CN112022280A - Hepatobiliary surgery clinical stone removing device - Google Patents

Hepatobiliary surgery clinical stone removing device Download PDF

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Publication number
CN112022280A
CN112022280A CN202010926770.4A CN202010926770A CN112022280A CN 112022280 A CN112022280 A CN 112022280A CN 202010926770 A CN202010926770 A CN 202010926770A CN 112022280 A CN112022280 A CN 112022280A
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rod
moving
sliding
clamping
cylinder body
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CN202010926770.4A
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Chinese (zh)
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CN112022280B (en
Inventor
杨启
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Nanyang City Center Hospital
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Nanyang City Center Hospital
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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
    • A61B17/22031Gripping instruments, e.g. forceps, for removing or smashing calculi
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • 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
    • A61B17/22031Gripping instruments, e.g. forceps, for removing or smashing calculi
    • A61B2017/22034Gripping instruments, e.g. forceps, for removing or smashing calculi for gripping the obstruction or the tissue part from inside
    • 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
    • A61B17/22031Gripping instruments, e.g. forceps, for removing or smashing calculi
    • A61B2017/22035Gripping instruments, e.g. forceps, for removing or smashing calculi for retrieving or repositioning foreign objects
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02ATECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
    • Y02A50/00TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
    • Y02A50/30Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change

Abstract

The invention discloses a hepatobiliary surgery clinical calculus removing device; comprises a cylinder body; a moving rod is arranged in the cylinder, one end of the moving rod penetrates through the cylinder and is in sliding connection with the cylinder, and one end of the moving rod is connected with a pressing block; racks are arranged on the periphery of the other end of the movable rod, two gears are symmetrically arranged on two sides of each rack, and the gears are meshed and connected with the racks; the outer side walls of the two gears, which are far away from the moving rod, are connected with clamping rods, and the clamping rods extend to the outer side of the cylinder and are rotationally connected with the cylinder through a rotating shaft; the gear and the rotating shaft are both rotationally connected with the cylinder body; the other end of the clamping rod is provided with a clamping plate; a moving ring is arranged on the outer side of the cylinder body, and a plurality of stretching mechanisms are arranged on the moving ring; through setting up tension mechanism, simplify and get stone operating personnel, simplify the operating procedure, convenient to use promotes the efficiency of getting the stone, and stability is good.

Description

Hepatobiliary surgery clinical stone removing device
Technical Field
The invention belongs to the field of hepatobiliary medical instruments, and particularly relates to a hepatobiliary surgical clinical calculus removing device.
Background
Gallstones are stones composed of bile compounds in the gallbladder, and also refer to diseases caused by stones in the gallbladder. The components of the gallstone are cholesterol or mixed gallstone mainly containing cholesterol and cholechrome stone. Gallstones can be classified into gallstone and bile duct stone according to the affected part; surgical treatment of gall bladder stones has been the dominant position of gall bladder resection for more than a hundred years, and gall bladder stone removal is performed under direct vision, so that stones can be removed completely, and recurrence caused by stone residue is avoided. Therefore, the gallbladder-protecting lithotomy can not only avoid the complications caused by cholecystectomy, but also meet the gallbladder-protecting requirements of patients.
For the existing stone taking device, a plurality of persons are generally required to cooperate to perform an operation, the stone taking process is complex, skin needs to be cut open firstly, a skin wound is propped open by a fixed support frame, and then an attending physician holds a disposable stone taking basket or other stone taking instruments to take stones, so that the requirement on high matching degree, complex trend process and poor stability is met; to great calculus, need carry out the rubble earlier, should not directly get the stone, waste time and energy, to the calculus of tiny granule, the basket is difficult for the cover tight, takes place to drop easily, influences and gets stone efficiency.
Disclosure of Invention
Aiming at the defects of the prior art, the invention aims to provide the hepatobiliary surgery clinical calculus removing device, which has the advantages that the calculus removing operators are simplified, the operation steps are simplified, the use is convenient, the calculus removing efficiency is improved, and the stability is good by arranging the stretching mechanism.
The invention provides the following technical scheme:
a hepatobiliary surgery clinical lithotomy device; comprises a cylinder body; a moving rod is arranged in the cylinder, one end of the moving rod penetrates through the cylinder and is in sliding connection with the cylinder, and one end of the moving rod is connected with a pressing block; racks are arranged on the periphery of the other end of the movable rod, two gears are symmetrically arranged on two sides of each rack, and the gears are meshed and connected with the racks; the outer side walls of the two gears, which are far away from the moving rod, are connected with clamping rods, and the clamping rods extend to the outer side of the cylinder and are rotationally connected with the cylinder through a rotating shaft; the gear and the rotating shaft are both rotationally connected with the cylinder body; the other end of the clamping rod is provided with a clamping plate; two first sliding grooves are symmetrically formed in the inner side wall of the cylinder, the outer side wall of the moving rod is connected with two connecting rods, first sliding blocks are arranged at the other ends of the two connecting rods, and the first sliding blocks are in matched sliding connection with the first sliding grooves; the outside of barrel is equipped with the shift ring, the shift ring is equipped with a plurality of tension mechanism.
Preferably, the outer side wall of the cylinder body is provided with a plurality of sliding rails, and one side of each sliding rail, which is far away from the cylinder body, is provided with a groove; a plurality of sliding rods are arranged between the barrel and the moving ring, one ends of the sliding rods are connected with the moving ring, the other ends of the sliding rods are connected with sliding heads, the sliding heads are arranged inside the grooves, and the sliding heads are connected with the grooves in a sliding mode in a matched mode.
Preferably, the stretching mechanism comprises a box body, and the box body is connected with the movable ring in an embedded manner; a threaded rod is arranged in the box body, penetrates through the box body and is connected with the box body in a sliding mode, and one end of the threaded rod is connected with a knob; the threaded rod is provided with a moving block, the center of the moving block is provided with an internal threaded hole, and the moving block is rotationally connected with the threaded rod through the internal threaded hole; the other end of threaded rod is connected with the stopper, the both ends of stopper all are connected with the second slider.
Preferably, one end of the moving block, which is close to the limiting block, is connected with two connecting rods, the two connecting rods are both provided with second sliding chutes relative to the inner side walls, and the second sliding chutes are in sliding connection with the second sliding blocks in a matching manner; the other ends of the two connecting rods are connected with a fixed block.
Preferably, the fixed block is connected with the drag hook, the drag hook is the silica gel material.
Preferably, the other end of the moving rod is connected with a spring, and the other end of the spring is connected with the inner wall of the cylinder.
Preferably, the clamping rod is of a V-shaped structure; the cross-section of splint is the arc structure, the side that the splint kept away from the clamping bar is equipped with a plurality of lugs.
Preferably, the stretching mechanisms are arranged in four groups, and the four groups of stretching mechanisms are uniformly distributed along the peripheral side of the moving ring and are positioned on the same plane.
Preferably, four groups of sliding rods are arranged to increase the fixing property of the moving ring.
Preferably, in the using process of the device, the wound is stretched by the arranged stretching mechanism, so that the clamping rod and the clamping plate can conveniently take stones; the wound of the operation is pulled open through the draw hook, the knob is rotated, the knob drives the threaded rod to rotate, the threaded rod drives the moving block to move through rotation, the moving block drives the connecting rod and the draw hook to move, the draw hook is further driven through the threaded rod, the force for opening the wound is more convenient and convenient to grasp, the stability of the operation is improved, compared with the traditional manual method, the wound is directly opened, the secondary injury to a patient is prevented, and the operation pain of the patient is reduced; after the wound is supported in place, a groove and a sliding head are arranged between a moving ring and a through body, a barrel body is slid, so that a clamping rod and a clamping block are deep into a calculus part, at the moment, the pressing block is pressed, a rack at the end part of the moving rod is meshed with a gear, the gear is driven to rotate anticlockwise, the clamping rod is further driven to rotate, the clamping rod realizes center-to-center clamping through a rotating shaft, and the calculus is clamped through a clamping plate; then the cylinder body is slid, and the clamping rod and the clamping plate are withdrawn from the wound; finally, loosening the pressing block, bouncing the movable rod backwards through a spring arranged at the end part of the movable rod, driving the gear to rotate clockwise, driving the clamping rod to separate through the gear, and taking out the calculus; in the operation process, only need a medical personnel can accomplish to get the stone, the step is simple, convenient operation, and stability is good, promotes and gets stone efficiency.
Get the in-process of stone, through a plurality of lugs that set up at splint, the lug is the silica gel stick, when carrying out the centre gripping calculus, increases the frictional force with the calculus, prevents that the calculus from droing, further increases stability.
In the process of stone removal, in order to further increase the accuracy of stone removal and further improve the efficiency of stone removal, the distance L between the two clamping plates is more than or equal to 0.9cm and less than or equal to 3.5 cm.
Preferably, the length from the moving rod to the gear when the clamping rod is unfolded naturally is d 1; the length from the moving rod to the gear when the clamping rod carries out stone taking clamping is d 2; when the clamping plate clamps, the included angle between the clamping rod and the movable rod is theta; for better control of the accuracy of the held stones, L satisfies the following formula:
L/ sinθ=·(d12+ d22)1/2
in the above formula, the value range is 0.124-0.56, which is the angle adjustment coefficient; the units of d1 and d2 are cm.
Compared with the prior art, the invention has the following beneficial effects:
(1) according to the hepatobiliary surgery clinical calculus removing device, the wound is stretched by the arranged stretching mechanism, so that the clamping rod and the clamping plate can conveniently remove calculus; the wound of will performing the operation through the drag hook pulls open, rotates the knob, and the knob rotates through driving the threaded rod, and the threaded rod drives the movable block through rotating and removes, and the movable block drives connecting rod and drag hook and removes, further drives the drag hook through the threaded rod, and the dynamics of strutting the wound is just more convenient and hold, increases the stability of operation, directly struts the wound for traditional manual, prevents to cause secondary damage to the patient, reduces patient's operation misery.
(2) The clinical calculus removing device for the hepatobiliary surgery, disclosed by the invention, is simple in structure, can be used for removing calculus only by one medical worker in the operation process, simplifies the calculus removing step, is convenient to operate and good in stability, and improves the calculus removing efficiency.
(3) According to the hepatobiliary surgery clinical calculus removing device, the plurality of bumps are arranged on the clamping plate and are silica gel rods, so that the friction force between the silica gel rods and calculus is increased when the calculus is clamped, the calculus is prevented from falling off, and the stability is further improved.
(4) According to the liver and gall surgery clinical calculus removing device, the clamping rod and the clamping plate are driven to clamp in a pressing mode, calculus is removed, operation is convenient, and physical strength is saved.
(5) According to the hepatobiliary surgery clinical calculus removing device, the distance and angle relation between the clamping rod and the moving rod is limited, so that the calculus removing accuracy is further improved, and the calculus removing efficiency is further improved.
Drawings
In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the drawings that are required to be used in the embodiments will be briefly described below, it should be understood that the following drawings only illustrate some embodiments of the present invention and therefore should not be considered as limiting the scope, and for those skilled in the art, other related drawings can be obtained according to the drawings without inventive efforts.
Fig. 1 is an overall structural view of the present invention.
Fig. 2 is a side view of the present invention.
Fig. 3 is a schematic view of the stretching mechanism of the present invention.
Fig. 4 is a partially enlarged schematic view a of the present invention.
Fig. 5 is a partially enlarged schematic view of B of the present invention.
In the figure: 1. a barrel; 2. a moving ring; 3. a travel bar; 4. briquetting; 5. a connecting rod; 6. a first chute; 7. a first slider; 8. a stretching mechanism; 9. a spring; 10. a clamping bar; 11. a splint; 12. a bump; 13. a slide bar; 14. a rack; 15. a gear; 16. a rotating shaft; 17. a slide rail; 18. a groove; 19. a sliding head; 801. a box body; 802. a threaded rod; 803. a knob; 804. a moving block; 805. a connecting rod; 806. a second chute; 807. a limiting block; 808. a second slider; 809. a fixed block; 8010. and (4) pulling a hook.
Detailed Description
In order to make the objects, technical solutions and advantages of the embodiments of the present invention more apparent, the technical solutions of the embodiments of the present invention will be described in detail and completely with reference to the accompanying drawings. It is to be understood that the described embodiments are only a few embodiments of the present invention, and not all embodiments. All other embodiments, which can be obtained by a person skilled in the art without any inventive step based on the embodiments of the present invention, are within the scope of the present invention.
Thus, the following detailed description of the embodiments of the present invention, presented in the figures, is not intended to limit the scope of the invention, as claimed, but is merely representative of selected embodiments of the invention. All other embodiments, which can be obtained by a person skilled in the art without any inventive step based on the embodiments of the present invention, are within the scope of the present invention.
The first embodiment is as follows:
as shown in fig. 1, 2, 4 and 5, the hepatobiliary surgery clinical calculus removing device; comprises a cylinder body 1; a moving rod 3 is arranged in the cylinder body 1, one end of the moving rod 3 penetrates through the cylinder body 1 and is connected with the cylinder body 1 in a sliding manner, and one end of the moving rod 3 is connected with a pressing block 4; racks 14 are arranged on the periphery of the other end of the moving rod 3, two gears 15 are symmetrically arranged on two sides of each rack 14, and the gears 15 are meshed with the racks 14; the outer side walls, far away from the moving rod 3, of the two gears 15 are both connected with clamping rods 10, and the clamping rods 10 extend to the outer side of the cylinder 1 and are rotatably connected with the cylinder 1 through rotating shafts 16; the gear 15 and the rotating shaft 16 are both rotationally connected with the cylinder 1; the other end of the clamping rod 10 is provided with a clamping plate 11; two first sliding grooves 6 are symmetrically formed in the inner side wall of the barrel 1, two connecting rods 5 are connected to the outer side wall of the moving rod 3, first sliding blocks 7 are arranged at the other ends of the two connecting rods 5, and the first sliding blocks 7 are in sliding connection with the first sliding grooves 6 in a matching mode; the outside of barrel 1 is equipped with shift ring 2, shift ring 2 is equipped with a plurality of tension mechanism 8.
The outer side wall of the cylinder body 1 is provided with a plurality of slide rails 17, and one side of each slide rail 17, which is far away from the cylinder body 1, is provided with a groove 18; a plurality of sliding rods 13 are arranged between the barrel 1 and the moving ring 2, one end of each sliding rod 13 is connected with the moving ring 2, the other end of each sliding rod 13 is connected with a sliding head 19, the sliding heads 19 are arranged inside the grooves 18, and the sliding heads 19 are connected with the grooves 18 in a sliding mode in a matched mode.
The other end of the moving rod 3 is connected with a spring 9, and the other end of the spring 9 is connected with the inner wall of the cylinder body 1.
The clamping rod 10 is of a V-shaped structure; the cross-section of splint 11 is arc structure, splint 11 keeps away from the side of clamping bar 10 and is equipped with a plurality of lugs 12.
Four groups of stretching mechanisms 8 are arranged, and the four groups of stretching mechanisms 8 are uniformly distributed along the peripheral side of the moving ring 2 and are positioned on the same plane.
Four groups of sliding rods 13 are arranged to increase the fixing property of the moving ring 2.
When the device is used, the wound is stretched by the stretching mechanism 8, so that the clamping rod 10 and the clamping plate 11 can conveniently take stones; the wound of the operation is pulled open through the drag hook 8010, the knob 803 is rotated, the knob 803 rotates by driving the threaded rod 802, the threaded rod 802 drives the moving block 804 to move by rotating, the moving block 804 drives the connecting rod 805 and the drag hook 8010 to move, the drag hook 8010 is further driven by the threaded rod 802, the force for opening the wound is more convenient and easier to grasp, the stability of the operation is increased, compared with the traditional manual method for directly opening the wound, the secondary injury to the patient is prevented, and the operation pain of the patient is reduced; after the wound is supported in place, the groove 18 and the sliding head 19 are arranged between the moving ring 2 and the whole body, the cylinder body 1 is slid, the clamping rod 10 and the clamping block go deep into the stone part, at the moment, the pressing block 4 is pressed, the rack 14 at the end part of the moving rod 3 is meshed with the gear 15, the gear 15 is driven to rotate anticlockwise, the clamping rod 10 is further driven to rotate, the clamping rod 10 realizes center-dividing clamping through the rotating shaft 16, and the stone is clamped through the clamping plate 11; then the cylinder body 1 is slid to withdraw the clamping rod 10 and the clamping plate 11 out of the wound; finally, loosening the pressing block 4, bouncing the movable rod 3 backwards through a spring 9 arranged at the end part of the movable rod 3, driving a gear 15 to rotate clockwise, driving a clamping rod 10 to be separated by the gear 15, and taking out the calculus; in the operation process, only need a medical personnel can accomplish to get the stone, the step is simple, convenient operation, and stability is good, promotes and gets stone efficiency.
In the process of removing stones, the plurality of convex blocks 12 are arranged on the clamping plate 11, the convex blocks 12 are silica gel rods, when stones are clamped, friction force between the silica gel rods and the stones is increased, the stones are prevented from falling off, and stability is further improved.
Example two:
as shown in fig. 2, on the basis of the first embodiment, the stretching mechanism 8 includes a box 801, and the box 801 is connected with the moving ring 2 in an embedded manner; a threaded rod 802 is arranged in the box body 801, the threaded rod 802 penetrates through the box body 801 and is in sliding connection with the box body 801, and one end of the threaded rod 802 is connected with a knob 803; a moving block 804 is arranged on the threaded rod 802, an internal threaded hole is formed in the center of the moving block 804, and the moving block 804 is rotatably connected with the threaded rod 802 through the internal threaded hole; the other end of the threaded rod 802 is connected with a limiting block 807, and both ends of the limiting block 807 are connected with second sliding blocks 808.
One end of the moving block 804 close to the limiting block 807 is connected with two connecting rods 805, the opposite inner side walls of the two connecting rods 805 are both provided with a second sliding groove 806, and the second sliding groove 806 is in sliding connection with a second sliding block 808 in a matching manner; the other ends of the two connecting rods 805 are connected with a fixed block 809.
The fixing block 809 is connected with a drag hook 8010, and the drag hook 8010 is made of silica gel.
Example three:
as shown in figures 1-5, the hepatobiliary surgery clinical calculus removal device; comprises a cylinder body 1; a moving rod 3 is arranged in the cylinder body 1, one end of the moving rod 3 penetrates through the cylinder body 1 and is connected with the cylinder body 1 in a sliding manner, and one end of the moving rod 3 is connected with a pressing block 4; racks 14 are arranged on the periphery of the other end of the moving rod 3, two gears 15 are symmetrically arranged on two sides of each rack 14, and the gears 15 are meshed with the racks 14; the outer side walls, far away from the moving rod 3, of the two gears 15 are both connected with clamping rods 10, and the clamping rods 10 extend to the outer side of the cylinder 1 and are rotatably connected with the cylinder 1 through rotating shafts 16; the gear 15 and the rotating shaft 16 are both rotationally connected with the cylinder 1; the other end of the clamping rod 10 is provided with a clamping plate 11; two first sliding grooves 6 are symmetrically formed in the inner side wall of the barrel 1, two connecting rods 5 are connected to the outer side wall of the moving rod 3, first sliding blocks 7 are arranged at the other ends of the two connecting rods 5, and the first sliding blocks 7 are in sliding connection with the first sliding grooves 6 in a matching mode; the outside of barrel 1 is equipped with shift ring 2, shift ring 2 is equipped with a plurality of tension mechanism 8.
The outer side wall of the cylinder body 1 is provided with a plurality of slide rails 17, and one side of each slide rail 17, which is far away from the cylinder body 1, is provided with a groove 18; a plurality of sliding rods 13 are arranged between the barrel 1 and the moving ring 2, one end of each sliding rod 13 is connected with the moving ring 2, the other end of each sliding rod 13 is connected with a sliding head 19, the sliding heads 19 are arranged inside the grooves 18, and the sliding heads 19 are connected with the grooves 18 in a sliding mode in a matched mode.
The other end of the moving rod 3 is connected with a spring 9, and the other end of the spring 9 is connected with the inner wall of the cylinder body 1; the clamping rod 10 is of a V-shaped structure; the cross section of the clamping plate 11 is of an arc-shaped structure, and the side surface of the clamping plate 11, which is far away from the clamping rod 10, is provided with a plurality of convex blocks 12; the four groups of stretching mechanisms 8 are arranged, and the four groups of stretching mechanisms 8 are uniformly distributed along the peripheral side of the moving ring 2 and are positioned on the same plane; four groups of sliding rods 13 are arranged to increase the fixing property of the moving ring 2.
Example four
On the basis of the first embodiment, in the process of removing the stone, in order to further increase the accuracy of removing the stone, and further improve the efficiency of removing the stone, the distance L between the two clamping plates 11 is greater than or equal to 0.9cm and less than or equal to 3.5 cm.
The length from the moving rod 3 to the gear 15 when the clamping rod 10 is unfolded naturallyDegree d 1; the length from the moving rod 3 to the gear 15 when the clamping rod 10 carries out stone taking clamping is d 2; when the clamping plate 11 clamps, the included angle between the clamping rod 10 and the movable rod 3 is theta; for better control of the accuracy of the held stones, L satisfies the following formula: l/sin θ = (d 1)2+ d22)1/2(ii) a In the above formula, the value range is 0.124-0.56, which is the angle adjustment coefficient; the units of d1 and d2 are cm.
When the device is used, the wound is stretched by the stretching mechanism 8, so that the clamping rod 10 and the clamping plate 11 can conveniently take stones; the wound of the operation is pulled open through the drag hook 8010, the knob 803 is rotated, the knob 803 rotates by driving the threaded rod 802, the threaded rod 802 drives the moving block 804 to move by rotating, the moving block 804 drives the connecting rod 805 and the drag hook 8010 to move, the drag hook 8010 is further driven by the threaded rod 802, the force for opening the wound is more convenient and easier to grasp, the stability of the operation is increased, compared with the traditional manual method for directly opening the wound, the secondary injury to the patient is prevented, and the operation pain of the patient is reduced; after the wound is supported in place, the groove 18 and the sliding head 19 are arranged between the moving ring 2 and the whole body, the cylinder body 1 is slid, the clamping rod 10 and the clamping block go deep into the stone part, at the moment, the pressing block 4 is pressed, the rack 14 at the end part of the moving rod 3 is meshed with the gear 15, the gear 15 is driven to rotate anticlockwise, the clamping rod 10 is further driven to rotate, the clamping rod 10 realizes center-dividing clamping through the rotating shaft 16, and the stone is clamped through the clamping plate 11; then the cylinder body 1 is slid to withdraw the clamping rod 10 and the clamping plate 11 out of the wound; finally, loosening the pressing block 4, bouncing the movable rod 3 backwards through a spring 9 arranged at the end part of the movable rod 3, driving a gear 15 to rotate clockwise, driving a clamping rod 10 to be separated by the gear 15, and taking out the calculus; in the operation process, only need a medical personnel can accomplish to get the stone, the step is simple, convenient operation, and stability is good, promotes and gets stone efficiency.
In the process of removing stones, the plurality of convex blocks 12 are arranged on the clamping plate 11, the convex blocks 12 are silica gel rods, when stones are clamped, friction force between the silica gel rods and the stones is increased, the stones are prevented from falling off, and stability is further improved.
The device obtained by the technical scheme is a hepatobiliary surgery clinical calculus removing device, and the wound is stretched by the arranged stretching mechanism 8, so that the clamping rod 10 and the clamping plate 11 can conveniently remove calculus; the wound of the operation is pulled open through the drag hook 8010, the knob 803 is rotated, the knob 803 rotates by driving the threaded rod 802, the threaded rod 802 drives the moving block 804 to move by rotating, the moving block 804 drives the connecting rod 805 and the drag hook 8010 to move, the drag hook 8010 is further driven by the threaded rod 802, the force for opening the wound is more convenient and easier to grasp, the stability of the operation is increased, compared with the traditional manual method for directly opening the wound, the secondary injury to the patient is prevented, and the operation pain of the patient is reduced; the stone removing device is simple in structure, only one medical worker is needed to complete stone removing in the operation process, stone removing steps are simplified, operation is convenient, stability is good, and stone removing efficiency is improved; the plurality of the convex blocks 12 are arranged on the splint 11, and the convex blocks 12 are silica gel rods, so that the friction force between the silica gel rods and the calculus is increased when the calculus is clamped, the calculus is prevented from falling off, and the stability is further increased; the clamping rod 10 and the clamping plate 11 are driven to clamp in a pressing mode, so that stones are taken out, the operation is convenient, and the physical strength is saved; by defining the distance and angle relationship between the clamping bar 10 and the moving bar 3, the accuracy of stone extraction is further increased, and the efficiency of stone extraction is further improved.
The above description is only a preferred embodiment of the present invention, and is not intended to limit the present invention, and it will be apparent to those skilled in the art that various modifications and variations can be made in the present invention; any modification, equivalent replacement, or improvement made within the spirit and principle of the present invention should be included in the protection scope of the present invention.

Claims (7)

1. A hepatobiliary surgery clinical lithotomy device; comprises a cylinder body (1); the device is characterized in that a moving rod (3) is arranged in the cylinder body (1), one end of the moving rod (3) penetrates through the cylinder body (1) and is in sliding connection with the cylinder body (1), and one end of the moving rod (3) is connected with a pressing block (4); racks (14) are arranged on the periphery of the other end of the moving rod (3), two gears (15) are symmetrically arranged on two sides of each rack (14), and the gears (15) are meshed with the racks (14); the outer side walls, far away from the moving rod (3), of the two gears (15) are connected with clamping rods (10), and the clamping rods (10) extend to the outer side of the cylinder body (1) and are rotatably connected with the cylinder body (1) through rotating shafts (16); the gear (15) and the rotating shaft (16) are rotationally connected with the cylinder body (1); the other end of the clamping rod (10) is provided with a clamping plate (11); two first sliding grooves (6) are symmetrically formed in the inner side wall of the barrel (1), two connecting rods (5) are connected to the outer side wall of the moving rod (3), first sliding blocks (7) are arranged at the other ends of the two connecting rods (5), and the first sliding blocks (7) are connected with the first sliding grooves (6) in a matched sliding mode; the outer side of the barrel body (1) is provided with a moving ring (2), and the moving ring (2) is provided with a plurality of stretching mechanisms (8).
2. The hepatobiliary surgery clinical calculus removal device according to claim 1, wherein a plurality of sliding rails (17) are arranged on the outer side wall of the cylinder body (1), and a groove (18) is formed in one side of each sliding rail (17) far away from the cylinder body (1); be equipped with many slide bars (13) between barrel (1) and shift ring (2), the one end and the shift ring (2) of slide bar (13) are connected, and the other end of slide bar (13) is connected with slider (19), slider (19) are established inside recess (18), and slider (19) and recess (18) match sliding connection.
3. The hepatobiliary surgery clinical calculus removal device according to claim 1, wherein the stretching mechanism (8) comprises a box body (801), wherein the box body (801) is connected with the moving ring (2) in an embedded manner; a threaded rod (802) is arranged in the box body (801), the threaded rod (802) penetrates through the box body (801) and is in sliding connection with the box body (801), and one end of the threaded rod (802) is connected with a knob (803); a moving block (804) is arranged on the threaded rod (802), an internal threaded hole is formed in the center of the moving block (804), and the moving block (804) is rotatably connected with the threaded rod (802) through the internal threaded hole; the other end of the threaded rod (802) is connected with a limiting block (807), and two ends of the limiting block (807) are connected with second sliding blocks (808).
4. The hepatobiliary surgery clinical calculus removing device according to claim 3, wherein two connecting rods (805) are connected to one end of the moving block (804) close to the limiting block (807), a second sliding groove (806) is formed in each of the two connecting rods (805) and opposite to the inner side wall, and the second sliding groove (806) is in matching sliding connection with a second sliding block (808); the other ends of the two connecting rods (805) are connected with fixing blocks (809).
5. The hepatobiliary surgery clinical calculus removing device according to claim 4, wherein the fixing block (809) is connected with a drag hook (8010), and the drag hook (8010) is made of silica gel.
6. The hepatobiliary surgery clinical calculus removal device according to claim 1, wherein a spring (9) is connected to the other end of the moving rod (3), and the other end of the spring (9) is connected to the inner wall of the cylinder (1).
7. The hepatobiliary surgery clinical calculus removal device according to claim 1, wherein the clamping rod (10) is in a "V" shape; the cross-section of splint (11) is the arc structure, splint (11) keep away from the side of clamping bar (10) and are equipped with a plurality of lugs (12).
CN202010926770.4A 2020-09-07 2020-09-07 Clinical stone device of getting of hepatobiliary surgery Active CN112022280B (en)

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