A guidewire catheter operating device for vascular intervention surgery

By introducing support mechanism and detection components into the guidewire catheter operation device of vascular interventional surgery, the problem of insufficient adjustment of the output direction and stability of the guidewire and catheter is solved, and efficient and accurate introduction of the guidewire and catheter is achieved, and surgical efficiency is improved and security.

CN117838318BActive Publication Date: 2025-01-03THE FIRST AFFILIATED HOSPITAL OF ZHENGZHOU UNIV +1
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Patent Information

Application Number
CN202410110230.7
Authority / Receiving Office
CN · China
Patent Type
Patents(China)
Current Assignee / Owner
Filing Date
2024-01-26
Publication Date
2025-01-03
Estimated Expiration
2044-01-26

AI Technical Summary

Technical Problem

The existing vascular interventional guidewire catheter operation device has insufficient adjustment and stability of the output direction of the guidewire and catheter, and cannot automatically adjust the output direction, and lacks a bottom stable support mechanism, resulting in complex operation and low efficiency.

Method used

A vascular interventional surgical guidewire catheter operation device including a support mechanism and a wire tube delivery mechanism is designed, and the wire guide is realized by using an integral fixed support assembly, a side sliding support assembly, a lifting drive assembly and a rotating platform. With precise delivery and introduction of the catheter, detection components are arranged to detect the operating state of the guide wire in the blood vessel to avoid excessive contact.

Benefits of technology

Improve the consistency and operational stability of the input direction between the guidewire and the catheter, simplify the operation process, improve surgical efficiency, and avoid excessive contact between the guidewire and the blood vessel wall through the detection component, enhancing the accurate introduction of the guidewire in the blood vessel ability.

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Abstract

The present invention relates to the technical field of medical devices, and specifically discloses a guidewire catheter operating device for vascular intervention surgery, comprising a support mechanism and a wire tube conveying mechanism, wherein the support mechanism comprises an integral fixed support assembly, and a side sliding support assembly is provided in the middle of the upper and lower ends of the integral fixed support assembly; the wire tube conveying mechanism comprises an intermediate sliding support assembly provided in the middle of the side sliding support assembly, and a rotating platform is fixedly installed in the middle of the intermediate sliding support assembly; by providing a detection assembly, on the one hand, the running speed of the guidewire in the human blood vessel and the size of the guidewire are detected by a pressure-sensitive strip provided on the outer peripheral side wall of a rotating roller, so as to avoid excessive contact between the guidewire and the blood vessel wall and the phenomenon of the guidewire penetrating the blood vessel; on the other hand, the mobile electric telescopic rod is controlled to be extended and retracted, so that the guidewire moves slightly inside the blood vessel, thereby allowing the guidewire to enter the corresponding blood vessel bifurcation.
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Description

Technical Field

[0001] The present invention relates to the technical field of medical devices, and in particular to a guidewire catheter operating device for vascular intervention surgery. Background Art

[0002] For some patients with hemangioma, thrombosis or diseases that need to be repaired, when surgical treatment is used, vascular intervention surgery is generally used. The specific operation is to introduce a guidewire or catheter into the blood vessel for surgical operation to achieve the purpose of treatment. Specific medical equipment is generally used in vascular intervention surgery for operation. For example, patent No. CN103599585A discloses a vascular intervention surgery guidewire catheter operation device and its operation module. The vascular intervention surgery guidewire catheter operation device includes two vascular intervention surgery guidewire catheter operation modules arranged on the machine base. The vascular intervention surgery guidewire catheter operation module includes a frame and a propulsion component, the propulsion component includes a bracket, a driving wheel, a driven wheel, a pressurizing component, a propulsion motor, an input guide tube and an output guide tube. The bracket, the input guide tube and the output guide tube are arranged on the frame, the propulsion motor, the driving wheel and the driven wheel are arranged on the bracket, the pressurizing component is arranged on the bracket and pushes the driven wheel, the driving wheel is connected to the propulsion motor, and the guidewire catheter is clamped between the driving wheel and the driven wheel. The present invention also includes a rotating assembly, which includes a gear set, a gear mounting frame, a rotating motor and a conductive slip ring. The gear mounting frame is mounted on the frame, and the gear set and the rotating motor are mounted on the gear mounting frame. The present invention has high working efficiency and can reduce the workload of doctors. The invention can meet general use requirements, but it still has the following disadvantages in actual use:

[0003] 1. In the prior art vascular interventional surgery guidewire catheter operation device, the output direction of the guidewire and the catheter needs to be adjusted manually, and the centering adjustment cannot be performed through the device, which cannot reduce the complexity of the operation;

[0004] 2. The guidewire catheter operation device for vascular interventional surgery in the prior art lacks a stable bottom support mechanism as a whole. During use, it needs to be supported by other equipment, and the structural support stability needs to be further improved;

[0005] 3. The existing guidewire catheter operation device for vascular intervention surgery cannot directly guide the operation head into the incision site, and requires additional auxiliary guidance operations to achieve this. Therefore, its efficiency needs to be further improved. Summary of the invention

[0006] The object of the present invention is to provide a guidewire catheter operating device for vascular intervention surgery to solve the problems raised in the above-mentioned background technology.

[0007] To achieve the above-mentioned purpose, the present invention provides the following technical solutions: a guidewire catheter operating device for vascular intervention surgery, comprising a support mechanism and a wire tube conveying mechanism, the support mechanism comprising an integral fixed support assembly, and a side sliding support assembly is provided in the middle of the upper and lower ends of the integral fixed support assembly, a lifting drive assembly is provided in the middle of the left end of the integral fixed support assembly, and a horizontal drive assembly is provided at the right end of the side sliding support assembly, the wire tube conveying mechanism comprises an intermediate sliding support assembly provided in the middle of the side sliding support assembly, and a rotating platform is fixedly installed in the middle of the intermediate sliding support assembly, a lower conveying assembly is fixedly provided at the upper end of the rotating platform, and an upper conveying assembly is provided at the upper end of the lower conveying assembly, and a lower conveying assembly is provided at the lower end of the lower conveying assembly A guide assembly, a lower angle adjustment assembly is provided at the lower end of the lower conveying assembly and on the side of the lower guide assembly, and an upper height adjustment assembly is provided on the side of the lower conveying assembly and the upper conveying assembly; a detection assembly for detecting whether the guide wire catheter input is smooth is provided inside the lower guide assembly, and the detection assembly includes an active groove opened inside the lower guide assembly, and rotating rollers are respectively provided on both sides of the lower guide assembly, and the number of the rotating rollers is set to four, and pressure-sensitive strips distributed in a circular pattern are provided on the outer peripheral side walls of the rotating rollers, and the pressure-sensitive strips on a single rotating roller conflict with each other, and the two ends of the two rotating rollers located on the same side are rotatably connected to a connecting rod through a locking assembly, and the connecting rod is fixedly connected to the inner arm of the lower guide assembly through a telescopic assembly.

[0008] Preferably, the integral fixed support assembly includes a left-right symmetrical bottom support plate, and casters are symmetrically fixedly installed on the bottom of the bottom support plate front and back, and a support column I is symmetrically fixedly installed on the upper end of the bottom support plate front and back, and the top of the support column I is fixedly connected to an upper support plate of a frame plate-like structure.

[0009] Preferably, the side sliding support assembly includes a side support plate arranged between the bottom support plate and the upper support plate, the front and rear fixed sleeves of the side support plate are provided with guide sleeves I, the guide sleeves I are slidably fitted with the support column I, and a horizontal support column is symmetrically fixedly connected front and back between the inner side surfaces of the left and right ends of the side support plate.

[0010] Preferably, the lifting drive assembly includes a motor mounting base I fixedly installed in the middle position of the upper left end of the upper support plate, and a driving motor I is fixedly installed at the upper end of the motor mounting base I, the middle sleeve at the left end of the bottom support plate and the upper support plate is provided with a screw rod I, and the middle fixed sleeve of the left side wall of the side support plate is provided with a screw sleeve I, and the screw sleeve I is threadedly connected to the screw rod I.

[0011] Preferably, the intermediate sliding support assembly comprises an intermediate support plate provided between the inner side surfaces of the left and right ends of the side support plate, the front and rear fixed sleeves of the intermediate support plate are provided with guide sleeves II, the guide sleeves II are slidably fitted with the horizontal support column, a middle hole is provided in the middle of the intermediate support plate, and the rotating platform is fixedly installed at the upper end of the middle hole;

[0012] The horizontal driving assembly includes a driving cylinder I fixedly mounted on the outer side surface of the right end of the side support plate, and a connecting plate is fixedly connected to the end of the piston rod of the driving cylinder I, and the connecting plate is fixedly connected to the right end surface of the middle support plate.

[0013] Preferably, the lower conveying assembly includes a lower conveying seat fixedly mounted on the upper end of the rotating platform, the bottom of the lower conveying seat is provided with a fixing flange fixedly connected to the upper end of the rotating platform, a conveying groove I is opened in the middle of the lower conveying seat, and conveying rollers I are symmetrically sleeved at the front and rear ends of the conveying groove I, a driving motor II is fixedly mounted on the side of the lower conveying seat and at the axial end of the conveying roller I, and the axial hole of the driving motor II is fixedly sleeved with the axial end of the conveying roller I;

[0014] A conveying hole I is fixedly opened in the middle of the upper end of the lower conveying seat into the conveying groove I, a motor mounting plate is fixedly connected to the right side of the upper end of the lower conveying seat, guide columns are vertically fixedly connected upward at the four corners of the upper end of the lower conveying seat, the upper conveying assembly is slidably matched with the guide columns, the lower end of the fixed flange is fixedly connected downwardly to the lower guide seat, and a steering support seat of a groove body structure is fixedly connected to the bottom of the lower guide seat, and a conveying hole II is opened from the middle of the conveying groove I to the groove bottom of the steering support seat.

[0015] Preferably, the upper conveying assembly includes an upper conveying seat that is slidably matched with the guide column, and a conveying hole III coaxial with the conveying hole I is opened at the upper end of the upper conveying seat and at the bottom of the upper conveying seat, a conveying groove II is opened in the middle of the front and rear end surfaces of the lower end of the upper conveying seat, and conveying rollers II are symmetrically mounted on the left and right sides of the front and rear ends of the conveying groove II, and a driving motor III is fixedly installed on the side of the upper conveying seat and at the axial end position of the conveying roller II, and the axial hole of the driving motor III is fixedly fitted with the axial end of the conveying roller II.

[0016] Preferably, the lower guide assembly includes a lower traction seat arranged in the middle of the steering support seat groove body, a delivery hole IV is opened in the middle of the lower traction seat, a delivery pipe is passed through the middle of the delivery hole IV, the other end of the delivery pipe is plugged into the delivery hole II, and a camera is fixedly embedded at the lower end of the lower traction seat and on the side of the lower port of the delivery hole IV.

[0017] Preferably, the lower angle adjustment component includes a steering shaft mounted in the middle of the two side surfaces of the steering support seat groove body, the steering shaft is fixedly fitted with the lower traction seat, and a drive motor IV is fixedly installed on the side of the steering support seat and at the shaft end of the steering shaft, and the shaft hole of the drive motor IV is fixedly fitted with the shaft end of the steering shaft.

[0018] Preferably, the upper height adjustment assembly includes a drive motor V fixedly mounted on the lower end surface of the motor mounting plate, and a screw rod II fixedly connected to the main shaft of the drive motor V is provided at the upper end of the motor mounting plate, and the side fixing sleeve of the upper conveying seat is provided with a screw sleeve II threadedly connected to the screw rod II.

[0019] Compared with the prior art, the invention has the following advantages:

[0020] 1. In the present invention, the output directions of the guide wire and the catheter are respectively guided and aligned through the delivery holes III, I and II, so that the input directions of the guide wire and the catheter are highly consistent, thereby improving the accuracy of the input of the guide wire and the catheter.

[0021] 2. In the present invention, the bottom support is formed by the side sliding support assembly through the overall fixed support assembly, the two side supports are formed by the middle sliding support assembly through the side sliding support assembly, and the middle support is formed by the middle sliding support assembly for the rotating platform and the lower conveying assembly, thereby improving the support stability of the entire operating device during operation.

[0022] 3. In the present invention, the side support plate is driven to the upper end position of the surgical incision of the surgical patient by driving the screw rod I through the driving motor I, and then the middle support plate is driven to further fine-tune toward the incision position through the driving cylinder I, and the lower traction seat is driven to flip through the driving motor IV, so that the lower port of the delivery tube at the lower end of the lower traction seat is guided to the surgical incision position, which is convenient for the introduction of the guide wire and the catheter, and improves the efficiency of the entire surgical operation.

[0023] 4. In the present invention, by setting up a detection component, on the one hand, the running speed of the guide wire in the human blood vessel and the size of the guide wire are detected by the pressure-sensitive strip set on the outer peripheral side wall of the rotating roller, so as to control the conveying roller II and the conveying roller I to perform corresponding actions on the guide wire, so as to avoid excessive contact between the guide wire and the blood vessel wall and the phenomenon of the guide wire penetrating the blood vessel; on the other hand, through the cooperation of the contrast agent, the mobile electric telescopic rod is controlled to be extended and retracted, so that the rotating roller clamps the guide wire, thereby controlling the guide wire to move slightly inside the blood vessel, so that the guide wire enters the corresponding blood vessel bifurcation. BRIEF DESCRIPTION OF THE DRAWINGS

[0024] Figure 1 It is an axial side view of the overall structure of the present invention.

[0025] Figure 2 It is the front view of the overall structure of the present invention.

[0026] Figure 3 for Figure 2 Sectional structural view at BB in the middle.

[0027] Figure 4 for Figure 3 Enlarged schematic diagram of the local structure at point D in the middle.

[0028] Figure 5 for Figure 3 Enlarged schematic diagram of the local structure at point E in the middle.

[0029] Figure 6 for Figure 3 Enlarged schematic diagram of the local structure at point F in the middle.

[0030] Figure 7 for Figure 2 Cross-sectional structural view at CC.

[0031] Figure 8 It is the right view of the overall structure of the present invention.

[0032] Fig. 9 for Figure 8 Sectional structural view at AA in the middle.

[0033] Fig.10 for Fig. 9 Enlarged schematic diagram of the local structure at point G in the middle.

[0034] Fig.11 for Fig. 9 Enlarged schematic diagram of the local structure at point H in the middle.

[0035] Fig.12 It is a schematic diagram of the structure of the detection component of the present invention.

[0036] Fig.13 It is a schematic diagram of the top view structure of the detection of the present invention.

[0037] In the figure: 1. integral fixed support assembly; 2. side sliding support assembly; 3. lifting drive assembly; 4. horizontal drive assembly; 5. middle sliding support assembly; 6. rotating platform; 7. lower conveying assembly; 8. upper conveying assembly; 9. lower guide assembly; 10. lower angle adjustment assembly; 11. upper height adjustment assembly; 101. bottom support plate; 102. casters; 103. upper support plate; 104. support column I; 201. side support plate; 202. guide sleeve I; 203. horizontal support column; 301. motor mounting seat I; 302. drive motor I; 303. screw rod I; 304. screw sleeve I; 401. drive cylinder I; 402. connecting plate; 501. middle support plate; 502. guide sleeve II; 503. middle hole; 701. lower conveying seat; 702. fixing flange; 70 3. Conveying trough I; 704. Conveying roller I; 705. Driving motor II; 706. Conveying hole I; 707. Motor mounting plate; 708. Guide column; 709. Lower guide seat; 710. Steering support seat; 711. Conveying hole II; 801. Upper conveying seat; 802. Conveying hole III; 803. Conveying trough II; 804. Conveying roller II; 805. Driving motor III; 901. Lower traction seat; 902. Conveying hole IV; 903. Conveying pipe; 904. Camera; 1001. Steering shaft; 1002. Driving motor IV; 1101. Driving motor V; 1102. Screw II; 1103. Screw sleeve II; 12. Detection component; 1201. Rotating roller; 1202. Pressure-sensitive strip; 1203. Connecting rod; 1204. Telescopic component. DETAILED DESCRIPTION

[0038] The following will be combined with the drawings in the embodiments of the present invention to clearly and completely describe the technical solutions in the embodiments of the present invention. Obviously, the described embodiments are only part of the embodiments of the present invention, not all of the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by ordinary technicians in this field without creative work are within the scope of protection of the present invention.

[0039] See also Figures 1 to 11The present invention provides a technical solution: a guidewire catheter operating device for vascular intervention surgery, comprising a support mechanism and a wire tube conveying mechanism, the support mechanism comprising an integral fixed support assembly 1, and a side sliding support assembly 2 is provided in the middle of the upper and lower ends of the integral fixed support assembly 1, a lifting drive assembly 3 is provided in the middle of the left end of the integral fixed support assembly 1, and a horizontal drive assembly 4 is provided at the right end of the side sliding support assembly 2, the wire tube conveying mechanism comprises an intermediate sliding support assembly 5 provided in the middle of the side sliding support assembly 2, and a rotating platform 6 is fixedly installed in the middle of the intermediate sliding support assembly 5, a lower conveying assembly 7 is fixedly provided at the upper end of the rotating platform 6, and an upper conveying assembly 8 is provided at the upper end of the lower conveying assembly 7, a lower guide assembly 9 is provided at the lower end of the lower conveying assembly 7, and a lower guide assembly 9 is provided at the lower end of the lower conveying assembly 7 and at the lower guide assembly A lower angle adjustment component 10 is provided on the side of the component 9, and an upper height adjustment component 11 is provided on the side of the lower conveying component 7 and the upper conveying component 8, wherein the overall fixed support component 1 plays a bottom support role relative to the side sliding support component 2, the side sliding support component 2 plays a two-side support role relative to the middle sliding support component 5, the middle sliding support component 5 plays a bottom support role relative to the rotating platform 6, the rotating platform 6 plays a rotating support role relative to the lower conveying component 7, the lower conveying component 7 plays a bottom support role relative to the upper conveying component 8, the lower conveying component 7 plays a bottom support role relative to the lower guide component 9, the lower angle adjustment component 10 plays a flipping drive role relative to the lower guide component 9, and the upper height adjustment component 11 plays a lifting drive role relative to the upper conveying component 8.

[0040] Furthermore, the overall fixed support assembly 1 includes a left-right symmetrical bottom support plate 101, and casters 102 are symmetrically fixedly installed at the bottom of the bottom support plate 101, and support columns 1104 are symmetrically fixedly installed at the upper end of the bottom support plate 101, and the top of the support column 1104 is fixedly connected with an upper support plate 103 of a frame plate structure, wherein the support column 1104 plays a guiding role relative to the guide sleeve 1202. When in use, the bottom support plates 101 on the left and right sides of the overall fixed support assembly 1 are driven in from both sides of the operating table so that the middle support plate 501 is located above the patient.

[0041] Furthermore, the side sliding support assembly 2 includes a side support plate 201 arranged between the bottom support plate 101 and the upper support plate 103, and the front and rear ends of the side support plate 201 are fixedly provided with guide sleeves I 202, the guide sleeves I 202 are slidably fitted with the support column I 104, and a horizontal support column 203 is symmetrically fixedly connected front and back between the inner side surfaces of the left and right ends of the side support plate 201, wherein the horizontal support column 203 plays a guiding and supporting role relative to the guide sleeve II 502.

[0042] Furthermore, the lifting drive assembly 3 includes a motor mounting seat 1301 fixedly installed in the middle position of the upper left end of the upper support plate 103, and a driving motor 1302 is fixedly installed at the upper end of the motor mounting seat 1301, the middle sleeve at the left end of the bottom support plate 101 and the upper support plate 103 is equipped with a screw rod 1303, and the middle fixed sleeve on the left side wall of the side support plate 201 is equipped with a screw sleeve 1304, and the screw sleeve 1304 is screwed with the screw rod 1303. When working, the driving motor 1302 drives the screw rod 1303 and the screw sleeve 1304 to be screwed for transmission, thereby causing the side support plate 201 to lift and lower along the support column 1104.

[0043] Further, the middle sliding support assembly 5 includes a middle support plate 501 provided in the middle of the inner side surfaces of the left and right ends of the side support plate 201, the front and rear fixed sleeves of the middle support plate 501 are provided with guide sleeves II 502, the guide sleeves II 502 are slidably fitted with the horizontal support column 203, a middle hole 503 is provided in the middle of the middle support plate 501, and the rotating platform 6 is fixedly installed at the upper end of the middle hole 503, wherein the middle support plate 501 plays a supporting role relative to the rotating platform 6, and the middle hole 503 plays a role of avoiding air relative to the lower conveying assembly 7;

[0044] The horizontal driving assembly 4 includes a driving cylinder 1401 fixedly mounted on the outer side surface of the right end of the side support plate 201, and a connecting plate 402 is fixedly connected to the end of the piston rod of the driving cylinder 1401, and the connecting plate 402 is fixedly connected to the right end surface of the middle support plate 501. When working, the driving cylinder 1401 drives the connecting plate 402 and the middle support plate 501 to move left and right along the guide of the horizontal support column 203.

[0045] Furthermore, the lower conveying assembly 7 includes a lower conveying seat 701 fixedly mounted on the upper end of the rotating platform 6, a fixing flange 702 fixedly connected to the upper end of the rotating platform 6 is provided at the bottom of the lower conveying seat 701, a conveying groove I 703 is opened in the middle of the lower conveying seat 701, and conveying rollers I 704 are symmetrically sleeved at the front and rear ends of the conveying groove I 703, a driving motor II 705 is fixedly mounted on the side of the lower conveying seat 701 and at the axial end position of the conveying roller I 704, the axial hole of the driving motor II 705 is fixedly sleeved with the axial end of the conveying roller I 704, wherein, when working, the guide wire or the catheter is introduced into the middle of the conveying roller I 704 through the conveying hole I 706, and the conveying roller I 704 is turned over by the driving motor II 705, so that the conveying roller I 704 performs a rolling conveying action relative to the guide wire or the catheter, so that the guide wire and the catheter can realize wire feeding and wire drawing actions;

[0046] A conveying hole I 706 is fixedly opened in the middle of the upper end of the lower conveying seat 701 towards the conveying groove I 703, a motor mounting plate 707 is fixedly connected to the right side of the upper end of the lower conveying seat 701, guide columns 708 are fixedly connected vertically upward at the four corners of the upper end of the lower conveying seat 701, the upper conveying assembly 8 is slidably matched with the guide columns 708, the lower end of the fixing flange 702 is fixedly connected downwardly to the lower guide seat 709, and a steering support seat 710 of a groove body structure is fixedly connected to the bottom of the lower guide seat 709, and a conveying hole II 711 is opened from the middle of the groove body of the conveying groove I 703 to the groove bottom of the steering support seat 710, wherein the motor mounting plate 707 plays a fixed supporting role relative to the driving motor V 1101, the guide column 708 plays a guiding role relative to the upper conveying seat 801, the steering support seat 710 plays a double-sided rotating supporting role relative to the steering shaft 1001, and the conveying hole II 711 plays a guiding role relative to the guide wire and the catheter.

[0047] Furthermore, the upper conveying assembly 8 includes an upper conveying seat 801 that is slidably matched with the guide column 708, and a conveying hole III 802 that is coaxial with the conveying hole I 706 is opened at the upper end of the upper conveying seat 801 and the bottom of the upper conveying seat 801. This structure improves the accuracy of guiding during the delivery of the guide wire and the catheter. A conveying groove II 803 is opened in the middle of the front and rear end surfaces of the lower end of the upper conveying seat 801, and the left and right sides of the front and rear ends of the conveying groove II 803 are symmetrically sleeved with conveying rollers II 804. A driving motor III 805 is fixedly installed on the side of the upper conveying seat 801 and at the axial end position of the conveying roller II 804. The axial hole of the driving motor III 805 is fixedly sleeved with the axial end of the conveying roller II 804. When working, the guide wire or the catheter is introduced into the middle of the conveying roller II 804 through the conveying hole III 802, and the conveying roller II 804 is turned over by the driving motor III 805, so that the conveying roller II 804 performs rolling conveying action relative to the guide wire or catheter, so that the guide wire and the catheter can realize wire feeding and wire drawing action.

[0048] Furthermore, the lower guide assembly 9 includes a lower traction seat 901 disposed in the middle of the steering support seat 710 groove body, a delivery hole IV 902 is opened in the middle of the lower traction seat 901, a delivery tube 903 is passed through the middle of the delivery hole IV 902, and the other end of the delivery tube 903 is plugged into the delivery hole II 711, and a camera 904 is fixedly embedded at the lower end of the lower traction seat 901 and on the side of the lower end of the delivery hole IV 902, wherein the delivery hole IV 902 plays a guiding and fixing role relative to the delivery tube 903, the delivery tube 903 plays a guiding role relative to the guide wire or catheter introduced into the delivery hole II 711, and the camera 904 plays a video shooting role, which is convenient for remote video control. Before work, the drive motor I 302, the drive cylinder I 401, the rotating platform 6, the drive motor II 705, the drive motor III 805, the camera 904, and the drive motor IV on the entire device are rotated. 1002 and the driving motor V1101 are electrically connected to the external touch device, and the operation memory is remotely controlled through the touch device, which reduces the operation difficulty and improves the accuracy of the operation.

[0049] Furthermore, the lower angle adjustment component 10 includes a steering shaft 1001 which is mounted in the middle of the two side surfaces of the groove body of the steering support seat 710. The steering shaft 1001 is fixedly fitted with the lower traction seat 901. A driving motor IV 1002 is fixedly installed on the side of the steering support seat 710 and on the shaft end of the steering shaft 1001. The shaft hole of the driving motor IV 1002 is fixedly fitted with the shaft end of the steering shaft 1001. When working, the driving motor IV 1002 drives the steering shaft 1001 and the lower traction seat 901 to flip a certain angle in the steering support seat 710, thereby realizing multi-angle adjustment of the lower traction seat 901, so that the lower port of the delivery tube 903 at the lower end of the lower traction seat 901 is aligned with the patient's surgical incision, so that the guide wire or catheter derived from the delivery tube 903 can be accurately introduced into the guide needle hole at the incision.

[0050] Furthermore, the upper height adjustment component 11 includes a driving motor V 1101 fixedly mounted on the lower end surface of the motor mounting plate 707, and a screw II 1102 fixedly connected to the main shaft of the driving motor V 1101 is provided at the upper end of the motor mounting plate 707, and the side fixing sleeve of the upper conveying seat 801 is provided with a screw sleeve II 1103 threadedly connected to the screw II 1102. When working, according to the introduction length and introduction interval of the guide wire and the catheter, the screw II 1102 and the screw sleeve II 1103 are controlled by the driving motor V 1101 to be threadedly connected for transmission, so that the upper conveying seat 801 is guided to rise and fall along the guide column 708.

[0051] Before the operation, the front bottom support plates 101 at the left and right ends of the overall fixed support assembly 1 are first moved into the two sides of the operating table, so that the side sliding support assembly 2 is located at the upper end position of the patient as a whole, and the screw rod I 303 and the screw sleeve I 304 are driven by the driving motor I302 to be screwed together for transmission, so that the side support plate 201 and the middle sliding support assembly 5 are moved to the vicinity of the upper height position of the patient's surgical incision, and the screw rod II 1102 and the screw sleeve II 1103 are controlled by the driving motor V 1101 to be screwed together for transmission, so that the upper conveying seat 801 is guided along the guide column 708 to rise to a certain height position above the lower conveying seat 701, and the middle support plate 501 is driven by the driving cylinder I 401 to move to the vicinity of the horizontal position of the patient's surgical incision, and the lower guide seat 709 is driven to rotate by the rotating platform 6 to rotate, so that the lower end of the lower traction seat 901 is rotated to the direction toward the patient's surgical incision, and then the driving motor IV 1002 drives the steering shaft 1001 and the lower traction seat 901 to flip at a certain angle, so that the lower port of the delivery tube 903 at the lower end of the lower traction seat 901 and the guide needle port at the patient's surgical incision are consistent in introduction angle;

[0052] First, the catheter is introduced from the conveying hole I 706 to the middle of the conveying roller I 704, and the driving motor II 705 is controlled to drive the conveying roller I 704 to flip, and then the catheter is introduced downward into the conveying hole II 711, and the conveying pipe 903 at the lower end of the conveying hole II 711 is introduced to the outlet of the conveying pipe 903 at the lower end of the lower traction seat 901;

[0053] Then, the guide wire is introduced from the delivery hole III 802 into the middle of the delivery roller II 804, and the drive motor III 805 on the side of the upper delivery seat 801 is controlled to drive the guide wire in the middle of the delivery roller II 804 to roll downward. The guide wire is introduced from the catheter at the upper end of the delivery hole I 706 and is exported from the export catheter port at the lower end of the lower traction seat 901. The drive motor III 805 is driven to guide the guide wire from the catheter at the lower port of the delivery tube 903 into the guide needle at the patient's surgical incision to complete the introduction of the guide wire. When the guide wire is introduced into place, the drive motor II 705 is started to guide the catheter along the guide wire from the entrance of the guide needle into the blood vessel to complete the introduction of the catheter, which is convenient for the next step of operation. The entire introduction action can be completed through remote control, which improves the convenience and efficiency of the operation and improves the introduction accuracy of the guide wire and the catheter.

[0054] Embodiment 2

[0055] Based on the previous embodiment, although the above embodiment can improve the convenience and efficiency of the guidewire catheter entering the guide needle, after the guidewire enters the human blood vessel, the external electric element adjusts the guidewire after entering the human blood vessel, which easily causes the swing amplitude and transportation speed of the guidewire to change, thereby puncturing the human blood vessel. In view of this, improvements are made on the basis of embodiment 1, and the improved technical solution is as follows.

[0056] refer to Fig.12 and Fig.13 , a guidewire catheter operating device for vascular intervention surgery, including a support mechanism and a wire tube conveying mechanism, the support mechanism includes an integral fixed support assembly 1, and a side sliding support assembly 2 is provided in the middle of the upper and lower ends of the integral fixed support assembly 1, a lifting drive assembly 3 is provided in the middle of the left end of the integral fixed support assembly 1, and a horizontal drive assembly 4 is provided at the right end of the side sliding support assembly 2, the wire tube conveying mechanism includes an intermediate sliding support assembly 5 provided in the middle of the side sliding support assembly 2, and a rotating platform 6 is fixedly installed in the middle of the intermediate sliding support assembly 5, a lower conveying assembly 7 is fixedly provided at the upper end of the rotating platform 6, and an upper conveying assembly 8 is provided at the upper end of the lower conveying assembly 7, a lower guide assembly 9 is provided at the lower end of the lower conveying assembly 7 and a lower angle adjustment assembly 10 is provided on the lower end of the lower conveying assembly 7 and on the side of the lower guide assembly 9, and an upper height adjustment assembly 11 is provided on the sides of the lower conveying assembly 7 and the upper conveying assembly 8;

[0057] A detection component 12 for detecting whether the guide wire catheter input is smooth is provided inside the lower guide component 9. The detection component 12 includes a movable groove opened inside the lower guide component 9. Rotating rollers 1201 are respectively provided on both sides of the lower guide component 9. The number of rotating rollers 1201 is set to four. The outer peripheral side walls of the rotating rollers 1201 are provided with circumferentially distributed pressure-sensitive strips 1202. The pressure-sensitive strips 1202 on a single rotating roller 1201 conflict with each other. The two ends of the two rotating rollers 1201 located on the same side are rotatably connected to a connecting rod 1203 through a locking assembly. The connecting rod 1203 is fixedly connected to the inner arm of the lower guide component 9 through a telescopic assembly 1204.

[0058] In this embodiment, the distance between the two conveying rollers II804 and the distance between the two conveying rollers I704 are both controlled by a hydraulic push rod, which pushes the drive motor III805 and the drive motor II705 to translate, so that the distance between the two conveying rollers II804 and the distance between the two conveying rollers I704 can be adjusted; the rotating roller 1201 is located inside the lower traction seat 901, the locking component is set as an electromagnetic latch, the connecting rod 1203 and the telescopic component 1204 are hinged, and a limit component is provided at the connection between the connecting rod 1203 and the telescopic component 1204, and the telescopic component 1204 is an electric telescopic rod; in the initial state, the locking component contracts, so that the rotating roller 1201 and the connecting rod 1203 are in an unlocked state; the limit component pops out, so that the telescopic component 1204 and the connecting rod 1203 are in a locked state; the rotating rollers 1201 located on both sides of the conveying pipe 903 are in contact with each other, and the electric telescopic rod is in a power-off state.

[0059] When in use, the guide wire is introduced from the conveying hole III802 into the middle of the conveying roller II804, and the guide wire goes downward and enters into the conveying hole II711 from the conveying hole I706. Since a conveying tube 903 is provided between the conveying hole II711 and the conveying hole IV902, the guide wire will directly enter into the conveying tube 903 after coming out of the conveying hole I706. Since two rotating rollers 1201 are provided on both sides of the conveying tube 903, and through holes corresponding to the rotating rollers 1201 are provided on the outer wall of the conveying tube 903, the rotating rollers 1201 located on both sides of the conveying tube 903 are fitted together through the through holes. After the guide wire enters the conveying tube 903, it gradually contacts the outer wall of the rotating roller 1201 located in the conveying tube 903 and squeezes the rotating roller 1201. Since the telescopic assembly 1204 and the connecting rod 1203 are in a locked state at this time, the electric telescopic rod is in a power-off state. state, so that in the process of relative squeezing between the guide wire and the rotating roller 1201, the rotating roller 1201 pushes the telescopic assembly 1204 to move toward the outer wall of the lower traction seat 901 through the connecting rod 1203, and then the electric telescopic rod is contracted. Since the outer peripheral side wall of the rotating roller 1201 is provided with pressure-sensitive strips 1202 distributed in an array, the control system determines the size of the guide wire by detecting the contraction amount of the electric telescopic rod. After detecting the size of the guide wire, the control system controls the hydraulic push rod to shorten the distance between the two conveying rollers II804 and the distance between the two conveying rollers I704, so that the two conveying rollers II804 and the two conveying rollers I704 can effectively clamp the guide wire, thereby avoiding the intermittent and slipping phenomena of the conveying rollers II804 and I704 in the process of conveying the guide wire.

[0060] After the guide wire and the guide needle are aligned, the control system's electric telescopic rod is energized to control the conveying roller II804 and the conveying roller I704 to rotate to convey the guide wire. During the process of conveying the guide wire by the conveying roller II804 and the conveying roller I704, since the rotating roller 1201 and the connecting rod 1203 are in a non-locked state, after the guide wire contacts the rotating roller 1201, the friction force generated between the rotating roller 1201 and the guide wire causes the rotating roller 1201 to rotate. Since the outer peripheral side wall of the rotating roller 1201 is provided with pressure-sensitive strips 1202 distributed in an array, the pressure-sensitive strips 1202 rotate synchronously with the rotation of the rotating roller 1201. The control system determines the running speed of the guide wire inside the blood vessel by detecting the number of pressure-sensitive strips 1202 that the guide wire passes through per unit time. If the guide wire and the pressure-sensitive strips 1202 pass through the blood vessel within a unit time, If the number of contacts is large, it means that the guide wire is running too fast. At this time, the control system controls the locking assembly to pop up, so that the rotating roller 1201 and the connecting rod 1203 are in a locked state, so that the rolling friction between the rotating roller 1201 and the guide wire is changed into sliding friction, thereby slowing down the movement speed of the guide wire. At the same time, when the control system detects that the number of contacts between the guide wire and the pressure-sensitive strip 1202 per unit time is large, it synchronously transmits an alarm signal; when the control system detects that the number of contacts between the guide wire and the pressure-sensitive strip 1202 per unit time is small, it means that the guide wire is in contact with the blood vessel wall during operation. At this time, the control system controls the driving motor III805 and the driving motor II705 to flip, and the conveying roller II804 and the conveying roller I704 to pull the guide wire to avoid excessive contact between the guide wire and the blood vessel wall and the guide wire penetrating the blood vessel.

[0061] When the guide wire runs to the bifurcation of the blood vessel, the control system controls the locking component to pop out, so that the rotating roller 1201 and the connecting rod 1203 are in a locked state; the limit component contracts, so that the telescopic component 1204 and the connecting rod 1203 are in an unlocked state; through the cooperation of the contrast agent, the mobile electric telescopic rod is controlled to be extended and retracted, thereby controlling the guide wire to move slightly inside the blood vessel, so that the guide wire enters the corresponding blood vessel bifurcation; for example, when the guide wire needs to deviate to the right, the control system controls the electric telescopic rods at the lower left side and the upper right side to extend, and the control system controls the electric telescopic rods at the upper left side and the lower right side to contract. At the same time, since the connecting rod 1203 is hinged to the electric telescopic rod, during the process of contraction and extension of the electric telescopic rod, the angle between the connecting rod 1203 and the electric telescopic rod is deflected, thereby facilitating the guide wire to enter the corresponding blood vessel bifurcation.

[0062] Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that various changes, modifications, substitutions and variations may be made to the embodiments without departing from the principles and spirit of the present invention, and that the scope of the present invention is defined by the appended claims and their equivalents.

Claims

1. A guidewire catheter operating device for vascular intervention surgery, characterized in that: The invention comprises a support mechanism and a wire tube conveying mechanism, wherein the support mechanism comprises an integral fixed support assembly (1), and a side sliding support assembly (2) is arranged in the middle of the upper and lower ends of the integral fixed support assembly (1), a lifting drive assembly (3) is arranged in the middle of the left end of the integral fixed support assembly (1), and a horizontal drive assembly (4) is arranged at the right end of the side sliding support assembly (2), the wire tube conveying mechanism comprises an intermediate sliding support assembly (5) arranged in the middle of the side sliding support assembly (2), and a rotating platform (6) is fixedly installed in the middle of the intermediate sliding support assembly (5), a lower conveying assembly (7) is fixedly arranged at the upper end of the rotating platform (6), and an upper conveying assembly (8) is arranged at the upper end of the lower conveying assembly (7), a lower guide assembly (9) is arranged at the lower end of the lower conveying assembly (7) and on the side of the lower guide assembly (9), and an upper height adjustment assembly (11) is arranged on the side of the lower conveying assembly (7) and the upper conveying assembly (8); The lower guide assembly (9) is provided with a detection assembly (12) for detecting whether the guide wire catheter input is smooth. The detection assembly (12) includes a movable groove opened in the lower guide assembly (9). Rotating rollers (1201) are respectively provided on both sides of the lower guide assembly (9). The number of the rotating rollers (1201) is set to four. The outer peripheral side walls of the rotating rollers (1201) are provided with pressure-sensitive strips (1202) distributed in a circumferential manner. The pressure-sensitive strips (1202) on a single rotating roller (1201) are in contact with each other. The two ends of the two rotating rollers (1201) located on the same side are rotatably connected to a connecting rod (1203) through a locking assembly. The connecting rod (1203) is fixedly connected to the inner arm of the lower guide assembly (9) through a telescopic assembly (1204); The lower conveying assembly (7) comprises a lower conveying seat (701) fixedly mounted on the upper end of the rotating platform (6); a fixing flange (702) fixedly connected to the upper end of the rotating platform (6) is provided at the bottom of the lower conveying seat (701); a conveying groove I (703) is provided in the middle of the lower conveying seat (701); and conveying rollers I (704) are symmetrically sleeved at the front and rear ends of the conveying groove I (703); a driving motor II (705) is fixedly mounted on the side of the lower conveying seat (701) and at the axial end position of the conveying roller I (704); the axial hole of the driving motor II (705) is fixedly sleeved with the axial end of the conveying roller I (704); the lower conveying seat (70 1) A conveying hole I (706) is fixedly opened in the middle of the upper end of the conveying groove I (703); a motor mounting plate (707) is fixedly connected to the right side of the upper end of the lower conveying seat (701); guide columns (708) are fixedly connected upward and vertically at the four corners of the upper end of the lower conveying seat (701); the upper conveying assembly (8) is slidably matched with the guide columns (708); the lower end of the fixed flange (702) is fixedly connected downward with a lower guide seat (709); and a steering support seat (710) of a trough structure is fixedly connected at the bottom of the lower guide seat (709); a conveying hole II (711) is opened from the middle of the trough body of the conveying groove I (703) to the bottom of the trough of the steering support seat (710); The upper conveying assembly (8) comprises an upper conveying seat (801) which is slidably matched with the guide column (708), and a conveying hole III (802) coaxial with the conveying hole I (706) is opened at the upper end of the upper conveying seat (801) and at the bottom of the upper conveying seat (801), a conveying groove II (803) is opened in the middle of the front and rear end surfaces of the lower end of the upper conveying seat (801), and the left and right sides of the front and rear ends of the conveying groove II (803) are symmetrically sleeved with conveying rollers II (804), and a driving motor III (805) is fixedly installed on the side of the upper conveying seat (801) and at the axial end position of the conveying roller II (804), and the axial hole of the driving motor III (805) is fixedly sleeved with the axial end of the conveying roller II (804); The lower guide assembly (9) comprises a lower traction seat (901) arranged in the middle of the groove body of the steering support seat (710); a delivery hole IV (902) is opened in the middle of the lower traction seat (901); a delivery pipe (903) is passed through the middle of the delivery hole IV (902); the other end of the delivery pipe (903) is plugged into the delivery hole II (711); a camera (904) is fixedly embedded at the lower end of the lower traction seat (901) and on the side of the lower end of the delivery hole IV (902); A limit assembly is provided at the connection between the connecting rod and the telescopic assembly, and the telescopic assembly is an electric telescopic rod; In the initial state, the locking assembly contracts, and the rotating roller and the connecting rod are in an unlocked state; the limit assembly pops out, and the telescopic assembly and the connecting rod are in a locked state; the rotating rollers on both sides of the conveying tube fit together, and the electric telescopic rod is in a power-off state; after the guide wire enters the conveying tube, it contacts the outer wall of the rotating roller located inside the conveying tube and squeezes the rotating roller. The rotating roller pushes the telescopic assembly to move toward the outer wall of the lower traction seat through the connecting rod, causing the electric telescopic rod to contract. The control system determines the size of the guide wire by detecting the contraction amount of the electric telescopic rod. After the guide wire and the guide needle are aligned, the electric telescopic rod of the control system is energized, and the conveying roller II and the conveying roller I are controlled to rotate to convey the guide wire. The rotating roller and the connecting rod are in a non-locked state, so that after the guide wire contacts the rotating roller, the friction force generated between the rotating roller and the guide wire causes the rotating roller to rotate, and the pressure-sensitive strip rotates synchronously with the rotation of the rotating roller. The control system determines the running speed of the guide wire inside the blood vessel by detecting the number of pressure-sensitive strips that the guide wire passes through per unit time; when the guide wire runs to the bifurcation of the blood vessel, the control system controls the locking assembly to pop out, so that the rotating roller and the connecting rod are in a locked state; the limiting assembly contracts, so that the telescopic assembly and the connecting rod are in a non-locked state; through the cooperation of the contrast agent, the mobile electric telescopic rod is controlled to be extended and retracted, thereby controlling the guide wire to move slightly inside the blood vessel, so that the guide wire enters the corresponding blood vessel bifurcation.

2. A guidewire catheter operating device for vascular interventional surgery according to claim 1, characterized in that: The integral fixed support assembly (1) comprises a left-right symmetrical bottom support plate (101), and casters (102) are fixedly installed symmetrically at the bottom of the bottom support plate (101), and support columns I (104) are fixedly installed symmetrically at the upper end of the bottom support plate (101), and an upper support plate (103) of a frame plate structure is fixedly connected to the top of the support column I (104).

3. A guidewire catheter operating device for vascular interventional surgery according to claim 2, characterized in that: The side sliding support assembly (2) comprises a side support plate (201) arranged between a bottom support plate (101) and an upper support plate (103); the front and rear ends of the side support plate (201) are fixed with guide sleeves I (202); the guide sleeves I (202) are slidably fitted with support columns I (104); and a horizontal support column (203) is symmetrically fixedly connected front and back between the inner side surfaces of the left and right ends of the side support plate (201).

4. A guidewire catheter operating device for vascular interventional surgery according to claim 3, characterized in that: The lifting drive assembly (3) comprises a motor mounting seat I (301) fixedly mounted at the middle position of the upper left end of the upper support plate (103), and a driving motor I (302) is fixedly mounted at the upper end of the motor mounting seat I (301), the middle sleeve at the left end of the bottom support plate (101) and the upper support plate (103) is provided with a screw rod I (303), and the middle fixing sleeve of the left side wall of the side support plate (201) is provided with a screw sleeve I (304), and the screw sleeve I (304) is screwed to the screw rod I (303).

5. A guidewire catheter operating device for vascular interventional surgery according to claim 4, characterized in that: The intermediate sliding support assembly (5) comprises an intermediate support plate (501) disposed in the middle of the inner side surfaces of the left and right ends of the side support plate (201); the front and rear fixed sleeves of the intermediate support plate (501) are provided with guide sleeves II (502); the guide sleeves II (502) are slidably fitted with the horizontal support column (203); a middle hole (503) is provided in the middle of the intermediate support plate (501); and the rotating platform (6) is fixedly mounted at the upper end of the middle hole (503); The horizontal drive assembly (4) comprises a drive cylinder I (401) fixedly mounted on the outer side surface of the right end of the side support plate (201), and a connecting plate (402) is fixedly connected to the end of the piston rod of the drive cylinder I (401), and the connecting plate (402) is fixedly connected to the right end surface of the middle support plate (501).

6. A guidewire catheter operating device for vascular interventional surgery according to claim 5, characterized in that: The lower angle adjustment assembly (10) comprises a steering shaft (1001) fitted between the two side surfaces of the groove body of the steering support seat (710); the steering shaft (1001) is fixedly fitted with the lower traction seat (901); a driving motor IV (1002) is fixedly mounted on the side surface of the steering support seat (710) and at the shaft end of the steering shaft (1001); and the shaft hole of the driving motor IV (1002) is fixedly fitted with the shaft end of the steering shaft (1001).

7. A guidewire catheter operating device for vascular interventional surgery according to claim 6, characterized in that: The upper height adjustment assembly (11) comprises a driving motor V (1101) fixedly mounted on the lower end surface of a motor mounting plate (707), and a screw rod II (1102) fixedly connected to the main shaft of the driving motor V (1101) is provided at the upper end of the motor mounting plate (707), and a side fixing sleeve of the upper conveying seat (801) is provided with a screw sleeve II (1103) screwed to the screw rod II (1102).

Citation Information

Patent Citations

  • Vascular intervention operation guide-wire and catheter operating device and vascular intervention operation guide-wire and catheter operating modules

    CN103599585A

  • Guide wire motion control method and device

    CN115645715A

  • Split type vascular intervention surgical robot

    CN116269796A

  • Slave end conveying device of surgical robot and surgical robot system

    CN116784983A