CN108078614B - Thoracic cavity hydrops drainage puncture device for thoracic oncology department - Google Patents

Thoracic cavity hydrops drainage puncture device for thoracic oncology department Download PDF

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Publication number
CN108078614B
CN108078614B CN201810012372.4A CN201810012372A CN108078614B CN 108078614 B CN108078614 B CN 108078614B CN 201810012372 A CN201810012372 A CN 201810012372A CN 108078614 B CN108078614 B CN 108078614B
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China
Prior art keywords
puncture device
pleural effusion
oncology department
plate
thoracic
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Expired - Fee Related
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CN201810012372.4A
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Chinese (zh)
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CN108078614A (en
Inventor
周永安
陈曦
张书卿
岑耀棠
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Edong Healthcare Group City Central Hospital
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Edong Healthcare Group City Central Hospital
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Priority to CN201810012372.4A priority Critical patent/CN108078614B/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3403Needle locating or guiding means
    • A61M1/0023
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3403Needle locating or guiding means
    • A61B2017/3405Needle locating or guiding means using mechanical guide means

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Pathology (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)
  • External Artificial Organs (AREA)

Abstract

The invention discloses a pleural effusion drainage puncture device for thoracic oncology, which comprises a fixed seat, wherein a rotary screw is arranged in the middle of the bottom end of the fixed seat, a fixed plate is arranged at the upper end of the rotary screw, a rotary plate is arranged at the lower end of the rotary screw, a support column is arranged at the upper end of the fixed seat, a rotary shaft is arranged in the middle of the top end of the support column through a bearing, rotary cams are arranged at two ends of the middle part of the rotary shaft, a mounting groove is arranged on the inner side of the upper end of the support column, a lifting frame is arranged in the mounting groove, a lifting spring is arranged at the bottom end in the lifting frame, a lifting plate is arranged at the upper end of the lifting spring. According to the invention, the insertion needle can be accurately inserted into the thoracic cavity, so that the phenomenon that a posture is manually kept for a long time by a person is avoided, the labor intensity of medical staff is reduced, and the practicability is strong.

Description

Thoracic cavity hydrops drainage puncture device for thoracic oncology department
Technical Field
The invention relates to the technical field of medical instruments, in particular to a pleural effusion drainage puncture device for a thoracic oncology department.
Background
In the thoracic oncology department, thoracentesis is common and is a convenient and simple diagnosis and treatment method. When finding that the pleural cavity of the patient has effusion, the pleural effusion can be extracted through thoracentesis for various examinations. If the hydrops in the cavity is too much, the lung is pressed or the hydrops is too long, the fibrinogen in the cavity is easy to organize and generate two layers of pleural adhesions, so that the respiratory function of the lung is influenced, the hydrops is drained to improve the respiration of a patient, and medicines can be injected to achieve the treatment purpose when necessary.
Before general thoracentesis and drainage, the patient can be positioned by a chest color ultrasonic instrument, then the puncture is carried out, the patient takes the seat and faces to the chair back, the two forearms are placed on the chair back, and the forehead is laid on the forearms. The puncture site can be selected from 7-9 intercostals of the inferior angle line of the scapula, 7-8 intercostals of the posterior axillary line, 6-7 intercostals of the central axillary line or 5-6 intercostals of the anterior axillary line. Local anesthesia is carried out by 2% lidocaine, the skin of a puncture part is fixed by a left index finger and a middle finger, a puncture needle is slowly and vertically inserted by holding the right hand, when the puncture needle has a falling empty feeling, the puncture needle penetrates into a pleural cavity, and the insertion of the puncture needle is finished.
At present, the puncture needle is inserted into the thoracic cavity manually, and the specific operation mode is as follows: one hand of the medical staff clamps the insertion needle with the hemostatic clamp, inserts the insertion needle into the thoracic cavity, and continuously keeps the posture, the subsequent operation can only be completed with the other hand, so that the subsequent operation is very laboursome, if the experience of an operator is insufficient, the puncture needle is not stably fixed by one hand, the puncture needle can slide out, or the needle head is displaced, and secondary injury is caused to a patient.
Disclosure of Invention
The invention aims to provide a pleural effusion drainage puncture device for a thoracic oncology department, so as to solve the problems in the background technology.
In order to achieve the purpose, the invention provides the following technical scheme:
the utility model provides a thoracic cavity hydrops drainage piercing depth for thoracic oncology, includes the fixing base, fixing base bottom mid-mounting has rotatory screw rod, and the fixed plate is installed to rotatory screw rod upper end, the rotor plate is installed to rotatory screw rod lower extreme, the support column is installed to the fixing base upper end, and the rotation axis is installed through the bearing in the middle part of the support column top, and rotary cam is installed at rotation axis middle part both ends, support column upper end inboard is equipped with the mounting groove, and mounting groove internally mounted has the lifting frame, and the lifting spring is installed to the inside bottom of lifting frame, and the lifter plate is installed to the lifting spring upper end, and the lift post is installed to lifter plate lower extreme both sides, and the movable plate is installed to.
As a further scheme of the invention: the upper end of the fixing plate is uniformly provided with anti-skidding convex points.
As a further scheme of the invention: and a moving groove matched with the moving plate is arranged on the inner side of the middle part of the supporting column.
As a further scheme of the invention: the middle part of the lower end of the limiting column is provided with a contact pin, the right side of the upper end of the contact pin is communicated with a drainage tube, and the drainage tube is connected with a drainage device.
As a further scheme of the invention: the right end of the screw rod is connected with a driving motor, the driving motor is connected with a controller, and the controller is electrically connected with a power supply.
As a further scheme of the invention: the middle part of the mounting groove is provided with a kidney-shaped groove, and the middle part of the kidney-shaped groove is connected with a lifting frame through a fixing bolt.
As a further scheme of the invention: the middle part of the upper end of the lifting frame is provided with an adjusting bolt, and the lower end of the adjusting bolt is in contact with two sides of the upper end of the lifting plate.
As a further scheme of the invention: and a rotating handle is installed at the right end of the rotating shaft.
As a further scheme of the invention: the middle part of the lower end of the fixed sleeve is provided with a limit groove matched with the limit column.
As a still further scheme of the invention: the lower end of the rotating cam is contacted with a lifting plate.
Compared with the prior art, the invention has the beneficial effects that:
the utility model provides a thorax hydrops drainage piercing depth for chest oncology, it is rational in infrastructure, the modern design, through the mutually supporting between the rotating cam who is equipped with and the lifter plate, realize reciprocating to the movable plate, mutually support through the slider that is equipped with and the lead screw simultaneously for the contact pin can be controlled and removed, and then make the contact pin can be accurate insert the thorax in, avoid artificially keeping a posture for a long time manually, greatly reduced medical personnel's intensity of labour, the practicality is strong.
Drawings
Fig. 1 is a schematic structural view of a pleural effusion drainage puncture device for a thoracic oncology department.
Fig. 2 is a schematic side view of a support column in a pleural effusion drainage puncture device for a thoracic oncology department.
Fig. 3 is a schematic front sectional structure view of a support column in a pleural effusion drainage puncture device for a thoracic oncology department.
Fig. 4 is a schematic view of the horizontal cross section of the fixing sleeve in the pleural effusion drainage puncture device for the thoracic oncology department.
Detailed Description
It should be noted that the embodiments and features of the embodiments may be combined with each other without conflict.
In the description of the present invention, it is to be understood that the terms "center", "longitudinal", "lateral", "up", "down", "front", "back", "left", "right", "vertical", "horizontal", "top", "bottom", "inner", "outer", and the like, indicate orientations or positional relationships based on those shown in the drawings, and are used only for convenience in describing the present invention and for simplicity in description, and do not indicate or imply that the referenced devices or elements must have a particular orientation, be constructed and operated in a particular orientation, and thus, are not to be construed as limiting the present invention. Furthermore, the terms "first", "second", etc. are used for descriptive purposes only and are not to be construed as indicating or implying relative importance or implicitly indicating the number of technical features indicated. Thus, a feature defined as "first," "second," etc. may explicitly or implicitly include one or more of that feature. In the description of the present invention, "a plurality" means two or more unless otherwise specified.
In the description of the present invention, it should be noted that, unless otherwise explicitly specified or limited, the terms "mounted," "connected," and "connected" are to be construed broadly, e.g., as meaning either a fixed connection, a removable connection, or an integral connection; can be mechanically or electrically connected; they may be connected directly or indirectly through intervening media, or they may be interconnected between two elements. The specific meaning of the above terms in the present invention can be understood by those of ordinary skill in the art through specific situations.
The present invention will be described in detail below with reference to the embodiments with reference to the attached drawings.
Referring to fig. 1 to 4, in the embodiment of the invention, a pleural effusion drainage puncturing device for thoracic oncology comprises a fixed seat 1, wherein a rotary screw 4 is installed in the middle of the bottom end of the fixed seat 1 for adjusting the up-down position of a fixed plate 2, the fixed plate 2 is installed at the upper end of the rotary screw 4 for driving the rotary screw 4 to rotate, anti-skid convex points 3 are uniformly arranged at the upper end of the fixed plate 2 for increasing the friction force between the fixed plate 2 and a fixed object, a rotary plate 5 is installed at the lower end of the rotary screw 4, a support column 6 is installed at the upper end of the fixed seat 1, a moving groove 7 which is matched with a moving plate 8 is arranged on the inner side of the middle part of the support column 6 for limiting the up-down movement of the moving plate 8 and preventing the moving plate 8 from shaking in the moving process, a rotating handle 21 is installed at the right end of the rotating shaft 20 and used for driving the rotating shaft 20 to rotate, rotating cams 19 are installed at two ends of the middle of the rotating shaft 20, a lifting plate 18 is in contact with the lower end of the rotating cams 19, an installation groove 27 is formed in the inner side of the upper end of the supporting column 6, a kidney-shaped groove 26 is formed in the middle of the installation groove 27, a lifting frame 25 is connected to the middle of the kidney-shaped groove 26 through a fixing bolt 22, so that the upper position and the lower position of the lifting frame 25 in the installation groove 27 are adjusted, the lifting frame 25 is installed inside the installation groove 27, an adjusting bolt 23 is installed in the middle of the upper end of the lifting frame 25, the lower end of the adjusting bolt 23 is in contact with two sides of the upper end of the lifting plate 18, the initial position of the lifting plate 18 in the lifting frame 25, further, the initial position of the lifting plate 18 is adjusted through a lifting spring 24, the two sides of the lower end of the lifting plate 18 are provided with lifting columns 17, the bottom end of the lifting column 17 is provided with a moving plate 8, the lower end of the moving plate 8 is provided with a fixed sleeve 9, the middle part of the lower end of the fixed sleeve 9 is provided with a limit groove 28 which is matched with the limit column 12, used for ensuring the left and right movement of the limiting column 12 along the bottom end of the fixed sleeve 9, a screw rod 11 is arranged in the fixed sleeve 9, the right end of the screw rod 11 is connected with a driving motor 15, used for driving the screw rod 11 to rotate, the driving motor 15 is connected with a controller 16, the controller 16 is electrically connected with a power supply, the middle part of the screw rod 11 is provided with a slide block 10, the lower end of the slide block 10 is provided with a limit column 12, an insertion needle 13 is arranged in the middle of the lower end of the limiting column 12, a drainage tube 14 is communicated with the right side of the upper end of the insertion needle 13, the drainage tube 14 is connected with a drainage device, and then the accumulated liquid in the thoracic cavity is sucked through the drainage tube 14 and the insertion needle 13.
When the pleural effusion drainage puncture device for the thoracic oncology department is used, firstly, the fixed seat 1 is placed at the edge of an operating table, then the rotating plate 5 is rotated to drive the rotating screw rod 4 to rotate, so that the fixed plate 2 rotates, the fixing of the whole device is realized through the matching of the fixed plate 2 and the inner side of the upper end of the fixed seat 1, then, the driving motor 15 is started, the driving motor 15 drives the screw rod 11 to rotate, so that the slide block 10 drives the contact pin 13 to move, so that the contact pin 13 is positioned at the upper end of the thoracic cavity, then, medical personnel rotate the rotating handle 21 to rotate the rotating shaft 20, so that the rotating cam 19 synchronously rotates, when the convex part of the rotating cam 19 is matched with the lifting plate 18, the lifting plate 18 synchronously moves downwards, and then the lifting plate 17 drives the lifting plate 8 to move downwards along the moving groove 7, so that the insertion needle 13 synchronously moves downwards to be inserted into the chest cavity, the operation is simple, and the reliability is high. The invention has reasonable structure and novel design, realizes the up-and-down movement of the moving plate 8 through the mutual matching between the rotating cam 19 and the lifting plate 18, and simultaneously enables the contact pin 13 to move left and right through the mutual matching between the slide block 10 and the screw rod 11, thereby enabling the contact pin 13 to be accurately inserted into the thoracic cavity, avoiding the manual maintenance of a posture for a long time, greatly reducing the labor intensity of medical personnel and having strong practicability.
The above description is only for the purpose of illustrating the preferred embodiments of the present invention and is not to be construed as limiting the invention, and any modifications, equivalents, improvements and the like that fall within the spirit and principle of the present invention are intended to be included therein.

Claims (10)

1. The utility model provides a thorax hydrops drainage piercing depth for chest oncology, includes fixing base (1), its characterized in that, fixing base (1) bottom mid-mounting has rotatory screw rod (4), and fixed plate (2) are installed to rotatory screw rod (4) upper end, rotor plate (5) are installed to rotatory screw rod (4) lower extreme, support column (6) are installed to fixing base (1) upper end, and rotation axis (20) are installed through the bearing in support column (6) top middle part, and rotary cam (19) are installed at rotation axis (20) middle part both ends, support column (6) upper end inboard is equipped with mounting groove (27), and mounting groove (27) internally mounted has lift frame (25), and lift spring (24) are installed to lift frame (25) inside bottom, and lift board (18) are installed to lift spring (24) upper end, and lift post (17) are, the movable plate (8) is installed to lift post (17) bottom, and fixed cover (9) are installed to movable plate (8) lower extreme, and fixed cover (9) internally mounted has lead screw (11), and lead screw (11) mid-mounting has slider (10), and spacing post (12) are installed to slider (10) lower extreme.
2. The pleural effusion drainage puncture device for the thoracic oncology department according to claim 1, wherein the upper end of the fixing plate (2) is uniformly provided with anti-skid convex points (3).
3. The pleural effusion drainage puncture device for the thoracic oncology department according to claim 1, characterized in that the inner side of the middle part of the supporting column (6) is provided with a moving groove (7) which is matched with the moving plate (8).
4. The pleural effusion drainage puncture device for the thoracic oncology department according to claim 1, wherein an insertion needle (13) is installed in the middle of the lower end of the limiting column (12), a drainage tube (14) is communicated with the right side of the upper end of the insertion needle (13), and the drainage tube (14) is connected with a drainage device.
5. The pleural effusion drainage puncture device for the thoracic oncology department according to claim 1, wherein the right end of the screw rod (11) is connected with a driving motor (15), the driving motor (15) is connected with a controller (16), and the controller (16) is electrically connected with a power supply.
6. The pleural effusion drainage puncture device for the thoracic oncology department according to claim 1, wherein a waist-shaped groove (26) is arranged in the middle of the installation groove (27), and a lifting frame (25) is connected to the middle of the waist-shaped groove (26) through a fixing bolt (22).
7. The pleural effusion drainage puncture device for the thoracic oncology department according to claim 1, wherein an adjusting bolt (23) is installed in the middle of the upper end of the lifting frame (25), and the lower end of the adjusting bolt (23) is in contact with two sides of the upper end of the lifting plate (18).
8. The pleural effusion drainage puncture device for thoracic oncology department according to claim 1, characterized in that a rotating handle (21) is installed at the right end of the rotating shaft (20).
9. The pleural effusion drainage puncture device for the thoracic oncology department according to claim 1, wherein the middle of the lower end of the fixing sleeve (9) is provided with a limiting groove (28) which is matched with the limiting column (12).
10. The pleural effusion drainage puncture device for thoracic oncology department according to claim 1, characterized in that the lower end of the rotating cam (19) contacts with the lifting plate (18).
CN201810012372.4A 2018-01-05 2018-01-05 Thoracic cavity hydrops drainage puncture device for thoracic oncology department Expired - Fee Related CN108078614B (en)

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CN107260330A (en) * 2017-07-11 2017-10-20 荆门市第二人民医院 A kind of orthopaedics positional punch device
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WO2011084313A1 (en) * 2009-12-21 2011-07-14 Cook Critical Care Incorporated Balloon dilational chest tube method and system
WO2013128461A1 (en) * 2012-02-29 2013-09-06 Cardiapex Ltd. Minimally invasive surgical techniques
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CN107260330A (en) * 2017-07-11 2017-10-20 荆门市第二人民医院 A kind of orthopaedics positional punch device

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