Disclosure of Invention
The invention aims to solve the technical problem and provides a general surgery operation wound care instrument aiming at the technical defects. Utilize low temperature anesthesia effect or ultra-low temperature cell death, carry out accurate intelligent anesthesia excision to the unnecessary tissue of wound, convenient operation is swift, alleviates patient's misery, can wash the nursing simultaneously, and it is more convenient to use.
The technical scheme adopted by the invention is as follows: the utility model provides a general surgery operation wound nursing instrument, which comprises a liquid supply box, a handheld shell and a low-temperature anesthesia nursing mechanism at the right end of the handheld shell; the left end of the handheld shell is provided with a washing nozzle;
the low-temperature anesthesia nursing mechanism comprises an installation box and a fixed plate which are fixedly connected with the upper side and the lower side of the right end of the handheld shell respectively; the opening of the installation box faces downwards; an inflatable bag is fixedly arranged at the top end in the installation box; the inflatable bag is communicated with an inflatable tube; the inflation tube penetrates into the handheld shell, and an inflation pump is installed in the handheld shell; the output end of the inflator pump is communicated with the end part of the inflation tube; the lower end of the inflatable bag and the upper end of the fixed plate are both provided with a low-temperature anaesthesia device; a cutting device is arranged at the right part in the installation box;
the low-temperature anaesthesia device at the lower end comprises a heat conduction box; the upper end of the heat conduction box is provided with an installation groove; a semiconductor refrigerating sheet is arranged in the mounting groove; the upper end of the semiconductor refrigeration piece is fixedly connected with a heat conduction clamping piece; the heat conduction box is internally and uniformly provided with a drainage baffle; in the heat conduction box, a unique flow guide channel is formed between the flow guide baffles; one end of the drainage channel is communicated with a liquid inlet pipe, and the other end of the drainage channel is communicated with a liquid outlet pipe;
the upper end low-temperature anaesthesia device and the lower end low-temperature anaesthesia device have the same structure and are symmetrical up and down; the heat conduction box of the lower low-temperature anaesthesia device is fixedly arranged on the fixing plate, and the upper end of the heat conduction box of the upper low-temperature anaesthesia device is fixedly connected with the lower surface of the inflatable bag; the flushing nozzle is communicated with a three-way valve; the left end port of the three-way valve is communicated with the flushing nozzle, the right end port of the three-way valve is communicated with a main pipe, and the lower end port of the three-way valve is communicated with a return pipe; the control end of the three-way valve extends to the front end of the handheld shell; the two liquid outlet pipes are communicated with the main pipe; the tail end of the return pipe is communicated with the upper part of the liquid supply tank; the upper liquid inlet pipe is communicated with the lower liquid inlet pipe; the liquid inlet pipe on the lower side penetrates through the lower end of the handheld shell and extends into the liquid supply box to be communicated with the output end of a liquid supply pump; an infrared temperature measuring module is arranged at the right end of the handheld shell above the heat conducting clamping piece at the lower side;
the cutting device comprises a driving motor fixed at the right part in the installation box; the output end of the driving motor is connected with a turntable; a poke rod is arranged at the eccentric position of the right end of the turntable; a control block is connected to the right part in the installation box in a vertical sliding manner; the left end of the control block is provided with an oval guide groove which is in sliding fit with the poke rod; the lower end of the control block is connected with an upper cutter in an inserting way; the lower cutting knife corresponding to the upper cutting knife is arranged on the right side of the upper end of the lower heat conduction box; the signal output end of the infrared temperature measurement module is connected with a processor; the output end of the processor is connected with the control circuit of the driving motor.
Further optimizing the technical scheme, the left part in the inflatable bag of the general surgery operation wound nursing instrument is uniformly provided with elastic pull wires; two ends of the elastic stay wire are respectively fixedly connected with the upper side wall and the lower side wall of the inflatable bag.
Further optimizing the technical scheme, the upper end of the handheld shell of the general surgery operation wound nursing instrument is provided with a liquid storage bag; disinfectant is stored in the liquid storage bag; the lower end of the liquid storage bag is communicated with a branch pipe; the branch pipe passes through the handheld shell and is communicated with the washing spray head.
Further optimize this technical scheme, the lower extreme port of the three-way valve of department of general surgery operation wound care appearance extends to the below of handheld shell, and the back flow top is pegged graft with three-way valve lower extreme port and is communicated.
Further optimize this technical scheme, install the copper sheet that is used for the heat conduction in the mounting groove of department of general surgery's operation wound care appearance.
Further optimizing the technical scheme, the upper end of a handheld shell of the general surgery operation wound nursing instrument is provided with a control panel; the inflator pump, the semiconductor refrigerating sheet, the driving motor, the infrared temperature measuring module and the control circuit of the liquid supply pump are all arranged in the control panel.
The invention has the beneficial effects that:
1. utilize low temperature anesthesia effect or ultra-low temperature cell death, carry out accurate intelligent anesthesia excision to the unnecessary tissue of wound, convenient operation is swift, alleviates patient's misery, can wash the nursing simultaneously, and it is more convenient to use. The low temperature anesthesia nursing mechanism utilizes the semiconductor refrigeration piece to refrigerate, utilizes two low temperature anesthesia device clamps about the utilization to get the position that needs the excision, carries out the low temperature anesthesia of pertinence to the position that the patient needs the excision, and anesthesia is more accurate, and is quick safe, and infrared temperature measurement module detects the judgement, then cutting device can cut the part root automatically and remove, and is more intelligent quick.
Among the low temperature anaesthesia device, semiconductor refrigeration piece one end refrigeration is used for the anesthesia, press from both sides through the heat conduction clamping piece and get the excision position, with strong points, the cooling is faster, it is low to other good tissue parts injuries of human body, the semiconductor refrigeration piece other end produces heat, can heat the liquid of heat conduction incasement, the convenient warm water of using when washing, the rational utilization energy, liquid absorbs the heat simultaneously, can make semiconductor refrigeration piece continuous work, the refrigeration end carries out effectual refrigeration cooling, the structure integration, the design is optimized rationally more, high durability and convenient use.
The low-temperature anaesthesia device at the upper end is arranged on the lower surface of the inflatable bag, the inflation of the inflatable bag can drive the low-temperature anaesthesia device at the upper end to adapt to the shape and size of the excised tissue, the clamping effect of the upper end and the lower end is better, and the self has adjustment adaptability;
the three-way valve can control the discharge flow direction of water in the heat conducting box after heat transfer, and the water is directly discharged by the washing nozzle to wash the wound or flows back to the liquid supply box from the return pipe. In the low-temperature anesthesia process, the reflux pipe is used for communication, and the heat absorption and the temperature reduction of circulating water are realized for the hot end of the semiconductor refrigeration sheet, so that the stable work is realized;
the cutting device can automatically cut off the anesthetized tissue after reaching a certain low temperature, the driving motor can drive the control block to move up and down through the matching of the poke rod and the guide groove, the cutting action of the upper cutting knife is realized, the cutting part is tightly attached to the anesthetized root, and the vicinity of the clamping part is also anesthetized by the low temperature due to heat conduction; cutting is carried out in a clamping state, so that the cutting is more accurate and safer;
2. the left part in the inflatable bag is provided with the elastic stay wire, the left part has larger self elasticity, when the inflatable bag is inflated, the right part of the inflatable bag firstly expands, the upper end is anesthetized with low temperature to move, and the right part of the heat-conducting clamping piece firstly approaches downwards, so that the control mode can realize the clamping and positioning of the root of the tissue firstly, avoid the situation that the clamping is not in place, and is more stable and accurate;
3. the liquid storage bag can be added with washing solutions such as disinfectant in the washing process, is convenient to add, does not influence the liquid in the liquid supply tank, is directly communicated with the washing spray head, and can be used independently;
4. the backflow pipe is used for circularly cooling the semiconductor refrigeration sheet, and can be disassembled when not in use so as to reduce the influence of winding of a pipe fitting on use;
5. a copper sheet is arranged in the mounting groove and connected with the semiconductor refrigeration sheet and the heat conduction box through the copper sheet, so that the heat exchange speed is improved; the semiconductor refrigerating sheet can be controlled by a power supply to convert a heating end and a refrigerating end, so that liquid in the heat conduction box can be conveniently heated or cooled, and the semiconductor refrigerating sheet is convenient to use when warm water flushing or cold compress flushing is carried out; the liquid in the heat conduction box is thinner, and the temperature rise or the temperature reduction is faster by conducting heat;
6. the control panel can be provided with control buttons and the like, so that the control panel is convenient for carrying out electric control or information display of each operation.
Detailed Description
The present invention will be described in further detail with reference to the accompanying drawings and specific embodiments.
As shown in fig. 1-9, the general surgical wound nursing instrument comprises a liquid supply tank 1, a handheld shell 2 and a low-temperature anesthesia nursing mechanism at the right end of the handheld shell 2; the left end of the handheld shell 2 is provided with a washing nozzle 3; the low-temperature anesthesia nursing mechanism comprises an installation box 4 and a fixed plate 5 which are fixedly connected with the upper side and the lower side of the right end of the handheld shell 2 respectively; the opening of the installation box 4 faces downwards; an inflatable bag 6 is fixedly arranged at the top end in the installation box 4; the inflatable bag 6 is communicated with an inflatable tube 7; the inflation tube 7 penetrates into the handheld shell 2, and an inflation pump 8 is arranged in the handheld shell 2; the output end of the inflator pump 8 is communicated with the end part of the inflation tube 7; the lower end of the inflatable bag 6 and the upper end of the fixed plate 5 are both provided with a low-temperature anaesthesia device; a cutting device is arranged at the right part in the installation box 4; the low-temperature anaesthesia device at the lower end comprises a heat conduction box 9; the upper end of the heat conduction box 9 is provided with a mounting groove 10; a semiconductor refrigerating sheet 11 is arranged in the mounting groove 10; the upper end of the semiconductor refrigeration piece 11 is fixedly connected with a heat conduction clamping piece 12; the heat conduction box 9 is internally and uniformly provided with a drainage baffle 13; a unique flow guide channel is formed between the flow guide baffles 13 in the heat conduction box 9; one end of the drainage channel is communicated with a liquid inlet pipe 14, and the other end of the drainage channel is communicated with a liquid outlet pipe 15; the upper end low-temperature anaesthesia device and the lower end low-temperature anaesthesia device have the same structure and are symmetrical up and down; the heat conduction box 9 of the lower low-temperature anaesthesia device is fixedly arranged on the fixing plate 5, and the upper end of the heat conduction box 9 of the upper low-temperature anaesthesia device is fixedly connected with the lower surface of the inflatable bag 6; the flushing nozzle 3 is communicated with a three-way valve 16; the left end port of the three-way valve 16 is communicated with the washing nozzle 3, the right end port is communicated with a main pipe 17, and the lower end port is communicated with a return pipe 18; the control end of the three-way valve 16 extends to the front end of the hand-held housing 2; the two liquid outlet pipes 15 are communicated with a main pipe 17; the tail end of the return pipe 18 is communicated with the upper part of the liquid supply tank 1; the upper side liquid inlet pipe 14 is communicated with the lower side liquid inlet pipe 14; the liquid inlet pipe 14 on the lower side penetrates through the lower end of the handheld shell 2 and extends into the liquid supply box 1 to be communicated with the output end of a liquid supply pump 19; an infrared temperature measuring module 20 is arranged at the right end of the handheld shell 2 above the heat conducting clamping piece 12 at the lower side; the cutting device comprises a driving motor 21 fixed at the right part in the installation box 4; the output end of the driving motor 21 is connected with a turntable 22; a poke rod 23 is arranged at the eccentric position of the right end of the turntable 22; a control block 24 is connected to the right part in the installation box 4 in a vertical sliding manner; the left end of the control block 24 is provided with an oval guide groove 25 which is in sliding fit with the poke rod 23; the lower end of the control block 24 is connected with an upper cutter 26 in an inserting way; a lower cutter 27 corresponding to the upper cutter 26 is mounted on the right side of the upper end of the lower heat conduction box 9; the signal output end of the infrared temperature measurement module 20 is connected with a processor; the output end of the processor is connected with a control circuit of the driving motor 21; the left part in the inflatable bag 6 is uniformly provided with elastic pull lines 28; two ends of the elastic pull wire 28 are respectively fixedly connected with the upper side wall and the lower side wall of the inflatable bag 6; the upper end of the hand-held shell 2 is provided with a liquid storage bag 29; disinfectant is stored in the liquid storage bag 29; the lower end of the liquid storage bag 29 is communicated with a branch pipe 30; the branch pipe 30 passes through the handheld shell 2 and is communicated with the washing nozzle 3; the lower end port of the three-way valve 16 extends to the lower part of the handheld shell 2, and the top end of the return pipe 18 is in splicing communication with the lower end port of the three-way valve 16; a copper sheet 31 for heat conduction is arranged in the mounting groove 10; the upper end of the handheld shell 2 is provided with a control panel 32; the control circuits of the inflator pump 8, the semiconductor refrigerating plate 11, the driving motor 21, the infrared temperature measuring module 20 and the liquid supply pump 19 are all arranged in the control panel 32.
When the invention is used, a low-temperature anesthesia nursing mechanism is used for performing anesthesia excision, flushing nursing and the like on wound tissues, and redundant tissues affecting healing of the wound and redundant tissues proliferating on the body surface and the like can be treated. Open 11 work of semiconductor refrigeration piece, make heat conduction clamping piece 12 one end be in the refrigeration end, heat conduction end and the heat conduction of the laminating of heat conduction case 9 mounting groove 10, open liquid feed pump 19 work, liquid passes through feed liquor pipe 14 and delivers to two heat conduction incasement 9, carry out the heat transfer in heat conduction case 9, drainage channel extension route, last liquid is through drain pipe 15 discharges, switch on through three-way valve 16 control, make drain pipe 15 and back flow 18 intercommunication, realize the circulation, make semiconductor refrigeration piece 11 can long term stable work, reach the low temperature anesthesia demand, then begin to carry out anesthesia excision work.
As shown in fig. 4-7, during low-temperature anesthesia, the upper and lower heat-conducting clamping pieces 12 are used for clamping the tissue part to be cut off, the inflator pump 8 is started to inflate the inflatable bag 6, the inflatable bag 6 expands to drive the low-temperature anesthesia device at the upper end to move, and due to the elasticity of the inflatable bag 6, the low-temperature anesthesia device at the upper end can better extrude and stick to the tissue, so that the upper and lower heat-conducting clamping pieces 12 can stably and firmly pressurize and clamp the tissue, the heat-conducting area can be enlarged, the temperature can be reduced more quickly, and the tissue can enter. The detection end of the infrared temperature measurement module 20 detects the temperature of the clamped tissue, and when a low-temperature anesthesia state is detected, the processor controls the cutting device to work to rapidly cut off the tissue. The processor controls the driving motor 21 to rotate, so that the poke rod 23 makes circular motion, the poke rod 23 slides in the oval guide groove 25, the up-and-down displacement of the poke rod 23 can drive the control block 24 to do up-and-down reciprocating linear motion, meanwhile, the control block 24 slides in the installation box 4 up-and-down limiting, and finally the upper cutting knife 26 is driven to move up and down, so that the anesthetized tissue is cut. The tissue is in a low-temperature state, so that the tissue is convenient to transport and the like after being cut off, and the propagation of bacterial breeding pollution and the like can be reduced.
As shown in fig. 2 and 3, when the washing and nursing are needed, the main pipe 17 is communicated with the washing nozzle 3 through the control of the three-way valve 16, namely, the effluent of the liquid outlet pipe 15 is directly supplied to the washing nozzle 3, and the wound is washed and nursed. Meanwhile, the semiconductor refrigerating sheet 11 can be opened to work, so that one end of the semiconductor refrigerating sheet, which is in heat transfer with the heat conducting box 9, is heated or refrigerated, warm water flushing or low-temperature icing flushing is carried out according to different requirements, and the other end of the semiconductor refrigerating sheet can be processed by a conventional heat dissipation means during working, so that normal working is maintained. The liquid in the heat conduction box 9 is thinner, and the temperature rise or the temperature reduction is faster through heat conduction.
As shown in fig. 7, the elastic pulling wire 28 is disposed on the left side in the air bag 6 to make the left and right parts not synchronous in deformation, so that the right end first expands and moves, and the heat-conducting clip 12 can first squeeze and fix the root of the tissue, and the clamping is more stable and accurate. Or the inflatable bag 6 can be arranged with different elastic coefficients to achieve the effect. Eventually the entire balloon 6 will still accommodate the gripping effect to expand evenly. After the cutting is finished, the gas in the air bag 6 is discharged, which is a conventional technical means.
When the washing nursing is carried out, the washing of disinfectant and the like can be increased, and the disinfectant is added into the washing nozzle 3 by extruding the liquid storage bag 29. The reservoir 29 may be replaced with a water pump or the like as a structure for supplying a disinfectant to flush the terminal. The liquid storage bag 29 is directly connected with the washing nozzle 3, and when the washing nozzle 3 is blocked and connected with the three-way valve 16, the liquid storage bag 29 can be directly and independently used.
The control panel 32 is used for information display and circuit control, and can be provided with a display, a control switch and the like, and is used for controlling the work of the inflator pump 8, the semiconductor refrigeration sheet 11 and the like, and the adaptive switch setting can be carried out according to the requirements, which is a conventional technical means.