CN110495928B - Urological urinary calculus stone breaking device - Google Patents

Urological urinary calculus stone breaking device Download PDF

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Publication number
CN110495928B
CN110495928B CN201910776240.3A CN201910776240A CN110495928B CN 110495928 B CN110495928 B CN 110495928B CN 201910776240 A CN201910776240 A CN 201910776240A CN 110495928 B CN110495928 B CN 110495928B
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China
Prior art keywords
sleeve
bevel gear
hinged
top plate
rod
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Expired - Fee Related
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CN201910776240.3A
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Chinese (zh)
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CN110495928A (en
Inventor
王喜
耿长生
范晓寒
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/225Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for for extracorporeal shock wave lithotripsy [ESWL], e.g. by using ultrasonic waves
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/225Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for for extracorporeal shock wave lithotripsy [ESWL], e.g. by using ultrasonic waves
    • A61B17/2255Means for positioning patient, shock wave apparatus or locating means, e.g. mechanical aspects, patient beds, support arms, aiming means

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Vascular Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Rehabilitation Tools (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses a urinary surgery lithangiuria lithotripsy device, and particularly relates to a device which is characterized in that a screw rod drives a sleeve to swing by utilizing a threaded sleeve and a connecting rod, the transverse position of a top plate is adjusted, a rotating first bevel gear drives a second bevel gear to rotate, a second driving belt is driven to drive an oil pump to work, and the oil pumping function is realized. The output end of the servo motor is connected with the driving shaft; the swing assembly comprises a screw rod, a threaded sleeve, a connecting rod, a telescopic rod and a top plate, wherein the screw rod is connected with a driving shaft through a first transmission belt and is rotationally arranged on the side wall of the bed plate, the threaded sleeve is in threaded connection with the screw rod, one end of the connecting rod is hinged to the threaded sleeve, the other end of the connecting rod is hinged to the sleeve, the telescopic rod is sleeved on the upper portion of the sleeve, the top plate is hinged to the upper end of the telescopic rod, the lower end of the sleeve is hinged to the side wall of the bed plate, the two groups of sleeves and the two groups of telescopic rods are parallel to each other; and the top plate is provided with a high-energy shock wave generator for emitting shock waves.

Description

Urological urinary calculus stone breaking device
Technical Field
The invention relates to medical equipment, in particular to a urinary surgery lithangiuria lithotripter.
Background
Urinary calculus formation is caused by many factors, and age, sex, race, heredity, environmental factors, dietary habits and occupation have a great influence on calculus formation. The specific reasons include abnormal body metabolism such as high blood uric acid, hyperparathyroidism and the like; recurrent urinary tract infections; the urinary tract obstruction includes congenital ureteral stenosis, urethral stenosis and the like.
In the case of urinary calculus breaking, the breaking is usually achieved by means of external shock wave.
The extracorporeal shock wave lithotripsy is that the stone is located by means of X-ray or b-ultrasonic, and after being focused by means of high-energy shock wave, the stone is focused on the position of the stone, and the stone is cracked by means of focusing energy until becoming powder or fine sand, and the powder or fine sand is discharged via urine. In this way, it is suitable for kidney stones or ureteral upper segment stones with a diameter of less than two centimeters. The success rate of treatment of the calculus at the middle and lower segments of the ureter is lower than that of a ureteroscope.
However, the existing equipment can not realize moving and simultaneously keep the height of the equipment unchanged when in lithotripsy, and a part of laterally moved lithotripsy device is inconvenient for a patient to enter the bed body.
Disclosure of Invention
The invention aims to provide a urinary calculus lithotripsy device to solve the problems in the background technology.
In order to achieve the purpose, the invention provides the following technical scheme:
a urinary surgery lithangiuria lithotripsy device comprises a bed plate, a servo motor fixedly installed below one side of the bed plate, a swinging assembly connected with the servo motor and a telescopic mechanism installed on the swinging assembly, wherein the output end of the servo motor is connected with a driving shaft; the swing assembly comprises a screw rod, a threaded sleeve, a connecting rod, a telescopic rod and a top plate, wherein the screw rod is connected with a driving shaft through a first transmission belt and is rotatably arranged on the side wall of the bed board; and the top plate is provided with a high-energy shock wave generator for emitting shock waves.
As a further scheme of the invention: the lower part of the middle part of the bed board is fixedly connected with the upper end of the upright post, and the lower end of the upright post is fixedly connected with the base.
As a still further scheme of the invention: the servo motor is connected with the power supply and the switch through a lead.
As a still further scheme of the invention: the high-energy shock wave generator is in signal connection with the controller and the power supply.
As a still further scheme of the invention: telescopic machanism connects on the swing subassembly, and telescopic machanism includes pneumatic cylinder, the piston rod of sliding connection on pneumatic cylinder upper portion on the sleeve outer wall, fixes the oil tank in the bed board below to and the oil pump between intercommunication oil tank and the pneumatic cylinder, wherein, the first bevel gear of driving shaft tip fixed connection, the second bevel gear that first bevel gear meshing rotation set up in the bed board below, and the bed board is close to the below of oil tank one side and is fixed with the oil pump.
As a still further scheme of the invention: the output part of the oil pump is communicated with the bottom of the hydraulic cylinder through a corrugated pipe, the input part of the oil pump is communicated with an oil tank, and the oil tank is provided with an oil filling port communicated with the atmosphere.
As a still further scheme of the invention: and an impeller in the oil pump is connected with the side wall of the second bevel gear through a second transmission belt.
As a still further scheme of the invention: a spongy cushion used for supporting the neck of the patient is fixed on the upper portion of one side of the bed board.
Compared with the prior art, the invention has the beneficial effects that: the device drives the driving shaft to rotate by utilizing a servo motor, the driving shaft simultaneously drives a first driving belt to drive the screw rod to rotate and a first bevel gear to rotate, wherein the rotating screw rod drives the sleeve to swing by utilizing the threaded sleeve and the connecting rod, the transverse position of the top plate is adjusted, the first bevel gear rotates to drive a second bevel gear to rotate, and then the second driving belt is driven to drive the oil pump to work, the oil pumping function is realized, the hydraulic cylinder and the piston rod are utilized to drive the telescopic rod to reduce the height while swinging, the effect that the height of the top plate is kept unchanged while the transverse position is adjusted is achieved, and the automation degree is high.
Drawings
Fig. 1 is a schematic structural diagram of a urological lithangiuria lithotripter.
Fig. 2 is a schematic view of the first bevel gear and the second bevel gear of the urological lithangiuria device.
Fig. 3 is a schematic structural view of a telescopic rod and a top plate in the urinary calculus lithotripsy device.
In the figure: 1-bed board; 2-a pillar; 3-a base; 4-a servo motor; 5-driving shaft; 6-a first drive belt; 7-a screw rod; 8-thread bush; 9-a connecting rod; 10-a sleeve; 11-a telescopic rod; 12-a hydraulic cylinder; 13-a piston rod; 14-a top plate; 15-high energy shock wave generator; 16-a first bevel gear; 17-a second bevel gear; 18-a second drive belt; 19-an oil pump; 20-a fuel tank; 21-bellows.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
Referring to fig. 1 to 3, in an embodiment of the present invention, a urological lithangiuria lithotripsy apparatus includes a bed plate 1, a servo motor 4 fixedly installed below one side of the bed plate 1, a swing assembly connected to the servo motor 4, and a telescopic mechanism installed on the swing assembly;
specifically, the servo motor 4 is connected with a power supply and a switch through a lead, the output end of the servo motor 4 is connected with the driving shaft 5, and the switch is pressed to enable the servo motor 4 to be electrified to work and then drive the driving shaft 5 to rotate; the swing assembly comprises a driving shaft 5 connected with a first driving belt 6 and a screw rod 7 arranged on the side wall of a bed plate 1 in a rotating mode, a thread sleeve 8 connected onto the screw rod 7 in a threaded mode, a connecting rod 9 with one end hinged to the thread sleeve 8 and the other end hinged to a sleeve 10, a telescopic rod 11 sleeved on the upper portion of the sleeve 10 and a top plate 14 hinged to the upper end of the telescopic rod 11, wherein the lower end of the sleeve 10 is hinged to the side wall of the bed plate 1, the sleeve 10 and the telescopic rod 11 are two groups and are parallel to each other, the first driving belt 6 is driven to drive the screw rod 7 to rotate through rotation of the driving shaft 5, the thread sleeve 8 is driven to transversely move, the thread sleeve 8 drives the connecting rod 9 to drive the sleeve 10 to rotate around the lower end of the sleeve, the telescopic rod 11 and the top plate 14 are driven to swing, and the top plate 14 is always in a horizontal position during swinging mode.
Furthermore, a high-energy shock wave generator 15 for emitting shock waves is arranged on the top plate 14, the high-energy shock wave generator 15 is in signal connection with a controller and a power supply, the lower middle part of the bed board 1 is fixedly connected with the upper end of the upright post 2, the lower end of the upright post 2 is fixedly connected with the base 3, the top plate 14 is driven to move through the swinging assembly, the high-energy shock wave generator 15 is driven to be aligned to different parts of the body of a patient, and the adjusting function is realized.
Example 2
In another embodiment of the invention, a urological lithangiuria lithotripsy device comprises a bed plate 1, a servo motor 4 fixedly arranged below one side of the bed plate 1, a swinging assembly connected with the servo motor 4 and a telescopic mechanism arranged on the swinging assembly;
specifically, the servo motor 4 is connected with a power supply and a switch through a lead, the output end of the servo motor 4 is connected with the driving shaft 5, and the switch is pressed to enable the servo motor 4 to be electrified to work and then drive the driving shaft 5 to rotate; the swing assembly comprises a driving shaft 5 connected with a first transmission belt 6 and a screw rod 7 rotatably arranged on the side wall of a bed plate 1, a thread bushing 8 in threaded connection on the screw rod 7, a connecting rod 9 with one end hinged to the thread bushing 8 and the other end hinged to a sleeve 10, a telescopic rod 11 sleeved on the upper portion of the sleeve 10, and a top plate 14 hinged to the upper end of the telescopic rod 11, wherein the lower end of the sleeve 10 is hinged to the side wall of the bed plate 1, it needs to be explained that the sleeve 10 and the telescopic rod 11 are two sets and are parallel to each other, the driving shaft 5 rotates to drive the first transmission belt 6 to drive the screw rod 7 to rotate, and further drives the thread bushing 8 to move transversely, the thread bushing 8 drives the connecting rod 9 to drive the sleeve 10 to rotate around the lower end thereof, so that the telescopic rod 11 and the top plate 14 are driven to swing, and the top plate 14 is always in a horizontal position while swinging.
Furthermore, be provided with high energy impulse wave generator 15 that is used for launching the shock wave on the roof 14, high energy impulse wave generator 15 signal connection controller and power, and the middle part below fixed connection stand 2 upper end of bed board 1, stand 2 lower extreme fixed connection base 3 drives roof 14 through wobbling swing subassembly and removes, realizes driving high energy impulse wave generator 15 and aims at different positions of patient's health, realizes the regulatory function.
The telescopic machanism connects on the swing subassembly, the telescopic machanism includes hydraulic cylinder 12 of fixed connection on sleeve 10 outer wall, sliding connection is at the piston rod 13 on hydraulic cylinder 12 upper portion, fix the oil tank 20 in bed board 1 below, and communicate oil pump 19 between oil tank 20 and the hydraulic cylinder 12, wherein, the first bevel gear 16 of 5 end fixed connection of driving shaft, first bevel gear 16 meshing rotation sets up the second bevel gear 17 in bed board 1 below, and bed board 1 is close to the below of oil tank 20 one side and is fixed with oil pump 19, the impeller in the oil pump 19 passes through the lateral wall of second bevel gear 17 of second drive belt 18 connection, pivoted driving shaft 5 drives first bevel gear 16 simultaneously and rotates, thereby drive second bevel gear 17 and utilize the impeller rotation in the second drive belt 18 drive oil pump 19 to realize the function of pumping fluid.
The position of the hydraulic cylinder 12 is rotated along with the rotation of the sleeve 10 when the position is adjusted, so that the output part of the oil pump 19 is communicated with the bottom of the hydraulic cylinder 12 through a corrugated pipe 21, the input part of the oil pump 19 is communicated with an oil tank 20, the oil tank 20 is provided with an oil filling opening communicated with the atmosphere, oil is pumped by the oil pump 19, so that the oil in the hydraulic cylinder 12 is pumped into the oil tank 20 while the sleeve 10 drives the top plate 14 to adjust the position, and the height of the top plate 14 is kept unchanged while the transverse position is adjusted; a spongy cushion used for supporting the neck of the patient is fixed on the upper portion of one side of the bed board 1.
The working principle of the invention is as follows: the switch is pressed to enable the servo motor 4 to work in an electrified mode to drive the driving shaft 5 to rotate, the driving shaft 5 rotates to drive the first driving belt 6 to drive the screw rod 7 to rotate, the threaded sleeve 8 is further driven to move transversely, the threaded sleeve 8 drives the connecting rod 9 to drive the sleeve 10 to rotate around the lower end of the sleeve, the telescopic rod 11 and the top plate 14 are driven to swing, the top plate 14 is always in a horizontal position while swinging, the top plate 14 is driven to move by the swinging assembly, the high-energy impact wave generator 15 is driven to aim at different parts of a patient body, the adjusting function is achieved, the rotating driving shaft 5 simultaneously drives the first bevel gear 16 to rotate, the second bevel gear 17 is driven to drive the impeller in the oil pump 19 to rotate to achieve the oil pumping function, oil is pumped by the oil pump 19, the oil in the hydraulic cylinder 12 is pumped into the oil tank 20 while the sleeve 10 drives the top plate 14 to adjust the position, and the height of the top plate 14 is kept unchanged while the transverse position is adjusted.
It should be particularly noted that, in the present application, a servo motor is used for driving a driving shaft to rotate, the driving shaft simultaneously drives a first driving belt to drive a lead screw to rotate and a first bevel gear to rotate, wherein the rotated lead screw drives a sleeve to swing by using a threaded sleeve and a connecting rod, the transverse position of a top plate is adjusted, the first bevel gear which rotates simultaneously drives a second bevel gear to rotate, and then a second driving belt is driven to drive an oil pump to work, so that an oil pumping function is realized, a hydraulic cylinder and a piston rod are used for driving a telescopic rod to reduce the height while swinging, the effect that the height of the top plate is kept unchanged while the transverse position is adjusted is achieved, and the high automation degree is an innovative point of the present application.
It will be evident to those skilled in the art that the invention is not limited to the details of the foregoing illustrative embodiments, and that the present invention may be embodied in other specific forms without departing from the spirit or essential attributes thereof. The present embodiments are therefore to be considered in all respects as illustrative and not restrictive, the scope of the invention being indicated by the appended claims rather than by the foregoing description, and all changes which come within the meaning and range of equivalency of the claims are therefore intended to be embraced therein. Any reference sign in a claim should not be construed as limiting the claim concerned.
Furthermore, it should be understood that although the present description refers to embodiments, not every embodiment may contain only a single embodiment, and such description is for clarity only, and those skilled in the art should integrate the description, and the embodiments may be combined as appropriate to form other embodiments understood by those skilled in the art.

Claims (5)

1. A urinary surgery urinary calculus lithotripsy device comprises a bed plate (1), a servo motor (4) fixedly installed below one side of the bed plate (1), a swinging assembly connected with the servo motor (4) and a telescopic mechanism installed on the swinging assembly, and is characterized in that the output end of the servo motor (4) is connected with a driving shaft (5); the swing assembly comprises a screw rod (7) which is connected with a driving shaft (5) through a first transmission belt (6) and is rotatably arranged on the side wall of the bed board (1), a threaded sleeve (8) which is in threaded connection with the screw rod (7), a connecting rod (9) with one end hinged with the threaded sleeve (8) and the other end hinged with a sleeve (10), a telescopic rod (11) which is sleeved on the upper part of the sleeve (10), and a top plate (14) which is hinged on the upper end of the telescopic rod (11), the lower end of the sleeve (10) is hinged on the side wall of the bed board (1), and the sleeve (10) and the telescopic rod (11) are in two groups which are parallel to each other; the top plate (14) is provided with a high-energy shock wave generator (15) for emitting shock waves;
the telescopic mechanism is connected to the swinging assembly and comprises a hydraulic cylinder (12) fixedly connected to the outer wall of the sleeve (10), a piston rod (13) connected to the upper portion of the hydraulic cylinder (12) in a sliding mode, an oil tank (20) fixed below the bed plate (1) and an oil pump (19) communicated between the oil tank (20) and the hydraulic cylinder (12), wherein the end portion of the driving shaft (5) is fixedly connected with a first bevel gear (16), the first bevel gear (16) is arranged below the bed plate (1) in a meshing and rotating mode, a second bevel gear (17) is arranged below the bed plate (1) and close to one side of the oil tank (20), and the oil pump (19) is fixed below the bed plate (1);
the output part of the oil pump (19) is communicated with the bottom of the hydraulic cylinder (12) through a corrugated pipe (21), the input part of the oil pump (19) is communicated with an oil tank (20), and the oil tank (20) is provided with an oil filling port communicated with the atmosphere;
the impeller in the oil pump (19) is connected with the side wall of the second bevel gear (17) through a second transmission belt (18).
2. A urinary surgery lithangiuria device as claimed in claim 1, characterized in that the middle lower part of the bed board (1) is fixedly connected with the upper end of the upright post (2), and the lower end of the upright post (2) is fixedly connected with the base (3).
3. A urological urinary stone lithotripsy device according to claim 1, characterized in that the servo motor (4) is connected to a power supply and a switch by wires.
4. A urological urinary calculus lithotripsy device according to claim 1, characterized in that the high-energy shock wave generator (15) is signal connected to a controller and a power supply.
5. A urinary surgery lithangiuria device as claimed in any one of claims 1 to 4, characterized in that a sponge cushion for supporting the neck of the patient is fixed on the upper part of one side of the bed plate (1).
CN201910776240.3A 2019-08-22 2019-08-22 Urological urinary calculus stone breaking device Expired - Fee Related CN110495928B (en)

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CN110495928B true CN110495928B (en) 2022-12-06

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Publication number Priority date Publication date Assignee Title
CN111513814B (en) * 2020-04-28 2021-05-04 赵宏伟 Support leg of in-vitro physical vibration calculus removing machine for urology department and using method thereof
CN113384320B (en) * 2021-06-02 2023-07-21 常州市第二人民医院 Urological urinary tract calculus lithotripsy device

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CH115501A (en) * 1925-10-16 1926-07-01 Rutishauser Ruesch A Equipment that can be used as a serving board, bedside table, reading desk and music stand.
DE102004046920B4 (en) * 2004-09-24 2006-07-27 Eckhard Bangemann Transport lounger and retrofit kit for this
CN205094485U (en) * 2015-10-09 2016-03-23 刘延春 Ultrasonic examination bed for obstetrics and gynecology department
CN208524246U (en) * 2017-09-14 2019-02-22 唐郁轩 A kind of multifunction seat
CN208388897U (en) * 2017-10-31 2019-01-18 邓瑜 A kind of medical bed of obstetrics and gynecology department lower body easy to clean
CN107997806A (en) * 2017-12-24 2018-05-08 玉林市玉州区万通华信科技服务部 A kind of rubble room external stone crushing device
CN108591718B (en) * 2018-04-25 2019-11-22 未石互动科技股份有限公司 A kind of transparent mobile screen
CN109498437B (en) * 2018-12-07 2022-03-15 殷允民 Traditional chinese medical science is fixer is treated with moxibustion to internal medicine

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