CN117582272B - Intracardiac branch of academic or vocational study clinical puncture device convenient to adjust puncture angle and application method thereof - Google Patents
Intracardiac branch of academic or vocational study clinical puncture device convenient to adjust puncture angle and application method thereof Download PDFInfo
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- CN117582272B CN117582272B CN202311687510.6A CN202311687510A CN117582272B CN 117582272 B CN117582272 B CN 117582272B CN 202311687510 A CN202311687510 A CN 202311687510A CN 117582272 B CN117582272 B CN 117582272B
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- 230000008569 process Effects 0.000 abstract description 6
- 230000007547 defect Effects 0.000 abstract description 2
- 230000005540 biological transmission Effects 0.000 description 18
- 210000002321 radial artery Anatomy 0.000 description 9
- 230000033001 locomotion Effects 0.000 description 8
- 238000010586 diagram Methods 0.000 description 7
- 230000009471 action Effects 0.000 description 4
- 210000000245 forearm Anatomy 0.000 description 3
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- 230000036506 anxiety Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 238000004140 cleaning Methods 0.000 description 1
- 238000002586 coronary angiography Methods 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
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- 210000001105 femoral artery Anatomy 0.000 description 1
- 238000002513 implantation Methods 0.000 description 1
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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
- A61B17/34—Trocars; Puncturing needles
- A61B17/3403—Needle locating or guiding means
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- 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
- A61B90/10—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 for stereotaxic surgery, e.g. frame-based stereotaxis
- A61B90/14—Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins
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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
- A61B17/34—Trocars; Puncturing needles
- A61B17/3403—Needle locating or guiding means
- A61B2017/3405—Needle locating or guiding means using mechanical guide means
- A61B2017/3407—Needle locating or guiding means using mechanical guide means including a base for support on the body
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Abstract
The invention belongs to the technical field of medical instruments, in particular to a clinical puncturing device for a department of cardiology and a using method thereof, which are convenient for adjusting a puncturing angle, and aims at solving the defects that in the prior art, the puncturing device cannot be supported and adjusted and a device for positioning a palm is lacking in the process of puncturing a patient.
Description
Technical Field
The invention relates to the technical field of medical instruments, in particular to a clinical puncturing device for a department of cardiology, which is convenient for adjusting a puncturing angle and a using method thereof.
Background
At present, coronary angiography examination and coronary stent implantation are mostly completed by percutaneous radial artery puncture, compared with the traditional percutaneous femoral artery puncture operation, the radial artery puncture has the advantages of high success rate, safety, effectiveness, low incidence rate of postoperative adverse events, obvious improvement of anxiety emotion of patients, popularization and application value, and convenience in radial artery puncture of clinicians.
According to the bulletin number: CN213346036U discloses a radial artery puncture device, which comprises a main body plate, wherein one end of the main body plate is rotatably connected with a forearm bracket, the other end of the forearm bracket is connected with a palm bracket, a certain angle is formed between the forearm bracket and the palm bracket, and the formed angle opening faces to the main body plate; and a height adjuster is further arranged between the main body plate and the palm bracket and used for adjusting the height of the palm bracket. Compared with the prior art, the utility model has simple structure, is convenient for the operator to perform radial artery puncture, is beneficial to improving the puncture success rate and relieving the pain of patient puncture; the most comfortable puncture height can be adjusted according to different postures of patients, and the adaptability is high; the problem of increased cleaning difficulty caused by blood flowing to the palm can be effectively solved;
Some of the deficiencies in the prior art still exist in puncturing the radial artery:
1. According to the technical scheme, the corresponding supporting device is not arranged for the puncture device, and in a conventional state, the puncture device manually adjusts the puncture angle by virtue of medical staff, so that the puncture angle is easy to deviate during actual puncture;
2. At present, when the radial artery is punctured, the palm cannot be stably positioned, so that in the actual puncturing process, if a patient is in panic tension, the palm is likely to shake, and certain potential safety hazards exist in the puncturing process.
Aiming at the problems, the invention provides a clinical puncturing device for the department of cardiology and a using method thereof, wherein the puncturing angle of the clinical puncturing device is convenient to adjust.
Disclosure of Invention
The invention provides a puncturing device for clinical department of cardiology and a using method thereof, which are convenient for adjusting a puncturing angle, and solve the defects that in the prior art, the puncturing device cannot be supported and adjusted, and a positioning device for a palm is absent in the process of puncturing a patient, so that certain potential safety hazard exists in the process of puncturing the patient.
The invention provides the following technical scheme:
The utility model provides a clinical piercing depth of using of intracardiac branch of academic or vocational study convenient to adjust puncture angle, includes the base, and top one side fixed mounting of base has the hand board, and the equal fixed mounting in both sides of hand board has the installation pole, and the one end of two installation poles all extends to one side of hand board, and the top fixed mounting of two installation poles has same finger board, and finger board is located one side of hand board, and the equidistant fixed mounting in top of finger board has a plurality of fingers to detain, and this piercing depth still includes:
The pressing mechanisms are respectively connected with two sides of the hand support plate and used for pressing and positioning the palm of a patient;
The supporting mechanism is arranged at the top of the base, the supporting mechanism is connected with a puncture positioning mechanism, the supporting mechanism is used for positioning and supporting the puncture positioning mechanism, and the puncture positioning mechanism is connected with a puncture needle;
And the limiting mechanism is arranged at the top of the base and connected with the supporting mechanism, and is used for limiting the supporting mechanism.
In one possible design, the pressing mechanism comprises mounting plates fixedly mounted on two sides of the hand supporting plate respectively, one side top of each of the two mounting plates, which is close to each other, is fixedly provided with the same transverse plate, an adjusting component is connected to the transverse plate in a penetrating manner, a moving plate is mounted at the bottom of the adjusting component, the moving plate is respectively connected with one side of each of the two mounting plates in a sliding manner, a pressing plate is fixedly mounted at the bottom of the moving plate, a protection pad is fixedly mounted at the bottom of the pressing plate, a braking component is mounted on one side of the transverse plate, and the braking component is connected with the adjusting component.
In one possible design, the top fixed mounting of clamp plate has the buffer rod, and the buffer rod runs through the movable plate and with movable plate sliding connection, the cover is equipped with the buffer spring that is located the movable plate top on the buffer rod, the top and the bottom of buffer spring respectively with the top of buffer rod and the top fixed connection of movable plate.
In one possible design, the adjusting component comprises two nuts which are symmetrically and rotatably connected to the top of the transverse plate, the nuts are internally connected with screws in a threaded manner, the bottoms of the two screws are all extended to the lower side of the transverse plate and are fixedly connected with the top of the movable plate, the top ends of the screws are extended to the upper side of the nuts, a driving wheel is fixedly sleeved on the nuts, the same driving belt is sleeved on the two driving wheels, and the driving belt is connected with the braking component.
In one possible design, the brake assembly comprises a support rod fixedly mounted on one side of the transmission belt, a movable cover is sleeved on the support rod in a sliding manner, a positioning clamping plate is fixedly mounted at the bottom of the movable cover, a positioning plate is fixedly mounted on one side of the transverse plate, a plurality of slots are formed in one side of the positioning plate at equal intervals, the positioning clamping plate is movably clamped with the slots respectively, an extension spring is sleeved on the support rod, and two ends of the extension spring are fixedly connected with one side of the transmission belt and one side of the movable cover respectively.
In a possible design, supporting mechanism includes two slide rails of symmetry fixed mounting at the base top, sliding connection has the slide on the slide rail, and two slide are all connected with positioning mechanism, the top fixed mounting of slide has the dead lever, one side top that two dead levers are close to each other all rotates and is connected with the pivot, the equal fixed mounting of one end that two pivots are close to each other has the connection pad, one side fixed mounting that two connection pads are close to each other has same gag lever post, the quantity of gag lever post is two, the slip cap is equipped with same backup pad on two gag lever posts, puncture positioning mechanism installs the top at the backup pad.
In one possible design, the top fixed mounting of dead lever has the layer board, runs through sliding connection on the layer board and has the locating lever, and equidistant fixed mounting in one side of connection pad has a plurality of arc-shaped cardboard, and the locating lever respectively with a plurality of arc-shaped cardboard activity clamps, the cover is equipped with spacing spring on the locating lever, and spacing spring's both ends respectively with one end of locating lever and one side fixed connection of layer board.
In one possible design, puncture positioning mechanism includes the locating cover of fixed mounting at the backup pad top, the perforation has been seted up on the one side inner wall of locating cover, sliding connection has the fixed plate in the locating cover, the draw-in groove has been seted up to one side of fixed plate, the pjncture needle is located the locating cover, the one end of pjncture needle extends to in the draw-in groove and clamps mutually with the inner wall of draw-in groove, threaded connection has the location lead screw on the top inner wall of draw-in groove, the top of location lead screw extends to the top of fixed plate, the location lead screw is used for carrying out the location to the pjncture needle, the one end of pjncture needle runs through the perforation and extends to the outside of locating cover, the opposite side fixed mounting of fixed plate has the push rod, the one end of push rod extends to the outside of locating cover and fixed mounting has the handle pole.
In one possible design, the stop gear includes the spacing rail of fixed mounting at the base top, sliding connection has the limiting plate on the spacing rail, the both sides of limiting plate respectively with corresponding slide fixed connection, run through sliding connection has the draw-in lever on the limiting plate, a plurality of constant head tanks have been seted up to the equidistant roof of spacing rail, the bottom of draw-in lever respectively with a plurality of constant head tank activity clamps, the cover is equipped with the brake spring that is located the limiting plate top on the draw-in lever, brake spring's top and bottom respectively with the top fixed connection of draw-in lever and limiting plate.
The application method of the clinical puncturing device for the department of cardiology convenient for adjusting the puncturing angle comprises the following steps:
S1, firstly, placing the arm of a patient on a hand support plate, and enabling the fingers of the patient to sequentially pass through corresponding buttons;
S2, pulling the movable cover to enable the positioning clamping plate to move, enabling the positioning clamping plate to move to a position separated from the positioning plate, enabling the movable cover to lose limit at the moment, enabling the movable cover to provide thrust for the transmission belt through the supporting rod by pushing, enabling the transmission belt to move, enabling the two nuts to be driven to synchronously rotate under the transmission cooperation of the two transmission wheels, enabling the screws to be driven to longitudinally move under the action of the thread transmission of the corresponding screws when the nuts rotate, enabling the movable plate to be driven to move downwards when the two screws move downwards, enabling the pressing plate to be driven to move downwards when the movable plate moves downwards, and enabling the arms of a patient to be pressed under the supporting cooperation of the hand support plate;
S3, the position of the puncture needle can be adjusted by pushing the two fixing rods, and after the position adjustment of the puncture needle is completed, the clamping rods can be released, and the braking springs in a stressed state can pull the belt clamping rods to move downwards, so that the clamping rods are clamped with the corresponding positioning grooves, and the position of the puncture needle can be limited;
S4, rotating the positioning cover to adjust the angle set by the positioning cover, so that the angle set by the puncture needle can be limited when the puncture is performed on the palm of a patient, after the position adjustment of the positioning cover is completed, two positioning rods can be released at the same time, and the two limiting springs in a stressed state can pull the corresponding positioning rods to move, so that the positioning rods are inserted into the corresponding arc-shaped clamping plates to position the connecting disc, and the angle of the puncture needle can be limited;
S5, placing the puncture needle into the positioning cover, inserting one end of the puncture needle into the clamping groove, and then twisting the positioning screw rod to position the puncture needle;
S6, pushing the handle rod to drive the fixing plate to move in the positioning cover, so that the puncture needle can be moved out of the perforation, and the patient can be punctured in a linear motion mode, so that the puncture needle can keep a stable angle to perform linear movement when the patient is punctured, and the position deviation cannot occur when the patient is punctured.
It is to be understood that both the foregoing general description and the following detailed description are exemplary and explanatory only and are not restrictive of the invention as claimed.
According to the invention, through the pressing mechanism, after the palm is put on the hand support plate and the fingers respectively pass through the corresponding finger buckles, the adjusting assembly can be driven to drive the movable plate to move downwards, and at the moment, the arm of a patient can be pressed under the supporting cooperation of the hand support plate along with the pressing plate, so that the arm can be stably positioned when the patient punctures, the arm can be prevented from moving randomly when the patient punctures, and accidents can be avoided in the puncturing process;
According to the invention, through the supporting mechanism, the two connecting discs can be respectively supported in a rotating way by utilizing the two rotating shafts, and the two limiting rods are in sliding connection with the supporting plate, so that when the puncture positioning mechanism is supported by utilizing the supporting plate, the transverse position and the angle of the puncture positioning mechanism can be adjusted according to actual needs, and when in puncture, the puncture angle and the position of the puncture needle can be conveniently adjusted, and stable auxiliary support can be provided when in puncture treatment;
According to the invention, through the puncture positioning mechanism, after one end of the puncture needle is inserted into the clamping groove, the puncture needle is clamped through the rotating positioning screw rod, and then after the angle adjustment of the positioning cover is finished, the handle rod is pushed to drive the fixing plate to move in the positioning cover, so that the puncture needle can be moved out of the puncture hole, and a patient can be punctured in a linear movement mode, so that the puncture needle can keep a stable angle to perform linear movement when the patient is punctured;
According to the invention, through the limiting mechanism, after the arm of a patient is positioned and clamped, the position of the puncture needle can be adjusted by pushing the two fixing rods, and after the position adjustment of the puncture needle is completed, the clamping rods can be released, and the braking spring in a stressed state can pull the clamping rods to move downwards, so that the clamping rods are clamped with the corresponding positioning grooves, and the position of the puncture needle can be limited.
The invention can stably limit the palm of the patient according to actual needs when the radial artery of the patient is punctured, and can adjust the position and the angle of the puncture needle for puncturing the palm at the same time, thereby ensuring that the accurate puncture angle is not changed when the patient is actually punctured, and having good use safety.
Drawings
Fig. 1 is a three-dimensional schematic diagram of a first view angle structure of a clinical puncturing device for cardiology department, which is provided by an embodiment of the invention and is convenient for adjusting a puncturing angle;
fig. 2 is a three-dimensional schematic diagram of a connecting structure of a transverse plate, two screws and a driving belt of a clinical puncturing device for cardiology department, which is convenient for adjusting a puncturing angle;
Fig. 3 is a three-dimensional schematic diagram of a connection structure of a fixing rod, a rotating shaft, a connecting disc and a positioning rod of a clinical puncturing device for cardiology department, which is convenient for adjusting a puncturing angle;
fig. 4 is a three-dimensional schematic diagram of two limiting rods, a moving plate, a positioning cover and a puncture needle connecting structure of a clinical puncturing device for cardiology department, which is convenient for adjusting the puncture angle, provided by the embodiment of the invention;
Fig. 5 is a schematic diagram of a portion a in fig. 4 of a clinical puncturing device for cardiology department, which is provided by the embodiment of the invention and is convenient for adjusting a puncturing angle;
Fig. 6 is a three-dimensional schematic diagram of a second view angle structure of a clinical puncturing device for cardiology department, which is provided by the embodiment of the invention and is convenient for adjusting the puncturing angle;
Fig. 7 is a schematic view of a part B of fig. 6 of a clinical puncturing device for cardiology, which is provided by an embodiment of the invention and is convenient for adjusting a puncturing angle;
Fig. 8 is a three-dimensional schematic diagram of a hand support plate, two mounting rods, a finger support plate and a plurality of finger buckle connecting structures of a clinical puncturing device for cardiology department, which is convenient for adjusting a puncturing angle.
Reference numerals:
1. A base; 2. a hand support plate; 3. a mounting plate; 4. a cross plate; 5. a nut; 6. a screw; 7. a driving wheel; 8. a transmission belt; 9. a moving plate; 10. a pressing plate; 11. a protective pad; 12. a buffer rod; 13. a buffer spring; 14. a support rod; 15. a moving cover; 16. positioning a clamping plate; 17. a positioning plate; 18. a tension spring; 19. a mounting rod; 20. a finger rest; 21. a finger buckle; 22. a slide rail; 23. a slide plate; 24. a fixed rod; 25. a rotating shaft; 26. a connecting disc; 27. a limit rod; 28. a support plate; 29. a positioning cover; 30. a fixing plate; 31. a puncture needle; 32. positioning a screw rod; 33. a push rod; 34. a handle bar; 35. a limit rail; 36. a limiting plate; 37. a clamping rod; 38. a brake spring; 39. a positioning groove; 40. a supporting plate; 41. a positioning rod; 42. an arc-shaped clamping plate; 43. and a limit spring.
Detailed Description
Embodiments of the present invention will be described below with reference to the accompanying drawings in the embodiments of the present invention.
In describing embodiments of the present invention, it should be noted that, unless explicitly stated and limited otherwise, the terms "coupled" and "mounted" should be interpreted broadly, and for example, "coupled" may or may not be detachably coupled; may be directly connected or indirectly connected through an intermediate medium. In addition, "communication" may be direct communication or may be indirect communication through an intermediary. Wherein, "fixed" means that the relative positional relationship is not changed after being connected to each other. References to orientation terms, such as "inner", "outer", "top", "bottom", etc., in the embodiments of the present invention are merely to refer to the orientation of the drawings and, therefore, the use of orientation terms is intended to better and more clearly illustrate and understand the embodiments of the present invention, rather than to indicate or imply that the devices or elements referred to must have a particular orientation, be constructed and operated in a particular orientation, and are therefore not to be construed as limiting the embodiments of the present invention.
Example 1
Referring to fig. 1-8, a clinical puncturing device for cardiology department convenient for adjusting puncturing angle of the present embodiment includes a base 1 and a pressing mechanism, wherein a hand support plate 2 is fixedly installed on one side of the top of the base 1, mounting rods 19 are fixedly installed on both sides of the hand support plate 2, one ends of the two mounting rods 19 extend to one side of the hand support plate 2, the same finger support plate 20 is fixedly installed on the top of the two mounting rods 19, the finger support plate 20 is located on one side of the hand support plate 2, a plurality of finger buckles 21 are fixedly installed on the top of the finger support plate 20 at equal intervals, the pressing mechanism is respectively connected with both sides of the hand support plate 2, and the pressing mechanism is used for pressing and positioning the palm of a patient.
Referring to fig. 2, the pressing mechanism includes mounting plates 3 fixedly mounted on both sides of a hand rest plate 2, one transverse plate 4 is fixedly mounted on the top of one side of the two mounting plates 3, an adjusting assembly is connected to the transverse plate 4 in a penetrating manner, a moving plate 9 is mounted at the bottom of the adjusting assembly, the moving plate 9 is slidably connected with one side of the two mounting plates 3, a pressing plate 10 is fixedly mounted at the bottom of the moving plate 9, a protection pad 11 is fixedly mounted at the bottom of the pressing plate 10, a braking assembly is mounted at one side of the transverse plate 4, the braking assembly is connected with the adjusting assembly, after the palm is placed on the hand rest plate 2, and the fingers respectively pass through corresponding fingers 21, the adjusting assembly can be driven to drive the moving plate 9 to move downwards, at this moment, pressing of the arm of a patient can be realized under the supporting cooperation of the hand rest plate 2, in this way, when a patient punctures, the arm can be stably fixed, in fig. 6, the buffer rod 12 is fixedly arranged at the top of the pressing plate 10, the buffer rod 12 penetrates through the moving plate 9 and is in sliding connection with the moving plate 9, the buffer rod 12 is sleeved with the buffer spring 13 positioned above the moving plate 9, the top end and the bottom end of the buffer spring 13 are respectively fixedly connected with the top end of the buffer rod 12 and the top of the moving plate 9, when the pressing plate 10 moves downwards, the pressing plate 10 can be elastically supported by the buffer rod 12 through the elastic force of the buffer spring 13 at the moment, so that the pressing plate 10 can have a certain annular residual force when the arm is pressed, the elastic protection can be realized when the arm is clamped, in fig. 2, the adjusting assembly comprises two nuts 5 symmetrically and rotatably connected at the top of the transverse plate 4, the screw rods 6 are connected with the nuts 5 in a threaded manner, the bottom ends of the two screw rods 6 extend to the lower side of the transverse plate 4 and are fixedly connected with the top of the moving plate 9, the top ends of the screw rods 6 extend to the upper side of the nuts 5, the driving wheels 7 are fixedly sleeved on the nuts 5, the driving belts 8 are connected with the braking components, the two nuts 5 can be driven to synchronously rotate by pulling the driving belts 8 under the driving fit of the two driving wheels 7, when the nuts 5 rotate, the screw rods 6 can be driven to longitudinally move under the action of the corresponding screw rods 6, at the moment, the moving plate 9 can be driven to move downwards when the two screw rods 6 move downwards, so that the arm of a patient can be conveniently clamped and positioned stably, in the figure 2, the braking components comprise supporting rods 14 fixedly arranged on one side of the driving belts 8, the supporting rods 14 are sleeved with moving covers 15 in a sliding manner, positioning clamping plates 16 are fixedly arranged at the bottom of the moving covers 15, one side of the transverse plate 4 is fixedly provided with positioning plates 17, one side of the positioning plates 17 are respectively provided with a plurality of the moving covers 16 at the same distance from the moving covers 16, the two ends of the moving covers 16 are respectively separated from the moving covers 16 by the moving covers 16, the moving clamping plates 15 can be separated from the moving covers 18 by the moving covers 16, and the moving plates 18 can be respectively positioned by the moving covers 18, and the two side of the moving plates can be separated from the moving covers 15, and the moving plates 15 can be respectively positioned by the moving plates 15, and the moving plates 18 can be positioned by the moving plates 15, and the two side 18 are respectively, and the arms are separated from the moving covers 15 and can be respectively, and clamped by the moving 18, the tension spring 18 in a stressed state can drive the movable cover 15 to move, and the positioning clamping plate 16 is inserted into the corresponding slot, so that the movable cover 15 can be positioned, and the transmission belt 8 can be further positioned, so that the pressing plate 10 can stably clamp the arm of a patient.
Example 2
Referring to fig. 3, fig. 4-fig. 7, the embodiment provides a clinical puncturing device for cardiology, which is convenient for adjusting the puncturing angle, and further provides a supporting mechanism and a limiting mechanism, wherein the supporting mechanism is installed at the top of the base 1, the supporting mechanism is connected with a puncturing positioning mechanism, the supporting mechanism is used for positioning and supporting the puncturing positioning mechanism, the puncturing positioning mechanism is connected with a puncturing needle 31, the limiting mechanism is installed at the top of the base 1, the limiting mechanism is connected with the supporting mechanism, and the limiting mechanism is used for limiting the supporting mechanism.
Referring to fig. 6, the supporting mechanism includes two sliding rails 22 symmetrically and fixedly installed at the top of the base 1, sliding plates 23 are slidably connected to the sliding rails 22, the two sliding plates 23 are connected to the positioning mechanism, fixing rods 24 are fixedly installed at the top of the sliding plates 23, rotating shafts 25 are rotatably connected to the tops of one sides of the two fixing rods 24, connecting discs 26 are fixedly installed at one ends of the two rotating shafts 25, one limiting rod 27 is fixedly installed at one side of the two connecting discs 26, the number of the limiting rods 27 is two, the same supporting plate 28 is slidably sleeved on the two limiting rods 27, the puncture positioning mechanism is installed at the top of the supporting plate 28, the two connecting discs 26 can be rotatably supported by the two rotating shafts 25, and the two limiting rods 27 are slidably connected with the supporting plate 28, thus, when the puncture positioning mechanism is supported by the support plate 28, the transverse position and angle of the puncture positioning mechanism can be adjusted according to actual needs, so that the puncture angle and position of the puncture needle 31 can be conveniently adjusted during puncture, so that stable auxiliary support can be provided during puncture treatment, in the figure 3, the support plate 40 is fixedly arranged at the top end of the fixing rod 24, the support plate 40 is penetrated and slidingly connected with the positioning rod 41, a plurality of arc-shaped clamping plates 42 are fixedly arranged at equal intervals on one side of the connecting disc 26, the positioning rod 41 is movably clamped with the plurality of arc-shaped clamping plates 42 respectively, the limiting springs 43 are sleeved on the positioning rod 41, two ends of the limiting springs 43 are fixedly connected with one end of the positioning rod 41 and one side of the support plate 40 respectively, after the angle set for the puncture positioning mechanism is determined, the positioning rod 41 can be released at the moment, the limiting spring 43 in a stressed state can pull the positioning rod 41 to move, so that the positioning rod 41 is inserted into the corresponding arc-shaped clamping plate 42 to position the connecting disc 26, the angle of the puncture positioning mechanism can be limited, and the problem of angle deviation can be avoided when a patient is punctured.
Referring to fig. 4, the puncture positioning mechanism includes a positioning cover 29 fixedly installed at the top of a supporting plate 28, a perforation is formed on an inner wall of one side of the positioning cover 29, a fixing plate 30 is slidably connected in the positioning cover 29, a clamping groove is formed on one side of the fixing plate 30, a puncture needle 31 is located in the positioning cover 29, one end of the puncture needle 31 extends into the clamping groove and is clamped with the inner wall of the clamping groove, a positioning screw rod 32 is in threaded connection with the inner wall of the top of the clamping groove, the top end of the positioning screw rod 32 extends to the upper side of the fixing plate 30, the positioning screw rod 32 is used for positioning the puncture needle 31, one end of the puncture needle 31 penetrates through the perforation and extends to the outer side of the positioning cover 29, a push rod 33 is fixedly installed on the other side of the fixing plate 30, one end of the push rod 33 extends to the outer side of the positioning cover 29 and is fixedly provided with a handle rod 34, after one end of the puncture needle 31 is inserted into the clamping groove, and the puncture needle 31 is clamped by rotating the positioning screw rod 32, and then after the angle adjustment of the positioning cover 29 is completed, the fixing plate 30 can be driven to move in the positioning cover 29 by pushing the handle rod 34, so that the puncture needle 31 can be moved in the positioning cover 29, and the puncture needle 31 can be moved in a straight line and can be moved by a patient, and can be moved in a patient, and a patient can be kept in a stable puncture angle.
Referring to fig. 6 and 7, the limiting mechanism includes a limiting rail 35 fixedly installed at the top of the base 1, a limiting plate 36 is slidably connected to the limiting rail 35, two sides of the limiting plate 36 are fixedly connected to corresponding sliding plates 23 respectively, a clamping rod 37 is slidably connected to the limiting plate 36 in a penetrating manner, a plurality of positioning grooves 39 are formed in the top of the limiting rail 35 at equal intervals, bottom ends of the clamping rod 37 are movably clamped with the positioning grooves 39 respectively, a braking spring 38 located above the limiting plate 36 is sleeved on the clamping rod 37, top ends and bottom ends of the braking spring 38 are fixedly connected with the top ends of the clamping rod 37 and the top of the limiting plate 36 respectively, after the arm of a patient is positioned and clamped, the position of the puncture needle 31 can be adjusted by pushing two fixing rods 24, and after the position adjustment of the puncture needle 31 is completed, the clamping rod 37 can be released, the braking spring 38 in a stressed state can pull the clamping rod 37 to move downwards, so that the clamping rod 37 and the corresponding positioning groove 39 can be clamped, and the position of the puncture needle 31 can be limited.
The invention provides a using method of a puncturing device for clinical department of cardiology, which is convenient for adjusting a puncturing angle, and comprises the following steps:
s1, firstly, placing the arm of a patient on a hand support plate 2, and enabling the fingers of the patient to sequentially pass through corresponding finger buckles 21;
S2, pulling the movable cover 15 to enable the positioning clamping plate 16 to move, and enabling the positioning clamping plate 16 to move to a position separated from the positioning plate 17, wherein the movable cover 15 loses limit at the moment, namely, pushing force can be provided for the transmission belt 8 through the supporting rod 14 by pushing the movable cover 15, so that the transmission belt 8 can move, at the moment, under the transmission cooperation with the two transmission wheels 7, the two nuts 5 can be driven to synchronously rotate, when the nuts 5 rotate, the screws 6 can be driven to longitudinally move under the action of the screw threads of the corresponding screws 6, at the moment, when the two screws 6 move downwards, the movable plate 9 can be driven to move downwards, and when the movable plate 9 moves downwards, the pressing plate 10 can be driven to move downwards, and under the support cooperation of the hand support plate 2, the arm of a patient can be pressed tightly;
S3, the position of the puncture needle 31 can be adjusted by pushing the two fixing rods 24, and after the position adjustment of the puncture needle 31 is completed, the clamping rod 37 can be released, and the braking spring 38 in a stressed state can pull the clamping rod 37 to move downwards, so that the clamping rod 37 is clamped with the corresponding positioning groove 39, and the position of the puncture needle 31 can be limited;
S4, rotating the positioning cover 29 to adjust the angle set by the positioning cover 29, so that the angle set by the puncture needle 31 can be limited when the puncture needle 31 is used for puncturing the palm of a patient, after the position adjustment of the positioning cover 29 is completed, two positioning rods 41 can be released simultaneously, and two limiting springs 43 in a stressed state can pull the corresponding positioning rods 41 to move, so that the positioning rods 41 are inserted into the corresponding arc clamping plates 42 to position the connecting disc 26, and the angle of the puncture needle 31 can be limited;
s5, placing the puncture needle 31 into the positioning cover 29, inserting one end of the puncture needle 31 into the clamping groove, and then twisting the positioning screw rod 32 to position the puncture needle 31;
s6, pushing the handle rod 34 to drive the fixing plate 30 to move in the positioning cover 29, so that the puncture needle 31 can be moved out of the perforation, and the patient can be punctured in a linear motion mode, so that the puncture needle 31 can keep a stable angle to perform linear movement when the patient is punctured, and the position deviation can not occur when the patient is punctured.
When the radial artery puncture is needed to be carried out on a patient, the arm of the patient is firstly put on the hand support plate 2, the fingers of the patient sequentially pass through the corresponding finger buckles 21, then the positioning clamping plate 16 can be moved by pulling the movable cover 15, after the positioning clamping plate 16 is moved to a position separated from the positioning plate 17, the movable cover 15 loses limit at the moment, the movable cover 15 can be pushed to provide thrust for the transmission belt 8 through the support rod 14, so that the transmission belt 8 can move, at the moment, under the transmission cooperation of the two transmission wheels 7, the two nuts 5 can be driven to synchronously rotate, when the nuts 5 rotate, the screw rod 6 can be driven to longitudinally move under the action of the screw thread transmission of the corresponding screw rod 6, at the moment, the two screw rods 6 can be driven to downwardly move, the movable plate 9 can be driven to downwardly move, when the moving plate 9 moves downwards, the pressing plate 10 can be driven to move downwards, the arm of a patient can be pressed under the supporting cooperation of the hand supporting plate 2, so that the arm can be stably positioned when the patient punctures, the arm can be prevented from shaking when the patient punctures, then the position of the puncture needle 31 can be adjusted by pushing the two fixing rods 24, after the position of the puncture needle 31 is adjusted, the clamping rod 37 can be released, the braking spring 38 in a stressed state can pull the clamping rod 37 downwards, the clamping rod 37 is clamped with the corresponding positioning groove 39, so that the position of the puncture needle 31 can be limited, the positioning cover 29 can be rotated, the angle set by the positioning cover 29 can be adjusted, so that when the puncture needle 31 is used for puncturing the palm of the patient, the angle of the puncture needle 31 can be limited, after the position of the positioning cover 29 is adjusted, the two positioning rods 41 can be released at the same time, the two limiting springs 43 in a stressed state can pull the corresponding positioning rods 41 to move, so that the positioning rods 41 are inserted into the corresponding arc-shaped clamping plates 42 to position the connecting plates 26, the angle of the puncture needle 31 can be limited, then the puncture needle 31 can be placed into the positioning cover 29, one end of the puncture needle 31 is inserted into the clamping groove, the positioning screw rod 32 can be twisted to position the puncture needle 31, then when the patient is punctured, the handle rod 34 can be pushed to drive the fixing plate 30 to move in the positioning cover 29, the puncture needle 31 can be moved out of the puncture hole, and the patient can be punctured in a linear motion mode, so that the puncture needle 31 can keep a stable angle to perform linear motion when the patient is punctured, and the position deviation cannot occur when the patient is punctured.
The present invention is not limited to the above embodiments, and any person skilled in the art can easily think about the changes or substitutions within the technical scope of the present invention, and the changes or substitutions are intended to be covered by the scope of the present invention; embodiments of the invention and features of the embodiments may be combined with each other without conflict. Therefore, the protection scope of the invention is subject to the protection scope of the claims.
Claims (5)
1. The utility model provides a clinical piercing depth of using of intracardiac branch of academic or vocational study convenient to adjust puncture angle, including base (1), top one side fixed mounting of base (1) has hand layer board (2), the equal fixed mounting in both sides of hand layer board (2) has installation pole (19), the one end of two installation poles (19) all extends to one side of hand layer board (2), the top fixed mounting of two installation poles (19) has same finger layer board (20), finger layer board (20) are located one side of hand layer board (2), equidistant fixed mounting in top of finger layer board (20) has a plurality of fingers to detain (21), a serial communication port, still include:
the pressing mechanisms are respectively connected with two sides of the hand support plate (2) and are used for pressing and positioning the palm of a patient;
the supporting mechanism is arranged at the top of the base (1), the supporting mechanism is connected with a puncture positioning mechanism, the supporting mechanism is used for positioning and supporting the puncture positioning mechanism, and the puncture positioning mechanism is connected with a puncture needle (31);
The limiting mechanism is arranged at the top of the base (1), is connected with the supporting mechanism and is used for limiting the supporting mechanism;
The pressing mechanism comprises mounting plates (3) fixedly mounted on two sides of a hand support plate (2), one transverse plate (4) is fixedly mounted on the top of one side, close to each other, of the two mounting plates (3), an adjusting component is connected to the transverse plate (4) in a penetrating manner, a moving plate (9) is mounted on the bottom of the adjusting component, the moving plate (9) is respectively connected with one side, close to the two mounting plates (3), of the moving plate (9) in a sliding manner, a pressing plate (10) is fixedly mounted on the bottom of the moving plate (9), a protection pad (11) is fixedly mounted on the bottom of the pressing plate (10), a braking component is mounted on one side of the transverse plate (4), the braking component is connected with the adjusting component, a buffer rod (12) is fixedly mounted on the top of the pressing plate (10), the buffer rod (12) penetrates through the moving plate (9) and is connected with the moving plate (9) in a sliding manner, a buffer spring (13) located above the moving plate (9) is sleeved on the buffer rod (12), and the top end and the bottom of the buffer spring (13) are respectively fixedly connected with the top of the buffer rod (12) and the top of the moving plate (9);
The adjusting assembly comprises two nuts (5) symmetrically and rotatably connected to the top of the transverse plate (4), the screw rods (6) are connected with the inner threads of the nuts (5), the bottom ends of the two screw rods (6) extend to the lower side of the transverse plate (4) and are fixedly connected with the top of the movable plate (9), the top ends of the screw rods (6) extend to the upper side of the nuts (5), driving wheels (7) are fixedly sleeved on the nuts (5), the same driving belt (8) is sleeved on the two driving wheels (7), and the driving belt (8) is connected with the braking assembly;
The braking subassembly includes bracing piece (14) of fixed mounting in drive belt (8) one side, the slip cap is equipped with on bracing piece (14) and removes cover (15), the bottom fixed mounting who removes cover (15) has location cardboard (16), one side fixed mounting of diaphragm (4) has locating plate (17), a plurality of slots have been seted up to one side equidistant of locating plate (17), location cardboard (16) respectively with a plurality of slot activity clamps, the cover is equipped with extension spring (18) on bracing piece (14), the both ends of extension spring (18) respectively with one side of drive belt (8) and one side fixed connection who removes cover (15).
2. The clinical puncturing device for the department of cardiology convenient to adjust puncture angle according to claim 1, wherein the supporting mechanism comprises two slide rails (22) symmetrically and fixedly installed at the top of the base (1), sliding connection with sliding plates (23) are arranged on the slide rails (22), the two sliding plates (23) are connected with the positioning mechanism, fixing rods (24) are fixedly installed at the tops of the sliding plates (23), rotating shafts (25) are rotatably connected to the tops of one sides of the two fixing rods (24) which are close to each other, connecting discs (26) are fixedly installed at one ends of the two rotating shafts (25) which are close to each other, one limiting rod (27) is fixedly installed at one side of the two connecting discs (26) which are close to each other, the same supporting plate (28) is sleeved on the two limiting rods (27) in a sliding mode, and the puncture positioning mechanism is installed at the top of the supporting plate (28).
3. The clinical puncturing device for the department of cardiology, which is convenient for adjusting the puncturing angle, according to claim 2, characterized in that the top end of the fixed rod (24) is fixedly provided with a supporting plate (40), a positioning rod (41) is connected on the supporting plate (40) in a penetrating and sliding way, one side of the connecting disc (26) is fixedly provided with a plurality of arc clamping plates (42) at equal intervals, the positioning rod (41) is movably clamped with the arc clamping plates (42) respectively, a limiting spring (43) is sleeved on the positioning rod (41), and two ends of the limiting spring (43) are fixedly connected with one end of the positioning rod (41) and one side of the supporting plate (40) respectively.
4. The clinical puncturing device for the department of cardiology, which is convenient for adjusting the puncturing angle, according to claim 1, characterized in that the puncturing positioning mechanism comprises a positioning cover (29) fixedly installed at the top of the supporting plate (28), a through hole is formed in one side inner wall of the positioning cover (29), a fixing plate (30) is connected in a sliding manner in the positioning cover (29), a clamping groove is formed in one side of the fixing plate (30), a puncturing needle (31) is positioned in the positioning cover (29), one end of the puncturing needle (31) extends into the clamping groove and is clamped with the inner wall of the clamping groove, a positioning screw rod (32) is connected to the top inner wall of the top of the clamping groove in a threaded manner, the top end of the positioning screw rod (32) extends to the upper side of the fixing plate (30), the positioning screw rod (32) is used for positioning the puncturing needle (31), one end of the puncturing needle (31) penetrates through the through hole and extends to the outer side of the positioning cover (29), a push rod (33) is fixedly installed on the other side of the fixing plate (30), and one end of the push rod (33) extends to the outer side of the positioning cover (29) and is fixedly installed with a handle rod (34).
5. The clinical puncturing device for the department of cardiology, which is convenient for adjusting the puncturing angle, according to claim 1, characterized in that the limiting mechanism comprises a limiting rail (35) fixedly installed at the top of the base (1), a limiting plate (36) is slidably connected on the limiting rail (35), two sides of the limiting plate (36) are fixedly connected with corresponding sliding plates (23) respectively, clamping rods (37) are fixedly connected on the limiting plate (36) in a penetrating and sliding manner, a plurality of positioning grooves (39) are formed in the top of the limiting rail (35) at equal intervals, the bottom ends of the clamping rods (37) are movably clamped with the plurality of positioning grooves (39) respectively, a brake spring (38) positioned above the limiting plate (36) is sleeved on the clamping rods (37), and the top ends and the bottom ends of the brake spring (38) are fixedly connected with the top ends of the clamping rods (37) and the top of the limiting plate (36) respectively.
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|---|---|---|---|
| CN202311687510.6A CN117582272B (en) | 2023-12-11 | 2023-12-11 | Intracardiac branch of academic or vocational study clinical puncture device convenient to adjust puncture angle and application method thereof |
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|---|---|---|---|
| CN202311687510.6A CN117582272B (en) | 2023-12-11 | 2023-12-11 | Intracardiac branch of academic or vocational study clinical puncture device convenient to adjust puncture angle and application method thereof |
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| CN117582272B true CN117582272B (en) | 2024-05-14 |
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