CN111870312A - Accurate positioner of ultrasonic wave rubble - Google Patents

Accurate positioner of ultrasonic wave rubble Download PDF

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Publication number
CN111870312A
CN111870312A CN202010756223.6A CN202010756223A CN111870312A CN 111870312 A CN111870312 A CN 111870312A CN 202010756223 A CN202010756223 A CN 202010756223A CN 111870312 A CN111870312 A CN 111870312A
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China
Prior art keywords
ultrasonic
fixedly connected
gear
lithotripsy
transverse
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CN202010756223.6A
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Chinese (zh)
Inventor
胡培森
赵俊峰
吴志洲
张林超
孙继建
王国桥
董建设
汪梅
崔洪泉
龚永明
陈瑞廷
王交托
夏旭
潘世杰
于小明
郑晓鹏
白洋洋
任瑞
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Henan Hospital Traditional Chinese Medicine Second Affiliated Hospital of Henan University of Traditional Chinese Medicine TCM
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Henan Hospital Traditional Chinese Medicine Second Affiliated Hospital of Henan University of Traditional Chinese Medicine TCM
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Priority to CN202010756223.6A priority Critical patent/CN111870312A/en
Publication of CN111870312A publication Critical patent/CN111870312A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/225Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for for extracorporeal shock wave lithotripsy [ESWL], e.g. by using ultrasonic waves

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Vascular Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

The ultrasonic lithotripsy accurate positioning device provided by the invention not only solves the problems that a single ultrasonic transmitting device cannot be broken when the power is too low and can damage human tissues when the power is too high, meanwhile, the ultrasonic transmitter with relatively low power can focus to further break the calculus so as to avoid unnecessary damage to human tissues, the technical proposal for solving the problem is characterized by comprising a treatment bin consisting of two semi-cylindrical shells which can be opened and closed, a treatment bed which is positioned in the treatment bin and can be translated in vertical and horizontal directions, a plurality of groups of synchronous belts which are longitudinally arranged on the treatment bed, and a multi-azimuth lithotripsy device which is positioned in the treatment bin, is transversely connected in a sliding way and is coincident with the axis of the treatment bin, meanwhile, the calculus can be broken in multiple directions by adopting a focusing mode when in use, and meanwhile, the damage to human tissues can be avoided.

Description

Accurate positioner of ultrasonic wave rubble
Technical Field
The invention relates to a medical instrument, in particular to an ultrasonic lithotripsy accurate positioning device.
Background
Traditional external ultrasonic lithotripsy device fixes a position through B ultrasonic when using, then pastes supersonic generator tight health, then makes internal calculus go on the breakage through cavitation effect and mechanical effect that produces when contacting internal calculus through the ultrasonic shock wave that supersonic generator produced, but because the ultrasonic impact of the ultrasonic wave of adoption to the range of covering indiscriminate, inevitable can cause the injury to some tissues of human body, so the phenomenon that many patients can appear hematuria and health uncomfortable after carrying out external ultrasonic lithotripsy.
On the other hand, in the case of ultrasonic lithotripsy, since most of human tissues are water, and water accounts for 75% of the brain, 75% of the heart, 86% of the lung, 86% of the liver, 83% of the kidney, 75% of the muscle, 94% of the blood, 80% of the cartilage, and 50% of the connective tissue, there is almost no attenuation when the ultrasonic waves enter the human body from the water when the human body is immersed in the water in the case of ultrasonic lithotripsy, and thus the attenuation when the ultrasonic waves propagate is reduced when the human body is immersed in the water in the case of ultrasonic lithotripsy.
The mechanism of the impulse waveform is: non-linear acoustics.
Sinusoidal finite amplitude sound wave propagation: media density ↓ → media compressibility ↓ → propagation velocity ↓. Different pressures on the waveform and different sound velocities result in a change in the waveform.
Calculus is mainly located in kidney, and detection and location of calculus in kidney are realized; 1. abdominal plain (k.u.b): more than 95 percent of urinary calculi are positive calculi, so for patients suspected of having urinary calculi, the K.U.B examination should be the first choice, and the method has the advantages that the position, the size, the position, the number and the density of the calculi can be comprehensively known, and most importantly, the middle-segment and lower-segment ureteral calculi can not be missed for diagnosis.
B ultrasonic: the kit mainly aims at negative calculus diagnosis, has good display effect on the conditions of the calculus in the kidney and the hydronephrosis, has extremely low detection rate on the calculus in the ureter, particularly the calculus in the middle and lower segments of the ureter, and is difficult to judge the components of the calculus.
3. Urography: the method comprises intravenous urography (I.V.P) and retrograde urography, and the intravenous urography is commonly used, can accurately position calculi and is greatly helpful for judging whether diverticulum calculi or renal calyx stenosis exists; the retrograde urography is applied under the conditions that the kidney and the urinary function are poor and the kidney is not developed, and aims to clearly know whether the urinary tract is obstructed or not after the intravenous urography fails.
4. Examination of a kidney diagram: for allergic calculus patients, renal function should be known by renal picture examination.
Ultrasonic focusing: the ultrasonic focusing has good tissue penetrability and energy storage, the host generates a high-frequency electric signal, the high-frequency electric signal is converted into focused ultrasonic waves through the transducer, the ultrasonic waves are conducted into pathological change tissues by utilizing a circulating water system, a sound-transmitting membrane and a contact coupling agent, the ultrasonic waves can generate a heat effect, a mechanical effect, a cavitation effect and a biochemical effect caused by the heat effect, the mechanical effect and the mechanical effect when passing through stones, and the stones can be crushed to a certain size through the cavitation effect and the mechanical effect generated when passing through the stones and then are discharged out of the body through a urinary tract.
Disclosure of Invention
Aiming at the situation and overcoming the defects of the prior art, the invention provides an ultrasonic lithotripsy accurate positioning device, which not only solves the problems that a single ultrasonic transmitter cannot be broken when the power is too low and can damage human tissues when the power is too high, but also can further break stones through focusing of a relatively low-power ultrasonic transmitter to avoid unnecessary damage to the human tissues;
the multidirectional stone breaking device comprises two support rings which are transversely connected in the treatment bin in a sliding manner and are axially overlapped with the treatment bin, the two support rings are connected through a plurality of support rods which are uniformly arranged at intervals, annular dovetail grooves are formed in the inner side surfaces of the two support rings, dovetail-shaped sliding blocks which are respectively in sliding fit with the two dovetail-shaped sliding grooves are connected in the annular dovetail grooves in a sliding manner, the two dovetail-shaped sliding blocks extend out of the dovetail-shaped sliding grooves and are connected through transverse connecting rods which are transversely arranged, two ends of each transverse connecting rod are respectively connected with first gears in a rotating manner, racks which are arranged in an arc manner and are matched with the first gears which are rotatably connected with two ends of each transverse connecting rod are arranged on the opposite side surfaces of the two support rings, each transverse connecting rod is of a hollow structure, a transverse threaded rod is arranged in each transverse connecting rod, a movable, the moving blocks move along the transverse connecting rods through the transverse threaded rods, the left ends of the transverse threaded rods are fixedly connected with the second gears, the left ends of the transverse connecting rods are fixedly connected with driving motors, the driving motors are coaxially and rotatably connected with two third gears corresponding to the first gears and the second gears in position respectively, the first gears, the second gears and the third gears are controlled to be meshed and positioned with the first gears and the second gears through control devices, the dovetail-shaped sliding blocks and the transverse connecting rods are multiple groups, and the ultrasonic transmitting devices are fixedly connected to the moving blocks.
Preferably, the control device comprises cylindrical rotating blocks which are coaxially and fixedly connected with a rotating shaft of a driving motor fixedly connected with the left end of each transverse connecting rod and correspond to the positions between the first gear and the second gear, third gears are respectively and rotatably connected with the two rotating blocks, a plurality of sliding grooves which are uniformly distributed along the circumference are respectively arranged at the opposite positions of the two rotating blocks, the sliding grooves which are matched with the positions between the sliding grooves are arranged at the positions, corresponding to the positions between the sliding grooves, of the third gears rotatably connected with the two rotating blocks, a control buckle is coaxially and rotatably connected with the rotating shaft between the two rotating blocks, sliding blocks which are simultaneously matched with the sliding grooves arranged on the two rotating blocks and the sliding grooves on the third gear are arranged on the control buckle, the sliding blocks on the control buckle can be matched with only one sliding groove at the same time, a driving plate is rotatably connected with the control buckle, and a reversing guide rod is fixedly, the reversing guide rod is in sliding fit with the square guide rod fixedly connected to the driving motor, the two ends of the reversing guide rod are respectively and fixedly connected with positioning teeth, the end portion of the extending end of the driving sheet is fixedly connected with a magnetic attraction sheet, the driving motor is fixedly connected with an electromagnetic rod corresponding to the magnetic attraction sheet in position, the electromagnetic rod attracts the magnetic attraction sheet to contact with the end portion of the electromagnetic rod when being connected positively, and meanwhile, the driving sheet is driven to move when the magnetic attraction sheet moves, so that the reversing guide rod and the control buckle move.
Preferably, the treatment bin comprises two semi-cylindrical shells, wherein two ends of each semi-cylindrical shell are respectively hemispherical, one side surface of each semi-cylindrical shell is rotatably connected, the two semi-cylindrical shells rotate to form a sealed shell, an arc-shaped gap for placing a neck is formed in the right end of each semi-cylindrical shell, an annular elastic sealing element is fixedly connected to the arc-shaped gap on the semi-cylindrical shell below, and a water injection hole is formed in the semi-cylindrical shell at the upper end.
Preferably, the elastic sealing element comprises a rubber ring matched with the arc-shaped notches in the two semicircular shells, and an air bag ring is arranged on the inner layer of the rubber ring.
Preferably, the treatment bed comprises a square bedstead, support sleeves extend downwards from four corners of the square bedstead, threads are formed in the support sleeves, support sleeves are arranged at positions corresponding to the positions of the support sleeves on the semi-cylindrical shell located below, a lifting motor is fixedly connected to the lower end of each support sleeve, a rotating shaft of the lifting motor extends upwards from the support sleeves and is in threaded connection with the corresponding support sleeves, the lifting motors rotate synchronously, transverse sliding grooves are formed in the inner side surfaces of the front end and the rear end of the square bedstead respectively, one end of a bed body support plate which is longitudinally arranged is slidably connected into each of the two transverse sliding grooves respectively, the bed body support plates are multiple, the bed body support plates are provided with longitudinally arranged synchronous belts, and the synchronous belts are controlled by longitudinal moving motors fixedly connected to the left end and the right end of the square bedstead respectively.
Preferably, the ultrasonic generator also comprises an ultrasonic generator B which is positioned right below and fixedly connected with the transversely arranged support rods at the upper ends of the two support rings, and an ultrasonic generator B which is positioned right behind and fixedly connected with the transversely arranged support rods at the front ends of the two support rings.
Preferably, the emission of the B ultrasonic generator is staggered with the working time of the multi-azimuth lithotripter.
Preferably, the lithotripsy ranges from a stone diameter of seven to twenty millimeters.
Preferably, the ultrasonic wave emitting device comprises an ultrasonic generator fixedly connected to the moving block and a focusing cylinder coaxially and fixedly connected to the outer circumference of the ultrasonic generator, and the focuses of the ultrasonic generators are always overlapped.
Preferably, all the components in the treatment cabin are subjected to waterproof treatment.
The invention has the beneficial effects that: 1. the damage to human tissues caused by overlarge power of the ultrasonic transmitter can be avoided;
2. stones at the broken parts can be broken by utilizing multi-directional focusing without influencing other parts of the human body;
3. the bone fracture device can be adjusted in multiple directions, so that when the ultrasonic wave passes through a human body, the bone fracture is avoided passing through the bone as much as possible, and the attenuation caused by different tissues and the influence on the human body are avoided;
4. the problems of focus point deviation and inaccurate focusing caused by the fact that ultrasound passes through different media can be avoided by soaking a human body in water when the ultrasonic probe is used;
5. the calculus in the body can be positioned in real time and conveniently adjusted in real time by intermittently and circularly using the B ultrasonic generator and the multi-azimuth ultrasonic generator.
Drawings
FIG. 1 is an overall schematic view of the present invention.
FIG. 2 is a partially enlarged view of the area A of the overall schematic diagram of the present invention.
FIG. 3 is an enlarged view of the area B of the enlarged view of the area A of the overall schematic diagram of the present invention.
Fig. 4 is a cross-sectional view of the present invention.
Fig. 5 is an enlarged view of the area C in the cross-sectional view of the present invention.
Fig. 6 is an enlarged view of the area D in the cross-sectional view of the present invention.
FIG. 7 is a schematic view of the multi-orientation lithotripter of the present invention.
FIG. 8 is a schematic diagram of a control device according to the present invention.
FIG. 9 is an enlarged view of the area E of the control device of the present invention.
FIG. 10 is an enlarged view of a second view of the control device of the present invention in area E.
Fig. 11 is a sectional view of the control device of the present invention.
Fig. 12 is an enlarged view of the area F in the sectional view of the control device of the present invention.
Fig. 13 is a second perspective view of the control device of the present invention in cross-section.
Fig. 14 is an enlarged view of the control device of the present invention from a second viewing angle H.
FIG. 15 is a schematic view of the components of the control device of the present invention.
FIG. 16 is a partial cross-sectional view of an annular elastomeric seal of the present invention.
Reference numerals
1. The therapeutic device comprises a therapeutic bin, 2, a therapeutic bed, 3, a synchronous belt, 4, a support ring, 5, a support rod, 6, an annular dovetail groove, 7, a dovetail-shaped sliding block, 8, a transverse connecting rod, 9, a first gear, 10, a rack, 11, a transverse threaded rod, 12, a moving block, 13, a second gear, 14, a driving motor, 15, a third gear, 16, an ultrasonic wave emitting device, 17, a rotating block, 18, a sliding groove, 19, a control buckle, 20, a sliding block, 21, a driving sheet, 22, a reversing guide rod, 23, a positioning tooth, 24, a magnetic attraction sheet, 25, an electromagnetic rod, 26, a semi-cylindrical shell, 27, an arc notch, 28, an annular elastic sealing element, 29, a water injection hole, 30, a rubber ring, 31, an air bag ring, 32, a square bed frame, 33, a support sleeve, 34, a support barrel, 35, a lifting motor, 36, a transverse sliding groove and 37, a bed, 38. a longitudinal moving motor 39.B ultrasonic generator 40. focusing barrel.
Detailed Description
The following description of the present invention will be made in further detail with reference to the accompanying drawings 1 to 16.
The first embodiment adopts the technical scheme that the device is characterized by comprising a treatment bin 1 consisting of two semi-cylindrical shells 26 which can be opened and closed, a treatment bed 2 which is positioned in the treatment bin 1 and can be translated in the vertical direction and the horizontal direction, wherein a plurality of groups of longitudinally-arranged synchronous belts 3 are arranged on the treatment bed 2, and the device also comprises a multi-azimuth lithotripsy device which is positioned in the treatment bin 1, is connected in a horizontal sliding manner and is coincided with the axis of the treatment bin 1;
the multidirectional stone breaking device comprises two support rings 4 which are transversely connected in a treatment bin 1 in a sliding manner and are axially overlapped with the treatment bin 1, the two support rings 4 are connected through a plurality of support rods 5 which are uniformly arranged at intervals, annular dovetail grooves 6 are formed in the inner side surfaces of the two support rings 4, dovetail-shaped sliding blocks 7 which are respectively in sliding fit with the two dovetail-shaped sliding grooves are slidably connected in the annular dovetail grooves 6, the parts, extending out of the dovetail-shaped sliding grooves, of the two dovetail-shaped sliding blocks 7 are connected through transverse connecting rods 8 which are transversely arranged, two ends of each transverse connecting rod 8 are respectively rotatably connected with first gears 9, racks 10 which are arranged in an arc manner and matched with the first gears 9 which are rotatably connected with two ends of each transverse connecting rod 8 are formed in the opposite side surfaces of the two support rings 4, each transverse connecting rod 8 is of a hollow structure, a transverse threaded rod 11 is arranged in each transverse connecting, the movable block 12 is provided with threaded holes matched with the transverse threaded rod 11, the movable block 12 moves along the transverse connecting rod 8 through the transverse threaded rod 11, the left end of the transverse threaded rod 11 is fixedly connected with a second gear 13, the left end of the transverse connecting rod 8 is fixedly connected with a driving motor 14, the driving motor 14 is coaxially and rotatably connected with two third gears 15 corresponding to the first gear 9 and the second gear 13 in position respectively, the third gears 15 are controlled by a control device between the first gear 9, the second gear 13 and the third gears 15 to be meshed and positioned with the first gear 9 and the second gear 13, the dovetail-shaped sliding blocks 7 and the transverse connecting rods 8 are in multiple groups, and the ultrasonic transmitting devices 16 are fixedly connected to the movable blocks 12.
When the embodiment is used, the treatment bin 1 at the upper end is firstly opened along the rotary connecting part, the multi-azimuth stone breaking device is moved rightwards, the head of a patient lies on the treatment bed 2 to extend out of a gap reserved in the intelligent treatment bin 1 after the multi-azimuth stone breaking device is moved to the rightmost end, the kidney of the patient is positioned at the unsupported part on the treatment bed 2, the rest parts on the treatment bed 2 play a role in supporting the body, then the multi-azimuth stone is moved leftwards to the position near the kidney of the patient, the moving range of the ultrasonic transmitting device 16 in the multi-azimuth stone breaking device covers the range of the kidney, then the treatment bin 1 at the upper end of the treatment bed 2 is closed and sealed at the same time, no water flows out through a gap after the water is injected, then the water is injected into the treatment bin 1 through the water injection hole 29 reserved at the upper end of the treatment bin 1 after the treatment bin 1 is, until the water level is filled in the treatment chamber 1 and the human body is completely soaked in water, then the calculus in the body of the patient is observed and positioned by the B ultrasonic generator 39 which is positioned right above and right in front of the multi-azimuth lithotripsy device, then the control device on the multi-azimuth lithotripsy device controls the plurality of ultrasonic transmitting devices 16 to synchronously move, so that the plurality of ultrasonic transmitting devices 16 are on the same longitudinal plane, the focuses of the plurality of ultrasonic transmitting devices 16 are always overlapped and coaxial with the cylindrical treatment chamber 1, the positions of the calculus in the body are determined by the B ultrasonic generator 39, meanwhile, the plurality of ultrasonic transmitting devices 16 are longitudinally positioned on the same longitudinal section with the calculus in the body, then the treatment bed 2 is adjusted in a lifting way, so that the positions of the calculus and the focus point are positioned on the same horizontal plane of the calculus, then the longitudinal position on the treatment bed 2 is adjusted so that, then the control device controls the fixed connection of the moving block 12 of the ultrasonic emission devices 16 to be fixed and positioned, and the dovetail-shaped sliding block 7 in the annular dovetail groove 6 moves along the annular dovetail groove 6, so that the track of the ultrasonic emission devices 16 avoids the skeleton part, then the positioning is completed, and then the ultrasonic emission devices 16 synchronously carry out intermittent pulse emission, the pulse emission interval is more than one second each time, the heat energy generated by cavitation effect and mechanical effect generated by focusing can be taken away by human body circulation, the damage to human tissue caused by overhigh temperature in the tissue can be prevented, the ultrasonic emission device 16 can position the crushed and crushed calculi in real time by the B ultrasonic generator 39 in the emission interval in the treatment process, and the focusing point of the ultrasonic emission device 16 can be adjusted in real time in the treatment process, so as to accurately break the calculus.
In the second embodiment, on the basis of the first embodiment, the control device includes cylindrical rotating blocks 17 which are coaxially and fixedly connected to the rotating shaft of the driving motor 14 fixedly connected to the left end of each transverse connecting rod 8 and correspond to the positions between the first gear 9 and the second gear 13, third gears 15 are respectively rotatably connected to the two rotating blocks 17, a plurality of sliding grooves 18 uniformly distributed along the circumference are respectively formed in the opposite positions of the two rotating blocks 17, the sliding grooves 18 matched with each other are formed in the positions of the third gears 15 rotatably connected to the two rotating blocks 17 and correspond to the positions between the sliding grooves 18, a control buckle 19 is coaxially and rotatably connected to the rotating shaft between the two rotating blocks 17, sliding blocks 20 simultaneously matched with the sliding grooves 18 formed in the two rotating blocks 17 and the sliding grooves 18 formed in the third gears 15 are arranged on the control buckle 19, the sliding blocks 20 on the control buckle 19 can only be matched with one sliding groove 18 at the same time, the last rotation of control buckle 19 is connected with driving plate 21, fixedly connected with switching-over guide bar 22 on the driving plate 21 stretches out the end, looks sliding fit between the square guide bar of switching-over guide bar 22 and fixed connection on driving motor 14, switching-over guide bar 22 both ends are fixedly connected with location tooth 23 respectively, driving plate 21 stretches out end fixedly connected with magnetism attraction piece 24, fixedly connected with and magnetism attraction piece 24 position corresponding electromagnetic bar 25 on driving motor 14, attract when electromagnetic bar 25 is just connecing between magnetism attraction piece 24 and the electromagnetic bar 25 tip mutually and contact the piece, drive driving plate 21 and move when magnetism attraction piece 24 moves simultaneously, make switching-over guide bar 22 and control buckle 19 move.
In the embodiment, when the electromagnetic rod 25 is energized, the electromagnetic rod 25 generates attraction force to attract the magnetic attraction sheet 24 fixedly connected to the driving sheet 21, the magnetic attraction sheet 24 is a permanent magnet, so that the driving sheet 21 moves leftwards, the sliding block 20 positioned between the two cylindrical rotating blocks 17 on the driving sheet 21 synchronously moves leftwards and is matched with the sliding groove 18 formed on the rotating block 17 on the left side and the sliding groove 18 formed on the third gear 15 on the left side, so that the rotating block 17 on the left side and the third gear 15 on the left side synchronously rotate, the driving motor 14 drives the arc-shaped dovetail-shaped sliding block 7 to move along the annular dovetail groove 6, the positioning teeth 23 on the guide rod positioned at the right end of the driving sheet 21 position the third gear 15 on the right side, when the ultrasonic transmitter 16 on the moving block 12 on the transverse connecting rod 8 needs to move, the electromagnetic rod 25 is reversely connected, the magnetic field generated on the electromagnetic rod 25 reversely rotates to push the magnetic attraction piece 24 to move rightwards, at the moment, the driving piece 21 moves rightwards, the sliding blocks 20 between the two cylindrical rotating blocks 17 on the driving piece 21 synchronously move rightwards in a heart-shaped manner, the sliding blocks 20 on the right side are simultaneously connected with the third gear 15 on the right side and the rotating blocks 17 on the right side in an integrated manner, the power generated by the driving motor 14 is transmitted to the third gear 15 on the right side, the third gear 15 on the right side is fixedly connected with the transverse threaded rod 11, when the third gear 15 on the right side rotates, the moving block 12 on the transverse connecting rod 8 is adjusted in the transverse direction under the action of the transverse threaded rod 11, and meanwhile, the positioning teeth 23 on the guide rod at the left end of the driving piece 21 position the third gear 15 at the left end.
In the third embodiment, on the basis of the first embodiment, the treatment cabin 1 includes two semi-cylindrical shells 26, two ends of each semi-cylindrical shell 26 are semi-spherical, one side of each semi-cylindrical shell 26 is rotatably connected, the two semi-cylindrical shells 26 form a sealed shell after being rotated, an arc-shaped notch 27 for placing a neck is formed at the right end of each semi-cylindrical shell 26, an annular elastic sealing member 28 is fixedly connected to the arc-shaped notch 27 on the semi-cylindrical shell 26 at the lower part, and a water injection hole 29 is formed on the semi-cylindrical shell at the upper end.
When the ultrasonic therapy device is used, the two half cylindrical shells 26 jointly form the therapy bin 1, and the cylindrical structure of the therapy bin 1 and the coincidence point of each ultrasonic transmitting device 16 coincide with the axis of the therapy bin 1, so that ultrasonic waves are reflected and then pass through the intersection point again, meanwhile, sound waves can be effectively utilized, the arc-shaped notch 27 at the right end of the therapy bin 1 is used for placing the neck of a human body, and the annular elastic sealing element 28 plays a role in sealing, and water leakage after water injection in the therapy bin 1 is prevented.
In the fourth embodiment, on the basis of the third embodiment, the elastic sealing element comprises a rubber ring 30 which is matched with the shape of the arc-shaped notch 27 on the two semicircular shells, and an air bag ring 31 is arranged on the inner layer of the rubber ring 30.
When the medical air bag is used, the elastic sealing element is firstly sleeved on the neck of a patient, then the elastic sealing element is clamped at the position of the arc-shaped notch 27 reserved at the right end of the treatment bin 1 to be in sealing connection, then air is injected into the air bag ring 31 in the sealing element, so that the air bag ring 31 is expanded, and the sealing effect on the neck of the human body is completed in the expansion process of the air bag ring 31.
Fifth embodiment, on the basis of the first embodiment, the therapeutic bed 2 includes a square bed frame 32, supporting sleeves 33 are extended downward from four corners of the square bed frame 32, threads are formed in the supporting sleeves 33, supporting cylinders 34 are disposed on the semi-cylindrical shell 26 located below and corresponding to the positions of the supporting sleeves 33, a lifting motor 35 is fixedly connected to the lower end of each supporting cylinder 34, a rotating shaft of the lifting motor 35 extends upward from the supporting cylinder 34 and is in threaded connection with the corresponding supporting sleeves 33, each lifting motor 35 rotates synchronously, transverse sliding grooves 36 are respectively disposed on the inner side surfaces of the front and rear ends of the square bed frame 32, one end of a longitudinally disposed bed supporting plate 37 is slidably connected to each of the two transverse sliding grooves 36, a plurality of longitudinally disposed synchronous belts 3 are disposed on each bed supporting plate 37, and each synchronous belt 3 is respectively driven by a longitudinally moving motor 38 fixedly connected to the left and right ends of the square bed frame 32 And (5) controlling.
When the embodiment is used, when the treatment bed 2 on which a patient lies needs to be lifted, the lifting motors 35 which are positioned at the lower ends of the supporting cylinders 34 and are in threaded connection synchronously rotate to enable the supporting cylinders 34 to move upwards in a translation manner under the action of threaded connection, when the patient on the treatment couch 2 needs to be translated longitudinally after reaching the designated height, the longitudinal moving motors 38 fixedly connected to the left and right side surfaces of the treatment couch 2 respectively rotate, and the two longitudinal rotating motors synchronously rotate the synchronous belts 3 connected to the rotating shafts of the longitudinal rotating motors during the rotation process, the patient can make longitudinal translational motion on the treatment bed 2 during the rotation of each synchronous belt 3, the lifting motion and the longitudinal movement on the treatment bed 2 are transmitted through threaded connection, and the threaded connection has a self-locking characteristic, so that the treatment bed 2 can be kept in the original position for positioning after the driving is stopped.
Sixth embodiment, on the basis of the first embodiment, the ultrasonic generator further includes an ultrasonic generator 39 facing directly below and fixedly connected to the transversely arranged support rods 5 at the upper ends of the two support rings 4, and an ultrasonic generator 39 facing directly behind and fixedly connected to the transversely arranged support rods 5 at the front ends of the two support rings 4.
When the ultrasonic calculus positioning device is used, in order to accurately observe and assist in positioning calculus in a body, the transverse and longitudinal directions of calculus right below are displayed on the B ultrasonic generators 39 which are fixedly connected with the upper ends of the two supporting rings 4 towards the right below, the transverse and vertical directions of calculus are displayed on the B ultrasonic generators 39 which are fixedly connected with the right front of the two supporting rings 4 towards the right side, and the spatial positions of calculus can be accurately reflected by overlapping two coordinate systems.
Seventh, based on sixth embodiment, the B ultrasonic generator 39 emits the ultrasonic waves staggered with the working time of the multi-azimuth lithotripter.
In use, this embodiment allows real-time observation and positioning of the stone in the dwell time of the ultrasonic emitter 16 in order to prevent interaction between the sound waves generated by the B-ultrasonic generator 39 and the ultrasonic waves generated by the ultrasonic emitter 16.
In an eighth embodiment, the lithotripsy range is within a stone diameter range of seven millimeters to twenty millimeters, based on the first embodiment.
When the ultrasonic lithotripsy device is used, the lithotripsy effect of oversized stones is poor by adopting an ultrasonic lithotripsy method, and conservative treatment is adopted as far as possible when stones are smaller than seven millimeters.
In a ninth embodiment, on the basis of the first embodiment, the ultrasonic wave emitting device 16 includes an ultrasonic wave generator fixedly connected to the moving block 12, and a focusing cylinder 40 coaxially and fixedly connected to the outer circumference of the ultrasonic wave generator, and the focal points of the ultrasonic wave generators are always overlapped.
When the ultrasonic wave focusing device is used, in order to prevent the ultrasonic waves generated by the ultrasonic wave transmitting device 16 from being insufficiently concentrated or generating a dispersion phenomenon, the focusing cylinder 40 is sleeved outside the ultrasonic wave generator, so that the ultrasonic waves generated by the ultrasonic wave generator are converged, the converged ultrasonic waves can be conveniently controlled, and meanwhile, the focus of the ultrasonic waves can be accurately controlled.

Claims (9)

1. The ultrasonic lithotripsy accurate positioning device is characterized by comprising a treatment bin (1) consisting of two semi-cylindrical shells (26) which can be opened and closed, a treatment bed (2) which is positioned in the treatment bin (1) and can be translated in vertical and horizontal directions, wherein a plurality of groups of longitudinally-arranged synchronous belts (3) are arranged on the treatment bed (2), and the ultrasonic lithotripsy accurate positioning device also comprises a multi-directional lithotripsy device which is positioned in the treatment bin (1) and is transversely connected in a sliding manner and is overlapped with the axis of the treatment bin (1);
the multidirectional stone breaking device comprises two support rings (4) which are connected in a treatment bin (1) in a transverse sliding mode and coincide with the axial direction of the treatment bin (1), the two support rings (4) are connected through a plurality of support rods (5) which are evenly arranged at intervals, annular dovetail grooves (6) are formed in the inner side faces of the two support rings (4), dovetail-shaped sliding blocks (7) which are in sliding fit with the two dovetail-shaped sliding grooves in a sliding mode are connected in the annular dovetail grooves (6), the two dovetail-shaped sliding blocks (7) extend out of the dovetail-shaped sliding grooves and are connected through transverse connecting rods (8) which are arranged transversely, two ends of each transverse connecting rod (8) are respectively and rotatably connected with first gears (9), two support rings (4) are provided with racks (10) which are arranged in an arc shape and are matched with the first gears (9) which are rotatably connected with two ends of each transverse connecting rod (8, transverse connecting rod (8) is hollow structure and is equipped with transverse threaded rod (11) in transverse connecting rod (8), sliding connection has movable block (12) in transverse sliding groove (36), set up on movable block (12) with transverse threaded rod (11) between the matched with screw hole, movable block (12) are gone on through transverse threaded rod (11) and are removed along transverse connecting rod (8), transverse threaded rod (11) left end fixedly connected with second gear (13), transverse connecting rod (8) left end fixedly connected with driving motor (14), driving motor (14) coaxial rotation is connected with two respectively with first gear (9), second gear (13) position corresponding third gear (15), first gear (9), between second gear (13) and third gear (15) through controlling means control third gear (15) and first gear (9), And the second gears (13) are meshed and positioned, the dovetail-shaped sliding blocks (7) and the transverse connecting rods (8) are in a plurality of groups, and each moving block (12) is fixedly connected with an ultrasonic transmitting device (16).
2. The ultrasonic lithotripsy accurate positioning device according to claim 1, wherein the control device comprises cylindrical rotating blocks (17) which are coaxially and fixedly connected with the rotating shaft of a driving motor (14) fixedly connected with the left end of each transverse connecting rod (8) and correspond to the positions between the first gear (9) and the second gear (13), third gears (15) are respectively and rotatably connected with the two rotating blocks (17), a plurality of sliding grooves (18) uniformly distributed along the circumference are respectively formed in the opposite positions of the two rotating blocks (17), matched sliding grooves (18) are formed in the positions, corresponding to the positions between the sliding grooves (18), of the third gears (15) rotatably connected with the two rotating blocks (17), a control buckle (19) is coaxially and rotatably connected with the rotating shaft between the two rotating blocks (17), and sliding grooves (18) on the third gears (15) are simultaneously matched with each other The magnetic power transmission mechanism comprises a moving block (20), a sliding block (20) on a control buckle (19) can only be matched with one sliding groove (18) at the same time, a driving sheet (21) is connected to the control buckle (19) in a rotating mode, a reversing guide rod (22) is fixedly connected to the extending end of the driving sheet (21), the reversing guide rod (22) is in sliding fit with a square guide rod fixedly connected to a driving motor (14), two ends of the reversing guide rod (22) are respectively and fixedly connected with a positioning tooth (23), the end portion of the extending end of the driving sheet (21) is fixedly connected with a magnetic attraction sheet (24), an electromagnetic rod (25) corresponding to the magnetic attraction sheet (24) in position is fixedly connected to the driving motor (14), when the electromagnetic rod (25) is in forward connection, the magnetic attraction sheet (24) is attracted to be in contact with a contact block with the end portion of the electromagnetic rod (25), and when the magnetic attraction sheet (24) moves, the driving sheet (21, so that the reversing guide rod (22) and the control buckle (19) move.
3. The ultrasonic lithotripsy accurate positioning device according to claim 1, wherein the treatment bin (1) comprises two semi-cylindrical shells (26), two ends of the two semi-cylindrical shells (26) are respectively hemispherical, one side surface of the two semi-cylindrical shells (26) is rotatably connected, the two semi-cylindrical shells (26) form a sealed shell after being rotated, an arc-shaped notch (27) for placing a neck is formed at the right end of the two semi-cylindrical shells (26), an annular elastic sealing member (28) is fixedly connected to the arc-shaped notch (27) on the semi-cylindrical shell (26) at the lower part, and a water injection hole (29) is formed in the semi-cylindrical shell at the upper end.
4. The ultrasonic lithotripsy accurate positioning device according to claim 3, characterized in that the elastic sealing element comprises a rubber ring (30) which is matched with the shape of the arc-shaped notch (27) on the two semicircular shells, and an air bag ring (31) is arranged on the inner layer of the rubber ring (30).
5. The ultrasonic lithotripsy accurate positioning device according to claim 1, wherein the treatment bed (2) comprises a square bed frame (32), supporting sleeves (33) are extended downwards from four corners of the square bed frame (32), threads are formed in the supporting sleeves (33), supporting cylinders (34) are arranged on the semi-cylindrical shell (26) below and corresponding to the supporting sleeves (33), a lifting motor (35) is fixedly connected to the lower end of each supporting cylinder (34), the rotating shaft of the lifting motor (35) is extended upwards from the supporting cylinder (34) and is in threaded connection with the corresponding supporting sleeves (33), each lifting motor (35) rotates synchronously, transverse sliding grooves (36) are formed in the inner side surfaces of the front end and the rear end of the square bed frame (32), and one end of a bed body supporting plate (37) which is longitudinally arranged is slidably connected in the two transverse sliding grooves (36), the bed body supporting plates (37) are multiple, the bed body supporting plates (37) are respectively provided with a synchronous belt (3) which is longitudinally arranged, and the synchronous belts (3) are respectively controlled by longitudinal moving motors (38) which are fixedly connected to the left end and the right end of the square bed frame (32).
6. The ultrasonic lithotripsy accurate positioning device according to claim 1, characterized by further comprising a directly downward B ultrasonic generator (39) fixedly connected to the transversely arranged support rods (5) at the upper ends of the two support rings (4), and a directly rearward B ultrasonic generator (39) fixedly connected to the transversely arranged support rods (5) at the front ends of the two support rings (4).
7. The apparatus according to claim 6, wherein the ultrasonic lithotripsy generator (39) emits ultrasonic waves staggered with respect to the operation time of the multi-azimuth lithotripsy apparatus.
8. The ultrasonic lithotripsy precision positioning device of claim 1, wherein the lithotripsy range is a calculus diameter in the range of seven millimeters to twenty millimeters.
9. The device for precisely positioning ultrasonic crushed stone according to claim 1, wherein the ultrasonic wave emitting device (16) comprises an ultrasonic wave generator fixedly connected to the moving block (12), and a focusing cylinder (40) coaxially and fixedly connected to the outer circumference of the ultrasonic wave generator, wherein the focuses of the ultrasonic wave generators are always overlapped.
CN202010756223.6A 2020-07-31 2020-07-31 Accurate positioner of ultrasonic wave rubble Pending CN111870312A (en)

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CN202010756223.6A CN111870312A (en) 2020-07-31 2020-07-31 Accurate positioner of ultrasonic wave rubble

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CN202010756223.6A CN111870312A (en) 2020-07-31 2020-07-31 Accurate positioner of ultrasonic wave rubble

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Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2063005U (en) * 1989-11-16 1990-10-03 中国人民解放军空军总医院 Full-functional lithotriptor of external impact wave type
CN201341918Y (en) * 2009-02-23 2009-11-11 安福聚 Extra-corporeal lithotripter with B-ultrasonic positioning system
CN103520844A (en) * 2012-07-03 2014-01-22 重庆海扶医疗科技股份有限公司 Focused ultrasonic treating device

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2063005U (en) * 1989-11-16 1990-10-03 中国人民解放军空军总医院 Full-functional lithotriptor of external impact wave type
CN201341918Y (en) * 2009-02-23 2009-11-11 安福聚 Extra-corporeal lithotripter with B-ultrasonic positioning system
CN103520844A (en) * 2012-07-03 2014-01-22 重庆海扶医疗科技股份有限公司 Focused ultrasonic treating device

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