CN113100695A - Adaptive Fiberoptic Bronchoscope and Tracheal Manipulator - Google Patents

Abstract

The invention relates to a self-adaptive bronchofiberscope and trachea operating device, which comprises a bronchofiberscope operating part, a front end feeding device and a tail end feeding device, wherein the front end feeding device comprises a rack, an upper screw rod and a lower screw rod which are longitudinally arranged on the rack, a polished rod is longitudinally arranged beside the upper screw rod, the front end of the upper screw rod is provided with a gear A, the rack is provided with a motor A and a motor B, an output shaft of the motor A is provided with a gear which is in meshing transmission with the gear A, an output shaft of the motor B is in connection transmission with the front end of the lower screw rod, the upper screw rod and the lower screw rod are respectively provided with an upper nut seat and a lower nut seat which are in threaded fit with the upper screw rod and the lower screw rod, a scope bracket is fixedly arranged on the upper nut seat, the back part of the rack is provided with a trachea clamp which is in sliding fit with the rack, the trachea clamp is, the trachea can be automatically, quickly, accurately and stably inserted into the preset position, and the safety of the operation is ensured.

Description

Self-adaptive bronchofiberscope and trachea operating device

Technical Field

The invention relates to the field of trachea cannula operation, in particular to a self-adaptive bronchofiberscope and trachea operating device.

Background

Endotracheal intubation refers to the insertion of a specially made tracheal tube into the trachea of a patient through the oral or nasal cavity. Is a technique for narcotizing in trachea and rescuing patients, and is the most reliable means for keeping the upper respiratory tract unobstructed.

Endotracheal or bronchial tubes are a safety measure for performing anesthesia. The respiratory tract cleaning device has the advantages of keeping the respiratory tract smooth, being convenient to clear the endocrine of the trachea and the bronchus, being convenient to implement auxiliary respiration and artificial respiration, being capable of enabling an anaesthetist to be far away from an operation area, reducing the respiratory failure of a patient respiratory tract invalid cavity, being convenient for oxygen inhalation and auxiliary respiration, and the like.

At present, no special intubation equipment exists, and a doctor is required to manually complete trachea insertion under the assistance of a bronchofiberscope. The physician needs to control the rotation of the distal end of the catheter by holding the proximal end of the bronchofiberscope with the display screen in one hand while advancing or rotating the catheter forward with the other hand to bring the catheter to the desired position, and inserting the trachea along the catheter. During the operation, the doctor needs to operate smoothly in the whole process, the completion time is short, and secondary damage to the patient is avoided. Therefore, doctors need to quickly identify each characteristic part of the human body, accurately, stably and quickly feed the catheter, and the whole operation is difficult.

Disclosure of Invention

The invention aims to overcome the defects and provides a self-adaptive bronchofiberscope and trachea operating device.

The invention solves the technical problem by adopting the scheme that the self-adaptive bronchofiberscope and trachea operating device comprises a bronchofiberscope operating part, a front end feeding device and a tail end feeding device;

the bronchofiberscope operation part comprises a bronchofiberscope support and a bronchofiberscope body, the bronchofiberscope body comprises a display, a bronchofiberscope body and an optical fiber, the display, the bronchofiberscope body and the optical fiber are sequentially connected from front to back, the bronchofiberscope body is sleeved on the bronchofiberscope support and is in rotating fit with the bronchofiberscope support, a bending impeller is arranged beside the front end of the bronchofiberscope body, a bending steering engine is arranged on the bronchofiberscope support, an output shaft of the bending steering engine is provided with a swing rod, and;

the front end feeding device comprises a rack, an upper screw rod and a lower screw rod which are longitudinally arranged on the rack, a polished rod is longitudinally arranged beside the upper screw rod, a gear A is arranged at the front end of the upper screw rod, a motor A and a motor B are arranged on the rack, a gear which is in meshing transmission with the gear A is arranged on an output shaft of the motor A, an output shaft of the motor B is in transmission connection with the front end of the lower screw rod, an upper nut seat and a lower nut seat which are in threaded fit with the upper screw rod and the lower screw rod are respectively arranged on the upper screw rod and the lower screw rod, a mirror support is fixedly arranged on the upper nut seat, an air pipe clamp which is in sliding fit with the mirror support is arranged;

the tail end feeding device comprises a base arranged at the rear end of the rack and a pipe clamping steering engine arranged on the base, a flange is arranged on an output shaft of the pipe clamping steering engine, a guide rail is transversely arranged above the flange, two wheel frames in sliding fit with the guide rail are symmetrically arranged on the guide rail left and right, the wheel frames are hinged with the flange, an interval for clamping a guide and feed air pipe is formed between the two wheel frames, two vertical rollers are arranged on the wheel frames at intervals front and back, a motor C is arranged on one of the wheel frames, and the motor C is connected with a wheel shaft of one vertical roller on the wheel frame for;

the front end of the air pipe is clamped and fixed by the air pipe clamp, the front end of the air pipe penetrates through the interval, and the optical fiber penetrates through the air pipe.

Furthermore, two turntables are installed at the front and the rear of the rack at intervals, two ends of the upper screw rod and the polish rod are respectively connected and fixed with the turntables on two sides, the gear A and the motor A are both installed on the front-end turntable, the turntables are installed on the rack through bearing seats, the motor D is installed at the front end of the rack, and an output shaft of the motor D is connected with the front-end turntable.

Furthermore, a slide rail is longitudinally arranged on the rack, and the air pipe clamp is in sliding fit with the slide rail.

Further, the display is hinged with the mirror body.

Furthermore, a fixing plate is arranged in the middle of the lower end of the rack.

Further, a handle is mounted on the frame.

Compared with the prior art, the invention has the following beneficial effects: simple structure, reasonable in design can simulate the doctor and carry out trachea cannula operation, realizes automatic, quick, accurate, insert predetermined position with the trachea steadily, has guaranteed the security of operation.

Drawings

The invention is further described with reference to the following figures.

Fig. 1 is a schematic structural view of the present apparatus.

Fig. 2 is a schematic structural view of the bronchofiberscope operating unit.

Fig. 3 is a schematic structural view of the front end feeding device.

Fig. 4 is a schematic view of the structure of the tip feeding device.

In the figure: 1-bronchofiberscope operating part; 100-a display; 101-bending wave wheel; 102-a mirror body; 103-an optical fiber; 104-a mirror support; 105-bending steering engine; 106-oscillating bar; 2-front end feeding device; 200-a frame; 201-fixing plate; 202-a tracheal clamp; 203-upper screw rod; 204-lower screw rod; 205-a polish rod; 206-a slide rail; 207-motor a; 208-motor B; 209-upper nut seat; 210-lower nut seat; 211-a turntable; 212-Motor D; 3-a terminal feeding device; 300-a base; 301-pipe clamping steering engine; 302-a flange; 303-wheel carrier; 304-a guide rail; 305-vertical rollers; 306-motor D; 4-trachea.

Detailed Description

The invention is further described with reference to the following figures and detailed description.

As shown in fig. 1-4, an adaptive bronchofiberscope and trachea operation device comprises abronchofiberscope operation part 1, a front end feeding device 2 and a tailend feeding device 3;

the bronchofiberscope operation part comprises abronchofiberscope support 104 and a bronchofiberscope body, the bronchofiberscope body comprises adisplay 100, abronchofiberscope body 102 and anoptical fiber 103 which are sequentially connected from front to back, the bronchofiberscope body is sleeved on the bronchofiberscope support and is in rotating fit with the bronchofiberscope support, abending impeller 101 is arranged beside the front end of the bronchofiberscope body, abending steering engine 105 is arranged on the bronchofiberscope support, an output shaft of the bending steering engine is provided with aswing rod 106, the bending impeller is arranged at the tail end of the swing rod, and the bending impeller rotates the impeller by driving the swing rod, so that;

the front end feeding device comprises arack 200, anupper screw rod 203 and alower screw rod 204 which are longitudinally arranged on the rack, apolish rod 205 is longitudinally arranged beside the upper screw rod, the front end of the upper screw rod is provided with a gear A, the rack is provided with a motor A207 and a motor B208, the output shaft of the motor A is provided with a gear which is in meshing transmission with the gear A, the output shaft of the motor B is in transmission connection with the front end of the lower screw rod, the upper screw rod and the lower screw rod are respectively provided with anupper nut seat 209 and alower nut seat 210 which are in threaded fit with the upper screw rod and the lower screw rod, a mirror bracket is fixedly arranged on the upper nut seat, the rear part of the rack is provided with anair pipe clamp 202 which is in; the front end feeding device divides the feeding action into two parts, the first step is the feeding of the bronchofiberscope, the motor A drives the upper screw rod to rotate through gear transmission, and then the upper nut seat drives the bronchofiberscope operating part to feed; secondly, when the bronchofiberscope is fed to a preset position, the motor B drives the lower screw rod to clamp the trachea and insert the trachea into the human body along the bronchofiberscope through the lower nut seat and the trachea on the lower nut seat;

the tail end feeding device comprises abase 300 arranged at the rear end of the rack and a pipeclamping steering engine 301 arranged on the base, aflange 302 is arranged on an output shaft of the pipe clamping steering engine, aguide rail 304 is transversely arranged above the flange, twowheel frames 303 in sliding fit with the guide rail are symmetrically arranged on the guide rail left and right, the wheel frames are hinged with the flange, an interval for clamping a guide and delivery air pipe is formed between the two wheel frames, twovertical rollers 305 are arranged on the wheel frames at intervals front and back, a motor C306 is arranged on one of the wheel frames and is connected with a wheel shaft of one vertical roller on the wheel frame for transmission, 4 rollers are provided, 1 is a driving wheel, 3 are driven wheels, the air pipe is driven by friction force to move through a pipe clamping steering engine control flange to rotate, the wheel frames are driven to slide along the guide rail, the rollers on the two wheel frames are close to and away from each other, the clamping and the loosening of, thereby adapting to air pipes with different sizes and providing proper pretightening force, and ensuring the reliability and stability of driving;

the front end of theair pipe 4 is clamped and fixed by an air pipe clamp, the front end of the air pipe passes through the interval, and the optical fiber penetrates through the air pipe;

twoturntables 211 are installed at the front and the back of the rack at intervals, two ends of the upper screw rod and the polish rod are respectively connected and fixed with the turntables at two sides, the gear A and the motor A are both installed on the front turntable, the turntables are installed on the rack through bearing seats, the motor D212 is installed at the front end of the rack, an output shaft of the motor D is connected with the front turntable, and the motor D drives the turntables to swing left and right, so that the bronchofiberscope swings left and right;

by simulating the operation action of the trachea cannula of a doctor, holding the bronchofiberscope body with one hand, operating the impeller by fingers to control the tail end of the bronchofiberscope to bend, and realizing the swing of the bronchofiberscope through the wrist, wherein the operation is simulated by the bronchofiberscope operating part and the front end feeding device, and the tail end of the bronchofiberscope is twisted and supported by the other hand to assist the bronchofiberscope in feeding and swinging; after the bronchofiberscope reaches the target position, inserting the trachea along the bronchofiberscope to complete the operation; the above operation is simulated by the end-feed device.

In this embodiment, the frame is provided with aslide rail 206 along the longitudinal direction, and the tracheal clamp is slidably engaged with the slide rail.

In this embodiment, the display is hinged to the mirror.

In this embodiment, afixing plate 201 is installed in the middle of the lower end of the frame.

In this embodiment, the frame is provided with a handle.

If this patent discloses or refers to parts or structures that are fixedly connected to each other, the fixedly connected may be understood as: a detachable fixed connection (for example using bolts or screws) is also understood as: non-detachable fixed connections (e.g. riveting, welding), but of course, fixed connections to each other may also be replaced by one-piece structures (e.g. manufactured integrally using a casting process) (unless it is obviously impossible to use an integral forming process).

In the description of this patent, it is to be understood that the terms "longitudinal," "lateral," "upper," "lower," "front," "rear," "left," "right," "vertical," "horizontal," "top," "bottom," "inner," "outer," and the like are used in the orientations and positional relationships indicated in the drawings for convenience in describing the patent, and are not intended to indicate or imply that the referenced devices or elements must have a particular orientation, be constructed and operated in a particular orientation, and are not to be considered limiting of the patent.

The above-mentioned preferred embodiments, further illustrating the objects, technical solutions and advantages of the present invention, should be understood that the above-mentioned are only preferred embodiments of the present invention and should not be construed as limiting the present invention, and any modifications, equivalents, improvements and the like made within the spirit and principle of the present invention should be included in the protection scope of the present invention.

Claims (6)

Translated fromChinese

1.一种自适应的纤支镜和气管的操作装置，其特征在于：包括纤支镜操作部、前端进给装置、末端进给装置；1. a self-adaptive operating device of fiberoptic bronchoscope and trachea, is characterized in that: comprise fiberoptic bronchoscope operating part, front end feeding device, end feeding device;所述纤支镜操作部包括镜支架、纤支镜本体，纤支镜本体包括由前至后依次连接的显示器、镜体、光纤，镜体套装在镜支架上并与之转动配合，镜体前端旁侧设置有弯曲波轮，镜支架上安装有弯曲舵机，弯曲舵机的输出轴上安装有摆杆，弯曲波轮安装在摆杆末端；The fiberoptic endoscope operation part includes a mirror support and a fiberoptic endoscope body. The fiberoptic endoscope body includes a display, a mirror body, and an optical fiber sequentially connected from front to back. The mirror body is sleeved on the mirror support and rotates with it. A bending pulsator is arranged on the side of the front end, a bending steering gear is installed on the mirror bracket, a pendulum rod is installed on the output shaft of the bending steering gear, and the bending pulsator is installed at the end of the pendulum rod;所述前端进给装置包括机架、纵置安装在机架上的上丝杆、下丝杆，上丝杆旁侧纵置的安装有光杆，上丝杆前端安装有齿轮A，机架上安装有电机A、电机B，电机A的输出轴上安装有与齿轮A啮合传动的齿轮，电机B的输出轴与下丝杆前端连接传动，上丝杆、下丝杆上分别安装有与之螺纹配合的上螺母座、下螺母座，镜支架固定安装在上螺母座上，机架后部设置有与之滑动配合的气管夹具，气管夹具固定安装在下螺母座上；The front-end feeding device includes a frame, an upper screw rod and a lower screw rod longitudinally installed on the frame, a polished rod is longitudinally installed on the side of the upper screw rod, and a gear A is installed at the front end of the upper screw rod. Motor A and motor B are installed, the output shaft of motor A is installed with a gear that meshes with gear A, the output shaft of motor B is connected to the front end of the lower screw rod for transmission, and the upper screw rod and the lower screw rod are respectively installed with The upper nut seat and the lower nut seat which are threadedly matched, the mirror bracket is fixedly installed on the upper nut seat, the rear part of the frame is provided with a trachea clamp which is slidably matched with it, and the trachea clamp is fixedly installed on the lower nut seat;所述末端进给装置包括安装在机架后端的基座、安装在基座上的夹管舵机，夹管舵机的输出轴上安装有法兰，法兰上方横置有导轨，导轨上左右对称安装有两个与之滑动配合的轮架，轮架与法兰铰接，两个轮架之间形成夹持导送气管的区间，轮架上前后间隔安装两个竖滚轮，其中一个轮架上安装有电机C，电机C与该轮架上的一个竖滚轮的轮轴连接传动；The end feeding device includes a base installed at the rear end of the frame, and a pinch steering gear mounted on the base. A flange is installed on the output shaft of the pinch steering gear, and a guide rail is horizontally placed above the flange. Two wheel frames are installed symmetrically on the left and right, and the wheel frames are hinged with the flange. A section for clamping the air-conducting pipe is formed between the two wheel frames. Two vertical rollers are installed at the front and rear of the wheel frame. A motor C is installed on the frame, and the motor C is connected with the axle of a vertical roller on the wheel frame for transmission;气管前端被气管夹具夹持固定，气管前端穿过区间，光纤穿设气管。The front end of the trachea is clamped and fixed by the trachea clamp, the front end of the trachea passes through the interval, and the optical fiber passes through the trachea.2.根据权利要求1所述的自适应的纤支镜和气管的操作装置，其特征在于：所述机架前后间隔安装两个转盘，上丝杆、光杆的两端分别与两侧的转盘连接固定，齿轮A、电机A均安装在前端的转盘上，转盘经轴承座安装在机架上，机架前端安装有电机D，电机D的输出轴与前端的转盘相连接。2. The self-adapting fiberbronchoscope and trachea operating device according to claim 1, characterized in that: two turntables are installed at intervals in the front and rear of the frame, and the two ends of the upper screw rod and the polished rod are respectively connected with the turntables on both sides. The connection is fixed, gear A and motor A are installed on the front turntable, the turntable is installed on the frame through the bearing seat, the front end of the frame is installed with motor D, and the output shaft of motor D is connected with the front turntable.3.根据权利要求1所述的自适应的纤支镜和气管的操作装置，其特征在于：所述机架上沿纵向安装有滑轨，气管夹具与滑轨滑动配合。3 . The self-adaptive fiberoptic bronchoscope and trachea operating device according to claim 1 , wherein a slide rail is longitudinally installed on the frame, and the trachea clamp is slidably matched with the slide rail. 4 .4.根据权利要求1所述的自适应的纤支镜和气管的操作装置，其特征在于： 所述显示器与镜体铰接。4 . The adaptive fiberbronchoscope and trachea operating device according to claim 1 , wherein: the display is hinged to the scope body. 5 .5.根据权利要求1所述的自适应的纤支镜和气管的操作装置，其特征在于： 所述机架下端中部安装有固定板。5 . The self-adaptive fiberoptic bronchoscope and trachea operating device according to claim 1 , wherein: a fixing plate is installed in the middle of the lower end of the frame. 6 .6.根据权利要求1所述的自适应的纤支镜和气管的操作装置，其特征在于：，所述机架上安装有把手。6 . The self-adaptive fiberoptic bronchoscope and trachea operating device according to claim 1 , wherein a handle is installed on the frame. 7 .

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