CN113729863B - Visual nasal cavity haemostat that pressure is adjustable - Google Patents
Visual nasal cavity haemostat that pressure is adjustable Download PDFInfo
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- CN113729863B CN113729863B CN202111161894.9A CN202111161894A CN113729863B CN 113729863 B CN113729863 B CN 113729863B CN 202111161894 A CN202111161894 A CN 202111161894A CN 113729863 B CN113729863 B CN 113729863B
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- 210000003928 nasal cavity Anatomy 0.000 title claims abstract description 25
- 230000000007 visual effect Effects 0.000 title 1
- 239000002874 hemostatic agent Substances 0.000 claims abstract description 22
- 230000002439 hemostatic effect Effects 0.000 claims description 9
- 230000005540 biological transmission Effects 0.000 claims description 6
- 238000004891 communication Methods 0.000 claims description 3
- 239000000835 fiber Substances 0.000 claims description 2
- 239000000463 material Substances 0.000 claims description 2
- 230000023597 hemostasis Effects 0.000 abstract description 7
- 230000006835 compression Effects 0.000 abstract description 2
- 238000007906 compression Methods 0.000 abstract description 2
- 238000012800 visualization Methods 0.000 abstract description 2
- 208000032843 Hemorrhage Diseases 0.000 description 7
- 230000000740 bleeding effect Effects 0.000 description 7
- 208000001780 epistaxis Diseases 0.000 description 5
- 238000010586 diagram Methods 0.000 description 2
- 208000032456 Hemorrhagic Shock Diseases 0.000 description 1
- 208000026344 Nasal disease Diseases 0.000 description 1
- 208000030880 Nose disease Diseases 0.000 description 1
- 206010039101 Rhinorrhoea Diseases 0.000 description 1
- 206010049771 Shock haemorrhagic Diseases 0.000 description 1
- 208000007502 anemia Diseases 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000002146 bilateral effect Effects 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 208000010753 nasal discharge Diseases 0.000 description 1
- 210000001331 nose Anatomy 0.000 description 1
- 230000000153 supplemental effect Effects 0.000 description 1
- 208000024891 symptom Diseases 0.000 description 1
- 230000009885 systemic effect Effects 0.000 description 1
- 230000002485 urinary effect Effects 0.000 description 1
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- A61B90/361—Image-producing devices, e.g. surgical cameras
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- A61B2017/12004—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for haemostasis, for prevention of bleeding
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Abstract
本发明提供一种压力可调可视的鼻腔止血器,包括转动装置,架设在引导杆端部;转动台,设置在转动装置的顶部;转动板,一端与转动台转动连接;固定杆,固定设置在转动板的另一端;驱动装置,驱动转动板的一端转动;推杆机构,设置在转动板的侧部;移动环,套设在固定杆上,并与推杆机构连接,通过推杆机构驱动沿固定杆的轴向前后移动;若干组连杆结构,绕移动环周向均匀设置;摄像头,底部固定设置在固定杆的端部;伞状的按压气囊,内侧与每个第二连杆均固定连接;其中部开设有与摄像头镜头配合的通孔;透明气囊,固定设置在摄像头镜头端。该装置实现鼻腔按压止血可视化,并且能够按压患部时进行准确定位。
The invention provides a pressure-adjustable and visible nasal cavity hemostat, which comprises a rotating device mounted on the end of a guide rod; a rotating table arranged on the top of the rotating device; It is set on the other end of the rotating plate; the driving device drives one end of the rotating plate to rotate; the push rod mechanism is set on the side of the rotating plate; the moving ring is set on the fixed rod and connected with the push rod mechanism, The mechanism is driven to move back and forth along the axial direction of the fixed rod; several groups of connecting rod structures are uniformly arranged around the moving ring; the camera is fixed at the end of the fixed rod at the bottom; The rods are all fixedly connected; a through hole matching with the camera lens is opened in the middle; the transparent airbag is fixedly arranged at the end of the camera lens. The device realizes nasal compression hemostasis visualization, and can perform accurate positioning when pressing the affected part.
Description
技术领域technical field
本发明涉及医疗器械技术领域,具体涉及压力可调可视的鼻腔止血器。The invention relates to the technical field of medical instruments, in particular to a pressure-adjustable and visible nasal cavity hemostat.
背景技术Background technique
鼻出血是临床常见的症状之一,可由鼻部疾病引起,也可由全身疾病所致。鼻出血多为单侧,少数情况下可出现双侧鼻出血;出血量多少不一,轻者仅为涕中带血,重者可引起失血性休克,反复鼻出血可导致贫血。Epistaxis is one of clinical common symptom, can be caused by nasal disease, also can be caused by systemic disease. Nosebleeds are mostly unilateral, and bilateral nosebleeds can occur in a few cases; the amount of bleeding varies, ranging from bloody nasal discharge in mild cases to hemorrhagic shock in severe cases, and repeated epistaxis can lead to anemia.
临床上,鼻出血尤其是鼻后孔出血没有专业的按压装置,常用尿管代替,其末端气囊的压力不可控,极易对患者鼻部造成二次损伤,并且鼻后孔的位置较深,导致止血时无法准确定位,并且无法实时获取止血情况。Clinically, epistaxis, especially postnasal bleeding, does not have a professional pressing device. Urinary catheters are often used instead. The pressure of the air bag at the end is uncontrollable, which can easily cause secondary damage to the patient's nose, and the position of the postnasal hole is deep. As a result, accurate positioning cannot be performed during hemostasis, and the hemostasis situation cannot be obtained in real time.
为此,本发明提出了一种新的压力可调可视的鼻腔止血器。For this reason, the present invention proposes a new pressure-adjustable and visible nasal cavity hemostat.
发明内容Contents of the invention
为解决上述问题,本发明的目的在于提供一种压力可调可视的鼻腔止血器。该装置实现鼻腔按压止血可视化,并且能够按压患部时进行准确定位。In order to solve the above problems, the object of the present invention is to provide a pressure-adjustable and visible nasal cavity hemostat. The device realizes nasal compression hemostasis visualization, and can perform accurate positioning when pressing the affected part.
为实现上述目的,本发明提供了如下的技术方案。To achieve the above object, the present invention provides the following technical solutions.
一种压力可调可视的鼻腔止血器,包括:A pressure-adjustable and visible nasal cavity hemostat, comprising:
引导杆;guide rod;
转动台,架设在所述引导杆的端部;a turntable mounted on the end of the guide rod;
转动装置,设置在所述引导杆上,驱动转动台周向转动;The rotating device is arranged on the guide rod and drives the rotating table to rotate in the circumferential direction;
转动板,一端与所述转动台转动连接;a rotating plate, one end of which is rotationally connected to the rotating table;
驱动装置,设置在所述转动台上,驱动所述转动板的摆动;a driving device, arranged on the turntable, to drive the swing of the turntable;
固定杆,固定设置在所述转动板的另一端;a fixed rod fixedly arranged on the other end of the rotating plate;
移动环,套设在所述固定杆上;a moving ring sleeved on the fixed rod;
推杆机构,设置在所述转动板上,推动移动环沿所述固定杆的轴线方向移动;a push rod mechanism, arranged on the rotating plate, pushes the moving ring to move along the axis of the fixed rod;
多个连杆结构,绕所述移动环周向均匀设置;A plurality of connecting rod structures are evenly arranged around the circumference of the moving ring;
伞状的按压气囊,内壁与多个所述连杆结构外壁固定连接,通过多个连杆结构支撑。In the umbrella-shaped pressing airbag, the inner wall is fixedly connected to the outer walls of the plurality of connecting rod structures, and is supported by the plurality of connecting rod structures.
优选地,还包括:Preferably, it also includes:
带有补光灯的摄像头,底部固定设置在所述固定杆的端部;A camera with a supplementary light, the bottom of which is fixedly arranged at the end of the fixing rod;
透明气囊,固定设置在所述摄像头镜头端;所述按压气囊中部开设有与所述摄像头镜头配合的通孔;The transparent airbag is fixedly arranged at the end of the camera lens; the middle part of the pressing airbag is provided with a through hole matching with the camera lens;
止血层,固定贴附在所述按压气囊的外侧;The hemostatic layer is fixedly attached to the outside of the pressing airbag;
若干个贴片压敏电阻,设置在所述止血层和按压气囊之间。Several patch piezoresistors are arranged between the hemostatic layer and the pressing air bag.
优选地,每组所述连杆装置均包括:Preferably, each set of linkage devices includes:
第一连杆,一端与所述移动环转动连接;a first connecting rod, one end of which is rotatably connected to the moving ring;
第二连杆,一端与所述第一连杆的另一端转动连接,另一端与所述固定杆的端沿转动连接;多个所述第二连杆与所述按压气囊的内壁固定连接。One end of the second connecting rod is rotatably connected to the other end of the first connecting rod, and the other end is rotatably connected to the end of the fixed rod; multiple second connecting rods are fixedly connected to the inner wall of the pressing airbag.
优选地,所述转动装置包括:Preferably, the rotating device includes:
支撑板,通过若干个支撑杆架设在所述引导杆的端部;所述转动台转动设置在所述支撑板顶部;The support plate is erected on the end of the guide rod through several support rods; the rotating table is rotatably arranged on the top of the support plate;
第一电机,固定设置在所述支撑板底部;所述第一电机的输出轴穿过所述支撑板,并与所述转动台传动连接。The first motor is fixedly arranged at the bottom of the support plate; the output shaft of the first motor passes through the support plate and is connected to the turntable through transmission.
优选地,所述驱动装置包括:Preferably, the driving device includes:
两个架板,均固定设置在所述转动台的顶部;Two shelf plates are fixedly arranged on the top of the turntable;
转轴,穿过所述转动板的一端,并与所述转动板固定连接,其两端分别与两个所述架板转动连接;The rotating shaft passes through one end of the rotating plate and is fixedly connected with the rotating plate, and its two ends are respectively connected in rotation with the two frame plates;
第二电机,固定设置在一个所述架板的外侧,所述第二电机的输出轴与转轴传动连接。The second motor is fixedly arranged on the outside of one of the frame plates, and the output shaft of the second motor is connected to the rotating shaft through transmission.
优选地,所述转动板的两侧均开设有凹槽;所述推杆机构包括:Preferably, both sides of the rotating plate are provided with grooves; the push rod mechanism includes:
两组对称设置的丝杠结构;每组所述丝杠结构均包括:Two sets of symmetrically arranged lead screw structures; each set of lead screw structures includes:
电机板,固定设置在所述凹槽内;The motor plate is fixedly arranged in the groove;
推板,滑动设置在所述凹槽内;The push plate is slidably arranged in the groove;
丝杠,一端与所述电机板的一侧转动连接,另一端穿过所述推板,并与所述转动板的另一端转动连接;所述丝杠与所述推板螺纹配合;A lead screw, one end is rotationally connected to one side of the motor plate, the other end passes through the push plate, and is rotationally connected to the other end of the rotating plate; the lead screw is threadedly matched with the push plate;
第三电机,固定设置在所述电机板的另一侧,其输出轴与所述丝杠传动连接;The third motor is fixedly arranged on the other side of the motor plate, and its output shaft is connected with the screw drive;
两个推杆,一端固定设置在所述推板一侧,另一端穿过所述转动板的另一端,并与所述移动环的端面固定连接。Two push rods, one end is fixedly arranged on one side of the push plate, the other end passes through the other end of the rotating plate, and is fixedly connected with the end surface of the moving ring.
优选地,所述移动环周向固定有多个U型架,每个所述第一连杆的一端的两侧分别通过第一短轴与一个所述U型架的两侧转动连接;所述固定杆端部沿周向开设有若干个方槽,每个所述第二连杆的另一端的两侧分别通过第二短轴与一个所述方槽的两侧转动连接。Preferably, a plurality of U-shaped frames are fixed in the circumferential direction of the moving ring, and both sides of one end of each of the first connecting rods are respectively rotatably connected to two sides of one of the U-shaped frames through a first short shaft; The end of the fixed rod is provided with several square grooves in the circumferential direction, and the two sides of the other end of each second connecting rod are rotatably connected to the two sides of one of the square grooves through the second short axis respectively.
优选地,所述止血层材质为无菌纤维层。Preferably, the material of the hemostatic layer is a sterile fiber layer.
优选地,还包括显示器;所述显示器与所述摄像头通过无线通信连接。Preferably, a display is also included; the display is connected to the camera through wireless communication.
本发明有益效果:Beneficial effects of the present invention:
本发明提出一种压力可调可视的鼻腔止血器,通过设置两组转动结构使得止血结构末端位置可控,可以根据鼻腔的实际流血部位进行按压止血;该装置的顶端设置有摄像头,通过补光灯辅助补光,将实时视频无线传输至显示器,可观察鼻腔内部的情况,准确进行患部定位,并且实时获取治疗进展情况;该装置的止血端采用连杆结构支撑按压气囊对患部进行按压止血,通过实时获取若干贴片压敏电阻电流值,判断实时按压患部的压力大小,通过调节连杆结构的张开程度或气囊的充气量以调节压力大小。The present invention proposes a pressure-adjustable and visible nasal cavity hemostat. By setting two groups of rotating structures, the position of the end of the hemostatic structure can be controlled, and the hemostasis can be pressed according to the actual bleeding part of the nasal cavity; the top of the device is equipped with a camera. The supplemental light is assisted by the light, and the real-time video is wirelessly transmitted to the monitor, which can observe the situation inside the nasal cavity, accurately locate the affected part, and obtain the progress of the treatment in real time; the hemostatic end of the device uses a connecting rod structure to support the pressing airbag to press the affected part to stop bleeding , by obtaining the current values of several chip varistors in real time, judging the pressure of pressing the affected part in real time, and adjusting the pressure by adjusting the opening degree of the connecting rod structure or the inflation volume of the air bag.
附图说明Description of drawings
图1是本发明实施例的压力可调可视的鼻腔止血器的整体结构图;Fig. 1 is the overall structural diagram of the pressure-adjustable and visible nasal cavity hemostasis device of the embodiment of the present invention;
图2是本发明实施例的压力可调可视的鼻腔止血器的局部结构图;Fig. 2 is a partial structural diagram of a pressure-adjustable and visible nasal cavity hemostat according to an embodiment of the present invention;
图3是本发明实施例的压力可调可视的鼻腔止血器的另一角度局部结构图。Fig. 3 is another perspective partial structural view of the pressure-adjustable and visible nasal cavity hemostat according to the embodiment of the present invention.
图中:1、引导杆;2、转动板;3、按压气囊;4、支撑杆;5、第一电机;6、支撑板;7、转动台;8、第二电机;9、推杆;10、移动环;11、第一连杆;12、固定杆;13、第二连杆;14、推板;15、丝杠;16、电机板;17、第三电机;18、透明气囊;19、摄像头。In the figure: 1. Guide rod; 2. Rotating plate; 3. Press the air bag; 4. Support rod; 5. First motor; 6. Support plate; 7. Turntable; 8. Second motor; 10. Moving ring; 11. First connecting rod; 12. Fixed rod; 13. Second connecting rod; 14. Push plate; 15. Lead screw; 16. Motor plate; 17. Third motor; 18. Transparent airbag; 19. Camera.
具体实施方式Detailed ways
为了使本发明的目的、技术方案及优点更加清楚明白,以下结合附图及实施例,对本发明进行进一步详细说明。应当理解,此处所描述的具体实施例仅仅用以解释本发明,并不用于限定本发明。In order to make the object, technical solution and advantages of the present invention clearer, the present invention will be further described in detail below in conjunction with the accompanying drawings and embodiments. It should be understood that the specific embodiments described here are only used to explain the present invention, not to limit the present invention.
实施例Example
一种压力可调可视的鼻腔止血器,如图1-3所示,包括A pressure-adjustable and visible nasal cavity hemostat, as shown in Figure 1-3, includes
转动装置,架设在引导杆1端部;转动台7,设置在转动装置的顶部,并通过转动装置驱动转动;具体的,如图2所示,转动装置包括:支撑板6,通过若干个支撑杆4架设在引导杆1的端部;转动台7转动设置在支撑板6顶部;第一电机5,固定设置在支撑板6底部;第一电机5的输出轴穿过支撑板6,并与转动台7传动连接。驱动第一电机5转动,即可带动转动台7转动,继而带动整个末端实现转动。The rotating device is erected on the end of the
进一步的,包括转动板2,一端与转动台7转动连接;固定杆12,固定设置在转动板2的另一端;驱动装置,驱动转动板2的一端转动。具体的,驱动装置包括:两个架板,均固定设置在转动台7的顶部;转轴,穿过转动板2的一端,并与转动板2固定连接,其两端分别与两个架板转动连接;第二电机8,固定设置在一个架板的外侧,第二电机8的输出轴与转轴传动连接。当驱动第二电机8转动时,带动了转动板2进行摆动,结合转动装置实现的轴向转动,可带动末端在空间上实现任意位置的伺服。Further, it includes a
进一步的,还包括推杆机构,设置在转动板2的侧部;移动环10,套设在固定杆12上,并与推杆机构连接,通过推杆机构驱动沿固定杆12的轴向前后移动;具体的,如图2所示,转动板2的两侧均开设有凹槽;推杆机构包括:两组对称设置的丝杠结构;每组丝杠结构均包括:电机板16,固定设置在凹槽内;推板14,滑动设置在凹槽内;丝杠15,一端与电机板16的一侧转动连接,另一端穿过推板14,并与转动板2的另一端转动连接;丝杠15与推板14螺纹配合;第三电机17,固定设置在电机板16的另一侧,其输出轴与丝杠15传动连接;两个推杆9,一端固定设置在推板14一侧,另一端穿过转动板2的另一端,并与移动环10的端面固定连接。当第三电机17驱动转动时,带动了丝杠结构实现移动,进而带动推杆9前后移动。通过推杆9推动移动环10移动,结合若干组连杆结构,实现了对气囊3的支撑。具体的,连杆结构包括:第一连杆11,一端与移动环10转动连接;第二连杆13,一端与第一连杆11的另一端转动连接,另一端与固定杆12的端沿转动连接。Further, it also includes a push rod mechanism, which is arranged on the side of the
为了精准定位止血器末端的位置,还设置有带有补光灯的摄像头19,其底部固定设置在固定杆12的端部;伞状的按压气囊3的中部开设有与摄像头19镜头配合的通孔;透明气囊18,固定设置在摄像头19镜头端,不影响和遮挡摄像头19采集实时视频。通过摄像头19实时获取鼻腔内部情况,通过无线通讯的方式传输至显示器,进行显示;通过设置的贴片压敏电阻实时获取的电流值来判断压力大小,并通过上述的连杆结构或气囊的气压量进行调整。In order to accurately locate the position of the end of the hemostat, a
进一步的,为了使结构稳定,移动环10周向固定有多个U型架,每个第一连杆11的一端的两侧分别通过第一短轴与一个U型架的两侧转动连接;固定杆12端部沿周向开设有若干个方槽,每个第二连杆13的另一端的两侧分别通过第二短轴与一个方槽的两侧转动连接。Further, in order to stabilize the structure, the moving
本实施例中,In this example,
通过柔性的引导杆1将末端引入鼻腔内部,打开补光灯,摄像头19开始工作实时获取鼻腔内部情况。The end is introduced into the interior of the nasal cavity through the
等到止血器末端靠近患部,通过驱动第一电机5转动,调节按压气囊3的轴向位置,通过驱动第二电机8,调节按压气囊3角度,驱动两组驱动装置对末端进行位置调整,最终实现对患部的定位。When the end of the hemostat is close to the affected part, the axial position of the
通过驱动两组第三电机17转动,通过若干组连杆结构将按压气囊3撑开;获取对应的贴片压敏电阻实时获取的电流值来判断压力大小,压力过大或过小是,调整按压气囊3的位置,或撑开程度,或气囊3的充气量来进行压力调整。By driving two sets of
待止血一段时间后,移动止血器的末端,通过摄像头19观察患部是否依旧产生流血情况,若完成止血,即可将止血器退出。After stopping the bleeding for a period of time, move the end of the hemostat, and observe whether the affected part is still bleeding through the
该装置末端位置可控,止血器的顶端设置有摄像头19,通过补光灯辅助补光,将实时视频无线传输至显示器,可观察鼻腔内部的情况,准确进行患部定位,并且实时获取治疗进展情况;该装置的止血端采用连杆结构支撑按压气囊对患部进行按压止血,通过实时获取若干贴片压敏电阻电流值,判断实时按压患部的压力大小,通过调节连杆结构的张开程度或气囊的充气量以调节压力大小。The position of the end of the device is controllable, and the top of the hemostat is equipped with a
以上仅为本发明的较佳实施例而已,并不用以限制本发明,凡在本发明的精神和原则之内所作的任何修改、等同替换和改进等,均应包含在本发明的保护范围之内。The above are only preferred embodiments of the present invention, and are not intended to limit the present invention. Any modifications, equivalent replacements and improvements made within the spirit and principles of the present invention should be included in the protection scope of the present invention. Inside.
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