CN112022280B - Clinical stone device of getting of hepatobiliary surgery - Google Patents
Clinical stone device of getting of hepatobiliary surgery Download PDFInfo
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- A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
- A61B17/22031—Gripping instruments, e.g. forceps, for removing or smashing calculi
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- A61B17/22031—Gripping instruments, e.g. forceps, for removing or smashing calculi
- A61B2017/22035—Gripping instruments, e.g. forceps, for removing or smashing calculi for retrieving or repositioning foreign objects
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Abstract
本发明公开了肝胆外科临床取石装置;包括筒体;所述筒体内部设有移动杆,所述移动杆的一端贯穿筒体,与筒体滑动连接,移动杆的一端连接有压块;所述移动杆的另一端周侧均设有齿条,所述齿条的两侧对称设有两个齿轮,所述齿轮与齿条啮合连接;两个所述齿轮远离移动杆的外侧壁均连接有夹杆,所述夹杆延伸至筒体外侧,且与筒体通过设置的转轴转动连接;所述齿轮和转轴均与筒体转动连接;所述夹杆的另一端设有夹板;所述筒体的外侧设有移动环,所述移动环设有多个拉伸机构;通过设置拉伸机构,简化取石操作人员,简化操作步骤,使用方便,提升取石的效率,稳定性好。
The invention discloses a clinical stone removal device for hepatobiliary surgery; it includes a cylinder body; a moving rod is arranged inside the cylinder body, one end of the moving rod runs through the cylinder body, and is slidably connected with the cylinder body, and one end of the moving rod is connected with a pressing block; The other end of the moving rod is provided with a rack, and two gears are symmetrically arranged on both sides of the rack, and the gears are meshed with the rack; the outer walls of the two gears away from the moving rod are connected. There is a clamping rod, the clamping rod extends to the outside of the cylinder, and is connected with the cylinder through the rotating shaft provided for rotation; the gear and the rotating shaft are both connected with the cylinder for rotation; the other end of the clamping rod is provided with a splint; the The outside of the cylinder is provided with a moving ring, and the moving ring is provided with multiple stretching mechanisms; by setting the stretching mechanisms, the stone extraction operators are simplified, the operation steps are simplified, the operation is convenient, the stone extraction efficiency is improved, and the stability is good.
Description
技术领域technical field
本发明属于肝胆医疗器械领域,尤其涉及肝胆外科临床取石装置。The invention belongs to the field of hepatobiliary medical equipment, in particular to a clinical stone removal device for hepatobiliary surgery.
背景技术Background technique
胆结石是在胆囊内由胆汁化合物组成的结石,也指因胆囊内的结石所引起的疾病。胆结石的成分为胆固醇或以胆固醇为主的混合性结石和胆色素结石。按发病部位,胆结石可分为胆囊结石和胆管结石;胆囊结石的外科治疗一百多年来一直是胆囊切除术占据主导地位,保胆取石术是在直视下取石,可确保取尽结石,避免因结石残留所致复发。因此,保胆取石术既可避免胆囊切除术造成的并发症,又可满足患者的保胆要求。Gallstones are stones composed of bile compounds in the gallbladder, and also refer to diseases caused by stones in the gallbladder. The components of gallstones are cholesterol or cholesterol-based mixed stones and pigment stones. According to the location of the disease, gallstones can be divided into gallbladder stones and bile duct stones; the surgical treatment of gallbladder stones has been dominated by cholecystectomy for more than 100 years. , to avoid recurrence caused by residual stones. Therefore, gallbladder-preserving stone removal can not only avoid the complications caused by cholecystectomy, but also meet the patients' requirements for gallbladder preservation.
对于现有的取石装置,一般需要多人配合进行手术,取石过程复杂,需要先切开皮肤,用固定支撑架撑开皮肤伤口,之后由主治医师手持一次性取石网篮或者其它取石器械进行取石,要求配合度高,趋势过程繁琐,稳定性较差;对于较大的结石,需要先进行碎石,不宜直接取石,费时费力,对于小颗粒的结石,网篮不易套紧,容易发生脱落,影响取石效率。For existing stone removal devices, multiple people are generally required to cooperate in the operation. The stone removal process is complicated. It is necessary to cut the skin first, use a fixed support frame to open the skin wound, and then the attending physician will hold a disposable stone removal basket or other stone removal equipment. , requires a high degree of cooperation, the trending process is cumbersome, and the stability is poor; for larger stones, it is necessary to crush the stones first, and it is not suitable to take stones directly, which is time-consuming and laborious. For small stones, the basket is not easy to tighten, and it is easy to fall off. affect the extraction efficiency.
发明内容Contents of the invention
针对现有技术不足,本发明的目的在于提供了肝胆外科临床取石装置,通过设置拉伸机构,简化取石操作人员,简化操作步骤,使用方便,提升取石的效率,稳定性好。In view of the deficiencies in the prior art, the purpose of the present invention is to provide a clinical stone removal device for hepatobiliary surgery. By setting a stretching mechanism, the stone removal operator is simplified, the operation steps are simplified, the use is convenient, the efficiency of stone removal is improved, and the stability is good.
本发明提供如下技术方案:The present invention provides following technical scheme:
肝胆外科临床取石装置;包括筒体;所述筒体内部设有移动杆,所述移动杆的一端贯穿筒体,与筒体滑动连接,移动杆的一端连接有压块;所述移动杆的另一端周侧均设有齿条,所述齿条的两侧对称设有两个齿轮,所述齿轮与齿条啮合连接;两个所述齿轮远离移动杆的外侧壁均连接有夹杆,所述夹杆延伸至筒体外侧,且与筒体通过设置的转轴转动连接;所述齿轮和转轴均与筒体转动连接;所述夹杆的另一端设有夹板;所述筒体的内侧壁对称设有两个第一滑槽,所述移动杆外侧壁连接有两个连接杆,两个所述连接杆的另一端均设有第一滑块,所述第一滑块与第一滑槽匹配滑动连接;所述筒体的外侧设有移动环,所述移动环设有多个拉伸机构。A clinical stone removal device for hepatobiliary surgery; including a cylinder; a moving rod is arranged inside the cylinder, one end of the moving rod runs through the cylinder and is slidably connected with the cylinder, and one end of the moving rod is connected with a pressing block; The other end is provided with racks on both sides of the rack, and two gears are symmetrically arranged on both sides of the rack, and the gears are meshed with the rack; the outer walls of the two gears away from the moving rod are connected with clamping rods The clamping rod extends to the outside of the cylinder, and is rotatably connected with the cylinder through the provided rotating shaft; both the gear and the rotating shaft are rotatably connected with the cylinder; the other end of the clamping rod is provided with a splint; the inside of the cylinder The wall is symmetrically provided with two first slide grooves, the outer wall of the moving rod is connected with two connecting rods, and the other ends of the two connecting rods are provided with a first slider, and the first slider and the first The chute is matched with a sliding connection; the outer side of the cylinder is provided with a moving ring, and the moving ring is provided with a plurality of stretching mechanisms.
优选的,所述筒体的外侧壁设有多个滑轨,所述滑轨远离筒体的一侧开设有凹槽;所述筒体与移动环之间设有多根滑动杆,所述滑动杆的一端与移动环连接,滑动杆的另一端连接有滑动头,所述滑动头设在凹槽内部,滑动头与凹槽匹配滑动连接。Preferably, the outer wall of the cylinder is provided with a plurality of slide rails, the side of the slide rail away from the cylinder is provided with grooves; a plurality of slide rods are provided between the cylinder and the moving ring, and the One end of the sliding rod is connected with the moving ring, and the other end of the sliding rod is connected with a sliding head, and the sliding head is arranged inside the groove, and the sliding head is matched and slidably connected with the groove.
优选的,所述拉伸机构包括盒体,所述盒体与移动环镶嵌连接;所述盒体内设有螺纹杆,所述螺纹杆贯穿盒体,且与盒体滑动连接,所述螺纹杆的一端连接有旋钮;所述螺纹杆上设有移动块,所述移动块的中心位置开设有内螺纹孔,移动块通过内螺纹孔与螺纹杆转动连接;所述螺纹杆的另一端连接有限位块,所述限位块的两端均连接有第二滑块。Preferably, the stretching mechanism includes a box body, and the box body is inlaid and connected with the moving ring; a threaded rod is provided in the box body, and the threaded rod passes through the box body and is slidably connected with the box body, and the threaded rod One end of the threaded rod is connected with a knob; the threaded rod is provided with a moving block, and the center of the moving block is provided with an internally threaded hole, and the moving block is rotationally connected with the threaded rod through the internally threaded hole; the other end of the threaded rod is connected with a limited A position block, the two ends of the limit block are connected with a second slider.
优选的,所述移动块靠近限位块的一端连接有两个连杆,两个所述连杆相对内侧壁均开设有第二滑槽,所述第二滑槽与第二滑块匹配滑动连接;两个所述连杆的另一端连接有固定块。Preferably, two connecting rods are connected to one end of the moving block close to the limiting block, and the opposite inner walls of the two connecting rods are provided with second sliding grooves, and the second sliding grooves match and slide with the second sliding block connection; the other ends of the two connecting rods are connected with a fixed block.
优选的,所述固定块连接有拉钩,所述拉钩为硅胶材质。Preferably, the fixing block is connected with a pull hook, and the pull hook is made of silicone material.
优选的,所述移动杆的另一端连接有弹簧,所述弹簧的另一端与筒体的内壁连接。Preferably, a spring is connected to the other end of the moving rod, and the other end of the spring is connected to the inner wall of the barrel.
优选的,所述夹杆呈“V”型结构;所述夹板的截面呈弧形结构,所述夹板远离夹杆的侧面设有多个凸块。Preferably, the clamping bar is in a "V" shape; the cross section of the splint is arc-shaped, and the side of the clamping plate away from the clamping bar is provided with a plurality of protrusions.
优选的,所述拉伸机构设置四组,四组拉伸机构沿移动环的周侧均匀分布,且在同一平面上。Preferably, four sets of stretching mechanisms are provided, and the four sets of stretching mechanisms are evenly distributed along the circumference of the moving ring and are on the same plane.
优选的,所述滑动杆设有四组,增加移动环的固定性。Preferably, four sets of sliding rods are provided to increase the fixity of the moving ring.
优选的,本装置在使用过程中,通过设置的拉伸机构将伤口撑开,便于夹杆和夹板进行取石;通过拉钩将手术的伤口拉开,转动旋钮,旋钮通过带动螺纹杆转动,螺纹杆通过转动带动移动块移动,移动块带动连杆和拉钩进行移动,通过螺纹杆进一步带动拉钩,撑开伤口的力度更加便与把握,增加手术的稳定性,相对于传统的手动直接撑开伤口,防止对患者造成二次伤害,减小患者的手术痛苦;伤口撑到位之后,通过移动环和通体之间设置凹槽和滑动头,滑动筒体,使夹杆和夹块深入结石部位,此时,按压压块,移动杆端部的齿条与齿轮啮合,带动齿轮进行逆时针旋转,进一步带动夹杆转动,夹杆通过转轴实现分中夹持,通过夹板夹持结石;之后滑动筒体,将夹杆和夹板退出伤口之外;最后松开压块,通过移动杆端部设置的弹簧,将移动杆向后弹开,带动齿轮顺时针转动,齿轮带动夹杆分开,取出结石;操作过程中,只需一个医护人员即可完成取石,步骤简单,操作方便,稳定性好,提升取石效率。Preferably, during the use of the device, the stretching mechanism is used to stretch the wound to facilitate the removal of stones by the clamp bar and the splint; the operation wound is pulled apart by the pull hook, and the knob is rotated by driving the threaded rod, and the threaded rod The moving block is driven by the rotation, and the moving block drives the connecting rod and the hook to move, and the threaded rod further drives the hook, so that the strength of opening the wound is more convenient and grasped, and the stability of the operation is increased. Compared with the traditional manual direct opening of the wound, To prevent secondary injury to the patient and reduce the patient's surgical pain; after the wound is supported in place, a groove and a sliding head are set between the moving ring and the whole body to slide the cylinder so that the clamping rod and the clamping block go deep into the stone site. , press the pressing block, the rack at the end of the moving rod meshes with the gear, drives the gear to rotate counterclockwise, and further drives the clamping rod to rotate, the clamping rod realizes split clamping through the rotating shaft, and clamps the stone through the splint; then slide the cylinder, Pull the clamp bar and the splint out of the wound; finally loosen the pressure block, spring the moving bar back through the spring at the end of the moving bar, and drive the gear to rotate clockwise, the gear drives the clamp bar to separate, and take out the stone; the operation process Among them, only one medical staff can complete the stone extraction, the steps are simple, the operation is convenient, the stability is good, and the stone extraction efficiency is improved.
取石的过程中,通过在夹板设置的多个凸块,所述凸块为硅胶棒,在进行夹持结石的时候,增加与结石的摩擦力,防止结石脱落,进一步增加稳定性。During the process of removing the stone, through the multiple bumps arranged on the splint, the bumps are silica gel rods, and when the stone is clamped, the friction with the stone is increased to prevent the stone from falling off and further increase the stability.
在取石的过程中,为了进一步增加取石的精确度,进一提升取石的效率,所述两个夹板之间的距离L满足大于等于0.9cm,小于等于3.5cm。In the process of stone extraction, in order to further increase the accuracy of stone extraction and further improve the efficiency of stone extraction, the distance L between the two splints should be greater than or equal to 0.9 cm and less than or equal to 3.5 cm.
优选的,夹杆自然状态撑开时移动杆到齿轮的长度为d1;夹杆进行取石夹持时移动杆到齿轮的长度为d2;夹板夹持时夹杆与移动杆的夹角为θ;为了更好的控制夹持结石的精确度,L满足以下公式:Preferably, the length from the moving rod to the gear when the clamping rod is stretched in the natural state is d1; the length from the moving rod to the gear is d2 when the clamping rod is clamped for stone removal; the angle between the clamping rod and the moving rod is θ when the splint is clamped; In order to better control the accuracy of stone clamping, L satisfies the following formula:
L/ sinθ=δ·(d12+ d22)1/2;L/ sinθ=δ·(d1 2 + d2 2 ) 1/2 ;
上式中,δ为角度调节系数,取值范围为0.124-0.56;d1、 d2单位为cm。In the above formula, δ is the angle adjustment coefficient, and the value range is 0.124-0.56; the unit of d1 and d2 is cm.
与现有技术相比,本发明具有以下有益效果:Compared with the prior art, the present invention has the following beneficial effects:
(1)本发明肝胆外科临床取石装置,通过设置的拉伸机构将伤口撑开,便于夹杆和夹板进行取石;通过拉钩将手术的伤口拉开,转动旋钮,旋钮通过带动螺纹杆转动,螺纹杆通过转动带动移动块移动,移动块带动连杆和拉钩进行移动,通过螺纹杆进一步带动拉钩,撑开伤口的力度更加便与把握,增加手术的稳定性,相对于传统的手动直接撑开伤口,防止对患者造成二次伤害,减小患者的手术痛苦。(1) The clinical stone removal device for hepatobiliary surgery of the present invention stretches the wound through the set stretching mechanism to facilitate the removal of stones by the clamp rod and the splint; the operation wound is pulled apart by the pull hook, and the knob is rotated by driving the threaded rod. The rod rotates to drive the moving block to move, and the moving block drives the connecting rod and the pull hook to move, and the threaded rod further drives the pull hook, so that the strength of opening the wound is more convenient and grasped, and the stability of the operation is increased. Compared with the traditional manual direct opening of the wound , prevent secondary injury to the patient, and reduce the patient's surgical pain.
(2)本发明肝胆外科临床取石装置,结构简单,操作过程中,只需一个医护人员即可完成取石,简化取石步骤,操作方便,稳定性好,提升取石效率。(2) The clinical stone removal device for hepatobiliary surgery of the present invention has a simple structure, and only one medical staff can complete the stone removal during the operation process, which simplifies the stone removal steps, is convenient to operate, has good stability, and improves the stone removal efficiency.
(3)本发明肝胆外科临床取石装置,通过在夹板设置的多个凸块,所述凸块为硅胶棒,在进行夹持结石的时候,增加与结石的摩擦力,防止结石脱落,进一步增加稳定性。(3) The clinical stone removal device for hepatobiliary surgery of the present invention, through the multiple bumps set on the splint, the bumps are silica gel rods, when clamping the stones, increase the friction with the stones, prevent the stones from falling off, and further increase stability.
(4)本发明肝胆外科临床取石装置,通过按压的方式带动夹杆和夹板进行夹持,取出结石,便于操作,节省体力。(4) The clinical stone removal device for hepatobiliary surgery of the present invention drives the clamp rod and the splint to clamp by pressing to remove the stone, which is easy to operate and saves physical strength.
(5)本发明肝胆外科临床取石装置,通过限定夹杆和移动杆之间的距离和角度关系,进一步增加取石的精确度,进一提升取石的效率。(5) The clinical stone removal device for hepatobiliary surgery of the present invention further increases the accuracy of stone removal and improves the efficiency of stone removal by limiting the distance and angle relationship between the clamping rod and the moving rod.
附图说明Description of drawings
为了更清楚地说明本发明实施方式的技术方案,下面将对实施方式中所需要使用的附图作简单地介绍,应当理解,以下附图仅示出了本发明的某些实施例,因此不应被看作是对范围的限定,对于本领域普通技术人员来讲,在不付出创造性劳动的前提下,还可以根据这些附图获得其他相关的附图。In order to illustrate the technical solutions of the embodiments of the present invention more clearly, the accompanying drawings used in the embodiments will be briefly introduced below. It should be understood that the following drawings only show some embodiments of the present invention, and therefore do not It should be regarded as a limitation on the scope, and those skilled in the art can also obtain other related drawings based on these drawings without creative work.
图1是本发明的整体结构图。Fig. 1 is the overall structure diagram of the present invention.
图2是本发明的侧视图。Figure 2 is a side view of the present invention.
图3是本发明的拉伸机构示意图。Fig. 3 is a schematic diagram of the stretching mechanism of the present invention.
图4是本发明的A局部放大示意图。Fig. 4 is a partially enlarged schematic diagram of A of the present invention.
图5是本发明的B局部放大示意图。Fig. 5 is a partially enlarged schematic diagram of B of the present invention.
图中:1、筒体;2、移动环;3、移动杆;4、压块;5、连接杆;6、第一滑槽;7、第一滑块;8、拉伸机构;9、弹簧;10、夹杆;11、夹板;12、凸块;13、滑动杆;14、齿条;15、齿轮;16、转轴;17、滑轨;18、凹槽;19、滑动头;801、盒体;802、螺纹杆;803、旋钮;804、移动块;805、连杆;806、第二滑槽;807、限位块;808、第二滑块;809、固定块;8010、拉钩。In the figure: 1. Cylinder body; 2. Moving ring; 3. Moving rod; 4. Briquetting block; 5. Connecting rod; 6. The first chute; 7. The first slider; Spring; 10, clamping rod; 11, splint; 12, bump; 13, sliding rod; 14, rack; 15, gear; 16, rotating shaft; 17, slide rail; 18, groove; 19, sliding head; 801 , box body; 802, threaded rod; 803, knob; 804, moving block; 805, connecting rod; 806, second chute; 807, limit block; 808, second slider; 809, fixed block; 8010, hook.
具体实施方式Detailed ways
为使本发明实施方式的目的、技术方案和优点更加清楚,下面将结合本发明实施方式中的附图,对本发明实施方式中的技术方案进行清楚、完整地描述。显然,所描述的实施方式是本发明一部分实施方式,而不是全部的实施方式。基于本发明中的实施方式,本领域普通技术人员在没有作出创造性劳动前提下所获得的所有其他实施方式,都属于本发明保护的范围。In order to make the purpose, technical solutions and advantages of the embodiments of the present invention clearer, the technical solutions in the embodiments of the present invention will be clearly and completely described below in conjunction with the drawings in the embodiments of the present invention. Apparently, the described embodiments are some but not all of the embodiments of the present invention. Based on the implementation manners in the present invention, all other implementation manners obtained by persons of ordinary skill in the art without creative efforts fall within the protection scope of the present invention.
因此,以下对在附图中提供的本发明的实施方式的详细描述并非旨在限制要求保护的本发明的范围,而是仅仅表示本发明的选定实施方式。基于本发明中的实施方式,本领域普通技术人员在没有作出创造性劳动前提下所获得的所有其他实施方式,都属于本发明保护的范围。Accordingly, the following detailed description of the embodiments of the invention provided in the accompanying drawings is not intended to limit the scope of the claimed invention, but merely represents selected embodiments of the invention. Based on the implementation manners in the present invention, all other implementation manners obtained by persons of ordinary skill in the art without creative efforts fall within the protection scope of the present invention.
实施例一:Embodiment one:
如图1、2、4、5所示,肝胆外科临床取石装置;包括筒体1;所述筒体1内部设有移动杆3,所述移动杆3的一端贯穿筒体1,与筒体1滑动连接,移动杆3的一端连接有压块4;所述移动杆3的另一端周侧均设有齿条14,所述齿条14的两侧对称设有两个齿轮15,所述齿轮15与齿条14啮合连接;两个所述齿轮15远离移动杆3的外侧壁均连接有夹杆10,所述夹杆10延伸至筒体1外侧,且与筒体1通过设置的转轴16转动连接;所述齿轮15和转轴16均与筒体1转动连接;所述夹杆10的另一端设有夹板11;所述筒体1的内侧壁对称设有两个第一滑槽6,所述移动杆3外侧壁连接有两个连接杆5,两个所述连接杆5的另一端均设有第一滑块7,所述第一滑块7与第一滑槽6匹配滑动连接;所述筒体1的外侧设有移动环2,所述移动环2设有多个拉伸机构8。As shown in Figures 1, 2, 4, and 5, the clinical stone removal device for hepatobiliary surgery includes a cylinder body 1; a moving rod 3 is arranged inside the cylinder body 1, and one end of the moving rod 3 runs through the cylinder body 1, and is connected with the cylinder body 1 sliding connection, one end of the moving rod 3 is connected with a pressure block 4; the other end of the moving rod 3 is provided with a rack 14, and two gears 15 are symmetrically arranged on both sides of the rack 14, and the The gear 15 is meshed with the rack 14; the outer walls of the two gears 15 away from the moving rod 3 are connected with a clamping rod 10, and the clamping rod 10 extends to the outside of the cylinder 1 and passes through the rotating shaft provided with the cylinder 1 16 is rotationally connected; the gear 15 and the rotating shaft 16 are both rotationally connected with the cylinder 1; the other end of the clamp rod 10 is provided with a splint 11; the inner wall of the cylinder 1 is symmetrically provided with two first chute 6 , the outer wall of the moving rod 3 is connected with two connecting rods 5, and the other ends of the two connecting rods 5 are provided with a first slider 7, and the first slider 7 is matched with the first chute 6 to slide Connection; the outside of the barrel 1 is provided with a moving ring 2, and the moving ring 2 is provided with a plurality of stretching mechanisms 8.
所述筒体1的外侧壁设有多个滑轨17,所述滑轨17远离筒体1的一侧开设有凹槽18;所述筒体1与移动环2之间设有多根滑动杆13,所述滑动杆13的一端与移动环2连接,滑动杆13的另一端连接有滑动头19,所述滑动头19设在凹槽18内部,滑动头19与凹槽18匹配滑动连接。The outer wall of the
所述移动杆3的另一端连接有弹簧9,所述弹簧9的另一端与筒体1的内壁连接。The other end of the moving rod 3 is connected to a spring 9 , and the other end of the spring 9 is connected to the inner wall of the
所述夹杆10呈“V”型结构;所述夹板11的截面呈弧形结构,所述夹板11远离夹杆10的侧面设有多个凸块12。The clamping
所述拉伸机构8设置四组,四组拉伸机构8沿移动环2的周侧均匀分布,且在同一平面上。The stretching
所述滑动杆13设有四组,增加移动环2的固定性。Described sliding
本装置在使用过程中,通过设置的拉伸机构8将伤口撑开,便于夹杆10和夹板11进行取石;通过拉钩8010将手术的伤口拉开,转动旋钮803,旋钮803通过带动螺纹杆802转动,螺纹杆802通过转动带动移动块804移动,移动块804带动连杆805和拉钩8010进行移动,通过螺纹杆802进一步带动拉钩8010,撑开伤口的力度更加便与把握,增加手术的稳定性,相对于传统的手动直接撑开伤口,防止对患者造成二次伤害,减小患者的手术痛苦;伤口撑到位之后,通过移动环2和通体之间设置凹槽18和滑动头19,滑动筒体1,使夹杆10和夹块深入结石部位,此时,按压压块4,移动杆3端部的齿条14与齿轮15啮合,带动齿轮15进行逆时针旋转,进一步带动夹杆10转动,夹杆10通过转轴16实现分中夹持,通过夹板11夹持结石;之后滑动筒体1,将夹杆10和夹板11退出伤口之外;最后松开压块4,通过移动杆3端部设置的弹簧9,将移动杆3向后弹开,带动齿轮15顺时针转动,齿轮15带动夹杆10分开,取出结石;操作过程中,只需一个医护人员即可完成取石,步骤简单,操作方便,稳定性好,提升取石效率。During the use of this device, the stretching mechanism 8 is used to stretch the wound, so that the clamp rod 10 and the splint 11 can be used to remove stones; the surgical wound is pulled apart by the retractor 8010, and the knob 803 is turned, and the knob 803 drives the threaded rod 802 Turn, the threaded rod 802 drives the moving block 804 to move through the rotation, and the moving block 804 drives the connecting rod 805 and the retractor 8010 to move, and the threaded rod 802 further drives the retractor 8010, so that the strength of opening the wound is more convenient and grasped, and the stability of the operation is increased Compared with the traditional manual method of directly stretching the wound, it prevents secondary injury to the patient and reduces the patient's surgical pain; after the wound is propped in place, a groove 18 and a sliding head 19 are set between the moving ring 2 and the whole body, and the sliding cylinder body 1, make the clamping rod 10 and the clamping block go deep into the stone site, at this time, press the pressing block 4, the rack 14 at the end of the moving rod 3 meshes with the gear 15, drive the gear 15 to rotate counterclockwise, and further drive the clamping rod 10 to rotate , the clamping rod 10 realizes split-central clamping through the rotating shaft 16, and clamps the stone through the splint 11; then slides the cylinder body 1, and pulls the clamping rod 10 and the splint 11 out of the wound; The spring 9 provided on the upper part bounces the moving rod 3 backward, drives the gear 15 to rotate clockwise, and the gear 15 drives the clamping rod 10 to separate, and takes out the stone; during the operation, only one medical staff can complete the stone removal, and the steps are simple. Easy to operate, good stability, and improve stone extraction efficiency.
取石的过程中,通过在夹板11设置的多个凸块12,所述凸块12为硅胶棒,在进行夹持结石的时候,增加与结石的摩擦力,防止结石脱落,进一步增加稳定性。During the process of removing the stone, through the plurality of
实施例二:Embodiment two:
如图2所示,在实施例一的基础上,所述拉伸机构8包括盒体801,所述盒体801与移动环2镶嵌连接;所述盒体801内设有螺纹杆802,所述螺纹杆802贯穿盒体801,且与盒体801滑动连接,所述螺纹杆802的一端连接有旋钮803;所述螺纹杆802上设有移动块804,所述移动块804的中心位置开设有内螺纹孔,移动块804通过内螺纹孔与螺纹杆802转动连接;所述螺纹杆802的另一端连接有限位块807,所述限位块807的两端均连接有第二滑块808。As shown in Figure 2, on the basis of the first embodiment, the
所述移动块804靠近限位块807的一端连接有两个连杆805,两个所述连杆805相对内侧壁均开设有第二滑槽806,所述第二滑槽806与第二滑块808匹配滑动连接;两个所述连杆805的另一端连接有固定块809。One end of the moving
所述固定块809连接有拉钩8010,所述拉钩8010为硅胶材质。The fixing block 809 is connected with a
实施例三:Embodiment three:
如图1-5所示,肝胆外科临床取石装置;包括筒体1;所述筒体1内部设有移动杆3,所述移动杆3的一端贯穿筒体1,与筒体1滑动连接,移动杆3的一端连接有压块4;所述移动杆3的另一端周侧均设有齿条14,所述齿条14的两侧对称设有两个齿轮15,所述齿轮15与齿条14啮合连接;两个所述齿轮15远离移动杆3的外侧壁均连接有夹杆10,所述夹杆10延伸至筒体1外侧,且与筒体1通过设置的转轴16转动连接;所述齿轮15和转轴16均与筒体1转动连接;所述夹杆10的另一端设有夹板11;所述筒体1的内侧壁对称设有两个第一滑槽6,所述移动杆3外侧壁连接有两个连接杆5,两个所述连接杆5的另一端均设有第一滑块7,所述第一滑块7与第一滑槽6匹配滑动连接;所述筒体1的外侧设有移动环2,所述移动环2设有多个拉伸机构8。As shown in Figures 1-5, the clinical stone removal device for hepatobiliary surgery includes a cylinder body 1; a moving rod 3 is arranged inside the cylinder body 1, and one end of the moving rod 3 runs through the cylinder body 1 and is slidably connected with the cylinder body 1, One end of the moving rod 3 is connected with a briquetting block 4; the other end of the moving rod 3 is provided with a rack 14, and the two sides of the rack 14 are symmetrically provided with two gears 15, and the gears 15 and the teeth The bars 14 are meshed and connected; the outer walls of the two gears 15 away from the moving rod 3 are connected with a clamping rod 10, and the clamping rod 10 extends to the outside of the cylinder 1 and is rotationally connected with the cylinder 1 through the provided rotating shaft 16; Both the gear 15 and the rotating shaft 16 are rotationally connected with the cylinder body 1; the other end of the clamp rod 10 is provided with a splint 11; The outer wall of the rod 3 is connected with two connecting rods 5, and the other ends of the two connecting rods 5 are provided with a first slider 7, and the first slider 7 is matched and slidably connected with the first chute 6; A moving ring 2 is provided on the outer side of the cylinder body 1 , and a plurality of stretching mechanisms 8 are provided on the moving ring 2 .
所述筒体1的外侧壁设有多个滑轨17,所述滑轨17远离筒体1的一侧开设有凹槽18;所述筒体1与移动环2之间设有多根滑动杆13,所述滑动杆13的一端与移动环2连接,滑动杆13的另一端连接有滑动头19,所述滑动头19设在凹槽18内部,滑动头19与凹槽18匹配滑动连接。The outer wall of the
所述移动杆3的另一端连接有弹簧9,所述弹簧9的另一端与筒体1的内壁连接;所述夹杆10呈“V”型结构;所述夹板11的截面呈弧形结构,所述夹板11远离夹杆10的侧面设有多个凸块12;所述拉伸机构8设置四组,四组拉伸机构8沿移动环2的周侧均匀分布,且在同一平面上;所述滑动杆13设有四组,增加移动环2的固定性。The other end of the moving rod 3 is connected to a spring 9, and the other end of the spring 9 is connected to the inner wall of the
实施例四Embodiment four
在实施例一的基础上,在取石的过程中,为了进一步增加取石的精确度,进一提升取石的效率,所述两个夹板11之间的距离L满足大于等于0.9cm,小于等于3.5cm。On the basis of
夹杆10自然状态撑开时移动杆3到齿轮15的长度为d1;夹杆10进行取石夹持时移动杆3到齿轮15的长度为d2;夹板11夹持时夹杆10与移动杆3的夹角为θ;为了更好的控制夹持结石的精确度,L满足以下公式:L/ sinθ=δ·(d12+ d22)1/2;上式中,δ为角度调节系数,取值范围为0.124-0.56;d1、 d2单位为cm。The length from the moving rod 3 to the
本装置在使用过程中,通过设置的拉伸机构8将伤口撑开,便于夹杆10和夹板11进行取石;通过拉钩8010将手术的伤口拉开,转动旋钮803,旋钮803通过带动螺纹杆802转动,螺纹杆802通过转动带动移动块804移动,移动块804带动连杆805和拉钩8010进行移动,通过螺纹杆802进一步带动拉钩8010,撑开伤口的力度更加便与把握,增加手术的稳定性,相对于传统的手动直接撑开伤口,防止对患者造成二次伤害,减小患者的手术痛苦;伤口撑到位之后,通过移动环2和通体之间设置凹槽18和滑动头19,滑动筒体1,使夹杆10和夹块深入结石部位,此时,按压压块4,移动杆3端部的齿条14与齿轮15啮合,带动齿轮15进行逆时针旋转,进一步带动夹杆10转动,夹杆10通过转轴16实现分中夹持,通过夹板11夹持结石;之后滑动筒体1,将夹杆10和夹板11退出伤口之外;最后松开压块4,通过移动杆3端部设置的弹簧9,将移动杆3向后弹开,带动齿轮15顺时针转动,齿轮15带动夹杆10分开,取出结石;操作过程中,只需一个医护人员即可完成取石,步骤简单,操作方便,稳定性好,提升取石效率。During the use of this device, the stretching mechanism 8 is used to stretch the wound, so that the clamp rod 10 and the splint 11 can be used to remove stones; the surgical wound is pulled apart by the retractor 8010, and the knob 803 is turned, and the knob 803 drives the threaded rod 802 Turn, the threaded rod 802 drives the moving block 804 to move through the rotation, and the moving block 804 drives the connecting rod 805 and the retractor 8010 to move, and the threaded rod 802 further drives the retractor 8010, so that the strength of opening the wound is more convenient and grasped, and the stability of the operation is increased Compared with the traditional manual method of directly stretching the wound, it prevents secondary injury to the patient and reduces the patient's surgical pain; after the wound is propped in place, a groove 18 and a sliding head 19 are set between the moving ring 2 and the whole body, and the sliding cylinder body 1, make the clamping rod 10 and the clamping block go deep into the stone site, at this time, press the pressing block 4, the rack 14 at the end of the moving rod 3 meshes with the gear 15, drive the gear 15 to rotate counterclockwise, and further drive the clamping rod 10 to rotate , the clamping rod 10 realizes split-central clamping through the rotating shaft 16, and clamps the stone through the splint 11; then slides the cylinder body 1, and pulls the clamping rod 10 and the splint 11 out of the wound; The spring 9 provided on the upper part bounces the moving rod 3 backward, drives the gear 15 to rotate clockwise, and the gear 15 drives the clamping rod 10 to separate, and takes out the stone; during the operation, only one medical staff can complete the stone removal, and the steps are simple. Easy to operate, good stability, and improve stone extraction efficiency.
取石的过程中,通过在夹板11设置的多个凸块12,所述凸块12为硅胶棒,在进行夹持结石的时候,增加与结石的摩擦力,防止结石脱落,进一步增加稳定性。During the process of removing the stone, through the plurality of
通过上述技术方案得到的装置是肝胆外科临床取石装置,通过设置的拉伸机构8将伤口撑开,便于夹杆10和夹板11进行取石;通过拉钩8010将手术的伤口拉开,转动旋钮803,旋钮803通过带动螺纹杆802转动,螺纹杆802通过转动带动移动块804移动,移动块804带动连杆805和拉钩8010进行移动,通过螺纹杆802进一步带动拉钩8010,撑开伤口的力度更加便与把握,增加手术的稳定性,相对于传统的手动直接撑开伤口,防止对患者造成二次伤害,减小患者的手术痛苦;结构简单,操作过程中,只需一个医护人员即可完成取石,简化取石步骤,操作方便,稳定性好,提升取石效率;通过在夹板11设置的多个凸块12,所述凸块12为硅胶棒,在进行夹持结石的时候,增加与结石的摩擦力,防止结石脱落,进一步增加稳定性;通过按压的方式带动夹杆10和夹板11进行夹持,取出结石,便于操作,节省体力;通过限定夹杆10和移动杆3之间的距离和角度关系,进一步增加取石的精确度,进一提升取石的效率。The device obtained through the above technical solution is a clinical stone removal device for hepatobiliary surgery. The
以上所述仅为本发明的优选实施方式而已,并不用于限制本发明,对于本领域的技术人员来说,本发明可以有各种更改和变化;凡在本发明的精神和原则之内,所作的任何修改、等同替换、改进等,均应包含在本发明的保护范围之内。The above is only a preferred embodiment of the present invention, and is not intended to limit the present invention. For those skilled in the art, the present invention can have various modifications and changes; within the spirit and principles of the present invention, Any modifications, equivalent replacements, improvements, etc., should be included within the protection scope of the present invention.
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| CN113598883B (en) * | 2021-08-05 | 2022-07-08 | 中南大学湘雅医院 | A clinical stone extraction device for hepatobiliary surgery |
| CN114166544B (en) * | 2021-12-02 | 2023-10-27 | 中南大学湘雅医院 | A multi-functional pathological material collection clamp with a convertible cutter head mode |
| CN116370022A (en) * | 2022-07-28 | 2023-07-04 | 昆明理工大学 | A clinical stone removal device for hepatobiliary surgery |
| CN116509505B (en) * | 2023-04-18 | 2025-09-05 | 中国人民解放军海军军医大学第三附属医院 | Minimally invasive lithotripsy device for facilitating stone removal during laparoscopic cholecystectomy |
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| US7041055B2 (en) * | 2002-10-07 | 2006-05-09 | Mark LoGuidice | Instruments and methods for use in laparoscopic surgery |
| CN209332134U (en) * | 2018-10-09 | 2019-09-03 | 龙芳 | A kind of novel gynecological operation retractor |
| CN209695269U (en) * | 2019-01-24 | 2019-11-29 | 严志强 | A kind of draw hook for orthopaedic operation equipment |
| CN210447133U (en) * | 2019-03-12 | 2020-05-05 | 卢继周 | Hepatobiliary surgery is with getting stone device |
| CN210228215U (en) * | 2019-04-09 | 2020-04-03 | 施孝福 | Single-hole pneumoperitoneum-free three-mirror combined gallbladder-protecting and stone-taking operation suspension device |
| CN210170097U (en) * | 2019-05-16 | 2020-03-24 | 白彧 | Liver and gall surgery retractor |
| CN210541666U (en) * | 2019-05-17 | 2020-05-19 | 张志成 | Operation retractor for general surgery department |
| CN211094483U (en) * | 2019-08-26 | 2020-07-28 | 任晓斌 | Clinical stone device of getting of hepatobiliary surgery |
| CN210990580U (en) * | 2019-11-11 | 2020-07-14 | 乐问津 | Hepatobiliary surgery clinical stone removing device |
| CN111449726B (en) * | 2020-03-24 | 2021-12-24 | 河南省中医院(河南中医药大学第二附属医院) | Thyroid gland separator |
-
2020
- 2020-09-07 CN CN202010926770.4A patent/CN112022280B/en not_active Expired - Fee Related
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|---|---|
| CN112022280A (en) | 2020-12-04 |
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