阅读说明：本技术 一种用于普外科的新型胆囊小孔取石设备 (A novel gall-bladder aperture stone equipment of getting for department of general surgery ) 是由 苏亚非 于 2021-11-08 设计创作，主要内容包括：本发明公开了一种用于普外科的新型胆囊小孔取石设备,包括结石推进装置、超声波结石粉碎装置和胆囊扩张装置,所述超声波结石粉碎装置限位于结石推进装置的内侧,所述胆囊扩张装置固定于超声波结石粉碎装置的一端且位于结石推进装置的外侧；其中结石推进装置用于驱动超声波结石粉碎装置以及胆囊扩张装置共同作推进运动,其中超声波结石粉碎装置用于大块结石的粉碎及疏通,其中胆囊扩张装置通过轻微扩张胆囊内壁实现粉碎后所有结石小块的收揽。本发明公开了一种用于普外科的新型胆囊小孔取石设备,主要用于胆囊内结石的取出,其操作过程简单,应用灵活性高,对胆囊的伤害程度小,患者愈合速度快,手术风险性较低。(The invention discloses a novel gallbladder small hole calculus removing device for general surgery department, which comprises a calculus propelling device, an ultrasonic calculus smashing device and a gallbladder expansion device, wherein the ultrasonic calculus smashing device is limited on the inner side of the calculus propelling device, and the gallbladder expansion device is fixed at one end of the ultrasonic calculus smashing device and is positioned on the outer side of the calculus propelling device; the ultrasonic calculus smashing device is used for smashing large stones and dredging large stones, and the gallbladder expansion device slightly expands the inner wall of a gallbladder to achieve collection of all smashed small stones. The invention discloses a novel gallbladder small-hole calculus removing device for general surgery department, which is mainly used for removing calculus in a gallbladder, and has the advantages of simple operation process, high application flexibility, small damage degree to the gallbladder, high healing speed of a patient and lower operation risk.)

1. A novel gall bladder aperture stone equipment of getting for department of general surgery, its characterized in that: the ultrasonic calculus crushing device comprises a calculus propelling device (1), an ultrasonic calculus crushing device (2) and a gallbladder expansion device (3), wherein the ultrasonic calculus crushing device (2) is limited on the inner side of the calculus propelling device (1), and the gallbladder expansion device (3) is fixed at one end of the ultrasonic calculus crushing device (2) and is located on the outer side of the calculus propelling device (1).

2. The novel gallbladder ostiole lithotomy device for general surgery as claimed in claim 1, wherein: spacing first driving motor (11) that has in calculus advancing device (1), first driving motor (11) inner gearing has first lead screw (111), first propulsion chamber (12) and first chamber (13) of dodging have been seted up respectively to the left and right sides of first driving motor (11), first lead screw (111) run through be located first propulsion chamber (12) and first chamber (13) of dodging, the end of first lead screw (111) is fixed with swing joint piece (112), spacing groove (121) have been seted up respectively to the upper and lower both sides in first propulsion chamber (12).

3. The novel gallbladder ostiole lithotomy device for general surgery as claimed in claim 1, wherein: a second driving motor (21) is limited in the ultrasonic stone smashing device (2), a second lead screw (211) is meshed in the second driving motor (21), a second propelling cavity (22) and a second avoiding cavity (23) are respectively formed in the left side and the right side of the second driving motor (21), the second lead screw (211) penetrates through the second propelling cavity (22) and the second avoiding cavity (23), a propelling seat (221) is arranged in the second propelling cavity (22), the propelling seat (221) is fixed to one end of the second lead screw (211), limiting ribs (24) are respectively fixed to the upper side and the lower side of the right end of the second avoiding cavity (23), a limiting cavity (25) is formed in the middle of the right end of the second avoiding cavity (23), an ultrasonic converter (26) is limited on the left side of the second propelling cavity (22), and the ultrasonic converter (26) is connected with an ultrasonic probe (261), the ultrasonic probe rod (261) penetrates through the outer side of the sonic calculus smashing device (2).

4. The novel gallbladder ostiole lithotomy device for general surgery as claimed in claim 2, wherein: the movable connecting block (112) is limited in the limiting cavity (25), the movable connecting block (112) is in a hat shape, and the edge of the movable connecting block is an arc surface.

5. The novel gallbladder ostiole lithotomy device for general surgery as claimed in claim 3, wherein: the two limiting ribs (24) are respectively limited in the limiting groove (111).

6. The novel gallbladder ostiole lithotomy device for general surgery as claimed in claim 1, wherein: the inner side of the gallbladder expansion device (3) is uniformly provided with a plurality of supporting rods (31), the ends of the inner sides of the supporting rods (31) are abutted to the pushing seat (221), guide ribs (311) are fixed in the middle of the supporting rods (31), the ends of the supporting rods (31) far away from the pushing seat (221) are movably connected with rollers (33) through shaft bodies (32), the surface of each roller (33) is covered with a rubber cushion (331), a third avoiding cavity (34) is formed in one side of each supporting rod (31), a spring (341) is limited in the third avoiding cavity (34), and the spring (341) is located on the guide ribs (311).

7. The novel gallbladder ostiole lithotomy device for general surgery as claimed in claim 6, wherein: the pushing seat (221) is in a shape of a circular truncated cone, and the end of the supporting rod (31) just props against the waist of the circular truncated cone.

Technical Field

The invention relates to the field of medical instruments, in particular to a novel gallbladder small-hole calculus removing device for general surgery department.

Background

Gallstone is a common clinical disease, is one of cholelithiasis, and is mostly cholesterol stone or mixed stone mainly containing cholesterol and melanin stone. Most patients can have no symptoms, called asymptomatic gallstone, and can cause gallbladder inflammation without treatment, such as diabetes, gallbladder calcification, gallbladder nonfunctional and repeated pancreatitis. At present, the gallstone is taken out mainly through an operation, and for large gallstones, the risk of operation is high, and the damage degree to the gallstone is large.

Disclosure of Invention

The invention provides a novel gallbladder small-hole calculus removing device for general surgery, which aims to solve the problems in the background technology.

In order to achieve the purpose, the invention provides the following technical scheme:

the utility model provides a stone equipment is got to novel gall-bladder aperture for department of general surgery, includes calculus advancing device, ultrasonic wave calculus reducing mechanism and gall-bladder expanding device, ultrasonic wave calculus reducing mechanism is spacing in calculus advancing device's inboard, gall-bladder expanding device is fixed in ultrasonic wave calculus reducing mechanism's one end and is located calculus advancing device's the outside.

By adopting the scheme, the invention is mainly used for taking out calculus in the gall bladder, and has the advantages of simple operation process, high application flexibility, small damage degree to the gall bladder and lower operation risk. The ultrasonic calculus smashing device is used for smashing large stones and dredging large stones, and the gallbladder expansion device slightly expands the inner wall of a gallbladder to achieve collection of all smashed small stones.

Preferably, a first driving motor is limited in the calculus propelling device, wherein the first driving motor is used for driving the first screw rod to rotate, the first screw rod is engaged in the first driving motor, wherein the first screw rod is used for adjusting the positions of the ultrasonic stone crushing device and the gallbladder expansion device, the left side and the right side of the first driving motor are respectively provided with a first propelling cavity and a first avoiding cavity, the first screw rod penetrates through the first propelling cavity and the first avoiding cavity, wherein the first propelling cavity is used for accommodating the ultrasonic stone smashing device, the first avoiding cavity is used for avoiding the first screw rod, a movable connecting block is fixed at the end of the first screw rod, wherein the movable connecting block is used for butt joint of the ultrasonic stone smashing device, the upper side and the lower side of the first propelling cavity are respectively provided with a limiting groove, and the limiting grooves are used for limiting and guiding the ultrasonic stone smashing device.

By adopting the above scheme, calculus advancing device is through starting first driving motor, because first driving motor is spacing to first driving motor is the benchmark, under the effect of screw thread, can drive first lead screw rotatory to it is rotatory to drive the swing joint piece, and then drives ultrasonic wave calculus reducing mechanism and remove along the spacing groove, realizes the adjustment of ultrasonic wave calculus reducing mechanism position.

Preferably, a second driving motor is limited in the ultrasonic stone smashing device and used for driving a second screw rod to rotate, the second screw rod is meshed in the second driving motor and used for adjusting the position of the propelling seat, a second propelling cavity and a second avoiding cavity are respectively formed in the left side and the right side of the second driving motor, the second screw rod penetrates through the second propelling cavity and the second avoiding cavity and is used for accommodating the propelling seat, the propelling seat is arranged in the second propelling cavity and fixed with one end of the second screw rod and used for adjusting the positions of all supporting rods, limiting ribs are respectively fixed on the upper side and the lower side of the right end of the second avoiding cavity and used for guiding the ultrasonic stone smashing device, and a limiting cavity is formed in the middle of the right end of the second avoiding cavity, wherein spacing chamber is used for the spacing of swing joint piece, the second impels the left side of chamber spacing to have ultrasonic transducer, and wherein ultrasonic transducer is used for the smashing of bold calculus, ultrasonic transducer is connected with the supersound probe rod, the supersound probe rod runs through the outside that is located sound wave calculus reducing mechanism, and wherein the supersound probe rod is used for contacting the calculus to the transmission ultrasonic wave, thereby shatters the calculus.

By adopting the scheme, the position of the ultrasonic stone smashing device is adjusted, the ultrasonic probe rod is in contact with the massive stones under the assistance of the endoscope, and the ultrasonic probe rod transmits ultrasonic waves after being in contact with the stones, so that the stones are smashed.

Preferably, the movable connecting block is limited in the limiting cavity, the movable connecting block is in a hat shape, and the edge of the movable connecting block is an arc surface.

Through adopting above-mentioned scheme, because the swing joint piece is "cap" form, its edge is the cambered surface moreover, therefore the area of contact between swing joint piece and the spacing chamber is less, the swing joint piece can be less with the friction between the spacing chamber when rotatory, can effectively reduce the wearing and tearing of later stage swing joint piece.

Preferably, the two limiting ribs are respectively limited in the limiting groove.

By adopting the scheme, the limit ribs are limited in the limit grooves, so that the steering of the ultrasonic stone smashing device can be effectively limited, and the ultrasonic stone smashing device can only move along the direction of the limit grooves.

Preferably, the inner side of the gallbladder expansion device is uniformly provided with a plurality of support rods, wherein the support rods are used for supporting the inner wall of the gallbladder, the ends of the inner sides of the support rods are abutted to the propelling seat, a guide rib is fixed in the middle of the support rods and used for guiding and limiting the support rods, the end, far away from the propelling seat, of the support rods is movably connected with a roller through a shaft body, the roller is used for supporting the inner wall of the gallbladder, the surface of the roller is covered with a rubber cushion, the rubber cushion is used for reducing the damage of the roller to the inner wall of the gallbladder, a third avoiding cavity is formed in one side of the support rods and used for avoiding the guide rib, a spring is limited in the third avoiding cavity and located on the guide rib, and the spring is used for propelling the support rods.

Through adopting above-mentioned scheme, start the second driving motor, because the second driving motor is spacing to the second driving motor is the benchmark, under the effect of screw thread, can drive the second lead screw rotatory to it is rotatory to drive to impel the seat, and then contradicts and drive all bracing pieces and impel to the outside, supports whole gall-bladder inner wall through the gyro wheel, can take and receive all stones by ultrasonic crushing.

Preferably, the propelling seat is in a shape of a circular truncated cone, and the end of the supporting rod just props against the waist of the circular truncated cone.

By adopting the scheme, the propelling seat is in a circular truncated cone shape, so that when the propelling seat rotates to the left side to propel, all the supporting rods can be collided to drive to propel outwards, and the whole inner wall of the gallbladder is supported; when the propelling seat is rotationally propelled to the right side, all the supporting rods drive the supporting rods to rebound under the elastic action of the springs by pushing the guide ribs, so that the gallbladder expansion device is conveniently taken out.

Compared with the prior art, the invention has the beneficial effects that:

the invention relates to a novel gallbladder small-hole calculus removing device for general surgery department, which is mainly used for removing calculus in a gallbladder, and has the advantages of simple operation process, high application flexibility, small damage degree to the gallbladder, high healing speed of a patient and low operation risk.

Drawings

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

FIG. 2 is a cross-sectional view taken at A-A of FIG. 1;

FIG. 3 is an enlarged view of a portion of FIG. 2 at B;

FIG. 4 is an enlarged view of a portion of FIG. 2 at C;

FIG. 5 is a rear view of the present invention;

FIG. 6 is a schematic view of the present invention during retrieval of a stone from a small opening in a gallbladder.

In the figure:

1-a stone advancing device;

11-a first drive motor; 111-a first lead screw; 112-movable connecting blocks;

12-a movable connecting block; 121-a limiting groove;

2-ultrasonic stone crushing device;

21-a second drive motor; 211-second lead screw;

22-a second propulsion chamber; 221-a propulsion seat;

23-a second avoidance cavity;

24-a limiting rib;

25-a limiting cavity;

26-an ultrasonic transducer; 261-ultrasonic probe;

3-balloon dilation device;

31-a support bar; 311-a guide rib;

32-shaft body;

33-a roller;

34-a third avoidance cavity; 341-spring.

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.

Detailed description of the preferred embodiment

Referring to fig. 1-6, the present invention provides a technical solution:

the utility model provides a novel gall-bladder aperture stone equipment of getting for department of general surgery, includes calculus advancing device 1, ultrasonic wave calculus reducing mechanism 2 and gall-bladder expanding device 3, ultrasonic wave calculus reducing mechanism 2 is spacing in calculus advancing device 1's inboard, gall-bladder expanding device 3 is fixed in ultrasonic wave calculus reducing mechanism 2's one end and is located calculus advancing device 1's the outside.

By adopting the scheme, the invention is mainly used for taking out calculus in the gall bladder, and has the advantages of simple operation process, high application flexibility, small damage degree to the gall bladder and lower operation risk. The calculus propelling device 1 is used for driving the ultrasonic calculus smashing device 2 and the gallbladder expansion device 3 to jointly do propelling movement, wherein the ultrasonic calculus smashing device 2 is used for smashing and dredging large calculus, and the gallbladder expansion device 3 achieves collection of all smashed calculus small blocks through slightly expanding the inner wall of a gallbladder.

Further, a first driving motor 11 is limited in the stone propelling device 1, wherein the first driving motor 11 is used for driving a first screw rod 111 to rotate, a first screw rod 111 is engaged in the first driving motor 11, wherein the first screw rod 111 is used for adjusting the positions of the ultrasonic stone crushing device 2 and the gallbladder expansion device 3, a first propelling cavity 12 and a first avoiding cavity 13 are respectively formed in the left side and the right side of the first driving motor 11, the first screw rod 111 is positioned in the first propelling cavity 12 and the first avoiding cavity 13 in a penetrating manner, wherein the first propelling cavity 12 is used for accommodating the ultrasonic stone crushing device 2, the first avoiding cavity 13 is used for avoiding the first screw rod 111, a movable connecting block 112 is fixed at the end of the first screw rod 111, wherein the movable connecting block 112 is used for butt joint of the ultrasonic stone crushing device 2, and limiting grooves 121 are respectively formed in the upper side and the lower side of the first propelling cavity 12, wherein the limiting groove 121 is used for limiting and guiding the ultrasonic stone crushing device 2.

By adopting the above scheme, the calculus propelling device 1 can drive the first screw rod 111 to rotate under the action of the screw thread by starting the first driving motor 11 because the first driving motor 11 is limited by starting the first driving motor 11, so as to drive the movable connecting block 112 to rotate, further drive the ultrasonic calculus smashing device 2 to move along the limiting groove 121, and realize the adjustment of the position of the ultrasonic calculus smashing device 2.

Further, a second driving motor 21 is limited in the ultrasonic stone crushing device 2, wherein the second driving motor 21 is used for driving a second lead screw 211 to rotate, the second lead screw 211 is engaged in the second driving motor 21, the second lead screw 211 is used for adjusting the position of a pushing seat 221, a second pushing cavity 22 and a second avoiding cavity 23 are respectively formed in the left side and the right side of the second driving motor 21, the second lead screw 211 is positioned in the second pushing cavity 22 and the second avoiding cavity 23 in a penetrating manner, the second pushing cavity 22 is used for accommodating the pushing seat 221, the pushing seat 221 is arranged in the second pushing cavity 22, the pushing seat 221 is fixed to one end of the second lead screw 211, the pushing seat 221 is used for adjusting the positions of all supporting rods 31, the upper side and the lower side of the right end of the second avoiding cavity 23 are respectively fixed with a limiting rib 24, and the limiting ribs 24 are used for guiding the ultrasonic stone crushing device 2, spacing chamber 25 has been seted up in the centre of second dodge chamber 23 right side end department, and wherein spacing chamber 25 is used for the spacing of movable connecting block 112, the left side spacing that the second impeld chamber 22 has ultrasonic transducer 26, and wherein ultrasonic transducer 26 is used for the smashing of bold calculus, ultrasonic transducer 26 is connected with ultrasonic probe 261, ultrasonic probe 261 runs through the outside that is located sound wave calculus reducing mechanism 2, and wherein ultrasonic probe 261 is used for contacting the calculus to the transmission ultrasonic wave is broken up to the calculus.

By adopting the above scheme, the position of the ultrasonic stone crushing device 2 is adjusted, under the assistance of the endoscope, the ultrasonic probe 261 is contacted with the large stone, and the ultrasonic probe 261 transmits ultrasonic waves after contacting the stone, so that the stone is shattered.

Further, the movable connecting block 112 is limited in the limiting cavity 25, the movable connecting block 112 is in a hat shape, and the edge of the movable connecting block is an arc surface.

Through adopting above-mentioned scheme, because movable connecting block 112 is "cap" form, its edge is the cambered surface moreover, and consequently movable connecting block 112 is less with the area of contact between the spacing chamber 25, and movable connecting block 112 can be less with the friction between the spacing chamber 25 when rotatory, can effectively reduce the wearing and tearing of later stage movable connecting block 112.

Furthermore, the two position limiting ribs 24 are respectively limited in the limiting groove 111.

By adopting the above scheme, because the limiting rib 24 is limited in the limiting groove 111, the steering of the ultrasonic stone crushing device 2 can be effectively limited, so that the ultrasonic stone crushing device 2 can only move along the direction of the limiting groove 111.

Furthermore, twelve supporting rods 31 are uniformly assembled on the inner side of the gallbladder expansion device 3, twelve supporting rods 31 are uniformly distributed, wherein the supporting rods 31 are used for supporting the inner wall of the gallbladder, the inner end of each supporting rod 31 is abutted against the pushing seat 221, a guiding rib 311 is fixed in the middle of each supporting rod 31, the guiding rib 311 is used for guiding and limiting the supporting rod 31, the end of each supporting rod 31, which is far away from the pushing seat 221, is movably connected with a roller 33 through a shaft body 32, the roller 33 is used for supporting the inner wall of the gallbladder, a rubber cushion 331 is covered on the surface of each roller 33, the rubber cushion 331 is used for reducing the damage of each roller 33 to the inner wall of the gallbladder, a third avoidance cavity 34 is formed in one side of each supporting rod 31, the third avoidance cavity 34 is used for avoiding the guiding ribs 311, a spring 341 is limited in the third avoidance cavity 34, and the spring 341 is located on the guiding rib 311, wherein a spring 341 is used for the propulsion of the support bar 31.

By adopting the above scheme, the second driving motor 21 is started, and the second driving motor 21 is limited, so that the second driving motor 21 is used as a reference, the second screw rod 211 can be driven to rotate under the action of the thread, the pushing seat 221 is driven to rotate, all the supporting rods 31 are driven to push outwards in a butting manner, the whole inner wall of the gallbladder is supported by the rollers 33, and all stones crushed by ultrasonic waves can be collected.

Further, the pushing seat 221 is shaped like a circular truncated cone, and the end of the supporting rod 31 just abuts against the waist of the circular truncated cone.

By adopting the scheme, as the pushing seat 221 is in a shape of a circular truncated cone, when the pushing seat 221 rotates and pushes leftwards, all the supporting rods 31 can be pushed outwards in a butting manner, so that the inner wall of the whole gallbladder is supported; when the pushing seat 221 rotates and pushes towards the right side, all the supporting rods 31 drive the supporting rods 31 to rebound by pushing the guiding ribs 311 under the elastic action of the springs 341, so that the gallbladder expansion device 3 can be conveniently taken out.

The working principle of the invention is as follows:

under the assistance of an endoscope, the invention is placed at the position of the calculus by cutting a local part of the gallbladder, and a small hole is arranged on the gallbladder at the opposite side of the invention by taking the calculus as the reference.

With calculus advancing device 1 with the benchmark, start first driving motor 11, because first driving motor 11 is spacing, use first driving motor 11 as the benchmark, under the effect of screw thread, can drive first lead screw 111 rotatory, thereby it is rotatory to drive movable connecting block 112, and then drive ultrasonic calculus reducing mechanism 2 and remove along spacing groove 121, until making ultrasonic probe 261 and bold calculus contact, close first driving motor 11 this moment, restart ultrasonic transducer 26, through ultrasonic probe 261 contact ultrasonic wave of transmission behind the calculus, thereby shatter the calculus.

The second driving motor 21 is started, and the second driving motor 21 is used as a reference, and the second screw rod 211 can be driven to rotate under the action of the screw thread due to the limit of the second driving motor 21, so that the pushing seat 221 is driven to rotate, all the supporting rods 31 are driven to push outwards in a butting manner, the whole inner wall of the gallbladder is supported through the rollers 33, and all stones crushed by ultrasonic waves can be collected; and the first driving motor 11 is started again to drive the ultrasonic calculus smashing device 2 to move along the limiting groove 121, and smashed calculus is pushed to be discharged to the small hole under the action of the gallbladder expansion device 3, so that the calculus is taken out finally. The whole operation process is simple, the application flexibility is high, the damage degree to the gallbladder and the inner wall is small, the healing speed of a patient is high, and the operation risk is low.

It will be evident to those skilled in the art that the invention is not limited to the details of the foregoing illustrative embodiments, and that the present invention may be embodied in other specific forms without departing from the spirit or essential attributes thereof. The present embodiments are therefore to be considered in all respects as illustrative and not restrictive, the scope of the invention being indicated by the appended claims rather than by the foregoing description, and all changes which come within the meaning and range of equivalency of the claims are therefore intended to be embraced therein. Any reference sign in a claim should not be construed as limiting the claim concerned.