CN210520963U

CN210520963U - Anorectal pressure measurement auxiliary device

Info

Publication number: CN210520963U
Application number: CN201920852012.5U
Authority: CN
Inventors: 吴克艳; 路国涛; 丁岩冰; 肖炜明; 吴健; 邓彬; 王春明; 侯思聪
Original assignee: Affiliated Hospital of Yangzhou University
Current assignee: Affiliated Hospital of Yangzhou University
Priority date: 2019-06-06
Filing date: 2019-06-06
Publication date: 2020-05-15
Anticipated expiration: 2029-06-06

Abstract

An anorectal manometry auxiliary device relates to the technical field of medical appliances, and comprises a lifting rod, a supporting assembly and a guiding assembly; the supporting assembly comprises a supporting box, a rotating shaft, a first roller and a limiting plate, the supporting box is connected to the upper end of the lifting rod, and the first roller is connected into the supporting box through the rotating shaft; the guide assembly comprises a guide head, a guide sleeve, a spring, a fixed flange, a pull rod and a slide rail; the guide head penetrates through one end of the guide sleeve, the other end of the guide sleeve is connected with the fixing flange, the spring is arranged in the guide sleeve, the slide rail is fixedly connected to the box body, the slide block is arranged in the slide rail, and the fixing flange is connected with the slide block; the guide assembly further comprises wrapping rubber, the lower end of the pull rod is connected with the wrapping rubber, and the upper end of the pull rod is connected with the guide head. The phenomenon that the piezometric tube falls off due to anus contraction or enters a deeper part of the anorectum of a patient due to anus expansion is avoided, the rectum of the patient is scratched, the working strength is reduced, and the working efficiency is improved.

Description

Anorectal pressure measurement auxiliary device

Technical Field

The utility model relates to the technical field of medical appliances, especially, relate to an anus rectum pressure measurement auxiliary device.

Background

At present, the doctor is when carrying out anus rectum pressure measurement inspection for the patient, the patient is when anus shrink or expansion action, can lead to the pressure-measuring pipe to drop or the pressure-measuring pipe enters into the deeper position of patient's rectum, scratch patient's rectum even, this needs the doctor to hold the pressure-measuring pipe with the hand continuously in the inspection process, and when following patient's shrink or expansion action, suitably remove the pressure-measuring pipe around, prevent that it from dropping or the pressure-measuring pipe enters into the deeper position of patient's rectum, this just brings extra work load for the doctor, and the work efficiency is reduced.

Disclosure of Invention

The utility model aims at overcoming prior art's is not enough, provide an anus rectum pressure measurement auxiliary device, can realize the support and the back-and-forth movement to the pressure-measuring pipe, avoided causing the pressure-measuring pipe to drop because of the shrink anus, perhaps cause the pressure-measuring pipe to enter into the deeper position of patient anus intestines because of the anus expansion, scratch patient rectum, save the doctor and support the pressure-measuring pipe for a long time at the pressure-measuring in-process, reduced working strength, improved work efficiency, also avoided possible human error.

The purpose of the utility model is realized like this: an anorectal manometry auxiliary device comprises a control box, a support assembly and a guide assembly, wherein the control box outputs power to perform lifting motion; the control box comprises a power mechanism and a lifting rod which is vertically arranged, and the output end of the power mechanism is connected with the lifting rod; the supporting assembly comprises a supporting box, a rotating shaft, a first roller and a limiting plate, the supporting box is connected to the upper end of the lifting rod, the upper end of the supporting box is a box opening, the limiting plate is connected to the box opening of the supporting box and used for opening and closing the box opening, the first roller is connected into the supporting box through the rotating shaft, and the pressure measuring pipe is supported between the first roller and the limiting plate; the guide assembly comprises a guide head, a guide sleeve, a spring, a fixed flange, a pull rod and a slide rail; the guide head and the guide sleeve are transversely arranged, the guide head penetrates through one end of the guide sleeve, one end of the guide head, extending out of the guide sleeve, is spherical and is in contact with the hip of a patient, the other end of the guide sleeve is connected with the fixing flange, and the spring is arranged in the guide sleeve and is positioned between the guide head and the fixing flange; the slide rail is vertically arranged and fixedly connected to a box body of the control box, a slide block is arranged in the slide rail, the fixed flange is connected with the slide block, and the fixed flange is fixed with the slide rail through a fastener; the lower side of the guide sleeve is axially provided with a straight groove, the guide assembly further comprises wrapping rubber wrapping the pressure measuring pipe, the pull rod is vertically arranged, the lower end of the pull rod is connected with the wrapping rubber, and the upper end of the pull rod extends into the straight groove of the guide sleeve and is connected with the guide head.

During the inspection, the pressure-measuring pipe is placed on the supporting component roller, and the limiting plate is adopted for limiting, so that the pressure-measuring pipe is prevented from jumping up and down. The vertical height of the supporting component is adjusted by rotating the hand wheel, so that the pressure measuring pipe is as high as the anus of the patient, and the pressure measuring pipe can be conveniently led into the anus and the intestine of the patient. The fixing flange of the guide assembly slides up and down to obtain the optimal height of the guide head contacting with the hip of the patient, the guide head contacts with the hip of the patient, a certain compression amount of the spring is ensured, and the wrapping rubber is sleeved on the piezometer tube. When the anus of a patient is contracted, the hip is contracted, and the guide head drives the pressure measuring pipe to move forwards under the action of the tension of the spring so as to prevent the pressure measuring pipe from falling off; when the patient expands the anus, the buttock extrudes the guide head, thereby driving the piezometer tube to move backwards, preventing the piezometer tube from entering the anus of the patient excessively and avoiding scratching the anus and the intestine of the patient.

The utility model discloses can realize the support and the back-and-forth movement to the pressure-measuring pipe, avoid causing the pressure-measuring pipe to drop because of contracting the anus, perhaps cause the pressure-measuring pipe to enter into the deeper of patient's anus intestines because of the anus expansion, scratch patient's rectum, save the doctor and support the pressure-measuring pipe for a long time at the pressure measurement in-process, reduce working strength, improve work efficiency, also avoid possible human error.

The utility model discloses a control box still includes the box, and power unit includes hand wheel, hand wheel axle, driving gear, rack, slider and second gyro wheel, the hand wheel is located the box outside, and driving gear, rack, slider and second gyro wheel are located the box; the driving gear is connected with a hand wheel shaft, the hand wheel shaft is supported on the box body, and one end of the hand wheel shaft extends out to be connected with a hand wheel; the rack is transversely arranged and supported on the second roller wheel, the rack is meshed with the driving gear, the sliding block is connected to one end of the rack, and the upper surface of the sliding block is an inclined surface; the lifting rod penetrates through the box body, the lower end of the lifting rod is arranged on the inclined plane of the sliding block, a guide sleeve is sleeved on the lifting rod in the box body, and the guide sleeve is fixed with the box body; the hand wheel is rotated forward and backward, and the rotary motion of the hand wheel is converted into the vertical linear motion of the lifting rod through the driving gear and the rack.

The utility model discloses a power unit still includes driven gear, and driven gear supports in the box through the driven shaft, and driven gear meshes with the driving gear mutually, two racks have, and two racks all transversely arrange and support on the second gyro wheel, and one meshes with the driving gear, and another meshes with driven gear mutually, and two sliders have the one end of connecting respectively at corresponding rack; the two lifting rods of the control box are arranged, the lower ends of the two lifting rods are arranged on the inclined planes of the corresponding sliding blocks, the two groups of supporting assemblies are identical in structure, the upper ends of the two lifting rods are respectively connected with the two supporting boxes in a one-to-one correspondence mode, the pressure measuring tubes are supported by the two groups of supporting assemblies and are supported more stably by the two groups of supporting assemblies.

The utility model discloses a support integrative flanging that sets up in upper end of box, the limiting plate sets up on the flanging and through round pin hub connection, and the limiting plate rotates for the center along the round pin axle, rotates the limiting plate, and the limiting plate is opened or is closed the box mouth that supports the box.

The utility model discloses a direction subassembly still includes end cap and rotatory swivel nut, the one end and the mounting flange threaded connection of rotatory swivel nut, the other end and end cap threaded connection, the end cap still with guide sleeve be connected. The rotating screw sleeve is rotated to adjust the guide component to a proper length to be contacted with the hip of the patient.

The utility model discloses a pull rod is including the pull rod upper boom, pull rod sleeve and the pull rod lower beam of threaded connection in proper order from top to bottom, and the screw thread opposite direction of pull rod upper boom and pull rod lower beam. The pull rod sleeve can be rotated according to actual conditions, and the pull rod is adjusted to a reasonable length.

The utility model discloses guide sleeve's one end sets up the through-hole, the direction head stretches out in the through-hole, and the one end an organic whole that the direction head is located guide sleeve sets up spacing boss, and the diameter of spacing boss is greater than the diameter of guide sleeve's through-hole, avoids the spring to lead the head whole ejecting guide sleeve outside.

Drawings

Fig. 1 is a schematic structural diagram of the present invention.

Fig. 2 is a top view of fig. 1.

Fig. 3 is a left side view of fig. 1.

Fig. 4 is a view from a-a in fig. 1.

Fig. 5 is a view from B-B in fig. 1.

Fig. 6 is a schematic view of the limiting plate closing the box opening in fig. 5.

Fig. 7 is a view from direction C-C in fig. 2.

In the figure, a control box 1, a box body 1-1, a hand wheel 1-2, a lifting rod 1-3, a driven gear 1-4, a driving gear 1-5, a hand wheel shaft 1-6, a guide sleeve 1-7, a slide block 1-8, a rack 1-9, a second roller 1-10, a support component 2-1, a support box 2-2, a limit plate 2-2, a pin shaft 2-3, a rotating shaft 2-4, a fastener 2-5, a first roller 2-6, a flanging 2-7, a guide component 3, a guide head 3-1, a limit boss 3-2, a guide sleeve 3-3, a spring 3-4, a plug 3-5, a rotary screw sleeve 3-6, a fixed flange 3-7, a slide rail 3-8, a pull rod 3-9, a pull rod upper rod 3-9-1, 3-9-2 pull rod sleeves, 3-9-3 pull rod lower rods, 3-10 wrapping rubber, 3-11 fastening bolts, 3-12 sliding blocks, 3-13 through holes, 3-14 straight grooves, 4 pressure measuring pipes, 5 anus and 6 buttocks.

Detailed Description

As shown in fig. 1 to 7, the anorectal manometry auxiliary device mainly comprises a control box 1 outputting power to be lifting motion, a support component 2 supporting a manometry tube 4, and a guide component 3 contacting the buttocks 6 of a patient.

The control box 1 comprises a box body 1-1, a hand wheel 1-2, a hand wheel shaft 1-6, a driving gear 1-5, a driven gear 1-4, two racks 1-9, two sliding blocks 1-8 and four second rollers 1-10. The hand wheel 1-2 is positioned outside the box body 1-1, and the driving gear 1-5, the driven gear 1-4, the two racks 1-9, the two sliding blocks 1-8 and the four second rollers 1-10 are positioned in the box body 1-1. The driving gear 1-5 is connected with the hand wheel shaft 1-6, the hand wheel shaft 1-6 is supported on the box body 1-1, and one end of the hand wheel shaft extends out to be connected with the hand wheel 1-2. The driven gear 1-4 is supported in the box body 1-1 through a driven shaft, and the driven gear 1-4 is meshed with the driving gear 1-5. Two racks 1-9 are transversely arranged, each rack 1-9 is supported on two second rollers 1-10, one rack 1-9 is arranged below the driving gear 1-5 and meshed with the driving gear, and the other rack 1-9 is arranged below the driven gear 1-4 and meshed with the driven gear. The two sliding blocks 1-8 are respectively connected with one end of the corresponding rack 1-9, and the upper surfaces of the sliding blocks 1-8 are inclined planes. The two lifting rods 1-3 penetrate through the box body 1-1, the lower ends of the two lifting rods 1-3 are respectively arranged on the inclined planes of the corresponding sliding blocks 1-8 in a one-to-one correspondence mode, the guide sleeves 1-7 are sleeved on the lifting rods 1-3 positioned in the box body 1-1, and the guide sleeves 1-7 are fixed with the box body 1-1. The forward and reverse rotation of the hand wheel 1-2 converts the rotation of the hand wheel 1-2 into the up and down linear motion of the lifting rod 1-3 through the driving gear 1-5, the driven gear 1-4 and the rack 1-9.

When the hand wheel 1-2 drives the driving gear 1-5 to rotate through the hand wheel shaft 1-6, the driving gear 1-5 is meshed with the driven gear 1-4, so that the driven gear 1-4 is driven to rotate. When the driving gear 1-5 rotates, the rack 1-9 below is driven to move back and forth transversely. When the driven gear 1-4 rotates, the lower rack 1-9 is also driven to move back and forth transversely. When the rack 1-9 moves towards the lifting rod 1-3 side, the lifting rod 1-3 rises, and when the rack 1-9 moves back to the lifting rod 1-3, the lifting rod 1-3 falls. In order to reduce the friction resistance and facilitate the forward and backward movement of the racks 1-9, two groups of second rollers 1-10 are arranged on the lower side of each group of racks 1-9. Two groups of guide sleeves 1-7 are arranged in the box body, the lifting rod 1-3 penetrates through the guide sleeves 1-7 to be in contact with the inclined surfaces of the sliding blocks 1-8, and the guide sleeves 1-7 prevent the lifting rod 1-3 from inclining and play a role in guiding. The above is a kind of transmission conversion device, the present invention is not limited to this kind of transmission conversion device.

The support components 2 are provided with two groups and have the same structure, the support components 2 comprise support boxes 2-1 and rotating shafts 2-4, the pressure measuring pipe comprises first rollers 2-6 and limiting plates 2-2, the two supporting boxes 2-1 are respectively connected with the upper ends of two lifting rods 1-3 in a one-to-one correspondence mode, the upper ends of the supporting boxes 2-1 are box openings, rotating shafts 2-4 penetrate through the supporting boxes 2-1, the two ends of the rotating shafts 2-4 extend out of the supporting boxes 2-1 and are limited through threaded connecting fasteners 2-5, the first rollers 2-6 are arranged on the rotating shafts 2-4 in the supporting boxes 2-1, the pressure measuring pipe 4 is placed on the first rollers 2-6 of the two groups of supporting components 2, the first rollers 2-6 can rotate around the rotating shafts 2-4, the pressure measuring pipe 4 can move back and forth conveniently, and friction resistance of the pressure measuring pipe 4 moving back and forth is reduced. The upper end of the supporting box 2-1 is integrally provided with an outward flange 2-7, and the limiting plate 2-2 is arranged on the outward flange 2-7 and is connected with the outward flange 2-3 through a pin shaft. And rotating the limiting plate 2-2, wherein the limiting plate 2-2 rotates along the pin shaft 2-3, and opening or closing the box opening of the supporting box 2-1. When the pressure measuring pipe 4 is placed on the first roller wheels 2-6, the limiting plates 2-2 can be rotated above the pressure measuring pipe 4, so that the pressure measuring pipe 4 is prevented from jumping up and down. The supporting component 2 is connected with the control box 1 through the lifting rods 1-3, the lifting rods 1-3 realize vertical linear motion through transmission conversion of the control box 1, and the height of the supporting component 2 is adjusted to be equal to that of the anus 5 of the patient.

The guide assembly 3 comprises a guide head 3-1, a guide sleeve 3-3, a spring 3-4, a plug 3-5, a rotary threaded sleeve 3-6, a fixed flange 3-7, a pull rod 3-9 and a pair of slide rails 3-8. The guide head 3-1 and the guide sleeve 3-3 are transversely arranged, a through hole 3-13 is formed in one end of the guide sleeve 3-3, the guide head 3-1 extends out of the through hole 3-13, one end, extending out of the guide sleeve 3-3, of the guide head 3-1 is spherical and is in contact with the hip 6 of a patient, a limiting boss 3-2 is integrally formed in one end, located in the guide sleeve 3-3, of the guide head 3-1, and the diameter of the limiting boss 3-2 is larger than that of the through hole 3-13 of the guide sleeve 3-3. The other end of the guide sleeve 3-3 is connected with the plug 3-5, and the spring 3-4 is arranged in the guide sleeve 3-3 and is positioned between the guide head 3-1 and the plug 3-5. One end of the rotary threaded sleeve 3-6 is in threaded connection with the plug 3-5, the other end of the rotary threaded sleeve is in threaded connection with the fixing flange 3-7, and the rotary threaded sleeve 3-6 can extend or shorten the guide assembly 3 so as to control the safe distance of the piezometric tube 4 entering the anus and intestine of a patient.

A pair of slide rails 3-8 are vertically arranged and fixedly connected to a box body 1-1 of a control box 1, a slide block 3-12 is arranged in each slide rail 3-8, a fixed flange 3-7 is connected with the two slide blocks 3-12, and the fixed flange 3-7 is fixed with the slide rail 3-12 through a fastening bolt 3-11. The fixed flange 3-7 can slide up and down along the slide rail 3-12, thereby driving the whole guide assembly 3 to move up and down and be fixed by the fastening bolt 3-11 so as to adjust the optimal guide height.

The lower side of the guide sleeve 3-3 is axially provided with straight grooves 3-14, the guide assembly 3 further comprises wrapping rubber 3-10 wrapping the piezometer tube 4, the pull rods 3-9 are vertically arranged, the pull rods 3-9 comprise an upper pull rod 3-9-1, a pull rod sleeve 3-9-2 and a lower pull rod 3-9-3 which are sequentially in threaded connection from top to bottom, and the thread directions of the upper pull rod 3-9-1 and the lower pull rod 3-9-3 are opposite. The lower end of the lower pull rod 3-9-3 is connected with the wrapping rubber 3-10, and the upper end of the upper pull rod 3-9-1 extends into the straight groove 3-14 of the guide sleeve 3-3 and is connected with the guide head 3-1. As one of the upper pull rod 3-9-1 and the lower pull rod 3-9-3 is a left-handed thread and the other is a right-handed thread which are respectively in threaded connection with the upper end and the lower end of the pull rod sleeve 3-9-2, when the pull rod sleeve 3-9-2 is rotated, the extension and the shortening of the pull rod 3-9 can be realized. The lower side of the guide sleeve 3-3 is provided with a straight groove 3-14 to facilitate the forward and backward movement of the pull rod 3-9.

The main facility process is as follows: the pressure measuring pipe 4 is placed on the first rollers 2-6 of the supporting component 2, and the limiting plates 2-2 are used for limiting so as to prevent the pressure measuring pipe 4 from jumping up and down. The vertical height of the supporting component 2 is adjusted by rotating the hand wheel 1-2, so that the pressure measuring tube 4 is equal to the anus 5 of the patient, and the pressure measuring tube 4 can be conveniently led into the anus and the intestine of the patient. The fixing flange 3-7 of the guide assembly 3 is slid up and down to obtain the optimal height of the guide head 3-1 contacting with the buttocks 6 of the patient. The pull rod sleeve 3-9-2 is rotated, the pull rod 3-9 is adjusted to a reasonable length, and the wrapping rubber 3-10 is sleeved on the pressure measuring pipe 4. The rotary screw sleeve 3-6 is rotated to adjust the guide component 3 to a proper length to contact with the hip 6 of the patient and ensure a certain compression amount of the spring 3-4. When the anus of a patient is contracted, the hip is contracted, and the guide head 3-1 drives the pressure measuring tube 4 to move forwards under the tension of the spring 3-4 so as to prevent the pressure measuring tube 4 from falling off; when the anus of the patient is expanded, the hip extrudes the guide head 3-1, so that the piezometer tube 4 is driven to move backwards, the piezometer tube 4 is prevented from entering the anus and intestine of the patient too much, and the anus and intestine of the patient are prevented from being scratched.

Claims

1. The utility model provides an anorectal manometry auxiliary device which characterized in that: comprises a control box with the output power of lifting motion, a supporting component for supporting a piezometer tube and a guiding component for contacting the hip of a patient;

the control box comprises a power mechanism and a lifting rod which is vertically arranged, and the output end of the power mechanism is connected with the lifting rod;

the supporting assembly comprises a supporting box, a rotating shaft, a first roller and a limiting plate, the supporting box is connected to the upper end of the lifting rod, the upper end of the supporting box is a box opening, the limiting plate is connected to the box opening of the supporting box and used for opening and closing the box opening, the first roller is connected into the supporting box through the rotating shaft, and the pressure measuring pipe is supported between the first roller and the limiting plate;

the guide assembly comprises a guide head, a guide sleeve, a spring, a fixed flange, a pull rod and a slide rail; the guide head and the guide sleeve are transversely arranged, the guide head penetrates through one end of the guide sleeve, one end of the guide head, extending out of the guide sleeve, is spherical and is in contact with the hip of a patient, the other end of the guide sleeve is connected with the fixing flange, and the spring is arranged in the guide sleeve and is positioned between the guide head and the fixing flange; the slide rail is vertically arranged and fixedly connected to a box body of the control box, a slide block is arranged in the slide rail, the fixed flange is connected with the slide block, and the fixed flange is fixed with the slide rail through a fastener; the lower side of the guide sleeve is axially provided with a straight groove, the guide assembly further comprises wrapping rubber wrapping the pressure measuring pipe, the pull rod is vertically arranged, the lower end of the pull rod is connected with the wrapping rubber, and the upper end of the pull rod extends into the straight groove of the guide sleeve and is connected with the guide head.

2. The anorectal pressure measurement assisting device according to claim 1, wherein: the control box also comprises a box body, the power mechanism comprises a hand wheel, a hand wheel shaft, a driving gear, a rack, a sliding block and a second roller wheel, the hand wheel is positioned outside the box body, and the driving gear, the rack, the sliding block and the second roller wheel are positioned in the box body; the driving gear is connected with a hand wheel shaft, the hand wheel shaft is supported on the box body, and one end of the hand wheel shaft extends out to be connected with a hand wheel; the rack is transversely arranged and supported on the second roller wheel, the rack is meshed with the driving gear, the sliding block is connected to one end of the rack, and the upper surface of the sliding block is an inclined surface; the lifting rod penetrates through the box body, the lower end of the lifting rod is arranged on the inclined plane of the sliding block, a guide sleeve is sleeved on the lifting rod in the box body, and the guide sleeve is fixed with the box body; the hand wheel is rotated forward and backward, and the rotary motion of the hand wheel is converted into the vertical linear motion of the lifting rod through the driving gear and the rack.

3. The anorectal pressure measurement assisting device according to claim 2, wherein: the power mechanism further comprises a driven gear, the driven gear is supported in the box body through a driven shaft, the driven gear is meshed with the driving gear, the number of the racks is two, the two racks are transversely arranged and supported on the second roller, one rack is meshed with the driving gear, the other rack is meshed with the driven gear, and the two sliding blocks are respectively connected to one end of the corresponding rack; the two lifting rods of the control box are arranged, the lower ends of the two lifting rods are arranged on the inclined planes of the corresponding sliding blocks, the two groups of supporting assemblies are identical in structure, the upper ends of the two lifting rods are respectively connected with the two supporting boxes in a one-to-one correspondence mode, and the pressure measuring pipes are supported by the two groups of supporting assemblies.

4. The anorectal pressure measurement assisting device according to claim 1, wherein: the upper end of the supporting box is integrally provided with an outward flange, the limiting plate is arranged on the outward flange and connected through a pin shaft, the limiting plate is rotated, and the limiting plate opens or closes a box opening of the supporting box.

5. The anorectal pressure measurement assisting device according to claim 1, wherein: the guide assembly further comprises a plug and a rotary threaded sleeve, one end of the rotary threaded sleeve is in threaded connection with the fixed flange, the other end of the rotary threaded sleeve is in threaded connection with the plug, and the plug is further connected with the guide sleeve.

6. The anorectal pressure measurement assisting device according to claim 1, wherein: the pull rod comprises an upper pull rod, a pull rod sleeve and a lower pull rod which are sequentially in threaded connection from top to bottom, and the thread directions of the upper pull rod and the lower pull rod are opposite.

7. The anorectal pressure measurement assisting device according to claim 1, wherein: a through hole is formed in one end of the guide sleeve, the guide head extends out of the through hole, a limiting boss is integrally arranged at one end, located in the guide sleeve, of the guide head, and the diameter of the limiting boss is larger than that of the through hole of the guide sleeve.