CN111281448A - An auxiliary instrument for gastrointestinal surgery - Google Patents

An auxiliary instrument for gastrointestinal surgery Download PDF

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Publication number
CN111281448A
CN111281448A CN202010082353.6A CN202010082353A CN111281448A CN 111281448 A CN111281448 A CN 111281448A CN 202010082353 A CN202010082353 A CN 202010082353A CN 111281448 A CN111281448 A CN 111281448A
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fixed
rod
threaded
block
gastrointestinal surgery
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CN111281448B (en
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张建立
江秀丽
王政坤
邱志刚
牛冬光
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Affiliated Hospital of University of Qingdao
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Affiliated Hospital of University of Qingdao
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/02Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors

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  • Life Sciences & Earth Sciences (AREA)
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Abstract

The invention relates to the technical field of surgical operations and discloses an auxiliary instrument for gastrointestinal surgical operations, which comprises two fixing blocks. This stomach surgical operation auxiliary instrument, setting through the draw-in groove, insert two fixed blocks on two operation platform poles through the draw-in groove, it screws up in inserting the screw with first fixing bolt again, it is tight to make first fixing bolt press from both sides the operation platform pole tightly, accomplish preliminary fixed, install the gusset plate additional in the fixed block bottom again, twist the reinforcement hole with second fixing bolt, the elastic block that makes the gusset plate top compresses tightly the operation platform pole, fixed stability has been strengthened, the rotation regulation knob, can make the connecting rod drive perpendicular gear revolve, thereby it removes to drive the drive sprocket, make two rotary drums rotate in step in the bearing, thereby make the screw thread movable rod receive screw thrust and reciprocate, can adjust the fixed box and reciprocate, accomplish the lift of whole apparatus, and the precision is higher, the accurate and stable good purpose of altitude mixture control has been reached.

Description

一种肠胃外科手术辅助器械An auxiliary instrument for gastrointestinal surgery

技术领域technical field

本发明涉及外科手术技术领域,具体为一种肠胃外科手术辅助器械。The invention relates to the technical field of surgery, in particular to an auxiliary instrument for gastrointestinal surgery.

背景技术Background technique

普通外科多以手术对肝脏、胆道、胰腺、胃肠、肛肠和血管疾病等进行治疗,在治疗肠胃疾病时,通常需要撑开器等辅助器械来辅助医生进行手术。General surgery mostly uses surgery to treat liver, biliary tract, pancreas, gastrointestinal, anorectal and vascular diseases. When treating gastrointestinal diseases, auxiliary devices such as openers are usually needed to assist doctors in the operation.

目前市场上的手术辅助器械各种各样,例如中国专利CN 105769262B中公开了一种肠胃外科手术辅助器械,包括固定架、丝杠一和第一支撑杆,所述固定架通过拧紧螺栓与手术台两侧的边框固定连接,所述固定架上表面的两端对称焊接套筒,所述套筒内部配合安装滑杆,且套筒和滑杆表面均匀开设通孔,所述套筒和滑杆对应的通孔内部加装连接螺栓,所述滑杆上端焊接横杆,所述丝杠一和丝杠二的两端均通过轴承与横杆连接,且丝杠一的右端与伺服电机一连接,且伺服电机一和伺服电机二均通过安装支架与对应侧的横杆固定连接,并且伺服电机一和伺服电机二均通过导线与固定架侧面的控制器连接,该发明装置具有自动扩张伤口、精准控制施力大小和高度以及使用稳定等一系列优点,然而该装置调节高度时,是通过使用螺栓插入不同高度的通孔内来调节高度,这种高度的调节方式过于简陋,调节高度不够精准,容易出现偏高或偏低的情况,且该装置在与手术台边框进行固定时,仅仅采用固定螺栓进行固定,使得装置固定不够稳定,且装置的撑开是利用电机控制,容易发生误触或者电机故障,导致该装置自动撑开,对患者造成伤害,使得装置的安全稳定性较差。There are various types of surgical aids currently on the market. For example, Chinese patent CN 105769262B discloses a gastrointestinal surgical aid, including a fixing frame, a lead screw and a first support rod. The fixing frame is connected to the surgical The frames on both sides of the table are fixedly connected, the two ends of the upper surface of the fixing frame are symmetrically welded with sleeves, the inside of the sleeve is matched with a sliding rod, and the surfaces of the sleeve and the sliding rod are evenly provided with through holes, and the sleeve and the sliding rod are uniformly opened. Connecting bolts are installed inside the through holes corresponding to the rods, the upper end of the sliding rod is welded with a crossbar, the two ends of the lead screw one and the second lead screw are connected to the crossbar through bearings, and the right end of the lead screw one is connected to the servo motor one. connection, and the first servo motor and the second servo motor are both fixedly connected to the cross bar on the corresponding side through the mounting bracket, and the first servo motor and the second servo motor are both connected with the controller on the side of the fixed frame through the wire, and the inventive device has the ability to automatically expand the wound. , precise control of the size and height of the force and a series of advantages such as stable use. However, when the device adjusts the height, the height is adjusted by inserting bolts into through holes of different heights. This height adjustment method is too simple and the height adjustment is not enough. Accurate, it is easy to be high or low, and when the device is fixed with the operating table frame, it is only fixed with fixing bolts, which makes the device not stable enough, and the opening of the device is controlled by a motor, which is prone to errors. contact or motor failure, causing the device to open automatically, causing harm to the patient, and making the device less safe and stable.

发明内容SUMMARY OF THE INVENTION

(一)解决的技术问题(1) Technical problems solved

针对现有技术的不足,本发明提供了一种肠胃外科手术辅助器械,具备高度调节精准且稳定性好等优点,解决了该装置调节高度时,是通过使用螺栓插入不同高度的通孔内来调节高度,这种高度的调节方式过于简陋,调节高度不够精准,容易出现偏高或偏低的情况,且该装置在与手术台边框进行固定时,仅仅采用固定螺栓进行固定,使得装置固定不够稳定,且装置的撑开是利用电机控制,容易发生误触或者电机故障,导致该装置自动撑开,对患者造成伤害,使得装置的安全稳定性较差的问题。Aiming at the deficiencies of the prior art, the present invention provides an auxiliary instrument for gastrointestinal surgery, which has the advantages of precise height adjustment and good stability, and solves the problem that when the device adjusts the height, it uses bolts to be inserted into through holes of different heights. Adjusting the height, this height adjustment method is too simple, the height adjustment is not accurate enough, and it is easy to be high or low, and when the device is fixed with the operating table frame, it is only fixed with fixing bolts, so that the device is not fixed enough. The device is stable, and the opening of the device is controlled by a motor, which is prone to accidental touch or motor failure, causing the device to automatically open, causing harm to the patient, and making the device less safe and stable.

(二)技术方案(2) Technical solutions

为实现上述高度调节精准且稳定性好目的,本发明提供如下技术方案:一种肠胃外科手术辅助器械,包括数量为两个的固定块,所述固定块的底部开设有卡槽,所述固定块相背的一侧均开设有螺孔,所述卡槽的内部活动安装有手术台杆,所述螺孔的内部螺纹连接有第一固定螺栓,所述固定块的底部固定安装有加固板,所述加固板的底部开设有加固孔,所述加固孔的内部螺纹连接有第二固定螺栓,所述加固板的顶部固定安装有弹性块,所述固定块的顶部固定安装有传动盒,正面所述传动盒的顶部活动安装有数量为两个的转筒,所述转筒的内部螺纹连接有螺纹移动杆,所述传动盒的顶部固定安装有轴承,两个所述转筒之间传动连接有传动齿链,所述传动盒的左侧活动安装有连接杆,所述连接杆的左侧固定安装有调节旋钮,所述连接杆的右侧固定安装有垂直齿轮,背面所述传动盒的顶部固定安装有滑筒,所述滑筒的内部活动安装有滑杆,所述滑杆和螺纹移动杆的顶部均固定安装有固定盒,两个所述固定盒相对的一侧之间活动安装有数量为两个的螺纹转杆,左侧所述螺纹转杆的背面和右侧螺纹转杆的正面均固定连接有调节转轮,两个所述固定盒相背的一侧均固定安装有伸缩杆,所述伸缩杆远离固定盒的一端固定安装有限位齿轮,两个所述螺纹转杆的外侧均活动安装有水平移动板,所述水平移动板的外侧固定安装有螺纹连接块,所述水平移动板的右侧固定安装有撑块。In order to achieve the above purpose of precise height adjustment and good stability, the present invention provides the following technical solution: an auxiliary instrument for gastrointestinal surgery, comprising two fixing blocks, the bottom of the fixing block is provided with a slot, and the fixing The opposite side of the block is provided with a screw hole, an operating table rod is movably installed inside the card slot, a first fixing bolt is threadedly connected to the inside of the screw hole, and a reinforcement plate is fixedly installed at the bottom of the fixing block , the bottom of the reinforcing plate is provided with a reinforcing hole, the inside of the reinforcing hole is threadedly connected with a second fixing bolt, the top of the reinforcing plate is fixedly installed with an elastic block, and the top of the fixed block is fixedly installed with a transmission box, The top of the transmission box on the front is movably installed with two rotating drums, the interior of the rotating drum is threadedly connected with a threaded moving rod, the top of the transmission box is fixedly installed with a bearing, and the two rotating drums are installed between the two rotating drums. The transmission is connected with a transmission tooth chain, a connecting rod is movably installed on the left side of the transmission box, an adjustment knob is fixedly installed on the left side of the connecting rod, a vertical gear is fixedly installed on the right side of the connecting rod, and the transmission A sliding cylinder is fixedly installed on the top of the box, a sliding rod is movably installed inside the sliding cylinder, a fixed box is fixedly installed on the top of the sliding rod and the threaded moving rod, and the opposite sides of the two fixed boxes are installed. Two threaded rotating rods are movably installed, the back of the left threaded rotating rod and the front of the right threaded rotating rod are fixedly connected with adjusting wheels, and the opposite sides of the two fixed boxes are fixed A telescopic rod is installed, the end of the telescopic rod away from the fixed box is fixedly installed with a limit gear, the outer sides of the two threaded rotating rods are movably installed with a horizontal moving plate, and the outer side of the horizontal moving plate is fixedly installed with a threaded connection block , a support block is fixedly installed on the right side of the horizontal moving plate.

优选的,所述卡槽的宽度大于手术台杆的直径,所述第二固定螺栓的顶部贯穿加固板和固定块并延伸至固定块的内部。Preferably, the width of the clamping slot is larger than the diameter of the operating table rod, and the top of the second fixing bolt penetrates the reinforcing plate and the fixing block and extends to the interior of the fixing block.

优选的,所述弹性块为橡胶块,所述传动盒为内部空心的长方体,所述转筒的底部贯穿传动盒的顶部并延伸至传动盒的内部。Preferably, the elastic block is a rubber block, the transmission box is a hollow cuboid, and the bottom of the rotating drum penetrates through the top of the transmission box and extends to the inside of the transmission box.

优选的,所述传动齿链和垂直齿轮均位于传动盒的内部,所述传动齿链和垂直齿轮相互啮合。Preferably, both the transmission tooth chain and the vertical gear are located inside the transmission box, and the transmission tooth chain and the vertical gear mesh with each other.

优选的,所述滑筒的长度与转筒的长度相等,所述螺纹移动杆的长度与螺纹转杆的长度相等。Preferably, the length of the sliding cylinder is equal to the length of the rotating cylinder, and the length of the threaded moving rod is equal to the length of the threaded rotating rod.

优选的,所述伸缩杆由套筒和套杆组成,所述套筒的内侧活动安装有套杆,两个所述固定盒呈对称分布于螺纹转杆中轴线的前后两侧。Preferably, the telescopic rod is composed of a sleeve and a sleeve rod, a sleeve rod is movably installed on the inner side of the sleeve, and the two fixed boxes are symmetrically distributed on the front and rear sides of the central axis of the threaded rod.

优选的,所述螺纹转杆的前后两端分别贯穿两个固定盒相对的一侧并延伸至固定盒的外侧。Preferably, the front and rear ends of the threaded rotating rod respectively penetrate opposite sides of the two fixing boxes and extend to the outside of the fixing boxes.

优选的,所述调节转轮的外侧固定安装有限位齿块,所述限位齿块与限位齿轮相互啮合。Preferably, a limit tooth block is fixedly installed on the outer side of the adjusting wheel, and the limit tooth block and the limit gear are meshed with each other.

优选的,正面所述螺纹连接块与右侧螺纹转杆螺纹连接,背面所述螺纹连接块与左侧螺纹转杆螺纹连接。Preferably, the threaded connection block on the front is threadedly connected with the right threaded rotating rod, and the threaded connecting block on the back is threadedly connected with the left threaded rotating rod.

(三)有益效果(3) Beneficial effects

与现有技术相比,本发明提供了一种肠胃外科手术辅助器械,具备以下有益效果:Compared with the prior art, the present invention provides an auxiliary instrument for gastrointestinal surgery, which has the following beneficial effects:

1、该肠胃外科手术辅助器械,通过固定块底部卡槽的设置,将两个固定块通过卡槽插在手术台上的两个手术台杆上,再将第一固定螺栓插入螺孔内拧紧,使第一固定螺栓将手术台杆夹紧,完成初步固定,再将加固板加装在固定块底部,将第二固定螺栓拧入加固孔内,使加固板顶部的弹性块将手术台杆压紧,进一步加强了固定的稳定性,通过旋转调节旋钮,可以使连接杆带动垂直齿轮转动,从而带动传动齿链移动,使两个转筒在轴承内同步转动,从而使螺纹移动杆受到螺纹推力上下移动,即可调节固定盒上下移动,完成整个器械的升降,且精度更高,达到了高度调节精准且稳定性好的目的。1. The auxiliary instrument for gastrointestinal surgery, through the setting of the slot at the bottom of the fixing block, insert the two fixing blocks on the two operating table rods on the operating table through the card slot, and then insert the first fixing bolt into the screw hole and tighten it. , make the first fixing bolt clamp the operating table rod to complete the preliminary fixation, and then install the reinforcement plate on the bottom of the fixing block, and screw the second fixing bolt into the reinforcement hole, so that the elastic block on the top of the reinforcement board will tighten the operating table rod Compression further strengthens the stability of the fixation. By rotating the adjustment knob, the connecting rod can drive the vertical gear to rotate, thereby driving the transmission tooth chain to move, so that the two drums rotate synchronously in the bearing, so that the threaded moving rod is threaded When the thrust moves up and down, the fixed box can be adjusted to move up and down to complete the lifting and lowering of the whole instrument, and the precision is higher, and the purpose of accurate height adjustment and good stability is achieved.

2、该肠胃外科手术辅助器械,通过转动两个调节转轮,可以使螺纹转杆转动,而水平移动板是通过螺纹连接块安装在螺纹转杆的外侧,使得水平移动板能随着螺纹转杆的转动而水平移动,进而使两个撑块可以自由水平移动,以调整撑块的撑开距离,调节转轮外侧的齿块是与限位齿轮相互啮合的,所以想要转动调节转轮需要将限位齿轮向外拉,使调节转轮失去限位齿轮的限定,增加了整个装置的安全性,防止了调节转轮被误触而导致撑块自动移动,相比电机控制更加安全稳定,不会由于电机的故障导致器械自动撑开,达到了达到了稳定性好的目的。2. The gastrointestinal surgery auxiliary instrument can rotate the threaded rod by rotating the two adjustment wheels, and the horizontal moving plate is installed on the outside of the threaded rod through the threaded connection block, so that the horizontal moving plate can rotate with the thread. The rotation of the rod moves horizontally, so that the two support blocks can move horizontally freely to adjust the distance of the support blocks. The tooth block outside the adjustment wheel is meshed with the limit gear, so you want to rotate the adjustment wheel. It is necessary to pull the limit gear outward, so that the adjustment wheel loses the limit of the limit gear, which increases the safety of the whole device, prevents the adjustment wheel from being accidentally touched and causes the support block to move automatically, which is safer and more stable than motor control. , the device will not be automatically opened due to the failure of the motor, and the purpose of achieving good stability is achieved.

附图说明Description of drawings

图1为本发明提出的一种肠胃外科手术辅助器械结构示意图;FIG. 1 is a schematic structural diagram of an auxiliary instrument for gastrointestinal surgery proposed by the present invention;

图2为本发明提出的一种肠胃外科手术辅助器械俯视图;Fig. 2 is a top view of an auxiliary instrument for gastrointestinal surgery proposed by the present invention;

图3为本发明提出的一种肠胃外科手术辅助器械右视图。Figure 3 is a right side view of an auxiliary instrument for gastrointestinal surgery proposed by the present invention.

图中:1固定块、2卡槽、3螺孔、4手术台杆、5第一固定螺栓、6加固板、7加固孔、8第二固定螺栓、9弹性块、10传动盒、11转筒、12螺纹移动杆、13轴承、14传动齿链、15连接杆、16调节旋钮、17垂直齿轮、18滑筒、19滑杆、20固定盒、21螺纹转杆、22调节转轮、23伸缩杆、24限位齿轮、25水平移动板、26螺纹连接块、27撑块。In the picture: 1 fixing block, 2 card slots, 3 screw holes, 4 operating table rods, 5 first fixing bolts, 6 reinforcing plates, 7 reinforcing holes, 8 second fixing bolts, 9 elastic blocks, 10 transmission boxes, 11 turns Cylinder, 12 threaded moving rod, 13 bearing, 14 transmission tooth chain, 15 connecting rod, 16 adjusting knob, 17 vertical gear, 18 sliding cylinder, 19 sliding rod, 20 fixed box, 21 threaded rod, 22 adjusting wheel, 23 Telescopic rod, 24 limit gear, 25 horizontal moving plate, 26 threaded connection block, 27 support block.

具体实施方式Detailed ways

下面将结合本发明实施例中的附图,对本发明实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本发明一部分实施例,而不是全部的实施例。基于本发明中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present invention. Obviously, the described embodiments are only a part of the embodiments of the present invention, but not all of the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by those of ordinary skill in the art without creative efforts shall fall within the protection scope of the present invention.

请参阅图1-3,一种肠胃外科手术辅助器械,包括数量为两个的固定块1,固定块1的底部开设有卡槽2,固定块1相背的一侧均开设有螺孔3,卡槽2的内部活动安装有手术台杆4,螺孔3的内部螺纹连接有第一固定螺栓5,固定块1的底部固定安装有加固板6,加固板6的底部开设有加固孔7,加固孔7的内部螺纹连接有第二固定螺栓8,卡槽2的宽度大于手术台杆4的直径,第二固定螺栓8的顶部贯穿加固板6和固定块1并延伸至固定块1的内部,加固板6的顶部固定安装有弹性块9,固定块1的顶部固定安装有传动盒10,正面传动盒10的顶部活动安装有数量为两个的转筒11,弹性块9为橡胶块,传动盒10为内部空心的长方体,转筒11的底部贯穿传动盒10的顶部并延伸至传动盒10的内部,转筒11的内部螺纹连接有螺纹移动杆12,传动盒10的顶部固定安装有轴承13,两个转筒11之间传动连接有传动齿链14,传动盒10的左侧活动安装有连接杆15,连接杆15的左侧固定安装有调节旋钮16,连接杆15的右侧固定安装有垂直齿轮17,传动齿链14和垂直齿轮17均位于传动盒10的内部,传动齿链14和垂直齿轮17相互啮合,背面传动盒10的顶部固定安装有滑筒18,滑筒18的内部活动安装有滑杆19,滑杆19和螺纹移动杆12的顶部均固定安装有固定盒20,通过固定块1底部卡槽2的设置,将两个固定块1通过卡槽2插在手术台上的两个手术台杆4上,再将第一固定螺栓5插入螺孔3内拧紧,使第一固定螺栓5将手术台杆4夹紧,完成初步固定,再将加固板6加装在固定块1底部,将第二固定螺栓8拧入加固孔7内,使加固板6顶部的弹性块9将手术台杆4压紧,进一步加强了固定的稳定性,通过旋转调节旋钮16,可以使连接杆15带动垂直齿轮17转动,从而带动传动齿链14移动,使两个转筒11在轴承13内同步转动,从而使螺纹移动杆12受到螺纹推力上下移动,即可调节固定盒20上下移动,完成整个器械的升降,且精度更高,达到了高度调节精准且稳定性好的目的,两个固定盒20相对的一侧之间活动安装有数量为两个的螺纹转杆21,螺纹转杆21的前后两端分别贯穿两个固定盒20相对的一侧并延伸至固定盒20的外侧,滑筒18的长度与转筒11的长度相等,螺纹移动杆12的长度与螺纹转杆21的长度相等,左侧螺纹转杆21的背面和右侧螺纹转杆21的正面均固定连接有调节转轮22,两个固定盒20相背的一侧均固定安装有伸缩杆23,伸缩杆23由套筒和套杆组成,套筒的内侧活动安装有套杆,两个固定盒20呈对称分布于螺纹转杆21中轴线的前后两侧,伸缩杆23远离固定盒20的一端固定安装有限位齿轮24,调节转轮22的外侧固定安装有限位齿块,限位齿块与限位齿轮24相互啮合,两个螺纹转杆21的外侧均活动安装有水平移动板25,水平移动板25的外侧固定安装有螺纹连接块26,正面螺纹连接块26与右侧螺纹转杆21螺纹连接,背面螺纹连接块26与左侧螺纹转杆21螺纹连接,水平移动板25的右侧固定安装有撑块27,通过转动两个调节转轮22,可以使螺纹转杆21转动,而水平移动板25是通过螺纹连接块26安装在螺纹转杆21的外侧,使得水平移动板25能随着螺纹转杆21的转动而水平移动,进而使两个撑块27可以自由水平移动,以调整撑块27的撑开距离,调节转轮22外侧的齿块是与限位齿轮24相互啮合的,所以想要转动调节转轮22需要将限位齿轮24向外拉,使调节转轮22失去限位齿轮24的限定,增加了整个装置的安全性,防止了调节转轮22被误触而导致撑块27自动移动,相比电机控制更加安全稳定,不会由于电机的故障导致器械自动撑开,达到了达到了稳定性好的目的。Please refer to Fig. 1-3, an auxiliary instrument for gastrointestinal surgery, including two fixing blocks 1, the bottom of the fixing block 1 is provided with a slot 2, and the opposite side of the fixing block 1 is provided with screw holes 3 , an operating table rod 4 is movably installed inside the card slot 2, a first fixing bolt 5 is threadedly connected to the inside of the screw hole 3, a reinforcement plate 6 is fixedly installed at the bottom of the fixing block 1, and a reinforcement hole 7 is opened at the bottom of the reinforcement plate 6. , a second fixing bolt 8 is threaded inside the reinforcement hole 7, the width of the slot 2 is larger than the diameter of the operating table rod 4, and the top of the second fixing bolt 8 penetrates the reinforcement plate 6 and the fixing block 1 and extends to the end of the fixing block 1. Inside, an elastic block 9 is fixedly installed on the top of the reinforcing plate 6, a transmission box 10 is fixedly installed on the top of the fixed block 1, two rotating drums 11 are movably installed on the top of the front transmission box 10, and the elastic block 9 is a rubber block. , the transmission box 10 is an inner hollow cuboid, the bottom of the rotating drum 11 penetrates through the top of the transmission box 10 and extends to the interior of the transmission box 10, the interior of the rotating drum 11 is threadedly connected with a threaded moving rod 12, and the top of the transmission box 10 is fixedly installed There is a bearing 13, a transmission tooth chain 14 is drivingly connected between the two drums 11, a connecting rod 15 is movably installed on the left side of the transmission box 10, an adjusting knob 16 is fixedly installed on the left side of the connecting rod 15, and the right side of the connecting rod 15 is installed. The vertical gear 17 is fixedly installed on the side, the transmission tooth chain 14 and the vertical gear 17 are located inside the transmission box 10, the transmission tooth chain 14 and the vertical gear 17 are meshed with each other, and the top of the rear transmission box 10 is fixedly installed with a sliding cylinder 18, the sliding cylinder A sliding rod 19 is movably installed inside the 18, and a fixed box 20 is fixedly installed on the top of the sliding rod 19 and the threaded moving rod 12. Through the setting of the slot 2 at the bottom of the fixing block 1, the two fixing blocks 1 are inserted through the slot 2. On the two operating table rods 4 on the operating table, insert the first fixing bolts 5 into the screw holes 3 and tighten them, so that the first fixing bolts 5 clamp the operating table rods 4 to complete the preliminary fixing, and then tighten the reinforcing plate 6 It is installed at the bottom of the fixing block 1, and the second fixing bolt 8 is screwed into the reinforcement hole 7, so that the elastic block 9 on the top of the reinforcement plate 6 presses the operating table rod 4, which further strengthens the stability of the fixation. 16. The connecting rod 15 can drive the vertical gear 17 to rotate, thereby driving the transmission gear chain 14 to move, so that the two drums 11 rotate synchronously in the bearing 13, so that the threaded moving rod 12 is moved up and down by the threaded thrust, which can be adjusted and fixed. The box 20 moves up and down to complete the lifting and lowering of the entire instrument, and the precision is higher, and the purpose of accurate height adjustment and good stability is achieved. Two threaded rotating rods are movably installed between the opposite sides of the two fixed boxes 20 21. The front and rear ends of the threaded rotating rod 21 respectively penetrate the opposite sides of the two fixed boxes 20 and extend to the outside of the fixed boxes 20. The length of the sliding cylinder 18 is equal to the length of the rotating cylinder 11, and the length of the threaded moving rod 12 is equal to The lengths of the threaded rotating rods 21 are equal, the back of the left threaded rotating rod 21 and the front of the right threaded rotating rod 21 are fixedly connected with an adjusting wheel 22, and the opposite sides of the two fixing boxes 20 are fixedly installed with telescopic rods 23, telescopic rod 2 3. It consists of a sleeve and a sleeve rod. A sleeve rod is installed on the inner side of the sleeve. The two fixed boxes 20 are symmetrically distributed on the front and rear sides of the central axis of the threaded rod 21. The telescopic rod 23 is fixedly installed at one end away from the fixed box 20. The limit gear 24 is fixedly installed on the outer side of the adjustment wheel 22, and the limit tooth block and the limit gear 24 are meshed with each other. The outer sides of the two threaded rods 21 are movably installed with a horizontal moving plate 25. The horizontal moving plate The outer side of 25 is fixedly installed with a threaded connection block 26, the front threaded connection block 26 is threadedly connected with the right threaded rod 21, the back threaded connection block 26 is threaded with the left threaded rod 21, and the right side of the horizontal moving plate 25 is fixedly installed There is a support block 27, by rotating the two adjusting wheels 22, the threaded rod 21 can be rotated, and the horizontal moving plate 25 is installed on the outer side of the threaded rod 21 through the threaded connection block 26, so that the horizontal moving plate 25 can follow the The rotation of the threaded rod 21 moves horizontally, so that the two support blocks 27 can move horizontally freely to adjust the opening distance of the support blocks 27. The tooth block outside the adjustment wheel 22 is meshed with the limit gear 24. Therefore, if you want to rotate the adjustment wheel 22, you need to pull the limit gear 24 outward, so that the adjustment wheel 22 loses the limit of the limit gear 24, which increases the safety of the whole device and prevents the adjustment wheel 22 from being accidentally touched. The support block 27 moves automatically, which is safer and more stable than the motor control, and will not automatically open the instrument due to the failure of the motor, thus achieving the goal of achieving good stability.

在使用时,将两个固定块1通过卡槽2插在手术台上的两个手术台杆4上,拧紧第一固定螺栓5,并将加固板6加装在固定块1底部,再拧紧第二固定螺栓8,可以将装置固定在手术台上,旋转调节旋钮16可以调节高度,旋转调节转轮22可以调节撑块27的撑开距离,整个装置方便调节且结构稳定。When in use, insert the two fixing blocks 1 on the two operating table rods 4 on the operating table through the card slot 2, tighten the first fixing bolt 5, and install the reinforcing plate 6 on the bottom of the fixing block 1, and then tighten The second fixing bolt 8 can fix the device on the operating table, the height can be adjusted by rotating the adjusting knob 16, and the opening distance of the support block 27 can be adjusted by rotating the adjusting wheel 22. The entire device is easy to adjust and has a stable structure.

综上所述,该肠胃外科手术辅助器械,通过固定块1底部卡槽2的设置,将两个固定块1通过卡槽2插在手术台上的两个手术台杆4上,再将第一固定螺栓5插入螺孔3内拧紧,使第一固定螺栓5将手术台杆4夹紧,完成初步固定,再将加固板6加装在固定块1底部,将第二固定螺栓8拧入加固孔7内,使加固板6顶部的弹性块9将手术台杆4压紧,进一步加强了固定的稳定性,通过旋转调节旋钮16,可以使连接杆15带动垂直齿轮17转动,从而带动传动齿链14移动,使两个转筒11在轴承13内同步转动,从而使螺纹移动杆12受到螺纹推力上下移动,即可调节固定盒20上下移动,完成整个器械的升降,且精度更高,达到了高度调节精准且稳定性好的目的。To sum up, the auxiliary instrument for gastrointestinal surgery, through the setting of the locking groove 2 at the bottom of the fixing block 1, inserts the two fixing blocks 1 on the two operating table rods 4 on the operating table through the locking groove 2, and then inserts the first A fixing bolt 5 is inserted into the screw hole 3 and tightened, so that the first fixing bolt 5 clamps the operating table rod 4 to complete the preliminary fixing, and then the reinforcing plate 6 is installed on the bottom of the fixing block 1, and the second fixing bolt 8 is screwed into In the reinforcement hole 7, the elastic block 9 on the top of the reinforcement plate 6 presses the operating table rod 4, which further strengthens the stability of the fixation. By rotating the adjustment knob 16, the connecting rod 15 can drive the vertical gear 17 to rotate, thereby driving the transmission The toothed chain 14 moves, so that the two drums 11 rotate synchronously in the bearing 13, so that the threaded moving rod 12 is moved up and down by the threaded thrust, and the fixed box 20 can be adjusted to move up and down to complete the lifting and lowering of the entire instrument with higher precision. It achieves the purpose of precise height adjustment and good stability.

并且,通过转动两个调节转轮22,可以使螺纹转杆21转动,而水平移动板25是通过螺纹连接块26安装在螺纹转杆21的外侧,使得水平移动板25能随着螺纹转杆21的转动而水平移动,进而使两个撑块27可以自由水平移动,以调整撑块27的撑开距离,调节转轮22外侧的齿块是与限位齿轮24相互啮合的,所以想要转动调节转轮22需要将限位齿轮24向外拉,使调节转轮22失去限位齿轮24的限定,增加了整个装置的安全性,防止了调节转轮22被误触而导致撑块27自动移动,相比电机控制更加安全稳定,不会由于电机的故障导致器械自动撑开,达到了达到了稳定性好的目的,解决了该装置调节高度时,是通过使用螺栓插入不同高度的通孔内来调节高度,这种高度的调节方式过于简陋,调节高度不够精准,容易出现偏高或偏低的情况,且该装置在与手术台边框进行固定时,仅仅采用固定螺栓进行固定,使得装置固定不够稳定,且装置的撑开是利用电机控制,容易发生误触或者电机故障,导致该装置自动撑开,对患者造成伤害,使得装置的安全稳定性较差的问题。In addition, by rotating the two adjusting wheels 22, the threaded rod 21 can be rotated, and the horizontal moving plate 25 is installed on the outer side of the threaded rod 21 through the threaded connection block 26, so that the horizontal moving plate 25 can follow the threaded rod 25. 21 rotates to move horizontally, so that the two support blocks 27 can move horizontally freely to adjust the distance of the support blocks 27. The tooth block outside the adjustment wheel 22 is meshed with the limit gear 24, so it is desired to Rotating the adjusting wheel 22 needs to pull the limit gear 24 outward, so that the adjusting wheel 22 loses the limitation of the limit gear 24, which increases the safety of the whole device and prevents the adjusting wheel 22 from being accidentally touched and causing the support block 27 The automatic movement is safer and more stable than the motor control, and the instrument will not be automatically stretched due to the failure of the motor, which achieves the purpose of achieving good stability. The height adjustment method is too simple, the height adjustment is not accurate enough, and it is easy to be high or low. When the device is fixed with the operating table frame, it is only fixed with fixing bolts, so that the The fixation of the device is not stable enough, and the opening of the device is controlled by a motor, which is prone to accidental touch or motor failure, causing the device to automatically open, causing harm to the patient, and making the device less safe and stable.

需要说明的是,术语“包括”、“包含”或者其任何其他变体意在涵盖非排他性的包含,从而使得包括一系列要素的过程、方法、物品或者设备不仅包括那些要素,而且还包括没有明确列出的其他要素,或者是还包括为这种过程、方法、物品或者设备所固有的要素。在没有更多限制的情况下,由语句“包括一个……”限定的要素,并不排除在包括所述要素的过程、方法、物品或者设备中还存在另外的相同要素。It should be noted that the terms "comprising", "comprising" or any other variation thereof are intended to encompass a non-exclusive inclusion such that a process, method, article or device comprising a series of elements includes not only those elements, but also no Other elements expressly listed, or which are also inherent to such a process, method, article or apparatus. Without further limitation, an element qualified by the phrase "comprising a..." does not preclude the presence of additional identical elements in a process, method, article or apparatus that includes the element.

尽管已经示出和描述了本发明的实施例,对于本领域的普通技术人员而言,可以理解在不脱离本发明的原理和精神的情况下可以对这些实施例进行多种变化、修改、替换和变型,本发明的范围由所附权利要求及其等同物限定。Although embodiments of the present invention have been shown and described, it will be understood by those skilled in the art that various changes, modifications, and substitutions can be made in these embodiments without departing from the principle and spirit of the invention and modifications, the scope of the invention is defined by the appended claims and their equivalents.

Claims (9)

1. A gastrointestinal surgery auxiliary instrument comprises two fixed blocks (1), and is characterized in that: the surgical operating table is characterized in that a clamping groove (2) is formed in the bottom of the fixing block (1), a screw hole (3) is formed in one side, opposite to the other side, of the fixing block (1), an operating table rod (4) is movably mounted in the clamping groove (2), a first fixing bolt (5) is connected to the inner thread of the screw hole (3), a reinforcing plate (6) is fixedly mounted at the bottom of the fixing block (1), a reinforcing hole (7) is formed in the bottom of the reinforcing plate (6), a second fixing bolt (8) is connected to the inner thread of the reinforcing hole (7), an elastic block (9) is fixedly mounted at the top of the reinforcing plate (6), a transmission box (10) is fixedly mounted at the top of the fixing block (1), two rotary drums (11) are movably mounted at the top of the transmission box (10) in the front side, and a thread moving rod (12) is, the top fixed mounting of transmission box (10) has bearing (13), two the transmission is connected with transmission toothed chain (14) between rotary drum (11), the left side movable mounting of transmission box (10) has connecting rod (15), the left side fixed mounting of connecting rod (15) has adjust knob (16), the right side fixed mounting of connecting rod (15) has vertical gear (17), the back the top fixed mounting of transmission box (10) has slide drum (18), the inside movable mounting of slide drum (18) has slide bar (19), the equal fixed mounting in top of slide bar (19) and screw thread shifting lever (12) has fixed box (20), two movable mounting has screw thread bull stick (21) that the quantity is two between the relative one side of fixed box (20), the left side the back of screw thread bull stick (21) and the equal fixed connection in front of right side screw thread bull stick (21) have adjusting runner (22), two the equal fixed mounting in one side that fixed box (20) carried on the back mutually has telescopic link (23), the one end fixed mounting that fixed box (20) were kept away from in telescopic link (23) has stop gear (24), two the equal movable mounting in the outside of screw thread bull stick (21) has horizontal migration board (25), the outside fixed mounting of horizontal migration board (25) has threaded connection piece (26), the right side fixed mounting of horizontal migration board (25) has bracer (27).
2. A gastrointestinal surgery assistance apparatus according to claim 1 wherein: the width of the clamping groove (2) is larger than the diameter of the operating table rod (4), and the top of the second fixing bolt (8) penetrates through the reinforcing plate (6) and the fixing block (1) and extends to the inside of the fixing block (1).
3. A gastrointestinal surgery assistance apparatus according to claim 1 wherein: the elastic block (9) is a rubber block, the transmission box (10) is a cuboid with a hollow interior, and the bottom of the rotary drum (11) penetrates through the top of the transmission box (10) and extends to the interior of the transmission box (10).
4. A gastrointestinal surgery assistance apparatus according to claim 1 wherein: the transmission gear chain (14) and the vertical gear (17) are both positioned in the transmission box (10), and the transmission gear chain (14) and the vertical gear (17) are meshed with each other.
5. A gastrointestinal surgery assistance apparatus according to claim 1 wherein: the length of the sliding cylinder (18) is equal to that of the rotary cylinder (11), and the length of the threaded moving rod (12) is equal to that of the threaded rotary rod (21).
6. A gastrointestinal surgery assistance apparatus according to claim 1 wherein: telescopic link (23) comprise sleeve and loop bar, telescopic inboard movable mounting has the loop bar, two fixed box (20) are both sides around symmetric distribution in screw bull stick (21) axis.
7. A gastrointestinal surgery assistance apparatus according to claim 1 wherein: the front end and the rear end of the threaded rotating rod (21) respectively penetrate through one side of the two fixed boxes (20) opposite to each other and extend to the outer side of the fixed boxes (20).
8. A gastrointestinal surgery assistance apparatus according to claim 1 wherein: the outer side of the adjusting rotating wheel (22) is fixedly provided with a limiting tooth block, and the limiting tooth block is meshed with the limiting gear (24).
9. A gastrointestinal surgery assistance apparatus according to claim 1 wherein: the front side is in threaded connection with the right threaded rotating rod (21) through the threaded connecting block (26), and the back side is in threaded connection with the left threaded rotating rod (21) through the threaded connecting block (26).
CN202010082353.6A 2020-02-07 2020-02-07 An auxiliary instrument for gastrointestinal surgery Expired - Fee Related CN111281448B (en)

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CN112869789A (en) * 2021-01-12 2021-06-01 曹天生 A operation auxiliary system for hepatobiliary pancreas surgery
CN113288687A (en) * 2021-05-29 2021-08-24 吉林大学中日联谊医院 Colorectal fixing and pulling-out auxiliary device for gastrointestinal surgery

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