CN110947081A

CN110947081A - Catheter fixing frame for gastrointestinal surgery nursing

Info

Publication number: CN110947081A
Application number: CN202010028135.4A
Authority: CN
Inventors: 韩炎艳; 乔东鸽; 刘兰克
Original assignee: Henan Hospital Traditional Chinese Medicine Second Affiliated Hospital of Henan University of Traditional Chinese Medicine TCM
Current assignee: Henan Hospital Traditional Chinese Medicine Second Affiliated Hospital of Henan University of Traditional Chinese Medicine TCM
Priority date: 2020-01-10
Filing date: 2020-01-10
Publication date: 2020-04-03
Anticipated expiration: 2040-01-10
Also published as: CN110947081B

Abstract

The catheter fixing frame for gastrointestinal surgery nursing can well fix catheters with different diameters and realize multi-dimensional movement such as horizontal, vertical and normal directions; the technical scheme includes that the device comprises a fixed frame, a disc is installed in the fixed frame, a radial through groove is formed in the outer edge of the disc, a first through groove is formed in the end face of the disc, an adjusting sleeve is installed in the radial through groove, a rotary drum is inserted in the adjusting sleeve, a guide pipe hole is formed in the side wall of the rotary drum, a flat plate is arranged on the outer edge of the rotary drum, a thread sleeve is installed at the upper end of the adjusting sleeve, the upper end of the thread sleeve abuts against the lower end face of the flat plate, an annular opening is formed in the side wall of the adjusting sleeve, sliding grooves are formed in the side wall of the rotary drum, a wedge block is installed in each sliding groove, a first spring is connected between the bottom of each wedge block; the invention has novel conception and smart structure.

Description

Catheter fixing frame for gastrointestinal surgery nursing

Technical Field

The invention relates to the technical field of medical auxiliary instruments, in particular to a catheter fixing frame for gastrointestinal surgical nursing.

Background

With the development of science and technology, the number of traditional open type operations tends to be reduced in the clinical practice of gastrointestinal surgery, and the minimally invasive surgery of gastrointestinal surgery is widely applied due to the characteristics of small wound, strong pertinence, easy postoperative recovery and the like. The technical means of inserting a thin catheter into the abdominal wall of a human body can provide a feasible operation space for the laparoscope and surgical instruments, such as laparoscopic surgery and the like. Therefore, catheter intervention is a basic technical prerequisite of gastrointestinal minimally invasive surgery as a medical means commonly used in gastrointestinal surgical clinical surgery. In actual operation, the interventional catheter needs to be kept at the same position for a long time, which puts higher demands on the stability and reliability of the catheter fixing device.

In the prior art, the position of a catheter is fixed by adopting a plane mobile positioning method; the actual fixing mode needs to fix the transverse fixing seat and the longitudinal fixing seat respectively by means of external detachable articles such as adhesive tapes and the like, and the adhesive tapes are detached after use to finish one-time use; in actual operation, however, the required fixed position cannot be determined most efficiently only by virtue of the two-way movement in the plane, and the psychological burden of a patient is increased invisibly; in order to reduce the size of the wound to a greater extent, the fixing mechanism is required to be capable of moving normally under most conditions, so that the operation of a doctor is facilitated; in addition, in the actual medical treatment operation, the diameters of the used catheters are different, and the traditional fixing device with the uniform inner diameter cannot meet the actual use requirement.

Disclosure of Invention

In order to overcome the defects of the prior art, the invention provides the catheter fixing frame for gastrointestinal surgical nursing, which can well fix catheters with different diameters and realize multi-dimensional movement such as horizontal, vertical and normal directions.

The technical scheme includes that the device comprises a fixed frame, the fixed frame is of a reversed-square structure, a disc capable of moving up and down is installed in the fixed frame, a radial through groove is formed in the outer edge of the disc, a first through groove is formed in the center of the end face of the disc and communicated with the radial through groove, an adjusting sleeve capable of sliding left and right along the radial through groove is installed in the radial through groove, a rotary drum capable of moving up and down along the adjusting sleeve is inserted in the adjusting sleeve, the upper end of the rotary drum penetrates through the upper end of the fixed frame and is arranged at the upper portion of the fixed frame, a plurality of vertically arranged guide pipe holes are formed in the side wall of the rotary drum, a flat plate is arranged on the outer edge of the upper portion of the adjusting sleeve, a threaded sleeve is installed at the upper end of the adjusting sleeve, the threaded sleeve is in threaded connection with the adjusting sleeve, the upper end of the threaded sleeve, be equipped with the spout of arranging pipe hole both sides and symmetrical arrangement in on the lateral wall of rotary drum, all install a wedge that can follow the spout and reciprocate in every spout, be connected with first spring between the bottom of wedge and the diapire of spout, the upper end of wedge is connected with the stay cord, and the free end of stay cord runs through the rotary drum lateral wall and places the top of rotary drum in, and two wedges can reciprocate in step in corresponding spouts.

Preferably, a second spring is connected between the lower end face of the disc and the bottom plate of the fixed frame, an adjusting bolt is installed on the top plate of the fixed frame, the lower end of the adjusting bolt penetrates through the fixed frame and is rotatably connected with the upper end face of the disc, the adjusting bolt is in threaded connection with the fixed frame, the disc can be driven to move up and down in the fixed frame by rotating the adjusting bolt, the disc can simultaneously drive the adjusting sleeve and the rotary drum to move up and down when moving up and down, and the up and down direction adjustment of the guide pipe can be realized at the moment.

Preferably, the outer edge of the adjusting sleeve is provided with scales, the upper position and the lower position of the rotary drum in the adjusting sleeve can be easily seen through the scale value corresponding to the lower end face of the threaded sleeve, and the threaded sleeve is in threaded connection with the adjusting sleeve, so that the rotary drum can be driven by the rotary sleeve to move up and down through the rotary sleeve, and the position of the rotary drum can be adjusted.

Preferably, the adjusting sleeve, the rotary table and the fixed frame are connected through sliders, the cross sections of the sliders are of I-shaped structures, the sliders are clamped at the upper end and the lower end of the first through groove, and the sliding along the first through groove can be well realized.

Preferably, the upper end of rotary drum be equipped with rotatable spool, the upper end of the stay cord that two wedges correspond twines respectively on the outer fringe of spool, two stay cords are the same in the winding direction on the spool, the rotation of spool can be through the synchronous upward movement of two wedges of stay cord pulling, because be connected with first spring between the diapire of wedge and spout, during the antiport spool, the wedge can be slided downwards under the effect of first spring.

Preferably, the diameters of the plurality of conduit holes are different in size, and the diameters of the conduit holes are gradually reduced from top to bottom.

Preferably, the wedge be the structure that lower extreme width is greater than the upper end width, when the wedge upwards removes, can realize compressing tightly the effect to the downthehole pipe of pipe, when the wedge downwards removes under the effect of first spring, the wedge can break away from the contact to the pipe, realizes unclamping.

Preferably, the left side and the right side of the fixed frame are respectively provided with a fixed belt, and the device can be integrally fixed on the trunk of a patient through the fixed belts.

The invention has novel conception and ingenious structure, can well adjust the position of the catheter in the fixing process in multiple directions of up-down, left-right and normal directions, has wider applicability, can control the fixing effect of the catheter, can fix catheters with different diameters, and can be well suitable for different patients and operation catheters with different specifications.

Drawings

FIG. 1 is a front view cross-section of the present invention.

FIG. 2 is a top view of the present invention.

Fig. 3 is a front view of the present invention.

FIG. 4 is a top view of the upper end of the bowl of the present invention.

FIG. 5 is an enlarged view of a portion of FIG. 1 according to the present invention.

FIG. 6 is a top sectional view of a wedge portion at the bottom of the drum according to the present invention.

Fig. 7 is a perspective view of a disc according to the present invention.

Fig. 8 is a perspective view of the slider of the present invention.

FIG. 9 is a perspective view of an adjustment sleeve and bowl of the present invention.

Detailed Description

The following describes embodiments of the present invention in further detail with reference to the accompanying drawings.

As shown in the figures 1-9, the invention comprises a fixed frame 1, the fixed frame 1 is of a zigzag structure, a disc 2 capable of moving up and down is arranged in the fixed frame 1, a radial through groove is arranged on the outer edge of the disc 2, a first through groove 3 is arranged at the center part of the end surface of the disc 2, the first through groove 3 is communicated with the radial through groove, an adjusting sleeve 4 capable of sliding left and right along the radial through groove is arranged in the radial through groove, a rotary drum 5 capable of moving up and down along the adjusting sleeve 4 is inserted in the adjusting sleeve 4, the upper end of the rotary drum 5 penetrates through the upper end of the fixed frame 1 and is arranged at the upper part of the fixed frame 1, a plurality of vertically arranged guide pipe holes 18 are arranged on the side wall of the rotary drum 5, a flat plate 6 is arranged on the outer edge of the upper part of the adjusting sleeve 4, a thread bushing 7 is arranged at the upper end of the adjusting sleeve 4, the, seted up annular mouth 8 on the lateral wall of adjusting sleeve 4, the width of annular mouth 8 is greater than the diameter of pipe hole 18, be equipped with the spout 9 of arranging pipe hole 18 both sides and symmetrical arrangement in on the lateral wall of rotary drum 5, all install a wedge 10 that can follow spout 9 and reciprocate in every spout 9, be connected with first spring 11 between the bottom of wedge 10 and the diapire of spout 9, the upper end of wedge 10 is connected with stay cord 12, the free end of stay cord 12 runs through the rotary drum 5 lateral wall and places in the top of rotary drum 5, two wedges 10 can reciprocate in step in corresponding spout 9.

In order to realize the up-and-down movement of the disc 2 in the fixed frame 1, a second spring 13 is connected between the lower end face of the disc 2 and the bottom plate of the fixed frame 1, an adjusting bolt 14 is installed on the top plate of the fixed frame 1, the lower end of the adjusting bolt 14 penetrates through the fixed frame 1 and is rotatably connected with the upper end face of the disc 2, the adjusting bolt 14 is in threaded connection with the fixed frame 1, the disc 2 can be driven to move up and down in the fixed frame 1 by rotating the adjusting bolt 14, the disc 2 can simultaneously drive the adjusting sleeve 4 and the rotary drum 5 to move up and down when moving up and down, and the up-and-down direction adjustment of the guide pipe can be.

In order to better control the up-and-down movement position of the rotary drum 5 in the adjusting sleeve 4, the outer edge of the adjusting sleeve 4 is provided with scales, the up-and-down position of the rotary drum 5 in the adjusting sleeve 4 can be easily seen through the scale value corresponding to the lower end face of the threaded sleeve 7, and the threaded sleeve 7 is in threaded connection with the adjusting sleeve 4, so that the rotary drum 5 can be driven by the rotation of the threaded sleeve 7 to move up and down through the upper end of the threaded sleeve, and the position adjustment of the rotary drum 5 can be realized.

In order to realize the left and right movement of the adjusting sleeve 4 and the rotary drum 5, the adjusting sleeve 4 is connected with the rotary disc and the fixed frame 1 through the sliding block 15, the section of the sliding block 15 is of an I-shaped structure, the sliding block 15 is clamped at the upper end and the lower end of the first through groove 3, and the sliding along the first through groove 3 can be well realized.

In order to realize the synchronous up-and-down movement of the two wedge-shaped blocks 10, the upper end of the rotary drum 5 is provided with a rotatable winding shaft 16, the upper ends of the pull ropes 12 corresponding to the two wedge-shaped blocks 10 are respectively wound on the outer edge of the winding shaft 16, the winding directions of the two pull ropes 12 on the winding shaft 16 are the same, the rotation of the winding shaft 16 can pull the two wedge-shaped blocks 10 to synchronously move upwards through the pull ropes 12, and because the first spring 11 is connected between the wedge-shaped blocks 10 and the bottom wall of the sliding groove 9, when the winding shaft 16 is rotated reversely, the wedge-shaped blocks 10 can slide downwards under the action of the.

In order to better realize the fixation of the catheters with different diameters, the diameters of the catheter holes 18 are different in size, and the diameters of the catheter holes 18 are gradually reduced from top to bottom.

In order to better realize the fixation of the wedge block 10 to the conduit, the wedge block 10 is in a structure that the width of the lower end is larger than that of the upper end, when the wedge block 10 moves upwards, the wedge block 10 can realize a pressing effect on the conduit in the conduit hole 18, and when the wedge block 10 moves downwards under the action of the first spring 11, the wedge block 10 can be separated from the contact with the conduit to realize the loosening.

In order to better realize the fixing effect, the left side and the right side of the fixing frame 1 are respectively provided with a fixing belt 17, and the fixing belt 17 can be used for fixing the whole device on the trunk of a patient.

When the invention is used, firstly the device is fixed at a proper position of the trunk of a patient through the fixing belt 17, a catheter which needs to be fixed is inserted into the corresponding catheter hole 18 according to different diameters, when the catheter is inserted, the up-and-down position between the rotary drum 5 and the adjusting sleeve 4 can be adjusted at any time, specifically, the rotary drum 5 is driven to move upwards in the adjusting sleeve 4 through screwing the thread sleeve 7, when the rotary drum 5 needs to move downwards, the self-gravity of the rotary drum 5 can be relied, a spring can also be added between the thread sleeve 7 and the flat plate 6, the catheter hole 18 with the required diameter is arranged at the annular opening 8 part through adjusting the up-and-down position of the rotary drum 5, the catheter can be inserted into the catheter hole 18, after the insertion, in the specific using process, the adjustment can be carried out at any time according to the actual situation, the specific operation is as follows, when the up-and-, at the moment, the whole disc 2 can be driven to move up and down in the fixed frame 1 through the adjusting bolt 14; when the left and right positions of the guide pipe need to be adjusted, only the sliding block 15 needs to be pushed at the moment, and the sliding block 15 drives the adjusting sleeve 4 and the rotary drum 5 to move together; when the normal position of pipe when needs adjust, because the existence of the annular mouth 8 and the radial logical groove of adjusting sleeve 4 this moment, can carry out the coarse adjustment to normal position through rotating adjusting sleeve 4 this moment to rotate the normal position of rotating the pipe alone and finely tuning, adjust more controllable.

In addition, the invention also designs the wedge-shaped block 10 capable of synchronously moving up and down, and because the distribution relation of the inclination angle of the wedge-shaped block 10 and the diameter of the conduit hole 18, the pressing effect of the conduits in a plurality of conduit holes 18 can be controlled by the same wedge-shaped block 10, and simultaneously designs the effect of controlling the pressing of the conduits by pulling the pull rope 12 upwards, thereby being more convenient for controlling the pressing force of the conduits and being more reliable.

Claims

1. The catheter fixing frame for gastrointestinal surgery nursing is characterized by comprising a fixing frame (1), wherein the fixing frame (1) is of a structure shaped like a Chinese character 'hui', a disc (2) capable of moving up and down is installed in the fixing frame (1), a radial through groove is formed in the outer edge of the disc (2), a first through groove (3) is formed in the center of the end face of the disc (2), the first through groove (3) is communicated with the radial through groove, an adjusting sleeve (4) capable of sliding left and right along the radial through groove is installed in the radial through groove, a rotary drum (5) capable of moving up and down along the adjusting sleeve (4) is inserted in the adjusting sleeve (4), the upper end of the rotary drum (5) penetrates through the upper end of the fixing frame (1) and is placed at the upper part of the fixing frame (1), a plurality of vertically arranged catheter holes (18) are formed in the side wall of the rotary drum (5), a flat, thread bush (7) are installed to the upper end of adjusting sleeve (4), be threaded connection between thread bush (7) and adjusting sleeve (4), the upper end of thread bush (7) supports the lower terminal surface at flat board (6), annular mouth (8) have been seted up on the lateral wall of adjusting sleeve (4), the width of annular mouth (8) is greater than the diameter of pipe hole (18), be equipped with on the lateral wall of rotary drum (5) and arrange pipe hole (18) both sides and symmetrical arrangement's spout (9) in, all install one in every spout (9) and can follow wedge (10) that spout (9) reciprocated, be connected with first spring (11) between the bottom of wedge (10) and the diapire of spout (9), the upper end of wedge (10) is connected with stay cord (12), the free end of stay cord (12) runs through rotary drum (5) lateral wall and places the top of rotary drum (5), two wedge (10) can reciprocate in corresponding spout (9) in step.

2. The catheter fixing frame for gastrointestinal surgical nursing according to claim 1, wherein a second spring (13) is connected between the lower end surface of the disc (2) and the bottom plate of the fixing frame (1), an adjusting bolt (14) is installed on the top plate of the fixing frame (1), the lower end of the adjusting bolt (14) penetrates through the fixing frame (1) and is rotatably connected with the upper end surface of the disc (2), and the adjusting bolt (14) is in threaded connection with the fixing frame (1).

3. The catheter fixing frame for nursing in gastrointestinal surgery as claimed in claim 1, wherein the adjusting sleeve (4) is provided with scales on the outer edge, and the up-and-down position of the rotary cylinder (5) in the adjusting sleeve (4) can be easily seen through the scale value corresponding to the lower end surface of the threaded sleeve (7).

4. The catheter fixing frame for gastrointestinal surgical nursing according to claim 1, wherein the adjusting sleeve (4) is connected with the rotating disc and the fixing frame (1) through a sliding block (15), and the cross section of the sliding block (15) is of an I-shaped structure.

5. The catheter fixing frame for gastrointestinal surgical nursing according to claim 1, wherein a rotatable spool (16) is arranged at the upper end of the rotary drum (5), the upper ends of the pulling ropes (12) corresponding to the two wedges (10) are respectively wound on the outer edge of the spool (16), the winding directions of the two pulling ropes (12) on the spool (16) are the same, the spool (16) can rotate to pull the two wedges (10) to synchronously move upwards through the pulling ropes (12), a first spring (11) is connected between the wedges (10) and the bottom wall of the sliding chute (9), and when the spool (16) is rotated reversely, the wedges (10) can slide downwards under the action of the first spring (11).

6. The catheter holder for gastrointestinal surgical nursing according to claim 1, wherein the plurality of catheter holes (18) have different diameters, and the diameters of the catheter holes (18) are gradually reduced from top to bottom.

7. The catheter holder for gastrointestinal surgical nursing according to claim 1, wherein the wedge (10) is a structure with a width of the lower end larger than that of the upper end, when the wedge (10) moves upwards, the wedge (10) can press the catheter in the catheter hole (18), and when the wedge (10) moves downwards under the action of the first spring (11), the wedge (10) can be separated from the contact with the catheter to realize loosening.

8. The catheter fixing frame for gastrointestinal surgical nursing according to claim 1, wherein fixing bands (17) are respectively provided on the left and right sides of the fixing frame (1).