CN102499731B - All-dimensional automatic traction and support device of dragline type endoscopic surgical instrument - Google Patents
All-dimensional automatic traction and support device of dragline type endoscopic surgical instrument Download PDFInfo
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- CN102499731B CN102499731B CN 201110340170 CN201110340170A CN102499731B CN 102499731 B CN102499731 B CN 102499731B CN 201110340170 CN201110340170 CN 201110340170 CN 201110340170 A CN201110340170 A CN 201110340170A CN 102499731 B CN102499731 B CN 102499731B
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Abstract
The invention discloses an all-dimensional automatic traction and support device of a dragline type endoscopic surgical instrument, which comprises a fixed part, an instrument clamping part and a dragline type universal free arm which is connected between the fixed part and the instrument clamping part, wherein the dragline type universal free arm is formed by connecting a plurality of joint parts in series through a dragline; and an electric traction device is arranged on the fixed part, one end of the dragline is connected onto the instrument clamping part, and the other end of the dragline is connected onto the electric traction device of the fixed part. The dragline type universal free arm is used to fix the position and angle of an abdomen microscope, the electric and manual traction devices are arranged on the fixed part to control the movement state of the dragline type universal free arm, the device can be directly used for endoscopic surgery, also can be used to fix the instrument for open surgery, endoscopic surgery and other types of surgeries too, not only has a simple structure, but also is convenient to use.
Description
Technical field
The invention belongs to technical field of medical instruments, relate to a kind of tractive, supporting device, especially a kind of endoscope-assistant surgery apparatus automatic pull, supporting device.
Background technology
Endoscope-assistant surgery is little with its wound, the fast advantage of recovery is used widely, and is important advance and the developing direction of operative treatment.Endoscope-assistant surgery is very high to helping manual stability requirement, need help camera lens and complete the auxiliary operations such as tractive, passing with chamber mirror apparatus as the assistant, then keeps for a long time stablizing motionless.The assistant breathes or slightly rocking of limbs often can lose surgical field of view or working place and force operation to be interrupted, and this is affecting carrying out smoothly of operation in varying degrees, even can threaten patient's safety when carrying out key operation.On the other hand, because endoscope-assistant surgery is normal consuming time longer, the assistant keeps maintaining static for a long time, is also larger challenge to its muscle power.
Due to the difference of modus operandi, the assistive devices such as the self-retractor that uses in traditional open surgery, self-retaining retractor can't be used for endoscope-assistant surgery fully, and its action principle also is difficult to copy in endoscope-assistant surgery.So, clinical in the urgent need to a kind of safe, efficient and be applicable to comprehensive automatic pull, the supporting device of endoscope-assistant surgery.
Summary of the invention
The object of the invention is to overcome the prior art shortcoming, provide a kind of endoscope-assistant surgery with comprehensive automatic pull, supporting device.This device utilizes the fastening principle of drag-line, can complete rapidly the lax and fixing conversion of free arm.Chamber mirror apparatus can be placed in optional position and the angle of requirements of operation when free arm is lax, a key is effective stable cavity mirror apparatus again after free arm fixedly, and keeps suitable intensity, and what be beneficial to perform the operation carries out smoothly.
The objective of the invention is to solve by the following technical programs:
The comprehensive automatic pull supporting device of this drag-line endoscope-assistant surgery apparatus, comprise fixed part, operating theater instruments clamping part and be connected in described fixed part and the operating theater instruments clamping part between the universal free arm of drag-line; Described operation clamping part is comprised of apparatus folder and handle, is both connected by slot, the apparatus folder detachable, that replacing is different; The universal free arm of described drag-line is connected in series by drag-line by a plurality of joint portions and forms; Described fixed part is provided with electronic pulling device, and an end of described drag-line is connected on the handle of apparatus clamping part, and the other end of drag-line is connected on the electronic pulling device of fixed part.
Further, above-mentioned joint portion is comprised of galianconism and joint ball, one end of described galianconism or two ends are half ball-and-socket shape, be provided with joint ball in each half ball-and-socket shape, the central shaft position of described galianconism and joint ball is equipped with the drag-line passage, described drag-line by the drag-line passage with each joint portion connect into one can comprehensive FREE TORSION the universal free arm of drag-line.
Further, above-mentioned electronic pulling device is motor and is arranged on capstan winch on the motor output revolving shaft, and an end of described drag-line is wound on described capstan winch.
Further, the other end that the motor output revolving shaft of capstan winch is installed also is connected with the hand winch driving device, described hand winch driving device is made of the gear train and the manual handle that are arranged in gear-box, and the turning cylinder of described manual handle is fixedly connected with the driving gear of described gear train is coaxial.
Further, fixed part comprises housing, and described electronic pulling device is fixedly installed in housing, also is provided with clamping device and motor switch on described housing, and described motor switch is connected by electric wire with the control end of electronic pulling device; Described motor switch can select to adopt the pedal and electric switch.
Above-mentioned drag-line is steel wire.
Further, also be provided with button on the handle of above-mentioned operating theater instruments clamping part, this button is connected to the control end of electronic pulling device by the control line along drag-line, and itself and pedal and electric switch all can be controlled the degree of tightness of drag-line.
The present invention has following beneficial effect:
The comprehensive automatic pull supporting device of drag-line endoscope-assistant surgery apparatus of the present invention is fixed and controls its position by the universal free arm of drag-line to the endoscope-assistant surgery apparatus, and adopt and at fixed part, the state that electronic pulling device is controlled the universal free arm of drag-line is set, according to the custom of operator, electronic pulling device can be controlled by foot switch or the one-touch switch that is positioned on handle.For preventing that power failure from waiting fortuitous event, can also control by the hand winch driving device degree of tightness of drag-line.This equipment can be directly used in endoscope-assistant surgery, and its action principle also can copy in other operating theater instruments supporting devices, and its structure is not only simple, and easy to use.
Description of drawings
Fig. 1 is overall structure schematic diagram of the present invention;
Fig. 2 is the universal free arm structural representation of fixed part of the present invention and drag-line.
Wherein: 1 is fixed part; 2.1 be the apparatus folder; 2.2 be the hands handle; 3 is galianconism; 4 is joint ball; 5 is drag-line; 6 is the hand winch driving device; 7 is capstan winch; 8 is motor switch; 9 is housing; 10 is clamping device; 11 is electronic pulling device; 12 is button; 13 is power line.
The specific embodiment
Below in conjunction with accompanying drawing, the present invention is described in further detail:
The comprehensive automatic pull supporting device of drag-line endoscope-assistant surgery apparatus of the present invention comprises fixed part 1, apparatus clamping part and is connected in the universal free arm of drag-line between described fixed part 1 and apparatus clamping part; Described operation clamping part is comprised of apparatus folder 2.1 and handle 2.2; The universal free arm of drag-line is formed by drag-line 5 serial connections by a plurality of joint portions; Fixed part 1 is provided with electronic pulling device 11, and an end of drag-line 5 is connected on the handle 2.2 of apparatus clamping part, and the other end of drag-line 5 is connected on the electronic pulling device 11 of fixed part 1.The present invention utilizes the universal free arm principle of drag-line, and apparatus folder 2.1 is used for lock chamber mirror operating apparatus, and the other end is fixed on operation table or shadowless lamp lever arm by clamping device 10.Electronic pulling device 11 in fixed part 1 can lead the steel wire in free arm tightly, and universal free arm is fixed, and by free arm, the endoscope-assistant surgery apparatus that connects is fixed in the optional position.Apparatus clamping part of the present invention can be separated into handle 2.2 and apparatus folder 2.1 by latch, and apparatus folder 2.1 can be replaced by different types and sterilization separately.Wrap up with the aseptic plastic cover in handle 2.2 following position operation.
Referring to Fig. 1 and Fig. 2, preferred embodiment of the present invention is:
Joint portion is comprised of galianconism 3 and joint ball 4, one end of galianconism 3 or two ends are half ball-and-socket shape, be provided with joint ball 4 in each half ball-and-socket shape, the central shaft position of galianconism 3 and joint ball 4 is equipped with the drag-line passage, drag-line 5 by the drag-line passage with each joint portion connect into one can FREE TORSION the universal free arm of drag-line.Only have one section to have the spherical of half ball-and-socket shape structure being connected the joint ball 4 that handle 2.2 is connected with the apparatus clamping part with fixed part 1, it directly is fixed on the handle 2.2 of fixed part 1 or apparatus clamping part.In the present embodiment, electronic pulling device is motor and is arranged on capstan winch 7 on the motor output revolving shaft, and an end of drag-line 5 is wound on capstan winch 7.Fixed part 1 comprises housing 9, and electronic pulling device is fixedly installed in housing 9, also is provided with clamping device 10 and motor switch 8 on housing 9, and motor switch 8 is connected by electric wire with the control end of electronic pulling device 11; Wherein, motor switch 8 can adopt the form of pedal and electric switch, uses with convenient.And in the present embodiment, drag-line 5 adopts steel wire.
On the basis of above structure, the present invention also has the scheme of further optimizing as follows:
The other end at the motor output revolving shaft that capstan winch 7 is installed also is connected with hand winch driving device 6, hand winch driving device 6 is by the gear train and the manual handle that are arranged in gear-box, and the turning cylinder of manual handle is fixedly connected with the driving gear of described gear train is coaxial.And also be provided with button 12 on the operating theater instruments clamping part, this button 12 is connected to the control end of electronic pulling device 11 by the control line along drag-line 5.And in prioritization scheme of the present invention, motor switch 8 adopts pedal type switch, can handled easily on the ground.in addition, operating theater instruments clamping part 2 of the present invention can adopt adding and hold mechanism as shown in Figure 1, it is by the clamping body and be arranged on clamping device on the clamping body, this clamping device is the loose-leaf system clamping plate on the clamping body by pin joint, the rack type clamping mechanism that one end is connected to the drive rod on clamping plate and is used for blocking drive rod, wherein the upper end of drive rod is connected by slide way mechanism with clamping plate, this slide way mechanism is comprised of the slide block that is arranged on the chute on clamping plate and is fixed on the drive rod upper end, slide block slides in chute, the middle part of drive rod is fixed on the clamping body by rotating shaft, and also be connected with arc-shaped rack on drive rod, also being connected with by rotating shaft the lock-bit that matches with described arc-shaped rack on the clamping body refers to, the lower end of drive rod is as the spanner end, the stiff end of operating theater instruments is placed between clamping body and clamping plate, when the spanner end of drive rod is inwardly clutched, the upper end of drive rod closes up clamping plate and clamping body by slide way mechanism, thereby the stiff end of operating theater instruments is clamped, after operating theater instruments is clamped, the arc-shaped rack that is connected with drive rod finger of the lock bit pins, thereby realize the clamping of operating theater instruments.When needs are decontroled operating theater instruments, pull lock-bit and refer to, drive rod is decontroled, thereby the stiff end of operating theater instruments can be decontroled.
Detailed directions of the present invention is as follows:
First fixed part 1 is connected on operation bedside or shadowless lamp lever arm by clamping device before the operation beginning, and connects power supply.When using, first the slot with the apparatus clamping part inserts chamber mirror apparatus end, does not have the apparatus of slot by fixation clamp, apparatus section and endoscope-assistant surgery apparatus to be fixed.Then use chamber mirror apparatus to carry out operation technique, reach satisfied position fixedly the time, press push button 12, the steel wire in the universal free arm of drag-line tightens up, thereby the universal free arm of drag-line is fixed, and the patient can decontrol fixing apparatus and carry out other operations.When needs change the position, depress loosening switch, the steel wire in free arm loosens, and free arm recovers relaxed state.Can carry out next step operation, reach new position and again press peg button fixedly the time.Free arm recovers the tense situation fixed apparatus again.When needing to change apparatus, only need apparatus is taken off in slot, changing other apparatus gets final product, power supply of the present invention is controlled and can also be controlled by foot-operated, at fixed part, the rotation handle is arranged in addition, as do not have electric power take out tight or loosen in the situation of steel wire, can hand Screw or unscrew handle and free arm is fixed or lax.
Claims (5)
1. the comprehensive automatic pull supporting device of drag-line endoscope-assistant surgery apparatus, is characterized in that, comprises fixed part (1), operating theater instruments clamping part and be connected in the universal free arm of drag-line between described fixed part (1) and operating theater instruments clamping part; Described operation clamping part is comprised of apparatus folder (2.1) and handle (2.2); The universal free arm of described drag-line is formed by drag-line (5) serial connection by a plurality of joint portions; Described fixed part (1) is provided with electronic pulling device (11), and the first end of described drag-line (5) is connected on the handle (2.2) of operating theater instruments clamping part, and the second end of drag-line (5) is connected on the electronic pulling device (11) of fixed part (1); Described joint portion is comprised of galianconism (3) and joint ball (4), one end of described galianconism (3) or two ends are half ball-and-socket shape, be provided with joint ball (4) in each half ball-and-socket shape, the central shaft position of described galianconism (3) and joint ball (4) is equipped with the drag-line passage, described drag-line (5) by the drag-line passage with each joint portion connect into one can comprehensive FREE TORSION the universal free arm of drag-line; Described electronic pulling device is motor and is arranged on capstan winch (7) on the motor output revolving shaft, and the second end of described drag-line (5) is wound on described capstan winch (7); The other end that the motor output revolving shaft of capstan winch (7) is installed also is connected with hand winch driving device (6), described hand winch driving device (6) is made of the gear train and the manual handle that are arranged in gear-box, and the turning cylinder of described manual handle is fixedly connected with the driving gear of described gear train is coaxial.
2. the comprehensive automatic pull supporting device of drag-line endoscope-assistant surgery apparatus according to claim 1, it is characterized in that, fixed part (1) comprises housing (9), described electronic pulling device (11) is fixedly installed in housing (9), also be provided with clamping device (10) and motor switch (8) on described housing (9), described motor switch (8) is connected by electric wire with the control end of electronic pulling device (11), and the power line (13) of described electronic pulling device (11) is drawn from housing (9).
3. the comprehensive automatic pull supporting device of drag-line endoscope-assistant surgery apparatus according to claim 1, is characterized in that, described drag-line (5) is steel wire.
4. the comprehensive automatic pull supporting device of drag-line endoscope-assistant surgery apparatus according to claim 1, it is characterized in that, also be provided with button (12) on the handle of described operating theater instruments clamping part (2.2), this button (12) is connected to the control end of electronic pulling device (11) by the control line along drag-line (5).
5. the comprehensive automatic pull supporting device of drag-line endoscope-assistant surgery apparatus according to claim 1, it is characterized in that, the apparatus folder (2.1) of described operating theater instruments clamping part is connected 2.2 with handle) connected by slot, dissimilar apparatus folder (2.1) can unload separately sterilization.
Priority Applications (1)
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CN 201110340170 CN102499731B (en) | 2011-11-01 | 2011-11-01 | All-dimensional automatic traction and support device of dragline type endoscopic surgical instrument |
Applications Claiming Priority (1)
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CN 201110340170 CN102499731B (en) | 2011-11-01 | 2011-11-01 | All-dimensional automatic traction and support device of dragline type endoscopic surgical instrument |
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CN102499731A CN102499731A (en) | 2012-06-20 |
CN102499731B true CN102499731B (en) | 2013-11-06 |
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CN 201110340170 Expired - Fee Related CN102499731B (en) | 2011-11-01 | 2011-11-01 | All-dimensional automatic traction and support device of dragline type endoscopic surgical instrument |
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CN104287844B (en) * | 2014-10-28 | 2016-08-17 | 高宏 | Snakelike Mirror supporter |
CN105014689A (en) * | 2015-07-28 | 2015-11-04 | 上海交通大学 | Motion-decoupled rope-driven non-individual body mechanical arm and robot |
CN105832423A (en) * | 2016-06-13 | 2016-08-10 | 傅强 | Endoscope fixing arm for operation |
DE102017002000A1 (en) * | 2017-03-01 | 2018-09-06 | SAMA GmbH | DEVICE COMPRISING A MULTIPLE OF JOINTED BODIES |
CN109223164B (en) * | 2018-10-29 | 2024-03-12 | 山东省立医院 | Flexible laparoscope capable of automatically tracking movement of surgical instrument |
CN109464169A (en) * | 2018-12-13 | 2019-03-15 | 赵永宏 | A kind of epiglottis retracts fixed device automatically |
CN110680521A (en) * | 2019-09-16 | 2020-01-14 | 北京明宣生物技术有限公司 | Instrument clamping machine for abdominal cavity minimally invasive surgery |
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