CN112842469B - Liver and gall stone positioning lithotriptor - Google Patents

Liver and gall stone positioning lithotriptor Download PDF

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Publication number
CN112842469B
CN112842469B CN202011536415.2A CN202011536415A CN112842469B CN 112842469 B CN112842469 B CN 112842469B CN 202011536415 A CN202011536415 A CN 202011536415A CN 112842469 B CN112842469 B CN 112842469B
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Prior art keywords
hepatobiliary
positioning
arc
liver
positioning frame
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CN112842469A (en
Inventor
吴军
刘建
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Jutian Medical Technology Shenzhen Co ltd
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Jutian Medical Technology Shenzhen Co ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/225Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for for extracorporeal shock wave lithotripsy [ESWL], e.g. by using ultrasonic waves
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/225Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for for extracorporeal shock wave lithotripsy [ESWL], e.g. by using ultrasonic waves
    • A61B17/2255Means for positioning patient, shock wave apparatus or locating means, e.g. mechanical aspects, patient beds, support arms, aiming means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/225Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for for extracorporeal shock wave lithotripsy [ESWL], e.g. by using ultrasonic waves
    • A61B17/2256Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for for extracorporeal shock wave lithotripsy [ESWL], e.g. by using ultrasonic waves with means for locating or checking the concrement, e.g. X-ray apparatus, imaging means

Abstract

The invention relates to the field of medical instruments and discloses a liver and gall stone positioning lithotripter which comprises a liver and gall positioning frame and a binding belt for fixing the liver and gall positioning frame at the position of a liver and gall of the abdomen of a patient, wherein an opening is formed in the liver and gall positioning frame, an arc-shaped moving assembly is arranged on the opening, a Z-axis moving assembly arranged on a first output block of the arc-shaped moving assembly, and an X-axis moving assembly arranged on a second output block of the Z-axis moving assembly, an external shock wave lithotripter probe is arranged on a third output block of the X-axis moving assembly, and an ultrasonic detection probe is coaxially arranged on the external shock wave lithotripter probe.

Description

Liver and gall stone positioning lithotriptor
Technical Field
The invention relates to the field of medical instruments, in particular to a positioning stone breaker for hepatobiliary calculus.
Background
Cholelithiasis, also known as gallstone, is a disease in which stones occur in the biliary tract system, including the gallbladder or bile duct; biliary tract infections are common diseases; it is divided into cholecystolithiasis and bile duct lithiasis. After calculus is formed in gallbladder, mucous membrane of gallbladder is stimulated, which not only can cause chronic inflammation of gallbladder, but also can cause secondary infection after calculus is embedded in gallbladder neck or cystic duct, resulting in acute inflammation of gallbladder. The chronic stimulation of calculus to the gallbladder mucosa may also lead to the occurrence of gallbladder cancer, which is reported to be 1% -2%.
At present, liver and gall stones are generally removed through operations, and even though the liver and gall stones are completely removed through the operations, the operations are not necessary for patients with less serious symptoms, so various technologies and devices for carrying out lithotripsy through ultrasonic waves outside the body appear, but various problems often exist.
In the prior art, if the ultrasonic wave is used for carrying out lithotripsy outside the body, the position of the lithotripsy must be firstly clarified, but the current equipment for carrying out the lithotripsy outside the body cannot carry out accurate lithotripsy in moving and positioning.
Disclosure of Invention
The invention aims to provide a positioning lithotripter for liver and gall stones, and aims to solve the problem that a lithotripter probe cannot be moved and positioned in the prior art.
The invention is realized in such a way that the hepatobiliary calculus positioning lithotripter comprises a hepatobiliary positioning frame and a binding band for fixing the hepatobiliary positioning frame at the position of an abdomen hepatobiliary of a patient, wherein an opening with an area larger than the projection area of a hepatobiliary facing the abdomen is arranged on the hepatobiliary positioning frame, an arc-shaped moving component moving transversely along the abdomen, a Z-axis moving component arranged on a first output block of the arc-shaped moving component and moving along the height direction of the patient and an X-axis moving component arranged on a second output block of the Z-axis moving component and moving along the direction of the patient are arranged on the opening, an external shock wave lithotripter probe is arranged on a third output block of the X-axis moving component, and an ultrasonic detection probe is coaxially arranged on the external shock wave lithotripter probe.
Furthermore, the liver and gall positioning frame is located two sides of the opening and provided with air bags, and the air bags are arranged on one side, close to the abdomen of the patient, of the liver and gall positioning frame.
Further, the balloon is inflated and deflated by an inflating balloon.
Further, the arc removes the subassembly and includes along two sets of arc slides that the opening inboard set up, an output piece both ends slide to be set up in the arc slide.
Furthermore, the first output block and the arc-shaped slide way are provided with rollers on the matching side.
Further, the arc removes the subassembly and includes power component, power component is including setting up the arc rack on hepatobiliary locating frame surface and setting up on output piece one with arc rack complex motor and gear.
Furthermore, liver and gall stone location stone crusher is still including setting up the step that corresponds with the arc slide on the liver and gall locating frame, the arc rack sets up on the step.
Furthermore, the Z-axis moving assembly is a linear module, and the X-axis moving assembly is a micro cylinder.
Furthermore, the bandage sets up two along liver courage positioning frame both sides, two the bandage deviates from liver courage positioning frame one side is fixed through magic subsides, button or hasp.
Furthermore, liver and gall stone location stone crusher still includes the controller, and sets up on the output piece one do the arc removes the subassembly, Z axle removes the subassembly, X axle removes the subassembly, external shock wave rubble probe, ultrasonic detection probe with the battery of controller power supply and control.
Compared with the prior art, the hepatobiliary calculus positioning lithotripter provided by the invention can crush hepatobiliary calculus through the external shock wave lithotripter probe without performing an operation, the external shock wave lithotripter probe is arranged on the hepatobiliary positioning frame through the X-axis moving component, the Z-axis moving component and the arc-shaped moving component which are sequentially connected, after the hepatobiliary positioning frame is arranged at the hepatobiliary position of a patient through the binding band, the external shock wave lithotripter probe can be moved and positioned in the range of the hepatobiliary projection of the patient on the abdomen, accurate lithotripsy can be realized, and lithotripsy can be directly performed after positioning by matching with the ultrasonic detection probe coaxially matched with the external shock wave lithotripter probe, so that the positioning and lithotripter effect can be ensured.
Drawings
FIG. 1 is a schematic perspective view provided by an embodiment of the present invention;
FIG. 2 is an enlarged view of a portion of FIG. 1 at A;
fig. 3 is a perspective view of a hidden hepatobiliary positioning frame and a strap according to an embodiment of the present invention.
Detailed Description
In order to make the objects, technical solutions and advantages of the present invention more apparent, the present invention is described in further detail below with reference to the accompanying drawings and embodiments. It should be understood that the specific embodiments described herein are merely illustrative of the invention and do not limit the invention.
The same or similar reference numerals in the drawings of the present embodiment correspond to the same or similar components; in the description of the present invention, it should be understood that if there is an orientation or positional relationship indicated by the terms "upper", "lower", "left", "right", etc. based on the orientation or positional relationship shown in the drawings, it is only for convenience of describing the present invention and simplifying the description, but it is not intended to indicate or imply that the referred device or element must have a specific orientation, be constructed in a specific orientation, and be operated, and therefore, the terms describing the positional relationship in the drawings are only used for illustrative purposes and are not to be construed as limiting the present patent, and the specific meaning of the terms may be understood by those skilled in the art according to specific circumstances.
The following detailed description of implementations of the invention refers to specific embodiments.
Referring to fig. 1-3, preferred embodiments of the present invention are provided.
The invention provides a liver and gall stone positioning lithotripter, which comprises a liver and gall positioning frame 1 and a binding band 2 for fixing the liver and gall positioning frame 1 at the position of a liver and gall of the abdomen of a patient, wherein an opening 11 with the area larger than the projection area of the liver and gall towards the abdomen is arranged on the liver and gall positioning frame 1, an arc-shaped moving component 3 which transversely moves along the abdomen, a Z-axis moving component 4 which is arranged on an output block I31 of the arc-shaped moving component 3 and moves along the height direction of the patient and an X-axis moving component 5 which is arranged on an output block II of the Z-axis moving component 4 and moves along the direction of the patient are arranged on the opening 11, an external shock wave lithotripter 6 is arranged on an output block III 51 of the X-axis moving component 5, and an ultrasonic detection probe is coaxially arranged on the external shock wave lithotripter 6.
The invention crushes the hepatobiliary calculus through the extracorporeal shock wave lithotripsy probe 6, does not need to carry out operation, and arranges the extracorporeal shock wave lithotripsy probe 6 on the hepatobiliary positioning frame 1 through the X-axis moving component 5, the Z-axis moving component 4 and the arc-shaped moving component 3 which are connected in sequence, after the hepatobiliary positioning frame 1 is arranged at the hepatobiliary position of a patient through the binding band 2, the extracorporeal shock wave lithotripsy probe 6 can move and position in the range of the hepatobiliary projection of the patient on the abdomen, and accurately lithotripsy, and is matched with the ultrasonic detection probe coaxially matched with the extracorporeal shock wave lithotripsy probe 6, lithotripsy is directly performed after positioning, and positioning and lithotripsy effects are ensured, wherein, the ultrasonic detection probe reflects the action condition of shock wave on the lithotripsy in real time through echo generated on the calculus as a detection signal, and accurately positions the lithotripsy.
Liver courage posting 1 is located opening 11 both sides and is provided with gasbag 7, gasbag 7 sets up and is close to patient's belly one side at liver courage posting 1, set up gasbag 7, tie up behind tie up at bandage 2 and further improve liver courage posting 1 and patient's abdominal positional stability, avoid fixing a position and rubble in-process production landing, influence patient's rubble effect, and simultaneously, set up gasbag 7, can make the liver courage posting 1 of stereoplasm pass through soft gasbag 7 and patient's skin contact, and the comfort level is improved, reduce the patient psychology of contradicting.
The air bag 7 is inflated and deflated through the inflatable balloon, so that the operation is convenient, and the tightness can be conveniently controlled.
Arc removes subassembly 3 including along two sets of arc slides 32 of 11 inboard settings in the opening, and the setting is slided in arc slide 32 at output piece 31 both ends, and output piece 31 improves the reliability and stability through two sets of arc slides 32 sliding connection, effectively utilizes opening 11 spaces.
The roller 33 is arranged on the side, matched with the arc-shaped slide way 32, of the first output block 31, the roller 33 is arranged, friction between the first output block 31 and the arc-shaped slide way 32 is reduced, and sliding flow is improved.
The power component of the arc moving component 3 comprises an arc rack 34 arranged on the surface of the hepatobiliary positioning frame 1, a motor 35 and a gear 36 which are arranged on the first output block 31 and matched with the arc rack 34, and the first output block 31 is moved on the arc surface through the matching of the arc rack 34 and the gear 36, so that the moving accuracy is guaranteed, and the structure is simple and the cost is low.
The invention also comprises a step 37 which is arranged on the hepatobiliary positioning frame 1 and corresponds to the arc-shaped slideway 32, the arc-shaped rack 34 is arranged on the step 37, and the step 37 is arranged, so that the arc-shaped rack 34 and the gear 36 are prevented from protruding out of the surface of the hepatobiliary positioning frame 1, and the influence of other contact of clothes of a patient on transmission is avoided.
The Z-axis moving assembly 4 is a linear module, and the X-axis moving assembly 5 is a micro cylinder, so that the structure is simplified, and the purchase and the cost are convenient.
Bandage 2 sets up two along 1 both sides of liver courage locating frame, and two bandage 2 deviate from 1 one side of liver courage locating frame and paste, button or hasp fixed through the magic, and two bandage 2 are fixed through magic subsides, button or hasp, and the patient of being convenient for is fixed, and the preferred magic that adopts is pasted, is convenient for adjust the elasticity when being convenient for install.
The invention also comprises a controller and a battery 8 which is arranged on the first output block 31 and supplies power and controls the arc-shaped moving component 3, the Z-axis moving component 4, the X-axis moving component 5, the extracorporeal shock wave lithotripsy probe 6, the ultrasonic detection probe and the controller 9, and the battery 8 is arranged on the first output block 31, thereby simplifying the circuit and avoiding the need of arranging overlong electric wires.
Wherein, liver and gall locating frame 1 and arc remove subassembly 3, Z axle removes subassembly 4 and X axle and removes 5 except the power part, all adopt the rigid plastic material, reduce whole weight, improve the travelling comfort.
In addition, bandage 2 width is greater than the width of opening 11, can improve fixed reliability at first, improves bandage 2 and patient's area of contact, improves the comfort level, in addition, when not using, for example when accomodating and transporting, can wind bandage 2 around establishing fixedly around liver courage locating frame 1 length direction, protects opening 11 internals through bandage 2, reduces the damage probability of the stone crusher of accomodating and transportation, reduces overall dimension simultaneously, improves the convenience.
The present invention is not limited to the above preferred embodiments, and any modifications, equivalent substitutions and improvements made within the spirit and principle of the present invention should be included in the protection scope of the present invention.

Claims (8)

1. The hepatobiliary calculus positioning lithotripter is characterized by comprising a hepatobiliary positioning frame and a binding band for fixing the hepatobiliary positioning frame at the position of the liver and gall bladder of the abdomen of a patient, wherein an opening with an area larger than the projection area of the liver and gall bladder towards the abdomen is arranged on the hepatobiliary positioning frame;
the width of the strap is greater than the width of the opening; the arc-shaped moving assembly comprises a power assembly, and the power assembly comprises an arc-shaped rack arranged on the surface of the liver and gall bladder positioning frame, and a motor and a gear which are arranged on the first output block and matched with the arc-shaped rack; the hepatobiliary calculus positioning stone crusher also comprises steps which are arranged on the hepatobiliary positioning frame and correspond to the arc-shaped slide ways, and the arc-shaped rack is arranged on the steps;
the hepatobiliary positioning frame, the arc-shaped moving assembly, the Z-axis moving assembly and the X-axis moving assembly are made of hard plastic except for the power part.
2. The positioning lithotripter for hepatobiliary calculus of claim 1, wherein the hepatobiliary positioning frame is provided with air bags on both sides of the opening, and the air bags are disposed on the hepatobiliary positioning frame on a side close to the abdomen of the patient.
3. The hepatobiliary stone positioning lithotripter of claim 2, wherein the balloon is inflated and deflated by an inflatable balloon.
4. The positioning lithotripter for liver and gall stones of claim 1, wherein the arc-shaped moving assembly comprises two sets of arc-shaped slideways arranged along the inner side of the opening, and the two ends of the output block are slidably arranged in the arc-shaped slideways.
5. The positioning lithotripter for liver and gall stones of claim 4, wherein a roller is disposed on a side of the first output block which is engaged with the arcuate chute.
6. The hepatobiliary stone positioning lithotripter of claim 1, wherein the Z-axis moving assembly is a linear module and the X-axis moving assembly is a microcylinder.
7. The positioning lithotripter for hepatobiliary calculus according to claim 1, wherein two straps are provided along two sides of the hepatobiliary positioning frame, and one side of each strap away from the hepatobiliary positioning frame is fixed by a magic tape, a button or a hasp.
8. The hepatobiliary stone location lithotripter of any one of claims 1-7, further comprising a controller, and a battery disposed on the output block one to power the arcuate movement assembly, the Z-axis movement assembly, the X-axis movement assembly, the extracorporeal shock wave lithotripsy probe, the ultrasonic detection probe, and the controller.
CN202011536415.2A 2020-12-22 2020-12-22 Liver and gall stone positioning lithotriptor Active CN112842469B (en)

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Application Number Priority Date Filing Date Title
CN202011536415.2A CN112842469B (en) 2020-12-22 2020-12-22 Liver and gall stone positioning lithotriptor

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Application Number Priority Date Filing Date Title
CN202011536415.2A CN112842469B (en) 2020-12-22 2020-12-22 Liver and gall stone positioning lithotriptor

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CN112842469A CN112842469A (en) 2021-05-28
CN112842469B true CN112842469B (en) 2022-10-04

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Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN201200583Y (en) * 2008-04-14 2009-03-04 杨庆臣 Portable Chinese medicine physical therapy belt for nephrolithiasis
CN204839556U (en) * 2015-05-29 2015-12-09 振磬科技股份有限公司 Thin Medical Positioning Device
CN106691540A (en) * 2017-01-13 2017-05-24 马景建 Urethral calculus removing device for urinary surgery
CN211206362U (en) * 2019-11-25 2020-08-07 天津海运职业学院 Automatic liquid immersion ultrasonic detection frame for small workpiece
CN211560560U (en) * 2020-01-14 2020-09-25 西安交通大学医学院第一附属医院 Supporting device for surgical nursing of liver and gall
CN111973895A (en) * 2020-09-01 2020-11-24 陈琛 Clinical ultrasonic therapeutic instrument of gynaecology and obstetrics
CN212118237U (en) * 2019-12-06 2020-12-11 张伟 Urological calculus removing device

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN201200583Y (en) * 2008-04-14 2009-03-04 杨庆臣 Portable Chinese medicine physical therapy belt for nephrolithiasis
CN204839556U (en) * 2015-05-29 2015-12-09 振磬科技股份有限公司 Thin Medical Positioning Device
CN106691540A (en) * 2017-01-13 2017-05-24 马景建 Urethral calculus removing device for urinary surgery
CN211206362U (en) * 2019-11-25 2020-08-07 天津海运职业学院 Automatic liquid immersion ultrasonic detection frame for small workpiece
CN212118237U (en) * 2019-12-06 2020-12-11 张伟 Urological calculus removing device
CN211560560U (en) * 2020-01-14 2020-09-25 西安交通大学医学院第一附属医院 Supporting device for surgical nursing of liver and gall
CN111973895A (en) * 2020-09-01 2020-11-24 陈琛 Clinical ultrasonic therapeutic instrument of gynaecology and obstetrics

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