CN213217361U - Auxiliary device for aortic dissection operation anastomosis - Google Patents

Auxiliary device for aortic dissection operation anastomosis Download PDF

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Publication number
CN213217361U
CN213217361U CN202021924546.3U CN202021924546U CN213217361U CN 213217361 U CN213217361 U CN 213217361U CN 202021924546 U CN202021924546 U CN 202021924546U CN 213217361 U CN213217361 U CN 213217361U
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CN
China
Prior art keywords
handle
fixedly connected
block
lifting
auxiliary device
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Expired - Fee Related
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CN202021924546.3U
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Chinese (zh)
Inventor
舒礼良
黄功成
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First Affiliated Hospital of Zhengzhou University
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First Affiliated Hospital of Zhengzhou University
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Priority to CN202021924546.3U priority Critical patent/CN213217361U/en
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Abstract

An auxiliary device for aortic dissection surgical anastomosis comprises a handle, wherein the upper part of the front end of the handle is fixedly connected with an extension tube, the front side of the extension tube is fixedly connected with a truncated cone-shaped plug, and the rear side of the plug is provided with three radially movable distraction blocks; a pressing handle capable of swinging back and forth is arranged in the middle of the front side of the handle, and the pressing handle swings to form a structure that the spreading block moves radially; the periphery of the extension pipe is connected with a sliding sleeve capable of moving back and forth in a sliding manner, the top of the sliding sleeve is provided with a lifting block capable of moving up and down, the front side of the lifting block is provided with an inverted L-shaped connecting rod, and the bottom of the front end of the connecting rod is provided with an arc-shaped pressing sheet; the upper part of the rear end of the handle is provided with a rotating wheel which can rotate left and right, and the rotating wheel rotates to form a structure that the sliding sleeve moves back and forth; the upper side of the handle is provided with a lifting wheel which can horizontally rotate, and the lifting wheel rotates to form a structure that the lifting block moves up and down. The utility model effectively solves the problems of low operation efficiency and inconvenient operation caused by the lack of the aortic dissection operation anastomosis auxiliary device at present.

Description

Auxiliary device for aortic dissection operation anastomosis
Technical Field
The utility model belongs to the field of medical equipment, concretely relates to aortic dissection operation is anastomosed and is used auxiliary device.
Background
The aortic dissection refers to the state that blood in the aortic lumen enters the aortic media from the aortic intimal tear to separate the media, and expands along the major axis of the aorta to form true and false separation of the two aortic walls.
The most precise method of treatment of aortic dissection is surgery, often "radical cure". For Stanford type A dissections, acute type B dissections which tend to rupture, are associated with ischemia of important organs or lower limbs, and involve ascending aorta and aortic insufficiency, the surgical operation should be performed as soon as possible. The purpose of the operation treatment is to replace the diseased blood vessel, eliminate the false cavity and reconstruct the blood supply of the branch blood vessel. According to the etiology, the position of the intimal laceration and the position affected by the interlayer, different operation modes are adopted to carry out aortic replacement, Wheat operation, Cabrol operation, Bental operation + half-arch replacement or full-arch replacement with bracket 'elephant nose' operation and the like.
In the operation, the suturing of the blood vessel is difficult, and at present, no blood vessel anastomosis auxiliary device suitable for the aortic dissection operation is available for helping medical staff to suture the blood vessel, so that the operation efficiency is low and the operation is inconvenient.
SUMMERY OF THE UTILITY MODEL
The utility model provides an aorta intermediate layer operation auxiliary device for anastomosis, which effectively solves the problems of low operation efficiency and inconvenient operation caused by the lack of the aorta intermediate layer operation auxiliary device for anastomosis.
In order to solve the above problems, the utility model adopts the following technical proposal:
an auxiliary device for aortic dissection surgical anastomosis comprises a handle, wherein the upper part of the front end of the handle is fixedly connected with an extension tube, the front side of the extension tube is fixedly connected with a truncated cone-shaped plug, and the rear side of the plug is provided with three radially movable distraction blocks; a pressing handle capable of swinging back and forth is arranged in the middle of the front side of the handle, and the pressing handle swings to form a structure for radial movement of the spreading block; the periphery of the extension pipe is connected with a sliding sleeve capable of moving back and forth in a sliding manner, the top of the sliding sleeve is provided with a lifting block capable of moving up and down, the front side of the lifting block is provided with an inverted L-shaped connecting rod, and the bottom of the front end of the connecting rod is provided with an arc-shaped pressing sheet; the upper part of the rear end of the handle is provided with a rotating wheel which can rotate left and right, and the rotating wheel rotates to form a structure that the sliding sleeve moves back and forth; the lifting wheel capable of horizontally rotating is arranged on the upper side of the handle, and the lifting wheel rotates to form a structure that the lifting block moves up and down.
Preferably, the peripheral shape of the distraction block is arc-shaped, and the middle part of the periphery of the distraction block is provided with an arc-shaped suture groove;
the front ends of the opening blocks are connected with the plug in a sliding manner; the inner centers of the distraction blocks are hinged with a bracing rod; the extension pipe middle part is rotated and is connected with main shaft that can control the pivoted, the even fixedly connected with three fixed rod of main shaft front end periphery, fixed rod is articulated with the vaulting pole that corresponds respectively.
Preferably, the rear end of the main shaft is connected with a reversing shaft through a bevel gear set, and the reversing shaft is rotatably connected to the upper part of the inner side of the handle; the reversing shaft is sleeved with a torsion spring; the reversing shaft is fixedly connected with the pressing handle.
Preferably, the reversing shaft is coaxially and fixedly connected with a control gear, the rear side of the control gear is engaged and connected with a tooth block, the lower side of the tooth block is fixedly connected with a positioning block, the lower part of the inner side of the handle is provided with a plurality of positioning rods, and the positioning blocks are all connected with the positioning rods in a sliding manner; a spring is sleeved on the outer periphery of the rear side of the positioning rod; the front end of the spring is positioned at the rear side of the positioning block; the bottom of the positioning block is fixedly connected with a control block, and the control block is positioned on the front side of the handle.
Preferably, the rear end of the sliding sleeve is fixedly connected with a movable screw, the upper side of the handle is rotatably connected with a threaded sleeve, and the threaded sleeve is in threaded connection with the movable screw; the coaxial fixedly connected with pinion in swivel nut periphery, the meshing of pinion downside is connected with the gear wheel, the gear wheel rotate connect in the handle rear side, the runner with the coaxial fixed connection of gear wheel.
Preferably, the top of the sliding sleeve is fixedly connected with a plurality of guide rods, the guide rods are connected with the lifting block in a sliding manner, the rear end of the lifting block is fixedly connected with a sliding rod, the rear end of the sliding rod is connected with a guide sleeve in a sliding manner, the guide sleeve is connected with a lifting screw rod in a threaded manner, and the lifting screw rod is rotationally connected to the top of the handle; the lifting screw rod is coaxially and fixedly connected with the lifting wheel.
The utility model discloses novel structure, think about ingenious, easy operation is convenient, compares with prior art and has following advantage:
1. this device is through setting up three radially movable's the piece of strutting at the extension pipe front end, and the preforming that can reciprocate is coordinated to can strut the blood vessel and fix, be convenient for coincide, sew up the operation such as, improve the efficiency of operation effectively, reduce the degree of difficulty of operation.
2. The device is simple to operate, and each control part is located on the handle, so that the operation efficiency can be improved, the operation difficulty is reduced, and the device is easy to operate.
Drawings
Fig. 1 is a first perspective view of an aortic dissection surgical anastomosis auxiliary device of the present invention.
Fig. 2 is a second axial view of the aortic dissection surgical anastomosis auxiliary device of the present invention.
Fig. 3 is an isometric view of a second state of the aortic dissection surgical anastomosis aid of the present invention.
Fig. 4 is an internal structure view of the handle and the extension tube of the aortic dissection surgical anastomosis auxiliary device of the present invention.
Fig. 5 is an isometric view of the distraction block of the aortic dissection surgical anastomosis aid of the present invention.
Fig. 6 is a front view of the expanding block of the aortic dissection surgical anastomosis auxiliary device of the present invention.
In the drawings: 1-handle, 2-extension tube, 3-opening block, 4-plug, 5-suture groove, 6-sliding sleeve, 7-lifting block, 8-connecting rod, 9-pressing piece, 10-guide rod, 11-sliding rod, 12-moving screw, 13-screw sleeve, 14-pinion, 15-bull gear, 16-rotating wheel, 17-guide sleeve, 18-lifting screw, 19-lifting wheel, 20-pressing handle, 21-control block, 22-main shaft, 23-bevel gear set, 24-reversing shaft, 25-control gear, 26-tooth block, 27-spring, 28-positioning rod, 29-supporting rod and 30-fixing rod.
Detailed Description
The following are specific embodiments of the present invention, and the technical solutions of the present invention will be further described with reference to the accompanying drawings, but the present invention is not limited to these embodiments.
As shown in fig. 1-6, the utility model provides an aortic dissection surgical anastomosis auxiliary device, which comprises a handle 1, an extension tube 2 fixedly connected to the upper part of the front end of the handle 1, a truncated cone-shaped plug 4 fixedly connected to the front side of the extension tube 2, and three radially movable distraction blocks 3 arranged on the rear side of the plug 4; a pressing handle 20 capable of swinging back and forth is arranged in the middle of the front side of the handle 1, and the pressing handle 20 swings to form a structure that the opening block 3 moves radially; the periphery of the extension pipe 2 is connected with a sliding sleeve 6 capable of moving back and forth in a sliding manner, the top of the sliding sleeve 6 is provided with a lifting block 7 capable of moving up and down, the front side of the lifting block 7 is provided with an inverted L-shaped connecting rod 8, and the bottom of the front end of the connecting rod 8 is provided with an arc-shaped pressing sheet 9; a rotating wheel 16 capable of rotating left and right is arranged at the upper part of the rear end of the handle 1, and the rotating wheel 16 rotates to form a structure that the sliding sleeve 6 moves back and forth; the upper side of the handle 1 is provided with a lifting wheel 19 which can horizontally rotate, and the lifting wheel 19 rotates to form a structure that the lifting block 7 moves up and down.
This device is through setting up three radial movement's the piece of strutting 3 at extension pipe 2 front end, and the preforming 9 that can reciprocate is coordinated to can strut the blood vessel and fix, be convenient for coincide, sew up the operation such as, improve the efficiency of operation effectively, reduce the degree of difficulty of operation.
The device is simple to operate, and each control part is located on the handle 1, so that the operation efficiency can be improved, the operation difficulty is reduced, and the device is easy to operate.
As shown in fig. 5-6, the peripheral shape of the distraction block 3 is arc-shaped, and the middle part of the periphery of the distraction block 3 is provided with an arc-shaped suture groove 5;
the front ends of the strutting blocks 3 are connected with the plug 4 in a sliding way; the centers of the inner sides of the opening blocks 3 are hinged with supporting rods 29; the middle part of the extension pipe 2 is rotatably connected with a main shaft 22 capable of rotating left and right, the periphery of the front end of the main shaft 22 is uniformly and fixedly connected with three fixed rods 30, and the fixed rods 30 are respectively hinged with corresponding support rods 29.
By controlling the rotation of the main shaft 22, the three support rods 29 hinged to the outer periphery of the main shaft 22 can swing with the main shaft, so that the spreader 3 can be moved in the direction (radial direction) of the sliding groove, and the spreader 3 can be spread (equivalent to a crank-slider mechanism).
As shown in fig. 4, the rear end of the main shaft 22 is connected with a reversing shaft 24 through a bevel gear set 23, and the reversing shaft 24 is rotatably connected to the upper part of the inner side of the handle 1; the reversing shaft 24 is sleeved with a torsion spring; the reversing shaft 24 is fixedly connected with the pressing handle 20.
By pressing the handle 1, the reversing shaft 24 can be driven to rotate, and further the main shaft 22 can be driven to rotate through the bevel gear set 23, so that the three spreading blocks 3 on the front side can be driven to move radially. The torsion spring has the function of facilitating reset and improving the convenience and rapidity of operation in the operation.
As shown in fig. 4, a control gear 25 is coaxially and fixedly connected to the reversing shaft 24, a tooth block 26 is engaged and connected to the rear side of the control gear 25, a positioning block is fixedly connected to the lower side of the tooth block 26, a plurality of positioning rods 28 are arranged at the lower part of the inner side of the handle 1, and the positioning blocks are all connected with the positioning rods 28 in a sliding manner; a spring 27 is sleeved on the outer periphery of the rear side of the positioning rod 28; the front end of the spring 27 is positioned at the rear side of the positioning block; the bottom of the positioning block is fixedly connected with a control block 21, and the control block 21 is positioned on the front side of the handle 1.
Before the handle 1 is pressed, the control block 21 needs to be pressed backward, so that the tooth block 26 can be moved backward to unlock the control gear 25 and the reversing shaft 24.
Due to the existence of the spring 27, the position of the expanding block 3 of the device can be locked at any time after the control block 21 is released.
As shown in fig. 1, a movable screw 12 is fixedly connected to the rear end of the sliding sleeve 6, a threaded sleeve 13 is rotatably connected to the upper side of the handle 1, and the threaded sleeve 13 is in threaded connection with the movable screw 12; the coaxial fixedly connected with pinion 14 in swivel nut 13 periphery, the meshing of pinion 14 downside is connected with gear wheel 15, gear wheel 15 rotate connect in handle 1 rear side, runner 16 with the coaxial fixed connection of gear wheel 15.
By rotating the rotating wheel 16, the large gear 15 can rotate with the small gear 14, and further the moving screw 12 can be driven by the threaded sleeve 13 to move forward (due to the sliding connection between the sliding sleeve 6 and the extension pipe 2, the function of limiting is achieved), so that the front and back positions of the pressing sheet 9 on the front side can be adjusted.
As shown in fig. 1, the top of the sliding sleeve 6 is fixedly connected with a plurality of guide rods 10, the guide rods 10 are slidably connected with the lifting block 7, the rear end of the lifting block 7 is fixedly connected with a sliding rod 11, the rear end of the sliding rod 11 is slidably connected with a guide sleeve 17, the guide sleeve 17 is in threaded connection with a lifting screw 18, and the lifting screw 18 is rotatably connected to the top of the handle 1; the lifting screw 18 and the lifting wheel 19 are coaxially and fixedly connected.
By rotating the lifting wheel 19, the guide sleeve 17 with the slide rod 11 connected with the guide sleeve in a sliding way can move up and down, so that the vertical position of the pressing sheet 9 can be adjusted.
When the device is used, the position of the pressing sheet 9 is adjusted to the upper part of the rear side, the plug 4 of the device is inserted into a blood vessel, the radial position of the opening block 3 is adjusted, the pressing sheet 9 is moved forward and pressed down to the outer wall of the blood vessel, the blood vessel is fixed, the operations such as anastomosis and sewing of the blood vessel are carried out, the operation is convenient and fast, and the operation efficiency is effectively improved.
The specific embodiments described herein are merely illustrative of the spirit of the invention. Various modifications or additions may be made to the described embodiments or alternatives may be employed by those skilled in the art without departing from the spirit or scope of the invention as defined in the appended claims.
Although the terms of the handle 1, the extension pipe 2, the expanding block 3, the plug 4, the suture groove 5, the sliding sleeve 6, the lifting block 7, the connecting rod 8, the pressing sheet 9, the guide rod 10, the sliding rod 11, the moving screw 12, the threaded sleeve 13, the pinion 14, the large gear 15, the rotating wheel 16, the guide sleeve 17, the lifting screw 18, the lifting wheel 19, the pressing handle 20, the control block 21, the main shaft 22, the bevel gear group 23, the reversing shaft 24, the control gear 25, the tooth block 26, the spring 27, the positioning rod 28, the supporting rod 29, the fixed rod 30 and the like are used more frequently, the possibility of using other terms is not excluded. These terms are used merely to more conveniently describe and explain the nature of the present invention; they are to be construed in a manner that is inconsistent with the spirit of the invention.

Claims (6)

1. An aortic dissection surgical auxiliary device for anastomosis, which is characterized in that: the device comprises a handle (1), wherein an extension pipe (2) is fixedly connected to the upper part of the front end of the handle (1), a truncated cone-shaped plug (4) is fixedly connected to the front side of the extension pipe (2), and three radially movable spreading blocks (3) are arranged on the rear side of the plug (4); a pressing handle (20) capable of swinging back and forth is arranged in the middle of the front side of the handle (1), and the pressing handle (20) swings to form a structure that the spreading block (3) moves radially; the periphery of the extension pipe (2) is connected with a sliding sleeve (6) capable of moving back and forth in a sliding manner, the top of the sliding sleeve (6) is provided with a lifting block (7) capable of moving up and down, the front side of the lifting block (7) is provided with an inverted L-shaped connecting rod (8), and the bottom of the front end of the connecting rod (8) is provided with an arc-shaped pressing sheet (9); the upper part of the rear end of the handle (1) is provided with a rotating wheel (16) capable of rotating left and right, and the rotating wheel (16) rotates to form a structure that the sliding sleeve (6) moves back and forth; the lifting wheel (19) capable of horizontally rotating is arranged on the upper side of the handle (1), and the lifting wheel (19) rotates to form a structure that the lifting block (7) moves up and down.
2. An aortic dissection surgical anastomosis auxiliary device as recited in claim 1, wherein: the periphery of the opening block (3) is arc-shaped, and the middle part of the periphery of the opening block (3) is provided with an arc-shaped sewing groove (5);
the front ends of the strutting blocks (3) are connected with the plug (4) in a sliding way; the centers of the inner sides of the opening blocks (3) are hinged with support rods (29); extension pipe (2) middle part is rotated and is connected with main shaft (22) that can control the rotation, the even fixedly connected with three fixed rod (30) of main shaft (22) front end periphery, fixed rod (30) are articulated with corresponding vaulting pole (29) respectively.
3. An aortic dissection surgical anastomosis auxiliary device as recited in claim 2, wherein: the rear end of the main shaft (22) is connected with a reversing shaft (24) through a bevel gear set (23), and the reversing shaft (24) is rotatably connected to the upper part of the inner side of the handle (1); the reversing shaft (24) is sleeved with a torsion spring; the reversing shaft (24) is fixedly connected with the pressing handle (20).
4. An aortic dissection surgical anastomosis aid as claimed in claim 3, wherein: the reversing shaft (24) is coaxially and fixedly connected with a control gear (25), the rear side of the control gear (25) is engaged and connected with a tooth block (26), the lower side of the tooth block (26) is fixedly connected with a positioning block, the lower part of the inner side of the handle (1) is provided with a plurality of positioning rods (28), and the positioning blocks are all connected with the positioning rods (28) in a sliding manner; a spring (27) is sleeved on the outer periphery of the rear side of the positioning rod (28); the front end of the spring (27) is positioned at the rear side of the positioning block; the bottom of the positioning block is fixedly connected with a control block (21), and the control block (21) is positioned on the front side of the handle (1).
5. An aortic dissection surgical anastomosis auxiliary device as recited in claim 1, wherein: the rear end of the sliding sleeve (6) is fixedly connected with a movable screw (12), the upper side of the handle (1) is rotatably connected with a threaded sleeve (13), and the threaded sleeve (13) is in threaded connection with the movable screw (12); the coaxial fixedly connected with pinion (14) of swivel nut (13) periphery, pinion (14) downside meshing is connected with gear wheel (15), gear wheel (15) rotate connect in handle (1) rear side, runner (16) with the coaxial fixed connection of gear wheel (15).
6. An aortic dissection surgical anastomosis auxiliary device as recited in claim 1, wherein: the top of the sliding sleeve (6) is fixedly connected with a plurality of guide rods (10), the guide rods (10) are slidably connected with the lifting block (7), the rear end of the lifting block (7) is fixedly connected with a sliding rod (11), the rear end of the sliding rod (11) is slidably connected with a guide sleeve (17), the guide sleeve (17) is in threaded connection with a lifting screw (18), and the lifting screw (18) is rotatably connected to the top of the handle (1); the lifting screw (18) and the lifting wheel (19) are coaxially and fixedly connected.
CN202021924546.3U 2020-09-04 2020-09-04 Auxiliary device for aortic dissection operation anastomosis Expired - Fee Related CN213217361U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202021924546.3U CN213217361U (en) 2020-09-04 2020-09-04 Auxiliary device for aortic dissection operation anastomosis

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202021924546.3U CN213217361U (en) 2020-09-04 2020-09-04 Auxiliary device for aortic dissection operation anastomosis

Publications (1)

Publication Number Publication Date
CN213217361U true CN213217361U (en) 2021-05-18

Family

ID=75871331

Family Applications (1)

Application Number Title Priority Date Filing Date
CN202021924546.3U Expired - Fee Related CN213217361U (en) 2020-09-04 2020-09-04 Auxiliary device for aortic dissection operation anastomosis

Country Status (1)

Country Link
CN (1) CN213217361U (en)

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Granted publication date: 20210518