CN110464479B - Uropoiesis surgery operation protector - Google Patents

Uropoiesis surgery operation protector Download PDF

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Publication number
CN110464479B
CN110464479B CN201910801546.XA CN201910801546A CN110464479B CN 110464479 B CN110464479 B CN 110464479B CN 201910801546 A CN201910801546 A CN 201910801546A CN 110464479 B CN110464479 B CN 110464479B
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CN
China
Prior art keywords
positioning plate
adjusting
plate
fixed
pressing
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Expired - Fee Related
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CN201910801546.XA
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Chinese (zh)
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CN110464479A (en
Inventor
孙继建
潘世杰
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Henan Hospital Traditional Chinese Medicine Second Affiliated Hospital of Henan University of Traditional Chinese Medicine TCM
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Henan Hospital Traditional Chinese Medicine Second Affiliated Hospital of Henan University of Traditional Chinese Medicine TCM
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Priority to CN201910801546.XA priority Critical patent/CN110464479B/en
Publication of CN110464479A publication Critical patent/CN110464479A/en
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Publication of CN110464479B publication Critical patent/CN110464479B/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/06Measuring instruments not otherwise provided for
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/08Accessories or related features not otherwise provided for
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00Operating tables; Auxiliary appliances therefor
    • A61G13/10Parts, details or accessories
    • A61G13/101Clamping means for connecting accessories to the operating table
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/06Measuring instruments not otherwise provided for
    • A61B2090/062Measuring instruments not otherwise provided for penetration depth
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/08Accessories or related features not otherwise provided for
    • A61B2090/0801Prevention of accidental cutting or pricking
    • A61B2090/08021Prevention of accidental cutting or pricking of the patient or his organs

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Pathology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Surgical Instruments (AREA)
  • Accommodation For Nursing Or Treatment Tables (AREA)

Abstract

The invention belongs to the technical field of medical instruments, and particularly relates to a urinary surgery protective device which comprises a fixed seat, wherein a first support column is connected to the fixed seat in a sliding manner, a second support column is fixedly connected to the first support column, and a protective device is connected to the second support column in a sliding manner; the protection device comprises a fixed adjusting structure and a control adjusting structure for changing the height and the angle of the fixed adjusting structure; the fixed adjusting structure comprises a first positioning plate and a connecting rod mechanism which enables the first positioning plate to change the radian; the first positioning plate is provided with a second positioning plate, and the connecting rod mechanism is provided with a pressing rotating mechanism which can change the radian of the second positioning plate; cutting slideways are arranged on the first positioning plate and the second positioning plate, and blade clamps capable of sliding along the cutting slideways are arranged on the second positioning plate; the distance between the first positioning plate and the second positioning plate is controlled through the fixing and adjusting structure, the depth of the scalpel entering the abdomen of a patient is controlled, the condition that the internal organs of the patient are injured due to the fact that the scalpel is too deep is prevented, and risks during surgery are reduced.

Description

Uropoiesis surgery operation protector
Technical Field
The invention belongs to the technical field of medical instruments, and particularly relates to a urinary surgery operation protection device.
Background
The main therapeutic range of urology surgery is: various urinary calculi and complicated renal calculi, kidney and bladder tumors, prostatic hyperplasia and prostatitis, inflammation and tumor of testicle epididymis, testicle spermatic cord tunica vaginalis hydrops, various urinary system injuries, urinary system congenital malformations such as hydronephrosis caused by hypospadias, cryptorchidism, renal pelvis ureter junction stenosis and the like; at present, when patients are treated, such as ureteral stenosis, kidney or ureteral calculus, renal cyst, prostate or bladder and other diseases, a shell surgery is needed; most urinary surgery operations require the abdomen of a patient to be opened, when the abdomen of the patient is cut, doctors say that the abdomen of the patient is opened by the aid of own operation experience, but when the abdomen of the patient is cut, the depth of the scalpel entering the abdomen of the patient is not easy to control, and internal organs of the patient are also easy to damage; when the abdomen of a patient is cut, the depth of the scalpel entering the abdomen of the patient is controlled, the direction of the scalpel is noticed, and the working difficulty of a doctor is greatly increased.
Disclosure of Invention
In order to solve the problems, the invention provides a urinary surgery protective device which effectively solves the problems that when a doctor cuts the abdomen of a patient, the depth of the scalpel entering the abdomen of the patient is not easy to control, and internal organs of the patient are easy to damage; when the abdomen of a patient is cut, the depth of the scalpel entering the abdomen of the patient is controlled, the direction of the scalpel is noticed, and the working difficulty of a doctor is greatly increased.
In order to achieve the purpose, the invention adopts the following technical scheme: a urinary surgery protective device comprises a fixed seat, wherein a clamping device is arranged at the lower end of the fixed seat; the fixed seat is connected with a first supporting column in a sliding manner, the first supporting column is vertically and fixedly connected with a second supporting column, and the second supporting column is connected with a protective device in a sliding manner; the protection device comprises a fixed adjusting structure and a control adjusting structure which enables the fixed adjusting structure to change the height and the angle; the fixed adjusting structure comprises a first positioning plate and a pair of link mechanisms which enable the first positioning plate to change the radian; the first positioning plate is provided with a second positioning plate, and the connecting rod mechanism is provided with a pressing rotating mechanism which enables the second positioning plate to change the radian; cutting slideways are arranged on the first positioning plate and the second positioning plate, and blade clamps capable of sliding along the cutting slideways are arranged on the second positioning plate;
the second support column is rotatably connected with a second displacement screw rod, the control and adjustment structure comprises a translation support plate which is slidably connected with the second support column, and the translation support plate is in threaded connection with the second displacement screw rod; the translation supporting plate is rotatably connected with a lifting screw rod, the lower end of the translation supporting plate is provided with a lifting column in threaded connection with the lifting screw rod, the lower end of the translation supporting plate is fixedly connected with a pair of guide columns, and the lifting column is provided with a guide column hole matched with the guide columns; the lower end of the lifting column is rotatably connected with an angle adjusting worm wheel, an angle adjusting plate fixedly connected with the angle adjusting worm wheel is arranged below the lifting column, and an angle adjusting worm meshed with the angle adjusting worm wheel is rotatably connected to the lifting column; a connecting mechanism is arranged at one end of the angle adjusting plate, which is far away from the angle adjusting worm wheel;
the connecting mechanism comprises a first plug-in connector fixedly connected with the angle adjusting plate, and a first plug-in hole is formed in the lower end of the first plug-in connector; a first plug pin is inserted into the first inserting hole, a spline is fixedly connected to the first plug pin, and a key groove matched with the spline is formed in the first inserting hole; threaded holes are formed in the first plug connector and the first plug pin, and fastening bolts are screwed in the threaded holes; the first bolt is fixedly connected with a rotary supporting plate matched with the first positioning plate;
a pair of fixed plates for supporting the connecting rod mechanisms are fixedly connected to the rotary supporting plate; the connecting rod mechanism comprises a first fixed screw rod which is rotationally connected with the fixed plate, a first fixed worm wheel is fixedly connected to one end, close to the fastening bolt, of the first fixed screw rod, and a first fixed worm which is meshed with the first fixed worm wheel is rotationally connected to the fixed plate; the fixed plate is connected with a first fixed sliding block in a sliding mode, the first fixed sliding block is in threaded connection with a first fixed screw rod, a first fixed connecting rod is fixedly connected onto the first fixed sliding block, one end, far away from the first fixed sliding block, of the first fixed connecting rod is rotatably connected with a driven connecting rod, and one end, far away from the first fixed connecting rod, of the driven connecting rod is fixedly connected with a first pressing column matched with the first positioning plate; the middle part of the driven connecting rod is connected with an adjusting and pressing connecting rod mechanism;
the pressing rotating mechanism comprises a first pressing worm rotatably connected with a driven connecting rod, a first pressing rotating shaft is rotatably connected with the driven connecting rod, and a first pressing worm wheel meshed with the first pressing worm is fixedly connected to one end of the first pressing rotating shaft; the first one end rigid coupling of keeping away from first pressure worm wheel on the rotation axis of pressing has the turning block, it is connected with first pressure lead screw to rotate on the turning block, sliding connection has the first flexible post with first pressure lead screw spiro union on the turning block, the rigid coupling has the guided way on the first flexible post, be provided with on the turning block with the guided way spacing slide that cooperatees, the rigid coupling has the second with second locating plate matched with on the first flexible post and presses the post.
Furthermore, the adjusting and compressing link mechanism comprises a first adjusting screw rod which is rotatably connected with the fixed plate, a first adjusting driven gear is fixedly connected to one end, far away from the fastening bolt, of the first adjusting screw rod, a first adjusting driving gear meshed with the first adjusting driven gear is rotatably connected to the fixed plate, a first adjusting worm wheel is coaxially and fixedly connected to the first adjusting driving gear, and a first adjusting worm meshed with the first adjusting worm wheel is rotatably connected to the fixed plate; the fixed plate is connected with a first adjusting slide block in threaded connection with a first adjusting screw rod in a sliding mode, the first adjusting slide block is connected with a first adjusting connecting rod in a rotating mode, and one end, far away from the first adjusting slide block, of the first adjusting connecting rod is connected with a driven connecting rod in a rotating mode.
Furthermore, a second plug connector is fixedly connected to the rotating support plate, a second plug pin is fixedly connected to the first positioning plate, and a second plug hole into which the second plug pin can be inserted is formed in the second plug connector.
Furthermore, a depth adjusting mechanism matched with the second positioning plate is arranged on the first positioning plate, the depth adjusting mechanism comprises a supporting frame fixedly connected with the first positioning plate, the upper end of the supporting frame is rotatably connected with a depth adjusting screw rod, and the lower end of the depth adjusting screw rod is rotatably connected with a pressing plate; the second positioning plate is provided with an inserting chute matched with the pressing plate; and the support frame is provided with a limiting guide sliding groove matched with the second positioning plate.
Furthermore, the support frame is provided with scale marks capable of displaying the depth of the knife edge.
Furthermore, the first support column comprises an upper support column and a lower support column detachably connected with the upper support column, the lower end of the upper support column is fixedly connected with a cross bolt, and the lower support column is provided with a cross groove matched with the cross bolt; all be provided with firm screw hole on cross bolt and the lower support column, the spiro union has firm bolt on the firm screw hole.
Compared with the prior art, the invention has the beneficial effects that:
1. according to the invention, by changing the distance between the first positioning plate and the second positioning plate and the scale lines, the depth of the scalpel entering the abdomen of the patient can be controlled, so that the condition that the internal organs of the patient are injured by the incised incision of the scalpel too deeply when the doctor performs an operation on the patient is prevented, and the risk during the operation is reduced.
2. The connecting rod mechanism and the adjusting and pressing connecting rod mechanism are matched with each other, and the first positioning plate can be pressed, so that the first positioning plate can be attached to the abdomen of a patient, and a doctor can conveniently cut the abdomen; the doctor uses the cutting slide on blade clamp cooperation first locating plate and the second locating plate, controls the direction of scalpel more easily, reduces doctor's the work degree of difficulty.
3. The height between the first positioning plate and the second positioning plate and the abdomen of the patient can be changed through the lifting screw rod, the angle between the first positioning plate and the second positioning plate can be adjusted through rotating the angle adjusting worm, the first positioning plate can be better attached to the abdomen of the patient after being bent, and the convenience of the invention is improved.
4. The first positioning plate and the second positioning plate can be detached; the first positioning plate and the second positioning plate are of various types, and the lengths of the various types are different, so that the medical positioning device is convenient for different patients to use, and the practicability and convenience of the medical positioning device are improved.
5. The first support column can be detached, the stabilizing bolt can be quickly turned down after the operation of a patient is performed, and then the upper support column is integrally taken down, so that a doctor can conveniently perform the next treatment on the patient, and the convenience, the safety and the practicability of the invention are improved.
Drawings
FIG. 1 is a first isometric view of the present invention;
FIG. 2 is an enlarged view of a portion of the area A protection device of FIG. 1 according to the present invention;
FIG. 3 is a partial cross-sectional view of the shield apparatus of the present invention;
FIG. 4 is a partial schematic view of the protective device of the present invention;
FIG. 5 is a schematic structural view of a fixed adjustment structure of the present invention;
FIG. 6 is a schematic structural diagram of the area B in FIG. 5 according to the present invention;
FIG. 7 is a schematic structural view of a first positioning plate and a second positioning plate of the present invention;
FIG. 8 is a schematic structural view of a first positioning plate according to the present invention;
FIG. 9 is a schematic view of a second positioning plate according to the present invention;
FIG. 10 is a schematic view of the blade holder and scalpel of the present invention;
fig. 11 is a schematic view of a disassembled structure of the blade holder of the present invention;
FIG. 12 is a partial schematic structural view of the upper and lower support columns of the area C of FIG. 1 in accordance with the present invention;
in the figure, 1, a first support column, 2, a second support column, 301, a fixing plate, 302, a first fixing worm, 303, a first fixing screw rod, 304, a first fixing slider, 305, a first fixing link, 306, a driven link, 307, a first pressing column, 401, a first adjusting worm, 402, a first adjusting driven gear, 403, a first adjusting screw rod, 404, a first adjusting slider, 405, a first adjusting link, 501, a first pressing worm, 502, a first pressing worm wheel, 503, a first pressing rotating shaft, 504, a rotating block, 505, a first pressing screw rod, 506, a first telescopic column, 6, a first positioning plate, 7, a second positioning plate, 8, a cutting slide way, 9, a blade clamp, 10, a first displacement screw rod, 11, a second displacement screw rod, 12, a lifting screw rod, 13, an angle adjusting worm wheel, 14, an angle adjusting plate, 15, a fastening bolt, 16, a rotating support plate, 17. fixing base, 18, support frame, 19, spacing direction spout, 20, pressing plate, 21, grafting spout.
Detailed Description
A urinary surgery protection device, as shown in figures 1-12, comprising a fixed seat 17, wherein the lower end of the fixed seat 17 is provided with a clamping device; the fixed seat 17 is connected with a first supporting column 1 in a sliding manner, a second supporting column 2 is vertically and fixedly connected to the first supporting column 1, and a protection device is connected to the second supporting column 2 in a sliding manner; the protection device comprises a fixed adjusting structure and a control adjusting structure which enables the fixed adjusting structure to change the height and the angle; the fixed adjusting structure comprises a first positioning plate 6 and a pair of link mechanisms which enable the first positioning plate 6 to change the radian; the first positioning plate 6 is provided with a second positioning plate 7, and the connecting rod mechanism is provided with a pair of pressing rotating mechanisms which enable the second positioning plate 7 to change radian; cutting slide ways 8 are arranged on the first positioning plate 6 and the second positioning plate 7, and blade clamps 9 capable of sliding along the cutting slide ways 8 are arranged on the second positioning plate 7.
The fixing seat 17 is rotatably connected with a first displacement screw rod 10, the first support column 1 is in threaded connection with the first displacement screw rod 10, and the first support column 1 is in sliding connection with the fixing seat 17.
The clamping device comprises a pair of L-shaped plates fixedly connected to the lower end of the fixing seat 17, compression bolts are screwed on the L-shaped plates, and compression discs are fixedly connected on the compression bolts.
As shown in figure 1, when the medical staff uses the invention, the invention is clamped on the bed board through two L-shaped plates, then two hold-down bolts are respectively rotated, the hold-down bolts drive a hold-down disc to extrude the bed board, and the invention is fixed on the bed board; after the invention is fixed on a bed board, a medical worker rotates a rotating disc of a first displacement screw rod 10, the first displacement screw rod 10 rotates to drive a first supporting column 1 to slide on a fixed seat 17, the first supporting column 1 drives a second supporting column 2 and a protection device to move, the medical worker can move the protection device and adjust the position of the protection device, after the protection device moves to a proper position, the medical worker adjusts and fixes the height and the angle of an adjusting structure through a control adjusting structure, after the adjustment is finished, the medical worker bends a first positioning plate 6 by using a pair of link mechanisms, the bottom end of the first positioning plate 6 is contacted with the abdomen of a patient needing to be cut, then the position of the first positioning plate 6 is adjusted by using the control adjusting structure and the link mechanisms, so that the first positioning plate 6 is tightly attached to the abdomen of the patient, after the adjustment of the first positioning plate 6 is finished, the second positioning plate 7 is pressed by using a pressing rotating mechanism, so that the second positioning plate 7 is also bent by a certain radian, then the scalpel is fixed on the blade clamp 9, and medical personnel slide the blade clamp 9 through the cutting slideway 8 to perform an operation on the abdomen of the patient; according to the invention, the depth of the scalpel entering the abdomen of the patient is controlled by changing the distance between the first positioning plate 6 and the second positioning plate 7, so that the condition that the incision of a doctor is too deep and hurts the internal organs of the patient when the doctor performs an operation on the patient is prevented, the risk during the operation is reduced, meanwhile, the condition that the incision of the doctor into the abdomen is too shallow and needs to be cut for multiple times is also prevented, the workload of the doctor is greatly increased, and the safety, convenience and stability of the scalpel are improved.
The second support column 2 is rotatably connected with a second displacement screw rod 11, the control and adjustment structure comprises a translation support plate which is slidably connected with the second support column 2, and the translation support plate is in threaded connection with the second displacement screw rod 11; the translation supporting plate is rotatably connected with a lifting screw rod 12, the lower end of the translation supporting plate is provided with a lifting column in threaded connection with the lifting screw rod 12, the lower end of the translation supporting plate is fixedly connected with a pair of guide columns, and the lifting column is provided with a guide column hole matched with the guide columns; the lower end of the lifting column is rotatably connected with an angle adjusting worm wheel 13, an angle adjusting plate 14 fixedly connected with the angle adjusting worm wheel 13 is arranged below the lifting column, and an angle adjusting worm meshed with the angle adjusting worm wheel 13 is rotatably connected to the lifting column; and a connecting mechanism is arranged at one end of the angle adjusting plate 14, which is far away from the angle adjusting worm wheel 13.
As shown in fig. 1 and 3, the medical staff rotates the rotating disc on the second displacement screw rod 11, the second displacement screw rod 11 rotates, and the second displacement screw rod 11 drives the translation support plate to slide on the second support plate to a proper position; a medical worker rotates the rotating disc of the lifting screw rod 12, the lifting screw rod 12 rotates to drive the lifting column to slide upwards or downwards along the guide column, after the lifting column slides to a proper position, the medical worker rotates the angle adjusting worm, the angle adjusting worm drives the angle adjusting worm wheel 13 to rotate, the angle adjusting worm wheel 13 drives the angle adjusting plate 14 to rotate, and the angle adjusting plate 14 drives the connecting mechanism to rotate; the height between the first positioning plate 6 and the second positioning plate 7 and the abdomen of the patient can be changed through the lifting screw rod 12, the angle between the first positioning plate 6 and the second positioning plate 7 can be adjusted through rotating the angle adjusting worm, so that the first positioning plate 6 can be better attached to the abdomen of the patient after being bent, and the convenience of the invention is improved.
The connecting mechanism comprises a first plug-in connector fixedly connected with the angle adjusting plate 14, and a first plug-in hole is formed in the lower end of the first plug-in connector; a first plug pin is inserted into the first inserting hole, a spline is fixedly connected to the first plug pin, and a key groove matched with the spline is formed in the first inserting hole; threaded holes are formed in the first plug connector and the first plug pin, and fastening bolts 15 are screwed in the threaded holes; the first bolt is fixedly connected with a rotary supporting plate 16 matched with the first positioning plate 6.
When the medical staff uses the invention, as shown in fig. 3 and 5, the medical staff holds the rotary support plate 16 to insert the first plug pin into the first plug hole of the first plug connector from the lower end, and then screws the fastening bolt 15 into the threaded holes of the first plug connector and the first plug pin, wherein the length of the bolt body of the fastening bolt 15 is smaller than the total length of the threaded holes, so that the fastening bolt 15 can conveniently fix the first plug pin and the first plug connector together; as shown in fig. 4, the upper portion of the first plug connector of the present invention is preferably shaped as a trapezoidal cone, which facilitates the medical staff to rotate the fastening bolt 15, thereby improving the convenience of the present invention; the first plug-in connector and the first bolt are matched with each other, so that medical staff can conveniently disassemble the medical device, the medical device can be conveniently disinfected and cleaned, and the convenience of the medical device is improved; the key groove and the spline are mutually matched to prevent the first bolt from sliding in the first inserting hole.
A pair of fixing plates 301 for supporting the link mechanism are fixedly connected to the rotary supporting plate 16; the link mechanism comprises a first fixed screw rod 303 which is rotatably connected with a fixed plate 301, a first fixed worm wheel is fixedly connected to one end, close to the fastening bolt 15, of the first fixed screw rod 303, and a first fixed worm 302 meshed with the first fixed worm wheel is rotatably connected to the fixed plate 301; a first fixed sliding block 304 which is screwed with a first fixed screw rod 303 is connected to the fixed plate 301 in a sliding manner, a first fixed connecting rod 305 is fixedly connected to the first fixed sliding block 304, one end of the first fixed connecting rod 305, which is far away from the first fixed sliding block 304, is rotatably connected to a driven connecting rod 306, and one end of the driven connecting rod 306, which is far away from the first fixed connecting rod 305, is fixedly connected to a first pressing column 307 which is matched with the first positioning plate 6; the middle part of the driven connecting rod 306 is connected with an adjusting and pressing connecting rod mechanism.
As shown in fig. 2 and fig. 5, two fixing plates 301 are respectively provided with a link mechanism, when using the present invention, a medical staff rotates a rotating disc of a first fixing worm 302, the first fixing worm 302 drives a first fixing worm wheel to rotate, the first fixing worm wheel drives a first fixing screw 303 to rotate, the first fixing screw 303 drives a first fixing slider 304 to slide on a sliding slot of the fixing plate 301, the first fixing slider 304 drives a first fixing link 305 to move horizontally, the first fixing link 305 drives a driven link 306 to move, simultaneously when the driven link 306 moves, the driven link 306 rotates on the first fixing link 305, after the first fixing link 305 is adjusted, the position of the driven link 306 is adjusted by using an adjusting and pressing link mechanism, so that a first pressing column 307 can press the first positioning plate 6 to a proper radian, so that the first positioning plate 6 is attached to a portion of the abdomen of a patient needing an operation, the cutting slideway 8 is aligned to the part of the abdomen of the patient to be cut; when the first positioning plate 6 is pressed and bent, the two first pressing columns 307 on the first positioning plate 6 can be sequentially adjusted, so that the bent radian of the first positioning plate 6 is more convenient to be attached to the abdomen of a patient; the two link mechanisms can press different positions of the first positioning plate 6, so that the radian of the first positioning plate 6 is conveniently changed, and the first positioning plate 6 is more attached to the abdomen of a patient; the connecting rod mechanism can be matched with the adjusting and pressing connecting rod mechanism to stick the first fixing plate 301 to the abdomen of a patient, so that a doctor can more conveniently cut the abdomen of the patient, the depth of a cut is more uniform, the viscera of the patient cannot be injured, and the convenience and the safety of the invention are improved.
The adjusting and pressing link mechanism comprises a first adjusting screw 403 rotatably connected with a fixed plate 301, a first adjusting driven gear 402 is fixedly connected to one end, far away from the fastening bolt 15, of the first adjusting screw 403, a first adjusting driving gear meshed with the first adjusting driven gear 402 is rotatably connected to the fixed plate 301, a first adjusting worm wheel is coaxially and fixedly connected to the first adjusting driving gear, and a first adjusting worm 401 meshed with the first adjusting worm wheel is rotatably connected to the fixed plate 301; the fixed plate 301 is connected with a first adjusting slide block 404 connected with a first adjusting screw 403 in a sliding mode, the first adjusting slide block 404 is connected with a first adjusting connecting rod 405 in a rotating mode, and one end, far away from the first adjusting slide block 404, of the first adjusting connecting rod 405 is connected with the driven connecting rod 306 in a rotating mode.
When the medical staff uses the adjusting and compressing link mechanism, as shown in fig. 5 and fig. 6, the medical staff rotates the rotating disk of the first adjusting worm 401, the first adjusting worm 401 drives the first adjusting worm wheel to rotate, the first adjusting worm wheel drives the first adjusting driving gear to rotate, the first adjusting driving gear drives the first adjusting driven gear 402 to rotate, the first adjusting driven gear 402 drives the first adjusting screw 403 to rotate, the first adjusting screw 403 drives the first adjusting slider 404 to slide on the chute of the fixed plate 301, the first adjusting slider 404 drives the first adjusting link 405 to move, meanwhile, the first adjusting link 405 rotates on the first adjusting slider 404, the first adjusting slider 404 drives the driven link 306 to rotate on the first fixed link 305, and the driven link 306 drives the first pressing column 307 to press and adjust the first positioning plate 6; the adjusting and pressing link mechanism can adjust the driven link 306, so that the driven link 306 can drive the first pressing column 307 to position the defining positioning plate conveniently, and the convenience of the invention is improved.
The pressing and rotating mechanism comprises a first pressing worm 501 rotatably connected with a driven connecting rod 306, a first pressing rotating shaft 503 is rotatably connected with the driven connecting rod 306, and a first pressing worm wheel 502 meshed with the first pressing worm 501 is fixedly connected to one end of the first pressing rotating shaft 503; keep away from the first one end rigid coupling of pressing worm wheel 502 on the first rotation axis 503 of pressing and have a turning block 504, it has the first lead screw 505 of pressing to rotate to be connected with on the turning block 504, sliding connection has the first flexible post 506 of pressing lead screw 505 spiro union with first on the turning block 504, the rigid coupling has the guided way on the first flexible post 506, be provided with on the turning block 504 with the guided way spacing slide that cooperatees, the rigid coupling has the second with second locating plate 7 matched with on the first flexible post 506 and presses the post.
After the medical staff adjusts the first positioning plate 6, the second positioning plate 7 is pressed by the pressing and rotating mechanism, as shown in fig. 2 and fig. 5, the medical staff rotates the rotating disc of the first pressing screw 505, the first pressing screw 505 rotates to drive the first telescopic column 506 to slide along the limiting slide way on the rotating block 504, the first telescopic column 506 drives the second pressing column to move, after the length of the first telescopic column 506 is adjusted, the two first telescopic columns 506 are respectively placed at the upper end of the second positioning plate 7, then, the medical staff rotates the rotating disc of the first pressing worm 501, the first pressing worm 501 drives the first pressing worm wheel 502 to rotate, the first pressing worm wheel 502 drives the first pressing rotating shaft 503 to rotate, the first pressing rotating shaft 503 drives the rotating block 504 to rotate, the rotating block drives the first telescopic rotating, the first telescopic column 506 drives the second pressing column to rotate, and the second pressing column presses the second positioning plate 7; when in use, firstly, two second pressing columns are placed on the second positioning plate 7, then the first pressing worm 501 is rotated, the first pressing worm 501 adjusts the positions of the second pressing columns, and the second positioning plate 7 is pressed, so that the second positioning plate 7 is basically parallel to the first positioning plate 6; the length of the first telescopic column 506 of the invention can be changed, which is convenient for pressing the second positioning plate 7, thus improving the convenience of the invention.
A second plug is fixedly connected to the rotary support plate 16, a second plug is fixedly connected to the first positioning plate 6, and a second plug hole into which the second plug can be inserted is formed in the second plug.
When the invention is used, the first positioning plate 6 can be conveniently replaced by inserting the second bolt on the first positioning plate 6 into the second inserting hole of the second inserting head, as shown in fig. 5 and 7, the second inserting hole is internally provided with a limiting sliding chute, the first positioning plate 6 is prevented from rotating in the second inserting hole, the first pressing column 307 is convenient to press and position the first positioning plate 6, and the convenience and the safety of the invention are improved.
A depth adjusting mechanism matched with the second positioning plate 7 is arranged on the first positioning plate 6 and comprises a supporting frame 18 fixedly connected with the first positioning plate 6, the upper end of the supporting frame 18 is rotatably connected with a depth adjusting screw rod, and the lower end of the depth adjusting screw rod is rotatably connected with a pressing plate 20; the second positioning plate 7 is provided with an inserting chute 21 matched with the pressing plate 20; and the supporting frame 18 is provided with a limiting guide sliding groove 19 matched with the second positioning plate 7.
When the invention is used, the depth adjusting screw rod is rotated to the position above the limit guide sliding groove 19, then the second positioning plate 7 is held and inserted into the pressing plate 20 through the inserting sliding groove 21 fixedly connected on the second positioning plate 7, then the depth adjusting screw rod is rotated, the depth adjusting screw rod drives the pressing plate 20 to move, the pressing plate 20 drives the second positioning plate 7 to slide along the limit guide sliding way, the second positioning plate 7 stops rotating the depth adjusting screw rod after sliding to a proper position, and then the second pressing column is placed at the upper end of the second positioning plate 7, the second positioning plate 7 can be detached from the first positioning plate 6, the second positioning plate 7 is convenient to be disinfected and cleaned, meanwhile, the depth adjusting screw rod can change the distance between the second positioning plate 7 and the first positioning plate 6, the depth of an abdominal knife edge is convenient to be controlled, thereby preventing the viscera of a patient from being injured due to the cut-in the deep, the convenience and safety of the invention are improved.
The supporting frame 18 is provided with scale marks which can display the depth of the knife edge.
The scale lines are convenient for doctors to know the depth of the incision of the knife edge into the abdomen when adjusting, and the medical staff can conveniently adjust the distance between the first positioning plate 6 and the second positioning plate 7; when the depth adjusting screw rod rotates to the bottommost end, the depth of the knife edge entering the abdomen of the patient is deepest.
Preferably, the thicknesses of the first positioning plate 6 and the second positioning plate 7 are constant; the first positioning plate 6 and the second positioning plate 7 of the present invention have different types, each having a different length.
The thickness of the first positioning plate 6 and the second positioning plate 7 is constant, so that the depth of a knife edge can be conveniently adjusted; the first positioning plate 6 and the second positioning plate 7 are of various types, and the lengths of the various types are different, so that the medical instrument is convenient for different patients and different wounds to use, and the practicability and convenience of the medical instrument are improved.
The first support column 1 comprises an upper support column 101 and a lower support column 102 detachably connected with the upper support column 101; a cross bolt is fixedly connected to the lower end of the upper support column 101, and a cross groove matched with the cross bolt is formed in the lower support column 102; the cross bolt and the lower support column 102 are both provided with stable threaded holes, and the stable threaded holes are screwed with stable bolts.
As shown in fig. 1 and 12, the upper support column 101 is inserted into the cross-shaped groove of the lower support column 102 through the cross-shaped bolt, and then the stabilizing bolt is screwed into the stabilizing screw hole; the first support column 1 can be detached, after a patient is subjected to an operation, the stabilizing bolt can be quickly turned down, and then the upper support column 101 and the device connected to the upper support column 101 are integrally taken down, so that a doctor can conveniently perform next treatment on the patient, and the convenience, safety and practicability of the invention are improved.
The blade clamp 9 comprises a first clamping piece and a second clamping piece matched with the first clamping piece; the blade clamp 9 further comprises a fastening shell matched with the first blade clamp 9 and the second blade clamp 9, a check bolt is screwed on the fastening shell, and through holes matched with the check bolt are formed in the first blade clamp 9 and the second blade clamp 9.
When the medical staff uses the blade clamp 9 of the present invention, as shown in fig. 11, the first clamping piece and the second clamping piece are firstly used to clamp the scalpel, then the first clamping piece and the second clamping piece are slid into the fastening shell, and then the anti-loose bolt is screwed up to stabilize the first clamping piece and the second clamping piece.
The working process of the invention is as follows:
when the medical staff uses the invention, the invention is clamped on the bed board through the two L-shaped plates, then the two hold-down bolts are respectively rotated, the hold-down bolts drive the hold-down discs to extrude the bed board, and the invention is fixed on the bed board; the medical staff rotates the rotating disc of the first displacement screw rod 10, the first displacement screw rod 10 rotates to drive the first support column 1 to slide on the fixed seat 17, and the first support column 1 drives the second support column 2 to move; medical personnel rotate the rotary disk on the second displacement lead screw 11, and the second displacement lead screw 11 rotates, and the second displacement lead screw 11 drives the translation backup pad to slide in the second backup pad.
The medical staff selects the proper first positioning plate 6 and the proper second positioning plate 7, the first positioning plate 6 is inserted into the rotary supporting plate 16, the medical staff rotates the rotary disk of the first fixing worm 302, the first fixing worm 302 drives the first fixing worm wheel to rotate, the first fixing worm wheel drives the first fixing screw 303 to rotate, the first fixing screw 303 drives the first fixing slide block 304 to slide on the chute of the fixing plate 301, the first fixing slide block 304 drives the first fixing connecting rod 305 to move horizontally, the first fixing connecting rod 305 drives the driven connecting rod 306 to move, meanwhile, when the driven connecting rod 306 moves, the driven connecting rod 306 rotates on the first fixed connecting rod 305, and after the first fixed connecting rod 305 is adjusted, the position of the driven connecting rod 306 is adjusted by using the adjusting and pressing connecting rod mechanism, so that the first positioning plate 6 can be pressed into a proper radian by the first pressing column 307; medical personnel insert second locating plate 7 on first locating plate 6, then rotatory degree of depth accommodate the lead screw, degree of depth accommodate the lead screw drives and presses down clamp plate 20 to remove, press clamp plate 20 to drive second locating plate 7 and slide along spacing direction slide, medical personnel can select the degree of depth that the edge of a knife cut into patient's belly according to the scale mark, press second locating plate 7 to suitable position after, utilize to press down rotary mechanism and fix second locating plate 7, make second locating plate 7 and first locating plate 6 be parallel basically.
After the first positioning plate 6 and the second positioning plate 7 are adjusted, the medical staff holds the rotating support plate 16 to insert the first bolt into the first inserting hole of the first inserting head from the lower end, then the fastening bolt 15 is screwed into the threaded holes of the first inserting head and the first bolt, and the rotating support plate 16 is fixed on the angle adjusting plate 14; the medical staff rotates the angle adjusting worm, the angle adjusting worm drives the angle adjusting worm wheel 13 to rotate, the angle adjusting worm wheel 13 drives the angle adjusting plate 14 to rotate, and the angle adjusting plate 14 drives the first positioning plate 6 and the second positioning plate 7 to move; the medical staff rotates the rotating disc of the lifting screw rod 12, the lifting screw rod 12 rotates to drive the lifting column to slide downwards along the guide column, after the lifting column slides to a proper position, the medical staff can adjust the first positioning plate 6 by adjusting the connecting rod mechanism and the adjusting and pressing connecting rod mechanism, and adjust the second positioning plate 7 by using the pressing and rotating mechanism, so that the first positioning plate 6 is basically attached to the abdomen of the patient; then clamping a scalpel by using the blade clamp 9, and carrying out an operation on the abdomen of the patient by holding the blade clamp 9 and sliding along the cutting slideway 8 after clamping the scalpel; when the invention is used, the first positioning plate 6 and the second positioning plate 7 can be adjusted, so that the first positioning plate 6 is basically better attached to the abdomen of a patient; after the operation of the patient, medical personnel rapidly turn down the stabilizing bolt, and then integrally take down the upper supporting column 101 and the device connected to the upper supporting column 101, so that the doctor can conveniently treat the patient on the next step.

Claims (6)

1. A urinary surgery protector, includes fixing base (17), its characterized in that: the lower end of the fixed seat (17) is provided with a clamping device; the fixing seat (17) is connected with a first supporting column (1) in a sliding manner, a second supporting column (2) is vertically and fixedly connected to the first supporting column (1), and the second supporting column (2) is connected with a protection device in a sliding manner; the protection device comprises a fixed adjusting structure and a control adjusting structure which enables the fixed adjusting structure to change the height and the angle; the fixed adjusting structure comprises a first positioning plate (6) and a pair of link mechanisms which enable the first positioning plate (6) to change radian; a second positioning plate (7) is arranged on the first positioning plate (6), and a pressing rotating mechanism for changing the radian of the second positioning plate (7) is arranged on the connecting rod mechanism; cutting slide ways (8) are respectively arranged on the first positioning plate (6) and the second positioning plate (7), and a blade clamp (9) capable of sliding along the cutting slide ways (8) is arranged on the second positioning plate (7);
the second support column (2) is rotatably connected with a second displacement screw rod (11), the control and adjustment structure comprises a translation support plate which is slidably connected with the second support column (2), and the translation support plate is in threaded connection with the second displacement screw rod (11); the translation supporting plate is rotatably connected with a lifting screw rod (12), the lower end of the translation supporting plate is provided with a lifting column in threaded connection with the lifting screw rod (12), the lower end of the translation supporting plate is fixedly connected with a pair of guide columns, and the lifting column is provided with a guide cylindrical hole matched with the guide columns; the lower end of the lifting column is rotatably connected with an angle adjusting worm wheel (13), an angle adjusting plate (14) fixedly connected with the angle adjusting worm wheel (13) is arranged below the lifting column, and an angle adjusting worm meshed with the angle adjusting worm wheel (13) is rotatably connected to the lifting column; a connecting mechanism is arranged at one end of the angle adjusting plate (14) far away from the angle adjusting worm wheel (13);
the connecting mechanism comprises a first plug-in connector fixedly connected with an angle adjusting plate (14), and a first plug-in hole is formed in the lower end of the first plug-in connector; a first plug pin is inserted into the first inserting hole, a spline is fixedly connected to the first plug pin, and a key groove matched with the spline is formed in the first inserting hole; threaded holes are formed in the first plug connector and the first plug pin, and fastening bolts (15) are screwed in the threaded holes; a rotary supporting plate (16) matched with the first positioning plate (6) is fixedly connected to the first bolt;
a pair of fixing plates (301) for supporting the connecting rod mechanism are fixedly connected to the rotary supporting plate (16); the connecting rod mechanism comprises a first fixed screw rod (303) rotatably connected with a fixed plate (301), a first fixed worm wheel is fixedly connected to one end, close to the fastening bolt (15), of the first fixed screw rod (303), and a first fixed worm (302) meshed with the first fixed worm wheel is rotatably connected to the fixed plate (301); a first fixed sliding block (304) in threaded connection with a first fixed screw rod (303) is connected to the fixed plate (301) in a sliding manner, a first fixed connecting rod (305) is fixedly connected to the first fixed sliding block (304), a driven connecting rod (306) is rotatably connected to one end, far away from the first fixed sliding block (304), of the first fixed connecting rod (305), and a first pressing column (307) matched with the first positioning plate (6) is fixedly connected to one end, far away from the first fixed connecting rod (305), of the driven connecting rod (306); the middle part of the driven connecting rod (306) is connected with an adjusting and pressing connecting rod mechanism;
the pressing and rotating mechanism comprises a first pressing worm (501) rotatably connected with a driven connecting rod (306), a first pressing rotating shaft (503) is rotatably connected on the driven connecting rod (306), and a first pressing worm wheel (502) meshed with the first pressing worm (501) is fixedly connected at one end of the first pressing rotating shaft (503); keep away from the first one end rigid coupling of pressing worm wheel (502) on first pressing rotation axis (503) and have turning block (504), it is connected with first lead screw (505) of pressing to rotate on turning block (504), sliding connection has first flexible post (506) with first pressing lead screw (505) spiro union on turning block (504), the rigid coupling has the guided way on first flexible post (506), be provided with on turning block (504) and cooperate spacing slide with the guided way, the rigid coupling has the second with second locating plate (7) matched with on first flexible post (506) and presses the post.
2. A urological protection device according to claim 1, wherein: the adjusting and pressing connecting rod mechanism comprises a first adjusting screw rod (403) rotatably connected with a fixing plate (301), a first adjusting driven gear (402) is fixedly connected to one end, far away from a fastening bolt (15), of the first adjusting screw rod (403), a first adjusting driving gear meshed with the first adjusting driven gear (402) is rotatably connected to the fixing plate (301), a first adjusting worm wheel is coaxially and fixedly connected to the first adjusting driving gear, and a first adjusting worm (401) meshed with the first adjusting worm wheel is rotatably connected to the fixing plate (301); sliding connection has first adjusting screw (403) looks spiro union's first adjusting slider (404) on fixed plate (301), it is connected with first adjusting connecting rod (405) to rotate on first adjusting slider (404), the one end that first adjusting slider (404) were kept away from in first adjusting connecting rod (405) rotates with driven connecting rod (306) and is connected.
3. A urological protection device according to claim 1, wherein: the rotary supporting plate (16) is fixedly connected with a second plug connector, the first positioning plate (6) is fixedly connected with a second plug pin, and a second plug hole into which the second plug pin can be inserted is formed in the second plug connector.
4. A urological protection device according to claim 1, wherein: a depth adjusting mechanism matched with the second positioning plate (7) is arranged on the first positioning plate (6), the depth adjusting mechanism comprises a supporting frame (18) fixedly connected with the first positioning plate (6), the upper end of the supporting frame (18) is rotatably connected with a depth adjusting screw rod, and the lower end of the depth adjusting screw rod is rotatably connected with a pressing plate (20); the second positioning plate (7) is provided with an inserting chute (21) matched with the pressing plate (20); and the supporting frame (18) is provided with a limiting guide sliding groove (19) matched with the second positioning plate (7).
5. A urinary surgical shield as claimed in claim 4, wherein: the support frame (18) is provided with scale marks capable of displaying the depth of the knife edge.
6. A urological protection device according to claim 1, wherein: the first support column (1) comprises an upper support column (101) and a lower support column (102) detachably connected with the upper support column (101); a cross bolt is fixedly connected to the lower end of the upper support column (101), and a cross groove matched with the cross bolt is formed in the lower support column (102); the cross bolt and the lower support column (102) are both provided with stable threaded holes, and the stable threaded holes are connected with stable bolts in a threaded mode.
CN201910801546.XA 2019-08-28 2019-08-28 Uropoiesis surgery operation protector Expired - Fee Related CN110464479B (en)

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CN110464479B true CN110464479B (en) 2020-10-16

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CN113143396B (en) * 2021-05-17 2023-08-18 中国人民解放军陆军特色医学中心 Ultrasonic bone knife for annular bone harvesting
CN117322961B (en) * 2023-10-13 2024-03-22 徐州医科大学附属医院 Uropoiesis surgery protector

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Publication number Priority date Publication date Assignee Title
GB112238A (en) * 1917-06-26 1918-01-03 Marion Katherine Mower Improvements in Surgical Limb Supporting Devices for use in Dressing & other Operations.
CN2121934U (en) * 1992-06-04 1992-11-18 宋建国 Electric lift bed with back
CN101485597A (en) * 2009-03-03 2009-07-22 姜树东 Injury striker for ventral side of spinal cord
CN105287022A (en) * 2015-09-30 2016-02-03 鞠阳 Urinary surgery operation protection device
CN205885499U (en) * 2015-12-14 2017-01-18 严博泉 Urinary surgery operation device
CN206867254U (en) * 2017-01-22 2018-01-12 中国人民解放军第四军医大学 A kind of hemostasis device that tourniquet radian can be adjusted according to injury
CN208287195U (en) * 2017-09-08 2018-12-28 烟台毓璜顶医院 A kind of support for anesthesia

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