CN108720896B - A novel stone device of getting for hepatobiliary surgery is clinical - Google Patents

A novel stone device of getting for hepatobiliary surgery is clinical Download PDF

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Publication number
CN108720896B
CN108720896B CN201810957754.4A CN201810957754A CN108720896B CN 108720896 B CN108720896 B CN 108720896B CN 201810957754 A CN201810957754 A CN 201810957754A CN 108720896 B CN108720896 B CN 108720896B
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China
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rod
box body
outer tube
left end
movable rod
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CN108720896A (en
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李江涛
全玲丽
曾文丽
张祥东
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First Affiliated Hospital of University of South China
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First Affiliated Hospital of University of South China
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/221Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/221Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
    • A61B2017/2212Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions having a closed distal end, e.g. a loop

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Vascular Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses a novel lithotomy device for hepatobiliary surgery clinic, which comprises a box body, wherein a second motor is arranged on the rear side inside the box body, a gear is connected with an output shaft at the front end of the second motor, an outer tube is arranged on the left front side of the box body, the right end of the outer tube is communicated with a through hole on the left front side of the box body, a sliding groove is arranged on the lower side inside the outer tube, an inner rod is arranged inside the outer tube, a sliding block is arranged on the lower side of the inner rod and is in sliding connection with the sliding groove, the right end of the inner rod penetrates through the right end of the outer tube and extends. This a novel stone device of getting for hepatobiliary surgery is clinical, easy operation makes medical staff when using, and whole device remains stable, makes the more accurate alignment calculus of getting the stone during operation, can suitably strut the wound, is convenient for stretch into the wound and gets the stone, also can get stone work when meetting the condition of calculus adhesion, can spill the bloody water, makes things convenient for medical equipment such as joint light, is favorable to getting going on of stone work.

Description

A novel stone device of getting for hepatobiliary surgery is clinical
Technical Field
The invention relates to the technical field of medical stone removing instruments, in particular to a novel stone removing device for hepatobiliary surgery clinic.
Background
In the prior art: application publication number is CN 207384301U's patent discloses a claw shape biliary tract gets stone device, including claw shape grabbing device, interior sheath pipe and outer sheath pipe, claw shape grabbing device indicates, regulates and control the seal wire, turns round accuse pipe and sets up and indicates terminal go-between to constitute at every bow-shaped claw by at least three bow-shaped claw, interior sheath pipe is a tubular structure, overlaps outside claw shape grabbing device's the turn round accuse pipe, outer sheath pipe is a tubular structure, overlaps in the outside of interior sheath pipe, the calculus is hardly entangled to grabbing device, can't realize the gripping when the calculus glues even on the liver courage, can not make the stable use of medical staff, and when the wound did not strut, can't get stone work.
Disclosure of Invention
The invention aims to overcome the existing defects, provides a novel calculus removing device for hepatobiliary surgery clinic, is simple to operate, is convenient to use stably, can easily cover calculus, can cut off calculus adhered to hepatobiliary, can prop open wounds, is convenient to remove calculus, and can effectively solve the problems in the background technology.
In order to achieve the purpose, the invention provides the following technical scheme: a novel lithotomy device for hepatobiliary surgery clinics comprises a box body, wherein a second motor is arranged on the rear side inside the box body, a gear is connected to a front-end output shaft of the second motor, an outer tube is arranged on the front left side of the box body, the right end of the outer tube is communicated with a front left side through hole of the box body, a sliding groove is formed in the lower side inside the outer tube, an inner rod is arranged inside the outer tube, a sliding block is arranged on the lower side of the inner rod and is in sliding connection with the sliding groove, the right end of the inner rod penetrates through the right end of the outer tube and extends into the box body, the right end of the inner rod is connected with the left end of a rack, the rack is meshed with the gear, a first motor is arranged on the right side of a left-end cavity of the inner rod, a left-side output shaft of the first motor is connected with the right end of a first bearing, the outer side, the left end of the first U-shaped rod is connected with the lower end of the side face of the second bearing, the left end of the second bearing is connected with the left end of the second U-shaped rod, the right end of the second U-shaped rod is connected with the upper side of the left end of the inner rod, the front sides of the first U-shaped rod and the second U-shaped rod are connected through uniformly distributed silk screens, the rear side of the second U-shaped rod is provided with an arc-shaped blade corresponding to the second U-shaped rod, the right lower side of the interior of the box body is provided with a fixed frame, the left side of the fixed frame is connected with the fixed end of an electric telescopic rod, the telescopic end of the electric telescopic rod is connected with the right end of a ring-shaped shaft, the left end of the ring-shaped shaft is respectively connected with the right ends of the fourth movable rod and the first movable rod in a rotating manner, the left end of the fourth movable rod is connected with the right end of the third movable rod in a rotating manner through the second rotating shaft, the left end of the first movable rod is, the front end of pivot one is connected with the rear side of outer tube, the left end of three movable rods and movable rod two is connected with the right-hand member of the long baffle of two circular arcs respectively, the front side upper left corner of box is equipped with control switch group, the output electricity of control switch group connects motor one, motor two and electric telescopic handle's input, and external power source's output is connected to control switch group's input electricity.
As a preferable technical scheme of the invention, the center of the lower side of the box body is provided with a handle, and the left side of the handle is wavy.
As a preferred technical scheme of the invention, the front side and the rear side of the grip are provided with anti-slip pads, and the left sides of the two anti-slip pads are wavy.
As a preferable technical scheme of the invention, the rear side of the left end of the inner rod is provided with a connecting rod, and the rear end of the connecting rod is connected with the side face of the clamping ring.
As a preferred technical scheme of the invention, one surface of each of the two arc long baffles, which is far away from the rotating shaft, is an arc surface, and the arc surfaces of the two arc long baffles are provided with the leakage holes which are uniformly distributed along the arc surfaces.
Compared with the prior art, the invention has the beneficial effects that: this a novel get stone device for hepatobiliary surgery is clinical, and the operation is simple, can tightly hold the device through slipmat on handle and the handle, make medical practitioner when using, whole device remain stable, drive gear and then drive two U-shaped poles of being connected with interior pole through the motor, make two U-shaped poles of getting stone during operation can more accurate alignment calculus, drive four movable rods through electric telescopic handle, make two long baffles of circular arc can suitably strut the wound, be convenient for two U-shaped poles stretch into the wound and get the stone, and there is the arcuation blade on the U-shaped pole two, also can get stone work when meetting the condition of stone adhesion, the small opening on two long baffles of circular arc can spill the bloody water, medical equipment such as the convenient joint of snap ring on the interior pole, be favorable to getting going on of stone work.
Drawings
FIG. 1 is a schematic structural view of the present invention;
FIG. 2 is a rear view of the present invention;
FIG. 3 is a schematic top view of the present invention.
In the figure: the device comprises a box body 1, a rack 2, a control switch group 3, a non-slip mat 4, a handle 5, a sliding block 6, a first movable rod 7, a sliding chute 8, a first motor 9, a first bearing 10, a first U-shaped rod 11, a wire mesh 12, a long arc baffle 13, a second bearing 14, a leak hole 15, a second U-shaped rod 16, a second movable rod 17, a third movable rod 18, a fourth inner rod 19, a fourth movable rod 20, an outer tube 21, a second motor 22, a gear 23, an arc-shaped blade 24, a connecting rod 25, a snap ring 26, a ring-shaped shaft 27, a first rotating shaft 28, a second rotating shaft 29, an electric telescopic rod 30 and a fixed.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
Referring to fig. 1-3, the present invention provides a technical solution: a novel lithotomy device for hepatobiliary surgery clinics comprises a box body 1, a handle 5 is arranged at the center of the lower side of the box body 1, the left side of the handle 5 is wavy, anti-slip pads 4 are arranged on the front side and the back side of the handle 5, the left sides of the two anti-slip pads 4 are wavy and can be tightly held by the device, a motor two 22 is arranged on the rear side inside the box body 1, a front end output shaft of the motor two 22 is connected with a gear 23, an outer tube 21 is arranged on the front left side of the box body 1, the right end of the outer tube 21 is communicated with a through hole on the front left side of the box body 1, a sliding groove 8 is arranged on the lower side inside the outer tube 21, an inner rod 19 is arranged inside the outer tube 21, a connecting rod 25 is arranged on the rear side of the left end of the inner rod 19, the rear end of the connecting rod 25 is connected with the side of a clamping ring 26, a sliding block 6 is arranged on, the rack 2 is meshed with the gear 23, the right side of the left end cavity of the inner rod 19 is provided with a motor I9, the left output shaft of the motor I9 is connected with the right end of a bearing I10, the outer side of the bearing I10 is connected with the inner side of the left end cavity of the inner rod 19, the left end of the bearing I10 is connected with the right end of a U-shaped rod I11, the left end of the U-shaped rod I11 is connected with the lower end of the side face of a bearing II 14, the left end of the bearing II 14 is connected with the left end of a U-shaped rod II 16, the right end of the U-shaped rod II 16 is connected with the upper side of the left end of the inner rod 19, the front sides of the U-shaped rod I11 and the U-shaped rod II 16 are connected through a uniformly distributed silk screen 12, stones can be aligned more accurately, the rear side of the U-shaped rod II 16 is provided with an arc-shaped blade 24 corresponding to the rear side of the U-shaped rod II 16, stone taking, the telescopic end of the electric telescopic rod 30 is connected with the right end of the annular shaft 27, the left end of the annular shaft 27 is respectively and rotatably connected with the right ends of the movable rod four 20 and the movable rod one 7, the left end of the movable rod four 20 is rotatably connected with the right end of the movable rod three 18 through the rotating shaft two 29, the left end of the movable rod one 7 is rotatably connected with the right end of the movable rod two 17 through the other rotating shaft two 29, the middle sections of the movable rod three 18 and the movable rod two 17 are crossed and the crossed point is rotatably connected through the rotating shaft one 28, the front end of the rotating shaft one 28 is connected with the rear side of the outer tube 21, the left ends of the movable rod three 18 and the movable rod two 17 are respectively connected with the right ends of the two arc long baffles 13, one surfaces of the two arc long baffles 13, which are far away from the rotating shaft one 28, leak holes 15 which are uniformly distributed along the arc surfaces are arranged on the arc surfaces of the two arc long baffles 13, the output end of the control switch group 3 is electrically connected with the input ends of the first motor 9, the second motor 22 and the electric telescopic rod 30, the input end of the control switch group 3 is electrically connected with the output end of an external power supply, and the control switch group 3 is respectively provided with a control key corresponding to the first motor 9, the second motor 22 and the electric telescopic rod 30.
When in use: the grip 5 is held by hand, the two arc long baffles 13 are aligned to the wound, the electric telescopic rod 35 is started through the control switch group 3, because the intersection point of the movable rod II 17 and the movable rod III 18 is rotationally connected by the rotating shaft I28, the rotating shaft I28 is fixed on the outer tube 21, the movable rod IV 20 is rotationally connected with the movable rod III 18, and the movable rod I7 is rotationally connected with the movable rod II 17, when the telescopic end of the electric telescopic rod 30 drives the annular shaft 27 to move leftwards, the left end of the movable rod IV 20 drives the right end of the movable rod III 18 to move upwards, meanwhile, the left end of the movable rod I7 drives the right end of the movable rod II 17 to move downwards, so that the two arc long baffles 13 move towards two sides, the purpose of opening the wound is achieved, the motor II 22 is started, the inner rod 19 is driven to move through the meshing of the gear 23 and the rack 2, the U-shaped rod I11 and the U-shaped rod II 16 are inserted into the wound, and the rear sides of the U-shaped rod I, if the stones are adhered, the arc-shaped blade 24 can be moved to be cut apart, the first starting motor 9 drives the first U-shaped rod 11 to rotate, the stones are contained in the first U-shaped rod through the wire mesh 12, the second starting motor 22 is started, the stones are taken out, and the first U-shaped rod 11, the wire mesh 12, the arc-shaped long baffle 13, the second U-shaped rod 16, the inner rod 19, the arc-shaped blade 24, the connecting rod 25, the clamping ring 26 and the second bearing 14 are disinfected and subjected to antibacterial treatment after use.
According to the invention, stones can be firmly held and cannot fall off through the U-shaped rod I11 and the silk screen 12 on the front side of the U-shaped rod II 16, the inner rod 19 can stably move by driving the structure of the rack 2 through the motor II 22 and the gear 23, stones can be more accurately aligned to be taken, wounds can be properly opened through the two arc long baffles 13, the stones can be conveniently taken, the wavy design of the grip 5 is attached to the palm of a person, and medical staff can more stably hold the hands and use the device to take stones by matching with the anti-slip mat 4.
Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.

Claims (5)

1. A novel calculus removing device for hepatobiliary surgery clinics comprises a box body (1), and is characterized in that: a second motor (22) is arranged on the rear side of the inside of the box body (1), a front end output shaft of the second motor (22) is connected with a gear (23), an outer tube (21) is arranged on the front left side of the box body (1), the right end of the outer tube (21) is communicated with a front left side through hole of the box body (1), a sliding groove (8) is arranged on the lower side of the inside of the outer tube (21), an inner rod (19) is arranged inside the outer tube (21), a sliding block (6) is arranged on the lower side of the inner rod (19), the sliding block (6) is connected with the sliding groove (8) in a sliding manner, the right end of the inner rod (19) penetrates through the right end of the outer tube (21) and extends into the box body (1), the right end of the inner rod (19) is connected with the left end of the rack (2), the rack (2) is meshed with the gear (23), a first motor (9) is arranged on the right side of a left end cavity of the, the outer side of the first bearing (10) is connected with the inner side of a left end chamber of the inner rod (19), the left end of the first bearing (10) is connected with the right end of the first U-shaped rod (11), the left end of the first U-shaped rod (11) is connected with the lower end of the side face of the second bearing (14), the left end of the second bearing (14) is connected with the left end of the second U-shaped rod (16), the right end of the second U-shaped rod (16) is connected with the upper side of the left end of the inner rod (19), the front sides of the first U-shaped rod (11) and the second U-shaped rod (16) are connected through uniformly distributed silk nets (12), the rear side of the second U-shaped rod (16) is provided with arc-shaped blades (24) corresponding to the rear side of the second U-shaped rod (16), the right lower side of the inner part of the box body (1) is provided with a fixing frame (31), the left side of the fixing frame (31) is connected with the fixed end of an electric telescopic rod (30), and the, the left end of annular axle (27) rotates with the right-hand member of four (20) and movable rod (7) respectively and is connected, the left end of four (20) of movable rod rotates with the right-hand member of three (18) of movable rod through pivot two (29) and is connected, the left end of movable rod (7) rotates through the right-hand member of another pivot two (29) and movable rod two (17) and is connected, the middle section cross arrangement and the cross point department of movable rod three (18) and movable rod two (17) rotate through pivot one (28) and connect, the front end of pivot one (28) is connected with the rear side of outer tube (21), the left end of movable rod three (18) and movable rod two (17) is connected with the right-hand member of two long baffles of circular arc (13) respectively, the front side upper left corner of box (1) is equipped with control switch group (3), the output electricity of control switch group (3) connects motor one (9), The input ends of the second motor (22) and the electric telescopic rod (30) and the input end of the control switch group (3) are electrically connected with the output end of an external power supply.
2. The novel lithotomy device for hepatobiliary surgery in clinic according to claim 1, wherein: the handle (5) is arranged at the center of the lower side of the box body (1), and the left side of the handle (5) is wavy.
3. The novel lithotomy device for hepatobiliary surgery in clinic according to claim 2, characterized in that: the front side and the rear side of the handle (5) are provided with anti-slip pads (4), and the left sides of the two anti-slip pads (4) are wavy.
4. The novel lithotomy device for hepatobiliary surgery in clinic according to claim 1, wherein: the left end rear side of interior pole (19) is equipped with connecting rod (25), the rear end of connecting rod (25) is connected with the side of snap ring (26).
5. The novel lithotomy device for hepatobiliary surgery in clinic according to claim 1, wherein: one surfaces, far away from the first rotating shaft (28), of the two arc long baffles (13) are arc surfaces, and the arc surfaces of the two arc long baffles (13) are provided with leakage holes (15) which are uniformly distributed along the arc surfaces.
CN201810957754.4A 2018-08-22 2018-08-22 A novel stone device of getting for hepatobiliary surgery is clinical Active CN108720896B (en)

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112842468B (en) * 2019-01-23 2023-01-13 杨海平 Calculus removing device for hepatobiliary surgery
CN111658127B (en) * 2020-07-01 2022-08-12 成都德倍佳医疗科技有限责任公司 Hepatobiliary surgery is with clinical stone device of getting
CN114451958B (en) * 2022-02-14 2023-03-24 南华大学附属第一医院 Precision control's supplementary hepatobiliary surgery of manipulator gets stone equipment

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* Cited by examiner, † Cited by third party
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US5176688A (en) * 1991-07-17 1993-01-05 Perinchery Narayan Stone extractor and method
US8858567B2 (en) * 2006-10-14 2014-10-14 Rafic Saleh Surgical retrieval device and method
EP3058887B1 (en) * 2013-10-15 2018-12-05 Olympus Corporation Energy treatment instrument
CN105657720A (en) * 2016-01-21 2016-06-08 杜长征 System for taking out mucosa calculus in minimally invasive gallbladder surgery
CN106618675A (en) * 2016-12-28 2017-05-10 刘少鹏 Gallstone removal device

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Inventor after: Li Jiangtao

Inventor after: Quan Lingli

Inventor after: Zeng Wenli

Inventor after: Zhang Xiangdong

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Effective date of registration: 20210416

Address after: 421001 No. 69 ship Hill Road, Shigu District, Hunan, Hengyang

Applicant after: THE FIRST AFFILIATED HOSPITAL OF University OF SOUTH CHINA

Address before: Laiyang City, Shandong province 265200 Yantai city Chang Road No. 111, Laiyang Central Hospital

Applicant before: Zhang Xiangdong

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