CN218606561U - Washing unit is used in appendiceal operation mirror cooperation - Google Patents

Washing unit is used in appendiceal operation mirror cooperation Download PDF

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Publication number
CN218606561U
CN218606561U CN202221732667.7U CN202221732667U CN218606561U CN 218606561 U CN218606561 U CN 218606561U CN 202221732667 U CN202221732667 U CN 202221732667U CN 218606561 U CN218606561 U CN 218606561U
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China
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bottom plate
appendiceal
washing
rod
fixed
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CN202221732667.7U
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Chinese (zh)
Inventor
张芽龙
江逊
曾令超
王春晖
林燕
张安定
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Air Force Medical University of PLA
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Air Force Medical University of PLA
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Abstract

The utility model belongs to the technical field of appendix operation medical instrument, concretely relates to washing unit is used in appendix operation mirror cooperation. The washing machine comprises a bottom plate, wherein a limiting part for placing a washing barrel is fixedly arranged on the upper end face of the bottom plate, the tail end of the washing barrel is detachably connected with a washing pipe, fixing rod pieces are fixedly arranged on the upper end faces of the bottom plates on two sides of the limiting part, a moving assembly is arranged on the fixing rod pieces, a piston is fixedly arranged at the tail end of the moving assembly, and the moving assembly is driven by a motor. This novel realization is mechanical squeezes into the pipe with rivers, and rivers pressure stability lasts, can the efficient wash clean patient's appendix chamber, and practiced thrift a medical personnel, and the pipeline is for dismantling the setting in addition, can be convenient dismantle the change.

Description

Washing unit is used in appendiceal operation mirror cooperation
Technical Field
The utility model belongs to the technical field of appendix operation medical instrument, concretely relates to washing unit is used in appendix operation mirror cooperation.
Background
Acute appendicitis is a common surgical emergency of children, accounts for 1-2% of the number of children in hospital in surgery, most commonly occurs between 10-20 years old, and the incidence rate of men is 1.4 times that of women. The european association of endoscopic surgery (eae) divides it into uncomplicated and complex appendicitis. Appendectomy is still the standard treatment for appendicitis at present, but causes some complications and risks being negative to appendectomy (removal of the normal appendix). With the development of minimally invasive technology, in 2012, the teaching of Liu Bing melt proposed a new treatment method, namely, endoscopic Retrograde Appendicitis Treatment (ERAT), which is used for treating non-complex adult appendicitis, and there are a lot of literature reports at home and abroad at present. The ultrasonic appendicitis treatment method is improved by a penmen unit, and the conditions of appendicitis radiography and bracket position monitoring by X-rays are replaced by ultrasonic, so that the endoscopic retrograde appendicitis treatment under ultrasonic guidance, namely the improved endoscopic retrograde appendicitis treatment (mERAT), is formed.
At present, when the appendicitis is treated by an appendicitis operation, an endoscope retrograde appendicitis treatment operation is adopted under the guidance of ultrasonic waves, and the operation method comprises the following steps: (1) basic anesthesia: dripping dexmedetomidine hydrochloride injection into the nose of a child patient who cannot be matched with the enteroscopy operation, and performing colonoscopy after half an hour; (2) appendix cavity intubation: the colonoscope with the transparent cap at the head end enters the cecum, pushes away the appendix valve, and places the zebra guide wire along the walking direction of the appendix cavity under the assistance of ultrasound. A duodenal papilla incision knife is placed along a zebra guide wire by using a guide wire catheter technology to complete insertion of an appendiceal cavity, and ultrasonic assistance is performed to judge whether the duodenal papilla incision knife reaches the appendiceal cecum; (3) ultrasonic contrast: injecting water-soluble contrast agent (the main component is sulfur hexafluoride microbubble) under the ultrasonic guidance, observing the inner diameter and the shape of the appendicular cavity, and observing whether the defect is full or not and whether the contrast agent leaks out or not; (4) appendix cavity irrigation: the arcus knife expands the appendiceal cavity and the inner orifice of the appendix, the appendiceal cavity is flushed with normal saline, and the drainage conditions of the fecalities and the pus are observed. Ultrasonic radiography is carried out to evaluate whether the fecalite, the pus and the excrement residue in the cavity are washed clean or not; (5) appendix stent placement: for patients with more pus in the appendiceal cavity or severe narrow lumen, the stent is placed under the assistance of ultrasound through guide wire guidance, the pus is continuously drained, the pressure in the appendiceal cavity is relieved, and whether the appendiceal stent is accurately placed in the appendiceal cavity or not is evaluated after ultrasound radiography; (6) rechecking: the appendix stent is pulled out 1 to 2 weeks after discharge.
However, the common syringe is used to drive water into the inlet end of the guide pipe during flushing, and the following problems exist:
1. the capacity of the injector is limited, the water amount extracted each time is small, after one barrel of water is extracted for injection and flushing is finished, the next barrel is extracted, continuous and effective flushing cannot be formed, the flushing time is long, and the effect is poor;
2. the water pumping and the injection flushing are separated, and the water pressure of the injection flushing is reduced due to the long pipeline, so that the injection flushing is difficult to flush;
3. because a certain pressure exists in the appendix cavity of a patient, the catheter cavity is thin, and the catheter is long, when the syringe is used for flushing, medical staff often need to use great strength to push the syringe, the push rod head of the syringe is very small, the palm of the medical staff is red and swollen, the palm of the medical staff is injured when the syringe is used every time, and the subsequent normal work is influenced;
4. the existing endoscopic retrograde appendicitis treatment under ultrasonic guidance needs three persons in washing and endoscopic operation, one medical worker injects water, one inserts a guide wire tube, and the other operates an endoscope, so that more persons are needed.
SUMMERY OF THE UTILITY MODEL
An object of the utility model is to provide a washing unit is used in appendix operation chamber mirror cooperation, it can overcome above-mentioned prior art not enough, realizes mechanical squeezing into the pipe with rivers, and rivers pressure stability lasts, can the efficient clean up patient's appendix chamber, and practiced thrift a medical personnel, and the pipeline is for dismantling the setting in addition, can be convenient dismantle the change.
In order to realize the technical effect, the utility model discloses the technical scheme who adopts as follows:
the utility model provides an appendix operation is washing unit for chamber mirror cooperation, includes the bottom plate, and the fixed locating part of placing a washing section of thick bamboo that is provided with in up end of bottom plate, the end of a washing section of thick bamboo can be dismantled and be connected with the flushing pipe, the fixed member that is provided with of bottom plate up end of locating part both sides, be provided with the removal subassembly on the fixed member, the fixed piston that is provided with in end of removal subassembly, the removal subassembly passes through motor drive.
Preferably, the fixed rod piece comprises two support rods and a transverse plate, the two support rods are fixedly arranged on the upper end face of the bottom plate, the transverse plate is fixedly arranged at the upper ends of the two support rods, and a rotating hole is formed in the transverse plate.
Preferably, the moving assembly comprises a moving rod, a screw rod, a guide rod and a moving plate, the screw rod is rotatably arranged in the rotating hole, one end of the screw rod is connected with the motor after protruding, the guide rod is fixedly arranged between the two transverse plates and located above the screw rod, the moving plate is in threaded connection with the screw rod and is simultaneously in sliding connection with the guide rod, one end of the moving rod is fixedly connected with the moving plate, and the other end of the moving rod is fixedly connected with the piston.
Preferably, the outer side wall of the flushing barrel is fixedly provided with a first connecting piece, the outer surface of the connecting piece is provided with an external thread, and the tail end of the flushing pipe is provided with a second connecting piece in threaded connection with the first connecting piece.
Preferably, the lower end face of the bottom plate is fixedly provided with a plurality of suckers.
Compared with the prior art, the beneficial effects of the utility model are that:
1. the novel large-size washing barrel is provided with a large-size washing barrel, a large amount of water can be stored at one time, injection washing is carried out through the driving of the motor, the problems that the operation time is prolonged due to repeated water pumping, the washing is not clean, medical staff manually wash the washing to cause injury and the like are solved, the use is convenient and rapid, the time is short, the effect is good, the water pressure driven by the motor-driven screw rod is stable, and the body of a patient cannot be injured;
2. the novel syringe is provided with the sucker, so that the syringe can be conveniently adsorbed on the ground or a chair and other places, and a medical worker holding the syringe is saved;
3. this novel first connecting piece and the second connecting piece that is provided with threaded connection can realize sealed and firm connection, has detachable technological effect moreover, the convenient change.
Drawings
The accompanying drawings are included to provide a further understanding of the invention, and are incorporated in and constitute a part of this specification, illustrate embodiments of the invention, and together with the description serve to explain the invention and not to limit the invention.
In the drawings:
fig. 1 is a front view of the present invention;
FIG. 2 is an enlarged view of portion A of FIG. 1;
fig. 3 is a main sectional view of the present invention;
fig. 4 is a schematic structural view of the limiting member of the present invention;
fig. 5 is a front view of the fixing rod of the present invention;
wherein: 1. the automatic cleaning machine comprises a base plate, 2 parts of a sucker, 3 parts of a limiting piece, 4 parts of a cleaning barrel, 5 parts of a cleaning pipe, 51 parts of a threaded joint, 6 parts of a motor support, 7 parts of a motor, 8 parts of a fixed rod piece, 81 parts of a supporting rod, 82 parts of a transverse plate, 9 parts of a moving rod, 10 parts of a screw rod, 11 parts of a guide rod, 12 parts of a moving plate, 13 parts of a piston, 14 parts of a rotating hole and 15 parts of a groove.
Detailed Description
The preferred embodiments of the present invention will be described in conjunction with the accompanying drawings, and it will be understood that they are presented herein only to illustrate and explain the present invention, and not to limit the present invention.
Example (b):
referring to the attached drawings 1-5, the flushing device for the endoscope cooperation in the appendiceal surgery comprises a base plate 1, wherein the base plate 1 is made of metal materials and has good durability, a plurality of suckers 2 are fixedly arranged on the lower end face of the base plate 1, the whole flushing device can be conveniently adsorbed on the ground or a chair and the like, medical workers do not need to hold the flushing device, manpower is saved, and the suckers can avoid the flushing device from moving.
The up end welding of bottom plate 1 is provided with locating part 3 of placing washing barrel 4, locating part 3 is the metalwork of the cylinder tube type of half-section, and the arcwall face meets with bottom plate 1.
The washing cylinder 4 is of a cylindrical structure, is made of medical plastic, can see the volume of liquid inside, and has certain strength. One end of the washing cylinder 4 is closed, the other end is opened, and a piston 13 is arranged inside the washing cylinder.
The fixed first connecting piece 16 that is provided with of left lateral wall of a washing section of thick bamboo 4, the external screw thread has been seted up to the surface of connecting piece 16, and the end of flushing pipe 5 is provided with the second connecting piece 17 with first connecting piece 16 threaded connection, can realize the dismantlement of flushing pipe 5 and connect, and threaded connection's leakproofness and fastness are good.
The other end of the flushing pipe 5 is fixedly provided with a threaded connecting piece 51, the threaded connecting piece 51 is in threaded connection with the flushing gun, so that water is pumped into the flushing gun, the flushing gun is an existing medical instrument, and the details are not repeated here.
The fixed member 8 that is provided with of bottom plate 1 up end of locating part 3 both sides, fixed member 8 includes two bracing pieces 81 and diaphragm 82, two bracing pieces 81 weld and set up in the up end of bottom plate 1, diaphragm 82 welds and sets up in the upper end of two bracing pieces 81, rotating hole 14 has been seted up on diaphragm 82.
Still be provided with on the fixed member 8 and remove the subassembly, the fixed piston 13 that is provided with in end that removes the subassembly, it drives through motor 7 to remove the subassembly, motor 7 electricity is connected with pedal switch, and foot switch control motor is prior art, and here is no longer repeated. The movable assembly comprises a movable rod 9, a screw rod 10, a guide rod 11 and a movable plate 12, the movable rod 9 is of a U-shaped structure, the screw rod 10 is rotatably arranged in a rotating hole 14, one end of the screw rod is connected with the motor 7 after protruding, the guide rod 11 is fixedly arranged between two transverse plates 82 and located above the screw rod 10, the movable plate 12 is in threaded connection with the screw rod 10 and is simultaneously in sliding connection with the guide rod 11, one end of the movable rod 9 is fixedly connected with the movable plate 12, and the other end of the movable rod is fixedly connected with the piston 13.
Furthermore, a slot 15 is formed on the right side of the limiting member 3 and can pass through the moving rod 9.
Further, a motor support 6 is arranged on the upper end face of the bottom plate 1, and a motor 7 is fixedly arranged on the upper end face of the motor support 6.
The principle and the using flow of the embodiment are as follows:
when the device is used, the device is placed at a position convenient to operate, the sucker 2 is firmly adsorbed, an endoscope operator steps on the foot switch to start the motor 7, the motor 7 drives the screw rod 10 to rotate, the movable plate 12 is further driven to move leftwards, and meanwhile, the movable plate 12 is prevented from rotating under the guiding effect of the guide rod 11. The moving plate 12 will drive the moving rod 9 to move leftwards, so that the piston 13 moves rightwards, and due to the limiting effect of the limiting piece 3, the movement of the washing cylinder 4 can be avoided, and further the pressure is increased, so that water enters the guide pipe through the washing pipe 5.
The foregoing shows and describes the general principles, essential features, and advantages of the invention. It will be understood by those skilled in the art that the present invention is not limited to the above embodiments, and that the foregoing embodiments and descriptions are provided only to illustrate the principles of the present invention without departing from the spirit and scope of the present invention. The scope of the invention is defined by the appended claims and equivalents thereof.

Claims (5)

1. The utility model provides an appendix operation is washing unit for laparoscopic match which characterized in that: including bottom plate (1), the fixed locating part (3) of placing washing barrel (4) that is provided with of up end of bottom plate (1), the end of washing barrel (4) can be dismantled and is connected with flushing pipe (5), bottom plate (1) up end of locating part (3) both sides is fixed and is provided with fixed member (8), be provided with on fixed member (8) and remove the subassembly, the end of removing the subassembly is fixed and is provided with piston (13), it passes through motor (7) drive to remove the subassembly.
2. The irrigation device for appendiceal operation endoscope cooperation according to claim 1, wherein: fixed member (8) include two bracing pieces (81) and diaphragm (82), two bracing pieces (81) are fixed to be set up in the up end of bottom plate (1), diaphragm (82) are fixed to be set up in the upper end of two bracing pieces (81), rotation hole (14) have been seted up on diaphragm (82).
3. The irrigation device for appendiceal operation endoscope cooperation according to claim 2, wherein: the moving assembly comprises a moving rod (9), a screw rod (10), a guide rod (11) and a moving plate (12), the screw rod (10) is rotatably arranged in a rotating hole (14), one end of the screw rod is connected with a motor (7) after protruding, the guide rod (11) is fixedly arranged between two transverse plates (82) and located above the screw rod (10), the moving plate (12) is in threaded connection with the screw rod (10) and is connected with the guide rod (11) in a sliding mode, one end of the moving rod (9) is fixedly connected with the moving plate (12), and the other end of the moving rod is fixedly connected with a piston (13).
4. The irrigation device for appendiceal operation endoscopic cooperation according to claim 3, wherein: the outer side wall of the flushing barrel (4) is fixedly provided with a first connecting piece (16), the outer surface of the connecting piece (16) is provided with an external thread, and the tail end of the flushing pipe (5) is provided with a second connecting piece (17) in threaded connection with the first connecting piece (16).
5. The endoscopic co-ordination irrigation device for appendiceal surgery according to claim 4, wherein: the lower end face of the bottom plate (1) is fixedly provided with a plurality of suckers (2).
CN202221732667.7U 2022-07-05 2022-07-05 Washing unit is used in appendiceal operation mirror cooperation Active CN218606561U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202221732667.7U CN218606561U (en) 2022-07-05 2022-07-05 Washing unit is used in appendiceal operation mirror cooperation

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202221732667.7U CN218606561U (en) 2022-07-05 2022-07-05 Washing unit is used in appendiceal operation mirror cooperation

Publications (1)

Publication Number Publication Date
CN218606561U true CN218606561U (en) 2023-03-14

Family

ID=85457737

Family Applications (1)

Application Number Title Priority Date Filing Date
CN202221732667.7U Active CN218606561U (en) 2022-07-05 2022-07-05 Washing unit is used in appendiceal operation mirror cooperation

Country Status (1)

Country Link
CN (1) CN218606561U (en)

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