CN111839685A

CN111839685A - Thoracocentesis drainage device

Info

Publication number: CN111839685A
Application number: CN202010862870.5A
Authority: CN
Inventors: 童祝凤; 蒋静涵; 童成成
Original assignee: Yijishan Hospital of Wannan Medical College
Current assignee: Yijishan Hospital of Wannan Medical College
Priority date: 2020-08-25
Filing date: 2020-08-25
Publication date: 2020-10-30
Anticipated expiration: 2040-08-25
Also published as: CN111839685B

Abstract

The invention discloses a pleural effusion puncture drainage device, which relates to the field of medical appliances, and comprises a fixed seat, a bracket component, a puncture drainage device, a clamping component, a binding mechanism and a driving mechanism, wherein the device is directly and relatively fixed on an affected part of a patient in a mechanical fixing mode, so that the instability phenomenon caused by the traditional flexible fixing mode is avoided, the device can be accurately positioned by means of a laser aligner, and the puncture and the tube drawing are completed by an electric push rod, so that the operation efficiency is improved; in addition, the mechanism and the disinfection mechanism of wrapping that set up can move to wound department rapidly after the extubation is finished and puncture drainage apparatus rises to the take the altitude, drips the iodophor that spills the disinfection usefulness earlier, adopts aseptic gauze to wrap the wound again, once only accomplishes the processing of wound, has shortened the process time, has reduced the probability of wound infection.

Description

Thoracocentesis drainage device

Technical Field

The invention belongs to the field of medical instruments, and particularly relates to a pleural effusion puncture drainage device.

Background

Clinically, ascites is usually drained by puncturing the abdominal cavity and placing a tube in parallel to drain the ascites for the effusion of the abdominal cavity caused by the diseases such as cirrhosis, tumor and the like. Ascites often seeps out from a puncture point after the puncture drainage apparatus is pulled out, and the reason is mainly because the peritoneal puncture pierces a sinus after the tube is placed, and seepage occurs after the tube is pulled out; the intra-abdominal pressure is high, the fat layer of the abdominal wall is thin, the body resistance is poor, and the phenomenon of water leakage occurs. The traditional clinical puncture process is manually carried out by a main doctor, an assistant uses hemostatic forceps to assist in fixing the puncture needle or fixes the puncture needle by a special fixing band or a transparent film, and the method for protecting the puncture point is that medical personnel manually cover the puncture point by sterile gauze and fix the puncture point by adhesive tape.

Along with the progress of science and technology, the state also puts forward the requirement to realizing intellectuality and automation of relevant equipment and operation process in the medical field, above-mentioned puncture needle utensil's fixed mode is comparatively crude, and stability is not enough, leads to the puncture needle utensil to drop easily, need put the pipe again, increases patient's misery, in addition, under some circumstances, when the wound was wrapped, need carry out iodophor disinfection to it in advance, wrap again, owing to manual operation, the time is longer, and the sepage is more, causes the infection easily.

Disclosure of Invention

The invention aims to provide a puncture drainage device for pleural effusion, which aims to overcome the defects in the prior art.

A pleural effusion puncture drainage device, which comprises a fixed seat, a bracket component, a puncture drainage device, a clamping component, a binding mechanism and a driving mechanism, the bracket component is arranged at the top of the fixed seat, the clamping component is connected to the bracket component in a sliding way by means of a sliding rod I and is used for realizing the clamping and fixing of the puncture drainage apparatus, the upper end of the clamping component is connected to the electric push rod and can reciprocate up and down under the action of the electric push rod, the binding mechanism is connected to the second sliding rod at the bottom of the fixed seat in a sliding manner and used for binding the punctured wound, the binding mechanism realizes horizontal movement of the binding mechanism on the second sliding rod by means of the driving mechanism, four corners of the bottom of the fixed seat are also provided with supporting legs, the tail ends of the supporting legs are connected with suckers, the front end of the binding mechanism is also provided with a disinfection mechanism and can spray iodophor to the wound to realize disinfection treatment.

Preferably, the fixing base is a U-shaped plate, a trapezoidal guide block is arranged on the bottom surface of the fixing base, the support component comprises a vertical plate, an upper plate and a lower plate, the lower end of the vertical plate is fixed to the upper end of the fixing base, the upper plate is fixed to the upper end of the vertical plate, the lower plate is also fixed to the vertical plate and located under the upper plate, the support component is F-shaped, a first through hole is formed in the lower plate, a second through hole is formed in the fixing base, and a third through hole is formed in the geometric center of the guide block.

Preferably, the electric push rod is arranged between the upper plate and the lower plate, and the first sliding rod is arranged between the lower plate and the fixed seat.

Preferably, the clamping assembly comprises a sliding block and a fixing ring, the sliding block is fixedly connected with the fixing ring, the sliding block is connected to the first sliding rod in a sliding mode, and a locking bolt is connected to an opening in one side of the fixing ring.

Preferably, the binding mechanism comprises a sliding seat, two guide wheels, a roll shaft, two guide pillars, a first spring, a first support and a second support, the sliding seat is connected to the second slide rod in a sliding manner, the top of the sliding seat is provided with two containing grooves, the two guide pillars are symmetrically arranged, the two guide pillars penetrate through the sliding seat in the direction of the first slide rod, the upper end of each guide pillar is connected with the first support, the guide wheels are rotatably connected between the two first supports, the lower end of each guide pillar penetrates through the sliding seat and is connected with the second support, the first spring is sleeved on the guide pillar between the bottom surface of each containing groove and the first support, the roll shaft is rotatably connected to the second support, and sterile;

the driving mechanism comprises a first piston cylinder, a first piston rod, a second piston cylinder, a second piston rod, a first connecting pipe and a second connecting pipe, the first piston cylinder is installed at the upper end of the lower plate, the first piston rod is connected in the first piston cylinder in a sliding mode, the lower end of the first piston cylinder extends to the lower portion of the lower plate, the upper portion of the first piston cylinder is communicated with the second connecting pipe through the first connecting pipe, the second connecting pipe is communicated with the second piston cylinder installed on the side face of the fixing seat, the second piston rod is connected in the second piston cylinder in a sliding mode, the output end of the second piston rod is connected to the sliding seat, and hydraulic oil is filled in.

Preferably, disinfection mechanism includes stock solution box, end cap, lifter plate, backup pad and spring two, the stock solution box is installed in the front end of slide with the help of the backup pad, and the bottom of stock solution box is equipped with the leakage fluid dram, the upper end of end cap is stopped at leakage fluid dram department, and the lower extreme of end cap is connected to the lifter plate, and the lifter plate is in the breach of slide front end with the help of its spout sliding connection, and is located and still installs between the bottom surface of lifter plate and the holding tank in the holding tank spring two.

Preferably, the bottom surface of the guide block is embedded with a laser aligner.

Preferably, the side of the bracket assembly is further connected with a fixing plate, and the fixing plate is connected to the manipulator.

The invention has the advantages that: the device is directly and relatively fixed on the affected part of a patient in a mechanical fixing mode, so that the instability caused by the traditional flexible fixing mode is avoided, the device can be accurately positioned by means of a laser aligner, and the puncture and the tube drawing are completed by electric push rods, so that the operation efficiency is improved; in addition, the mechanism and the disinfection mechanism of wrapping that set up can move to wound department rapidly after the extubation is finished and puncture drainage apparatus rises to the take the altitude, drips the iodophor that spills the disinfection usefulness earlier, adopts aseptic gauze to wrap the wound again, once only accomplishes the processing of wound, has shortened the process time, has reduced the probability of wound infection.

Drawings

FIG. 1 is a schematic structural diagram of the present invention.

Fig. 2 is a front view of the present invention.

Fig. 3 is a schematic structural view of the fixing base of the present invention.

Fig. 4 is a schematic structural view of the fixing base, the wrapping mechanism and the disinfecting mechanism in the invention.

Fig. 5 is a top view of fig. 4.

Fig. 6 is a sectional view taken along a-a in fig. 5.

Fig. 7 is a sectional view taken along the direction B-B in fig. 5.

Fig. 8 is a schematic view of the work of applying the sterile gauze according to the present invention.

Wherein, 1-a fixed seat, 11-a guide block, 12-a rectangular through hole, 13-a supporting leg, 14-a sucker, 15-a second sliding rod, 2-a bracket component, 21-a vertical plate, 22-an upper plate, 23-a lower plate, 24-a first sliding rod, 3-a puncture drainage device, 4-a clamping component, 41-a sliding block, 42-a fixed ring, 43-a locking bolt, 5-a binding mechanism, 51-a sliding seat, 511-a notch, 52-a guide wheel, 53-a roller shaft, 54-a guide post, 55-a first spring, 56-a first support, 57-a second support, 58-an accommodating groove, 59-sterile gauze, 6-a driving mechanism, 61-a first piston cylinder, 62-a first piston rod, 63-a second piston cylinder and 64-a second piston rod, 65-connecting pipe I, 66-connecting pipe II, 7-disinfecting mechanism, 71-liquid storage box, 72-plug, 73-lifting plate, 74-supporting plate, 75-spring II, 76-liquid discharging port, 77-sliding groove, 8-laser aligner, 9-fixing plate and 10-electric push rod.

Detailed Description

In order to make the technical means, the creation characteristics, the achievement purposes and the effects of the invention easy to understand, the invention is further described with the specific embodiments.

As shown in fig. 1 to 8, a pleural effusion puncture drainage instrument comprises a fixed seat 1, a bracket assembly 2, a puncture drainage instrument 3, a clamping assembly 4, a wrapping mechanism 5 and a driving mechanism 6, wherein the bracket assembly 2 is installed at the top of the fixed seat 1, the clamping assembly 4 is slidably connected to the bracket assembly 2 by means of a first sliding rod 24 and is used for clamping and fixing the puncture drainage instrument 3, the puncture drainage instrument 3 adopts the existing sleeve-type puncture drainage instrument and can further realize puncture drainage operation, the upper end of the clamping assembly 4 is connected to an electric push rod 10 and can reciprocate up and down under the action of the electric push rod 10, the wrapping mechanism 5 is slidably connected to a second sliding rod 15 at the bottom of the fixed seat 1 and is used for wrapping a puncture wound, the wrapping mechanism 5 realizes horizontal movement of the wrapping mechanism 5 on the second sliding rod 15 by means of the driving mechanism 6, landing leg 13 is still installed at four corners of fixing base 1 bottom, and the end-to-end connection of landing leg 13 has sucking disc 14, the front end of wrapping up mechanism 5 still is equipped with disinfection mechanism 7 and can be to wound department spraying iodophor in order to realize disinfection.

In this embodiment, the fixing base 1 is a U-shaped plate, the bottom surface of the fixing base 1 is provided with a trapezoidal guide block 11, the support assembly 2 includes a vertical plate 21, an upper plate 22 and a lower plate 23, the lower end of the vertical plate 21 is fixed at the upper end of the fixing base 1, the upper plate 22 is fixed at the upper end of the vertical plate 21, the lower plate 23 is also fixed on the vertical plate 21 and located right below the upper plate 22, the support assembly 2 is specifically in an "F" shape, the lower plate 23 is provided with a first through hole, the fixing base 1 is provided with a second through hole, and the geometric center of the guide block 11 is provided with a third through hole. In the initial state, the binding mechanism 5 is located on one side of the guide block 11 and does not contact the guide block 11.

In this embodiment, the electric putter 10 is installed between the upper plate 22 and the lower plate 23, and the first sliding rod 24 is installed between the lower plate 23 and the fixing base 1.

In this embodiment, the clamping assembly 4 includes a sliding block 41 and a fixing ring 42, the sliding block 41 is fixedly connected with the fixing ring 42, the sliding block 41 is slidably connected to the first sliding rod 24, and a locking bolt 43 is connected to an opening on one side of the fixing ring 42.

In this embodiment, the binding mechanism 5 includes a sliding seat 51, a guiding wheel 52, a roller shaft 53, two guiding columns 54, a first spring 55, a first support 56 and a second support 57, the sliding seat 51 is slidably connected to the second sliding rod 15, the top of the sliding seat 51 is provided with a receiving slot 58, the two guiding columns 54 are symmetrically provided, the two guiding columns 54 penetrate through the sliding seat 51 in the direction of the first sliding rod 24, the upper end of the guiding column 54 is connected with the first support 56, the guiding wheel 52 is rotatably connected between the two first support 56, the lower end of the guiding column 54 penetrates through the sliding seat 51 and is connected with the second support 57, the first spring 55 is sleeved on the guiding column 54 between the bottom of the receiving slot 58 and the first support 56, the roller shaft 53 is rotatably connected on the second support 57, the roller shaft 53 is wound with a sterile gauze 59, before tube drawing, a certain amount of glue can be manually applied to the wound near the wound, after the device is removed, the device can be further fixed by using adhesive tapes;

the driving mechanism 6 comprises a first piston cylinder 61, a first piston rod 62, a second piston cylinder 63, a second piston rod 64, a first connecting pipe 65 and a second connecting pipe 66, the first piston cylinder 61 is installed at the upper end of the lower plate 23, the first piston rod 62 is connected in the first piston cylinder 61 in a sliding mode, the lower end of the first piston cylinder extends to the lower portion of the lower plate 23, the upper portion of the first piston cylinder 61 is communicated with the second connecting pipe 66 through the first connecting pipe 65, the second connecting pipe 66 is communicated with the second piston cylinder 63 installed on the side face of the fixed seat 1, the second piston rod 64 is connected in the second piston cylinder 63 in a sliding mode, the output end of the second piston rod 64 is connected to the sliding seat 51, and hydraulic oil is filled in the first piston cylinder.

In this embodiment, the disinfection mechanism 7 includes a liquid storage box 71, a plug 72, a lifting plate 73, a supporting plate 74 and a second spring 75, the liquid storage box 71 is mounted at the front end of the sliding base 51 by means of the supporting plate 74, a liquid outlet 76 is formed in the bottom of the liquid storage box 71, the upper end of the plug 72 is plugged at the liquid outlet 76, the lower end of the plug 72 is connected to the lifting plate 73, the lifting plate 73 is slidably connected in a notch 511 at the front end of the sliding base 51 by means of a sliding groove 77 on the lifting plate 73, the second spring 75 is further mounted between the lifting plate 73 located in the accommodating groove 58 and the bottom surface of the accommodating groove 58, and a rectangular through hole 12 is formed in one side of the fixing base 1, which is opposite to the second piston. Wherein, the top of the liquid storage box 71 is provided with a feed inlet and is connected with a box cover through screw threads for supplementing the iodophor.

In this embodiment, the bottom surface of the guide block 11 is embedded with a laser aligner 8, and the puncture position can be determined by CT or ultrasonic examination, and then the point is marked with a pen for alignment.

In this embodiment, the side of the bracket assembly 2 is further connected with a fixing plate 9, the fixing plate 9 is connected to a manipulator, and the automatic positioning of the device can be realized by connecting the device to the manipulator.

Before the invention is used, the position of an affected part needing puncture is determined by other detection equipment, such as ultrasonic equipment, then the device is applied to the affected part of a patient by a manipulator, the support is realized by four suckers 14 and supporting legs 13, then the electric push rod 10 is started to extend, the puncture drainage device 3 also extends along with the puncture drainage device, puncture and drainage are executed, after drainage is finished, the electric push rod 10 resets, when the puncture drainage device 3 rises to a certain height, the sliding block 41 is contacted with the first piston rod 62 and pushes the first piston rod 62 to retract, hydraulic oil is compressed, the second piston rod 64 is driven to extend, the sliding seat 51 is driven to move forwards, due to the action of the guide block 11, the guide wheel 52 is pressed down, meanwhile, the lifting plate 73 is also pressed down, the plug 72 connected with the lifting plate is opened, the liquid discharge port 76 is opened, medical iodophor in the liquid storage box 71 is scattered to the wound for, the sterile gauze 59 is also applied to the wound site by the roller 53 to sterilize and wrap the wound.

After the whole process is finished, the manipulator drives the device to move away, then the puncture drainage device 3 is manually taken down, the sliding seat 51 is manually reset, and before the puncture drainage is carried out next time, sterile gauze 59 is wound on the roller shaft 53 again, and medical iodophor is filled into the liquid storage box 71.

It will be appreciated by those skilled in the art that the invention may be embodied in other specific forms without departing from the spirit or essential characteristics thereof. The embodiments disclosed above are therefore to be considered in all respects as illustrative and not restrictive. All changes which come within the scope of or equivalence to the invention are intended to be embraced therein.

Claims

1. The pleural effusion puncture drainage instrument is characterized by comprising a fixed seat (1), a bracket component (2), a puncture drainage instrument (3), a clamping component (4), a binding mechanism (5) and a driving mechanism (6), wherein the bracket component (2) is installed at the top of the fixed seat (1), the clamping component (4) is connected to the bracket component (2) in a sliding manner by virtue of a first sliding rod (24) and is used for clamping and fixing the puncture drainage instrument (3), the upper end of the clamping component (4) is connected to an electric push rod (10) and can reciprocate up and down under the action of the electric push rod (10), the binding mechanism (5) is connected to a second sliding rod (15) at the bottom of the fixed seat (1) in a sliding manner and is used for binding a puncture wound, the binding mechanism (5) realizes the horizontal movement of the binding mechanism (5) on the second sliding rod (15) by virtue of the driving mechanism (6), landing leg (13) are still installed to four corners of fixing base (1) bottom, and the end-to-end connection of landing leg (13) has sucking disc (14), the front end of wrapping mechanism (5) still is equipped with disinfection mechanism (7) and can be to wound department spraying iodophor in order to realize disinfection.

2. The pleural effusion puncture drainage instrument according to claim 1, characterized in that: fixing base (1) is the panel of "U" font, and the bottom surface of fixing base (1) is equipped with trapezoidal guide block (11), and bracket component (2) include riser (21), upper plate (22) and hypoplastron (23), the upper end at fixing base (1) is fixed to the lower extreme of riser (21), upper plate (22) are fixed in the upper end of riser (21), and hypoplastron (23) are also fixed on riser (21) and are located upper plate (22) under, and bracket component (2) specifically are "F" font, are equipped with a through-hole one on hypoplastron (23), are equipped with perforating hole two on fixing base (1), and the geometric center department of guide block (11) is equipped with perforating hole three.

3. The pleural effusion puncture drainage instrument according to claim 2, characterized in that: the electric push rod (10) is arranged between the upper plate (22) and the lower plate (23), and the first sliding rod (24) is arranged between the lower plate (23) and the fixed seat (1).

4. The pleural effusion puncture drainage instrument according to claim 1, characterized in that: the clamping assembly (4) comprises a sliding block (41) and a fixing ring (42), the sliding block (41) is fixedly connected with the fixing ring (42), the sliding block (41) is connected to the sliding rod I (24) in a sliding mode, and one side of the fixing ring (42) is opened and connected with a locking bolt (43).

5. The pleural effusion puncture drainage instrument according to claim 1, characterized in that: the binding mechanism (5) comprises a sliding seat (51), a guide wheel (52), a roller shaft (53), two guide columns (54), a first spring (55), a first support (56) and a second support (57), the sliding seat (51) is connected to the second sliding rod (15) in a sliding mode, an accommodating groove (58) is formed in the top of the sliding seat (51), the two guide columns (54) are symmetrically arranged, the two guide columns (54) penetrate through the sliding seat (51) in the direction of the first sliding rod (24), the first support (56) is connected to the upper end of each guide column (54), the guide wheel (52) is rotatably connected between the two first supports (56), the lower end of each guide column (54) penetrates through the sliding seat (51) and is connected with the second support (57), the first spring (55) is sleeved on the guide column (54) between the bottom surface of the accommodating groove (58) and the first support (56), and the roller shaft (53) is rotatably connected, sterile gauze (59) is wound on the roll shaft (53);

the driving mechanism (6) comprises a first piston cylinder (61), a first piston rod (62), a second piston cylinder (63), a second piston rod (64), a first connecting pipe (65) and a second connecting pipe (66), the piston cylinder I (61) is installed at the upper end of the lower plate (23), the piston rod I (62) is connected in the piston cylinder I (61) in a sliding mode, the lower end of the piston rod I extends to the lower portion of the lower plate (23), the upper portion of the piston cylinder I (61) is communicated with the connecting pipe II (66) through the connecting pipe I (65), the connecting pipe II (66) is communicated with the piston cylinder II (63) installed on the side face of the fixing seat (1), the piston rod II (64) is connected in the piston cylinder II (63) in a sliding mode, the output end of the piston rod II (64) is connected to the sliding seat (51), and hydraulic oil is filled in the piston cylinder I (61), the connecting pipe I (65) of the piston cylinder II (63) and the connecting.

6. The pleural effusion puncture drainage instrument according to claim 5, characterized in that: disinfection mechanism (7) include stock solution box (71), end cap (72), lifter plate (73), backup pad (74) and two (75) springs, stock solution box (71) are installed in the front end of slide (51) with the help of backup pad (74), and the bottom of stock solution box (71) is equipped with leakage fluid dram (76), the upper end jam of end cap (72) is in leakage fluid dram (76) department, and the lower extreme of end cap (72) is connected to lifter plate (73), and lifter plate (73) are in breach (511) of slide (51) front end with the help of spout (77) sliding connection on it, and are located and still install between the bottom surface of lifter plate (73) and holding tank (58) in holding tank (58) two (75) springs.

7. The pleural effusion puncture drainage instrument according to claim 1, characterized in that: the bottom surface of the guide block (11) is also embedded with a laser aligner (8).

8. The pleural effusion puncture drainage instrument according to claim 1, characterized in that: the side of the bracket component (2) is also connected with a fixing plate (9), and the fixing plate (9) is connected to a manipulator.