CN111529057A - Hemostasis device for hepatobiliary pancreas surgery - Google Patents

Hemostasis device for hepatobiliary pancreas surgery Download PDF

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Publication number
CN111529057A
CN111529057A CN202010495341.6A CN202010495341A CN111529057A CN 111529057 A CN111529057 A CN 111529057A CN 202010495341 A CN202010495341 A CN 202010495341A CN 111529057 A CN111529057 A CN 111529057A
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sliding
movable
block
rod
rotating
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CN202010495341.6A
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Chinese (zh)
Inventor
张珉
王云检
张玲
王效谦
万百顺
贺涛
王莉
张璐阳
周明鹤
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Henan Cancer Hospital
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Henan Cancer Hospital
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Priority to CN202010495341.6A priority Critical patent/CN111529057A/en
Publication of CN111529057A publication Critical patent/CN111529057A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B18/1402Probes for open surgery
    • 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
    • A61B90/30Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
    • 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
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00589Coagulation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00595Cauterization
    • 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
    • A61B90/30Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
    • A61B2090/309Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure using white LEDs

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Physics & Mathematics (AREA)
  • Plasma & Fusion (AREA)
  • Otolaryngology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Pathology (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention relates to the technical field of medical instruments, in particular to a hemostatic device for hepatobiliary pancreas surgery, which comprises a body, wherein a caliper mechanism matched with the body is arranged in the body; the body is connected with a first slide bar in a sliding manner, and a first sliding mechanism matched with the first slide bar is arranged in the body; the first sliding rod is connected with a first lifting rod in a sliding manner, and a lifting mechanism matched with the first lifting rod is arranged in the first sliding rod; a second sliding rod is connected in the first lifting rod in a sliding manner, and a second sliding mechanism matched with the second sliding rod is arranged in the first lifting rod; a fixed connecting block is fixedly connected to the second sliding rod, a movable control mechanism is arranged on the fixed connecting block, and the movable control mechanism comprises a first control mechanism, a second control mechanism and a rotating mechanism; the invention has ingenious conception and comprehensive functions; the problem that the electrocoagulation hemostasis device cannot be adjusted in multiple angles and in different directions is effectively solved, and the working intensity of medical staff is greatly reduced.

Description

Hemostasis device for hepatobiliary pancreas surgery
Technical Field
The invention relates to the technical field of medical instruments, in particular to a hemostasis device for a hepatobiliary pancreas surgery.
Background
Bleeding is treated in a certain way, so that the blood stops flowing outwards quickly, so that hemostasis is realized, and under the normal condition, bleeding caused by small blood vessel damage stops automatically within a few minutes, the phenomenon is called physiological hemostasis, which is one of important protection mechanisms of an organism and is the result of interaction of various factors and mechanisms. There are many ways to stop bleeding, and the commonly used ways to stop bleeding in hepatobiliary pancreas surgery are: compression hemostasis, ligation hemostasis, electrocoagulation hemostasis and tourniquet hemostasis, among which, electrocoagulation hemostasis is widely used in clinic and the principle of electrocoagulation hemostasis is the method of coagulation current hemostasis. The coagulation current can make the contact part of the probe instantly generate high heat, thereby causing the edema of surrounding tissues, compressing blood vessels, reducing or blocking the blood vessel cavity, forming thrombus and stopping bleeding. Attention should be paid to control of current intensity and electrocoagulation time to avoid excessive electrocoagulation causing tissue damage surface to be too large and too deep and bleeding at electrocoagulation position again. Electrocoagulation hemostasis is therefore widely used in hepatobiliary pancreatic surgery; however, the electrocoagulation hemostatic device in the prior art has low intelligent degree, cannot be adjusted in multiple angles and in various aspects, is time-consuming and labor-consuming in operation, and greatly increases the working strength of medical personnel.
Disclosure of Invention
In order to solve the problems, the invention provides the hemostasis device for the hepatobiliary pancreas surgery, which effectively solves the problem that the electrocoagulation hemostasis device cannot be adjusted in multiple angles and in different directions, greatly reduces the working strength of medical staff and can effectively solve the problems in the background technology.
In order to achieve the purpose, the invention provides the following technical scheme: the hemostasis device for the hepatobiliary pancreas surgery comprises a body, wherein a caliper mechanism matched with the body is arranged in the body; the body is connected with a first slide bar in a sliding manner, and a first sliding mechanism matched with the first slide bar is arranged in the body; the first sliding rod is connected with a first lifting rod in a sliding manner, and a lifting mechanism matched with the first lifting rod is arranged in the first sliding rod; a second sliding rod is connected in the first lifting rod in a sliding manner, and a second sliding mechanism matched with the second sliding rod is arranged in the first lifting rod; a fixed connecting block is fixedly connected to the second sliding rod, a movable control mechanism is arranged on the fixed connecting block, and the movable control mechanism comprises a first control mechanism, a second control mechanism and a rotating mechanism; the rotating mechanism is positioned in the second rotating block; the rotating mechanism comprises a rotating connecting block which is rotatably connected with the second rotating block, and the second rotating block is fixedly connected with a protective cover.
Further: the caliper mechanism comprises a pair of buckle mechanisms, a first worm is rotatably connected in the body, and the pair of buckle mechanisms are matched with the first worm; the clamping mechanism comprises a first worm wheel meshed with a first worm, the first worm wheel is coaxially and fixedly connected with a first screw, the first screw is rotatably connected with a first fixing ring, two sides of the first fixing ring are respectively hinged with a first movable connecting rod and a third movable connecting rod, the other end of the first movable connecting rod is rotatably connected with a second movable connecting rod, and the second movable connecting rod is rotatably connected with a first clamping block; a fourth movable connecting rod is rotatably connected to the third movable connecting rod, and a second clamping block is rotatably connected to the fourth movable connecting rod; the first screw rod is connected with a first movable ring in a threaded mode, and two ends of the first movable ring are respectively in rotating connection with the second movable connecting rod and the fourth movable connecting rod.
Further: the first sliding mechanism comprises a second worm rotatably connected with the body, a second worm wheel matched with the second worm is rotatably connected with the body, a cylindrical cam is fixedly connected with the second worm wheel coaxially, a sliding connecting block matched with the cylindrical cam is slidably connected with the body in a sliding mode, and the sliding connecting block is fixedly connected with the first sliding rod.
Further: the first lifting mechanism comprises a first transmission worm rotatably connected to a first sliding rod, a first transmission worm wheel matched with the first transmission worm is connected to the first sliding rod in a rotating mode, a first lifting screw is fixedly connected to the first transmission worm wheel in a coaxial mode, a screw sleeve matched with the first lifting screw is fixedly connected to the first lifting rod, a pair of movable sliding columns are slidably connected to the first sliding rod in a sliding mode, and the movable sliding columns are fixedly connected to the first lifting rod.
Further: the second sliding mechanism comprises a first transmission screw rod rotatably connected with the first lifting rod, a second sliding rod in threaded connection with the first transmission screw rod is slidably connected in the first lifting rod, and the second sliding rod is connected with the movable control mechanism through a fixed connecting block.
Further: the first control mechanism comprises a first driving worm rotatably connected in a fixed connecting block, a first driving worm wheel matched with the first driving worm is rotatably connected in the fixed connecting block, the first driving worm wheel is coaxially and fixedly connected with a first movable gear, a first sliding rack is slidably connected in the fixed connecting block, and the first sliding rack is meshed with the first movable gear; a second sliding rack is connected in the fixed connecting block in a sliding manner and meshed with the first movable gear; a second movable sliding rod fixedly connected with the first sliding rack is connected in the fixed connecting block in a sliding manner, and a first movable sliding rod fixedly connected with the second sliding rack is connected in the fixed connecting block in a sliding manner; a first rotating block is arranged below the fixed connecting block, and the first movable sliding rod and the second movable sliding rod are rotatably connected with the first rotating block.
Further: the second control mechanism comprises a block rotatably connected in a first rotating block, a rotating adjusting block matched with the block is rotatably connected in the first rotating block, the rotating adjusting block is fixedly connected with a second driving worm wheel through a rotating shaft, and a second driving worm matched with the second driving worm wheel is rotatably connected in the first rotating block; the block is fixedly connected with a second rotating block.
Further: the electric coagulation tool is characterized in that a third driving worm is rotatably connected to the second rotating block, a third driving worm wheel matched with the third driving worm is rotatably connected to the second rotating block, a rotating connecting block is coaxially and fixedly connected to the third driving worm wheel, and an electric coagulation tool bit is arranged on the rotating connecting block.
Further: the lamp is arranged in the protective cover, and a shadowless lamp effect can be formed.
Compared with the prior art, the gain effect of the invention is as follows:
1. the invention has ingenious conception and comprehensive functions; the clamp mechanism is arranged to realize the fixation of the invention, and the invention can be fixed on a bed body or a desk and the like, thereby facilitating the operation of medical personnel; the arrangement of the first sliding mechanism, the first lifting mechanism and the second sliding mechanism realizes the position adjustment of the medical nursing bed, realizes the positioning of the medical nursing bed on the premise of not using a movable caliper mechanism, and greatly reduces the working difficulty of medical workers.
2. The cooperation of the first control mechanism, the second control mechanism and the third control mechanism realizes the adjustment of each angle of the electrocoagulation cutter head, is more convenient for a doctor to operate during hemostasis, and the arrangement of the shadowless lamp ensures that the doctor is more accurate in the operation process, thereby greatly ensuring the accuracy of the operation.
Drawings
FIG. 1 is a perspective view of the present invention
FIG. 2 is a perspective view of a caliper mechanism of the present invention
FIG. 3 is a perspective view of the first sliding mechanism of the present invention
FIG. 4 is a sectional view of the elevating mechanism of the present invention
FIG. 5 is a perspective view of the elevating mechanism of the present invention
FIG. 6 is a cutaway view of a second sliding mechanism of the present invention
FIG. 7 is a perspective view of a second sliding mechanism of the present invention
FIG. 8 is a perspective view of a first control mechanism of the present invention
FIG. 9 is a perspective view of a second control mechanism of the present invention
FIG. 10 is a perspective view of a rotary mechanism of the present invention
In the figure: 1. a body, 2, a first worm, 3, a first slide bar, 4, a first lifting bar, 5, a second slide bar, 6, a first worm wheel, 7, a first fixed ring, 8, a first screw, 9, a first movable connecting rod, 10, a second movable connecting rod, 11, a first movable ring, 12, a first fixture block, 13, a second worm, 14, a second worm wheel, 15, a cylindrical cam, 16, a sliding connecting block, 17, a first transmission worm, 18, a first lifting screw, 19, a screw sleeve, 20, a first transmission screw, 21, a movable sliding column, 22, a fixed connecting block, 23, a first driving worm, 24, a first driving worm wheel, 25, a first movable gear, 26, a first sliding rack, 27, a second sliding rack, 28, a first movable slide bar, 29, a second movable slide bar, 30, a first rotating block, 31, a U-shaped block, 32, a rotating adjusting block, 33, a second worm wheel, 34. the electrocoagulation device comprises a second driving worm 35, a second rotating block 36, a third driving worm 37, a protective cover 38, an electrocoagulation tool bit 39, a third driving worm wheel 40, a rotating connecting block 41, a third movable connecting rod 42, a fourth movable connecting rod 43, a second clamping block 44, a first transmission worm wheel A, a first control mechanism A, a second control mechanism B, a rotating mechanism C.
Detailed Description
The hemostasis device for the hepatobiliary pancreas surgery comprises a body 1, wherein a caliper mechanism matched with the body 1 is arranged in the body 1; a first slide bar 3 is connected to the body 1 in a sliding manner, and a first sliding mechanism matched with the first slide bar 3 is arranged in the body 1; a first lifting rod 4 is connected to the first slide bar 3 in a sliding manner, and a lifting mechanism matched with the first lifting rod 4 is arranged in the first slide bar 3; a second slide bar 5 is connected in the first lifting rod 4 in a sliding manner, and a second sliding mechanism matched with the second slide bar 5 is arranged in the first lifting rod 4; a fixed connecting block 22 is fixedly connected to the second sliding rod 5, and a movable control mechanism is arranged on the fixed connecting block 22 and comprises a first control mechanism A, a second control mechanism B and a rotating mechanism C; rotation mechanism C is located within second rotation block 35; the rotating mechanism C comprises a rotating connecting block 40 rotatably connected with the second rotating block 35, and a protective cover 37 is fixedly connected to the second rotating block 35.
As shown in fig. 1, 2, 7 and 9: when the medical staff operates the electric coagulation scalpel head, the medical staff fixes the electric coagulation scalpel head on a bed body through a caliper mechanism, then adjusts the position of a first sliding rod 3 through a first sliding mechanism, adjusts the electric coagulation scalpel head to a proper height through an adjusting and lifting mechanism of the medical staff after adjusting the first sliding rod 3 to a proper position, and then adjusts a second sliding rod 5 to a proper position through a second sliding mechanism, so that the electric coagulation scalpel head 38 is roughly positioned, the operation of the medical staff is greatly facilitated, and the working difficulty of the medical staff is greatly reduced; finally, the medical staff realizes the accurate control of the electrocoagulation cutter head 38 through the adjustment of the first control mechanism A, the second control mechanism B and the rotating mechanism C. Due to the arrangement of the shadowless lamp in the protective cover 37, a doctor can conveniently and accurately observe the shadowless lamp in the operation process, and the accuracy of the operation is improved.
The caliper mechanism comprises a pair of buckle mechanisms, a first worm 2 is rotationally connected in the body 1, and the pair of buckle mechanisms are matched with the first worm 2; the buckling mechanism comprises a first worm wheel 6 meshed with the first worm 2, the first worm wheel 6 is coaxially and fixedly connected with a first screw 8, the first screw 8 is rotatably connected with a first fixing ring 7, two sides of the first fixing ring 7 are respectively hinged with a first movable connecting rod 9 and a third movable connecting rod 41, the other end of the first movable connecting rod 9 is rotatably connected with a second movable connecting rod 10, and the second movable connecting rod 10 is rotatably connected with a first clamping block 12; the third movable connecting rod 41 is rotatably connected with a fourth movable connecting rod 42, and the fourth movable connecting rod 42 is rotatably connected with a second clamping block 43; the first screw 8 is screwed with a first movable ring 11, and two ends of the first movable ring 11 are respectively connected with the second movable connecting rod 10 and the fourth movable connecting rod 42 in a rotating manner.
As shown in fig. 1 and 2: when the medical staff rotates the first worm 2, the first worm 2 simultaneously drives the pair of buckle mechanisms to move, in the process, the first worm wheel 6 drives the first screw 8 to rotate, the first screw 8 rotates and is connected with the first movable ring 11 through the screw connection and the rotation of the first fixed ring 7 to adjust the positions among the first movable connecting rod 9, the second movable connecting rod 10, the third movable connecting rod 41 and the fourth movable connecting rod 42, and meanwhile, the first fixture block 12 and the second fixture block 43 are respectively connected with the second movable connecting rod 10 and the fourth movable connecting rod 42 in a small-angle rotation manner; the first fixture block 12 and the second fixture block 43 are matched, and the bed board and the like are fixed. The arrangement of a pair of buckling mechanisms increases the stability of fixation.
The first sliding mechanism comprises a second worm 13 rotatably connected with the body 1, a second worm wheel 14 matched with the second worm 13 is rotatably connected in the body 1, a cylindrical cam 15 is coaxially and fixedly connected with the second worm wheel 14, a sliding connecting block 16 matched with the cylindrical cam 15 is slidably connected in the body 1, and the sliding connecting block 16 is fixedly connected with the first sliding rod 3.
As shown in fig. 3: medical personnel drive second worm wheel 14 when rotating second worm 13 and rotate, and second worm wheel 14 rotates and drives cylindrical cam 15 and rotate, and cylindrical cam 15 rotates and has realized the slip of first slide bar 3 on body 1 through sliding connection piece 16.
The first lifting mechanism comprises a first transmission worm 17 in rotary connection with the first slide bar 3, a first transmission worm wheel 44 matched with the first transmission worm 17 is connected in the first slide bar 3 in a rotary manner, a first lifting screw 18 is coaxially fixedly connected with the first transmission worm wheel 44, a screw sleeve 19 matched with the first lifting screw 18 is fixedly connected with the first lifting screw 4, a pair of movable sliding columns 21 are slidably connected in the first slide bar 3, and the movable sliding columns 21 are fixedly connected with the first lifting bar 4.
As shown in fig. 4 and 5: when the medical staff rotates the first transmission worm 17, the first transmission worm 17 rotates to drive the first transmission worm wheel 17 to rotate, the first transmission worm wheel 17 rotates to drive the first lifting screw 18 to rotate, and the first lifting screw 18 rotates to realize the lifting of the screw sleeve 19; meanwhile, the stability of lifting is guaranteed due to the pair of movable sliding columns 21, and the lifting of the movable sliding columns 21 is achieved due to the lifting of the second sliding block.
The second sliding mechanism comprises a first transmission screw rod 20 rotationally connected with the first lifting rod 4, a second sliding rod 5 in threaded connection with the first transmission screw rod 20 is slidably connected in the first lifting rod 4, and the second sliding rod 5 is connected with the movable control mechanism through a fixed connecting block 22.
As shown in fig. 6 and 7: medical personnel rotate first transmission screw 20, and first transmission screw 20 rotates and drives second slide bar 5 and slide in first lifter 4, because second slide bar 5 and fixed connection block 22 rigid coupling, so second slide bar 5 slides and drives fixed connection block 22 and slide to fix a position movable control mechanism.
The first control mechanism A comprises a first driving worm 23 which is rotatably connected in a fixed connecting block 22, a first driving worm wheel 24 which is matched with the first driving worm 23 is rotatably connected in the fixed connecting block 22, the first driving worm wheel 24 is coaxially and fixedly connected with a first movable gear 25, a first sliding rack 26 is slidably connected in the fixed connecting block 22, and the first sliding rack 26 is meshed with the first movable gear 25; a second sliding rack 27 is connected in the fixed connecting block 22 in a sliding manner, and the second sliding rack 27 is meshed with the first movable gear 25; a second movable sliding rod 29 fixedly connected with the first sliding rack 26 is connected in the fixed connecting block 22 in a sliding manner, and a first movable sliding rod 28 fixedly connected with the second sliding rack 27 is connected in the fixed connecting block 22 in a sliding manner; a first rotating block 30 is arranged below the fixed connecting block 22, and the first movable slide bar 28 and the second movable slide bar 29 are both rotatably connected with the first rotating block 30.
As shown in fig. 8: when the medical staff rotates the first driving worm 23, the first driving worm 23 rotates to drive the first movable gear 25 to rotate through the first driving worm wheel 24, the first movable gear 25 rotates to drive the first sliding rack 26 and the second sliding rack 27 to slide at the same time, when the first movable gear 25 rotates, the first sliding rack 26 and the second sliding rack 27 move in opposite directions, so that the first movable slide bar 28 and the second movable slide bar 29 move in opposite directions, and simultaneously, the first movable slide bar 28 and the second movable slide bar 29 are both rotatably connected with the first rotating block 30, so that the first rotating block 30 rotates.
The second control mechanism B comprises a U-shaped block 31 rotationally connected with the first rotating block 30, a rotating adjusting block 32 matched with the U-shaped block 31 is rotationally connected with the first rotating block 30, the rotating adjusting block 32 is fixedly connected with a second driving worm wheel 33 through a rotating shaft, and a second driving worm 34 matched with the second driving worm wheel 33 is rotationally connected with the first rotating block 30; a second rotating block 35 is fixed on the U-shaped block 31.
As shown in fig. 9: when the medical staff rotates the second driving worm 34, the second driving worm 34 rotates to drive the rotation adjusting block 32 to rotate through the second driving worm wheel 33, and the rotation adjusting block 32 rotates to drive the U-shaped block 31 to rotate, so that the second rotating block 35 rotates.
The second rotating block 35 is rotatably connected with a third driving worm 36, the second rotating block 35 is rotatably connected with a third driving worm wheel 39 matched with the third driving worm 36, the third driving worm wheel 39 is coaxially and fixedly connected with a rotating connecting block 40, and an electrocoagulation head 38 is arranged on the rotating connecting block 40.
As shown in fig. 10: the medical staff rotates the third driving worm 36, and the third driving worm 36 rotates to drive the rotary connecting block 40 to rotate through the third driving worm gear 39, so as to drive the electrocoagulation cutter head 38 to rotate to perform electrocoagulation hemostasis on the patient.
The LED lamp is arranged in the protective cover 37, so that a shadowless lamp effect can be formed.
As shown in fig. 10; the shadowless lamp formed by the LEDs in the protective lamp cover can enable a doctor to observe a patient more clearly in the hemostasis process, and the accuracy of operation is improved.
The working process of the invention is as follows:
as shown in fig. 1, 2, 7 and 9: when the medical staff operates the bed, the medical staff fixes the bed on the bed through the caliper mechanism, when the medical staff rotates the first worm 2, the first worm 2 simultaneously drives the pair of buckle mechanisms to move, in the process, the first worm wheel 6 drives the first screw 8 to rotate, the first screw 8 rotates and simultaneously adjusts the positions among the first movable connecting rod 9, the second movable connecting rod 10, the third movable connecting rod 41 and the fourth movable connecting rod 42 through the screw connection with the first movable ring 11 and the rotary connection of the first fixing ring 7, and simultaneously the first clamping block 12 and the second clamping block 43 are respectively connected with the second movable connecting rod 10 and the fourth movable connecting rod 42 in a small-angle rotary manner; the first fixture block 12 and the second fixture block 43 are matched, and the bed board and the like are fixed. The arrangement of a pair of buckling mechanisms increases the stability of fixation. Then carry out position control through first slide mechanism to first slide bar 3, medical personnel drive second worm wheel 14 and rotate when rotating second worm 13, and second worm wheel 14 rotates and drives cylindrical cam 15 and rotate, and cylindrical cam 15 rotates and has realized the slip of first slide bar 3 on body 1 through sliding connection piece 16. After the first sliding rod 3 is adjusted to a proper position, the medical staff adjusts the lifting mechanism to adjust the medical staff to a proper height, when the medical staff rotates the first transmission worm 17, the first transmission worm 17 rotates to drive the first transmission worm gear 17 to rotate, the first transmission worm gear 17 rotates to drive the first lifting screw 18 to rotate, and the first lifting screw 18 rotates to realize the lifting of the screw sleeve 19; meanwhile, the stability of lifting is guaranteed due to the pair of movable sliding columns 21, and the lifting of the movable sliding columns 21 is achieved due to the lifting of the second sliding block. Then medical personnel adjust second slide bar 5 to suitable position thereby realized electrocoagulation head 38 roughly fixing a position through second slide mechanism, medical personnel rotate first transmission screw 20, first transmission screw 20 rotates and drives second slide bar 5 and slide in first lifter 4, because second slide bar 5 and fixed connection piece 22 rigid coupling, so second slide bar 5 slides and drives fixed connection piece 22 and slide to fix a position movable control mechanism. The operation of medical staff is greatly facilitated, and the working difficulty of the medical staff is greatly reduced; finally, the medical staff realizes the precise control of the electrocoagulation cutter head 38 through the adjustment of the first control mechanism A, the second control mechanism B and the rotating mechanism C, in the process, when the medical staff rotates the first driving worm 23, the first driving worm 23 rotates and drives the first movable gear 25 to rotate through the first driving worm wheel 24, the first movable gear 25 rotates and drives the first sliding rack 26 and the second sliding rack 27 to slide, when the first movable gear 25 rotates, the first sliding rack 26 and the second sliding rack 27 move in opposite directions, so that the first movable slide bar 28 and the second movable slide bar 29 move in opposite directions, and meanwhile, the first movable slide bar 28 and the second movable slide bar 29 are both rotatably connected with the first rotating block 30, so that the first rotating block 30 rotates; then, the medical staff rotates the second driving worm 34, the second driving worm 34 rotates to drive the rotary adjusting block 32 to rotate through the second driving worm wheel 33, and the rotary adjusting block 32 rotates to drive the U-shaped block 31 to rotate, so that the second rotary block 35 rotates; finally, the medical staff rotates the third driving worm 36, the third driving worm 36 rotates and drives the rotary connecting block 40 to rotate through the third driving worm gear 39, and therefore the electrocoagulation cutter head 38 is driven to rotate to perform electrocoagulation hemostasis on the patient; the shadowless lamp in the protective cover 37 is convenient for the doctor to observe accurately in the operation process, the accuracy of the operation is improved, and the working difficulty of medical staff is greatly reduced.

Claims (9)

1. Hemostasis device is used in hepatobiliary pancreas surgery, its characterized in that: the clamp comprises a body (1), wherein a caliper mechanism matched with the body (1) is arranged in the body (1); the body (1) is connected with a first sliding rod (3) in a sliding manner, and a first sliding mechanism matched with the first sliding rod (3) is arranged in the body (1); the first sliding rod (3) is connected with a first lifting rod (4) in a sliding mode, and a lifting mechanism matched with the first lifting rod (4) is arranged in the first sliding rod (3); a second sliding rod (5) is connected in the first lifting rod (4) in a sliding manner, and a second sliding mechanism matched with the second sliding rod (5) is arranged in the first lifting rod (4); a fixed connecting block (22) is fixedly connected to the second sliding rod (5), and a movable control mechanism is arranged on the fixed connecting block (22) and comprises a first control mechanism A, a second control mechanism B and a rotating mechanism C; the rotating mechanism C is positioned in the second rotating block (35); the rotating mechanism C comprises a rotating connecting block (40) rotatably connected with a second rotating block (35), and a protective cover (37) is fixedly connected to the second rotating block (35).
2. The surgical hemostatic device for liver, gallbladder and pancreas according to claim 1, wherein: the caliper mechanism comprises a pair of buckle mechanisms, a first worm (2) is rotatably connected in the body (1), and the pair of buckle mechanisms are matched with the first worm (2); the buckle mechanism comprises a first worm wheel (6) meshed with a first worm (2), the first worm wheel (6) is coaxially and fixedly connected with a first screw (8), the first screw (8) is rotatably connected with a first fixing ring (7), the fixing ring (7) is fixedly connected with the body, two sides of the first fixing ring (7) are respectively hinged with a first movable connecting rod (9) and a third movable connecting rod (41), the other end of the first movable connecting rod (9) is rotatably connected with a second movable connecting rod (10), and the second movable connecting rod (10) is rotatably connected with a first clamping block (12); a fourth movable connecting rod (42) is rotatably connected to the third movable connecting rod (41), and a second clamping block (43) is rotatably connected to the fourth movable connecting rod (42); the first screw (8) is connected with a first movable ring (11) in a threaded mode, and two ends of the first movable ring (11) are respectively in rotating connection with the second movable connecting rod (10) and the fourth movable connecting rod (42).
3. The surgical hemostatic device for liver, gallbladder and pancreas according to claim 1, wherein: first slide mechanism includes rotates second worm (13) of being connected with body (1), the internal rotation of body (1) is connected with second worm wheel (14) with second worm (13) matched with, the coaxial rigid coupling of second worm wheel (14) has cylindrical cam (15), body (1) sliding connection has sliding connection piece (16) with cylindrical cam (15) matched with, sliding connection piece (16) and first slide bar (3) rigid coupling.
4. The surgical hemostatic device for liver, gallbladder and pancreas according to claim 1, wherein: first elevating system includes first transmission worm (17) of rotation connection on first slide bar (3), first slide bar (3) internal rotation is connected with first transmission worm wheel (44) with first transmission worm (17) matched with, the coaxial rigid coupling of first transmission worm wheel (44) has first lifting screw (18), the rigid coupling has screw sleeve (19) with first lifting screw (18) matched with on first lifter (4), sliding connection has a pair of activity traveller (21) in first slide bar (3), activity traveller (21) and first lifter (4) rigid coupling.
5. The surgical hemostatic device for liver, gallbladder and pancreas according to claim 1, wherein: the second sliding mechanism comprises a first transmission screw (20) rotatably connected with the first lifting rod (4), a second sliding rod (5) in threaded connection with the first transmission screw (20) is slidably connected in the first lifting rod (4), and the second sliding rod (5) is connected with the movable control mechanism through a fixed connecting block (22).
6. The surgical hemostatic device for liver, gallbladder and pancreas according to claim 1, wherein: the first control mechanism A comprises a first driving worm (23) which is rotatably connected with a fixed connecting block (22), a first driving worm wheel (24) matched with the first driving worm (23) is rotatably connected with the fixed connecting block (22), the first driving worm wheel (24) is coaxially and fixedly connected with a first movable gear (25), a first sliding rack (26) is slidably connected with the fixed connecting block (22), and the first sliding rack (26) is meshed with the first movable gear (25); a second sliding rack (27) is connected in the fixed connecting block (22) in a sliding manner, and the second sliding rack (27) is meshed with the first movable gear (25); a second movable sliding rod (29) fixedly connected with the first sliding rack (26) is connected in the fixed connecting block (22) in a sliding manner, and a first movable sliding rod (28) fixedly connected with the second sliding rack (27) is connected in the fixed connecting block (22) in a sliding manner; a first rotating block (30) is arranged below the fixed connecting block (22), and the first movable sliding rod (28) and the second movable sliding rod (29) are rotatably connected with the first rotating block (30).
7. The surgical hemostatic device for liver, gallbladder and pancreas according to claim 6, wherein: the second control mechanism B comprises a U-shaped block (31) which is rotationally connected with a first rotating block (30), a rotating adjusting block (32) which is matched with the U-shaped block (31) is rotationally connected with the first rotating block (30), the rotating adjusting block (32) is fixedly connected with a second driving worm wheel (33) through a rotating shaft, and a second driving worm (34) which is matched with the second driving worm wheel (33) is rotationally connected with the first rotating block (30); and a second rotating block (35) is fixedly connected to the U-shaped block (31).
8. The surgical hemostatic device for liver, gallbladder and pancreas according to claim 7, wherein: the electric coagulation scalpel is characterized in that a third driving worm (36) is rotatably connected to the second rotating block (35), a third driving worm wheel (39) matched with the third driving worm (36) is rotatably connected to the second rotating block (35), a rotating connecting block (40) is coaxially and fixedly connected to the third driving worm wheel (39), and an electric coagulation scalpel head (38) is arranged on the rotating connecting block (40).
9. The surgical hemostatic device for liver, gallbladder and pancreas according to claim 1, wherein: the LED lamp is arranged in the protective cover (37), and a shadowless lamp effect can be formed.
CN202010495341.6A 2020-06-03 2020-06-03 Hemostasis device for hepatobiliary pancreas surgery Withdrawn CN111529057A (en)

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Application Number Priority Date Filing Date Title
CN202010495341.6A CN111529057A (en) 2020-06-03 2020-06-03 Hemostasis device for hepatobiliary pancreas surgery

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Application Number Priority Date Filing Date Title
CN202010495341.6A CN111529057A (en) 2020-06-03 2020-06-03 Hemostasis device for hepatobiliary pancreas surgery

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113331937A (en) * 2021-06-08 2021-09-03 郑州大学第一附属医院 Supplementary hemostasis device is used in hepatobiliary pancreas surgery

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113331937A (en) * 2021-06-08 2021-09-03 郑州大学第一附属医院 Supplementary hemostasis device is used in hepatobiliary pancreas surgery
CN113331937B (en) * 2021-06-08 2023-10-10 郑州大学第一附属医院 Auxiliary hemostatic device for hepatobiliary pancreatic surgery

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