Clinical piercing depth of cardiovascular internal medicine

文档序号:1787332 发布日期:2019-12-10 浏览:18次 中文

阅读说明:本技术 一种心血管内科临床穿刺装置 (Clinical piercing depth of cardiovascular internal medicine ) 是由 李红兵 吴岳 范力宏 折剑青 师睿 马云龙 于 2019-09-19 设计创作,主要内容包括:本发明公开了一种心血管内科临床穿刺装置,包括底座和电动伸缩杆,底座的左右两端设有电动伸缩杆,电动伸缩杆之间设置有横杆,横杆内设有移动块,移动块下方设置有调节腔,调节腔下方贯穿设有T型牵引杆,T型牵引杆下方中部设有固定杆,所述固定杆下方铰接有固定定位管,所述固定定位管上表面的左右两端与T型牵引杆之间竖向铰接有缓冲杆,T型牵引杆一侧外壁与固定定位管之间设有升降座。本发明可调程度高,适用性强,能够定位准确,整体稳固性强。(The invention discloses a cardiovascular internal medicine clinical puncture device which comprises a base and electric telescopic rods, wherein the electric telescopic rods are arranged at the left end and the right end of the base, a cross rod is arranged between the electric telescopic rods, a moving block is arranged in the cross rod, an adjusting cavity is arranged below the moving block, a T-shaped traction rod penetrates through the lower part of the adjusting cavity, a fixed rod is arranged in the middle of the lower part of the T-shaped traction rod, a fixed positioning pipe is hinged to the lower part of the fixed rod, a buffer rod is vertically hinged between the left end and the right end of the upper surface of the fixed positioning pipe and the T-shaped traction rod, and a lifting seat is. The invention has the advantages of high adjustable degree, strong applicability, accurate positioning and strong overall stability.)

1. a clinical puncture device for cardiovascular internal medicine comprises a base (1) and electric telescopic rods (2), wherein the electric telescopic rods (2) are arranged at the left end and the right end of the base (1), and the clinical puncture device is characterized in that a cross rod (3) is arranged between the two electric telescopic rods (2), lead screws (4) are arranged at the front side and the rear side inside the cross rod (3), a hinge frame (5) is uniformly distributed between the two lead screws (4) in the horizontal direction, a moving block (6) is arranged on the hinge frame (5) and the lead screws (4) in a penetrating manner, an adjusting cavity (7) is arranged below the moving block (6), a spiral telescopic rod (8) is arranged at the vertical top end in the adjusting cavity (7), a rotating rod (9) is arranged on the horizontal surface of the spiral telescopic rod (8) in a meshing manner through a gear, and a T-shaped, the left inner wall and the right inner wall of the adjusting cavity (7) are provided with arc-shaped plates (11), the upper ends and the lower ends of the inner sides of the two arc-shaped plates (11) are movably provided with movable rods (12), the inner sides of the two movable rods (12) are hinged with limit sleeves (13), the upper ends and the lower ends of the limit sleeves (13) are hinged with pull rods (14), the two pull rods (14) are respectively hinged with a spiral telescopic rod (8) and a T-shaped traction rod (10), a sliding rod (15) is sleeved between the two limit sleeves (13), the upper end and the lower end of each sliding rod (15) are provided with telescopic rods (16), the two telescopic rods (16) are respectively hinged with the spiral telescopic rod (8) and the T-shaped traction rod (10), a first spring (17) is sleeved outside each telescopic rod (16), a fixing rod (101) is arranged in the middle of the lower portion of the T-shaped traction rod, buffer rods (19) are vertically hinged between the left end and the right end of the upper surface of the fixed positioning pipe (18) and the T-shaped traction rod (10), and a lifting seat (20) is arranged between the outer wall of one side of the T-shaped traction rod (10) and the fixed positioning pipe (18).

2. The clinical puncture device for cardiovascular medicine according to claim 1, wherein the lifting seat (20) is externally connected with a vertical rod (21), a connecting rod (22) is hinged below the vertical rod (21), and the connecting rod (22) is arranged on the side wall of the fixed positioning tube (18).

3. Clinical puncture device for cardiovascular medicine according to claim 1, characterized in that a lying pad (23) is provided in the middle of the upper surface of the base (1).

4. The clinical puncture device for cardiovascular internal medicine according to claim 1, wherein a fixing cavity (24) is formed by penetrating the outside of the buffer rod (19), a tapered groove (25) is formed inside the fixing cavity (24), a second spring (26) is arranged between the two buffer rods (19), a locking plate (27) is arranged below the buffer rod (19) at the inner upper end of the fixing cavity (24), sliding grooves (28) are formed at the left end and the right end of the locking plate (27), locking blocks (29) are arranged in the two sliding grooves (28) through a third spring, spring support rods (30) are symmetrically hinged above the buffer rod (19) at the inner lower end of the fixing cavity (24), and the two spring support rods (30) are hinged to two walls of the tapered groove (25).

5. Clinical puncture device for cardiovascular medicine according to claim 1 or 2, characterized in that the inner wall of the lifting seat (20) close to the adjusting cavity (7) is vertically provided with a rack (31), the vertical rod (21) is vertically provided with an inserted rod (32), and the inserted rod (32) is provided with a gear (33).

6. The clinical puncture device for cardiovascular medicine according to claim 1, characterized in that an infrared distance sensor and an ultrasonic probe are arranged on one side of the lower surface of the fixed positioning tube (18).

7. The clinical puncture device for cardiovascular medicine according to claim 6, wherein the ultrasonic probe is externally connected with a display screen, an ultrasonic positioning system is arranged in the display screen, and the ultrasonic positioning system comprises an information storage unit, an information acquisition unit, a data modulation unit and an image noise reduction unit.

8. The clinical cardiovascular puncture device according to claim 1, wherein the cross bar (3) is provided with scale marks, the cross bar (3) is provided with a handle (34) in a penetrating manner, and the handle (34) is arranged on the moving block (6).

9. The clinical puncture device for cardiovascular medicine according to claim 1, wherein the upper and lower ends of the T-shaped traction rod (10) are provided with limit blocks (35).

Technical Field

The invention relates to the technical field of medical instruments, in particular to a cardiovascular internal medicine clinical puncture device.

Background

At present, the percutaneous puncture operation is a minimally invasive operation, and doctors can be applied to lung tumor puncture, liver tumor puncture, percutaneous liver puncture biliary tract drainage, cancer pain blockage and the like. When performing percutaneous puncture surgery, a doctor often cooperates with Computed Tomography (CT) to assist the doctor in determining the puncture position of the puncture needle.

However, although a doctor can determine a lesion position by computer tomography, actually, when performing percutaneous puncture surgery, the doctor needs to rely on his own surgical experience, spatial geometry calculation, and hand feeling to complete the surgery. Therefore, if the doctor does not have sufficient experience during the puncture, the doctor must perform multiple computer tomography and adjust the needle insertion angle to confirm the needle insertion angle. This is time consuming and can be a serious injury to the patient. Furthermore, doctors and patients must be exposed to a radiation-intensive environment for a long time.

The former guide device can be fixed on a bed plate of a computer tomography. When a patient lies on the bed board, a doctor can use the guiding device to assist in positioning the needle inserting point of the puncture needle. However, the general guide device has a complicated structure and is not easy to operate, and a doctor cannot intuitively and accurately determine the needle insertion point position of the puncture needle. The guiding device still does not assist the physician in determining the exact location of the needle insertion site. In addition, since a general guide device does not have a function of adjusting the angle of the puncture needle, an inexperienced doctor cannot grasp the insertion angle of the puncture needle, and the guide device is poor in stability and is likely to be displaced.

Disclosure of Invention

The invention aims at the problems and provides a clinical puncture device for cardiovascular internal medicine, which comprises a base and electric telescopic rods, wherein the electric telescopic rods are arranged at the left and right ends of the base, a cross rod is arranged between the two electric telescopic rods, lead screws are arranged at the front and back sides in the cross rod, hinge brackets are uniformly distributed between the two lead screws in the horizontal direction, a moving block is arranged on each hinge bracket and each lead screw in a penetrating manner, an adjusting cavity is arranged below each moving block, a spiral telescopic rod is arranged at the vertical top end in each adjusting cavity, a rotating rod is arranged on the upper surface of each spiral telescopic rod in the horizontal direction through gear meshing, a T-shaped traction rod is arranged below each adjusting cavity in a penetrating manner, arc plates are arranged on the left and right inner walls of each adjusting cavity, movable rods are movably arranged at the upper and lower ends of the inner sides of, two the pull rod respectively with spiral telescopic link with T type traction lever is articulated, and the endotheca is equipped with the slide bar between two spacing sleeves, the upper and lower both ends of slide bar are equipped with the telescopic link, two the telescopic link is articulated with spiral telescopic link and T type traction lever respectively, and the telescopic link overcoat is equipped with first spring, and T type traction lever below middle part is equipped with the dead lever, the dead lever below articulates there is fixed positioning pipe, vertical the articulating has the buffer beam between both ends and the T type traction lever about fixed positioning pipe upper surface, is equipped with the seat that goes up and down between T type traction lever one side outer wall and the fixed positioning pipe.

Further, the lifting seat is externally connected with a vertical rod, a connecting rod is hinged to the lower side of the vertical rod, and the connecting rod is arranged on the side wall of the fixed positioning pipe.

Furthermore, a lying cushion is arranged in the middle of the upper surface of the base.

Furthermore, the buffer rod runs through outward and is equipped with fixed chamber, fixed intracavity portion is provided with the bell jar, is provided with the second spring between two buffer rods, is located the buffer rod below of fixed intracavity upper end and is provided with the lockplate, both ends are equipped with the spout, two about the lockplate be provided with the locking piece through the third spring in the spout, and the buffer rod top symmetry that is located fixed intracavity lower extreme articulates there is spring branch, two spring branch is articulated in two walls of bell jar respectively.

Furthermore, a rack is vertically arranged on the inner wall, close to the adjusting cavity, of the lifting seat, an inserting rod is vertically arranged on the vertical rod, and a gear is arranged on the inserting rod.

Furthermore, an infrared distance sensor and an ultrasonic probe are arranged on one side of the lower surface of the fixed positioning tube.

Furthermore, the external display screen of ultrasonic probe, be equipped with ultrasonic positioning system in the display screen, ultrasonic positioning system includes information storage unit, information acquisition unit, data modulation unit, image denoising unit, the information storage unit is used for preserving the information that the supersound reflection is come back, the image that the information acquisition unit is used for reflecting in to the puncture in-process, data modulation unit is used for carrying out pigment modulation processing to the image of gathering, image denoising unit is used for removing the dry processing to the external world.

Furthermore, scale marks are arranged on the cross rod, a handle penetrates through the cross rod, and the handle is arranged on the moving block.

Furthermore, limiting blocks are arranged at the upper end and the lower end of the T-shaped traction rod.

The invention has the advantages that: the T-shaped traction rod adjusting device is simple in structure and convenient to operate, the extending length of the spiral telescopic rod is controlled through the rotating rod, the extending length of the T-shaped traction rod in the adjusting cavity is adjusted, the height of the device can be conveniently adjusted, and under the action of the arc-shaped plate, the movable rod, the limiting sleeve, the pull rod, the sliding rod and the telescopic rod, the stability in the height lifting process is improved, and deviation is avoided; under the action of the ultrasonic probe and the infrared distance sensor, the distance of the puncture part can be ensured, the staged distance shortening is carried out, the positioning is accurate, the puncture point position is determined, and the puncture point is better fixed in height; and under the effect of montant, connecting rod, inserted bar and rack, adjust the skew angle of fixed position pipe, improve the suitability to at the angle accommodation process, combine the locking piece to move on the bell jar, to the locking piece removal in the spout, promote the buffer beam of below and reciprocate, the spring fulcrum bar pulls it fixedly, guarantees the stationarity of skew in-process, labour saving and time saving.

In addition to the objects, features and advantages described above, other objects, features and advantages of the present invention are also provided. The present invention will be described in further detail below with reference to the drawings.

Drawings

The accompanying drawings, which are incorporated in and constitute a part of this application, illustrate embodiments of the invention and, together with the description, serve to explain the invention and not to limit the invention.

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

FIG. 2 is a schematic view of the construction of the conditioning chamber of the present invention;

FIG. 3 is a top view of the cross-bar of the present invention;

FIG. 4 is a schematic view of the structure of the buffer rods and the fixing cavities of the present invention;

FIG. 5 is a schematic external view of a cross-bar of the present invention;

Fig. 6 is a schematic structural view of the lifting base of the present invention.

reference numerals:

The device comprises a base 1, an electric telescopic rod 2, a transverse rod 3, a lead screw 4, a hinged frame 5, a movable block 6, an adjusting cavity 7, a spiral telescopic rod 8, a rotary rod 9, a T-shaped traction rod 10, a fixed rod 101, an arc-shaped plate 11, a movable rod 12, a limiting sleeve 13, a pull rod 14, a sliding rod 15, a telescopic rod 16, a first spring 17, a fixed positioning tube 18, a buffer rod 19, a lifting seat 20, a vertical rod 21, a connecting rod 22, a lying cushion 23, a fixed cavity 24, a conical groove 25, a second spring 26, a locking plate 27, a sliding groove 28, a locking block 29, a spring support rod 30, a rack 31, an inserting rod 32, a gear 33, a handle 34 and a limiting block 35.

Detailed Description

in order to make the objects, technical solutions and advantages of the present invention more apparent, the present invention is described in further detail below with reference to the accompanying drawings and embodiments. It should be understood that the specific embodiments described herein are merely illustrative of the invention and are not intended to limit the invention.

Referring to fig. 1, 2, 3 and 5, as shown in fig. 1, 2, 3 and 5, a cardiovascular clinical puncture device comprises a base 1 and electric telescopic rods 2, a lying pad 23 is arranged in the middle of the upper surface of the base 1, the electric telescopic rods 2 are arranged at the left and right ends of the base 1, a cross rod 3 is arranged between the two electric telescopic rods 2, lead screws 4 are arranged at the front and rear sides inside the cross rod 3, hinge brackets 5 are uniformly distributed between the two lead screws 4 in the horizontal direction, the hinge brackets 5 are formed by cross-hinging a plurality of hinge rods, a movable block 6 is arranged on the hinge brackets 5 and the lead screws 4 in a penetrating manner, a scale mark is arranged on the cross rod 3, a handle 34 is arranged on the movable block 6, openings are arranged in the horizontal direction at the upper and lower ends of the cross rod 3, the handle 34 drives the movable block 6 and an adjusting cavity 7 to move on the cross rod 3, an adjusting cavity, a spiral telescopic rod 8 is arranged at the vertical top end in the adjusting cavity 7, the spiral telescopic rod 8 drives the lower part of the spiral telescopic rod 8 to be retracted and extended through rotation, the spiral telescopic rod 8 is movably connected with the top of the adjusting cavity 7, a rotating rod 9 is arranged on the horizontal direction of the upper surface of the spiral telescopic rod 8 through gear meshing, a T-shaped traction rod 10 is arranged below the adjusting cavity 7 in a penetrating manner, the T-shaped traction rod 10 is of an inverted T-shaped structure, the upper end and the lower end of the T-shaped traction rod 10 are provided with limit blocks 35, the left inner wall and the right inner wall of the adjusting cavity 7 are provided with arc-shaped plates 11, the upper end and the lower end of the inner sides of the two arc-shaped plates 11 are movably provided with movable rods 12, the inner sides of the two movable rods 12 are hinged with limit sleeves 13, the upper end and the lower end of each limit sleeve 13 are hinged, two telescopic links 16 are respectively articulated with spiral telescopic link 8 and T type traction lever 10, telescopic link 16 overcoat is equipped with first spring 17, T type traction lever 10 below middle part is equipped with dead lever 101, dead lever 101 below articulates there is fixed positioning pipe 18, fixed positioning pipe 18 lower surface one side is equipped with infrared ray distance sensor and ultrasonic probe, vertical articulated buffering pole 19 that has between both ends and the T type traction lever 10 about fixed positioning pipe 18 upper surface, be equipped with lift seat 20 between T type traction lever 10 one side outer wall and the fixed positioning pipe 18, lift seat 20 is external to have montant 21, montant 21 below articulates there is connecting rod 22, connecting rod 22 sets up on fixed positioning pipe 18 lateral wall.

Referring to fig. 4, as shown in fig. 4, a fixing cavity 24 penetrates through the outside of the buffer rod 19, a tapered groove 25 is arranged inside the fixing cavity 24, a second spring 26 is arranged between the two buffer rods 19, a locking plate 27 is arranged below the buffer rod 19 at the upper end in the fixing cavity 24, sliding grooves 28 are arranged at the left end and the right end of the locking plate 27, locking blocks 29 are arranged in the two sliding grooves 28 through third springs, spring support rods 30 are symmetrically hinged above the buffer rod 19 at the lower end in the fixing cavity 24, and the two spring support rods 30 are hinged to two walls of the tapered groove 25 respectively.

Referring to fig. 6, as shown in fig. 6, a rack 31 is vertically disposed on the inner wall of the lifting seat 20 near the adjusting cavity 7, an inserting rod 32 is vertically disposed on the vertical rod 21, and a gear 33 is disposed on the inserting rod 32.

The external display screen of ultrasonic probe, be equipped with ultrasonic positioning system in the display screen, ultrasonic positioning system includes information storage unit, the information acquisition unit, data modulation unit, the unit of making an uproar falls in the image, the information storage unit is used for preserving the information that the supersound reflects back, the information acquisition unit is used for the image that reflects back to the puncture in-process, the data modulation unit is used for carrying out pigment modulation to the image of gathering and handles, the unit of making an uproar falls in the image is used for removing the dry processing to the external world, through the unit pair height detection location of range finding, then receive feedback information through the information acquisition unit, and fall the unit through data modulation unit and image and handle the information of making an uproar to the feedback, the information storage unit is preserved to the information, guarantee at the puncture in-process, the degree of depth and the trend of blood vessel have been.

The working method of the invention comprises the following steps: fixing a puncture needle below a fixed positioning tube 8, laying a patient on a lying cushion 23, driving a moving block 6 to move on a lead screw by a handle 34, extruding a hinged frame 5 on one side of the moving block 6 by the moving block 6 to ensure the stability of the moving block 6 on a 3, placing an adjusting cavity 7 above a puncture part, then adjusting the height of an electric telescopic rod 2, placing a cross rod 3 at a proper height, driving a spiral telescopic rod 8 to contract by rotating a rotating rod 9, driving a limit sleeve 13 to move towards the inner side of a sliding rod 15 by a pull rod 14, pulling the movable rod 12 to approach to the middle part of an arc plate 11 by the limit sleeve 13, pushing a T-shaped traction rod 10 to move downwards under the rebound of a telescopic rod 16 and a first spring 17, measuring the distance between the puncture part and the fixed positioning tube 18 by an infrared distance sensor, and pushing a vertical rod 21 to drive a gear 33 to move upwards and downwards on a rack 31 when needed, under 101's effect, promote connecting rod 22 and drive fixed position pipe 18 and carry out angular adjustment, and when fixed position pipe 18 rotated, the buffer beam 19 of top drove locking block 29 and moves on tapered slot 25, locking block 29 stretches out or kick-backs on spout 28, and under the effect of second spring 26, buffer beam 19 to the below is released and is kick-backed, spring branch 30 carries out telescopic work at the removal in-process, thereby guarantee that one side buffer beam 19 stretches out or contracts, and under the effect through ultrasonic probe, carry out real-time image display to the position of puncturing, carry out puncture work.

The T-shaped traction rod 10 is simple in structure and convenient to operate, the extending length of the spiral telescopic rod 8 is controlled through the rotating rod 9, the extending length of the T-shaped traction rod 10 in the adjusting cavity 7 is adjusted, the height of the device can be conveniently adjusted, and under the action of the arc-shaped plate 11, the movable rod 12, the limiting sleeve 13, the pull rod 14, the sliding rod 15 and the telescopic rod 16, the moving height of the T-shaped traction rod 10 is limited and controlled through the limiting block 35, so that the stability in the height lifting process is improved, and deviation is avoided; under the action of the ultrasonic probe and the infrared distance sensor, the distance of the puncture part can be ensured, the staged distance shortening is carried out, the positioning is accurate, the puncture point position is determined, and the puncture point is better fixed in height; under the action of the vertical rod 21, the connecting rod 22, the inserting rod 33 and the rack 31, the offset angle of the fixed positioning tube 18 is adjusted, the applicability is improved, in the angle adjusting process, the locking block 29 moves on the tapered groove 25 in a combined mode, the locking block 29 moves in the sliding groove 28, the buffer rod 19 below is pushed to move up and down, the spring supporting rod 30 pulls and fixes the buffer rod, and the stability in the offset process is guaranteed, and time and labor are saved.

The above description is only for the purpose of illustrating the preferred embodiments of the present invention and is not to be construed as limiting the invention, and any modifications, equivalents, improvements and the like that fall within the spirit and principle of the present invention are intended to be included therein.

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