Colorectal fixing and pulling-out auxiliary device for gastrointestinal surgeryTechnical Field
The invention relates to the technical field of gastrointestinal surgery, in particular to a colorectal fixing and pulling-out auxiliary device for gastrointestinal surgery.
Background
When carrying out the colorectal operation, in order to increase the convenience to the colorectal operation that needs the excision, can use the pipe to draw out the colorectal usually and fix, and in order to guarantee to draw out the stability of back pipe, need use the auxiliary fixture to the pipe usually, for example the fixed auxiliary device that draws out of rectum for gastrointestinal surgery that publication number is CN210205567U, its technical scheme main points are … through the first guide sleeve that sets up from top to bottom with the second guide sleeve, can carry out upper and lower stable the fixing to the fixed pipeline of intestines and stomach, thereby length overlength causes to rock about having avoided the pipeline, and then has increased the stability of intestines and stomach medical treatment. However, the rectum fixing and pulling-out auxiliary device for gastrointestinal surgery still has the following disadvantages in the actual use process:
1. the traditional auxiliary fixing device is only suitable for operating tables with rectangular structures, the existing operating tables have different forms, and part of the existing operating tables are provided with cylindrical railings, but the traditional auxiliary fixing device cannot adapt to operating tables with different models, so that the limitation in use is caused, and the stability is poor;
2. traditional auxiliary fixture is not stable enough to the spacing of pipe, because can drive colorectal and pipe among the operation process and rock, this just causes the pipe to remove on auxiliary fixture easily, and then influences the operation of operation, need adjust whole auxiliary fixture simultaneously and just can realize the spacing of the different angles of pipe, has increased the loaded down with trivial details nature of operation.
In order to solve the above problems, innovative design based on the original colorectal fixation pulling-out auxiliary device is urgently needed.
Disclosure of Invention
The invention aims to provide a colorectal fixing and pulling-out auxiliary device for gastrointestinal surgery, which aims to solve the problems that the traditional auxiliary fixing device cannot adapt to operating tables of different models, so that the limitation is caused during use, the limit of the traditional auxiliary fixing device on a catheter is not stable enough, and the limit of the catheter at different angles can be realized only by adjusting the whole auxiliary fixing device.
In order to achieve the purpose, the invention provides the following technical scheme: colorectal fixation pulls out auxiliary device for gastrointestinal surgery includes:
a fixed block is fixed on one side of the supporting plate, a movable block is movably mounted above the fixed block, and suckers are arranged on the inner sides of the fixed block and the movable block;
the bottom of the adjusting rod is movably connected with the outer side of the movable block, a valve plate for guiding air to circulate is rotatably sleeved on the outer side of the adjusting rod, a fixed box is fixed on a supporting plate on the outer side of the valve plate, and the side surface of the fixed box is connected with the fixed block and the movable block through a connecting hose for transmitting air;
the movable plate is movably arranged on the other side of the supporting plate, a fixing ring is arranged on one side of the movable plate, a tooth block is fixed on the outer side of the fixing ring, a gear meshed with the tooth block is arranged above the tooth block, and a protective box is fixed on the supporting plate on the outer side of the gear;
the movable shaft penetrates through the gear, a worm wheel is fixedly sleeved on the outer side of the movable shaft, a worm is movably arranged above the worm wheel, and an adjusting handle penetrates through the inner part of the worm;
the limiting ring is used for limiting the guide pipe and fixedly arranged on the other side of the movable plate, a supporting block is movably arranged on the side of the movable plate, and a fixing groove is formed in the supporting block.
Preferably, the longitudinal sliding structure is constituteed to movable block and backup pad, and the cross-section of movable block and fixed block is the arc structure to the sucking disc is equal angle setting in the inboard of fixed block and movable block, slides through the movable block and is close to the fixed block, can realize fixing the device on bed board or railing.
Preferably, the bottom of adjusting pole and fixed box is threaded connection, and the bottom and the movable block of adjusting the pole are connected for the bearing to fixed block and movable block are all interior empty setting, rotate the synchronous lift of adjusting the pole and can drive movable block and valve plate.
Preferably, one end of the connecting hose is communicated with the cavity in the fixed box above the valve plate, the other two ends of the connecting hose are respectively communicated with the fixed block and the movable block, the connecting hose is of an inverted Y-shaped structure, when the valve plate moves downwards, the connecting hose can drive the fixed box to generate suction, and the suction can enter the movable block and the fixed block through the connecting hose.
Preferably, the surface of the movable plate is respectively provided with a fixed cylinder, a support rod, a return spring, a connecting plate and a ball;
the fixed cylinder is fixedly arranged on the side surface of the movable plate, a supporting rod is arranged in the fixed cylinder in a telescopic mode, and a return spring is fixed at one end of the supporting rod;
the connecting plate, connect in the other end of bracing piece, the inboard equal angle embedding of connecting plate has the ball, and the cross-section of connecting plate be the arc structure, through the flexible of bracing piece in the solid fixed cylinder to and the setting of connecting plate and ball, can enough play the supporting role to the pipe, can play the smooth and easy removal of pipe again.
Preferably, the tooth piece is equidistance on solid fixed ring, and gu fixed ring's rotational speed is less than the rotational speed of gear, can drive solid fixed ring and the synchronous rotation of fly leaf through the tooth piece during gear revolve.
Preferably, rotating-structure is constituteed with the fly leaf to the supporting shoe, and the supporting shoe is about the transversal axis symmetric distribution of fly leaf to the corner of the inside fixed slot of supporting shoe is the cambered surface setting, and the supporting shoe can support the pipe that needs turn round, prevents that the pipe after turning round is stable not enough and rocks at will.
Preferably, the inside activity of spacing ring is provided with the haulage rope, and the inboard of haulage rope is pasted and is had the non slipping spur that increases the resistance to the end department and the movable rod interconnect of non slipping spur can play the spacing to the pipe through the haulage rope, avoids the removal of operation in-process pipe.
Preferably, it is right the pull rope carries out the movable rod activity of rolling and runs through in the inside of fly leaf, and movable rod and fly leaf be threaded connection, can realize rolling and the extension to the pull rope through the rotation to the movable rod.
Compared with the prior art, the invention has the beneficial effects that: the colorectal fixing and pulling auxiliary device for gastrointestinal surgery is suitable for operating tables of different models, can ensure the stability of the device, can avoid the phenomenon that a catheter moves randomly after being limited, and can adjust the limiting angle of the catheter according to requirements;
1. the adjusting rod can be rotated to drive the movable block to approach the fixed block, so that the device is clamped on an operating table or a railing, the valve plate can be driven to move in the fixed box while the adjusting rod descends, and the cavity above the valve plate is driven to be in a negative pressure state, so that air in the movable block and the fixed block can be pumped out through the connecting hose, and the purpose that the sucker is tightly adsorbed on the railing is achieved;
2. the fixed ring and the movable plate can be driven to slowly rotate through the transmission of the worm, the worm wheel, the gear and the tooth block, the limiting of the guide pipe at different angles is realized, the stability of the movable plate after rotation can be ensured through the self-locking property of the worm and the worm wheel, the guide pipe after bending can be limited through the arrangement of the supporting block, the phenomenon that the bending position changes and moves is prevented, and the supporting block can rotate to be not in contact with the guide pipe when not used;
3. when the pipe by spacing back, can play the support to it through the connecting plate, and can promote the smooth and easy nature that the pipe removed through setting up of ball, the rethread rotates the movable rod and can carries out the rolling to the haulage rope, so that play spacing to the pipe, can not lead to the fact the damage to it again, and can promote the stability after spacing through setting up of non slipping spur, because be threaded connection between movable rod and the fly leaf, consequently the haulage rope can not turn around after rotating, and the slight lift of movable rod can not influence the rolling to the haulage rope.
Drawings
FIG. 1 is a schematic side view of the present invention;
FIG. 2 is a schematic cross-sectional view taken along line A-A of FIG. 1 according to the present invention;
FIG. 3 is a schematic side sectional view of the protective case of the present invention;
FIG. 4 is a schematic front view of the present invention;
FIG. 5 is a schematic view of a movable plate of the present invention in a top-down view;
FIG. 6 is a schematic cross-sectional view taken at a in FIG. 1 according to the present invention;
FIG. 7 is a schematic side sectional view of the fixing cylinder of the present invention
FIG. 8 is a schematic top view of the support block of the present invention.
In the figure: 1. a support plate; 2. a fixed block; 3. a movable block; 4. a suction cup; 5. adjusting a rod; 6. a valve plate; 7. a fixing box; 8. a connecting hose; 9. a movable plate; 91. a fixed cylinder; 92. a support bar; 93. a return spring; 94. a connecting plate; 95. a ball bearing; 10. a fixing ring; 11. a tooth block; 12. a gear; 13. a protective case; 14. a movable shaft; 15. a worm gear; 16. a worm; 17. adjusting the handle; 18. a limiting ring; 19. a support block; 20. fixing grooves; 21. a hauling rope; 211. anti-skid blocks; 212. a movable rod.
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.
Referring to fig. 1-8, the present invention provides a technical solution: the colorectal fixing and pulling auxiliary device for gastrointestinal surgery comprises a supportingplate 1, afixed block 2, amovable block 3, asucker 4, an adjustingrod 5, avalve plate 6, a fixedbox 7, a connectinghose 8, amovable plate 9, a fixedcylinder 91, a supportingrod 92, areturn spring 93, a connectingplate 94, aball 95, a fixedring 10, atooth block 11, agear 12, aprotective box 13, amovable shaft 14, aworm wheel 15, aworm 16, an adjustinghandle 17, a limitingring 18, a supportingblock 19, a fixedgroove 20, atraction rope 21, ananti-skidding block 211 and amovable rod 212,
afixed block 2 is fixed on one side of the supportingplate 1, amovable block 3 is movably mounted above the fixedblock 2, andsuckers 4 are arranged on the inner sides of the fixedblock 2 and themovable block 3;
the bottom of the adjustingrod 5 is movably connected with the outer side of themovable block 3, avalve plate 6 for guiding air to circulate is rotatably sleeved on the outer side of the adjustingrod 5, a fixedbox 7 is fixed on the supportingplate 1 on the outer side of thevalve plate 6, and the side surface of the fixedbox 7 is connected with the fixedblock 2 and themovable block 3 through a connectinghose 8 for transmitting air;
themovable plate 9 is movably arranged on the other side of the supportingplate 1, one side of themovable plate 9 is provided with a fixingring 10, atooth block 11 is fixed on the outer side of the fixingring 10, agear 12 meshed with thetooth block 11 is arranged above thetooth block 11, and aprotective box 13 is fixed on the supportingplate 1 on the outer side of thegear 12;
themovable shaft 14 penetrates through thegear 12, aworm wheel 15 is fixedly sleeved on the outer side of themovable shaft 14, aworm 16 is movably arranged above theworm wheel 15, and an adjustinghandle 17 penetrates through theworm 16;
the limitingring 18 is used for limiting the position of the guide pipe and is fixedly arranged on the other side of themovable plate 9, a supportingblock 19 is movably arranged on the side of themovable plate 9, and a fixinggroove 20 is formed in the supportingblock 19.
Themovable block 3 and the supportingplate 1 form a longitudinal sliding structure, the sections of themovable block 3 and the fixedblock 2 are both arc-shaped structures, and thesuckers 4 are arranged at equal angles on the inner sides of the fixedblock 2 and themovable block 3; the bottom of the adjustingrod 5 is in threaded connection with the bottom of the fixedbox 7, the bottom of the adjustingrod 5 is in bearing connection with themovable block 3, and the fixedblock 2 and themovable block 3 are both arranged in a hollow manner; one end of a connectinghose 8 is communicated with a cavity in the fixedbox 7 above thevalve plate 6, the other two ends of the connectinghose 8 are respectively communicated with the fixedblock 2 and themovable block 3, and the connectinghose 8 is of an inverted Y-shaped structure;
as shown in fig. 1-2, the adjustingrod 5 is rotated to drive themovable block 3 to move downwards, and the movable block is close to the fixedblock 2 to realize the clamping operation of the device, and the adjustingrod 5 can drive thevalve plate 6 to move downwards when moving downwards, so that the cavity above thevalve plate 6 is in a negative pressure state, and further air in the fixedblock 2 and themovable block 3 is pumped out through the connectinghose 8, so that the device can be stably fixed on a railing through the suckingdisc 4, the stability is ensured through tight suction, and when the device needs to be separated from the railing, the adjustingrod 5 is rotated reversely;
the surface of themovable plate 9 is provided with a fixedcylinder 91, asupport rod 92, areturn spring 93, a connectingplate 94 andballs 95; the fixedcylinder 91 is fixedly arranged on the side surface of themovable plate 9, asupport rod 92 is telescopically arranged in the fixedcylinder 91, and one end of thesupport rod 92 is fixedly provided with areturn spring 93; a connectingplate 94 connected to the other end of thesupport rod 92,balls 95 being embedded in the connectingplate 94 at equal angles, and the connectingplate 94 having an arc-shaped cross section; the tooth blocks 11 are distributed on the fixedring 10 at equal angles, and the rotating speed of the fixedring 10 is less than that of thegear 12;
as shown in fig. 1, 3-4 and 7-8, the fixedring 10 and themovable plate 9 can be driven to synchronously rotate by the transmission of theworm 16, theworm wheel 15, thegear 12 and thetooth block 11, the limitingring 18 is driven to rotate to change the angle for limiting the conduit, the stability of themovable plate 9 after rotation can be ensured by the self-locking property of theworm 16 and theworm wheel 15, after the angle of themovable plate 9 is adjusted, the conduit drawn out of the colon can pass through the limitingring 18, and the conduit is in contact with the connectingplate 94, so that the conduit can be well supported, meanwhile, thesupport rod 92 can be driven to slide in the fixedcylinder 91 according to the tightness of the conduit, and the smoothness of the conduit during movement can be improved by the arrangement of theballs 95;
the supportingblocks 19 and themovable plate 9 form a rotating structure, the supportingblocks 19 are symmetrically distributed about the transverse axis of themovable plate 9, and corners of the fixinggrooves 20 inside the supportingblocks 19 are arranged in a cambered surface manner;
as shown in fig. 1 and 8, when two ends of the conduit need to be bent, the supportingblock 19 is rotated to be in contact with the conduit, so that the stability of the bent position of the conduit can be ensured through the fixinggroove 20 in the supportingblock 19, and the phenomenon of shaking in the later operation can not be caused, and when the supportingblock 19 is not used, the supporting block can be rotated to be not in contact with the conduit, and the width of the fixinggroove 20 is greater than the outer diameter of the conduit, so that the conduit can be conveniently bent to face different directions;
atraction rope 21 is movably arranged in the limitingring 18, ananti-skid block 211 for increasing resistance is adhered on the inner side of thetraction rope 21, and the end of theanti-skid block 211 is connected with themovable rod 212; themovable rod 212 for winding thetraction rope 21 movably penetrates through themovable plate 9, and themovable rod 212 is in threaded connection with themovable plate 9;
as shown in fig. 1 and fig. 5-6, after the catheter is limited, the pullingrope 21 in the 2 sets of limitingrings 18 can be wound by rotating themovable rod 212, so that the catheter can be tightly fixed in the limitingrings 18 through the pullingrope 21, the limiting resistance is increased through the anti-slip blocks 211, the extrusion of the catheter cannot be caused, themovable rod 212 is in threaded connection with themovable plate 9, the stability can be maintained, and the winding and extension of the pullingrope 21 cannot be influenced by the short-distance lifting of themovable rod 212.
The working principle is as follows: as shown in fig. 1-8, firstly, the device is fixed on a bedplate or a handrail of an operating table according to the use requirement, the handrail or the bedplate is arranged between afixed block 2 and amovable block 3, then themovable block 3 is driven to approach to the fixedblock 2 by arotation adjusting rod 5, the device is fixed, then the angle for fixing the guide tube is adjusted according to the requirement, aworm 16 is rotated by an adjustinghandle 17, and aworm wheel 15 and amovable shaft 14 are driven to rotate synchronously, so that a fixedring 10 and amovable plate 9 can be driven to rotate by the meshing between agear 12 and atooth block 11, the adjustment of the fixed angle of the guide tube is realized, the guide tube can be limited by passing through a limitingring 18, and the stability of the guide tube can be ensured.
Although the present invention has been described in detail with reference to the foregoing embodiments, it will be apparent to those skilled in the art that various changes in the embodiments and/or modifications of the invention can be made, and equivalents and modifications of some features of the invention can be made without departing from the spirit and scope of the invention.