CN113331937A - Supplementary hemostasis device is used in hepatobiliary pancreas surgery - Google Patents

Supplementary hemostasis device is used in hepatobiliary pancreas surgery Download PDF

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CN113331937A
CN113331937A CN202110637030.3A CN202110637030A CN113331937A CN 113331937 A CN113331937 A CN 113331937A CN 202110637030 A CN202110637030 A CN 202110637030A CN 113331937 A CN113331937 A CN 113331937A
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plate
rod
bottom plate
sliding
hemostatic device
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CN113331937B (en
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高志强
陈君
李丁洋
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First Affiliated Hospital of Zhengzhou University
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First Affiliated Hospital of Zhengzhou University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/60Supports for surgeons, e.g. chairs or hand supports
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/30Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00589Coagulation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2218/00Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
    • A61B2218/007Aspiration
    • A61B2218/008Aspiration for smoke evacuation

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Abstract

The invention particularly relates to an auxiliary hemostasis device for hepatobiliary pancreas surgery, which comprises a bottom plate, wherein a supporting plate is arranged on the left side of the bottom plate, a rectangular groove is arranged on the right side of the supporting plate, a connecting mechanism is arranged on the lower part of the bottom plate, a horizontal stretching mechanism is arranged above the supporting plate, a support rod mechanism and a rotary moving mechanism are arranged on the horizontal stretching mechanism, and an electrocoagulation cutter head is arranged on the rotary moving mechanism; the invention can control the horizontal moving position and the up-and-down position of the electrocoagulation cutter head, and can increase the distance of the electrocoagulation cutter head moving left and right according to the requirement; be provided with the side vaulting pole and can increase the stability when the device uses, be provided with the fluorescent tube and can illuminate the position that needs stanch, be convenient for the doctor use the electricity congeals the tool bit and stanch the operation, be provided with the partial smog that convulsions passageway can connect the air extraction equipment and pass through the convulsions passageway and collect the electricity congeals the tool bit operation time production to avoid the too big hemostatic operation of influence of smog.

Description

Supplementary hemostasis device is used in hepatobiliary pancreas surgery
Technical Field
The invention belongs to the technical field of medical instruments, and particularly relates to an auxiliary hemostasis device for a hepatobiliary-pancreatic surgery.
Background
Bleeding is treated in a certain way to quickly stop the outward flow of blood, which is called hemostasis. The hemostatic effect varies from person to person. Some are fast and some are slow, and platelet-related.
Normally, bleeding caused by small blood vessel injury stops spontaneously within a few minutes, a phenomenon known as physiological hemostasis. Physiological hemostasis is one of the important protective mechanisms of the body and is the result of the interaction of various factors and mechanisms. The hemostasis process mainly comprises three processes of vasoconstriction, platelet thrombosis and blood coagulation.
When in hemostasis, the blood platelets are accelerated to be aggregated to the edge of a wound and intertwined with each other, so that the blood is accelerated to be coagulated, and fibrin is generated at the wound. It is properly matched with blood-activating and stasis-removing medicines. Blood goes up and down with qi, sometimes it is necessary to properly coordinate with herbs for regulating qi's ascending and descending. Can be used for treating various hemorrhage diseases. It is suitable for treating various hemorrhagic diseases such as hematemesis, epistaxis, hemoptysis, hematochezia, hematuria, metrorrhagia, and metrostaxis. According to the different reasons of bleeding, the specific application of hemostasia is heat-clearing hemostasia, qi-tonifying hemostasia and stasis-dispelling hemostasia. Clearing heat and stopping bleeding is indicated for bleeding due to recklessly blood flow caused by blood heat or blood collaterals injured by heat. Qi tonifying and bleeding stopping are indicated for bleeding due to qi deficiency or yang deficiency failing to consolidate and blood failing to circulate. The recipe is composed of commonly used herbs such as astragalus root, soil on the kitchen range, baked ginger, aconite root, mugwort leaf, etc., and the typical recipe includes Guipi decoction, loess decoction, etc. Stasis dispelling and bleeding stopping are indicated for bleeding due to blood obstruction in the vessels, obstruction of blood flow and failure of blood to flow through the channels. Peach kernel, red peony root, notoginseng are commonly used to make up prescriptions, which are represented by the formula of ectopic pregnancy. Clinically, the method should be used with the following 4 points: firstly, the slow and urgent nature of the disease should be grasped. ② excessive bleeding, qi collapse following blood, qi can be strengthened to relieve collapse when it is urgent. ③ excessive and urgent hemostasis can cause stasis.
The operation blood stopping method mainly comprises a compression hemostasis method, a ligation hemostasis method, an electric coagulation hemostasis method, a local medicine or biological hemostasis method, a tourniquet hemostasis method and the like; at present, the electric coagulation hemostasis is widely applied to the surgery of liver, gallbladder and pancreas; however, the electrocoagulation hemostatic device in the prior art has low intelligent degree, cannot be adjusted in multiple angles and in various aspects, is time-consuming and labor-consuming in operation, and greatly increases the working intensity of medical personnel. And the working pressure of the doctor cannot be relieved because some surgical procedures are long.
Aiming at the problems, the auxiliary hemostatic device for the hepatobiliary pancreas surgery can reduce the labor intensity of medical staff and can assist in hemostasis in the surgery.
Disclosure of Invention
The invention aims to overcome the defects in the prior art and provide an auxiliary hemostasis device for a hepatobiliary pancreas surgical operation.
The purpose of the invention is realized as follows: an auxiliary hemostasis device for hepatobiliary pancreas surgery comprises a bottom plate, wherein a plurality of universal wheels are arranged on the lower surface of the bottom plate and distributed on the lower surface of the bottom plate to ensure the stability of the bottom plate, a supporting plate is arranged on the left side of the bottom plate, a rectangular groove is formed in the right side of the supporting plate, the supporting plate is of an L-shaped structure, a connecting mechanism is arranged on the lower portion of the bottom plate and used for extending a stretching covering surface of a horizontal stretching mechanism, and the connecting mechanism and the horizontal stretching mechanism are complementary; the supporting plate is provided with a horizontal extension mechanism above which can drive the electric coagulation knife head to move horizontally, the horizontal extension mechanism is provided with a support rod mechanism and a rotary moving mechanism, the support rod mechanism can assist in stopping bleeding to support, and the rotary moving mechanism is provided with the electric coagulation knife head.
Further, coupling mechanism is including connecting the chassis, and the draw-in groove has all been seted up to the bottom plate lower surface left and right sides, connects the chassis and is located the draw-in groove, and the backup pad left surface is seted up flutedly, connects the chassis lower surface and is provided with a plurality of universal wheels, connects chassis right side slidable and is connected with the connecting plate, and the connecting plate is located the recess of backup pad, and the connecting plate upper end is connected with the diaphragm, and the diaphragm lower surface is provided with guide rail.
Furthermore, coupling mechanism is still including the rotating-rod, and the rotatable being located of rotating-rod connects the chassis, is provided with a plurality of bayonet locks on the rotating-rod, and rotatable being located of bayonet lock is connected the chassis, connects and is provided with the slide rail between chassis and the connecting plate.
Furthermore, both sides respectively are provided with a collateral branch vaulting pole around the backup pad, are connected for rotating between collateral branch vaulting pole right-hand member and the bottom plate, rotate through pivot two between collateral branch vaulting pole and the bottom plate and are connected, and collateral branch vaulting pole outer end lower part is provided with the universal wheel.
Furthermore, the horizontal extension mechanism comprises a second guide rail, a first sliding plate is movably arranged on the second guide rail, a first extension rod is rotatably arranged on the first sliding plate, a second extension rod is rotatably arranged at the tail end of the first extension rod, first sliding grooves are formed in the surfaces of two sides of the first extension rod, and the second sliding plate is slidably arranged in the first sliding grooves.
Further, rotatory moving mechanism is including pivot one, pivot one is rotatable to be connected with slide two, pivot one end is connected with the rotor plate, spout two has been seted up to the rotor plate lower surface, the slidable is provided with the electric jar in the spout two, the electric jar end is fixed with the lifter, the lifter lower extreme is connected with universal pipe, universal pipe lower extreme is provided with the sleeve, detachable is provided with the connector in the sleeve, connector upper end fixedly connected with spring wire, the spring wire upper end is connected with the lifter lower extreme, the fixed retaining ring that is provided with of connector lateral surface.
Further, the electrocoagulation cutter head is fixed at the lower end of the connector, and a lamp tube and an air draft channel are arranged at the lower end of the connector.
Furthermore, the lamp tube is of a circular ring structure, and the electrocoagulation cutter head is positioned in the middle of the lamp tube.
Further, the stay bar mechanism is including the stay bar, and what the stay bar can reciprocate is located slide two, and the rotatable rotation axis that is provided with of stay bar lower extreme, the fixed magnet that is provided with in rotation axis side is first, and the rotatable bearing plate that is provided with in rotation axis lower extreme side is provided with magnet two in the middle part of the bearing plate upper surface, and the rotatable connecting block that is provided with in inboard upper portion of bearing plate, the connecting block is fixed on the rotation axis.
Furthermore, the upper end of the bayonet lock is of an arc-shaped structure, and a plurality of pin grooves matched with the bayonet lock are formed in the clamping groove of the bottom plate.
When the device is used, the device is moved to an operating bed, the bottom plate is positioned below the operating bed, and the sliding plate II is held by hand to move; the horizontal extension mechanism can drive the sliding plate II to move in the horizontal plane, namely the sliding position of the sliding plate I on the guide rail II, the rotary connection of the extension rod I and the extension rod II and the sliding of the sliding plate II in the extension rod II can control the movement of the sliding plate II in the horizontal plane, so that the sliding plate II can be moved to a required approximate position; the connector can be driven by the rotary moving mechanism to perform horizontal movement within a small range to perform fine adjustment and move up and down, namely, the rotating plate rotates through the first rotating shaft, the electric cylinder moves along the rotating plate to ensure that the connector performs fine adjustment movement within the horizontal plane range covered by the rotating plate, the connector can be driven by the electric cylinder to stretch up and down by pulling the connector, and then the connector is moved up and down. The universal pipe is arranged to ensure that the electrocoagulation tool bit can be used in multiple angles, the detachable connector is arranged to completely hold the electrocoagulation tool bit on the connector, so that precise and rapid operation on some fine operation positions is facilitated, the spring wire is arranged to enable the connector to be connected with the lifting rod, and the connector is withdrawn more precisely and rapidly; the connector and the sleeve are preferably in threaded connection.
The electric coagulation knife head is provided with the lamp tube, so that the position needing to be subjected to hemostasis can be illuminated, a doctor can conveniently use the electric coagulation knife head to perform hemostasis operation, the exhaust channel is arranged, the exhaust device can be connected, partial smoke generated when the electric coagulation knife head operates is collected through the exhaust channel, and the hemostasis operation is prevented from being influenced by overlarge smoke.
The support rod mechanism is arranged to assist the doctor arm in operation, so that the support effect on the doctor arm is achieved, and the problem that the operation is affected by the pain of the doctor arm caused by long-time operation is avoided; the bearing plate is put down, the first magnet is separated from the second magnet, the bearing plate is unfolded under the influence of gravity, the lower end of the inner side of the bearing plate is of a plane structure, the bearing plate and the rotating shaft form plane support after the bearing plate is unfolded, and the bearing plate and the rotating shaft are vertically distributed; the height of the bearing plate is controlled by adjusting the height of the support rod relative to the second sliding plate to meet different requirements of users, the support rod and the second sliding plate can move up and down relatively, and the support rod and the second sliding plate are the prior art and do not have structural limitation on how to move up and down; but rotation axis relative movement for the vaulting pole to guarantee that the bearing plate can carry out 360 degrees and rotate, it is more convenient during the use.
When the second extending rod needs to be expanded in a larger range or a doctor uses the bearing plate and applies a larger pressure to the bearing plate, the side supporting rods can be expanded to increase the longitudinal contact surface of the device and the ground, so that the longitudinal stability of the device is increased, and the device can be used in cooperation with a horizontal extending mechanism. When the extension range of the horizontal extension mechanism needs to be enlarged or the transverse stability of the device needs to be increased due to the surgical requirements, the connecting mechanism can be pulled out from the bottom plate and assembled and installed from the right side; the rotary rod that is rotatory moving mechanism breaks away from the bayonet lock in following the bottom plate promptly in the draw-in groove, can pull out coupling mechanism from the left draw-in groove of bottom plate and in the recess of backup pad, go into coupling mechanism's diaphragm card again in the draw-in groove of backup pad right-hand member, and will connect in chassis outer end card goes into the draw-in groove on bottom plate right side, rotate the rotary rod again and go into the bayonet lock card in the draw-in groove of bottom plate, and then realize the fixed joint to coupling mechanism, the guide rail one forms same guide rail with two both ends of guide rail laminating each other this moment, increase the slidable distance of slide one, and then increase the work area that can stanch the operation, simultaneously because the left and right sides all has the support can make the device more stable.
Has the advantages that: the device detachably fixes the electrocoagulation cutter head on the device, can control the horizontal moving position and the up-and-down position of the electrocoagulation cutter head, and can increase the distance of the electrocoagulation cutter head moving left and right according to the requirement; be provided with the side vaulting pole and can increase the stability when the device uses, be provided with the fluorescent tube and can illuminate the position that needs stanch, the doctor of being convenient for uses the electricity congeals tool bit to stanch the operation, is provided with exhaust passage and can connects air extraction equipment, collects the partial smog that produces when will congeal the tool bit operation through exhaust passage to avoid smog too big influence hemostasis operation.
Drawings
Fig. 1 is a schematic structural diagram of the invention.
Fig. 2 is a schematic bottom view of the present invention.
Fig. 3 is a schematic structural view of the connection mechanism of the invention when detached.
Fig. 4 is a schematic structural view of the connecting mechanism of the present invention when it is fastened to the right side of the device.
FIG. 5 is a schematic view of the side brace of the present invention in its deployed configuration.
Fig. 6 is a schematic structural view of the horizontal stretching mechanism of the invention when unfolded.
FIG. 7 is a schematic view of the horizontal extension mechanism and side struts of the present invention in an unfolded configuration.
Fig. 8 is a schematic structural view of the strut mechanism and the rotational movement mechanism of the present invention.
Fig. 9 is a partial sectional view of the inventive strut mechanism and the rotational movement mechanism.
Fig. 10 is a partial structural sectional view of the invention.
Fig. 11 is a sectional view of the inventive connecting head.
Fig. 12 is a partial structural cross-sectional view of the inventive base plate.
Description of reference numerals:
1. the electric coagulation machine comprises a base plate, 2 universal wheels, 3 side supporting rods, 4 sliding plates I, 5 supporting plates, 6 extension rods II, 7 lifting rods, 8 extension rods I, 9 sliding plates II, 10 rotating shafts I, 11 supporting rods, 12 rotating plates, 13 connecting bottom frames, 14 rotating shafts II, 15 bearing plates, 16 clamping grooves, 17 guide rails II, 18 grooves, 19 connecting plates, 20 transverse plates, 21 guide rails I, 22 sliding rails, 23 pin grooves, 24 rotating rods, 25 magnets I, 26 rotating shafts, 27 connecting blocks, 28 magnets II, 29 retaining rings, 30 connecting heads, 31 sleeves, 32 spring wires, 33 universal tubes, 34 electric cylinders, 35 clamping pins, 36 air draft channels, 37 electric coagulation cutter heads, 38 lamp tubes and 39 rectangular grooves.
Detailed Description
Example 1
As shown in fig. 1-12, the object of the present invention is achieved by: the utility model provides a hepatobiliary pancreas surgery is with supplementary hemostasis device, is provided with a plurality of universal wheels 2 including bottom plate 1, 1 lower surface of bottom plate, and universal wheel 2 distributes at 1 lower surface of bottom plate to guarantee bottom plate 1's stability, 1 left side of bottom plate is provided with backup pad 5, and 5 right sides of backup pad are provided with rectangular channel 39, and backup pad 5 is L shape structure. The front side and the rear side of the supporting plate 5 are respectively provided with a side supporting rod 113, the right end of the side supporting rod 113 is rotatably connected with the bottom plate 1, the side supporting rod 113 is rotatably connected with the bottom plate 1 through a second rotating shaft 14, and the lower part of the outer end of the side supporting rod 113 is provided with a universal wheel 2.
The lower part of the bottom plate 1 is provided with a connecting mechanism which is used for extending the extending covering surface of the horizontal extending mechanism, and the connecting mechanism and the horizontal extending mechanism supplement each other; a horizontal stretching mechanism is arranged above the supporting plate 5 and can drive the electrocoagulation cutter head 37 to move horizontally, a support rod 11 mechanism and a rotary moving mechanism are arranged on the horizontal stretching mechanism, the support rod 11 mechanism can assist hemostasis to support, and the electrocoagulation cutter head 37 is arranged on the rotary moving mechanism.
Coupling mechanism is including connecting chassis 13, and draw-in groove 16 has all been seted up to the 1 lower surface left and right sides of bottom plate, connects chassis 13 and is located draw-in groove 16, and backup pad 5 left surface is seted up flutedly 18, connects chassis 13 lower surface and is provided with a plurality of universal wheels 2, connects chassis 13 right side slidable and is connected with connecting plate 19, and connecting plate 19 is located backup pad 5's flutedly 18, and connecting plate 19 upper end is connected with diaphragm 20, and diaphragm 20 lower surface is provided with guide rail 21. The connecting mechanism further comprises a rotating rod 24, the rotating rod 24 is rotatably arranged in the connecting bottom frame 13, a plurality of clamping pins 35 are arranged on the rotating rod 24, the upper ends of the clamping pins 35 are of arc-shaped structures, and a plurality of pin grooves 23 matched with the clamping pins 35 are formed in the clamping grooves 16 of the bottom plate 1. The bayonet 35 is rotatably arranged in the connecting chassis 13, and a slide rail 22 is arranged between the connecting chassis 13 and the connecting plate 19.
The horizontal extension mechanism comprises a second guide rail 17, a first sliding plate 4 is movably arranged on the second guide rail 17, a first extension rod 8 is rotatably arranged on the first sliding plate 4, a second extension rod 6 is rotatably arranged at the tail end of the first extension rod 8, a first sliding groove is formed in the side surface of the second extension rod 6, and a second sliding plate 9 is slidably arranged in the first sliding groove.
The rotary moving mechanism comprises a first rotating shaft 10, the first rotating shaft 10 is rotatably connected with a second sliding plate 9, the lower end of the first rotating shaft 10 is connected with a rotating plate 12, the lower surface of the rotating plate 12 is provided with a second sliding groove, an electric cylinder 34 is slidably arranged in the second sliding groove, the tail end of the electric cylinder 34 is fixedly provided with a lifting rod 7, the lower end of the lifting rod 7 is connected with a universal pipe 33, the lower end of the universal pipe 33 is provided with a sleeve 31, a connector 30 is detachably arranged in the sleeve 31, the upper end of the connector 30 is fixedly connected with a spring wire 32, the upper end of the spring wire 32 is connected with the; the electrocoagulation cutter head 37 is fixed at the lower end of the connector 30, and the lower end of the connector 30 is provided with a lamp tube 38 and an air draft channel 36; the lamp tube 38 is of circular ring configuration and the electrocoagulation head 37 is located in the middle of the lamp tube 38.
The stay bar 11 mechanism comprises a stay bar 11, the stay bar 11 can move up and down and is located in a sliding plate II 9, a rotating shaft 26 is rotatably arranged at the lower end of the stay bar 11, a magnet I25 is fixedly arranged on the side face of the rotating shaft 26, a bearing plate 15 is rotatably arranged on the side face of the lower end of the rotating shaft 26, a magnet II 28 is arranged in the middle of the upper surface of the bearing plate 15, a connecting block 27 is rotatably arranged on the upper portion of the inner side of the bearing plate 15, and the connecting block 27 is fixed on the rotating shaft 26.
When the device is used, the device is moved to an operating table, the bottom plate 1 is positioned below the operating table, and the second sliding plate 9 is held by hand to move; the second sliding plate 9 can be driven to move in the horizontal plane through the horizontal extension mechanism, namely the sliding position of the first sliding plate 4 on the second guide rail 17, the rotary connection of the first extension rod 8 and the second extension rod 6 and the sliding of the second sliding plate 9 in the second extension rod 6 can control the movement of the second sliding plate 9 in the horizontal plane, so that the second sliding plate 9 can be moved to a required approximate position; and then the rotating and moving mechanism can drive the connecting head 30 to horizontally move within a small range for fine adjustment and up-and-down movement, that is, the rotating plate 12 rotates through the first rotating shaft 10, and the electric cylinder 34 moves along the rotating plate 12 to ensure that the connecting head 30 finely moves within the horizontal plane range covered by the rotating plate 12, and the connecting head 30 can be pulled up and down to drive the electric cylinder 34 to stretch and retract, so that the connecting head 30 can be moved up and down. The universal pipe 33 is arranged to ensure that the electrocoagulation head 37 can be used in multiple angles, the detachable connector 30 is arranged to completely hold the electrocoagulation head 37 on the connector 30 for use, so that precise and rapid operation can be conveniently carried out on some precise operation positions, the spring wire 32 is arranged to ensure that the connector 30 is connected with the lifting rod 7, and the connector 30 is withdrawn more precisely and rapidly; the connection head 30 and the sleeve 31 are preferably screwed together.
The lighting tube 38 is arranged to illuminate the position needing hemostasis, so that a doctor can conveniently use the electrocoagulation cutter head 37 to perform hemostasis operation, and the air exhaust channel 36 is arranged to be connected with air exhaust equipment to collect part of smoke generated during operation of the electrocoagulation cutter head 37 through the air exhaust channel 36, so that the hemostasis operation is prevented from being influenced by overlarge smoke.
The supporting rod 11 mechanism is arranged to assist the doctor arm in operation, so that the effect of supporting the doctor arm is achieved, and the problem that the doctor arm is sore due to long-time operation is avoided; the bearing plate 15 is put down and the first magnet 25 is separated from the second magnet 28, the bearing plate 15 is unfolded under the influence of gravity, the lower end of the inner side of the bearing plate 15 is of a plane structure, the bearing plate 15 and the rotating shaft 26 form plane support after being unfolded, and the bearing plate 15 and the rotating shaft 26 are vertically distributed; the height of the bearing plate 15 is controlled by adjusting the height of the stay bar 11 relative to the second sliding plate 9 so as to meet different requirements of users, the stay bar 11 and the second sliding plate 9 can move up and down relatively, and the structure limitation is not made on how to realize the up and down movement in the prior art; the rotation shaft 26 is relatively movable with respect to the stay 11 to ensure that the bearing plate 15 can rotate 360 degrees, which is more convenient in use.
When the second stretching rod 6 needs to be expanded to a larger extent or when a doctor uses the bearing plate 15 and has larger pressure on the bearing plate 15, the side supporting rods 113 can be expanded to increase the longitudinal contact surface of the device with the ground, so as to increase the longitudinal stability of the device to be matched with a horizontal stretching mechanism for use. When the extension range of the horizontal extension mechanism needs to be enlarged or the transverse stability of the device needs to be increased due to surgical requirements, the connecting mechanism can be pulled out from the bottom plate 1 and assembled and installed from the right side; that is, the rotating rod 24 of the rotating and moving mechanism separates the bayonet lock 35 from the pin slot 2316 in the bottom plate 1, the connecting mechanism can be pulled out from the clamping slot 16 on the left side of the bottom plate 1 and the groove 18 of the supporting plate 5, the transverse plate 20 of the connecting mechanism is clamped into the clamping slot 16 on the right end of the supporting plate 5, the outer end of the connecting bottom frame 13 is clamped into the clamping slot 16 on the right side of the bottom plate 1, the rotating rod 24 is rotated to clamp the bayonet lock 35 into the pin slot 2316 of the bottom plate 1, the connecting mechanism is fixedly clamped, the two ends of the first guide rail 21 and the second guide rail 17 are mutually attached to form the same guide rail, the slidable distance of the first sliding plate 4 is increased, the working area of the hemostatic operation is increased, and the device can be more stable due to the support on the left side and the right side.
In the description of the present invention, it is to be understood that the terms "center", "longitudinal", "lateral", "length", "width", "thickness", "upper", "lower", "front", "rear", "left", "right", "vertical", "horizontal", "top", "bottom", "inner", "outer", "clockwise", "counterclockwise", and the like, indicate orientations and positional relationships based on those shown in the drawings, and are used only for convenience of description and simplicity of description, and do not indicate or imply that the equipment or element being referred to must have a particular orientation, be constructed and operated in a particular orientation, and thus, should not be considered as limiting the present invention.
The above description is only for the purpose of illustrating the preferred embodiments of the present invention and is not to be construed as limiting the present invention, and it will be understood by those skilled in the art that various changes and modifications may be made therein without departing from the spirit and scope of the invention.

Claims (10)

1. The utility model provides a hepatobiliary pancreas surgery is with supplementary hemostasis device, including the bottom plate, the bottom plate lower surface is provided with a plurality of universal wheels, its characterized in that: the left side of the bottom plate is provided with a supporting plate which is of an L-shaped structure, the lower portion of the bottom plate is provided with a connecting mechanism, a horizontal extending mechanism is arranged above the supporting plate, a supporting rod mechanism and a rotary moving mechanism are arranged on the horizontal extending mechanism, and an electric coagulation knife head is arranged on the rotary moving mechanism.
2. The auxiliary hemostatic device for hepatobiliary pancreatic surgery according to claim 1, wherein: the connecting mechanism comprises a connecting bottom frame, clamping grooves are formed in the left side and the right side of the lower surface of the bottom plate, the connecting bottom frame is located in the clamping grooves, a plurality of universal wheels are arranged on the lower surface of the connecting bottom frame, a connecting plate is slidably connected to the right side of the connecting bottom frame, a transverse plate is connected to the upper end of the connecting plate, and a first guide rail is arranged on the lower surface of the transverse plate.
3. The auxiliary hemostatic device for hepatobiliary pancreatic surgery according to claim 2, wherein: the connecting mechanism further comprises a rotating rod, the rotating rod is rotatably located in the connecting bottom frame, a plurality of clamping pins are arranged on the rotating rod, the clamping pins are rotatably located in the connecting bottom frame, and a sliding rail is arranged between the connecting bottom frame and the connecting plate.
4. The auxiliary hemostatic device for hepatobiliary pancreatic surgery according to claim 1, wherein: both sides respectively are provided with a collateral branch vaulting pole around the backup pad, are connected for rotating between collateral branch vaulting pole right-hand member and the bottom plate, and collateral branch vaulting pole outer end lower part is provided with the universal wheel.
5. The auxiliary hemostatic device for hepatobiliary pancreatic surgery according to claim 1, wherein: the horizontal extension mechanism comprises a second guide rail, a first sliding plate is movably arranged on the second guide rail, a first extension rod is rotatably arranged on the first sliding plate, a second extension rod is rotatably arranged at the tail end of the first extension rod, first sliding grooves are formed in the surfaces of two sides of the first extension rod, and a second sliding plate is slidably arranged in the first sliding grooves.
6. An auxiliary hemostatic device for hepatobiliary pancreatic surgery according to claim 5, wherein: the rotary moving mechanism comprises a first rotary shaft, the first rotary shaft is rotatably connected with a second sliding plate, a rotary plate is connected to the lower end of the rotary shaft, a second sliding groove is formed in the lower surface of the rotary plate, an electric cylinder is slidably arranged in the second sliding groove, a lifting rod is fixedly arranged at the tail end of the electric cylinder, the lower end of the lifting rod is connected with an universal pipe, a sleeve is arranged at the lower end of the universal pipe, a connector is detachably arranged in the sleeve, a spring wire is fixedly connected to the upper end of the connector, the upper end of the spring wire is connected with the lower end of the lifting rod, and a retainer ring is fixedly arranged on the outer side surface of the connector.
7. The auxiliary hemostatic device for hepatobiliary pancreatic surgery according to claim 6, wherein: the electrocoagulation cutter head is fixed at the lower end of the connector, and a lamp tube and an air draft channel are arranged at the lower end of the connector.
8. An auxiliary hemostatic device for hepatobiliary pancreatic surgery according to claim 7, wherein: the lamp tube is of a circular ring structure, and the electric coagulation tool bit is positioned in the middle of the lamp tube.
9. An auxiliary hemostatic device for hepatobiliary pancreatic surgery according to claim 5, wherein: the supporting rod mechanism comprises a supporting rod, the supporting rod can move up and down and is located in a second sliding plate, a rotating shaft is rotatably arranged at the lower end of the supporting rod, a first magnet is fixedly arranged on the side face of the rotating shaft, a bearing plate is rotatably arranged on the side face of the lower end of the rotating shaft, a second magnet is arranged in the middle of the upper surface of the bearing plate, a connecting block is rotatably arranged on the upper portion of the inner side of the bearing plate, and the connecting block is fixed on the rotating shaft.
10. An auxiliary hemostatic device for hepatobiliary pancreatic surgery according to claim 3, wherein: the upper end of the bayonet lock is of an arc-shaped structure, and a plurality of pin grooves matched with the bayonet lock are formed in the clamping groove of the bottom plate.
CN202110637030.3A 2021-06-08 2021-06-08 Auxiliary hemostatic device for hepatobiliary pancreatic surgery Active CN113331937B (en)

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