CN112842242A - Strutting arrangement is used in gastroenterology gastroscopy - Google Patents
Strutting arrangement is used in gastroenterology gastroscopy Download PDFInfo
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- CN112842242A CN112842242A CN202110120325.3A CN202110120325A CN112842242A CN 112842242 A CN112842242 A CN 112842242A CN 202110120325 A CN202110120325 A CN 202110120325A CN 112842242 A CN112842242 A CN 112842242A
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- 238000002575 gastroscopy Methods 0.000 title claims abstract description 47
- 230000008093 supporting effect Effects 0.000 claims abstract description 146
- 210000000214 mouth Anatomy 0.000 claims abstract description 70
- 239000012528 membrane Substances 0.000 claims abstract description 52
- 230000007246 mechanism Effects 0.000 claims abstract description 45
- 239000000463 material Substances 0.000 claims abstract description 13
- 239000004033 plastic Substances 0.000 claims abstract description 7
- 238000003825 pressing Methods 0.000 claims description 63
- 230000005540 biological transmission Effects 0.000 claims description 37
- 238000002955 isolation Methods 0.000 claims description 24
- 230000006698 induction Effects 0.000 claims description 17
- 238000001179 sorption measurement Methods 0.000 claims description 10
- 238000001125 extrusion Methods 0.000 claims description 9
- 229920000742 Cotton Polymers 0.000 claims description 6
- 229920001875 Ebonite Polymers 0.000 claims description 3
- 239000011248 coating agent Substances 0.000 claims description 3
- 238000000576 coating method Methods 0.000 claims description 3
- 239000002985 plastic film Substances 0.000 claims description 3
- 229920006255 plastic film Polymers 0.000 claims description 3
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims description 3
- 238000000034 method Methods 0.000 abstract description 5
- 206010053156 Musculoskeletal discomfort Diseases 0.000 abstract description 4
- 208000000112 Myalgia Diseases 0.000 abstract description 4
- 238000004140 cleaning Methods 0.000 abstract description 3
- 238000004519 manufacturing process Methods 0.000 abstract description 3
- 208000015001 muscle soreness Diseases 0.000 abstract description 3
- 230000008569 process Effects 0.000 abstract description 3
- 239000002699 waste material Substances 0.000 abstract description 3
- 210000003296 saliva Anatomy 0.000 description 32
- 230000000694 effects Effects 0.000 description 20
- 210000002784 stomach Anatomy 0.000 description 7
- 230000004044 response Effects 0.000 description 6
- 230000009471 action Effects 0.000 description 5
- 238000004659 sterilization and disinfection Methods 0.000 description 5
- 210000001124 body fluid Anatomy 0.000 description 4
- 239000010839 body fluid Substances 0.000 description 4
- 206010011409 Cross infection Diseases 0.000 description 3
- LFQSCWFLJHTTHZ-UHFFFAOYSA-N Ethanol Chemical compound CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 description 3
- 206010029803 Nosocomial infection Diseases 0.000 description 3
- 230000004888 barrier function Effects 0.000 description 3
- 210000003238 esophagus Anatomy 0.000 description 3
- 238000007689 inspection Methods 0.000 description 3
- 206010003497 Asphyxia Diseases 0.000 description 2
- 238000006243 chemical reaction Methods 0.000 description 2
- 239000000284 extract Substances 0.000 description 2
- 230000002496 gastric effect Effects 0.000 description 2
- 230000029058 respiratory gaseous exchange Effects 0.000 description 2
- 208000003443 Unconsciousness Diseases 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 230000001079 digestive effect Effects 0.000 description 1
- 210000002249 digestive system Anatomy 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 238000000605 extraction Methods 0.000 description 1
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- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/273—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the upper alimentary canal, e.g. oesophagoscopes, gastroscopes
- A61B1/2736—Gastroscopes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00131—Accessories for endoscopes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, 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
- A61B90/10—Instruments, 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 for stereotaxic surgery, e.g. frame-based stereotaxis
- A61B90/14—Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins
- A61B90/16—Bite blocks
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C17/00—Devices for cleaning, polishing, rinsing or drying teeth, teeth cavities or prostheses; Saliva removers; Dental appliances for receiving spittle
- A61C17/06—Saliva removers; Accessories therefor
- A61C17/10—Saliva removers; Accessories therefor with mouth props, tongue guards, tongue depressors or cheek spreaders
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- General Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
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- Veterinary Medicine (AREA)
- Biomedical Technology (AREA)
- Molecular Biology (AREA)
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- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
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- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Physics & Mathematics (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Biophysics (AREA)
- Optics & Photonics (AREA)
- Radiology & Medical Imaging (AREA)
- Neurosurgery (AREA)
- Dentistry (AREA)
- Gastroenterology & Hepatology (AREA)
- Epidemiology (AREA)
- External Artificial Organs (AREA)
Abstract
The invention belongs to the technical field of medical instruments, and particularly relates to a supporting device for gastroscopy in the department of gastroenterology, which comprises a supporting mechanism, an isolating membrane and an auxiliary mechanism; the supporting mechanism comprises a supporting tube, a shielding plate, a telescopic plate and a biting plate; the supporting pipe is of a pipeline structure with openings at two ends; the supporting tube is used for supporting the oral cavity and providing a moving channel for the gastroscope; the shielding plate is sleeved outside the supporting tube; the shielding plate is made of elastic plastic materials; one side of the supporting tube, which is far away from the baffle plate, is fixedly connected with symmetrically designed telescopic plates; the supporting device for gastroscopy, which is manufactured by the invention, has better supporting effect on the oral cavity of a patient when in use, effectively relieves muscle soreness and discomfort of the patient in the gastroscopy process, simultaneously has easier and quicker cleaning work after the examination is finished, is convenient for high-frequency use in a short time, and simultaneously has lower cost caused by the manufacture of a waste disposable isolating membrane, thereby effectively controlling the cost.
Description
Technical Field
The invention belongs to the technical field of medical instruments, and particularly relates to a supporting device for gastroscopy in the department of gastroenterology.
Background
Among the prior art gastroscope inspection is sent into the stomach with the gastroscope through patient's oral cavity, because gastroscope and the relative oral cavity of pipe, the esophagus is thicker, the person of being examined often feels uncomfortable when sending into, and the oral area is by no means closed autonomously, make the gastroscope can not send into the stomach in the flue smoothly, oral cavity strutting arrangement function singleness is assisted in current gastroscope inspection, can not stabilize effectual oral area support of carrying out when carrying out patient's oral area support, cause the slip that drops of eyelidretractor, simultaneously because strutting arrangement contacts with patient's oral cavity in the body fluid, and then lead to strutting arrangement to receive the pollution, need carry out the meticulous disinfection after can reuse, and the most effects of disposable strutting arrangement are relatively poor and the cost is higher.
A comfortable type oral cavity strutting arrangement for gastroscopy that chinese patent issued, application number: CN201810583742X, which comprises an arc baffle, a tongue depressor and a supporting tube, wherein the middle part of the arc baffle is provided with a circular through hole, and the supporting tube is connected and fixed in the circular through hole in the middle part of the arc baffle; the supporting tube comprises a large-diameter mouth supporting tube and a small-diameter mouth supporting tube, one end of the small-diameter mouth supporting tube is connected with the arc-shaped baffle plate through the large-diameter mouth supporting tube, the other end of the small-diameter mouth supporting tube is provided with the tongue depressor, the outer circular surface of the large-diameter mouth supporting tube is provided with the large-diameter alveolar ring, and the outer circular surface of the small-diameter mouth supporting tube is provided with the small-diameter alveolar ring. Is not convenient for repeated use in a short period.
In view of the above, the invention provides a supporting device for gastroscopy in the department of gastroenterology, which is used for solving the technical problems.
Disclosure of Invention
In order to make up for the defects of the prior art, the supporting device for the auxiliary oral cavity in the gastroscopy, which is provided by the invention, solves the problems that the existing supporting device for the auxiliary oral cavity in the gastroscopy has single function, the oral cavity support cannot be stably and effectively carried out when the oral cavity of a patient is supported, the supporter falls off and slides, meanwhile, the supporting device is polluted due to the fact that the supporting device is contacted with body fluid in the oral cavity of the patient, the supporting device can be reused after fine sterilization and disinfection, and most of disposable supporting devices have poor effects and high cost.
The technical scheme adopted by the invention for solving the technical problems is as follows: the supporting device for the gastroscopy in the digestive internal medicine comprises a supporting mechanism, an isolating membrane and an auxiliary mechanism;
the supporting mechanism comprises a supporting tube, a shielding plate, a telescopic plate and a biting plate; the supporting pipe is of a pipeline structure with openings at two ends; the supporting tube is used for supporting the oral cavity and providing a moving channel for the gastroscope; the shielding plate is sleeved outside the supporting tube; the shielding plate is made of elastic plastic materials; one side of the supporting tube, which is far away from the baffle plate, is fixedly connected with symmetrically designed telescopic plates; the length direction of the telescopic plate is parallel to the axis of the supporting tube; one side of the telescopic plate, which is far away from the supporting tube, is fixedly connected with an engagement plate; the biting plate is made of hard rubber materials; the biting plate is used for biting the upper teeth and the lower teeth of a patient;
the isolating membrane is made of a disposable plastic film material; the isolation film is used for coating the supporting mechanism, so that the supporting mechanism can be conveniently used repeatedly; the isolation membrane covering surface comprises a supporting tube inner diameter surface, a supporting tube outer diameter surface, a side where the biting plates are far away from each other and a side where the shielding plate faces the telescopic plate;
the auxiliary mechanism comprises a handheld box, a pressing block, a transmission rod and a pressing sheet; the handheld box is fixedly connected to the supporting tube; the handheld box is adjacent to one side, far away from the telescopic plate, of the shielding plate; the supporting tube penetrates through the handheld box; the upper side and the lower side of the handheld box are provided with first sliding chutes which are symmetrically designed; the pressing blocks are designed in a plurality of ways and are respectively connected in the symmetrical first sliding chutes in a sliding way; one side of the pressing block, which is close to the shielding plate, is fixedly connected with a transmission rod; the transmission rods are all designed in an L shape; the shielding plate is provided with a first through groove; the transmission rods extend to the side, away from each other, of the biting plate through the first through groove; a second through groove is formed in the shielding plate; the second through groove and the first through groove are both in a conducting design; the second through grooves are symmetrically arranged on the sides, far away from each other, of the first through grooves; pressing sheets are fixedly connected to the upper end and the lower end of the shielding plate close to one side of the biting plate; the pressing sheets are all made of elastic plastic materials; the pressing sheet is designed to be tightly attached to the shielding plate in an initial state; one side of the pressing sheet close to the biting plate is fixedly connected with an elastic rope; the elastic rope extends into the first through groove through the second through groove and is fixedly connected with the transmission rod;
in the prior art, the gastroscope is sent into the stomach through the oral cavity of a patient, because the gastroscope and a catheter are thicker than the oral cavity and the esophagus, an examinee usually feels uncomfortable when sending the gastroscope and the oral cavity is not automatically closed, so that the gastroscope can not be smoothly sent into the gastric tract, the existing auxiliary oral cavity supporting device for the gastroscope has single function, the oral cavity can not be stably and effectively supported when the oral cavity of the patient is supported, the supporter falls off and slides, and meanwhile, because the supporting device is contacted with body fluid in the oral cavity of the patient, the supporting device is polluted, the supporting device can be reused after fine sterilization and disinfection, most of disposable supporting devices have poor effect and higher cost;
when the invention works, during gastroscopy, the pressing block in the first chute on the handheld box is manually pressed, so that the pressing block slides towards the first chute, the pressing block displaces, the biting plate is extruded by the transmission effect of the transmission rod, the biting plate extrudes the telescopic plate, the telescopic plate is contracted towards the direction of the supporting tube, the elastic rope is pulled when the biting plate moves, so that the pressing sheet and the shielding plate are driven to rotate and separate, at the moment, the disposable isolating membrane is sleeved on the supporting mechanism, the pressing block is changed into the handheld box by loosening the pressing block, at the moment, under the action of the spring in the telescopic plate, the telescopic plate drives the biting plate to reset, so that the biting plate pushes the transmission rod, so that the pressing block is driven to reset, the supporting force is generated on the isolating membrane when the biting plate resets, the pressure of the elastic rope on the pressing sheet disappears, so that the pressing sheet resets, the isolating membrane and the shielding plate are pressed together, the supporting device for gastroscopy is placed in the mouth cavity of a patient, the upper jaw and the lower jaw of the patient are closed, teeth are occluded on the biting plate, the gastroscope extends to the stomach of the patient through the inner cavity of the supporting tube, the examination can be carried out, after the examination is finished, the gastroscope is pulled out through the inner cavity of the supporting tube, the supporting device for gastroscopy is taken out from the mouth cavity of the patient, the pressing block is pressed manually again, the biting plate is driven to move oppositely under the transmission effect of the transmission rod, the isolating membrane is separated from the supporting mechanism and is taken down from the supporting mechanism for replacement, the isolating membrane is sterilized by simple alcohol and then can be recycled, the supporting device for gastroscopy is divided into the supporting mechanism, the isolating membrane and the auxiliary mechanism, and when in use, the isolating membrane is combined with the supporting mechanism and is fixed on the supporting mechanism by the auxiliary mechanism, compared with the entity supporting device or simple disposable articles which are recycled in the prior art, the supporting device for gastroscopy not only has better supporting effect on the oral cavity of the patient when in use, effectively relieves the muscle soreness and discomfort of the patient in the gastroscopy process, but also is easy and quick to clean after the examination is finished, is convenient to use for a high frequency in a short time, has lower cost caused by the waste disposable isolating membrane, and can effectively control the cost.
Preferably, the mutually close sides of the first sliding grooves are fixedly connected with uniformly distributed negative pressure bags; the negative pressure bags are fixedly connected with negative pressure pipes; the negative pressure pipe extends to the shielding plate; the negative pressure pipe penetrates through the shielding plate, and an opening is formed in one side, facing the biting plate, of the shielding plate;
when the device works, the pressing block is pressed, the biting plate is relatively folded through transmission of the transmission rod, the isolating membrane is convenient to sleeve, meanwhile, when the pressing block is pressed, the pressing block moves to extrude the negative pressure bag, so that the negative pressure bag outputs the internal gas outwards through the negative pressure pipe, after the output is finished, the isolating membrane is sleeved, the pressing block is loosened, so that the negative pressure bag is not limited, and further negative pressure is formed in the negative pressure pipe.
Preferably, the edges of the two symmetrically designed snap plates are elastically connected through an elastic band; the opposite sides of the two symmetrically designed bite plates are fixedly connected with a squeezing bag together; a first groove is formed in one side, close to the shielding plate, of the handheld box; an expansion bag is fixedly connected in the first groove; the expansion bag is communicated with the extrusion bag;
the during operation, under the bite-size effect of upper and lower jaw in disease oral cavity, the bite-size closes up relatively, and then make the extrusion bag pressurized between the bite-size, the pressurized extrusion bag is with inside gas transport to the inflation bag in, and then make the increase of inflation bag volume, the negative pressure bag of volume increase produces the extrusion to the shielding plate, and then make the combination dynamics between shielding plate and the patient oral cavity stronger, it is more firm to make strutting arrangement for the gastroscopy locate in patient oral cavity effectively, avoid strutting arrangement to drop, simultaneously because be connected between transfer line and the bite-size, can not produce the pulling force to the transfer line when the bite-size closes up, and then avoid the negative pressure bag pressurized effectively, and then lead to the negative pressure to disappear, the combination effect of shielding plate and barrier film reduces.
Preferably, the telescopic plate is obliquely designed along the axial direction of the support tube; the two symmetrically designed bite plates are obliquely designed relative to the supporting tube; the two biting plates are arranged in a conical shape, and the minimum conical end faces the shielding plate;
the during operation is the slope with the expansion plate design, and then makes the relative slope of bite-block, and then effectual when the patient bites the bite-block, strutting arrangement for the gastroscopy slides to patient's oral cavity inside, cooperates the hindrance effect of shielding plate, and then makes strutting arrangement for the gastroscopy more firm in patient's oral cavity effectively.
Preferably, the isolating membrane is fixedly connected with a conduction pipe; the conduction pipe is positioned on the isolating film, and the opening of the conduction pipe corresponds to the mouth angle of the patient; the conduction pipe is in a conical design at the joint of the isolation films and is fixedly connected with absorbent cotton inside; one side of the conduction pipe, which is far away from the isolating membrane, is fixedly connected with a water bag;
when in work, when the oral cavity is in an open state for a long time, the oral cavity can automatically secrete saliva, and the saliva flows downwards because the patient usually adopts a lateral lying type body position during gastroscopy, because the baffle plate is tightly attached to the face of the patient under the occlusion action of the patient, the saliva is blocked by the baffle plate when flowing downwards, so that the saliva can only flow outwards through the conduction pipe, and by utilizing the conical opening of the conduction pipe and the absorbent cotton at the opening, thereby effectively accelerating the flow rate of saliva to the conduction pipe, effectively leading the saliva to flow into the saliva bag through the conduction pipe, abandon the median and saliva bag after the inspection is finished, the design of saliva bag is compared and is adopted the gauze to spread among the prior art and fill up, absorb saliva, reduces effectively on the one hand the gauze and is drenched the uncomfortable sense that the back caused to the patient by saliva, can also avoid used repeatedly's gauze to cause germ cross infection to the patient effectively simultaneously.
Preferably, the supporting tube is positioned on one side of the telescopic plate far away from the shielding plate and fixedly connected with an induction plate; the sensing plate is aligned to the throat part of the patient; a second groove is formed in the induction plate; an induction bag is fixedly connected in the second groove; the induction bag protrudes out of the second groove in the initial state; the inside of the supporting tube is fixedly connected with an adsorption bag; the adsorption bag is designed in an annular shape; the adsorption bag and the induction bag are communicated;
the during operation, the patient is when examining, because the oral cavity is opened, make the patient breathe unconscious conversion be oral cavity breathing, when the patient exhales, the air current strikes on the response bag, and then make the response bag with inside gas transport to adsorbing in the bag, it blocks up the stay tube to adsorb the bag inflation, and then make the atmospheric pressure increase in the oral cavity, and then make the saliva increase to flow rate in the guide pipe, when the patient breathes in simultaneously, the response bag extraction adsorbs the intrasaccus gas, make the stay tube switch on with the external world, and then the patient of being convenient for breathes external air, avoid causing the sense of suffocation to the patient, reduce patient's uncomfortable effectively and feel.
The invention has the following beneficial effects:
1. compared with the solid supporting device or simple disposable articles which are recycled in the prior art, the supporting device for gastroscopy manufactured by the invention has better supporting effect on the oral cavity of a patient during use, effectively relieves muscle soreness and discomfort of the patient during the gastroscopy process, and simultaneously has easier cleaning work after the examination, The method is rapid, convenient for high-frequency use in a short time, low in cost of manufacturing the waste disposable isolating membrane, and capable of effectively controlling the cost.
2. According to the supporting device for gastroscopy in the digestive system department, the shielding plate is tightly attached to the face of a patient under the occlusion effect of the patient, so that saliva flows downwards and is blocked by the shielding plate, the saliva can only flow outwards through the conduction pipe, the flow rate of the saliva flowing into the conduction pipe is effectively accelerated by utilizing the conical opening of the conduction pipe and the absorbent cotton at the opening, the saliva can effectively flow into the saliva bag through the conduction pipe, the isolation belt and the saliva bag are discarded after the examination is finished, compared with the prior art, due to the fact that gauze is adopted for bedding and absorbing the saliva, discomfort caused to the patient after the gauze is wetted by the saliva is effectively reduced, and meanwhile, the phenomenon that the repeatedly used gauze causes germ cross infection to the patient can be effectively avoided.
Drawings
The invention will be further explained with reference to the drawings.
FIG. 1 is a front view of the present invention;
FIG. 2 is a front view of the support mechanism;
FIG. 3 is a cross-sectional view of the present invention;
FIG. 4 is a front view of the handheld cassette;
in the figure: the device comprises a support tube 1, a shielding plate 11, a telescopic plate 12, a biting plate 13, an isolation membrane 2, a handheld box 3, a first sliding groove 31, a pressing block 32, a first through groove 34 of a transmission rod 33, a second through groove 35, a pressing sheet 36, an elastic rope 37, a negative pressure bag 4, a negative pressure tube 41, an extrusion bag 42, a first groove 43, an expansion bag 44, a conduction tube 5, a saliva bag 52, an induction plate 53, a second groove 54, an induction bag 55 and an adsorption bag 56.
Detailed Description
In order to make the technical means, the creation characteristics, the achievement purposes and the effects of the invention easy to understand, the invention is further described with the specific embodiments.
As shown in fig. 1 to 4, the supporting device for gastroenterology gastroscopy according to the invention comprises a supporting mechanism, an isolating membrane 2 and an auxiliary mechanism;
the supporting mechanism comprises a supporting tube 1, a shielding plate 11, a telescopic plate 12 and a bite plate 13; the supporting tube 1 is a pipeline structure with openings at two ends; the supporting tube 1 is used for supporting the oral cavity and providing a moving channel for the gastroscope; the shielding plate 11 is sleeved outside the supporting tube 1; the shielding plate 11 is made of elastic plastic materials; one side of the support tube 1, which is far away from the baffle plate 11, is fixedly connected with symmetrically designed expansion plates 12; the length direction of the expansion plate 12 is parallel to the axis of the support tube 1; one side of the expansion plate 12, which is far away from the support tube 1, is fixedly connected with an engagement plate 13; the bite plate 13 is made of hard rubber material; the biting plate 13 is used for biting the upper teeth and the lower teeth of the patient;
the isolating membrane 2 is made of a disposable plastic film material; the isolation film 2 is used for coating the supporting mechanism, so that the supporting mechanism can be conveniently used repeatedly; the covering surface of the isolating membrane 2 comprises an inner diameter surface of the support tube 1, an outer diameter surface of the support tube 1, one side of the bite plate 13 away from each other and one side of the shielding plate 11 facing the expansion plate 12;
the auxiliary mechanism comprises a handheld box 3, a pressing block 32, a transmission rod 33 and a pressing sheet 36; the handheld box 3 is fixedly connected to the supporting tube 1; the handheld box 3 is adjacent to one side, far away from the expansion plate 12, of the shielding plate 11; the supporting tube 1 penetrates through the handheld box 3; the upper side and the lower side of the handheld box 3 are provided with first sliding chutes 31 which are symmetrically designed; the pressing blocks 32 are designed in a plurality of numbers and are respectively connected in the symmetrical first sliding chutes 31 in a sliding manner; one side of the pressing block 32, which is close to the shielding plate 11, is fixedly connected with a transmission rod 33; the transmission rods 33 are all designed in an L shape; the shielding plate 11 is provided with a first through groove 34; the transmission rods 33 extend to the side, away from each other, of the snap-in plate 13 through the first through grooves 34; a second through groove 35 is formed in the shielding plate 11; the second through groove 35 and the first through groove 34 are both designed to be conductive; the second through grooves 35 are symmetrically arranged on the sides, away from each other, of the first through grooves 34; the upper end and the lower end of the baffle plate 11 are fixedly connected with pressing sheets 36 at one side close to the biting plate 13; the pressing sheets 36 are all made of elastic plastic materials; the pressing sheet 36 is designed to be tightly attached to the shielding plate 11 in an initial state; an elastic rope 37 is fixedly connected to one side of the pressing sheet 36 close to the biting plate 13; the elastic rope 37 extends into the first through groove 34 through the second through groove 35 and is fixedly connected with the transmission rod 33;
in the prior art, the gastroscope is sent into the stomach through the oral cavity of a patient, because the gastroscope and a catheter are thicker than the oral cavity and the esophagus, an examinee usually feels uncomfortable when sending the gastroscope and the oral cavity is not automatically closed, so that the gastroscope can not be smoothly sent into the gastric tract, the existing auxiliary oral cavity supporting device for the gastroscope has single function, the oral cavity can not be stably and effectively supported when the oral cavity of the patient is supported, the supporter falls off and slides, and meanwhile, because the supporting device is contacted with body fluid in the oral cavity of the patient, the supporting device is polluted, the supporting device can be reused after fine sterilization and disinfection, most of disposable supporting devices have poor effect and higher cost;
when the invention works, during gastroscopy, the pressing block 32 in the first chute 31 on the handheld box 3 is manually pressed, so that the pressing block 32 slides into the first chute 31, the pressing block 32 displaces, the transmission effect of the transmission rod 33 extrudes the biting plate 13, so that the biting plate 13 extrudes the telescopic plate 12, the telescopic plate 12 contracts towards the supporting tube 1, the elastic rope 37 is pulled when the biting plate 13 moves, so that the pressing sheet 36 and the shielding plate 11 are driven to rotate and separate, at the moment, the disposable isolating membrane 2 is sleeved on the supporting mechanism, the pressing block 32 is released to change into the handheld box 3, at the moment, under the action of the spring in the telescopic plate 12, the telescopic plate 12 drives the biting plate 13 to reset, so that the biting plate 13 pushes the transmission rod 33, so that the pressing block 32 is driven to reset, when the biting plate 13 resets, the isolating membrane 2 generates supporting force, and the biting plate 13 resets, the pressure of the elastic rope 37 on the pressing sheet 36 is eliminated, the pressing sheet 36 is reset, the isolation membrane 2 and the shielding plate 11 are pressed, the isolation membrane 2 and the supporting mechanism are attached, the supporting device for gastroscopy is placed in the oral cavity of a patient, the upper jaw and the lower jaw of the patient are closed, teeth are occluded on the biting plate 13, the gastroscope extends to the stomach of the patient through the inner cavity of the supporting tube 1, the examination can be carried out, after the examination is finished, the gastroscope is pulled out through the inner cavity of the supporting tube 1, the supporting device for gastroscopy is taken out of the oral cavity of the patient, the pressing block 32 is manually pressed again, the biting plate 13 is driven to move oppositely under the transmission effect of the transmission rod 33, the isolation membrane 2 and the supporting mechanism are separated from each other and fixed, the isolation membrane 2 is taken down from the supporting mechanism for replacement, the isolation membrane 2 can be recycled after simple alcohol disinfection, and the supporting device for gastroscopy is divided into the supporting mechanism, The isolating membrane 2 and the auxiliary mechanism are combined with the supporting mechanism when in use, and the isolating membrane 2 is fixed on the supporting mechanism by the auxiliary mechanism, so that when in examination, the supporting device for gastroscopy is only contacted with the oral cavity of a patient through the isolating membrane 2 effectively, and the isolating membrane 2 is replaced after the examination is finished, so that the supporting device can be used again, compared with the entity supporting device or simple disposable articles which are recycled in the prior art, the supporting device for gastroscopy not only has better supporting effect on the oral cavity of the patient when in use, effectively relieves muscle ache and discomfort of the patient during the gastroscopy, simultaneously has easier and quicker cleaning work after the examination, is convenient for high-frequency use in a short time, and simultaneously has lower manufacturing cost of the abandoned disposable isolating membrane 2, cost can be effectively controlled.
As an embodiment of the present invention, the sides of the first chutes 31 close to each other are fixedly connected with the negative pressure bags 4 which are uniformly distributed; the negative pressure bags 4 are fixedly connected with negative pressure pipes 41; the negative pressure pipe 41 extends to the shielding plate 11; the negative pressure tube 41 penetrates through the shielding plate 11 and is designed to be opened at one side of the shielding plate 11 facing the bite plate 13;
when in work, the biting plates 13 are relatively folded through the transmission of the transmission rod 33 by pressing the pressing block 32, so that the isolation film 2 is conveniently sleeved, meanwhile, when the pressing block 32 is pressed, the pressing block 32 moves to press the negative pressure bag 4, further, the negative pressure bag 4 outputs the gas inside to the outside through the negative pressure pipe 41, after the output is finished, the isolation membrane 2 is sleeved, the pressing block 32 is released, so that the negative pressure bag 4 is not limited, the negative pressure is formed in the negative pressure pipe 41, since the isolation film 2 is adjacent to the opening of the negative pressure tube 41, when the negative pressure tube 41 extracts the outside air, the isolation film 2 is attached to the opening of the negative pressure tube 41, and then make laminating under the negative pressure effect between barrier film 2 and the shielding plate 11, and then make the combination effect between barrier film 2 and the supporting mechanism better, avoid patient and supporting mechanism direct contact effectively, cause supporting mechanism's pollution.
As an embodiment of the present invention, the edges of the two symmetrically designed bite plates 13 are elastically connected by an elastic band; the opposite sides of the two symmetrically designed bite plates 13 are fixedly connected with a squeezing bag 42 together; a first groove 43 is formed in one side, close to the shielding plate 11, of the handheld box 3; an expansion bag 44 is fixedly connected in the first groove 43; the expansion bag 44 is communicated with the extrusion bag 42;
during operation, under the action of the biting force of the upper jaw and the lower jaw of the oral cavity of a patient, the biting plates 13 are relatively closed, so that the extrusion bags 42 between the biting plates 13 are pressed, the pressed extrusion bags 42 convey the internal gas into the expansion bags 44, the volume of the expansion bags 44 is increased, the negative pressure bags 4 with the increased volume extrude the shielding plates 11, the combination strength between the shielding plates 11 and the oral cavity of the patient is stronger, the supporting device for gastroscopy is firmer at the oral cavity of the patient effectively, the supporting device is prevented from falling off, meanwhile, because the transmission rods 33 and the biting plates 13 are not connected, the biting plates 13 cannot generate pulling force to the transmission rods 33 when being closed, the negative pressure bags 4 are effectively prevented from being pressed, the negative pressure is further prevented from disappearing, and the combination effect of the shielding plates 11 and the isolating membrane 2 is reduced.
As an embodiment of the invention, the expansion plate 12 is designed to be inclined along the axial direction of the support tube 1; the two symmetrically designed snap plates 13 are designed obliquely relative to the support tube 1; the two bite plates 13 are arranged in a conical shape, and the minimum conical end faces the shielding plate 11;
the during operation is designed the expansion plate 12 for the slope, and then makes the relative slope of nipper 13, and then effectual when the patient bites nipper 13, strutting arrangement for the gastroscopy slides to patient's oral cavity inside, cooperates the hindrance effect of shielding plate 11, and then makes strutting arrangement for the gastroscopy more firm in patient's oral cavity effectively.
As an embodiment of the invention, a conduction pipe 5 is further fixedly connected to the isolation film 2; the conduction pipe 5 is positioned on the isolating membrane 2, and the opening of the conduction pipe corresponds to the mouth angle of the patient; the connecting part of the conduction pipe 5 and the isolating membrane 2 is in a conical design, and the inside of the conduction pipe is fixedly connected with absorbent cotton; a water bag 52 is fixedly connected to one side of the conduction pipe 5, which is far away from the isolating membrane 2;
when the mouth cavity is in an open state for a long time, saliva is automatically secreted in the mouth cavity, the patient usually adopts a lateral lying type position when performing gastroscopy, the saliva flows downwards, the baffle plate 11 is tightly attached to the face of the patient under the occlusion effect of the patient, the saliva is blocked by the baffle plate 11 when flowing downwards, the saliva can only flow outwards through the conduction pipe 5, the flow rate of the saliva flowing into the conduction pipe 5 is effectively accelerated by utilizing the conical opening of the conduction pipe 5 and the absorbent cotton at the opening, the saliva flows into the saliva bag 52 through the conduction pipe 5, the isolation belt and the saliva bag 52 are discarded after the examination is finished, and compared with the design of the saliva bag 52 in the prior art, the discomfort caused to the patient after the gauze is wetted by the saliva is effectively reduced on one hand, meanwhile, the method can effectively avoid the germ cross infection of the patient caused by the reused gauze.
As an embodiment of the invention, the support tube 1 is fixedly connected with an induction plate 53 at the side of the expansion plate 12 away from the shielding plate 11; the induction plate 53 is aligned with the throat part of the patient; a second groove 54 is formed in the induction plate 53; an induction bag 55 is fixedly connected in the second groove 54; in the initial state, the sensing bag 55 protrudes out of the second groove 54; an adsorption bag 56 is fixedly connected inside the support tube 1; the adsorption bag 56 is of annular design; the adsorption bag 56 and the induction bag 55 are designed to be communicated;
the during operation, the patient is when examining, because the oral cavity is opened, make the involuntary conversion of patient breathing breathe the oral cavity and breathe, when the patient exhales, the air current strikes on response bag 55, and then make response bag 55 with inside gas transport to adsorbing in the bag 56, it blocks up stay tube 1 to adsorb the bag 56 inflation, and then make the atmospheric pressure increase in the oral cavity, and then make the oral cavity flow rate increase to 5 internal circulation pipes of saliva, when the patient breathes in simultaneously, response bag 55 extracts and adsorbs 56 internal gas of bag, make stay tube 1 and external world switch on, and then the patient of being convenient for breathes external air, avoid causing the sense of suffocation to the patient, reduce patient's uncomfortable effectively and feel.
The specific implementation flow is as follows:
when the gastroscopy is carried out, the pressing block 32 in the first sliding chute 31 on the handheld box 3 is manually pressed, so that the pressing block 32 slides into the first sliding chute 31, the pressing block 32 is displaced to extrude the biting plate 13 through the transmission effect of the transmission rod 33, so that the biting plate 13 extrudes the telescopic plate 12, the telescopic plate 12 contracts towards the supporting tube 1, the elastic rope 37 is pulled when the biting plate 13 moves, so that the pressing piece 36 and the shielding plate 11 are driven to rotate and separate, at the moment, the disposable isolating membrane 2 is sleeved on the supporting mechanism, the pressing block 32 is released to be changed into the handheld box 3, at the moment, under the action of the spring in the telescopic plate 12, the telescopic plate 12 drives the biting plate 13 to reset, so that the biting plate 13 pushes the transmission rod 33, so that the pressing block 32 is driven to reset, the holding force is generated on the isolating membrane 2 when the biting plate 13 resets, and the biting plate 13 resets, so that the pressure of the elastic rope 37 on the pressing piece 36 disappears, and then the pressing sheet 36 is reset, the isolation membrane 2 and the shielding plate 11 are pressed, the isolation membrane 2 and the supporting mechanism are attached, the supporting device for gastroscopy is placed in the oral cavity of a patient, the upper jaw and the lower jaw of the patient are closed, teeth are occluded on the biting plate 13, the gastroscopy extends to the stomach of the patient through the inner cavity of the supporting tube 1, then the examination can be carried out, after the examination is finished, the gastroscopy supporting device is taken out from the oral cavity of the patient after the gastroscopy is pulled out through the inner cavity of the supporting tube 1, the pressing block 32 is manually pressed again, the biting plate 13 is driven to move oppositely under the transmission effect of the transmission rod 33, the isolation membrane 2 and the supporting mechanism are separated from each other and fixed, the isolation membrane 2 is taken down from the supporting mechanism for replacement, and the isolation membrane 2 can be recycled after being disinfected by simple alcohol.
The foregoing illustrates and describes the principles, general features, and advantages of the present invention. It will be understood by those skilled in the art that the present invention is not limited to the embodiments described above, which are described in the specification and illustrated only to illustrate the principle of the present invention, but that various changes and modifications may be made therein without departing from the spirit and scope of the present invention, which fall within the scope of the invention as claimed. The scope of the invention is defined by the appended claims and equivalents thereof.
Claims (6)
1. The utility model provides a strutting arrangement for gastroenterology gastroscopy which characterized in that: comprises a supporting mechanism, an isolating membrane (2) and an auxiliary mechanism;
the supporting mechanism comprises a supporting tube (1), a shielding plate (11), a telescopic plate (12) and a bite plate (13); the supporting tube (1) is of a pipeline structure with openings at two ends; the supporting tube (1) is used for supporting the oral cavity and providing a moving channel for the gastroscope; the shielding plate (11) is sleeved outside the supporting tube (1); the shielding plate (11) is made of elastic plastic materials; one side of the support tube (1) far away from the shielding plate (11) is fixedly connected with symmetrically designed telescopic plates (12); the length direction of the expansion plate (12) is parallel to the axis of the support tube (1); one side of the expansion plate (12) far away from the supporting tube (1) is fixedly connected with a bite plate (13); the bite plate (13) is made of hard rubber material; the biting plate (13) is used for biting the upper teeth and the lower teeth of a patient;
the isolating membrane (2) is made of a disposable plastic film material; the isolation film (2) is used for coating the supporting mechanism, so that the supporting structure can be conveniently used repeatedly; the covering surface of the isolating membrane (2) comprises an inner diameter surface of the supporting pipe (1), an outer diameter surface of the supporting pipe (1), one side, away from each other, of the bite plate (13) and one side, facing the expansion plate (12), of the shielding plate (11);
the auxiliary mechanism comprises a handheld box (3), a pressing block (32), a transmission rod (33) and a pressing sheet (36); the handheld box (3) is fixedly connected to the supporting tube (1); the handheld box (3) is adjacent to one side, away from the telescopic plate (12), of the shielding plate (11); the supporting tube (1) penetrates through the handheld box (3); the upper side and the lower side of the handheld box (3) are provided with first sliding chutes (31) which are symmetrically designed; the pressing blocks (32) are designed in a plurality of ways and are respectively connected in the symmetrical first sliding chutes (31) in a sliding way; one side of the pressing block (32) close to the shielding plate (11) is fixedly connected with a transmission rod (33); the transmission rods (33) are all designed in an L shape; a first through groove (34) is formed in the shielding plate (11); the transmission rods (33) extend to one side, away from each other, of the snap-in plate (13) through the first through grooves (34); a second through groove (35) is formed in the shielding plate (11); the second through groove (35) and the first through groove (34) are both in a conducting design; the second through grooves (35) are symmetrically arranged on the sides, far away from each other, of the first through grooves (34); pressing sheets (36) are fixedly connected to the upper end and the lower end of the shielding plate (11) close to one side of the biting plate (13); the pressing sheet (36) is made of elastic plastic materials; the pressing sheet (36) is designed to be tightly attached to the shielding plate (11) in an initial state; one side of the pressing sheet (36) close to the biting plate (13) is fixedly connected with an elastic rope (37); the elastic rope (37) extends into the first through groove (34) through the second through groove (35) and is fixedly connected with the transmission rod (33).
2. The supporting device for gastroenterology gastroscopy according to claim 1, characterized in that: the side, close to each other, of each first sliding chute (31) is fixedly connected with negative pressure bags (4) which are uniformly distributed; the negative pressure bags (4) are fixedly connected with negative pressure pipes (41); the negative pressure pipe (41) extends to the shielding plate (11); the negative pressure pipe (41) penetrates through the shielding plate (11) and is designed to be opened at one side of the shielding plate (11) facing the biting plate (13).
3. The supporting device for gastroenterology gastroscopy according to claim 1, characterized in that: the edges of the two symmetrically designed snap plates (13) are elastically connected through an elastic band; the opposite sides of the two symmetrically designed bite plates (13) are fixedly connected with a squeezing bag (42) together; a first groove (43) is formed in one side, close to the shielding plate (11), of the handheld box (3); an expansion bag (44) is fixedly connected in the first groove (43); the expansion bag (44) is communicated with the extrusion bag (42).
4. The supporting device for gastroenterology gastroscopy according to claim 3, characterized in that: the telescopic plate (12) is obliquely designed along the axial direction of the support tube (1); the two symmetrically designed bite plates (13) are obliquely designed relative to the supporting tube (1); the two bite plates (13) are arranged in a conical shape, and the minimum end of the conical shape faces the shielding plate (11).
5. The supporting device for gastroenterology gastroscopy according to claim 1, characterized in that: a conduction pipe (5) is fixedly connected to the isolation film (2); the conduction pipe (5) is positioned on the isolating membrane (2) and has an opening corresponding to the mouth angle of the patient; the conduction pipe (5) is in a conical design at the joint of the isolating membranes (2) and is fixedly connected with absorbent cotton inside; one side of the conduction pipe (5) far away from the isolating membrane (2) is fixedly connected with a water bag (52).
6. The supporting device for gastroenterology gastroscopy according to claim 5, characterized in that: the supporting tube (1) is fixedly connected with an induction plate (53) at one side of the telescopic plate (12) far away from the shielding plate (11); the induction plate (53) is aligned with the throat part of the patient; a second groove (54) is formed in the induction plate (53); an induction bag (55) is fixedly connected in the second groove (54); the sensing bag (55) protrudes out of the second groove (54) in the initial state; an adsorption bag (56) is fixedly connected inside the supporting tube (1); the adsorption bag (56) is designed annularly; the adsorption bag (56) is communicated with the induction bag (55).
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| CN202110120325.3A CN112842242B (en) | 2021-01-28 | 2021-01-28 | Strutting arrangement is used in gastroenterology gastroscopy |
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| CN112842242B (en) | 2021-09-28 |
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Effective date of registration: 20211221 Address after: 710000 277 Yanta West Road, Xi'an, Shaanxi Patentee after: THE FIRST AFFILIATED HOSPITAL OF MEDICAL COLLEGE OF XI'AN JIAOTONG University Address before: 710000 277 Yanta West Road, Xi'an, Shaanxi Patentee before: Zhang Zhiyong |
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