WO2021057531A1 - 耻骨上膀胱辅助压迫系统 - Google Patents

耻骨上膀胱辅助压迫系统 Download PDF

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Publication number
WO2021057531A1
WO2021057531A1 PCT/CN2020/115176 CN2020115176W WO2021057531A1 WO 2021057531 A1 WO2021057531 A1 WO 2021057531A1 CN 2020115176 W CN2020115176 W CN 2020115176W WO 2021057531 A1 WO2021057531 A1 WO 2021057531A1
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WIPO (PCT)
Prior art keywords
rod
compression system
host
clamp
ergonomic
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PCT/CN2020/115176
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English (en)
French (fr)
Inventor
伍科
郑军华
刘志宏
王翔
李明清
姚智显
郑重
周文洁
郑心怡
刘语瞳
穆星宇
孙丰
赵伟光
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上海市第一人民医院
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Application filed by 上海市第一人民医院 filed Critical 上海市第一人民医院
Publication of WO2021057531A1 publication Critical patent/WO2021057531A1/zh

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/70—Manipulators specially adapted for use in surgery
    • A61B34/74—Manipulators with manual electric input means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00—Operating tables; Auxiliary appliances therefor
    • A61G13/10—Parts, details or accessories
    • A61G13/101—Clamping means for connecting accessories to the operating table
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/70—Manipulators specially adapted for use in surgery
    • A61B34/74—Manipulators with manual electric input means
    • A61B2034/743—Keyboards

Definitions

  • the invention relates to the technical field of medical devices, in particular to a suprapubic bladder auxiliary compression system.
  • Transurethral resection of bladder tumor is a type of bladder tumor in situ with a diameter of less than 5mm, extroverted carcinoma and inverted papillary carcinoma with a diameter of less than 5cm, and B1T2 stage invasive cancer.
  • the patient is in the upside-down lithotomy position when the cystoscope is used to cut the tumor. Therefore, the tumor on the anterior wall of the bladder is above, and the surgeon needs to press the skin above the symphysis of the patient with bare hands to make the tumor Exposure to the field of vision, but the surgeon’s hand is easily sore, and it is very difficult to perform cystoscopy with one hand. So at this time, another assistant is needed to press on the side, but he needs to communicate with the main knife from time to time to achieve cooperation, but his hands are still sore.
  • Chinese patent document: CN207024081U, publication date: 2018.02.23 discloses an ultrasound-assisted compression hemostatic device. It includes: a main body; a compression head for compressing a bleeding point of a patient, which is arranged on the main body and includes a compression tip contacting the patient's skin; an ultrasound probe for detecting blood vessels in the patient, which is arranged in the compression head Or above, and directed along the compression direction toward the compression tip; a controller, which is connected to the ultrasound probe and includes an ultrasound processing system for converting ultrasound signals into video signals; a display system, which is connected to the ultrasound probe The controller also includes a display screen arranged on the upper side of the main body.
  • Chinese patent document: CN106264578A discloses a breast X-ray system and its compression device.
  • the compression device includes a support frame, a linear guide mounted on the support frame, a compression plate fixing mechanism, a timing belt mechanism, Mechanical clutch assembly, drive mechanism and compression release mechanism; the mechanical clutch assembly is connected to the output end of the drive mechanism, the compression plate fixing mechanism is connected to the timing belt mechanism, and the drive mechanism is connected through the mechanical clutch assembly and the timing belt mechanism and drives the compression plate fixing mechanism along a straight line
  • the guide rail moves up and down; the compression release mechanism can separate and press the mechanical clutch assembly to release the drive mechanism from connecting and driving the compression plate fixing mechanism.
  • the purpose of the present invention is to provide a suprapubic bladder auxiliary compression system that can replace an assistant while being controlled by the surgeon.
  • the suprapubic bladder auxiliary compression system includes a mechanical arm (1), a fixing device (2), a host (3), a wire (4), a silicone sleeve (5), and an operating keyboard ( 6);
  • the mechanical arm (1) is composed of a telescopic rod (11), a boom (12), a telescopic arm (13), a hydraulic cylinder (14), a direction adjustment rod (15) and an ergonomic hemisphere (16);
  • the upper end of the telescopic rod (11) is fixedly connected with a boom (12), the head of the boom (12) is connected with a telescopic arm (13); one end of the telescopic arm (13) is connected with the boom (12) Yes, the other end is connected with a hydraulic cylinder (14); the lower end of the hydraulic cylinder (14) is connected with four direction adjustment rods (15), and the lower end of the direction adjustment rod (15) is installed with an ergonomic hemisphere (16) );
  • the surface of the ergonomic hemisphere (16) is covered with a silicone sleeve (5);
  • the lower end of the telescopic rod (11) is installed on the fixing device (2);
  • the fixing device (2) consists of a connecting tube ( 21), plate clamp (22), rod clamp (23), rotating
  • the mechanical arm (1) and the host (3) are connected by a wire (4);
  • the lower end of the host (3) is fixedly connected with four bottom wheels (31), the front of the host (3) is equipped with a handle (32); the upper end of the host (1) is provided with an operation interface (33) ,
  • the operation interface (33) is composed of a display window (34), a channel A button area (35), a channel B button area (36); the A channel button area (35) and a channel B button area (36) ) Are composed of a start key, a stop key, a time increase key, a time decrease key, and a code input key;
  • a power switch (37) is installed on the right side of the operation interface (33), above the power switch (37)
  • a rocker (38) is installed;
  • the right side of the host (3) is provided with a magnetic area (39), and an operating keyboard (6) is adsorbed on the magnetic area (39), and the operating keyboard (6) passes through
  • the wire is connected to the host;
  • the operation keyboard (6) is in the shape of a rectangular parallelepiped as a whole, the front of the
  • the silicone sleeve (5) is a disposable product.
  • the display window (34) is used to display the pressure when the ergonomic hemisphere (16) is compressed.
  • the time increase key and time decrease key are used to input the working time of the host (3).
  • the code input key is used to input the compiled coordinate code.
  • the rocker (39) and the operating keyboard (6) are used to control the direction and strength of the compression of the ergonomic hemisphere (16).
  • the display window (34) and the pressure display screen (62) are used to display the pressure when the ergonomic hemisphere (16) is compressed.
  • the suprapubic bladder auxiliary compression system of the present invention can replace the assistant to press the anterior bladder wall above the symphysis pubis during transurethral bladder tumor resection, so that the main surgeon can complete the transurethral bladder tumor resection alone.
  • Figure 1 is a schematic structural diagram of a suprapubic bladder auxiliary compression system.
  • Figure 2 is a schematic diagram of the mechanical arm structure of a suprapubic bladder assisted compression system.
  • Fig. 3 is a schematic diagram 1 of the structure of a fixing device of a suprapubic bladder auxiliary compression system.
  • Fig. 4 is a second structural diagram of a fixing device of a suprapubic bladder auxiliary compression system.
  • Figure 5 is a schematic diagram of the combination of a mechanical arm and a fixing device of the suprapubic bladder auxiliary compression system.
  • Figure 6 is a schematic diagram of the host structure of a suprapubic bladder auxiliary compression system.
  • Figure 7 is a schematic diagram of the connection between the host and the operating keyboard of the suprapubic bladder auxiliary compression system.
  • Figure 8 is a plan view of the operation interface of a suprapubic bladder auxiliary compression system.
  • Figure 9 is a schematic diagram of the use of a suprapubic bladder auxiliary compression system.
  • Figure 10 is a schematic diagram of the operating keyboard structure of the suprapubic bladder auxiliary compression system.
  • FIG. 1 is a schematic structural diagram of a suprapubic bladder auxiliary compression system of this embodiment.
  • the suprapubic bladder auxiliary compression system includes a mechanical arm (1), a fixing device (2), a host (3), a wire (4), a silicone sleeve (5), and an operating keyboard (6);
  • FIG. 2 is a schematic diagram of a mechanical arm structure of a suprapubic bladder assisted compression system of this embodiment.
  • the mechanical arm (1) is composed of a telescopic rod (11), a boom (12), a telescopic arm (13), a hydraulic cylinder (14), a direction adjustment rod (15) and an ergonomic hemisphere (16);
  • the upper end of the telescopic rod (11) is fixedly connected with a boom (12), the head of the boom (12) is connected with a telescopic arm (13); one end of the telescopic arm (13) is connected with the boom (12) Yes, the other end is connected with a hydraulic cylinder (14);
  • the lower end of the hydraulic cylinder (14) is connected with four direction adjustment rods (15), and the lower end of the direction adjustment rod (15) is installed with an ergonomic hemisphere (16) );
  • the surface of the ergonomic hemisphere (16) is covered with a silicone sleeve (5);
  • FIG. 5 is a schematic diagram of the combination of a mechanical arm and a fixing device of a suprapubic bladder auxiliary compression system of this embodiment.
  • the lower end of the telescopic rod (11) is installed on the fixing device (2);
  • the fixing device (2) consists of a connecting pipe (21), a plate clamp (22), a rod clamp (23), and a rotating wheel (24) ,
  • the lower end of the connecting pipe (21) is fixedly connected with a plate clamp (22), and the plate clamp (22) is in the shape of a " ⁇ ".
  • the lower end of the plate clamp (22) is screwed with a rotating wheel (24), and a plate clamp pressing plate (25) is fixedly connected to the rotating wheel (24);
  • the left end of the plate clamp (22) is vertically connected with a rod clamp ( 23), the rod clamp (23) is in the shape of a " ⁇ ";
  • the left end of the rod clamp (23) is threadedly connected with a rotating wheel (24), and a rod clamp pressure plate is fixedly connected to the rotating wheel (24) (26);
  • the robotic arm (1) and the host (3) are connected by a wire (4);
  • Figure 6 is a schematic diagram of the host structure of a suprapubic bladder assisted compression system of this embodiment
  • Figure 7 is a host and operating keyboard of the suprapubic bladder assisted compression system of this embodiment
  • the schematic diagram of the connection FIG. 8 is a plan view of the operation interface of the suprapubic bladder auxiliary compression system of this embodiment.
  • the lower end of the host (3) is fixedly connected with four bottom wheels (31), the front of the host (3) is equipped with a handle (32); the upper end of the host (1) is provided with an operation interface (33) ,
  • the operation interface (33) is composed of a display window (34), a channel A button area (35), a channel B button area (36); the A channel button area (35) and a channel B button area (36) ) Are composed of a start key, a stop key, a time increase key, a time decrease key, and a code input key;
  • a power switch (37) is installed on the right side of the operation interface (33), above the power switch (37)
  • a rocker (38) is installed;
  • the right side of the host (3) is provided with a magnetic area (39), and an operating keyboard (6) is adsorbed on the magnetic area (39), and the operating keyboard (6) passes through Wire and host connection;
  • FIG. 10 is a schematic diagram of the operation keyboard structure of a suprapubic bladder auxiliary compression system of this embodiment.
  • the operation keyboard (6) has a rectangular parallelepiped shape as a whole, a wire connection hole (61) is provided on the front of the operation keyboard (6), and six buttons (63) are installed on the operation keyboard (6).
  • a pressure display screen (62) is arranged above the button (63).
  • the silicone sleeve (5) is a disposable product.
  • the display window (34) is used to display the pressure when the ergonomic hemisphere (16) is compressed.
  • the time increase key and time decrease key are used to input the working time of the host (3).
  • the code input key is used to input the compiled coordinate code.
  • the rocker (39) and the operating keyboard (6) are used to control the direction and strength of the compression of the ergonomic hemisphere (16).
  • the display window (34) and the pressure display screen (62) are used to display the pressure when the ergonomic hemisphere (16) is compressed.
  • FIG. 8 is a schematic diagram of the use of a suprapubic bladder auxiliary compression system of this embodiment.
  • the patient is in the upside-down lithotomy position when the cystoscope is used to cut the tumor. Therefore, the tumor on the anterior wall of the bladder is above, and the surgeon needs to press the skin above the symphysis of the patient with bare hands to make the tumor It is exposed to the field of vision, but the surgeon’s hand is easy to sore, and it is very difficult to operate the cystoscopy with one hand; therefore, another assistant is required to press on the side; the supraphalangeal transurethral cystectomy auxiliary compression system of the present invention is a substitute for the assistant Press on the side.
  • the fixing device (2) can be Fixed on plate-like objects and rod-like objects, convenient and practical;
  • the input of coordinate codes for the movement and progressive movement of the ergonomic hemisphere (16) of the present invention is similar to the movement of a milling cutter and the input of coordinate codes on a CNC milling machine.
  • the host (3) is equipped with a power supply device
  • the ergonomic hemisphere (16) is equipped with a pressure sensor, and the pressing force can be transmitted to the host (3) through the pressure sensor, After the analysis and processing of the host (3), the pressure is displayed on the display window (34).
  • surgeon’s assistant can also manipulate the robotic arm (1) through the rocker (38) or the operating keyboard (6) to make the ergonomic hemisphere (16) press the skin above the pubic symphysis of the patient to expose the tumor to the field of vision.

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Abstract

一种耻骨上膀胱辅助压迫系统，包括机械手臂（1）、固定装置（2）、主机（3）、导线（4）、硅胶套（5）、操作键盘（6）；机械手臂（1）由伸缩杆（11）、大臂（12）、伸缩臂（13）、液压气缸（14）、方向调节杆（15）和人体工学半球（16）组成；固定装置由连接管（21）、板夹具（22）、杆夹具（23）、旋转轮（24）、板夹具压板（25）和杆夹具压板（26）组成；主机（3）的下端固定连接有四个底轮（31），前面安装有手柄（32）；上端设有操作界面（33）；操作界面（33）的右侧安装有电源开关（37），电源开关（37）的上方安装有摇杆（38）；主机（3）的右面设有磁性区域（39），磁性区域（39）上吸附有操作键盘（6）。其优点表现在：在经尿道膀胱肿瘤切除术中可以代替助手在耻骨联合上方膀胱前壁按压，使主刀手一人可以独自完成经尿道膀胱肿瘤切除术。

Description

耻骨上膀胱辅助压迫系统 技术领域
本发明涉及医疗器械技术领域，具体地说，是一种耻骨上膀胱辅助压迫系统。
背景技术
经尿道膀胱肿瘤切除术是一种膀胱肿瘤的原位癌范围直径在5mm以下，外向性癌和内翻乳头状癌直径在5cm以下，浸润性癌B1T2期的手术。
目前临床上经尿道膀胱肿瘤切除术，因为膀胱镜进去切肿瘤的时候，病人是仰着的截石位，所以膀胱前壁的肿瘤在上方，需要主刀徒手按压病人耻骨联合上方的皮肤，使肿瘤暴露于视野中，但是主刀手很容易酸，且单手操作膀胱镜电切十分困难。所以这时候需要另一个助手在侧面进行按压，但是需要时常与主刀沟通以达到配合，但是还是会手酸。
所以目前急需一种可以代替助手，同时主刀自己控制的耻骨联合上方膀胱前壁按压的装置。
中国专利文献：CN207024081U，公开日：2018.02.23，公开了一种超声辅助压迫止血设备。包括：主体；用于压迫患者出血点的压迫头，其设置在所述主体上并包括与患者皮肤接触的压迫顶端；用于探测患者体内血管的超声探头，其设置在所述压迫头之内或之上，并沿朝向所述压迫顶端的压迫方向定向；控制器，其连接到所述超声探头并包括用于将超声信号转化为视频信号的超声处理系统；显示系统，其连接到所述控制器并包括设置在所述主体的上侧的显示屏。
中国专利文献：CN106264578A，公开日：2017.01.04，公开了一种乳腺X射线系统及其压迫装置，压迫装置包括支撑架、安装在支撑架上的直线导轨、压迫板固定机构、同步带机构、机械离合器组件、驱动机构以及压迫释放机构；机械离合器组件连接在驱动机构的输出端，压迫板固定机构连接同步带机构，驱动机构通过机械离合器组件和同步带机构连接并驱动压迫板固定机构沿直线导轨上下移动；压迫释放机构可分离抵压机械离合器组件，解除驱动机构对压迫板固定机构的连接驱动。
但是关于本发明的一种耻骨上膀胱辅助压迫系统目前还未见报道。
发明内容
本发明的目的是，提供一种可以代替助手，同时主刀自己控制的耻骨上膀胱辅助压迫系统。
为实现上述目的，本发明采取的技术方案是：
一种耻骨上膀胱辅助压迫系统，所述的耻骨上膀胱辅助压迫系统包括机械手臂(1)、固定装置(2)、主机(3)、导线(4)、硅胶套(5)、操作键盘(6)；
所述的机械手臂(1)由伸缩杆(11)、大臂(12)、伸缩臂(13)、液压气缸(14)、方向调节杆(15)和人体工学半球(16)组成；所述伸缩杆(11)的上端固定连接有大臂(12)，所述大臂(12)的头部连接有伸缩臂(13)；所述的伸缩臂(13)一端和大臂(12)连接有、另一端连接有液压气缸(14)；所述的液压气缸(14)下端连接有四个方向调节杆(15)，所述的方向调节杆(15)的下端安装有人体工学半球(16)；所述的人体工学半球(16)表面套有硅胶套(5)；所述伸缩杆(11)的下端安装在固定装置(2)上；所述的固定装置(2)由连接管(21)、板夹具(22)、杆夹具(23)、旋转轮(24)、板夹具压板(25)和杆夹具压板(26)组成；所述的连接管(21)下端固定连接有板夹具(22)，所述的板夹具(22)呈“匚”状，所述板夹具(22)的下端螺纹连接有旋转轮(24)，所述的旋转轮(24)上固定连接有板夹具压板(25)；所述板夹具(22)的左端垂直连接有杆夹具(23)，所述的杆夹具(23)呈“匚”状；所述杆夹具(23)的左端螺纹连接有旋转轮(24)，所述的旋转轮(24)上固定连接有杆夹具压板(26)；
所述的机械手臂(1)和所述的主机(3)通过导线(4)连接；
所述主机(3)的下端固定连接有四个底轮(31)，所述主机(3)的前面安装有手柄(32)；在所述主机(1)的上端设有操作界面(33)，所述的操作界面(33)由显示窗口(34)、A通道按键区(35)、B通道按键区(36)组成；所述的A通道按键区(35)和B通道按键区(36)均由开始键、停止键、时间增加键、时间减少键、代码输入键组成；所述操作界面(33)的右侧安装有电源开关(37)，在所述电源开关(37)的上方安装有摇杆(38)；所述主机(3)的右面设有磁性区域(39)，所述的磁性区域(39)上吸附有 操作键盘(6)，所述的操作键盘(6)通过导线和主机连接；所述的操作键盘(6)整体呈长方体状，所述操作键盘(6)的前面设有导线连接孔(61)，所述操作键盘(6)的上面安装有六个按键(63)，在所述按键(63)的上方设有压力显示屏(62)。
所述的硅胶套(5)为一次性用品。
所述的显示窗口(34)用于显示人体工学半球(16)压迫时的压力大小。
所述的时间增加键、时间减少键用于输入主机(3)的工作时间。
所述的代码输入键用于输入编写好的坐标代码。
所述的摇杆(39)和操作键盘(6)用于控制人体工学半球(16)压迫的方向和力度。
所述的显示窗口(34)和所述的压力显示屏(62)用于显示人体工学半球(16)压迫时的压力大小。
本发明优点在于：
1、本发明的耻骨上膀胱辅助压迫系统，在经尿道膀胱肿瘤切除术中可以代替助手在耻骨联合上方膀胱前壁按压，使主刀手一人可以独自完成经尿道膀胱肿瘤切除术。
2、本发明的耻骨上膀胱辅助压迫系统，主刀手一人可以独自完成经尿道膀胱肿瘤切除术，节约了人力，提高了工作效率。
附图说明
附图1是一种耻骨上膀胱辅助压迫系统的结构示意图。
附图2是一种耻骨上膀胱辅助压迫系统的机械手臂结构示意图。
附图3是一种耻骨上膀胱辅助压迫系统的固定装置结构示意图一。
附图4是一种耻骨上膀胱辅助压迫系统的固定装置结构示意图二。
附图5是一种耻骨上膀胱辅助压迫系统的机械手臂、固定装置的结合示意图。
附图6是一种耻骨上膀胱辅助压迫系统的主机结构示意图。
附图7是一种耻骨上膀胱辅助压迫系统的主机、操作键盘连接的示意图。
附图8是一种耻骨上膀胱辅助压迫系统的操作界面平面图。
附图9是一种耻骨上膀胱辅助压迫系统的使用示意图。
附图10是一种耻骨上膀胱辅助压迫系统的操作键盘结构示意图。
具体实施方式
下面结合实施例并参照附图对本发明作进一步描述。
附图中涉及的附图标记和组成部分如下所示：
1、机械手臂
11伸缩杆
12、大臂
13、伸缩臂
14、液压气缸
15、方向调节杆
16、人体工学半球
2、固定装置
21、连接管
22、板夹具
23、杆夹具
24、旋转轮
25、板夹具压板
26、杆夹具压板
3、主机
31、底轮
32、手柄
33、操作界面
34、显示窗口
35、A通道按键区
36、B通道按键区
37、电源开关
38、摇杆
39、磁性区域
4、导线
5、硅胶套
6、操作键盘
61、导线连接孔
62、压力显示屏
63、按键
7、手术台
实施例1
请参照附图1，附图1是本实施例的一种耻骨上膀胱辅助压迫系统的结构示意图。所述的耻骨上膀胱辅助压迫系统包括机械手臂(1)、固定装置(2)、主机(3)、导线(4)、硅胶套(5)、操作键盘(6)；
请参照附图2，附图2是本实施例的一种耻骨上膀胱辅助压迫系统的机械手臂结构示意图。所述的机械手臂(1)由伸缩杆(11)、大臂(12)、伸缩臂(13)、液压气缸(14)、方向调节杆(15)和人体工学半球(16)组成；所述伸缩杆(11)的上端固定连接有大臂(12)，所述大臂(12)的头部连接有伸缩臂(13)；所述的伸缩臂(13)一端和大臂(12)连接有、另一端连接有液压气缸(14)；所述的液压气缸(14)下端连接有四个方向调节杆(15)，所述的方向调节杆(15)的下端安装有人体工学半球(16)；所述的人体工学半球(16)表面套有硅胶套(5)；
请参照附图3-5，附图3是本实施例的一种耻骨上膀胱辅助压迫系统的固定装置结构示意图一，附图4是本实施例的一种耻骨上膀胱辅助压迫系统的固定装置结构示意图二，附图5是本实施例的一种耻骨上膀胱辅助压迫系统的机械手臂、固定装置的结合示意图。所述伸缩杆(11)的下端安装在固定装置(2)上；所述的固定装置(2)由连接管(21)、板夹具(22)、杆夹具(23)、旋转轮(24)、板夹具压板(25)和杆夹具压板(26)组成；所述的连接管(21)下端固定连接有板夹具(22)，所述的板夹具(22)呈“匚”状，所述板夹具(22)的下端螺纹连接有旋转轮(24)，所述的旋转轮(24)上固定连接有板夹具压板(25)；所述板夹具(22)的左端垂直连接有杆夹具(23)，所述的杆夹具(23)呈“匚”状；所述杆夹具(23)的左端螺纹连接有旋转轮(24)，所述的旋转轮(24)上固定连接有杆夹具压板(26)； 所述的机械手臂(1)和所述的主机(3)通过导线(4)连接；
请参照附图6-8，附图6是本实施例的一种耻骨上膀胱辅助压迫系统的主机结构示意图，附图7是本实施例的一种耻骨上膀胱辅助压迫系统的主机、操作键盘连接的示意图，附图8是本实施例的一种耻骨上膀胱辅助压迫系统的操作界面平面图。所述主机(3)的下端固定连接有四个底轮(31)，所述主机(3)的前面安装有手柄(32)；在所述主机(1)的上端设有操作界面(33)，所述的操作界面(33)由显示窗口(34)、A通道按键区(35)、B通道按键区(36)组成；所述的A通道按键区(35)和B通道按键区(36)均由开始键、停止键、时间增加键、时间减少键、代码输入键组成；所述操作界面(33)的右侧安装有电源开关(37)，在所述电源开关(37)的上方安装有摇杆(38)；所述主机(3)的右面设有磁性区域(39)，所述的磁性区域(39)上吸附有操作键盘(6)，所述的操作键盘(6)通过导线和主机连接；
请参照附图10，附图10是本实施例的一种耻骨上膀胱辅助压迫系统的操作键盘结构示意图。所述的操作键盘(6)整体呈长方体状，所述操作键盘(6)的前面设有导线连接孔(61)，所述操作键盘(6)的上面安装有六个按键(63)，在所述按键(63)的上方设有压力显示屏(62)。
所述的硅胶套(5)为一次性用品。
所述的显示窗口(34)用于显示人体工学半球(16)压迫时的压力大小。
所述的时间增加键、时间减少键用于输入主机(3)的工作时间。
所述的代码输入键用于输入编写好的坐标代码。
所述的摇杆(39)和操作键盘(6)用于控制人体工学半球(16)压迫的方向和力度。
所述的显示窗口(34)和所述的压力显示屏(62)用于显示人体工学半球(16)压迫时的压力大小。
实施例2
请参照附图9，附图8是本实施例的一种耻骨上膀胱辅助压迫系统的使用示意图。
所述耻骨上膀胱辅助压迫系统的使用过程及方法：
目前临床上经尿道膀胱肿瘤切除术，因为膀胱镜进去切肿瘤的时候，病人是仰着的截石位，所以膀胱前壁的肿瘤在上方，需要主刀徒手按压病人耻骨联合上方的皮肤，使肿瘤暴露于视野中，但是主刀手很容易酸，且单手操作膀胱镜电切十分困难；所以这时候需要另一个助手在侧面进行按压；本发明趾骨上经尿道膀胱电切辅助压迫系统就是代替助手在侧面进行按压。
首先将机械手臂(1)通过固定装置(2)固定于手术台(7)上，由于固定装置(2)上板夹具(22)和杆夹具(23)的设计，使固定装置(2)可以固定于板状物体和杆状物体上，方便实用；
接着将一次性的硅胶套(5)套在人体工学半球(16)的表面；
然后计算出病人耻骨联合上方的皮肤坐标位置，接着编写出人体工学半球(16)的进步移动的坐标代码；然后将编写好的代码通过代码输入键输入主机(3)；再通过时间增加键、时间减少键将主机(3)工作的时间输入。按动开始键，系统开始工作。当人体工学半球(16)移动到病人耻骨联合上方的皮肤坐标位置时，进行按压；使肿瘤暴露于视野中；接着主刀医师独自便可以进行经尿道膀胱肿瘤切除术。同时按压的压力大小可以通过显示窗口(34)观察。
需要说明的是，本发明的人体工学半球(16)的移动和进步移动的坐标代码的输入，类似于数控铣床上铣刀的移动和坐标代码的输入。
需要进一步指出的是：所述的主机(3)中装备有供电装置，所述的人体工学半球(16)上设有压力传感器，按压力度的大小可以通过压力传感器传输到主机(3)中，经过主机(3)的分析与处理后，在显示窗口(34)上显示出压力大小。
此外，主刀医生的助手也可以通过摇杆(38)或者操作键盘(6)操控机械手臂(1)使人体工学半球(16)按压病人耻骨联合上方的皮肤，使肿瘤暴露于视野中。
以上所述仅是本发明的优选实施方式，应当指出，对于本技术领域的普通技术人员，在不脱离本发明原理的前提下，还可以做出若干改进和补充，这些改进和补充也应视为本发明的保护范围。

Claims (7)

  1. 一种耻骨上膀胱辅助压迫系统，其特征在于，所述的耻骨上膀胱辅助压迫系统包括机械手臂(1)、固定装置(2)、主机(3)、导线(4)、硅胶套(5)、操作键盘(6)；
    所述的机械手臂(1)由伸缩杆(11)、大臂(12)、伸缩臂(13)、液压气缸(14)、方向调节杆(15)和人体工学半球(16)组成；所述伸缩杆(11)的上端固定连接有大臂(12)，所述大臂(12)的头部连接有伸缩臂(13)；所述的伸缩臂(13)一端和大臂(12)连接有、另一端连接有液压气缸(14)；所述的液压气缸(14)下端连接有四个方向调节杆(15)，所述的方向调节杆(15)的下端安装有人体工学半球(16)；所述的人体工学半球(16)表面套有硅胶套(5)；所述伸缩杆(11)的下端安装在固定装置(2)上；所述的固定装置(2)由连接管(21)、板夹具(22)、杆夹具(23)、旋转轮(24)、板夹具压板(25)和杆夹具压板(26)组成；所述的连接管(21)下端固定连接有板夹具(22)，所述的板夹具(22)呈“匚”状，所述板夹具(22)的下端螺纹连接有旋转轮(24)，所述的旋转轮(24)上固定连接有板夹具压板(25)；所述板夹具(22)的左端垂直连接有杆夹具(23)，所述的杆夹具(23)呈“匚”状；所述杆夹具(23)的左端螺纹连接有旋转轮(24)，所述的旋转轮(24)上固定连接有杆夹具压板(26)；
    所述的机械手臂(1)和所述的主机(3)通过导线(4)连接；
    所述主机(3)的下端固定连接有四个底轮(31)，所述主机(3)的前面安装有手柄(32)；在所述主机(1)的上端设有操作界面(33)，所述的操作界面(33)由显示窗口(34)、A通道按键区(35)、B通道按键区(36)组成；所述的A通道按键区(35)和B通道按键区(36)均由开始键、停止键、时间增加键、时间减少键、代码输入键组成；所述操作界面(33)的右侧安装有电源开关(37)，在所述电源开关(37)的上方安装有摇杆(38)；所述主机(3)的右面设有磁性区域(39)，所述的磁性区域(39)上吸附有操作键盘(6)，所述的操作键盘(6)通过导线和主机连接；所述的操作键盘(6)整体呈长方体状，所述操作键盘(6)的前面设有导线连接孔(61)，所述操作键盘(6)的上面安装有六个按键(63)，在所述按键(63)的上方设有压力显示屏(62)。
  2. 根据权利要求1所述的耻骨上膀胱辅助压迫系统，其特征在于，所述 的硅胶套(5)为一次性用品。
  3. 根据权利要求1所述的耻骨上膀胱辅助压迫系统，其特征在于，所述的显示窗口(34)用于显示人体工学半球(16)压迫时的压力大小。
  4. 根据权利要求1所述的耻骨上膀胱辅助压迫系统，其特征在于，所述的时间增加键、时间减少键用于输入主机(3)的工作时间。
  5. 根据权利要求1所述的耻骨上膀胱辅助压迫系统，其特征在于，所述的代码输入键用于输入编写好的坐标代码。
  6. 根据权利要求1所述的耻骨上膀胱辅助压迫系统，其特征在于，所述的摇杆(39)和操作键盘(6)用于控制人体工学半球(16)压迫的方向和力度。
  7. 根据权利要求1所述的耻骨上膀胱辅助压迫系统，其特征在于，所述的显示窗口(34)和所述的压力显示屏(62)用于显示人体工学半球(16)压迫时的压力大小。
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