CN110916757B

CN110916757B - Hepatobiliary surgery is with getting stone device

Info

Publication number: CN110916757B
Application number: CN201911273745.4A
Authority: CN
Inventors: 袁明强
Original assignee: Health Center Of Longfeng Town Pengzhou City
Current assignee: Health Center Of Longfeng Town Pengzhou City
Priority date: 2019-12-12
Filing date: 2019-12-12
Publication date: 2022-08-23
Anticipated expiration: 2039-12-12
Also published as: CN110916757A

Abstract

The invention discloses a stone taking device for hepatobiliary surgery, which comprises a chuck, a clamping shaft, a clamping handle, a single shaft and a movable fixed strip, wherein the chuck and the single shaft are arranged on the clamping handle, the clamping shaft is arranged on the clamping handle, the single shaft is connected with the movable fixed strip shaft, the chuck consists of a turning clamping shaft, double clamps and a side device, the turning clamping shaft is connected with the double clamping shaft, the double clamps are embedded and connected with the side device, and the double clamps consist of a side clamping block, an upper clamping plate, a lower clamping plate, a triangular device, a disc cutter and a tongue plate structure. The stone edge is cut through the disc cutter, the stone is thoroughly cleaned, the stone is taken more thoroughly, the increase of medical cost is avoided, and a patient does not need to bear redundant medical risks.

Description

Hepatobiliary surgery is with getting stone device

Technical Field

The invention relates to the field of hepatobiliary surgery, in particular to a lithotomy device for hepatobiliary surgery.

Background

The concentration of a lithologic substance in human urine is increased or the solubility of the lithologic substance is reduced, the lithologic substance is easy to crystallize and grows on the local part of a body to form calculus, the pain of a patient is difficult to endure, a large calculus needs to be cut by surgical treatment, and with the continuous updating of medical technology, the large calculus can be taken out by only cutting a small cut at the present stage.

Get the stone in-process and need carry out the rubble earlier in prior art, take out the stone one by one again, press from both sides the in-process and because of the rubble is not of uniform size, less rubble scatters appear easily when pressing from both sides and get, causes to get the stone not thorough, and the later stage needs to increase medical treatment item and further clears up the rubble, wastes time and energy, has not only increased medical cost, also brings unnecessary medical risk for the patient.

Disclosure of Invention

The invention mainly aims to overcome the defects of the prior art and provide a lithotomy device for hepatobiliary surgery, which aims to solve the problems that lithotomy is required to be performed firstly and then the lithotomy is taken out one by one, small lithotomy is easy to scatter during clamping due to different sizes of the lithotomy in the clamping process, lithotomy is not thorough, medical treatment items are required to be added in the later period to further clean the lithotomy, time and labor are wasted, the medical treatment cost is increased, and unnecessary medical risks are brought to patients.

The invention is realized by adopting the following technical scheme: the utility model provides a hepatobiliary surgery is with getting stone device, its structure includes chuck, clamp shaft, clamping handle, unipolar, activity and decides the strip, chuck, unipolar have been installed at the both ends about the clamping handle, clamping handle mid-mounting has the clamp shaft, unipolar and activity are decided strip front end hub connection, the chuck comprises clamp shaft, double-layered, side ware of turning over, the clamp shaft that turns over is connected with double-layered hub connection, and the rubble turns over the clamp shaft and passes double-layered, double-layered and the inboard embedding of side ware is connected, double-layered comprises side clamp splice, punch holder, lower plate, triangle ware, dish cutter, tongue plate structure, the side clamp splice passes through triangle ware erection joint with punch holder, lower clamp plate left end, the punch holder right-hand member is installed and is coiled the cutter, the lower clamp plate right-hand member is inlayed and is equipped with the tongue plate structure.

Preferably, the overturning and clamping shaft comprises a circular overturning shaft, a shaft groove and a transverse overturning shaft, the shaft groove is formed in the middle of the circular overturning shaft, and the front end of the circular overturning shaft is connected with the transverse overturning shaft.

Further preferably, the triangular device comprises a side plate, a scale arc strip and an integrated shaft plate, the upper end of the side plate is welded with the scale arc strip, the bottom end of the scale arc strip is attached to the integrated shaft plate, and the side plate is connected with the left end shaft of the integrated shaft plate.

Further preferably, the disc cutter comprises a cap disc, a transverse disc, a lifting transverse disc and an internal disc cutter, the bottom of the cap disc is welded with the transverse disc, the lifting transverse disc and the internal disc cutter are mounted at the bottom of the cap disc, and the upper end of the lifting transverse disc is attached to the internal disc cutter.

Further preferably, the upper shaft plate, the cutting plate and the scale adjusting plate are arranged, the upper shaft plate is arranged at the upper end of the cutting plate, and the scale adjusting plate is arranged at the bottom of the upper shaft plate and attached to the cutting plate.

Preferably, the tongue plate structure comprises a tongue plate clamping groove, an upper tongue plate, a middle plywood and a lower tongue plate, the tongue plate clamping groove is embedded at the right end of the upper tongue plate, and the middle plywood is arranged at the bottom of the upper tongue plate and the upper end of the lower tongue plate.

Preferably, the side device comprises an inner arc plate, an embedded plate and a transverse rail plate, the inner arc plate is embedded and connected with an inner groove of the embedded plate, and the bottom of the inner arc plate and the bottom of the embedded plate are arranged on the transverse rail plate.

Further preferably, the activity is decided the strip including colluding the ware, deciding the slat, collude the ware and install inside deciding the slat, collude the ware and include the comb and collude, link up an axial lamella, transmission hub circle, the comb colludes and links up axial lamella left end lock joint, link up axial lamella and transmission hub circle erection joint and the two hub connection.

Advantageous effects

During operation, a doctor cuts a small opening at a calculus part of a patient body and then rubs the calculus, and then the left hand and the right hand of the doctor respectively hold the calculus removing device to sequentially remove the rubbles; in the stone taking process, the scale arc strips and the integrated shaft plate are matched for transmission to drive the upper clamping plate to rotate, so that the upper clamping plate is in an inclined surface structure, the side device is used for transmission, the embedded plate drives the inner arc plate to move out from the clamping handle (the overturning clamping shaft is used for assisting in shaft transmission, so that the double clamps can move more stably), the clamped stones are stored at the double clamps and the side device in a triangular shape, and broken stones cannot scatter in the moving process when the stones are taken out; the disc cutter is used for thoroughly cleaning broken stones, the lifting transverse disc is descended to drive the upper shaft plate to move downwards, the cutting plate extends out of the disc cutter and then is cut along the edge of stone, and the residual broken stones are completely taken out (when the internal disc cutter is driven, the scale adjusting plate is moved to drive the cutting plate to ascend and descend in a micro-distance manner, so that high-precision cutting is achieved); the tongue plate structure is used for suturing an opening for taking out calculus by using a suture line, and the upper tongue plate can move up and down under the action of the middle plywood, so that the moving span and frequency of hands of a doctor during suturing are reduced, and the cut is assisted to be attractive and sutured; the activity is decided the strip and is used for the fixed to the clamp holder, realizes when pressing from both sides the getting rubble, gets that the stone implement is whole can be more firm, avoids leading to the rubble to drop because of shake or other factors, and when the clamp holder is fixed, the comb colludes and realizes that the clip is fixed, links up the removal and the hiding of colluding to the comb when non-stationary state of axial plate and transmission axle circular fit realization.

Compared with the prior art, the invention has the beneficial effects that: the punch holder is the cell type structure for slope structure, side ware, and is effectual fixed with the rubble edge, and less rubble scatters when preventing to press from both sides to get, cuts the calculus edge through the dish cutter, realizes the thorough clearance to the rubble, gets the stone more thoroughly, has not only avoided medical cost's increase, and the patient also need not bear unnecessary medical risk.

Drawings

Other features, objects and advantages of the invention will become more apparent upon reading of the detailed description of non-limiting embodiments with reference to the following drawings:

fig. 1 is a schematic structural view of a calculus removing device for hepatobiliary surgery according to the present invention.

Fig. 2 shows a schematic structural diagram of a of fig. 1 according to the present invention.

Figure 3 shows a schematic view of the structure of the clamp holder of the present invention.

Fig. 4 shows a schematic view of the structure of the clamp holder of the present invention, which is also a schematic view of the structure of the double clamp inclination.

Fig. 5 shows a schematic view of the construction of the flip axle of the present invention.

Fig. 6 shows a schematic structural diagram of the triangular device of the invention.

Fig. 7 shows a schematic view of the construction of the disc cutter of the present invention.

Fig. 8 shows a schematic view of the structure of the internal disk cutter of the present invention.

Fig. 9 shows a schematic structural view of the structure of the tongue plate of the invention.

Fig. 10 shows a schematic construction of the sidecar of the present invention.

Fig. 11 shows a schematic structural view of the movable stator bar of the present invention.

Fig. 12 shows a schematic structural diagram of the hook device of the present invention.

In the figure: the clamp comprises a clamp head 1, a clamp shaft 2, a clamp handle 3, a single shaft 4, a movable fixed strip 5, a turnover clamp shaft 10, a double clamp 11, a side device 12, a side clamp block 110, an upper clamp plate 111, a lower clamp plate 112, a triangular device 113, a disc cutter 114, a tongue plate structure 115, a circular turnover shaft 100, a shaft groove 101, a transverse turnover shaft 102, a side plate 1130, a scale arc strip 1131, an integrated shaft plate 1132, a cap plate 60, a transverse disc 61, a lifting transverse disc 62, an internal disc cutter 63, an upper shaft plate 70, a cutting plate 71, a scale adjusting plate 72, a tongue plate clamp groove 1150, an upper tongue plate 1151, a middle plate 1152, a lower tongue plate 1153, an inner arc plate 120, an embedded plate 121, a transverse rail plate 122, a hook 50, a fixed strip plate 51, a comb hook 500, a shaft connecting plate 501 and a transmission shaft circle 502.

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. 1-12, the present invention provides a technical solution of a lithotomy device for hepatobiliary surgery: the structure of the stone, the lower clamping plate 112 is embedded with a tongue plate structure 115, the clamp shaft 10 comprises a circular turnover shaft 100, a shaft groove 101 and a transverse turnover shaft 102, the circular turnover shaft 100 is provided with the shaft groove 101, the circular turnover shaft 100 is connected with the transverse turnover shaft 102 through a shaft, the clamp shaft 10 is used for assisting in shaft transmission to realize more stable movement of the double clamp 11, the triangular device 113 comprises a side plate 1130, a scale arc strip 1131 and a body shaft plate 1132, the side plate 1130 is welded with the scale arc strip 1131, the scale arc strip 1131 is attached to the body shaft plate 1132, the side plate 1130 is connected with the body shaft plate 1132 through a shaft, the triangular device 113 realizes micro-distance movement and improves transmission stability, the disc cutter 114 comprises a cap disc 60, a transverse disc 61, a lifting transverse disc 62 and an internal disc cutter 63, the cap disc 60 is welded with the transverse disc 61, the lifting transverse disc 62 and the internal disc cutter 63 are installed on the cap disc 60, the lifting transverse disc 62 is attached to the internal disc cutter 63, the internal disc cutter 63 comprises an upper shaft plate 70, a cutting plate 71 and a scale adjusting plate 72, the upper shaft plate 70 is connected with the cutting plate 71 in an installing manner, the scale adjusting plate 72 is installed on the upper shaft plate 70 and is attached to the cutting plate 71, when the internal disc cutter 63 is in transmission, the scale adjusting plate 72 moves to drive the cutting plate 71 to ascend and descend at a micro distance to achieve high-precision cutting, the tongue plate structure 115 comprises a tongue plate clamping groove 1150, an upper tongue plate 1151, a middle tongue plate 1152 and a lower tongue plate 1153, the tongue plate clamping groove 1150 is embedded on the upper tongue plate 1151, the upper tongue plate 1151 and the lower tongue plate 1153 are provided with the middle tongue plate 1152, the upper tongue plate 1151 can move up and down under the action of the middle tongue plate 1152 to reduce the span and frequency of movement of a doctor during stitching by hands, the side cutter 12 comprises an inner arc plate 120, an embedded plate 121 and a transverse rail plate 122, the inner arc plate 120 is connected with the embedded plate 121, activity is decided strip 5 including colluding the ware 50, deciding slat 51, collude ware 50 and install on deciding slat 51, collude ware 50 and include that the comb colludes 500, links up interaxial board 501, transmission axostylus axostyle 502, the comb colludes 500 and links up interaxial board 501 lock joint, link up interaxial board 501 and transmission axostylus axostyle 502 erection joint, activity is decided strip 5 and is used for the fixed to clamping handle 3, realizes when pressing from both sides the clamp and gets the rubble, gets that the stone implement is whole can be more firm, avoids leading to the rubble to drop because of shake or other factors.

During operation, a doctor cuts a small opening at a stone position of a patient body and then breaks stones, then the left hand and the right hand of the doctor respectively hold the stone taking device to take out the broken stones in sequence; in the process of stone taking, the scale arc 1131 and the integrated shaft plate 1132 are matched with each other to drive the upper clamping plate 111 to rotate, so that the upper clamping plate 111 is in an inclined surface structure, meanwhile, the lateral device 12 is used for driving, the embedded plate 121 drives the inner arc plate 120 to move out from the clamping handle 3 (the overturning clamping shaft 10 is used for assisting in shaft driving, so that the double clamps 11 can move more stably), the clamped stones are stored in the double clamps 11 and the lateral device 12 in a triangular shape, and broken stones cannot scatter in the moving process when the stones are taken out; the disc cutter 114 is used for thoroughly cleaning broken stones, the lifting transverse disc 62 is lowered to drive the upper shaft plate 70 to move downwards, the cutting plate 71 extends out of the disc cutter 114 and then is cut along the edge of stones, and the residual broken stones are completely taken out (when the internal disc cutter 63 is driven, the scale adjusting plate 72 moves to drive the cutting plate 71 to lift in a micro-distance mode, and high-precision cutting is achieved); the tongue plate structure 115 is used for suturing the opening for removing the calculus by using a suture line, the upper tongue plate 1151 can move up and down under the action of the middle plate 1152, the moving span and frequency of hands of a doctor during suturing are reduced, and the incision is assisted to be attractive and sutured; the activity is decided strip 5 and is used for the fixed to clamp handle 3, realizes when pressing from both sides and gets the rubble, and it is whole can be more firm to get the stone implement, avoids leading to the rubble to drop because of shake or other factors, and when clamp handle 3 was fixed, the comb colluded 500 and realizes that the clip is fixed, links up the removal and the hiding of comb colluding 500 when non-stationary state of axial plate 501 and transmission axial circle 502 cooperation realization.

Compared with the prior art, the invention has the technical progress that: the punch holder 111 is the slope structure, the side ware 12 is the cell type structure, and is effectual with rubble edge-fixed, and less rubble scatters when preventing to press from both sides to get, cuts the calculus edge through dish cutter 114, realizes the thorough clearance to the rubble, gets the stone more thoroughly, has not only avoided medical cost's increase, and the patient need not bear unnecessary medical risk yet.

Although the present invention has been described in detail with reference to the foregoing embodiments, it will be apparent to those skilled in the art that modifications may be made to the embodiments described in the foregoing embodiments, or equivalents may be substituted for elements thereof.

Claims

1. The utility model provides a hepatobiliary surgery is with getting stone device, its structure includes chuck (1), clamp shaft (2), holder (3), unipolar (4), activity and decides strip (5), chuck (1), unipolar (4) have been installed in holder (3), holder (2) are installed in holder (3), unipolar (4) are connected its characterized in that with activity and decide strip (5) hub connection:

the chuck (1) consists of a turning shaft (10), a double clamp (11) and a side device (12), the turning shaft (10) is connected with the double clamp (11) through a shaft, and the double clamp (11) is connected with the side device (12) in an embedded mode;

the double-clamp (11) consists of a side clamp block (110), an upper clamp plate (111), a lower clamp plate (112), a triangular device (113), a disc cutter (114) and a tongue plate structure (115), wherein the side clamp block (110), the upper clamp plate (111) and the lower clamp plate (112) are connected through the triangular device (113), the disc cutter (114) is installed on the upper clamp plate (111), and the tongue plate structure (115) is embedded in the lower clamp plate (112);

the overturning clamp shaft (10) comprises a round overturning shaft (100), a shaft groove (101) and a transverse overturning shaft (102), the round overturning shaft (100) is provided with the shaft groove (101), and the round overturning shaft (100) is connected with the transverse overturning shaft (102) in a shaft mode;

the triangular device (113) comprises a side plate (1130), a scale arc strip (1131) and an integrated shaft plate (1132), wherein the side plate (1130) is welded with the scale arc strip (1131), the scale arc strip (1131) is attached to the integrated shaft plate (1132), and the side plate (1130) is connected with the integrated shaft plate (1132) in a shaft mode;

the disc cutter (114) comprises a cap disc (60), a transverse disc (61), a lifting transverse disc (62) and an internal disc cutter (63), the cap disc (60) is welded with the transverse disc (61), the lifting transverse disc (62) and the internal disc cutter (63) are installed on the cap disc (60), and the lifting transverse disc (62) is attached to the internal disc cutter (63);

the side device (12) comprises an inner arc plate (120), an embedded plate (121) and a transverse rail plate (122), wherein the inner arc plate (120) is embedded and connected with the embedded plate (121), and the inner arc plate (120) and the embedded plate (121) are installed on the transverse rail plate (122).

2. The lithotomy device for hepatobiliary surgery according to claim 1, characterized in that: inside dish cutter (63) is including last axleboard (70), cut board (71), scale and is transferred board (72), go up axleboard (70) and cut board (71) erection joint, scale is transferred board (72) and is installed on last axleboard (70) and with cutting board (71) laminating.

3. The lithotomy device for hepatobiliary surgery according to claim 1, characterized in that: the tongue plate structure (115) comprises a tongue plate clamping groove (1150), an upper tongue plate (1151), a middle plywood (1152) and a lower plywood (1153), the tongue plate clamping groove (1150) is embedded on the upper tongue plate (1151), and the middle plywood (1152) is installed on the upper tongue plate (1151) and the lower tongue plate (1153).

4. The lithotomy device for hepatobiliary surgery according to claim 1, characterized in that: activity is decided strip (5) including colluding ware (50), deciding slat (51), collude ware (50) and install on deciding slat (51), collude ware (50) including comb hook (500), link up axial lamella (501), transmission axle circle (502), comb hook (500) and link up axial lamella (501) lock joint, link up axial lamella (501) and transmission axle circle (502) erection joint.