CN112472209B - Hepatobiliary surgery is clinical with getting stone device - Google Patents

Hepatobiliary surgery is clinical with getting stone device Download PDF

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Publication number
CN112472209B
CN112472209B CN202011453339.9A CN202011453339A CN112472209B CN 112472209 B CN112472209 B CN 112472209B CN 202011453339 A CN202011453339 A CN 202011453339A CN 112472209 B CN112472209 B CN 112472209B
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fixed
adjusting
head
hepatobiliary surgery
rods
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CN112472209A (en
Inventor
杨鑫
周江蛟
张瑞之
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Second Xiangya Hospital of Central South University
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Second Xiangya Hospital of Central South University
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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
    • A61B17/221Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
    • 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
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/30Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/361Image-producing devices, e.g. surgical cameras
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37Surgical systems with images on a monitor during operation
    • 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
    • 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
    • A61B17/221Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
    • A61B2017/2212Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions having a closed distal end, e.g. a loop

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

Abstract

The invention discloses a hepatobiliary surgery clinical stone extraction device, which comprises a handle assembly, wherein two ends of the handle assembly are respectively connected with a push rod and a rubber tube, one end inside the rubber tube is fixedly sleeved with a fixed cylinder, the inside of the fixed cylinder is fixedly provided with a fixed frame, the fixed frame is fixedly provided with an expansion mechanism, the expansion mechanism comprises a fixed tube, the outer side of the fixed tube is provided with an adjusting groove, an adjusting ring is slidably arranged on the adjusting groove, the side surface of the adjusting ring is fixedly provided with a plurality of supporting rods through shafts, one end of the fixed tube far away from the fixed frame is fixedly provided with a fixed head, the side surface of the fixed head is fixedly connected with a plurality of groups of adjusting rods through shafts, and the adjusting rods correspond to the supporting rods one by one and are fixedly connected with one side of the middle section of the supporting rods through shafts. This kind of novel clinical usefulness of hepatobiliary surgery gets stone device, simple structure is reasonable, the modern design, easy operation to can effectively improve the efficiency of taking out to stone in the hepatobiliary, improve the progress efficiency of operation, have higher practical value and popularization meaning.

Description

Hepatobiliary surgery is clinical with getting stone device
Technical Field
The invention relates to the technical field of medical instruments, in particular to a lithotomy device for hepatobiliary surgery in clinic.
Background
At present, stone is got mainly through getting stone basket to hepatobiliary surgery with getting stone, and the wide application is in the middle of the disease treatment of the different operation fields such as uropoiesis surgery, biliary tract emergence calculus, gets stone basket also is the surgical instruments that hard mirror protects the courage and gets stone operation and often use simultaneously.
At present current calculus removing device when using, basket net silk need pull the transportation to the stone in the basket net silk after calculus removing, however the hardness of some stones is not high, when pulling in the bile duct, take place the breakage easily, from the condition that the basket net silk drops, medical staff need pick up broken stone again, the operating time of operation has been prolonged, medical staff has increased the operation degree of difficulty of getting in the calculus operation simultaneously, therefore we make the improvement to this, provide a clinical calculus removing device of hepatobiliary surgery.
Disclosure of Invention
In order to solve the technical problems, the invention provides the following technical scheme:
the invention relates to a hepatobiliary surgery clinical calculus removing device, which comprises a handle component, wherein two ends of the handle component are respectively connected with a push rod and a rubber tube, a fixed cylinder is fixedly sleeved at one end inside the rubber tube, a fixed frame is fixedly arranged inside the fixed cylinder, and the fixed frame is fixedly provided with an expansion mechanism, the expansion mechanism comprises a fixed pipe, the outer side of the fixed pipe is provided with an adjusting groove, the adjusting groove is provided with an adjusting ring in a sliding way, the side surface of the adjusting ring is fixedly provided with a plurality of supporting rods through a shaft, the other end of the supporting rod is abutted against the inner side of the pipe orifice of the rubber pipe, a fixing head is fixedly arranged at one end of the fixing pipe far away from the fixing frame, and the side of the fixed head is fixedly connected with a plurality of groups of adjusting rods through shafts, the adjusting rods correspond to the supporting rods one to one and are fixedly connected with one side of the middle section of the supporting rod through the shafts.
As a preferable technical scheme of the invention, two sides of the shell of the handle component are symmetrically connected with fixed finger rings, and one end of the push rod, which is far away from the joint of the handle component, is connected with a push rod finger ring.
As a preferred technical scheme of the invention, one side of the fixing head is fixedly connected with a yarn dividing head, the yarn dividing head is connected with a plurality of basket yarns, and the other ends of the basket yarns are commonly connected with a guide head.
As a preferred technical scheme of the invention, the front side and the rear side of the guide head are both fixedly provided with miniature cameras, and a plurality of groups of searchlights are both fixedly arranged on the side edges close to the miniature cameras.
As a preferred technical scheme of the invention, one end of each support rod is fixedly connected with a support ball, and the support balls are respectively and movably connected with the pipe orifice of the rubber pipe through a shaft.
As a preferable technical scheme of the invention, a fixing ring is fixedly arranged at one end of the fixing pipe close to the adjusting groove, and a plurality of electric push rods are connected between the fixing ring and the adjusting ring.
As a preferred technical scheme of the invention, the rubber tube is made of a medical silicone tube, and the fixed tube, the adjusting rod and the supporting rod are all made of medical stainless steel.
Compared with the prior art, the invention has the beneficial effects that:
1. the novel stone taking device for the hepatobiliary surgery clinical use drives the adjusting ring to move left and right in the adjusting groove through the electric push rod, realizes the left and right movement of one end of the supporting rod on the adjusting ring, further realizes the upwarp and the recovery of one end of the supporting rod under the prying adjustment of the adjusting rod, further realizes the expansion adjustment of one end of the rubber tube, so as to be convenient for the rapid dragging and traction of stones with different sizes and the stable movement of the stones in the bile duct,
2. according to the novel stone taking device for hepatobiliary surgery clinical use, the miniature cameras at the two ends of the guide head are used for realizing rapid catching and identification of stones in hepatobiliary tracheas well as real-time monitoring of stones in the basket wire during dragging and drawing, so that smooth taking-out of the stones is guaranteed; the clinical calculus removing device for hepatobiliary surgery, disclosed by the invention, is simple and reasonable in structure, novel in design and simple to operate, can effectively improve the efficiency of removing stones in hepatobiliary surgery, improves the progress efficiency of surgery, and has higher practical value and popularization significance.
Drawings
The accompanying drawings, which are included to provide a further understanding of the invention and are incorporated in and constitute a part of this specification, illustrate embodiments of the invention and together with the description serve to explain the principles of the invention and not to limit the invention.
In the drawings:
FIG. 1 is a schematic diagram of the general structure of a surgical lithotomy device for hepatobiliary surgery according to the present invention;
FIG. 2 is a schematic structural diagram of an expanding mechanism of a clinical lithotomy device for hepatobiliary surgery according to the present invention;
fig. 3 is a schematic structural view of a guide head of the lithotomy device for hepatobiliary surgery clinical use of the invention.
In the figure: 1. a handle assembly; 2. a push rod; 3. a push rod ring; 4. fixing a ring; 5. a fixed cylinder; 6. a hose; 7. a fixed mount; 8. an expansion mechanism; 801. a fixed tube; 802. an adjustment groove; 803. an adjusting ring; 804. a fixing ring; 805. an electric push rod; 806. a fixed head; 807. adjusting a rod; 808. a support bar; 9. basket net wires; 10. a guide head; 11. a searchlight; 12. a miniature camera head.
Detailed Description
The preferred embodiments of the present invention will be described in conjunction with the accompanying drawings, and it will be understood that they are described herein for the purpose of illustration and explanation and not limitation.
Example (b): as shown in fig. 1-3, the invention relates to a hepatobiliary surgery clinical calculus removing device, which comprises a handle assembly 1, wherein two ends of the handle assembly 1 are respectively connected with a push rod 2 and a rubber tube 6, one end inside the rubber tube 6 is fixedly sleeved with a fixed cylinder 5, the inside of the fixed cylinder 5 is fixedly provided with a fixed mount 7, the fixed mount 7 is fixedly provided with an expansion mechanism 8, the expansion mechanism 8 comprises a fixed tube 801, the outer side of the fixed tube 801 is provided with an adjusting groove 802, the adjusting groove 802 is slidably provided with an adjusting ring 803, the side surface of the adjusting ring 803 is fixedly provided with a plurality of support rods 808 through shafts, the other ends of the support rods 808 are respectively abutted against the inner side of the tube orifice of the rubber tube 6, the fixed tube 801 is fixedly provided with a fixed head 806 at one end far away from the fixed mount 7, and the side surface of the fixed head 806 is fixedly connected with a plurality of adjusting rods 807 through shafts, the adjusting rods 807 correspond to the supporting rods 808 one by one and are fixedly connected with one side of the middle section of the supporting rods 808 through shafts.
Wherein, the shell both sides symmetry of handle component 1 is connected with fixed ring 3, the push rod 2 is connected with push rod ring 4 in the one end of keeping away from the handle component 1 junction.
Wherein, one side fixedly connected with of fixed head 806 divides the silk head, divide the overhead a plurality of basket silks 9 that are connected with of silk, just the other end of a plurality of basket silks 9 is connected with guide head 10 jointly.
Wherein, the front and back sides of the guide head 10 are both fixedly provided with a micro camera 12, and a plurality of groups of searchlights 11 are both fixedly arranged on the side edge close to the micro camera 12.
Wherein, the equal fixedly connected with support ball of one end of bracing piece 808, just support ball and equally divide respectively through axle and the mouth of pipe swing joint of rubber tube 6.
The fixing tube 801 is fixedly provided with a fixing ring 804 at one end close to the adjusting groove 802, and a plurality of electric push rods 805 are connected between the fixing ring 804 and the adjusting ring 803.
The rubber tube 6 is made of a medical silicone tube, and the fixing tube 801, the adjusting rod 807 and the supporting rod 808 are made of medical stainless steel.
The working principle is as follows: when the novel clinical stone taking device for hepatobiliary surgery is used, the adjusting ring 803 is driven to move left and right in the adjusting groove 802 through the electric push rod 805, so that the left and right movement of one end of the supporting rod 808 on the adjusting ring 803 is realized, further, under the prying adjustment of the adjusting rod 807, the tilting and recovery of one end of the supporting rod 808 are realized, further, the expansion adjustment of one end of the rubber tube is realized, so that stones with different sizes can be quickly dragged and pulled, the stones can be stably moved in the bile duct, the stones in hepatobiliary trachea can be quickly captured and identified through the micro cameras 12 at the two ends of the guide head, meanwhile, when the stones are dragged and pulled, the stones in the basket wire 9 can be monitored in real time, and the stones can be smoothly taken out; the clinical calculus removing device for hepatobiliary surgery, disclosed by the invention, is simple and reasonable in structure, novel in design and simple to operate, can effectively improve the efficiency of removing stones in hepatobiliary surgery, improves the progress efficiency of surgery, and has higher practical value and popularization significance.
Finally, it should be noted that: in the description of the present invention, it should be noted that the terms "vertical", "upper", "lower", "horizontal", and the like indicate orientations or positional relationships based on those shown in the drawings, and are only for convenience of describing the present invention and simplifying the description, but do not indicate or imply that the referred device or element must have a specific orientation, be constructed in a specific orientation, and be operated, and thus, should not be construed as limiting the present invention.
In the description of the present invention, it should also be noted that, unless otherwise explicitly specified or limited, the terms "disposed," "mounted," "connected," and "connected" are to be construed broadly and may, for example, be fixedly connected, detachably connected, or integrally connected; can be mechanically or electrically connected; they may be connected directly or indirectly through intervening media, or they may be interconnected between two elements. The specific meanings of the above terms in the present invention can be understood by those skilled in the art according to specific situations.
Although the present invention has been described in detail with reference to the foregoing embodiments, it will be apparent to those skilled in the art that changes may be made in the embodiments and/or equivalents thereof without departing from the spirit and scope of the 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 (4)

1. The utility model provides a hepatobiliary surgery is clinical with getting stone device, includes handle components (1), the both ends of handle components (1) are connected with push rod (2) and rubber tube (6) respectively, a serial communication port, the fixed cover of inside one end of rubber tube (6) is equipped with solid fixed cylinder (5), the inside fixed mounting of solid fixed cylinder (5) has mount (7), just fixed mounting has expanding mechanism (8) on mount (7), expanding mechanism (8) are including fixed pipe (801), the outside of fixed pipe (801) is equipped with adjustment tank (802), slidable mounting has adjusting ring (803) on adjustment tank (802), the side of adjusting ring (803) has a plurality of bracing pieces (808) through axle fixed mounting, just the other end of bracing piece (808) all offsets with the mouth of pipe inboard of rubber tube (6) and sets up, fixed pipe (801) is keeping away from the one end fixed mounting of mount (7) and is fixed head (806), the side surface of the fixed head (806) is fixedly connected with a plurality of groups of adjusting rods (807) through shafts, the adjusting rods (807) correspond to the supporting rods (808) one by one and are fixedly connected with one side of the middle section of the supporting rods (808) through the shafts;
one end of each support rod (808) is fixedly connected with a support ball, and the support balls are movably connected with the pipe orifice of the rubber pipe (6) through a shaft respectively; a fixing ring (804) is fixedly installed at one end, close to the adjusting groove (802), of the fixing pipe (801), and a plurality of electric push rods (805) are connected between the fixing ring (804) and the adjusting ring (803); the rubber tube (6) is made of a medical silicone tube, and the fixing tube (801), the adjusting rod (807) and the supporting rod (808) are all made of medical stainless steel.
2. The hepatobiliary surgery clinical calculus removal device according to claim 1, wherein the handle assembly (1) is symmetrically connected with fixed finger rings (3) on two sides of the housing, and the push rod (2) is connected with a push rod finger ring (4) at one end far away from the joint of the handle assembly (1).
3. The hepatobiliary surgery clinical calculus removing device as claimed in claim 1, wherein a thread separating head is fixedly connected to one side of the fixing head (806), a plurality of basket threads (9) are connected to the thread separating head, and a guide head (10) is connected to the other ends of the basket threads (9) in a common manner.
4. The hepatobiliary surgery clinical calculus removal device according to claim 3, wherein the guide head (10) is fixedly provided with miniature cameras (12) on both the front and rear sides, and a plurality of groups of searchlights (11) are fixedly provided on the sides close to the miniature cameras (12).
CN202011453339.9A 2020-12-11 2020-12-11 Hepatobiliary surgery is clinical with getting stone device Active CN112472209B (en)

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CN112472209B true CN112472209B (en) 2022-02-08

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Publication number Priority date Publication date Assignee Title
CN116849759B (en) * 2023-07-06 2024-03-12 朱昌毫 Clinical stone device of getting

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Publication number Priority date Publication date Assignee Title
CN206324824U (en) * 2016-07-14 2017-07-14 付崇 A kind of liver and gall surgical department's stone taking device
WO2020052484A1 (en) * 2018-09-11 2020-03-19 南微医学科技股份有限公司 Calculus removing mesh basket and double-cavity end cap for calculus removing mesh basket
CN210871885U (en) * 2019-09-12 2020-06-30 贵州中医药大学第一附属医院 A novel stone device of getting for hepatobiliary surgery is clinical
CN211862899U (en) * 2019-10-29 2020-11-06 程俊杰 Hepatobiliary surgery stone extraction device

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