CN115778507A - Clinical thyroid gland puncture auxiliary device - Google Patents
Clinical thyroid gland puncture auxiliary device Download PDFInfo
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- CN115778507A CN115778507A CN202211525593.4A CN202211525593A CN115778507A CN 115778507 A CN115778507 A CN 115778507A CN 202211525593 A CN202211525593 A CN 202211525593A CN 115778507 A CN115778507 A CN 115778507A
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- 210000001685 thyroid gland Anatomy 0.000 title claims abstract description 30
- 230000005540 biological transmission Effects 0.000 claims description 23
- 238000001125 extrusion Methods 0.000 claims description 9
- 125000006850 spacer group Chemical group 0.000 claims description 5
- 230000000149 penetrating effect Effects 0.000 claims description 2
- 230000002457 bidirectional effect Effects 0.000 claims 2
- 238000000034 method Methods 0.000 abstract description 31
- 230000009286 beneficial effect Effects 0.000 abstract description 2
- 230000003014 reinforcing effect Effects 0.000 abstract 1
- 239000011435 rock Substances 0.000 abstract 1
- 230000001681 protective effect Effects 0.000 description 14
- 210000003128 head Anatomy 0.000 description 12
- 238000010586 diagram Methods 0.000 description 10
- 230000000875 corresponding effect Effects 0.000 description 9
- 238000005070 sampling Methods 0.000 description 7
- 238000013459 approach Methods 0.000 description 2
- 210000004907 gland Anatomy 0.000 description 2
- 230000035515 penetration Effects 0.000 description 2
- 230000000284 resting effect Effects 0.000 description 2
- 238000006467 substitution reaction Methods 0.000 description 2
- 241000124008 Mammalia Species 0.000 description 1
- 208000009453 Thyroid Nodule Diseases 0.000 description 1
- 206010044565 Tremor Diseases 0.000 description 1
- 241000251539 Vertebrata <Metazoa> Species 0.000 description 1
- 238000001574 biopsy Methods 0.000 description 1
- 230000002079 cooperative effect Effects 0.000 description 1
- 238000003745 diagnosis Methods 0.000 description 1
- 238000006073 displacement reaction Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 230000002124 endocrine Effects 0.000 description 1
- 210000001061 forehead Anatomy 0.000 description 1
- 238000007689 inspection Methods 0.000 description 1
- 238000009434 installation Methods 0.000 description 1
- 230000003902 lesion Effects 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 230000001575 pathological effect Effects 0.000 description 1
- 210000000534 thyroid cartilage Anatomy 0.000 description 1
- 210000003437 trachea Anatomy 0.000 description 1
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Abstract
Description
技术领域technical field
本发明涉及医疗设备技术领域,具体涉及一种临床甲状腺穿刺辅助装置。The invention relates to the technical field of medical equipment, in particular to a clinical thyroid puncture auxiliary device.
背景技术Background technique
甲状腺是脊椎动物非常重要的腺体,属于内分泌器官,在哺乳动物类它位于颈部甲状软骨下方,气管两旁,人类的甲状腺形为红褐色腺体,犹如盾甲,故以此命名;当甲状腺发生病变时,通常使用甲状腺穿刺术对甲状腺结节进行抽取病理标本并进行检验诊断。The thyroid gland is a very important gland in vertebrates and belongs to the endocrine organ. In mammals, it is located under the thyroid cartilage in the neck and on both sides of the trachea. The human thyroid is a reddish-brown gland, like a shield, so it is named after it; When lesions occur, thyroid biopsy is usually used to extract pathological specimens of thyroid nodules for inspection and diagnosis.
目前的甲状腺穿刺术大多是医护人员手持穿刺针进行操作,医护人员的手部可能因劳累等原因发生颤动,导致穿刺针的方位发生偏移,影响穿刺精准度,医护人员手部力度不均匀,导致穿刺过程缺乏稳定性,穿刺过程平稳性较差,且穿刺过程需始终用手对穿刺针进行扶持,穿刺针容易发生晃动,给患者造成不适。Most of the current thyroid punctures are performed by medical staff holding a puncture needle. The hands of the medical staff may tremble due to fatigue and other reasons, which will cause the position of the puncture needle to shift, affecting the puncture accuracy. The strength of the hands of the medical staff is uneven. As a result, the puncture process lacks stability, and the stability of the puncture process is relatively poor, and the puncture needle needs to be supported by hands all the time during the puncture process, and the puncture needle is prone to shaking, causing discomfort to the patient.
因此,需要一种临床甲状腺穿刺辅助装置,以解决上述问题。Therefore, a clinical thyroid puncture auxiliary device is needed to solve the above problems.
发明内容Contents of the invention
为了解决上述问题,即为了解决穿刺针方位发生偏移而影响穿刺精准度、手部力度不均匀导致穿刺过程平稳性较差、穿刺过程需始终用手对穿刺针进行扶持、穿刺针容易发生晃动的问题,本发明提供了一种临床甲状腺穿刺辅助装置。In order to solve the above problems, that is, in order to solve the deviation of the puncture needle position and affect the puncture accuracy, uneven hand strength leads to poor stability during the puncture process, the puncture needle needs to be supported by hand all the time during the puncture process, and the puncture needle is prone to shaking To solve the problem, the present invention provides a clinical auxiliary device for thyroid puncture.
一种临床甲状腺穿刺辅助装置,包括底板和头枕,所述头枕固定安装在所述底板的后侧,所述底板内部的左右两侧分别滑动安装有第一螺纹块和第二螺纹块,所述第一螺纹块和第二螺纹块在动力组件的驱动下同步沿底板前后滑动,所述第一螺纹块的顶部转动安装有弧形支架,所述第二螺纹块的顶部固定安装有插槽,所述弧形支架的顶部固定安装有弧形滑框;A clinical thyroid puncture auxiliary device, comprising a base plate and a headrest, the headrest is fixedly installed on the rear side of the base plate, and a first threaded block and a second threaded block are respectively slidably installed on the left and right sides inside the base plate, The first threaded block and the second threaded block slide synchronously back and forth along the bottom plate under the drive of the power assembly, the top of the first threaded block is rotatably installed with an arc bracket, and the top of the second threaded block is fixedly installed with a plug groove, the top of the arc-shaped support is fixedly installed with an arc-shaped sliding frame;
所述弧形滑框的内部安装有角度调节机构,所述角度调节机构的底部固定安装有固定杆,所述固定杆的内部滑动安装有活动杆,所述活动杆可在长度调节机构的驱动下沿固定杆滑动;An angle adjustment mechanism is installed inside the arc-shaped sliding frame, a fixed rod is fixedly installed on the bottom of the angle adjustment mechanism, and a movable rod is slidably installed inside the fixed rod, and the movable rod can be driven by the length adjustment mechanism. Slide down the fixed rod;
所述活动杆的底部固定安装有圆形调节框,所述圆形调节框的左右两侧均对称开设有第一滑槽,每个所述第一滑槽内均滑动安装有第一滑块,每个所述第一滑块的内部均转动安装有第一连杆,所述圆形调节框的中部设有夹持块,每个所述第一连杆的另一端均和夹持块固定连接,所述圆形调节框内部的前后两侧均对称转动安装有衔接片,两个所述衔接片上均转动安装有第二连杆,两个所述第二连杆的另一端均和夹持块固定连接,位于前方的所述衔接片的前端固定安装有旋钮,所述夹持块的内部可拆卸安装有穿刺针,所述穿刺针的内部滑动安装有针芯。The bottom of the movable rod is fixed with a circular adjustment frame, and the left and right sides of the circular adjustment frame are symmetrically provided with first chute, and each of the first chute is slidably installed with a first slider , the inside of each of the first sliders is rotatably mounted with a first connecting rod, the middle of the circular adjustment frame is provided with a clamping block, and the other end of each of the first connecting rods is connected to the clamping block Fixedly connected, the front and rear sides of the inside of the circular adjustment frame are symmetrically rotatably equipped with connecting pieces, and the two connecting pieces are rotatably installed with second connecting rods, and the other ends of the two second connecting rods are connected with each other. The clamping block is fixedly connected, and a knob is fixedly installed on the front end of the connecting piece at the front. A puncture needle is detachably installed inside the clamping block, and a needle core is slidably installed inside the puncture needle.
上述一种临床甲状腺穿刺辅助装置,所述角度调节机构包括滑台、第一转轴和弧形齿条,所述滑台滑动安装在所述弧形滑框内部,所述弧形齿条固定安装在所述弧形滑框的背面,所述弧形滑框的正面和背面对称开设有第一导向槽,所述第一转轴转动安装在滑台的中部,且第一转轴的前后两端均穿过第一导向槽并延伸至弧形滑框的外部,所述第一转轴的后端固定安装有和所述弧形齿条相啮合的第一齿轮,所述第一转轴上转动安装有位于所述弧形滑框前方的垫片,所述垫片和第一转轴的前端之间固定安装有第一弹簧,所述弧形滑框的顶部开设有第二导向槽,所述滑台的顶部螺纹连接有可沿第二导向槽滑动的第一锁紧螺栓。In the aforementioned clinical thyroid puncture auxiliary device, the angle adjustment mechanism includes a slide table, a first rotating shaft and an arc-shaped rack, the slide table is slidably installed inside the arc-shaped sliding frame, and the arc-shaped rack is fixedly installed On the back of the arc-shaped sliding frame, the front and back of the arc-shaped sliding frame are symmetrically provided with first guide grooves, the first rotating shaft is rotatably installed in the middle of the sliding table, and the front and rear ends of the first rotating shaft are Passing through the first guide groove and extending to the outside of the arc-shaped sliding frame, the rear end of the first rotating shaft is fixedly installed with the first gear meshing with the arc-shaped rack, and the first rotating shaft is rotatably installed with A spacer located in front of the arc-shaped sliding frame, a first spring is fixedly installed between the spacer and the front end of the first rotating shaft, a second guide groove is opened on the top of the arc-shaped sliding frame, and the sliding table The top of the top is threaded with a first locking bolt that can slide along the second guide groove.
上述一种临床甲状腺穿刺辅助装置,所述长度调节机构包括第二转轴、固定座和直齿条,所述直齿条固定安装在所述活动杆的左侧,所述固定座固定安装在所述固定杆的左侧,所述固定杆的左侧开设有通槽,所述直齿条的上端置于通槽内,所述第二转轴转动安装在所述固定座内,所述第二转轴的中部固定安装有和直齿条相啮合的第二齿轮,所述第二转轴的后端和固定座之间活动安装有第二弹簧,所述固定座的正面开设有卡槽,所述第二转轴的前端固定安装有可卡接在卡槽内的卡块。In the above clinical thyroid puncture auxiliary device, the length adjustment mechanism includes a second rotating shaft, a fixed seat and a spur rack, the spur rack is fixedly installed on the left side of the movable rod, and the fixed seat is fixedly installed on the left side of the movable rod. The left side of the fixed rod, the left side of the fixed rod is provided with a through groove, the upper end of the spur rack is placed in the through groove, the second rotating shaft is rotatably installed in the fixed seat, and the second The middle part of the rotating shaft is fixedly installed with a second gear meshing with the spur rack, and a second spring is movably installed between the rear end of the second rotating shaft and the fixing seat, and a card slot is opened on the front of the fixing seat, and the The front end of the second rotating shaft is fixedly equipped with a clamping block that can be clamped in the clamping slot.
上述一种临床甲状腺穿刺辅助装置,所述动力组件包括螺纹杆和传动杆,所述螺纹杆有两个,所述底板的内部开设有传动腔,两个所述螺纹杆分别转动安装在传动腔的左右两侧,所述传动杆转动安装在传动腔内,两个所述螺纹杆的后端均和传动杆相啮合,所述第一螺纹块和第二螺纹块分别螺纹连接在左右两个螺纹杆上。The above-mentioned clinical thyroid puncture auxiliary device, the power assembly includes a threaded rod and a transmission rod, there are two threaded rods, a transmission chamber is opened inside the bottom plate, and the two threaded rods are respectively rotatably installed in the transmission chamber The left and right sides of the transmission rod are rotatably installed in the transmission cavity, and the rear ends of the two threaded rods are engaged with the transmission rod. The first threaded block and the second threaded block are respectively threaded on the left and right two on threaded rod.
上述一种临床甲状腺穿刺辅助装置,所述旋钮的内部开设有凹腔,所述凹腔的内部设有卡接球,所述凹腔和卡接球之间设有第三弹簧,所述圆形调节框的正面均匀开设有多个卡接槽。In the above-mentioned clinical thyroid puncture auxiliary device, a concave cavity is opened inside the knob, a catch ball is arranged inside the cavity, a third spring is arranged between the concave cavity and the catch ball, and the circle The front of the shape adjustment frame is evenly provided with a plurality of snap-in slots.
上述一种临床甲状腺穿刺辅助装置,所述夹持块的内部开设有凹槽,所述凹槽内滑动安装有挤压板,所述夹持块上螺纹连接有贯穿至凹槽的挤压杆,所述挤压杆的后端和挤压板转动连接。In the above clinical thyroid puncture auxiliary device, a groove is opened inside the clamping block, an extrusion plate is slidably installed in the groove, and an extrusion rod penetrating into the groove is threaded on the clamping block , the rear end of the extruding rod is rotatably connected with the extruding plate.
上述一种临床甲状腺穿刺辅助装置,所述底板的左右两侧对称滑动安装有夹紧板,每个所述夹紧板上均滑动安装有顶板,每个所述夹紧板的底部均螺纹连接有顶杆,每个所述顶杆的顶部均和对应的夹紧板转动连接,每个所述夹紧板的一侧和底板之间均固定安装有第一拉簧。In the aforementioned clinical thyroid puncture auxiliary device, the left and right sides of the bottom plate are symmetrically slidably mounted with clamping plates, each of the clamping plates is slidably mounted with a top plate, and the bottom of each of the clamping plates is threaded. There is a push rod, the top of each push rod is rotatably connected to the corresponding clamping plate, and a first tension spring is fixedly installed between one side of each clamping plate and the bottom plate.
上述一种临床甲状腺穿刺辅助装置,所述头枕的内部开设有调节腔,所述调节腔的内部对称固定安装有导向杆,所述调节腔的内部转动安装有双向丝杆,所述双向丝杆的两端均螺纹连接有可沿导向杆滑动的调节座,两个所述调节座的顶部均固定安装有防护板。In the above clinical thyroid puncture auxiliary device, an adjustment cavity is provided inside the headrest, and guide rods are symmetrically and fixedly installed inside the adjustment cavity, and a two-way screw rod is installed on the inside of the adjustment cavity, and the two-way wire Both ends of the rod are threadedly connected with adjustment seats that can slide along the guide rod, and protective plates are fixedly installed on the tops of the two adjustment seats.
上述一种临床甲状腺穿刺辅助装置,所述头枕的后侧固定安装有支撑板,所述支撑板上滑动安装有第一压板,所述第一压板的后侧滑动安装有第一限位销,所述第一限位销和第一压板之间固定安装有第二拉簧,所述支撑板的背面均匀开设有多组第一限位孔,所述第一压板的内部滑动安装有第二压板,所述第一压板的顶部螺纹连接有第二锁紧螺栓,两个所述防护板的侧面、第一压板的底部和第二压板的底部均固定安装有防护垫。In the above clinical thyroid puncture auxiliary device, a support plate is fixedly installed on the rear side of the headrest, a first pressure plate is slidably installed on the support plate, and a first limit pin is slidably installed on the rear side of the first pressure plate , a second tension spring is fixedly installed between the first limiting pin and the first pressure plate, multiple sets of first limiting holes are evenly opened on the back of the support plate, and a second tension spring is slidably installed inside the first pressure plate. Two pressure plates, the top of the first pressure plate is threadedly connected with a second locking bolt, and the sides of the two protective plates, the bottom of the first pressure plate and the bottom of the second pressure plate are all fixedly equipped with protective pads.
上述一种临床甲状腺穿刺辅助装置,所述插槽的右侧滑动安装有第二限位销,所述第二限位销和插槽之间固定安装有第三拉簧,所述弧形支架的右端开设有第二限位孔。In the above clinical thyroid puncture auxiliary device, a second limit pin is slidably installed on the right side of the slot, and a third tension spring is fixedly installed between the second limit pin and the slot, and the arc-shaped bracket The right end is provided with a second limiting hole.
本发明的有益效果为:The beneficial effects of the present invention are:
1、本发明,通过设置动力组件、长度调节机构、角度调节机构、衔接片、第一滑块、第一连杆和第二连杆,穿刺针跟随夹持块在曲面内做8字形运动,使穿刺针可朝向多个方位,便于医护人员对穿刺针的位置和穿刺方位进行调节,提高穿刺过程的精准性,穿刺针可对不同部位进行穿刺,增强装置的适用性,对穿刺针的方位进行调节和固定后,缓慢调整长度调节机构,穿刺针对穿刺部位进行穿刺,穿刺过程平缓稳定,避免因医护人员手抖造成穿刺失败或给病人造成不适,待刺入合适深度后,穿刺针被固定在当前位置,医护人员反复抽拉针芯进行取样操作,无需对穿刺针进行扶持,取样过程中穿刺针固定不动,有效减轻取样过程中因穿刺针晃动造成患者不适。1. In the present invention, by setting the power assembly, the length adjustment mechanism, the angle adjustment mechanism, the connecting piece, the first slider, the first connecting rod and the second connecting rod, the puncture needle follows the clamping block to make an 8-shaped movement in the curved surface, The puncture needle can be oriented in multiple directions, which is convenient for medical staff to adjust the position and puncture orientation of the puncture needle, and improves the accuracy of the puncture process. The puncture needle can puncture different parts, which enhances the applicability of the device After adjustment and fixation, slowly adjust the length adjustment mechanism. The puncture is aimed at the puncture site. The puncture process is smooth and stable, avoiding puncture failure or discomfort to the patient due to hand shaking of medical staff. In the current position, medical staff repeatedly pull the needle core to perform sampling operations without supporting the puncture needle. The puncture needle is fixed during the sampling process, which effectively reduces the patient's discomfort caused by the shaking of the puncture needle during the sampling process.
2、本发明,通过设置滑台、第一转轴、弧形齿条、第一导向槽、第一齿轮和第一弹簧,向后按动第一转轴使第一齿轮和弧形齿条脱离,沿第一导向槽滑动第一转轴,即可快速对滑台的位置进行调节,减少角度调节所需时间,提高角度调节效率;解除对第一转轴的挤压,第一弹簧带动第一齿轮重新和弧形齿条相啮合,缓慢转动第一转轴,滑台带动固定杆缓慢运动,对圆形调节框位置进行微调,提高了角度调节的精准度。2. In the present invention, by setting the slide table, the first rotating shaft, the arc-shaped rack, the first guide groove, the first gear and the first spring, the first rotating shaft is pushed backward to disengage the first gear and the arc-shaped rack, Sliding the first rotating shaft along the first guide groove can quickly adjust the position of the slide table, reducing the time required for angle adjustment and improving the efficiency of angle adjustment; releasing the squeeze on the first rotating shaft, the first spring drives the first gear to re- Mesh with the arc-shaped rack, slowly rotate the first rotating shaft, the sliding table drives the fixed rod to move slowly, fine-tuning the position of the circular adjustment frame, and improving the accuracy of angle adjustment.
3、本发明,通过设置第二转轴、直齿条、第二齿轮、第二弹簧、卡槽和卡块,医护人员只需向外拉动第二转轴并对其进行缓慢转动,即可使穿刺针平缓稳定地刺入患者待穿刺处,穿刺过程平缓稳定,避免穿刺过程中对患者造成不适;待刺入合适深度时,松开第二转轴,卡块自动卡入卡槽内,对活动杆进行固定,防止穿刺针发生晃动,提高装置的稳定性。3. In the present invention, by setting the second rotating shaft, the spur rack, the second gear, the second spring, the slot and the block, the medical personnel only need to pull the second rotating shaft outward and rotate it slowly to make the puncture The needle stably penetrates the patient's place to be punctured gently and stably, and the puncture process is smooth and stable, avoiding discomfort to the patient during the puncture; when the needle penetrates to a suitable depth, release the second rotating shaft, and the block is automatically inserted into the slot, and the movable rod Fix it to prevent the puncture needle from shaking and improve the stability of the device.
4、本发明,医护人员将装置放置在病床上,分别向左右两侧拉动两个夹紧板,使两个夹紧板的内侧在对应第一拉簧的拉动下分别贴紧在病床两侧,转动顶杆,使顶杆推动对应的顶板向上运动,直至两个顶板均顶紧在病床底部,完成对装置的固定,防止穿刺过程中装置发生移动,保证穿刺过程的稳定性。4. In the present invention, the medical personnel place the device on the hospital bed, and pull the two clamping plates to the left and right sides respectively, so that the inner sides of the two clamping plates are respectively attached to both sides of the hospital bed under the pull of the corresponding first tension spring , rotate the ejector rod, so that the ejector rod pushes the corresponding top plate to move upward until the two top plates are tightly pressed against the bottom of the hospital bed to complete the fixation of the device, prevent the device from moving during the puncture process, and ensure the stability of the puncture process.
5、本发明,通过调节防护板、第一压板和第二压板,对患者头部两侧进行限位固定,防止因患者头部晃动导致穿刺失败,提高穿刺的成功率。5. In the present invention, by adjusting the protective plate, the first pressure plate and the second pressure plate, the two sides of the patient's head are limited and fixed to prevent puncture failure due to shaking of the patient's head and improve the success rate of puncture.
附图说明Description of drawings
图1为本发明的整体结构示意图一;Fig. 1 is a schematic diagram of the overall structure of the present invention;
图2为本发明的整体结构示意图二;Fig. 2 is the overall structural schematic diagram II of the present invention;
图3为本发明中圆形调节框的结构示意图;Fig. 3 is the structural representation of circular adjusting frame among the present invention;
图4为本发明中弧形滑框的剖面结构示意图;Fig. 4 is the sectional structure schematic diagram of arc-shaped sliding frame in the present invention;
图5为本发明中角度调节机构的结构示意图;Fig. 5 is a structural schematic diagram of an angle adjustment mechanism in the present invention;
图6为本发明图2中A处的放大示意图;Fig. 6 is the enlarged schematic view of place A in Fig. 2 of the present invention;
图7为本发明中长度调节机构的结构示意图;Fig. 7 is a structural schematic diagram of the length adjustment mechanism in the present invention;
图8为本发明中动力组件的结构示意图;Fig. 8 is a schematic structural view of the power assembly in the present invention;
图9为本发明中旋钮的剖面结构示意图;Fig. 9 is a schematic cross-sectional structure diagram of a knob in the present invention;
图10为本发明中夹持块的剖面结构示意图;Fig. 10 is a schematic cross-sectional structure diagram of a clamping block in the present invention;
图11为本发明中底板的局部剖面结构示意图;Fig. 11 is a schematic diagram of a partial cross-sectional structure of the middle bottom plate of the present invention;
图12为本发明中第一压板的位置示意图;Figure 12 is a schematic diagram of the position of the first platen in the present invention;
图13为本发明中插槽的结构示意图。Fig. 13 is a schematic structural diagram of the slot in the present invention.
图中:In the picture:
1、底板;2、头枕;3、第一螺纹块;4、第二螺纹块;5、弧形支架;6、插槽;7、弧形滑框;8、固定杆;9、活动杆;10、圆形调节框;11、第一滑槽;12、第一滑块;13、第一连杆;14、夹持块;15、衔接片;16、旋钮;17、穿刺针;18、针芯;19、滑台;20、第一转轴;21、弧形齿条;22、第一导向槽;23、第一齿轮;24、垫片;25、第一弹簧;26、第二导向槽;27、第一锁紧螺栓;28、第二转轴;29、固定座;30、直齿条;31、通槽;32、第二齿轮;33、第二弹簧;34、卡槽;35、卡块;36、螺纹杆;37、传动杆;38、传动腔;39、凹腔;40、卡接球;41、第三弹簧;42、卡接槽;43、凹槽;44、挤压板;45、挤压杆;46、夹紧板;47、顶板;48、顶杆;49、第一拉簧;50、调节腔;51、导向杆;52、双向丝杆;53、调节座;54、防护板;55、支撑板;56、第一压板;57、第一限位销;58、第二拉簧;59、第一限位孔;60、第二压板;61、第二锁紧螺栓;62、防护垫;63、第二限位销;64、第三拉簧;65、第二限位孔;66、第二连杆。1. Bottom plate; 2. Headrest; 3. First thread block; 4. Second thread block; 5. Arc bracket; 6. Slot; 7. Arc slide frame; 8. Fixed rod; 9. Movable rod 10, circular adjustment frame; 11, first chute; 12, first slider; 13, first connecting rod; 14, clamping block; 15, connecting piece; 16, knob; 17, puncture needle; 18 , needle core; 19, slide table; 20, first shaft; 21, arc rack; 22, first guide groove; 23, first gear; 24, spacer; 25, first spring; 26, second Guide groove; 27, the first locking bolt; 28, the second rotating shaft; 29, the fixed seat; 30, the straight rack; 31, the through groove; 32, the second gear; 33, the second spring; 34, the card slot; 35, clamping block; 36, threaded rod; 37, transmission rod; 38, transmission chamber; 39, concave cavity; 40, clamping ball; 41, the third spring; 42, clamping groove; 43, groove; 44, Extrusion plate; 45, extrusion rod; 46, clamping plate; 47, top plate; 48, ejector rod; 49, first extension spring; 50, adjustment cavity; 51, guide rod; 52, two-way screw rod; 53, Adjusting seat; 54, protective plate; 55, support plate; 56, the first pressure plate; 57, the first limit pin; 58, the second tension spring; 59, the first limit hole; 60, the second pressure plate; 61, The second locking bolt; 62, the protective pad; 63, the second limit pin; 64, the third extension spring; 65, the second limit hole; 66, the second connecting rod.
具体实施方式Detailed ways
下面参照附图来描述本发明的优选实施方式。本领域技术人员应当理解的是,这些实施方式仅仅用于解释本发明的技术原理,并非旨在限制本发明的保护范围。Preferred embodiments of the present invention are described below with reference to the accompanying drawings. Those skilled in the art should understand that these embodiments are only used to explain the technical principles of the present invention, and are not intended to limit the protection scope of the present invention.
如图1-3、图8和图10所示,本发明实施例公开了一种临床甲状腺穿刺辅助装置,包括底板1和头枕2,所述头枕2固定安装在所述底板1的后侧,所述底板1内部的左右两侧分别滑动安装有第一螺纹块3和第二螺纹块4,所述第一螺纹块3和第二螺纹块4在动力组件的驱动下同步沿底板1前后滑动,所述第一螺纹块3的顶部转动安装有弧形支架5,所述第二螺纹块4的顶部固定安装有插槽6,弧形支架5的右端可插接在插槽6内,所述弧形支架5的顶部固定安装有弧形滑框7;As shown in Fig. 1-3, Fig. 8 and Fig. 10, the embodiment of the present invention discloses a clinical thyroid puncture auxiliary device, which includes a
所述弧形滑框7的内部安装有角度调节机构,所述角度调节机构的底部固定安装有固定杆8,所述固定杆8的内部滑动安装有活动杆9,所述活动杆9可在长度调节机构的驱动下沿固定杆8滑动,所述角度调节机构可对活动杆9的角度进行调节并定位,所述长度调节机构可对活动杆9从固定杆8内伸出长度进行调节并定位;The inside of the arc-shaped sliding
所述活动杆9的底部固定安装有圆形调节框10,所述圆形调节框10的左右两侧均对称开设有第一滑槽11,每个所述第一滑槽11内均滑动安装有第一滑块12,两个所述第一滑块12在对应的第一滑槽11内绕圆形调节框10的中轴线做圆周运动,每个所述第一滑块12的内部均转动安装有第一连杆13,所述圆形调节框10的中部设有夹持块14,每个所述第一连杆13的另一端均和夹持块14固定连接,在两个第一滑块12和两个第一连杆13的配合作用下,夹持块14可跟随两个第一滑块12在圆形调节框10内绕圆形调节框10的中轴线转动,并可跟随两个第一连杆13绕第一连杆13的中轴线进行转动,所述圆形调节框10内部的前后两侧均对称转动安装有衔接片15,两个衔接片15的朝向相反,两个所述衔接片15上均转动安装有第二连杆66,两个所述第二连杆66的另一端均和夹持块14固定连接,当位于前方的衔接片15转动时,通过两个衔接片15和两个第二连杆66的配合,可使夹持块14在圆形调节框10内摆动,位于前方的所述衔接片15的前端固定安装有旋钮16,所述夹持块14的内部可拆卸安装有穿刺针17,所述穿刺针17的内部滑动安装有针芯18,当位于前方的衔接片15转动时,在衔接片15、第一滑块12、第一连杆13和第二连杆66的配合下,穿刺针17跟随夹持块14在曲面内做8字形运动,使穿刺针17可朝向多个方位;The bottom of the
进行穿刺时,医护人员先将弧形支架5掀起,使弧形支架5处于打开状态,患者躺在病床上,并使头部枕在头枕2,脖颈位于底板1上,转动弧形支架5,使弧形支架5的右端插接在插槽6内部,此时弧形支架5处于关闭状态,选择合适的穿刺针17并安装在夹持块14内,通过动力组件带动弧形支架5运动,对穿刺针17的位置进行初步调节,使穿刺针17和穿刺部位大致处于同一竖直面;When performing a puncture, the medical staff first raises the arc-shaped
当穿刺部位在脖颈侧面时,通过角度调节机构对固定杆8的角度进行调节,从而对圆形调节框10的角度进行调节,对穿刺针17的位置进一步进行调节,使穿刺针17进一步对准穿刺部位;通过长度调节机构对活动杆9从固定杆8内伸出长度进行调节,使穿刺针17缓慢靠近穿刺部位,停止调整长度调节机构;When the puncture site is on the side of the neck, the angle of the fixed
此时转动旋钮16,旋钮16将带动位于前方的衔接片15进行转动,在衔接片15、第一滑块12、第一连杆13和第二连杆66的配合下,穿刺针17跟随夹持块14在曲面内做8字形运动,当穿刺针17转动至朝向穿刺部位的方位时,停止转动旋钮16,此时医护人员通过长度调节机构使活动杆9缓慢从固定杆8内伸出,活动杆9将带动圆形调节框10和穿刺针17缓慢刺入待穿刺部位,当刺入合适深度时,停止对长度调节机构的调节,此时医护人员反复抽拉穿刺针17内的针芯18,即可进行取样操作;Turn the
通过设置动力组件、长度调节机构、角度调节机构、衔接片15、第一滑块12、第一连杆13和第二连杆66,穿刺针17跟随夹持块14在曲面内做8字形运动,使穿刺针17可朝向多个方位,便于医护人员对穿刺针17的位置和穿刺方位进行调节,提高穿刺过程的精准性,穿刺针17可对不同部位进行穿刺,增强装置的适用性,对穿刺针17的方位进行调节和固定后,缓慢调整长度调节机构,穿刺针17对穿刺部位进行穿刺,穿刺过程平缓稳定,避免因医护人员手抖造成穿刺失败或给病人造成不适,待刺入合适深度后,穿刺针17被固定在当前位置,医护人员反复抽拉针芯18进行取样操作,无需对穿刺针17进行扶持,取样过程中穿刺针17固定不动,有效减轻取样过程中因穿刺针17晃动造成患者不适。By setting the power assembly, the length adjustment mechanism, the angle adjustment mechanism, the connecting
如图1、图2、图4和图5所示,所述角度调节机构包括滑台19、第一转轴20和弧形齿条21,所述滑台19滑动安装在所述弧形滑框7内部,所述滑台19的底部延伸至弧形滑框7的下方,所述固定杆8固定安装在滑台19的底部,所述弧形齿条21固定安装在所述弧形滑框7的背面,所述弧形滑框7的正面和背面对称开设有第一导向槽22,所述第一转轴20转动安装在滑台19的中部,且第一转轴20的前后两端均穿过第一导向槽22并延伸至弧形滑框7的外部,所述第一转轴20的后端固定安装有和所述弧形齿条21相啮合的第一齿轮23,所述第一转轴20上转动安装有位于所述弧形滑框7前方的垫片24,所述垫片24和第一转轴20的前端之间固定安装有第一弹簧25,所述弧形滑框7的顶部开设有第二导向槽26,所述滑台19的顶部螺纹连接有可沿第二导向槽26滑动的第一锁紧螺栓27;As shown in Figure 1, Figure 2, Figure 4 and Figure 5, the angle adjustment mechanism includes a slide table 19, a first
医护人员松开第一锁紧螺栓27,向后按动第一转轴20,此时第一转轴20将带动第一齿轮23向后运动,使第一齿轮23和弧形齿条21脱离,此时沿第一导向槽22滑动第一转轴20,即可快速对滑台19在弧形滑框7内的位置进行调节,当将滑台19大致滑动至合适位置后,不再对第一转轴20进行挤压,此时第一弹簧25将推动第一转轴20和第一齿轮23向前滑动至初始位置,第一齿轮23重新和弧形齿条21相啮合,此时缓慢转动第一转轴20,在第一齿轮23和弧形齿条21的啮合作用下,第一转轴20将带动滑台19缓慢在弧形滑框7内滑动,滑台19带动固定杆8运动,从而对圆形调节框10位置进行微调,将圆形调节框10缓慢调节至最佳位置,拧紧第一锁紧螺栓27,完成角度调节过程,提高了角度调节的精准度;The medical staff loosens the
通过设置滑台19、第一转轴20、弧形齿条21、第一导向槽22、第一齿轮23和第一弹簧25,向后按动第一转轴20使第一齿轮23和弧形齿条21脱离,沿第一导向槽22滑动第一转轴20,即可快速对滑台19的位置进行调节,减少角度调节所需时间,提高角度调节效率;解除对第一转轴20的挤压,第一弹簧25带动第一齿轮23重新和弧形齿条21相啮合,缓慢转动第一转轴20,滑台19带动固定杆8缓慢运动,对圆形调节框10位置进行微调,提高了角度调节的精准度。By setting the slide table 19, the first
如图6和图7所示,所述长度调节机构包括第二转轴28、固定座29和直齿条30,所述直齿条30固定安装在所述活动杆9的左侧,所述固定座29固定安装在所述固定杆8的左侧,所述固定杆8的左侧开设有通槽31,所述直齿条30的上端置于通槽31内,所述第二转轴28转动安装在所述固定座29内,所述第二转轴28的中部固定安装有和直齿条30相啮合的第二齿轮32,所述第二转轴28的后端和固定座29之间活动安装有第二弹簧33,所述固定座29的正面开设有卡槽34,所述第二转轴28的前端固定安装有可卡接在卡槽34内的卡块35;As shown in Figures 6 and 7, the length adjustment mechanism includes a second
医护人员向前拉动第二转轴28,第二转轴28将带动卡块35从卡槽34内脱出,此时第二弹簧33处于压缩状态,且在此过程中,第二齿轮32始终和直齿条30相啮合,缓慢转动第二转轴28,第二转轴28带动第二齿轮32转动,第二齿轮32将通过直齿条30带动活动杆9从固定杆8内缓慢伸出,从而使圆形调节框10缓慢移动,进而使穿刺针17平缓稳定地刺入患者待穿刺处,待刺入合适深度时,停止转动并松开第二转轴28,第二弹簧33将推动第二转轴28向后滑动,使卡块35自动卡入卡槽34内,完成对活动杆9的调节和固定,完成穿刺过程;The medical staff pulls the second
通过设置第二转轴28、直齿条30、第二齿轮32、第二弹簧33、卡槽34和卡块35,医护人员只需向外拉动第二转轴28并对其进行缓慢转动,即可使穿刺针17平缓稳定地刺入患者待穿刺处,穿刺过程平缓稳定,避免穿刺过程中对患者造成不适;待刺入合适深度时,松开第二转轴28,卡块35自动卡入卡槽34内,对活动杆9进行固定,防止穿刺针17发生晃动,提高装置的稳定性。By setting the second
如图8所示,所述动力组件包括螺纹杆36和传动杆37,所述螺纹杆36有两个,所述底板1的内部开设有传动腔38,两个所述螺纹杆36分别转动安装在传动腔38的左右两侧,所述传动杆37转动安装在传动腔38内,所述传动杆37的左端固定安装有位于底板1外部的转柄,两个所述螺纹杆36的后端均和传动杆37相啮合,所述第一螺纹块3和第二螺纹块4分别螺纹连接在左右两个螺纹杆36上;医护人员通过手柄转动传动杆37,传动杆37带动两个螺纹杆36同步转动,两个螺纹杆36将带动第一螺纹块3和第二螺纹块4同步运动,进而对弧形支架5的位置进行调节。As shown in Figure 8, the power assembly includes a threaded
如图9所示,所述旋钮16的内部开设有凹腔39,所述凹腔39的内部设有卡接球40,所述凹腔39和卡接球40之间设有第三弹簧41,所述圆形调节框10的正面均匀开设有多个卡接槽42,医护人员转动旋钮16,卡接球40在挤压作用下间歇性地从卡接槽42内脱出,且当卡接球40从卡接槽42内脱出时,第三弹簧41处于压缩状态,待将穿刺针17调节至合适方位后,停止转动旋钮16,此时第三弹簧41将推动卡接球40自动卡入对应的卡接槽42内,对旋钮16进行限位,从而将穿刺针17固定在当前位置,操作便捷,实现自动对旋钮16进行限位。As shown in FIG. 9 , the inside of the
如图10所示,所述夹持块14的内部开设有凹槽43,所述凹槽43内滑动安装有挤压板44,所述夹持块14上螺纹连接有贯穿至凹槽43的挤压杆45,所述挤压杆45的后端和挤压板44转动连接;医护人员将穿刺针17放置于夹持块14内后,转动挤压杆45,挤压杆45将推动凹槽43内的挤压板44向穿刺针17滑动,直至挤压板44抵紧在穿刺针17外壁,完成对穿刺针17的夹紧固定,防止穿刺过程中穿刺针17发生松动,提高穿刺过程的安全稳定性。As shown in FIG. 10 , a
如图11所示,所述底板1的左右两侧对称滑动安装有夹紧板46,每个所述夹紧板46上均滑动安装有顶板47,每个所述夹紧板46的底部均螺纹连接有顶杆48,每个所述顶杆48的顶部均和对应的夹紧板46转动连接,每个所述夹紧板46的一侧和底板1之间均固定安装有第一拉簧49;医护人员将装置放置在病床上,分别向左右两侧拉动两个夹紧板46,使两个夹紧板46的内侧在对应第一拉簧49的拉动下分别贴紧在病床两侧,转动顶杆48,使顶杆48推动对应的顶板47向上运动,直至两个顶板47均顶紧在病床底部,完成对装置的固定,防止穿刺过程中装置发生移动,保证穿刺过程的稳定性。As shown in FIG. 11 , clamping
如图8所示,所述头枕2的内部开设有调节腔50,所述调节腔50的内部对称固定安装有导向杆51,所述调节腔50的内部转动安装有双向丝杆52,所述双向丝杆52的两端均螺纹连接有可沿导向杆51滑动的调节座53,两个所述调节座53的顶部均固定安装有防护板54;医护人员转动双向丝杆52,双向丝杆52将带动两个调节座53上的防护板54沿导向杆51同步运动,使两个防护板54贴紧在患者头部两侧,对患者头部两侧进行限位固定,防止因患者头部晃动导致穿刺失败,提高穿刺的成功率。As shown in Figure 8, the inside of the
如图2和图12所示,所述头枕2的后侧固定安装有支撑板55,所述支撑板55上滑动安装有第一压板56,所述第一压板56的后侧滑动安装有第一限位销57,所述第一限位销57和第一压板56之间固定安装有第二拉簧58,所述支撑板55的背面均匀开设有多组第一限位孔59,所述第一压板56的内部滑动安装有第二压板60,所述第一压板56的顶部螺纹连接有第二锁紧螺栓61;医护人员向后拉动第一限位销57,并上下滑动第一压板56,使第一压板56的底部贴紧患者额头,松开第一限位销57,第二拉簧58将拉动第一限位销57自动卡入对应的第一限位孔59内,进一步对患者头部进行固定,防止患者穿刺过程中头部发生抬动,保证穿刺过程的顺利完成,医护人员可根据患者实际情况调节第二压板60从第一压板56内伸出的长度,并使用第二锁紧螺栓61对第二压板60的位置进行限位,使装置可对不同患者头部进行固定,增强装置的适用性;两个所述防护板54的侧面、第一压板56的底部和第二压板60的底部均固定安装有防护垫62,防护垫62为软海绵材质,有效防止防护板54、第一压板56或第二压板60挤伤患者头部,提高患者的舒适度。As shown in Figures 2 and 12, a
如图13所示,所述插槽6的右侧滑动安装有第二限位销63,所述第二限位销63和插槽6之间固定安装有第三拉簧64,所述弧形支架5的右端开设有第二限位孔65;医护人员向右拉动第二限位销63,并将弧形支架5的右端插接在插槽6内,松开第二限位销63,第三拉簧64将拉动第二限位销63卡接在第二限位孔65内,对弧形支架5进行固定,防止在对装置进行调节或穿刺过程中弧形支架5发生松脱移位,提高了装置的稳定性。As shown in Figure 13, a
工作原理:医护人员先将装置固定在病床上,掀起弧形支架5掀起,患者躺在操作台上,并使头部枕在头枕2,脖颈位于底板1上,转动弧形支架5并将其右端插接在插槽6内部,调节防护板54、第一压板56和第二压板60对患者的头部进行固定,将合适的穿刺针17安装在夹持块14内,通过动力组件带动弧形支架5运动,对穿刺针17的位置进行初步调节,使穿刺针17和穿刺部位大致处于同一竖直面,通过角度调节机构对穿刺针17的位置进一步调节,使穿刺针17进一步对准穿刺部位;通过长度调节机构对活动杆9进行调节,使穿刺针17缓慢靠近穿刺部位,停止调整长度调节机构;Working principle: the medical staff first fix the device on the hospital bed, lift up the arc-shaped
转动旋钮16,旋钮16使穿刺针17跟随夹持块14在曲面内做8字形运动,当穿刺针17转动至朝向穿刺部位的方位时,停止转动旋钮16,医护人员通过长度调节机构使活动杆9缓慢从固定杆8内伸出,活动杆9将带动圆形调节框10和穿刺针17缓慢刺入待穿刺部位,当刺入合适深度时,停止对长度调节机构的调节,此时医护人员反复抽拉穿刺针17内的针芯18,即可进行穿刺取样操作。Turn the
需要说明的是,在本发明的描述中,术语“中心”、“上”、“下”、“左”、“右”、“竖直”、“水平”、“内”、“外”等指示方向或位置关系的术语是基于附图所示的方向或位置关系,这仅仅是为了便于描述,而不是指示或暗示所述装置或元件必须具有特定的方位、以特定的方位构造和操作,因此不能理解为对本发明的限制。此外,术语“第一”、“第二”、“第三”仅用于描述目的,而不能理解为指示或暗示相对重要性。It should be noted that, in the description of the present invention, the terms "center", "upper", "lower", "left", "right", "vertical", "horizontal", "inner", "outer" etc. Terms indicating directions or positional relationships are based on the directions or positional relationships shown in the drawings, which are merely for convenience of description, and do not indicate or imply that the device or element must have a specific orientation, be constructed and operated in a specific orientation, Therefore, it should not be construed as limiting the invention. In addition, the terms "first", "second", and "third" are used for descriptive purposes only, and should not be construed as indicating or implying relative importance.
此外,还需要说明的是,在本发明的描述中,除非另有明确的规定和限定,术语“安装”、“相连”、“连接”应做广义理解,例如,可以是固定连接,也可以是可拆卸连接,或一体地连接;可以是机械连接,也可以是电连接;可以是直接相连,也可以通过中间媒介间接相连,可以是两个元件内部的连通。对于本领域技术人员而言,可根据具体情况理解上述术语在本发明中的具体含义。In addition, it should be noted that, in the description of the present invention, unless otherwise clearly stipulated and limited, the terms "installation", "connection" and "connection" should be understood in a broad sense, for example, it can be a fixed connection or a It is a detachable connection or an integral connection; it may be a mechanical connection or an electrical connection; it may be a direct connection or an indirect connection through an intermediary, and it may be the internal communication of two components. Those skilled in the art can understand the specific meanings of the above terms in the present invention according to specific situations.
术语“包括”或者任何其它类似用语旨在涵盖非排他性的包含,从而使得包括一系列要素的过程、物品或者设备/装置不仅包括那些要素,而且还包括没有明确列出的其它要素,或者还包括这些过程、物品或者设备/装置所固有的要素。The term "comprising" or any other similar term is intended to cover a non-exclusive inclusion such that a process, article, or apparatus/apparatus comprising a set of elements includes not only those elements but also other elements not expressly listed, or includes Elements inherent in these processes, articles, or equipment/devices.
至此,已经结合附图所示的优选实施方式描述了本发明的技术方案,但是,本领域技术人员容易理解的是,本发明的保护范围显然不局限于这些具体实施方式。在不偏离本发明的原理的前提下,本领域技术人员可以对相关技术特征作出等同的更改或替换,这些更改或替换之后的技术方案都将落入本发明的保护范围之内。So far, the technical solutions of the present invention have been described in conjunction with the preferred embodiments shown in the accompanying drawings, but those skilled in the art will easily understand that the protection scope of the present invention is obviously not limited to these specific embodiments. Without departing from the principles of the present invention, those skilled in the art can make equivalent changes or substitutions to relevant technical features, and the technical solutions after these changes or substitutions will all fall within the protection scope of the present invention.
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Cited By (2)
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CN117942139A (en) * | 2024-01-30 | 2024-04-30 | 中国人民解放军陆军军医大学第二附属医院 | Pulmonary nodule positioning auxiliary device for 3D printing |
CN119184811A (en) * | 2024-09-29 | 2024-12-27 | 济宁医学院附属医院 | Positioning puncture equipment for auxiliary treatment of mastology |
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Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
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CN117942139A (en) * | 2024-01-30 | 2024-04-30 | 中国人民解放军陆军军医大学第二附属医院 | Pulmonary nodule positioning auxiliary device for 3D printing |
CN117942139B (en) * | 2024-01-30 | 2024-09-17 | 中国人民解放军陆军军医大学第二附属医院 | Pulmonary nodule positioning auxiliary device for 3D printing |
CN119184811A (en) * | 2024-09-29 | 2024-12-27 | 济宁医学院附属医院 | Positioning puncture equipment for auxiliary treatment of mastology |
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