CN114587534A - Auxiliary supporting device for puncture and ultrasonic probe matching use - Google Patents

Auxiliary supporting device for puncture and ultrasonic probe matching use Download PDF

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Publication number
CN114587534A
CN114587534A CN202210301657.6A CN202210301657A CN114587534A CN 114587534 A CN114587534 A CN 114587534A CN 202210301657 A CN202210301657 A CN 202210301657A CN 114587534 A CN114587534 A CN 114587534A
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gear
puncture
ultrasonic probe
ring
cylindrical
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罗莹莹
李会霞
冉青
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Second Affiliated Hospital of Zhengzhou Unviersity
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Second Affiliated Hospital of Zhengzhou Unviersity
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3403Needle locating or guiding means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3415Trocars; Puncturing needles for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3403Needle locating or guiding means
    • A61B2017/3405Needle locating or guiding means using mechanical guide means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3403Needle locating or guiding means
    • A61B2017/3413Needle locating or guiding means guided by ultrasound

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Pathology (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Ultra Sonic Daignosis Equipment (AREA)

Abstract

The invention relates to an auxiliary supporting device for matching puncture and an ultrasonic probe, which is characterized in that a feed disc structure is arranged in a shell in a matching way through a handheld shell structure, the feed disc structure is matched to realize the mechanical feeding process of a puncture needle and a puncture sleeve, a driving handle can be pressed to enable a cylindrical pin and a cylindrical hole to be separated from matching in the feeding process or before feeding, so that a rotating ring and the shell rotate relatively, the circumferential position of the ultrasonic probe is adjusted, then the orientation and the inclination angle of the ultrasonic probe are adjusted through the locking and matching of the cylindrical pin and the cylindrical hole and an angle adjusting and locking device, one person can complete the supporting work of the ultrasonic probe and the adjustment work of various angles and orientations in the puncture needle footage process, thereby the puncture accuracy and the puncture efficiency are improved, and meanwhile, the mechanical feed disc footage structure is adopted, the injury and the influence of uncertainty caused by artificial puncture are avoided.

Description

Auxiliary supporting device for puncture and ultrasonic probe matching use
Technical Field
The invention belongs to the technical field of medical equipment, and particularly relates to an auxiliary supporting device for matching puncture with an ultrasonic probe.
Background
The ultrasonic guided puncture tube placing technology is widely applied to the current medical system, the puncture tube placing technology under ultrasonic guidance is one of the important components of interventional ultrasound, in clinical use, a puncture needle can be guided to enter a patient body for interventional therapy through the matching of an ultrasonic probe image and an ultrasonic probe puncture frame, in brief, the puncture operation of a target focus is carried out in real time through matching of an ultrasonic image, so that a punctured drainage tube is kept, the puncture drainage is a very common treatment means in clinic, and particularly the puncture tube drainage is carried out under the B ultrasonic guidance or CT guidance at present. The use of puncture drainage in the clinic is most common in the following 3 conditions or diseases: 1. mainly seen in the infection of pleural effusion or the dyspnea symptom caused by a large amount of pleural effusion, the puncture of the postcostal space is adopted for drainage. 2. In case of liver cirrhosis after hepatitis and increased intra-abdominal pressure caused by a large amount of ascites, abdominal puncture is used to release the ascites so as to relieve the intra-abdominal hypertension symptoms of the patient. 3. The abdominal cavity residual effusion after the abdominal operation such as hepatobiliary, gastrointestinal or appendiceal suppuration and even secondary bacterial infection are mainly seen, and abscess is formed to cause symptoms of chilliness, fever and even blood toxicity. The puncture drainage under the guidance of B-ultrasonic is adopted to drain the pus completely, thereby achieving the purpose of healing and avoiding secondary operation.
The existing puncture tube placement technology generally adopts a 'one-step method' and a 'two-step method' to carry out ultrasonic-guided puncture tube placement work, in brief, the 'one-step method' is that puncture of a flow guide tube is carried out at the position of a patient needing puncture, the flow guide tube is internally sleeved with a metal inner sleeve tube and an inner core, so that puncture is directly carried out, after the focus is punctured, the metal inner sleeve tube and the inner core are pulled out, the 'two-step method' is that puncture is carried out through a puncture needle at the position of the patient needing puncture, after the puncture is carried out to a designated position, a needle core in the puncture needle is taken down, then the puncture needle is taken down after a metal guide wire is placed, then the puncture needle is inserted into an expansion tube along the guide wire, after the expansion tube is withdrawn, the drainage tube and the metal inner sleeve tube are sleeved, at the moment, the inner core does not need to be installed, then the assembled drainage tube is inserted into the focus along the guide wire, and after the focus is reached, the guide wire is drawn out, the inner core is taken out simultaneously to finish the puncture and tube placement work, and then the drainage tube is fixedly connected with the skin through the fixer to prevent the drainage tube from being pulled out.
In the process of matching with ultrasonic guidance, the existing puncture catheter drainage technology often needs a user to constantly hold an ultrasonic probe to ensure accurate puncture in ultrasonic development, but in the process of needle insertion, the user often moves the ultrasonic probe to monitor the punctured part in real time, so that medical staff often needs the matching of two persons to complete the position adjustment work of the ultrasonic probe and the auxiliary support work of the ultrasonic probe, therefore, in the process of supporting and positioning the ultrasonic probe, the development area is often changed by moving, the medical staff needs to readjust, time and labor are wasted, and in the process of needle insertion, sometimes the angle and the direction of needle insertion can be adjusted, and the ultrasonic probe can always ensure the current position in the process of adjustment, and cannot receive the influence of the adjustment of the needle insertion direction, when the angle and the direction of the ultrasonic probe are adjusted, the adjustment is also desired to be convenient and simple, the support is reliable after the adjustment, meanwhile, in order to avoid the situation that violent puncture or puncture may occur after a puncture route and a puncture angle are selected in the process of manual puncture by medical workers, the requirement on the speed of puncture depth is not the same under different puncture situations, the closer to a focus area, the slower the puncture speed is required by the medical workers to prevent the puncture or the injury to surrounding tissues and blood vessels, meanwhile, due to the uncertainty of manual operation, the artificial subjective deviation is generated in the determined puncture route, so that the puncture route is changed, further, inevitable injury and loss are caused to patients, and in order to ensure the accuracy degree of puncture, the problems are solved, we have then developed an auxiliary support device for use with a puncture and ultrasound probe to address the above problems.
Disclosure of Invention
Aiming at the defects in the prior art, the invention aims to provide an auxiliary supporting device for puncture and ultrasonic probe matching use, which is used for solving the problems that the position of the ultrasonic probe is often adjusted by two persons of medical staff in the prior art, the position of the probe cannot be changed or positioned differently according to the requirements of a user along with the change of the position and the angle of a footage in the footage process, and the influence and the injury caused by the uncertainty of manual operation of puncture footage are solved.
The technical purpose of the invention is realized by the following technical scheme:
an auxiliary supporting device for puncture and ultrasonic probe matching use comprises a shell, wherein the upper end and the lower end of the shell are respectively provided with a through window, one side wall of the shell is provided with two groups of rectangular holes which are arranged in bilateral symmetry, I-shaped sliders are transversely and slidably connected in the rectangular holes, the sliders are rotatably connected with feeding disc structures arranged in the shell, the two groups of feeding discs are matched to feed a puncture needle from the through windows to puncture, the outer side wall of the shell is transversely and rotatably connected with a double-headed lead screw, the double-headed lead screw is in threaded fit with the two groups of sliders, the threaded fit directions of the double-headed lead screw and the two groups of sliders are opposite, the two groups of feeding disc structures are driven to rotate by a handheld driving device connected to the lower end of the shell, and the upper end of the shell is connected with a clamping plate matched and clamped with a thumb;
the left end and the right end outside the shell are respectively connected with connecting rods along the length direction, the two groups of connecting rods are connected with rotating rings in a rotating mode, an L-shaped rectangular rod vertically slides in one connecting rod, the lower end of the rectangular rod is connected with a driving handle, the upper end of the rectangular rod is connected with a vertically arranged cylindrical pin, a first spring sleeved outside the rectangular rod is arranged between the driving plate and the connecting rod, and the upper end face of each rotating ring is uniformly provided with a plurality of groups of cylindrical holes matched with the cylindrical pins along the circumferential direction;
the utility model discloses a transition device, including rotor ring, T-shaped plate, transition cylinder, ultrasonic probe, ultrasonic image display, the fixed block of the vertical setting of swivel becket outer joint, the T-arrangement groove that has vertical setting is opened to the one end that the casing was kept away from to the fixed block, the vertical sliding connection in T-shaped inslot has the T-shaped piece, be connected the second spring between the upper end of T-shaped piece and the T-shaped inslot up end, the L-shaped plate is connected to the T-shaped piece, the lower extreme installation transition cylinder of L-shaped plate, transition cylinder lower extreme coaxial arrangement transition pole, transition pole lower extreme ball joint cylinder section of thick bamboo, ultrasonic probe is installed to cylinder section of thick bamboo lower extreme, electric connection between ultrasonic probe and the ultrasonic image display, the cylinder section of thick bamboo carries out angle modulation and carries out position locking work after angle modulation through the angle modulation locking device of connecting on the fixed block.
Preferably, the angle adjusting and locking device comprises a first long straight gear rotationally connected to the lower side outside the cylindrical barrel, a cylindrical sleeve extending out of the lower end face of the first long straight gear is vertically rotated in the first long straight gear, a rotary table rotationally connected outside the cylindrical barrel is further included, a chute with a T-shaped cross section is radially formed in the upper end face of the rotary table, a moving block with a T-shaped cross section is radially and slidably matched in the chute, a bidirectional lead screw is hinged to the upper end of the moving block, the bidirectional lead screw is sleeved in the cylindrical sleeve and in threaded fit with the cylindrical sleeve, a first gear is coaxially installed at the upper end of the cylindrical sleeve and extends out of the upper end of the first long straight gear at the end, the first gear is meshed with a first inner gear ring rotationally connected to the outer side of the cylindrical barrel, a second long straight gear is coaxially connected to the outer end of the first inner gear ring, the first long straight gear is meshed with a second gear vertically rotationally connected to the fixed block, the second long straight gear is meshed with a first one-way gear which is vertically and rotatably connected to the fixed block, the transmission direction of the first one-way gear meets the requirement that the second long gear rotates along with the cylindrical sleeve, the first one-way gear is in an idle running state, and the second gear and the first one-way gear are driven by a power device arranged on the fixed block to respectively rotate in one direction.
Preferably, the power device comprises a first gear ring and a second gear ring which are coaxially and rotatably connected to the upper end of the rotating ring, the first gear ring and the second gear ring are arranged in a staggered manner, the radius of the first gear ring is smaller than that of the second gear ring, the height of the first gear ring is smaller than that of the second gear ring, the upper end of the rectangular rod is respectively and rotatably connected with a third gear and a fourth gear, when the positions of the third gear and the fourth gear meet the matching and clamping of a cylindrical pin and a cylindrical hole, the third gear is meshed with the first gear ring, the fourth gear is meshed with the second gear ring, the first gear ring is externally and coaxially connected with a first outer gear ring, the first outer gear ring is meshed with a fifth gear which is vertically and rotatably connected to the fixed block, the fifth gear is in transmission connection with a rotating shaft of the first one-way gear through a belt, the second gear ring is externally and coaxially connected with a second outer gear ring, the second outer gear ring is meshed with a sixth gear which is vertically and rotatably connected to the fixed block, the sixth gear is coaxially connected with a first bevel gear, the first bevel gear is meshed with a second bevel gear which is longitudinally and rotatably connected to the fixed block, the second bevel gear is coaxially connected with a worm, the worm is meshed with a worm wheel which is vertically and rotatably connected to the fixed block, and the worm wheel is in transmission connection with the second bevel gear through a belt;
and the third gear and the fourth gear are respectively driven by a manual driving device arranged on the shell to rotate in one direction.
Preferably, the manual driving device comprises two groups of box bodies arranged at the front side and the rear side of the shell, a second one-way gear is longitudinally and rotatably connected in the box bodies, the outer gear ring of the second one-way gear is meshed with a first rack which is vertically connected in the box body in a sliding way, a third spring is connected between the lower end of the first rack and the lower bottom surface in the box body, the upper end extends out of the upper end of the box body and is connected with a pressing plate at the end part, the pressing plate is provided with a rubber ball, the rotating shaft of the second one-way gear is coaxially connected with a third bevel gear, the third bevel gear is meshed with a fourth bevel gear which is transversely and rotatably connected on the box body, and a length-adjustable universal coupling is connected between the rotating shaft of one group of the fourth bevel gears and the rotating shaft of the third gear, and a length-adjustable universal coupling is connected between the rotating shaft of the other group of the fourth bevel gears and the rotating shaft of the fourth gear.
Preferably, the lower end of the driving handle is provided with two groups of conducting strips which are arranged at intervals, the lower end of the cylindrical pin is connected with an electromagnet, a conducting circuit is formed between the two groups of conducting strips and the electromagnet as well as a power supply, the two groups of conducting strips are electrically connected with the power supply, and an armature iron matched with the electromagnet for use is arranged in the cylindrical hole.
Preferably, the handheld driving device comprises a third one-way gear which is coaxially and rotatably connected with the feeding disc structure and is arranged in the shell, the third one-way gear is connected with a second rack at the lower end of the shell in a vertical sliding mode, a fourth spring is connected between the upper end of the second rack and the upper end face in the shell, a driving cross rod is connected between the lower ends of the two sets of second racks, and a circular through hole corresponding to the through window is formed in the center of the driving cross rod.
Preferably, the feeding disc structure comprises two groups of circular plates which are coaxially arranged and coaxially connected, a plurality of groups of rectangular cylinders which are radially arranged are uniformly distributed in the area between the two groups of circular plates along the circumferential direction, clamping blocks are arranged in the rectangular cylinders in a sliding fit mode along the radial directions of the circular plates and meet the requirement of not being separated from the circular plates, round corners are arranged at the end parts of the clamping blocks, and fifth springs are connected between the bottoms of the clamping blocks and the inner bottom surface of the rectangular cylinder.
Preferably, the end part of the double-end lead screw is provided with a driving knob.
Preferably, the lower end of the rotating ring is vertically provided with a plurality of groups of supporting cylinders, the supporting cylinders are internally and slidably connected with supporting rods, sixth springs are connected between the bottom surfaces in the supporting rods and the supporting cylinders, and the lower ends of the supporting rods are connected with rubber supporting legs.
The invention has the beneficial effects that: the invention uses a hand-held shell structure, a feed plate structure is arranged in the shell and used in a matching way, the feed plate structure is matched to realize the mechanical feeding process of the puncture needle and the puncture sleeve, the constant-speed needle body feeding process can be realized only by a user reciprocating and pinching the hand-held driving device, the cylindrical pin and the cylindrical hole can be separated from matching by pressing the driving handle in the feeding process or before feeding, so that the rotating ring and the shell rotate relatively, the circumferential position of the ultrasonic probe is adjusted, then the orientation and the inclination angle of the ultrasonic probe are adjusted by the locking and matching of the cylindrical pin and the cylindrical hole through the locking and matching of the angle adjusting and locking device, thereby the whole puncture process is better matched, the operation of the invention is very simple and convenient, the user can complete the whole operation process, and the support of the ultrasonic probe and the adjustment of various angles and orientations can be completed by one person at any time in the process of the puncture needle, thereby improve the degree of accuracy and the puncture efficiency of puncture, adopt the feed dish of mechanical type to advance chi structure simultaneously, avoided the injury and the influence of the nondeterminacy that the people caused by puncture, structural design is ingenious, and the practicality is strong, is fit for promoting.
Drawings
FIG. 1 is a perspective view of the present invention.
Fig. 2 is a perspective view angle two of the present invention.
Fig. 3 is a perspective view angle three of the present invention.
Fig. 4 is a front view of the present invention.
Fig. 5 is a top view of the present invention.
Fig. 6 is a perspective view showing the rotation of the rotary ring and the housing in cooperation with each other and the supporting portion thereof according to the present invention.
Fig. 7 is a perspective view of the rotating ring and the housing rotatably engaged with each other according to the present invention.
Fig. 8 is a perspective view of the rotating ring and the housing rotatably engaged with each other according to the present invention.
Fig. 9 is a perspective view showing a rectangular bar and a connecting portion thereof according to the present invention.
Fig. 10 is an internal perspective view of the housing of the present invention with a portion broken away.
Fig. 11 is a three-dimensional structure diagram of the structure matching of two groups of feeding disks in the invention.
Fig. 12 is a perspective view of the one-way gear of the present invention.
Fig. 13 is a top view of the feed tray structure of the present invention.
Fig. 14 is a cross-sectional view of the structure of the feed tray in the present invention.
Fig. 15 is a perspective view of the angle adjustment locking device of the present invention.
Fig. 16 is a perspective view showing a partial structure of the angle adjusting and locking device of the present invention.
Fig. 17 is a cross-sectional view of the angle adjustment locking device of the present invention.
Fig. 18 is a perspective view showing the construction of an ultrasonic probe and its connecting portion in the present invention.
Fig. 19 is a perspective view showing the engagement between the turntable and the bidirectional screw according to the present invention.
Fig. 20 is a perspective view showing a sectional view of a support cylinder connected to a lower end of a rotary plate according to the present invention, with a part of the structure removed.
Fig. 21 is a perspective view of the manual driving apparatus of the present invention with a part of the case removed.
In the figure, 1, a housing; 2. a pass-through window; 3. a rectangular hole; 4. a slider; 5. a double-ended lead screw; 6. a clamping plate; 7. a connecting rod; 8. a rotating ring; 9. a rectangular bar; 10. a drive handle; 11. a cylindrical pin; 12. a first spring; 13. a cylindrical bore; 14. a fixed block; 15. a T-shaped slot; 16. a T-shaped block; 17. a second spring; 18. an L-shaped plate; 19. a transition cylinder; 20. a transition rod; 21. a cylindrical barrel; 22. an ultrasonic probe; 23. a first elongated spur gear; 24. a cylindrical sleeve; 25. a turntable; 26. a chute; 27. a moving block; 28. a bidirectional screw; 29. a first gear; 30. a first ring gear; 31. a second elongated spur gear; 32. a second gear; 33. a first one-way gear; 34. a first ring gear; 35. a second ring gear; 36. a third gear; 37. a fourth gear; 38. a first outer ring gear; 39. a fifth gear; 40. a second outer gear ring; 41. a sixth gear; 42. a first bevel gear; 43. a second bevel gear; 44. a worm; 45. a worm gear; 46. a box body; 47. a second one-way gear; 48. a first rack; 49. a third spring; 50. a pressing plate; 51. a rubber ball; 52. a third bevel gear; 53. a fourth bevel gear; 54. a universal coupling; 55. a conductive sheet; 56. an electromagnet; 57. an armature; 58. a third one-way gear; 59. a second rack; 60. a fourth spring; 61. a drive rail; 62. a circular through hole; 63. a circular plate; 64. a rectangular cylinder; 65. a clamping block; 66. a fifth spring; 67. a drive knob; 68. a support cylinder; 69. a support bar; 70. a sixth spring; 71. rubber support legs.
Detailed Description
The following description of the embodiments of the present invention will be made in detail with reference to the accompanying drawings 1 to 21.
The embodiment I, in combination with the prior art, the embodiment discloses an auxiliary supporting device for matching puncture with an ultrasonic probe, which is used for solving the problems mentioned in the background art, and comprises a shell 1, wherein the upper end and the lower end of the shell 1 are respectively provided with a through window 2, the through windows 2 are used for better passing through the puncture needle, the size of the shell 1 is set to be suitable for the size of the hand of a medical worker in a city, the shell 1 can be ensured to be smoothly held in the hand, meanwhile, the medical worker can carry out various operations by only one hand in the supporting process, four corners of the shell 1 are provided with a round corner structure, the shell 1 can be made of light plastics, the problem that the hand of the medical worker is sour in the long-time supporting and needle inserting process is avoided, one side wall of the shell 1 is provided with two groups of rectangular holes 3 which are arranged in a left-right symmetry manner, an I-shaped sliding block 4 is transversely and slidably connected in the rectangular hole 3, an I-shaped clamping groove of the I-shaped sliding block 4 is clamped in the rectangular hole 3, so that the I-shaped sliding block 4 can only move along the transverse direction of the rectangular hole 3, a feeding disc structure arranged in the shell 1 is rotatably connected to the sliding block 4, the two groups of feeding discs are matched to feed and pierce a puncture needle from the through window 2, the feeding disc structure adopts two groups of feeding disc structures and comprises two coaxially arranged circular plates 63 which are coaxially connected, the two groups of circular plates 63 are coaxially arranged, a cylindrical cylinder structure is connected between the two groups of circular plates 63, so that an annular area is formed on the outer side, a plurality of groups of rectangular cylinders 64 which are arranged along the radial direction are uniformly distributed in the area between the two groups of circular plates 63 along the circumferential direction, the opening direction of the rectangular cylinders 64 faces towards the outer side along the radial direction, and clamping blocks 65 are radially and slidably matched in the rectangular cylinders 64 along the circular plates 63 and are not separated from each other, the clamping block 65 is also of a rectangular block structure, in order to ensure that the clamping block 65 cannot slide out of the rectangular cylinder 64, a limiting structure is adopted to limit the clamping block 65, the end part of the clamping block 65 is provided with a round angle, the round angle is arranged to prevent the clamping block 65 from damaging structures such as a puncture needle or a puncture sleeve, a fifth spring 66 is connected between the bottom of the clamping block 65 and the inner bottom surface of the rectangular cylinder 64, the fifth spring 66 plays a role of reverse pushing, so that the clamping block 65 on the two groups of feeding disks slowly feeds the puncture needle or the puncture sleeve in the rotating process to provide certain clamping force to smoothly push the puncture needle or the puncture sleeve, the outer side wall of the shell 1 is transversely and rotatably connected with a double-head lead screw 5, the double-head lead screw 5 is in threaded fit with the two groups of sliders 4, the rotating direction of the double-head lead screw 5 in threaded fit with the two groups of sliders 4 is opposite, and the end part of the double-head lead screw 5 is provided with a driving knob 67, the double-end screw rod 5 adopts a screw rod structure with both ends in a thread structure, the rotating directions of the threads at both ends of the double-end screw rod 5 are opposite, and because the rotation of the two groups of sliding blocks 4 is limited, so that in the process of rotating the double-end lead screw 5, the two groups of sliding blocks 4 are driven to move in the directions of approaching to each other or departing from each other, thereby adjusting the feeding disc structures on the feeding disc structures to be mutually far away or close to each other, so that the feeding disc structures are suitable for the clamping work of puncture needles or puncture sleeves with different thicknesses, the two groups of feeding disc structures are driven to rotate by a handheld driving device connected at the lower end of the shell 1, the upper end of the shell 1 is connected with a clamping plate 6 which is clamped by matching with a thumb, the handheld driving device can be driven by hands after the whole device is held by the hands, the handheld driving device drives the two groups of feeding disc structures to rotate to complete the feeding work of the puncture needle or the puncture sleeve;
the left end and the right end outside the shell 1 are respectively connected with a connecting rod 7 along the length direction, the two groups of connecting rods 7 are connected with a rotating ring 8 in a rotating way, the rotating ring 8 is connected with the two groups of connecting rods 7 through rotating, so that the integral structure of the shell 1 and the rotating ring 8 can rotate relatively, an L-shaped rectangular rod 9 slides vertically in one connecting rod 7, so that the rectangular rod 9 can only move relatively along the vertical direction of the connecting rod 7, the L-shaped bend of the rectangular rod 9 is arranged outwards and is arranged close to the rotating ring 8, the lower end of the rectangular rod 9 is connected with a driving handle 10, the upper end of the rectangular rod 9 is connected with a vertically arranged cylindrical pin 11, a first spring 12 sleeved outside the rectangular rod 9 is arranged between the driving board and the connecting rod 7, and the upper end surface of the rotating ring 8 is uniformly provided with a plurality of cylindrical holes 13 matched with the cylindrical pin 11 along the circumferential direction, the matching of the cylindrical pin 11 and the cylindrical hole 13 is to limit the relative rotation of the shell 1 structure and the rotating ring 8, the first spring 12 plays a role of reverse thrust, when the first spring 12 is in a slightly compressed state, the first spring 12 drives the driving handle 10 by reverse thrust, so that the rectangular rod 9 has a tendency of moving downwards, at this time, the cylindrical pin 11 and the cylindrical hole 13 are matched to realize clamping, so that the relative rotation between the shell 1 and the rotating ring 8 is limited, if the two are wanted to rotate relatively, the rectangular rod 9 can move upwards by pressing the driving handle 10 upwards through the index finger when the shell 1 is held by hand, at this time, the matching of the cylindrical pin 11 and the cylindrical hole 13 is separated, at this time, the relative rotation between the rotating ring 8 and the shell 1 is not limited, the two can rotate freely, and the direction of the shell 1 can be adjusted adaptively by a user at any time, thereby adjusting the needle inserting direction;
the rotating ring 8 is externally connected with a vertically arranged fixed block 14, one end of the fixed block 14, which is far away from the shell 1, is provided with a vertically arranged T-shaped groove 15, a T-shaped block 16 is vertically and slidably connected in the T-shaped groove 15, so that the T-shaped block 16 can only move vertically along the vertical direction of the fixed block 14, a second spring 17 is connected between the upper end of the T-shaped block 16 and the upper end surface in the T-shaped groove 15, and the T-shaped block 16 is pressed downwards by the second spring 17, and the arrangement aims at avoiding flexible contact in the process that an ultrasonic probe 22 connected on the T-shaped block 16 is contacted with the skin of a patient, and simultaneously ensuring that the end part of the ultrasonic probe 22 can always abut against the skin of the patient, so that the ultrasonic developing effect is better, the T-shaped block 16 is connected with an L-shaped plate 18, a transition cylinder 19 is arranged at the lower end of the L-shaped plate 18, a transition rod 20 is coaxially arranged at the lower end of the transition cylinder 21, and the transition rod 20 is spherically hinged with the cylinder 21, the ball-hinged connection mode enables the cylinder 21 to be adjusted at each angle at the lower end of the transition rod 20, the ultrasonic probe 22 is mounted at the lower end of the cylinder 21, the ultrasonic probe 22 is electrically connected with the ultrasonic image display, the ultrasonic sleeve head is electrically connected with the ultrasonic influence display to display the image of the focus of a patient, the cylinder 21 is subjected to angle adjustment through an angle adjustment locking device connected to the fixed block 14 and performs position locking work after the angle adjustment, namely after the cylinder 21 is subjected to angle adjustment through the angle adjustment locking device, the angle adjustment can be performed along each angle in the downward direction, locking is performed after the adjustment, and meanwhile, in the adjustment process, the cylinder 21 is expected to be adjusted directly by the hand of the handheld shell 1 without additionally adding medical staff, and meanwhile, adjustment of one hand is very convenient, when the device is used, firstly, the distance between the two groups of feeding disc structures is adjusted according to the type of the inserted needle, the double-head screw 5 is driven to rotate by screwing the driving knob 67, the two groups of sliding blocks 4 are driven to mutually approach and separate by the rotation of the double-head screw 5, so that the distance between the two groups of feeding disc structures is adjusted to adapt to needle body structures with different thicknesses, then, the needle body is sent to the position of the through window 2 of the shell 1 and then clamped between the clamping blocks 65 on the two groups of feeding disc structures, then, one hand holds the shell 1 structure, the two groups of feeding disc structures are driven to rotate by driving the handheld driving device to complete the pushing work of the inserted needle, the other hand of a medical worker can support the puncture needle at the inserted needle position of the skin, the two hand is matched with the puncture needle structure to complete the inserting work, and before the inserted needle, we also need to carry out ultrasonic radiography on the image of the focus, and need to align the ultrasonic probe 22 with the focus for ultrasonic development, at this time, we need to adjust the position of the ultrasonic probe 22 after installing the puncture needle, at this time, the bottom of the ultrasonic probe 22 is already abutted against the skin of the patient due to the action of the second spring 17, then the drive plate is moved upwards by the forefinger, the drive plate drives the rectangular rod 9 to move upwards, so that the cylindrical pin 11 is separated from the cylindrical hole 13, the position of the fixed block 14 on the rotating ring 8 and the ultrasonic probe 22 connected with the fixed block is rotated to be positioned right above the focus, after adjusting the position, the forefinger is released, the cylindrical pin 11 is matched with the cylindrical hole 13 to realize clamping work, so as to limit the rotation between the rotating ring 8 and the housing 1, so that the ultrasonic probe 22 can be supported and can be locked at the current position, then, the angle of the ultrasonic probe 22 is adjusted to reach the optimal developing position by matching the angle adjustment locking device holding the shell 1 with the movement of the T-shaped block 16 in the vertical direction, the needle inserting work of the puncture needle can be performed after the adjustment, in the needle inserting process, if the imaging of the ultrasonic probe 22 cannot meet the requirements of a user along with the insertion of the needle, the driving handle 10 can be driven by the forefinger holding the shell 1, the circumferential position of the ultrasonic probe 22 along the rotating ring 8 is adjusted, and the angle adjustment locking device is driven by the thumb to adjust each inclination angle of the ultrasonic probe 22 in the vertical direction, the operation of the embodiment is simple and convenient, a user can complete the whole operation process, and one person can complete the support of the ultrasonic probe 22 and the adjustment of various angles at any time in the puncture needle inserting process, thereby improve the degree of accuracy and the puncture efficiency of puncture, adopt the feed dish of mechanical type to advance chi structure simultaneously, avoided the injury and the influence of the nondeterminacy that the people caused by puncture, structural design is ingenious, and the practicality is strong, is fit for promoting.
In the second embodiment, on the basis of the first embodiment, in the present embodiment, we disclose an angle adjustment locking device, which enables the position and the angle of the ultrasonic probe 22 to be adjusted when a user holds the housing 1, the angle adjustment locking device includes a first elongated spur gear 23 rotatably connected to the outer lower side of the cylindrical barrel 21, the elongated spur gear is provided to ensure that the T-block 16 can move relative to the fixed block 14 in the vertical direction, so as to ensure the effect of not being disengaged from the subsequent transmission structure all the time, the structure of the spur gear is adopted here, the first elongated spur gear 23 is rotatably connected to the outer side of the cylindrical barrel 21 through a bearing, a cylindrical sleeve 24 extending out of the lower end face of the first elongated spur gear 23 is vertically rotatably arranged in the first elongated spur gear 23, the cylindrical sleeve 24 is also rotatably connected to the first elongated spur gear 23 through a bearing, the position of the cylindrical sleeve 24 is located in the radial direction of the first long straight gear 23, the cylindrical sleeve further comprises a rotary disc 25 rotatably connected outside the cylindrical barrel 21, the rotary disc 25 is rotatably mounted outside the cylindrical barrel 21 through a bearing, a sliding groove 26 with a T-shaped cross section is radially formed in the upper end surface of the rotary disc 25, a moving block 27 with a T-shaped cross section is radially and slidably matched in the sliding groove 26, so that the moving block 27 can only move in the radial direction of the sliding groove 26, a bidirectional screw 28 is hinged to the upper end of the moving block 27, the bidirectional screw 28 adopts a structure with crossed threads and smoothly connected at the end part, which is the prior art and is not repeated, the bidirectional screw 28 is sleeved in the cylindrical sleeve 24 and is in threaded fit with the cylindrical sleeve, and because the bidirectional threads of the arrangement of the bidirectional screw 28 and the rotation of the bidirectional screw 28 is limited by the moving block 27 under the bidirectional screw, therefore, along with the rotation of the cylindrical sleeve 24, the bidirectional screw 28 relatively reciprocates up and down in the vertical direction, so that the ball-hinged cylindrical drum 21 changes the inclined angle in one direction, the upper end of the cylindrical sleeve 24 extends out of the upper end of the first long spur gear 23 and a first gear 29 is coaxially installed at the end part, the first gear 29 is meshed with a first inner gear ring 30 rotatably connected to the outer side of the cylindrical drum 21, the first inner gear ring 30 is also rotatably connected to the outer side of the cylindrical drum 21 through a bearing, the first inner gear ring 30 is coaxially connected to a second long spur gear 31, the purpose of the second long spur gear 31 is the same as that of the first long spur gear 23, the first long spur gear 23 is meshed with a second gear 32 vertically rotatably connected to the fixed block 14, the second long spur gear 31 is meshed with a first one-way gear 33 vertically rotatably connected to the fixed block 14, the transmission direction of the first one-way gear 33 satisfies that when the second long-shaped gear rotates along with the cylindrical sleeve 24, the first one-way gear 33 is in an idle rotation state, the structure of the first one-way gear 33 adopts a structure that a straight gear is sleeved outside a one-way bearing, so that power can be transmitted only along one direction, because the first long-shaped straight gear 23 can drive the cylindrical sleeve 24 to rotate in the rotating process, so as to drive the second long-shaped straight gear 31 to rotate, at the moment, the rotation is expected not to drive the first one-way gear 33 to rotate, at the moment, the first one-way gear 33 is set to be in a one-way transmission structure, so that the rotation of the first long-shaped straight gear 23 cannot drive the first long-shaped straight gear 23 to rotate, and at the same time, the rotation of the first long-shaped straight gear 23 is always unidirectional and cannot reversely rotate in the subsequent structure, because the angle of the well-adjusted ultrasonic probe 22 can be rotated in different directions by the rotation of the first long straight gear 23, the ultrasonic probe can be adjusted in multiple directions on the same horizontal plane, so that a more suitable direction can be found, and as for the angle adjustment, the cylindrical sleeve 24 is driven to rotate by pushing the second straight long gear through the first one-way gear 33, and the vertical position of the bidirectional screw 28 is changed to realize the adjustment of the inclination angle, and the structure of the bidirectional screw 28 is adopted, so that the inclination angle can be ensured to be locked at the current position after the adjustment, and the driving of the second gear 32 and the first one-way gear 33 is respectively driven to rotate in one direction by the power device arranged on the fixed block 14;
the power device comprises a first gear ring 34 and a second gear ring 35 which are coaxially and rotatably connected to the upper end of a rotating ring 8, the first gear ring 34 and the second gear ring 35 are arranged in a staggered manner, the radius of the first gear ring 34 is smaller than that of the second gear ring 35, the height of the first gear ring 34 is smaller than that of the second gear ring 35, the staggered arrangement of the first gear ring 34 and the second gear ring 35 is used for ensuring that mutual power transmission between the first gear ring 34 and the second gear ring is not influenced, a third gear 36 and a fourth gear 37 are respectively and rotatably connected to the upper end of the rectangular rod 9, the positions of the third gear 36 and the fourth gear 37 are such that when the cylindrical pin 11 is matched and clamped with the cylindrical hole 13, the third gear 36 is meshed with the first gear ring 34, the fourth gear 37 is meshed with the second gear ring 35, namely, in order to ensure that the rotating ring 8 cannot relatively rotate in the process of realizing clamping by matching between the cylindrical pin 11 and the cylindrical hole 13, if the relative rotation between the rotating ring 8 and the shell 1 is limited, the third gear 36 and the first gear ring 34 can be meshed, the fourth gear 37 and the second gear ring 35 can be meshed, if the relative rotation between the rotating ring 8 and the shell 1 is required, the third gear 36 and the first gear ring 34 can be disengaged, and the fourth gear 37 and the second gear ring 35 are disengaged, so that the arrangement aims at preventing the corresponding gear and gear ring structure from rotating when the position between the rotating ring 8 and the shell 1 is adjusted during the relative rotation, and avoiding unnecessary adjustment driving work during the relative rotation;
meanwhile, in order to ensure that the meshing between the gear and the gear ring is reliable in the process of matching and clamping the cylindrical pin 11 and the cylindrical hole 13, an electromagnetic field clamping structure is introduced, namely, the lower end of the driving handle 10 is provided with two groups of conducting strips 55 which are arranged at intervals, the lower end of the cylindrical pin 11 is connected with an electromagnet 56, a conducting circuit is formed between the two groups of conducting strips 55 and the electromagnet 56 and a power supply, the two groups of conducting strips 55 are electrically connected with the power supply, an armature 57 which is matched with the electromagnet 56 is arranged in the cylindrical hole 13, the matching between the electromagnet 56 and the armature 57 can ensure that the whole clamping process is very reliable, the matching between the gear and the gear ring is very reliable, the principle adopted here is similar to the structure of a test pencil which is usually used, the conducting principle of a human body is utilized, when a user touches the position between the two groups of conducting strips 55, the index finger of the conducting circuit is powered off, the electromagnet 56 is powered off, the matching of the cylindrical pin 11 and the cylindrical hole 13 can be easily separated from the matching by the vertical movement of the rectangular rod 9, once the hands are withdrawn from the two groups of conducting strips 55, the electromagnet 56 is electrified to firmly clamp the cylindrical pin 11 and the cylindrical hole 13, and the reliability of power transmission of the gear and the gear ring is ensured;
a first outer gear ring 38 is coaxially connected outside the first gear ring 34, the first outer gear ring 38 is meshed with a fifth gear 39 vertically and rotatably connected to the fixed block 14, the fifth gear 39 is in transmission connection with a rotating shaft of the first one-way gear 33 through a belt, the first gear ring 34 drives the first one-way gear 33 to perform one-way transmission through a transmission process of gears and a belt, a second outer gear ring 40 is coaxially connected outside the second gear ring 35, the second outer gear ring 40 is meshed with a sixth gear 41 vertically and rotatably connected to the fixed block 14, the sixth gear 41 is coaxially connected with a first bevel gear 42, the first bevel gear 42 is meshed with a second bevel gear 43 longitudinally and rotatably connected to the fixed block 14, a worm 44 is coaxially connected with the second bevel gear 43, the worm 44 is meshed with a worm wheel 45 vertically and rotatably connected to the fixed block 14, the worm wheel 45 is in transmission connection with the second gear 32 through a belt, the worm 44 and the worm wheel 45 are arranged here for transmission, so that in order to avoid reverse transmission, the worm wheel 45 and the worm 44 adopt the worm 44 which can drive the worm wheel 45 to rotate, but the worm wheel 45 cannot push the worm 44 to rotate, and a reverse locking effect is achieved;
the third gear 36 and the fourth gear 37 are respectively driven by a manual driving device arranged on the housing 1 to rotate in one direction, the manual driving device comprises two sets of box bodies 46 arranged on the front side and the rear side of the housing 1, the box bodies 46 are longitudinally and rotatably connected with second one-way gears 47, the second one-way gears 47 are similar to the first one-way gears 33 in structure, the cooperation of pawls and ratchet wheels is adopted, then a straight gear is sleeved outside the ratchet wheels to form the one-way gears, an outer gear ring of the second one-way gears 47 is meshed with a first rack 48 vertically and slidably connected in the box bodies 46, a third spring 49 is connected between the lower end of the first rack 48 and the inner lower bottom surface of the box bodies 46, the upper end of each of the first rack 48 extends out of the upper end of the box body 46 and is connected with a pressing plate 50 at the end part, a rubber ball 51 is arranged on the pressing plate 50, and a rotating shaft of the second one-way gears 47 is coaxially connected with a third bevel gear 52, the third bevel gear 52 is engaged with a fourth bevel gear 53 which is transversely and rotatably connected to the box body 46, the third bevel gear 52 and the fourth bevel gear 53 are engaged only for changing the transmission direction, the pressing plate 50 is pressed downwards to push the second one-way gear 47 for transmission, so that the third bevel gear 52 is driven to rotate and further the fourth bevel gear 53 is driven to work, after the pressing is completed, along with the reverse pushing of the third spring 49, the second one-way gear 47 idles, the purpose of unidirectionally driving the fourth bevel gear 53 to rotate in the pressing process is realized, a universal coupling 54 is connected between the rotating shaft of one group of the fourth bevel gears 53 and the rotating shaft of the third gear 36, a universal coupling 54 is connected between the rotating shaft of the other group of the fourth bevel gears 53 and the rotating shaft of the fourth gear 37, and the universal coupling 54 is used for solving the problem that the rotating shafts are not on the same horizontal position in the transmission process, when the ultrasonic pullover device is used, when the angle adjustment and locking of the ultrasonic pullover are performed, firstly, the cylindrical pin 11 and the cylindrical hole 13 are in the matched and clamped position, then the thumb of the hand holding the housing 1 presses one group of the pressing plates 50, the rack on the pressing plate 50 pushes the outer gear ring of the second one-way gear 47 to rotate, the rotation of the second one-way gear 47 generates power transmission to drive the third bevel gear 52 to rotate, and further drive the fourth bevel gear 53 to operate, after the pressing is completed, along with the reverse pushing of the third spring 49, the second one-way gear 47 idles, so that in the pressing process, the fourth bevel gear 53 is driven to rotate in a one-way manner, along with the pressing plate 50 being pressed, the fourth bevel gear 53 drives the third gear 36 to drive the first gear ring 34 to operate, the first gear 34 drives the first one-way gear 33 to rotate, and the first one-way gear 33 drives the second elongated straight gear 31 to rotate, the cylindrical sleeve 24 is driven to rotate by gear transmission, because the worm gear 45 and the worm 44 are reversely locked at the moment, the first long straight gear 23 cannot rotate, the two-way screw 28 is driven by the rotation of the cylindrical sleeve 24 to move in the vertical direction, so as to adjust the inclination angle of the ultrasonic probe 22 at the lower end of the cylindrical barrel 21, after the inclination angle is adjusted, the screw is locked at the current position due to the thread locking effect of the screw, and then another group of pressing plates 50 is pressed by the thumb, so that another group of fourth bevel gears 53 rotate, the fourth gear 37 is driven to drive the second ring gear 35 to rotate, the worm 44 is driven to rotate by the transmission of the bevel gear set, the worm 44 drives the worm gear 45 to rotate, so as to drive the second gear 32 to rotate, the second long straight gear 31 is driven to rotate, and the cylindrical sleeve 24 is driven to rotate, the azimuth change of the inclination angle is realized, and simultaneously, due to the reverse locking effect of the worm wheel 45 and the worm 44, after the adjustment is completed, the position of the ultrasonic probe 22 cannot be changed, the locking effect is achieved, if the position of the ultrasonic probe 22 needs to be adjusted at any time in the footage process, the adjustment work of different angles and azimuths can be completed by pressing the pressing plates 50 on different box bodies 46.
Third embodiment, on the basis of the first embodiment, in this embodiment, we disclose a handheld driving device, the handheld driving device includes a third one-way gear 58 coaxially and rotatably connected with the feed tray structure and disposed in the housing 1, the structure of the third one-way gear 58 is similar to the result of the second one-way gear 47, which will not be described herein again, an outer ring gear of the third one-way gear 58 and a second rack 59 vertically and slidably connected to the lower end of the housing 1 are provided, a fourth spring 60 is connected between the upper end of the second rack 59 and the inner upper end surface of the housing 1, a driving cross bar 61 is connected between the lower ends of the two sets of second racks 59, a circular through hole 62 corresponding to the through window 2 is provided at the center of the driving cross bar 61, the through hole is used for driving the second rack 59 to move in the vertical direction by reciprocally pinching the driving cross bar 61 through a puncture needle or a puncture sleeve, thereby promote third one-way gear 58 and rotate, thereby the pivot of third one-way gear 58 drives the feed tray structure and rotates to accomplish the work of feeding, after pinching to the end, under the effect of fourth spring 60, will drive horizontal pole 61 and drive initial position, third one-way gear 58 does not take place power transmission this moment, thereby reaches the purpose that reciprocating drive fed.
In the fourth embodiment, on the basis of the first embodiment, a plurality of groups of supporting cylinders 68 are vertically installed at the lower end of the rotating ring 8, a supporting rod 69 is connected in the supporting cylinders 68 in a sliding manner, a sixth spring 70 is connected between the supporting rod 69 and the inner bottom surface of the supporting cylinder 68, a rubber supporting leg 71 is connected at the lower end of the supporting rod 69, the rubber supporting leg 71 plays a role in protection, the sixth spring 70 and the supporting rod 69 are matched to form a telescopic structure, the effect of flexible protection when the whole structure is supported is guaranteed, and the lower end of the rotating ring can also be pushed deeply along with the depth of the footage.
When the device is used, firstly, a support rod 69 of the whole device is supported at a position needing puncture of a patient, then the distance between two groups of feed disc structures is adjusted according to the type of a needle, a double-head screw 5 is driven to rotate by screwing a drive knob 67, the double-head screw 5 drives two groups of sliding blocks 4 to mutually approach and separate, so that the distance between the two groups of feed disc structures is adjusted to adapt to needle body structures with different thicknesses, then the needle body is sent to the position of a through window 2 of a shell 1 and then clamped between clamping blocks 65 on the two groups of feed disc structures, then one hand holds the shell 1 structure, a drive cross rod 61 is twisted to drive a second rack 59 to move in the vertical direction, so that a third one-way gear 58 is pushed to rotate, a rotating shaft of the third one-way gear 58 drives the feed disc structures to rotate, and thereby the feed work is completed, after the needle is pinched to the end, the driving cross rod 61 is driven to the initial position under the action of the fourth spring 60, at the moment, the third one-way gear 58 does not generate power transmission, so that the purpose of reciprocating driving feeding is achieved, the pushing work of the needle insertion is completed by rotating the two groups of feeding disc structures, the other hand of the medical staff can support the puncture needle at the needle insertion position of the skin, and the puncture needle and the skin are matched to complete the needle insertion work;
certainly, before the needle is inserted, the image of the focus needs to be subjected to ultrasonic radiography, the ultrasonic probe 22 needs to be aligned to the focus for ultrasonic development, at this time, after the puncture needle is installed, the position of the ultrasonic probe 22 needs to be adjusted, at this time, the bottom of the ultrasonic probe 22 is already abutted to the skin of the patient due to the action of the second spring 17, then the drive plate is moved upwards by the index finger, and at the same time, the electromagnet 56 is de-energized, the drive plate drives the rectangular rod 9 to move upwards, so that the cylindrical pin 11 is smoothly separated from the cylindrical hole 13, the position of the fixed block 14 on the rotating ring 8 and the ultrasonic probe 22 connected with the fixed block is rotated to be positioned right above the focus, after the position is adjusted, the index finger is released, the electromagnet 56 is energized to be matched with the armature 57, so that the cylindrical pin 11 is matched with the cylindrical hole 13 to realize reliable clamping work, and the rotation between the rotating ring 8 and the shell 1 is limited, so that the ultrasound probe 22 can be supported while being locked in the current position;
then, one group of pressing plates 50 is pressed by the thumb of the hand holding the housing 1, the rack on the pressing plate 50 pushes the outer gear ring of the second one-way gear 47 to rotate, the rotation of the second one-way gear 47 generates power transmission to drive the third bevel gear 52 to rotate, and further drive the fourth bevel gear 53 to work, after the pressing is completed, along with the reverse pushing of the third spring 49, the second one-way gear 47 idles, so that in the pressing process, the fourth bevel gear 53 is driven to rotate in a one-way manner, along with the action of pressing the pressing plate 50, the fourth bevel gear 53 drives the third gear 36 to drive the first gear ring 34 to work, the first gear ring 34 drives the first one-way gear 33 to rotate, the first one-way gear 33 drives the second long straight gear 31 to rotate, and the cylindrical sleeve 24 is driven to rotate through gear transmission, because of the reverse locking of the worm gear 45 at this time, the first long straight gear 23 will not rotate, the rotation of the cylindrical sleeve 24 drives the bidirectional screw 28 to move in the vertical direction, so as to adjust the inclination angle of the ultrasonic probe 22 at the lower end of the cylindrical barrel 21, after the inclination angle is adjusted, the bidirectional screw is locked at the current position due to the thread locking effect of the screw, then the other set of pressing plate 50 is pressed by the thumb, so as to rotate the other set of fourth bevel gear 53, which drives the fourth gear 37 to drive the second ring gear 35 to rotate, the worm 44 is driven to rotate by the transmission of the bevel gear set, the worm 44 drives the worm gear 45 to rotate, so as to drive the second gear 32 to rotate, which drives the second long straight gear 31 to rotate, and then drives the cylindrical sleeve 24 to rotate, so as to realize the azimuth change of the inclination angle, and meanwhile, due to the reverse locking effect of the worm 45 and the worm 44 of the worm gear 45, after the adjustment, the position of the ultrasonic probe 22 can not be changed, the locking effect is achieved, if the position of the ultrasonic probe 22 needs to be adjusted at any time in the advancing process, the adjustment work of different angles and directions can be completed by pressing the pressing plates 50 on different box bodies 46, the angle of the ultrasonic probe 22 is adjusted to reach the optimal developing position, the needle inserting work of the puncture needle can be performed after the adjustment is completed, in the needle inserting process, if the imaging of the ultrasonic probe 22 cannot meet the requirements of a user along with the deepening of the needle inserting, the driving handle 10 can be driven by the index finger of the hand-held shell 1, the circumferential position of the ultrasonic probe 22 along the rotating ring 8 is adjusted, and the angle adjusting and locking device is driven by the thumb to adjust each inclined angle of the ultrasonic probe 22 in the vertical direction, so that the operation of the invention is very simple and convenient, the user alone can accomplish whole operation process, and the work is asked in the support of puncture needle footage in-process alone completion ultrasonic probe 22 and the regulation in various angles and position at any time to improve the degree of accuracy and the puncture efficiency of puncture, adopt the feed dish footage structure of mechanical type simultaneously, avoided the injury and the influence of the uncertainty that the people made the cause for the puncture, structural design is ingenious, and the practicality is strong, is fit for promoting.
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 invention, and any modifications, equivalents, improvements and the like that fall within the spirit and principle of the present invention are intended to be included therein.

Claims (9)

1. The utility model provides a puncture and auxiliary stay device that ultrasonic probe cooperation was used, includes casing (1), open respectively through window (2) the upper and lower end of casing (1), casing (1) a lateral wall on open rectangular hole (3) that have two sets of bilateral symmetry to set up, horizontal sliding connection has I shape slider (4) in rectangular hole (3), rotate on slider (4) and be connected with the feed plate structure of arranging in casing (1), two sets of feed plate cooperations are gone into the pjncture needle from through window (2) and are pierced, casing (1) lateral wall on horizontal rotation connect double-end lead screw (5), double-end lead screw (5) and two sets of slider (4) screw-thread fit, and double-end lead screw (5) and two sets of slider (4) screw-thread fit's rotation direction is opposite, two sets of feed plate structures are through connecting the hand-held type drive arrangement drive rotation at casing (1) lower extreme, the upper end of the shell (1) is connected with a clamping plate (6) which is clamped by matching with the thumb;
the left end and the right end outside the shell (1) are respectively connected with connecting rods (7) along the length direction, two groups of connecting rods (7) are connected with rotating rings (8) in a rotating mode, an L-shaped rectangular rod (9) vertically slides in one connecting rod (7), the lower end of each rectangular rod (9) is connected with a driving handle (10), the upper end of each rectangular rod (9) is connected with a vertically arranged cylindrical pin (11), a first spring (12) sleeved outside each rectangular rod (9) is arranged between each driving plate and the corresponding connecting rod (7), and a plurality of groups of cylindrical holes (13) matched with the cylindrical pins (11) are uniformly distributed on the upper end face of each rotating ring (8) along the circumferential direction;
a vertically arranged fixed block (14) is connected outside the rotating ring (8), a vertically arranged T-shaped groove (15) is arranged at one end of the fixed block (14) far away from the shell (1), a T-shaped block (16) is vertically and slidably connected in the T-shaped groove (15), a second spring (17) is connected between the upper end of the T-shaped block (16) and the inner upper end surface of the T-shaped groove (15), the T-shaped block (16) is connected with an L-shaped plate (18), the lower end of the L-shaped plate (18) is provided with a transition cylinder (19), the lower end of the transition cylinder (19) is coaxially provided with a transition rod (20), the lower end of the transition rod (20) is in ball hinge joint with a cylindrical cylinder (21), the lower end of the cylindrical barrel (21) is provided with an ultrasonic probe (22), the ultrasonic probe (22) is electrically connected with the ultrasonic image display, the cylindrical barrel (21) is subjected to angle adjustment through an angle adjusting and locking device connected to the fixing block (14) and is subjected to position locking after the angle adjustment.
2. A puncture auxiliary supporting device used in cooperation with an ultrasonic probe according to claim 1, wherein the angle adjusting and locking device comprises a first long spur gear (23) rotatably connected to the outer lower side of the cylinder barrel (21), a cylindrical sleeve (24) extending out of the lower end surface of the first long spur gear (23) vertically rotates in the first long spur gear (23), a rotary table (25) rotatably connected to the outer side of the cylinder barrel (21), a sliding groove (26) with a T-shaped cross section is radially formed in the upper end surface of the rotary table (25), a moving block (27) with a T-shaped cross section is radially slidably matched in the sliding groove (26), a bidirectional screw rod (28) is hinged to the upper end of the moving block (27), the bidirectional screw rod (28) is sleeved in the cylindrical sleeve (24) and is in threaded fit with the cylindrical sleeve (24), the upper end of the cylindrical sleeve (24) extends out of the upper end of the first long spur gear (23), and a first tooth is coaxially installed at the end of the cylindrical sleeve (24) Wheel (29), first gear (29) is connected in first ring gear (30) the outside of cylinder (21) with the rotation and meshes mutually, first ring gear (30) outer coaxial coupling second microscler straight-tooth gear (31), first microscler straight-tooth gear (23) meshes mutually with vertical second gear (32) of rotating the connection on fixed block (14), second microscler straight-tooth gear (31) meshes mutually with vertical first one-way gear (33) of rotating the connection on fixed block (14), and when the direction of transmission of first one-way gear (33) satisfied second microscler gear rotated along with cylinder sleeve (24), first one-way gear (33) were in idle running state, one-way rotation was carried out respectively in power device drive through installing at fixed block (14) in second gear (32) and first one-way gear (33).
3. A puncture and ultrasonic probe cooperation auxiliary supporting device according to claim 2, characterized in that the power device comprises a first gear ring (34) and a second gear ring (35) which are coaxially and rotatably connected with the upper end of the rotating ring (8), the first gear ring (34) and the second gear ring (35) are arranged in a staggered manner, the radius of the first gear ring (34) is smaller than that of the second gear ring (35), the height of the first gear ring (34) is smaller than that of the second gear ring (35), the upper end of the rectangular rod (9) is respectively and rotatably connected with a third gear (36) and a fourth gear (37), the third gear (36) and the fourth gear (37) are positioned such that when the cylindrical pin (11) is tightly matched with the cylindrical hole (13), the third gear (36) is meshed with the first gear ring (34), the fourth gear (37) is meshed with the second gear ring (35), a first outer gear ring (38) is coaxially connected with the outside of the first gear ring (34), the first external gear ring (38) is meshed with a fifth gear (39) which is vertically and rotationally connected to the fixed block (14), the fifth gear (39) is in transmission connection with the rotating shaft of the first one-way gear (33) through a belt, a second external gear ring (40) is coaxially connected outside the second gear ring (35), the second external gear ring (40) is meshed with a sixth gear (41) which is vertically and rotatably connected to the fixed block (14), the sixth gear (41) is coaxially connected with a first bevel gear (42), the first bevel gear (42) is meshed with a second bevel gear (43) which is longitudinally and rotatably connected with the fixed block (14), the second bevel gear (43) is coaxially connected with a worm (44), the worm (44) is meshed with a worm wheel (45) which is vertically and rotatably connected to the fixed block (14), the worm gear (45) is in transmission connection with the second gear (32) through a belt;
the third gear (36) and the fourth gear (37) are respectively driven by a manual driving device arranged on the shell (1) to rotate in a single direction.
4. A puncture and ultrasonic probe cooperation auxiliary supporting device according to claim 3, characterized in that the manual driving device comprises two sets of box bodies (46) installed on the front and rear sides of the housing (1), a second one-way gear (47) is longitudinally and rotatably connected in the box bodies (46), an outer gear ring of the second one-way gear (47) is engaged with a first rack (48) vertically and slidably connected in the box bodies (46), a third spring (49) is connected between the lower end of the first rack (48) and the inner lower bottom surface of the box bodies (46), the upper end of the first one-way gear (47) extends out of the upper end of the box bodies (46) and is connected with a pressing plate (50) at the end part, a rubber ball (51) is arranged on the pressing plate (50), a third bevel gear (52) is coaxially connected with a rotating shaft of the second one-way gear (47), and the third bevel gear (52) is engaged with a fourth bevel gear (53) transversely and rotatably connected on the box bodies (46), a length-adjustable universal coupling (54) is connected between the rotating shaft of one group of the fourth bevel gears (53) and the rotating shaft of the third gear (36), and a length-adjustable universal coupling (54) is connected between the rotating shaft of the other group of the fourth bevel gears (53) and the rotating shaft of the fourth gear (37).
5. An auxiliary supporting device for puncture and ultrasonic probe cooperation according to any one of claims 2-4, wherein the lower end of the driving handle (10) is provided with two sets of conducting strips (55) arranged at intervals, the lower end of the cylindrical pin (11) is connected with an electromagnet (56), a conducting circuit is formed between the two sets of conducting strips (55), the electromagnet (56) and a power supply, the two sets of conducting strips (55) are electrically connected with the power supply, and an armature (57) used in cooperation with the electromagnet (56) is arranged in the cylindrical hole (13).
6. A puncture auxiliary supporting device used in cooperation with an ultrasonic probe according to claim 1, wherein the handheld driving device comprises a third one-way gear (58) coaxially and rotatably connected with the feeding plate structure and arranged in the housing (1), the third one-way gear (58) is connected with a second rack (59) vertically and slidably connected with the lower end of the housing (1), a fourth spring (60) is connected between the upper end of the second rack (59) and the inner upper end face of the housing (1), a driving cross rod (61) is connected between the lower ends of the two sets of second racks (59), and a circular through hole (62) corresponding to the through window (2) is formed in the center of the driving cross rod (61).
7. The auxiliary supporting device for the puncture and the ultrasonic probe cooperation is characterized in that the feeding disc structure comprises two groups of circular plates (63) which are coaxially arranged and coaxially connected, a plurality of groups of rectangular cylinders (64) which are radially arranged are uniformly distributed in the area between the two groups of circular plates (63) along the circumferential direction, clamping blocks (65) are slidably matched in the rectangular cylinders (64) along the radial direction of the circular plates (63) and are not separated, round corners are arranged at the end parts of the clamping blocks (65), and fifth springs (66) are connected between the bottoms of the clamping blocks (65) and the inner bottom surfaces of the rectangular cylinders (64).
8. A puncture and ultrasound probe cooperation auxiliary supporting device according to claim 1, characterized in that, the end of the double-ended lead screw (5) is provided with a driving knob (67).
9. A puncture auxiliary supporting device used in cooperation with an ultrasonic probe according to claim 1, wherein a plurality of groups of supporting cylinders (68) are vertically installed at the lower end of the rotating ring (8), a supporting rod (69) is slidably connected in the supporting cylinders (68), a sixth spring (70) is connected between the supporting rod (69) and the inner bottom surface of the supporting cylinder (68), and a rubber supporting leg (71) is connected at the lower end of the supporting rod (69).
CN202210301657.6A 2022-03-25 2022-03-25 Auxiliary supporting device for puncture and ultrasonic probe matching use Withdrawn CN114587534A (en)

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Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN115592336A (en) * 2022-12-13 2023-01-13 河北秋泽智能科技有限公司(Cn) High-precision rotary positioning mechanism for robot workstation
CN116115311A (en) * 2023-03-13 2023-05-16 北京大学第三医院(北京大学第三临床医学院) Ultrasonic guidance central vein puncture needle and probe combining device
CN116172717A (en) * 2023-03-13 2023-05-30 北京大学第三医院(北京大学第三临床医学院) Probe fixing mechanical arm for ultrasonic guided plane puncture
CN117990349A (en) * 2023-12-22 2024-05-07 海南热带汽车试验有限公司 Automobile-used triangle warning sign stability test device
CN118687626A (en) * 2024-08-23 2024-09-24 中裕铁信交通科技股份有限公司 Bridge beam supports non-contact health monitoring system and monitoring devices thereof

Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN115592336A (en) * 2022-12-13 2023-01-13 河北秋泽智能科技有限公司(Cn) High-precision rotary positioning mechanism for robot workstation
CN116115311A (en) * 2023-03-13 2023-05-16 北京大学第三医院(北京大学第三临床医学院) Ultrasonic guidance central vein puncture needle and probe combining device
CN116172717A (en) * 2023-03-13 2023-05-30 北京大学第三医院(北京大学第三临床医学院) Probe fixing mechanical arm for ultrasonic guided plane puncture
CN116115311B (en) * 2023-03-13 2023-09-19 北京大学第三医院(北京大学第三临床医学院) Ultrasonic guidance central vein puncture needle and probe combining device
CN116172717B (en) * 2023-03-13 2023-12-26 北京大学第三医院(北京大学第三临床医学院) Probe fixing mechanical arm for ultrasonic guided plane puncture
CN117990349A (en) * 2023-12-22 2024-05-07 海南热带汽车试验有限公司 Automobile-used triangle warning sign stability test device
CN118687626A (en) * 2024-08-23 2024-09-24 中裕铁信交通科技股份有限公司 Bridge beam supports non-contact health monitoring system and monitoring devices thereof
CN118687626B (en) * 2024-08-23 2024-10-29 中裕铁信交通科技股份有限公司 Bridge beam supports non-contact health monitoring system and monitoring devices thereof

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Application publication date: 20220607