CN113729986B - Pneumology thoracocentesis skin tensioning device - Google Patents

Pneumology thoracocentesis skin tensioning device Download PDF

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Publication number
CN113729986B
CN113729986B CN202111209315.3A CN202111209315A CN113729986B CN 113729986 B CN113729986 B CN 113729986B CN 202111209315 A CN202111209315 A CN 202111209315A CN 113729986 B CN113729986 B CN 113729986B
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skin
shell
fixedly connected
worm
patient
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CN113729986A (en
Inventor
姚莉
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First Peoples Hospital of Changzhou
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First Peoples Hospital of Changzhou
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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
    • A61B90/10Instruments, 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 for stereotaxic surgery, e.g. frame-based stereotaxis
    • A61B90/14Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins
    • A61B90/17Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins for soft tissue, e.g. breast-holding devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • 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
    • A61B90/02Devices for expanding tissue, e.g. skin tissue
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02ATECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
    • Y02A50/00TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
    • Y02A50/30Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Medical Informatics (AREA)
  • Veterinary Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Pathology (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Neurosurgery (AREA)
  • Dermatology (AREA)
  • External Artificial Organs (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses a pneumology thoracocentesis skin tensioning device, which has the technical scheme that: including the casing, be used for carrying out quick absorptive adsorption component to patient's skin, be used for driving patient's skin through adsorption component and expand, and then with the taut expansion mechanism of patient's skin and be used for adjusting and locking drive locking mechanical system to expansion mechanism's opening angle, this respiratory department chest puncture skin straining device is through the locking after the drive locking mechanical system expands expansion mechanism, avoid when medical personnel is puncture, because of the expansion mechanism shrink leads to the phenomenon that the skin to appear lax to take place, improve the success rate of puncture, can place the casing on patient's body through the backup pad moreover, need not personnel to support the device, only need alone can operate, and the shielding of device to medical personnel's sight has been avoided, and simple structure easily operates simultaneously.

Description

Pneumology thoracocentesis skin tensioning device
Technical Field
The invention relates to the technical field of medical auxiliary instruments, in particular to a pneumology thoracentesis skin tensioning device.
Background
The thoracocentesis is an operation of penetrating skin, intercostal tissues and parietal pleura into pleural cavity by using a sterilized needle, is a relatively common, convenient and simple diagnosis and treatment method in clinical work of pneumology, and needs to tighten skin when the thoracocentesis is carried out so as to be convenient for inserting the needle.
The existing skin tensioning device for puncture is complex in structure and not easy to operate, personnel are required to support after skin of a patient is tensioned, manpower is wasted, and the tensioned equipment and the supporting personnel can also shield the visual field of the medical personnel for puncture, so that potential safety hazards exist.
Disclosure of Invention
In view of the problems mentioned in the background art, it is an object of the present invention to provide a respiratory thoracic cavity puncturing skin tightening device that solves the problems mentioned in the background art.
The technical aim of the invention is realized by the following technical scheme:
the utility model provides a respiratory department chest puncture skin straining device, includes the casing, be provided with drive locking mechanical system and expansion mechanism on the casing, expansion mechanism's bottom is provided with the adsorption component;
wherein the adsorption component is used for rapidly adsorbing the skin of a patient;
the expansion mechanism is used for driving the skin of the patient to expand through the adsorption component so as to tighten the skin of the patient;
wherein the driving locking mechanism is used for adjusting and locking the opening angle of the expansion mechanism
Through adopting above-mentioned technical scheme, realized taking up the skin of patient puncture position to through the locking after driving locking mechanical system to expanding the expansion mechanism, avoid when medical personnel puncture, because of the expansion mechanism shrink lead to the phenomenon that the skin appears lax to take place, improve the success rate of puncture, need not the personnel moreover and support the device, only need alone can operate.
Preferably, the driving locking mechanism comprises a worm and a worm wheel, the inner top of the shell is fixedly connected with a supporting block, one end of the worm is rotatably mounted on one side of the supporting block through a first bearing, the other end of the worm is rotatably penetrated through one side of the shell through a second bearing and is arranged outside the shell, a first rotating shaft is arranged below the worm in the shell in a rotating mode, the worm wheel is fixedly mounted on the first rotating shaft, and the worm wheel is meshed with the worm.
Through adopting above-mentioned technical scheme, realized the adjustment and the fixed to expansion mechanism angle through worm wheel cooperation worm, avoided medical personnel when making the puncture, the loose phenomenon appears in patient's skin.
Preferably, the expansion mechanism comprises a driving gear and a driven gear, the driving gear is fixedly arranged on the first rotating shaft, the second rotating shaft is arranged in the shell in a rotating mode, the driven gear is fixedly connected to one end of the second rotating shaft, the driving gear is meshed with the driven gear, the bottom of the driving gear is fixedly connected with a connecting rod at the bottom of the driven gear, a strip-shaped through groove is formed in the bottom of the shell, the lower end of the connecting rod penetrates through the strip-shaped through groove, a cylindrical block is fixedly connected to the bottom of the connecting rod, a ball body is fixedly connected to the bottom of the cylindrical block, and the ball body is movably arranged in the ball seat.
Through adopting above-mentioned technical scheme, realized the fast adjustment to the angle between two connecting rods, through the spheroid cooperation ball seat that sets up simultaneously for the adsorption component can not influence the fixed effect of adsorption component to the absorption of skin because of the change of angle between two connecting rods.
Preferably, the adsorption component comprises a first sucker, a first threaded column is fixedly connected to the top of the first sucker, an internal thread groove is formed in the bottom of the ball seat, and the first threaded column is fixedly installed in the internal thread groove in a threaded mode.
Through adopting above-mentioned technical scheme, through setting up sucking disc one, be convenient for fix patient's skin, can not cause the damage to patient's skin simultaneously, sucking disc one is fixed on the ball seat through the screw thread moreover, is convenient for carry out the dismouting to sucking disc one, and then convenient cleaning, the disinfection fast to the sucking disc.
Preferably, the end part of the worm, which is positioned outside the shell, is fixedly connected with a handle.
By adopting the technical scheme, the worm is convenient for medical staff to rotate.
Preferably, one side of the shell is of an opening structure, four corners of the opening side of the shell are fixedly connected with mounting lugs, counter sunk holes are formed in the four corners of the mounting plate, and the four corners of the mounting plate are fixedly mounted on the opening side of the shell through screws.
Through adopting above-mentioned technical scheme, through dismantling the mounting panel, the convenience is maintained and is maintained the relevant part in the casing.
Preferably, the bottom of the first sucker is fixedly adhered with an adhesive silica gel layer.
Through adopting above-mentioned technical scheme, improve the adsorption effect of sucking disc a pair of patient's skin for the absorption is more firm.
Preferably, a storage groove is formed in one side of the shell, and a support plate is rotatably connected to the inside of the storage groove.
Through adopting above-mentioned technical scheme, after expanding taut to patient's skin, carry out effectual support to the casing through the backup pad, the placing of the casing of being convenient for.
Preferably, a first magnet is fixedly connected to one side of the supporting plate, and a second magnet is fixedly connected to the inside of the accommodating groove.
Through adopting above-mentioned technical scheme, when not using, avoid the backup pad to break away from in the storage tank.
Preferably, an arc notch is formed in one side of the shell outside the storage groove, and the arc notch is communicated with the storage groove.
Through adopting above-mentioned technical scheme, be convenient for take out the backup pad from accomodating the inslot.
In summary, the invention has the following advantages:
realize taut skin to patient puncture position to lock after expanding to expanding the mechanism through driving locking mechanical system, avoid when medical personnel is puncture, because of the phenomenon that the expansion mechanism shrink leads to the skin to appear lax takes place, improve the success rate of puncture, can place the casing on patient's one's body through the backup pad moreover, need not personnel to support the device, only need alone can operate, avoided the shielding of device to medical personnel's sight moreover, simple structure easily operates.
Drawings
FIG. 1 is a schematic view of the structure of a pneumology thoracocentesis skin tensioning device of the present invention;
FIG. 2 is a schematic view of the structure of the pneumology thoracocentesis skin tightening device of the present invention without a mounting plate;
FIG. 3 is a schematic view of the worm gear and worm of the respiratory thoracic cavity puncture skin tightening device of the present invention;
FIG. 4 is a schematic view of the exploded construction of the suction cup and the tee of the pneumothorax puncture skin tensioning device of the present invention;
FIG. 5 is a schematic view of the structure of the connecting rod of the pneumothorax puncture skin tightening device of the present invention;
fig. 6 is an enlarged view of a portion a in fig. 1;
fig. 7 is an enlarged view of a portion B in fig. 5;
fig. 8 is a schematic structural view of a support plate of the pneumothorax puncture skin stretching device of the present invention.
Reference numerals:
100. a housing; 101. a mounting plate; 102. a mounting ear; 103. a support block; 104. a strip-shaped through groove; 105. a storage groove; 106. an arc-shaped notch; 107. a support plate; 108. a first magnet; 109. a second magnet; 110. a countersunk hole;
200. a worm; 201. a worm wheel; 202. a first rotating shaft; 203. a handle;
301. a drive gear; 302. a driven gear; 303. a second rotating shaft; 304.connecting rodThe method comprises the steps of carrying out a first treatment on the surface of the 305. A cylindrical block; 306. a sphere; 307. a ball seat; 308. an internal thread groove;
400. a sucking disc I; 401. a first threaded column; 402. a second threaded column; 403. a cross plate; 404. and a second sucker.
Detailed Description
The following description of the embodiments of the present invention will be made clearly and completely with reference to the accompanying drawings, in which it is apparent that the embodiments described are only some embodiments of the present invention, but not all embodiments. All other embodiments, which can be made by those skilled in the art based on the embodiments of the invention without making any inventive effort, are intended to be within the scope of the invention.
Example 1
Referring to fig. 1 to 8, a pneumology thoracocentesis skin tightening device includes a housing 100, an adsorption assembly for rapidly adsorbing skin of a patient, an expansion mechanism for driving the skin of the patient to expand through the adsorption assembly, thereby tightening the skin of the patient, and a driving locking mechanism for adjusting and locking an opening angle of the expansion mechanism;
referring to fig. 3, wherein the driving locking mechanism is composed of a worm 200, a worm wheel 201 and a first rotating shaft 202, one end of the first rotating shaft 202 is rotatably mounted at one side of the interior of the housing 100, the worm wheel 201 is fixedly mounted on the first rotating shaft 202, the worm 200 is arranged in the interior of the housing 100 and above the worm wheel 201, the worm wheel 201 is meshed with the worm 200, a supporting block 103 is fixedly connected to the top of the interior of the housing 100, one end of the worm 200 is rotatably mounted at one side of the supporting block 103 through a bearing, the other end of the worm 200 is rotatably penetrating through one side of the housing 100 through a second bearing and is arranged at the exterior of the housing 100, and a handle 203 is fixedly connected to the end of the worm 200 for facilitating a medical staff to rotate the worm 200;
referring to fig. 2 and 6, in order to facilitate quick tightening of the skin of a patient, the expansion mechanism is composed of a driving gear 301, a driven gear 302, a second rotating shaft 303, a movable assembly and two connecting rods 304, the second rotating shaft 303 is rotatably mounted in the housing 100, the driven gear 302 is fixedly mounted at one end of the second rotating shaft 303, the driving gear 301 is fixedly mounted on the first rotating shaft 202, the driving gear 301 is meshed with the driven gear 302, a strip-shaped through groove 104 is formed in the bottom of the housing 100, and the upper ends of the two connecting rods 304 penetrate through the strip-shaped through groove 104 and are fixedly connected to the bottoms of the driving gear 301 and the driven gear 302 respectively; the movable assembly comprises a cylindrical block 305, a ball 306 and a ball seat 307, wherein the top of the cylindrical block 305 is fixedly connected with the bottom of the connecting rod 304, the bottom of the cylindrical block 305 is fixedly connected with the ball 306, and the ball 306 is movably mounted in the ball seat 307.
Referring to fig. 1, 4 and 6, the adsorption assembly is composed of a first sucker 400, an internal thread groove 308 is formed in the bottom of a ball seat 307 for facilitating the disassembly and assembly of the first sucker 400, a first thread column 401 is fixedly connected to the top of the first sucker 400, the first thread column 401 is fixedly arranged in the internal thread groove 308 in a threaded manner, the used first sucker 400 is conveniently and rapidly cleaned and sterilized through the arrangement, and in order to improve the adsorption effect of the first sucker 400 on the skin of a patient, the adsorption is more firm, and an adhesive silica gel layer is fixedly adhered to the bottom of the first sucker 400;
referring to fig. 8, wherein the housing 100 is conveniently placed, a receiving groove 105 is formed at one side of the housing 100, and a support plate 107 is rotatably connected to the inside of the receiving groove 105.
Referring to fig. 8, in order to avoid the support plate 107 from being separated from the storage slot 105 when not in use, a first magnet 108 is fixedly connected to one side of the support plate 107, a second magnet 109 is fixedly connected to the inside of the storage slot 105, and the first magnet 108 and the second magnet 109 attract each other, so as to further realize the fixing function of the support plate 107.
Referring to fig. 8, in order to facilitate the removal of the support plate 107 from the receiving groove 105, an arc-shaped notch 106 is formed at one side of the outer case 100 located in the receiving groove 105, and the arc-shaped notch 106 communicates with the receiving groove 105.
Referring to fig. 1 and 2, in order to facilitate maintenance and repair of the related parts in the housing 100, one side of the housing 100 is of an open structure, four corners located at the open side of the housing 100 are fixedly connected with mounting lugs 102, four corners of the mounting plate 101 are provided with countersunk holes 110, and four corners of the mounting plate 101 are fixedly mounted at the open side of the housing 100 by screws.
Example 2
Referring to fig. 5 and 7, the difference between this embodiment and embodiment 1 is that the adsorption assembly is composed of a plurality of second suction cups 404 and a cross plate 403, the plurality of second suction cups 404 are fixedly connected to the bottom of the cross plate 403 at equal intervals, the top of the cross plate 403 is fixedly connected with a second threaded column 402, and the second threaded column 402 is fixedly installed inside the internal thread groove 308, so that the skin of a patient can be conveniently tensioned in a large range by this arrangement, so as to meet the requirements of medical staff during puncturing.
In order to facilitate understanding of the above technical solutions of the present invention, the following describes in detail the working principle or operation manner of the present invention in the actual process.
Referring to fig. 1-8, the principle of operation is: during the use, according to the puncture needs, select suitable adsorption component to install in the bottom of ball seat 307, then adsorb the sucking disc on patient's skin, medical personnel drive worm 200 through twist grip 203 and rotate, and then realize driving worm wheel 201 and rotate, because worm wheel 201 fixed connection is on pivot one 202, therefore pivot one 202 is also followed the rotation this moment, and then realize through driving gear 301 cooperation driven gear 302 with the angle between two connecting rods 304 enlarge, because the sucking disc is fixed on skin, therefore be located the skin between two adsorption components and be strained, when the degree of tightness of skin reaches the needs of puncture, stop rotating handle 203, through spheroid 306 cooperation ball seat 307, the casing 100 can be placed on patient's body through backup pad 107 this moment, and then can not cause the shielding to medical personnel's view, the medical personnel of being convenient for operate.
Although embodiments of the present invention have been shown and described, it will be understood by those skilled in the art that various changes, modifications, substitutions and alterations can be made therein without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.

Claims (8)

1. A respiratory thoracic cavity puncture skin tensioning device, which is characterized in that: the device comprises a shell (100), wherein a driving locking mechanism and an expanding mechanism are arranged on the shell (100), and an adsorption assembly is arranged at the bottom of the expanding mechanism;
wherein the adsorption component is used for rapidly adsorbing the skin of a patient;
the expansion mechanism is used for driving the skin of the patient to expand through the adsorption component so as to tighten the skin of the patient;
the driving locking mechanism is used for adjusting and locking the opening angle of the expansion mechanism;
the driving locking mechanism comprises a worm (200) and a worm wheel (201), wherein the top of the inside of the shell (100) is fixedly connected with a supporting block (103), one end of the worm (200) is rotatably installed on one side of the supporting block (103) through a first bearing, the other end of the worm (200) is rotatably penetrated through one side of the shell (100) through a second bearing and is arranged outside the shell (100), a first rotating shaft (202) is rotatably arranged in the shell (100) below the worm (200), the worm wheel (201) is fixedly installed on the first rotating shaft (202), the worm wheel (201) is meshed with the worm (200), and one end part of the worm (200) positioned outside the shell (100) is fixedly connected with a handle (203);
the expansion mechanism comprises a driving gear (301) and a driven gear (302), the driving gear (301) is fixedly arranged on the first rotating shaft (202), a second rotating shaft (303) is arranged in the shell (100) in a rotating mode, the driven gear (302) is fixedly connected to one end of the second rotating shaft (303), the driving gear (301) is meshed with the driven gear (302), and connecting rods (304) are fixedly connected to the bottom of the driving gear (301) and the bottom of the driven gear (302).
2. A respiratory thoracocentesis skin tensioning device according to claim 1, wherein: the bottom of casing (100) has seted up bar logical groove (104), the lower extreme of connecting rod (304) runs through bar logical groove (104), the bottom fixedly connected with cylindricality piece (305) of connecting rod (304), the bottom fixedly connected with spheroid (306) of cylindricality piece (305), spheroid (306) activity sets up the inside at ball seat (307).
3. A respiratory thoracocentesis skin tensioning device according to claim 2, wherein: the adsorption component comprises a sucker I (400), a thread post I (401) is fixedly connected to the top of the sucker I (400), an inner thread groove (308) is formed in the bottom of the ball seat (307), and the thread post I (401) is fixedly installed in the inner thread groove (308) in a thread mode.
4. A respiratory thoracocentesis skin tensioning device according to claim 1, wherein: one side of the shell (100) is of an opening structure, four corners of the opening side of the shell (100) are fixedly connected with mounting lugs (102), counter sunk holes (110) are formed in the four corners of the mounting plate (101), and the four corners of the mounting plate (101) are fixedly mounted on the opening side of the shell (100) through screws.
5. A respiratory thoracocentesis skin tightening device as claimed in claim 3, wherein: the bottom of the sucker I (400) is fixedly adhered with an adhesive silica gel layer.
6. The respiratory thoracocentesis skin tightening device as set forth in claim 5, wherein: one side of the shell (100) is provided with a storage groove (105), and the inside of the storage groove (105) is rotationally connected with a supporting plate (107).
7. The respiratory thoracic access skin tightening device of claim 6, wherein: one side of the supporting plate (107) is fixedly connected with a first magnet (108), and the inside of the accommodating groove (105) is fixedly connected with a second magnet (109).
8. The respiratory thoracic access skin tightening device of claim 7, wherein: an arc-shaped notch (106) is formed in one side of the shell (100) outside the storage groove (105), and the arc-shaped notch (106) is communicated with the storage groove (105).
CN202111209315.3A 2021-10-18 2021-10-18 Pneumology thoracocentesis skin tensioning device Active CN113729986B (en)

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Application Number Priority Date Filing Date Title
CN202111209315.3A CN113729986B (en) 2021-10-18 2021-10-18 Pneumology thoracocentesis skin tensioning device

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Application Number Priority Date Filing Date Title
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CN113729986B true CN113729986B (en) 2023-08-01

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US9370400B2 (en) * 2011-10-19 2016-06-21 Ethicon Endo-Surgery, Inc. Clip applier adapted for use with a surgical robot
CN208130021U (en) * 2018-01-13 2018-11-23 李秋钰 A kind of division of respiratory disease thoracocentesis skin-tensioning device
CN210354850U (en) * 2019-04-12 2020-04-21 贾立娜 Thoracic cavity puncture skin tensioning device for department of respiration
CN211213576U (en) * 2019-10-21 2020-08-11 江南大学附属医院(无锡市第四人民医院) Thoracic cavity puncture skin tensioning device for department of respiration
CN212438774U (en) * 2020-02-29 2021-02-02 刘贵学 Thoracic cavity puncture skin tensioning device for department of respiration
CN111449730B (en) * 2020-04-03 2021-03-19 吉林大学 Safe puncture channel expanding device for intravascular interventional therapy
CN112022352A (en) * 2020-08-26 2020-12-04 同济大学 Superficial layer vein blood vessel fixing device and fixing mechanism
CN112168306B (en) * 2020-11-02 2021-05-14 宋伟 Pneumoperitoneum needle puncture device for laparoscopic surgery
CN112386319A (en) * 2020-12-04 2021-02-23 宋星星 Guiding and positioning device for mammary gland puncture and using method

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