CN111658127B - Hepatobiliary surgery is with clinical stone device of getting - Google Patents

Hepatobiliary surgery is with clinical stone device of getting Download PDF

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Publication number
CN111658127B
CN111658127B CN202010619351.6A CN202010619351A CN111658127B CN 111658127 B CN111658127 B CN 111658127B CN 202010619351 A CN202010619351 A CN 202010619351A CN 111658127 B CN111658127 B CN 111658127B
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China
Prior art keywords
push rod
handle
fixedly connected
shaped collector
funnel
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CN202010619351.6A
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Chinese (zh)
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CN111658127A (en
Inventor
张丽
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Chengdu Debaijia Medical Technology Co ltd
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Chengdu Debaijia Medical Technology Co ltd
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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
    • A61B18/1442Probes having pivoting end effectors, e.g. forceps
    • 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
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00529Liver
    • 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
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00529Liver
    • A61B2018/00535Biliary tract
    • 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
    • A61B2018/1405Electrodes having a specific shape

Abstract

The invention provides a clinical calculus removing device and a calculus removing method for hepatobiliary surgery, which comprise a support shaft and a calculus removing electrode, wherein the bottom end of the support shaft is fixedly connected with a handle, the left end of the support shaft is hinged with three-jaw forceps, the support shaft is provided with a cavity along the length direction, a push rod is arranged in the cavity in a sliding manner, and one end of the push rod penetrates out of the cavity and extends to the outside; the penetrating part of the push rod is hinged with a connecting rod, the connecting rod is hinged with the three-jaw clamp, and the left end of the push rod is fixedly connected with a gravel electrode; the upper end of the handle is slidably connected with a hook handle, the hook handle drives the push rod to move left and right through a transmission mechanism, and the right end of the hook handle is connected with the handle through a second spring; the bottom of push rod is provided with the rack on the second, and the right-hand member and the back shaft sliding connection of hopper-shaped collector leak hopper-shaped collector, and the upper end that leaks hopper-shaped collector is provided with rack under the second, and the meshing is connected with the second gear between rack and the second lower rack on the second. The invention has simple operation, and reduces the operation difficulty by utilizing the gear mechanism; the movable funnel-shaped collector is arranged to carry out recovery work, so that the operation time is effectively saved.

Description

Hepatobiliary surgery is with clinical stone device of getting
Technical Field
The invention relates to the technical field of medical instruments, in particular to a clinical calculus removing device for hepatobiliary surgery.
Background
Liver and gall stones are common diseases and frequently encountered diseases, refer to stones occurring at any position in the liver and gall system, and are classified into cholesterol stones, bile pigment stones and mixed stones according to chemical components of the stones. The treatment method comprises operation lithotripsy, western medicine treatment, and Chinese medicine treatment.
The current surgical treatment is the main treatment method for the calculus of the intrahepatic bile duct, the surgical method can be selected according to the current situation and the part where the calculus is located, and the operations of cutting the bile duct to remove the calculus, performing the drainage by matching the bile duct with the intestinal tract, performing partial hepatectomy and the like can be adopted. At present, most of the stone taking devices commonly used in clinic adopt a forceps shape, so that the clamping is very inconvenient, and the technical requirements on doctors are high; and no lighting and electrode device is provided, so that the stone removing difficulty is high; and the crushed stones are required to be clamped and then transferred by one block without a storage device, so that the operation time is prolonged and the energy of a doctor is consumed after the operation is repeated.
Disclosure of Invention
In order to solve the problems in the prior art, a clinical calculus removing device for hepatobiliary surgery is provided.
The technical scheme adopted by the invention for solving the technical problems is as follows:
the invention provides a clinical calculus removing device for hepatobiliary surgery, which comprises a supporting shaft and a calculus breaking electrode, wherein the bottom end of the supporting shaft is fixedly connected with a handle, the left end of the supporting shaft is hinged with a three-jaw forceps, the supporting shaft is provided with a cavity along the length direction, a push rod is arranged in the cavity in a sliding manner, and one end of the push rod penetrates out of the cavity and extends to the outside; the penetrating part of the push rod is hinged with a connecting rod, the connecting rod is hinged with the three-jaw clamp, and the left end of the push rod is fixedly connected with the gravel electrode; the upper end of the handle is slidably connected with a hook handle, the hook handle drives the push rod to move left and right through a first transmission mechanism, and the right end of the hook handle is connected with the handle through a second spring; the bottom of the push rod is provided with a second upper rack, the right end of the funnel-shaped collector is connected with the support shaft in a sliding mode, the upper end of the funnel-shaped collector is provided with a second lower rack, and a second gear is connected between the second upper rack and the second lower rack in a meshing mode.
Preferably, the first transmission mechanism is composed of a first lower rack arranged at the upper end of the hook handle and a first upper rack arranged at the bottom end of the push rod; a first sliding groove is formed in the joint of the handle and the supporting shaft, and the upper end of the hook handle is slidably arranged in the first sliding groove; the first lower rack is meshed with the pinion, the first upper rack is meshed with the first gear, and the first gear is fixedly connected with the pinion.
Preferably, the second transmission mechanism is composed of a second upper rack arranged at the bottom end of the push rod and a second lower rack arranged at the upper end of the funnel-shaped collector; a second sliding groove is formed in the joint of the funnel-shaped collector and the supporting shaft, and the upper end of the funnel-shaped collector is slidably arranged in the second sliding groove; and the second upper rack is connected with a second gear in a meshing manner, and the second gear is also meshed with the second lower rack.
Preferably, the bottom end of the funnel-shaped collector is fixedly connected with a cylindrical container, and the bottom end of the cylindrical container is in threaded connection with a screw cap which can be opened in a rotating mode; the connecting part of the funnel-shaped collector and the cylindrical container is provided with a brush which can play a role in preventing reverse.
Preferably, still be provided with first spring in the cavity, first spring left end with push rod fixed connection, first spring right-hand member with back shaft fixed connection, the left end fixedly connected with light of push rod.
Preferably, a battery cover is further arranged on the handle, and the gravel electrode and the illuminating lamp are powered by a battery of the battery cover; the upper end of the supporting shaft is fixedly connected with a control switch.
The invention also provides a calculus removing method of the clinical calculus removing device for the hepatobiliary surgery, which comprises the following steps:
s1: when the handle is used, a worker holds the handle, pulls the hook handle with fingers, slides the hook handle rightwards, contracts the second spring, drives the pinion to rotate anticlockwise at the moment, and simultaneously drives the first gear to rotate anticlockwise;
s2: when the first gear rotates, the push rod slides leftwards in the cavity under the action of the first upper rack;
s3: the top of the three-jaw forceps is driven to move inwards under the action of the connecting rod while the push rod slides leftwards, so that the gravel is clamped, and meanwhile, the gravel electrode carries out electrode smashing on the calculus;
s4: the push rod slides leftwards, simultaneously drives the second gear to rotate anticlockwise under the action of the second upper rack, and drives the funnel-shaped collector to move rightwards under the action of the second lower rack;
s5: the worker loosens the hook handle, under the action of the second spring, the hook handle slides leftwards to drive the pinion and the first gear to rotate clockwise, at the moment, the push rod slides rightwards in the cavity, and the three-jaw vice is gradually opened;
s6: the push rod slides rightwards and simultaneously drives the second gear to rotate clockwise, and at the moment, the funnel-shaped collector is driven to move leftwards.
Compared with the prior art, the invention has the beneficial effects that:
1. according to the invention, the three-jaw forceps are used through the gear push rod mechanism, so that the stone can be conveniently clamped, and the operation difficulty of a user is reduced.
2. According to the invention, the funnel-shaped collecting device is arranged, so that the movement of the crushed stones is not considered in the process of clamping the crushed stones, the operation time is saved, and the arranged brush can play a role in preventing reversion.
3. The invention can be conveniently illuminated by the light in the operation through the arranged lighting device and the gravel electrode, the arranged gravel electrode can carry out electrode smashing on large gravel so as to be convenient for clamping, and small gravel can be directly clamped.
Drawings
The above and/or additional aspects and advantages of the present invention will become apparent and readily appreciated from the following description of the embodiments, taken in conjunction with the accompanying drawings of which:
fig. 1 is a schematic structural view (opened state) of a first embodiment of the present invention.
Fig. 2 is a schematic view of a portion of the gear and rack of the present invention.
Fig. 3 is a schematic structural view (closed state) of the second embodiment of the present invention.
Description of reference numerals:
1, a handle; 2 a battery cover; 3, hooking a handle; 4 a first chute; 5 a second chute; 6 a second lower rack; 7, a screw cap; 8, a cylindrical container; 9, a brush; 10 funnel-shaped collectors; 11 three-jaw pliers; 12 a lithotripsy electrode; 13 lighting lamps; 14 a first fixing block; 15 connecting rods; 16 pin shafts; 17 a second fixed block; 18 a first gear; 19 a second gear; 20 a pinion gear; 21 a cavity; 22 a first spring; 23 a second spring; 24, fixing blocks for springs; 25 a first upper rack; 26 a first lower rack; 27 control the switch; 28 supporting the shaft; 29 a second upper rack; 30 push rod.
Detailed Description
Reference will now be made in detail to embodiments of the present invention, examples of which are illustrated in the accompanying drawings, wherein like or similar reference numerals refer to the same or similar elements or elements having the same or similar function throughout. The embodiments described below with reference to the accompanying drawings are illustrative only for the purpose of explaining the present invention, and are not to be construed as limiting the present invention.
Example one
As shown in fig. 1-2, the clinical lithotomy device for hepatobiliary surgery proposed in this embodiment includes a supporting shaft 28, two symmetrical second fixing blocks 17 are fixedly connected to two ends of the supporting shaft 28, the second fixing blocks 17 are hinged to three-jaw forceps 11, and the three-jaw forceps can rotate relatively; the supporting shaft 28 is provided with a cavity 21 along the length direction, a push rod 30 is arranged in the cavity 21 in a sliding manner, one end of the push rod 30 penetrates through the cavity 21 and extends to the outside, the cavity 21 is matched with the push rod 30, and the push rod 30 can slide relatively in the cavity 21; the cavity 21 is further provided with a first spring 22, the left end of the first spring 22 is fixedly connected with the push rod 30, the right end of the first spring 22 is fixedly connected with the support shaft 30, and when the push rod 30 moves, the first spring 22 also displaces at the same time, so that the reset effect of the push rod 30 can be achieved.
The left end of the push rod 30 is fixedly connected with the gravel electrode 12 and the illuminating lamp 13, the upper end of the supporting shaft 28 is fixedly connected with a control switch 27, and the control switch 27 can control the operation of the gravel electrode 12 and the illuminating lamp 13. The penetrating part of the push rod 30 is fixedly connected with two symmetrical first fixing blocks 14, the first fixing blocks 14 are hinged with a connecting rod 15, the connecting rod 15 is hinged with the three-jaw clamp 11 through a pin shaft 16, and when the push rod 30 moves, the three-jaw clamp 11 can grab and open under the action of the connecting rod 15.
The bottom end of the supporting shaft 28 is fixedly connected with a handle 1, a battery cover 2 is arranged on the handle 1, and a lithium battery is arranged in the battery cover 2 and used for supplying electric energy to the gravel electrode 12 and the illuminating lamp 13. A first sliding groove 4 is arranged at the joint of the supporting shaft 28 and the handle 1, the upper end of the handle 1 is connected with a hook handle 3 in a sliding manner, the upper end of the hook handle 3 is arranged in the first sliding groove 4 in a sliding manner, and the hook handle 3 can slide left and right along the first sliding groove 4; the right end of the hook handle 3 is fixedly connected with a second spring 23, the second spring 23 is fixedly connected with the handle 1 through a spring fixing block 24, and the spring fixing block 24 is used for fixing the second spring 23 and preventing the second spring 23 from being seriously deformed or separated due to the action of external force.
The upper end of the hook handle 3 is provided with a first lower rack 26, and the bottom end of the push rod 30 is provided with a first upper rack 25; the first lower rack 26 is engaged with the pinion 20, the first upper rack 25 is engaged with the first gear 18, the first gear 18 is fixedly connected with the pinion 20, and the pinion 20 is arranged to enable the hook handle 3 to move for a large distance without moving for a large distance, so that the push rod 30 can move for a large distance.
Example two
Referring to fig. 3, the other structure is the same as the first embodiment, except that in the present embodiment, the whole device is further provided with a funnel-shaped collector 10, the funnel-shaped collector 10 is a semicircular funnel-shaped collector and is distributed at the lower part of the whole gravel clamping device to prevent insufficient collection of gravel; the bottom end of the funnel-shaped collector 10 is fixedly connected with the cylindrical container 8, the bottom end of the cylindrical container 8 is in threaded connection with the screw cap 7, the screw cap 7 can be opened in a rotating mode, and when the cylindrical container 8 is filled with broken stones, the screw cap 7 is unscrewed, so that the broken stones can be taken out conveniently; the connection of the funnel-shaped collector 10 and the cylindrical vessel 8 is provided with a brush 9 which can act like a one-way valve.
The bottom end of the push rod 30 is also provided with a second upper rack 29, and the upper end of the funnel-shaped collector 10 is also provided with a second lower rack 6; a second chute 5 is arranged at the joint of the funnel-shaped collector 10 and the supporting shaft 28, the upper end of the funnel-shaped collector 10 is slidably arranged in the second chute 5, the funnel-shaped collector 10 is placed at the extending part of the supporting shaft 28, one end of the extending part is provided with a notch matched with the funnel-shaped collector 10, and the funnel-shaped collector 10 can slide in the extending part and the second chute 5; the second upper rack 29 is engaged with the second gear 19, the second gear 19 is also engaged with the second lower rack 6, and when the push rod 30 moves leftwards, the funnel-shaped collector 10 can be driven to move rightwards under the action of the second gear 19.
Referring to fig. 3, the invention also provides a calculus removing method of the clinical calculus removing device for hepatobiliary surgery, which comprises the following steps:
s1: when the handle is used, a worker holds the handle 1, pulls the hook handle 3 with fingers, the hook handle 3 slides rightwards in the first sliding groove 4, the second spring 23 contracts, at the moment, the first lower rack 26 drives the pinion 20 to rotate anticlockwise, and meanwhile, the first gear 18 also rotates anticlockwise;
s2: while the first gear 18 rotates, under the action of the first upper rack 25, the push rod 30 slides to the left in the cavity 21, and at the moment, the first spring 22 is in a stretching state;
s3: under the action of the connecting rod 15, when the push rod 30 slides leftwards, the top parts of the three-jaw pliers 11 can be driven to move inwards to achieve the clamping work of the gravels, at the moment, the illuminating lamp 13 provides illumination, and the gravels electrode 12 can perform electrode smashing on the gravels, so that the gravels are convenient to clamp;
s4: the push rod 30 slides leftwards, and drives the second gear 19 to rotate anticlockwise under the action of the second upper rack 29, and drives the funnel-shaped collector 10 to move rightwards in the second chute 5 under the action of the second lower rack 6;
s5: the worker releases the hook handle 3, under the action of the first spring 22 and the second spring 23, the hook handle 3 slides leftwards to drive the pinion 20 and the first gear 18 to rotate clockwise, at the moment, the push rod 30 slides rightwards in the cavity 21, and the three-jaw vice 11 is gradually opened;
s6: the push rod 30 slides rightwards and drives the second gear 19 to rotate clockwise, and at the same time, the funnel-shaped collector 10 is driven to move leftwards in the second chute 5.
It should be noted that, in order to ensure that the inward closing degree of the three-jaw vice 11 is good enough, the small gear 20 is arranged to be meshed with the hook handle 3, the part of the hook handle 3 in the first sliding groove 4 is big enough, the small gear 20 is small enough, and then the hook handle 3 only needs to move a small distance to realize the movement of the three-jaw vice 21 in a large distance.
The funnel-shaped collector 10 which can move along with the three-jaw pliers 21 is arranged, so that the funnel-shaped collector 10 can be prevented from obstructing the sight of workers during the clamping process; the parts such as the funnel-shaped collector 10 and the like are made of transparent plastics, so that the deep weight of the whole device is reduced, and the sight of an operator is not influenced during the gravel recovery work.
While embodiments of the invention have been shown and described, it will be understood by those of ordinary skill in the art that: various changes, modifications, substitutions and alterations can be made to the embodiments without departing from the principles and spirit of the invention, the scope of which is defined by the claims and their equivalents.

Claims (5)

1. A clinical calculus removing device for hepatobiliary surgery comprises a supporting shaft (28) and a calculus breaking electrode (12), wherein a handle (1) is fixedly connected to the bottom end (28) of the supporting shaft, and the left end of the supporting shaft (28) is hinged with a three-jaw clamp (11), and is characterized in that a cavity (21) is formed in the supporting shaft (28) along the length direction, a push rod (30) is arranged in the cavity (21) in a sliding mode, and one end of the push rod (30) penetrates out of the cavity (21) and extends to the outside; a connecting rod (15) is hinged to the penetrating part of the push rod (30), the connecting rod (15) is hinged to the three-jaw clamp (11), and the gravel electrode (12) is fixedly connected to the left end of the push rod (30); the upper end of the handle (1) is connected with a hook handle (3) in a sliding manner, the hook handle (3) drives the push rod (30) to move left and right through a transmission mechanism, and the right end of the hook handle (3) is connected with the handle (1) through a second spring (23); a second upper rack (29) is arranged at the bottom end of the push rod (30), the right end of the funnel-shaped collector (10) is connected with the support shaft (28) in a sliding mode, a second lower rack (6) is arranged at the upper end of the funnel-shaped collector (10), and a second gear (19) is connected between the second upper rack (29) and the second lower rack (6) in a meshing mode;
the transmission mechanism is composed of a first lower rack (26) arranged at the upper end of the hook handle (3), and a first upper rack (25) arranged at the bottom end of the push rod (30); a first sliding groove (4) is formed in the joint of the handle (1) and the supporting shaft (28), and the upper end of the hook handle (3) is slidably arranged in the first sliding groove (4); the first lower rack (26) is meshed with the pinion (20), the first upper rack (25) is meshed with the first gear (18), and the first gear (18) is fixedly connected with the pinion (20).
2. The hepatobiliary surgery clinical calculus removal device according to claim 1, wherein a second chute (5) is disposed at a connection point of the funnel-shaped collector (10) and the support shaft (28), and an upper end of the funnel-shaped collector (10) is slidably disposed in the second chute (5).
3. The hepatobiliary surgery clinical calculus removal device according to claim 2, wherein the bottom end of the funnel-shaped collector (10) is fixedly connected with a cylindrical container (8), and a screw cap (7) which can be opened by rotating is screwed on the bottom end of the cylindrical container (8); the connecting part of the funnel-shaped collector (10) and the cylindrical container (8) is provided with a brush (9) which plays a role of anti-reversion.
4. The clinical calculus removing device for hepatobiliary surgery according to claim 1, wherein a first spring (22) is further disposed in the cavity (21), a left end of the first spring (22) is fixedly connected to the push rod (30), a right end of the first spring (22) is fixedly connected to the support shaft (28), and a left end of the push rod (30) is fixedly connected to the illuminating lamp (13).
5. The clinical calculus removing device for hepatobiliary surgery according to claim 4, wherein a battery cover (2) is further disposed on the handle (1), and the lithotripsy electrode (12) and the illuminating lamp (13) are powered by the battery of the battery cover (2); the upper end of the supporting shaft (28) is fixedly connected with a control switch (27).
CN202010619351.6A 2020-07-01 2020-07-01 Hepatobiliary surgery is with clinical stone device of getting Active CN111658127B (en)

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Families Citing this family (4)

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Publication number Priority date Publication date Assignee Title
CN112102759A (en) * 2020-10-12 2020-12-18 山东得知科技发展有限公司 Data acquisition holographic projection system and projection method
CN113598883B (en) * 2021-08-05 2022-07-08 中南大学湘雅医院 Hepatobiliary surgery is clinical with getting stone device
CN114403985A (en) * 2022-01-26 2022-04-29 上海市东方医院(同济大学附属东方医院) Stone forceps for operation
CN114451958B (en) * 2022-02-14 2023-03-24 南华大学附属第一医院 Precision control's supplementary hepatobiliary surgery of manipulator gets stone equipment

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CN2815288Y (en) * 2005-08-18 2006-09-13 陈维珍 Dual-channel coledochus stone extractor
CN204951143U (en) * 2015-08-26 2016-01-13 吴艳芳 A novel stone device of getting for hepatobiliary surgery is clinical
CN206324824U (en) * 2016-07-14 2017-07-14 付崇 A kind of liver and gall surgical department's stone taking device
CN208481417U (en) * 2018-03-22 2019-02-12 马鞍山市人民医院 Clamp device is used in a kind of operation of calculi in urinary system
CN108720896A (en) * 2018-08-22 2018-11-02 张祥东 A kind of novel stone taking device for liver and gall surgical department's clinic
CN210354833U (en) * 2019-04-12 2020-04-21 汪亚 Clinical stone device of getting of hepatobiliary surgery

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