter, in the presence of High-Pressure Water, gland lower end is delivered to the second O-ring to filling sealing ring extruding, extruding force On, the second O-ring is deformed so as to play sealing function, and the second O-ring is made by special substance;Make filling sealing ring with Hollow rotary shaft tight fit, High-Pressure Water flow out through hollow rotary shaft, and hollow rotary shaft is special with being used at filling sealing ring cooperation Different PROCESS FOR TREATMENT, so as to the frictional force for reducing it with filling sealing ring, filling sealing ring is made using special substance;It is hollow Rotary shaft is arranged in sleeve pipe by 3rd bearing and fourth bearing, and hollow rotary shaft can rotate under external force;And the Three bearings and fourth bearing need to lubricate in use, and the lubrication hole addition lubricating oil being provided with by sleeve pipe can lubricate Bearing, the first O-ring and the second sealing ring are used to stop oil leakage;Bearing trim ring lower surface compresses 3rd bearing, bearing Trim ring endoporus is slidably matched with hollow rotary shaft, and the support set at the top of bearing trim ring is used to support filling sealing ring, bearing trim ring It is made using special substance, to reduce its frictional force with hollow rotary shaft.
When leak occurs in the detachable water flowing sealing structure in rotatory sealing attachment means, that is, fill sealing ring and second O-ring damages, and water under high pressure can enter permeable intracavitary along hollow rotary shaft surface, and pass through water-permeable passage, annular groove and drop Flow out sleeve pipe in water hole;Water under high pressure penetrates into bearing trim ring upper surface along pilot hole inwall, then is flowed into through internal surface of sleeve pipe Weeper.If weeper water outlet, it is necessary to the lower upper fastening silk braid of dismounting, changed to filling sealing ring and the second O-ring. First O-ring, which plays, prevents water from entering in 3rd bearing and fourth bearing.
The effect of critical piece of the present invention and feature:
Motor:It is final to drive rotating disk rotation to realize circumgyration incision for the powered rotation of rotating disk;
Rotatory sealing attachment means:The connection between fixed high-pressure water pipe and the at a high speed Hollow Transmission Shafts of rotation is realized, And good sealing function is played, meet the requirement of the rotation and sealing under high pressure conditions;
High-pressure water pipe:The flow pipe of High-Pressure Water;
Hollow rotary shaft:It can be rotated in revolving joint and the excellent sealing between revolving joint, realization are high Press the rotation docking of current;
Jointing clip:Play coaxial hollow rotary shaft and the Hollow Transmission Shafts of being connected;
Rotating disk:For installing sealing regulating, and disperse High-Pressure Water, by the drive of motor, revolved Turn jet cutting operation;
Due to needing to bear the high pressure of water under high pressure in rotating disk, this just needs sufficiently to be sealed, therefore in the first sealing The first sealing structure being slidably matched with the first sealing regulating block is set on case, regulating block lower surface and first is sealed first Guide groove inwall sets the first corrosion protection sealing gasket that cooperation is slidingly sealed with rotating disk inner bottom surface and guiding cheekn respectively, second Set on seal box with the second second seals structure for being slidably matched of sealing regulating block, in the second sealing regulating block lower surface and Second guide groove inwall respectively this second corrosion protection sealing gasket of cooperation is slidingly sealed with rotating disk inner bottom surface and guiding cheekn. Water under high pressure will not be entered by so ensuring that in the first seal box and the second seal box.
In summary, novel in design, compact-sized, easy to operate, good airproof performance of the invention, securely and reliably, can be according to fat The radius of jet is adjusted in fat knurl or fibromatous size, and disposably to cut off lipoma or fibroma, operating time is big It is big to shorten, and do not have to movement in surgical procedure, it is adapted to the doctor of different experiences to be operated.
Brief description of the drawings
Fig. 1 is the structural representation of the present invention;
Fig. 2 is the structural representation of the vertical view inside rotating jet device in the present invention;
Fig. 3 is A-A sectional views 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 axis bearing rings.
Embodiment
As shown in Figure 1, Figure 2, shown in Fig. 3, Fig. 4 and Fig. 5, rotating type high-pressure water jet surgery apparatus of the invention, including High-pressure hydraulic pump 1, mounting cylinder 2 and the handle 3 for being located at the outer upper of mounting cylinder 2, the center line of mounting cylinder 2 are arranged in vertical, Top chock 4, step 5, motor 6 and rotatory sealing attachment means 7 are provided with mounting cylinder 2, top chock 4 is with Bearing block is correspondingly arranged about 5, is rotated and connected by clutch shaft bearing 8 and second bearing 9 respectively in top chock 4 and step 5 Hollow Transmission Shafts 10 are connected to, the outer wall key connection of Hollow Transmission Shafts 10 has the driven tooth between top chock 4 and step 5 Wheel 11, the spindle drive of motor 6 is connected with driving gear 12, and driving gear 12 engages with driven gear 11, hollow transmission Connection slotted eye is offered at the upper end center of axle 10;The lower end of Hollow Transmission Shafts 10 is provided with the rotating jet dress positioned at the lower section of mounting cylinder 2 Put 13.
Rotatory sealing attachment means 7 include the sleeve pipe 27 being arranged in vertical, and sleeve pipe is fixed in mounting cylinder, sleeve pipe 27 It is interior it is coaxial be provided with hollow rotary shaft 15, the bottom of hollow rotary shaft 15 passes through a 3rd bearing 28 and two 29 turns of fourth bearings It is dynamic to be connected in sleeve pipe 27, formed between sleeve pipe 27 and hollow rotary shaft 15 between 3rd bearing 28 and fourth bearing 29 Annular housing 30, the top of hollow rotary shaft 15 are arranged with bearing trim ring 31, the bottom of bearing trim ring 31 and the outer wall of hollow rotary shaft 15 Between be provided with the first sealing ring 32, formed between the inside of bearing trim ring 31 and hollow rotary shaft 15 positioned at the top of the first sealing ring 32 Permeable chamber 33, the outer wall of bearing trim ring 31 is provided with annular groove 34, and level is communicated with permeable chamber 33 and annular in bearing trim ring 31 The water-permeable passage 35 of groove 34, it is O-shaped that first be located at below annular groove 34 is provided between the outer wall of bearing trim ring 31 and the inwall of sleeve pipe 27 Circle 36, the upper port of sleeve pipe 27 is interior to be provided with detachable water flowing sealing structure, detachable water flowing sealing structure lower end and bearing trim ring 31 Upper surface top pressure coordinates, and detachable water flowing sealing structure is connected by high-pressure water pipe 16 with the delivery port of high-pressure hydraulic pump 1;Sleeve pipe 27 Lower port is threaded with lower fastening silk braid 37, and the lower fastening upper end of silk braid 37 coordinates with the bottom top pressure of fourth bearing 29, lower fastening The second sealing ring 38 is provided between silk braid 37 and the outer wall of hollow rotary shaft 15.
The lower end of hollow rotary shaft 15 is stretched out sleeve pipe 27 and extend into connection slotted eye, and the lower end of hollow rotary shaft 15 passes through connection Clip 39 and the coaxial sealed connection in the upper end of Hollow Transmission Shafts 10.In the centre bore and Hollow Transmission Shafts 10 of hollow rotary shaft 15 Heart hole corresponds to insertion up and down.
Rotating jet device 13 includes inner hollow and rotating disk 14 in disk form, the company of being provided with the upper surface center of rotating disk 14 Joint chair 17, cross laser indicator 18 is provided with the lower surface center of rotating disk 14, connecting seat 17 is provided with to be connected with the inside of rotating disk 14 Connecting hole, the lower end of Hollow Transmission Shafts 10 extend into connecting hole and is connected with the thread seal of connecting seat 17;The bottom edge of rotating disk 14 Radial direction offers one of jet orifice 19, and one end of jet orifice 19 is located at the center of rotating disk 14, the other end of jet orifice 19 Control jet orifice 19 and the sealing regulating of jet radius size are provided with the edge of rotating disk 14, rotating disk 14.
Sealing regulating includes the first seal box 60 and the second seal box 61, and the first seal box 60 is located in rotating disk 14, Second seal box 61 is located at outside rotating disk 14 and is fixedly connected with rotating disk 14;The guide rail positioned at the both sides of jet orifice 19 is provided with rotating disk 14 62。
The first regulation motor and the first sealing regulating block 64, the first sealing following table of regulating block 64 are provided with first seal box 60 Face is provided with the first guide groove along the radial direction of rotating disk 14, and one end that guide rail 62 is located at the center of rotating disk 14 is extend into the first guide groove, First seal box 60 is provided with the first sealing structure 65 being slidably matched with the first sealing regulating block 64, the first sealing regulating block 64 Lower surface and the first guide groove inwall are respectively equipped with the coordinated with the inner bottom surface of rotating disk 14 and the sealing of the side walls of guide rail 62 One corrosion protection sealing gasket 66, the first sealing sidepiece of regulating block 64 are provided with first rack 67 parallel with guide rail 62, the first regulation motor Spindle drive be connected with first gear 68, first gear 68 engages with the first rack 67.
The second regulation motor and the second sealing regulating block 70, the second sealing following table of regulating block 70 are provided with second seal box 61 Face is provided with the second guide groove along the radial direction of rotating disk 14, and one end that guide rail 62 is located at the edge of rotating disk 14 is extend into the second guide groove, Second seal box 61 is provided with the second seals structure 71 being slidably matched with the second sealing regulating block 70, the second sealing regulating block 70 Lower surface and the second guide groove inwall are respectively equipped with the coordinated with the inner bottom surface of rotating disk 14 and the sealing of the side walls of guide rail 62 Two corrosion protection sealing gaskets, the second sealing sidepiece of regulating block 70 are provided with second rack 73 parallel with guide rail 62, the second regulation motor Spindle drive is connected with second gear 74, and second gear 74 engages with the second rack 73.
Detachable water flowing sealing structure includes top connection 40, and the outer wall thread of top connection 40 is connected with fastening silk braid 41, on The fastening outer wall of silk braid 41 is connected with the inner thread of sleeve pipe 27, and the outside of top connection 40 is provided with to be coordinated with the upper lower end top pressure of fastening silk braid 41 Upper ring-shaped step 42, the lower end of top connection 40 is provided with the lower ring-shaped step 43 coordinated with the upper surface top pressure of bearing trim ring 31, above connect First 40 upper end offers the connector 44 being connected with high-pressure water pipe 16, is provided with blasthole 45 and pilot hole 46 in top connection 40, enters The top and bottom of water hole 45 connect with connector 44 and pilot hole 46 respectively, and the internal diameter of blasthole 45 is less than the interior of pilot hole 46 Footpath, the top of hollow rotary shaft 15 are extend into pilot hole 46 through bearing trim ring, and the top of bearing trim ring 31, which is provided with, extend into assembling Support set 47 in hole 46, the upper surface of support set 47 are less than the upper surface of hollow rotary shaft 15, the inwall of support set 47 with it is hollow The wall contacts of rotary shaft 15, the outer wall of support set 47 contact with the inwall of pilot hole 46, in the outer wall of hollow rotary shaft 15 and pilot hole 46 Wall is filled with the filling sealing ring 48 on support set 47, fills and is set between the upper outside of sealing ring 48 and the inwall of pilot hole 46 There is the second O-ring 49, the gland 50 positioned at the top of hollow rotary shaft 15 is provided with pilot hole 46, the top of gland 50 is communicated with filling The through hole 51 of distribution 46 and blasthole 45, the internal diameter of through hole 51 are less than the internal diameter of blasthole 45, the lower end of gland 50 and filling sealing ring 48 Upper end top pressure coordinates, and the upper end of gland 50 coordinates with the top inner wall top pressure of pilot hole 46.
Sleeve pipe 27 is externally provided with weeper and lubrication hole, weeper connection corresponding with annular groove 34, lubrication hole and annular housing 30 connections, lubrication hole is interior to be provided with plug.
The present invention work use principle be:Determined according to lipoma or fibromatous size at the injection of jet orifice 19 Distance apart from the center of rotating disk 14, specific regulation is by opening the first regulation motor and the second regulation motor, the first regulation motor First rack 67 is driven by first gear 68, the first rack 67 drives the first sealing regulating block 64 to be moved along guide rail 62, and second Regulation motor drives the second rack 73 by second gear 74, and the second rack 73 drives the second sealing regulating block 70 to be moved along guide rail 62 Dynamic, the end of the end of the second sealing regulating block 70 and the first sealing regulating block 64 forms 0.1mm gap, such jet orifice 19 Width be just 0.1mm.When carrying out surgery excision lipoma or fibroma, the localized resection of cross laser indicator 18 is first passed through Center, doctor's hand-held handle 3 opens high-pressure hydraulic pump 1 and motor 6, and distilled water is pressurized through too high by high-pressure hydraulic pump 1 The hollow rotary shaft that pressure pipe enters in rotatory sealing attachment means 7, then through Hollow Transmission Shafts 10, finally enter in rotating disk 14, Water under high pressure is sprayed by the jet orifice 19 regulated;Simultaneously motor 6 by driving gear 12 rotational action pass to from Moving gear 11, driven gear 11 drive Hollow Transmission Shafts 10 to rotate, pass through connection between Hollow Transmission Shafts 10 and hollow rotary shaft Clip 39 is sealedly and fixedly connected, and the rotation of rotating disk 14 is realized while sealing.Thus can be rapidly by lipoma or fibre Dimension knurl is cut off out of cortex, is reused tweezers and is pressed from both sides out lipoma or fibroma.The external diameter of driven gear 11 is more than actively The external diameter of gear 12, it can so reduce the rotary speed of rotating disk 14.
The operation principle of rotatory sealing attachment means 7 in the present invention is:Water under high pressure is entered through high-pressure water pipe 16 and connect First 40 blasthole 45, then successively by being entered in through hole 51, pilot hole 46, hollow rotary shaft 15 in Hollow Transmission Shafts 10; Because the internal diameter of through hole 51 is less than the internal diameter of blasthole 45, in the presence of High-Pressure Water, the lower end of gland 50 is squeezed to filling sealing ring 48 Pressure, extruding force are delivered on the second O-ring 49, and the second O-ring 49 is deformed so as to play sealing function, the second O-ring 49 It is made by special substance;Make filling sealing ring 48 and the tight fit of hollow rotary shaft 15, High-Pressure Water flows through hollow rotary shaft 15 Go out, hollow rotary shaft 15 at the filling cooperation of sealing ring 48 using special process with being handled, to reduce it with filling sealing ring 48 Frictional force, filling sealing ring 48 is made using special substance;Hollow rotary shaft 15 passes through the axle of 3rd bearing 28 and the 4th Hold 29 to be arranged in sleeve pipe 27, hollow rotary shaft 15 can rotate under external force;And 3rd bearing 28 and fourth bearing 29 Need to lubricate in use, the lubrication hole addition lubricating oil being provided with by sleeve pipe 27 can lubricate bearing, the first O-ring 36 and second sealing ring 38 be used for stop oil leakage;The lower surface of bearing trim ring 31 compresses 3rd bearing 28, bearing trim ring 31 Endoporus is slidably matched with hollow rotary shaft 15, and the support set 47 at the top of bearing trim ring 31 is used to support filling sealing ring 48, bearing Trim ring 31 is made using special substance, to reduce its frictional force with hollow rotary shaft 15.
When leak occurs in the detachable water flowing sealing structure in rotatory sealing attachment means 7, that is, fill the He of sealing ring 48 Second O-ring 49 damages, and water under high pressure can enter in permeable chamber 33 along the surface of hollow rotary shaft 15, and pass through water-permeable passage 35th, annular groove 34 and weeper outflow sleeve pipe 27;Water under high pressure penetrates into bearing trim ring upper surface along the inwall of pilot hole 46, Again weeper is flowed into through the inwall of sleeve pipe 27.If weeper water outlet, it is necessary to the lower upper fastening silk braid 41 of dismounting, sealed to filling The O-ring 49 of circle 48 and second is changed.First O-ring 36, which plays, prevents water from entering 3rd bearing 28 and fourth bearing 29 In.
Above example is only to illustrative and not limiting technical scheme, although with reference to above-described embodiment to this hair It is bright to be described in detail, it will be understood by those within the art that:Still the present invention can be modified or be waited With replacing, any modification or partial replacement without departing from the spirit and scope of the present invention, it all should cover the power in the present invention Among sharp claimed range.

Claims (5)

1. rotating type high-pressure water jet surgery apparatus, it is characterised in that:Including high-pressure hydraulic pump, mounting cylinder and it is located at mounting cylinder The handle of outer upper, the center line of mounting cylinder are arranged in vertical, in mounting cylinder be provided with top chock, step, Motor and rotatory sealing attachment means, top chock and step are correspondingly arranged up and down, top chock and step Hollow Transmission Shafts are inside rotatably connected to by clutch shaft bearing and second bearing respectively, Hollow Transmission Shafts outer wall key connection has positioned at upper Driven gear between bearing block and step, the spindle drive of motor are connected with driving gear, driving gear with from Moving gear is engaged, and connection slotted eye is offered at Hollow Transmission Shafts upper end center;Hollow Transmission Shafts lower end, which is provided with, to be located under mounting cylinder The rotating jet device of side;The fixation coaxial with Hollow Transmission Shafts upper end of rotatory sealing attachment means lower end is simultaneously tightly connected;
Rotatory sealing attachment means include the sleeve pipe being arranged in vertical, and sleeve pipe is fixed in mounting cylinder, coaxial in sleeve pipe Provided with hollow rotary shaft, hollow rotary shaft bottom is rotatably connected in sleeve pipe by 3rd bearing and fourth bearing, sleeve pipe and sky The annular housing formed between heart rotary shaft between 3rd bearing and fourth bearing, hollow rotary shaft top is arranged with bearing Trim ring, the first sealing ring, bearing trim ring inside and hollow rotary shaft are provided between bearing trim ring bottom and hollow rotary shaft outer wall Between form the permeable chamber above the first sealing ring, bearing trim ring outer wall is provided with annular groove, and level is provided with bearing trim ring The water-permeable passage of permeable chamber and annular groove is connected, the be provided between bearing trim ring outer wall and internal surface of sleeve pipe below the annular groove One O-ring, sleeve upper end is intraoral to be provided with detachable water flowing sealing structure, detachable water flowing sealing structure lower end with bearing trim ring Surface top pressure coordinates, and detachable water flowing sealing structure upper end is by there is the delivery port of high-pressure water pipe and high-pressure hydraulic pump to connect;Sleeve pipe Lower port is threaded with lower fastening silk braid, and lower fastening silk braid upper end coordinates with fourth bearing bottom top pressure, lower fastening silk braid with The second sealing ring is provided between hollow rotary shaft outer wall;
Hollow rotary shaft lower end stretch out sleeve pipe simultaneously extend into connection slotted eye in, hollow rotary shaft lower end by jointing clip with it is hollow The coaxial sealed connection in power transmission shaft upper end, the centre bore of hollow rotary shaft and the centre bore of Hollow Transmission Shafts correspond to insertion up and down.
2. rotating type high-pressure water jet surgery apparatus according to claim 1, it is characterised in that:The rotating jet Device includes inner hollow and rotating disk in disk form, is provided with connecting seat at disk upper surface center, at disk lower surface center Provided with cross laser indicator, connecting seat is provided with the connecting hole with being connected inside rotating disk, and Hollow Transmission Shafts lower end extend into company Connect in hole and be connected with connecting seat thread seal;Rotating disk bottom radially offers one of jet orifice, one end of jet orifice At the center of rotating disk, the other end of jet orifice is located at the edge of rotating disk, and control jet orifice and jet half are provided with rotating disk The sealing regulating of footpath size.
3. rotating type high-pressure water jet surgery apparatus according to claim 2, it is characterised in that:Sealing regulating Including the first seal box and the second seal box, the first seal box is located in rotating disk, and the second seal box is located at outside rotating disk and and rotating disk It is fixedly connected;The guide rail positioned at jet orifice both sides is provided with rotating disk;
The first regulation motor and the first sealing regulating block are provided with first seal box, first seals regulating block lower surface along rotating disk footpath The first guide groove is provided with to direction, one end that guide rail is located at center of turntable is extend into the first guide groove, and the first seal box is provided with The first sealing structure being slidably matched with the first sealing regulating block, the first sealing regulating block lower surface and the first guide groove inwall point The first corrosion protection sealing gasket of cooperation, the first sealing regulating block side She You not be slidingly sealed with rotating disk inner bottom surface and guiding cheekn Portion is provided with the first rack with guide rail parallel, and the spindle drive of the first regulation motor is connected with first gear, first gear and the One rack engages;
The second regulation motor and the second sealing regulating block are provided with second seal box, second seals regulating block lower surface along rotating disk footpath The second guide groove is provided with to direction, one end that guide rail is located at disk edge is extend into the second guide groove, and the second seal box is provided with The second seals structure being slidably matched with the second sealing regulating block, the second sealing regulating block lower surface and the second guide groove inwall point The second corrosion protection sealing gasket of cooperation, the second sealing regulating block side She You not be slidingly sealed with rotating disk inner bottom surface and guiding cheekn Portion is provided with the second rack with guide rail parallel, and the spindle drive of the second regulation motor is connected with second gear, second gear and the Two racks engage.
4. the rotating type high-pressure water jet surgery apparatus according to claim 1 or 2 or 3, it is characterised in that:Detachably Water flowing sealing structure includes top connection, and top connection outer wall thread is connected with fastening silk braid, upper to fasten in silk braid outer wall and sleeve pipe Wall is threadedly coupled, and the upper ring-shaped step coordinated with upper fastening silk braid lower end top pressure is provided with outside top connection, top connection lower end is provided with The lower ring-shaped step coordinated with bearing trim ring upper surface top pressure, top connection upper end offer the connector being connected with high-pressure water pipe, Blasthole and pilot hole are provided with top connection, blasthole top and bottom connect with connector and pilot hole respectively, blasthole Internal diameter is less than the internal diameter of pilot hole, and hollow rotary shaft top is extend into pilot hole through bearing trim ring, is set at the top of bearing trim ring There is the support set extending into pilot hole, the upper surface of support set is less than the upper surface of hollow rotary shaft, support set inwall and sky Heart rotary shaft wall contacts, support set outer wall are contacted with pilot hole inwall, and hollow rotary shaft outer wall is filled with pilot hole inwall Filling sealing ring on support set, fill and be provided with the second O-ring between sealing ring upper outside and pilot hole inwall, assemble The gland being provided with hole above the hollow rotary shaft, is communicated with the through hole of pilot hole and blasthole at the top of gland, under gland End coordinates with filling sealing ring upper end top pressure, and gland upper end coordinates with pilot hole top inner wall top pressure.
5. rotating type high-pressure water jet surgery apparatus according to claim 4, it is characterised in that:Sleeve pipe is externally provided with drop Water hole and lubrication hole, weeper connection corresponding with annular groove, lubrication hole are connected with annular housing, and plug is provided with 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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CH693254A5 (en) * 1999-03-31 2003-05-15 Ammann Technik Ag Means for generating a Flüssigkeitsstrahlesfür removing particular biological tissue.
US20060156875A1 (en) * 2005-01-19 2006-07-20 Depuy Mitek, Inc. Fluid cutting device and method of use
DE102007052805B4 (en) * 2007-11-06 2012-09-06 Erbe Elektromedizin Gmbh Water jet surgical device and method for operating such
JP2015058234A (en) * 2013-09-20 2015-03-30 セイコーエプソン株式会社 Medical liquid injection device

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Inventor after: Li Hongwei

Inventor after: Xu Kai

Inventor after: Fu Jinfang

Inventor after: Wei Yongge

Inventor after: Guo Baozhong

Inventor after: Yang Yang

Inventor after: Zhang Wei

Inventor after: Zhang Jiawei

Inventor after: Xue Bing

Inventor before: Li Hongwei

Inventor before: Xu Kai

Inventor before: Li Zhongqiang

Inventor before: Wei Yongge

Inventor before: Fu Jinfang

Inventor before: Yang Yang

Inventor before: Zhang Wei

Inventor before: Zhang Jiawei

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