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CN209464020U - An auxiliary device for thoracoscopic surgery - Google Patents

An auxiliary device for thoracoscopic surgery
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Publication number
CN209464020U
CN209464020UCN201821737671.6UCN201821737671UCN209464020UCN 209464020 UCN209464020 UCN 209464020UCN 201821737671 UCN201821737671 UCN 201821737671UCN 209464020 UCN209464020 UCN 209464020U
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patient
outer tube
cylindrical housing
thoracoscopic surgery
auxiliary device
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袁松林
陈昶
厉传艺
丁平
何翠萍
刘莉
王榕
王志敏
陈楠
刘蕾
徐亚飞
管云云
王艳驰
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Nantong Sixth Peoples Hospital
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Nantong Sixth Peoples Hospital
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Abstract

Translated fromChinese

本实用新型公开了一种胸腔镜手术用辅助装置,包括圆柱型壳体,所述圆柱型壳体的上部为开口结构,且所述圆柱型壳体的底部居中连通安装有外管,所述外管的内部通过三个连接筋居中安装有内管,且所述外管的底端安装有定位装置。本实用新型,其安全可靠,为手术提供一个稳定的操作环境,可防止胸腔镜手术所使用的器械与患者胸壁上穿刺的孔洞内壁相接触,可避免划伤患者胸壁上穿刺的孔洞内壁,从而杜绝给患者带来额外损伤,可为医护人员提供更加清晰的手术视野,有利于手术顺利的进行,可将在手术过程中患者胸腔内部的积液及时吸出,为手术提供一个良好的环境,有效提高手术成功率,同时有利于患者的生命安全,值得推广和普及。

The utility model discloses an auxiliary device for thoracoscopic surgery, which comprises a cylindrical shell, the upper part of the cylindrical shell is an open structure, and the bottom of the cylindrical shell is centered and communicated with an outer tube. The inside of the outer tube is centered with an inner tube through three connecting ribs, and a positioning device is installed at the bottom of the outer tube. The utility model is safe and reliable, provides a stable operating environment for surgery, can prevent the instruments used in thoracoscopic surgery from contacting the inner wall of the hole punctured on the patient's chest wall, and can avoid scratching the inner wall of the hole punctured on the patient's chest wall, thereby Eliminate additional damage to patients, can provide medical staff with a clearer surgical field of vision, and facilitate the smooth operation of the operation, and can suck out the effusion in the patient's pleural cavity in time during the operation, providing a good environment for the operation, effective Improving the success rate of the operation and at the same time benefiting the life safety of the patient is worthy of promotion and popularization.

Description

Translated fromChinese
一种胸腔镜手术用辅助装置An auxiliary device for thoracoscopic surgery

技术领域technical field

本实用新型涉及医疗器械技术领域,更具体地说,它涉及一种胸腔镜手术用辅助装置。The utility model relates to the technical field of medical instruments, in particular to an auxiliary device for thoracoscopic surgery.

背景技术Background technique

胸腔镜手术(电视辅助胸腔镜手术)使用现代摄像技术和高科技手术器械装备,在胸壁套管或微小切口下完成胸内复杂手术的微创胸外科新技术,它改变了胸外科疾病的治疗理念,被誉为上个世纪胸外科界的重大突破之一,是胸部微创外科的代表性手术,也是未来胸外科发展的方向。Thoracoscopic surgery (video-assisted thoracoscopic surgery) uses modern camera technology and high-tech surgical equipment to complete complex intrathoracic surgery under the chest wall cannula or tiny incision. It has changed the treatment of thoracic surgery diseases. The concept, known as one of the major breakthroughs in the field of thoracic surgery in the last century, is a representative operation of minimally invasive thoracic surgery and the direction of future thoracic surgery development.

在现有胸腔镜手术过程中,一般是在患者的胸壁上穿刺孔洞,以便胸腔镜手术所使用的器械进入患者的胸腔内部,然而容易导致胸腔镜手术所使用的器械与患者胸壁上穿刺的孔洞内壁相接触,进而造成划伤患者胸壁上穿刺的孔洞内壁,给患者带来额外损伤,同时由于患者胸壁上穿刺的孔洞内壁对胸腔镜手术所使用的器械的挤压,严重影响手术视野,不利于手术顺利的进行,此外在手术过程中患者胸腔内部的积液不能被及时吸出,过多的积液威胁患者的生命安全,为此,提出一种胸腔镜手术用辅助装置。During the existing thoracoscopic surgery, holes are generally punctured on the chest wall of the patient so that the instruments used in the thoracoscopic surgery can enter the patient's chest cavity. The inner wall of the puncture hole on the patient’s chest wall is in contact with each other, which will cause scratches on the inner wall of the puncture hole on the patient’s chest wall, which will bring additional damage to the patient. It is conducive to the smooth progress of the operation. In addition, the effusion inside the patient's pleural cavity cannot be sucked out in time during the operation, and the excessive effusion threatens the life safety of the patient. Therefore, an auxiliary device for thoracoscopic surgery is proposed.

实用新型内容Utility model content

针对现有技术存在的不足,本实用新型的目的在于提供一种胸腔镜手术用辅助装置,其安全可靠,为手术提供一个稳定的操作环境,可防止胸腔镜手术所使用的器械与患者胸壁上穿刺的孔洞内壁相接触,可避免划伤患者胸壁上穿刺的孔洞内壁,从而杜绝给患者带来额外损伤,可为医护人员提供更加清晰的手术视野,有利于手术顺利的进行,可将在手术过程中患者胸腔内部的积液及时吸出,为手术提供一个良好的环境,有效提高手术成功率,同时有利于患者的生命安全。Aiming at the deficiencies in the prior art, the purpose of this utility model is to provide an auxiliary device for thoracoscopic surgery, which is safe and reliable, provides a stable operating environment for the operation, and can prevent the instruments used in thoracoscopic surgery from colliding with the chest wall of the patient. The inner wall of the puncture hole is in contact with each other, which can avoid scratching the inner wall of the puncture hole on the patient's chest wall, thereby preventing additional damage to the patient, and can provide medical staff with a clearer surgical field of view, which is conducive to the smooth operation of the operation. During the process, the effusion in the patient's pleural cavity is sucked out in time, which provides a good environment for the operation, effectively improves the success rate of the operation, and is also conducive to the safety of the patient's life.

为实现上述目的,本实用新型提供了如下技术方案:In order to achieve the above object, the utility model provides the following technical solutions:

一种胸腔镜手术用辅助装置,包括圆柱型壳体,所述圆柱型壳体的上部为开口结构,且所述圆柱型壳体的底部居中连通安装有外管,所述外管的内部通过三个连接筋居中安装有内管,且所述外管的底端安装有定位装置,所述圆柱型壳体的内部固定安装有加压装置;An auxiliary device for thoracoscopic surgery, comprising a cylindrical shell, the upper part of the cylindrical shell is an open structure, and the bottom of the cylindrical shell is centrally connected and installed with an outer tube, and the inside of the outer tube passes through the An inner tube is installed in the center of the three connecting ribs, and a positioning device is installed at the bottom of the outer tube, and a pressurizing device is fixedly installed inside the cylindrical shell;

所述定位装置包括三个卡接在所述外管底端与所述内管底端之间的弧形卡块,三个所述弧形卡块的底部固定连接有环形硅胶圈,所述环形硅胶圈的底部固定连接有环形气囊;The positioning device includes three arc-shaped blocks clamped between the bottom end of the outer tube and the bottom end of the inner tube, and the bottoms of the three arc-shaped blocks are fixedly connected with annular silicone rings. The bottom of the annular silicone ring is fixedly connected with an annular airbag;

所述加压装置包括固定安装在所述圆柱型壳体内部上部的固定圈,所述固定圈的内部固定安装有球囊,所述球囊的上部设有进气口,且所述球囊的侧面上连通设有第一管道,所述第一管道远离所述球囊的一端穿过所述外管和所述内管之间的缝隙与所述环形气囊的上部相连通,所述进气口的内部设有第一单向阀,所述第一管道伸入所述球囊内部的一端内部设有第二单向阀。The pressurizing device includes a fixed ring fixedly installed on the upper part of the cylindrical housing, a balloon is fixedly installed inside the fixed ring, an air inlet is provided on the upper part of the balloon, and the balloon A first pipeline is communicated with the side of the first pipeline, and the end of the first pipeline away from the balloon passes through the gap between the outer tube and the inner tube and communicates with the upper part of the annular airbag. A first one-way valve is provided inside the gas port, and a second one-way valve is provided inside one end of the first pipeline extending into the interior of the balloon.

通过采用上述技术方案,外管用于插入患者胸壁上穿刺的孔洞内部,定位装置用于将外管固定在患者胸壁上穿刺的孔洞内部,可防止外管从患者胸壁上穿刺的孔洞内部脱出;内管用于容纳胸腔镜手术所使用的器械,便于医护人员操作胸腔镜手术所使用的器械对患者胸腔内部病变的组织进行处理,同时外管和内管相配合,可防止胸腔镜手术所使用的器械与患者胸壁上穿刺的孔洞内壁相接触,可避免划伤患者胸壁上穿刺的孔洞内壁,从而杜绝给患者带来额外损伤,此外,外管和内管相配合可防止患者胸壁上穿刺的孔洞内壁对胸腔镜手术所使用的器械进行挤压,导致操作受阻,且可为医护人员提供更加清晰的手术视野,有利于手术顺利的进行;加压装置用于向环形气囊的内部加入空气,使得环形气囊膨胀进而起到固定的效果。By adopting the above technical scheme, the outer tube is used to insert into the hole punctured on the patient's chest wall, and the positioning device is used to fix the outer tube inside the hole punctured on the patient's chest wall, which can prevent the outer tube from coming out of the hole punctured on the patient's chest wall; The tube is used to accommodate the instruments used in thoracoscopic surgery, which is convenient for medical staff to operate the instruments used in thoracoscopic surgery to treat the diseased tissue inside the patient's chest cavity. Contact with the inner wall of the puncture hole on the patient's chest wall can avoid scratching the inner wall of the puncture hole on the patient's chest wall, thereby preventing additional damage to the patient. In addition, the cooperation of the outer tube and the inner tube can prevent the inner wall of the puncture hole on the patient's chest wall Squeeze the instruments used in thoracoscopic surgery, resulting in obstructed operation, and can provide medical staff with a clearer surgical field of view, which is conducive to the smooth progress of the operation; the pressurizing device is used to add air to the inside of the annular air bag, making the annular The airbag is inflated so as to play a fixed effect.

进一步的,所述第一管道上还连通设有排气管,所述排气管上安装有阀门。Further, an exhaust pipe is communicated with the first pipeline, and a valve is installed on the exhaust pipe.

通过采用上述技术方案,便于通过操作阀门将环形气囊内部的空气通过排气管排出,便于取出外管。By adopting the above technical proposal, it is convenient to discharge the air inside the annular airbag through the exhaust pipe by operating the valve, and it is convenient to take out the outer pipe.

进一步的,所述圆柱型壳体的内部还设有两组吸收单元,每组所述吸收单元均包括通过卡扣固定安装在所述圆柱型壳体内部的一个第二管道,两个所述第二管道位于所述圆柱型壳体内部的一端均固定连接有插接头,且所述第二管道的另一端均穿过所述外管和所述内管之间的缝隙分别与两个通道相连通,两个所述通道均贯通设置在所述环形气囊的内部。Further, there are two sets of absorption units inside the cylindrical shell, each set of absorbing units includes a second pipe fixed and installed inside the cylindrical shell through buckles, and the two One end of the second pipe located inside the cylindrical housing is fixedly connected with a plug joint, and the other end of the second pipe passes through the gap between the outer pipe and the inner pipe and connects with the two passages respectively. In communication, the two passages are arranged through the inside of the annular airbag.

通过采用上述技术方案,两组吸收单元在使用时配合手术时常用的负压吸引器使用,可将在手术过程中患者胸腔内部的积液及时吸出,为手术提供一个良好的环境,有效提高手术成功率,同时有利于患者的生命安全。By adopting the above technical scheme, the two groups of absorption units are used together with the commonly used negative pressure suction device during operation, which can suck out the effusion in the patient's pleural cavity in time during the operation, provide a good environment for the operation, and effectively improve the operation efficiency. The success rate is also beneficial to the life safety of patients.

进一步的,三个所述弧形卡块的内部均开设有一个通孔,三个所述通孔分别用于穿过所述第一管道和两个所述第二管道。Further, a through hole is opened inside each of the three arc-shaped blocks, and the three through holes are respectively used to pass through the first pipe and the two second pipes.

通过采用上述技术方案,便于通过三个通孔来安装第一管道和两个第二管道。By adopting the above technical solution, it is convenient to install the first pipeline and the two second pipelines through three through holes.

进一步的,三个所述弧形卡块的内侧壁上均开设有弧形凹槽,所述内管的外部固定安装有三个与弧形凹槽相匹配的凸块。Further, arc-shaped grooves are formed on the inner side walls of the three arc-shaped blocks, and three protrusions matching the arc-shaped grooves are fixedly installed on the outside of the inner tube.

通过采用上述技术方案,通过弧形凹槽和凸块相配合可有效防止定位装置从外管的底端脱落,可杜绝定位装置遗留在患者胸腔内部的安全隐患,从而使得该装置安全可靠。By adopting the above technical solution, the cooperation of the arc-shaped groove and the protrusion can effectively prevent the positioning device from falling off from the bottom of the outer tube, and can eliminate the potential safety hazard of the positioning device left inside the patient's chest, thus making the device safe and reliable.

进一步的,所述圆柱型壳体上还均匀设有三组调节单元,每组所述调节单元均包括三个贯通活动安装在所述圆柱型壳体底壁上的导向杆,三个所述导向杆的底端固定连接有第一圆板,且三个所述导向杆的上端固定连接有第二圆板,所述第一圆板位于所述圆柱型壳体的底壁下方,所述第二圆板位于所述圆柱型壳体的底壁上方,所述第二圆板的内部居中安装有穿插孔,所述圆柱型壳体的底壁上螺接有螺纹杆,所述螺纹杆的上端穿过所述穿插孔连接有操作手柄,所述操作手柄位于所述第二圆板的上方。Further, three groups of adjustment units are uniformly arranged on the cylindrical housing, and each group of adjustment units includes three guide rods penetrating and movably installed on the bottom wall of the cylindrical housing. The bottom end of the rod is fixedly connected with a first circular plate, and the upper ends of the three guide rods are fixedly connected with a second circular plate, the first circular plate is located below the bottom wall of the cylindrical housing, and the first circular plate The second circular plate is located above the bottom wall of the cylindrical shell, and the inside of the second circular plate is centered with a through hole, and the bottom wall of the cylindrical shell is screwed with a threaded rod, and the threaded rod An operating handle is connected to the upper end of the upper end through the penetration hole, and the operating handle is located above the second circular plate.

通过采用上述技术方案,三组调节单元用于调节圆柱型壳体的水平位置,可保证圆柱型壳体水平稳定的放置在患者的胸腔上部。By adopting the above technical solution, the three sets of adjustment units are used to adjust the horizontal position of the cylindrical shell, which can ensure that the cylindrical shell is horizontally and stably placed on the upper chest cavity of the patient.

进一步的,所述穿插孔的直径大于所述螺纹杆的直径,且所述穿插孔的直径小于所述操作手柄最宽处的宽度。Further, the diameter of the insertion hole is larger than the diameter of the threaded rod, and the diameter of the insertion hole is smaller than the width of the widest part of the operating handle.

通过采用上述技术方案,在旋转操作手柄时,将会带动螺纹杆向上或者向下运动,在螺纹杆向下运动的过程中,可驱使第一圆板向下运动,最终保持三个第一圆板都与患者胸部的皮肤相贴合,进而保证圆柱型壳体水平稳定的放置在患者的胸腔上部。By adopting the above-mentioned technical scheme, when the operating handle is rotated, the threaded rod will be driven to move upward or downward. During the downward movement of the threaded rod, the first circular plate can be driven to move downward, and finally the three first circular plates can be kept. The plates are in close contact with the skin of the patient's chest, thereby ensuring that the cylindrical shell is horizontally and stably placed on the upper part of the patient's chest.

进一步的,所述导向杆的外部均套装有弹簧,所述弹簧的上端与所述第二圆板的底部相抵触,且所述弹簧的底端与所述圆柱型壳体的底壁上部相抵触。Further, the outside of the guide rod is fitted with a spring, the upper end of the spring is in contact with the bottom of the second circular plate, and the bottom end of the spring is in contact with the upper part of the bottom wall of the cylindrical housing. conflict.

通过采用上述技术方案,在弹簧的作用下,可防止导向杆在圆柱型壳体的垂直方向上下晃动。By adopting the above technical solution, under the action of the spring, the guide rod can be prevented from shaking up and down in the vertical direction of the cylindrical casing.

进一步的,所述圆柱型壳体和所述外管以及所述内管为一体成型结构,且所述圆柱型壳体和所述外管以及所述内管由如下方法制备:Further, the cylindrical shell, the outer tube, and the inner tube are integrally formed, and the cylindrical shell, the outer tube, and the inner tube are prepared by the following method:

取以下原料按重量份称量:聚丙烯颗粒30-50份、二氧化钛粉末6-10份、碳酸钙粉末8-12份、增塑剂4-7份、稳定剂3-5份、增韧剂3-5份和润滑剂5-7份;Take the following raw materials and weigh them by weight: 30-50 parts of polypropylene particles, 6-10 parts of titanium dioxide powder, 8-12 parts of calcium carbonate powder, 4-7 parts of plasticizer, 3-5 parts of stabilizer, toughening agent 3-5 parts and 5-7 parts of lubricant;

S1、将称量好聚丙烯颗粒、二氧化钛粉末、碳酸钙粉末、增塑剂、稳定剂、增韧剂和润滑剂加入密炼机中进行密炼20-30min,所述密炼机的速度设置为600-800r/min,温度设置为100-140℃,制得混合密炼物料;S1. Add the weighed polypropylene particles, titanium dioxide powder, calcium carbonate powder, plasticizer, stabilizer, toughening agent and lubricant into the internal mixer for 20-30min. The speed setting of the internal mixer The temperature is 600-800r/min, and the temperature is set at 100-140°C to make mixed banburying materials;

S2、将步骤S1制得的混合密炼物料加入注塑机中注塑成型,所述注塑机的喷嘴温度为170-180℃、模具温度为30-40℃、注射压力为50-100MPa、注射时间为15-20s、冷却时间12-16s、螺杆转速为 30-50rpm,制得坯料;S2. Add the mixed banbury material prepared in step S1 into an injection molding machine for injection molding. The nozzle temperature of the injection molding machine is 170-180°C, the mold temperature is 30-40°C, the injection pressure is 50-100MPa, and the injection time is 15-20s, cooling time 12-16s, screw speed is 30-50rpm, makes blank;

S3、将步骤S2中制得的坯料采用美工刀进行修边,制得圆柱型壳体和外管以及内管。S3. Trimming the blank obtained in step S2 with a utility knife to obtain a cylindrical shell, an outer tube, and an inner tube.

通过采用上述技术方案,制备圆柱型壳体和外管以及内管的工艺方法简单,容易实现,且制备的圆柱型壳体和外管以及内管环保无毒,对人体无害,符合医疗器械的材料使用要求。By adopting the above technical scheme, the process for preparing the cylindrical shell, the outer tube, and the inner tube is simple and easy to realize, and the prepared cylindrical shell, outer tube, and inner tube are environmentally friendly, non-toxic, harmless to the human body, and comply with medical device requirements. material usage requirements.

进一步的,所述增塑剂为柠檬酸三正丁酯,所述稳定剂为硬脂酸锌,所述增韧剂为苯乙烯,所述润滑剂为天然石蜡。Further, the plasticizer is tri-n-butyl citrate, the stabilizer is zinc stearate, the toughening agent is styrene, and the lubricant is natural paraffin.

通过采用上述技术方案,制备的圆柱型壳体和外管以及内管塑性较好,化学性质较为稳定,不易分解,韧性较好,不易断裂,表面较为光滑,不会刮伤患者胸壁上穿刺的孔洞内壁。By adopting the above technical scheme, the prepared cylindrical shell, outer tube and inner tube have good plasticity, relatively stable chemical properties, are not easy to decompose, have good toughness, are not easy to break, and have a smooth surface, which will not scratch the puncture site on the patient's chest wall. The inner wall of the hole.

综上所述,本实用新型主要具有以下有益效果:In summary, the utility model mainly has the following beneficial effects:

1、本实用新型,定位装置用于将外管固定在患者胸壁上穿刺的孔洞内部,可防止外管从患者胸壁上穿刺的孔洞内部脱出,为手术提供一个稳定的操作环境;1. In this utility model, the positioning device is used to fix the outer tube inside the hole punctured on the patient's chest wall, which can prevent the outer tube from protruding from the inside of the hole punctured on the patient's chest wall, and provide a stable operating environment for the operation;

2、本实用新型,内管用于容纳胸腔镜手术所使用的器械,便于医护人员操作胸腔镜手术所使用的器械对患者胸腔内部病变的组织进行处理,同时外管和内管相配合,可防止胸腔镜手术所使用的器械与患者胸壁上穿刺的孔洞内壁相接触,可避免划伤患者胸壁上穿刺的孔洞内壁,从而杜绝给患者带来额外损伤,此外,外管和内管相配合可防止患者胸壁上穿刺的孔洞内壁对胸腔镜手术所使用的器械进行挤压,导致操作受阻,且可为医护人员提供更加清晰的手术视野,有利于手术顺利的进行;2. In this utility model, the inner tube is used to accommodate the instruments used in thoracoscopic surgery, which is convenient for medical staff to operate the instruments used in thoracoscopic surgery to treat the internal pathological tissue of the patient's chest cavity. At the same time, the outer tube and the inner tube cooperate to prevent The instruments used in thoracoscopic surgery are in contact with the inner wall of the puncture hole on the patient's chest wall, which can avoid scratching the inner wall of the puncture hole on the patient's chest wall, thereby preventing additional damage to the patient. In addition, the cooperation of the outer tube and the inner tube can prevent The inner wall of the puncture hole on the patient's chest wall squeezes the instruments used in thoracoscopic surgery, resulting in obstruction of the operation, and can provide medical staff with a clearer surgical field of view, which is conducive to the smooth progress of the operation;

3、本实用新型,两组吸收单元在使用时配合手术时常用的负压吸引器使用,可将在手术过程中患者胸腔内部的积液及时吸出,为手术提供一个良好的环境,有效提高手术成功率,同时有利于患者的生命安全;3. In this utility model, the two groups of absorption units are used together with the negative pressure suction device commonly used in surgery, which can suck out the effusion in the patient's pleural cavity in time during the operation, provide a good environment for the operation, and effectively improve the operation efficiency. The success rate is also beneficial to the life safety of patients;

4、本实用新型,通过弧形凹槽和凸块相配合可有效防止定位装置从外管的底端脱落,可杜绝定位装置遗留在患者胸腔内部的安全隐患,从而使得该装置安全可靠;4. The utility model can effectively prevent the positioning device from falling off from the bottom end of the outer tube through the cooperation of the arc-shaped groove and the protrusion, and can eliminate the potential safety hazard of the positioning device left inside the patient's chest, thus making the device safe and reliable;

5、本实用新型,通过旋转操作手柄,带动螺纹杆向上或者向下运动,在螺纹杆向下运动的过程中,可驱使第一圆板向下运动,最终保持三个第一圆板都与患者胸部的皮肤相贴合,进而保证圆柱型壳体水平稳定的放置在患者的胸腔上部;5. In the utility model, by rotating the operating handle, the threaded rod is driven to move upwards or downwards. During the downward movement of the threaded rod, the first circular plate can be driven downwards, and finally the three first circular plates are kept in line with each other. The skin of the patient's chest fits closely, thereby ensuring that the cylindrical shell is placed horizontally and stably on the upper part of the patient's chest;

6、本实用新型,制备圆柱型壳体和外管以及内管的工艺方法简单,容易实现,且制备的圆柱型壳体和外管以及内管环保无毒,对人体无害,符合医疗器械的材料使用要求,化学性质较为稳定,不易分解,韧性较好,不易断裂,表面较为光滑,不会刮伤患者胸壁上穿刺的孔洞内壁,值得推广和普及。6. In the present utility model, the process for preparing the cylindrical shell, the outer tube and the inner tube is simple and easy to realize, and the prepared cylindrical shell, the outer tube and the inner tube are environmentally friendly and non-toxic, harmless to the human body, and meet the requirements of medical equipment. The use of materials requires relatively stable chemical properties, not easy to decompose, good toughness, not easy to break, smooth surface, and will not scratch the inner wall of the puncture hole on the patient's chest wall. It is worthy of promotion and popularization.

附图说明Description of drawings

图1为本实用新型一种实施方式的结构示意图;Fig. 1 is the structural representation of an embodiment of the utility model;

图2为本实用新型一种实施方式的不同视角的结构示意图之一;Fig. 2 is one of the structural schematic diagrams of different viewing angles of an embodiment of the present invention;

图3为本实用新型一种实施方式的不同视角的结构示意图之二;Fig. 3 is the second structural diagram of different viewing angles of an embodiment of the utility model;

图4为本实用新型一种实施方式的不同视角的结构示意图之三;Fig. 4 is the third structural schematic diagram of different viewing angles of an embodiment of the utility model;

图5为本实用新型一种实施方式拆除圆柱型壳体和外管后的结构示意图;Fig. 5 is a structural schematic diagram of an embodiment of the present invention after removing the cylindrical shell and the outer tube;

图6为本实用新型一种实施方式的不同视角的结构示意图之四;Fig. 6 is the fourth structural schematic diagram of different viewing angles of an embodiment of the utility model;

图7为图6中A处的放大结构示意图;Fig. 7 is a schematic diagram of an enlarged structure at A in Fig. 6;

图8为本实用新型一种实施方式的内管与限位装置组装的结构示意图;Fig. 8 is a structural schematic diagram of the assembly of the inner tube and the limiting device according to an embodiment of the present invention;

图9为本实用新型一种实施方式的限位装置的结构示意图;Fig. 9 is a schematic structural view of a limiting device according to an embodiment of the present invention;

图10为本实用新型一种实施方式的限位装置的不同视角的结构示意图;Fig. 10 is a structural schematic diagram of different viewing angles of a limiting device according to an embodiment of the present invention;

图11为本实用新型一种实施方式的内管的结构示意图;Fig. 11 is a schematic structural view of an inner tube in an embodiment of the present invention;

图12为本实用新型一种实施方式的加压装置的结构示意图;Fig. 12 is a schematic structural view of a pressurizing device according to an embodiment of the present invention;

图13为本实用新型一种实施方式的加压装置的剖视结构示意图;Fig. 13 is a schematic cross-sectional structural view of a pressurizing device according to an embodiment of the present invention;

图14为本实用新型一种实施方式的调节单元的结构示意图。Fig. 14 is a structural schematic diagram of an adjustment unit in an embodiment of the present invention.

图中:1、圆柱型壳体;2、外管;3、定位装置;4、内管;5、吸收单元;6、加压装置;7、调节单元;8、第二管道;9、插接头; 10、卡扣;11、连接筋;12、环形硅胶圈;13、环形气囊;14、弧形卡块;15、弧形凹槽;16、通孔;17、通道;18、凸块;19、球囊; 20、进气口;21、固定圈;22、第一管道;23、排气管;24、阀门; 25、第一单向阀;26、第二单向阀;27、导向杆;28、螺纹杆;29、操作手柄;30、第二圆板;31、弹簧;32、第一圆板;33、穿插孔。In the figure: 1. Cylindrical shell; 2. Outer pipe; 3. Positioning device; 4. Inner pipe; 5. Absorbing unit; 6. Pressurizing device; 7. Adjusting unit; Joint; 10. buckle; 11. connecting rib; 12. annular silicone ring; 13. annular airbag; 14. arc-shaped block; 15. arc-shaped groove; 16. through hole; 17. channel; 18. bump ; 19, the balloon; 20, the air inlet; 21, the fixed ring; 22, the first pipeline; 23, the exhaust pipe; 24, the valve; 25, the first one-way valve; 26, the second one-way valve; 27 , guide rod; 28, threaded rod; 29, operating handle; 30, second circular plate; 31, spring; 32, first circular plate; 33, through hole.

具体实施方式Detailed ways

实施例1Example 1

以下结合附图1-14对本实用新型作进一步详细说明。Below in conjunction with accompanying drawing 1-14 the utility model is described in further detail.

一种胸腔镜手术用辅助装置,如图1-14所示,一种胸腔镜手术用辅助装置,包括圆柱型壳体1,所述圆柱型壳体1的上部为开口结构,且所述圆柱型壳体1的底部居中连通安装有外管2,所述外管2 的内部通过三个连接筋11居中安装有内管4,且所述外管2的底端安装有定位装置3,所述圆柱型壳体1的内部固定安装有加压装置6;An auxiliary device for thoracoscopic surgery, as shown in Figure 1-14, an auxiliary device for thoracoscopic surgery, comprising a cylindrical shell 1, the upper part of the cylindrical shell 1 is an open structure, and the cylindrical The bottom of the casing 1 is centrally connected with an outer tube 2, the inside of the outer tube 2 is centrally equipped with an inner tube 4 through three connecting ribs 11, and the bottom end of the outer tube 2 is equipped with a positioning device 3, so A pressurizing device 6 is fixedly installed inside the cylindrical shell 1;

所述定位装置3包括三个卡接在所述外管2底端与所述内管4底端之间的弧形卡块14,三个所述弧形卡块14的底部固定连接有环形硅胶圈12,所述环形硅胶圈12的底部固定连接有环形气囊13;The positioning device 3 includes three arc-shaped blocks 14 clamped between the bottom end of the outer tube 2 and the bottom end of the inner tube 4, and the bottoms of the three arc-shaped blocks 14 are fixedly connected with a ring A silicone ring 12, the bottom of the annular silicone ring 12 is fixedly connected with an annular air bag 13;

所述加压装置6包括固定安装在所述圆柱型壳体1内部上部的固定圈21,所述固定圈21的内部固定安装有球囊19,所述球囊19的上部设有进气口20,且所述球囊19的侧面上连通设有第一管道22,所述第一管道22远离所述球囊19的一端穿过所述外管2和所述内管4之间的缝隙与所述环形气囊13的上部相连通,所述进气口20的内部设有第一单向阀25,所述第一管道22伸入所述球囊19内部的一端内部设有第二单向阀26。The pressurizing device 6 includes a fixed ring 21 fixedly installed on the upper part of the cylindrical housing 1, a balloon 19 is fixedly installed inside the fixed ring 21, and an air inlet is provided on the upper part of the balloon 19. 20, and the side of the balloon 19 is communicated with a first pipeline 22, and the end of the first pipeline 22 away from the balloon 19 passes through the gap between the outer tube 2 and the inner tube 4 It communicates with the upper part of the annular airbag 13, the inside of the air inlet 20 is provided with a first one-way valve 25, and the inside of one end of the first pipeline 22 extending into the inside of the balloon 19 is provided with a second one-way valve. to valve 26.

外管2用于插入患者胸壁上穿刺的孔洞内部,定位装置3用于将外管2固定在患者胸壁上穿刺的孔洞内部,可防止外管2从患者胸壁上穿刺的孔洞内部脱出;内管4用于容纳胸腔镜手术所使用的器械,便于医护人员操作胸腔镜手术所使用的器械对患者胸腔内部病变的组织进行处理,同时外管2和内管4相配合,可防止胸腔镜手术所使用的器械与患者胸壁上穿刺的孔洞内壁相接触,可避免划伤患者胸壁上穿刺的孔洞内壁,从而杜绝给患者带来额外损伤,此外,外管2和内管4相配合可防止患者胸壁上穿刺的孔洞内壁对胸腔镜手术所使用的器械进行挤压,导致操作受阻,且可为医护人员提供更加清晰的手术视野,有利于手术顺利的进行;加压装置6用于向环形气囊13 的内部加入空气,使得环形气囊13膨胀进而起到固定的效果。The outer tube 2 is used to insert the inside of the hole punctured on the patient's chest wall, and the positioning device 3 is used to fix the outer tube 2 inside the hole punctured on the patient's chest wall, which can prevent the outer tube 2 from coming out of the hole punctured on the patient's chest wall; the inner tube 4 It is used to accommodate the instruments used in thoracoscopic surgery, which is convenient for medical staff to operate the instruments used in thoracoscopic surgery to treat the diseased tissue inside the patient's chest cavity. At the same time, the outer tube 2 and the inner tube 4 cooperate to prevent the The instrument used is in contact with the inner wall of the punctured hole on the patient’s chest wall, which can avoid scratching the inner wall of the punctured hole on the patient’s chest wall, thereby preventing additional damage to the patient. In addition, the cooperation of the outer tube 2 and the inner tube 4 can prevent the patient’s chest wall from being damaged. The inner wall of the punctured hole squeezes the instruments used in thoracoscopic surgery, resulting in obstruction of the operation, and can provide medical staff with a clearer surgical field of view, which is conducive to the smooth operation of the operation; Air is added to the inside of the ring, so that the annular air bag 13 expands and then plays a fixed effect.

较佳地,所述第一管道22上还连通设有排气管23,所述排气管 23上安装有阀门24。便于通过操作阀门24将环形气囊13内部的空气通过排气管23排出,便于取出外管2。Preferably, the first pipeline 22 is also communicated with an exhaust pipe 23, and a valve 24 is installed on the exhaust pipe 23. It is convenient to discharge the air inside the annular airbag 13 through the exhaust pipe 23 by operating the valve 24, and it is convenient to take out the outer pipe 2.

较佳地,所述圆柱型壳体1的内部还设有两组吸收单元5,每组所述吸收单元5均包括通过卡扣10固定安装在所述圆柱型壳体1内部的一个第二管道8,两个所述第二管道8位于所述圆柱型壳体1内部的一端均固定连接有插接头9,且所述第二管道8的另一端均穿过所述外管2和所述内管4之间的缝隙分别与两个通道17相连通,两个所述通道17均贯通设置在所述环形气囊13的内部。两组吸收单元 5在使用时配合手术时常用的负压吸引器使用,可将在手术过程中患者胸腔内部的积液及时吸出,为手术提供一个良好的环境,有效提高手术成功率,同时有利于患者的生命安全。Preferably, two sets of absorbing units 5 are provided inside the cylindrical shell 1, and each set of absorbing units 5 includes a second set fixedly installed inside the cylindrical shell 1 through buckles 10. pipe 8, one end of the two second pipes 8 located inside the cylindrical housing 1 is fixedly connected with a plug joint 9, and the other end of the second pipe 8 passes through the outer pipe 2 and the The gaps between the inner tubes 4 communicate with the two passages 17 respectively, and the two passages 17 are arranged through the inside of the annular airbag 13 . The two groups of absorption units 5 are used together with the commonly used negative pressure suction device during operation, which can suck out the effusion in the patient's pleural cavity in time during the operation, provide a good environment for the operation, effectively improve the success rate of the operation, and at the same time Conducive to the life safety of patients.

较佳地,三个所述弧形卡块14的内部均开设有一个通孔16,三个所述通孔16分别用于穿过所述第一管道22和两个所述第二管道8。便于通过三个通孔16来安装第一管道22和两个第二管道8。Preferably, a through hole 16 is opened inside the three arc-shaped blocks 14, and the three through holes 16 are respectively used to pass through the first pipe 22 and the two second pipes 8 . It is convenient to install the first pipe 22 and the two second pipes 8 through the three through holes 16 .

较佳地,三个所述弧形卡块14的内侧壁上均开设有弧形凹槽15,所述内管4的外部固定安装有三个与弧形凹槽15相匹配的凸块18。通过弧形凹槽15和凸块18相配合可有效防止定位装置3从外管2的底端脱落,可杜绝定位装置3遗留在患者胸腔内部的安全隐患,从而使得该装置安全可靠。Preferably, arc grooves 15 are formed on the inner side walls of the three arc-shaped blocks 14 , and three protrusions 18 matching the arc-shaped grooves 15 are fixedly installed on the outside of the inner tube 4 . The cooperation between the arc-shaped groove 15 and the protrusion 18 can effectively prevent the positioning device 3 from falling off from the bottom end of the outer tube 2, and prevent the potential safety hazard of the positioning device 3 remaining inside the patient's chest, thereby making the device safe and reliable.

较佳地,所述圆柱型壳体1上还均匀设有三组调节单元7,每组所述调节单元7均包括三个贯通活动安装在所述圆柱型壳体1底壁上的导向杆27,三个所述导向杆27的底端固定连接有第一圆板32,且三个所述导向杆27的上端固定连接有第二圆板30,所述第一圆板32 位于所述圆柱型壳体1的底壁下方,所述第二圆板30位于所述圆柱型壳体1的底壁上方,所述第二圆板30的内部居中安装有穿插孔33,所述圆柱型壳体1的底壁上螺接有螺纹杆28,所述螺纹杆28的上端穿过所述穿插孔33连接有操作手柄29,所述操作手柄29位于所述第二圆板30的上方。三组调节单元7用于调节圆柱型壳体1的水平位置,可保证圆柱型壳体1水平稳定的放置在患者的胸腔上部。Preferably, three groups of adjustment units 7 are uniformly arranged on the cylindrical housing 1, and each group of adjustment units 7 includes three guide rods 27 penetrating and movably installed on the bottom wall of the cylindrical housing 1 , the bottom ends of the three guide rods 27 are fixedly connected with the first circular plate 32, and the upper ends of the three guide rods 27 are fixedly connected with the second circular plate 30, and the first circular plate 32 is located on the cylinder Below the bottom wall of the cylindrical shell 1, the second circular plate 30 is located above the bottom wall of the cylindrical shell 1, and an insertion hole 33 is installed in the center of the second circular plate 30. The cylindrical The bottom wall of the housing 1 is screwed with a threaded rod 28 , the upper end of the threaded rod 28 passes through the insertion hole 33 and is connected with an operating handle 29 , and the operating handle 29 is located above the second circular plate 30 . Three sets of adjustment units 7 are used to adjust the horizontal position of the cylindrical shell 1, which can ensure that the cylindrical shell 1 is horizontally and stably placed on the upper part of the patient's chest.

较佳地,所述穿插孔33的直径大于所述螺纹杆28的直径,且所述穿插孔33的直径小于所述操作手柄29最宽处的宽度。在旋转操作手柄29时,将会带动螺纹杆28向上或者向下运动,在螺纹杆28向下运动的过程中,可驱使第一圆板32向下运动,最终保持三个第一圆板32都与患者胸部的皮肤相贴合,进而保证圆柱型壳体1水平稳定的放置在患者的胸腔上部。Preferably, the diameter of the insertion hole 33 is larger than the diameter of the threaded rod 28 , and the diameter of the insertion hole 33 is smaller than the width of the operating handle 29 at its widest point. When the operating handle 29 is rotated, the threaded rod 28 will be driven to move upwards or downwards. In the process of the downward movement of the threaded rod 28, the first circular plate 32 can be driven to move downwards, and finally the three first circular plates 32 will be kept. Both are in close contact with the skin of the patient's chest, thereby ensuring that the cylindrical shell 1 is horizontally and stably placed on the upper part of the patient's chest.

较佳地,所述导向杆27的外部均套装有弹簧31,所述弹簧31 的上端与所述第二圆板30的底部相抵触,且所述弹簧31的底端与所述圆柱型壳体1的底壁上部相抵触。在弹簧31的作用下,可防止导向杆27在圆柱型壳体1的垂直方向上下晃动。Preferably, the outside of the guide rod 27 is fitted with a spring 31, the upper end of the spring 31 is in contact with the bottom of the second circular plate 30, and the bottom end of the spring 31 is in contact with the cylindrical shell. The upper part of the bottom wall of the body 1 is in conflict. Under the action of the spring 31 , the guide rod 27 can be prevented from shaking up and down in the vertical direction of the cylindrical housing 1 .

较佳地,所述圆柱型壳体1和所述外管2以及所述内管4为一体成型结构,且所述圆柱型壳体1和所述外管2以及所述内管4由如下方法制备:Preferably, the cylindrical shell 1, the outer tube 2 and the inner tube 4 are integrally formed, and the cylindrical shell 1, the outer tube 2 and the inner tube 4 are formed as follows Method preparation:

取以下原料按重量份称量:聚丙烯颗粒30份、二氧化钛粉末6 份、碳酸钙粉末8份、增塑剂4份、稳定剂3份、增韧剂3份和润滑剂5份;Take the following raw materials and weigh them by weight: 30 parts of polypropylene particles, 6 parts of titanium dioxide powder, 8 parts of calcium carbonate powder, 4 parts of plasticizer, 3 parts of stabilizer, 3 parts of toughening agent and 5 parts of lubricant;

S1、将称量好聚丙烯颗粒、二氧化钛粉末、碳酸钙粉末、增塑剂、稳定剂、增韧剂和润滑剂加入密炼机中进行密炼20min,所述密炼机的速度设置为600r/min,温度设置为100℃,制得混合密炼物料;S1. Add the weighed polypropylene granules, titanium dioxide powder, calcium carbonate powder, plasticizer, stabilizer, toughening agent and lubricant into the internal mixer for banburying for 20min, and the speed of the internal mixer is set to 600r /min, the temperature is set to 100°C, and the mixed banburying material is obtained;

S2、将步骤S1制得的混合密炼物料加入注塑机中注塑成型,所述注塑机的喷嘴温度为170℃、模具温度为30℃、注射压力为50MPa、注射时间为15s、冷却时间12s、螺杆转速为30rpm,制得坯料;S2. Add the mixed banbury material prepared in step S1 into an injection molding machine for injection molding. The nozzle temperature of the injection molding machine is 170°C, the mold temperature is 30°C, the injection pressure is 50MPa, the injection time is 15s, and the cooling time is 12s. Screw speed is 30rpm, makes billet;

S3、将步骤S2中制得的坯料采用美工刀进行修边,制得圆柱型壳体1和外管2以及内管4。S3. Trimming the blank obtained in step S2 with a utility knife to obtain a cylindrical shell 1 , an outer tube 2 and an inner tube 4 .

通过采用上述技术方案,制备圆柱型壳体1和外管2以及内管4 的工艺方法简单,容易实现,且制备的圆柱型壳体1和外管2以及内管4环保无毒,对人体无害,符合医疗器械的材料使用要求。By adopting the above technical scheme, the process for preparing the cylindrical shell 1, the outer tube 2, and the inner tube 4 is simple and easy to implement, and the prepared cylindrical shell 1, the outer tube 2, and the inner tube 4 are environmentally friendly and non-toxic, and are harmless to the human body. Harmless, in line with the requirements for the use of materials for medical devices.

较佳地,所述增塑剂为柠檬酸三正丁酯,所述稳定剂为硬脂酸锌,所述增韧剂为苯乙烯,所述润滑剂为天然石蜡。Preferably, the plasticizer is tri-n-butyl citrate, the stabilizer is zinc stearate, the toughening agent is styrene, and the lubricant is natural paraffin.

通过采用上述技术方案,制备的圆柱型壳体1和外管2以及内管 4塑性较好,化学性质较为稳定,不易分解,韧性较好,不易断裂,表面较为光滑,不会刮伤患者胸壁上穿刺的孔洞内壁。By adopting the above technical solution, the prepared cylindrical shell 1, outer tube 2 and inner tube 4 have good plasticity, relatively stable chemical properties, are not easy to decompose, have good toughness, are not easy to break, and have a smooth surface, which will not scratch the patient's chest wall The inner wall of the pierced hole.

实施例2Example 2

与实施例1的不同之处在于所述圆柱型壳体1和所述外管2以及所述内管4的制备,其具体制备方法如下:The difference from Example 1 lies in the preparation of the cylindrical shell 1, the outer tube 2 and the inner tube 4, and the specific preparation method is as follows:

取以下原料按重量份称量:聚丙烯颗粒40份、二氧化钛粉末8 份、碳酸钙粉末10份、增塑剂6份、稳定剂4份、增韧剂4份和润滑剂6份;Take the following raw materials and weigh them by weight: 40 parts of polypropylene particles, 8 parts of titanium dioxide powder, 10 parts of calcium carbonate powder, 6 parts of plasticizer, 4 parts of stabilizer, 4 parts of toughening agent and 6 parts of lubricant;

S1、将称量好聚丙烯颗粒、二氧化钛粉末、碳酸钙粉末、增塑剂、稳定剂、增韧剂和润滑剂加入密炼机中进行密炼25min,所述密炼机的速度设置为700r/min,温度设置为120℃,制得混合密炼物料;S1. Add the weighed polypropylene granules, titanium dioxide powder, calcium carbonate powder, plasticizer, stabilizer, toughening agent and lubricant into the internal mixer for banburying for 25min, and the speed of the internal mixer is set to 700r /min, the temperature is set to 120°C, and the mixed banburying material is obtained;

S2、将步骤S1制得的混合密炼物料加入注塑机中注塑成型,所述注塑机的喷嘴温度为175℃、模具温度为35℃、注射压力为75MPa、注射时间为18s、冷却时间14s、螺杆转速为40rpm,制得坯料;S2. Add the mixed mixer material prepared in step S1 into an injection molding machine for injection molding. The nozzle temperature of the injection molding machine is 175°C, the mold temperature is 35°C, the injection pressure is 75MPa, the injection time is 18s, and the cooling time is 14s. Screw speed is 40rpm, makes billet;

S3、将步骤S2中制得的坯料采用美工刀进行修边,制得圆柱型壳体1和外管2以及内管4。S3. Trimming the blank obtained in step S2 with a utility knife to obtain a cylindrical shell 1 , an outer tube 2 and an inner tube 4 .

实施例3Example 3

与实施例1的不同之处在于所述圆柱型壳体1和所述外管2以及所述内管4的制备,其具体制备方法如下:The difference from Example 1 lies in the preparation of the cylindrical shell 1, the outer tube 2 and the inner tube 4, and the specific preparation method is as follows:

取以下原料按重量份称量:聚丙烯颗粒50份、二氧化钛粉末10 份、碳酸钙粉末12份、增塑剂7份、稳定剂5份、增韧剂5份和润滑剂7份;Take the following raw materials and weigh them by weight: 50 parts of polypropylene particles, 10 parts of titanium dioxide powder, 12 parts of calcium carbonate powder, 7 parts of plasticizer, 5 parts of stabilizer, 5 parts of toughening agent and 7 parts of lubricant;

S1、将称量好聚丙烯颗粒、二氧化钛粉末、碳酸钙粉末、增塑剂、稳定剂、增韧剂和润滑剂加入密炼机中进行密炼30min,所述密炼机的速度设置为800r/min,温度设置为140℃,制得混合密炼物料;S1. Add the weighed polypropylene particles, titanium dioxide powder, calcium carbonate powder, plasticizer, stabilizer, toughening agent and lubricant into the internal mixer for internal mixing for 30 minutes, and the speed of the internal mixer is set to 800r /min, the temperature is set to 140°C, and the mixed banburying material is obtained;

S2、将步骤S1制得的混合密炼物料加入注塑机中注塑成型,所述注塑机的喷嘴温度为180℃、模具温度为40℃、注射压力为100MPa、注射时间为20s、冷却时间16s、螺杆转速为50rpm,制得坯料;S2. Add the mixed banbury material prepared in step S1 into an injection molding machine for injection molding. The nozzle temperature of the injection molding machine is 180°C, the mold temperature is 40°C, the injection pressure is 100MPa, the injection time is 20s, and the cooling time is 16s. Screw speed is 50rpm, makes billet;

S3、将步骤S2中制得的坯料采用美工刀进行修边,制得圆柱型壳体1和外管2以及内管4。S3. Trimming the blank obtained in step S2 with a utility knife to obtain a cylindrical shell 1 , an outer tube 2 and an inner tube 4 .

对实施例1-3中的圆柱型壳体1和外管2以及内管4在实验室中在相同的条件下对其表面粗糙度测试结果如下表:The cylindrical housing 1 and outer tube 2 and inner tube 4 in the embodiment 1-3 are in the laboratory under the same conditions to its surface roughness test results as follows:

从上表测试结果比较分析可知实施例2为最优实施例,采用上述技术方案,制备的圆柱型壳体1和外管2以及内管4环保无毒,对人体无害,符合医疗器械的材料使用要求,塑性较好,化学性质较为稳定,不易分解,韧性较好,不易断裂,表面较为光滑,不会刮伤患者胸壁上穿刺的孔洞内壁。From the comparison and analysis of the test results in the above table, it can be known that Embodiment 2 is the optimal embodiment. By adopting the above technical scheme, the prepared cylindrical shell 1, outer tube 2 and inner tube 4 are environmentally friendly, non-toxic, harmless to the human body, and meet the requirements of medical devices. The requirements for the use of materials are good plasticity, relatively stable chemical properties, not easy to decompose, good toughness, not easy to break, smooth surface, and will not scratch the inner wall of the puncture hole on the patient's chest wall.

该胸腔镜手术用辅助装置,The auxiliary device for thoracoscopic surgery,

工作原理:定位装置3用于将外管2固定在患者胸壁上穿刺的孔洞内部,可防止外管2从患者胸壁上穿刺的孔洞内部脱出,为手术提供一个稳定的操作环境;内管4用于容纳胸腔镜手术所使用的器械,便于医护人员操作胸腔镜手术所使用的器械对患者胸腔内部病变的组织进行处理,同时外管2和内管4相配合,可防止胸腔镜手术所使用的器械与患者胸壁上穿刺的孔洞内壁相接触,可避免划伤患者胸壁上穿刺的孔洞内壁,从而杜绝给患者带来额外损伤,此外,外管2和内管4相配合可防止患者胸壁上穿刺的孔洞内壁对胸腔镜手术所使用的器械进行挤压,导致操作受阻,且可为医护人员提供更加清晰的手术视野,有利于手术顺利的进行;加压装置6用于向环形气囊13 的内部加入空气,使得环形气囊13膨胀进而起到固定的效果;两组吸收单元5在使用时配合手术时常用的负压吸引器使用,可将在手术过程中患者胸腔内部的积液及时吸出,为手术提供一个良好的环境,有效提高手术成功率,同时有利于患者的生命安全;通过弧形凹槽 15和凸块18相配合可有效防止定位装置3从外管2的底端脱落,可杜绝定位装置3遗留在患者胸腔内部的安全隐患,从而使得该装置安全可靠;通过旋转操作手柄29,带动螺纹杆28向上或者向下运动,在螺纹杆28向下运动的过程中,可驱使第一圆板32向下运动,最终保持三个第一圆板32都与患者胸部的皮肤相贴合,进而保证圆柱型壳体1水平稳定的放置在患者的胸腔上部;制备圆柱型壳体1和外管 2以及内管4的工艺方法简单,容易实现,且制备的圆柱型壳体1和外管2以及内管4环保无毒,对人体无害,符合医疗器械的材料使用要求,化学性质较为稳定,不易分解,韧性较好,不易断裂,表面较为光滑,不会刮伤患者胸壁上穿刺的孔洞内壁,值得推广和普及;Working principle: The positioning device 3 is used to fix the outer tube 2 inside the puncture hole on the patient's chest wall, which can prevent the outer tube 2 from protruding from the inside of the puncture hole on the patient's chest wall, and provide a stable operating environment for the operation; the inner tube 4 is used for It is used to accommodate the instruments used in thoracoscopic surgery, which is convenient for medical staff to operate the instruments used in thoracic surgery to treat the diseased tissue inside the patient's chest cavity. At the same time, the outer tube 2 and the inner tube 4 cooperate to prevent the The instrument is in contact with the inner wall of the punctured hole on the patient's chest wall, which can avoid scratching the inner wall of the punctured hole on the patient's chest wall, thereby preventing additional damage to the patient. In addition, the cooperation of the outer tube 2 and the inner tube 4 can prevent the puncture on the patient's chest wall. The inner wall of the hole squeezes the instruments used in thoracoscopic surgery, resulting in obstruction of the operation, and can provide medical staff with a clearer surgical field of view, which is conducive to the smooth operation of the operation; Adding air makes the ring-shaped air bag 13 expand and then play a fixed effect; the two groups of absorption units 5 are used in conjunction with the negative pressure suction device commonly used during surgery, which can suck out the effusion in the patient's pleural cavity in time during the operation. The operation provides a good environment, effectively improves the success rate of the operation, and at the same time is beneficial to the life safety of the patient; the cooperation between the arc groove 15 and the protrusion 18 can effectively prevent the positioning device 3 from falling off from the bottom of the outer tube 2, and can prevent The safety hazard left by the positioning device 3 inside the chest cavity of the patient makes the device safe and reliable; by rotating the operating handle 29, the threaded rod 28 is driven to move upward or downward, and the first The circular plates 32 move downward, and finally keep the three first circular plates 32 in contact with the skin of the patient's chest, thereby ensuring that the cylindrical shell 1 is placed horizontally and stably on the upper part of the patient's chest; the cylindrical shell 1 and the The process of the outer tube 2 and the inner tube 4 is simple and easy to implement, and the prepared cylindrical shell 1, outer tube 2 and inner tube 4 are environmentally friendly, non-toxic, harmless to the human body, and meet the requirements for the use of materials for medical devices. It is relatively stable, not easy to decompose, has good toughness, is not easy to break, has a smooth surface, and will not scratch the inner wall of the puncture hole on the patient's chest wall, and is worthy of promotion and popularization;

安装方法:第一步,将固定圈21利用胶水黏粘在圆柱型壳体1 内部的底壁上部,将球囊19利用胶水黏粘在固定圈21的内部,第一管道22生产时预先与球囊19一体连接,第一单向阀25和第二单向阀26在球囊19未封口之前进行安装,排气管23可与第一管道22一体成型;Installation method: in the first step, the fixed ring 21 is glued to the upper part of the bottom wall inside the cylindrical housing 1, and the balloon 19 is glued to the inside of the fixed ring 21 with glue. The balloon 19 is integrally connected, the first one-way valve 25 and the second one-way valve 26 are installed before the balloon 19 is not sealed, and the exhaust pipe 23 can be integrally formed with the first pipeline 22;

第二步,弧形卡块14与环形硅胶圈12以及弧形凹槽15为一体成型结构,直接将弧形凹槽15卡接在凸块18的外部,凸块18与内管4为一体成型结构;In the second step, the arc-shaped clamping block 14 is integrated with the annular silicone ring 12 and the arc-shaped groove 15, and the arc-shaped groove 15 is directly connected to the outside of the bump 18, and the bump 18 is integrated with the inner tube 4 molding structure;

第三步,将第一管道22远离球囊19的一端穿插在外管2和内管 4之间的缝隙内部穿过通孔16与环形气囊13相连通,采用密封胶密封连接;In the third step, the end of the first pipeline 22 away from the balloon 19 is inserted into the gap between the outer tube 2 and the inner tube 4 to pass through the through hole 16 and communicate with the annular air bag 13, and adopt a sealant to seal the connection;

第四步,安装两组吸收单元5,保证两个第二管道8分别与两个通道17相连通即可;The fourth step is to install two sets of absorbing units 5 to ensure that the two second pipelines 8 are respectively connected to the two passages 17;

第五步,安装三组调节单元7,可在圆柱型壳体1的底壁上打孔,也可在圆柱型壳体1注塑成型时预留安装孔,将导向杆27活动安插在圆柱型壳体1的底壁上打出的孔内部,第一圆板32和第二圆板30 均采用沉头螺钉安装在导向杆27的两端,且沉头螺钉采用凹陷处理,避免沉头螺钉凸出划伤患者的皮肤;The fifth step is to install three sets of adjustment units 7. Holes can be punched on the bottom wall of the cylindrical shell 1, or installation holes can be reserved when the cylindrical shell 1 is injection molded, and the guide rod 27 can be movably inserted into the cylindrical shell 1. Inside the hole punched on the bottom wall of the housing 1, the first circular plate 32 and the second circular plate 30 are installed on both ends of the guide rod 27 by countersunk screws, and the countersunk screws are recessed to avoid the countersunk screws from protruding. Scratch the patient's skin;

第六步,贯穿第二圆板30上的穿插孔33安装螺纹杆28,圆柱型壳体1的底壁预留螺纹孔,操作手柄29与螺纹杆28一体成型,即安装完毕;The sixth step is to install the threaded rod 28 through the penetration hole 33 on the second circular plate 30. The bottom wall of the cylindrical shell 1 reserves a threaded hole, and the operating handle 29 and the threaded rod 28 are integrally formed, that is, the installation is completed;

使用时,将外管2直接插入患者胸壁上穿刺的孔洞内部,然后按压球囊19向环形气囊13的内部加入空气,使得环形气囊13膨胀进而起到固定的效果,旋转操作手柄29,调节第一圆板32的位置,使得圆柱型壳体1水平稳定的放置在患者的胸腔上部,将插接头9与手术时常用的负压吸引器相连接,用于将在手术过程中患者胸腔内部的积液及时吸出,胸腔镜手术所使用的器械通过内管4进入患者的胸腔内部对患者胸腔内部病变的组织进行处理,有利于手术顺利的进行,手术完毕,通过操作阀门24将环形气囊13内部的空气通过排气管23排出,即可将该装置取出,后面对患者的伤口进行消毒缝合包扎。When in use, insert the outer tube 2 directly into the hole punctured on the chest wall of the patient, then press the balloon 19 to add air to the inside of the annular airbag 13, so that the annular airbag 13 expands and then has a fixed effect, and the operating handle 29 is rotated to adjust the first The position of a circular plate 32 makes the cylindrical casing 1 horizontally and stably placed on the upper part of the patient's chest cavity, and the plug joint 9 is connected with the negative pressure suction device commonly used during the operation, which is used to remove the suction inside the patient's chest cavity during the operation. The effusion is sucked out in time, and the instruments used in thoracoscopic surgery enter the patient's thoracic cavity through the inner tube 4 to treat the diseased tissue in the patient's thoracic cavity, which is conducive to the smooth progress of the operation. The air is discharged through the exhaust pipe 23, and the device can be taken out, and the wound of the patient is then sterilized, sutured and bandaged.

本具体实施例仅仅是对本实用新型的解释,其并不是对本实用新型的限制,本领域技术人员在阅读完本说明书后可以根据需要对本实施例做出没有创造性贡献的修改,但只要在本实用新型的权利要求范围内都受到专利法的保护。This specific embodiment is only an explanation of the utility model, and it is not a limitation of the utility model. After reading this description, those skilled in the art can make modifications to the embodiment without creative contribution according to needs, but as long as it is within the utility model All new claims are protected by patent law.

Claims (8)

Translated fromChinese
1.一种胸腔镜手术用辅助装置,包括圆柱型壳体(1),其特征在于:所述圆柱型壳体(1)的上部为开口结构,且所述圆柱型壳体(1)的底部居中连通安装有外管(2),所述外管(2)的内部通过三个连接筋(11)居中安装有内管(4),且所述外管(2)的底端安装有定位装置(3),所述圆柱型壳体(1)的内部固定安装有加压装置(6);1. An auxiliary device for thoracoscopic surgery, comprising a cylindrical housing (1), characterized in that: the top of the cylindrical housing (1) is an opening structure, and the cylindrical housing (1) An outer tube (2) is installed in the center of the bottom, and an inner tube (4) is installed in the center of the outer tube (2) through three connecting ribs (11), and the bottom end of the outer tube (2) is installed with a A positioning device (3), a pressurizing device (6) is fixedly installed inside the cylindrical housing (1);所述定位装置(3)包括三个卡接在所述外管(2)底端与所述内管(4)底端之间的弧形卡块(14),三个所述弧形卡块(14)的底部固定连接有环形硅胶圈(12),所述环形硅胶圈(12)的底部固定连接有环形气囊(13);The positioning device (3) includes three arc-shaped blocks (14) clamped between the bottom end of the outer tube (2) and the bottom end of the inner tube (4), and the three arc-shaped blocks The bottom of block (14) is fixedly connected with annular silica gel ring (12), and the bottom of described annular silica gel ring (12) is fixedly connected with annular air bag (13);所述加压装置(6)包括固定安装在所述圆柱型壳体(1)内部上部的固定圈(21),所述固定圈(21)的内部固定安装有球囊(19),所述球囊(19)的上部设有进气口(20),且所述球囊(19)的侧面上连通设有第一管道(22),所述第一管道(22)远离所述球囊(19)的一端穿过所述外管(2)和所述内管(4)之间的缝隙与所述环形气囊(13)的上部相连通,所述进气口(20)的内部设有第一单向阀(25),所述第一管道(22)伸入所述球囊(19)内部的一端内部设有第二单向阀(26)。The pressurizing device (6) includes a fixed ring (21) fixedly installed on the inner upper part of the cylindrical casing (1), and a balloon (19) is fixedly installed inside the fixed ring (21). The upper part of the balloon (19) is provided with an air inlet (20), and the side of the balloon (19) is communicated with a first pipeline (22), and the first pipeline (22) is far away from the balloon. One end of (19) passes through the gap between the outer tube (2) and the inner tube (4) to communicate with the top of the annular airbag (13), and the inside of the air inlet (20) is provided with There is a first one-way valve (25), and a second one-way valve (26) is provided inside one end of the first pipeline (22) extending into the inside of the balloon (19).2.根据权利要求1所述的一种胸腔镜手术用辅助装置,其特征在于:所述第一管道(22)上还连通设有排气管(23),所述排气管(23)上安装有阀门(24)。2. A kind of auxiliary device for thoracoscopic surgery according to claim 1, characterized in that: the first pipeline (22) is also communicated with an exhaust pipe (23), and the exhaust pipe (23) Valve (24) is installed on it.3.根据权利要求1所述的一种胸腔镜手术用辅助装置,其特征在于:所述圆柱型壳体(1)的内部还设有两组吸收单元(5),每组所述吸收单元(5)均包括通过卡扣(10)固定安装在所述圆柱型壳体(1)内部的一个第二管道(8),两个所述第二管道(8)位于所述圆柱型壳体(1)内部的一端均固定连接有插接头(9),且所述第二管道(8)的另一端均穿过所述外管(2)和所述内管(4)之间的缝隙分别与两个通道(17)相连通,两个所述通道(17)均贯通设置在所述环形气囊(13)的内部。3. A kind of auxiliary device for thoracoscopic surgery according to claim 1, characterized in that: the inside of the cylindrical housing (1) is also provided with two groups of absorption units (5), each group of absorption units (5) both include a second pipe (8) fixedly installed inside the cylindrical housing (1) through a buckle (10), and the two second pipes (8) are located in the cylindrical housing (1) One end inside is fixedly connected with a plug joint (9), and the other end of the second pipe (8) passes through the gap between the outer pipe (2) and the inner pipe (4) They communicate with two passages (17) respectively, and the two passages (17) are arranged through the inside of the annular air bag (13).4.根据权利要求3所述的一种胸腔镜手术用辅助装置,其特征在于:三个所述弧形卡块(14)的内部均开设有一个通孔(16),三个所述通孔(16)分别用于穿过所述第一管道(22)和两个所述第二管道(8)。4. A kind of auxiliary device for thoracoscopic surgery according to claim 3, characterized in that: a through hole (16) is provided in the inside of the three said arc-shaped blocks (14), and a through hole (16) is opened in the three said through holes. Holes (16) are used to pass through said first duct (22) and two said second ducts (8), respectively.5.根据权利要求1所述的一种胸腔镜手术用辅助装置,其特征在于:三个所述弧形卡块(14)的内侧壁上均开设有弧形凹槽(15),所述内管(4)的外部固定安装有三个与弧形凹槽(15)相匹配的凸块(18)。5. A kind of auxiliary device for thoracoscopic surgery according to claim 1, characterized in that: arc grooves (15) are provided on the inner sidewalls of the three arc-shaped blocks (14), Three projections (18) matching the arc grooves (15) are fixedly installed on the outside of the inner tube (4).6.根据权利要求1所述的一种胸腔镜手术用辅助装置,其特征在于:所述圆柱型壳体(1)上还均匀设有三组调节单元(7),每组所述调节单元(7)均包括三个贯通活动安装在所述圆柱型壳体(1)底壁上的导向杆(27),三个所述导向杆(27)的底端固定连接有第一圆板(32),且三个所述导向杆(27)的上端固定连接有第二圆板(30),所述第一圆板(32)位于所述圆柱型壳体(1)的底壁下方,所述第二圆板(30)位于所述圆柱型壳体(1)的底壁上方,所述第二圆板(30)的内部居中安装有穿插孔(33),所述圆柱型壳体(1)的底壁上螺接有螺纹杆(28),所述螺纹杆(28)的上端穿过所述穿插孔(33)连接有操作手柄(29),所述操作手柄(29)位于所述第二圆板(30)的上方。6. A kind of auxiliary device for thoracoscopic surgery according to claim 1, characterized in that: three groups of adjustment units (7) are evenly arranged on the cylindrical housing (1), and each group of adjustment units ( 7) Each includes three guide rods (27) penetrating and movably installed on the bottom wall of the cylindrical housing (1), and the bottom ends of the three guide rods (27) are fixedly connected with a first circular plate (32 ), and the upper ends of the three guide rods (27) are fixedly connected with a second disc (30), and the first disc (32) is located below the bottom wall of the cylindrical housing (1), so The second circular plate (30) is located above the bottom wall of the cylindrical housing (1), and an insertion hole (33) is installed in the center of the second circular plate (30), and the cylindrical housing (1) is screwed with a threaded rod (28) on the bottom wall, and the upper end of the threaded rod (28) passes through the insertion hole (33) and is connected with an operating handle (29), and the operating handle (29) Located above the second circular plate (30).7.根据权利要求6所述的一种胸腔镜手术用辅助装置,其特征在于:所述穿插孔(33)的直径大于所述螺纹杆(28)的直径,且所述穿插孔(33)的直径小于所述操作手柄(29)最宽处的宽度。7. The auxiliary device for thoracoscopic surgery according to claim 6, characterized in that: the diameter of the penetration hole (33) is greater than the diameter of the threaded rod (28), and the penetration hole ( 33) has a diameter smaller than the width at the widest point of the operating handle (29).8.根据权利要求6所述的一种胸腔镜手术用辅助装置,其特征在于:所述导向杆(27)的外部均套装有弹簧(31),所述弹簧(31)的上端与所述第二圆板(30)的底部相抵触,且所述弹簧(31)的底端与所述圆柱型壳体(1)的底壁上部相抵触。8. A kind of auxiliary device for thoracoscopic surgery according to claim 6, characterized in that: the outside of the guide rod (27) is equipped with a spring (31), and the upper end of the spring (31) is in contact with the The bottom of the second circular plate (30) is in conflict, and the bottom end of the spring (31) is in conflict with the upper part of the bottom wall of the cylindrical casing (1).
CN201821737671.6U2018-10-252018-10-25 An auxiliary device for thoracoscopic surgeryExpired - Fee RelatedCN209464020U (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication numberPriority datePublication dateAssigneeTitle
CN109276283A (en)*2018-10-252019-01-29南通市肺科医院(南通市第六人民医院) A kind of auxiliary device for thoracoscopic surgery

Cited By (2)

* Cited by examiner, † Cited by third party
Publication numberPriority datePublication dateAssigneeTitle
CN109276283A (en)*2018-10-252019-01-29南通市肺科医院(南通市第六人民医院) A kind of auxiliary device for thoracoscopic surgery
CN109276283B (en)*2018-10-252024-07-09南通市肺科医院(南通市第六人民医院)Auxiliary device for thoracoscopic operation

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