CN105832429A - Multi-purpose rectum manipulator - Google Patents

Multi-purpose rectum manipulator Download PDF

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Publication number
CN105832429A
CN105832429A CN201610134288.0A CN201610134288A CN105832429A CN 105832429 A CN105832429 A CN 105832429A CN 201610134288 A CN201610134288 A CN 201610134288A CN 105832429 A CN105832429 A CN 105832429A
Authority
CN
China
Prior art keywords
manipulator
rectum
functional
supporting section
fixing
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CN201610134288.0A
Other languages
Chinese (zh)
Other versions
CN105832429B (en
Inventor
王延洲
唐帅
梁志清
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
First Affiliated Hospital of TMMU
Original Assignee
First Affiliated Hospital of TMMU
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by First Affiliated Hospital of TMMU filed Critical First Affiliated Hospital of TMMU
Priority to CN201610134288.0A priority Critical patent/CN105832429B/en
Publication of CN105832429A publication Critical patent/CN105832429A/en
Application granted granted Critical
Publication of CN105832429B publication Critical patent/CN105832429B/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00147Holding or positioning arrangements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00064Constructional details of the endoscope body
    • A61B1/00071Insertion part of the endoscope body
    • A61B1/0008Insertion part of the endoscope body characterised by distal tip features
    • A61B1/00082Balloons
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/04Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/0218Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2217/00General characteristics of surgical instruments
    • A61B2217/002Auxiliary appliance
    • A61B2217/007Auxiliary appliance with irrigation system

Abstract

The invention discloses a multi-purpose rectum manipulator, belonging to the technical field of medical apparatus and instruments. The multi-purpose rectum manipulator comprises a manipulator body, and a manipulator bracket for fixing the manipulator body to an operating table, wherein the manipulator body comprises a rectum tensioning bag and a guide catheter fixed to the rectum tensioning bag, the rectum tensioning bag is provided with a plurality of probes used for real-time imaging, the probes are connected with a display through data lines, the manipulator bracket comprises a support base and a bracket body arranged on the support base in a sliding manner, and the bracket body is provided with a vertical adjustment structure capable of enabling the manipulator body to move vertically but not to rotate. According to the multi-purpose rectum manipulator, through the vertical adjustment structure and the bracket body arranged in the sliding manner, the spatial position of the manipulator body can be vertically and horizontally adjusted, so that the complete exposure of the rectum can be easily realized, and thus the operation efficiency and quality can be improved; through the probes and the display, the wound information can be transmitted in real time, so that a doctor can carry out treatment in time, thus the medical risk is avoided, and finally, the reliability of the operation is improved.

Description

Multi-functional rectum manipulator
Technical field
The invention belongs to technical field of medical instruments, be specifically related to a kind of multi-functional rectum manipulator.
Background technology
There is the problem that structure is complicated, locus is difficult to regulation in existing multi-functional rectum manipulator, as patent CN1287744C is public Having driven a kind of laparoscopic surgery Multifunctional bladder manipulator, this manipulator uses fixed support directly to fix, it is impossible to regulation outer tube Locus so that rectum cannot fully appear, and is not easy to carry out rectum surrounding tissue excision and separating operation, affects abdominal cavity Under mirror extensive hysterectomy etc. operation efficiency and quality, be unfavorable for that patient recovers rapidly.
Meanwhile, colon interior information cannot be monitored and imaging by existing manipulator in real time, causes traumatic condition to transmit in time, And then cause operation risk.
Therefore, it is necessary to the structure of existing manipulator is improved, can arbitrarily regulate it and carry out locus, it is easy to accomplish Fully appearing rectum, thus improve procedure efficiency and quality, strengthen the adaptability of manipulator, can pass in real time meanwhile Pass wound information, so that doctor treats in time.
Summary of the invention
In view of this, it is an object of the invention to provide a kind of multi-functional rectum manipulator, to overcome in prior art due to cannot The procedure efficiency that regulation locus exists is low, quality is low and adaptability is strong, cannot transmit wound information in time cause hands to have The problem of art risk.
It is an object of the invention to be achieved through the following technical solutions:
Multi-functional rectum manipulator, including manipulator body with by manipulator support fixing with operating-table for described manipulator body, Described manipulator body include the fixing guiding tube of rectum swelling capsule and rectum swelling capsule and be arranged at guiding tube in rectum swelling The aerating passage of capsule connection, described rectum swelling capsule is provided with multiple probe for real-time imaging, and described probe passes through data Line is connected with display, and described manipulator support includes bearing and the support being slidably arranged on bearing, and the top of described support sets Be equipped with the fixation clamp for fixing guiding tube outer wall, described support is provided with can make manipulator body move up and down and non-rotary Vertically adjustment structure.
Further, described support includes laying respectively at the canned paragraph of its head, middle part and afterbody, supporting section and lifting section, described Canned paragraph also includes fixing the fixing bar being connected with fixation clamp, and described supporting section includes that be connected through the hinge with described fixing bar props up Support section conduit, described lifting section includes that the inserted link being slidably matched with supporting section conduit, described vertical adjustment structure include being arranged at slotting The adjusting nut threadeded with inserted link on bar, the upper surface of described adjusting nut contacts with the lower surface of supporting section.
Further, described vertical adjustment structure also includes being arranged at the stop nut threadeded in adjusting nut lower end with inserted link.
Further, described vertical adjustment structure also includes carrying out threadeding fixing fixing with adjusting nut and supporting section simultaneously Nut.
Further, described adjusting nut and supporting section have the screw thread of identical pitch.
Further, described bearing is the cavity structure that Open Side Down, leaves certain wall thickness, and the end face of described bearing is provided through The gathering sill moved horizontally for inserted link, described inserted link is fixedly installed compact heap, described pressure in the end putting in described gathering sill The bottom of tight block is provided with the holding device for being fixed in cavity inner wall face.
Further, described holding device includes top board and is dispersed in and holds out against spring below top board.
Further, described bearing being additionally provided with the backing plate for sealing cavity structure, described holding device is fixed thereon.
Further, the retainingf key for limiting the most axially opposing rotation it is provided with between described supporting section conduit and inserted link.
Further, the angle circular arc ring structure more than 180 degree centered by described fixation clamp.
The invention has the beneficial effects as follows:
1, the present invention is arranged by multistage support, vertical adjustment structure and bracket slide and can vertically and horizontally adjust manipulator body Locus, makes to be easily achieved fully appearing rectum, thus improves procedure efficiency and quality, strengthens the adaptability of manipulator, By probe and display, wound information can be transmitted in real time, so that doctor treats in time, it is to avoid produce medical-risk, carry The reliability of high operation.
2, by multistage support, retainingf key, manipulator body can be carried out the rotation process of horizontal direction;
3, being rotatably connected by canned paragraph and supporting section, can carry out the rotation process of vertical direction to manipulator body;
4, can complete i.e. to realize in operation spacing by holding device, improve operating efficiency and stability.
Other advantages, target and the feature of the present invention will be illustrated to a certain extent in the following description, and To a certain extent, will be apparent to those skilled in the art based on to investigating hereafter, or can To be instructed from the practice of the present invention.The target of the present invention and other advantages can be realized by description below And acquisition.
Accompanying drawing explanation
In order to make the object, technical solutions and advantages of the present invention clearer, below in conjunction with accompanying drawing, the present invention is made into one The detailed description of step, wherein:
Fig. 1 is the structural representation of the present invention multi-functional rectum manipulator.
Reference:
1-rectum swelling capsule;2-guiding tube;3-aerating passage;4-pops one's head in;5-display;6-bearing;7-fixation clamp;8-is solid The section of determining;9-supporting section;10-lifts section;11-fixes bar;12-supporting section conduit;13-inserted link;14-adjusting nut;15-limits Position nut;16-fixes nut;17-gathering sill;18-compact heap;19-top board;20-holds out against spring;21-shrouding.
Detailed description of the invention
Hereinafter with reference to accompanying drawing, the preferred embodiments of the present invention are described in detail.Should be appreciated that preferred embodiment Only for the explanation present invention rather than in order to limit the scope of the invention.
As it is shown in figure 1, the multi-functional rectum manipulator of the present embodiment, including manipulator body with by described manipulator body and hands The manipulator support that art platform is fixing, described manipulator body includes rectum swelling capsule 1 and the fixing guiding tube 2 of rectum swelling capsule 1 Be arranged at guiding tube 2 in the aerating passage 3 that connects with rectum swelling capsule 1, the end of aerating passage 3 is connected with air bag, leads to Crossing air bag to rectum swelling capsule 1 aerating, if desired, it is possible to connect with medicinal liquid, injection medicine is treated or is cleaned inwards, body Internal rectum is had blood and secretions to draw by liquid passage 5, and described manipulator support includes bearing 6 and is slidably arranged on bearing 6 Support, the top of described support is provided with the fixation clamp 7 for fixing guiding tube 2 outer wall, described support is provided with and can make Manipulator body moves up and down and non-rotary vertical adjustment structure, in the present embodiment, support include laying respectively at its head, in The canned paragraph 8 of portion and afterbody, supporting section 9 and lifting section 10, described canned paragraph 8 also include fixing with fixation clamp 7 be connected consolidate Fixed pole 11, described supporting section 9 includes the supporting section conduit 12 being connected through the hinge with described fixing bar 11, described lifting section 10 Including the inserted link 13 being slidably matched with supporting section conduit 12, described vertical adjustment structure include being arranged on inserted link 13 with inserted link spiral shell The adjusting nut 14 that stricture of vagina connects, the upper surface of described adjusting nut 14 contacts with the lower surface of supporting section 9, during use, rotates Adjusting nut 14 moves up or down along inserted link, and then drives moving up and down of supporting section 9, finally realizes manipulator body Up-down adjustment.
In the present embodiment, described rectum swelling capsule 1 being provided with multiple probe 4 for real-time imaging, described probe 4 passes through Data wire is connected with display 5, in real time transmission wound information, so that doctor treats in time, it is to avoid medical-risk.
The present embodiment can vertically and horizontally adjust manipulation in being arranged on bearing by segmentation support, vertical adjustment structure and bracket slide The locus of device body, makes to be easily achieved fully appearing rectum, thus improves procedure efficiency and quality, strengthens manipulator Adaptability, by probe and display, wound information can be transmitted in real time, so that doctor treats in time, it is to avoid produce doctor Treat risk, improve the reliability of operation, be rotatably connected with supporting section by canned paragraph, it is possible to achieve vertical to manipulator meanwhile The rotation regulation in direction so that it is be suitable to operation technique.
As the improvement of the present embodiment, described vertical adjustment structure also includes that being arranged at adjusting nut 14 lower end threadeds with inserted link Stop nut 15, adjusting nut 14 in use slide downward can be prevented, affect surgical effect.
As the improvement of the present embodiment, described vertical adjustment structure also includes to carry out spiral shell with adjusting nut 14 and supporting section 9 simultaneously Stricture of vagina connects fixing fixing nut 16, after position adjustment puts in place, by fixing nut 16 simultaneously to adjusting nut 14 and support Section 9 is fixed, and prevents relatively rocking between the two, improves the lifting of its positional precision, beneficially surgical quality further.
As the improvement of the present embodiment, described adjusting nut 14 and supporting section 9 have the screw thread of identical pitch, coordinate with it, Gu The screw thread determining nut 16 is also consistent, it is easy to processing and manufacturing, reduces manufacturing cost.When being embodied as, also can be at supporting section 9 Arranging a flange with the near-end of adjusting nut, its screw thread is arranged on flange, makes supporting section material lighter, the most cost-effective.
As the improvement of the present embodiment, described bearing 6 is the cavity structure that Open Side Down, leaves certain wall thickness, described bearing End face is provided through the gathering sill 17 moved horizontally for inserted link 13, and described inserted link 13 is putting in the end of described gathering sill 17 Portion is fixedly installed compact heap 18, and the bottom of described compact heap 18 is provided with and holds out against dress for be fixed in cavity inner wall face Putting, described holding device includes top board 19 and is dispersed in and holds out against spring 20 below top board 19, in using, by support to Under press, after sliding support to appropriate location, then horizontally rotate support to proper angle, releases clamp, at the work holding out against spring 20 Under with, top board 19 pushes up to compact heap 18, is fixed in cavity inner wall face, it is achieved fix support, and then realizes behaviour The locus regulation of vertical device and position are fixed.
As the improvement of the present embodiment, described bearing 6 is additionally provided with the backing plate 21 for sealing cavity structure, described in hold out against dress Put and be fixed thereon.
As the improvement of the present embodiment, it is provided with for limiting the most axial between described supporting section conduit 12 and inserted link 13 Retainingf key (not shown) in relative rotation so that it is motion is consistent, has relative motion, impact to use effect both when preventing runing rest Really.
As the improvement of the present embodiment, centered by described fixation clamp 7, angle is the circular arc ring structure of 180-270 °, direct during use Manipulator is inserted from circular arc ring opening part.
Finally illustrating, above example is only in order to illustrate technical scheme and unrestricted, although with reference to preferably The present invention has been described in detail by embodiment, it will be understood by those within the art that, can be to the skill of the present invention Art scheme is modified or equivalent, and without deviating from objective and the scope of the technical program, it all should be contained at this In the middle of bright right.

Claims (10)

  1. The most multi-functional rectum manipulator, including manipulator body with by manipulator support fixing with operating-table for described manipulator body, Described manipulator body is swollen with rectum in including the fixing guiding tube of rectum swelling capsule and rectum swelling capsule and being arranged at guiding tube The aerating passage of tight capsule connection, it is characterised in that: it is provided with multiple probe for real-time imaging on described rectum swelling capsule, Described probe is connected with display by data wire, and described manipulator support includes bearing and propping up of being slidably arranged on bearing Frame, the top of described support is provided with the fixation clamp for fixing guiding tube outer wall, described support is provided with and can make manipulator Body moves up and down and non-rotary vertical adjustment structure.
  2. Multi-functional rectum manipulator the most according to claim 1, it is characterised in that: described support include laying respectively at its head, Middle part and the canned paragraph of afterbody, supporting section and lifting section, described canned paragraph also includes fixing the fixing bar being connected with fixation clamp, Described supporting section includes the supporting section conduit being connected through the hinge with described fixing bar, and described lifting section includes and supporting section conduit The inserted link being slidably matched, described vertical adjustment structure includes being arranged on inserted link the adjusting nut threadeded with inserted link, described The upper surface of adjusting nut contacts with the lower surface of supporting section.
  3. Multi-functional rectum manipulator the most according to claim 2, it is characterised in that: described vertical adjustment structure also includes arranging In the stop nut threadeded with inserted link in adjusting nut lower end.
  4. Multi-functional rectum manipulator the most according to claim 2, it is characterised in that: described vertical adjustment structure also includes can be same Time carry out threadeding fixing fixing nut with adjusting nut and supporting section.
  5. Multi-functional rectum manipulator the most according to claim 4, it is characterised in that: described adjusting nut and supporting section have phase Screw thread with pitch.
  6. Multi-functional rectum manipulator the most according to claim 2, it is characterised in that: described bearing is for Open Side Down, leaves one Determining the cavity structure of wall thickness, the end face of described bearing is provided through the gathering sill moved horizontally for inserted link, and described inserted link exists The end putting in described gathering sill is fixedly installed compact heap, and the bottom of described compact heap is provided with for being fixed in cavity The holding device of internal face.
  7. Multi-functional rectum manipulator the most according to claim 6, it is characterised in that: described holding device includes that top board is with uniform It is dispersed in and holds out against spring below top board.
  8. Multi-functional rectum manipulator the most according to claim 6, it is characterised in that: it is additionally provided with for sealing on described bearing The backing plate of cavity structure, described holding device is fixed thereon.
  9. Multi-functional rectum manipulator the most according to claim 1, it is characterised in that: set between described supporting section conduit and inserted link It is equipped with the retainingf key for limiting the most axially opposing rotation.
  10. Multi-functional rectum manipulator the most according to claim 1, it is characterised in that: centered by described fixation clamp, angle exceedes The circular arc ring structure of 180 degree.
CN201610134288.0A 2016-03-09 2016-03-09 Multi-functional rectum executor Expired - Fee Related CN105832429B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201610134288.0A CN105832429B (en) 2016-03-09 2016-03-09 Multi-functional rectum executor

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Application Number Priority Date Filing Date Title
CN201610134288.0A CN105832429B (en) 2016-03-09 2016-03-09 Multi-functional rectum executor

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CN105832429A true CN105832429A (en) 2016-08-10
CN105832429B CN105832429B (en) 2018-06-29

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109009476A (en) * 2018-08-28 2018-12-18 郑州大学第附属医院 A kind of operation on rectum auxiliary device
CN111317520A (en) * 2020-03-04 2020-06-23 中国人民解放军陆军特色医学中心 Wound traction device
CN113288687A (en) * 2021-05-29 2021-08-24 吉林大学中日联谊医院 Colorectal fixing and pulling-out auxiliary device for gastrointestinal surgery

Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6155439A (en) * 1999-02-22 2000-12-05 Flexbar Machine Corp. Laparoscopic-rack instruments holder
CN1660018A (en) * 2004-02-26 2005-08-31 浙江大学医学院附属第一医院 Urinary bladder manipulator in use for laparoscope operation
WO2007021969A2 (en) * 2005-08-15 2007-02-22 Ap Concepts Inc. Device and method for positioning a delivery tube
CN101019770A (en) * 2007-03-28 2007-08-22 新奥博为技术有限公司 Interventional operation equipment guiding instrument
CN201899763U (en) * 2010-11-06 2011-07-20 廉开胜 Novel three-cavity air bag urethral catheter provided with guide wire
CN102793528A (en) * 2012-07-08 2012-11-28 袁毅 Multifunctional personal camera inspection tester
CN204581372U (en) * 2015-04-24 2015-08-26 中国人民解放军总医院 A kind of chamber mirror rectum fixes pulling device
CN204863849U (en) * 2015-08-21 2015-12-16 李志� Portable anesthesia support
CN204971281U (en) * 2015-08-31 2016-01-20 安徽小糖医疗科技有限公司 EIT detection device that forms images with cylindrical reference test bar

Patent Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6155439A (en) * 1999-02-22 2000-12-05 Flexbar Machine Corp. Laparoscopic-rack instruments holder
CN1660018A (en) * 2004-02-26 2005-08-31 浙江大学医学院附属第一医院 Urinary bladder manipulator in use for laparoscope operation
WO2007021969A2 (en) * 2005-08-15 2007-02-22 Ap Concepts Inc. Device and method for positioning a delivery tube
CN101019770A (en) * 2007-03-28 2007-08-22 新奥博为技术有限公司 Interventional operation equipment guiding instrument
CN201899763U (en) * 2010-11-06 2011-07-20 廉开胜 Novel three-cavity air bag urethral catheter provided with guide wire
CN102793528A (en) * 2012-07-08 2012-11-28 袁毅 Multifunctional personal camera inspection tester
CN204581372U (en) * 2015-04-24 2015-08-26 中国人民解放军总医院 A kind of chamber mirror rectum fixes pulling device
CN204863849U (en) * 2015-08-21 2015-12-16 李志� Portable anesthesia support
CN204971281U (en) * 2015-08-31 2016-01-20 安徽小糖医疗科技有限公司 EIT detection device that forms images with cylindrical reference test bar

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109009476A (en) * 2018-08-28 2018-12-18 郑州大学第附属医院 A kind of operation on rectum auxiliary device
CN111317520A (en) * 2020-03-04 2020-06-23 中国人民解放军陆军特色医学中心 Wound traction device
CN113288687A (en) * 2021-05-29 2021-08-24 吉林大学中日联谊医院 Colorectal fixing and pulling-out auxiliary device for gastrointestinal surgery
CN113288687B (en) * 2021-05-29 2022-11-25 吉林大学中日联谊医院 Colorectal fixing and pulling-out auxiliary device for gastrointestinal surgery

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