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CN116763412B - Digestive tract foreign body extraction device - Google Patents

Digestive tract foreign body extraction device Download PDF

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Publication number
CN116763412B
CN116763412B CN202310829362.0A CN202310829362A CN116763412B CN 116763412 B CN116763412 B CN 116763412B CN 202310829362 A CN202310829362 A CN 202310829362A CN 116763412 B CN116763412 B CN 116763412B
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fixedly connected
outer cover
plate
clamp
inlet pipeline
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CN116763412A (en
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曲梅
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Qingdao Women and Childrens Hospital
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Qingdao Women and Childrens Hospital
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Abstract

The invention discloses a foreign matter extraction device for a digestive tract, which comprises an inlet pipeline and a clamp arranged at the tail end of the inlet pipeline, wherein friction lines are formed on the clamp, the tail end of the inlet pipeline is provided with a clamp for manually controlling opening and closing, one side of the inlet pipeline, which is close to the clamp, is provided with a protective cylinder assembly for protecting digestive tract tissues, the protective cylinder assembly comprises a plurality of groups of outer cover plates arranged on the peripheral side of the inlet pipeline, a sealing assembly is arranged between the adjacent outer cover plates, the inlet pipeline is internally provided with an outward opening assembly for driving the plurality of groups of outer cover plates to move, the plurality of groups of outer cover plates move towards the central axis direction of the inlet pipeline in a synchronous opposite or opposite mode, and the inlet pipeline is also provided with a port opening assembly for preventing the oral cavity of a patient from being closed.

Description

消化道异物提取装置Digestive tract foreign body extraction device

技术领域Technical field

本发明涉及异物提取装置技术领域,具体为消化道异物提取装置。The present invention relates to the technical field of foreign body extraction devices, specifically to a digestive tract foreign body extraction device.

背景技术Background technique

消化道异物是由于各种原因造成的非自身固有物质滞留于消化道,其中消化道包括口腔、咽、食道、胃、小肠和大肠等部位,消化道异物是指不小心将异物吞入上消化道,比如食管、胃,甚至到十二指肠,异物的种类五花八门。Foreign bodies in the digestive tract are non-native substances that are retained in the digestive tract due to various reasons. The digestive tract includes the mouth, pharynx, esophagus, stomach, small intestine and large intestine. Foreign bodies in the digestive tract refer to foreign bodies accidentally swallowed into the upper digestive tract. There are various types of foreign bodies in the tract, such as the esophagus, stomach, and even the duodenum.

在患者消化道存在异物时,需要利用异物提取装置将消化道异物取出,在取出异物时,由于异物的种类不同,其尖锐性或不规则的异物难以从消化道取出,或者在取出过程中可能会对患者消化道造成伤害,因此,存在一定的改进空间。When there is a foreign body in the patient's digestive tract, a foreign body extraction device needs to be used to remove the foreign body from the digestive tract. When removing the foreign body, due to different types of foreign bodies, sharp or irregular foreign bodies are difficult to remove from the digestive tract, or may be damaged during the removal process. It will cause damage to the patient's digestive tract, so there is some room for improvement.

发明内容Contents of the invention

本发明的目的在于提供消化道异物提取装置,具备稳定夹取异物以及保护患者消化道组织的优点,解决了异物种类不一难以夹取以及提取异物过程中可能对患者消化道造成二次损伤的问题。The purpose of the present invention is to provide a device for extracting foreign bodies in the digestive tract, which has the advantages of stably picking up foreign bodies and protecting the patient's digestive tract tissue, and solves the problem of difficulty in picking up foreign bodies due to different types and possible secondary damage to the patient's digestive tract during the process of extracting foreign bodies. question.

为实现上述目的,本发明提供如下技术方案:消化道异物提取装置,包括导入管道和其末端设置的夹钳,夹钳上开设有摩擦纹,所述导入管道末端设有手动控制张合的夹钳;In order to achieve the above object, the present invention provides the following technical solution: a device for extracting foreign matter from the digestive tract, including an introduction pipe and a clamp provided at its end. The clamp is provided with friction patterns, and the end of the introduction pipe is provided with a manually controlled opening and closing clamp. clamp;

所述导入管道靠近夹钳的一侧设有保护消化道组织的护筒组件,护筒组件包括设置在导入管道周侧边的多组外罩板,相邻外罩板之间设有密封组件;The side of the introduction pipe close to the clamp is provided with a casing assembly to protect the digestive tract tissue. The casing assembly includes multiple sets of outer cover plates arranged around the sides of the introduction pipe, and sealing assemblies are provided between adjacent outer cover plates;

所述导入管道内设有驱动多组外罩板运动的外张组件,多组外罩板的运动方式为同步相向或相背的朝向导入管道中轴线方向运动;The introduction pipe is provided with an expansion assembly that drives the movement of multiple sets of outer cover plates. The movement mode of the multiple sets of outer cover plates is to move synchronously toward or in opposite directions toward the central axis of the introduction pipe;

所述导入管道上还设有在防止患者口腔闭合的撑口组件,撑口组件包括自由充放气的气囊。The introduction pipe is also provided with a mouth opening component to prevent the patient's mouth from closing, and the mouth opening component includes a freely inflatable and deflated air bag.

优选的,所述夹钳上固定连接L形杆的一端,L形杆的中部通过转动销轴转动连接在导入管道上,L形杆的另一端通过转动销轴转动连接有摆杆的一端,摆杆的另一端通过转动销轴转动连接在矩形板上,矩形板上固定连接一号拉绳的末端,一号拉绳的首端设有使夹钳恢复至初始状态的复位组件。Preferably, one end of the L-shaped rod is fixedly connected to the clamp, the middle part of the L-shaped rod is rotationally connected to the introduction pipe through a rotating pin, and the other end of the L-shaped rod is rotationally connected to one end of the swing rod through a rotating pin. The other end of the swing rod is rotationally connected to the rectangular plate through a rotating pin. The rectangular plate is fixedly connected to the end of the No. 1 pull rope. The first end of the No. 1 pull rope is provided with a reset component to restore the clamp to the initial state.

优选的,所述导入管道对应L形杆、摆杆和矩形板位置开设有容纳腔室。Preferably, the introduction pipe is provided with accommodating chambers at positions corresponding to the L-shaped rod, swing rod and rectangular plate.

优选的,所述复位组件包括固定连接在导入管道首端的调节筒,一号拉绳通过通道贯穿导入管道和调节筒且固定连接有拉扭,拉扭上固定连接有一号弹簧的一端,一号弹簧的另一端固定连接在环形座一体成型的内环部上,环形座通过滑槽滑动连接在调节筒上,环形座上设有限制其移动的卡接组件。Preferably, the reset assembly includes an adjustment cylinder fixedly connected to the first end of the introduction pipe. The No. 1 pull rope runs through the introduction pipe and the adjustment cylinder through the channel and is fixedly connected to a pull twist. The pull twist is fixedly connected to one end of the No. 1 spring. The other end of the spring is fixedly connected to the integrally formed inner ring portion of the annular seat. The annular seat is slidingly connected to the adjusting barrel through a chute. The annular seat is provided with a snap-on assembly that limits its movement.

优选的,所述环形座还包括一体成型的外环部,卡接组件包括设置在外环部上的弧形板,弧形板通过转轴转动连接在外环部上,外环部上还固定连接有伸板,伸板上固定连接有二号弹簧的一端,二号弹簧的另一端固定连接在弧形板的一端,弧形板为倾斜设置,弧形板的另一端固定连接有卡接块,调节筒对应卡接块位置开设有多组等距分布的卡接槽。Preferably, the annular seat further includes an integrally formed outer ring portion, and the snap-in assembly includes an arc-shaped plate disposed on the outer ring portion. The arc-shaped plate is rotatably connected to the outer ring portion through a rotating shaft, and is also fixed on the outer ring portion. There is an extension plate connected to the extension plate. One end of the No. 2 spring is fixedly connected to the extension plate. The other end of the No. 2 spring is fixedly connected to one end of the arc plate. The arc plate is tilted and the other end of the arc plate is fixedly connected with a snap connection. block, and the adjusting barrel is provided with multiple sets of equidistantly distributed snap-in grooves corresponding to the positions of the snap-in block.

优选的,所述二号弹簧在自然伸长状态时,弧形板上的卡接块处于卡接槽内。Preferably, when the No. 2 spring is in a naturally extended state, the snap-in block on the arc-shaped plate is in the snap-in groove.

优选的,所述外张组件包括收放杆,外罩板通过转轴转动连接有收放杆的一端,收放杆的另一端通过转轴转动连接在横杆上,横杆通过开设在导入管道侧壁上的环座腔室滑动连接导入管道侧壁,横杆固定连接有拉动环座,拉动环座处于环座腔室内,拉动环座上固定连接有二号拉绳,二号拉绳通过通道贯穿导入管道且固定连接在内环部上。Preferably, the expansion assembly includes a retractable rod, one end of the retractable rod is rotatably connected to the outer cover plate through a rotating shaft, and the other end of the retractable rod is rotatably connected to the cross bar through the rotating shaft, and the cross bar is opened on the side wall of the introduction pipe. The ring seat chamber on the ring seat is slidingly connected to the side wall of the introduction pipe. The cross bar is fixedly connected to the pulling ring seat. The pulling ring seat is located in the ring seat chamber. The pulling ring seat is fixedly connected with the No. 2 pull rope, and the No. 2 pull rope runs through the channel. The pipe is introduced and fixedly connected to the inner ring.

优选的,所述调节筒内壁固定连接有限位环,限位环处于内环部靠近拉扭的一侧。Preferably, the inner wall of the adjustment barrel is fixedly connected with a limiting ring, and the limiting ring is located on the side of the inner ring portion close to the torsion.

优选的,所述密封组件包括开设在外罩板上用于容纳衔接罩板的罩板腔室,衔接罩板通过滑槽滑动连接在外罩板内壁上,衔接罩板处于相邻两组外罩板的相接位置。Preferably, the sealing assembly includes a cover plate chamber provided on the outer cover plate for accommodating the connecting cover plate. The connecting cover plate is slidably connected to the inner wall of the outer cover plate through a chute, and the connecting cover plate is located between two adjacent sets of outer cover plates. contact position.

优选的,所述气囊为环形结构,气囊上固定连接有中支撑板,中支撑板上开设有供导入管道贯穿的通槽,气囊的一侧通过进气管道贯通连接有空心球囊,气囊的另一端固定贯通有出气管道,出气管道上螺接有密封塞。Preferably, the airbag has an annular structure, and a middle support plate is fixedly connected to the airbag. The middle support plate is provided with a through slot for the inlet pipe to pass through. One side of the airbag is connected to a hollow balloon through the air inlet pipe. The other end is fixedly connected with an air outlet pipe, and a sealing plug is screwed on the air outlet pipe.

与现有技术相比,本发明的有益效果如下:Compared with the prior art, the beneficial effects of the present invention are as follows:

1、本发明通过设置手动控制张合的夹钳和护筒组件,能够在提取消化道异物时稳定夹取异物,并在提取异物的过程中对患者消化道组织进行保护,避免消化道组织在提取异物过程中受到二次损伤。1. By arranging manually controlled opening and closing clamps and a casing assembly, the present invention can stably grasp the foreign matter when extracting the foreign matter in the digestive tract, and protect the patient's digestive tract tissue during the extraction of foreign matter to prevent the digestive tract tissue from being damaged. Secondary damage occurred during the extraction of foreign matter.

2、本发明通过设置密封组件,利用衔接罩板弥补相邻两组外罩板之间随着张开程度的增加而加大的间隙,从而进一步避免异物的尖锐处对患者消化道组织造成损伤。2. The present invention sets a sealing component and uses connecting cover plates to make up for the gap that increases with the increase in opening degree between two adjacent sets of outer cover plates, thereby further preventing the sharp points of foreign objects from causing damage to the patient's digestive tract tissue.

附图说明Description of drawings

图1为本发明整体结构立体示意图;Figure 1 is a schematic three-dimensional view of the overall structure of the present invention;

图2为本发明整体结构侧视图;Figure 2 is a side view of the overall structure of the present invention;

图3为本发明护筒组件示意图;Figure 3 is a schematic diagram of the casing assembly of the present invention;

图4为本发明衔接罩板位置示意图;Figure 4 is a schematic diagram of the position of the connecting cover plate of the present invention;

图5为本发明图2中A处放大图;Figure 5 is an enlarged view of position A in Figure 2 of the present invention;

图6为本发明图1中B处放大图;Figure 6 is an enlarged view of B in Figure 1 of the present invention;

图7为本发明图3中C处放大图;Figure 7 is an enlarged view of C in Figure 3 of the present invention;

图8为本发明调节筒内部结构立体示意图;Figure 8 is a schematic three-dimensional view of the internal structure of the adjusting cylinder of the present invention;

图9为本发明容纳腔室内部结构示意图;Figure 9 is a schematic diagram of the internal structure of the accommodation chamber of the present invention;

图10为本发明环形座与调节筒位置关系示意图。Figure 10 is a schematic diagram of the positional relationship between the annular seat and the adjusting cylinder of the present invention.

图中:1、导入管道;2、调节筒;3、夹钳;4、L形杆;5、摆杆;6、容纳腔室;7、矩形板;8、一号拉绳;9、拉扭;10、一号弹簧;11、环形座;111、内环部;112、外环部;12、限位环;13、伸板;14、弧形板;15、二号弹簧;16、卡接槽;17、摩擦纹;18、外罩板;19、衔接罩板;20、收放杆;21、横杆;22、拉动环座;23、二号拉绳;24、罩板腔室;25、环座腔室;26、气囊;27、进气管道;28、空心球囊;29、出气管道;30、中支撑板;31、密封塞。In the picture: 1. Introduction pipe; 2. Adjustment barrel; 3. Clamp; 4. L-shaped rod; 5. Swing bar; 6. Accommodation chamber; 7. Rectangular plate; 8. No. 1 pull cord; 9. Pull Torsion; 10. No. 1 spring; 11. Ring seat; 111. Inner ring part; 112. Outer ring part; 12. Limiting ring; 13. Extension plate; 14. Arc plate; 15. No. 2 spring; 16. Snap-in groove; 17. Friction pattern; 18. Outer cover plate; 19. Connecting cover plate; 20. Retraction and release lever; 21. Cross bar; 22. Pulling ring seat; 23. No. 2 pull cord; 24. Cover plate chamber ; 25. Ring seat chamber; 26. Air bag; 27. Air inlet pipe; 28. Hollow balloon; 29. Air outlet pipe; 30. Middle support plate; 31. Sealing plug.

具体实施方式Detailed ways

请参阅图1至图10,本发明提供一种技术方案:消化道异物提取装置,包括导入管道1和其末端设置的夹钳3,夹钳3上开设有摩擦纹17,导入管道1末端设有手动控制张合的夹钳3;Referring to Figures 1 to 10, the present invention provides a technical solution: a device for extracting foreign bodies from the digestive tract, including an introduction pipe 1 and a clamp 3 provided at its end. The clamp 3 is provided with friction patterns 17, and the introduction pipe 1 is provided with Clamp 3 with manual control of opening and closing;

导入管道1靠近夹钳3的一侧设有保护消化道组织的护筒组件,护筒组件包括设置在导入管道1周侧边的多组外罩板18,相邻外罩板18之间设有密封组件;The side of the introduction pipe 1 close to the clamp 3 is provided with a casing assembly to protect the digestive tract tissue. The casing assembly includes multiple sets of outer cover plates 18 arranged around the sides of the introduction pipe 1, and seals are provided between adjacent outer cover plates 18. components;

导入管道1内设有驱动多组外罩板18运动的外张组件,多组外罩板18的运动方式为同步相向或相背的朝向导入管道1中轴线方向运动;The introduction pipe 1 is provided with an expansion assembly that drives the movement of multiple sets of outer cover plates 18. The movement mode of the multiple sets of outer cover plates 18 is to move synchronously toward or in opposite directions toward the central axis of the introduction pipe 1;

导入管道1上还设有在防止患者口腔闭合的撑口组件,撑口组件包括自由充放气的气囊26。The introduction pipe 1 is also provided with a opening assembly to prevent the patient's mouth from closing. The opening assembly includes a freely inflatable and deflated air bag 26 .

如图1-图3所示,当患者消化道存在异物时,将撑口组件中的气囊26放入患者的口中,通过向气囊26内充气使气囊26支撑患者口部,再缓慢向患者消化道内逐渐伸入导入管道1,利用导入管道1末端设置的微型摄像头及其外部电连接的显示屏幕观看患者消化道内部情况,直至导入管道1的末端的夹钳3达到异物位置。As shown in Figures 1 to 3, when there is a foreign body in the patient's digestive tract, the air bag 26 in the opening assembly is put into the patient's mouth, and the air bag 26 is inflated to support the patient's mouth, and then slowly inflates the air bag 26 into the patient's mouth. The introduction pipe 1 is gradually extended into the tract, and the internal conditions of the patient's digestive tract are viewed using the micro camera set at the end of the introduction pipe 1 and its external electrically connected display screen, until the clamp 3 at the end of the introduction pipe 1 reaches the position of the foreign body.

观察异物形状和位置,通过手动控制夹钳3的张合以及调节导入管道1的位置逐步调节异物的位置,直至夹钳3能够稳定夹持异物,并根据医护人员的经验,使异味的锋利位置不朝向患者消化道方向。Observe the shape and position of the foreign object, and gradually adjust the position of the foreign object by manually controlling the opening and closing of the clamp 3 and adjusting the position of the introduction pipe 1 until the clamp 3 can stably clamp the foreign object, and based on the experience of the medical staff, make the sharp position of the odor Not toward the patient's digestive tract.

在夹钳3稳定夹取异物后,通过护筒组件中的多组外罩板18,使外罩板18处于异物的周侧,及异物处于多组外罩板18的中部,外罩板18为透明材料,因此,在逐步拔动导入管道1时,外罩板18的存在能够对患者消化道进行保护,避免锋利状的异物对患者消化道组织造成伤害,同时,由于外罩板18为透明材料制作,因此,在逐步提取异物时,不会影响医护人员观察异物的提取情况,同步不影响对消化道组织情况进行观察。After the clamp 3 stably grasps the foreign object, the outer cover plates 18 in the casing assembly are positioned on the peripheral side of the foreign object, and the foreign object is located in the middle of the multiple sets of outer cover plates 18. The outer cover plates 18 are made of transparent material. Therefore, when the introduction pipe 1 is gradually pulled out, the presence of the outer cover plate 18 can protect the patient's digestive tract and prevent sharp foreign objects from causing damage to the patient's digestive tract tissue. At the same time, since the outer cover plate 18 is made of transparent material, When the foreign body is gradually extracted, it will not affect the medical staff's observation of the extraction of the foreign body, and it will not affect the observation of the digestive tract tissue simultaneously.

其中一个优选的实施例,夹钳3上固定连接L形杆4的一端,L形杆4的中部通过转动销轴转动连接在导入管道1上,L形杆4的另一端通过转动销轴转动连接有摆杆5的一端,摆杆5的另一端通过转动销轴转动连接在矩形板7上,矩形板7上固定连接一号拉绳8的末端,一号拉绳8的首端设有使夹钳3恢复至初始状态的复位组件。In one preferred embodiment, one end of the L-shaped rod 4 is fixedly connected to the clamp 3, the middle part of the L-shaped rod 4 is rotationally connected to the introduction pipe 1 through a rotating pin, and the other end of the L-shaped rod 4 rotates through a rotating pin. One end of the swing bar 5 is connected, and the other end of the swing bar 5 is rotationally connected to the rectangular plate 7 through a rotating pin. The rectangular plate 7 is fixedly connected to the end of the No. 1 pull cord 8, and the first end of the No. 1 pull cord 8 is provided with A reset component that restores the clamp 3 to its initial state.

如图5和图9所示,在利用夹钳3夹取异物时,通过拉动一号拉绳8带动矩形板7运动(如图9所示),当矩形板7背离夹钳3运动时,摆杆5与矩形板7之间的夹角发生变化,因此带动L形杆4在导入管道1上水平摆动,进而使两组夹钳3组成的截面形状为V形,通过控制两组夹钳3之间的开合,从而达到夹取异物的目的,进而使异物从消化道中取出。As shown in Figures 5 and 9, when using the clamp 3 to clamp foreign objects, the No. 1 pull cord 8 is pulled to drive the rectangular plate 7 to move (as shown in Figure 9). When the rectangular plate 7 moves away from the clamp 3, The angle between the swing rod 5 and the rectangular plate 7 changes, so the L-shaped rod 4 is driven to swing horizontally on the introduction pipe 1, so that the cross-sectional shape formed by the two sets of clamps 3 becomes V-shaped. By controlling the two sets of clamps 3 opening and closing, thereby achieving the purpose of clamping the foreign body, and then removing the foreign body from the digestive tract.

其中,为了确保导入管道1的存在不造成运动干涉,导入管道1对应L形杆4、摆杆5和矩形板7位置开设有容纳腔室6,由于容纳腔室6的存在,因此为L形杆4、摆杆5和矩形板7三者提供运动空间,因此,导入管道1的存在不会对三者造成干涉。Among them, in order to ensure that the existence of the introduction pipe 1 does not cause motion interference, the introduction pipe 1 has an accommodation chamber 6 corresponding to the L-shaped rod 4, the swing rod 5 and the rectangular plate 7. Due to the existence of the accommodation chamber 6, it is L-shaped. The rod 4, the swing rod 5 and the rectangular plate 7 provide movement space. Therefore, the existence of the introduction pipe 1 will not interfere with the three.

进一步的,复位组件包括固定连接在导入管道1首端的调节筒2,一号拉绳8通过通道贯穿导入管道1和调节筒2且固定连接有拉扭9,拉扭9上固定连接有一号弹簧10的一端,一号弹簧10的另一端固定连接在环形座11一体成型的内环部111上,环形座11通过滑槽滑动连接在调节筒2上,环形座11上设有限制其移动的卡接组件。Further, the reset assembly includes an adjustment cylinder 2 fixedly connected to the first end of the introduction pipe 1. A No. 1 pull rope 8 passes through the introduction pipe 1 and the adjustment cylinder 2 through the channel and is fixedly connected to a pull twist 9. The pull twist 9 is fixedly connected to a No. 1 spring. One end of the spring 10 and the other end of the No. 1 spring 10 are fixedly connected to the integrally formed inner ring portion 111 of the annular seat 11. The annular seat 11 is slidingly connected to the adjusting cylinder 2 through the chute. The annular seat 11 is provided with a spring to limit its movement. Snap-on components.

如图8和图9所示,在驱动矩形板7朝向或背离夹钳3方向运动时,通过手动拽动拉扭9进而带动一号拉绳8同步运动,在拉扭9与调节筒2端部接触时,此时夹钳3处于闭合状态,在拽动拉扭9时,一号弹簧10逐步伸出,此时,夹钳3逐步变成张开状态,因此,在夹持异物时,拽动拉扭9,使异物处于两个夹钳3之间,再送来拉扭9,此时,一号弹簧10恢复弹性形变,进而使夹钳3逐步闭合,因此,利用一号弹簧10的弹性形变来稳定夹持异物。As shown in Figures 8 and 9, when the rectangular plate 7 is driven to move toward or away from the clamp 3, the pull twist 9 is manually pulled to drive the No. 1 pull rope 8 to move synchronously. When the two parts are in contact, the clamp 3 is in a closed state. When the pull twist 9 is pulled, the No. 1 spring 10 gradually extends. At this time, the clamp 3 gradually becomes an open state. Therefore, when clamping foreign objects, Pull the pull twist 9 to make the foreign object between the two clamps 3, and then send the pull twist 9. At this time, the No. 1 spring 10 resumes its elastic deformation, thereby gradually closing the clamp 3. Therefore, using the force of the No. 1 spring 10 Elastic deformation to stably clamp foreign objects.

在复位组件实施例的基础上,环形座11还包括一体成型的外环部112,卡接组件包括设置在外环部112上的弧形板14,弧形板14通过转轴转动连接在外环部112上,外环部112上还固定连接有伸板13,伸板13上固定连接有二号弹簧15的一端,二号弹簧15的另一端固定连接在弧形板14的一端,弧形板14为倾斜设置,弧形板14的另一端固定连接有卡接块,调节筒2对应卡接块位置开设有多组等距分布的卡接槽16。Based on the reset assembly embodiment, the annular seat 11 also includes an integrally formed outer ring portion 112. The snap-in assembly includes an arc plate 14 disposed on the outer ring portion 112. The arc plate 14 is connected to the outer ring through a rotating shaft. On the part 112, the outer ring part 112 is also fixedly connected with an extension plate 13. One end of the No. 2 spring 15 is fixedly connected to the extension plate 13. The other end of the No. 2 spring 15 is fixedly connected to one end of the arc plate 14. The arc-shaped The plate 14 is arranged at an angle, and the other end of the arc-shaped plate 14 is fixedly connected with a clamping block. The adjusting barrel 2 is provided with multiple sets of equidistantly distributed clamping grooves 16 corresponding to the positions of the clamping blocks.

如图6和图8所示,在调节环形座11相对调节筒2的纵向位置时,同步按压两组相对设置的弧形板14的首端,此时二号弹簧15被压缩,使弧形板14发生偏转,进而使弧形板14末端的设置的卡接块脱离卡接槽16,此时,手动推动外环部112,在确定环形座11位置后,松开弧形板14,二号弹簧15恢复形变,并带动弧形板14偏转至初始位置,从而使卡接块进入至对应的卡接槽16。As shown in Figures 6 and 8, when adjusting the longitudinal position of the annular seat 11 relative to the adjustment barrel 2, the head ends of the two sets of oppositely arranged arc plates 14 are pressed synchronously. At this time, the second spring 15 is compressed, making the arc The plate 14 deflects, causing the snap-in block at the end of the arc-shaped plate 14 to break away from the snap-in groove 16. At this time, manually push the outer ring portion 112, and after determining the position of the annular seat 11, release the arc-shaped plate 14. The horn spring 15 restores its deformation and drives the arc plate 14 to deflect to the initial position, so that the clamping block enters the corresponding clamping groove 16 .

为了确保环形座11不会任意移动,二号弹簧15在自然伸长状态时,弧形板14上的卡接块处于卡接槽16内,通过二号弹簧15,使卡接块初始状态下即处于卡接槽16内,通过卡接槽16对卡接块的位置进行限制,进而限制环形座11的位置。In order to ensure that the annular seat 11 will not move arbitrarily, when the No. 2 spring 15 is in a naturally extended state, the snap block on the arc plate 14 is in the snap groove 16. Through the No. 2 spring 15, the snap block is in the initial state. That is, it is in the clamping groove 16 , and the position of the clamping block is restricted by the clamping groove 16 , thereby limiting the position of the annular seat 11 .

进一步的,调节筒2内壁固定连接有限位环12,限位环12处于内环部111靠近拉扭9的一侧。Furthermore, the inner wall of the adjusting cylinder 2 is fixedly connected to a limiting ring 12 , and the limiting ring 12 is located on the side of the inner ring portion 111 close to the pull twist 9 .

如图8所示,初始状态下时,环形座11中的内环部111与限位环12接触时,此时拉扭9与调节筒2端部接触,此时一号弹簧10为微量伸长形变状态,因此,当拽动拉扭9时,只会进一步增加一号弹簧10的伸长形变量,在夹持异物时,拉扭9逐步远离调节筒2端部,此时一号弹簧10依旧处于伸长形变,进而其弹性势能进一步增加,通过限位环12,限制拉扭9与内环部111之间的间距长度,从而使两者之间设置的一号弹簧10始终处于伸长状态,进而确保夹钳3始终对异物具有夹持作用力。As shown in Figure 8, in the initial state, when the inner ring portion 111 in the annular seat 11 is in contact with the limiting ring 12, the tension twist 9 is in contact with the end of the adjustment barrel 2, and the No. 1 spring 10 is slightly stretched. Long deformation state, therefore, when pulling the pull twist 9, it will only further increase the elongation deformation of the No. 1 spring 10. When clamping the foreign object, the pull twist 9 gradually moves away from the end of the adjusting barrel 2. At this time, the No. 1 spring 10 is still in elongation deformation, and its elastic potential energy further increases. Through the limiting ring 12, the distance between the tension torsion 9 and the inner ring portion 111 is limited, so that the No. 1 spring 10 set between the two is always in an elongated state. long state, thereby ensuring that the clamp 3 always has clamping force on foreign objects.

在卡接组件实施例的基础上,外张组件包括收放杆20,外罩板18通过转轴转动连接有收放杆20的一端,收放杆20的另一端通过转轴转动连接在横杆21上,横杆21通过开设在导入管道1侧壁上的环座腔室25滑动连接导入管道1侧壁,横杆21固定连接有拉动环座22,拉动环座22处于环座腔室25内,拉动环座22上固定连接有二号拉绳23,二号拉绳23通过通道贯穿导入管道1且固定连接在内环部111上。Based on the embodiment of the snap-in assembly, the expansion assembly includes a retractable rod 20. One end of the retractable rod 20 is rotatably connected to the outer cover plate 18 through a rotating shaft. The other end of the retractable rod 20 is rotatably connected to the crossbar 21 through a rotating shaft. , the cross bar 21 is slidingly connected to the side wall of the introduction pipe 1 through the ring seat chamber 25 opened on the side wall of the introduction pipe 1, the cross bar 21 is fixedly connected to the pulling ring seat 22, and the pulling ring seat 22 is located in the ring seat chamber 25, The No. 2 pull rope 23 is fixedly connected to the pull ring seat 22. The No. 2 pull rope 23 penetrates through the introduction pipe 1 through the channel and is fixedly connected to the inner ring portion 111.

如图3、图4和图7所示,在环形座11带动拉动环座22靠近夹钳3方向运动时,存在以下两种情况;As shown in Figures 3, 4 and 7, when the ring seat 11 drives and pulls the ring seat 22 to move in the direction of the clamp 3, the following two situations exist;

情况一,同步运动:当异物的截面形状未超出初始状态下的多组外罩板18组成的截面边缘时,拉动环座22的运动带动横杆21同步运动,由于外罩板18不受到作用力约束,因此,收放杆20的垂直夹角不会发生变化,进而收放杆20和外罩板18同步跟随横杆21运动,直至外罩板18处于异物的周边位置,进而将异物包围,避免异物划伤消化道组织。Case 1, synchronous movement: When the cross-sectional shape of the foreign object does not exceed the cross-sectional edge composed of multiple sets of outer cover plates 18 in the initial state, the movement of the pulling ring seat 22 drives the cross bar 21 to move synchronously, because the outer cover plate 18 is not constrained by any force. , therefore, the vertical angle of the retractable rod 20 will not change, and the retractable rod 20 and the outer cover plate 18 will move synchronously with the cross bar 21 until the outer cover plate 18 is at the peripheral position of the foreign object, thereby surrounding the foreign object and preventing the foreign object from scratching. Damage to digestive tract tissue.

情况二,张开运动:当异物的截面形状超出初始状态下的多组外罩板18组成的截面边缘时,同上,由于异物处于被夹持的状态,此时外罩板18受到异物的阻拦无法跟随横杆21同步运动,此时在横杆21继续向夹钳3方向运动的过程中,此时收放杆20在垂直方向上发生偏转,从而带动同步带动多组外罩板18远离导入管道1中轴向方向运动,进而使多组外罩板18组成的截面尺寸增大,直至多组外罩板18组成的截面尺寸大于异物的截面形状尺寸,因此,在横杆21继续运动时,外罩板18的运动状态如上述的情况一致,进而对异物进行包围,达到保护消化道组织的目的。Case 2, opening movement: When the cross-sectional shape of the foreign object exceeds the cross-sectional edge formed by the multiple sets of outer cover plates 18 in the initial state, the same as above, since the foreign object is in a clamped state, the outer cover plate 18 is blocked by the foreign object and cannot follow. The cross bar 21 moves synchronously. At this time, while the cross bar 21 continues to move toward the clamp 3 direction, the retracting and releasing rod 20 deflects in the vertical direction, thereby synchronously driving multiple sets of outer cover plates 18 away from the introduction pipe 1 The movement in the axial direction further increases the cross-sectional size of the multiple sets of outer cover plates 18 until the cross-sectional size of the multiple sets of outer cover plates 18 is larger than the cross-sectional shape and size of the foreign object. Therefore, when the cross bar 21 continues to move, the outer cover plate 18 The movement state is consistent with the above situation, and then the foreign body is surrounded to achieve the purpose of protecting the digestive tract tissue.

在外张组件实施例的基础上,密封组件包括开设在外罩板18上用于容纳衔接罩板19的罩板腔室24,衔接罩板19通过滑槽滑动连接在外罩板18内壁上,衔接罩板19处于相邻两组外罩板18的相接位置。Based on the embodiment of the expansion assembly, the sealing assembly includes a cover plate chamber 24 provided on the outer cover plate 18 for accommodating the connecting cover plate 19. The connecting cover plate 19 is slidingly connected to the inner wall of the outer cover plate 18 through the chute. The connecting cover The plate 19 is at the connecting position of two adjacent groups of outer cover plates 18 .

如图3和图4所示,当多组外罩板18呈现情况二叙述的张开运动时,为了避免相邻两组外罩板18之间存在间隙,通过在相邻两组外罩板18之间设置衔接罩板19,并且衔接罩板19跟随外罩板18张开的程度而在弥补其两者之间的间隙,从而进一步避免异物的尖锐处对患者消化道组织造成损伤。As shown in Figures 3 and 4, when the multiple sets of outer cover panels 18 exhibit the opening movement described in Case 2, in order to avoid gaps between the adjacent two sets of cover panels 18, The connecting cover plate 19 is provided, and the connecting cover plate 19 follows the opening degree of the outer cover plate 18 to make up the gap between them, thereby further preventing the sharp points of foreign objects from causing damage to the patient's digestive tract tissue.

在密封组件实施例的基础上,气囊26为环形结构,气囊26上固定连接有中支撑板30,中支撑板30上开设有供导入管道1贯穿的通槽,气囊26的一侧通过进气管道27贯通连接有空心球囊28,气囊26的另一端固定贯通有出气管道29,出气管道29上螺接有密封塞31。On the basis of the embodiment of the sealing assembly, the air bag 26 has an annular structure. The air bag 26 is fixedly connected with a middle support plate 30. The middle support plate 30 is provided with a through groove for the introduction pipe 1 to pass through. One side of the air bag 26 passes through the air inlet. A hollow balloon 28 is connected through the pipe 27 , and an air outlet pipe 29 is fixedly connected to the other end of the air bag 26 . A sealing plug 31 is screwed on the air outlet pipe 29 .

如图1和图2所示,在提取消化道异物时,导入管道1需要从患者口腔位置进入至消化道内,因此,为了避免患者由于提取异物时产生的不适感而闭合嘴部,因此,需要对患者口腔内部进行支撑。As shown in Figures 1 and 2, when extracting foreign bodies in the digestive tract, the introduction tube 1 needs to enter the digestive tract from the patient's mouth. Therefore, in order to prevent the patient from closing his mouth due to the discomfort caused when extracting foreign bodies, it is necessary to Support the inside of the patient's mouth.

在对患者消化道异物提取前,将气囊26放置于患者的口腔内,通过手部捏动空心球囊28,使自然空气逐步冲入气囊26内,进而使气囊26逐步支撑患者口腔。Before extracting foreign matter from the patient's digestive tract, the air bag 26 is placed in the patient's oral cavity, and the hollow balloon 28 is pinched by hand to allow natural air to gradually rush into the air bag 26, so that the air bag 26 gradually supports the patient's oral cavity.

由于空心球囊28的进气端和出气端均设置有单向阀,因此,在反复捏动空气球囊28时,外界的自然空气会逐步进入至气囊26内而不会逃逸,在异物提取结束后,通过拧下密封塞31对气囊26进行放气,便可将气囊26从患者口腔内取出,并且在中支撑板30中心处开设了供导入管道1通过的通槽,且通槽的直径尺寸大于导入管道1的直径尺寸,因此导入管道1在逐步深入患者消化道内时气囊26和中支撑板30不会对其造成运动干涉。Since both the air inlet end and the air outlet end of the hollow balloon 28 are provided with one-way valves, when the air balloon 28 is repeatedly pinched, the natural air from the outside will gradually enter the air bag 26 without escaping. During the extraction of foreign matter, After the completion, the air bag 26 can be deflated by unscrewing the sealing plug 31, and the air bag 26 can be taken out from the patient's mouth, and a through groove for the introduction pipe 1 to pass is opened at the center of the middle support plate 30, and the through groove is The diameter size is larger than the diameter size of the introduction pipe 1, so the balloon 26 and the middle support plate 30 will not interfere with the movement of the introduction pipe 1 when it gradually penetrates into the patient's digestive tract.

工作原理:该消化道异物提取装置,使用时,当患者消化道存在异物时,将撑口组件中的气囊26放入患者的口腔中,通过向气囊26内充气使气囊26支撑患者口部,再缓慢向患者消化道内逐渐伸入导入管道1,利用导入管道1末端设置的微型摄像头及其外部电连接的显示屏幕观看患者消化道内部情况,直至导入管道1的末端的夹钳3达到异物位置,手动控制夹钳3的开合使夹钳3稳定夹持异物,之后通过护筒组件中的多组外罩板18,使外罩板18包围异物,再缓慢提取异物,进而将异物从消化道内取出,本发明能够在提取消化道异物时稳定夹取异物,并在提取异物的过程中对患者消化道组织进行保护,避免消化道组织在提取异物过程中受到二次损伤。Working principle: When using this digestive tract foreign body extraction device, when there is a foreign body in the patient's digestive tract, the air bag 26 in the opening assembly is put into the patient's mouth, and the air bag 26 is inflated into the air bag 26 to support the patient's mouth. Then slowly extend the introduction pipe 1 into the patient's digestive tract, and use the micro camera set at the end of the introduction pipe 1 and its external electrically connected display screen to view the internal conditions of the patient's digestive tract until the clamp 3 at the end of the introduction pipe 1 reaches the position of the foreign body. , manually control the opening and closing of the clamp 3 so that the clamp 3 can stably clamp the foreign object, and then use the multiple sets of outer cover plates 18 in the casing assembly to surround the foreign object, and then slowly extract the foreign object, and then remove the foreign object from the digestive tract. , the present invention can stably grasp the foreign body when extracting the foreign body in the digestive tract, and protect the patient's digestive tract tissue during the process of extracting the foreign body, so as to avoid secondary damage to the digestive tract tissue during the process of extracting the foreign body.

尽管已经示出和描述了本发明的实施例,对于本领域的普通技术人员而言,可以理解在不脱离本发明的原理和精神的情况下可以对这些实施例进行多种变化、修改、替换和变型,本发明的范围由所附权利要求及其等同物限定。Although the embodiments of the present invention have been shown and described, those of ordinary skill in the art will understand that various changes, modifications, and substitutions can be made to these embodiments without departing from the principles and spirit of the invention. and modifications, the scope of the invention is defined by the appended claims and their equivalents.

Claims (6)

1. Alimentary canal foreign matter extraction device, including importing clamp (3) that pipeline (1) and its end set up, offered friction line (17), its characterized in that on clamp (3): the tail end of the inlet pipeline (1) is provided with a clamp (3) for manually controlling opening and closing;
the side, close to the clamp (3), of the inlet pipeline (1) is provided with a protective cylinder assembly for protecting digestive tract tissues, the protective cylinder assembly comprises a plurality of groups of outer cover plates (18) arranged on the peripheral side edge of the inlet pipeline (1), and a sealing assembly is arranged between the adjacent outer cover plates (18);
the guide-in pipeline (1) is internally provided with an outward-stretching assembly for driving a plurality of groups of outer cover plates (18) to move, and the movement modes of the plurality of groups of outer cover plates (18) are synchronous opposite or opposite and move towards the central axis direction of the guide-in pipeline (1);
the inlet pipeline (1) is also provided with a port supporting component for preventing the oral cavity of a patient from being closed, and the port supporting component comprises an air bag (26) which is freely inflated and deflated;
one end of an L-shaped rod (4) is fixedly connected to the clamp (3), the middle part of the L-shaped rod (4) is rotationally connected to the inlet pipeline (1) through a rotating pin shaft, one end of a swinging rod (5) is rotationally connected to the other end of the L-shaped rod (4) through a rotating pin shaft, the other end of the swinging rod (5) is rotationally connected to a rectangular plate (7) through a rotating pin shaft, the tail end of a first pull rope (8) is fixedly connected to the rectangular plate (7), and a reset assembly for enabling the clamp (3) to recover to an initial state is arranged at the head end of the first pull rope (8); the reset assembly comprises an adjusting cylinder (2) fixedly connected to the head end of the inlet pipeline (1), a first pull rope (8) penetrates through the inlet pipeline (1) and the adjusting cylinder (2) through a channel and is fixedly connected with a pull knob (9), one end of a first spring (10) is fixedly connected to the pull knob (9), the other end of the first spring (10) is fixedly connected to an inner ring part (111) integrally formed by an annular seat (11), the annular seat (11) is slidably connected to the adjusting cylinder (2) through a sliding groove, and a clamping assembly for limiting movement of the annular seat (11) is arranged on the annular seat (11); the annular seat (11) further comprises an integrally formed outer annular portion (112), the clamping assembly comprises an arc-shaped plate (14) arranged on the outer annular portion (112), the arc-shaped plate (14) is rotationally connected to the outer annular portion (112) through a rotating shaft, the outer annular portion (112) is fixedly connected with a stretching plate (13), one end of a second spring (15) is fixedly connected to the stretching plate (13), the other end of the second spring (15) is fixedly connected to one end of the arc-shaped plate (14), the arc-shaped plate (14) is obliquely arranged, the other end of the arc-shaped plate (14) is fixedly connected with clamping blocks, and a plurality of groups of clamping grooves (16) which are distributed at equal intervals are formed in positions corresponding to the clamping blocks of the adjusting cylinder (2); the outer stretching assembly comprises a winding and unwinding rod (20), one end of the winding and unwinding rod (20) is rotatably connected to an outer cover plate (18) through a rotating shaft, the other end of the winding and unwinding rod (20) is rotatably connected to a cross rod (21) through the rotating shaft, the cross rod (21) is slidably connected with the side wall of the ingress pipe (1) through a ring seat cavity (25) formed in the side wall of the ingress pipe (1), the cross rod (21) is fixedly connected with a pulling ring seat (22), the pulling ring seat (22) is located in the ring seat cavity (25), a second pull rope (23) is fixedly connected to the pulling ring seat (22), and the second pull rope (23) penetrates through the ingress pipe (1) through a channel and is fixedly connected to the inner ring portion (111).
2. The gastrointestinal foreign matter extraction device according to claim 1, wherein: the position of the ingress pipeline (1) corresponding to the L-shaped rod (4), the swing rod (5) and the rectangular plate (7) is provided with a containing cavity (6).
3. The gastrointestinal foreign matter extraction device according to claim 1, wherein: the inner wall of the adjusting cylinder (2) is fixedly connected with a limiting ring (12), and the limiting ring (12) is positioned at one side of the inner ring part (111) close to the pull knob (9).
4. The gastrointestinal foreign matter extraction device according to claim 3, wherein: when the second spring (15) is in a natural extension state, the clamping blocks on the arc-shaped plate (14) are positioned in the clamping grooves (16).
5. The gastrointestinal foreign matter extraction device according to claim 1, wherein: the sealing assembly comprises a cover plate cavity (24) which is arranged on the outer cover plate (18) and used for accommodating the connecting cover plate (19), the connecting cover plate (19) is connected to the inner wall of the outer cover plate (18) in a sliding way, and the connecting cover plate (19) is positioned at the connecting position of two adjacent groups of outer cover plates (18).
6. The gastrointestinal foreign matter extraction device according to claim 1, wherein: the air bag (26) is of an annular structure, the middle supporting plate (30) is fixedly connected to the air bag (26), a through groove for the inlet pipe (1) to penetrate is formed in the middle supporting plate (30), a hollow balloon (28) is connected to one side of the air bag (26) in a penetrating mode through the air inlet pipe (27), an air outlet pipe (29) is fixedly connected to the other end of the air bag (26), and a sealing plug (31) is connected to the air outlet pipe (29) in a threaded mode.
CN202310829362.0A 2023-07-07 2023-07-07 Digestive tract foreign body extraction device Active CN116763412B (en)

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