CN109589148B

CN109589148B - Hepatobiliary surgery is with operation auxiliary device

Info

Publication number: CN109589148B
Application number: CN201910112169.9A
Authority: CN
Inventors: 李志庆; 孙吉霞; 彭涛
Original assignee: Individual
Current assignee: Qingdao Central Hospital
Priority date: 2019-02-13
Filing date: 2019-02-13
Publication date: 2021-06-15
Anticipated expiration: 2039-02-13
Also published as: CN109589148A

Abstract

The invention discloses an operation auxiliary device for hepatobiliary surgery in the field of medical equipment, which comprises an operation table, wherein a pedal is rotatably connected to a bottom plate of the operation table, a spring is fixedly arranged on the lower side of the front end of the pedal, a first shaft rod is rotatably connected to the rear end of the pedal, a concave shaft rod is rotatably connected to the end of the first shaft rod, a first gear is fixedly arranged on the outer wall of the shaft rod at one end of the concave shaft rod, a speed change gear is meshed with the outer side of the first gear, a second shaft rod is fixedly arranged on the axis of the speed change gear, a circular baffle is fixedly arranged on the outer wall of the right. The invention has simple structure, only needs one operating doctor to continuously open the thoracic cavity of the human body, and the doctor can use two hands to perform the operation, thereby being convenient for operation, improving the operation efficiency, reducing the operation time, further reducing the pressure born by the patient, reducing the participation of some medical staff, and simultaneously avoiding the arm numbness caused by long-time manual pulling open of the thoracic cavity and reducing the working difficulty of the medical staff.

Description

Hepatobiliary surgery is with operation auxiliary device

Technical Field

The invention relates to the field of medical equipment, in particular to an operation auxiliary device for hepatobiliary surgery.

Background

Liver and gall surgery mainly studies hepatocellular carcinoma, hepatobiliary calculus, posthepatitic cirrhosis and acute liver failure caused by severe hepatitis are major diseases seriously threatening the health of Chinese people. Generally, in clinical practice, when a hepatobiliary surgery is performed on a patient, an open cavity surgery is generally adopted, and after the open cavity surgery is performed, superficial tissues or other tissues of the cavity are required to be pulled open to open the thoracic cavity of the human body, so that the surgical operation is facilitated.

At present, several medical auxiliary personnel generally assist together, open the thorax of human body to the operation, not only the operation is got up and is wasted time and energy, increases patient's bearing pressure, and the time spent can cause medical staff's arm to tingle simultaneously, thereby has increased the degree of difficulty of work for medical staff.

Based on the above, the invention designs an operation auxiliary device for hepatobiliary surgery to solve the above problems.

Disclosure of Invention

The invention aims to provide an operation auxiliary device for hepatobiliary surgery, which aims to solve the problems that several medical auxiliary personnel are provided to assist the background technology together to open the thoracic cavity of a human body so as to facilitate operation, the operation is time-consuming and labor-consuming, the bearing pressure of a patient is increased, and the arm of the auxiliary personnel is numb after a long time, so that the working difficulty of the medical personnel is increased.

In order to achieve the purpose, the invention provides the following technical scheme: an operation auxiliary device for hepatobiliary surgery comprises an operation table, wherein a pedal is rotatably connected to a bottom plate of the operation table, a spring is fixedly arranged on the lower side of the front end of the pedal, a first shaft rod is rotatably connected to the rear end of the pedal, a concave shaft rod is rotatably connected to the end of the first shaft rod, a first gear is fixedly arranged on the outer wall of the shaft rod at one end of the concave shaft rod, a change gear is meshed with the outer side of the first gear, a second shaft rod is fixedly arranged on the axis of the change gear, a circular baffle is fixedly arranged on the outer wall of the right shaft rod of the second shaft rod, a second gear is meshed with the outer side of the change gear, a third shaft rod is fixedly arranged on the axis of the second gear, a clockwork spring is arranged on the outer wall of the right shaft rod of the third shaft rod, a rack plate is meshed, the portable leaf and the equal torsional spring of rack plate board end are connected with a plurality of groups of drag hooks, the fixed ratchet that is provided with of concave axostylus axostyle other end axostylus axostyle outer wall, ratchet piece has the joint in the ratchet outside, side bed board is fixed to be provided with square frame plate on the operation table.

Preferably, a fourth shaft lever is fixedly arranged in the middle of the pedal and is rotatably connected to the operating bed bottom plate.

Preferably, the first shaft lever is rotatably connected to the outer wall of the concave shaft lever.

Preferably, the draw hook of the rack plate and the draw hook of the movable plate are opposite in groove direction.

Preferably, a fifth shaft lever is fixedly arranged in the middle of the connecting plate and rotatably connected to the top side of the inner wall of the square frame plate.

Preferably, the ratchet block torsion spring is connected to the inner wall of the square frame plate.

Preferably, first spout has all been seted up to square deckle board both sides inner wall, the lateral wall of rack board and fly leaf is all fixed and is provided with first slider, first slider slides in first spout inner chamber, the rack board is close to the fixed second slider that is provided with in fly leaf one side, the fly leaf is close to rack board one side and has seted up the second spout, the second slider slides in second spout inner chamber.

Preferably, a sleeve is fixedly arranged on the inner wall of the right side of the square frame plate, and the circular baffle is sleeved in the sleeve.

Compared with the prior art, the invention has the beneficial effects that: the invention realizes the opening of the human thorax by pedaling the pedal, has simple structure, can continuously open the human thorax by only one operating doctor, can be operated by two hands of the doctor, is convenient for operation, improves the operation efficiency, reduces the operation time, thereby reducing the pressure born by the patient, reducing the participation of some medical staff, and simultaneously avoiding the arm numbness caused by pulling the thorax manually for a long time and reducing the working difficulty of the medical staff.

Drawings

In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the drawings used in the description of the embodiments will be briefly introduced below, and it is obvious that the drawings in the following description are only some embodiments of the present invention, and it is obvious for those skilled in the art that other drawings can be obtained according to the drawings without creative efforts.

FIG. 1 is a schematic front view of the present invention;

FIG. 2 is an enlarged schematic view of the structure at the position A of the present invention;

FIG. 3 is a rear right view structural schematic diagram of the present invention;

FIG. 4 is a rear left view structural schematic view of the present invention;

FIG. 5 is an enlarged view of the structure of the present invention at B.

In the drawings, the components represented by the respective reference numerals are listed below:

1-operating table, 2-pedal, 3-spring, 4-first shaft lever, 5-concave shaft lever, 6-first gear, 7-speed changing gear, 8-second shaft lever, 9-circular baffle, 10-second gear, 11-third shaft lever, 12-clockwork spring, 13-rack plate, 14-connecting plate, 15-movable plate, 16-drag hook, 17-ratchet wheel, 18-ratchet block, 19-square frame plate, 20-fifth shaft lever, 21-first sliding chute, 22-first sliding block, 23-second sliding block, 24-second sliding chute and 25-sleeve.

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. 1-5, the present invention provides a technical solution: an operation auxiliary device for hepatobiliary surgery comprises an operation table 1, wherein a bottom plate of the operation table 1 is rotatably connected with a pedal 2, a spring 3 is fixedly arranged on the lower side of the front end of the pedal 2, a first shaft 4 is rotatably connected with the rear end of the pedal 2, a concave shaft 5 is rotatably connected with the rod end of the first shaft 4, a first gear 6 is fixedly arranged on the outer wall of a shaft rod at one end of the concave shaft 5, a change gear 7 is meshed on the outer side of the first gear 6, a second shaft rod 8 is fixedly arranged on the axle center of the change gear 7, a circular baffle 9 is fixedly arranged on the outer wall of a right side rod of the second shaft rod 8, a second gear 10 is meshed on the outer side of the change gear 7, a third shaft rod 11 is fixedly arranged on the axle center of the second gear 10, a clockwork spring 12 is arranged on the outer wall of a right side rod of the third shaft rod, the movable plate 15 and the rack plate 13 are connected with a plurality of groups of draw hooks 16 through torsion springs, the outer wall of the shaft rod at the other end of the concave shaft rod 5 is fixedly provided with a ratchet wheel 17, the outer side of the ratchet wheel 17 is clamped with a ratchet block 18, and a square frame plate 19 is fixedly arranged on a bed plate on the upper side of the operating bed 1.

A fourth shaft lever is fixedly arranged in the middle of the pedal 2 and is rotatably connected to a bottom plate of the operating bed 1, and the cooperation effect of the two ends of the pedal 2 is realized by arranging the fourth shaft lever; the first shaft lever 4 is rotationally connected to the outer wall of the concave bottom rod of the concave shaft lever 5, and the first shaft lever 4 is matched with the concave shaft lever 5 together to realize continuous rotation of the concave shaft lever 5 when one end of the spring 3 of the pedal 2 is continuously pedaled; the draw hook 16 of the rack plate 13 and the draw hook 16 of the movable plate 15 have opposite groove directions, and the pulp draw hooks are respectively placed at two sides of the human thorax to open the human thorax; a fifth shaft rod 20 is fixedly arranged in the middle of the connecting plate 14, the fifth shaft rod 20 is rotatably connected to the top side of the inner wall of the square frame plate 19, and when one end of the rack plate 13 moves, the movable plate 15 moves along the opposite direction of the rack plate 13 under the action of the connecting plate 14; the ratchet block 18 is connected with the inner wall of the square frame plate 19 by a torsion spring, so that the concave shaft lever 5 can only rotate along the same direction; the inner walls of two sides of the square frame plate 19 are respectively provided with a first sliding groove 21, the side walls of the rack plate 13 and the movable plate 15 are respectively and fixedly provided with a first sliding block 22, the first sliding blocks 22 slide in the inner cavities of the first sliding grooves 21, so that the rack plate 13 and the movable plate 15 can slide on the inner walls of the square frame plate 19, one side of the rack plate 13, which is close to the movable plate 15, is fixedly provided with a second sliding block 23, one side of the movable plate 15, which is close to the rack plate 13, is provided with a second sliding groove 24, and the second sliding block 23 slides in the inner cavity of the second sliding groove 24, so; the sleeve 25 is fixedly arranged on the inner wall of the right side of the square frame plate 19, and the circular baffle 9 is sleeved in the sleeve 25 to limit the range of the second shaft lever 8 moving rightwards.

One specific application of this embodiment is: according to the invention, through the mutual matching of the pedal 2 and the spring 3 and the mutual matching of the first shaft lever 4 and the concave shaft lever 5, when the pedal 2 is continuously stepped, the continuous rotation of the concave shaft lever 5 is realized; the rotation of the concave gear 5 is limited by the mutual matching of the ratchet wheel 17 and the ratchet block 18, namely, the concave shaft rod 5 can only rotate along one direction; through the mutual matching of the speed change gear 7, the first gear 6 and the second gear 10, when the speed change gear 7 is pushed, the speed change gear 7 is respectively meshed with the first gear 6 and the second gear 10, the concave shaft lever 5 drives the first gear 6 to rotate, so that the second gear 10 rotates, the rotating speed of the second gear 10 is reduced, and meanwhile, through the mutual matching of the third shaft lever 11 and the second gear 10, the energy storage of the clockwork spring 12 is realized; through the mutual meshing of the second gear 10 and the rack plate 13, when the second gear 10 rotates, the rack plate 13 is driven to move; through the mutual matching of the rack plate 13 and the connecting plate 14, and simultaneously, the rack plate 13 and the movable plate 15 both slide on the inner wall of the square frame plate 19, when the rack plate 13 moves, the movable plate 15 is driven to move towards the opposite direction of the movement of the rack plate 13, so that the thoracic cavity of a human body is opened through the draw hook 16 to facilitate the operation, and then the opening of the thoracic cavity can be continuously realized through the limiting effect of the ratchet wheel 17 on the concave shaft lever 5; through mutually supporting of clockwork spring 12 and third axostylus axostyle 11, when pulling second axostylus axostyle 8 for change gear 7 breaks away from the meshing with first gear 6 and second gear 10, thereby second gear 10 breaks away from the effect of first gear 6, and under clockwork spring 12's effect, third axostylus axostyle 11 antiport can realize rack plate 13 and fly leaf 15 and reset, and drag hook 16 is in initial condition promptly, can take off drag hook 16 from the operation wound. This through pedal 2, realize opening human thorax, simple structure not only needs an operation doctor just can continuously open human thorax, and the doctor can operate with both hands, is convenient for operate, has improved operation efficiency, reduces the operating time to reduce the pressure that patient bore, reduce some medical staff's participation moreover, avoid long-time manual chest of pulling open simultaneously and cause the arm to send out numb, reduce medical staff's the work degree of difficulty.

In the description herein, references to the description of "one embodiment," "an example," "a specific example" or the like are intended to mean that a particular feature, structure, material, or characteristic described in connection with the embodiment or example is included in at least one embodiment or example of the invention. In this specification, the schematic representations of the terms used above do not necessarily refer to the same embodiment or example. Furthermore, the particular features, structures, materials, or characteristics described may be combined in any suitable manner in any one or more embodiments or examples.

The preferred embodiments of the invention disclosed above are intended to be illustrative only. The preferred embodiments are not intended to be exhaustive or to limit the invention to the precise embodiments disclosed. Obviously, many modifications and variations are possible in light of the above teaching. The embodiments were chosen and described in order to best explain the principles of the invention and the practical application, to thereby enable others skilled in the art to best utilize the invention. The invention is limited only by the claims and their full scope and equivalents.

Claims

1. The utility model provides a hepatobiliary surgery is with operation auxiliary device, includes operation table (1), its characterized in that: a pedal (2) is rotatably connected to a bottom plate of the operating bed (1), a spring (3) is fixedly arranged on the lower side of the front end of the pedal (2), a first shaft rod (4) is rotatably connected to the rear end of the pedal (2), a concave shaft rod (5) is rotatably connected to the rod end of the first shaft rod (4), a first gear (6) is fixedly arranged on the outer wall of the shaft rod at one end of the concave shaft rod (5), a speed change gear (7) is meshed with the outer side of the first gear (6), a second shaft rod (8) is fixedly arranged on the axis of the speed change gear (7), a circular baffle (9) is fixedly arranged on the outer wall of the right shaft rod of the second shaft rod (8), a second gear (10) is meshed with the outer side of the speed change gear (7), a third shaft rod (11) is fixedly arranged on the axis of the second gear (10), and, the outer side of the second gear (10) is meshed with a rack plate (13), the outer wall of the upper side of the rack plate (13) is rotatably connected with a connecting plate (14), the plate end of the connecting plate (14) is rotatably connected with a movable plate (15), the movable plate (15) and the plate end of the rack plate (13) are respectively connected with a plurality of groups of drag hooks (16) in a torsion spring mode, the outer wall of the shaft rod at the other end of the concave shaft rod (5) is fixedly provided with a ratchet wheel (17), the outer side of the ratchet wheel (17) is clamped with a ratchet block (18), and the bed plate on the upper side of the operating.

2. An operation assisting device for hepatobiliary surgery according to claim 1, wherein: the middle of the pedal (2) is fixedly provided with a fourth shaft rod, and the fourth shaft rod is rotatably connected to a bottom plate of the operating bed (1).

3. An operation assisting device for hepatobiliary surgery according to claim 1, wherein: the first shaft lever (4) is rotatably connected to the outer wall of the concave bottom lever of the concave shaft lever (5).

4. An operation assisting device for hepatobiliary surgery according to claim 1, wherein: the groove direction of the draw hook (16) of the rack plate (13) is opposite to the groove direction of the draw hook (16) of the movable plate (15).

5. An operation assisting device for hepatobiliary surgery according to claim 1, wherein: a fifth shaft lever (20) is fixedly arranged in the middle of the connecting plate (14), and the fifth shaft lever (20) is rotatably connected to the top side of the inner wall of the square frame plate (19).

6. An operation assisting device for hepatobiliary surgery according to claim 1, wherein: the ratchet block (18) is connected with the inner wall of the square frame plate (19) through a torsion spring.

7. An operation assisting device for hepatobiliary surgery according to claim 1, wherein: first spout (21) have all been seted up to square framed board (19) both sides inner wall, rack plate (13) and the lateral wall of fly leaf (15) are all fixed and are provided with first slider (22), first slider (22) slide in first spout (21) inner chamber, rack plate (13) are close to fly leaf (15) one side and are fixed and be provided with second slider (23), fly leaf (15) are close to rack plate (13) one side and have been seted up second spout (24), second slider (23) slide in second spout (24) inner chamber.

8. An operation assisting device for hepatobiliary surgery according to claim 1, wherein: the inner wall of the right side of the square frame plate (19) is fixedly provided with a sleeve (25), and the circular baffle (9) is sleeved in the sleeve (25).