CN112220509B - Positioning exposure device for side-open thoracic heart surgery - Google Patents
Positioning exposure device for side-open thoracic heart surgery Download PDFInfo
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- CN112220509B CN112220509B CN202011134725.1A CN202011134725A CN112220509B CN 112220509 B CN112220509 B CN 112220509B CN 202011134725 A CN202011134725 A CN 202011134725A CN 112220509 B CN112220509 B CN 112220509B
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- 210000000115 thoracic cavity Anatomy 0.000 title claims abstract description 22
- 238000001356 surgical procedure Methods 0.000 title claims abstract description 13
- 210000004072 lung Anatomy 0.000 claims abstract description 14
- 238000005192 partition Methods 0.000 claims description 15
- 238000012806 monitoring device Methods 0.000 claims description 7
- 210000001519 tissue Anatomy 0.000 abstract description 14
- 210000003516 pericardium Anatomy 0.000 abstract description 13
- 230000003601 intercostal effect Effects 0.000 abstract description 5
- 210000001541 thymus gland Anatomy 0.000 abstract description 4
- 230000009286 beneficial effect Effects 0.000 description 5
- 230000000694 effects Effects 0.000 description 5
- 210000001562 sternum Anatomy 0.000 description 5
- 208000002847 Surgical Wound Diseases 0.000 description 4
- 210000000038 chest Anatomy 0.000 description 3
- 210000002837 heart atrium Anatomy 0.000 description 3
- 238000012986 modification Methods 0.000 description 3
- 230000004048 modification Effects 0.000 description 3
- 208000032170 Congenital Abnormalities Diseases 0.000 description 2
- 208000002330 Congenital Heart Defects Diseases 0.000 description 2
- 208000028831 congenital heart disease Diseases 0.000 description 2
- 238000010276 construction Methods 0.000 description 2
- 208000035478 Interatrial communication Diseases 0.000 description 1
- 208000035965 Postoperative Complications Diseases 0.000 description 1
- 208000001910 Ventricular Heart Septal Defects Diseases 0.000 description 1
- 230000002337 anti-port Effects 0.000 description 1
- 208000013914 atrial heart septal defect Diseases 0.000 description 1
- 206010003664 atrial septal defect Diseases 0.000 description 1
- 230000007698 birth defect Effects 0.000 description 1
- 238000007675 cardiac surgery Methods 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 239000000428 dust Substances 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 239000004744 fabric Substances 0.000 description 1
- 230000035876 healing Effects 0.000 description 1
- 230000036244 malformation Effects 0.000 description 1
- 210000004165 myocardium Anatomy 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 201000003130 ventricular septal defect Diseases 0.000 description 1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/08—Accessories or related features not otherwise provided for
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/361—Image-producing devices, e.g. surgical cameras
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00743—Type of operation; Specification of treatment sites
- A61B2017/00796—Breast surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0801—Prevention of accidental cutting or pricking
- A61B2090/08021—Prevention of accidental cutting or pricking of the patient or his organs
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/361—Image-producing devices, e.g. surgical cameras
- A61B2090/3612—Image-producing devices, e.g. surgical cameras with images taken automatically
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Molecular Biology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Pathology (AREA)
- Surgical Instruments (AREA)
Abstract
The invention discloses a positioning and exposing device for side-opening thoracic heart surgery, which comprises: the fixing rod, the first sliding block, the swing rod and the sliding sleeve are arranged, a first sliding groove extending along the length direction is formed in one end of the fixing rod, the first sliding block is arranged in the first sliding groove and can reciprocate in the first sliding groove, one end of the swing rod is hinged to one end, away from the first sliding block, of the fixing rod, the sliding sleeve is sleeved on the other end of the swing rod and can slide on the swing rod, and a telescopic device is arranged between the sliding sleeve and the first sliding block. Because the positioning is accurate, the intercostal space of the thoracic cavity can be quickly positioned, the operation efficiency is improved, and the operation difficulty is also reduced; the lung tissue can be completely shielded by using the lung exposure device, and the heart operation part can be fully exposed; the pericardium exposure forceps can simultaneously shield the atrioventricular chamber in the pericardium and the thymus outside the pericardium, fully expose the pericardium, facilitate pericardiotomy and avoid burning surrounding tissues.
Description
Technical Field
The invention belongs to the technical field of medical instruments, and particularly relates to a positioning exposure device for a side-open thoracic heart operation.
Background
Congenital heart disease is a common birth defect deformity, and often requires correction through surgical operation. Common ventricular septal defect, atrial septal defect and other diseases are great in congenital heart disease, and are usually treated by adopting surgical operation, interventional occlusion and other technologies. The conventional sternum median incision adopted by children suitable for surgical operation in the past needs to be sawn longitudinally, the surgical wound is large, the postoperative complications are many, the recovery of a patient is slow, even sternum malformation healing can be generated, the attractiveness is seriously affected, and the children with the surgical operation can generate serious psychological self-inferior feeling after adults. With the social progress, the aesthetic level of the society is continuously improved, and the hidden small axillary incision on the right side is generated at the same time. It is important to accurately select the intercostals to be introduced into the thoracic cavity, and actual experience is currently used to select intercostals, which may be too high or too low and may increase the difficulty of the operation.
Disclosure of Invention
Therefore, the invention aims to solve the problems that the incision is not accurately positioned and the operation is influenced in the prior art.
Therefore, the technical scheme is that the positioning and exposing device for the side-opening thoracic heart surgery comprises: the fixing rod comprises a fixing rod, a first sliding block, a swinging rod and a sliding sleeve, wherein one end of the fixing rod is provided with a first sliding groove extending along the length direction, the first sliding block is arranged in the first sliding groove and can reciprocate in the first sliding groove, one end of the swinging rod is hinged to one end, away from the fixing rod, of the first sliding block, the sliding sleeve is sleeved at the other end of the swinging rod and can slide on the swinging rod, and a telescopic device is arranged between the sliding sleeve and the first sliding block.
Preferably, the telescopic device comprises: first connecting pipe, second connecting pipe, first screw rod, first connecting pipe one end with first slider is articulated, is provided with first screw hole on the first connecting pipe other end, second connecting pipe one end with the sliding sleeve outer wall is articulated, is provided with the second screw hole on the second connecting pipe other end, and first screw rod one end is provided with first external screw thread to install through threaded connection in the first threaded hole, the first screw rod other end is provided with the second external screw thread to install in the second threaded hole through threaded connection, first external screw thread with the screw thread opposite direction of second external screw thread.
Preferably, a cylinder is coaxially arranged in the middle of the first screw, and the diameter of the cylinder is larger than that of the first screw.
Preferably, the outer wall of the cylinder is provided with anti-skid grains.
Preferably, a plurality of third threaded holes are uniformly formed in the outer wall of the oscillating bar at intervals in the length direction, first screws are arranged on the sliding sleeve, the first screws are mounted in the third threaded holes, a plurality of fourth threaded holes are uniformly formed in the bottom wall of the first sliding groove at intervals in the length direction, second screws are arranged on the first sliding block, and the second screws are mounted in the fourth threaded holes.
Preferably, a sliding strip extending along the length direction is arranged on the outer wall of the oscillating bar, a first guide groove extending along the length direction is arranged on the inner wall of the sliding sleeve, and the sliding strip is clamped in the first guide groove and can slide in a reciprocating manner.
Preferably, the pericardial exposure clamp further comprises a pericardial exposure clamp, and the pericardial exposure clamp comprises: the clamp comprises clamp rods, handles and a first spring, wherein one end of each clamp rod is hinged and connected with the two handles, the two clamp rods are parallel, an included angle is formed between the two handles and connected through the first spring, arc-shaped bent portions are arranged on the clamp rods, openings of the two arc-shaped bent portions are oppositely arranged, one end of a first connecting line is far away from the swing rod, one end of the fixed rod is connected, and the other end of the first connecting line is connected with the handles.
Preferably, a lung exposure device is further included, the lung exposure device comprising: a holding rod, a sliding column, a harrow rod, a cocking rod and a clamping rod,
one end of the holding rod is provided with a guide hole extending along the length direction, a sliding column is arranged in the guide hole and can slide in the guide hole in a reciprocating manner, one end of the sliding column extends out of the guide hole and is hinged with one end of each of a plurality of rake rods, the other end of each rake rod is distributed in a fan shape, adjacent rake rods are connected through a second spring, and the second spring is close to the upper end of the sliding column;
the other end of the sliding column is connected with one end of a supporting rod, the other end of the supporting rod extends into the guide hole, a guide port is arranged on the outer wall of the holding rod along the length direction, a supporting column is arranged on the outer wall of the lower end of the supporting rod, one end of the supporting column is vertically connected with the supporting rod, the other end of the supporting column is hinged with the middle of a seesaw rod, the seesaw rod is positioned in the guide hole, the upper end of the seesaw rod is connected with one end of a third spring, the other end of the third spring is connected with the outer wall of the supporting rod, one end of a first connecting rod is connected with the upper end of the seesaw rod, the other end of the first connecting rod penetrates through the guide port to be connected with a button, a plurality of through holes are arranged at the lower end of the inner wall of the guide hole along the length direction, the lower end of the seesaw rod is vertically connected with one end of a clamping rod, the other end of the clamping rod is arranged in the through hole, one end of a second connecting rod is clamped with the tail end of the holding rod, the other end of the second connecting wire is connected with the handle.
Preferably, the system further comprises a camera monitoring device, wherein the camera monitoring device comprises:
the camera is arranged at the front end of the holding rod, a storage cavity is arranged in the tail end of the holding rod, a partition plate is arranged in the storage cavity, a wire hole is formed in the partition plate, a processor is arranged on the partition plate, one end of a first wire is electrically connected with the camera, and the other end of the first wire is electrically connected with the processor;
the motor is arranged on the partition plate, an output shaft of the motor is connected with one end of a second screw rod, the other end of the second screw rod is rotatably connected with the inner wall of the storage cavity, a moving block is connected to the second screw rod in a threaded manner and can reciprocate left and right along the second screw rod, guide rods are arranged on two sides of the second screw rod and penetrate through the moving block, one end of each guide rod is connected with the partition plate, and the other end of each guide rod is connected with the inner wall of the storage cavity;
a fixed plate arranged below the moving block, wherein the fixed plate is arranged in the vertical direction, one end of a second connecting rod is connected with the bottom end of the moving block, the other end of the second connecting rod is connected with the upper end of the fixed plate, a horizontal support plate is arranged on the side surface of the fixed plate, a horizontal second chute is arranged at the upper end of the support plate, a second slider is arranged in the second chute and can reciprocate left and right in the second chute, a horizontal rack is arranged on the second slider, a first rotating shaft and a second rotating shaft are respectively arranged on the left side and the right side of the fixed plate above the rack, the first rotating shaft and the second rotating shaft are both rotatably connected with the fixed plate, a first gear is arranged on the first rotating shaft, the first gear is meshed with the rack, and a second gear is arranged on the second rotating shaft, the second gear is meshed with the rack;
the second guide groove is formed in the outer wall of the holding rod and extends along the length direction of the holding rod, the right end of the second guide groove is communicated with the left end of the arc-shaped groove extending downwards, one end, far away from the fixed plate, of the first rotating shaft is perpendicularly connected with one end of the connecting rod, the other end of the connecting rod is perpendicularly connected with one end of the deflector rod, the other end of the deflector rod penetrates through the second guide groove, a display screen in the horizontal direction is arranged between the fixed plate and the second screw rod, one end of the connecting plate is connected with the left side of the bottom end of the display screen, the other end of the connecting plate is connected with one end, far away from the fixed plate, of the second rotating shaft, a display groove is formed in the position, close to the display screen, of the tail end of the holding rod, one end of a second lead is connected with the processor, and the other end of the second lead penetrates through the moving block and is electrically connected with the display screen.
Preferably, a cover plate is arranged on the display groove and connected with the tail end of the holding rod through a screw.
The technical scheme of the invention has the following advantages:
1. the invention discloses a positioning and exposing device for side-opening thoracic heart surgery, which comprises: the fixing rod, the first sliding block, the swing rod and the sliding sleeve are arranged, a first sliding groove extending along the length direction is formed in one end of the fixing rod, the first sliding block is arranged in the first sliding groove and can reciprocate in the first sliding groove, one end of the swing rod is hinged to one end, away from the first sliding block, of the fixing rod, the sliding sleeve is sleeved on the other end of the swing rod and can slide on the swing rod, and a telescopic device is arranged between the sliding sleeve and the first sliding block. Because the device is accurate in positioning, the intercostal space of the thoracic cavity can be quickly positioned, the operation efficiency is improved, and the operation difficulty is reduced.
2. According to the positioning and exposing device for the side-opening thoracic heart surgery, the pericardium is fully exposed through the pericardium exposing forceps, the pericardium can be conveniently opened, and meanwhile surrounding tissues are prevented from being burnt by an electrotome.
3. According to the positioning and exposing device for the side-open thoracic heart surgery, the rake rods can be contracted and expanded, when the device is inserted along a surgical incision, the rake rods are contracted and enter the guide holes to conveniently penetrate through the incision and enter the thoracic cavity, the rake rods are expanded, the plurality of rake rods can be wrapped on lung tissues, the heart surgical part can be fully exposed through pressing, after the operation is completed, the rake rods are contracted, and the device can be conveniently taken out from the surgical incision.
Additional features and advantages of the invention will be set forth in the description which follows, and in part will be obvious from the description, or may be learned by practice of the invention. The objectives and other advantages of the invention will be realized and attained by the structure particularly pointed out in the written description and drawings.
The technical solution of the present invention is further described in detail by the accompanying drawings and embodiments.
Drawings
The accompanying drawings, which are included to provide a further understanding of the invention and are incorporated in and constitute a part of this specification, illustrate embodiments of the invention and together with the description serve to explain the principles of the invention and not to limit the invention. In the drawings:
FIG. 1 is a schematic structural view of the present invention;
FIG. 2 is a schematic structural view of a swing link and a sliding sleeve according to the present invention;
fig. 3 is a schematic structural view of a pericardium-exposing clamp according to the present invention;
figure 4 is a schematic view of the construction of the lung exposing apparatus according to the present invention;
FIG. 5 is a schematic view of the connection of the devices of the present invention;
FIG. 6 is a schematic structural diagram of the camera monitoring device according to the present invention;
FIG. 7 is a schematic view of the construction of the guide bar of the present invention;
FIG. 8 is a schematic view of the connecting rod and the shift lever of the present invention;
FIG. 9 is a schematic view of the second guide groove and the arc-shaped groove of the present invention;
wherein, 1-a fixed rod, 2-a first chute, 3-a first slide block, 4-a swing rod, 5-a slide sleeve, 6-an electrode lead-out wire, 7-a first threaded hole, 8-a second connecting pipe, 9-a second threaded hole, 10-a first screw rod, 11-a first external thread, 12-a second external thread, 13-a cylinder, 14-a third threaded hole, 15-a fourth threaded hole, 16-a first screw, 17-a first guide groove, 18-a clamping bar, 19-a handle, 20-a first spring, 21-an arc-shaped bent part, 22-a first connecting wire, 23-a holding bar, 24-a guide hole, 25-a slide column, 26-a rake bar, 27-a second spring, 28-a support bar, 29-a guide opening and 30-a support column, 31-warped rod, 32-third spring, 33-first connecting rod, 34-button, 35-through hole, 36-clamping rod, 37-second connecting rod, 38-second screw, 39-storage cavity, 40-clapboard, 41-line hole, 42-processor, 43-first conducting wire, 44-motor, 45-second screw rod, 46-moving block, 47-guide rod, 48-fixing plate, 49-second connecting rod, 50-supporting plate, 51-second sliding groove, 52-second sliding block, 53-first rotating shaft, 54-second rotating shaft, 55-first gear, 56-second gear, 57-second guide groove, 58-arc groove, 59-connecting rod, 60-deflector rod, 61-display screen, 62-connecting plate, 63-display groove, 64-second wire, 65-cover plate, 66-rack and 67-slide bar.
Detailed Description
The preferred embodiments of the present invention will be described in conjunction with the accompanying drawings, and it will be understood that they are described herein for the purpose of illustration and explanation and not limitation.
The invention provides a positioning exposure device for a side-open chest cardiac surgery, which comprises the following components in percentage by weight as shown in figure 1: dead lever 1, first slider 3, pendulum rod 4, sliding sleeve 5, 1 one end of dead lever is provided with the first spout 2 that extends along length direction, be provided with first slider 3 in the first spout 2, first slider 3 can reciprocating motion in the first spout 2, pendulum rod 4 one end with dead lever 1 is kept away from the one end of first slider 3 is articulated, and the cover is equipped with sliding sleeve 5 on the 4 other ends of pendulum rod, sliding sleeve 5 can slide on the pendulum rod 4, sliding sleeve 5 with be provided with the telescoping device between the first slider 3. The telescoping device includes: first connecting pipe 6, second connecting pipe 8, first screw rod 10, 6 one end of first connecting pipe with first slider 3 is articulated, is provided with first screw hole 7 on the 6 other ends of first connecting pipe, 8 one ends of second connecting pipe with 5 outer walls of sliding sleeve are articulated, are provided with second screw hole 9 on the 8 other ends of second connecting pipe, and first screw rod 10 one end is provided with first external screw thread 11 to install through threaded connection in first screw hole 7, the 10 other ends of first screw rod are provided with second external screw thread 12 to install in second screw hole 9 through threaded connection, first external screw thread 11 with the screw thread opposite direction of second external screw thread 12.
A cylinder 13 is coaxially arranged in the middle of the first screw rod 10, the diameter of the cylinder 13 is larger than that of the first screw rod 10, anti-skid grains are arranged on the outer wall of the cylinder 13, a plurality of third threaded holes 14 are uniformly formed in the outer wall of the swing rod 4 along the length direction at intervals, a first screw 16 is arranged on the sliding sleeve 5, the first screw 16 is installed in the third threaded holes 14, a plurality of fourth threaded holes 15 are uniformly formed in the bottom wall of the first sliding chute 2 along the length direction at intervals, a second screw 38 is arranged on the first sliding block 3, and the second screw 38 is installed in the fourth threaded holes 15;
the working principle and the beneficial technical effects of the technical scheme are as follows: when an operation incision needs to be positioned, the lower end of the fixed rod 1 is aligned with the lower end of the sternum, the first sliding block 3 slides in the first sliding groove 2 until the upper end of the sternum is aligned, the second screw 38 is screwed to fix the first sliding block 3, the first screw 10 is rotated to enable the first connecting pipe 6 and the second connecting pipe 8 to move relatively and stretch, the combined length of the first connecting pipe 6, the first screw 10 and the second connecting pipe 8 is equal to the length of the sternum, then the sliding sleeve 5 is moved to enable the distance between the sliding sleeve 5 and the fixed rod 1 to be aligned with the waist side surface of a patient, at the moment, the corresponding position of the sliding sleeve 5 is an operation incision, and due to the fact that the positioning is accurate, the intercostals of the thoracic cavity can be positioned quickly, the operation efficiency is improved, and the operation difficulty is reduced.
In one embodiment, as shown in fig. 2, a sliding strip 67 extending along the length direction is disposed on an outer wall of the swing rod 4, a first guide groove 17 extending along the length direction is disposed on an inner wall of the sliding sleeve 5, and the sliding strip 67 is clamped in the first guide groove 17 and can slide back and forth.
The working principle and the beneficial technical effects of the technical scheme are as follows: the slide bar 67 is clamped in the first guide groove 17 and can slide in a reciprocating manner, so that the sliding sleeve 5 is prevented from rotating, and the reciprocating motion of the sliding sleeve 5 is more stable.
In one embodiment, as shown in fig. 3, further comprising a pericardial exposure clamp, the pericardial exposure clamp comprising: the clamp comprises a clamp rod 18, handles 19 and a first spring 20, wherein one end of the clamp rod 18 is hinged and connected with the two handles 19, the two clamp rods 18 are parallel, an included angle is formed between the two handles 19 and connected through the first spring 20, an arc-shaped bent part 21 is arranged on the clamp rod 18, openings of the two arc-shaped bent parts 21 are oppositely arranged, one end of a first connecting wire 22 is far away from the swing rod 4, one end of the fixing rod 1 is connected, and the other end of the first connecting wire 22 is connected with the handles 19.
The working principle and the beneficial technical effects of the technical scheme are as follows: after the clamp rod type heart muscle forceps enter the thoracic cavity, thymus tissues of children are not shrunk and can cover the right side face of the whole heart, after the pericardium is cut, atrium ventricle tissues are extruded at the pericardial cut, the handles 19 are held by hands, one clamp rod 18 is inserted between the pericardium and the atrium tissues, the other clamp rod 18 is inserted between the pericardium and the thymus tissues, the two handles 19 are held by hands, the thymus tissues and the atrium tissues are far away from the pericardium, and therefore the pericardium is fully exposed, the pericardium is favorably cut, and meanwhile surrounding tissues are prevented from being burnt by an electrotome.
In one embodiment, as shown in fig. 4-5, further comprising a lung exposure device comprising: a holding rod 23, a sliding column 25, a harrow bar 26, a tilting rod 31 and a clamping rod 36,
one end of the holding rod 23 is provided with a guide hole 24 extending along the length direction, a slide post 25 is arranged in the guide hole 24, the slide post 25 can slide in the guide hole 24 in a reciprocating manner, one end of the slide post 25 extends out of the guide hole 24 and is hinged with one end of a plurality of rake rods 26, the other end of each rake rod 26 is distributed in a fan shape, adjacent rake rods 26 are connected through a second spring 27, and the second spring 27 is close to the upper end of the slide post 25; the rake rods 26 are connected through flexible cloth, so that the contact area of the rake rods and the lung tissue can be increased when the rake rods are unfolded, and the damage to the lung tissue is reduced.
The other end of the sliding column 25 is connected with one end of a supporting rod 28, the other end of the supporting rod 28 extends into the guide hole 24, a guide opening 29 is formed in the outer wall of the holding rod 23 along the length direction, a supporting column 30 is arranged on the outer wall of the lower end of the supporting rod 28, one end of the supporting column 30 is vertically connected with the supporting rod 28, the other end of the supporting column 30 is hinged to the middle of a tilting rod 31, the tilting rod 31 is located in the guide hole 24, the upper end of the tilting rod 31 is connected with one end of a third spring 32, the other end of the third spring 32 is connected with the outer wall of the supporting rod 28, one end of a first connecting rod 33 is connected with the upper end of the tilting rod 31, the other end of the first connecting rod 33 penetrates through the guide opening 29 to be connected with a button 34, a plurality of through holes 35 are formed in the lower end of the inner wall of the guide hole 24 along the length direction, the lower end of the tilting rod 31 is vertically connected with one end of a clamping rod 36, and the other end of the clamping rod 36 is clamped in the through hole 35, one end of the second connecting line 37 is connected with the tail end of the holding rod 23, and the other end of the second connecting line 37 is connected with the handle 19.
The working principle and the beneficial technical effects of the technical scheme are as follows: after entering the thoracic cavity, the expanded lung tissue causes troubles for exposing the right side of the heart, which affects the surgical field, the front end of the holding rod 23 is inserted between the heart and the lung tissue through a surgical incision, then the button 34 is pressed, the upper end of the tilting rod 31 compresses the third spring 32 rightwards, the tilting rod 31 rotates clockwise around the support column 30, the clamping rod 36 is lifted leftwards, the button 34 is pushed to move forwards, the sliding column 25 moves outwards along the guide hole 24, when the rake rod 26 moves out of the guide hole 24, each rake rod 26 is unfolded in a fan shape under the action of the elastic force of the second spring 27, the button 34 is released, the tilting rod 31 rotates anticlockwise under the action of the elastic force of the third spring 32, the clamping rod 36 is clamped in the corresponding through hole 35, the sliding column 25 is fixed on the inner wall of the guide hole 24, then the lung tissue is pressed through the rake rod 26, and the heart surgical site is fully exposed; after the operation is completed, the button 34 is pressed again and moves down along the guide opening 29, and the rake lever 26 is retracted into the guide hole 24 to be stored through the restriction of the guide hole 24. Because the rake lever can contract and expand, when inserting along the operation incision, rake lever 26 contracts and enters into guiding hole 24, conveniently passes the incision, enters into the thorax after, expands rake lever 26, and a plurality of rake levers can wrap on lung tissue, can fully expose the heart operation position through pressing, accomplish the postoperative, get up rake lever 26 again and contract, are convenient for from operation incision remove device.
In one embodiment, as shown in fig. 6-9, further comprising a camera monitoring device, the camera monitoring device comprising:
the camera is arranged at the front end of the holding rod 23, a storage cavity 39 is arranged in the tail end of the holding rod 23, a partition plate 40 is arranged in the storage cavity 39, a wire hole 41 is formed in the partition plate 40, a processor 42 is arranged on the partition plate 40, one end of a first lead 43 is electrically connected with the camera, and the other end of the first lead 43 is electrically connected with the processor 42;
the motor 44 is arranged on the partition plate 40, an output shaft of the motor 44 is connected with one end of a second screw 45, the other end of the second screw 45 is rotatably connected with the inner wall of the storage cavity 39, a moving block 46 is connected to the second screw 45 in a threaded manner, the moving block 46 can reciprocate left and right along the second screw 45, guide rods 47 are arranged on two sides of the second screw 45, the guide rods 47 penetrate through the moving block 46, one end of each guide rod 47 is connected with the partition plate 40, and the other end of each guide rod 47 is connected with the inner wall of the storage cavity 39;
a fixed plate 48 disposed below the moving block 46, the fixed plate 48 being disposed in a vertical direction, one end of a second connecting rod 49 being connected to a bottom end of the moving block 46, the other end of the second connecting rod 49 being connected to an upper end of the fixed plate 48, a horizontal support plate 50 being disposed on a side surface of the fixed plate 48, a horizontal second slide groove 51 being disposed on an upper end of the support plate 50, a second slide block 52 being disposed in the second slide groove 51, the second slide block 52 being capable of reciprocating in the second slide groove 51 in a left-right direction, a horizontal rack 66 being disposed on the second slide block 52, a first rotating shaft 53 and a second rotating shaft 54 being disposed on left and right sides of the fixed plate 48 above the rack 66, the first rotating shaft 53 and the second rotating shaft 54 both being rotatably connected to the fixed plate 48, and a first gear 55 being disposed on the first rotating shaft 53, the first gear 55 is meshed with the rack 66, the second rotating shaft 54 is provided with a second gear 56, and the second gear 56 is meshed with the rack 66;
a second guide groove 57 formed on an outer wall of the grip 23, the second guide groove 57 extending in a length direction of the grip 23, the right end of the second guiding groove 57 is communicated with the left end of an arc-shaped groove 58 extending downwards, one end of the first rotating shaft 53 far away from the fixed plate 48 is vertically connected with one end of a connecting rod 59, the other end of the connecting rod 59 is vertically connected with one end of a deflector rod 60, the other end of the deflector rod 60 passes through the second guiding groove 57, a display screen 61 in the horizontal direction is arranged between the fixed plate 48 and the second screw 45, one end of a connecting plate 62 is connected with the left side of the bottom end of the display screen 61, the other end of the connecting plate 62 is connected with one end of the second rotating shaft 54 far away from the fixed plate 48, a display groove 63 is formed at the tail end of the holding rod 23 close to the display screen 61, one end of a second conducting wire 64 is connected with the processor 42, and the other end of the second conducting wire 64 penetrates through the moving block 46 to be electrically connected with the display screen 61.
The working principle and the beneficial technical effects of the technical scheme are as follows: the camera can shoot pictures in the chest, the motor 44 is started to drive the second screw rod 4 to rotate, the moving block 46 moves rightwards to drive the fixed plate 48, the supporting plate 50, the rack 66, the first rotating shaft 53, the second rotating shaft 54, the first gear 55, the second gear 56, the connecting rod 59, the deflector rod 60 and the display screen 61 to move rightwards together, the corresponding deflector rod 60 moves rightwards along the second guide groove 57, the deflector rod 60 moves into the arc-shaped groove 58, the deflector rod 60 rotates clockwise to drive the first gear 55 to rotate clockwise, the rack 66 is driven to move leftwards through the meshing of the first gear 55 and the rack 66, the second sliding block 52 moves leftwards in the second sliding groove 51, the second gear 56 is driven to rotate clockwise through the meshing of the rack 66 and the second gear 56, the second rotating shaft 54 drives the connecting plate 62 and the display screen 61 to rotate clockwise, the display screen 61 can be vertically placed at the display groove 63, so that medical staff can know the condition inside the thoracic cavity; similarly, drive second screw rod 4 antiport when motor 44, display screen 61 just can remove left to the rotation resumes the initial state of placing of level, and display screen 61 is placed in storing chamber 39, plays the guard action, improves the life of display screen, conveniently deposits, during the use, also can be convenient expand.
In one embodiment, a cover plate 65 is disposed on the display slot 63, the cover plate 65 is connected with the tail end of the holding rod 23 through a screw, and when the display slot 63 is not used for a long time, the cover plate 65 seals the display slot 63 to prevent dust or foreign matters from entering the storage cavity.
It will be apparent to those skilled in the art that various changes and modifications may be made in the present invention without departing from the spirit and scope of the invention. Thus, if such modifications and variations of the present invention fall within the scope of the claims of the present invention and their equivalents, the present invention is also intended to include such modifications and variations.
Claims (8)
1. A positioning and exposing device for side-opening thoracic heart surgery, comprising: the sliding device comprises a fixed rod (1), a first sliding block (3), a swing rod (4) and a sliding sleeve (5), wherein one end of the fixed rod (1) is provided with a first sliding groove (2) extending along the length direction, the first sliding block (3) is arranged in the first sliding groove (2), the first sliding block (3) can reciprocate in the first sliding groove (2), one end of the swing rod (4) is hinged with one end, away from the first sliding block (3), of the fixed rod (1), the other end of the swing rod (4) is sleeved with the sliding sleeve (5), the sliding sleeve (5) can slide on the swing rod (4), and a telescopic device is arranged between the sliding sleeve (5) and the first sliding block (3);
also included is a pericardial exposure clamp, comprising: the clamp comprises clamp rods (18), handles (19) and first springs (20), wherein one ends of the two clamp rods (18) are hinged and connected with the two handles (19), the two clamp rods (18) are parallel, an included angle is formed between the two handles (19) and connected through the first springs (20), arc-shaped bent portions (21) are arranged on the clamp rods (18), openings of the two arc-shaped bent portions (21) are oppositely arranged, one end of a first connecting wire (22) is connected with one end, far away from the fixed rod (1), of the swing rod (4), and the other end of the first connecting wire (22) is connected with the handles (19);
further comprising a lung exposure device comprising: a holding rod (23), a sliding column (25), a harrow bar (26), a cocking rod (31) and a clamping rod (36),
one end of the holding rod (23) is provided with a guide hole (24) extending along the length direction, a sliding column (25) is arranged in the guide hole (24), the sliding column (25) can slide in the guide hole (24) in a reciprocating manner, one end of the sliding column (25) extends out of the guide hole (24) and is hinged with one end of a plurality of rake rods (26), the other end of each rake rod (26) is distributed in a fan-shaped manner, adjacent rake rods (26) are connected through a second spring (27), and the second spring (27) is close to the upper end of the sliding column (25);
the utility model discloses a slide bar, including strut (25), holding rod (23), stand bar (28), support column (30), support rod (28), support rod (32), support rod (30), support rod (33), stick up pole (31) and button (34) and be connected, the traveller other end is connected with bracing piece (28) one end, be provided with direction mouth (29) along length direction on the outer wall of holding rod (23), be provided with support column (30) on the outer wall of bracing piece (28) lower extreme, support column (30) other end and stick up pole (31) middle department articulated, stick up pole (31) and be located in guide hole (24), stick up pole (31) upper end and third spring (32) one end and be connected, third spring (32) other end with bracing piece (28) outer wall connection, head rod (33) one end with stick up pole (31) upper end is connected, and head rod (33) other end passes direction mouth (29) is connected with button (34), guiding hole (24) inner wall lower extreme is provided with a plurality of through-holes (35) along length direction, stick up pole (31) lower extreme and kelly (36) one end and be connected perpendicularly, kelly (36) other end clamps and is in through-hole (35), second connecting wire (37) one end with holding rod (23) end connection, second connecting wire (37) other end and handle (19) are connected.
2. The device of claim 1, wherein the telescoping device comprises: first connecting pipe (6), second connecting pipe (8), first screw rod (10), first connecting pipe (6) one end with first slider (3) are articulated, are provided with first screw hole (7) on first connecting pipe (6) the other end, second connecting pipe (8) one end with sliding sleeve (5) outer wall is articulated, is provided with second screw hole (9) on second connecting pipe (8) the other end, and first screw rod (10) one end is provided with first external screw thread (11), and installs through threaded connection in first screw hole (7), first screw rod (10) the other end is provided with second external screw thread (12), and installs in second screw hole (9) through threaded connection, first external screw thread (11) with the screw direction of second external screw thread (12) is opposite.
3. The positioning and exposing device for the side-opening thoracic heart surgery as recited in claim 2, wherein a cylinder (13) is coaxially arranged in the middle of the first screw (10), and the diameter of the cylinder (13) is larger than that of the first screw (10).
4. A positioning and exposing device for side-opening thoracic heart surgery as recited in claim 3, characterized in that the outer wall of the cylinder (13) is provided with anti-slip threads.
5. The positioning and exposing device for the side-opening thoracic heart surgery is characterized in that a plurality of third threaded holes (14) are uniformly formed in the outer wall of the swing rod (4) at intervals in the length direction, first screws (16) are arranged on the sliding sleeve (5), the first screws (16) are installed in the third threaded holes (14), a plurality of fourth threaded holes (15) are uniformly formed in the bottom wall of the first sliding chute (2) at intervals in the length direction, second screws (38) are arranged on the first sliding block (3), and the second screws (38) are installed in the fourth threaded holes (15).
6. The positioning and exposing device for the side-opening thoracic heart surgery is characterized in that a sliding bar (67) extending along the length direction is arranged on the outer wall of the swing rod (4), a first guide groove (17) extending along the length direction is arranged on the inner wall of the sliding sleeve (5), and the sliding bar (67) is clamped in the first guide groove (17) and can slide back and forth.
7. The device of claim 1, further comprising a camera monitoring device, the camera monitoring device comprising:
the camera is arranged at the front end of the holding rod (23), a storage cavity (39) is arranged in the tail end of the holding rod (23), a partition plate (40) is arranged in the storage cavity (39), a wire hole (41) is formed in the partition plate (40), a processor (42) is arranged on the partition plate (40), one end of a first lead (43) is electrically connected with the camera, and the other end of the first lead (43) is electrically connected with the processor (42);
the motor (44) is arranged on the partition plate (40), an output shaft of the motor (44) is connected with one end of a second screw rod (45), the other end of the second screw rod (45) is rotatably connected with the inner wall of the storage cavity (39), a moving block (46) is connected to the second screw rod (45) in a threaded mode, the moving block (46) can reciprocate left and right along the second screw rod (45), guide rods (47) are arranged on two sides of the second screw rod (45), the guide rods (47) penetrate through the moving block (46), one end of each guide rod (47) is connected with the partition plate (40), and the other end of each guide rod (47) is connected with the inner wall of the storage cavity (39);
the fixed plate (48) is arranged below the moving block (46), the fixed plate (48) is arranged in the vertical direction, one end of a second connecting rod (49) is connected with the bottom end of the moving block (46), the other end of the second connecting rod (49) is connected with the upper end of the fixed plate (48), a supporting plate (50) in the horizontal direction is arranged on the side surface of the fixed plate (48), a second sliding groove (51) in the horizontal direction is arranged at the upper end of the supporting plate (50), a second sliding block (52) is arranged in the second sliding groove (51), the second sliding block (52) can reciprocate left and right in the second sliding groove (51), a rack (66) in the horizontal direction is arranged on the second sliding block (52), and a first rotating shaft (53) and a second rotating shaft (54) are respectively arranged on the left side and the right side of the fixed plate (48) above the rack (66), the first rotating shaft (53) and the second rotating shaft (54) are both rotationally connected with the fixing plate (48), a first gear (55) is arranged on the first rotating shaft (53), the first gear (55) is meshed with the rack (66), a second gear (56) is arranged on the second rotating shaft (54), and the second gear (56) is meshed with the rack (66);
the second guide groove (57) is arranged on the outer wall of the holding rod (23), the second guide groove (57) extends along the length direction of the holding rod (23), the right end of the second guide groove (57) is communicated with the left end of an arc-shaped groove (58) which extends downwards, one end, far away from the fixed plate (48), of the first rotating shaft (53) is vertically connected with one end of a connecting rod (59), the other end of the connecting rod (59) is vertically connected with one end of a deflector rod (60), the other end of the deflector rod (60) penetrates through the second guide groove (57), a display screen (61) in the horizontal direction is arranged between the fixed plate (48) and the second screw rod (45), one end of a connecting plate (62) is connected with the left side of the bottom end of the display screen (61), the other end of the connecting plate (62) is connected with one end, far away from the fixed plate (48), of the second rotating shaft (54), and a display groove (63) is arranged at the tail end of the holding rod (23) close to the display screen (61), one end of a second lead (64) is connected with the processor (42), and the other end of the second lead (64) penetrates through the moving block (46) to be electrically connected with the display screen (61).
8. The positioning and exposing device for the side-opening thoracic heart surgery is characterized in that a cover plate (65) is arranged on the display groove (63), and the cover plate (65) is connected with the tail end of the holding rod (23) through a screw.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202011134725.1A CN112220509B (en) | 2020-10-21 | 2020-10-21 | Positioning exposure device for side-open thoracic heart surgery |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202011134725.1A CN112220509B (en) | 2020-10-21 | 2020-10-21 | Positioning exposure device for side-open thoracic heart surgery |
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| CN112220509A CN112220509A (en) | 2021-01-15 |
| CN112220509B true CN112220509B (en) | 2021-08-24 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN202011134725.1A Expired - Fee Related CN112220509B (en) | 2020-10-21 | 2020-10-21 | Positioning exposure device for side-open thoracic heart surgery |
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Family Cites Families (11)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CA2039414C (en) * | 1990-03-29 | 1995-09-05 | Robert W. Bailey | Abdominal cavity organ retractor |
| US5222951A (en) * | 1992-04-13 | 1993-06-29 | Leonard Bloom | Guarded skin hook for surgical use |
| CN201642137U (en) * | 2010-02-10 | 2010-11-24 | 丛超 | Simple operation spreader |
| CN201642152U (en) * | 2010-05-24 | 2010-11-24 | 张红明 | Dilator for appendix operation |
| CN206390949U (en) * | 2016-10-28 | 2017-08-11 | 公安县人民医院 | A kind of hook for surgery operation clinical for liver and gall surgical department |
| CN207384321U (en) * | 2017-03-20 | 2018-05-22 | 卞云贵 | Aspirate cutting coagulation integrated knife |
| CN208876626U (en) * | 2018-02-09 | 2019-05-21 | 丽水市人民医院 | A kind of notch distraction forcep for minimally invasive total hip arthroplasty |
| CN210170324U (en) * | 2019-05-06 | 2020-03-24 | 南京康尼智能技术有限公司 | Height adjusting device for wheelchair armrest |
| CN211022976U (en) * | 2019-05-31 | 2020-07-17 | 蔡文连 | Convenient to use's cosmetic scalpel of using of medical treatment |
| CN110432936A (en) * | 2019-08-20 | 2019-11-12 | 上海市东方医院 | Medical thoracoscopy lower lung volume reduction interventional therapy system |
| CN211066522U (en) * | 2019-11-05 | 2020-07-24 | 定西市人民医院 | Traditional chinese medical science paediatrics inspection is with oral cavity ware that struts |
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