技术领域technical field
本发明属于医疗器械技术领域，具体涉及一种多功能直肠操纵器。The invention belongs to the technical field of medical devices, and in particular relates to a multifunctional rectal manipulator.
背景技术Background technique
现有多功能直肠操纵器存在结构复杂、空间位置不易调节的问题，如专利CN1287744C公开了一种腹腔镜手术用多功能膀胱操纵器，该操纵器采用固定支架直接固定，无法调节外管的空间位置，使得直肠无法充分显露，不便于进行直肠周围组织切除与分离手术，影响腹腔镜下广泛子宫切除等手术的效率和质量，不利于患者迅速恢复。The existing multifunctional rectal manipulator has the problems of complex structure and difficult adjustment of spatial position. For example, patent CN1287744C discloses a multifunctional bladder manipulator for laparoscopic surgery. The manipulator is directly fixed by a fixed bracket, and the space of the outer tube cannot be adjusted. The location prevents the rectum from being fully exposed, making it inconvenient to perform resection and separation of the tissues around the rectum, which affects the efficiency and quality of laparoscopic extensive hysterectomy and other operations, and is not conducive to the rapid recovery of patients.
同时，现有操纵器无法对直肠内部信息进行实时监控和呈像，导致伤情无法及时传递，进而导致手术风险。At the same time, the existing manipulator cannot monitor and visualize the internal information of the rectum in real time, resulting in the failure to transmit the injury in time, which in turn leads to surgical risks.
因此，有必要对现有操纵器的结构进行改进，可以随意调节其进行空间位置，易于实现对直肠的充分显露，从而提高手术效率和质量，增强操纵器的适应性，同时，可以可实时传递伤口信息，以使医生进行及时治疗。Therefore, it is necessary to improve the structure of the existing manipulator, which can adjust its spatial position at will, and easily realize the full exposure of the rectum, thereby improving the operation efficiency and quality, and enhancing the adaptability of the manipulator. At the same time, it can be transmitted in real time. Wound information so that doctors can provide timely treatment.
发明内容Contents of the invention
有鉴于此，本发明的目的在于提供一种多功能直肠操纵器，以克服现有技术中由于无法调节空间位置存在的手术效率低、质量低及适应性不强，以有无法及时传递伤口信息造成手术风险的问题。In view of this, the purpose of the present invention is to provide a multifunctional rectal manipulator to overcome the low operation efficiency, low quality and poor adaptability of the prior art due to the inability to adjust the spatial position, and the inability to transmit wound information in time Issues that create surgical risks.
本发明的目的是通过以下技术方案实现的：The purpose of the present invention is achieved through the following technical solutions:
多功能直肠操纵器，包括操纵器本体和将所述操纵器本体与手术台固定的操纵器支架，所述操纵器本体包括直肠胀紧囊、与直肠胀紧囊固定的引导管和设置于引导管内与直肠胀紧囊连通的加气通道，所述直肠胀紧囊上设置有多个用于实时呈像的探头，所述探头通过数据线与显示器相连，所述操纵器支架包括支座和滑动设置在支座上的支架，所述支架的顶部设置有用于固定引导管外壁的固定夹，所述支架上设置有可使操纵器本体上下运动而不旋转的竖直调节结构。A multifunctional rectal manipulator, including a manipulator body and a manipulator bracket that fixes the manipulator body and the operating table, the manipulator body includes a rectal expansion bag, a guide tube fixed with the rectal expansion bag, and a guide tube arranged on the guide The gas filling channel in the tube communicates with the rectal distension sac. The rectal distension sac is provided with a plurality of probes for real-time imaging. The probes are connected to the monitor through data lines. The manipulator bracket includes a support and Slidingly arranged on the bracket on the support, the top of the bracket is provided with a fixing clip for fixing the outer wall of the guide tube, and the bracket is provided with a vertical adjustment structure that can make the manipulator body move up and down without rotation.
进一步，所述支架包括分别位于其头部、中部及尾部的固定段、支撑段及举升段，所述固定段还包括与固定夹固定连接的固定杆，所述支撑段包括与所述固定杆通过铰链连接的支撑段导管，所述举升段包括与支撑段导管滑动配合的插杆，所述竖直调节结构包括设置于插杆上与插杆螺纹连接的调节螺母，所述调节螺母的上端面与支撑段的下端面接触。Further, the bracket includes a fixed section, a support section and a lifting section respectively located at its head, middle and tail, the fixed section also includes a fixed rod fixedly connected with the fixing clip, the support section includes a The rods are hinged to the support section conduit, the lifting section includes a plunger that is slidably fitted with the support conduit, the vertical adjustment structure includes an adjustment nut that is arranged on the plunger and is threadedly connected with the plunger, and the adjustment nut The upper end surface of the support segment is in contact with the lower end surface.
进一步，所述竖直调节结构还包括设置于调节螺母下端与插杆螺纹连接的限位螺母。Further, the vertical adjustment structure further includes a limit nut arranged at the lower end of the adjustment nut and threadedly connected with the insertion rod.
进一步，所述竖直调节结构还包括可同时与调节螺母和支撑段进行螺纹连接固定的固定螺母。Further, the vertical adjustment structure further includes a fixing nut that can be threadedly connected and fixed to the adjustment nut and the support section at the same time.
进一步，所述调节螺母和支撑段具有相同螺距的螺纹。Further, the adjusting nut and the supporting section have threads with the same pitch.
进一步，所述支座为开口向下、留有一定壁厚的空腔结构，所述支座的顶面贯穿设置有用于插杆水平移动的导向槽，所述插杆在伸进所述导向槽的端部固定设置有压紧块，所述压紧块的底部设置有用于将其固定于空腔内壁面的顶紧装置。Further, the support is a hollow structure with a downward opening and a certain wall thickness. The top surface of the support is provided with a guide groove for the horizontal movement of the insertion rod. When the insertion rod extends into the guide A pressing block is fixedly arranged at the end of the groove, and a pressing device for fixing it to the inner wall of the cavity is provided at the bottom of the pressing block.
进一步，所述顶紧装置包括顶板和均匀分散在顶板下方的顶紧弹簧。Further, the clamping device includes a top plate and clamping springs evenly distributed under the top plate.
进一步，所述支座上还设置有用于封住空腔结构的垫板，所述顶紧装置固定于其上。Further, a backing plate for sealing the cavity structure is also provided on the support, and the tightening device is fixed on it.
进一步，所述支撑段导管与插杆之间设置有用于限制两者之间轴向相对转动的固定键。Further, a fixed key for limiting the axial relative rotation between the support section guide tube and the insertion rod is provided.
进一步，所述固定夹为中心角超过180度的圆弧环结构。Further, the fixing clip is an arc ring structure with a central angle exceeding 180 degrees.
本发明的有益效果是：The beneficial effects of the present invention are:
1、本发明通过多段支架、竖直调节结构及支架滑动设置可竖直和水平调整操纵器本体的空间位置，使易于实现对直肠的充分显露，从而提高手术效率和质量，增强操纵器的适应性，通过探头和显示器，可实时传递伤口信息，以使医生进行及时治疗，避免产生医疗风险，提高手术的可靠性。1. The present invention can adjust the spatial position of the manipulator body vertically and horizontally through the multi-segment bracket, vertical adjustment structure and bracket sliding setting, so that it is easy to fully expose the rectum, thereby improving the efficiency and quality of the operation, and enhancing the adaptability of the manipulator. Through the probe and monitor, the wound information can be transmitted in real time, so that the doctor can carry out timely treatment, avoid medical risks, and improve the reliability of the operation.
2、通过多段支架、固定键，可对操纵器本体进行水平方向的旋转操作；2. Through multi-segment brackets and fixed keys, the manipulator body can be rotated in the horizontal direction;
3、通过固定段与支撑段的旋转连接，可对操纵器本体进行竖直方向的旋转操作；3. Through the rotating connection between the fixed section and the supporting section, the manipulator body can be rotated vertically;
4、通过顶紧装置可在操作完成即实现限位，提高操作效率和稳定性。4. Through the jacking device, the limit position can be realized immediately after the operation is completed, which improves the operation efficiency and stability.
本发明的其他优点、目标和特征在某种程度上将在随后的说明书中进行阐述，并且在某种程度上，基于对下文的考察研究对本领域技术人员而言将是显而易见的，或者可以从本发明的实践中得到教导。本发明的目标和其他优点可以通过下面的说明书来实现和获得。Other advantages, objects and features of the present invention will be set forth in the following description to some extent, and to some extent, will be obvious to those skilled in the art based on the investigation and research below, or can be obtained from It is taught in the practice of the present invention. The objects and other advantages of the invention may be realized and attained by the following specification.
附图说明Description of drawings
为了使本发明的目的、技术方案和优点更加清楚，下面将结合附图对本发明作进一步的详细描述，其中：In order to make the purpose, technical solutions and advantages of the present invention clearer, the present invention will be described in further detail below in conjunction with the accompanying drawings, wherein:
图1为本发明多功能直肠操纵器的结构示意图.Figure 1 is a schematic structural view of the multifunctional rectal manipulator of the present invention.
附图标记：Reference signs:
1-直肠胀紧囊；2-引导管；3-加气通道；4-探头；5-显示器；6-支座；7-固定夹；8-固定段；9-支撑段；10-举升段；11-固定杆；12-支撑段导管；13-插杆；14-调节螺母；15-限位螺母；16-固定螺母；17-导向槽；18-压紧块；19-顶板；20-顶紧弹簧；21-封板。1-rectal distension sac; 2-guiding tube; 3-gas filling channel; 4-probe; 5-monitor; 6-support; 7-fixing clip; 11-fixed rod; 12-support section conduit; 13-insert rod; 14-adjusting nut; 15-limit nut; 16-fixed nut; 17-guide groove; -Tightening spring; 21-sealing plate.
具体实施方式detailed description
以下将参照附图，对本发明的优选实施例进行详细的描述。应当理解，优选实施例仅为了说明本发明，而不是为了限制本发明的保护范围。Hereinafter, preferred embodiments of the present invention will be described in detail with reference to the accompanying drawings. It should be understood that the preferred embodiments are only for illustrating the present invention, but not for limiting the protection scope of the present invention.
如图1所示，本实施例的多功能直肠操纵器，包括操纵器本体和将所述操纵器本体与手术台固定的操纵器支架，所述操纵器本体包括直肠胀紧囊1、与直肠胀紧囊1固定的引导管2和设置于引导管2内与直肠胀紧囊1连通的加气通道3，加气通道3的端部与气囊连接，通过气囊对直肠胀紧囊1加气，必要时，也可与药液连通，向里注射药物进行治疗或清洗，体液通道5将直肠内有血液及分泌物引出，所述操纵器支架包括支座6和滑动设置在支座6上的支架，所述支架的顶部设置有用于固定引导管2外壁的固定夹7，所述支架上设置有可使操纵器本体上下运动而不旋转的竖直调节结构，本实施例中，支架包括分别位于其头部、中部及尾部的固定段8、支撑段9及举升段10，所述固定段8还包括与固定夹7固定连接的固定杆11，所述支撑段9包括与所述固定杆11通过铰链连接的支撑段导管12，所述举升段10包括与支撑段导管12滑动配合的插杆13，所述竖直调节结构包括设置于插杆13上与插杆螺纹连接的调节螺母14，所述调节螺母14的上端面与支撑段9的下端面接触，使用时，旋转调节螺母14沿插杆向上或向下移动，进而驱动支撑段9的上下移动，最终实现对操纵器本体的上下调节。As shown in Figure 1, the multifunctional rectal manipulator of this embodiment includes a manipulator body and a manipulator bracket that fixes the manipulator body and the operating table. The fixed guide tube 2 of the expansion bag 1 and the gas filling channel 3 arranged in the guide tube 2 and communicating with the rectal expansion bag 1, the end of the gas filling channel 3 is connected with the air bag, and the rectal expansion bag 1 is filled with air through the air bag , when necessary, it can also communicate with the liquid medicine, inject medicine inward for treatment or cleaning, the body fluid channel 5 will lead out the blood and secretions in the rectum, and the manipulator bracket includes a support 6 and is slidably arranged on the support 6 The bracket, the top of the bracket is provided with a fixing clip 7 for fixing the outer wall of the guide tube 2, and the bracket is provided with a vertical adjustment structure that can make the manipulator body move up and down without rotation. In this embodiment, the bracket includes The fixed section 8, the support section 9 and the lifting section 10 respectively located at its head, middle and tail, the fixed section 8 also includes a fixed rod 11 fixedly connected with the fixed clip 7, and the supported section 9 includes a The fixed rod 11 is hinged to the support section conduit 12, the lifting section 10 includes a plunger 13 that slides with the support section conduit 12, and the vertical adjustment structure includes a threaded connection on the plunger 13. Adjustment nut 14, the upper end surface of the adjustment nut 14 is in contact with the lower end surface of the support section 9, when in use, the rotation adjustment nut 14 moves up or down along the insertion rod, and then drives the support section 9 to move up and down, and finally realizes the manipulation Up and down adjustment of the device body.
本实施例中，所述直肠胀紧囊1上设置有多个用于实时呈像的探头4，所述探头4通过数据线与显示器5相连，实时传递伤口信息，以使医生及时治疗，避免医疗风险。In this embodiment, the rectal distension sac 1 is provided with a plurality of probes 4 for real-time imaging, and the probes 4 are connected to the display 5 through data lines to transmit wound information in real time, so that doctors can treat in time and avoid medical risk.
本实施例通过分段支架、竖直调节结构及支架滑动设置在支座内可竖直和水平调整操纵器本体的空间位置，使易于实现对直肠的充分显露，从而提高手术效率和质量，增强操纵器的适应性，通过探头和显示器，可实时传递伤口信息，以使医生进行及时治疗，避免产生医疗风险，提高手术的可靠性，同时，通过固定段与支撑段旋转连接，可以实现对操纵器竖直方向的旋转调节，使其适于手术操作。In this embodiment, the space position of the manipulator body can be adjusted vertically and horizontally through the segmented bracket, the vertical adjustment structure, and the bracket slidingly arranged in the support, so that it is easy to realize the full exposure of the rectum, thereby improving the operation efficiency and quality, and enhancing the operation efficiency. The adaptability of the manipulator, through the probe and display, can transmit wound information in real time, so that the doctor can perform timely treatment, avoid medical risks, and improve the reliability of the operation. The rotation adjustment of the vertical direction of the device makes it suitable for surgical operations.
作为本实施例的改进，所述竖直调节结构还包括设置于调节螺母14下端与插杆螺纹连接的限位螺母15，可防止调节螺母14在使用中向下滑动，影响手术效果。As an improvement of this embodiment, the vertical adjustment structure further includes a limit nut 15 provided at the lower end of the adjustment nut 14 and threadedly connected with the insertion rod, which can prevent the adjustment nut 14 from sliding downward during use and affect the operation effect.
作为本实施例的改进，所述竖直调节结构还包括可同时与调节螺母14和支撑段9进行螺纹连接固定的固定螺母16，当位置调整到位后，通过固定螺母16同时对调节螺母14和支撑段9进行固定，防止两者之间的相对晃动，进一步提高其位置精度，利于手术质量的提升。As an improvement of this embodiment, the vertical adjustment structure also includes a fixing nut 16 that can be threadedly connected and fixed with the adjusting nut 14 and the support section 9 at the same time. When the position is adjusted in place, the adjusting nut 14 and the The support section 9 is fixed to prevent the relative shaking between the two, further improve its position accuracy, and facilitate the improvement of the operation quality.
作为本实施例的改进，所述调节螺母14和支撑段9具有相同螺距的螺纹，与其配合，固定螺母16的螺纹也是一致的，易于加工制造，减少制造成本。具体实施时，还可在支撑段9与调节螺母的近端设置一法兰，其螺纹设置在法兰上，使支撑段材料更轻，利于节约成本。As an improvement of this embodiment, the adjusting nut 14 and the supporting section 9 have threads with the same pitch, and in cooperation with them, the threads of the fixing nut 16 are also consistent, which is easy to manufacture and reduces manufacturing cost. During specific implementation, a flange can also be arranged at the proximal end of the support section 9 and the adjusting nut, and its thread is arranged on the flange, so that the material of the support section is lighter, which is beneficial to save costs.
作为本实施例的改进，所述支座6为开口向下、留有一定壁厚的空腔结构，所述支座的顶面贯穿设置有用于插杆13水平移动的导向槽17，所述插杆13在伸进所述导向槽17的端部固定设置有压紧块18，所述压紧块18的底部设置有用于将其固定于空腔内壁面的顶紧装置，所述顶紧装置包括顶板19和均匀分散在顶板19下方的顶紧弹簧20，使用中，将支架向下压，滑动支架至适当位置后，再水平旋转支架至合适角度，松开支架，在顶紧弹簧20的作用下，顶板19顶向压紧块18，将其固定于空腔内壁面，实现对支架的固定，进而实现对操纵器的空间位置调节和位置固定。As an improvement of this embodiment, the support 6 is a hollow structure with a downward opening and a certain wall thickness, and a guide groove 17 for the horizontal movement of the insertion rod 13 is provided through the top surface of the support. The insertion rod 13 is fixedly provided with a pressing block 18 at the end extending into the guide groove 17, and the bottom of the pressing block 18 is provided with a tightening device for fixing it to the inner wall of the cavity. The device includes a top plate 19 and tensioning springs 20 evenly distributed under the top plate 19. In use, press the bracket down, slide the bracket to an appropriate position, then rotate the bracket horizontally to a suitable angle, loosen the bracket, and tighten the spring 20 Under the action of the action, the top plate 19 presses against the pressing block 18, and fixes it on the inner wall of the cavity to realize the fixing of the bracket, and then realize the spatial position adjustment and position fixation of the manipulator.
作为本实施例的改进，所述支座6上还设置有用于封住空腔结构的垫板21，所述顶紧装置固定于其上。As an improvement of this embodiment, a backing plate 21 for sealing the cavity structure is also provided on the support 6, and the tightening device is fixed on it.
作为本实施例的改进，所述支撑段导管12与插杆13之间设置有用于限制两者之间轴向相对转动的固定键(未示出)，使其运动一致，防止旋转支架时两者有相对运动，影响使用效果。As an improvement of this embodiment, a fixed key (not shown) is provided between the support section conduit 12 and the insertion rod 13 to limit the relative axial rotation between the two, so that the movement is consistent and prevents the two sides from rotating the bracket. Those who have relative movement will affect the effect of use.
作为本实施例的改进，所述固定夹7为中心角为180-270°的圆弧环结构，使用时直接将操纵器从圆弧环开口处插入即可。As an improvement of this embodiment, the fixing clip 7 is an arc ring structure with a central angle of 180-270°, and the manipulator can be directly inserted through the opening of the arc ring when in use.
最后说明的是，以上实施例仅用以说明本发明的技术方案而非限制，尽管参照较佳实施例对本发明进行了详细说明，本领域的普通技术人员应当理解，可以对本发明的技术方案进行修改或者等同替换，而不脱离本技术方案的宗旨和范围，其均应涵盖在本发明的权利要求范围当中。Finally, it is noted that the above embodiments are only used to illustrate the technical solutions of the present invention without limitation. Although the present invention has been described in detail with reference to the preferred embodiments, those of ordinary skill in the art should understand that the technical solutions of the present invention can be carried out Modifications or equivalent replacements, without departing from the spirit and scope of the technical solution, should be included in the scope of the claims of the present invention.
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610134288.0ACN105832429B (en) | 2016-03-09 | 2016-03-09 | Multi-functional rectum executor |
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610134288.0ACN105832429B (en) | 2016-03-09 | 2016-03-09 | Multi-functional rectum executor |
| Publication Number | Publication Date |
|---|---|
| CN105832429Atrue CN105832429A (en) | 2016-08-10 |
| CN105832429B CN105832429B (en) | 2018-06-29 |
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201610134288.0AExpired - Fee RelatedCN105832429B (en) | 2016-03-09 | 2016-03-09 | Multi-functional rectum executor |
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| CN (1) | CN105832429B (en) |
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| CF01 | Termination of patent right due to non-payment of annual fee | Granted publication date:20180629 Termination date:20200309 | |
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