CN113693788A - Stabilizing device for assisting operation of conveying system - Google Patents

Stabilizing device for assisting operation of conveying system Download PDF

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Publication number
CN113693788A
CN113693788A CN202111123870.4A CN202111123870A CN113693788A CN 113693788 A CN113693788 A CN 113693788A CN 202111123870 A CN202111123870 A CN 202111123870A CN 113693788 A CN113693788 A CN 113693788A
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CN
China
Prior art keywords
conveying system
assisting
stabilizing device
swing
connecting seat
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Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN202111123870.4A
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Chinese (zh)
Inventor
徐进
陈涛
王青杰
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Jenscare Scientific Co Ltd
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Jenscare Scientific Co Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Jenscare Scientific Co Ltd filed Critical Jenscare Scientific Co Ltd
Priority to CN202111123870.4A priority Critical patent/CN113693788A/en
Publication of CN113693788A publication Critical patent/CN113693788A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/24Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
    • A61F2/2427Devices for manipulating or deploying heart valves during implantation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30Surgical robots
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/70Manipulators specially adapted for use in surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/24Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
    • A61F2/2427Devices for manipulating or deploying heart valves during implantation
    • A61F2/2436Deployment by retracting a sheath
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/24Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
    • A61F2/2442Annuloplasty rings or inserts for correcting the valve shape; Implants for improving the function of a native heart valve
    • A61F2/2466Delivery devices therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30Surgical robots
    • A61B2034/301Surgical robots for introducing or steering flexible instruments inserted into the body, e.g. catheters or endoscopes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30Surgical robots
    • A61B2034/305Details of wrist mechanisms at distal ends of robotic arms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M2025/0177Introducing, guiding, advancing, emplacing or holding catheters having external means for receiving guide wires, wires or stiffening members, e.g. loops, clamps or lateral tubes

Abstract

The present application relates to the field of medical devices, and in particular to a stabilizing device for assisting in the operation of a delivery system, comprising: the device comprises a conveying system, a multi-dimensional motion module and an adjusting module; the multi-dimensional motion module comprises a lifting mechanism, a translation mechanism, a rotation mechanism and a swinging assembly, the swinging assembly is connected with the adjusting module, and the adjusting module is connected with the conveying system; during surgery, the distal portion of the delivery system is passed through the wound into the body; and when the position of the far end of the conveying system needs to be adjusted, the adjusting module is operated to drive the far end part of the conveying system to swing, and meanwhile, the lifting mechanism can be operated to enable the conveying system to integrally move in the vertical direction so as to avoid enlarging the wound area.

Description

Stabilizing device for assisting operation of conveying system
Technical Field
The present application relates to the field of medical devices, and more particularly, to a stabilizing device for assisting in the operation of a delivery system.
Background
The heart valve is a one-way valve structure between an atrium and a ventricle, and ensures that blood flows from the atrium to the ventricle. The normal valve structure includes two portions, a leaflet and an annulus. Valvular disease, typically of the type of valve stenosis/insufficiency, occurs when the anatomy and/or function of the annulus or leaflets is disrupted due to aging, disease, etc. Once a stenosis and/or insufficiency of the valve occurs, normal blood flow is affected and abnormal hemodynamic changes burden the heart, ultimately leading to heart failure. Valvular heart disease seriously affects patient health and quality of life, and therefore, sufficient attention needs to be paid.
Tricuspid valve regurgitation is generally caused by pulmonary hypertension, right ventricular enlargement and tricuspid valve annular dilation, and is clinically commonly represented by the causes of the tricuspid valve regurgitation (left heart failure, pulmonary hypertension and the like), and the symptoms of right heart failure such as tricuspid valve regurgitation, hypodynamia, ascites, edema, liver pain, dyspepsia, anorexia and the like are aggravated. Mild regurgitation of the tricuspid valve has no obvious clinical symptoms, but surgical treatment is required when there is severe regurgitation.
Traditional treatment approaches for mitral and tricuspid valve disease include medications for mild to severe regurgitation, and surgical procedures with corresponding surgical indications. Wherein the surgical method further comprises a valve replacement procedure and a valve repair procedure. In surgical procedures, typical open chest, open heart surgery is too invasive, requiring extracorporeal circulation to be established, with a high incidence of complications and risk of infection. Many patients do not tolerate the enormous surgical risk and can only remain indefinitely at risk for death.
In recent years, the rapid development of domestic and foreign transcatheter interventional therapy becomes an important treatment method for high risk groups of surgical operations. Most of the existing transcatheter interventional instrument operations adopt handheld operations, the operation is performed according to the operation, the body position of a patient and the severity of diseases are different, an operator needs to adjust the operation of the instrument, a handheld release system influences the accuracy of the operation and the release of the instrument of the operator to a certain extent, the operation risk is increased, the transcatheter interventional instrument operations also have the help of an external stabilizing device, but the effect is poor, the problems that a conveying system is unstable, the operation is widened when an operation handle is adjusted, the operation is performed at an intersection or intracardiac tissues are injured and the like exist.
Patent CN 201921219367.7 provides a stable catheter feeding device for cardiac intervention operation, which comprises a shell formed by splicing a front shell and a rear shell, wherein the inner cavities of the front shell and the rear shell
The left side of the front rotating shaft is rotatably connected with first rotating shafts, the lower outer walls and the upper outer walls of the two first rotating shafts are respectively fixedly connected with a first gear and a guide wheel, the outer walls of the guide wheels are provided with arc grooves, the upper end of the first rotating shaft at the front part penetrates through the front shell and is fixedly connected with a first knob, the right side of the inner cavity of the front shell is rotatably connected with a second rotating shaft, the lower outer wall of the second rotating shaft is fixedly connected with a second gear, the left end of the second gear is meshed with the right end of the first gear at the same side in the axial direction, the upper end of the second rotating shaft penetrates through the first gear and is fixedly connected with a second knob, the middle part of the right side of the front shell is fixedly connected with a guide pipe, and the middle outer wall of the guide pipe is provided with an adjusting support; the technical defects of the scheme are as follows: the adjustable range of the adjusting bracket is single, the structure of the human body is complex, the single adjusting range cannot meet the requirements of conveying and releasing of an implanting instrument, and secondary damage is easily caused.
Patent CN 202110421692.7 provides a guide wire guiding device for cardiac interventional therapy, which comprises a pushing frame, universal wheels are symmetrically arranged below the pushing frame, a rotating mechanism is arranged above the pushing frame, a lifting adjusting mechanism is arranged above the rotating seat in the rotating mechanism, a positioning pillar is fixed at the top end of a rotary swing arm in the lifting adjusting mechanism, a guide wire leading-in mechanism is arranged at the top end of the positioning pillar, the rotating mechanism comprises an assembly shell arranged above the pushing frame, a rotating motor is fixed at the middle position of the inner side of the assembly shell, and the inner side of the assembly shell is symmetrically provided with positioning bases at the edge position, the end part of the rotating motor is fixed with a bevel gear A, the inner side of the positioning base is rotatably connected with a transmission worm, conical gears B are symmetrically fixed at the top end of the transmission worm, and the upper part of the assembling shell is embedded and clamped.
There is swivel seat, the below of swivel seat is provided with the transmission worm wheel, and the technical defect of this scheme lies in: when the lifting swing arm ascends, the lifting swing arm can drive the rotating swing arm to ascend, but the rotating swing arm can move in the horizontal direction at the same time, and the one-way adjustment in the vertical direction is difficult to realize.
Patent CN 202110180809.7 provides an instrument stabilizer is intervene to general type heart valve disease, including base, plane rotary device, arm, slide rail, supporting platform, clamping jaw and the universal pivoted joint of ability, connect plane rotary device on the base, plane rotary device connects the arm, and the arm extends and leaves plane rotary device can buckle and keep this shape, and the arm top is through one the joint slide rail slides in the slide rail and is provided with supporting platform, supporting platform is through another the joint clamping jaw. The technical defects of the scheme are as follows: firstly, the conveying system is not stable enough only by using the clamping jaws, each clamping jaw comprises a clamping jaw mounting seat, and a left clamping jaw and a right clamping jaw which are arranged oppositely, springs are arranged in the clamping jaw mounting seats, the left clamping jaw and the right clamping jaw are respectively fixed on two sides of the clamping jaw mounting seats through the springs, two ends of each clamping jaw are of pop-up structures so as to adapt to instruments with different diameters, and the springs are arranged in the clamping jaws so as to adjust tension when the clamping jaws are opened, so that the force given by the springs is used for substantially fixing the conveying instruments, the conveying system is easy to slide or even fall from a stabilizer after being subjected to forces in other directions, and great influence is generated on the conveying and releasing of the instruments; secondly, the difficulty of operating the vertical motion of the conveying system is high, the stabilizer realizes the vertical motion and the horizontal motion by adjusting each mechanical arm and each joint, but the horizontal distance and the vertical distance are inevitably changed simultaneously due to the swinging of the mechanical arms, so that the independent horizontal motion or the vertical motion of the conveying system is difficult to realize, and the problem of expanding the surgical wound exists in the process of adjusting the angle of the conveying system; and thirdly, the adjustment angle of the conveying system is difficult to control, the clamping jaw is connected with a joint capable of rotating universally, and due to the universal rotation of the joint, when only two dimensions of the conveying system need to be adjusted, the third dimension is easy to change, so that a lot of uncertainty is added to the operation.
In conclusion, the stabilizing device in the prior art has unreasonable structural design, and has the problems that the conveying system is unstable in fixation, the adjustment requirement cannot be met, the surgical wound is enlarged, and the like.
Disclosure of Invention
The present application has been made in view of the above and other more general considerations.
One of the objectives of the present application is to overcome the deficiencies of the prior art and to provide a stabilizing device for assisting the operation of a delivery system in addressing problems such as unstable fixation of the delivery system, inability to meet adjustment requirements, enlargement of the operative wound, etc.
According to an aspect of the present application, there is provided a stabilizing device for assisting in the operation of a conveyor system, comprising: the device comprises a conveying system, a multi-dimensional motion module and an adjusting module; the multi-dimensional motion module comprises a lifting mechanism, a translation mechanism, a rotation mechanism and a swinging assembly, the swinging assembly is connected with the adjusting module, and the adjusting module is connected with the conveying system; during surgery, the distal portion of the delivery system is passed into the body through the wound; and when the position of the far end of the conveying system needs to be adjusted, the adjusting module is operated to drive the far end part of the conveying system to swing, and meanwhile, the lifting mechanism can be operated to enable the whole conveying system to move in the vertical direction so as to avoid enlarging the wound area.
According to an embodiment, the adjusting module comprises a moving member, a first connecting unit and a second connecting unit, wherein the first connecting unit and the second connecting unit are respectively connected to two ends of the moving member; and, the first connecting unit includes first connecting seat, the second connecting unit includes the second connecting seat, when conveying system needs to stabilize, conveying system fixes on first connecting seat and second connecting seat.
According to an embodiment, the swing assembly comprises a swing piece, a fixed track is arranged on the swing piece, the moving component is connected with the fixed track in a matched mode, and the moving component can move relative to the fixed track.
According to an embodiment, the swing assembly further comprises a linkage piece and a limiting piece, the linkage piece is fixedly connected with the swing piece, the linkage piece comprises a limiting plate, and the limiting piece comprises a limiting table; and, the limiting plate cooperates with the spacing platform, therefore the swing angle of conveying system is limited.
According to an embodiment, the center of the first connecting seat and the center of the second connecting seat form a centering line, the conveying system comprises a conveying sheath and an operating handle, and the centering line is coincident with the center line of the conveying sheath; and the centering line is parallel to the moving member, and the advancing or retreating direction of the moving member is consistent with the moving direction of the conveying system.
According to an embodiment, the forward end of the delivery sheath is angled with respect to the portion of the delivery sheath outside the patient after the forward end of the delivery sheath has entered the atrium, i.e. the forward end of the delivery sheath is angled with respect to the operating handle.
According to an embodiment, the first connection unit further comprises a first lifting table, the first lifting table can change the distance between the first connection seat and the moving member, the second connection unit further comprises a second lifting table, the second lifting table can change the distance between the second connection seat and the moving member, and the angle between the conveying system and the horizontal plane can be changed in a small range by operating the first lifting table or the second lifting table.
According to one embodiment, the connecting seat (the first connecting seat or the second connecting seat) comprises a connecting piece, a fastening piece and a moving screw, wherein the connecting piece is fixedly connected with the moving member, and the fastening piece and the connecting piece are movably connected through the moving screw; when the conveying system is fixed, the moving screw is rotated to enable the fastening piece to be close to the connecting piece, and the conveying system is fixed between the fastening piece and the connecting piece.
According to an embodiment, the lifting mechanism comprises a fixing unit and a vertical rod, when the stabilizing device works, the fixing unit is fixed, and the vertical rod moves in the vertical direction relative to the fixing unit.
According to one embodiment, the translation mechanism comprises a guide member, a translation member and a transmission structure, wherein the translation member can be moved relative to the guide member by operating the transmission structure; and the guide piece comprises a wave-shaped track, and the transmission structure is in fit connection with the wave-shaped track.
According to one embodiment, the transmission mechanism includes a knob, a positioning member, and a transmission rod.
According to an embodiment, the positioning part is fixed on the translation part, the number of the transmission rods is two, the transmission rods are matched with the waveform track in shape, and when the knob is rotated, the transmission rods sequentially move relative to the waveform track, namely, the translation part moves relative to the guide part.
According to an embodiment, a rotating table is arranged at one end of the vertical rod, and a rotating piece matched with the rotating table is arranged at one end of the guide piece, so that the translation mechanism can rotate relative to the lifting mechanism.
According to an embodiment, the rotating mechanism is respectively connected with the translation member and the swinging assembly, and the swinging assembly can drive the adjusting module to rotate relative to the translation mechanism.
According to an embodiment, the adjustment module, the lifting mechanism, the translation mechanism, the rotation mechanism and the swing assembly are required to be fastened after operation, and the fastening mode can be threaded connection fastening.
According to an embodiment, the adjustment module, the lifting mechanism, the translation mechanism, the rotation mechanism and the swing assembly are individually or partially or jointly operable.
According to an embodiment, the moving member is "i" shaped in cross-section.
According to one embodiment, the fixing unit includes a clamping plate, a cushion block and a fastening screw.
According to an embodiment, the contact surface of the rotating table and the rotating member is in dislocation fit, so that the design has the advantages that: the translation mechanism can rotate relative to the vertical rod in a small range.
According to an embodiment, the limiting member is in staggered fit with the contact surface of the linkage member.
According to an embodiment, the adjustment module, the lifting mechanism, the translation mechanism, the rotation mechanism and the swing assembly may be controlled by a motor.
Compared with the prior art, the technical scheme of the application has the advantages that at least the following steps are included:
the utility model provides a general type heart valvulopathy intervenes apparatus stabilizer in current patent CN 202110180809.7, including base, plane rotary device, arm, slide rail, supporting platform, clamping jaw and the universal pivoted joint of ability, wherein by arm and articulated connection plane rotary device and slide rail, and the defect of so designing lies in: the conveying handle and the operation entrance are in a longer distance, when the angle between the conveying handle and the horizontal plane is changed, the conveying sheath tube swings, and at the moment, if the height of the conveying sheath tube is not adjusted, the physiological tissues near the operation entrance can be damaged, so that the operation wound is enlarged, but the horizontal distance and the vertical distance of the conveying system can be changed at the same time due to the swinging of a single mechanical arm, and the two mechanical arms can not ensure the independent vertical movement of the conveying system due to the matching swinging of the two mechanical arms, so that the stabilizer of the scheme can not realize the function of changing the vertical distance when the conveying system is swung, is not beneficial to the operation of clinical operation, and increases the operation difficulty; and this application technical scheme has then avoided leading to causing the problem of enlarging the operation wound when swing conveying system because of the arm can't satisfy one-way motion, the multidimensional movement module of this scheme includes elevating system, this elevating system can assist conveying system to carry out the ascending motion of vertical side, when changing conveying system and horizontal angle, can operate multidimensional movement module and drive the swing of conveying system distal end portion under the not fastened condition of swing subassembly, it prevents to lead to the problem that the entrance is enlarged because of carrying the swing of sheath pipe to operate elevating system simultaneously, and easy operation, and is labor-saving, has fine clinical meaning.
According to one concept of the application, the adjusting module comprises a moving member, a first connecting unit and a second connecting unit, the first connecting unit comprises a first connecting seat, the second connecting unit comprises a second connecting seat, two positions which are used for fixing and clamping the conveying system in the stabilizing device are equivalent to two positions in the stabilizing device, the stability of the stabilizing device is effectively improved, meanwhile, the connecting seats comprise connecting pieces, fastening pieces and moving screws, the fastening pieces are close to the connecting pieces through rotating the moving screws, so that the conveying system is fixed between the fastening pieces and the conveying system, the effect of the mode of fastening the conveying system is superior to that of the mode of fastening the conveying system through spring supports in the prior art, if the moving screws are not loosened, the conveying system cannot be easily separated from the stabilizing device, the distance between the fastening pieces can be changed, and the conveying system can adapt to instruments with different diameters and sizes, the practicability is strong.
According to an idea of the application, the center of first connecting seat forms a centering line with the center of second connecting seat, and conveying system is including carrying sheath pipe and operating handle, and, centering line and the coincidence of carrying sheath pipe central line, centering line and removal component are parallel, when having realized that the operation removes the component and removes, synchronous drive carries sheath pipe/conveying system back-and-forth movement, than the art person direct control conveying system in the intraductal advance or retreat and will stabilize a lot, art person manual operation is difficult to realize the ascending linear motion of operating handle direction, this scheme has just guaranteed this function, the stability of having improved the operation, be favorable to the success of interveneeing the operation.
According to an idea of the application, the swing subassembly is including the linkage piece that is equipped with the limiting plate and the locating part that is equipped with spacing platform, can need swing conveying system at the operation in-process, adjust the angle of conveying system and horizontal plane promptly, and human physiology structure is complicated, it should not be too big to adjust the conveying system angle, otherwise can cause the secondary injury, limiting plate makes conveying system's swing angle limited with the cooperation design of spacing platform, the maloperation of having prevented the art person at adjustment conveying system in-process ingeniously, avoided the accident of injuring the patient because of angle of adjustment is too big to take place, the operation success rate has been improved.
According to an idea of the application, first linkage unit still includes first elevating platform, first elevating platform can change the distance between first connecting seat and the removal component, second linkage unit still includes the second elevating platform, the second elevating platform can change the distance between second connecting seat and the removal component, the angle of operation first elevating platform or second elevating platform can change conveying system and horizontal plane by a small margin, satisfy the requirement that the art person needs the swing of small margin in operation process to carry sheath pipe/implantation apparatus, can not harm the blood vessel simultaneously, can not enlarge the operation and go into the crossing, have safety, high efficiency, it is multi-functional, advantages such as convenient.
According to another concept of the present application, embodiments of the present application are able to achieve other advantageous technical effects, not listed one by one, which may be partially described below; and will be expected and understood by those skilled in the art upon reading this application.
Drawings
The above features and advantages and other features and advantages of these embodiments, and the manner of attaining them, will become more apparent by reference to the following description taken in conjunction with the accompanying drawings; and embodiments of the application may be better understood, wherein:
fig. 1a to 1d are schematic diagrams of an overall structure of a multi-dimensional movement module, an adjustment module, a fixed delivery system and a schematic diagram for preventing a distal end portion of the delivery system from expanding a wound area due to swinging, wherein fig. 1c is a schematic diagram of the delivery system swinging but not moving in a vertical direction to expand the wound, and fig. 1d is a schematic diagram of the delivery system swinging and moving in the vertical direction.
Fig. 2a to 2c are schematic structural diagrams of the adjusting module of the present invention.
Fig. 3a to 3c are schematic structural views of the swing assembly of the present invention.
Fig. 4a to 4c are schematic structural views of the lifting mechanism and the translation structure of the present invention.
Fig. 5a to 5d are schematic views illustrating the installation process of the auxiliary conveying system of the present invention.
The figures in the drawings refer to the following features:
1-multidimensional movement module, 11-lifting mechanism, 111-fixed unit, 112-vertical bar, 113-rotating table, 12-translation mechanism, 121-guide, 1211-rotating member, 1212-wave rail, 122-translation member, 123-transmission structure, 1231-knob, 1232-positioning member, 1233-transmission bar, 13-rotation mechanism, 14-swinging member, 141-swinging member, 1411-fixed rail, 142-linkage member, 1421-limiting plate, 143-limiting member, 1431-limiting table, 2-adjustment module, 21-moving member, 22-first connecting unit, 221-first connecting seat, 222-first lifting table, 23-second connecting unit, 231-second connecting seat, 232-second lifting table, 24-connecting piece, 25-fastening piece, 26-moving screw, 3-conveying system, 31-conveying sheath and 32-operating handle.
Detailed Description
The details of one or more embodiments of the application are set forth in the accompanying drawings and the description below. Other features, objects, and advantages of the application will be apparent from the description and drawings, and from the claims.
It is to be understood that the embodiments illustrated and described are not limited in application to the details of construction and the arrangement of components set forth in the following description or illustrated in the following drawings. The illustrated embodiment may be other embodiments; and can be implemented or performed in a variety of ways. Examples are provided by way of explanation of the disclosed embodiments, not limitation. Indeed, it will be apparent to those skilled in the art that various modifications and variations can be made in the embodiments of the present application without departing from the scope or spirit of the disclosure. For instance, features illustrated or described as part of one embodiment, can be used with another embodiment to yield a still further embodiment. Accordingly, the disclosure is intended to cover such modifications and variations as fall within the scope of the appended claims and their equivalents.
Also, it is to be understood that the phraseology and terminology used herein is for the purpose of description and should not be regarded as limiting. The use of "including," "comprising," or "having" and variations thereof herein is meant to encompass the items listed thereafter and equivalents thereof as well as additional items.
The present application will be described in more detail below with reference to various embodiments and examples of several aspects of the application.
In this application, the term "proximal" or "proximal" refers to the end or side closer to the operator, and "distal" or "distal" refers to the end or side farther from the operator.
In this application, the term "swing" refers to a movement that changes the angle of the conveying system with the horizontal.
Among the prior art, the arm of stabilizer easily makes conveying system enlarge the operation wound when the swing because unable unidirectional motion, and the mode that fastens conveying system through the spring-supported is unstable moreover, simultaneously because the self characteristic of the joint that can universal pivoted, difficult unidirectional change angle during the operation, easily appear skew or range too big, is unfavorable for the operation of clinical operation.
One of the objects of the embodiments described below is to address the above-mentioned deficiencies, as well as other problems.
Example one
As shown in fig. 1a, a stabilizing device for assisting the operation of a conveyor system 3 is illustrated, comprising: the device comprises a conveying system 3, a multi-dimensional motion module 1 and an adjusting module 2; the multi-dimensional motion module 1 comprises a lifting mechanism 11, a translation mechanism 12, a rotation mechanism 13 and a swinging assembly 14, the swinging assembly 14 is connected with the adjusting module 2, and the adjusting module 2 is connected with the conveying system 3; during surgery, the distal portion of the delivery system 3 is passed into the body through the wound; and when the position of the distal end of the conveying system 3 needs to be adjusted, the adjusting module 2 is operated to drive the distal end part of the conveying system 3 to swing, and meanwhile, the lifting mechanism 11 is operated to enable the whole conveying system 3 to move in the vertical direction so as to avoid enlarging the wound area.
In the first embodiment, when the adjustment module 2 swings, the lifting mechanism 11 moves up and down, so as to avoid the situation that the distal end portion of the delivery system 3 enlarges the wound area due to swinging, and the principle is as shown in fig. 1b to 1 d.
In the first embodiment, the adjusting module 2 includes a moving member 21, a first connecting unit 22 and a second connecting unit 23, as shown in fig. 2a, the first connecting unit 22 and the second connecting unit 23 are respectively connected to two ends of the moving member 21; also, the first connection unit 22 includes a first connection seat 221, and the second connection unit 23 includes a second connection seat 231, and when the transportation system 3 needs to be stabilized, the transportation system 3 is fixed on the first connection seat 221 and the second connection seat 231.
In the first embodiment, the swing assembly 14 includes a swing member 141, as shown in fig. 3a, a fixed rail 1411 is disposed on the swing member 141, the moving member 21 is connected to the fixed rail 1411 in a matching manner, and the moving member 21 can move relative to the fixed rail 1411.
In this embodiment, the swing assembly 14 further includes a link 142 and a limit part 143, as shown in fig. 3b and 3c, the link 142 is fixedly connected to the swing member 141, the link 142 includes a limit plate 1421, and the limit part 143 includes a limit table 1431; also, the stopper plate 1421 is engaged with the stopper table 1431, so that the swing angle of the conveying system 3 is limited.
In the first embodiment, a centering line is formed between the center of the first connecting seat 221 and the center of the second connecting seat 231, the conveying system 3 includes a conveying sheath 31 and an operating handle 32, and the centering line coincides with the center line of the conveying sheath 31; and, the centering line is parallel to the moving member 21, and the direction of advance or retreat of the moving member 21 coincides with the moving direction of the conveying system 3.
In the first embodiment, the first connection unit 22 further includes a first lifting platform 222, the first lifting platform 222 can change the distance between the first connection seat 221 and the moving member 21, the second connection unit 23 further includes a second lifting platform 232, the second lifting platform 232 can change the distance between the second connection seat 231 and the moving member 21, and the first lifting platform 222 or the second lifting platform 232 can be operated to change the angle between the conveying system 3 and the horizontal plane by a small amount, as shown in fig. 2 b.
In the first embodiment, the connecting seat (the first connecting seat 221 or the second connecting seat 231) includes a connecting member 24, a fastening member 25 and a moving screw 26, the connecting member 24 is fixedly connected with the moving member 21, and the fastening member 25 and the connecting member 24 are movably connected by the moving screw 26; when the transport system 3 is secured, the transport system 3 is secured between the fastener 25 and the connector 24 by rotating the moving screw 26 to bring the fastener 25 closer to the connector 24, as shown in fig. 2 c.
In this embodiment, the lifting mechanism 11 includes a fixing unit 111 and a vertical rod 112, when the stabilizing device works, the fixing unit 111 is not moved, and the vertical rod 112 moves in a vertical direction relative to the fixing unit 111, as shown in fig. 4 a.
In the first embodiment, the translating mechanism 12 includes a guiding element 121, a translating element 122 and a transmission mechanism 123, as shown in fig. 4b and 4c, the translating element 122 can be moved relative to the guiding element 121 by operating the transmission mechanism 123; and, the guide member 121 includes a wave-shaped track 1212, and the transmission mechanism 123 is connected to the wave-shaped track 1212 in a matching manner.
In the first embodiment, the transmission structure 123 includes a knob 1231, a positioning member 1232 and a transmission rod 1233; the positioning member 1232 is fixed on the translating member 122, there are two driving rods 1233, the driving rods 1233 are matched with the wave-shaped track 1212 in shape, and when the knob 1231 is rotated, the driving rods 1233 sequentially move relative to the wave-shaped track 1212, that is, the translating member 122 moves relative to the guiding member 121.
In the first embodiment, a rotating platform 113 is disposed at one end of the vertical rod 112, and a rotating member 1211 disposed at one end of the guiding member 121 and engaged with the rotating platform 113, so that the translating mechanism 12 can rotate relative to the lifting mechanism 11, as shown in fig. 4 b.
In this embodiment, the rotating mechanism 13 is respectively connected to the translating element 122 and the swinging component 14, and the swinging component 14 can drive the adjusting module 2 to rotate relative to the translating mechanism 12.
In the first embodiment, the adjustment module 2, the lifting mechanism 11, the translation mechanism 12, the rotation mechanism 13, and the swing assembly 14 all need to be fastened after operation, and the fastening manner may be fastening by using a threaded connection.
In the first embodiment, the adjusting module 2, the lifting mechanism 11, the translating mechanism 12, the rotating mechanism 13 and the swinging assembly 14 can be operated individually or partially or jointly.
In the first embodiment, the cross section of the moving member 21 is "i" shaped.
In the first embodiment, the fixing unit 111 includes a clamping plate, a cushion block and a fastening screw.
In the first embodiment, the contact surface of the rotating platform 113 and the rotating member 1211 is in a staggered fit, and the contact surface of the linking member 142 and the limiting member 143 is in a staggered fit, so that the design has the advantages that: the translation mechanism 12 can rotate with a small amplitude relative to the vertical rod 112, and the swing component 14 can drive the conveying system 3 to swing with a small amplitude.
An exemplary operation of a stabilization device for assisting the operation of a conveyor system according to the first embodiment is as follows:
1. fixing the fixing unit 111 in place on the operating table, the fixing unit 111 no longer moving, as shown in fig. 5 a;
2. operating the delivery system 3 into the body, the distal end of the delivery sheath 31 moving into the heart, the control handle remaining stationary, as shown in fig. 5 b;
3. operating the protected lifting mechanism 11, the translation mechanism 12, the rotation mechanism 13, the swing assembly 14 and the adjustment module 2 such that the control handle can ride on the first connection unit 22 and the second connection unit 23, as shown in fig. 5c and 5 d;
4. rotating the motion screw 26 to fix the conveying system 3 on the first connection seat 221 and the second connection seat 231;
5. the stabilizing device assists the conveying system 3 to move, bend, release, fix and the like, and the operation is completed.
The foregoing description of several embodiments of the application has been presented for purposes of illustration. The foregoing description is not intended to be exhaustive or to limit the application to the precise configuration, configurations and/or steps disclosed, and obviously many modifications and variations are possible in light of the above teaching. It is intended that the scope of the invention and all equivalents be defined by the following claims.

Claims (13)

1. A stabilizing device for assisting in the operation of a delivery system, comprising:
the device comprises a conveying system, a multi-dimensional motion module and an adjusting module;
the multi-dimensional motion module comprises a lifting mechanism, a translation mechanism, a rotating mechanism and a swinging assembly, the swinging assembly is connected with the adjusting module, and the adjusting module is connected with the conveying system;
during surgery, the distal portion of the delivery system is passed into the body through the wound; and when the position of the far end of the conveying system needs to be adjusted, the adjusting module is operated to drive the far end part of the conveying system to swing, and meanwhile, the lifting mechanism can be operated to enable the whole conveying system to move in the vertical direction so as to avoid enlarging the wound area.
2. A stabilizing device for assisting in the operation of a conveyor system according to claim 1, wherein the adjustment module includes a moving member, a first connecting unit and a second connecting unit, the first connecting unit and the second connecting unit being respectively connected to both ends of the moving member;
and, the first connecting unit includes first connecting seat, the second connecting unit includes the second connecting seat, when conveying system needs to stabilize, conveying system fixes on first connecting seat and second connecting seat.
3. A stabilizing device for assisting in the operation of a conveyor system as claimed in claim 2 wherein the swing assembly includes a swing member having a fixed track thereon, the movable member being cooperatively coupled to the fixed track, the movable member being movable relative to the fixed track.
4. The stabilizing device for assisting in the operation of a conveying system of claim 3, wherein the swing assembly further comprises a linkage member and a limiting member, the linkage member is fixedly connected with the swing member, the linkage member comprises a limiting plate, and the limiting member comprises a limiting table; and, the limiting plate cooperates with the spacing platform, therefore the swing angle of conveying system is limited.
5. A stabilizing device for assisting in the operation of a delivery system as recited in claim 2 or 3, wherein the center of said first connector block and the center of said second connector block form a line of alignment, said delivery system including a delivery sheath and an operating handle, said line of alignment coinciding with said delivery sheath center line;
and the centering line is parallel to the moving member, and the advancing or retreating direction of the moving member is consistent with the moving direction of the conveying system.
6. A stabilizing device for assisting the operation of a conveyor system according to claim 1 or 2, wherein the first connecting unit further comprises a first elevating platform which can change the distance between the first connecting seat and the moving member, and the second connecting unit further comprises a second elevating platform which can change the distance between the second connecting seat and the moving member, and the angle of the conveyor system with the horizontal plane can be changed in a small amount by operating the first elevating platform or the second elevating platform.
7. A stabilizing device for assisting the operation of a conveying system according to claim 2, wherein the connecting seat (first connecting seat or second connecting seat) comprises a connecting member, a fastening member and a moving screw, the connecting member is fixedly connected with the moving member, and the fastening member and the connecting member are movably connected through the moving screw;
when the conveying system is fixed, the moving screw is rotated to enable the fastening piece to be close to the connecting piece, and the conveying system is fixed between the fastening piece and the connecting piece.
8. A stabilizing device for assisting in the operation of a conveyor system as in claim 1 wherein the lifting mechanism includes a stationary unit and a vertical rod, the stationary unit being stationary and the vertical rod being vertically movable relative to the stationary unit during operation of the stabilizing device.
9. A stabilizing device for assisting in the operation of a conveyor system as in claim 1 wherein the translating mechanism includes a guide member, a translating member and a drive structure, the translating member being movable relative to the guide member by operation of the drive structure;
and the guide piece comprises a wave-shaped track, and the transmission structure is in fit connection with the wave-shaped track.
10. A stabilising arrangement for assisting in the operation of a conveyor system according to claim 8 or claim 9 wherein the upright is provided at one end with a rotatable table and the guide is provided at one end with a rotatable member which cooperates with the rotatable table such that the translation mechanism is rotatable relative to the elevator mechanism.
11. A stabilizing device for assisting in the operation of a conveyor system as claimed in claim 1 or 9, wherein the rotating mechanism is connected to the translating element and the swinging assembly, respectively, and the swinging assembly is configured to rotate the adjustment module relative to the translating mechanism.
12. A stabilizing device for assisting the operation of a delivery system according to any one of claims 1 to 11, wherein the adjustment module, the lifting mechanism, the translation mechanism, the rotation mechanism and the swing assembly all need to be fastened after operation, and the fastening can be realized by screwing.
13. A stabilizing device for assisting in the operation of a conveyor system according to any one of claims 1 to 11 wherein the adjustment module, the lifting mechanism, the translation mechanism, the rotation mechanism and the swing assembly are individually or partially or collectively operable.
CN202111123870.4A 2021-09-24 2021-09-24 Stabilizing device for assisting operation of conveying system Pending CN113693788A (en)

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CN202111123870.4A CN113693788A (en) 2021-09-24 2021-09-24 Stabilizing device for assisting operation of conveying system

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202111123870.4A CN113693788A (en) 2021-09-24 2021-09-24 Stabilizing device for assisting operation of conveying system

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Country Link
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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN115554078A (en) * 2022-10-31 2023-01-03 上海汇禾医疗器械有限公司 Stabilizing device for assisting interventional medical instrument system

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN115554078A (en) * 2022-10-31 2023-01-03 上海汇禾医疗器械有限公司 Stabilizing device for assisting interventional medical instrument system
CN115554078B (en) * 2022-10-31 2023-09-12 上海汇禾医疗器械有限公司 Stabilizing device for auxiliary interventional medical instrument system

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