CN-116807810-B - Be applied to operation equipment of bronchoscope operation

CN116807810BCN 116807810 BCN116807810 BCN 116807810BCN-116807810-B

Abstract

The invention discloses operation equipment applied to bronchoscopy, which comprises an operation table platen transversely arranged, wherein an inclined part and a lifting part for inclining the operation table platen are sequentially arranged below the operation table platen, an auxiliary bronchoscopy part is arranged on one side of the operation table platen, an arc-shaped through hole is formed in a first arc plate, a second arc plate is arranged in the through hole in a sliding manner, two ends of the second arc plate extend out of the through hole, two ends of the second arc plate are respectively connected with the lower side surface of the operation table platen, the inclined part further comprises a moving component for driving the second arc plate to slide in the through hole, the lifting part is arranged on one side, away from the operation table platen, of the first arc plate, and the drainage component comprises a guide pipe for extending into a human trachea and a guide component for supporting and fixing the guide pipe. Through the mutual cooperation between the structures, when the bronchus generates massive hemorrhage, the choking caused by the inflow of blood into the lung can be prevented.

Inventors

LIU SHIQING
HU CHENGPING
LI XIAOLI

Assignees

中南大学湘雅医院

Dates

Publication Date: 20260508
Application Date: 20230307

Claims (8)

1. The surgical equipment applied to the bronchoscopy is characterized by comprising a transversely arranged operating table plate, wherein an inclined component and a lifting component for inclining the operating table plate are sequentially arranged below the operating table plate, and a bronchoscopy operation auxiliary component is arranged on one side of the operating table plate; The tilting component comprises a first arc plate which is recessed towards one side deviating from the operating table platen, an arc-shaped through hole is formed in the first arc plate, a second arc plate is slidably arranged in the through hole, two ends of the second arc plate extend out of the through hole, two ends of the second arc plate are respectively connected with the lower side surface of the operating table platen, the tilting component further comprises a moving component for driving the second arc plate to slide in the through hole, and the lifting component is arranged on one side of the first arc plate away from the operating table platen; The bronchoscope operation auxiliary component comprises a drainage component and a supporting component, wherein the supporting component is arranged on the side edge of the table plate of the operation table and used for supporting the drainage component, the drainage component comprises a guide pipe which is used for extending into a human trachea and a guide component which is used for supporting and fixing the guide pipe, and an expansion component which is used for being in contact with the inner wall of the human trachea is wound on the outer wall of one end of the guide pipe; The guide assembly comprises two fifth support plates vertically arranged on one side, deviating from the lifting rod, of the fourth support plates, two third gears and two fourth gears are symmetrically arranged between the two fifth support plates in a rotating mode, a first idler wheel is connected between the two third gears, a second idler wheel is connected between the two fourth gears, the fourth gears are located above the third gears, the two third gears and the two fourth gears are meshed in a one-to-one correspondence mode, a first arc groove is formed in the outer wall of the first idler wheel in a surrounding manner, a second arc groove is formed in the outer wall of the second idler wheel in a surrounding manner, the first arc groove and the second arc groove are matched to form an annular containing space for containing a guide pipe, when the guide pipe is located in the annular containing space, the outer wall of the guide pipe is in contact with the first arc groove and the second arc groove, and the guide assembly further comprises a fixing assembly for realizing rotation of the third gears and the fourth gears; the drainage assembly further comprises a lubricating piece used for lubricating the outer wall of the catheter, the lubricating piece comprises a transversely arranged lubricating barrel, the lower part of the lubricating barrel is connected with a fourth supporting plate through a support column, a containing cavity used for containing lubricating liquid is formed in the barrel wall of one side of the lubricating barrel, which is close to the support column, of the lubricating barrel, an oil absorption layer is arranged on the inner wall of the lubricating barrel in a surrounding mode, and the oil absorption layer penetrates through the outer wall of the lubricating barrel through an oil absorption cotton sliver and stretches into the containing cavity; The movable assembly drives the operating table platen to incline towards one side close to the ground, and at the moment, blood flowing out of the bronchus flows downwards through the trachea under the action of gravity so as to prevent the blood from flowing into the lung, and the drainage assembly is used for guiding the blood to flow out and preventing the blood from flowing into the nasal cavity.
2. The surgical device for bronchoscopy according to claim 1, wherein the moving assembly comprises a motor arranged on the outer wall of the first arc plate, an output shaft of the motor is transversely arranged and connected with a first gear, a third arc-shaped groove is concavely formed on one side, close to the first gear, of the second arc plate, the extending direction of the third arc-shaped groove is in the same direction as that of the second arc-shaped plate, a rack used for being meshed with the first gear is arranged in the third arc-shaped groove, a through hole used for enabling the first gear to extend into the through hole and meshed with the rack is formed on one side, close to the first gear, of the first arc plate, and the moving assembly further comprises a positioning assembly used for limiting rotation of the first gear.
3. The surgical apparatus for bronchoscopy according to claim 2, wherein the positioning assembly includes a first support plate transversely disposed at a side of the first arc plate near the table plate of the operating table, and a connection shaft disposed at a side of the first gear facing away from the motor, one end of the connection shaft facing away from the first gear is provided with a second gear, a side of the first support plate near the second gear is provided with a fixed arc plate, a side of the fixed arc plate near the second gear is provided with a plurality of first teeth for meshing with the second gear, and a side of the first support plate near the first arc plate is provided with a moving member for driving the fixed arc plate to move toward a side near or facing away from the second gear.
4. The surgical apparatus for bronchoscopy according to claim 3, wherein the moving member comprises two second support plates vertically disposed on one side of the first support plate close to the first arc plate, the fixed arc plate is disposed between the two second support plates, a connecting plate is laterally connected to one side of the fixed arc plate close to the second support plate, a support plate is laterally connected to one side of each second support plate close to the fixed arc plate, the support plate is disposed on the upper side of the connecting plate, an electric telescopic rod fixed on the second support plate is disposed on one side of the support plate away from the connecting plate, an output shaft of the electric telescopic rod vertically penetrates the support plate to be connected with the connecting plate, and a spring is sleeved on an outer wall of the output shaft of the electric telescopic rod and is disposed between the support plate and the connecting plate.
5. The surgical apparatus for bronchoscopy according to claim 1, wherein the supporting assembly comprises a third supporting plate which is transversely arranged at one side of the width direction of the operating table platen, a lifting rod is slidably arranged above the third supporting plate, the sliding direction of the lifting rod is in the same direction as the width direction of the operating table platen, and a fourth supporting plate for supporting the drainage assembly is rotatably connected to one end of the lifting rod, which is away from the third supporting plate.
6. The surgical apparatus for bronchoscopy according to claim 1, wherein the upper side of the table plate is slidably provided with two shoulder rests for abutting against shoulders of a human body, and the sliding direction of the shoulder rests is in the same direction as the width direction of the table plate.
7. The surgical device for bronchoscopy according to claim 1, wherein the fixing component comprises a rotating shaft which transversely penetrates through the fifth supporting plate and is connected with the third gear, one end of the rotating shaft, which is away from the third gear, is connected with the fifth gear, one side of the fifth gear is provided with a containing block, one side of the containing block, which is close to the fifth gear, is concavely provided with a containing hole, a push rod is slidably arranged in the containing hole, one end of the push rod, which is close to the fifth gear, extends out of the containing hole and is connected with a clamping block, one side of the clamping block, which is away from the containing block, is provided with a plurality of second convex teeth meshed with the fifth gear, the cross section of the push rod and the cross section of the containing hole are rectangular, one end of the push rod, which is away from the clamping block, is rotatably connected with a screw rod, one end of the screw rod, which is away from the push rod, penetrates through one side of the containing block, which is away from the clamping block, and is in threaded engagement connection with the containing block.
8. The surgical equipment for bronchoscopy according to claim 1, wherein the outer wall of one end of the catheter is formed with a containing groove in a surrounding mode, a sealing layer for sealing the containing groove is arranged at a notch of the containing groove, an annular air bag is sleeved in the containing groove, the air bag is connected with an inflator pump capable of presetting inflation pressure through an air pipe, the air pipe is arranged in the pipe wall of the catheter, and a check valve is further communicated with the air pipe.

Description

Be applied to operation equipment of bronchoscope operation Technical Field The invention relates to the technical field of medical equipment, in particular to surgical equipment applied to bronchoscopy. Background At present, bronchoscopy is one of important diagnosis and treatment means for respiratory diseases, can directly perform macroscopic observation on the trachea and the lumen of the bronchus and perform biopsy at the same time to positively confirm broken diseases, can also perform treatment on pulmonary diseases, such as sputum suction, local hemostasis, extirpation of new creatures and the like, and can also perform local administration to achieve better treatment effect. Bronchoscopy procedures often cause asphyxia death if major bleeding occurs. At present, the bleeding rescue in bronchoscopy operation mainly depends on the suction channel (the diameter of a common bronchoscopy forceps channel is about 2 mm) under the bronchoscope to suck, suffer from lateral recumbent position, shrink blood vessel medicine and hemostatic medicine. Under the current rescue measures, because the bronchoscope suction duct is too thin and can not be used for timely tracheal intubation, about 1 case of the operation is dead from massive hemorrhage and asphyxia in every 1 ten thousand cases. With the development of bronchoscopic interventions, the incidence of massive hemorrhage may be higher. However, the current rescue efficiency of the bronchoscopy on massive hemorrhage is still not high. Therefore, there is a need to make a device that prevents blood from entering the lungs when performing bronchoscopic hemorrhage. Disclosure of Invention The invention mainly aims to provide surgical equipment applied to bronchoscopy, and aims to solve the technical problem that in the prior art, after massive hemorrhage of bronchoscopy, blood cannot be prevented from entering the lung in time. In order to achieve the above purpose, the surgical equipment applied to bronchoscopy surgery provided by the invention comprises a transversely arranged operating table plate, wherein an inclined component and a lifting component for inclining the operating table plate are sequentially arranged below the operating table plate, and a bronchoscopy surgery auxiliary component is arranged on one side of the operating table plate; The tilting component comprises a first arc plate which is recessed towards one side deviating from the operating table platen, an arc-shaped through hole is formed in the first arc plate, a second arc plate is slidably arranged in the through hole, two ends of the second arc plate extend out of the through hole, two ends of the second arc plate are respectively connected with the lower side surface of the operating table platen, the tilting component further comprises a moving component for driving the second arc plate to slide in the through hole, and the lifting component is arranged on one side of the first arc plate away from the operating table platen; The auxiliary component for bronchoscope surgery comprises a drainage component and a supporting component, wherein the supporting component is arranged on the side edge of the table plate of the operating table and used for supporting the drainage component, the drainage component comprises a guide pipe which is used for extending into a human trachea and a guide component which is used for supporting and fixing the guide pipe, and an expansion component which is used for being in contact with the inner wall of the human trachea is arranged on the outer wall of one end of the guide pipe in a winding mode. Preferably, the moving assembly comprises a motor arranged on the outer wall of the first arc plate, an output shaft of the motor is transversely provided with and connected with a first gear, a third arc groove is concavely formed on one side, close to the first gear, of the second arc plate, the extending direction of the third arc groove is in the same direction with that of the second arc plate, a rack used for being meshed with the first gear is arranged in the third arc groove, a through hole used for the first gear to extend into the through hole and meshed with the rack is formed on one side, close to the first gear, of the first arc plate, and the moving assembly further comprises a positioning assembly used for limiting rotation of the first gear. Preferably, the positioning assembly comprises a first supporting plate transversely arranged on one side, close to the operating table platen, of the first arc plate and a connecting shaft arranged on one side, away from the motor, of the first gear, a second gear is arranged at one end, away from the first gear, of the connecting shaft, a fixed arc plate is arranged on one side, close to the second gear, of the first supporting plate, a plurality of first convex teeth meshed with the second gear are arranged on one side, close to the first arc plate, of the first supporting plate, and a moving part used