CN114917104A

CN114917104A - Efficient operation workbench for cardiac surgery

Info

Publication number: CN114917104A
Application number: CN202210588076.5A
Authority: CN
Inventors: 何雪梅; 孙银香
Original assignee: First Affiliated Hospital of Zhengzhou University
Current assignee: First Affiliated Hospital of Zhengzhou University
Priority date: 2022-05-27
Filing date: 2022-05-27
Publication date: 2022-08-19

Abstract

The invention relates to the technical field of cardiac surgery, in particular to an efficient operation workbench for cardiac surgery. Comprises a table body, a moving and fixing structure, a storage mechanism, a filtering mechanism and a disinfecting mechanism; the moving and fixing structure comprises a universal wheel and a fixing rod; the storage mechanism comprises a storage box and a lifting rod; the filter pipe, the impurity pipe and the waste water pipe are distributed in an inverted Y shape, a screen is further arranged on one side of the waste water pipe, and a vibrator is arranged below the screen; the disinfection mechanism comprises a disinfection chamber, a disinfection box, a driving structure and a stirring structure, wherein the driving structure is configured to rotate forwards to drive the disinfection box to move downwards to a preset position, and then rotate backwards to drive the disinfection box to move upwards to an initial position; the stirring structure is configured to rotate synchronously along with the forward and reverse rotation of the driving structure, so that the disinfectant rotates to impact instruments in the disinfection box. The invention realizes the effect of fixing the appointed position of the workbench on the basis of convenient movement, and realizes the operation form of integrating storage, cleaning, sterilization and disinfection of reasonable and efficient surgical instruments.

Description

Efficient operation workbench for cardiac surgery

Technical Field

The invention relates to the technical field of cardiac surgery, in particular to an efficient operation workbench for cardiac surgery.

Background

Cardiac surgery includes diseases of cardiac surgery and general thoracic surgery, and the cardiac surgery researches on large blood vessel trauma of heart, pericardial disease, congenital heart disease, acquired valvular heart disease, ischemic heart disease, heart tumor, large blood vessel disease, interventional therapy technology, surgical treatment of arrhythmia, cardiac pacing and implantable defibrillation cardioverters, dynamic cardiomyopathy, heart, lung and heart-lung transplantation and the like.

However, in the prior art, various surgical instruments are required to be displayed on the operation workbench in the cardiac surgery process, the instruments used in the cardiac surgery of different symptoms are different, and timely cleaning, sterilization and disinfection are required, so that the management is very inconvenient. The current operation workbench has simple structure and single function, and cannot adapt to the current high-efficiency cardiac surgery operation treatment. Furthermore, in the operation process of cardiac surgery, the surgical instruments used by the main physicians are diversified, and the surgical instruments are required to be used for a second time after one surgical instrument is used, and the surgical instruments are required to be cleaned and sterilized after waste tissue and blood are remained. The operation workbench in the prior art cannot realize the operation mode of integrating storage, cleaning, sterilization and disinfection into a whole in a reasonable and efficient manner, wastes time and labor, and is lack of safety.

Disclosure of Invention

The invention provides an efficient operating table for cardiac surgery, which aims to solve the technical problems that the operating table in the prior art cannot be conveniently moved, the fixed effect of the specified position of the operating table is enhanced, the existing efficient cardiac surgery treatment cannot be adapted, and the reasonable and efficient operation mode of integrating storage, cleaning, sterilization and disinfection of surgical instruments cannot be realized.

The efficient operation workbench for the cardiac surgery adopts the following technical scheme:

an efficient operation workbench for cardiac surgery comprises a workbench body, a moving and fixing structure, a storage mechanism, a filtering mechanism and a disinfecting mechanism;

the table body is distributed left and right, and the upper end surface is provided with a nurse auxiliary area and a main diagnosis operation area which are positioned on the left side, and a disinfection area which is positioned on the right side;

the moving and fixing structure is arranged below the table body and comprises universal wheels and a fixing rod; the universal wheels are arranged on the lower end face of the table body and are uniformly distributed; the fixing rods are of telescopic structures and are arranged on the inner sides of the universal wheels, and the fixing rods are uniformly distributed; and the fixed rod is contracted when the workbench is in a moving state; in a fixed state, the fixed rod jacks up and keeps the height larger than that of the universal wheel;

the storage mechanism is arranged in the nurse auxiliary area and comprises a storage box and a lifting rod; the table body is also provided with a plurality of uniformly distributed mounting grooves; the storage box is arranged in the mounting groove in a vertically movable manner, and a clamping groove matched with a cardiac surgical instrument is formed in the storage box; one end of the lifting rod is arranged at the bottom of the mounting groove, and the other end of the lifting rod is connected with the storage box; a guide structure is arranged between the storage box and the mounting groove so that the storage box can move up and down accurately and be limited;

the filtering mechanism is arranged in the main diagnosis operation area and comprises a treatment pool, a water storage tank, a spray head, a filtering pipe, an impurity pipe and a waste water pipe; the cross section of the treatment tank is of a trapezoidal structure with a large end at the upper part and a small end at the lower part; the water storage tank is arranged in the table body, and the spray head is arranged at the upper end of the treatment pool and is connected with the water storage tank through a pipeline; the filter pipe is arranged at the lowest end of the treatment tank and extends downwards; the filter pipe, the impurity pipe and the waste water pipe are distributed in an inverted Y shape, one side of the waste water pipe is also provided with a screen which is distributed in an inclined way, and a vibrator is arranged below the screen;

the disinfection mechanism is arranged in the disinfection area and comprises a disinfection chamber, a disinfection box, a driving structure and a stirring structure, and the disinfection chamber is arranged in the table body; the disinfection box is coaxially arranged in the disinfection chamber and is provided with a detachable end cover; the outer side wall of the disinfection box is provided with a plurality of through holes which are uniformly distributed, so that disinfection liquid medicine enters the box to disinfect surgical instruments; the driving structure is configured to rotate forwards to drive the disinfection box to move downwards to a preset position, and then rotate backwards to drive the disinfection box to move upwards to an initial position, so that the operation is circulated; the stirring structure is configured to rotate synchronously along with the positive and negative rotation of the driving structure, so that the disinfectant rotates to impact instruments in the disinfection box.

As a preferred technical scheme: the driving structure comprises a driving motor and a driving shaft; the driving motor is arranged at the upper end of the disinfection chamber, the driving shaft is arranged at the center of the disinfection chamber, and the driving shaft is connected with the driving motor; and the driving shaft is also provided with a spiral groove; a sleeve is also arranged at the center of the disinfection box; the sleeve is fixedly connected with the bottom of the disinfection box to keep sealing and is consistent with the disinfection box in height; the inner side of the sleeve is provided with a sliding block which is slidably matched and arranged with the spiral groove, so that the driving shaft rotates forwards and backwards and drives the sleeve to move up and down in a reciprocating manner.

Further preferred technical solution: the stirring structure comprises a gear, a gear ring, a stirring rod and stirring blades; the gear is arranged on the driving shaft; the gear ring is rotatably arranged at the upper end of the disinfection chamber and is in meshing transmission with the gear; the puddler is a plurality of annular evenly distributed, and is L type structure, puddler one end is connected fixedly, the other end is connected with the ring gear stirring vane.

Further preferred technical scheme: the upper end of the disinfection chamber is provided with a box cover, and the box cover is also provided with a box door capable of being opened and closed; the driving motor is arranged at the upper end of the box cover; the lower end of the box cover is also provided with annularly distributed grooves which are of T-shaped structures; and the gear ring is also provided with a connecting rod, and the connecting rod and the groove can be installed in a matching way in a sliding way.

As a preferred technical scheme: the storage box in the storage mechanism is of a nine-square grid structure with three transverse rows and three columns; and the plurality of cartridges are labeled in order as X1Y1, X2Y1, X3Y1 based on the XY coordinate system; X1Y2, X2Y2, X3Y 2; X1Y3, X2Y3, X3Y 3.

Further preferred technical scheme: the storage mechanism further comprises an LED display screen; the LED display screen is internally provided with a control panel, and the control panel carries storage box label position information, surgical instrument name information, instrument image display information and instrument use introduction information in the box.

Further preferred technical scheme: still be equipped with the telescopic high definition on the stage body and visit lamp magnifying glass, the high definition is visited lamp magnifying glass and is linked to each other with the LED display screen to make small position enlarge and the video picture on the LED display screen in the operation.

As a preferred technical scheme: the number of the universal wheels is four; six fixing rods are uniformly distributed; the fixed rod adopts an electric hydraulic lifting rod, and the lower part of the table body is provided with a control switch connected with the fixed rod.

As a preferred technical scheme: the guide structure comprises a long key and a key slot; the long key sets up in the storage box lateral wall, the keyway sets up in the mounting groove lateral wall, and long key and keyway matching installation.

As a preferred technical scheme: the output end of the impurity pipe is connected with an impurity recovery box and is used for cleaning waste scraps, waste soft tissues and residues; the output end of the waste water pipe is connected with the waste liquid tank and used for collecting, recycling and reprocessing waste liquid for cleaning surgical instruments.

The invention has the beneficial effects that:

1. the operation workbench is provided with the moving and fixing structure, so that the mobility of the device is improved, and the stability of the operation workbench when the operation workbench is moved to a position required to be appointed by an operation is ensured; the four universal wheels are arranged, so that the moving convenience is guaranteed, and the six uniformly distributed electric hydraulic lifting rods are arranged, so that the stability is enhanced; the intelligent control of the electric hydraulic lifting rod is realized through the control switch which is electrically connected; meanwhile, the height of the workbench can be adjusted to a certain extent by utilizing the electro-hydraulic lifting rod so as to adapt to the body height of a main doctor and ensure the high efficiency in the operation process;

2. the operating table is further provided with a storage mechanism, so that the intelligent degree of the operating table is improved, and the safety and the sterile environment of the cardiac surgical instruments are stored; the storage box can be lifted, and adaptive surgical instruments are embedded in the storage box in a clamping manner to prevent shaking; and the plurality of cartridges are labeled in order as X1Y1, X2Y1, X3Y1 based on the XY coordinate system; X1Y2, X2Y2, X3Y 2; X1Y3, X2Y3, X3Y 3; the LED display screen is directly displayed; furthermore, on the basis that the control panel carries label position information of the storage box, name information of surgical instruments in the box, instrument image display information and instrument use introduction information, the intelligent degree of the storage of the surgical instruments is improved; according to the requirements of different symptoms of the cardiac surgery, in the operation preparation stage, the required surgical instruments are selected, and the corresponding lifting rods of the surgical instruments are lifted for standby; a telescopic high-definition probe lamp magnifier is further arranged to be aligned to the operation position, and the image is amplified and displayed on an LED display screen, so that the operation of a main operating doctor is more convenient;

3. the workbench is further provided with a filtering mechanism, so that a main diagnostician directly places used surgical instruments in a treatment tank in the operation process, and then a spray head starts to spray water to wash the surgical instruments with blood or soft tissues with scraps; then the waste tissue or residue can enter a filter pipe along with water flow, most of the washed mixed liquid flow enters a waste water pipe, and the part of the filtered waste and residue is sent to an impurity pipe through arranging an inclined screen and a vibrator at the joint of the waste water pipe and the impurity pipe to wait for centralized harmless treatment; the wastewater in the wastewater pipe can be filtered through HEPA air filter cotton and the like and then recycled, so that the aim of saving resources is fulfilled, the progress of the operation is greatly improved, and the tidiness of the surgical instruments on the dry workbench is ensured;

4. the worktable enables the cleaned instruments for the cardiac surgery to be placed in a disinfection box in a disinfection chamber by further arranging a disinfection mechanism, further realizing the up-and-down reciprocating motion of the box body under the operation of the positive and negative rotation of the driving motor, realizing the continuous scouring of the surgical instruments in the process that the stirring structure drives the disinfectant to stir in the positive and negative rotation, further realizing the surgical instruments in the disinfection box, while moving up and down for disinfection, the utility model is also impacted by the rotation of the disinfectant water flow, thereby greatly improving the disinfection effect of the surgical instruments, then the staff dries the surgical instruments after will disinfecting, and the storage is placed in the surgical instruments storage box that corresponds can, has further improved the workstation and has collected storage, washing, disinfect the high-efficient operation form as an organic whole to surgical instruments, has improved the practicality and the high efficiency of this operation workstation greatly.

Drawings

In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly described below, and it is obvious that the drawings in the following description are only some embodiments of the present invention, and for those skilled in the art, other drawings can be obtained according to these drawings without creative efforts.

FIG. 1 is a perspective view of the overall construction of the present invention;

FIG. 2 is a left side view of FIG. 1;

FIG. 3 is a cross-sectional view taken along line A-A of FIG. 2;

FIG. 4 is an enlarged view of the structure of the portion D in FIG. 3;

FIG. 5 is a cross-sectional view taken along line B-B of FIG. 2;

FIG. 6 is an enlarged view of the structure of the portion E in FIG. 5;

FIG. 7 is an enlarged view of the structure of the portion F in FIG. 5;

FIG. 8 is a cross-sectional view taken along line C-C of FIG. 2;

FIG. 9 is a perspective view of a portion of the storage mechanism of the present invention;

FIG. 10 is a moving state diagram of the moving and fixing structure of the present invention;

FIG. 11 is a state view of the fixation structure of the present invention;

fig. 12 is a perspective view of a part of the sterilizing mechanism of the present invention.

In the figure: 1. a stage body; 11. a nurse assistance area; 12. a main diagnosis operation area; 13. a sterile area; 14. a high-definition lamp-detecting magnifier; 2. moving and fixing the structure; 21. a universal wheel; 22. fixing the rod; 23. a control switch; 3. a storage mechanism; 31. a storage box; 32. a lifting rod; 33. mounting grooves; 34. an LED display screen; 4. a filtering mechanism; 41. a treatment tank; 42. a water storage tank; 43. a spray head; 44. a filter tube; 45. a contamination tube; 46. a waste pipe; 47. screening a screen; 48. a vibrator; 49. an impurity recovery tank; 410. a waste liquid tank; 5. a sterilizing mechanism; 51. a sterilizing chamber; 52. a sterilizing box; 53. a drive structure; 54. a stirring structure; 55. an end cap; 56. a through hole; 57. a box cover; 58. a box door; 59. a groove; 6. a guide structure; 61. a long key; 62. a keyway; 71. a drive motor; 72. a drive shaft; 73. a helical groove; 74. a sleeve; 75. a slider; 81. a gear; 82. a ring gear; 83. a stirring rod; 84. a stirring blade; 85. a connecting rod.

Detailed Description

The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.

In the description of the present invention, it should be noted that unless otherwise explicitly stated or limited, the terms "mounted," "connected" and "disposed" are to be construed broadly and can be, for example, fixedly connected, disposed, detachably connected, disposed or integrally connected and disposed. The specific meanings of the above terms in the present invention can be understood in a specific case to those of ordinary skill in the art.

Example 1: as shown in fig. 1-12:

an efficient operation workbench for cardiac surgery comprises a workbench body 1, a moving and fixing structure 2, a storage mechanism 3, a filtering mechanism 4 and a disinfecting mechanism 5. The table body 1 is of a rectangular structure distributed from left to right, and the upper end surface of the table body is provided with a nurse auxiliary area 11 and a main operation area 12 which are positioned at the left side, and a disinfection area 13 which is positioned at the right side; in the present embodiment, the nurse assistance area 11 is provided on the rear left side; the corresponding operation area belongs to a nurse station operation area; the main operation region 12 is disposed at the left front side and corresponds to an operation core region belonging to a main doctor. The sterilizing area 13 is arranged at the right side of the end surface of the table body, and a drying chamber is arranged at one side of the sterilizing chamber in the sterilizing area 13 of the table body 1, so that the sterilized surgical instruments can be dried conveniently. So set up, improved the accurate regional planning of this heart surgery operation workstation, and then improved the work efficiency of operation.

The moving and fixing structure 2 is arranged below the table body 1 and comprises universal wheels 21 and a fixing rod 22. The universal wheels 21 are disposed on the lower end surface of the table body 1 and are uniformly distributed. The fixed rods 22 are of a telescopic lifting structure and are arranged on the inner side of the universal wheel 21, and a plurality of fixed rods 22 are uniformly distributed; and the fixing rod 22 is contracted when the workbench is in a moving state; in the fixed state, the fixing lever 22 is pushed up and kept higher than the height of the universal wheel 21. In the present embodiment, the number of the universal wheels 21 is four; six fixing rods 22 are uniformly distributed; the fixing rod 22 is an electro-hydraulic lifting rod, and a control switch 23 connected with the fixing rod 22 is arranged at the lower part of the table body 1. This operation workstation moves solid structure 2 through the setting, has improved the mobility of this workstation, has guaranteed the steadiness of this operation workstation when removing the operation needs assigned position again simultaneously. In addition, the starting power supply required in this embodiment is connected to an external power supply through the power line of the whole workbench.

As shown in fig. 10-11: in the embodiment, four universal wheels 21 are arranged, so that the moving convenience is ensured, and six electric hydraulic lifting rods 22 are uniformly distributed, so that the stability is enhanced; the intelligent control of the electro-hydraulic lifting rod is realized through the control switch 23 which is electrically connected; meanwhile, the height of the workbench can be adjusted to a certain extent by utilizing the electro-hydraulic lifting rod so as to adapt to the body height of a main doctor and ensure the high efficiency in the operation process.

As shown in fig. 3: the storage mechanism is disposed in the nurse assistance area 11, and includes a storage box 31 and a lift lever 32. The table body 1 is also provided with a plurality of uniformly distributed mounting grooves 33; the storage box 31 is arranged in the mounting groove 33 in a way that the storage box can move up and down, and a clamping groove matched with the cardiac surgical instrument is arranged in the storage box. The storage box 31 is also provided with a box cover which is easy to open. As shown in fig. 9: in the present embodiment, the storage box 31 in the single mounting groove 33 may be multi-layered; i.e. a plurality of the same type of cardiac surgical instruments can be placed, with the single storage and 31 of each layer being in a pull configuration. One end of the lifting rod 32 is arranged at the bottom of the mounting groove 33, and the other end is connected with the storage box 31. The lifting rod 32 is connected with the control panel through arrangement, and intelligent control lifting is achieved based on the LED display screen. A guide structure 6 is further disposed between the storage box 31 and the mounting groove 33, so that the storage box 31 can move up and down accurately and be limited. In the present embodiment, the guide structure 6 includes a long key 61 and a key groove 62; the long key 61 is disposed on the outer sidewall of the storage box 31, the key slot 62 is disposed on the sidewall of the mounting slot 33, and the long key 61 and the key slot 62 are installed in a matching manner. So set up, improved elevating movement's position accuracy, guaranteed the convenience that surgical instruments taken.

As shown in fig. 1: the mounting slot 33 and the storage box 31 in the storage mechanism 3 are of a matched three-transverse three-column squared figure structure. And the plurality of storage cartridges 31 are labeled in sequence on the basis of the XY coordinate system of the longitudinal and transverse distribution as X1Y1, X2Y1, X3Y 1; X1Y2, X2Y2, X3Y 2; X1Y3, X2Y3, X3Y 3. The storage mechanism 3 further comprises an LED display screen 34; a control panel is arranged in the LED display 34, and the control panel carries the label position information of the storage box 31, the name information of the surgical instruments in the box, the display information of the instrument images and the instrument use introduction information. Still be equipped with telescopic high definition on the stage body 1 and visit lamp magnifying glass 14, under the 14 initial conditions of lamp magnifying glass is visited to the high definition, be connected with the stage body inlay card, and one end is equipped with the flexible rope that stretches, keeps nimble portable tensile use. The high-definition probe lamp magnifier 14 is connected with the LED display screen 34 through an electric wire, so that a tiny position in the operation is enlarged and displayed on the LED display screen 34, a doctor can check the operation conveniently, and the accuracy of the operation is improved.

In the embodiment, a position module for recording the position points of the coordinate system of the storage box, a name recording module for recording the names of the surgical instruments in the corresponding storage box, an image display module for uploading and displaying images of the real-scene cardiac surgical instruments, and an explanation module for explaining the use scenes of the surgical instruments and the corresponding symptoms are integrated on the control board. So set up, improved the intelligent operation development of this workstation, prevent to appear the nursing staff because surgical instruments is various, and then cause the phenomenon of the error of taking, further improved the security of operation process.

This operation workstation further sets up stores mechanism 3, has improved the intelligent degree of this workstation to and the security and the sterile environment of storage heart surgical instruments. The storage box 31 of specifically setting up a plurality of equipartitions, storage box 31 liftable, when not using, it is internal that the shrink advances the platform, through clicking the corresponding coordinate system position point on the LED display screen 34 during the use, realizes that intelligence controls the operation of going up and down. The surgical instruments of inside inlay card installation adaptation of storage box 31 prevent that the apparatus from rocking. Marking the storage boxes with labels in sequence based on an XY coordinate system, and visually displaying the labels on the LED display screen; is convenient for the main doctor to operate.

And then on the basis that the control panel carries storage box label position information, surgical instrument name information, instrument image display information and instrument use introduction information in the box, the intelligent degree of the storage of the surgical instrument is improved. And according to the requirements of different diseases of the cardiac surgery, the nurse is reminded to select the required surgical instrument in the operation preparation stage, so that the corresponding lifting rod is lifted, and the surgical instrument is taken out for standby. And further set up telescopic high definition and visit lamp magnifying glass, aim at the operation position to enlarge the video picture on the LED display screen, be convenient for more that the operation owner diagnostician accurately manipulates the sword.

The filtering mechanism 4 is disposed in the main operation region 12, and includes a treatment tank 41, a water storage tank 42, a spray head 43, a filtering pipe 44, an impurity pipe 45, and a waste water pipe 46. As shown in fig. 8. The cross section of the treatment tank 41 is in a trapezoidal groove structure with a large end at the upper part and a small end at the lower part. The water storage tank 42 is arranged in the table body 1, and the spray head 43 is arranged at the upper end of the treatment pool 41 and is connected with the water storage tank 42 through a pipeline. In this embodiment, a weighing sensor is further disposed at the bottom end of the treatment tank 41, a water pump is further disposed in the water storage tank 42, and the water pump is connected to the weighing sensor, so that when a doctor places a used surgical instrument in the treatment tank 41, the weighing sensor senses a signal and transmits the signal to the water pump, and the instrument with blood or waste tissue is started to automatically flush the surgical instrument.

The filtering pipe 44 is disposed at the lowest end of the treating tank 41 and extends downward; the upper end of the filter tube 44 is provided with a filter screen, so that the purpose of placing the surgical instrument to slide down is achieved, and meanwhile, the mesh is ensured to be large enough, and the waste soft tissue or other cardiovascular surgical excision objects are not blocked. The filtering pipe 44, the impurity pipe 45 and the waste water pipe 46 are distributed in an inverted Y shape, a screen 47 which is distributed obliquely is further arranged on one side of the waste water pipe 46, and a vibrator 48 is arranged below the screen 47. The output end of the impurity pipe 45 is connected with an impurity recovery box 49 and is used for cleaning waste scraps, waste soft tissues and residues; the output end of the waste water pipe 46 is connected with a waste liquid tank 410 for collecting, recovering and reprocessing the waste liquid for cleaning the surgical instruments. So set up, improved holistic operation and abluent efficiency of ending to the clean degree of disinfection of surgical instruments secondary use has been guaranteed.

The workbench is provided with the filtering mechanism 4, so that a main doctor directly places used surgical instruments in the treatment pool 41 in the operation process, and then the spray head 43 starts to spray water to wash the surgical instruments with blood or soft tissues with scraps. The debris tissue or debris then enters the filter tube 44 with the water flow, and the flushed mixed flow enters mostly the waste tube 46, with a very small portion of the water flow entering the dirt tube 45. The residue and the like can be blocked by the screen, and then the scraps and the residue are sent into an impurity pipe through the vibrator to wait for centralized harmless treatment. And waste water in the waste water pipe can filter and then recycle through filtration structures such as HEPA air filtration cotton that set up in intraductal, has realized resources are saved's purpose, and then has improved the progress of operation greatly, has guaranteed the clean and tidy nature of surgical instruments on dry workstation.

As shown in fig. 5-7: the sterilizing mechanism 5 is disposed in the sterilizing zone 13 and includes a sterilizing chamber 51, a sterilizing box 52, a driving mechanism 53, and a stirring mechanism 54. The disinfection chamber 51 is arranged in the table body 1, is of a concave structure, and is provided with an end cover. The sterilization case 52 is coaxially disposed within the sterilization chamber 51 and is provided with a detachable end cap 55. The outer side wall of the disinfection box 52 is provided with a plurality of through holes 56 which are evenly distributed, and the bottom wall of the disinfection box is also provided with a plurality of through holes which are evenly distributed, so that disinfection liquid medicine enters the box to carry out impact disinfection treatment on surgical instruments. The middle part in the disinfection box 52 is also provided with a filter screen for placing surgical instruments, which is convenient for the disinfection solution to be washed from the upper and lower directions. The driving structure 53 is configured to rotate forward to drive the disinfection box 52 to move downward to a preset position, and then rotate backward to drive the disinfection box 52 to move upward to an initial position, so as to perform a circulating operation; the agitation structure 54 is configured to rotate synchronously with the forward and reverse rotation of the driving structure 53, so that the disinfecting liquid rotates to impact the instruments in the disinfecting box 52. By the arrangement, the phenomenon of incomplete disinfection caused by direct soaking of the traditional surgical instruments in the disinfectant is avoided, and the disinfection of the disinfectant on the instruments for the cardiac surgery in 360-degree dead angles is improved. In this embodiment, the sterilization mechanism of the table is not only used for sterilization and disinfection of the cardiac surgical instruments during the operation, but also used for sterilization and disinfection of the cardiac surgical instruments during the non-operation.

As shown in fig. 12: in the present embodiment, the driving structure 53 includes a driving motor 71 and a driving shaft 72. The driving motor 71 is disposed at the upper end of the sterilizing chamber 51, and the driving motor 71 is a servo motor. The driving shaft 72 is rotatably provided at the center of the sterilizing compartment 51, and the driving shaft 72 is connected to the driving motor 71, and the lower end of the driving shaft 72 is rotatably connected to the bottom wall of the sterilizing compartment 51 through a bearing. A spiral groove 73 is also arranged on the driving shaft 72, and a sleeve 74 is also arranged at the center of the disinfection box 52; the sleeve 74 is fixedly connected with the bottom of the disinfection box 52 to keep sealing and is consistent with the height of the disinfection box 52; the sleeve 74 and the body of the sterilization case 52 are of an integral structure. The inner side of the sleeve 74 is provided with a slide block 75, and the slide block 75 and the spiral groove 73 are slidably matched and installed to form a structure of a 'lead screw nut', so that the driving shaft 72 rotates forward and backward, and the sleeve 74 is driven to reciprocate up and down.

In the present embodiment, the stirring structure 54 includes a gear 81, a ring gear 82, a stirring rod 83, and a stirring blade 84. The gear 81 is provided on the drive shaft 72; rotates synchronously with the drive shaft 72. The gear ring 82 is rotatably arranged at the upper end of the disinfection chamber 51 and is in meshing transmission with the gear 81; the stirring rods 83 are a plurality of annular and evenly distributed and are of L-shaped structures, one end of each stirring rod 83 is fixedly connected with the gear ring 82, and the other end of each stirring rod 83 is connected with the stirring blade 84. So set up, form drive shaft 72 and drive stirring vane 84 through the driven form of gear engagement and carry out the positive and negative rotation motion, and then realize driving the antiseptic solution in the disinfection room and rotate the reversal after the corotation earlier, constantly strike the surgical instruments in the disinfection box, realize more thoroughly and clean disinfection.

In this embodiment, a box cover 57 is provided at the upper end of the sterilizing chamber 51, and a box door 58 capable of being opened and closed is further provided on the box cover 57; through chamber door 58, realize convenient surgical instruments of taking, sealed effect when guaranteeing the disinfection simultaneously. The driving motor 71 is arranged at the upper end of the box cover 57, the lower end face of the box cover 57 is also provided with grooves 59 which are distributed annularly, and the grooves 59 are of T-shaped structures; the gear ring 82 is also provided with a connecting rod 85, and the connecting rod 85 is slidably matched and mounted with the groove 59. By the arrangement, not only is stable support of the gear ring 82 realized, but also the rotating effect of the gear ring is ensured.

The working process is as follows:

in the initial state, the electric hydraulic lifting rod 32 is retracted, the universal wheel 21 plays a leading role, and a worker can conveniently push the operation workbench to move, so that the maneuverability of the device is improved. After reaching the designated position in the operating room, the working personnel start the electric hydraulic lifting rod 32 through the control switch 23, and the intelligent control lifting of the electric hydraulic lifting rod 32 is realized; at this time, the height of the electro-hydraulic lifting rod 32 is larger than that of the universal wheel 21, and the electro-hydraulic lifting rod 32 plays a leading role, so that the stability of the operation workbench when the operation workbench is moved to a position required to be specified in an operation is ensured. Meanwhile, the height of the workbench can be adjusted to a certain extent by utilizing the electric hydraulic lifting rod 32 so as to adapt to the body height of a main doctor.

In the initial state, the sterilized cardiac surgical instrument is already placed in the storage box 31. After the operation workbench is adjusted, according to the type of the cardiac surgery operation on the same day and on the spot, the information on the LED display screen 34 is combined, namely, the storage boxes 31 are marked with the labels of X1Y1, X2Y1 and X3Y1 in sequence on the basis of the XY coordinate system; X1Y2, X2Y2, X3Y 2; X1Y3, X2Y3, X3Y3, and appear on the LED display screen 34 directly. And further on the basis of the label position information of the control board carrying the storage box 31, the name information of the surgical instruments in the box, the instrument image display information and the instrument use introduction information. And selects the required surgical instruments to lift the corresponding storage boxes 31 and lifting rods 32 for standby of the instruments in the preparation phase of the operation according to the requirements of different conditions of the cardiac surgery. And further set up telescopic high definition and visit lamp magnifying glass 14, when the operation, the staff aims at corresponding operation position according to the preschool doctor instruction to enlarge the video picture on LED display screen 34, the accurate sword of controlling of the preschool doctor of operation of being convenient for more.

Practical operation examples of the operation are as follows: placed in X3Y1 labeled storage box 31 are cardiotomy scissors; placed in box 31, labeled X2Y2, is an aortic hemostat; placed in box 31 labeled X3Y3 is a vascular retractor; all are the required apparatus of this field of operation, and at the operation preparation stage, the staff just starts corresponding lifter 32 according to the information display and the control of LED display screen 34, rises corresponding storage box 31 to wait for the very first time of operation to transmit to the main doctor.

Further, during surgery, the main clinician places the used surgical instruments directly in the disposal basin 41, which may tend to be bloody or carry waste tissue. Then the water pump is started, and the spray head 43 starts spraying water to wash the surgical instruments with blood or tissues with waste scraps. Then the waste tissue or residue enters the filter pipe 44 along with the water flow, most of the flushed mixed liquid enters the waste water pipe 46, the connection part of the waste water pipe 46 and the impurity pipe 45 passes through the inclined screen 47 and the vibrator 48, and the partially filtered waste and residue are sent to the impurity pipe 45, collected by the impurity recovery box 49 in a centralized manner and wait for the subsequent centralized harmless treatment of medical waste. And the waste water in the waste water pipe 46 may be filtered by HEPA air filter cotton or the like and then recovered and reused in the waste liquid tank 410.

Further, the worker moves and places the cleaned instrument for cardiac surgery in the treatment tank 41 in the sterilizing box 52 in the sterilizing chamber 51, covers the end cap 55, and then activates the driving motor 71. Further, under the normal rotation operation of the driving motor 71, the driving shaft 72 rotates forward synchronously, and the sterilizing box 52 moves downward fast under the cooperation of the structure of the screw nut.

At the same time, the driving shaft 72 will also drive the rotation of the stirring rod 83 and the stirring blade 84 through the cooperation of the gear 81 and the gear ring 82. Then the stirring blade 84 will drive the disinfecting liquid to rotate to form a clockwise rotating water flow, so that the clockwise rotating water flow will continuously penetrate through the through hole 56 to impact the surgical instruments in the disinfecting box 52 which continuously moves downwards, thereby realizing the continuous washing of the surgical instruments. Then, when the disinfection box 52 moves down to the preset position, the driving motor 71 is started to rotate reversely, so that the driving shaft 72 rotates reversely to drive the disinfection box 52 to ascend, and the stirring blade 84 drives the disinfection solution to rotate counterclockwise. The flow rotation and stoppage have a hysteresis, in which the lagging clockwise rotating flow of sterilization fluid collides with the tendency of the counterclockwise rotating stirring rod 83 and stirring blade 84 to move, while the sterilization case 52 is still moving, to provide the best impact and sterilization effect on the surgical instruments. Finally, all the anticlockwise rotating disinfection liquid flow is formed, the ascending surgical instruments are continuously impacted, and the disinfection of the surgical instruments without dead angles in 360 degrees is completed.

Finally the staff dries the surgical instruments after will disinfecting, the storage place correspond surgical instruments storage box 31 can, further improved the workstation to surgical instruments collection storage, washing, disinfect disinfection high-efficient operation form as an organic whole, improved the practicality and the high efficiency of this operation workstation greatly.

The above description is only for the purpose of illustrating the preferred embodiments of the present invention and should not be taken as limiting the scope of the present invention, which is intended to cover any modifications, equivalents, improvements, etc. within the spirit and scope of the present invention.

Claims

1. The utility model provides a heart surgery is with high-efficient type operation workstation which characterized in that: comprises a table body (1), a moving and fixing structure (2), a storage mechanism (3), a filtering mechanism (4) and a disinfecting mechanism (5);

the table body (1) is distributed in the left-right direction, and the upper end face of the table body is provided with a nurse auxiliary area (11) and a main operation area (12) which are positioned on the left side, and a disinfection area (13) which is positioned on the right side;

the moving and fixing structure (2) is arranged below the table body (1) and comprises universal wheels (21) and a fixing rod (22); the universal wheels (21) are arranged on the lower end face of the table body (1) and are uniformly distributed; the fixing rods (22) are of telescopic structures and are arranged on the inner sides of the universal wheels (21), and the fixing rods (22) are uniformly distributed; and the fixing rod (22) is contracted when the workbench is in a moving state; in a fixed state, the fixed rod (22) jacks up and keeps the height larger than that of the universal wheel (21);

the storage mechanism (3) is arranged in the nurse auxiliary area (11) and comprises a storage box (31) and a lifting rod (32); the table body (1) is also provided with a plurality of uniformly distributed mounting grooves (33); the storage box (31) is arranged in the mounting groove (33) in a way of moving up and down, and a clamping groove matched with a cardiac surgical instrument is arranged in the storage box; one end of the lifting rod (32) is arranged at the bottom of the mounting groove (33), and the other end of the lifting rod is connected with the storage box (31); a guide structure (6) is arranged between the storage box (31) and the mounting groove (33) so that the storage box (31) can accurately move up and down and is limited;

the filtering mechanism (4) is arranged in the main operation region (12) and comprises a treatment pool (41), a water storage tank (42), a spray head (43), a filtering pipe (44), an impurity pipe (45) and a waste water pipe (46); the cross section of the treatment tank (41) is of a trapezoidal structure with a large end at the upper part and a small end at the lower part; the water storage tank (42) is arranged in the table body (1), and the spray head (43) is arranged at the upper end of the treatment pool (41) and is connected with the water storage tank (42) through a pipeline; the filter pipe (44) is arranged at the lowest end of the treatment tank (41) and extends downwards; the filter pipe (44), the impurity pipe (45) and the waste water pipe (46) are distributed in an inverted Y shape, a screen (47) which is distributed obliquely is further arranged on one side of the waste water pipe (46), and a vibrator (48) is arranged below the screen (47);

the disinfection mechanism (5) is arranged in the disinfection area (13) and comprises a disinfection chamber (51), a disinfection box (52), a driving structure (53) and a stirring structure (54), and the disinfection chamber (51) is arranged in the table body (1); the disinfection box (52) is coaxially arranged in the disinfection chamber (51) and is provided with a detachable end cover (55); a plurality of through holes (56) are uniformly distributed on the outer side wall of the disinfection box (52) so that disinfection liquid medicine enters the box to disinfect surgical instruments; the driving structure (53) is configured to rotate forward to drive the disinfection box (52) to move downwards to a preset position, and then rotate backward to drive the disinfection box (52) to move upwards to an initial position, so as to perform circular operation; the stirring structure (54) is configured to rotate synchronously with the forward and reverse rotation of the driving structure (53), so that the disinfectant rotates to impact the instruments in the disinfection box (52).

2. A surgical table of high efficiency for cardiac surgery according to claim 1, characterized by: the drive structure (53) comprises a drive motor (71) and a drive shaft (72); the driving motor (71) is arranged at the upper end of the disinfection chamber (51), the driving shaft (72) is arranged at the center of the disinfection chamber (51), and the driving shaft (72) is connected with the driving motor (71); and the driving shaft (72) is also provided with a spiral groove (73); a sleeve (74) is also arranged at the center of the disinfection box (52); the sleeve (74) is fixedly connected with the bottom of the disinfection box (52) to keep sealing and is consistent with the disinfection box (52) in height; the inner side of the sleeve (74) is provided with a sliding block (75), and the sliding block (75) and the spiral groove (73) are slidably matched and installed, so that the driving shaft (72) rotates forwards and backwards and drives the sleeve (74) to move up and down in a reciprocating mode.

3. A surgical table of high efficiency for cardiac surgery as defined in claim 2, wherein: the stirring structure (54) comprises a gear (81), a gear ring (82), a stirring rod (83) and a stirring blade (84); the gear (81) is arranged on the driving shaft (72); the gear ring (82) is rotatably arranged at the upper end of the disinfection chamber (51) and is in meshing transmission with the gear (81); puddler (83) are a plurality of for annular evenly distributed, and are L type structure, puddler (83) one end is connected fixedly, the other end is connected with ring gear (82) stirring vane (84).

4. A high efficiency surgical table for cardiac surgery as defined in claim 3, wherein: a box cover (57) is arranged at the upper end of the disinfection chamber (51), and a box door (58) capable of being opened and closed is also arranged on the box cover (57); the driving motor (71) is arranged at the upper end of the box cover (57); the lower end face of the box cover (57) is also provided with grooves (59) which are distributed annularly, and the grooves (59) are of T-shaped structures; and the gear ring (82) is also provided with a connecting rod (85), and the connecting rod (85) and the groove (59) are slidably matched and mounted.

5. A surgical table of high efficiency for cardiac surgery according to claim 1, characterized by: the storage box (31) in the storage mechanism (3) is of a three-transverse three-row Sudoku structure; and a plurality of storage cartridges (31) are labeled in order with the numbers X1Y1, X2Y1, X3Y1 … X1Y3, X2Y3, X3Y3 based on the XY coordinate system.

6. A high efficiency surgical table for cardiac surgery as defined in claim 5, wherein: the storage mechanism (3) further comprises an LED display screen (34); a control panel is arranged in the LED display screen (34), and the control panel carries label position information of the storage box (31), name information of surgical instruments in the box, instrument image display information and instrument use introduction information.

7. A surgical table of claim 6, wherein: still be equipped with telescopic high definition on stage body (1) and visit lamp magnifying glass (14), high definition is visited lamp magnifying glass (14) and is linked to each other with LED display screen (34) to small position enlargies and the video picture on LED display screen (34) in making the operation.

8. A high efficiency surgical table for cardiac surgery as defined in claim 1, wherein: the number of the universal wheels (21) is four; six fixing rods (22) are uniformly distributed; the fixed rod (22) adopts an electric hydraulic lifting rod (32), and the lower part of the table body (1) is provided with a control switch (23) connected with the fixed rod (22).

9. A high efficiency surgical table for cardiac surgery as defined in claim 1, wherein: the guide structure (6) comprises a long key (61) and a key groove (62); the long key (61) is arranged on the outer side wall of the storage box (31), the key groove (62) is arranged on the side wall of the mounting groove (33), and the long key (61) is matched with the key groove (62) for mounting.

10. A high efficiency surgical table for cardiac surgery as defined in claim 1, wherein: the output end of the impurity pipe (45) is connected with an impurity recovery box (49) and used for cleaning scraps, waste soft tissues and residues; the output end of the waste water pipe (46) is connected with a waste liquid tank (410) and is used for collecting, recycling and retreating waste liquid for cleaning surgical instruments.