Tumor suction scalpel for hepatobiliary pancreas surgery
Technical Field
The invention relates to a scalpel, in particular to a tumor suction scalpel for hepatobiliary pancreas surgery.
Background
The hepatobiliary pancreas surgery is a branch of general surgery, is independent in many large medical centers, mainly treats diseases including gallbladder diseases, liver diseases and pancreatic diseases, is also a department for treating tumors, and generally does not threaten patients by only requiring a doctor to remove benign tumors by an operation.
The doctor is when excision tumour for patient, can flow some tumour pus in the tumour very likely, needs medical personnel to help at this moment and clears up it, avoids tumour pus to influence doctor's operation progress, also can avoid tumour pus to infect other people in addition, but will waste time when medical personnel clear up tumour pus, consequently, has designed one kind and can just absorb the collection and not delay the hepatobiliary pancreas surgery of doctor's operation progress with inhaling tumour scalpel with tumour pus the operation of taking operation.
Disclosure of Invention
In order to overcome the defects that when a doctor resects a tumor for a patient, medical staff is required to clean tumor pus flowing out of the tumor, so that time is wasted, and the operation progress of the doctor is influenced, the technical problem of the invention is as follows: provided is a surgical knife for sucking tumor pus in a hepatobiliary pancreas surgery, which can suck and collect the tumor pus at the time of surgery and does not delay the progress of the surgery of a doctor.
The technical implementation scheme of the invention is as follows: a surgical knife for sucking tumor in hepatobiliary pancreas comprises:
the handle and the hollow pipe are arranged on one side of the handle;
a cutter head is arranged on one side of the hollow pipe;
a through pipe is arranged on one side of the hollow pipe in a sliding manner and is connected with the top of the cutter head in a sliding manner;
the pushing mechanism is arranged on the handle;
the negative pressure mechanism is arranged on the handle.
In a preferred embodiment of the present invention, the pushing mechanism comprises:
the piston is arranged in the hollow tube in a sliding manner;
one side of the piston is symmetrically provided with a rack;
a first spring is arranged between one side of the piston and one side of the handle;
a pull rod is arranged between one sides of the racks and is connected with the handle in a sliding way;
the push block is arranged between the racks in a sliding manner and is connected with the handle in a sliding manner;
the top of the push block is slidably provided with a wedge block, and an elastic sheet is arranged between the wedge block and the push block;
the middle part of the top side of the handle is provided with a slide block inclined block which is matched with the wedge-shaped block;
and a second spring is arranged between the wedge-shaped block and the handle, and the second spring is sleeved on the outer side of the push block.
In a preferred embodiment of the present invention, the negative pressure mechanism comprises:
the ratchet bar is arranged on one side of the top of the handle in a sliding manner;
the pressing plate is arranged at the top of the ratchet bar;
a third spring is arranged between the bottom of the pressing plate and the top of the handle, and the third spring is sleeved outside the ratchet bar;
the upper side inside the handle is rotatably provided with a first fixed shaft;
the middle part of the first fixed shaft is provided with a ratchet wheel which is meshed with the ratchet strip;
the first fixed shaft is symmetrically provided with straight gears which are meshed with the racks.
In a preferred embodiment of the present invention, the present invention further comprises a transmission mechanism, wherein the transmission mechanism comprises:
the upper part of one side of the hollow pipe is provided with a fixed seat;
a first contact plate is rotatably arranged on one side of the fixed seat;
the first fixed pulley is rotatably arranged on one side of the upper part of the handle;
the upper part of one side of the hollow pipe is rotatably provided with a second fixed pulley;
the pull rope is arranged between one side of the pressing plate and the upper side of the first contact plate and winds around the first fixed pulley and the second fixed pulley;
the lower part of one side of the first contact plate is provided with a second contact plate which is connected with the through pipe;
and the return springs are arranged between the two sides of one side of the second contact plate and one side of the hollow pipe.
In a preferred embodiment of the present invention, the protection device further comprises a protection mechanism, wherein the protection mechanism comprises:
a fixing plate is arranged on one side of the top of the hollow pipe;
a second fixed shaft is rotatably arranged on one side of the fixed plate;
the second fixed shaft is provided with a protective shell;
the upper side of the fixed plate is rotatably provided with a third fixed shaft;
the third fixed shaft is provided with a fixed hook;
a movable hook is slidably arranged on one side of the top of the hollow pipe and matched with the fixed hook;
and two fourth springs are arranged between the movable clamping hook and the fixed plate.
In a preferred embodiment of the present invention, the cleaning device further comprises a cleaning mechanism, wherein the cleaning mechanism comprises:
a third transmission shaft is arranged on one side of the piston;
one side of the third transmission shaft is uniformly provided with one-way pipes which penetrate through the piston;
the liquid inlet hose is arranged on one side of the third transmission shaft.
In a preferred embodiment of the present invention, the locking mechanism further comprises:
a fixing buckle is arranged on one side of the inner wall of the handle;
a fixed block is slidably arranged on one side of the top of the handle;
and a fifth spring is arranged between the bottom of the fixed block and the top of the fixed buckle.
In a preferred embodiment of the present invention, the third stationary shaft is cylindrical in shape.
Compared with the prior art, the invention has the following advantages: 1. according to the invention, through the matching of the pushing mechanism and the negative pressure mechanism, when a doctor uses the scalpel to perform an operation on a patient, pus flowing out of a tumor can be sucked and collected without manual cleaning by medical staff, so that the operation progress of the doctor is prevented from being influenced.
2. Through drive mechanism, can drive it when the siphunculus absorbs tumour pus and rock about it, avoid the siphunculus to be plugged up.
3. Through protection mechanism, can prevent to be stained with blood stain or other liquid on the stay cord and dirty.
4. Through the cooperation of wiper mechanism and locking mechanism, can make things convenient for medical personnel to wash the hollow tube to can pack up the feed liquor hose when not needing to wash.
Drawings
Fig. 1 is a schematic perspective view of the present invention.
Fig. 2 is a schematic cross-sectional structure of the present invention.
Fig. 3 is an enlarged schematic view of part a of the present invention.
Fig. 4 is an enlarged view of part B of the present invention.
Fig. 5 is an enlarged view of part C of the present invention.
The parts are labeled as follows: 1. a handle, 2, a hollow pipe, 3, a cutter head, 4, a through pipe, 5, a pushing mechanism, 51, a piston, 52, a rack, 53, a first spring, 54, a pull rod, 55, a push block, 56, a wedge block, 57, a slide block inclined block, 58, a second spring, 6, a negative pressure mechanism, 61, a ratchet bar, 62, a pressing plate, 63, a third spring, 64, a first fixed shaft, 65, a ratchet wheel, 66, a spur gear, 7, a transmission mechanism, 71, a fixed seat, 72, a first contact plate, 73, a first fixed pulley, 74, a second fixed pulley, 75, a pull rope, 76, a second contact plate, 77, a return spring, 8, a protection mechanism, 81, a fixed plate, 82, a second fixed shaft, 83, a protection shell, 84, a third fixed shaft, 85, a fixed hook, 86, a movable hook, 87, a fourth spring, 9, a cleaning mechanism, 91, a third transmission shaft, 92, a one-way pipe, 93 and a liquid inlet hose, 10. the locking mechanism 101, the fixing block 102, the fifth spring 103 and the fixing buckle.
Detailed Description
It is to be noted that, in the case of the different described embodiments, identical components are provided with the same reference numerals or the same component names, wherein the disclosure contained in the entire description can be transferred to identical components having the same reference numerals or the same component names in a meaningful manner. The positional references selected in the description, such as upper, lower, lateral, etc., refer also to the directly described and illustrated figures and are to be read into the new position in the sense of a change in position.
Example 1
The utility model provides a hepatobiliary pancreas surgery is with inhaling tumour scalpel, as shown in fig. 1, fig. 2 and fig. 3, including handle 1, hollow tube 2, tool bit 3, siphunculus 4, pushing mechanism 5 and negative pressure mechanism 6, handle 1 left side is equipped with hollow tube 2, and 2 left sides of hollow tube are equipped with tool bit 3, and 2 left sides of hollow tube slidingtype are equipped with siphunculus 4, and siphunculus 4 and 3 top sliding type connections of tool bit are equipped with pushing mechanism 5 on the handle 1, are equipped with negative pressure mechanism 6 on the handle 1.
The pushing mechanism 5 comprises a piston 51, a rack 52, a first spring 53, a pull rod 54, a push block 55, a wedge block 56, a slider inclined block 57 and a second spring 58, the piston 51 is arranged in the hollow tube 2 in a sliding manner, the racks 52 are symmetrically arranged in front and back of the right side of the piston 51, the first spring 53 is arranged between the right side of the piston 51 and the left side of the handle 1, the pull rod 54 is arranged between the right side of the rack 52, the pull rod 54 is connected with the handle 1 in a sliding manner, the push block 55 is arranged between the racks 52 in a sliding manner, the push block 55 is connected with the handle 1 in a sliding manner, the wedge block 56 is arranged at the top of the push block 55 in a sliding manner, an elastic sheet is arranged between the wedge block 56 and the push block 55, the slider inclined block 57 is arranged in the middle of the top side of the handle 1, the slider inclined block 57 is matched with the wedge block 56, the second spring 58 is arranged between the wedge block 56 and the handle 1, and the second spring 58 is sleeved outside of the push block 55.
The negative pressure mechanism 6 comprises a ratchet bar 61, a pressing plate 62, a third spring 63, a first fixing shaft 64, a ratchet wheel 65 and a spur gear 66, the ratchet bar 61 is arranged on the left side of the top of the handle 1 in a sliding mode, the pressing plate 62 is arranged on the top of the ratchet bar 61, the third spring 63 is arranged between the bottom of the pressing plate 62 and the top of the handle 1, the third spring 63 is sleeved on the outer side of the ratchet bar 61, the first fixing shaft 64 is rotatably arranged on the upper side inside the handle 1, the ratchet wheel 65 is arranged in the middle of the first fixing shaft 64, the ratchet wheel 65 is meshed with the ratchet bar 61, the spur gear 66 is symmetrically arranged on the first fixing shaft 64 in the front-back mode, and the spur gear 66 is meshed with the rack 52.
When a doctor needs to use the scalpel to perform an operation on a patient, the doctor holds the handle 1 by hand, then the knife head 3 is aligned with a tumor to cut the tumor, when the tumor pus in the tumor flows out, the through pipe 4 is aligned with the tumor pus, then the pressing plate 62 is pressed downwards, the third spring 63 is compressed to drive the ratchet strip 61 to move downwards, so as to drive the ratchet wheel 65, the first fixing shaft 64 and the straight gear 66 to rotate, the straight gear 66 drives the rack 52, the piston 51 and the pull rod 54 to move rightwards, the first spring 53 is compressed, under the action of pressure, the through pipe 4 sucks the tumor pus into the hollow pipe 2, then the pressing plate 62 is released, the third spring 63 is restored to the original state to drive the pressing plate 62 and the ratchet strip 61 to move upwards to reset, at the moment, the ratchet strip 61 does not drive the ratchet wheel 65 to rotate, the device operates repeatedly, when the tumor pus flows out, the pressing plate 62 is pressed once to suck the tumor pus away, after the operation is finished, the wedge-shaped block 56 is pressed downwards, the second spring 58 is compressed, the wedge-shaped block 56 drives the push block 55, the rack 52 and the pull rod 54 to move downwards, the rack 52 is separated from the straight gear 66 at the moment, the first spring 53 restores to the original state and drives the rack 52, the piston 51 and the pull rod 54 to move leftwards and restore to the original state, so that the pus in the hollow tube 2 is discharged from the through tube 4, the pus is collected and processed manually, meanwhile, the wedge-shaped block 56 is driven by the slide block inclined block 57 to move leftwards, the elastic sheet is compressed, when the wedge-shaped block 56 passes through the slide block inclined block 57, the elastic sheet restores to the original state and drives the wedge-shaped block 56 to move rightwards and restore to the original state, the slide block inclined block 57 clamps the wedge-shaped block 56 at the moment, then the wedge-shaped block 56 can be loosened, the through tube 4 can be aligned with disinfectant, then the pull rod 54 is pulled leftwards and rightwards in a reciprocating manner, the first spring 53 is deformed adaptively, so that the disinfectant enters the hollow tube 2 through the through tube 4 and then is discharged, therefore, the hollow pipe 2 is disinfected and cleaned, the wedge-shaped block 56 is pushed leftwards, the elastic sheet deforms, the wedge-shaped block 56 is separated from the slider inclined block 57, and the second spring 58 restores to the original state and drives the wedge-shaped block 56, the push block 55, the rack 52 and the pull rod 54 to move upwards for resetting.
Example 2
On the basis of embodiment 1, as shown in fig. 2, 3, 4 and 5, the device further includes a transmission mechanism 7, the transmission mechanism 7 includes a fixing seat 71 and a first contact plate 72, first fixed pulley 73, second fixed pulley 74, stay cord 75, second contact board 76 and return spring 77, hollow tube 2 left side upper portion is equipped with fixing base 71, fixing base 71 left side rotary type is equipped with first contact board 72, handle 1 upper portion left side rotary type is equipped with first fixed pulley 73, hollow tube 2 left side upper portion rotary type is equipped with second fixed pulley 74, be equipped with stay cord 75 between the left side of pressing plate 62 and the first contact board 72 upside, first fixed pulley 73 and second fixed pulley 74 are walked around to stay cord 75, first contact board 72 left side lower part is equipped with second contact board 76, second contact board 76 is connected with siphunculus 4, all be equipped with return spring 77 between the front and back both sides on second contact board 76 right side and the left side of hollow tube 2.
When the doctor will press down according to the pressure board 62, drive first contact plate 72 clockwise rotation through stay cord 75, thereby drive siphunculus 4 through second contact plate 76 and turn left motion, return spring 77 is tensile, when pressing according to the pressure board 62 up motion and reseing, thereby relax stay cord 75, return spring 77 reconversion this moment, drive siphunculus 4 through second contact plate 76 and turn right motion and reset, drive first contact plate 72 anticlockwise rotation simultaneously and reset, so make siphunculus 4 reciprocating motion about, avoid siphunculus 4 to be blocked up.
Still including protection mechanism 8, protection mechanism 8 is including fixed plate 81, second fixed axle 82, protecting sheathing 83, third fixed axle 84, fixed pothook 85, activity pothook 86 and fourth spring 87, 2 top right sides of hollow tube are equipped with fixed plate 81, fixed plate 81 left side rotary type is equipped with second fixed axle 82, be equipped with protecting sheathing 83 on the second fixed axle 82, fixed plate 81 upside rotary type is equipped with third fixed axle 84, be equipped with fixed pothook 85 on the third fixed axle 84, 2 top right sides of hollow tube slidingtype is equipped with activity pothook 86, activity pothook 86 cooperates with fixed pothook 85, be equipped with two fourth springs 87 between activity pothook 86 and the fixed plate 81.
Under the action of the protective shell 83, the pull rope 75 can be prevented from being infected with bloodstains or purulence, when a doctor needs to replace the pull rope 75, the movable hook 86 is pulled rightwards, the fourth spring 87 is compressed, the movable hook 86 is separated from the fixed hook 85, then the fixed hook 85 can be rotated clockwise, then the movable hook 86 is released, the fourth spring 87 restores to the original state, the movable hook 86 is driven to move leftwards and reset, then the protective shell 83 can be rotated clockwise, the pull rope 75 can be replaced, after the replacement is finished, the protective shell 83 is rotated anticlockwise and reset, the pull rope 75 is protected, then the fixed hook 85 is rotated anticlockwise and reset, the protective shell 83 is clamped, when the fixed hook 85 is contacted with the movable hook 86, the movable hook 86 is driven to move rightwards, the fourth spring 87 is compressed, when the fixed hook 85 crosses the movable hook 86, the fourth spring 87 restores to the original state, and drives the movable hook 86 to move leftwards to reset and clamp the fixed hook 85.
Still including wiper mechanism 9, wiper mechanism 9 is equipped with third transmission shaft 91 including third transmission shaft 91, one-way pipe 92 and feed liquor hose 93, piston 51 right side, and third transmission shaft 91 left side evenly is equipped with one-way pipe 92, and piston 51 is all passed to one-way pipe 92, and third transmission shaft 91 right side is equipped with feed liquor hose 93.
When the doctor uses this scalpel, under the effect of one-way pipe 92, tumour pus can not flow into feed liquor hose 93, when the doctor needs wash hollow tube 2, can inject disinfectant through feed liquor hose 93 to hollow tube 2 to disinfect and wash hollow tube 2.
The handle is characterized by further comprising a locking mechanism 10, wherein the locking mechanism 10 comprises a fixing block 101, a fifth spring 102 and a fixing buckle 103, the fixing buckle 103 is arranged on the left portion of the rear side of the inner wall of the handle 1, the fixing block 101 is arranged on the left side of the top of the handle 1 in a sliding mode, and the fifth spring 102 is arranged between the bottom of the fixing block 101 and the top of the fixing buckle 103.
When the doctor needs to use liquid inlet hose 93, up pulling fixed block 101, fifth spring 102 is tensile, make fixed block 101 loosen liquid inlet hose 93, then can take off liquid inlet hose 93 and use, loosen fixed block 101 again, fifth spring 102 reconversion, drive fixed block 101 and move down and reset, when the doctor need not use liquid inlet hose 93, up pulling fixed block 101 once more, then pass liquid inlet hose 93 and wind on handle 1 fixed block 101, loosen fixed block 101 again, fifth spring 102 reconversion, drive fixed block 101 and move down and reset, under the effect of fixed block 101, pin liquid inlet hose 93.
The technical principle of the embodiment of the present invention is described above in conjunction with the specific embodiments. The description is only intended to explain the principles of embodiments of the invention and should not be taken in any way as limiting the scope of the embodiments of the invention. Based on the explanations herein, those skilled in the art will be able to conceive of other embodiments of the present invention without inventive step, and these embodiments will fall within the scope of the present invention.