CN107854265A - A kind of thoracic surgery tapping system - Google Patents
A kind of thoracic surgery tapping system Download PDFInfo
- Publication number
- CN107854265A CN107854265A CN201710996137.0A CN201710996137A CN107854265A CN 107854265 A CN107854265 A CN 107854265A CN 201710996137 A CN201710996137 A CN 201710996137A CN 107854265 A CN107854265 A CN 107854265A
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- bar
- syringe
- chest
- electric expansion
- needle body
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3403—Needle locating or guiding means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
- A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
- A61G13/1205—Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
- A61G13/122—Upper body, e.g. chest
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
- A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
- A61G13/1205—Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
- A61G13/1235—Arms
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/64—Containers with integrated suction means
- A61M1/67—Containers incorporating a piston-type member to create suction, e.g. syringes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G2203/00—General characteristics of devices
- A61G2203/70—General characteristics of devices with special adaptations, e.g. for safety or comfort
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G2210/00—Devices for specific treatment or diagnosis
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2210/00—Anatomical parts of the body
- A61M2210/10—Trunk
- A61M2210/101—Pleural cavity
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Pathology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Vascular Medicine (AREA)
- Anesthesiology (AREA)
- Hematology (AREA)
- Infusion, Injection, And Reservoir Apparatuses (AREA)
Abstract
The invention discloses a kind of thoracic surgery tapping system, the bed board of roller is provided with including bottom, the bed board is provided with through hole, the lifting electric expansion bar of through hole is provided through under the bed board by support, the lifting electric expansion bar is provided with fix bar, the fix bar is provided with arm support plate, the fix bar is provided with chute, the chest electric expansion bar slided up and down is provided with the chute, the chest electric expansion bar is provided with the cushion block for being used for supporting chest, the arm support plate has the first electric expansion bar that driving chest electric expansion bar moves up and down.The system of the present invention can reduce tired degree to patient, lie prostrate comfortable on backing plate.
Description
Technical field
The present invention relates to ultrasound detection technical field of surgical instruments, and in particular to a kind of thoracic surgery tapping system.
Background technology
Ultrasound intervention art is a minimal invasive techniques, is increasingly being applied to clinic, and existing supersonic diagnostic bed easily causes appearance
Gesture is stiff, causes discomfort.Ultrasonic Diagnosis room typically needs dark, is unfavorable for puncturing exposed operative site, turns on light and influences ultrasound figure
As effect；During puncture drainage, it is unfavorable for doctor's operation.
According to doctor when instructing angle progress thoracentesis, patient needs to fix the position for a long time weak patient,
Such patient is general, and the state of an illness is heavier, has a delicate constitution, and muscle power supports fixation postures on one's own account for a long time, easily causes patient and is short of physical strength
And it is not easy fixation postures and grasps angle.Sometimes patient jump a queue behind pillow keep position, be not easy to long-time fixation postures.
Need several medical workers to help righting position when even more serious, therefore easily cause patient uncomfortable, increase various complication（Chest, abdomen
Film stimulates sign etc.）Incidence.
The purpose of thoracocentesis is to clarify a diagnosis and mitigates the pressure of internal organs, and its main operational steps is：（1）
In selected point of puncture inserting needle local anaesthesia；（2）Check whether puncture needle is unobstructed, prepare to puncture；（3）Patient is carried out in point of puncture
Puncture, slow inserting needle during puncture, when depth shown in inserting needle to B ultrasound positioning, can try pumpback, as liquid is extracted out, can continue to fit
Work as inserting needle, extracted out if any liquid, then stop continuing inserting needle, intrathoracic liquid is aspirated under assistant, complete to puncture；（4）
When being needed after puncture to intrapleural injection, then need to extract puncture needle, injected with syringe；（5）After completing above-mentioned steps, need
Cover at puncture and fixed with sterile gauze, blend compounds cloth；（6）The chest fluid of extraction, censorship respectively is needed according to the state of an illness.
Existing puncture needle is difficult accurate assurance penetration depth simultaneously, often pumpback need to be repeatedly inserted with syringe, until there is liquid
Body is extracted out, and this is with regard to often needing at least two people to be operated.In addition, when chest intracavity liquid the more is taken out the more few, visceral pleura increasingly pastes
Nearly partial pleura, patient such as think that extract liquid as far as possible needs to convert needle tip position often, is thus more prone to visceral layer chest
Film, internal organs damage.If the hydrops amount in chest is few, point of puncture position is on the lower side or site of puncture close on it is important
When internal organs or blood vessel, so it is easier to damage.
The content of the invention
Problem to be solved by this invention is to provide a kind of thoracic surgery tapping system, and system of the invention, which can give, to be suffered from
Person reduces tired degree, lies prostrate comfortable above, and one-time puncture extracts liquid, can be also operable, hand by drug injection, a people
Art effect is good.
In order to solve the above technical problems, the technical solution adopted by the present invention is：A kind of thoracic surgery tapping system, including
Bottom is provided with the bed board of roller, and the bed board is provided with through hole, is provided through the lifting electricity of through hole under the bed board by support
Dynamic expansion link, the lifting electric expansion bar are provided with fix bar, and the fix bar is provided with arm support plate, the fix bar
Chute is provided with, the chest electric expansion bar slided up and down is provided with the chute, the chest electric expansion bar, which is provided with, to be used
In the cushion block of support chest, the arm support plate has the first electric expansion that driving chest electric expansion bar moves up and down
Bar, the bed board are provided with support bar, and by setting sucker to be connected with bed board under support bar, support bar is provided with injection puncture machine
Structure, the cushion block are provided with patient body position's support adjustment mechanism.
Patient body position's support adjustment mechanism includes being arranged on the fixed plates of cushion block both sides, the fixed plate be provided with
The augering screw of fixed plate threaded connection, the augering screw is provided with the curved splint with augering screw rotation connection, described
Screw rod is provided with fixed drive disk, and the fixed plate is provided with ring block, outer bearing is set with the ring block, is covered on outer bearing
Toothing wheel disc, the fixed plate are provided with motor, and the rotating shaft of the motor is provided with the drive gear engaged with toothed disc, described
Fixed drive disk is provided with fixing hole, and the toothed disc is provided with and stretches into fixed driving bull stick.
Further, the bed board side is provided with ultrasonic wave B ultrasound machine.
Further, the injection piercing mechanism includes needle body, the injection orifice being arranged in needle body and is arranged in needle body
Liquid extracting chamber, the Liquid extracting intracavitary is provided with liquid suction pipe, and the needle body is provided with fixed plate, and the fixed plate is provided with
Drawing liquid connector is connected with liquid suction pipe, injection mechanism is set on the needle body, the injection mechanism includes the note being connected with needle body
Emitter, the syringe are provided with puncture needle, and puncture needle is connected with drawing liquid connector, and the syringe is provided with electricity
Dynamic pushing mechanism.
Further, the electronic pushing mechanism is the electric expansion bar by bracket clamp on the injector.
Further, the electronic pushing mechanism includes the card cylinder of card on the injector, and the card cylinder is provided with spiral shell therewith
The screw rod of line connection, is fixed with drive disk on the screw rod, the card cylinder bottom is provided with collar stop, axle is set with collar stop
Hold, ring gear is set with bearing, the card cylinder bottom is provided with motor, and the rotating shaft of the motor is provided with and ring
Shape gear meshed gears, the drive rod of drive disk hole clipping is provided through on the ring gear, and the screw rod upper end is provided with and pushed away
Power bearing, thrust bearing are corresponding with syringe piston rod.
Further, the piston of the puncture needle is connected with rubber soft drawn bar, and the puncture needle is provided with branch
Support described in frame is provided with line wheel, and the rubber soft drawn rod set is connected in line wheel with the piston rod of syringe.
Further, groove vertical section is rectangle in the line wheel, and the vertical section of the rubber soft drawn bar is rectangular configuration.
Further, the lumen caudal of the syringe is provided with ratchet, and the rubber soft drawn bar is provided with to match with ratchet
The teeth of conjunction.
Further, the inner chamber of the puncture needle is provided with rubber soft drawn bar righting-oriented mechanism.
Further, the rubber soft drawn bar righting-oriented mechanism includes being arranged on puncture needle inner chamber by support bar
Interior and rubber soft drawn bar meshed gears.
Further, intracavitary is provided with the righting cutting ferrule coordinated with rubber soft drawn bar in the puncture needle.
Further, the inner surface of the line wheel is provided with interior teeth.
Further, the liquid suction pipe is provided with bending governor motion, and the bending governor motion includes being arranged on drawing liquid
Elastic gusset on pipe, the needle body are provided with the fixed pulley slided for the drawstring of drawstring first and the second drawstring, the elastic gusset
The drawstring of regulation liquid suction pipe bending is provided with, the elastic gusset is provided with the first drawstring and the second drawstring, in the fixed plate
Provided with reel, the serving tensile strength on the reel is more than the tensile strength of the first drawstring, and the first drawstring and second are drawn
Rope is connected with serving, and the length of second drawstring is more than the length of the first drawstring.
Further, second drawstring is fixed on the first drawstring bottom on elastic gusset.
Further, the fixed plate is provided with drawstring winding roll, and the drawstring free end is fixed on drawstring winding roll.
Further, Hand-shifting wheel is connected with the axle of the reel, the axle of the reel is provided with spiral wheel gear,
The fixed plate is provided with the ratchet that spiral wheel gear is engaged.
Further, driving wheel is connected with the axle of the drawstring winding roll, the axle of institute's drawstring winding roll is provided with driving wheel
Gear, the fixed plate are provided with the ratchet that driving wheel gear is engaged.
Further, the fixed plate is provided with the liquid suction pipe rotating mechanism for driving elastic gusset to rotate.
Further, the liquid suction pipe rotating mechanism includes the drive gear being arranged in fixed plate, fixed plate and drawing liquid
Connector is rotatablely connected by the bearing being sleeved on connector, and the drive gear is provided with matched clamping jaw, described
Fluted disc is set with drawing liquid connector, the fluted disc engages with drive gear, passes through sealed bearings and drawing liquid in the connector
Syringe connects.
Further, it is provided with rubber sealant on the inside of the sealed bearings.
Further, the elastic gusset end is provided with minisize pick-up head.
Further, the minisize pick-up head can use infrared camera, camera built-in flash.
Further, piston rod clamping of the rubber soft drawn rod set in line wheel with syringe.
When in use, patient is sitting on bed board the thoracic surgery tapping system of the present invention, according to the height of patient, lifting
Electric expansion bar is powered arm support plate regulation to suitable height, patient's both arms is placed on top comfortable, while the first electricity
Dynamic expansion link is powered, and driving chest backing plate is in the suitable position of patient, and chest electric expansion bar is powered, and is in chest backing plate
Before patient chest, Auxiliary support effect is played.B ultrasound machine is opened, finds patient's pathological tissues substantially and hydrops position.Arc card
Spongy layer is provided with plate to be prevented from crushing patient, and screw rod promotes precision high, is easily controlled and is not easy to crush patient.Medicine is pumped into
In syringe, continue to move syringe piston to injector tip, the syringe needle of needle body is downward, liquid medicine is located at injection-tube
Lower end, jitter injection pipe move up medicine bubble, push down on the piston rod of syringe, and the gas in needle body is discharged,
Needle body is inserted into thoracic cavity, medicine is injected to diseased region, after to be injected, needle body is moved at hydrops, by rubber soft drawn
Bar is stuck on the piston rod of syringe, promotes piston rod, and piston rod drives rubber soft drawn bar that hydrops is pumped into puncture needle, weight
What is wanted is that hydrops quickly can be pumped into puncture needle by the present invention, while the air in syringe is pushed into thoracic cavity by syringe,
Make intrathoracic negative pressure consistent all the time, will not cause situations such as uncomfortable in chest, bigger injury will not be brought to patient, it is even more important
It is that visceral pleura will not be caused increasingly to press close to partial pleura, without adjusting the position of needle body syringe needle, substantially reduces to visceral layer chest
Film, internal organs damage, and further, when in use, can pull drawstring by liquid suction pipe and elastic gusset stretch bending, so
Extract liquid bulk, syringe enter thoracic cavity gas will not hydrops contact, bubble will not be produced, do not influence drawing liquid.
Brief description of the drawings
The invention will be further described below in conjunction with the accompanying drawings：
Fig. 1 is the structural representation of the present invention；
Fig. 2 is patient body position's support adjustment mechanism structural representation of the present invention；
Fig. 3 is the attachment structure schematic diagram of chest electric expansion bar and fix bar；
Fig. 4 is the structural representation of the embodiment of the present invention 1；
Fig. 5 is the structural representation of the embodiment of the present invention 2；
Fig. 6 is the injection puncturing structure schematic diagram of the present invention；
Fig. 7 is the fixed plate side structure schematic view of the present invention；
Fig. 8 is the attachment structure schematic diagram with rubber soft drawn bar after the syringe piston rod of the present invention promotes；
Fig. 9 is the rubber soft drawn bar righting-oriented mechanism structure schematic diagram of the present invention；
Figure 10 is the bending governor motion structural representation of the present invention；
Figure 11 is the righting ferrule structure schematic diagram of the present invention；
Figure 12 is the needle body side structure schematic view of the present invention；
Figure 13 is the needle body working state schematic representation of the present invention；
Figure 14 is the electronic pushing mechanism schematic diagram of the present invention.
Embodiment
To make the purpose, technical scheme and advantage of the embodiment of the present invention clearer, below in conjunction with the embodiment of the present invention
Accompanying drawing 1-14, the technical scheme of the embodiment of the present invention is clearly and completely described.Obviously, described embodiment is
The part of the embodiment of the present invention, rather than whole embodiments.It is common based on described embodiments of the invention, this area
The every other embodiment that technical staff is obtained, belongs to the scope of protection of the invention.
Embodiment one：A kind of thoracic surgery tapping system, including bottom are provided with the bed board 61 of roller 62, on the bed board
Provided with through hole, described 61 times lifting electric expansion bars 67 that through hole is provided through by support 69 of bed board, the lifting is electronic to stretch
Contracting bar is provided with fix bar 65, and the fix bar is provided with arm support plate 63, and the fix bar is provided with chute 71, the cunning
The chest electric expansion bar 66 slided up and down is provided with groove 71, the chest electric expansion bar is provided with the pad for being used for supporting chest
Block 68, the arm support plate have the first electric expansion bar 64 that driving chest electric expansion bar moves up and down, the bed
Plate is provided with support bar, and by setting sucker 84 to be connected with bed board 61 under support bar 83, support bar is provided with injection piercing mechanism
82, the cushion block is provided with patient body position's support adjustment mechanism.
Patient body position's support adjustment mechanism includes being arranged on the fixed plate 78 of cushion block both sides, and the fixed plate is provided with
The augering screw 72 being threadedly coupled with fixed plate, the augering screw are provided with the curved splint with augering screw rotation connection
75, the screw rod is provided with fixed drive disk 81, and the fixed plate is provided with ring block, outer bearing is set with the ring block 77
76, set gear disk 73 on outer bearing, the fixed plate is provided with motor 74, and the rotating shaft of the motor is provided with nibbles with toothed disc
The drive gear of conjunction, the fixed drive disk are provided with fixing hole, and the toothed disc, which is provided with, stretches into the driving bull stick for fixing 80
79。
The curved splint is provided with rotating shaft, and bearing set in rotating shaft, the outer ring of bearing is fixedly connected with augering screw, electricity
Machine drives toothed disc rotate gear disk to drive drive rod to rotate, and drive rod stretches into drive disk and drives drive disk to rotate, and then drives
Lead-screw rotates, and then promotes curved splint to move inward and be clipped in patient chest both sides, plays a part of supporting patient.
Support bar is that expansion link upper end is provided with clip, and clip is used to clamp syringe.
The bed board side is provided with ultrasonic wave B ultrasound machine 70.
The piercing mechanism of penetrating includes needle body 2, the injection orifice 3 being arranged in needle body and the Liquid extracting being arranged in needle body
Chamber 4, the Liquid extracting intracavitary are provided with liquid suction pipe 18, and the needle body is provided with fixed plate 1, and the fixed plate 1 is provided with taking out
Liquid pipe connects drawing liquid connector 10, and injection mechanism is set on the needle body, and the injection mechanism includes the injection being connected with needle body
Device 14, the syringe are provided with puncture needle 15, and puncture needle is connected with drawing liquid connector, and the syringe is provided with
Electronic pushing mechanism.
The electronic pushing mechanism is the electric expansion bar by bracket clamp on the injector.
The piston of the puncture needle is connected with rubber soft drawn bar 16, and the puncture needle is provided with support 38, institute
State support and be provided with line wheel 39, the rubber soft drawn rod set is connected in line wheel with the piston rod 17 of syringe.The piston rod
Fixture block is provided with, the fixture block is provided with hole clipping, and the rubber soft drawn rod set passes through hinge on fixture block.
Groove vertical section is rectangle in the line wheel, and the vertical section of the rubber soft drawn bar is rectangular configuration.
The lumen caudal of the syringe is provided with ratchet 33, and the rubber soft drawn bar is provided with the teeth being engaged with ratchet
34。
The inner chamber of the puncture needle is provided with rubber soft drawn bar righting-oriented mechanism.
The rubber soft drawn bar righting-oriented mechanism includes being arranged on intracavitary and rubber in puncture needle by support bar 36
Glue soft drawn bar meshed gears 35.
Intracavitary is provided with the righting cutting ferrule 37 coordinated with rubber soft drawn bar in the puncture needle.
Piston rod clamping of the rubber soft drawn rod set in line wheel with syringe.
When in use, patient is sitting on bed board the operation table of the present invention, and according to the height of patient, lifting electric expansion bar is led to
Arm support plate regulation to suitable height is made patient's both arms be placed on top comfortable by electricity, while the first electric expansion bar is powered,
Driving chest backing plate is in the suitable position of patient, and chest electric expansion bar is powered, and before chest backing plate is in patient chest, rises
Acted on to Auxiliary support.B ultrasound machine is opened, finds patient's pathological tissues substantially and hydrops position.Sponge is provided with arc clamp
Layer prevents from crushing patient, screw rod propulsion propulsion precision height, is easily controlled and is not easy to crush patient.Medicine is pumped into syringe, after
It is continuous to move syringe piston to injector tip, the syringe needle of needle body is downward, liquid medicine is located at injection-tube lower end, shake note
Penetrating pipe moves up medicine bubble, pushes down on the piston rod of syringe, and the gas in needle body is discharged, needle body is inserted into chest
Chamber, medicine is injected to diseased region, after to be injected, needle body is moved at hydrops, rubber soft drawn bar is stuck in syringe
Piston rod on, promote piston rod, piston rod drive rubber soft drawn bar hydrops is pumped into puncture needle, it is important that the present invention
Hydrops quickly can be pumped into puncture needle, while the air in syringe is pushed into thoracic cavity by syringe, is made intrathoracic negative
Pressure is consistent all the time, will not cause situations such as uncomfortable in chest, bigger injury will not be brought to patient, what is more important will not cause dirty
Layer pleura increasingly presses close to partial pleura, without adjusting the position of needle body syringe needle, substantially reduces and visceral pleura, internal organs are made
Into injury.
Embodiment two：A kind of thoracic surgery tapping system, including bottom are provided with the bed board 61 of roller 62, on the bed board
Provided with through hole, described 61 times lifting electric expansion bars 67 that through hole is provided through by support 69 of bed board, the lifting is electronic to stretch
Contracting bar is provided with fix bar 65, and the fix bar is provided with arm support plate 63, and the fix bar is provided with chute 71, the cunning
The chest electric expansion bar 66 slided up and down is provided with groove 71, the chest electric expansion bar is provided with the pad for being used for supporting chest
Block 68, the arm support plate have the first electric expansion bar 64 that driving chest electric expansion bar moves up and down, the bed
Plate is provided with support bar, and by setting sucker 84 to be connected with bed board 61 under support bar 83, support bar is provided with injection piercing mechanism
82, the cushion block is provided with patient body position's support adjustment mechanism.
Patient body position's support adjustment mechanism includes being arranged on the fixed plate 78 of cushion block both sides, and the fixed plate is provided with
The augering screw 72 being threadedly coupled with fixed plate, the augering screw are provided with the curved splint with augering screw rotation connection
75, the screw rod is provided with fixed drive disk 81, and the fixed plate is provided with ring block, outer bearing is set with the ring block 77
76, set gear disk 73 on outer bearing, the fixed plate is provided with motor 74, and the rotating shaft of the motor is provided with nibbles with toothed disc
The drive gear of conjunction, the fixed drive disk are provided with fixing hole, and the toothed disc, which is provided with, stretches into the driving bull stick for fixing 80
79。
The curved splint is provided with rotating shaft, and bearing set in rotating shaft, the outer ring of bearing is fixedly connected with augering screw, electricity
Machine drives toothed disc rotate gear disk to drive drive rod to rotate, and drive rod stretches into drive disk and drives drive disk to rotate, and then drives
Lead-screw rotates, and then promotes curved splint to move inward and be clipped in patient chest both sides, plays a part of supporting patient.
Support bar is that expansion link upper end is provided with clip, and clip is used to clamp syringe.
The bed board side is provided with ultrasonic wave B ultrasound machine 70.
The piercing mechanism of penetrating includes needle body 2, the injection orifice being arranged in needle body 3 and the liquid being arranged in needle body
Extracting cavity 4, the Liquid extracting intracavitary are provided with liquid suction pipe 18, and the needle body is provided with fixed plate 1, and the fixed plate 1 is provided with
Drawing liquid connector 10 is connected with liquid suction pipe, injection mechanism is set on the needle body, the injection mechanism includes what is be connected with needle body
Syringe 14, the syringe are provided with puncture needle 15, and puncture needle is connected with drawing liquid connector.
The piston of the puncture needle is connected with rubber soft drawn bar 16, and the puncture needle is provided with support 38, institute
State support and be provided with line wheel 39, the rubber soft drawn rod set is connected in line wheel with the piston rod 17 of syringe.The piston rod
Fixture block is provided with, the fixture block is provided with hole clipping, and the rubber soft drawn rod set passes through hinge on fixture block.
Groove vertical section is rectangle in the line wheel, and the vertical section of the rubber soft drawn bar is rectangular configuration.
The lumen caudal of the syringe is provided with ratchet 33, and the rubber soft drawn bar is provided with the teeth being engaged with ratchet
34。
The inner chamber of the puncture needle is provided with rubber soft drawn bar righting-oriented mechanism.
The rubber soft drawn bar righting-oriented mechanism includes being arranged on intracavitary and rubber in puncture needle by support bar 36
Glue soft drawn bar meshed gears 35.
Intracavitary is provided with the righting cutting ferrule 37 coordinated with rubber soft drawn bar in the puncture needle.
Piston rod clamping of the rubber soft drawn rod set in line wheel with syringe.
The liquid suction pipe is provided with bending governor motion, and the bending governor motion includes being arranged on elasticity on liquid suction pipe 18
Gusset 19, the needle body are provided with the fixed pulley 5 slided for drawstring the first drawstring 21 and the second drawstring 22, on the elastic gusset
Drawstring 20 provided with regulation liquid suction pipe bending, first drawstring and the second drawstring are fixed on elastic gusset, the fixed plate
It is provided with reel 6, the tensile strength of serving 23 on the reel is more than the tensile strength of the first drawstring, the first drawstring and the
Two drawstrings are connected with serving, and the length of second drawstring is more than the length of the first drawstring.
Second drawstring is fixed on the first drawstring bottom on elastic gusset.
When in use, patient is sitting on bed board the thoracic surgery tapping system of the present invention, according to the height of patient, lifting
Electric expansion bar is powered arm support plate regulation to suitable height, patient's both arms is placed on top comfortable, while the first electricity
Dynamic expansion link is powered, and driving chest backing plate is in the suitable position of patient, and chest electric expansion bar is powered, and is in chest backing plate
Before patient chest, Auxiliary support effect is played.B ultrasound machine is opened, finds patient's pathological tissues substantially and hydrops position.Arc card
Spongy layer is provided with plate to be prevented from crushing patient, and screw rod promotes precision high, is easily controlled and is not easy to crush patient.Medicine is pumped into
In syringe, continue to move syringe piston to injector tip, the syringe needle of needle body is downward, liquid medicine is located at injection-tube
Lower end, jitter injection pipe move up medicine bubble, push down on the piston rod of syringe, and the gas in needle body is discharged,
Needle body is inserted into thoracic cavity, medicine is injected to diseased region, after to be injected, needle body is moved at hydrops, by rubber soft drawn
Bar is stuck on the piston rod of syringe, promotes piston rod, and piston rod drives rubber soft drawn bar that hydrops is pumped into puncture needle, weight
What is wanted is that hydrops quickly can be pumped into puncture needle by the present invention, while the air in syringe is pushed into chest by syringe
Chamber, make intrathoracic negative pressure consistent all the time, will not cause situations such as uncomfortable in chest, bigger injury will not be brought to patient, is more attached most importance to
What is wanted is that visceral pleura will not be caused increasingly to press close to partial pleura, without adjusting the position of needle body syringe needle, is substantially reduced to dirty
Layer pleura, internal organs damage, and further, when in use, can pull drawstring by liquid suction pipe and elastic gusset stretch bending,
So extract liquid bulk, syringe enter thoracic cavity gas will not hydrops contact, bubble will not be produced, do not influence drawing liquid, more
For it is important that the present invention injection mechanism be Bullet structure, avoid cross-infection.
Embodiment three：A kind of thoracic surgery tapping system, including bottom are provided with the bed board 61 of roller 62, on the bed board
Provided with through hole, described 61 times lifting electric expansion bars 67 that through hole is provided through by support 69 of bed board, the lifting is electronic to stretch
Contracting bar is provided with fix bar 65, and the fix bar is provided with arm support plate 63, and the fix bar is provided with chute 71, the cunning
The chest electric expansion bar 66 slided up and down is provided with groove 71, the chest electric expansion bar is provided with the pad for being used for supporting chest
Block 68, the arm support plate have the first electric expansion bar 64 that driving chest electric expansion bar moves up and down, the bed
Plate is provided with support bar, and by setting sucker 84 to be connected with bed board 61 under support bar 83, support bar is provided with injection piercing mechanism
82,
The cushion block is provided with patient body position's support adjustment mechanism.
Patient body position's support adjustment mechanism includes being arranged on the fixed plate 78 of cushion block both sides, and the fixed plate is provided with
The augering screw 72 being threadedly coupled with fixed plate, the augering screw are provided with the curved splint with augering screw rotation connection
75, the screw rod is provided with fixed drive disk 81, and the fixed plate is provided with ring block, outer bearing is set with the ring block 77
76, set gear disk 73 on outer bearing, the fixed plate is provided with motor 74, and the rotating shaft of the motor is provided with nibbles with toothed disc
The drive gear of conjunction, the fixed drive disk are provided with fixing hole, and the toothed disc, which is provided with, stretches into the driving bull stick for fixing 80
79。
The curved splint is provided with rotating shaft, and bearing set in rotating shaft, the outer ring of bearing is fixedly connected with augering screw, electricity
Machine drives toothed disc rotate gear disk to drive drive rod to rotate, and drive rod stretches into drive disk and drives drive disk to rotate, and then drives
Lead-screw rotates, and then promotes curved splint to move inward and be clipped in patient chest both sides, plays a part of supporting patient.
Support bar is that expansion link upper end is provided with clip, and clip is used to clamp syringe.
The bed board side is provided with ultrasonic wave B ultrasound machine 70.
The piercing mechanism of penetrating includes needle body 2, the injection orifice being arranged in needle body 3 and the liquid being arranged in needle body
Extracting cavity 4, the Liquid extracting intracavitary are provided with liquid suction pipe 18, and the needle body is provided with fixed plate 1, and the fixed plate 1 is provided with
Drawing liquid connector 10 is connected with liquid suction pipe, injection mechanism is set on the needle body, the injection mechanism includes what is be connected with needle body
Syringe 14, the syringe are provided with puncture needle 15, and puncture needle is connected with drawing liquid connector.
The piston of the puncture needle is connected with rubber soft drawn bar 16, and rubber soft drawn bar is merely able to stretching piston and is moved back
It is dynamic, it is impossible to promote piston to move forward, it is impossible to secondary use, to avoid cross-infection, the puncture needle is provided with
Support 38, the support are provided with line wheel 39, and the rubber soft drawn rod set is connected in line wheel with the piston rod 17 of syringe.Institute
State piston rod and be provided with fixture block, the fixture block is provided with hole clipping, and the rubber soft drawn rod set passes through hinge, side on fixture block
Just soft drawn bar card there are into several fixture blocks on the piston rod, on piston rod when in use, is easy to extract different amounts of medicine.
Groove vertical section is rectangle in the line wheel, and the vertical section of the rubber soft drawn bar is rectangular configuration, is easy to rubber soft
Pull bar is stuck in groove.
The lumen caudal of the syringe is provided with ratchet 33, and the rubber soft drawn bar is provided with the teeth being engaged with ratchet
34.In drawing liquid, rubber soft drawn bar is stuck on syringe piston rod, piston rod drives rubber soft drawn bar to enter syringe cavity
Body, the teeth that ratchet is stuck on rubber soft drawn bar make piston rod and rubber soft drawn bar to exit, and prevent syringe from repeating to make
With avoiding secondary using cross-infection.
The inner chamber of the puncture needle is provided with rubber soft drawn bar righting-oriented mechanism.
The rubber soft drawn bar righting-oriented mechanism includes being arranged on intracavitary and rubber in puncture needle by support bar 36
Glue soft drawn bar meshed gears 35.Rubber soft drawn bar makes rubber soft drawn bar be injected all the time in drawing liquid by gear and righting cutting ferrule
The center of device chamber, so as to prevent puncture needle tilting of the piston, ensure that drawing liquid is smoothly rapidly completed.
Intracavitary is provided with the righting cutting ferrule 37 coordinated with rubber soft drawn bar in the puncture needle.
The inner surface of the line wheel is provided with interior teeth, when pulling rubber soft drawn bar, teeth on rubber soft drawn bar with it is interior
Teeth engage, and make pulling stable.
The liquid suction pipe is provided with bending governor motion, and the bending governor motion includes being arranged on elasticity on liquid suction pipe 18
Gusset 19, the needle body are provided with the fixed pulley 5 slided for drawstring the first drawstring 21 and the second drawstring 22, on the elastic gusset
Drawstring 20 provided with regulation liquid suction pipe bending, first drawstring and the second drawstring are fixed on elastic gusset, the fixed plate
It is provided with reel 6, the tensile strength of serving 23 on the reel is more than the tensile strength of the first drawstring, the first drawstring and the
Two drawstrings are connected with serving, and the length of second drawstring is more than the length of the first drawstring.After drawing medicine, needle body is inserted
Thoracic cavity, reel rotation, while the fixed ratchet being engaged with driving wheel gear are now stirred, makes ratchet not with driving wheel gear
Engagement, is easy to elastic gusset to stretch out, the link position of the second drawstring and elastic gusset apart from drawing liquid connector distance than first
The link position of drawstring and elastic gusset is near apart from the distance of drawing liquid connector, rotation manual thumb wheel, and reel rolls up serving
The first drawstring is pulled in line wheel, the first drawstring pulls out elastic gusset, treats the first drawstring of elastic rib and elastic gusset
Link position when moving fixed pulley position to, Liquid extracting chamber side offers hole 45, and drawstring, the first drawstring and the second drawstring are equal
In hole, the first drawstring is pulled on（Now the second pulling rope length is more than the first drawstring, the non-stress of the second drawstring）, due to volume
The tensile strength of rope is more than the first drawstring, and the first drawstring is pulled off, and reel is rotated further, now the second drawstring stress, by bullet
Property gusset pull out the length needed, now unclamp with the ratchet that is engaged of driving wheel gear, ratchet is engaged with driving wheel gear,
Rotate driving wheel to roll up drawstring in volume on reel, so as to the flexibility of regulation elasticity gusset, while rotated by liquid suction pipe
Mechanism turnable elastic gusset, needle body can be pricked in injection site, while liquid suction pipe is at hydrops, pushing syringe piston rod,
It is to be injected it is complete after, needle body is extracted out and continues to press on syringe piston rod and is exhausted until by hydrops.
Second drawstring is fixed on the first drawstring bottom on elastic gusset, is easy to the second drawstring to pull out elastic gusset
The length of needle body is longer.
The fixed plate is provided with drawstring winding roll, and the drawstring free end is fixed on drawstring winding roll.
Hand-shifting wheel 8 is connected with the axle of the reel 6, the axle 31 of the reel is provided with spiral wheel gear 7, described
Fixed plate is provided with the ratchet 24 that spiral wheel gear is engaged.Manually adjust more accurate.
Driving wheel 27 is connected with the axle of the drawstring winding roll 25, the axle of institute's drawstring winding roll is provided with driving wheel gear
26, the fixed plate is provided with the ratchet 24 that driving wheel gear is engaged.
The fixed plate is provided with the liquid suction pipe rotating mechanism for driving elastic gusset to rotate.
The liquid suction pipe rotating mechanism includes the drive gear 9 being arranged in fixed plate, fixed plate and drawing liquid connector 10
It is rotatablely connected by the bearing 12 being sleeved on connector, the drive gear is provided with matched clamping jaw, the drawing liquid
Fluted disc 13 is set with connector, the fluted disc engages with drive gear, passes through sealed bearings 11 and drawing liquid in the connector
Syringe connects.Rotational driving gear band active toothed disk rotates, and fluted disc, which rotates, drives drawing liquid connector to rotate, and drawing liquid connector drives
Elastic gusset rotates, and drawing liquid flexible pipe is in the flexibility of needs.
Rubber sealant is provided with the inside of the sealed bearings.
The end of elastic gusset 19 is provided with minisize pick-up head 40.
The minisize pick-up head can use infrared camera, camera built-in flash 41, be easy to observe intrathoracic product
Liquid.
Piston rod clamping of the rubber soft drawn rod set in line wheel with syringe.
Rubber sleeve is set with the elastic gusset, rubber sleeve is pressed in fixed plate by bolt, when liquid suction pipe stretches out pin
After the length of body meets needs, rubber sleeve is pressed in fixed plate by bolt, when adjusting the flexibility of liquid suction pipe by drawstring
Liquid suction pipe will not be pulled out.
Fixed pulley 5 can use axle, cost-effective.The syringe port is provided with wiper block provided with side, prevents piston rod
Tilt.
The electronic pushing mechanism includes the card cylinder 51 being stuck on syringe 14, and the card cylinder is provided with and is threadedly coupled therewith
Screw rod 49, be fixed with drive disk on the screw rod, the card cylinder bottom is provided with collar stop 54, axle is set with collar stop 54
55 are held, is set with ring gear 56 on bearing, the card cylinder bottom is provided with motor 53, in the rotating shaft of the motor 53
Provided with ring gear meshed gears, the drive rod 48 of the hole clipping 52 of drive disk 50 is provided through on the ring gear, it is described
Screw rod upper end is provided with thrust bearing, and thrust bearing is corresponding with syringe piston rod.
Motor, which is powered, drives drive rod to rotate, and drive rod drives drive disk to rotate, and drive disk drives screw rod to rotate, card
Cylinder is stuck on the handle 47 of syringe, and screw rod is moved up to promote in piston and injected.Flight pitch is small, promotes precisely, if
Putting thrust bearing 46 is prevented from driving piston rod rotation, and pressure sensor is set between piston rod and thrust bearing, is pushed away for detecting
Power.
When in use, patient is sitting on bed board the thoracic surgery tapping system of the present invention, according to the height of patient, lifting
Electric expansion bar is powered arm support plate regulation to suitable height, patient's both arms is placed on top comfortable, while the first electricity
Dynamic expansion link is powered, and driving chest backing plate is in the suitable position of patient, and chest electric expansion bar is powered, and is in chest backing plate
Before patient chest, Auxiliary support effect is played.B ultrasound machine is opened, finds patient's pathological tissues substantially and hydrops position.Arc card
Spongy layer is provided with plate to be prevented from crushing patient, and screw rod promotes precision high, is easily controlled and is not easy to crush patient.Use support bar
Syringe is supported, without hand syringes.Medicine is pumped into syringe, continues to move syringe piston to injector tip,
The syringe needle of needle body is downward, liquid medicine is located at injection-tube lower end, jitter injection pipe moves up medicine bubble, pushed down on
The piston rod of dynamic syringe, the gas in needle body is discharged, needle body is inserted into thoracic cavity, and medicine is injected to diseased region, to be injected
After, needle body is moved at hydrops, rubber soft drawn bar is stuck on the piston rod of syringe, promotes piston rod, piston rod
Drive rubber soft drawn bar that hydrops is pumped into puncture needle, it is important that of the invention quickly can be pumped into drawing liquid injection by hydrops
Device, while the air in syringe is pushed into thoracic cavity by syringe, is made intrathoracic negative pressure consistent all the time, will not be caused the feelings such as uncomfortable in chest
Condition, will not bring bigger injury to patient, and what is more important will not cause visceral pleura increasingly to press close to partial pleura, nothing
The position of needle body syringe needle need to be adjusted, substantially reduces and visceral pleura, internal organs is damaged, further, when in use, can
To pull drawstring by liquid suction pipe and elastic gusset stretch bending, liquid bulk so is being extracted, the gas that syringe enters thoracic cavity will not accumulate
Liquid contacts, and will not produce bubble, not influence drawing liquid.
Finally illustrate, the above embodiments are merely illustrative of the technical solutions of the present invention and it is unrestricted, this area is common
Other modifications or equivalent substitution that technical staff is made to technical scheme, without departing from technical solution of the present invention
Spirit and scope, all should cover among scope of the presently claimed invention.
Claims (10)
- A kind of 1. thoracic surgery tapping system, it is characterised in that：The bed board of roller is provided with including bottom, the bed board is provided with Through hole, the lifting electric expansion bar of through hole is provided through under the bed board by support, and the lifting electric expansion bar is provided with Fix bar, the fix bar are provided with arm support plate, and the fix bar is provided with chute, is provided with and slides up and down in the chute Chest electric expansion bar, the chest electric expansion bar, which is provided with, is used to supporting the cushion block of chest, under the arm support plate Provided with the first electric expansion bar for moving up and down of driving chest electric expansion bar, the bed board is provided with support bar, under support bar By setting sucker to be connected with bed board, support bar is provided with injection piercing mechanism, and the cushion block is provided with patient body position and supports tune Save mechanism.
- 2. thoracic surgery tapping system as claimed in claim 1, it is characterised in that：Patient body position's support adjustment mechanism Fixed plate including being arranged on cushion block both sides, the fixed plate is provided with the augering screw being threadedly coupled with fixed plate, described to push away Enter screw rod and be provided with the curved splint being rotatablely connected with augering screw, the screw rod is provided with fixed drive disk, the fixed plate Ring block is provided with, is set with outer bearing on the ring block, set gear disk on outer bearing, the fixed plate is provided with motor, The rotating shaft of the motor is provided with the drive gear engaged with toothed disc, and the fixed drive disk is provided with fixing hole, the tooth Wheel disc is provided with and stretches into fixed driving bull stick.
- 3. thoracic surgery tapping system as claimed in claim 2, it is characterised in that：The bed board side is provided with ultrasonic wave B Super machine.
- 4. thoracic surgery tapping system as claimed in claim 3, it is characterised in that：The injection piercing mechanism includes pin Body, the injection orifice being arranged in needle body and the Liquid extracting chamber being arranged in needle body, the Liquid extracting intracavitary are provided with liquid suction pipe, The needle body is provided with fixed plate, and the fixed plate, which is provided with, is connected drawing liquid connector with liquid suction pipe, and note is set on the needle body Mechanism is penetrated, the injection mechanism includes the syringe being connected with needle body, and the syringe is provided with puncture needle, drawing liquid injection Device is connected with drawing liquid connector, and the syringe is provided with electronic pushing mechanism.
- 5. thoracic surgery tapping system as claimed in claim 4, it is characterised in that：The piston connection of the puncture needle There is rubber soft drawn bar, the puncture needle is provided with line wheel provided with support described in support, and the rubber soft drawn rod set is online It is connected on wheel with the piston rod of syringe.
- 6. thoracic surgery tapping system as claimed in claim 5, it is characterised in that：Groove vertical section is square in the line wheel Shape.
- 7. thoracic surgery tapping system as claimed in claim 6, it is characterised in that：The vertical section of the rubber soft drawn bar is Rectangular configuration.
- 8. thoracic surgery tapping system as claimed in claim 7, it is characterised in that：The lumen caudal of the syringe is provided with Ratchet.
- 9. thoracic surgery tapping system as claimed in claim 8, it is characterised in that：The rubber soft drawn bar is provided with and spine The teeth that pawl is engaged.
- 10. the thoracic surgery tapping system as described in claim any one of 1-9 uses method method, it is characterised in that：Lifting electricity Dynamic expansion link is powered regulation arm support plate height, patient's both arms is placed on top comfortable, while the first electric expansion bar is powered, The height of chest backing plate is adjusted, chest electric expansion bar is powered, and before chest backing plate is in patient chest, plays Auxiliary support work With；Medicine is pumped into syringe, continues to move syringe piston to injector tip, the syringe needle of needle body is downward, make liquid Medicine is located at injection-tube lower end, and jitter injection pipe moves up medicine bubble, pushes down on the piston rod of syringe, by needle body Interior gas discharge, thoracic cavity is inserted by needle body, injects medicine to diseased region, after to be injected, needle body is moved into hydrops Place, rubber soft drawn bar is stuck on the piston rod of syringe, promotes piston rod, and piston rod drives rubber soft drawn bar to be pumped into hydrops Puncture needle.
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710996137.0A CN107854265A (en) | 2017-10-23 | 2017-10-23 | A kind of thoracic surgery tapping system |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710996137.0A CN107854265A (en) | 2017-10-23 | 2017-10-23 | A kind of thoracic surgery tapping system |
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| CN107854265A true CN107854265A (en) | 2018-03-30 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN201710996137.0A Pending CN107854265A (en) | 2017-10-23 | 2017-10-23 | A kind of thoracic surgery tapping system |
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| CN108338809A (en) * | 2018-04-04 | 2018-07-31 | 宋宁 | A kind of obstetrics' amniocentesis sampler |
| CN108542476A (en) * | 2018-05-14 | 2018-09-18 | 潍坊科技学院 | A kind of thoracentesis drainage device that can be automatically positioned |
| CN108969071A (en) * | 2018-08-10 | 2018-12-11 | 程娟 | A kind of Neurology clinical treatment device |
| CN109124958A (en) * | 2018-08-12 | 2019-01-04 | 赵瑞霞 | A kind of anus lubricating fluid that anal intestine is preoperative filling operating table |
| CN113081196A (en) * | 2021-04-07 | 2021-07-09 | 莒县中医医院 | Clinical puncture equipment of using of intracardiac branch of academic or vocational study and stable structure thereof |
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| US6110112A (en) * | 1998-03-06 | 2000-08-29 | Siemens Aktiengesellschaft | Medical guide apparatus for breath-coordinated puncturing of the body or a body cavity |
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| CN108338809A (en) * | 2018-04-04 | 2018-07-31 | 宋宁 | A kind of obstetrics' amniocentesis sampler |
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| CN109124958A (en) * | 2018-08-12 | 2019-01-04 | 赵瑞霞 | A kind of anus lubricating fluid that anal intestine is preoperative filling operating table |
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| CN113081196A (en) * | 2021-04-07 | 2021-07-09 | 莒县中医医院 | Clinical puncture equipment of using of intracardiac branch of academic or vocational study and stable structure thereof |
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