技术领域technical field
本发明涉及医疗器械技术领域，具体地说，是一种手动耻骨上膀胱辅助压迫装置。The invention relates to the technical field of medical devices, in particular to a manual suprapubic bladder auxiliary compression device.
背景技术Background technique
经尿道膀胱肿瘤切除术是一种膀胱肿瘤的原位癌范围直径在5mm以下，外向性癌和内翻乳头状癌直径在5cm以下，浸润性癌B1T2期的手术。Transurethral resection of bladder tumors is a surgery for bladder tumors with carcinoma in situ of less than 5mm in diameter, outward carcinoma and inverted papillary carcinoma less than 5cm in diameter, and invasive carcinoma of B1T2 stage.
目前临床上经尿道膀胱肿瘤切除术，因为膀胱镜进去切肿瘤的时候，病人是仰着的截石位，所以膀胱前壁的肿瘤在上方，需要主刀徒手按压病人耻骨联合上方的皮肤，使肿瘤暴露于视野中，但是主刀手很容易酸，且单手操作膀胱镜电切十分困难。所以这时候需要另一个助手在侧面进行按压，但是需要时常与主刀沟通以达到配合，但是还是会手酸。At present, transurethral resection of bladder tumors is clinically performed. When the cystoscope is used to cut the tumor, the patient is in the upward lithotomy position, so the tumor on the anterior wall of the bladder is at the top. Exposure to the field of vision, but the surgeon's hand is easily sore, and it is very difficult to operate cystoscopic resection with one hand. So at this time, another assistant is needed to press on the side, but it needs to communicate with the chief surgeon frequently to achieve cooperation, but the hands are still sore.
所以目前急需一种可以代替助手，同时主刀自己控制的耻骨联合上方膀胱前壁按压的装置。Therefore, there is an urgent need for a device that can replace the assistant and at the same time press the anterior wall of the bladder above the pubic symphysis controlled by the surgeon.
中国专利文献：CN207024081U，公开日：2018.02.23，公开了一种超声辅助压迫止血设备。包括：主体；用于压迫患者出血点的压迫头，其设置在所述主体上并包括与患者皮肤接触的压迫顶端；用于探测患者体内血管的超声探头，其设置在所述压迫头之内或之上，并沿朝向所述压迫顶端的压迫方向定向；控制器，其连接到所述超声探头并包括用于将超声信号转化为视频信号的超声处理系统；显示系统，其连接到所述控制器并包括设置在所述主体的上侧的显示屏。Chinese patent document: CN207024081U, publication date: 2018.02.23, discloses an ultrasonic-assisted compression hemostasis device. It includes: a main body; a compression head for compressing the patient's bleeding point, which is arranged on the main body and includes a compression tip in contact with the patient's skin; an ultrasonic probe for detecting blood vessels in the patient's body, which is arranged in the compression head or above, and oriented in the direction of compression towards the compression tip; a controller, which is connected to the ultrasound probe and includes an ultrasound processing system for converting ultrasound signals into video signals; a display system, which is connected to the The controller also includes a display screen arranged on the upper side of the main body.
中国专利文献：CN106264578A，公开日：2017.01.04，公开了一种乳腺X射线系统及其压迫装置，压迫装置包括支撑架、安装在支撑架上的直线导轨、压迫板固定机构、同步带机构、机械离合器组件、驱动机构以及压迫释放机构；机械离合器组件连接在驱动机构的输出端，压迫板固定机构连接同步带机构，驱动机构通过机械离合器组件和同步带机构连接并驱动压迫板固定机构沿直线导轨上下移动；压迫释放机构可分离抵压机械离合器组件，解除驱动机构对压迫板固定机构的连接驱动。Chinese patent document: CN106264578A, publication date: 2017.01.04, discloses a mammary gland X-ray system and its compression device. The compression device includes a support frame, a linear guide rail installed on the support frame, a compression plate fixing mechanism, a timing belt mechanism, Mechanical clutch assembly, driving mechanism and compression release mechanism; the mechanical clutch assembly is connected to the output end of the driving mechanism, the compression plate fixing mechanism is connected to the timing belt mechanism, and the driving mechanism is connected through the mechanical clutch assembly and the timing belt mechanism to drive the compression plate fixing mechanism along a straight line The guide rail moves up and down; the compression release mechanism can separate the compression mechanical clutch assembly, and release the connection drive of the drive mechanism to the compression plate fixing mechanism.
但是关于本发明的一种手动耻骨上膀胱辅助压迫装置目前还未见报道。But there is no report about a kind of manual suprapubic bladder auxiliary compression device of the present invention.
发明内容Contents of the invention
本发明的目的是，提供一种可以代替助手，同时主刀自己控制的手动耻骨上膀胱辅助压迫装置。The object of the present invention is to provide a manual suprapubic bladder auxiliary compression device which can replace the assistant and is controlled by the surgeon himself.
为实现上述目的，本发明采取的技术方案是：For realizing above-mentioned object, the technical scheme that the present invention takes is:
一种手动耻骨上膀胱辅助压迫装置，所述的手动耻骨上膀胱辅助压迫装置包括机械手臂(1)、固定装置(2)、人体工学半球(3)、硅胶套(4)；A manual suprapubic bladder auxiliary compression device, the manual suprapubic bladder auxiliary compression device includes a mechanical arm (1), a fixing device (2), an ergonomic hemisphere (3), and a silicone sleeve (4);
所述的机械手臂(1)由伸缩杆(11)、大臂(12)、伸缩臂(13)、液压气缸(14)、方向调节杆(15)组成；Described mechanical arm (1) is made up of telescopic link (11), big arm (12), telescopic arm (13), hydraulic cylinder (14), direction adjustment bar (15);
所述伸缩杆(11)的上端固定连接有大臂(12)，所述伸缩杆(11)的下端设有方向调节球(16)，所述伸缩杆(11)的侧面安装有锁定旋钮(17)；The upper end of the telescopic rod (11) is fixedly connected with a boom (12), the lower end of the telescopic rod (11) is provided with a direction adjustment ball (16), and the side of the telescopic rod (11) is equipped with a locking knob ( 17);
所述大臂(12)的头部连接有伸缩臂(13)，所述的伸缩臂(13)上安装有锁定旋钮(17)；所述的伸缩臂(13)一端和大臂(12)连接有、另一端连接有液压气缸(14)；所述液压气缸(14)的侧面安装有锁定旋钮(17)，所述液压气缸(14)的下端连接有方向调节杆(15)；所述方向调节杆(15)的下端设有调节球(18)，所述的调节球(18)安装在人体工学半球(3)上；The head of the boom (12) is connected with a telescopic arm (13), and a locking knob (17) is installed on the telescopic boom (13); one end of the telescopic boom (13) and the boom (12) A hydraulic cylinder (14) is connected to the other end; a locking knob (17) is installed on the side of the hydraulic cylinder (14), and a direction adjustment rod (15) is connected to the lower end of the hydraulic cylinder (14); The lower end of the direction adjustment rod (15) is provided with an adjustment ball (18), and the adjustment ball (18) is installed on the ergonomic hemisphere (3);
所述人体工学半球(3)的上端设有球型安装槽(31)，所述人体工学半球(3)的表面套有硅胶套(4)；The upper end of the ergonomic hemisphere (3) is provided with a spherical installation groove (31), and the surface of the ergonomic hemisphere (3) is covered with a silicone sleeve (4);
所述伸缩杆(11)下端的方向调节球(16)安装在固定装置(2)上；所述的固定装置(2)由连接装置(21)、板夹具(22)、杆夹具(23)、旋转轮(24)、板夹具压板(25)和杆夹具压板(26)组成；所述连接装置(21)的上端设有调节球安装槽(27)，所述连接装置(21)的下端固定连接有板夹具(22)，所述的板夹具(22)呈“匚”状，所述板夹具(22)的下端螺纹连接有旋转轮(24)，所述的旋转轮(24)上固定连接有板夹具压板(25)；所述板夹具(22)的左端垂直连接有杆夹具(23)，所述的杆夹具(23)呈“匚”状；所述杆夹具(23)的左端螺纹连接有旋转轮(24)，所述的旋转轮(24)上固定连接有杆夹具压板(26)。The direction adjustment ball (16) of the lower end of the telescopic rod (11) is installed on the fixing device (2); , rotating wheel (24), plate clamp pressing plate (25) and rod clamp pressing plate (26); the upper end of the connecting device (21) is provided with an adjusting ball mounting groove (27), and the lower end of the connecting device (21) Fixedly connected with a plate clamp (22), the plate clamp (22) is "匚" shape, the lower end of the plate clamp (22) is threaded with a rotating wheel (24), on the described rotating wheel (24) Fixedly connected with plate clamp pressing plate (25); the left end of described plate clamp (22) is vertically connected with rod clamp (23), and described rod clamp (23) is " 匚 " shape; Described rod clamp (23) The left end is threadedly connected with a rotating wheel (24), and the described rotating wheel (24) is fixedly connected with a bar clamp pressing plate (26).
所述的硅胶套(4)为一次性用品。The silicone sleeve (4) is a disposable item.
所述的锁定旋钮(17)用于锁定伸缩杆(11)的高度、伸缩臂(13)的长度、方向调节杆(15)的高度。The locking knob (17) is used to lock the height of the telescopic rod (11), the length of the telescopic arm (13), and the height of the direction adjustment rod (15).
所述的人体工学半球(3)可以在调节球(18)旋转不同的角度，所述的机械手臂(1)可以在调节球安装槽(27)上旋转不同的角度。The ergonomic hemisphere (3) can rotate at different angles on the adjusting ball (18), and the mechanical arm (1) can rotate at different angles on the adjusting ball installation groove (27).
本发明优点在于：The present invention has the advantage that:
1、本发明的手动耻骨上膀胱辅助压迫装置，在经尿道膀胱肿瘤切除术中可以代替助手在耻骨联合上方膀胱前壁按压，使主刀手一人可以独自完成经尿道膀胱肿瘤切除术。1. The manual suprapubic bladder auxiliary compression device of the present invention can replace an assistant to press the anterior wall of the bladder above the pubic symphysis in transurethral bladder tumor resection, so that the surgeon can complete the transurethral bladder tumor resection alone.
2、本发明的手动耻骨上膀胱辅助压迫装置，主刀手一人可以独自完成经尿道膀胱肿瘤切除术，节约了人力，提高了工作效率。2. With the manual suprapubic bladder auxiliary compression device of the present invention, one surgeon can complete transurethral bladder tumor resection alone, which saves manpower and improves work efficiency.
附图说明Description of drawings
附图1是一种手动耻骨上膀胱辅助压迫装置的结构示意图。Accompanying drawing 1 is a structural schematic diagram of a manual suprapubic bladder auxiliary compression device.
附图2是一种手动耻骨上膀胱辅助压迫装置的机械手臂结构示意图。Accompanying drawing 2 is a structural schematic diagram of a mechanical arm of a manual suprapubic bladder auxiliary compression device.
附图3是一种手动耻骨上膀胱辅助压迫装置的人体工学半球、硅胶套结构示意图。Accompanying drawing 3 is a schematic diagram of the ergonomic hemisphere and silicone sleeve structure of a manual suprapubic bladder auxiliary compression device.
附图4是一种手动耻骨上膀胱辅助压迫装置的机械手臂、人体工学半球的结合示意图。Accompanying drawing 4 is a schematic diagram of the combination of a mechanical arm and an ergonomic hemisphere of a manual suprapubic bladder auxiliary compression device.
附图5是一种手动耻骨上膀胱辅助压迫装置的固定装置结构示意图一。Accompanying drawing 5 is a structural schematic diagram 1 of a fixation device of a manual suprapubic bladder auxiliary compression device.
附图6是一种手动耻骨上膀胱辅助压迫装置的固定装置结构示意图二。Accompanying drawing 6 is a structural schematic diagram II of a fixation device of a manual suprapubic bladder auxiliary compression device.
附图7是一种手动耻骨上膀胱辅助压迫装置的使用示意图。Accompanying drawing 7 is a schematic view of the use of a manual suprapubic bladder auxiliary compression device.
具体实施方式Detailed ways
下面结合实施例并参照附图对本发明作进一步描述。The present invention will be further described below in conjunction with the embodiments and with reference to the accompanying drawings.
附图中涉及的附图标记和组成部分如下所示：The reference signs and components involved in the accompanying drawings are as follows:
1、机械手臂1. Mechanical arm
11伸缩杆11 telescopic pole
12、大臂12. Boom
13、伸缩臂13. Telescopic arm
14、液压气缸14. Hydraulic cylinder
15、方向调节杆15. Direction adjustment lever
16、方向调节球16. Direction adjustment ball
17、锁定旋钮17. Locking knob
18、调节球18. Regulating ball
2、固定装置2. Fixing device
21、连接装置21. Connection device
22、板夹具22. Board fixture
23、杆夹具23. Rod fixture
24、旋转轮24. Rotary wheel
25、板夹具压板25. Plate fixture pressing plate
26、杆夹具压板26. Rod fixture pressure plate
27、调节球安装槽27. Adjusting ball installation groove
3、人体工学半球3. Ergonomic hemisphere
31、球型安装槽31. Spherical mounting groove
4、硅胶套4. Silicone sleeve
5、手术床5. Operating bed
实施例1Example 1
请参照附图1，附图1是本实施例的一种手动耻骨上膀胱辅助压迫装置的结构示意图。所述的手动耻骨上膀胱辅助压迫装置包括机械手臂(1)、固定装置(2)、人体工学半球(3)、硅胶套(4)；Please refer to accompanying drawing 1, which is a schematic structural diagram of a manual suprapubic bladder auxiliary compression device of this embodiment. The manual suprapubic bladder auxiliary compression device includes a mechanical arm (1), a fixing device (2), an ergonomic hemisphere (3), and a silicone sleeve (4);
请参照附图2-4，附图2是本实施例的一种手动耻骨上膀胱辅助压迫装置的机械手臂结构示意图，附图3是本实施例的一种手动耻骨上膀胱辅助压迫装置的人体工学半球、硅胶套结构示意图，附图4是本实施例的一种手动耻骨上膀胱辅助压迫装置的机械手臂、人体工学半球的结合示意图。所述的机械手臂(1)由伸缩杆(11)、大臂(12)、伸缩臂(13)、液压气缸(14)、方向调节杆(15)组成；所述伸缩杆(11)的上端固定连接有大臂(12)，所述伸缩杆(11)的下端设有方向调节球(16)，所述伸缩杆(11)的侧面安装有锁定旋钮(17)；所述大臂(12)的头部连接有伸缩臂(13)，所述的伸缩臂(13)上安装有锁定旋钮(17)；所述的伸缩臂(13)一端和大臂(12)连接有、另一端连接有液压气缸(14)；所述液压气缸(14)的侧面安装有锁定旋钮(17)，所述液压气缸(14)的下端连接有方向调节杆(15)；所述方向调节杆(15)的下端设有调节球(18)，所述的调节球(18)安装在人体工学半球(3)上；所述人体工学半球(3)的上端设有球型安装槽(31)，所述人体工学半球(3)的表面套有硅胶套(4)；Please refer to accompanying drawings 2-4, accompanying drawing 2 is a structural schematic diagram of a mechanical arm of a manual suprapubic bladder auxiliary compression device of this embodiment, and accompanying drawing 3 is a human body of a manual suprapubic bladder auxiliary compression device of this embodiment Schematic diagram of the structure of the engineering hemisphere and the silicone sleeve. Figure 4 is a schematic diagram of the combination of the mechanical arm and the ergonomic hemisphere of a manual suprapubic bladder auxiliary compression device of this embodiment. Described mechanical arm (1) is made up of telescopic rod (11), big arm (12), telescopic arm (13), hydraulic cylinder (14), direction adjusting rod (15); The upper end of described telescopic rod (11) Fixedly connected with a boom (12), the lower end of the telescopic rod (11) is provided with a direction adjustment ball (16), and a locking knob (17) is installed on the side of the telescopic rod (11); the boom (12) ) is connected with a telescopic arm (13), and a locking knob (17) is installed on the telescopic arm (13); one end of the telescopic arm (13) is connected with the boom (12), and the other end is connected with There is a hydraulic cylinder (14); a locking knob (17) is installed on the side of the hydraulic cylinder (14), and a direction adjustment rod (15) is connected to the lower end of the hydraulic cylinder (14); the direction adjustment rod (15) The lower end is provided with an adjustment ball (18), and the adjustment ball (18) is installed on the ergonomic hemisphere (3); the upper end of the ergonomic hemisphere (3) is provided with a spherical mounting groove (31), and the The surface of the ergonomic hemisphere (3) is covered with a silicone sleeve (4);
请参照附图5、附图6，附图5是本实施例的一种手动耻骨上膀胱辅助压迫装置的固定装置结构示意图一，附图6是本实施例的一种手动耻骨上膀胱辅助压迫装置的固定装置结构示意图二。所述伸缩杆(11)下端的方向调节球(16)安装在固定装置(2)上；所述的固定装置(2)由连接装置(21)、板夹具(22)、杆夹具(23)、旋转轮(24)、板夹具压板(25)和杆夹具压板(26)组成；所述连接装置(21)的上端设有调节球安装槽(27)，所述连接装置(21)的下端固定连接有板夹具(22)，所述的板夹具(22)呈“匚”状，所述板夹具(22)的下端螺纹连接有旋转轮(24)，所述的旋转轮(24)上固定连接有板夹具压板(25)；所述板夹具(22)的左端垂直连接有杆夹具(23)，所述的杆夹具(23)呈“匚”状；所述杆夹具(23)的左端螺纹连接有旋转轮(24)，所述的旋转轮(24)上固定连接有杆夹具压板(26)。Please refer to accompanying drawings 5 and 6, accompanying drawing 5 is a structural schematic diagram of a fixing device of a manual suprapubic bladder auxiliary compression device of this embodiment, and accompanying drawing 6 is a manual suprapubic bladder auxiliary compression device of this embodiment Schematic diagram of the fixture structure of the device II. The direction adjustment ball (16) of the lower end of the telescopic rod (11) is installed on the fixing device (2); , rotating wheel (24), plate clamp pressing plate (25) and rod clamp pressing plate (26); the upper end of the connecting device (21) is provided with an adjusting ball mounting groove (27), and the lower end of the connecting device (21) Fixedly connected with a plate clamp (22), the plate clamp (22) is "匚" shape, the lower end of the plate clamp (22) is threaded with a rotating wheel (24), on the described rotating wheel (24) Fixedly connected with plate clamp pressing plate (25); the left end of described plate clamp (22) is vertically connected with rod clamp (23), and described rod clamp (23) is " 匚 " shape; Described rod clamp (23) The left end is threadedly connected with a rotating wheel (24), and the described rotating wheel (24) is fixedly connected with a bar clamp pressing plate (26).
所述的硅胶套(4)为一次性用品。The silicone sleeve (4) is a disposable item.
所述的锁定旋钮(17)用于锁定伸缩杆(11)的高度、伸缩臂(13)的长度、方向调节杆(15)的高度。The locking knob (17) is used to lock the height of the telescopic rod (11), the length of the telescopic arm (13), and the height of the direction adjustment rod (15).
所述的人体工学半球(3)可以在调节球(18)旋转不同的角度，所述的机械手臂(1)可以在调节球安装槽(27)上旋转不同的角度。The ergonomic hemisphere (3) can rotate at different angles on the adjusting ball (18), and the mechanical arm (1) can rotate at different angles on the adjusting ball installation groove (27).
实施例2Example 2
请参照附图7，附图7是本实施例的一种手动耻骨上膀胱辅助压迫装置的使用示意图。Please refer to accompanying drawing 7, which is a schematic diagram of the use of a manual suprapubic bladder auxiliary compression device of this embodiment.
所述手动耻骨上膀胱辅助压迫装置的使用过程及方法：The use process and method of the manual suprapubic bladder auxiliary compression device:
目前临床上经尿道膀胱肿瘤切除术，因为膀胱镜进去切肿瘤的时候，病人是仰着的截石位，所以膀胱前壁的肿瘤在上方，需要主刀徒手按压病人耻骨联合上方的皮肤，使肿瘤暴露于视野中，但是主刀手很容易酸，且单手操作膀胱镜电切十分困难；所以这时候需要另一个助手在侧面进行按压；本发明趾骨上经尿道膀胱电切辅助压迫系统就是代替助手在侧面进行按压。At present, transurethral resection of bladder tumors is clinically performed. When the cystoscope is used to cut the tumor, the patient is in the upward lithotomy position, so the tumor on the anterior wall of the bladder is at the top. Exposure to the field of vision, but the surgeon's hand is easily sore, and it is very difficult to operate cystoscopic resection with one hand; so another assistant is needed to press on the side at this time; the auxiliary compression system for transurethral resection on the phalanx of the present invention is to replace the assistant Press on the sides.
首先将机械手臂(1)通过固定装置(2)固定于手术床(5)上，由于固定装置(2)上板夹具(22)和杆夹具(23)的设计，使固定装置(2)可以固定于板状物体和杆状物体上，方便实用；First, the mechanical arm (1) is fixed on the operating bed (5) through the fixing device (2). Due to the design of the upper plate clamp (22) and the rod clamp (23) of the fixing device (2), the fixing device (2) can Fixed on plate-shaped objects and rod-shaped objects, convenient and practical;
接着将一次性的硅胶套(4)套在人体工学半球(3)的表面；Then put the disposable silicone sleeve (4) on the surface of the ergonomic hemisphere (3);
根据手术需要，调节伸缩杆(11)的高度、伸缩臂(13)的长度、方向调节杆(15)的高度，然后旋转锁定旋钮(17)对高度和长度进行锁定；接着手动旋动伸缩杆(11)，所述伸缩杆(11)可以在调节球安装槽(27)上旋转不同的方向；同时人体工学半球(3)可以在调节球(18)旋转不同的角度；所以可以根据需要按压病人耻骨联合上方的皮肤，使肿瘤暴露于视野中；接着主刀医师独自便可以进行经尿道膀胱肿瘤切除术。According to the needs of the operation, adjust the height of the telescopic rod (11), the length of the telescopic arm (13), and the height of the direction adjustment rod (15), then rotate the locking knob (17) to lock the height and length; then manually rotate the telescopic rod (11), the telescopic rod (11) can rotate in different directions on the adjustment ball mounting groove (27); at the same time, the ergonomic hemisphere (3) can rotate in different angles on the adjustment ball (18); so it can be pressed as needed The skin above the patient's pubic symphysis exposes the tumor to the field of view; the surgeon alone can then perform a transurethral resection of the bladder tumor.
以上所述仅是本发明的优选实施方式，应当指出，对于本技术领域的普通技术人员，在不脱离本发明原理的前提下，还可以做出若干改进和补充，这些改进和补充也应视为本发明的保护范围。The above is only a preferred embodiment of the present invention, it should be pointed out that for those of ordinary skill in the art, without departing from the principle of the present invention, some improvements and supplements can also be made, and these improvements and supplements should also be considered Be the protection scope of the present invention.
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910899227.7ACN110464590A (en) | 2019-09-23 | 2019-09-23 | Bladder assists compressorium on manual pubis |
| PCT/CN2020/115177WO2021057532A1 (en) | 2019-09-23 | 2020-09-15 | Manual suprapubic bladder auxiliary compression device |
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910899227.7ACN110464590A (en) | 2019-09-23 | 2019-09-23 | Bladder assists compressorium on manual pubis |
| Publication Number | Publication Date |
|---|---|
| CN110464590Atrue CN110464590A (en) | 2019-11-19 |
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201910899227.7APendingCN110464590A (en) | 2019-09-23 | 2019-09-23 | Bladder assists compressorium on manual pubis |
| Country | Link |
|---|---|
| CN (1) | CN110464590A (en) |
| WO (1) | WO2021057532A1 (en) |
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| WO2021057532A1 (en)* | 2019-09-23 | 2021-04-01 | 上海市第一人民医院 | Manual suprapubic bladder auxiliary compression device |
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| Date | Code | Title | Description |
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| PB01 | Publication | ||
| PB01 | Publication | ||
| SE01 | Entry into force of request for substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| RJ01 | Rejection of invention patent application after publication | Application publication date:20191119 | |
| RJ01 | Rejection of invention patent application after publication |