CN114587566B - Postoperative wound hemostasis device for hepatobiliary pancreas patient - Google Patents

Postoperative wound hemostasis device for hepatobiliary pancreas patient Download PDF

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Publication number
CN114587566B
CN114587566B CN202210207593.3A CN202210207593A CN114587566B CN 114587566 B CN114587566 B CN 114587566B CN 202210207593 A CN202210207593 A CN 202210207593A CN 114587566 B CN114587566 B CN 114587566B
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handle
air bag
elastic air
storage box
slide way
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CN114587566A (en
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郑璐
李靖
米娜
尤楠
王梁
王峥
吴柯
张英
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Second Affiliated Hospital Army Medical University
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Second Affiliated Hospital Army Medical University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/1206Generators therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M35/00Devices for applying media, e.g. remedies, on the human body
    • A61M35/10Wearable devices, e.g. garments, glasses or masks
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00589Coagulation

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Surgery (AREA)
  • Biomedical Technology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Anesthesiology (AREA)
  • Physics & Mathematics (AREA)
  • Plasma & Fusion (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Otolaryngology (AREA)
  • Hematology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Surgical Instruments (AREA)

Abstract

The application relates to the technical field of medical equipment, in particular to a postoperative wound hemostasis device for hepatobiliary pancreas patients, which comprises a handle with a hollow structure, an electrocoagulation electrode arranged on the handle and a medicine feeding part, wherein the medicine feeding part comprises a medicine storage box and a rotating rod coaxially connected with the handle in a rotating way, one end of the rotating rod extending out of the handle is provided with a constraint bin for constraining sterile sponge, a pressing rod is arranged perpendicular to the axis of the handle, the lower end of the pressing rod is positioned in the handle, the upper end of the pressing rod is a free end, a transmission unit matched with the pressing rod and a stepwise medicine feeding unit are further arranged in the handle, when the pressing rod is pressed, the pressing rod drives the rotating rod to rotate through the transmission unit, and the pressing rod guides hemostatic agent in the medicine storage box into the constraint bin through the stepping medicine dividing unit. According to the application, the sterile sponge is contacted with the bleeding point by avoiding the blood coagulation part on the sterile sponge, so that the blood at the bleeding point can be fully smeared with the hemostatic agent, the operation difficulty of an operator is reduced, and the hemostatic efficiency is improved.

Description

Postoperative wound hemostasis device for hepatobiliary pancreas patient
Technical Field
The application relates to the technical field of medical equipment, in particular to a postoperative wound hemostasis device for hepatobiliary pancreas patients.
Background
In clinic, when a liver, gall and pancreas surgery is performed on a patient, the wound needs to be immediately stopped after a surgical knife is used for cutting the surface, the current common hemostasis method is electric coagulation hemostasis, the hemostasis can be realized in 1-2 seconds through electric burning hemostasis points, and the operation is simple, the hemostasis speed is high, the blood loss of the patient is small, so that the method is the common hemostasis method for the surgery, but after the electric coagulation hemostasis, small hemostasis points often exist at the surgical wound, and the local hemostasis method needs to be combined with a local hemostasis method, and the local hemostasis method needs to treat the local hemostasis points by using hemostatic drugs.
The conventional medicine hemostasis method can complete hemostasis operation by repeatedly utilizing sterile sponge to dip hemostatic or repeatedly replacing sterile sponge soaked with hemostatic, and the process has the advantages of multiple operation steps and long duration, and wastes of different degrees on the sterile sponge and hemostatic. There is still a lack of hemostatic devices in the prior art that can provide hemostatic agents continuously to sterile sponges, and that can save hemostatic agents.
In order to solve the above problems, the prior art CN 110960316B discloses a rapid hemostatic device for hepatobiliary surgery, which comprises a drug-feeding bin containing a hemostatic agent and a constraint bin communicated with the drug-feeding bin and used for constraining sterile sponge, wherein the drug-feeding bin is provided with a drug-stopping part and the constraint bin is communicated with the drug-feeding bin.
However, the above prior art has the following drawbacks: in the prior art, the sponge is fixed, the hemostatic agent is used for stopping bleeding, the coagulation factor in the hemostatic agent is used for accelerating the coagulation of blood to achieve the purpose of stopping bleeding, and in practical operation, as the wound area in hepatobiliary pancreas operation is not large, when a doctor uses the hemostatic device in the prior art to stop bleeding, the same area on the sterile sponge can be contacted with a bleeding point for stopping bleeding every time, after the sponge with the hemostatic agent contacts with the bleeding point of human tissue for stopping bleeding, blood can adhere to the contact area on the sponge and quickly coagulate to block small holes on the sponge, so that the hemostatic agent can not flow out from the contact area any more, further the purpose of stopping bleeding by continuously utilizing the sponge to contact the bleeding point is achieved, and in order to continue stopping bleeding, the doctor needs to continuously adjust the arm action to enable different surface areas on the sponge to contact with the bleeding point to achieve the purpose of stopping bleeding.
Disclosure of Invention
The application aims to provide a postoperative wound hemostasis device for hepatobiliary pancreas patients, which aims to solve the technical problem that an operator in the prior art needs to continuously adjust arm actions to enable different surface areas on a sponge to be in contact with bleeding points so as to achieve hemostasis on the bleeding points.
In order to achieve the above purpose, the basic scheme of the application is as follows:
the postoperative wound hemostasis device for the hepatobiliary pancreas patient comprises a handle with a hollow structure, an electrocoagulation electrode arranged outside the side wall of one end of the handle and a drug administration part for smearing hemostatic agent on a bleeding point, wherein the electrocoagulation electrode is externally connected with a power supply, and an electrocoagulation switch for controlling the operation of the electrocoagulation electrode is arranged on the handle;
the dosing part is including all set up in the medicine storage box that is used for depositing the hemostatic agent and the swivelling joint's with the handle coaxial rotation stick, the swivelling joint stretches out the one end of handle sets up the constraint storehouse that is used for retraining aseptic sponge, perpendicular to the vertical pressure bar that sets up of axis of handle, the lower extreme of pressure bar is located the handle, and the upper end of pressure bar is the free end, still set up in the handle with pressure bar complex drive unit and substep medicine feeding unit, the pressure bar passes through when pressing the pressure bar drive the swivelling joint rotates, and the pressure bar passes through the substep medicine feeding unit will the hemostatic agent in the medicine storage box is led in the constraint storehouse when pressing the pressure bar.
The basic scheme of the application has the following principle and beneficial effects:
the sterile sponge is put into the constraint bin, part of the sterile sponge is exposed out of the rotating rod, the handle is held by hand, and the compression rod is pressed to lead part of hemostatic in the medicine storage box into the constraint bin to soak the sterile sponge. When the operation wound surface is bleeding, the hand-held handle makes the sterile sponge on the rotating rod contact with the bleeding point, and the hemostatic agent on the sterile sponge contacts with the blood at the bleeding point to accelerate the blood coagulation speed at the bleeding point, so as to achieve the purpose of hemostasis. When blood on the sterile sponge is coagulated to influence the outflow of the hemostatic agent at the same contact point on the sterile sponge, the pressing rod is pressed to enable the rotating rod to rotate a certain angle and the medicine storage box to feed medicine to the sterile sponge again.
The scheme combines the electric coagulation hemostasis with the medicine hemostasis, so that the electric coagulation hemostasis and the medicine hemostasis can be conveniently and rapidly switched, and the hemostasis speed is improved; the compression bar is pressed to enable the rotating rod to drive the sterile cotton to rotate and simultaneously guide the hemostatic agent into the constraint bin, so that a surgeon can keep the same operation action, different areas on the sterile sponge can be sequentially contacted with the bleeding points, the operation of the surgeon is facilitated, the action range of the surgeon is reduced, and the physical strength is saved; by avoiding the blood coagulation part on the sterile sponge to enable the sterile sponge to be in contact with the bleeding point, the blood at the bleeding point can be fully smeared with the hemostatic agent, and the hemostatic efficiency is improved.
Further, the transmission unit includes vertical set up in rack on the depression bar, with handle fixed connection's first fixed plate, through first one-way bearing with the pivot of first fixed plate rotation connection and with the coaxial fixed connection's of swivelling joint stick gear shaft, in the pivot with the coaxial setting of pivot with rack toothing's first gear and with gear shaft meshing's second gear, first gear pass through second one-way bearing with the pivot rotates to be connected, the second gear with pivot fixed connection, the depression bar bottom sets up the elastic component that makes the depression bar upwards move and reset.
When the compression bar is pressed to enable the compression bar to move downwards, the rack on the compression bar enables the first gear to rotate, at the moment, the second one-way bearing is blocked, the rotating shaft and the second gear are synchronously rotated with the first gear, the gear shaft rotates to drive the rotating rod to rotate a certain angle together with the sterile sponge, after the compression is finished, the compression bar moves upwards with the rack on the compression bar under the elasticity of the elastic piece to enable the first gear to reversely rotate, the first gear rotates reversely around the rotating shaft, at the moment, the first one-way bearing is blocked to enable the rotating shaft to reversely rotate, and the compression bar resets.
Further, step by step medicine feeding unit including set up in the depression bar below with handle inner wall fixed connection's elasticity gasbag and with the coaxial connecting axle that sets up of gear shaft, the connecting axle pass through the second fixed plate with the inner wall fixed connection of handle, the one end of connecting axle with the gear shaft is kept away from the one end sealing rotation of turning rod is connected, is equipped with one end open-ended empty slot in the connecting axle, the open end and the first passageway intercommunication of empty slot, first passageway one end with restraint storehouse intercommunication, the other end of first passageway is followed the axis of handle runs through the turning rod with the gear shaft, the one end of elasticity gasbag pass through first check valve with the inner chamber intercommunication of medicine storage box, the first check valve only many fluid by the outer space flow direction of elasticity gasbag the inner space of elasticity gasbag, the other end of elasticity gasbag passes through the shutoff valve and the empty slot intercommunication in the connecting axle, the choke valve only when elasticity gasbag receives the extrusion fluid by elasticity gasbag inner chamber flow to the empty slot.
When the pressing rod is pressed to enable the rotating rod to rotate, the pressing rod presses the elastic air bag to enable the hemostatic agent in the elastic air bag to flow into the constraint bin through the first channel after passing through the shutoff valve.
Further, the shutoff valve comprises a valve body, a first slide way is horizontally arranged in the valve body, one end of the first slide way is communicated with the elastic air bag, the other end of the first slide way is closed, one end of the first slide way communicated with the elastic air bag is provided with a taper hole, the first slide way is internally and slidably connected with a first slide column in a sealing manner, a conical surface matched with the taper hole is arranged on the first slide column, a first spring is arranged between the first slide column and the bottom of the first slide way, two ends of the first spring are respectively connected with the first slide column and the bottom of the first slide way, a drain hole communicated with an inner cavity of the first slide way and an outer space of the valve body is arranged in the valve body, one end of the first pipeline is in sealing communication with the drain hole, and the other end of the first pipeline is communicated with the empty groove.
Further, the depression bar is in including the quadrangular of coaxial setting and setting quadrangular top and quadrangular fixed connection's threaded rod, set up on the handle with quadrangular complex slide hole, threaded connection nut on the threaded rod, the lower extreme of quadrangular vertically set up the second slide with second slide sliding fit's second slide, the lower extreme of second slide stretches out outside the second slide downwards, the lower extreme fixed connection baffle of second slide, the quadrangular lower extreme vertically sets up the second spring, the upper end and the lower extreme fixed connection of quadrangular of second spring, the lower extreme and the baffle fixed connection of second spring, the vertical third spring that makes the elastic air bag be in the open state that sets up in the elastic air bag, elastic air bag lower part internal surface fixed connection stopper, the lower surface of baffle with the elastic air bag contact, the elasticity coefficient of second spring is greater than the elasticity coefficient of second spring.
Through the position of swivel nut on the threaded rod, can adjust the depression bar and move down the distance and then reach and adjust the depression bar and make the swivelling joint rotation angle at every turn, when pressing down the depression bar, the baffle warp the shrink when the baffle extrudees the elastic gasbag under the elasticity of second spring, when the baffle is blocked by the stopper, the elastic gasbag is not being shrink deformation, when elastic gasbag warp shrink and make elastic gasbag inner chamber pressure grow, first check valve stops the hemostatic in the elastic gasbag to flow into the medicine storage box, under the pressure of elastic gasbag inner chamber increase, first slide column extrusion first spring moves to being close to the conical surface on the first slide column and the taper hole separation on the first slide to the direction, the high-pressure hemostatic in the elastic gasbag gets into the empty slot through first pipeline through first slide and flows into the constraint storehouse again and is absorbed by aseptic sponge, make at every turn can all like hemostatic constraint storehouse import the same volume of hemostatic.
When the hand is loosened, the quadrangular prism moves upwards under the elasticity of the second spring and the third spring, the elastic air bag is unfolded to enable the inner cavity of the elastic air bag to form negative pressure, at the moment, the first sliding column moves towards the direction close to the elastic air bag under the elasticity of the first spring to enable the conical surface on the first sliding column to be attached to the conical hole on the first sliding rail to seal the first sliding rail, and meanwhile, the first one-way valve is opened under the negative pressure of the elastic air bag to enable the hemostatic agent in the medicine storage box to flow into the elastic air bag.
Further, a water injection port which is used for communicating the inner space and the outer space of the medicine storage box is arranged on the medicine storage box, a second one-way valve is arranged on the water injection port, and only a fluid is allowed to flow into the medicine storage box from the outside of the medicine storage box through the second one-way valve.
When the hemostatic agent in the medicine storage box flows into the elastic air bag, the external air of the medicine storage box enters the medicine storage box through the second one-way valve to supplement the pressure loss generated in the inner cavity of the medicine storage box due to the reduction of the hemostatic agent, so that the hemostatic agent in the medicine storage box can smoothly flow into the elastic air bag.
Further, a battery compartment is arranged in the handle, a rechargeable battery is arranged in the battery compartment, one end of the handle far away from the constraint compartment is in threaded connection with a rear cover for sealing the inner cavity of the handle, a charging interface is arranged on the rear cover, and a wire tube for accommodating wires for electrically connecting the rechargeable battery with the electrocoagulation electrode is arranged on the handle.
Drawings
Fig. 1 is a schematic diagram of the front view direction of the present application.
Fig. 2 is a schematic diagram of the structure of the present application in the top view direction.
Fig. 3 is a schematic view of a part of the right view direction of the present application.
Fig. 4 is an enlarged view of a portion a in fig. 1.
Fig. 5 is an enlarged view of a portion B in fig. 4.
Detailed Description
The following is a further detailed description of the embodiments:
reference numerals in the drawings of the specification include: the handle 10, the rotating rod 101, the sterile sponge 102, the restraint cabin 103, the electrocoagulation electrode 20, the medicine storage box 30, the water injection port 301, the compression bar 40, the threaded rod 401, the quadrangular prism 402, the rack 403, the nut 404, the second slideway 405, the second slide column 406, the baffle 407, the second spring 408, the first fixing plate 501, the rotating shaft 502, the first unidirectional bearing 503, the gear shaft 504, the first gear 505, the second gear 506, the elastic airbag 601, the connecting shaft 602, the second fixing plate 603, the empty slot 604, the first channel 605, the first unidirectional valve 606, the third spring 607, the stopper 608, the valve body 701, the first slideway 702, the first slide column 703, the first spring 704, the drain hole 705, the first pipe 706, the battery cabin 801, the rear cover 802, and the line pipe 803.
The postoperative wound hemostasis device for hepatobiliary pancreatic patients in this embodiment, as shown in fig. 1, comprises a handle 10 with a hollow structure, an electrocoagulation electrode 20 vertically and fixedly connected to the outer side wall of one end of the handle 10, and an administration part for applying hemostatic agent to a bleeding site.
The handle 10 is internally provided with a battery bin 801, a rechargeable battery is arranged in the battery bin, one end of the handle 10 far away from the constraint bin 103 is in threaded connection with a rear cover 802 which seals the inner cavity of the handle 10, a charging interface for charging the rechargeable battery is arranged on the rear cover 802, a wire tube 803 is arranged on the handle 10, a wire for electrically connecting the rechargeable battery with the electrocoagulation electrode 20 is arranged in the wire tube 803, and an electrocoagulation switch for controlling the operation of the electrocoagulation electrode 20 is arranged on the handle 10.
The medicine feeding part comprises a medicine storage box 30 which is arranged in the inner cavity of the handle 10 and used for storing hemostatic agents, and a rotating rod 101 which is coaxially and rotatably connected with the handle 10, wherein a water injection port 301 which is used for communicating the inner space and the outer space of the medicine storage box 30 is arranged on the medicine storage box 30, a cover body which is used for opening or closing the water injection port 301 is arranged on the water injection port 301, a second one-way valve is arranged on the cover body, and only a plurality of fluids flow into the medicine storage box 30 from the outside of the medicine storage box 30.
Referring to fig. 2 and 3, one end of the rotating rod 101 is located in the handle 10, a restraint bin 103 for restraining the sterile sponge 102 is arranged at one end of the rotating rod 101 extending out of the handle 10, and a gear shaft 504 is fixedly connected with one end of the rotating rod 101 located in the handle 10 and the rotating rod 101 coaxially. As shown in fig. 1 and 2, a first passage 605 is provided through the rotary rod 101 and the gear shaft 504 in the axial direction of the handle 10 such that one end of the first passage 605 communicates with the restraining chamber 103 and the other end penetrates an end face of the gear that is remote from the rotary rod 101.
As shown in fig. 2 and 3, the compression bar 40 is vertically arranged perpendicular to the axis of the handle 10, the lower end of the compression bar 40 is located in the handle 10, the upper end of the compression bar 40 is a free end, the compression bar 40 comprises a quadrangular prism 402 coaxially arranged and a threaded rod 401 fixedly connected with the quadrangular prism 402 and arranged above the quadrangular prism 402, a sliding hole matched with the quadrangular prism 402 is formed in the handle 10, a nut 404 is connected to the threaded rod 401 in a threaded manner, a cap body is arranged at the upper end of the threaded rod 401, a rack 403 is fixedly connected to the cylindrical surface of the quadrangular prism 402 facing the side wall of the handle 10, and the rack 403 is vertically arranged. Referring to fig. 4, a second slide way 405 is vertically disposed at the lower end of the quadrangular prism 402, and a second slide post 406 slidably matched with the second slide way 405, wherein the lower end of the second slide post 406 extends out of the second slide way 405 downward, the lower end of the second slide post 406 is fixedly connected with a baffle 407, the lower end of the quadrangular prism 402 is vertically disposed with a second spring 408, the upper end of the second spring 408 is fixedly connected with the lower end of the quadrangular prism 402, and the lower end of the second spring 408 is fixedly connected with the baffle 407.
Referring to fig. 4 and 5, an elastic air bag 601 and a connecting shaft 602 are disposed in the handle 10, the elastic air bag 601 is disposed below the compression bar 40, the outer wall of the lower portion of the elastic air bag 601 is fixedly connected with the inner wall of the lower portion of the handle 10, a third spring 607 for enabling the elastic air bag 601 to be in an open state is vertically disposed in the elastic air bag 601, a limiting block 608 is fixedly connected to the inner surface of the lower portion of the elastic air bag 601, the lower surface of the baffle 407 is in contact with the elastic air bag 601, and the elastic coefficient of the second spring 408 is larger than that of the third spring 607.
As shown in fig. 4, the connecting shaft 602 is coaxially arranged with the gear shaft 504, the connecting shaft 602 is fixedly connected with the handle 10 through a second fixing plate 603, the upper end of the second fixing plate 603 is fixedly connected with the upper inner wall of the handle 10, the lower end of the second fixing plate 603 is fixedly connected with the connecting shaft 602, one end of the connecting shaft 602 is in sealed rotation connection with one end of the gear shaft 504 far away from the rotating rod 101, a hollow groove 604 with one open end is arranged in the connecting shaft 602, and the open end of the hollow groove 604 is communicated with the first channel 605.
One end of the elastic air bag 601 is communicated with the inner cavity of the medicine storage box 30 through a first one-way valve 606, the first one-way valve 606 only allows fluid to flow from the inner cavity of the medicine storage box 30 to the inner space of the elastic air bag 601, the other end of the elastic air bag 601 is communicated with the empty slot 604 in the connecting shaft 602 through a shutoff valve, the shutoff valve comprises a valve body 701, the valve body 701 is fixedly connected with the handle 10, a first slideway 702 is horizontally arranged in the valve body 701, one end of the first slideway 702 is communicated with the elastic air bag 601, the other end of the first slideway 702 is sealed, one end of the first slideway 702 is provided with a taper hole, the first slideway 702 is in sealing sliding connection with a first sliding column 703, a conical surface matched with the taper hole is arranged on the first sliding column 703, a first sliding column 703 is arranged between the bottom of the first sliding column 703 and the first slideway 702, one end of the first spring 704 is fixedly connected with the empty slot 703, the other end of the first spring 704 is fixedly connected with the bottom of the first slideway 702, a drain hole 705 which is communicated with the outer space of the valve body 701 is horizontally arranged in the valve body 701, a first pipeline 706 is arranged on the valve body 701, the first pipeline 706 is hermetically communicated with the drain hole 706, and the drain hole 706 is hermetically communicated with the empty slot 706.
As shown in fig. 1-3, a rotating shaft 502 is disposed in the handle 10, an axis of the rotating shaft 502 is parallel to an axis of the handle 10, two ends of the rotating shaft 502 are respectively provided with a first fixing plate 501, the first fixing plates 501 are fixedly connected with an inner wall of the handle 10, two ends of the rotating shaft 502 are respectively rotatably connected with the first fixing plates 501 through a first unidirectional bearing 503, a first gear 505 and a second gear 506 are coaxially disposed on the rotating shaft 502 and are meshed with the rack 403, the second gear 506 is meshed with the gear shaft 504, the first gear 505 is rotatably connected with the rotating shaft 502 through a second unidirectional bearing, and a rotation direction of the second unidirectional bearing is opposite to a rotation direction of the first single bearing, and when the rack 403 moves downwards to drive the first gear 505 to rotate, the second unidirectional bearing rotates synchronously with the rotating shaft 502, and the second gear 506 is fixedly connected with the rotating shaft 502.
The principle and the beneficial effects of the application are as follows:
the sterile sponge 102 is put into the restraint bin 103, part of the sterile sponge 102 is exposed out of the rotating rod 101, the water filling port 301 on the medicine storage box 30 is opened to fill the hemostatic agent into the medicine storage box 30, the hemostatic agent flows into the elastic air bag 601 through the first one-way valve 606, at the moment, the conical surface on the first sliding column 703 is attached to the conical hole on the first sliding rail 702 under the elasticity of the first spring 704 to seal the first sliding rail 702, and the hemostatic agent cannot flow into the restraint bin 103 through the first sliding rail 702 and the first channel 605.
When the handle 10 is held by hand and the compression bar 40 is pressed, when the compression bar 40 is pressed downwards, the elastic air bag 601 deforms and contracts when the baffle 407 presses the elastic air bag 601 under the elasticity of the second spring 408, when the baffle 407 is blocked by the limiting block 608, the elastic air bag 601 does not contract and deform, when the inner cavity pressure of the elastic air bag 601 becomes large due to deformation and contraction of the elastic air bag 601, the hemostatic agent in the elastic air bag 601 is prevented from flowing into the medicine storage box 30 by the first one-way valve 606, under the increased pressure of the inner cavity of the elastic air bag 601, the first sliding column 703 presses the first spring 704 to move towards the direction approaching to the bottom of the first sliding rail 702, so that the conical surface on the first sliding column 703 is separated from the conical hole on the first sliding rail 702, and the high-pressure hemostatic agent in the elastic air bag 601 enters the empty groove 604 through the first pipeline 706 and flows into the constraint bin 103 to be absorbed by the sterile sponge 102, and the hemostatic agent with the same volume as the constraint bin 103 can be introduced into the hemostatic agent with each pressing.
When the pressing rod 40 is pressed to move the pressing rod 40 downwards, the rack 403 on the pressing rod 40 enables the first gear 505 to rotate, at the moment, the second one-way bearing is blocked, the rotating shaft 502 and the second gear 506 are both synchronously rotated with the first gear 505, the gear shaft 504 follows rotation to drive the rotating rod 101 to rotate a certain angle together with the sterile sponge 102, when the hand is released, the quadrangular prism 402 moves upwards under the elasticity of the second spring 408 and the third spring 607 to enable the first gear 505 to reversely rotate, the first gear 505 reversely rotates around the rotating shaft 502, at the moment, the first one-way bearing 503 is blocked to enable the rotating shaft 502 not to reversely rotate, and the pressing rod 40 is reset
When the quadrangular prism 402 moves upwards under the elasticity of the second spring 408 and the third spring 607, the elastic air bag 601 is unfolded to form negative pressure in the inner cavity of the elastic air bag 601, at this time, the first sliding column 703 moves towards the direction close to the elastic air bag 601 under the elasticity of the first spring 704 to make the conical surface on the first sliding column 703 fit with the conical hole on the first sliding column 702 to seal the first sliding column 702, and at the same time, the first check valve 606 is opened under the negative pressure of the elastic air bag 601 to make the hemostatic agent in the medicine storage box 30 flow into the elastic air bag 601.
When hemostasis is needed, the electric coagulation switch is pressed firstly to perform electric coagulation hemostasis on the operation wound surface through the electric coagulation electrode 20, and when the operation wound surface is also bleeding at a bleeding point, the handle 10 is held by hand, so that the sterile sponge 102 on the rotating rod 101 contacts the bleeding point, and the hemostatic agent on the sterile sponge 102 contacts blood at the bleeding point to accelerate the blood coagulation speed at the bleeding point, thereby achieving the hemostasis purpose. When blood on the sterile sponge 102 solidifies such that the outflow of hemostatic agent at the same point of contact on the sterile sponge 102 is affected, depressing the plunger 40 rotates the rotating rod 101 through an angle and causes the drug reservoir 30 to again supply drug to the sterile sponge 102.
1. The scheme combines the electric coagulation hemostasis with the medicine hemostasis, so that the electric coagulation hemostasis and the medicine hemostasis can be conveniently and rapidly switched, and the hemostasis speed is improved;
2. the compression bar is pressed to enable the rotating rod to drive the sterile cotton to rotate and simultaneously guide the hemostatic agent into the constraint bin, so that a surgeon can keep the same operation action, different areas on the sterile sponge can be sequentially contacted with the bleeding points, the operation of the surgeon is facilitated, the action range of the surgeon is reduced, and the physical strength is saved;
3. according to the scheme, the sterile sponge is contacted with the bleeding point by avoiding the blood coagulation part on the sterile sponge, so that the blood at the bleeding point can be fully smeared with the hemostatic agent, and the hemostatic efficiency is improved;
4. according to the application, the rotation angle of the sterile sponge when the compression bar is pressed each time can be adjusted by adjusting the position of the nut on the screw, so that the rotation angle of the sterile sponge can be conveniently adjusted according to the coagulation condition of blood on the sterile sponge, and the area of the sterile sponge which is not blocked by blood coagulation can be fully utilized.
The foregoing is merely exemplary of the present application, and specific structures and features that are well known in the art are not described in detail herein. It should be noted that modifications and improvements can be made by those skilled in the art without departing from the structure of the present application, and these should also be considered as the scope of the present application, which does not affect the effect of the implementation of the present application and the utility of the patent. The protection scope of the present application is subject to the content of the claims, and the description of the specific embodiments and the like in the specification can be used for explaining the content of the claims.

Claims (3)

1. The utility model provides a liver courage pancreas patient postoperative wound hemostasis device, including have hollow structure's handle, set up in the electric coagulation electrode outside handle one end lateral wall and be used for smearing the portion of dosing of haemostatic for the bleeding point, electric coagulation electrode external power source sets up the electric coagulation switch of control electric coagulation electrode operation on the handle, its characterized in that:
the dosing part comprises a medicine storage box which is arranged in the inner cavity of the handle and is used for storing hemostatic agents, and a rotating rod which is coaxially and rotatably connected with the handle, wherein one end of the rotating rod, which extends out of the handle, is provided with a constraint bin which is used for constraining sterile sponge, a compression bar is vertically arranged perpendicular to the axis of the handle, the lower end of the compression bar is positioned in the handle, the upper end of the compression bar is a free end, a transmission unit which is matched with the compression bar and a step-by-step medicine feeding unit are also arranged in the handle, when the compression bar is pressed, the compression bar drives the rotating rod to rotate through the transmission unit, and when the compression bar is pressed, the compression bar guides the hemostatic agents in the medicine storage box into the constraint bin through the step-by-step medicine feeding unit;
the transmission unit comprises a rack vertically arranged on the pressure bar, a first fixing plate fixedly connected with the handle, a rotating shaft rotationally connected with the first fixing plate through a first one-way bearing and a gear shaft coaxially and fixedly connected with the rotating rod, a first gear meshed with the rack and a second gear meshed with the gear shaft are coaxially arranged on the rotating shaft, the first gear is rotationally connected with the rotating shaft through a second one-way bearing, the second gear is fixedly connected with the rotating shaft, and an elastic piece for enabling the pressure bar to move upwards and reset is arranged at the bottom of the pressure bar;
the step-by-step medicine feeding unit comprises an elastic air bag and a connecting shaft, wherein the elastic air bag is arranged below the pressure rod and fixedly connected with the inner wall of the handle, the connecting shaft is coaxially arranged with the gear shaft, the connecting shaft is fixedly connected with the inner wall of the handle through a second fixing plate, one end of the connecting shaft is in sealing and rotating connection with one end of the gear shaft far away from the rotating rod, an empty groove with one open end is arranged in the connecting shaft, the open end of the empty groove is communicated with a first channel, one end of the first channel is communicated with the constraint bin, the other end of the first channel penetrates through the rotating rod and the gear shaft along the axis of the handle, one end of the elastic air bag is communicated with the inner cavity of the medicine storage box through a first one-way valve, only a fluid flows from the outer space of the elastic air bag to the inner space of the elastic air bag, the other end of the elastic air bag is communicated with the empty groove in the connecting shaft through a shutoff valve, and the fluid flows from the inner cavity of the elastic air bag to the empty groove only when the elastic air bag is extruded by the shutoff valve;
the shutoff valve comprises a valve body, a first slide way is horizontally arranged in the valve body, one end of the first slide way is communicated with the elastic air bag, the other end of the first slide way is closed, one end of the first slide way, which is communicated with the elastic air bag, is provided with a taper hole, the first slide way is internally and hermetically connected with a first slide column, a conical surface which is matched with the taper hole is arranged on the first slide column, a first spring is arranged between the first slide column and the bottom of the first slide way, two ends of the first spring are respectively connected with the first slide column and the bottom of the first slide way, a drain hole which is used for communicating an inner cavity of the first slide way with an outer space of the valve body is arranged in the valve body, a first pipeline is arranged on the valve body, one end of the first pipeline is in sealed communication with the drain hole, and the other end of the first pipeline is communicated with the empty groove;
the compression bar comprises a quadrangular prism and a threaded rod, wherein the quadrangular prism is coaxially arranged, the threaded rod is fixedly connected with the quadrangular prism above the quadrangular prism, a sliding hole matched with the quadrangular prism is formed in the handle, a threaded connection nut is arranged on the threaded rod, a second slide way is vertically arranged at the lower end of the quadrangular prism and is in sliding fit with the second slide way, the lower end of the second slide way downwards extends out of the second slide way, the lower end of the second slide way is fixedly connected with a baffle plate, a second spring is vertically arranged at the lower end of the quadrangular prism, the upper end of the second spring is fixedly connected with the lower end of the quadrangular prism, a third spring which enables the elastic air bag to be in an open state is vertically arranged in the elastic air bag, a limiting block is fixedly connected with the inner surface of the lower part of the elastic air bag, the lower surface of the baffle plate is in contact with the elastic air bag, and the elastic coefficient of the second spring is larger than that of the third spring.
2. A post-operative wound hemostasis device for hepatobiliary pancreatic patients in accordance with claim 1, wherein: the medicine storage box is provided with a water injection port which is used for communicating the inner space and the outer space of the medicine storage box, the water injection port is provided with a second one-way valve, and only a fluid can flow into the medicine storage box from the outside of the medicine storage box.
3. A post-operative wound hemostasis device for hepatobiliary pancreatic patients in accordance with any one of claims 1 to 2, wherein: the electric coagulation electrode is characterized in that a battery bin is arranged in the handle, a rechargeable battery is arranged in the battery bin, one end of the handle far away from the constraint bin is in threaded connection with a rear cover for sealing an inner cavity of the handle, a charging interface is arranged on the rear cover, and a wire tube for accommodating wires for electrically connecting the rechargeable battery with the electric coagulation electrode is arranged on the handle.
CN202210207593.3A 2022-03-03 2022-03-03 Postoperative wound hemostasis device for hepatobiliary pancreas patient Active CN114587566B (en)

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CN202210207593.3A CN114587566B (en) 2022-03-03 2022-03-03 Postoperative wound hemostasis device for hepatobiliary pancreas patient

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Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101074740A (en) * 2007-06-15 2007-11-21 陈达 Pressure water valve
CN103453291A (en) * 2013-07-19 2013-12-18 浙江吉利汽车有限公司 Monitor for lubricant oil passage
CN110801260A (en) * 2019-12-16 2020-02-18 河南科技大学第一附属医院 Liver courage pancreas patient wound hemostasis device
CN110960316A (en) * 2019-12-19 2020-04-07 江志杰 Rapid hemostasis device for hepatobiliary surgery
CN211077200U (en) * 2019-08-15 2020-07-24 嘉兴市大明实业有限公司 Ventilated dustbin
CN211675631U (en) * 2019-11-26 2020-10-16 重庆市九龙坡区第二人民医院 Wound cleaning device for thoracic surgery

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2014103581A1 (en) * 2012-12-25 2014-07-03 扶桑薬品工業株式会社 Hemostatic agent applicator

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101074740A (en) * 2007-06-15 2007-11-21 陈达 Pressure water valve
CN103453291A (en) * 2013-07-19 2013-12-18 浙江吉利汽车有限公司 Monitor for lubricant oil passage
CN211077200U (en) * 2019-08-15 2020-07-24 嘉兴市大明实业有限公司 Ventilated dustbin
CN211675631U (en) * 2019-11-26 2020-10-16 重庆市九龙坡区第二人民医院 Wound cleaning device for thoracic surgery
CN110801260A (en) * 2019-12-16 2020-02-18 河南科技大学第一附属医院 Liver courage pancreas patient wound hemostasis device
CN110960316A (en) * 2019-12-19 2020-04-07 江志杰 Rapid hemostasis device for hepatobiliary surgery

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