CN111759475A - A two J pipe end are placed position detection device for urological department operation - Google Patents

Abstract

The invention relates to a double-J tube tail end placing position detecting device for urological surgery, which comprises a clamp rod, a clamp handle, a connecting rod, a shifting piece, a first magnetic suction piece, a second magnetic suction piece and a sliding rod, wherein one end of a double-J tube is provided with the second magnetic suction piece, the clamp rod is internally provided with a sliding rod in sliding connection, one end of the clamp rod is symmetrically provided with the clamp handle, the connecting rod is hinged between the clamp handle and the sliding rod, one end of the clamp rod, which is far away from the clamp handle, is provided with the shifting piece and a connecting piece, the shifting piece is symmetrically arranged and connected with a sliding rod gear rack, one end of the connecting piece, which is far away from the clamp handle, is provided with a fixed table, the shifting piece and the fixed table are provided with a first through hole and a second through hole in a matched manner, the shifting rods are connected in the first through hole and the second through hole in a sliding manner, one. According to the invention, the insertion position of the double J-shaped tube is detected and judged through the adsorption effect of the first magnetic attraction piece and the second magnetic attraction piece, so that the injection of the methylene blue liquid into the bladder is avoided, the detection process is simpler and more convenient, and the patient can accept the methylene blue liquid more easily.

Description

A two J pipe end are placed position detection device for urological department operation

Technical Field

The invention relates to the field of medical instruments, in particular to a double-J tube end placement position detection device for urological surgery.

Background

The double J tube has wide application in urinary surgery, is suitable for upper urinary tract operations such as kidney stone, ureteral stone, hydronephrosis, kidney transplantation, benign tumor of kidney and ureter and the like, and is suitable for the treatment processes of lithotriptor calculus, ureter stenosis expansion and the like, and can play important roles of draining urine, preventing ureter stenosis and adhesion blockage after being implanted into the ureter. At present, when a double J tube is placed, in order to ensure that a catheter is in place, firstly, injecting aquamarine liquid into a bladder before the double J tube is placed, coating paraffin oil on the double J tube, inserting one end of the double J tube into the bladder according to the estimated length according to the stretching of the catheter, removing a guide wire, then, if aquamarine liquid overflows and proves to enter the bladder, or extruding the lower abdomen, if aquamarine liquid overflows and proves to enter the bladder, then, inserting the other end of the double J tube into a renal pelvis. Because the detection process is complicated due to the injection of the methylene blue solution into the bladder and the patients are subjected to certain physical and psychological stress, a double-J-tube end placement position detection device for urology operation needs to be designed.

Disclosure of Invention

The invention aims to solve the technical problem that the defect of the prior art is overcome, and provides a double-J tube tail end placement position detection device for urological surgery, which comprises a clamp rod, clamp handles, a connecting rod, a shifting piece, a first magnetic suction piece and a sliding rod, wherein the clamp rod is cylindrical, the clamp rod is provided with a square sliding groove along the axis direction of the clamp rod, the sliding rod is connected in the sliding groove in a sliding manner, the clamp handles are symmetrically arranged at the two sides of one end of the clamp rod, the clamp handles are hinged with the clamp rod, the connecting rod is symmetrically arranged at the two sides of one end, close to the clamp handles, of the sliding rod, one end of the connecting rod is hinged with the sliding rod, and racks are symmetrically arranged at the two sides of one end, far away from;

the connecting piece is welded at one end, far away from the clamp handle, of the clamp rod and comprises a first plate and a second plate, the first plate is welded with the clamp rod, the second plate is arranged at one end, far away from the clamp rod, of the first plate, the included angle between the first plate and the second plate is 130-150 degrees, an arc-shaped opening is formed in one end, far away from the first plate, of the second plate, arc-shaped fixing frames are symmetrically arranged at two ends, provided with the opening, of the second plate, the two fixing frames are opposite in opening, and a ureter penetrates through the middle of the two fixing frames;

the shifting piece is symmetrically arranged at two side positions of one end, far away from the second plate, of the first plate and comprises a circular ring, a straight piece and an arc piece, the circular ring is symmetrically arranged at two side positions of one end, far away from the second plate, of the first plate and is connected to the first plate through a pin shaft, so that the shifting piece is rotatably connected with the first plate, external teeth matched with the rack are arranged on the opposite surfaces of the two circular rings, the straight piece is arranged at one end, far away from the clamp rod, of the circular ring, the arc piece with the radian consistent with that of the fixing frame is arranged on the surface, far away from the circular ring, of the straight piece, and the arc piece rotates through the matching of the rack and the external teeth and is limited through the fixing frame;

a cylindrical boss is arranged in the middle of the opposite side of the arc piece, a square first through hole is formed in the boss along the axis direction, an arc-shaped groove is formed in one side, close to the ureter, of the fixing frame, a second through hole matched with the first through hole is formed in the bottom of the groove, a first magnetic suction piece is arranged in the groove, a square shifting rod is arranged at one end, far away from the ureter, of the first magnetic suction piece, the shifting rod is connected with the first through hole and the second through hole in a sliding mode, and a blocking piece is connected to one end, far away from the ureter, of the shifting rod in a threaded mode;

one end of the clamp rod, which is far away from the ureter, is provided with a cylindrical detection handle;

and a second magnetic attraction sheet matched with the first magnetic attraction sheet is arranged at one end of the double J-shaped pipe in the length direction.

In the technical scheme, when the double J tube is placed into the ureter but cannot ensure whether to enter the bladder or not, the position of the double J tube can be detected through the matching of the first magnetic suction sheet and the second magnetic suction sheet on the double J tube, when the device is used for detecting on the ureter, if the first magnetic suction sheet moves due to being adsorbed, the double J tube is not placed into the bladder, otherwise, the double J tube is placed into the bladder, the first magnetic suction sheet is placed in the groove of the fixing frame and can leave the groove during adsorption, so that whether the first magnetic suction sheet is adsorbed or not can be judged conveniently, the fixing frame is used for limiting the rotating stroke of the shifting sheet, the shifting sheet is prevented from contacting with the ureter to damage the ureter, when the first magnetic suction sheet is adsorbed and leaves the groove, the square shifting lever ensures that the first magnetic suction sheet cannot rotate, the first magnetic suction sheet can still enter the groove when being shifted back by the shifting sheet, the blocking sheet is used for limiting the stroke of the first magnetic suction sheet, and ensures that the shifting sheet shifts, the rotation of plectrum adopts the rack and pinion structure, and is small, and convenient operation, when examining, hold the detection handle and inspect, the natural shake of avoiding medical personnel's hand leads to pincers handle motion to drive the slide bar, the plectrum is inhaled the piece motion with first magnetism and is caused the misjudgement, when detecting the completion, when resetting equipment, only need operate the tong bar alright pull back the recess with first magnetism suction piece, be equipped with 130-150 contained angles between first board and the second board, the space that equipment occupied when using has been reduced, and it is more convenient to observe in the operation.

The technical scheme of the invention is further defined as follows:

the anti-slip table for preventing slipping is arranged on the detection handle, so that the friction force between the hand part and the detection handle is increased in the detection process, and accidents caused by slipping of equipment are avoided;

the end of the forceps handle, which is far away from the forceps rod, is provided with a finger hole which is convenient for operating the opening and closing of the forceps handle, so that the fingers of medical personnel can conveniently buckle the forceps handle, and the operation is more convenient;

one side subsides that aforementioned first magnetism is inhaled the piece and is close to the ureter are equipped with the medical sponge bed course that is used for protecting the ureter, avoid causing the damage to the ureter because medical personnel's error or first magnetism inhale piece direct contact ureter in the testing process.

The invention has the beneficial effects that: when the position of the double J tube is detected, the position of the double J tube is detected through the matching of the first magnetic suction piece and the second magnetic suction piece, the patient can accept the double J tube more easily without injecting the liquid Meilan into the bladder, the position of the double J tube is judged through whether the first magnetic suction piece is attracted by the second magnetic suction piece or not, the position of the double J tube is simple and quick, the patient can accept the liquid Meilan more easily compared with the observation of pressing the abdomen of the patient or pulling out the guide wire, the fixing frame limits the rotation stroke of the poking piece, the contact between the poking piece and the ureter is prevented from damaging the ureter, the square poking rod ensures that the first magnetic suction piece cannot rotate after leaving the groove, the first magnetic suction piece can still enter the groove when being poked back by the poking piece, the blocking piece is used for limiting the stroke of the first magnetic suction piece and ensuring that the poking piece poking back the groove, the rotation of the poking piece adopts a gear, avoids the movement of the forceps handle caused by the natural shake of the hands of the medical care personnel, thereby driving the slide bar, the shifting piece and the first magnetic suction piece to move to cause misjudgment, when the detection is finished and the equipment is reset, the first magnetic attraction piece can be pulled back to the groove only by operating the clamp rod, an included angle of 130-150 degrees is formed between the first plate and the second plate, the space occupied by the equipment is reduced, the observation is more convenient during the operation, the anti-sliding table is arranged on the detection handle, increase hand and detection handle's frictional force in the testing process, avoid the equipment slippage to cause unexpected emergence, seted up finger hole on the tong bar, make things convenient for medical personnel's finger lock handle, it is more convenient to operate, and the one side subsides that first magnetism is close to the ureter are equipped with the medical sponge bed course that is used for protecting the ureter, avoid causing the damage to the ureter because medical personnel's error or first magnetism inhale piece direct contact ureter in the testing process.

Drawings

FIG. 1 is an axial view of the present invention;

FIG. 2 is an enlarged view of a portion of FIG. 1 at A;

FIG. 3 is a right side view of the present invention;

FIG. 4 is a cross-sectional view taken at B-B of FIG. 3;

FIG. 5 is an enlarged view of a portion of the present invention at C;

FIG. 6 is a front view of a double J-tube of the present invention;

FIG. 7 is a schematic representation of the use of the present invention;

wherein: 1-clamp rod, 1-1-sliding chute, 1-2-fixing frame, 1-3-groove, 1-4-second through hole, 1-5-detection handle, 1-6-sliding prevention table, 2-clamp handle, 2-1-finger hole, 3-connecting rod, 4-shifting sheet, 4-1-circular ring, 4-2-boss, 4-3-first through hole, 4-4-straight sheet, 4-5-circular arc sheet, 4-6-external tooth, 5-first magnetic absorption sheet, 5-1-shifting rod, 5-2-sponge cushion layer, 6-sliding rod, 6-1-rack, 7-second magnetic absorption sheet, 8-connecting sheet, 8-first plate, 8-2-second plate, 8-3-opening, 9-baffle plate and 10-ureter.

Detailed Description

The technical solutions in the embodiments of the present invention will be described in detail below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all embodiments, and based on the embodiments of the present invention, all other embodiments obtained by a person of ordinary skill in the art without creative efforts belong to the protection scope of the present invention;

in the description of the present invention, it should be noted that the terms "center", "upper", "lower", "left", "right", "vertical", "horizontal", "inner", "outer", etc., indicate orientations or positional relationships based on those shown in the drawings, and are only for convenience of description and simplicity of description, but do not indicate or imply that the device or element referred to must have a specific orientation, be constructed in a specific orientation, and be operated, and thus, should not be construed as limiting the present invention, and furthermore, the terms "first", "second", and "third" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance;

in the description of the present invention, it should be noted that, unless otherwise explicitly stated or limited, the terms "mounted," "connected" and "connected" should be interpreted broadly, and for example, they may be fixedly connected, detachably connected, or integrally connected, mechanically connected, electrically connected, directly connected, indirectly connected through an intermediate medium, and communicated with each other inside two elements, and those skilled in the art can specifically understand the meaning of the terms in the present invention;

example 1

A position detection device is placed to two J pipe end for urological surgery, includes the detection device body, its characterized in that: the detection device body comprises a clamp rod 1, a clamp handle 2, a connecting rod 3, a shifting piece 4, a first magnetic suction piece 5 and a sliding rod 6, wherein the clamp rod 1 is cylindrical, a square sliding groove 1-1 is formed in the clamp rod 1 along the axis direction of the clamp rod, the sliding groove 1-1 is connected with the sliding rod 6 in a sliding mode, the clamp handle 2 is symmetrically arranged at two sides of one end of the clamp rod 1, the clamp handle 2 is hinged to the clamp rod 1, the connecting rod 3 is symmetrically arranged at two sides of one end, close to the clamp handle 2, of the sliding rod 6, one end of the connecting rod 3 is hinged to the sliding rod 6, and racks 6-1 are symmetrically arranged at two sides of one end, far away;

a connecting sheet 8 is welded at one end of the forceps rod 1, which is far away from the forceps handle 2, the connecting sheet 8 comprises a first plate 8-1 and a second plate 8-2, the first plate 8-1 is welded with the forceps rod 1, one end of the first plate 8-1, which is far away from the forceps rod 1, is provided with the second plate 8-2, the included angle between the first plate 8-1 and the second plate 8-2 is 130-150 degrees, one end of the second plate 8-2, which is far away from the first plate 8-1, is provided with an arc-shaped opening 8-3, two ends of the second plate 8-2, which are provided with the opening 8-3, are symmetrically provided with arc-shaped fixing frames 1-2, the openings of the two fixing frames 1-2 are opposite, and a ureter 10 penetrates through the middle of the two fixing frames;

the two sides of one end of the first plate 8-1 far away from the second plate 8-2 are symmetrically provided with a shifting sheet 4, the shifting sheet 4 comprises a circular ring 4-1, a straight sheet 4-4 and a circular arc sheet 4-5, the two sides of one end of the first plate 8-1 far away from the second plate 8-2 are symmetrically provided with the circular ring 4-1, the circular ring 4-1 is connected on the first plate through a pin shaft, the shifting sheet 4 is rotationally connected with the first plate 8-1, the opposite surfaces of the two circular rings 4-1 are provided with external teeth 4-6 matched with the rack 6-1, one end of the circular ring 4-1 far away from the clamp rod 1 is provided with the straight sheet 4-4, one surface of the straight sheet 4-4 far away from the circular ring 4-1 is provided with the circular arc sheet 4-5 with the radian of the fixed frame 1-2, the circular arc sheet 4-5 is rotated through the matching of the rack 6-1 and the external teeth 4-6, and is limited by a fixing frame 1-2;

a cylindrical boss 4-2 is arranged in the middle of the opposite side of the arc piece 4-5, a square first through hole 4-3 is formed in the axis direction of the boss 4-2, an arc-shaped groove 1-3 is formed in one side, close to the ureter 10, of the fixing frame 1-2, a second through hole 1-4 matched with the first through hole 4-3 is formed in the bottom of the groove 1-3, a first magnetic suction piece 5 is arranged in the groove 1-3, a square deflector rod 5-1 is arranged at one end, far away from the ureter 10, of the first magnetic suction piece 5, the deflector rod 5-1 is in sliding connection with the first through hole 4-3 and the second through hole 1-4, and a blocking piece 9 is in threaded connection with one end, far away from the ureter 10, of the deflector rod 5-1;

the medical sponge ureter protecting clamp comprises a clamp rod 1, a pair of J-shaped magnetic suction pieces 1, a pair of anti-skidding platforms 1-6, a pair of cylindrical detection handles 1-5, a pair of second magnetic suction pieces 7, a pair of first magnetic suction pieces 5, a pair of anti-skidding platforms 1-6 and a pair of finger holes 2-1, wherein the cylindrical detection handles 1-5 are arranged at one ends of the clamp rod 1 far away from a ureter 10, the anti-skidding platforms are matched with the first magnetic suction pieces 5, the friction force between the hands and the detection handles is increased in the detection process, accidents caused by equipment slipping are avoided, finger holes 2-1 convenient for operating the clamp handle 2 to open and close are arranged at one end of the clamp handle 2 far away from the clamp rod 1, fingers of medical staff are convenient to tightly buckle the clamp handle, the operation is more convenient, a medical sponge cushion layer 5-2 used for protecting the ureter 10 is pasted on one side of the first magnetic.

The working process of the embodiment is as follows: when the double J tube is inserted into the ureter of a patient and whether the double J tube is inserted into the bladder needs to be judged, a medical worker buckles fingers in finger holes, operates the opening and closing of the clamp handle to enable the poking piece to poke the first magnetic sucking piece into the groove, then the fingers are separated from the finger holes, holds the detection handle with hands, places the ureter between the two fixing pieces and moves towards the bladder along the length direction of the ureter to detect whether the second magnetic sucking piece on the double J tube enters the bladder or not, if the first magnetic sucking piece moves due to the adsorption effect of the second magnetic sucking piece and approaches the ureter, the double J tube is not placed in the bladder, otherwise, if the device is moved to the bladder and the first magnetic sucking piece does not move, the second magnetic sucking piece on the double J tube enters the bladder, namely, the double J tube is placed in the bladder, at the moment, holds the holes with the fingers to operate the opening and closing of the clamp handle, the first magnetic suction piece is re-inserted into the groove by the poking piece, and finally the device is taken down from the ureter and placed into a designated vessel for the next use.

The above embodiments are only for illustrating the technical idea of the present invention, and the protection scope of the present invention is not limited thereby, and any modifications made on the basis of the technical scheme according to the technical idea of the present invention fall within the protection scope of the present invention.

Claims (4)

1. A position detection device is placed to two J pipe end for urological surgery, includes the detection device body, its characterized in that: the detection device body comprises a clamp rod (1), clamp handles (2), a connecting rod (3), a shifting sheet (4), a first magnetic suction sheet (5) and a sliding rod (6), the clamp rod (1) is cylindrical, a square sliding chute (1-1) is formed in the clamp rod (1) along the axis direction of the clamp rod, the sliding rod (6) is connected in the sliding chute (1-1) in a sliding mode, the clamp handles (2) are symmetrically arranged on two sides of one end of the clamp rod (1), the clamp handles (2) are hinged to the clamp rod (1), the connecting rod (3) is symmetrically arranged on two sides of one end, close to the clamp handles (2), of the sliding rod (6), one end of the connecting rod (3) is hinged to the sliding rod (6), and racks (6-1) are symmetrically arranged on two sides of one end, far away from the clamp handles (2), of the sliding rod (6);

a connecting piece (8) is welded at one end, far away from the clamp handle (2), of the clamp rod (1), the connecting piece (8) comprises a first plate (8-1) and a second plate (8-2), the first plate (8-1) is welded with the clamp rod (1), the second plate (8-2) is arranged at one end, far away from the clamp rod (1), of the first plate (8-1), an included angle between the first plate (8-1) and the second plate (8-2) is 130-150 degrees, an arc-shaped opening (8-3) is arranged at one end, far away from the first plate (8-1), of the second plate (8-2), arc-shaped fixing frames (1-2) are symmetrically arranged at two ends, provided with the opening (8-3), of the second plate (8-2), and the openings of the two fixing frames (1-2) are opposite, the ureter (10) passes through the middle of the two fixing frames (1-2);

the shifting plate (4) is symmetrically arranged at two side positions of one end, far away from the second plate (8-2), of the first plate (8-1), the shifting plate (4) comprises a circular ring (4-1), a straight plate (4-4) and a circular arc plate (4-5), the circular ring (4-1) is symmetrically arranged at two side positions of one end, far away from the second plate (8-2), of the first plate (8-1), the circular ring (4-1) is connected to the first plate through a pin shaft, the shifting plate (4) is rotatably connected with the first plate (8-1), external teeth (4-6) matched with the rack (6-1) are arranged on one surface, opposite to the two circular rings (4-1), of the circular ring (4-1) is provided with the straight plate (4-4), and a fixing frame (1) is arranged on one surface, far away from the circular ring (4-1), of the straight plate (4-4) 2) The arc plates (4-5) are consistent in radian, and the arc plates (4-5) rotate through the matching of the rack (6-1) and the outer teeth (4-6) and are limited through the fixing frame (1-2);

a cylindrical boss (4-2) is arranged in the middle of the back side of the circular arc piece (4-5), a square first through hole (4-3) is formed in the axial direction of the boss (4-2), an arc-shaped groove (1-3) is formed in one side, close to the ureter (10), of the fixing frame (1-2), a second through hole (1-4) matched with the first through hole (4-3) is formed in the bottom of the groove (1-3), a first magnetic suction piece (5) is arranged in the groove (1-3), a square driving lever (5-1) is arranged at one end, far away from the ureter (10), of the first magnetic suction piece (5), and the driving lever (5-1), the first through hole (4-3) and the second through hole (1-4) are in sliding connection, a baffle plate (9) is connected with one end of the deflector rod (5-1) far away from the ureter (10) in a threaded manner;

one end of the forceps rod (1) far away from the ureter (10) is provided with a cylindrical detection handle (1-5);

and a second magnetic attraction sheet (7) matched with the first magnetic attraction sheet (5) is arranged at one end of the double J-shaped pipe in the length direction.

2. The double J-tube end placement position detecting device for urology procedures of claim 1 wherein: the detection handle (1-5) is provided with an anti-slip table (1-6) for preventing slipping.

3. The double J-tube end placement position detecting device for urology procedures of claim 1 wherein: one end of the forceps handle (2) far away from the forceps rod (1) is provided with a finger hole (2-1) which is convenient for operating the opening and closing of the forceps handle (2).

4. The double J-tube end placement position detecting device for urology procedures of claim 1 wherein: one surface of the first magnetic suction sheet (5) close to the ureter (10) is pasted with a medical sponge cushion layer (5-2) for protecting the ureter (10).

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