CN211911689U

CN211911689U - Hepatobiliary surgery is with propping solid device

Info

Publication number: CN211911689U
Application number: CN202020207902.3U
Authority: CN
Inventors: 汪俊州; 杨楷; 王义刚
Original assignee: Panzhihua Central Hospital
Current assignee: Panzhihua Central Hospital
Priority date: 2020-02-25
Filing date: 2020-02-25
Publication date: 2020-11-13
Anticipated expiration: 2030-02-25

Abstract

The utility model relates to a medical auxiliary equipment technical field just discloses a hepatobiliary surgery is with propping solid device, including two fixed buckles, two the equal fixed mounting in top of fixed buckle has electric putter, two the equal fixedly connected with fixed block in electric putter's top, two rotate between the fixed block and be connected with the threaded rod, the right-hand member of threaded rod runs through and extends to the right side of the fixed block on right side, the cover is equipped with the thread bush rather than threaded connection on the threaded rod, the bottom fixedly connected with base of thread bush, the bottom fixedly connected with fixed plate of base, fixedly connected with fixed axle between base and the fixed plate, fixed epaxial cover is equipped with rather than the rotational motion dish of being connected. The utility model discloses a, solved present unable better strut the operation position, it is inconvenient to use, struts the effect not good, dials the bore size operation coarse problem of patient's operation edge of a knife.

Description

Hepatobiliary surgery is with propping solid device

Technical Field

The utility model relates to the technical field of medical auxiliary equipment, in particular to a supporting and fixing device for hepatobiliary surgery.

Background

Hepatobiliary surgery mainly researches hepatocellular carcinoma, hepatobiliary calculus, posthepatitic cirrhosis and acute hepatic failure caused by severe hepatitis are major diseases seriously threatening the health of Chinese people, the hepatobiliary calculus refers to the calculus in the biliary duct with the branching of the common hepatic duct, the hepatobiliary calculus accounts for 16.1 percent in 11342 cases of investigation in the country, the hepatobiliary calculus can accompany with hepatobiliary stricture, according to the analysis of 4197 cases of hepatobiliary calculus operation treatment in the country, the incidence rate of the hepatobiliary stricture is 24.28 percent on average, and the highest region can reach 41.94 percent on average. In the second operation, more than 40% of cases are accompanied by hepatobiliary stricture, the incidence of stricture is proportional to the second operation, most of the cases are pigment mixed stones containing a large amount of calcium bilirubinate, and the causes of the disease may be related to biliary tract infection, bile retention and biliary tract parasites.

At present, in the common disease of hepatobiliary surgery, often need to operate to relevant position, and need pull relevant position during the operation and tear open, present device need use gasbag extension fixture at this in-process, can't be better struts the operation position, use very inconvenient moreover, the effect of strutting is also not good, dials the position inaccuracy of patient's operation edge, provides a hepatobiliary surgery for operation and struts the device and solve above-mentioned problem for this reason.

SUMMERY OF THE UTILITY MODEL

Technical problem to be solved

The utility model provides a not enough to prior art, the utility model provides a hepatobiliary surgery is with propping admittedly device has and struts effectually, and convenient to use and the accurate advantage in location have solved the unable better position of will operating at present and strut, use inconvenient, and it is not good to strut the effect, dials the inaccurate problem of bore size operation of patient's operation edge of a knife.

(II) technical scheme

For realizing above-mentioned effectual, convenient to use and the accurate purpose in location struts, the utility model provides a following technical scheme:

a supporting and fixing device for hepatobiliary surgery comprises two fixing buckles, wherein electric push rods are fixedly mounted at the tops of the two fixing buckles, fixed blocks are fixedly connected at the tops of the two electric push rods, a threaded rod is rotatably connected between the two fixed blocks, the right end of the threaded rod penetrates through and extends to the right side of the fixed block on the right side, a threaded sleeve in threaded connection with the threaded rod is sleeved on the threaded rod, a base is fixedly connected at the bottom of the threaded sleeve, a fixed plate is fixedly connected at the bottom of the base, a fixed shaft is fixedly connected between the base and the fixed plate, a rotating disc in rotary connection with the fixed shaft is sleeved on the fixed shaft, four arc-shaped sliding grooves are arranged on the rotating disc at equal intervals, a fluted disc is fixedly connected on the front side of the rotating disc, a lead screw is connected with the inner side of the front side of the base through, the back of lead screw and the positive meshing of fluted disc, the bottom fixedly connected with of fixed plate is four the bracing member that the equidistance was arranged, four the inboard of bracing member all articulates there is the support solid component, four logical grooves that the equidistance was arranged are seted up to the bottom of fixed plate, four the top of propping solid component extends to the top of fixed plate through four logical grooves respectively, four prop the top of solid component respectively with four arc spout sliding connection.

Preferably, the four supporting members comprise two fixed supporting plates, the tops of the eight fixed supporting plates are fixedly connected with the bottoms of the fixed plates, the shaft columns are fixedly connected between every two adjacent fixed supporting plates, and the four shaft columns are hinged to the four through grooves respectively.

Preferably, the four supporting and fixing components comprise supporting and fixing rods, the four supporting and fixing rods are hinged to the four shaft columns respectively, the tops of the supporting and fixing rods extend to the top of the fixing plate through the four through grooves respectively, sliding ends are fixedly connected to the tops of the supporting and fixing rods respectively, the four sliding ends are connected with the four arc-shaped sliding grooves in a sliding mode, and supporting and fixing support legs are integrally formed at the bottoms of the supporting and fixing rods.

Preferably, a guide rod is fixedly connected between the two fixing blocks, and the threaded sleeve is connected with the guide rod in a sliding manner.

Preferably, the right end of the threaded rod is fixedly connected with a first hand wheel, and anti-skid grains are arranged on the outer side of the first hand wheel.

Preferably, the right end of the screw rod is fixedly connected with a second hand wheel, and anti-skid grains are arranged on the outer side of the second hand wheel.

(III) advantageous effects

Compared with the prior art, the utility model provides a hepatobiliary surgery is with propping admittedly device possesses following beneficial effect:

1. the supporting and fixing device for hepatobiliary surgery is characterized in that two fixing buckles are clamped on the left side and the right side of an operating table, so that the device is fixed on the operating table, the device is lifted by stretching an electric push rod, a first hand wheel is rotated to rotate a threaded rod, the threaded rod is rotated to enable a threaded sleeve in threaded connection with the threaded rod to move left and right, a base can move left and right along with the threaded sleeve to drive a supporting and fixing component to move and position, at the moment, the supporting and fixing component is in a folding state, when the supporting and fixing component moves to the top of an operating knife edge, the electric push rod is controlled to descend, the supporting and fixing component can be driven to move downwards and be inserted into the inside of the operating knife edge, the supporting and fixing component can be adjusted left and right and can be adjusted up and down, the positioning is accurate, the lead screw is rotated by rotating a second hand wheel, a fluted disc, the sliding end head connected with the arc chute in a sliding way can slide from the highest part to the lowest part of the arc chute, the sliding of the sliding end can drive the bracing and fixing rod to expand outwards around the shaft column, the bracing and fixing support legs expand outwards gradually to open the surgical incision, so that the effect of opening the surgical incision is better, the further operation of the external operations of the liver and the gallbladder can be started, a series of operation processes are finally completed, after the operation is completed, only the screw rod needs to be reversed, the fluted disc drives the rotary disk to be reversed, the sliding end can slide from the lowest position to the highest position of the arc-shaped sliding groove, therefore, the propping component is folded, propping of the operation is completed, the operation is simple, the propping effect is good, the use is convenient, the positioning is accurate, and the problems that the operation part cannot be better propped open at present, the use is inconvenient, the propping effect is not good, and the operation for poking the caliber size of the operation incision of the patient is inaccurate are solved.

2. This hepatobiliary surgery is with propping admittedly device can fix spacingly to propping admittedly the component through fixed stay board, props admittedly the component and can rotate around the pivot post, conveniently props the expansion or the receipts of solidly the component and receive, is convenient for pull open the operation edge of a knife.

3. This hepatobiliary surgery is with propping solid device rotates rather than the fluted disc of meshing through rotating the lead screw messenger, and the fluted disc drives the rotating disk and rotates for the arc spout rotates, and the slip end revolves in the arc spout, and the slip tip area moves and props solid pole and rotate around the jack-post, can make the slip end open gradually with propping solid pole, and outside expansion, and then dial the operation edge of a knife, prop solid stabilizer blade outside when opening, make and take off the effect better.

4. This hepatobiliary surgery is with propping admittedly device, through the setting of guide bar, can play the effect firm and that lead to the thread bush, prevent the thread bush skew for rectilinear movement about the base carries out.

5. This hepatobiliary surgery is with propping admittedly device through the first hand wheel that has anti-skidding screw thread, can make things convenient for the rotation of threaded rod to increase frictional force, make and rotate more laborsaving, make things convenient for the lateral shifting of base, be convenient for will prop admittedly the component and remove the operation position.

6. According to the supporting and fixing device for the hepatobiliary surgery, the second hand wheel with the anti-skidding threads can facilitate the rotation of the screw rod, increase the friction force, save more labor in rotation and facilitate the opening and the combination of the supporting and fixing components.

Drawings

FIG. 1 is a schematic structural view of the present invention;

FIG. 2 is a schematic view of the base of the present invention;

FIG. 3 is a schematic view of a partial cross-sectional structure of the base and the fixing plate according to the present invention;

fig. 4 is a schematic structural view of the supporting member of the present invention.

In the figure: 1. fixing the buckle; 2. an electric push rod; 3. a fixed block; 4. a threaded rod; 5. a threaded sleeve; 6. a base; 7. a fixing plate; 8. a fixed shaft; 9. rotating the disc; 10. an arc-shaped chute; 11. a fluted disc; 12. a screw rod; 13. a support member; 1301. fixing the support plate; 1302. a column shaft; 14. a bracing member; 1401. a supporting and fixing rod; 1402. sliding the end head; 1403. supporting and fixing the support legs; 15. a through groove; 16. a guide bar; 17. a first hand wheel; 18. a second hand wheel.

Detailed Description

The technical solutions in the embodiments of the present invention will be described clearly and completely with reference to the accompanying drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only some embodiments of the present invention, not all embodiments. Based on the embodiments in the present invention, all other embodiments obtained by a person skilled in the art without creative work belong to the protection scope of the present invention.

Referring to fig. 1-4, a hepatobiliary surgery supporting and fixing device comprises two fixing buckles 1, the device is fixed on an operating table by clamping the two fixing buckles 1 on the left side and the right side of the operating table, electric push rods 2 are fixedly installed on the tops of the two fixing buckles 1, the device is lifted or lowered by stretching and retracting the electric push rods 2, the device is convenient to move up and down, fixed blocks 3 are fixedly connected on the tops of the two electric push rods 2, a threaded rod 4 is rotatably connected between the two fixed blocks 3, the right end of the threaded rod 4 penetrates through and extends to the right side of the fixed block 3 on the right side, a threaded sleeve 5 in threaded connection with the threaded rod 4 is sleeved on the threaded rod 4, a base 6 is fixedly connected to the bottom of the threaded sleeve 5, the threaded sleeve 5 can move left and right by rotating the threaded rod 4, the base 6 can move left and, the bottom of the base 6 is fixedly connected with a fixed plate 7, a fixed shaft 8 is fixedly connected between the base 6 and the fixed plate 7, a rotating disk 9 which is rotatably connected with the fixed shaft 8 is sleeved on the fixed shaft 8, four arc-shaped sliding grooves 10 which are arranged at equal intervals are formed in the rotating disk 9, a fluted disc 11 is fixedly connected to the front of the rotating disk 9, a screw rod 12 is connected to the inner side of the front of the base 6 in a threaded manner, the right end of the screw rod 12 penetrates through and extends to the right side of the base 6, the back of the screw rod 12 is meshed with the front of the fluted disc 11, four supporting members 13 which are arranged at equal intervals are fixedly connected to the bottom of the fixed plate 7, each of the four supporting members 13 comprises a fixed supporting plate 1301 and a shaft column 1302, each fixed supporting plate 1301 can fix and limit the supporting member 14, each shaft column 1302 provides a hinged fulcrum, supporting members 14, The sliding end 1402 and the supporting legs 1403 are fixed, the supporting member 14 moves downwards and is inserted into the surgical incision, the screw rod 12 rotates to rotate the fluted disc 11, the fluted disc 11 drives the rotating disc 9 to rotate the arc-shaped sliding groove 10, with arc spout 10 sliding connection prop solid component 14 and can follow the highest of arc spout 10 to the lower slip, the gliding while is outwards opened around supporting member 13, expand gradually and make the operation edge of a knife pull open, four logical grooves 15 that the equidistance was arranged are seted up to the bottom of fixed plate 7, four tops that prop solid component 14 extend to the top of fixed plate 7 through four logical grooves 15 respectively, four tops that prop solid component 14 respectively with four arc spout 10 sliding connection, only need reverse lead screw 12 after the completion, prop solid component 14 and can follow the lower of arc spout 10 and slide to the highest, thereby make prop solid component 14 and receive, convenience simple to use.

Further, four supporting members 13 include two fixed support plates 1301, the tops of eight fixed support plates 1301 are all fixedly connected with the bottom of fixed plate 7, equal fixedly connected with pivot 1302 between two adjacent fixed support plates 1301, four pivot 1302 are articulated with four through grooves 15 respectively, it is spacing to fix supporting member 14 through fixed support plate 1301, supporting member 14 can rotate around pivot 1302, conveniently support expansion or receipts of supporting member 14 and close, be convenient for pull open the operation edge.

Further, the four supporting and fixing members 14 comprise supporting and fixing rods 1401, the four supporting and fixing rods 1401 are respectively hinged with the four shaft columns 1302, the tops of the four supporting and fixing rods 1401 extend to the top of the fixing plate 7 through the four through grooves 15, the tops of the four supporting and fixing rods 1401 are respectively and fixedly connected with sliding ends 1402, the four sliding ends 1402 are respectively and slidably connected with the four arc-shaped sliding grooves 10, supporting and fixing support legs 1403 are integrally formed at the bottoms of the four supporting and fixing rods 1401, the fluted disc 11 engaged with the screw rod 12 is rotated by rotating the screw rod 12, the fluted disc 11 drives the rotating disc 9 to rotate, so that the arc chute 10 rotates, the sliding end 1402 rotates in the arc chute 10, the sliding end 1402 drives the supporting rod 1401 to rotate around the shaft 1302, so that the sliding end 1402 and the supporting rod 1401 can be gradually opened and expanded outwards, further, the surgical incision is opened, and the supporting legs 1403 are outward in the opening direction, so that the opening effect is better.

Further, fixedly connected with guide bar 16 between two fixed blocks 3, thread bush 5 and guide bar 16 sliding connection, through the setting of guide bar 16, can play firm and the effect of direction to thread bush 5, prevent the skew of thread bush 5 for linear movement about base 6 carries out.

Further, the right-hand member fixedly connected with of threaded rod 4 first hand wheel 17, the outside of first hand wheel 17 is provided with anti-skidding line, through the first hand wheel 17 that has anti-skidding screw thread, can make things convenient for the rotation of threaded rod 4 to increase frictional force, make the rotation more laborsaving, make things convenient for the lateral shifting of base 6, be convenient for will prop solid member 14 and remove the operation position.

Furthermore, a second hand wheel 18 is fixedly connected to the right end of the screw rod 12, anti-skid grains are arranged on the outer side of the second hand wheel 18, the second hand wheel 18 with anti-skid threads can facilitate rotation of the screw rod 12, friction force is increased, rotation is more labor-saving, and the supporting and fixing component 14 is convenient to open and close.

The model of the electric putter 2 may be ANT-52, and other electric components used in this embodiment may be used, and the electronic components are all connected to an external power source and a control switch for use.

The working principle is as follows: when the supporting and fixing device for hepatobiliary surgery is used, the left side and the right side of an operating table are clamped by two fixing buckles 1, so that the device is fixed on the operating table, the device is lifted by stretching an electric push rod 2, a first hand wheel 17 is rotated to rotate a threaded rod 4, the threaded rod 4 is rotated to enable a threaded sleeve 5 in threaded connection with the threaded rod to move left and right, a base 6 can move left and right along with the threaded sleeve 5 to drive a supporting and fixing component 14 to move and position, at the moment, the supporting and fixing component 14 is in a folding state, when the supporting and fixing component 14 moves to the top of an operation incision, the electric push rod 2 is controlled to descend to drive the supporting and fixing component 14 to move downwards and be inserted into the inside of the operation incision, the left and right adjustment and the up and down adjustment are realized, the positioning is accurate, a screw rod 12 is rotated by rotating a second hand wheel 18, and, the fluted disc 11 drives the rotating disc 9 to rotate, the rotating disc 9 rotates to enable the arc-shaped sliding groove 10 to rotate, the sliding end 1402 which is in sliding connection with the arc-shaped sliding groove 10 can slide from the highest position to the lowest position of the arc-shaped sliding groove 10, the supporting and fixing rod 1401 can be driven to outwards open around the shaft column 1302 through the sliding of the sliding end 1402 and gradually expand to open an operation incision, the supporting and fixing support feet 1403 are outwards oriented when being opened, the effect of opening the operation incision is better, the further operation of the extrahepatic hepatobiliary surgery can be started, a series of operation processes are finally completed, after the operation is completed, only the screw rod 12 needs to be reversed, the fluted disc 11 drives the rotating disc 9 to be reversed, the sliding end 1402 can slide from the lowest position to the highest position of the arc-shaped sliding groove 10, the supporting and fixing component 14 is folded, the supporting and fixing of the operation is completed, the operation is simple, the supporting effect is good, the use is convenient and, inconvenient use, poor distraction effect and inaccurate operation for poking the caliber of the surgical incision of the patient.

It is noted that, herein, relational terms such as first and second, and the like may be used solely to distinguish one entity or action from another entity or action without necessarily requiring or implying any actual such relationship or order between such entities or actions. Also, the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or apparatus that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or apparatus. Without further limitation, an element defined by the phrase "comprising an … …" does not exclude the presence of other identical elements in a process, method, article, or apparatus that comprises the element.

Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.

Claims

1. The utility model provides a hepatobiliary surgery is with propping solid device, includes two fixed buckles (1), its characterized in that: the top of two fixed buckles (1) is fixedly provided with an electric push rod (2), the top of the electric push rod (2) is fixedly connected with a fixed block (3), two fixed blocks (3) are connected with a threaded rod (4) in a rotating manner, the right end of the threaded rod (4) penetrates through and extends to the right side of the fixed block (3) on the right side, a threaded sleeve (5) in threaded connection with the threaded rod is sleeved on the threaded rod (4), the bottom of the threaded sleeve (5) is fixedly connected with a base (6), the bottom of the base (6) is fixedly connected with a fixed plate (7), a fixed shaft (8) is fixedly connected between the base (6) and the fixed plate (7), a rotating disc (9) in rotating connection with the fixed shaft (8) is sleeved on the fixed shaft (8), and four arc chutes (10) which are arranged at equal intervals are formed in, rotate positive fixedly connected with fluted disc (11) of driving disc (9), the positive inboard threaded connection of base (6) has lead screw (12), the right-hand member of lead screw (12) runs through and extends to the right side of base (6), the back of lead screw (12) and the positive meshing of fluted disc (11), four supporting member (13) that the bottom fixedly connected with equidistance of fixed plate (7) was arranged, four the inboard of supporting member (13) all articulates there is the solid component (14) of propping, four logical groove (15), four that the equidistance was arranged are seted up to the bottom of fixed plate (7) prop the top of solid component (14) and extend to the top of fixed plate (7), four through four logical groove (15) respectively prop the top of solid component (14) respectively with four arc spout (10) sliding connection.

2. The bracing device for hepatobiliary surgery according to claim 1, wherein: the four supporting members (13) comprise two fixed supporting plates (1301), the tops of the eight fixed supporting plates (1301) are fixedly connected with the bottom of the fixed plate (7), the two adjacent fixed supporting plates (1301) are fixedly connected with the shaft columns (1302), and the four shaft columns (1302) are hinged to the four through grooves (15) respectively.

3. The bracing device for hepatobiliary surgery according to claim 2, wherein: the four supporting and fixing components (14) comprise supporting and fixing rods (1401), the four supporting and fixing rods (1401) are hinged to the four shaft columns (1302), the tops of the four supporting and fixing rods (1401) extend to the top of the fixing plate (7) through four through grooves (15), sliding ends (1402) are fixedly connected to the tops of the four supporting and fixing rods (1401), the four sliding ends (1402) are slidably connected with the four arc-shaped sliding grooves (10) respectively, and supporting and fixing support legs (1403) are integrally formed at the bottoms of the four supporting and fixing rods (1401).

4. The bracing device for hepatobiliary surgery according to claim 1, wherein: two fixedly connected with guide bar (16) between fixed block (3), thread bush (5) and guide bar (16) sliding connection.

5. The bracing device for hepatobiliary surgery according to claim 1, wherein: the right-hand member fixedly connected with first hand wheel (17) of threaded rod (4), the outside of first hand wheel (17) is provided with the non-slip texture.

6. The bracing device for hepatobiliary surgery according to claim 1, wherein: the right end of the screw rod (12) is fixedly connected with a second hand wheel (18), and anti-skid grains are arranged on the outer side of the second hand wheel (18).