CN113100845B - Lung blocking device for cardiothoracic minimally invasive surgery - Google Patents
Lung blocking device for cardiothoracic minimally invasive surgery Download PDFInfo
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- CN113100845B CN113100845B CN202110399126.0A CN202110399126A CN113100845B CN 113100845 B CN113100845 B CN 113100845B CN 202110399126 A CN202110399126 A CN 202110399126A CN 113100845 B CN113100845 B CN 113100845B
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- 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
- A61B90/30—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
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- 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
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/361—Image-producing devices, e.g. surgical cameras
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- 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
- A61B90/30—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
- A61B2090/309—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure using white LEDs
Abstract
The invention discloses a lung blocking device for a cardiothoracic minimally invasive surgery, which comprises a lifting mechanism, a rotating mechanism, a fixing mechanism, a fine adjustment mechanism and an expansion mechanism, wherein the lifting mechanism comprises a cylindrical sleeve and a cylindrical inserted link. According to the heart chest minimally invasive surgery device, when a heart chest surgical minimally invasive surgery is performed, lung tissues are blocked, the pericardium is exposed, an operator can perform the surgery conveniently, the device is fixed on an operating table firmly through the fixing mechanism, and an operation assistant does not need to hold an expander all the time, so that the physical strength of the operation assistant is reduced, the phenomenon of shaking is effectively avoided, the operation risk is reduced, the lifting mechanism and the rotating mechanism are matched with the fine adjustment mechanism, the device is suitable for minimally invasive surgery environments with various angles, the applicability of the device is improved, the light supplement function is realized, when the illumination of the surgery environment is low, the brightness is improved by turning on the LED light supplement lamp, and the operation of the operator is facilitated.
Description
Technical Field
The invention relates to the technical field of medical instruments, in particular to a lung blocking device for a minimally invasive operation of cardiothoracic surgery.
Background
With the progress of science and technology, in recent years, surgical operation gradually changes from traditional open surgery with large trauma to minimally invasive surgery with small trauma, small incision and endoscopic surgery gradually become the development trend of surgery, and statistics show that more than 80-90% of thoracic surgical diseases can be treated by minimally invasive surgery.
When a minimally invasive cardiothoracic surgery is performed, an incision is often made from the armpit, but after the minimally invasive surgery enters the thoracic cavity, lung tissues can affect the exposure of a surgical site, and an instrument is needed to block the lung tissues for the next operation.
Therefore, the pulmonary blocking device for the cardiothoracic minimally invasive surgery is provided.
Disclosure of Invention
The technical task of the invention is to solve the above defects, and provide a lung blocking device for cardiothoracic minimally invasive surgery, which can block lung tissues to expose pericardium and further facilitate the operation of an operator when performing cardiothoracic minimally invasive surgery, and the device is conveniently and firmly fixed on an operating table through a fixing mechanism without supporting a dilator all the time by an operation assistant, so that the physical strength of the operation assistant is reduced, the phenomenon of shaking is effectively avoided, the operation risk is reduced, the dilating mechanism is conveniently and quickly accurately opposite to an operation incision through a lifting mechanism and a rotating mechanism matched with a fine adjustment mechanism, and the device is suitable for minimally invasive surgery environments with various angles to solve the problems.
The technical scheme of the invention is realized as follows:
a cardiothoracic minimally invasive surgical lung blocking device, comprising:
the lifting mechanism comprises a cylindrical sleeve and a cylindrical insertion rod, the lower end of the cylindrical insertion rod is inserted into the cylindrical sleeve, a first threaded rod for fixing the cylindrical insertion rod is fixedly installed on the outer wall of the upper end of the cylindrical sleeve, and a first knob block is fixedly connected to one end of the first threaded rod;
the rotary mechanism comprises an electric push rod, a first rotary block, a first mounting seat and a second threaded rod, the bottom of the first mounting seat is fixedly connected to the top of the cylindrical inserted rod, a round hole is formed in the upper end of one side face of the first mounting seat, a threaded hole is formed in the upper end of the other side face of the first mounting seat, which is located on the opposite face of the round hole, one end of the first rotary block is fixedly mounted on the first mounting seat through the second threaded rod, one end of the second threaded rod sequentially penetrates through the round hole and one end of the first rotary block and is installed in the threaded hole in a threaded manner, one end of the electric push rod is fixedly connected to the end face of the other end of the first rotary block far away from the first mounting seat, and the end of the second threaded rod far away from the threaded hole is fixedly connected with a second knob block;
the fixing mechanism comprises a top plate, a bottom plate and a bolt, the bottom plate is positioned right below the top plate, the top plate and the bottom plate are positioned on the upper side and the lower side of an operating table bed edge rod, and the top plate and the bottom plate are fixedly connected through the bolt threads;
the fine adjustment mechanism comprises a second mounting seat, a second rotating block and a third threaded rod, the end face of one end of the second mounting seat is fixedly connected to the end part of the electric push rod telescopic rod, one end of the second rotating block is mounted on the second mounting seat through the third threaded rod, and the end part of one end of the third threaded rod is fixedly connected with a third knob block;
expanding mechanism, expanding mechanism includes servo motor, head rod and second connecting rod, the one end tip fixedly connected with driving gear of head rod, the one end tip fixedly connected with driven gear of second connecting rod, the recess has been seted up at the other end terminal surface middle part of the rotatory piece of second, the driving gear with driven gear all installs through rotation of the axis of rotation the inside of recess, just the driving gear with the meshing is connected between the driven gear, servo motor fixed mounting be in on one side outer wall of the rotatory piece of second, servo motor's axis of rotation runs through one side of the rotatory piece of second and stretches into the inside of recess stretches into inside the recess inside servo motor's the tip with a side middle part fixed connection of driving gear keeps away from the driving gear the one end tip of head rod with keep away from driven gear the equal fixed mounting of one end tip of second connecting rod is installed the driving gear There are the same specifications of the plectrum.
Preferably, the end face of one end, far away from the third threaded rod, of the second rotating block is fixedly provided with LED light supplement lamps, and the LED light supplement lamps are not lower than two.
Preferably, a control box is fixedly mounted on the outer wall of the cylindrical sleeve, a controller is fixedly mounted inside the control box, and a signal output end of the controller is electrically connected with an electric control end of the LED light supplement lamp, an electric control end of the electric push rod and an electric control end of the servo motor respectively.
As preferred, a side of control box is open structure, just there is the lid control box for open structure's a side through screw fixed mounting, the mounting hole has all been seted up in the four corners of control box, just seted up in the mounting hole with screw assorted internal thread, the outer wall fixed mounting of lid is used for control flexible button, the control of electric putter the drive button that servo motor is just reversing and be used for control the light button of LED light filling lamp switch, the signal input part of controller respectively with the light button flexible button and drive button electric connection.
Preferably, the inside of control box still installs communication module, the rotatory piece of second is kept away from the one end terminal surface fixed mounting of third threaded rod has the camera, the signal output part of camera with the signal input part electric connection of controller, the controller with two-way electric connection between the communication module.
Preferably, the middle part of the bottom of the top plate is provided with an upper arc-shaped clamping groove, the middle part of the top of the bottom plate is provided with a lower arc-shaped clamping groove, and the upper arc-shaped clamping groove is matched with the lower arc-shaped clamping groove to fixedly clamp the device on the upper side and the lower side of an operating table bed edge rod.
Preferably, the inner part of the upper arc-shaped clamping groove and the inner part of the lower arc-shaped clamping groove are both provided with anti-skid grains.
Preferably, the bolts are symmetrically arranged at equal intervals and are not lower than four, and the top of each bolt is fixedly connected with a screwing block.
Preferably, the shifting sheet is made of titanium metal, and four corners of the shifting sheet are of a round corner structure.
Preferably, the communication module includes at least one of a bluetooth module, a 4G communication module, and a 5G communication module.
Compared with the prior art, the invention has the advantages and positive effects that:
1. the lung blocking device for the cardiothoracic minimally invasive surgery can block lung tissues to expose pericardium when the cardiothoracic minimally invasive surgery is performed, so that an operator can perform the surgery conveniently, the device is fixed on an operating table firmly through the fixing mechanism without supporting an expander all the time by an operation assistant, on one hand, the physical strength of the operation assistant is reduced, on the other hand, the phenomenon of shaking is effectively avoided, the operation risk is reduced, and the expanding mechanism can be conveniently, conveniently and quickly aligned to an operation incision through the matching of the lifting mechanism and the rotating mechanism and the fine adjustment mechanism, so that the lung blocking device is suitable for minimally invasive surgery environments with various angles, and the applicability of the device is improved;
2. the lung blocking device for the cardiothoracic minimally invasive surgery has a light supplementing function, when the illumination of the operation environment is low, the brightness is improved by turning on the LED light supplementing lamp, the operation of an operator is facilitated, and other illuminating tools do not need to be added;
3. the cardiothoracic minimally invasive surgery lung blocking device has a video transmission function, and a shot picture is transmitted to a large screen through the communication module by the camera to be displayed, so that an operator can see the internal structure of an incision clearly, the efficiency of surgery is improved, and the risk of surgery is reduced.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings required in the embodiments will be briefly described below, it is obvious that the drawings in the following description are only some embodiments of the present invention, and it is obvious for those skilled in the art that other drawings can be obtained according to the drawings without creative efforts.
FIG. 1 is a schematic structural diagram of a minimally invasive surgical lung blocking device for cardiothoracic surgery according to an embodiment of the invention;
FIG. 2 is one of schematic structural diagrams of another view angle of a minimally invasive surgical pulmonary resistor for cardiothoracic surgery according to an embodiment of the invention;
FIG. 3 is an enlarged schematic view of the detail view A of FIG. 2;
FIG. 4 is an enlarged schematic view of a portion B of FIG. 1;
FIG. 5 is a schematic structural diagram of a fixing mechanism of a minimally invasive surgical lung blocking device for cardiothoracic surgery according to an embodiment of the invention;
FIG. 6 is a schematic mechanism diagram of a driving gear and a driven gear of a minimally invasive surgical lung blocking device for cardiothoracic surgery according to an embodiment of the invention;
FIG. 7 is a schematic diagram of an exploded structure of a control box of a minimally invasive surgical lung blocker for cardiothoracic surgery according to an embodiment of the invention;
fig. 8 is a schematic structural diagram of a first mounting seat of a minimally invasive cardiothoracic surgery lung blocking device according to an embodiment of the invention.
In the figure:
1. a lifting mechanism; 101. a cylindrical sleeve; 102. a cylindrical insertion rod; 103. a first knob block; 1031. a first threaded rod; 104. a control box; 1041. a box cover; 1042. a controller; 1043. mounting holes; 1044. a communication module;
2. a rotation mechanism; 201. an electric push rod; 202. a first rotating block; 203. a first mounting seat; 2031. a circular hole; 2032. a threaded hole; 204. a second knob block; 205. a second threaded rod;
3. a fixing mechanism; 301. a top plate; 302. a base plate; 303. twisting the block; 304. a bolt; 305. a lower arc-shaped clamping groove; 306. an upper arc-shaped clamping groove; 307. anti-skid lines;
4. a fine adjustment mechanism; 401. a second mounting seat; 402. a third knob block; 403. a second rotating block; 404. a groove; 405. an LED light supplement lamp; 406. a camera; 407. a third threaded rod;
5. an expansion mechanism; 501. a servo motor; 502. a first connecting rod; 503. a second connecting rod; 504. a driving gear; 505. a driven gear; 506. a shifting sheet.
Detailed Description
In order that the above objects, features and advantages of the present invention can be more clearly understood, the present invention will be further described with reference to the accompanying drawings and examples. It should be noted that the embodiments and features of the embodiments of the present application may be combined with each other without conflict.
The invention will be further described with reference to the accompanying figures 1-8 and the specific embodiments.
Example 1
As shown in fig. 1, fig. 2 and fig. 6, a minimally invasive surgical lung blocking device for cardiothoracic surgery according to an embodiment of the invention comprises: the device comprises a lifting mechanism 1, a rotating mechanism 2, a fixing mechanism 3, a fine adjustment mechanism 4 and an expansion mechanism 5.
As shown in fig. 1 and 2, the lifting mechanism 1 includes a cylindrical sleeve 101 and a cylindrical insertion rod 102, a lower end of the cylindrical insertion rod 102 is inserted into the cylindrical sleeve 101, a first threaded rod 1031 for fixing the cylindrical insertion rod 102 is fixedly installed on an outer wall of an upper end of the cylindrical sleeve 101, and a first knob block 103 is fixedly connected to an end of the first threaded rod 1031;
as shown in fig. 1-2 and 8, the rotating mechanism 2 includes an electric push rod 201, a first rotating block 202, the bottom of the first mounting seat 203 is fixedly connected to the top of the cylindrical insertion rod 102, a round hole 2031 is formed in the upper end of one side face of the first mounting seat 203, a threaded hole 2032 is formed in the upper end of the other side face of the first mounting seat 203, which is located on the opposite face of the round hole 2031, one end of the first rotating block 202 is fixedly mounted on the first mounting seat 203 through the second threaded rod 205, one end of the second threaded rod 205 penetrates through the round hole 2031 in sequence, one end of the first rotating block 202 is mounted in the threaded hole 2032 in a threaded manner, one end of the electric push rod 201 is fixedly connected to the end face of the other end of the first rotating block 202, which is far away from the first mounting seat 203, and the end of the second threaded rod 205, which is far away from the threaded hole 2032, is fixedly connected with the second knob block 204;
as shown in fig. 1 and 5, the fixing mechanism 3 includes a top plate 301, a bottom plate 302 and bolts 304, the bottom plate 302 is located right below the top plate 301, the top plate 301 and the bottom plate 302 are located at the upper and lower sides of the operating table bed edge rod, and the top plate 301 and the bottom plate 302 are fixedly connected through the bolts 304;
as shown in fig. 1 to 4, the fine adjustment mechanism 4 includes a second mounting seat 401, a second rotating block 403, and a third threaded rod 407, an end surface of one end of the second mounting seat 401 is fixedly connected to an end portion of the telescopic rod of the electric push rod 201, one end of the second rotating block 403 is mounted on the second mounting seat 401 through the third threaded rod 407, and an end portion of one end of the third threaded rod 407 is fixedly connected to a third knob block 402;
as shown in fig. 1 to 6, the expanding mechanism 5 includes a servo motor 501, a first connecting rod 502 and a second connecting rod 503, a driving gear 504 is fixedly connected to an end of the first connecting rod 502, a driven gear 505 is fixedly connected to an end of the second connecting rod 503, a groove 404 is formed in a middle of an end surface of the other end of the second rotating block 403, the driving gear 504 and the driven gear 505 are rotatably installed inside the groove 404 through a rotating shaft, the driving gear 504 and the driven gear 505 are engaged with each other, the servo motor 501 is fixedly installed on an outer wall of one side of the second rotating block 403, the rotating shaft of the servo motor 501 penetrates through one side of the second rotating block 403 and extends into the groove 404, an end of the servo motor 501 extending into the groove 404 is fixedly connected to a middle of a side of the driving gear 504, an end of the driving gear 502 and an end of the second connecting rod 503 are fixedly installed, and an end of the driving gear 504 and a first connecting rod 502 and a second connecting rod 503 are far away from the driven gear 505 There are paddles 506 of the same gauge.
By adopting the technical scheme, the lung blocking device for the cardiothoracic minimally invasive surgery comprises a lifting mechanism 1, a rotating mechanism 2, a fixing mechanism 3, a fine adjustment mechanism 4 and an expansion mechanism 5,
the lifting mechanism 1 comprises a cylindrical sleeve 101, a cylindrical insertion rod 102 and a first threaded rod 1031, the cylindrical sleeve 101 and the cylindrical insertion rod 102 are matched with the first threaded rod 1031, and the height of the lifting mechanism can be adjusted by loosening and tightening the first threaded rod 1031, so that the lifting mechanism meets the surgical requirements of various environments;
the rotating mechanism 2 is composed of an electric push rod 201, a first rotating block 202, a first mounting seat 203 and a second threaded rod 205, the angle of the first rotating block 202 on the first mounting seat 203 is adjusted by loosening and tightening the second threaded rod 205, the expanding mechanism 5 is aligned to the position of the surgical incision, and the expanding mechanism 5 is extended into the surgical incision by extending the telescopic rod of the electric push rod 201;
the fixing mechanism 3 is composed of a top plate 301, a bottom plate 302 and a bolt 304, wherein the top plate 301 has a function of supporting the lifting mechanism 1, and the top plate 301 and the bottom plate 302 are matched with the bolt 304, so that the device is conveniently fixed on an operating table bed edge rod, on one hand, the physical strength of an operator is reduced, and on the other hand, the operation risk is reduced;
the fine adjustment mechanism 4 is composed of a second mounting seat 401, a second rotating block 403 and a third threaded rod 407, and when the fine adjustment mechanism is used, the angle of the second rotating block 403 can be adjusted by loosening and tightening the third threaded rod 407, so that the fine adjustment of the angle of the expansion mechanism 5 is realized;
the expansion mechanism 5 is composed of a servo motor 501, a first connecting rod 502, a second connecting rod 503, a driving gear 504, a driven gear 505 and a shifting piece 506, the rotating shaft of the servo motor 501 is controlled to rotate anticlockwise to drive the driving gear 504 to rotate anticlockwise, the driving gear 504 drives the driven gear 505 engaged with the driving gear to rotate clockwise, the first connecting rod 502 and the second connecting rod 503 are expanded, and the shifting piece 506 is used for separating the lung.
In summary, the lung blocking device for minimally invasive cardiothoracic surgery provided by the invention can block lung tissues to expose pericardium when performing minimally invasive cardiothoracic surgery, so that an operator can perform surgery conveniently, the device can be fixed on an operating table firmly through the fixing mechanism 3 without holding an expander all the time by a surgical assistant, on one hand, the physical strength of the surgical assistant is reduced, on the other hand, the surgical risk is reduced, and the expanding mechanism 5 can be conveniently and rapidly accurately opposite to a surgical incision through the cooperation of the lifting mechanism 1 and the rotating mechanism 2 and the fine adjustment mechanism 4, so that the lung blocking device is suitable for minimally invasive surgery environments with various angles, and the applicability of the device is improved.
Example 2
As shown in fig. 2 to fig. 3, the present embodiment is different from embodiment 1 in that an end surface of the second rotating block 403, which is far away from the third threaded rod 407, is fixedly mounted with two LED light supplement lamps 405, and the number of the LED light supplement lamps 405 is not less than two.
Through adopting above-mentioned technical scheme, when the illuminance of operation environment is lower, through opening LED light filling lamp 405 brighten, the operator of being convenient for operates, need not to increase other lighting apparatus moreover.
Example 3
As shown in fig. 2 and fig. 7, the present embodiment is different from embodiment 2 in that a control box 104 is fixedly installed on an outer wall of a cylindrical casing 101, a controller 1042 is fixedly installed inside the control box 104, and a signal output end of the controller 1042 is electrically connected to an electric control end of the LED fill light 405, an electric control end of the electric push rod 201, and an electric control end of the servo motor 501.
By adopting the technical scheme, the controller 1042 is convenient to control the device, and the operation of a user on the device is simplified.
Example 4
As shown in fig. 7, the difference between this embodiment and embodiment 3 is that a side surface of the control box 104 is of an open structure, and a side surface of the control box 104 that is of the open structure is provided with a box cover 1041 through screws, four corners of the control box 104 are all provided with mounting holes 1043, and internal threads matched with the screws are provided in the mounting holes 1043, an outer wall of the box cover 1041 is fixedly provided with a telescopic button for controlling the extension and retraction of the electric putter 201, a light button for controlling the forward and reverse rotation of the servo motor 501 and a light button for controlling the on and off of the LED light supplement lamp 405, and a signal input end of the controller 1042 is electrically connected to the light button, the telescopic button and the drive button respectively.
By adopting the above technical scheme, the components inside the control box 104 can be maintained conveniently by opening the box cover 1041.
Example 5
As shown in fig. 1 and fig. 7, the present embodiment is different from embodiment 4 in that a communication module 1044 is further installed inside the control box 104, a camera 406 is fixedly installed on an end surface of the second rotating block 403 away from the third threaded rod 407, a signal output end of the camera 406 is electrically connected with a signal input end of the controller 1042, and the controller 1042 is electrically connected with the communication module 1044 in a bidirectional manner.
Through adopting above-mentioned technical scheme, the picture that will shoot through camera 406 is transmitted to the large screen via communication module 1044 and is shown, and the operator of being convenient for more clearly sees the inside structure of incision, improves the efficiency of operation, reduces the operation risk.
Example 6
As shown in fig. 5, the difference between this embodiment and embodiment 5 is that an upper arc-shaped slot 306 is formed in the middle of the bottom of the top plate 301, a lower arc-shaped slot 305 is formed in the middle of the top of the bottom plate 302, and the upper arc-shaped slot 306 cooperates with the lower arc-shaped slot 305 to fixedly clamp the device on the upper and lower sides of the edge rod of the operating table.
By adopting the technical scheme, the device can be conveniently and fixedly clamped on the upper side and the lower side of the edge rod of the operating table bed by matching the upper arc-shaped clamping groove 306 with the lower arc-shaped clamping groove 305.
Example 7
As shown in fig. 5, the difference between this embodiment and embodiment 6 is that the inside of the upper arc-shaped slot 306 and the inside of the lower arc-shaped slot 305 are both provided with anti-slip threads 307.
By adopting the technical scheme, the stability of connection between the top plate 301 and the bottom plate 302 and the edge rod of the operating table bed is further improved.
Example 8
As shown in fig. 5, the present embodiment is different from embodiment 7 in that not less than four bolts 304 are equidistantly and symmetrically disposed, and a screwing block 303 is fixedly connected to the top of the bolt 304.
By adopting the technical scheme, the tightness of the bolt 304 is facilitated through the screwing block 303, and the comfort during tightness is improved.
Example 9
As shown in fig. 6, the present embodiment is different from embodiment 8 in that the pick 506 is made of titanium, and four corners of the pick 506 are configured to be rounded.
By adopting the technical scheme, on one hand, the titanium has good biocompatibility with human tissues, no rejection and anaphylactic reaction occur, and no toxic or side effect exists, and the titanium is arranged into the round angle to prevent the plectrum 506 from stabbing lung tissues.
Example 10
As shown in fig. 7, the present embodiment is different from embodiment 9 in that the communication module 1044 includes at least one of a bluetooth module, a 4G communication module, and a 5G communication module.
By adopting the technical scheme, the stable transmission of the picture shot by the camera 406 to the large screen can be ensured.
For the convenience of understanding the technical solutions of the present invention, the following detailed description will be made on the working principle or the operation mode of the present invention in the practical process.
In practical application, the top plate 301 and the bottom plate 302 are fixed on a rim rod of an operating table bed through bolts 304, the device is adjusted to a proper height through loosening and tightening the first threaded rod 1031, the angle of the first rotating block 202 is adjusted through loosening and tightening the second threaded rod 205, the expansion mechanism 5 is aligned with the position of an operation incision, the angle of the second rotating block 403 can be adjusted through loosening and tightening the third threaded rod 407, the angle fine adjustment of the expansion mechanism 5 is realized, the expansion mechanism 5 extends into the operation incision through extending the telescopic rod of the electric push rod 201, then the rotating shaft of the servo motor 501 is controlled to rotate anticlockwise so as to drive the driving gear 504 to rotate anticlockwise, the driving gear 504 drives the driven gear 505 meshed with the driving gear to rotate clockwise, the first connecting rod 502 and the second connecting rod 503 are expanded, the lung is blocked through the shifting sheet 506, when operation environment illuminance is lower, improve luminance through opening LED light filling lamp 405, the picture that will shoot through camera 406 is transmitted to the large screen via communication module 1044 and is shown, and the operator of being convenient for more clear sees the inside structure of incision, improves the efficiency of operation, reduces the operation risk.
The present invention can be easily implemented by those skilled in the art from the above detailed description. It should be understood, however, that the intention is not to limit the invention to the particular embodiments described. On the basis of the disclosed embodiments, a person skilled in the art can combine different technical features at will, thereby implementing different technical solutions.
Claims (3)
1. A lung blocking device for minimally invasive cardiothoracic surgery is characterized by comprising:
the lifting mechanism (1), the lifting mechanism (1) comprises a cylindrical sleeve (101) and a cylindrical inserted rod (102); the lower end of the cylindrical insertion rod (102) is inserted into the cylindrical sleeve (101), a first threaded rod (1031) for fixing the cylindrical insertion rod (102) is fixedly installed on the outer wall of the upper end of the cylindrical sleeve (101), and a first knob block (103) is fixedly connected to the end part of one end of the first threaded rod (1031); further comprising: rotating mechanism (2), rotating mechanism (2) includes electric putter (201), first rotatory piece (202), first mount pad (203) and second threaded rod (205), the bottom fixed connection of first mount pad (203) is in the top of cylindricality inserted bar (102), round hole (2031) have been seted up to a side upper end of first mount pad (203), are located the opposite face of round hole (2031) threaded hole (2032) have been seted up to another side upper end of first mount pad (203), the one end of first rotatory piece (202) is through second threaded rod (205) fixed mounting on first mount pad (203), the one end of second threaded rod (205) is run through in proper order round hole (2031), the one end screw thread of first rotatory piece (202) is installed into the inside of threaded hole (2032), the one end fixed connection of electric putter (201) is kept away from first mount pad (203) the other end of first rotatory piece (202) A second knob block (204) is fixedly connected to one end part, far away from the threaded hole (2032), of the second threaded rod (205); the fixing mechanism (3) comprises a top plate (301), a bottom plate (302) and a bolt (304), the bottom plate (302) is located under the top plate (301), the top plate (301) and the bottom plate (302) are located on the upper side and the lower side of an operating table bed edge rod, and the top plate (301) is fixedly connected with the bottom plate (302) through the bolt (304) in a threaded mode; the fine adjustment mechanism (4) comprises a second mounting seat (401), a second rotating block (403) and a third threaded rod (407), one end face of the second mounting seat (401) is fixedly connected to the end portion of the telescopic rod of the electric push rod (201), one end of the second rotating block (403) is mounted on the second mounting seat (401) through the third threaded rod (407), and one end portion of the third threaded rod (407) is fixedly connected with a third knob block (402); the expansion mechanism (5) comprises a servo motor (501), a first connecting rod (502) and a second connecting rod (503), wherein a driving gear (504) is fixedly connected to one end of the first connecting rod (502), a driven gear (505) is fixedly connected to one end of the second connecting rod (503), a groove (404) is formed in the middle of the end face of the other end of the second rotating block (403), the driving gear (504) and the driven gear (505) are both rotatably installed in the groove (404) through rotating shafts, the driving gear (504) is in meshed connection with the driven gear (505), the servo motor (501) is fixedly installed on the outer wall of one side of the second rotating block (403), and the rotating shaft of the servo motor (501) penetrates through one side of the second rotating block (403) and extends into the groove (404), the end part of the servo motor (501) extending into the groove (404) is fixedly connected with the middle part of one side surface of the driving gear (504), and the end part of one end of the first connecting rod (502) far away from the driving gear (504) and the end part of one end of the second connecting rod (503) far away from the driven gear (505) are fixedly provided with shifting pieces (506) with the same specification; an end face, far away from the third threaded rod (407), of one end of the second rotating block (403) is fixedly provided with LED light supplement lamps (405), and the number of the LED light supplement lamps (405) is not less than two; a control box (104) is fixedly installed on the outer wall of the cylindrical sleeve (101), a controller (1042) is fixedly installed inside the control box (104), and a signal output end of the controller (1042) is electrically connected with an electric control end of the LED light supplement lamp (405), an electric control end of the electric push rod (201) and an electric control end of the servo motor (501) respectively; one side face of the control box (104) is of an open structure, a box cover (1041) is fixedly mounted on one side face, which is of the open structure, of the control box (104) through screws, mounting holes (1043) are formed in four corners of the control box (104), internal threads matched with the screws are formed in the mounting holes (1043), telescopic buttons used for controlling the electric push rod (201) to stretch out and draw back, driving buttons used for controlling the servo motor (501) to rotate forwards and backwards and light buttons used for controlling the LED light supplement lamp (405) to be turned on and off are fixedly mounted on the outer wall of the box cover (1041), and a signal input end of the controller (1042) is electrically connected with the light buttons, the telescopic buttons and the driving buttons respectively; the inside of control box (104) still installs communication module (1044), the second rotatory piece (403) keep away from the one end terminal surface fixed mounting of third threaded rod (407) has camera (406), the signal output part of camera (406) with the signal input part electric connection of controller (1042), two-way electric connection between controller (1042) and communication module (1044).
2. The minimally invasive surgery lung blocking device for cardiothoracic surgery is characterized in that an upper arc-shaped clamping groove (306) is formed in the middle of the bottom of the top plate (301), a lower arc-shaped clamping groove (305) is formed in the middle of the top of the bottom plate (302), and the upper arc-shaped clamping groove (306) is matched with the lower arc-shaped clamping groove (305) to fixedly clamp the device on the upper side and the lower side of a border rod of an operating table bed.
3. The minimally invasive surgery lung blocking device for cardiothoracic surgery as recited in claim 2, characterized in that the inner portion of the upper arc-shaped slot (306) and the inner portion of the lower arc-shaped slot (305) are both provided with anti-skid threads (307).
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| CN113100845B true CN113100845B (en) | 2022-06-21 |
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| CN114224513A (en) * | 2022-01-11 | 2022-03-25 | 华中科技大学同济医学院附属协和医院 | Adjustable minimally invasive decompression guiding device for femoral head necrosis in operating room |
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| US5451204A (en) * | 1988-07-22 | 1995-09-19 | Yoon; Inbae | Multifunctional devices for endoscopic surgical procedures |
| CN107126238A (en) * | 2017-07-04 | 2017-09-05 | 南阳医学高等专科学校第附属医院 | A kind of Cardiological operation extension fixture |
| CN111281451A (en) * | 2020-03-18 | 2020-06-16 | 王加玮 | Dilator for cardiothoracic surgery and prompting method |
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| CN103142289B (en) * | 2013-03-27 | 2015-07-29 | 韦锡波 | Minimally Invasive Surgery orthopaedic curet |
| CN103494617B (en) * | 2013-10-24 | 2015-10-28 | 河南科技大学第一附属医院 | A kind of cardiothoracic surgery Minimally Invasive Surgery resistance lung device |
| AU2015302333B2 (en) * | 2014-08-13 | 2020-05-07 | Nuvasive, Inc. | Minimally disruptive retractor and associated methods for spinal surgery |
| CN108742738B (en) * | 2018-06-21 | 2019-12-24 | 窦连峰 | Thoracic surgery operation expanding unit |
| CN109223065A (en) * | 2018-11-13 | 2019-01-18 | 中国人民解放军陆军特色医学中心 | Auxiliary device is used in a kind of laparoscopy |
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| US5451204A (en) * | 1988-07-22 | 1995-09-19 | Yoon; Inbae | Multifunctional devices for endoscopic surgical procedures |
| CN107126238A (en) * | 2017-07-04 | 2017-09-05 | 南阳医学高等专科学校第附属医院 | A kind of Cardiological operation extension fixture |
| CN111281451A (en) * | 2020-03-18 | 2020-06-16 | 王加玮 | Dilator for cardiothoracic surgery and prompting method |
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