CN106667580A - Resectoscope clamping device for transurethral resection of prostate - Google Patents

Resectoscope clamping device for transurethral resection of prostate Download PDF

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Publication number
CN106667580A
CN106667580A CN201710075145.1A CN201710075145A CN106667580A CN 106667580 A CN106667580 A CN 106667580A CN 201710075145 A CN201710075145 A CN 201710075145A CN 106667580 A CN106667580 A CN 106667580A
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CN
China
Prior art keywords
block
motor
shaft coupling
fixed
hexagon socket
Prior art date
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Pending
Application number
CN201710075145.1A
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Chinese (zh)
Inventor
李汉忠
赵江地
王君臣
张学斌
张晓会
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Beihang University
Peking Union Medical College Hospital Chinese Academy of Medical Sciences
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Beihang University
Peking Union Medical College Hospital Chinese Academy of Medical Sciences
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Priority to CN201710075145.1A priority Critical patent/CN106667580A/en
Publication of CN106667580A publication Critical patent/CN106667580A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017Electrical control of surgical instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00505Urinary tract
    • A61B2018/00517Urinary bladder or urethra
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00547Prostate
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00601Cutting

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Otolaryngology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Plasma & Fusion (AREA)
  • Physics & Mathematics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Transmission Devices (AREA)

Abstract

The invention discloses a resectoscope clamping device for transurethral resection of the prostate, and relates to the technical field of medical equipment. The resectoscope clamping device comprises a fixing mechanism, a rotating mechanism and a clamping mechanism, wherein the fixing mechanism comprises a connecting block; the rotating mechanism comprises a motor, a cross-shaped connecting block, a coupling, a deep groove ball bearing, a bearing positioning table, a big retaining ring, an angular contact ball bearing, a sleeve, a small retaining ring and a rotating connecting plate; and the clamping mechanism comprises a motor, guide rail baffle plates, a section material baseplate, a coupling, a coupling stop dog, a deep groove ball bearing, an optical axis, a ball screw, a feed screw nut, a sliding block, a push rod, a clamping block and a movable clamping block. The resectoscope clamping device has the beneficial effects that an operating knife is fixed on the clamping mechanism; a motor of the rotating mechanism drives the clamping mechanism and the operating knife to rotate for changing the resection angle of the operating knife; the motor of the clamping mechanism is used for driving assemblies of the clamping mechanism to complete the telescoping movement of an electric resection loop of the operating knife; the two-degree-of-freedom movement of the operating knife is realized; and the working intensity of doctors is reduced.

Description

A kind of per urethra operation on prostate resectoscope clamping device
Technical field
The present invention relates to technical field of medical instruments, more particularly to a kind of per urethra operation on prostate resectoscope clamping dress Put.
Background technology
In the operation process of traditional Transurethral prostatic electroresection A, by the hand-held scalpel of doctor, manually adjust Scalpel angle, promotion scalpel TURP ring, meanwhile, step on energization pedal to complete prostate excision purpose.It can be said that for For time longer operation, such work working strength for doctor is larger.In recent years, also there are some with regard to operation The research and development of the clamper of knife, but cannot simultaneously meet scalpel rotation and mobile the two degree of freedom requirements.It is of the invention then Preferably resolve the problem of degree of freedom.In current research, the S.Russo of Harvard University is in document " A Novel In Robotic Platform for Laser-Assisted Transurethral Surgery of the Prostate " Refer to a kind of application platform of the scalpel of employing laser ablation.The patent such as the " modular mechanical of robotic surgery of China Handss support (200910172884) ", " a kind of minimally invasive robot with armed mechanical arm (201510511611) " etc., belong to such Research.It is complex all also to there is mechanism in these researchs, the problems such as do not meet doctor's operating habit.
The content of the invention
Goal of the invention:
Instant invention overcomes shortcoming of the prior art, it is proposed that a kind of per urethra operation on prostate resectoscope clamping dress Put, on the premise of doctor is not directly contacted with patient, by doctor by consing clamping device, realize per urethra prostate The excision campaign of the scalpel of electrotomy.
Technical scheme:
A kind of per urethra operation on prostate resectoscope clamping device of the present invention, it is by fixed mechanism, rotating mechanism and dress Clamp mechanism is constituted;Their relations each other are:Fixed mechanism is mutually interconnected with rotating mechanism by hexagon socket cap head screw Connect or split, rotating mechanism and clamping mechanism are connected with each other by hexagon socket cap head screw or are split, above-mentioned three's whirler Structure is located at centre, fixed mechanism and clamping mechanism point row rotating mechanism both sides.
The fixed mechanism is made up of 1 contiguous block 1, and the shape design of the contiguous block 1 is a block length square floor, base plate On have 4 tapped through holes, the corner location of base plate side 4 protrudes 4 strip structures, 4 strip projective structures away from Respectively there is 1 tapped through hole one end side of base plate.
The rotating mechanism is by 12,1, motor, 4,2 identical deep-groove ball of shaft coupling of cross contiguous block 3,1 Big 10,1, the sleeve of back-up ring 9,1 rotation of 5,1, the bearing little back-up ring 8,1 of angular contact ball bearing 7,1 of bearing positioning table 6,1 Connecting plate 11 is constituted;Their relations each other are:Motor 2 is fixed on cross contiguous block by hexagon socket cap head screw On 2 symmetrical semicircle ring cylinders of 3 sides, the output shaft of motor 2 is connected in the stomidium of shaft coupling 4 one, and shaft coupling 4 is placed in Between 2 semicircle ring cylinders, 2 identical deep groove ball bearings 5 are embedded in the opposite side circle ring column of cross contiguous block 3, bearing Positioning table 6 is fixed on the circle ring column of cross contiguous block 3 by hexagon socket cap head screw, and angular contact ball bearing 7 is enclosed within On the minor radius circle ring column of bearing positioning table 6, little back-up ring 8 is leaned against outside angular contact ball bearing 7, solid by hexagon socket cap head screw It is scheduled on bearing positioning table 6, big back-up ring 9 and sleeve 10 are enclosed within outside angular contact ball bearing 7, big back-up ring 9 passes through interior hexagonal cylindrical head Screw is fixed on sleeve 10, and sleeve 10 connects rotary connection plate 11 by hexagon socket cap head screw, rotary connection plate 11 One end connects shaft coupling 4, and the other end connects above-mentioned clamping mechanism;The motor 2 is motor, for driving the rotation of rotating mechanism Turn;The shape design of the main body of the cross contiguous block 3 is the cross stage body containing through hole, and respectively there is a spiral shell side at 4 angles Pit, for being fixed on contiguous block 1, the side of cross contiguous block 3 is 2 symmetrical semicircle ring cylinders, semicircle ring cylinder Respectively there are 2 screwed holes on top surface, for installing connection motor 2, opposite side is internal diameter than the body through-holes hole of cross contiguous block 3 Two deep groove ball bearings 5 are placed in the slightly larger circle ring column in footpath, circle ring column, there are 2 screwed holes on cylinder bottom surface, for connecting Bearing positioning table 6;The shaft coupling 4 is common Quincunx elastic coupler, for connecting motor 2 and rotary connection plate 11;The depth The model GB/T276-94 61805-2Z of ditch ball bearing 5, for supporting the rotary motion of rotary connection plate 11;The bearing positioning The shape design of platform 6 is the different alternating share of two radiuses in left and right, and minor radius circle ring column internal diameter is less than large radius annulus Cylinder internal diameter, minor radius circle ring column is used for the axially position of deep groove ball bearing 5, and its shape design is " recessed " shape, cylinder There are 2 symmetrical groovings on side, respectively have 1 screwed hole on groove face, for being fixed on cross contiguous block 3, in minor radius There are 4 screwed holes the bottom surface of circle ring column, and for fixing little back-up ring 8, large radius circle ring column is used for the axle of angular contact ball bearing 7 To positioning;The angular contact ball bearing 7 model GB/T292-94 71912C, for supporting the rotary motion of rotary connection plate 11; The shape design of the little back-up ring 8 is common annular back-up ring, for the axially position of angular contact ball bearing 7, there is 4 spiral shells on bottom surface Pit, for being fixed on bearing positioning table 6;The shape design of the big back-up ring 9 is common annular back-up ring, the one of the big back-up ring Side is fitted in the outer ring of angular contact ball bearing 7, there is 8 screwed holes on bottom surface, and by hexagon socket cap head screw sleeve is fixed on On 10, for the axially position of sleeve 10;The shape design of the sleeve 10 is the different circle ring column of upper and lower two radiuses, most Footpath cylinder internal diameter is more than minor radius cylinder internal diameter, there is 8 screwed holes on large radius circle ring column bottom surface, for connecting big back-up ring 9, Large radius circle ring column is enclosed within angular contact ball bearing 7, for the support of rotary connection plate 11, on minor radius circle ring column bottom surface There are 3 screwed holes, for fixing rotary connection plate 11;The shape design of the rotary connection plate 11 is that main body is rectangle thin plate, There are 2 sections of connected column type boss thin plate side, and outer boss radius is less, for being connected with motor 2 by shaft coupling 4, There are 3 screwed holes on rectangle thin plate, for being fixed on sleeve 10, rectangle thin plate opposite side centre position is near long side There are 2 sections of perpendicular type boss at two ends, and ipsilateral penumbra is located proximate to the two ends on long side has 2 sections of shapes identical, the longer perpendicular type of length Boss, per section longer perpendicular type boss on have 3 screwed holes, for fixing above-mentioned clamping mechanism.
The clamping mechanism is by 1 12,1, motor, 13,1 block of guide track block, 14,2 identical optical axis of section bar base plate 15th, 1 16,1, shaft coupling leading screw spiral shell of ball-screw 19,1 of identical deep groove ball bearing 18,1 of shaft coupling block 17,2 Female 20,1 grip block 22,1 of slide block 21,1 activity, 23,1 push rod 24 of grip block is constituted;Their relations each other It is:Motor 12 is fixed on the side of guide track block 13 by hexagon socket cap head screw, and guide track block 13 passes through interior hexagonal cylindrical head Screw is fixed on section bar base plate 14, and 2 identical optical axises 15 are by guide track block 13, shaft coupling block 17 and grip block 22 Support, shaft coupling 16 is positioned between guide track block 13 and shaft coupling block 17, for connecting motor 12 and ball-screw 19, shaft coupling Device block 17 is fixed on section bar base plate 14 by hexagon socket cap head screw, and 2 identical deep groove ball bearings 18 are embedded respectively In the through hole of shaft coupling block 17 and grip block 22, ball-screw 19, ball-screw 19 1 are installed in deep groove ball bearing 18 End is connected by shaft coupling 16 with motor 12, and the other end passes sequentially through feed screw nut 20, slide block 21 and is connected on grip block 22, Grip block 22 is fixed on section bar base plate 14 by hexagon socket cap head screw, and movable grip block 23 is bolted in grip block On 22, push rod 24 is fixed on slide block 21 by hexagon socket cap head screw;The motor 12 is motor, for driving ball Leading screw 19 rotates, and slides with movable slider 21 so as to pass through feed screw nut 20;The shape design of the guide track block 13 is that rectangle is thin There are a square indentations plate, thin plate side, for placing motor 12, there is a manhole in groove, for by motor 12 Output shaft, thin plate opposite side respectively has a groove near the position of minor face, and for installing optical axis 15, the bottom of guide track block 13 has 4 screwed holes, for being fixed on section bar base plate 14;The shape design of the section bar base plate 14 is rectangle plate, and bottom surface has 6 Screwed hole, for being fixed on rotary connection plate 11, respectively there are 4 screwed holes left and right side, is respectively used to fix guide track block 13 With grip block 22;The shape design of the optical axis 15 is elongated cylinder, by guide track block 13, shaft coupling block 17 and grip block 22 Support, slides for support slipper 21;The shaft coupling 16 is common Quincunx elastic coupler, for connecting motor 12 and ball Leading screw 19;The shape design of the shaft coupling block 17 is rectangle tabular, there is three through holes in plate face, is respectively used to install zanjon Ball bearing 18 and by optical axis 15;The model GB/T276-94 61801-2Z of the deep groove ball bearing 18, for supporting ball wire Thick stick 19 rotates;The shape design of the ball-screw 19 is the narrow elongated cylinder in middle width two ends, and middle circle cylinder upper band has screw thread, Two ends cylinder is optical axis, and two ends optical axis is respectively nested in 2 identical deep groove ball bearings 18, ball-screw 19 and leading screw spiral shell Female 20 support the use, for converting rotational motion into translational motion;The shape design of the feed screw nut 20 is thin elliptical plate, There are 4 screwed holes on thin plate bottom surface, for being fixed on slide block 21, there is the cylinder table containing through hole on thin plate side, for passing through Ball-screw 19;The shape design of the slide block 21 is cuboid, and rectangular body side surface respectively has a through hole near the two ends of minor face, is used In by optical axis 15, side interposition is equipped with the through hole of a shape of feed screw nut 20, for disposing feed screw nut 20, and passes through Two screwed holes are arranged at ball-screw 19, the leading flank bottom of slide block 21, for fixing push rod 24;The shape design of the grip block 22 For rectangle plate, there are four screwed holes side bottom, and for being fixed on section bar base plate 14, there is 1 through hole at middle part, for pacifying Dress deep groove ball bearing 18, top retaining part of the protrusion with semi-circular recesses, the retaining part two ends respectively have a screwed hole to use In fixed activity grip block 23;The retaining part that the shape design of the movable grip block 23 protrudes with the top of grip block 22 is relative Claim, two ends there are 2 screwed holes, for being fixed on grip block 22;The shape design of the push rod 24 is " fourth " shape, and top is one There is a cylinder boss rectangle thin plate, thin plate bottom surface, for promoting scalpel spanner, thin plate bottom surface to have 2 screwed holes, be used for It is fixed on slide block 21.
Compared with prior art, the invention has the beneficial effects as follows:
1st, the scalpel for Transurethral prostatic electroresection A is clamped, and replaces doctor's operation, and the work for reducing doctor is strong Degree;
2nd, in technical field of medical instruments, there is presently no the clamping that can be used for Transurethral prostatic electroresection A scalpel Equipment, with certain novelty;
3rd, compact conformation, succinct, it is simple to operate, it is easy to doctor to operate;
4th, using detachable mounting means, easy installation and removal, when fortuitous event is met, quickly can turn from mechanically actuated Artificial operation is changed to, safety is higher.
Description of the drawings
Fig. 1 is per urethra operation on prostate resectoscope clamping device entirety shaft side figure
Fig. 2 is per urethra operation on prostate resectoscope clamping device side view
Fig. 3 is per urethra operation on prostate resectoscope clamping device contiguous block axonometric drawing
Fig. 4 is the cross contiguous block axonometric drawing of per urethra operation on prostate resectoscope clamping device
Fig. 5 is per urethra operation on prostate resectoscope clamping device bearing positioning table axonometric drawing
Fig. 6 is per urethra operation on prostate resectoscope clamping device rotating mechanism members axonometric drawing
Fig. 7 is per urethra operation on prostate resectoscope clamping device rotary connection plate axonometric drawing
Fig. 8 is per urethra operation on prostate resectoscope clamping device feed screw nut axonometric drawing
In figure:1st, contiguous block, 2, motor, 3, cross contiguous block, 4, shaft coupling, 5, deep groove ball bearing, 6, bearing positioning Platform, 7, angular contact ball bearing, 8, little back-up ring, 9, big back-up ring, 10, sleeve, 11, rotary connection plate, 12, motor, 13, guide rail gear Block, 14, section bar base plate, 15, identical optical axis, 16, shaft coupling, 17, shaft coupling block, 18, deep groove ball bearing, 19, ball wire Thick stick, 20, feed screw nut, 21, slide block, 22, grip block, 23, movable grip block, 24, push rod.
Specific embodiment
Below in conjunction with the accompanying drawings, technical scheme is described further.
The population structure of the present invention is as shown in Figures 1 to 8.
A kind of per urethra operation on prostate resectoscope clamping device, including fixed mechanism, rotating mechanism and clamping mechanism, three Person can be sequentially connected with or split.Fixed mechanism is connected with each other by hexagon socket cap head screw with rotating mechanism or is split, rotation Mechanism and clamping mechanism are connected with each other by hexagon socket cap head screw or are split, and above-mentioned three's rotating mechanism is located at centre, Gu Mechanism is determined with clamping mechanism point row rotating mechanism both sides.When fixed mechanism is connected with rotating mechanism, 4 strips of contiguous block 1 Projective structure is placed on 4 angles of the cross stage body of the cross contiguous block 3 in rotating mechanism, with interior hexagonal cylindrical head spiral shell Nail screws in the screwed hole of 4 strip projective structures of contiguous block 1, makes fixed mechanism be fixed together with rotating mechanism.Split When, by the rotation of hexagon socket cap head screw opposite direction, fixed mechanism is departed from rotating mechanism.Rotating mechanism connects with clamping mechanism When connecing, the guide track block 13 of clamping mechanism is placed in the space that 4 perpendicular type boss of the rotary connection plate 11 of rotating mechanism are surrounded Interior, section bar base plate 14 is placed on the longer perpendicular type boss of rotary connection plate 11, is screwed in hexagon socket cap head screw and is rotated In screwed hole on the longer perpendicular type boss of connecting plate 11 two, both are made closely to connect.During fractionation, by interior hexagonal cylindrical head Screw opposite direction rotates, and rotating mechanism is departed from clamping mechanism.Wherein, the fixed mechanism contiguous block 1 can be with mechanical arm Adpting flange connects or splits, and during connection, with hexagon socket cap head screw the screwed hole of the bottom surface of contiguous block 1 is screwed in, and makes both tight It is close to be connected.During fractionation, by the rotation of hexagon socket cap head screw opposite direction, fixed mechanism is set to depart from mechanical arm.The mechanical arm It can be UR5 (You Ao robots) mechanical arm.
Rotating mechanism can connect or split, and during connection, motor 2 is placed on symmetrical 2 in the side of cross contiguous block 3 On individual semicircle ring cylinder, screwed in the screwed hole on semicircle ring cylinder top surface with hexagon socket cap head screw, both is closely connected Connect.During fractionation, by the rotation of hexagon socket cap head screw opposite direction, motor 2 is set to depart from cross contiguous block 3.Motor 2 and shaft coupling Device 4 can connect or split, and during connection, the output shaft of motor 2 is passed through in the stomidium of shaft coupling 4 one, and it is general that screw-in shaft coupling 4 is carried Logical screw, makes both fix axial location.During fractionation, by the rotation of plain screw opposite direction, motor 2 is set to separate with shaft coupling 4.Connection Axle device 4 is placed between 2 semicircle ring cylinders of the side of cross contiguous block 3.2 identical deep groove ball bearings 5 are embedded in cross In the circle ring column of contiguous block 3.Bearing positioning table 6 is enclosed within the circle ring column of cross contiguous block 3, during connection, uses interior hexagonal Fillister head screw is screwed in the screwed hole on the grooving groove face of bearing positioning table 6, makes cross contiguous block 3 and bearing positioning table 6 It is fixed together.During fractionation, by the rotation of hexagon socket cap head screw opposite direction, cross contiguous block 3 is set to take off with bearing positioning table 6 From.Angular contact ball bearing 7 is enclosed within the minor radius circle ring column of bearing positioning table 6.Little back-up ring 8 is attached to the little of bearing positioning table 6 On the bottom surface of radius circle ring column, during connection, screwed in the screwed hole of little back-up ring 8, by little back-up ring 8 with hexagon socket cap head screw It is fixed on bearing positioning table 6, while fixing the inner ring of angular contact ball bearing 7.It is during fractionation, hexagon socket cap head screw is anti- Direction rotates, and departs from little back-up ring 8 and bearing positioning table 6.The side of big back-up ring 9 is fitted in the outer ring of angular contact ball bearing 7, set The large radius circle ring column of cylinder 10 is enclosed within angular contact ball bearing 7, and big back-up ring 9 can be connected with each other or split with sleeve 10, even When connecing, the screwed hole of big back-up ring 9 is screwed in hexagon socket cap head screw, secured it on sleeve 10.During fractionation, by interior hexagonal Fillister head screw opposite direction rotates, and departs from both.Rotary connection plate 11 is fixed on sleeve 10 by hexagon socket cap head screw On, the less column type boss of the radius of rotary connection plate 11 connects shaft coupling 4.
Clamping mechanism can connect or split, and during connection, motor 12 is positioned over the side square indentations of guide track block 13 It is interior, screwed in the screwed hole of guide track block 13 with hexagon socket cap head screw, make both be fixed together.During fractionation, by interior six Angle fillister head screw opposite direction rotation, departs from both.Guide track block 13 and section bar base plate 14 can be connected with each other or split, even When connecing, the side of guide track block 13 is close on section bar base plate 14, with hexagon socket cap head screw guide track block 13 is screwed in In screwed hole, guide track block 13 is set closely to be connected with section bar base plate 14.During fractionation, by the rotation of hexagon socket cap head screw opposite direction Turn, separate both.Optical axis 15 is supported by guide track block 13, shaft coupling block 17 and grip block 22, and shaft coupling 16 is positioned over leads Between rail block 13 and shaft coupling block 17.Shaft coupling 16 can be connected with each other or split with motor 12, during connection, motor 12 it is defeated Shaft is placed in the circular hole of shaft coupling 16, screws in the plain screw that shaft coupling 16 is carried, and both is fixed axial location.Split When, the screw opposite direction that will commonly make a decision rotation makes motor 12 separate with shaft coupling 16.Shaft coupling block 17 can be with section bar base plate 14 It is connected with each other or splits, during connection, screwed in the screwed hole of section bar base plate 14 with hexagon socket cap head screw, makes shaft coupling block 17 are closely connected with section bar base plate 14.During fractionation, by the rotation of hexagon socket cap head screw opposite direction, separate both.Shaft coupling The through hole of block 17 is embedded to be cased with being provided with ball-screw 19, the one end of ball-screw 19 in deep groove ball bearing 18, deep groove ball bearing 18 It is connected with motor 12 by shaft coupling 16, the other end passes sequentially through feed screw nut 20, slide block 21 is passed into another deep-groove ball In the hole of bearing 18, the deep groove ball bearing 18 is embedded in the through hole of grip block 22.Grip block 22 can be mutual with section bar base plate 14 Connection splits, and during connection, grip block 22 is fitted on section bar bottom panel side, and with hexagon socket cap head screw grip block is screwed in In the screwed hole of 22 sides bottom, grip block 22 and section bar base plate 14 is set closely to connect.During fractionation, by hexagon socket cap head screw Opposite direction rotates, and separates both.Movable grip block 23 can be connected with each other or be split by bolt, nut with grip block 22. During connection, screwed in the screwed hole of grip block 22 with bolt, tighten nut, grip block 22 and movable grip block 23 is closely connected Connect.During fractionation, the rotation of nut opposite direction separates both.Push rod 24 can be connected with each other or split with slide block 21, during connection, Screwed in the screwed hole of the rectangle thin plate bottom surface of push rod 24 with hexagon socket cap head screw, both is closely connected.During fractionation, will Hexagon socket cap head screw opposite direction rotates, and examination push rod 24 departs from slide block 21.
The present invention is operated in the following manner:Fixed mechanism is fixed on into mechanical arm by hexagon socket cap head screw On, and Transurethral prostatic electroresection A scalpel is placed between grip block 22 and movable grip block 23, will with screw bolt and nut Grip block 22 and movable grip block 23 are fixed together, meanwhile, the column type stock of push rod 24 is placed in into the annular of scalpel In spanner.First, the pose for adjusting mechanical arm changes Transurethral prostatic electroresection A scalpel of the present invention clamping connected therewith The pose of device, and then change the pose of Transurethral prostatic electroresection A scalpel, realize scalpel to patient's lesions position Positioning.Secondly, the rotary connection plate 11 being attached thereto is driven to rotate by shaft coupling 4 by motor 2, and then, with rotary connection plate 11 connected clamping mechanism rotations, clamping mechanism drives connected Transurethral prostatic electroresection A operating knife device rotation, realizes The pivoting of scalpel, changes the excision angle of scalpel.Finally, drive what is be attached thereto by shaft coupling 16 by motor 12 Ball-screw 19 rotates, realize with feed screw nut 20 be connected slide block 21 axial movement, and then realize with slide block 21 be connected The axial movement of push rod 24, by push rod 24 scalpel spanner is promoted, and realizes the axial stretching of scalpel TURP ring.Motor 12 is rotated forward When, drive push rod 24 to advance, scalpel spanner is promoted, scalpel TURP ring is released, after TURP ring is completely out, motor 12 is reverse Rotation, drives push rod 24 to retreat, and departs from scalpel spanner, and scalpel TURP ring springs back to original position under self structure, in this time During bullet, doctor controls the energization pedal of TURP ring by stepping on, and completes once resecting.So repeatedly, until operation is completed.
It is schematic above by reference to the accompanying drawing description of this invention, no restricted, those skilled in the art should It is understood that in actually implementing, the shape and layout type of each component may occur some changes in the present invention;And at this Under the enlightenment of invention, other staff can also make make modification and certain structure to similar design of the invention or to the present invention The equivalent of part.Specifically, without departing from the present invention design aim, it is all it is obvious change with And the similar Design with equivalent, it is all contained within protection scope of the present invention.

Claims (7)

1. a kind of per urethra operation on prostate resectoscope clamping device, it is characterised in that:It is by fixed mechanism, rotating mechanism and Clamping mechanism is constituted;
Fixed mechanism is connected with each other by hexagon socket cap head screw with rotating mechanism or is split, and rotating mechanism and clamping mechanism are logical Cross hexagon socket cap head screw to be connected with each other or split, above-mentioned three's rotating mechanism is located at centre, fixed mechanism and clamping mechanism Divide row rotating mechanism both sides.
2. fixed mechanism according to claim 1, it is characterised in that:It is made up of 1 contiguous block 1, the contiguous block 1 Shape design is 1 block length square floor, there is 4 tapped through holes on base plate, and the corner location of base plate side 4 protrudes 4 strips Structure, 4 strip projective structures respectively have 1 tapped through hole in one end side away from base plate.
3. rotating mechanism according to claim 1, it is characterised in that:It is by 1 motor, 2,1 cross contiguous block 3, 14,2, shaft coupling little back-up ring 8,1 of angular contact ball bearing 7,1 of bearing positioning table 6,1 of identical deep groove ball bearing 5,1 10,1, the sleeve rotary connection plate 11 of individual big back-up ring 9,1 is constituted;
Motor 2 is fixed on 2 symmetrical semicircle ring cylinders of the side of cross contiguous block 3 by hexagon socket cap head screw On, the output shaft of motor 2 is connected in the stomidium of shaft coupling 4 one, and shaft coupling 4 is placed between 2 semicircle ring cylinders, 2 identicals Deep groove ball bearing 5 is embedded in the opposite side circle ring column of cross contiguous block 3, and bearing positioning table 6 passes through hexagon socket cap head screw It is fixed on the circle ring column of cross contiguous block 3, angular contact ball bearing 7 is enclosed within the minor radius circle ring column of bearing positioning table 6, Little back-up ring 8 is leaned against outside angular contact ball bearing 7, is fixed on bearing positioning table 6 by hexagon socket cap head screw, the He of big back-up ring 9 Sleeve 10 is enclosed within outside angular contact ball bearing 7, and big back-up ring 9 is fixed on sleeve 10 by hexagon socket cap head screw, and sleeve 10 leads to Cross hexagon socket cap head screw connection rotary connection plate 11, one end connection shaft coupling 4 of rotary connection plate 11, in other end connection State clamping mechanism.
4. clamping mechanism according to claim 1, it is characterised in that:It is by 1 motor, 12,1 guide track block 13,1 15,1, identical optical axis, 16,1, the shaft coupling identical deep groove ball bearing of shaft coupling block 17,2 of block section bar base plate 14,2 18th, 1 slide block 21,1 of feed screw nut 20,1 of ball-screw 19,1 grip block 22,1 activity 23,1 push rod of grip block 24 compositions;
Motor 12 is fixed on the side of guide track block 13 by hexagon socket cap head screw, and guide track block 13 passes through interior hexagonal cylindrical head Screw is fixed on section bar base plate 14, and 2 identical optical axises 15 are by guide track block 13, shaft coupling block 17 and grip block 22 Support, shaft coupling 16 is positioned between guide track block 13 and shaft coupling block 17, for connecting ball-screw 19 and motor 12, shaft coupling Device block 17 is fixed on section bar base plate 14 by hexagon socket cap head screw, and 2 identical deep groove ball bearings 18 are embedded respectively In the through hole of shaft coupling block 17 and grip block 22, ball-screw 19, ball-screw 19 1 are installed in deep groove ball bearing 18 End is connected by shaft coupling 16 with motor 12, and the other end passes sequentially through feed screw nut 20, slide block 21 and is connected on grip block 22, Grip block 22 is fixed on section bar base plate 14 by hexagon socket cap head screw, and movable grip block 23 is bolted in grip block On 22, push rod 24 is fixed on slide block 21 by hexagon socket cap head screw.
5. per urethra operation on prostate resectoscope clamping device according to claim 1, it is characterised in that:The whirler Structure realizes pivoting with clamping mechanism under the drive of motor 2, realizes the pivoting of scalpel, changes the excision of scalpel Angle.
6. per urethra operation on prostate resectoscope clamping device according to claim 1, it is characterised in that:Clamping mechanism exists The axial movement of push rod 24 is realized under the drive of motor 12, the axial stretching of scalpel TURP ring is realized.
7. per urethra operation on prostate resectoscope clamping device according to claim 1, it is characterised in that:The device is consolidated Determine mechanism to be connected with mechanical arm, be capable of achieving the adjustment of scalpel attitude.
CN201710075145.1A 2017-02-10 2017-02-10 Resectoscope clamping device for transurethral resection of prostate Pending CN106667580A (en)

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CN109350244A (en) * 2018-11-07 2019-02-19 北京邮电大学 A kind of Soft tissue cutting robot system with notch separation function
CN109662779A (en) * 2019-01-25 2019-04-23 李汉忠 A kind of transurethral prostate resection videoendoscopic surgery robot system
CN110448384A (en) * 2019-07-31 2019-11-15 宝鸡市安元智能科技有限公司 Transurethral resection of prostate operation resectoscope scalpel clamping device
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CN203193101U (en) * 2013-03-26 2013-09-11 天津市中马机器人技术有限公司 Wire stripping and cutting-off mechanism of full-automatic terminal crimping connector
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CN109350244A (en) * 2018-11-07 2019-02-19 北京邮电大学 A kind of Soft tissue cutting robot system with notch separation function
CN109662779A (en) * 2019-01-25 2019-04-23 李汉忠 A kind of transurethral prostate resection videoendoscopic surgery robot system
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