CN116849759A - Clinical stone device of getting - Google Patents
Clinical stone device of getting Download PDFInfo
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- CN116849759A CN116849759A CN202310821541.XA CN202310821541A CN116849759A CN 116849759 A CN116849759 A CN 116849759A CN 202310821541 A CN202310821541 A CN 202310821541A CN 116849759 A CN116849759 A CN 116849759A
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- 239000004575 stone Substances 0.000 title claims abstract description 71
- 230000007246 mechanism Effects 0.000 claims abstract description 29
- 210000000013 bile duct Anatomy 0.000 claims abstract description 24
- 230000009471 action Effects 0.000 description 6
- 230000005540 biological transmission Effects 0.000 description 6
- 230000033001 locomotion Effects 0.000 description 5
- 230000000694 effects Effects 0.000 description 4
- 238000000034 method Methods 0.000 description 3
- 238000001356 surgical procedure Methods 0.000 description 3
- 206010004637 Bile duct stone Diseases 0.000 description 2
- 208000027418 Wounds and injury Diseases 0.000 description 2
- 230000006378 damage Effects 0.000 description 2
- 201000010099 disease Diseases 0.000 description 2
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 2
- 238000006073 displacement reaction Methods 0.000 description 2
- 208000014674 injury Diseases 0.000 description 2
- 238000012544 monitoring process Methods 0.000 description 2
- 125000003003 spiro group Chemical group 0.000 description 2
- 208000007788 Acute Liver Failure Diseases 0.000 description 1
- 206010000804 Acute hepatic failure Diseases 0.000 description 1
- 201000009331 Choledocholithiasis Diseases 0.000 description 1
- 206010016654 Fibrosis Diseases 0.000 description 1
- 208000031481 Pathologic Constriction Diseases 0.000 description 1
- 210000001015 abdomen Anatomy 0.000 description 1
- 231100000836 acute liver failure Toxicity 0.000 description 1
- 230000004075 alteration Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 201000001883 cholelithiasis Diseases 0.000 description 1
- 230000007882 cirrhosis Effects 0.000 description 1
- 208000019425 cirrhosis of liver Diseases 0.000 description 1
- 238000000605 extraction Methods 0.000 description 1
- 210000002603 extrahepatic bile duct Anatomy 0.000 description 1
- 210000000232 gallbladder Anatomy 0.000 description 1
- 230000036541 health Effects 0.000 description 1
- 208000006454 hepatitis Diseases 0.000 description 1
- 231100000283 hepatitis Toxicity 0.000 description 1
- 231100000844 hepatocellular carcinoma Toxicity 0.000 description 1
- 206010073071 hepatocellular carcinoma Diseases 0.000 description 1
- 210000003228 intrahepatic bile duct Anatomy 0.000 description 1
- 230000003902 lesion Effects 0.000 description 1
- 210000004185 liver Anatomy 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 230000036262 stenosis Effects 0.000 description 1
- 208000037804 stenosis Diseases 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 208000024891 symptom Diseases 0.000 description 1
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B17/22031—Gripping instruments, e.g. forceps, for removing or smashing calculi
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/361—Image-producing devices, e.g. surgical cameras
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical 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
- A61B18/1206—Generators therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B17/22031—Gripping instruments, e.g. forceps, for removing or smashing calculi
- A61B2017/22034—Gripping instruments, e.g. forceps, for removing or smashing calculi for gripping the obstruction or the tissue part from inside
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00529—Liver
- A61B2018/00535—Biliary tract
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/37—Surgical systems with images on a monitor during operation
- A61B2090/373—Surgical systems with images on a monitor during operation using light, e.g. by using optical scanners
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Molecular Biology (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Public Health (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Vascular Medicine (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Pathology (AREA)
- Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)
Abstract
The invention discloses a clinical stone removing device which comprises a box body, wherein rubber pipes are penetrated through and fixedly connected to two ends of the box body, annular plates are connected to the inner wall of one end, far away from the box body, of the rubber pipes in a sliding mode, cylindrical shells are penetrated through and fixedly connected to the annular plates, threaded sleeves are fixedly connected to one ends, far away from the annular plates, of the cylindrical shells, threaded rods for driving the cylindrical shells to axially reciprocate in the rubber pipes are screwed to the threaded sleeves, one ends, far away from the threaded sleeves, of the threaded rods penetrate through the box body and are driven to rotate by a power mechanism, fixing sleeves are movably connected to the outer contour, close to one side of the annular plates, of the cylindrical shells, the fixing sleeves are fixedly connected with the rubber pipes, supporting mechanisms for supporting bile duct openings are arranged on the fixing sleeves, and a plurality of first connecting seats are fixedly connected to the outer contour of the fixing sleeves, and supporting rods for expanding the rubber pipes are connected to the first connecting seats through pin shafts in a rotating mode.
Description
Technical Field
The invention relates to the technical field of medical instruments, in particular to a clinical stone removing device.
Background
Hepatobiliary surgery is mainly used for researching major diseases such as hepatocellular carcinoma, hepatobiliary calculus, posthepatitic cirrhosis, acute liver failure caused by severe hepatitis and the like, which seriously threaten the health of people in China. The bile duct calculus is one of clinical cholelithiasis, and is divided into extrahepatic bile duct calculus and intrahepatic bile duct calculus according to the position of the calculus, and the calculus is discharged and the liver is soothing and the gallbladder is benefiting after the occurrence of the calculus as a basic treatment method, so that symptoms are relieved, the course of the disease is shortened, recurrence is reduced, and complications are avoided. In the process of treating bile duct stones, bile duct incision Dan Shu is a primary operation mode, and can be subjected to an open abdomen or laparoscopic operation, so that the method is suitable for patients with simple choledocholithiasis, unobstructed upper and lower ends of bile ducts, no stenosis or other lesions.
For this purpose, a differential pressure display device is proposed, such as a Chinese patent (patent number: CN202122065750.5, patent name: a clinical stone extraction device for hepatobiliary surgery). The existing clinical stone removing device is difficult to support the opening of the bile duct, so that stone removing difficulty is high, and secondary injury is easily caused to patients.
Disclosure of Invention
The invention aims to provide a clinical stone removing device which has the advantage of supporting the bile duct opening and solves the problems in the background technology.
In order to achieve the above purpose, the present invention provides the following technical solutions: the utility model provides a clinical stone device that gets, includes the box, the both ends of box run through and fixedly connected with rubber tube, the inner wall sliding connection who keeps away from box one end on the rubber tube has the annular plate, run through and fixedly connected with cylindricality casing on the annular plate, the one end fixedly connected with thread bush that the annular plate was kept away from to the cylindricality casing, the spiro union has the screw rod that drives cylindricality casing and carry out axial reciprocating motion in the rubber tube on the thread bush, and the one end that the thread bush was kept away from to the screw rod runs through the box and is driven by power unit and rotate, swing joint has fixed cover on the outline that the cylindricality casing is close to annular plate one side, and fixed cover and rubber tube fixed connection, be equipped with the supporting mechanism who supports bile duct opening part on the fixed cover.
Preferably, the supporting mechanism comprises a plurality of first connecting seats which are fixedly connected to the outer contour of the fixed sleeve, the supporting rods which expand the rubber tube are connected to the first connecting seats through pin shafts in a rotating mode, the miniature cameras which monitor the inside of the bile duct are fixedly connected to the supporting rods at the ends, which are far away from the first connecting seats, of the supporting rods, the second connecting seats are fixedly connected to the ends, which are close to the miniature cameras, of the supporting rods, the adjusting rods which expand or store the second connecting seats are connected to the second connecting seats through pin shafts in a rotating mode, the third connecting seats are connected to the ends, which are far away from the second connecting seats, of the adjusting rods through pin shafts in a rotating mode, and the third connecting seats are fixedly connected with the cylindrical shell.
Preferably, the inner wall sliding connection that thread bush one end was kept away from to the cylindricality casing has the cylindricality rack, the one end fixedly connected with movable rod that the cylindricality rack is close to the thread bush, the inner wall fixedly connected with that the cylindricality casing is close to cylindricality rack one end supports the backup pad of movable rod, and the one end that the movable rod kept away from the cylindricality rack runs through backup pad and sliding connection, the backup pad is connected with the reset spring that promotes the cylindricality rack towards keeping away from thread bush one end with the opposite face fixedly connected with of cylindricality rack.
Preferably, the cylindrical rack is further provided with a stone breaking mechanism for breaking stones, the stone breaking mechanism comprises a stone breaking electrode fixedly connected with one end, far away from the moving rod, of the cylindrical rack, one side, close to the annular plate, of the first connecting seat is fixedly connected with a pressing switch, and the pressing switch is electrically connected with the stone breaking electrode.
Preferably, the cylindrical shell is further provided with a clamping mechanism for grabbing stones, the clamping mechanism comprises a fourth connecting seat fixedly connected to the position, corresponding to the third connecting seat, on the outer contour of one end, far away from the threaded sleeve, of the cylindrical shell, and arc-shaped clamping jaws for grabbing stones are rotatably connected to the fourth connecting seat through pin shafts.
Preferably, the second through grooves are formed in positions, corresponding to the fourth connecting seats, on the cylindrical shell, incomplete gears are fixedly connected to one ends, close to the second through grooves, of the arc clamping jaws, and the incomplete gears penetrate through the second through grooves and are meshed with the cylindrical racks for transmission.
Preferably, the clamping mechanism further comprises a first through groove, a rubber pipe and a fixing plate are arranged at the same position on the cylindrical shell, one end, far away from the cylindrical rack, of the moving rod is fixedly connected with the fixing plate, an oval through groove is arranged on the fixing plate, a sliding rod is slidably connected with the inner wall of the oval through groove, and a fifth connecting seat is rotatably connected with the two ends of the sliding rod.
Preferably, one end of the bottom of the box body, which is close to the first through groove, is fixedly connected with a U-shaped handle, the inner wall of the U-shaped handle, which is far away from one end of the box body, is rotationally connected with a hook handle which enables the arc clamping jaw to clamp stones through a pin shaft, and one end of the hook handle, which is far away from the U-shaped handle, penetrates through the first through groove and is fixedly connected with a fifth connecting seat.
Compared with the prior art, the invention has the following beneficial effects:
through setting up supporting mechanism to the third connecting seat promotes the regulation pole and swings towards vertical direction, and the bracing piece expands under the effect of regulation pole simultaneously, then the rubber tube expands under the effect of bracing piece in step, and then makes the outer wall of rubber tube support with bile duct opening part contact.
Through the miniature camera that sets up on the bracing piece, then miniature camera is with the inside monitor picture of bile duct uploading to computer terminal and is shown to the doctor can find the calculus place directly perceivedly, thereby accurate take out the calculus.
Through setting up rubble mechanism, when keeping away from the one end of box along with the cylindricality casing and remove, then the annular plate presses down push switch, and with push switch and rubble electrode through electric connection to the rubble electrode is circular telegram and is broken up the calculus, and all is equipped with the silk screen between every two arc clamping jaw, can deposit the rubble of breaking at the inner wall of silk screen.
Through setting up fixture, along with the doctor will collude when pressing towards the one side that is close to the U-shaped handle for the movable rod pulls the cylindricality rack and carries out axial displacement towards the one end that is close to the box, and reset spring removes the shrink under the effect of cylindricality rack, thereby incomplete gear and the annular tooth meshing transmission on the cylindricality rack, then incomplete gear drive arc clamping jaw shrink, realized accomodating the stone at the inner wall of arc clamping jaw, and then avoided the problem that the stone drops.
The cooperation through above-mentioned structure is used and is solved, and clinical stone device of getting is difficult to support bile duct opening part, leads to getting the stone degree of difficulty higher, easily causes the problem of secondary injury to patient.
Drawings
FIG. 1 is a schematic perspective view of the present invention;
FIG. 2 is a schematic cross-sectional view of a three-dimensional structure of the present invention;
FIG. 3 is a schematic perspective view of a cylindrical housing according to the present invention;
FIG. 4 is a schematic view of an arc-shaped clamping jaw in a three-dimensional structure;
FIG. 5 is a schematic view of the structure of FIG. 4A according to the present invention;
FIG. 6 is a schematic cross-sectional view of the three-dimensional structure of the case of the present invention;
FIG. 7 is a schematic view of the structure of FIG. 2B according to the present invention;
FIG. 8 is a schematic view of the structure of FIG. 2 at C in accordance with the present invention;
fig. 9 is a schematic perspective view of an incomplete gear and a cylindrical rack according to the present invention.
In the figure: 1. a case; 101. a first through groove; 2. a rubber tube; 3. an annular plate; 4. a cylindrical housing; 41. a second through slot; 5. a thread sleeve; 6. a screw; 7. a fixed sleeve; 8. a first connection base; 9. a support rod; 91. a miniature camera; 10. a second connecting seat; 11. an adjusting rod; 12. a third connecting seat; 13. a fourth connecting seat; 14. arc clamping jaws; 15. an incomplete gear; 16. a cylindrical rack; 17. a moving rod; 18. a support plate; 19. a return spring; 20. a lithotripsy electrode; 21. pressing the switch; 22. a U-shaped grip; 23. a hook handle; 24. a fifth connecting seat; 25. a fixing plate; 251. oval through grooves; 26. and a slide bar.
Detailed Description
The following description of the embodiments of the present invention will be made clearly and completely with reference to the accompanying drawings, in which it is apparent that the embodiments described are only some embodiments of the present invention, but not all embodiments. All other embodiments, which can be made by those skilled in the art based on the embodiments of the invention without making any inventive effort, are intended to be within the scope of the invention.
Example 1
Referring to fig. 1 to 9, the present invention provides a technical solution: the utility model provides a clinical stone device that gets, includes box 1, the both ends of box 1 run through and fixedly connected with rubber tube 2, the inner wall sliding connection who keeps away from box 1 one end on the rubber tube 2 has annular plate 3, run through and fixedly connected with cylindricality casing 4 on the annular plate 3, the one end fixedly connected with thread bush 5 that annular plate 3 was kept away from to cylindricality casing 4, the spiro union has the screw rod 6 that drives cylindricality casing 4 and carry out axial reciprocating motion in rubber tube 2 on the thread bush 5, and the one end that thread bush 5 was kept away from to screw rod 6 runs through box 1 and is driven the rotation by power unit, swing joint has fixed cover 7 on the outline that cylindricality casing 4 is close to annular plate 3 one side, and fixed cover 7 and rubber tube 2 fixed connection, be equipped with the supporting mechanism who supports bile duct opening part on the fixed cover 7.
When the novel bile duct opening support device is used, the screw rod 6 is driven by the motor of the power mechanism to conduct fixed-axis reciprocating rotation, the annular plate 3 arranged on the rubber tube 2 is used for movably supporting the cylindrical shell 4, the threaded sleeve 5 is in threaded connection with the screw rod 6 and rotates in a reciprocating mode along with the screw rod 6, so that the threaded sleeve 5 drives the cylindrical shell 4 to conduct axial reciprocating movement on the inner wall of the rubber tube 2, the cylindrical shell 4 is axially reciprocated on the inner wall of the fixed sleeve 7 through the fixed sleeve 7, and the support mechanism arranged on the fixed sleeve 7 is used for supporting bile duct openings.
Example two
On the basis of the first embodiment, further:
the supporting mechanism comprises a plurality of first connecting seats 8 which are fixedly connected to the outer contour of a fixed sleeve 7, supporting rods 9 which expand the rubber tube 2 are connected to the first connecting seats 8 through pin shafts in a rotating mode, miniature cameras 91 which monitor the inside of the bile duct are fixedly connected to one ends of the supporting rods 9 which are far away from the first connecting seats 8, second connecting seats 10 are fixedly connected to one ends of the supporting rods 9 which are close to the miniature cameras 91, adjusting rods 11 which enable the second connecting seats 10 to expand or store are connected to the second connecting seats 10 through pin shafts in a rotating mode, third connecting seats 12 are connected to one ends of the adjusting rods 11 which are far away from the second connecting seats 10 through pin shafts in a rotating mode, and the third connecting seats 12 are fixedly connected with a cylindrical shell 4.
When the portable stone extractor is used, through the third connecting seat 12 arranged on the cylindrical shell 4, and the adjusting rod 11 arranged on the third connecting seat 12 moves along with the cylindrical shell 4 towards one end far away from the box body 1, so that the third connecting seat 12 pushes the adjusting rod 11 to swing towards the vertical direction, meanwhile, the supporting rod 9 expands under the action of the adjusting rod 11, the rubber tube 2 synchronously expands under the action of the supporting rod 9, the outer wall of the rubber tube 2 is further supported by being contacted with the opening of the bile duct, and the miniature camera 91 arranged on the supporting rod 9 uploads the monitoring picture inside the bile duct to the computer terminal for display, so that a doctor can intuitively find the position of the stone, and accurately take out the stone.
The above-mentioned miniature camera 91 refers to the apparatus disclosed in chinese patent (patent number: CN202122065750.5, patent name: a clinical stone removing device for hepatobiliary surgery), so that redundant description is omitted here.
Example III
On the basis of the second embodiment, further:
the inner wall sliding connection that cylindricality casing 4 kept away from screw thread cover 5 one end has cylindricality rack 16, the one end fixedly connected with movable rod 17 that cylindricality rack 16 is close to screw thread cover 5, the inner wall fixedly connected with that cylindricality casing 4 is close to cylindricality rack 16 one end carries out the backup pad 18 that supports movable rod 17, and the one end that cylindricality rack 16 was kept away from to movable rod 17 runs through backup pad 18 and sliding connection, backup pad 18 and the opposite face fixedly connected with of cylindricality rack 16 promote cylindricality rack 16 towards the reset spring 19 who keeps away from screw thread cover 5 one end and remove.
The cylindrical rack 16 is further provided with a stone breaking mechanism for breaking stones, the stone breaking mechanism comprises a stone breaking electrode 20 fixedly connected with one end, far away from the moving rod 17, of the cylindrical rack 16, one side, close to the annular plate 3, of the first connecting seat 8 is fixedly connected with a pressing switch 21, and the pressing switch 21 is electrically connected with the stone breaking electrode 20.
When the stone crusher is used, the reset spring 19 is arranged on the cylindrical rack 16 and the support plate 18, the support plate 18 supports the reset spring 19, one end of the cylindrical rack 16 is pushed out of the inner wall of the cylindrical shell 4 by the reset spring 19 under the action of elasticity, so that the stone crushing electrode 20 is in contact with stones, the annular plate 3 presses the press switch 21 when the cylindrical shell 4 moves towards one end far away from the box body 1, and the stone crushing electrode 20 is electrified to crush the stones by the aid of the press switch 21.
Example IV
On the basis of the third embodiment, further:
the cylindrical shell 4 is further provided with a clamping mechanism for grabbing stones, the clamping mechanism comprises a fourth connecting seat 13 fixedly connected to the outer contour of one end, far away from the threaded sleeve 5, of the cylindrical shell 4, corresponding to the third connecting seat 12, and arc clamping jaws 14 for grabbing stones are rotatably connected to the fourth connecting seat 13 through pin shafts.
The cylindrical shell 4 is provided with a second through groove 41 at the position corresponding to the fourth connecting seat 13, one end of the arc clamping jaw 14 close to the second through groove 41 is fixedly connected with an incomplete gear 15, and the incomplete gear 15 penetrates through the second through groove 41 and is meshed with the cylindrical rack 16 for transmission.
When the stone crusher is used, the supporting rod 9 expands outwards, the supporting rod 9 is separated from the arc clamping jaw 14, the reset spring 19 pushes the cylindrical rack 16 to axially move towards the end far away from the box body 1, the annular teeth on the cylindrical rack 16 are meshed with the incomplete gear 15 for transmission, the arc clamping jaw 14 expands outwards, so that stones are wrapped on the inner wall of the arc clamping jaw 14, meanwhile, the stone crushing electrode 20 is in contact with the stones for crushing, a silk screen is arranged between every two arc clamping jaws 14, and crushed stones can be stored on the inner wall of the silk screen.
Example five
On the basis of the fourth embodiment, further:
the clamping mechanism further comprises a first through groove 101 formed in the same position of the box body 1, the rubber tube 2 and the cylindrical shell 4, a fixing plate 25 is fixedly connected to one end, far away from the cylindrical rack 16, of the moving rod 17, an oval through groove 251 is formed in the fixing plate 25, a sliding rod 26 is slidably connected to the inner wall of the oval through groove 251, and a fifth connecting seat 24 is rotatably connected to two ends of the sliding rod 26.
The bottom of box 1 is close to the one end fixedly connected with U-shaped handle 22 of first logical groove 101, the inner wall that U-shaped handle 22 kept away from box 1 one end is rotated through the round pin axle and is connected with the shank 23 that makes arc clamping jaw 14 carry out the centre gripping with the calculus, the one end that shank 23 kept away from U-shaped handle 22 runs through first logical groove 101 and with fifth connecting seat 24 fixed connection.
When in use, when the cylindrical rack 16 moves towards one end far away from the box body 1, the moving rod 17 moves synchronously, the sliding rod 26 moves and adjusts on the inner wall of the oval through groove 251 through the incomplete gear 15 arranged on the moving rod 17, so that the moving rod 17 pulls the fourth connecting seat 13 to rotate, and the hook 23 rotates to one side far away from the U-shaped grip 22 along with the sliding connection of the hook 23 on the inner wall of the first through groove 101.
Along with the doctor pressing the hook 23 towards one side close to the U-shaped grip 22, the moving rod 17 pulls the cylindrical rack 16 to axially move towards one end close to the box body 1, and the reset spring 19 moves and contracts under the action of the cylindrical rack 16, so that the incomplete gear 15 and the cylindrical rack 16 are meshed and driven to drive the arc clamping jaw 14 to contract, stones are stored in the inner wall of the arc clamping jaw 14, and the problem that stones fall off is avoided.
The cylindrical shell 4 is driven to move towards one side close to the box body 1 through the screw rod 6, the adjusting rod 11 pulls the supporting rod 9 to shrink, so that the rubber tube 2 releases the support on the opening of the bile duct, the supporting rod 9 contacts with the arc clamping jaw 14, the arc clamping jaw 14 is fixed through the supporting rod 9, teeth on the incomplete gear 15 are clamped with the cylindrical rack 16 to be fixed, and the reset spring 19 is prevented from pushing the cylindrical rack 16 to move.
The clinical stone removing device can further support the bile duct opening, is convenient to use and better than the traditional product.
Working principle: when the clinical stone removing device is used, the screw rod 6 is driven by the motor of the power mechanism to do fixed-axis reciprocating rotation, the annular plate 3 is arranged on the rubber tube 2, the annular plate 3 movably supports the cylindrical shell 4, the threaded sleeve 5 is in threaded connection with the screw rod 6 and carries out reciprocating rotation along with the screw rod 6, so that the threaded sleeve 5 drives the cylindrical shell 4 to do axial reciprocating movement on the inner wall of the rubber tube 2, the cylindrical shell 4 carries out axial reciprocating movement on the inner wall of the fixed sleeve 7 through the fixed sleeve 7 arranged on the rubber tube 2, the cylindrical shell 4 moves towards one end far away from the box body 1 through the third connecting seat 12, the adjusting rod 11 is pushed by the third connecting seat 12 to swing towards the vertical direction, meanwhile, the supporting rod 9 expands under the action of the adjusting rod 11, the rubber tube 2 is synchronously expanded under the action of the supporting rod 9, so that the outer wall of the rubber tube 2 is contacted with the opening of the bile duct for supporting, the miniature camera 91 is arranged on the supporting rod 9, the miniature camera 91 uploads the monitoring picture inside the bile duct to the computer terminal for displaying, so that a doctor can intuitively find the position of the stone, the stone is accurately taken out, the supporting rod 9 expands outwards, the supporting rod 9 is separated from the arc clamping jaw 14, the restoring spring 19 pushes the cylindrical rack 16 to axially move towards the end far away from the box body 1, the annular teeth on the cylindrical rack 16 are meshed with the incomplete gear 15 for transmission, the arc clamping jaw 14 expands outwards, the stone is conveniently wrapped on the inner wall of the arc clamping jaw 14, meanwhile, the stone crushing electrode 20 is contacted with the stone for crushing, and all be equipped with the silk screen between every two arc clamping jaw 14, can deposit the rubble of smashing at the inner wall of silk screen, with the doctor with collude 23 when pressing towards the one side that is close to U-shaped handle 22, make movable rod 17 pulling cylindricality rack 16 carry out axial displacement towards the one end that is close to box 1, and reset spring 19 moves the shrink under the effect of cylindricality rack 16, thereby incomplete gear 15 and cylindricality rack 16 meshing transmission drive arc clamping jaw 14 shrink, realized accomodating the stone at the inner wall of arc clamping jaw 14, and then avoid the problem that the stone falls.
The clinical stone removing device can further support the bile duct opening, is convenient to use and better than the traditional product.
The standard components used in the present embodiment may be purchased directly from the market, and the nonstandard structural components according to the descriptions of the specification and the drawings may also be obtained directly by unambiguous processing according to the common general knowledge in the prior art, and meanwhile, the connection manner of each component adopts the conventional means mature in the prior art, and the machinery, the components and the equipment all adopt the conventional types in the prior art, so that the specific description will not be made here.
Although embodiments of the present invention have been shown and described, it will be understood by those skilled in the art that various changes, modifications, substitutions and alterations can be made therein without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.
Claims (8)
1. A clinical stone removal device, which is characterized in that: including box (1), the both ends of box (1) run through and fixedly connected with rubber tube (2), the inner wall sliding connection who keeps away from box (1) one end on rubber tube (2) has annular plate (3), run through and fixedly connected with cylindricality casing (4) on annular plate (3), the one end fixedly connected with thread bush (5) that annular plate (3) was kept away from to cylindricality casing (4).
2. A clinical stone removal device according to claim 1, wherein: the screw sleeve (5) is in threaded connection with a screw rod (6) which drives the cylindrical shell (4) to axially reciprocate in the rubber tube (2), and one end of the screw rod (6) away from the screw sleeve (5) penetrates through the box body (1) and is driven to rotate by the power mechanism.
3. A clinical stone removal device according to claim 2, wherein: the cylindrical shell (4) is movably connected with a fixed sleeve (7) on the outer contour of one side, close to the annular plate (3), of the cylindrical shell, the fixed sleeve (7) is fixedly connected with the rubber tube (2), and a supporting mechanism for supporting the opening of the bile duct is arranged on the fixed sleeve (7).
4. A clinical stone removal device according to claim 3, wherein: the supporting mechanism comprises a plurality of first connecting seats (8) which are fixedly connected to the outer outline of a fixed sleeve (7), supporting rods (9) which expand a rubber tube (2) are rotatably connected to the first connecting seats (8) through pin shafts, miniature cameras (91) which monitor the inside of bile ducts are fixedly connected to one ends of the supporting rods (9) which are far away from the first connecting seats (8), second connecting seats (10) are fixedly connected to one ends of the supporting rods (9) which are close to the miniature cameras (91), adjusting rods (11) which enable the second connecting seats (10) to expand or store are rotatably connected to the second connecting seats (10) through pin shafts, third connecting seats (12) are rotatably connected to one ends of the adjusting rods (11) which are far away from the second connecting seats (10) through pin shafts, and the third connecting seats (12) are fixedly connected with a cylindrical shell (4); the inner wall of one end, far away from the threaded sleeve (5), of the cylindrical shell (4) is slidably connected with a cylindrical rack (16), one end, close to the threaded sleeve (5), of the cylindrical rack (16) is fixedly connected with a moving rod (17), the inner wall, close to one end, of the cylindrical shell (4) is fixedly connected with a supporting plate (18) for supporting the moving rod (17), one end, far away from the cylindrical rack (16), of the moving rod (17) penetrates through the supporting plate (18) and is slidably connected with a reset spring (19) for pushing the cylindrical rack (16) to move towards one end, far away from the threaded sleeve (5), of the opposite surface of the supporting plate (18) and the cylindrical rack (16); the cylindrical rack (16) is also provided with a stone breaking mechanism for breaking stones, the stone breaking mechanism comprises a stone breaking electrode (20) fixedly connected with one end, far away from the moving rod (17), of the cylindrical rack (16), one side, close to the annular plate (3), of the first connecting seat (8) is fixedly connected with a pressing switch (21), and the pressing switch (21) is electrically connected with the stone breaking electrode (20); the cylindrical shell (4) is also provided with a clamping mechanism for grabbing stones, the clamping mechanism comprises a fourth connecting seat (13) fixedly connected to the outer contour of one end, far away from the threaded sleeve (5), of the cylindrical shell (4) at the position corresponding to the third connecting seat (12), and arc clamping jaws (14) for grabbing stones are rotatably connected to the fourth connecting seat (13) through pin shafts; the cylindrical shell (4) is provided with second through grooves (41) at positions corresponding to the fourth connecting seat (13), one end of the arc clamping jaw (14) close to the second through grooves (41) is fixedly connected with an incomplete gear (15), and the incomplete gear (15) penetrates through the second through grooves (41) and is meshed with the cylindrical rack (16).
5. A clinical stone removal device according to claim 4, wherein: the clamping mechanism further comprises a box body (1), a rubber tube (2) and a first through groove (101) which are formed in the same position on the cylindrical shell (4), and a fixing plate (25) is fixedly connected to one end, far away from the cylindrical rack (16), of the moving rod (17).
6. A clinical stone removal device according to claim 5, wherein: an oval through groove (251) is formed in the fixing plate (25), a sliding rod (26) is connected to the inner wall of the oval through groove (251) in a sliding mode, and a fifth connecting seat (24) is connected to the two ends of the sliding rod (26) in a rotating mode.
7. The clinical stone removal device according to claim 6, wherein: one end of the bottom of the box body (1) close to the first through groove (101) is fixedly connected with a U-shaped handle (22), and the inner wall of one end of the U-shaped handle (22) far away from the box body (1) is rotationally connected with a hook (23) for clamping stones by the arc-shaped clamping jaw (14) through a pin shaft.
8. A clinical stone removal device according to claim 7, wherein: one end of the hook handle (23) far away from the U-shaped handle (22) penetrates through the first through groove (101) and is fixedly connected with the fifth connecting seat (24).
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202310821541.XA CN116849759B (en) | 2023-07-06 | 2023-07-06 | Clinical stone device of getting |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202310821541.XA CN116849759B (en) | 2023-07-06 | 2023-07-06 | Clinical stone device of getting |
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| CN116849759A true CN116849759A (en) | 2023-10-10 |
| CN116849759B CN116849759B (en) | 2024-03-12 |
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|---|---|---|---|---|
| CN1274565A (en) * | 1999-05-25 | 2000-11-29 | 蔡贤锡 | Lithiasis removing device having prob for crushing stone |
| CN109528269A (en) * | 2019-01-18 | 2019-03-29 | 杨俊文 | Integral type takes stone lithotriptor |
| CN112022280A (en) * | 2020-09-07 | 2020-12-04 | 南阳市中心医院 | Hepatobiliary surgery clinical stone removing device |
| CN112472209A (en) * | 2020-12-11 | 2021-03-12 | 中南大学湘雅二医院 | Novel stone is got to clinical usefulness of hepatobiliary surgery device |
| CN214907703U (en) * | 2021-03-19 | 2021-11-30 | 陕西省人民医院 | Hepatobiliary surgery is with clinical novel stone extractor |
| CN218684586U (en) * | 2022-09-20 | 2023-03-24 | 金堂县第一人民医院 | Calculus removing device |
-
2023
- 2023-07-06 CN CN202310821541.XA patent/CN116849759B/en active Active
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN1274565A (en) * | 1999-05-25 | 2000-11-29 | 蔡贤锡 | Lithiasis removing device having prob for crushing stone |
| JP2000333967A (en) * | 1999-05-25 | 2000-12-05 | Kenshaku Sai | Calculus removing device having calculus crushing probe |
| CN109528269A (en) * | 2019-01-18 | 2019-03-29 | 杨俊文 | Integral type takes stone lithotriptor |
| CN112022280A (en) * | 2020-09-07 | 2020-12-04 | 南阳市中心医院 | Hepatobiliary surgery clinical stone removing device |
| CN112472209A (en) * | 2020-12-11 | 2021-03-12 | 中南大学湘雅二医院 | Novel stone is got to clinical usefulness of hepatobiliary surgery device |
| CN214907703U (en) * | 2021-03-19 | 2021-11-30 | 陕西省人民医院 | Hepatobiliary surgery is with clinical novel stone extractor |
| CN218684586U (en) * | 2022-09-20 | 2023-03-24 | 金堂县第一人民医院 | Calculus removing device |
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| CN116849759B (en) | 2024-03-12 |
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