CN109512492B - Abdominal cavity puncture protection device for cancer advanced patients - Google Patents
Abdominal cavity puncture protection device for cancer advanced patients Download PDFInfo
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- CN109512492B CN109512492B CN201910047025.XA CN201910047025A CN109512492B CN 109512492 B CN109512492 B CN 109512492B CN 201910047025 A CN201910047025 A CN 201910047025A CN 109512492 B CN109512492 B CN 109512492B
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- 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
- A61B17/3478—Endoscopic needles, e.g. for infusion
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/50—Supports for surgical instruments, e.g. articulated arms
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Abstract
An abdominal cavity puncture protection device for a patient with advanced cancer belongs to the technical field of medical equipment. Is characterized by comprising a front fixed frame, a rear fixed frame, a left telescopic folding rod, a right telescopic folding rod and a lighting sliding and fixing functional group; the front and rear fixing frames comprise gantry-shaped frame bodies, and each gantry-shaped frame body comprises a left upright post, a right upright post and an upper cross beam; a second bin body and a first bin body are respectively arranged in the left upright post and the right upright post of the gantry-shaped frame body of the front fixing frame; a third bin body and a fourth bin body are respectively arranged in the left upright post and the right upright post of the gantry-shaped frame body of the rear fixing frame; the front fixing frame and the rear fixing frame are respectively connected through a left telescopic folding rod and a right telescopic folding rod; the first functional group, the second functional group, the third functional group and the fourth functional group are respectively arranged in the first bin body, the second bin body, the third bin body and the fourth bin body. The invention can assist the operating personnel to carry out the laparoscopic puncture operation, obviously reduce the operation fatigue and improve the operation quality.
Description
Technical Field
The invention belongs to the technical field of medical equipment, and particularly relates to abdominal cavity puncture protection equipment for patients with advanced cancer.
Background
Malignant tumors have great influence on patients, and in the middle and late stages of diseases, symptoms of inappetence, nausea and vomiting can be caused, abdominal dropsy can be caused, the abdominal dropsy phenomenon can be caused if some patients have cancer and liver metastasis, abdominal dropsy caused by the tumors is called malignant ascites, and common tumors causing the ascites comprise liver cancer, breast cancer, gastrointestinal cancer, ovarian cancer, pancreatic cancer, uterine cancer and the like. Malignant ascites may suggest a late stage of tumor, and the principle of treatment is local treatment while controlling the primary tumor. The disease can be alleviated by chemoradiotherapy or physical therapy, or can be adjusted by abdominal water pumping therapy, preferably, the disease should be controlled according to the doctor's advice to prevent death in a short time.
However, in the actual operation process of the abdominal cavity puncture surgery, the surgical operation personnel can hold the laparoscope instrument by hands, puncture and drainage are carried out above the abdomen of a patient, if the operation duration is long, the operation personnel can not be guaranteed to keep the hands stable and not tremble, the operation fatigue is increased, and the operation quality is affected.
In view of this, the applicant designs an abdominal cavity puncture protection device for patients with advanced cancer, which can assist surgical staff in performing laparoscopic puncture surgery, obviously reduce surgical fatigue and improve surgical quality.
Disclosure of Invention
The invention aims to provide abdominal cavity puncture protection equipment for patients with advanced cancer, which can assist in the treatment operation of laparoscopic surgery.
In order to solve the technical problems, the technical scheme of the invention is as follows: the abdominal cavity puncture protection device for the patient with the advanced cancer is characterized by comprising a front fixing frame, a rear fixing frame, a left telescopic folding rod, a right telescopic folding rod and an illumination sliding and fixing functional group; the front and rear fixing frames comprise gantry-shaped frame bodies, and each gantry-shaped frame body comprises a left upright post, a right upright post and an upper cross beam; a second bin body and a first bin body are respectively arranged in the left upright post and the right upright post of the gantry-shaped frame body of the front fixing frame; a third bin body and a fourth bin body are respectively arranged in the left upright post and the right upright post of the gantry-shaped frame body of the rear fixing frame; the front fixing frame and the rear fixing frame are connected through a left telescopic folding rod and a right telescopic folding rod respectively.
The lighting sliding fixing function group comprises a first function group, a second function group, a third function group and a fourth function group, wherein the first function group, the second function group, the third function group and the fourth function group are respectively arranged in a first bin body, a second bin body, a third bin body and a fourth bin body.
Preferably, the first functional group includes a first functional group structural body; the first functional group structure body comprises a first lifting sliding table, a first lighting upright post is fixed on the first lifting sliding table, and the first lifting sliding table is hinged with the lower end of a first transverse guide rail; a first bin cover is arranged at the upper part of the first bin body, a first vertical linear lifting track is arranged in the first bin body, and the first lifting sliding table can move up and down along the first vertical linear lifting track;
the second functional group includes a second functional group structural body; the second functional group structure body comprises a second lifting sliding table, a second lighting upright post is fixed on the second lifting sliding table, and the second lifting sliding table is hinged with the lower end of a second transverse guide rail; a second bin cover is arranged at the upper part of the second bin body, a second vertical linear lifting track is arranged in the second bin body, and the second lifting sliding table can move up and down along the second vertical linear lifting track;
the third functional group includes a third functional group structural body; the third functional group structure comprises a third lifting sliding table, a third lighting upright post is fixed on the third lifting sliding table, and the third lifting sliding table is hinged with the lower end of a third transverse guide rail; a third bin cover is arranged at the upper part of the third bin body, a third vertical linear lifting track is arranged in the third bin body, and the third lifting sliding table can move up and down along the third vertical linear lifting track;
the fourth functional group includes a fourth functional group structural body; the fourth functional group structure comprises a fourth lifting sliding table, a fourth lighting upright post is fixed on the fourth lifting sliding table, and the lower end of a fourth transverse guide rail is hinged to the fourth lifting sliding table; the upper part of the fourth bin body is provided with a fourth bin cover, a fourth vertical linear lifting track is arranged in the fourth bin body, and the fourth lifting sliding table can move up and down along the fourth vertical linear lifting track.
Preferably, the first vertical linear lifting track comprises four inner walls of the first bin body, which are vertically arranged; first jacking springs are respectively arranged on one sides of the lower part of the first lifting sliding table, which face the inner walls of the four sides of the first bin body, and each first jacking spring is respectively connected with a first jacking pulley; the upper ends of the four inner walls of the first bin body are respectively provided with a first clamping groove; when the first lifting sliding table is lifted to the upper limit along the first vertical linear lifting guide rail, the four first jacking springs can respectively extrude the four first jacking pulleys to the four first clamping grooves so as to fix the first lifting sliding table and prevent the first lifting sliding table from falling down automatically; at the moment, the first lighting upright post and the first transverse guide rail are both positioned above the first bin body, and after the first transverse guide rail is turned for 90 degrees around the lower hinged shaft in the direction deviating from the first lighting upright post, the upper end of the first transverse guide rail is horizontally placed on the side wall of the first bin body and points to the fourth bin body;
the second vertical straight lifting track comprises four inner walls of the second bin body, wherein the four inner walls are vertically arranged; second jacking springs are respectively arranged on one sides of the lower parts of the second lifting sliding tables, which face the four inner walls of the second bin body, and each second jacking spring is respectively connected with a second jacking pulley; the upper ends of the four inner walls of the second bin body are respectively provided with a second clamping groove; when the second lifting sliding table is lifted to the upper limit along the second vertical linear lifting guide rail, the four second jacking springs can respectively extrude the four second jacking pulleys to the four second clamping grooves so as to fix the second lifting sliding table to be incapable of automatically falling; at the moment, the second lighting upright post and the second transverse guide rail are both positioned above the second bin body, and after the second transverse guide rail is turned for 90 degrees around the lower hinged shaft in the direction departing from the second lighting upright post, the upper end of the second transverse guide rail is horizontally placed on the side wall of the second bin body and points to the third bin body;
the third vertical straight lifting track comprises four inner walls of a third cabin body, wherein the four inner walls are vertically arranged; third jacking springs are respectively arranged on one sides of the lower parts of the third lifting sliding tables, which face the four inner walls of the third bin body, and each third jacking spring is respectively connected with a third jacking pulley; the upper ends of the four inner walls of the third bin body are respectively provided with a third clamping groove; when the third lifting sliding table is lifted to the upper limit along the third vertical linear lifting guide rail, the four third jacking springs can respectively extrude the four third jacking pulleys to the four third clamping grooves so as to fix the third lifting sliding table to be incapable of automatically falling; at the moment, the third lighting upright post and the third transverse guide rail are both positioned above the third bin body, and after the third transverse guide rail is turned for 90 degrees around the lower hinged shaft in the direction deviating from the third lighting upright post, the upper end of the third transverse guide rail is horizontally placed on the side wall of the third bin body and points to the second bin body;
the fourth vertical linear lifting track comprises four inner walls of a fourth bin body, wherein the four inner walls are vertically arranged; fourth jacking springs are respectively arranged on one sides of the lower part of the fourth lifting sliding table, which face the four inner walls of the fourth bin body, and each fourth jacking spring is respectively connected with a fourth jacking pulley; the upper ends of the four inner walls of the fourth bin body are respectively provided with a fourth clamping groove; when the fourth lifting sliding table is lifted and lifted to the upper limit along the fourth vertical linear lifting guide rail, the four fourth jacking springs can respectively extrude the four fourth jacking pulleys to the four fourth clamping grooves so as to fix the fourth lifting sliding table and prevent the fourth lifting sliding table from falling down automatically; at this moment, the fourth lighting upright post and the fourth transverse guide rail are both positioned above the fourth bin body, and after the fourth transverse guide rail is turned for 90 degrees around the lower hinged shaft towards the direction deviating from the fourth lighting upright post, the upper end of the fourth transverse guide rail is horizontally placed on the side wall of the fourth bin body and points to the first bin body.
Preferably, when the first and fourth transverse rails are horizontally and transversely arranged, the overhanging ends of the first and fourth transverse rails can be joined together and horizontally collinear; when the second and third transverse rails are horizontally and transversely arranged, the overhanging ends of the second and third transverse rails can be joined together and horizontally co-linear.
Preferably, the cross section of the first transverse guide rail is square, a disinfection arm sliding groove is formed in the upper side surface of the first transverse guide rail, and the cross section of the disinfection arm sliding groove is in a convex shape; the disinfection arm slide block is a revolving body with an I-shaped shaft section, and the lower end of the disinfection arm slide block is inserted into a disinfection arm chute; a disinfection arm hole which penetrates through the disinfection arm is formed in the disinfection arm, the middle of the disinfection arm sliding block is inserted into the disinfection arm hole, and the upper end of the disinfection arm sliding block is positioned at the upper part of the disinfection arm hole and cannot be separated from the disinfection arm hole downwards; when in the storage state, the disinfection arm can be completely placed into the disinfection arm chute; when in a supporting state, the disinfection arm can be lifted from the disinfection arm chute and rotated to be vertical to the disinfection arm chute; the disinfection arm can transversely move along the disinfection arm sliding groove through the disinfection arm sliding block; set up the cavity in the disinfection arm, disinfection brush can be installed at the both ends of disinfection arm, and the upper end of disinfection brush inserts in the cavity, and filling antiseptic solution in the cavity, when removing the disinfection arm, antiseptic solution in the cavity can be paintd to patient's belly skin in the same direction as the disinfection brush.
Preferably, the cross section of the second transverse guide rail is square, a support arm sliding groove is formed in the upper side face of the second transverse guide rail, and the cross section of the support arm sliding groove is in a convex shape; the support arm sliding block is a revolving body with an I-shaped shaft section, and the lower end of the support arm sliding block is inserted into a support arm sliding groove; the upper end of the supporting arm sliding block is positioned at the upper part of the supporting arm strip hole and cannot be downwards separated from the supporting arm strip hole; when in the storage state, the supporting arm can be completely put into the supporting arm sliding groove; when in a supporting state, the supporting arm can be lifted from the supporting arm sliding groove and rotated to be vertical to the supporting arm sliding groove; and the extending end of the supporting arm is provided with a puncture fixing jack.
Preferably, the cross section of the third transverse guide rail is square, an air needle support arm sliding groove is formed in the upper side surface of the third transverse guide rail, and the cross section of the air needle support arm sliding groove is in a convex shape; the pneumatic needle support arm sliding block is a revolving body with an I-shaped axial section, and the lower end of the pneumatic needle support arm sliding block is inserted into a pneumatic needle support arm sliding groove; the upper end of the air needle support arm sliding block is positioned at the upper part of the air needle support arm strip hole and cannot be separated downwards from the air needle support arm strip hole; when in a storage state, the air needle support arm can be completely placed into the air needle support arm sliding groove; when in a supporting state, the air needle support arm can be lifted from the air needle support arm sliding groove and rotated to be vertical to the air needle support arm sliding groove; and the extending end of the air needle support arm is provided with an air needle fixing insertion hole.
Preferably, the cross section of the fourth transverse guide rail is square, an air pipe support arm sliding groove is formed in the upper side surface of the fourth transverse guide rail, and the cross section of the air pipe support arm sliding groove is in a convex shape; the air pipe support arm sliding block is a revolving body with an I-shaped axial section, and the lower end of the air pipe support arm sliding block is inserted into the air pipe support arm sliding groove; the upper end of the air pipe support arm sliding block is positioned at the upper part of the air pipe support arm strip hole and cannot be separated downwards from the air pipe support arm strip hole; when in a storage state, the trachea support arm can be completely placed into the trachea support arm sliding groove; when in a supporting state, the air pipe support arm can be lifted from the air pipe support arm sliding groove and rotated to be vertical to the air pipe support arm sliding groove; more than two air pipe fixing clamps are arranged on the upper side surface of the air pipe supporting arm.
Preferably, the first lighting stand column, the second lighting stand column, the third lighting stand column and the fourth lighting stand column respectively comprise a battery compartment, a lamp post support and an LED lamp panel, the LED lamp panel is installed on the vertical side wall of the lamp post support, a storage battery can be installed in the battery compartment, and the battery compartment is connected with the LED lamp panel through an electric wire; an arc-shaped light softening plate is arranged outside the LED lamp panel.
Compared with the prior art, the invention has the beneficial effects that:
the invention can assist the operating personnel to carry out the laparoscopic puncture operation, and is convenient for the position fixation of the laparoscope by arranging the telescopic front fixing frame and the telescopic rear fixing frame. The device can also effectively reduce the labor amount of an operation assistant, and ensures the disinfection and the stable inflation suction process in the whole process by arranging the disinfection arm, the trachea support arm, the air needle support arm and the support arm, thereby providing powerful support for the arm of the operator. The invention is provided with an independent light source, is suitable for operation under emergency and irregular medical conditions, has proper lighting conditions and can provide a clearer operation visual field. The invention is also suitable for medical trainees to carry out operation, avoids shivering displacement caused by unskilled operation, does not need to be additionally provided with multi-person assistance, and has stronger practicability.
Drawings
FIG. 1 is a schematic structural view (contracted state) of the present invention;
FIG. 2 is a bottom view of FIG. 1;
FIG. 3 is a schematic view of the structure of FIG. 1 taken along line A-A;
FIG. 4 is a schematic view of the structure of the present invention (in use);
FIG. 5 is an enlarged view of portion B of FIG. 4;
FIG. 6 is a top view of FIG. 4;
FIG. 7 is a schematic view of the present invention (with the air needle arm and air tube arm in the working position and the support arm and disinfection arm in the stowed position);
FIG. 8 is a schematic view of the present invention (with the disinfecting arm, support arm, air needle arm, and air tube arm in the working position);
in the figure: 1. a front fixing frame; 2. a left upright post; 3. a right upright post; 4. an upper cross beam; 5. a left telescopic folding rod; 6. a rear fixing frame; 7. a right telescopic folding rod; 8. a first bin cover; 9. a first clamping groove; 10. a first functional group structure; 11. a first vertical linear lifting rail; 12. a fourth vertical linear lifting rail; 13. a fourth functional group structure; 14. a fourth clamping groove; 15. a fourth bin cover; 16. a first transverse guide rail; 17. a first lighting column; 18. a first lifting sliding table; 19. a first puller pulley; 20. a first urging spring; 21. a fourth jacking spring; 22. a fourth jacking pulley; 23. a fourth lifting sliding table; 24. a fourth lighting column; 25. a fourth transverse guide rail; 26. a disinfecting arm; 27. a trachea support arm; 28. a third bin cover; 29. a third lighting column; 30. a third transverse guide rail; 31. a pneumatic needle support arm; 32. a support arm; 33. a second transverse guide rail; 34. a second lighting column; 35. a second bin cover; 36. a support arm slider; 37. a pneumatic needle support arm slider; 38. a trachea fixing clip; 39. a trachea support arm slide block; 40. an air tube; 41. a disinfection arm slider; 42. a hollow cavity; 43. puncturing the fixed insertion hole; 44. the air needle fixes the jack.
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, 2 and 3, the abdominal cavity puncture protection device for patients with advanced cancer comprises a front fixing frame, a rear fixing frame, a left telescopic folding rod, a right telescopic folding rod and an illumination sliding fixing functional group; the front and rear fixing frames comprise gantry-shaped frame bodies, and each gantry-shaped frame body comprises a left upright post, a right upright post and an upper cross beam; a second bin body and a first bin body are respectively arranged in the left upright post and the right upright post of the gantry-shaped frame body of the front fixing frame; a third bin body and a fourth bin body are respectively arranged in the left upright post and the right upright post of the gantry-shaped frame body of the rear fixing frame; the front fixing frame and the rear fixing frame are connected through a left telescopic folding rod and a right telescopic folding rod respectively.
The lighting sliding fixing function group comprises a first function group, a second function group, a third function group and a fourth function group, wherein the first function group, the second function group, the third function group and the fourth function group are respectively arranged in a first bin body, a second bin body, a third bin body and a fourth bin body.
As shown in fig. 3 and 4, the first functional group includes a first functional group structural body; the first functional group structure body comprises a first lifting sliding table, a first lighting upright post is fixed on the first lifting sliding table, and the first lifting sliding table is hinged with the lower end of a first transverse guide rail; the upper portion of the first bin body is provided with a first bin cover, a first vertical straight lifting track is arranged in the first bin body, and the first lifting sliding table can move up and down along the first vertical straight lifting track.
The second functional group includes a second functional group structural body; the second functional group structure body comprises a second lifting sliding table, a second lighting upright post is fixed on the second lifting sliding table, and the second lifting sliding table is hinged with the lower end of a second transverse guide rail; the upper portion in the second storehouse body sets up the second storehouse lid, sets up the perpendicular sharp lift track of second in the second storehouse body, second lift slip table can follow the perpendicular sharp lift track of second and reciprocate.
The third functional group includes a third functional group structural body; the third functional group structure comprises a third lifting sliding table, a third lighting upright post is fixed on the third lifting sliding table, and the third lifting sliding table is hinged with the lower end of a third transverse guide rail; the upper part of the third bin body is provided with a third bin cover, a third vertical linear lifting track is arranged in the third bin body, and the third lifting sliding table can move up and down along the third vertical linear lifting track.
The fourth functional group includes a fourth functional group structural body; the fourth functional group structure comprises a fourth lifting sliding table, a fourth lighting upright post is fixed on the fourth lifting sliding table, and the lower end of a fourth transverse guide rail is hinged to the fourth lifting sliding table; the upper part of the fourth bin body is provided with a fourth bin cover, a fourth vertical linear lifting track is arranged in the fourth bin body, and the fourth lifting sliding table can move up and down along the fourth vertical linear lifting track.
As shown in fig. 4, 5 and 6, the first vertical linear lifting rail comprises four vertically arranged inner walls of the first bin body; first jacking springs are respectively arranged on one sides of the lower part of the first lifting sliding table, which face the inner walls of the four sides of the first bin body, and each first jacking spring is respectively connected with a first jacking pulley; the upper ends of the four inner walls of the first bin body are respectively provided with a first clamping groove; when the first lifting sliding table is lifted to the upper limit along the first vertical linear lifting guide rail, the four first jacking springs can respectively extrude the four first jacking pulleys to the four first clamping grooves so as to fix the first lifting sliding table and prevent the first lifting sliding table from falling down automatically; at this moment, the first lighting upright post and the first transverse guide rail are both positioned above the first bin body, and after the first transverse guide rail is turned for 90 degrees around the lower hinged shaft towards the direction deviating from the first lighting upright post, the upper end of the first transverse guide rail is horizontally placed on the side wall of the first bin body and points to the fourth bin body.
The second vertical straight lifting track comprises four inner walls of the second bin body, wherein the four inner walls are vertically arranged; second jacking springs are respectively arranged on one sides of the lower parts of the second lifting sliding tables, which face the four inner walls of the second bin body, and each second jacking spring is respectively connected with a second jacking pulley; the upper ends of the four inner walls of the second bin body are respectively provided with a second clamping groove; when the second lifting sliding table is lifted to the upper limit along the second vertical linear lifting guide rail, the four second jacking springs can respectively extrude the four second jacking pulleys to the four second clamping grooves so as to fix the second lifting sliding table to be incapable of automatically falling; at this moment, the second lighting upright post and the second transverse guide rail are both positioned above the second cabin body, and after the second transverse guide rail is turned for 90 degrees around the lower hinged shaft towards the direction deviating from the second lighting upright post, the upper end of the second transverse guide rail is horizontally placed on the side wall of the second cabin body and points to the third cabin body.
The third vertical straight lifting track comprises four inner walls of a third cabin body, wherein the four inner walls are vertically arranged; third jacking springs are respectively arranged on one sides of the lower parts of the third lifting sliding tables, which face the four inner walls of the third bin body, and each third jacking spring is respectively connected with a third jacking pulley; the upper ends of the four inner walls of the third bin body are respectively provided with a third clamping groove; when the third lifting sliding table is lifted to the upper limit along the third vertical linear lifting guide rail, the four third jacking springs can respectively extrude the four third jacking pulleys to the four third clamping grooves so as to fix the third lifting sliding table to be incapable of automatically falling; at the moment, the third lighting upright post and the third transverse guide rail are both positioned above the third cabin body, and after the third transverse guide rail is turned for 90 degrees around the lower hinged shaft towards the direction deviating from the third lighting upright post, the upper end of the third transverse guide rail is horizontally placed on the side wall of the third cabin body and points to the second cabin body.
The fourth vertical linear lifting track comprises four inner walls of a fourth bin body, wherein the four inner walls are vertically arranged; fourth jacking springs are respectively arranged on one sides of the lower part of the fourth lifting sliding table, which face the four inner walls of the fourth bin body, and each fourth jacking spring is respectively connected with a fourth jacking pulley; the upper ends of the four inner walls of the fourth bin body are respectively provided with a fourth clamping groove; when the fourth lifting sliding table is lifted and lifted to the upper limit along the fourth vertical linear lifting guide rail, the four fourth jacking springs can respectively extrude the four fourth jacking pulleys to the four fourth clamping grooves so as to fix the fourth lifting sliding table and prevent the fourth lifting sliding table from falling down automatically; at this moment, the fourth lighting upright post and the fourth transverse guide rail are both positioned above the fourth bin body, and after the fourth transverse guide rail is turned for 90 degrees around the lower hinged shaft towards the direction deviating from the fourth lighting upright post, the upper end of the fourth transverse guide rail is horizontally placed on the side wall of the fourth bin body and points to the first bin body.
As shown in fig. 4 and 6, when the first and fourth transverse rails are horizontally disposed, the outwardly extending ends of the first and fourth transverse rails can be joined together and horizontally co-linear; when the second and third transverse rails are horizontally and transversely arranged, the overhanging ends of the second and third transverse rails can be joined together and horizontally co-linear.
As shown in fig. 7 and 8, the cross section of the first transverse guide rail is square, a disinfecting arm chute is formed on the upper side surface of the first transverse guide rail, and the cross section of the disinfecting arm chute is in a shape of a Chinese character 'tu'; the disinfection arm slide block is a revolving body with an I-shaped shaft section, and the lower end of the disinfection arm slide block is inserted into a disinfection arm chute; a disinfection arm hole which penetrates through the disinfection arm is formed in the disinfection arm, the middle of the disinfection arm sliding block is inserted into the disinfection arm hole, and the upper end of the disinfection arm sliding block is positioned at the upper part of the disinfection arm hole and cannot be separated from the disinfection arm hole downwards; when in the storage state, the disinfection arm can be completely placed into the disinfection arm chute; when in a supporting state, the disinfection arm can be lifted from the disinfection arm chute and rotated to be vertical to the disinfection arm chute; the disinfection arm can transversely move along the disinfection arm sliding groove through the disinfection arm sliding block; set up the cavity in the disinfection arm, disinfection brush can be installed at the both ends of disinfection arm, and the upper end of disinfection brush inserts in the cavity, and filling antiseptic solution in the cavity, when removing the disinfection arm, antiseptic solution in the cavity can be paintd to patient's belly skin in the same direction as the disinfection brush.
The cross section of the second transverse guide rail is square, a support arm sliding groove is formed in the upper side face of the second transverse guide rail, and the cross section of the support arm sliding groove is in a convex shape; the support arm sliding block is a revolving body with an I-shaped shaft section, and the lower end of the support arm sliding block is inserted into a support arm sliding groove; the upper end of the supporting arm sliding block is positioned at the upper part of the supporting arm strip hole and cannot be downwards separated from the supporting arm strip hole; when in the storage state, the supporting arm can be completely put into the supporting arm sliding groove; when in a supporting state, the supporting arm can be lifted from the supporting arm sliding groove and rotated to be vertical to the supporting arm sliding groove; and the extending end of the supporting arm is provided with a puncture fixing jack.
The cross section of the third transverse guide rail is square, an air needle support arm sliding groove is formed in the upper side face of the third transverse guide rail, and the cross section of the air needle support arm sliding groove is in a convex shape; the pneumatic needle support arm sliding block is a revolving body with an I-shaped axial section, and the lower end of the pneumatic needle support arm sliding block is inserted into a pneumatic needle support arm sliding groove; the upper end of the air needle support arm sliding block is positioned at the upper part of the air needle support arm strip hole and cannot be separated downwards from the air needle support arm strip hole; when in a storage state, the air needle support arm can be completely placed into the air needle support arm sliding groove; when in a supporting state, the air needle support arm can be lifted from the air needle support arm sliding groove and rotated to be vertical to the air needle support arm sliding groove; and the extending end of the air needle support arm is provided with an air needle fixing insertion hole.
The cross section of the fourth transverse guide rail is square, an air pipe support arm sliding groove is formed in the upper side face of the fourth transverse guide rail, and the cross section of the air pipe support arm sliding groove is in a convex shape; the air pipe support arm sliding block is a revolving body with an I-shaped axial section, and the lower end of the air pipe support arm sliding block is inserted into the air pipe support arm sliding groove; the upper end of the air pipe support arm sliding block is positioned at the upper part of the air pipe support arm strip hole and cannot be separated downwards from the air pipe support arm strip hole; when in a storage state, the trachea support arm can be completely placed into the trachea support arm sliding groove; when in a supporting state, the air pipe support arm can be lifted from the air pipe support arm sliding groove and rotated to be vertical to the air pipe support arm sliding groove; more than two air pipe fixing clamps are arranged on the upper side surface of the air pipe supporting arm.
The first lighting stand column, the second lighting stand column, the third lighting stand column and the fourth lighting stand column respectively comprise a battery compartment, a lamp post bracket and an LED lamp panel, the LED lamp panel is installed on the side wall of the vertical face of the lamp post bracket, a storage battery can be installed in the battery compartment, and the battery compartment is connected with the LED lamp panel through an electric wire; an arc-shaped light softening plate is arranged outside the LED lamp panel.
The use method of the abdominal cavity puncture protection device for the patient with the advanced cancer comprises the following steps:
(1) the abdomen of the patient lies upwards on the operating table, the gantry-shaped frame bodies of the front and the rear fixing frames are erected above the abdomen of the patient, and the left and the right telescopic folding rods are extended to enable the operation part to be positioned between the front and the rear fixing frames;
(2) respectively pulling out the first functional group, the second functional group, the third functional group and the fourth functional group from the first bin body, the second bin body, the third bin body and the fourth bin body to an upper limit position; the first transverse guide rail and the fourth transverse guide rail are horizontally and transversely arranged, and the extending ends of the first transverse guide rail and the fourth transverse guide rail can be connected together and are horizontally collinear; the second transverse guide rail and the third transverse guide rail are horizontally and transversely arranged, and the extending ends of the second transverse guide rail and the third transverse guide rail can be connected together and are horizontally collinear;
(3) lifting the disinfection arm from the disinfection arm chute and rotating the disinfection arm to be vertical to the disinfection arm chute; filling disinfectant into the hollow cavity, and moving the disinfection arm to enable the disinfectant in the hollow cavity to be smeared to the operation part of the abdomen of the patient along the disinfection brush;
(4) lifting the air needle support arm from the air needle support arm sliding groove and rotating the air needle support arm to be vertical to the air needle support arm sliding groove, and lifting the air pipe support arm from the air pipe support arm sliding groove and rotating the air pipe support arm to be vertical to the air pipe support arm sliding groove; the air pipe is fixed through an air pipe fixing clamp arranged on the upper side surface of the air pipe support arm, and the front end of the air pipe is connected with a carbon dioxide inflator;
(5) cutting the skin at the lower edge of the umbilicus wheel by 1cm, inserting the air needle into the abdominal cavity through the air needle fixing jack, drawing back and connecting a needle tube after no blood is drawn, and if the physiological saline smoothly flows in, indicating that the puncture is successful, placing the needle head of the air needle in the abdominal cavity; then the air needle is connected with a carbon dioxide inflator through an air pipe, the air inlet speed is not more than 1L/min, and the total amount is preferably 2-3L; intra-abdominal pressure not exceeding 2.13KPa (16 mmHg);
(6) the support arm rises from the support arm sliding groove and rotates to be vertical to the support arm sliding groove and moves to a proper position, an operator holds the laparoscope by hand, and the trocar of the laparoscope is sequentially inserted into the puncture fixing insertion hole from the upper part until the trocar is vertically and slowly inserted into the abdominal cavity operator; the upper part of the laparoscope is clamped and fixed at the upper part of the puncture fixing insertion hole, and an operator can swing the laparoscope to perform treatment operation.
The invention has the advantages that the operator can support the weight of the laparoscope by the support arm, thereby effectively reducing the labor intensity of the operator and avoiding the influence of over fatigue or shaking on the operation effect. The arrangement of the trachea support arm, the air needle support arm and the support arm can ensure the stability of the disinfection and inflation suction process in the whole process. The invention is equipped with independent light sources: first illumination stand, second illumination stand, third illumination stand and fourth illumination stand are fit for the operation under the urgent non-formal medical condition, and the illumination condition is suitable, can provide clearer operation field of vision. The invention is also suitable for medical trainees to carry out operation, avoids shivering displacement caused by unskilled operation, does not need to be additionally provided with multi-person assistance, and has stronger practicability.
The foregoing is directed to preferred embodiments of the present invention, other and further embodiments of the invention may be devised without departing from the basic scope thereof, and the scope thereof is determined by the claims that follow. Any simple modification, equivalent change and modification of the above embodiments according to the technical essence of the present invention, without departing from the technical solution of the present invention, still belong to the protection scope of the technical solution of the present invention.
Claims (4)
1. The abdominal cavity puncture protection device for the patient with the advanced cancer is characterized by comprising a front fixing frame, a rear fixing frame, a left telescopic folding rod, a right telescopic folding rod and an illumination sliding and fixing functional group; the front and rear fixing frames comprise gantry-shaped frame bodies, and each gantry-shaped frame body comprises a left upright post, a right upright post and an upper cross beam; a second bin body and a first bin body are respectively arranged in the left upright post and the right upright post of the gantry-shaped frame body of the front fixing frame; a third bin body and a fourth bin body are respectively arranged in the left upright post and the right upright post of the gantry-shaped frame body of the rear fixing frame; the front fixing frame and the rear fixing frame are respectively connected through a left telescopic folding rod and a right telescopic folding rod;
the lighting sliding fixing function group comprises a first function group, a second function group, a third function group and a fourth function group, and the first function group, the second function group, the third function group and the fourth function group are respectively arranged in a first bin body, a second bin body, a third bin body and a fourth bin body;
the first functional group includes a first functional group structural body; the first functional group structure body comprises a first lifting sliding table, a first lighting upright post is fixed on the first lifting sliding table, and the first lifting sliding table is hinged with the lower end of a first transverse guide rail; a first bin cover is arranged at the upper part of the first bin body, a first vertical linear lifting track is arranged in the first bin body, and the first lifting sliding table can move up and down along the first vertical linear lifting track;
the second functional group includes a second functional group structural body; the second functional group structure body comprises a second lifting sliding table, a second lighting upright post is fixed on the second lifting sliding table, and the second lifting sliding table is hinged with the lower end of a second transverse guide rail; a second bin cover is arranged at the upper part of the second bin body, a second vertical linear lifting track is arranged in the second bin body, and the second lifting sliding table can move up and down along the second vertical linear lifting track;
the third functional group includes a third functional group structural body; the third functional group structure comprises a third lifting sliding table, a third lighting upright post is fixed on the third lifting sliding table, and the third lifting sliding table is hinged with the lower end of a third transverse guide rail; a third bin cover is arranged at the upper part of the third bin body, a third vertical linear lifting track is arranged in the third bin body, and the third lifting sliding table can move up and down along the third vertical linear lifting track;
the fourth functional group includes a fourth functional group structural body; the fourth functional group structure comprises a fourth lifting sliding table, a fourth lighting upright post is fixed on the fourth lifting sliding table, and the lower end of a fourth transverse guide rail is hinged to the fourth lifting sliding table; a fourth bin cover is arranged at the upper part of the fourth bin body, a fourth vertical linear lifting track is arranged in the fourth bin body, and the fourth lifting sliding table can move up and down along the fourth vertical linear lifting track;
the first vertical straight lifting track comprises four inner walls of the first bin body, wherein the four inner walls are vertically arranged; first jacking springs are respectively arranged on one sides of the lower part of the first lifting sliding table, which face the inner walls of the four sides of the first bin body, and each first jacking spring is respectively connected with a first jacking pulley; the upper ends of the four inner walls of the first bin body are respectively provided with a first clamping groove; when the first lifting sliding table is lifted to the upper limit along the first vertical linear lifting guide rail, the four first jacking springs can respectively extrude the four first jacking pulleys to the four first clamping grooves so as to fix the first lifting sliding table and prevent the first lifting sliding table from falling down automatically; at the moment, the first lighting upright post and the first transverse guide rail are both positioned above the first bin body, and after the first transverse guide rail is turned for 90 degrees around the lower hinged shaft in the direction deviating from the first lighting upright post, the upper end of the first transverse guide rail is horizontally placed on the side wall of the first bin body and points to the fourth bin body;
the second vertical straight lifting track comprises four inner walls of the second bin body, wherein the four inner walls are vertically arranged; second jacking springs are respectively arranged on one sides of the lower parts of the second lifting sliding tables, which face the four inner walls of the second bin body, and each second jacking spring is respectively connected with a second jacking pulley; the upper ends of the four inner walls of the second bin body are respectively provided with a second clamping groove; when the second lifting sliding table is lifted to the upper limit along the second vertical linear lifting guide rail, the four second jacking springs can respectively extrude the four second jacking pulleys to the four second clamping grooves so as to fix the second lifting sliding table to be incapable of automatically falling; at the moment, the second lighting upright post and the second transverse guide rail are both positioned above the second bin body, and after the second transverse guide rail is turned for 90 degrees around the lower hinged shaft in the direction departing from the second lighting upright post, the upper end of the second transverse guide rail is horizontally placed on the side wall of the second bin body and points to the third bin body;
the third vertical straight lifting track comprises four inner walls of a third cabin body, wherein the four inner walls are vertically arranged; third jacking springs are respectively arranged on one sides of the lower parts of the third lifting sliding tables, which face the four inner walls of the third bin body, and each third jacking spring is respectively connected with a third jacking pulley; the upper ends of the four inner walls of the third bin body are respectively provided with a third clamping groove; when the third lifting sliding table is lifted to the upper limit along the third vertical linear lifting guide rail, the four third jacking springs can respectively extrude the four third jacking pulleys to the four third clamping grooves so as to fix the third lifting sliding table to be incapable of automatically falling; at the moment, the third lighting upright post and the third transverse guide rail are both positioned above the third bin body, and after the third transverse guide rail is turned for 90 degrees around the lower hinged shaft in the direction deviating from the third lighting upright post, the upper end of the third transverse guide rail is horizontally placed on the side wall of the third bin body and points to the second bin body;
the fourth vertical linear lifting track comprises four inner walls of a fourth bin body, wherein the four inner walls are vertically arranged; fourth jacking springs are respectively arranged on one sides of the lower part of the fourth lifting sliding table, which face the four inner walls of the fourth bin body, and each fourth jacking spring is respectively connected with a fourth jacking pulley; the upper ends of the four inner walls of the fourth bin body are respectively provided with a fourth clamping groove; when the fourth lifting sliding table is lifted and lifted to the upper limit along the fourth vertical linear lifting guide rail, the four fourth jacking springs can respectively extrude the four fourth jacking pulleys to the four fourth clamping grooves so as to fix the fourth lifting sliding table and prevent the fourth lifting sliding table from falling down automatically; at the moment, the fourth lighting stand column and the fourth transverse guide rail are both positioned above the fourth bin body, and after the fourth transverse guide rail is turned for 90 degrees around the lower hinged shaft in the direction departing from the fourth lighting stand column, the upper end of the fourth transverse guide rail is horizontally placed on the side wall of the fourth bin body and points to the first bin body;
when the first transverse guide rail and the fourth transverse guide rail are horizontally and transversely arranged, the extending ends of the first transverse guide rail and the fourth transverse guide rail can be connected together and are horizontally collinear; when the second transverse guide rail and the third transverse guide rail are horizontally and transversely arranged, the overhanging ends of the second transverse guide rail and the third transverse guide rail can be jointed together and are horizontally collinear;
the cross section of the third transverse guide rail is square, an air needle support arm sliding groove is formed in the upper side face of the third transverse guide rail, and the cross section of the air needle support arm sliding groove is in a convex shape; the pneumatic needle support arm sliding block is a revolving body with an I-shaped axial section, and the lower end of the pneumatic needle support arm sliding block is inserted into a pneumatic needle support arm sliding groove; the upper end of the air needle support arm sliding block is positioned at the upper part of the air needle support arm strip hole and cannot be separated downwards from the air needle support arm strip hole; when in a storage state, the air needle support arm can be completely placed into the air needle support arm sliding groove; when in a supporting state, the air needle support arm can be lifted from the air needle support arm sliding groove and rotated to be vertical to the air needle support arm sliding groove; the outward extending end of the air needle support arm is provided with an air needle fixing insertion hole;
the cross section of the fourth transverse guide rail is square, an air pipe support arm sliding groove is formed in the upper side face of the fourth transverse guide rail, and the cross section of the air pipe support arm sliding groove is in a convex shape; the air pipe support arm sliding block is a revolving body with an I-shaped axial section, and the lower end of the air pipe support arm sliding block is inserted into the air pipe support arm sliding groove; the upper end of the air pipe support arm sliding block is positioned at the upper part of the air pipe support arm strip hole and cannot be separated downwards from the air pipe support arm strip hole; when in a storage state, the trachea support arm can be completely placed into the trachea support arm sliding groove; when in a supporting state, the air pipe support arm can be lifted from the air pipe support arm sliding groove and rotated to be vertical to the air pipe support arm sliding groove; more than two air pipe fixing clamps are arranged on the upper side surface of the air pipe supporting arm.
2. The laparoscopic puncture protection device for patients with advanced cancer according to claim 1, wherein: the cross section of the first transverse guide rail is square, a disinfection arm sliding groove is formed in the upper side face of the first transverse guide rail, and the cross section of the disinfection arm sliding groove is in a convex shape; the disinfection arm slide block is a revolving body with an I-shaped shaft section, and the lower end of the disinfection arm slide block is inserted into a disinfection arm chute; a disinfection arm hole which penetrates through the disinfection arm is formed in the disinfection arm, the middle of the disinfection arm sliding block is inserted into the disinfection arm hole, and the upper end of the disinfection arm sliding block is positioned at the upper part of the disinfection arm hole and cannot be separated from the disinfection arm hole downwards; when in the storage state, the disinfection arm can be completely placed into the disinfection arm chute; when in a supporting state, the disinfection arm can be lifted from the disinfection arm chute and rotated to be vertical to the disinfection arm chute; the disinfection arm can transversely move along the disinfection arm sliding groove through the disinfection arm sliding block; set up the cavity in the disinfection arm, disinfection brush can be installed at the both ends of disinfection arm, and the upper end of disinfection brush inserts in the cavity, and filling antiseptic solution in the cavity, when removing the disinfection arm, antiseptic solution in the cavity can be paintd to patient's belly skin in the same direction as the disinfection brush.
3. The laparoscopic puncture protection device for patients with advanced cancer according to claim 2, wherein: the cross section of the second transverse guide rail is square, a support arm sliding groove is formed in the upper side face of the second transverse guide rail, and the cross section of the support arm sliding groove is in a convex shape; the support arm sliding block is a revolving body with an I-shaped shaft section, and the lower end of the support arm sliding block is inserted into a support arm sliding groove; the upper end of the supporting arm sliding block is positioned at the upper part of the supporting arm strip hole and cannot be downwards separated from the supporting arm strip hole; when in the storage state, the supporting arm can be completely put into the supporting arm sliding groove; when in a supporting state, the supporting arm can be lifted from the supporting arm sliding groove and rotated to be vertical to the supporting arm sliding groove; and the extending end of the supporting arm is provided with a puncture fixing jack.
4. The laparoscopic puncture protection device for patients with advanced cancer according to claim 3, wherein: the first lighting stand column, the second lighting stand column, the third lighting stand column and the fourth lighting stand column respectively comprise a battery compartment, a lamp post bracket and an LED lamp panel, the LED lamp panel is installed on the side wall of the vertical face of the lamp post bracket, a storage battery can be installed in the battery compartment, and the battery compartment is connected with the LED lamp panel through an electric wire; an arc-shaped light softening plate is arranged outside the LED lamp panel.
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| Application Number | Priority Date | Filing Date | Title |
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| CN201910047025.XA CN109512492B (en) | 2019-01-18 | 2019-01-18 | Abdominal cavity puncture protection device for cancer advanced patients |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910047025.XA CN109512492B (en) | 2019-01-18 | 2019-01-18 | Abdominal cavity puncture protection device for cancer advanced patients |
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| CN109512492B true CN109512492B (en) | 2022-02-11 |
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| CN113440227B (en) * | 2021-06-25 | 2022-12-13 | 陕西省人民医院 | Puncture auxiliary device and auxiliary method for nephrology department |
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| CN201558130U (en) * | 2009-11-20 | 2010-08-25 | 陈立波 | Separate type abdominal cavity retractor |
| CN204072258U (en) * | 2014-08-15 | 2015-01-07 | 佳木斯大学附属第一医院 | A kind of thoracic surgery perforator |
| CN104887324A (en) * | 2015-06-10 | 2015-09-09 | 谷柏 | Lung puncture fixing rack |
| CN204863754U (en) * | 2015-07-15 | 2015-12-16 | 陈幸 | Folding medical bed |
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