Multifunctional operation console adaptive to interventional operation bed

By designing a multi-functional surgical operation table on the interventional surgical bed, the guide unit and adjustment components are used to achieve passive guidance and precise adjustment of the guide wire, combined with lubrication and anti-thrombosis treatment, the problem of the guide wire being easily wrapped and imprecisely promoted during interventional surgery is solved, and the safety and efficiency of the operation are improved.

CN119868095APending Publication Date: 2025-04-25THE FIRST MEDICAL CENT CHINESE PLA GENERAL HOSPITAL
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Patent Information

Application Number
CN202510119116.5
Authority / Receiving Office
CN · China
Patent Type
Applications(China)
Current Assignee / Owner
Filing Date
2025-01-24
Publication Date
2025-04-25

AI Technical Summary

Technical Problem

In interventional surgery, the guidewire is prone to be wound and knotted due to bending or improper guidance. The active delivery device of the prior art has the risk of failure and the inaccurate propulsion of the guidewire, resulting in blood vessel damage or wire breakage.

Method used

A multi-functional surgical operation table adapted to an interventional surgical bed is designed, and passive guide straightening is achieved through the guide unit and the guide extension, combining the direction adjustment assembly and the angle adjustment assembly to ensure that the guide wire enters the blood vessel in a suitable direction and angle, and lubricate the guide wire surface and prevent thrombosis through the homogenization assembly and the nozzle system.

Benefits of technology

It effectively avoids the problem of assistant operating errors due to fatigue and insufficient experience, ensures the accuracy of guide wire direction and propulsion, reduces the propulsion failure caused by direction deviation, and reduces the risk of vascular damage and thrombosis.

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Abstract

The invention provides a multifunctional operation table matched with an interventional operation bed, and belongs to the field of medical instruments. Comprising a supporting part used for being installed on one side of an operating bed, and the supporting part comprises a sliding seat used for being connected to a sliding rail on the side edge of the operating bed in a sliding mode, a sliding rail buckle connected to the interior of the sliding seat, a lifting adjusting part fixedly connected to one side of the sliding seat, a supporting frame connected with the lifting adjusting part and a hollow metal plate fixedly connected to the upper end of the supporting frame; one side of the hollow metal plate is connected with a guide unit, and the guide unit comprises a connecting plate with one end clamped in the hollow metal plate and a guide part fixedly connected to the upper end of the connecting plate. Passive guiding straightening can be carried out on the guide wire, straightening of the guide wire can be stably kept, consistency is ensured, the problem of misoperation caused by fatigue and inadequate experience of an assistant is avoided, the guide wire direction and propelling accuracy is ensured, doctors do not need to be distracted due to misoperation of the assistant or the guide wire problem, and the working efficiency is improved. And more attention can be focused on key steps of an operation.
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Description

Technical Field

[0001] The present invention relates to the field of medical devices, and more specifically, to a multifunctional operating table adapted for an interventional operating bed. Background Art

[0002] The interventional operating table is a type of operating table specially designed for interventional medical surgeries (such as vascular intervention, neurological intervention, tumor intervention, etc.).

[0003] At present, during the process of interventional surgery, long guide wires are easily entangled or knotted due to bending or improper guidance. In order to keep the guide wire straight, the prior art (Chinese invention patent with announcement number CN115282442B) discloses a guide wire delivery device for a vascular interventional surgery robot, which delivers the guide wire by active delivery. Although the active guide wire delivery method can reduce the physical labor of doctors, this method does not have a complete danger detection and avoidance system and has the risk of failure. In the event of equipment failure, the guide wire may be blocked or deviated in direction. When the sensor or control system is not accurate enough, the guide wire may be advanced too fast or out of control in direction, resulting in vascular damage or guide wire breakage.

[0004] Therefore, in clinical surgery, manual guidewire delivery is still the main method used. Manual guidewire delivery usually requires cooperation between the doctor and the assistant. The doctor inserts the guidewire into the blood vessel, and the assistant needs to hold the guidewire and adjust it section by section. He can help straighten the curved part section by section and cooperate with the main operator to reduce the additional stress generated by the guidewire in the lumen to ensure that the guidewire enters the patient's body straightly. However, assistants are prone to fatigue during long-term and high-frequency operations, and the quality and efficiency of the straightening operation may decrease. At the same time, the manual straightening of the assistant is subject to the proficiency and experience of the operator. The operations of different assistants may vary, and it cannot be guaranteed that the guidewire is always straightened in the best state. Summary of the invention

[0005] In view of the problem that the feeding device in the prior art cannot be adjusted according to the feeding needs of steel bars of different length specifications and can only achieve the feeding of steel bars of fixed length, the purpose of the present invention is to provide a multifunctional surgical operating table adapted to an interventional operating bed.

[0006] To solve the above problems, the present invention adopts the following technical solutions:

[0007] A multifunctional surgical operating table adapted for an interventional operating bed, comprising a support portion for installation on one side of the operating bed, the support portion comprising a slide seat for slidingly connecting to a slide rail on the side of the operating bed, a slide rail buckle connected to the inside of the slide seat, a lifting and lowering adjustment portion fixed to one side of the slide seat, a support frame connected to the lifting and lowering adjustment portion, and a hollow metal plate fixed to the upper end of the support frame;

[0008] A guide unit is connected to one side of the hollow metal plate, and the guide unit includes a connecting plate whose one end is clamped inside the hollow metal plate and a guide part fixed to the upper end of the connecting plate, the guide part includes a plate body clamped at the upper end of the connecting plate, a plurality of direction adjustment components connected to the inside of the plate body, a plurality of rotating seats respectively connected to the plurality of direction adjustment components and rotatably connected to the upper end of the plate body, two side plates respectively fixed to the upper ends of the plurality of rotating seats, a first hollow guide sleeve rotatably connected between the two side plates, an angle adjustment component connected to the inside of one of the side plates for adjusting the angle of the first hollow guide sleeve, and a guide extension part fixed to the outer surface of the first hollow guide sleeve.

[0009] Optionally, the lifting and lowering adjustment part includes a seat body fixedly connected to one side of the sliding seat, a first movable groove opened inside the seat body and two second movable grooves connected to the first movable groove and symmetrical to each other, two clamping limit parts respectively slidably connected to the two second movable grooves, two first screw rods screwed inside the seat body and symmetrical to each other, an electric push rod fixed to the lower end of the seat body, and a top seat slidably connected to the first movable groove, and the telescopic end of the electric push rod passes through the seat body and is fixed to the lower end of the top seat, one end of the two first screw rods is rotatably connected to one side of the two clamping limit parts respectively, and a support column is fixed to the lower end of the support frame, and the support column is movably inserted in the first movable groove and the lower end of the support column is in contact with the upper end of the top seat.

[0010] Optionally, a groove and a clamping groove connected to the groove are provided inside the hollow metal plate, and a screw groove is also provided on the inner wall of the groove. A clamping portion inserted into the groove and the clamping groove is integrally formed at one end of the connecting plate. A limiting strip is inserted at the opening of the groove, and a bolt is screwed inside the limiting strip. One end of the bolt passes through the limiting strip and is screwed in the screw groove for limiting the clamping portion.

[0011] Optionally, the direction adjustment assembly includes a geared disk rotatably connected to the inside of the plate body, a limit seat slidably connected to the inside of the plate body, a limit flange integrally formed on one side of the limit seat and used to be inserted between two adjacent first tooth keys on the outside of the geared disk, and a second screw rod threadedly connected to the inside of the plate body, and one end of the second screw rod is rotatably connected to the other side of the limit seat.

[0012] Optionally, the angle adjustment assembly includes a first gear rotatably connected to the inside of the side plate, a rack slidably connected to the inside of the side plate and meshing with the first gear, a third screw rod rotatably connected to the inside of the side plate and screwed to the inside of the rack, and one side of the first hollow guide sleeve is fixedly connected to one side of the first gear.

[0013] Optionally, the guide extension portion includes a connecting frame fixedly connected to the lower end of the outer surface of the first hollow guide sleeve and a second hollow guide sleeve fixedly connected to one side of the connecting frame, a first hollow guide ring is clamped on one side of the first hollow guide sleeve, a second hollow guide ring is clamped on one side of the second hollow guide sleeve, liquid inlets are provided at the upper ends of the outer surfaces of the first hollow guide ring and the second hollow guide ring, and a plurality of nozzles are distributed in a circular array on one side of the first hollow guide ring and the second hollow guide ring, the nozzle on one side of the hollow guide ring is located inside the first hollow guide sleeve and the nozzle on one side of the hollow guide ring is located outside, and liquid discharge ports are provided at the lower ends of the outer surfaces of the first hollow guide sleeve and the second hollow guide sleeve.

[0014] Optionally, the first hollow guide sleeve and the second hollow guide sleeve are both connected to a homogenizing component, and the homogenizing component includes a rotating ring rotatably connected to the inner walls of the first hollow guide sleeve and the second hollow guide sleeve, a third hollow guide ring connected to one side of the rotating ring, a plurality of rubber bristles fixedly distributed in an annular array on the inner wall of the third hollow guide ring, and a second tooth key arranged on the outer ring surface of the third hollow guide ring; the first hollow guide sleeve and the second hollow guide sleeve are both fixedly connected to the outer surfaces with a first motor and a protective cover, and the protective cover is rotatably connected to a second gear meshing with the second tooth key, and the output shaft of the first motor passes through the protective cover and is fixedly connected to one side of the second gear.

[0015] Optionally, a guide rod is movably inserted inside the rotating ring, and one end of the guide rod is fixedly connected to one side of the third hollow guide ring, the other end of the guide rod is fixedly connected to the first ring body, and one side of the first ring body is annularly distributed and fixed with a plurality of first inclined lift blocks, a spring is also sleeved on the outside of the guide rod, and the two ends of the spring are respectively connected to one side of the first ring body and one side of the rotating ring, the inner walls of the first hollow guide sleeve and the second hollow guide sleeve are both fixedly connected to the second ring body, and one side of the second ring body is annularly distributed and fixed with a plurality of second inclined lift blocks.

[0016] Optionally, a debubble assembly is connected to the inner wall of the first hollow guide sleeve, and the debubble assembly includes a fourth hollow guide ring fixedly connected to the inner wall of the first hollow guide sleeve, a third ring body fixedly connected to the inside of the fourth hollow guide ring, a rubber sheet fixedly connected to the inner wall of the third ring body, a third movable groove opened in the fourth hollow guide ring and the inside of the third ring body, a positioning ring fixedly connected to the inner wall of the third movable groove opening, a rotating rod having one end rotatably connected to the inside of the positioning ring and the other end rotatably connected to the inner wall of the third movable groove, an eccentric block fixedly connected to the outside of the rotating rod, a second motor fixedly connected to one side of the fourth hollow guide ring, and the output shaft of the second motor is fixedly connected to one end of the rotating rod.

[0017] Optionally, a tail plate is connected to the other side of the hollow metal plate, and one side of the tail plate is connected to the other side of the hollow metal plate via a hinge, and a warping portion is integrally formed at the upper end of the other side of the tail plate.

[0018] Compared with the prior art, the technical solution provided by the present invention has at least the following beneficial effects:

[0019] In the above scheme, a guide part is provided. Through the design of the first hollow guide sleeve and the guide extension part, after one end of the guide wire passes through the first hollow guide sleeve and the guide extension part and reaches the doctor's hand, when the doctor pulls the guide wire, the first hollow guide sleeve and the guide extension part can passively guide the guide wire to be straight, and can stably keep the guide wire straight and ensure consistency. At the same time, the direction and angle of the guide wire can be adjusted through the direction adjustment component and the angle adjustment component to ensure that it enters the blood vessel in the appropriate direction and angle, reducing the advancement failure caused by direction deviation. Therefore, the present invention can avoid the problem of operating errors of assistants due to fatigue and lack of experience, ensure the accuracy of the guide wire direction and advancement, and the doctor does not need to be distracted by the assistant's operating errors or guide wire problems, and can focus more on the key steps of the operation.

[0020] By respectively arranging a first hollow guide ring and a second hollow guide ring on one side of the first hollow guide sleeve and a second hollow guide sleeve, physiological saline can be sprayed on the outer surface of the guide wire through a nozzle on one side of the second hollow guide ring, so as to lubricate the outer surface of the guide wire that is about to enter the second hollow guide sleeve, reduce the friction between the guide wire and the hollow guide ring and the inner wall of the hollow guide sleeve, reduce local heat accumulation, thereby avoiding damage to the guide wire or guide sleeve, and help the guide wire to smoothly enter the hollow guide ring and the hollow guide sleeve; heparin saline can be sprayed on the outer surface of the guide wire through a nozzle on one side of the first hollow guide ring, forming a layer of water film on the surface of the guide wire, reducing the friction between the guide wire and the inner wall of the blood vessel or the catheter, and reducing the risk of damage to the inner wall of the blood vessel; at the same time, heparin saline can reduce the aggregation of platelets on the surface of the guide wire, delay or prevent thrombosis, and reduce the risk of thrombosis, so that anti-thrombotic pretreatment of the guide wire can be achieved during the guiding process.

[0021] By setting up a homogenizing component, the first motor can drive the rotating ring and rubber bristles inside the first hollow guide sleeve and the second hollow guide sleeve to rotate. The rubber bristles produce slight friction with the outer surface of the guide wire, and the physiological saline and heparin saline sprayed on the outer surface of the guide wire are evenly distributed on the surface of the guide wire, avoiding liquid aggregation or uneven distribution, increasing the contact time between the saline and the guide wire surface, improving the wettability of the guide wire surface, and facilitating the stable adhesion of the coating. BRIEF DESCRIPTION OF THE DRAWINGS

[0022] The accompanying drawings, which are incorporated herein and constitute a part of the specification, illustrate embodiments of the invention and, together with the description, further serve to explain the principles of the invention and to enable those skilled in the relevant art to make and use the invention.

[0023] Figure 1 It is a schematic diagram of the three-dimensional structure of the present invention;

[0024] Figure 2 It is a schematic diagram of the support structure of the present invention;

[0025] Figure 3 It is a schematic diagram of the structure of the groove, the clamping groove, the screw groove and the support column of the present invention;

[0026] Figure 4 It is a structural schematic diagram of the lifting and lowering adjustment part of the present invention;

[0027] Figure 5 It is a schematic diagram of the structure of the guide unit of the present invention;

[0028] Figure 6 It is a schematic diagram of the guide structure of the present invention;

[0029] Figure 7 It is a schematic diagram of the structure of the direction adjustment component of the present invention;

[0030] Figure 8 It is a structural schematic diagram of the angle adjustment assembly of the present invention;

[0031] Fig. 9 It is a schematic diagram of the first hollow guide ring, the first hollow guide sleeve, the liquid inlet and the nozzle structure of the present invention;

[0032] Fig.10 It is a schematic diagram of the structure of the nozzle on one side of the first hollow guide ring of the present invention;

[0033] Fig.11 It is a schematic diagram of the homogenization assembly structure of the present invention;

[0034] Fig.12 It is a schematic diagram of the structure of the guide rod, the spring, the first ring body and the second ring body of the present invention;

[0035] Fig.13 It is a schematic diagram of the structure of the defoaming component of the present invention;

[0036] Fig.14 It is a schematic diagram of the disassembly of the defoaming component structure of the present invention.

[0037] [Reference Signs]

[0038] 1. Support part; 11. Hollow metal plate; 111. Groove; 112. Clamping groove; 113. Screw groove; 114. Limiting strip; 12. Support frame; 121. Support column; 13. Lifting and adjusting part; 131. Seat body; 132. First movable groove; 133. Second movable groove; 134. Clamping and limiting part; 135. First screw rod; 136. Electric push rod; 137. Top seat; 14. Sliding seat; 15. Slide rail buckle; 2. Guide unit; 21. Connecting plate; 22. Snap-on part; 3. Tail plate; 31. Hinge; 32. Lifting part; 4. Guide part; 41. Plate body; 42. Direction adjustment assembly; 421. Toothed plate; 422. Limit seat; 423. Second screw rod; 43. Rotating seat; 44. Side plate; 45. Angle adjustment assembly; 451. Third screw rod; 452. Rack; 453. a gear; 46, a first hollow guide sleeve; 47, a guide extension; 471, a connecting frame; 472, a second hollow guide sleeve; 48, a liquid discharge port; 5, a first hollow guide ring; 6, a second hollow guide ring; 7, a liquid inlet; 8, a nozzle; 9, a homogenizing assembly; 91, a rotating ring; 92, a third hollow guide ring; 921, a guide rod; 922, a spring; 923, a first ring body; 924, a first inclined top block; 925, a second ring body; 926, a second inclined top block; 93, rubber bristles; 94, a first motor; 95, a protective cover; 96, a second gear; 97, a second tooth key; 10, a defoaming assembly; 101, a fourth hollow guide ring; 102, a third movable groove; 103, a third ring body; 104, a rubber sheet; 105, a rotating rod; 106, an eccentric block; 107, a second motor; 108, a positioning ring.

[0039] As shown in the figure, in order to clearly implement the structure of the embodiment of the present invention, specific structures and devices are marked in the figure, but this is only for illustrative purposes and is not intended to limit the present invention to the specific structure, device and environment. According to specific needs, ordinary technicians in this field can adjust or modify these devices and environments. DETAILED DESCRIPTION

[0040] The present invention is described in detail below in conjunction with the accompanying drawings and specific embodiments. At the same time, it is explained here that in order to make the embodiments more detailed, the following embodiments are the best and preferred embodiments, and those skilled in the art may also adopt other alternatives to implement some known technologies; and the accompanying drawings are only for more specific description of the embodiments, and are not intended to specifically limit the present invention.

[0041] It should be noted that the references to "one embodiment", "embodiment", "exemplary embodiments", "some embodiments" and the like in the specification indicate that the embodiments described may include specific features, structures or characteristics, but not every embodiment may include the specific features, structures or characteristics. In addition, when a specific feature, structure or characteristic is described in conjunction with an embodiment, it should be within the knowledge of a person skilled in the art to implement such feature, structure or characteristic in conjunction with other embodiments (whether or not explicitly described).

[0042] In general, a term can be understood, at least in part, from its use in context. For example, depending, at least in part, on the context, the term "one or more" as used herein can be used to describe any feature, structure, or characteristic in the singular sense, or can be used to describe a combination of features, structures, or characteristics in the plural sense. Additionally, the term "based on" can be understood as not necessarily intended to convey an exclusive set of factors, but can instead, depending, at least in part, on the context, allow for the presence of other factors that are not necessarily explicitly described.

[0043] It will be understood that the meanings of “on,” “over,” and “above” in the present invention should be interpreted in the broadest manner, so that “on” not only means “directly on” something, but also includes the meaning of being “on” something with intervening features or layers therebetween, and “on” or “over” not only means “on” or “above” something, but also includes the meaning of being “on” or “above” something with no intervening features or layers therebetween.

[0044] Additionally, spatially relative terms such as "under," "beneath," "lower," "above," "upper," and the like may be used herein for descriptive convenience to describe the relationship of one element or feature to another element or features, as shown in the accompanying drawings. Spatially relative terms are intended to encompass different orientations of the device in use or operation in addition to the orientation depicted in the accompanying drawings. The device may be oriented in other ways, and the spatially relative descriptors used herein may be similarly interpreted accordingly.

[0045] like Figures 1 to 14 As shown, an embodiment of the present invention provides a multifunctional surgical operating table adapted to an interventional operating bed, including a support portion 1 for installation on one side of the operating bed, wherein the support portion 1 includes a slide seat 14 for slidingly connected to a slide rail on the side of the operating bed, a slide rail buckle 15 connected to the inside of the slide seat 14, a lifting and adjusting portion 13 fixed to one side of the slide seat 14, a support frame 12 connected to the lifting and adjusting portion 13, and a hollow metal plate 11 fixed to the upper end of the support frame 12.

[0046] A guide unit 2 is connected to one side of the hollow metal plate 11, and the guide unit 2 includes a connecting plate 21 with one end clamped inside the hollow metal plate 11 and a guide part 4 fixed to the upper end of the connecting plate 21, the guide part 4 includes a plate body 41 clamped on the upper end of the connecting plate 21, a plurality of direction adjustment components 42 connected to the plate body 41, a plurality of rotating seats 43 respectively connected to the plurality of direction adjustment components 42 and rotatably connected to the upper end of the plate body 41, two side plates 44 respectively fixed to the upper end of each rotating seat 43, a first hollow guide sleeve 46 rotatably connected to the two side plates 44 on both sides, an angle adjustment component 45 connected to one of the side plates 44 for adjusting the angle of the first hollow guide sleeve 46, and a guide extension part 47 fixed to the outer surface of the first hollow guide sleeve 46.

[0047] The other side of the hollow metal plate 11 is connected to the tail plate 3 , and one side of the tail plate 3 is connected to the other side of the hollow metal plate 11 through a hinge 31 . The other side of the tail plate 3 is integrally formed with a warping portion 32 at the upper end.

[0048] By adopting the above technical solution, the lifting and adjusting part 13 is installed on the slide rail on one side of the interventional operating bed (the bedside slide rail on the side opposite to the doctor) through the slide seat 14, and the slide seat 14 is limited by the slide rail buckle 15 (the slide rail sliding positioning technology is a mature existing technology and will not be repeated here), and then the height of the support frame 12 is adjusted by the lifting and adjusting part 13 so that the lower end of the support frame 12 can adapt to the height of the patient after lying flat. The main operating platform should be raised after the obese patient lies flat, and the main operating platform for children or thin patients should be lowered, trying to keep it level with the patient's upper chest and waist, and then spread the sterile sheet on the hollow metal plate 11 (similar to the tray rack in the operating room), and then place the tray on the sterile sheet laid on the hollow metal plate 11, and then spread the sterile sheet again. Contrast agent bowls, heparin saline bowls and consumables can be placed on the hollow metal plate 11, so that liquids are not easy to splash The tail plate 3 is rotated to unfold the tail plate 3 on one side of the hollow metal plate 11, and the raised portion 32 on the tail plate 3 can prevent the guide wire roll from sliding off one end of the tail plate 3, and one end of the guide wire is passed through the guide extension portion 47 and enters the first hollow guide sleeve 46, and passes through the other end of the first hollow guide sleeve 46. The guide wire passed through the other end of the first hollow guide sleeve 46 is caught by the doctor. When the doctor pulls the guide wire and sends the guide wire into the blood vessel, the first hollow guide sleeve 46 and the guide extension portion 47 can passively guide the guide wire to be straight, and can stably keep the guide wire straight and ensure consistency. The guide unit 2 can avoid the assistant's operating errors due to fatigue and lack of experience, and ensure the accuracy of the guide wire direction and advancement. The doctor does not need to be distracted by the assistant's operating errors or guide wire problems, and can focus more on the key steps of the operation.

[0049] like Figure 1-Figure 8As shown, the lifting and lowering adjustment part 13 includes a seat body 131 fixedly connected to one side of the sliding seat 14, a first movable groove 132 opened inside the seat body 131 and two second movable grooves 133 connected to the first movable groove 132 and symmetrical to each other, two clamping limit parts 134 respectively slidably connected to the two second movable grooves 133, two first screw rods 135 screwed inside the seat body 131 and symmetrical to each other, an electric push rod 136 fixed to the lower end of the seat body 131, and a top seat 137 slidably connected to the first movable groove 132, and the telescopic end of the electric push rod 136 passes through the seat body 131 and is fixed to the lower end of the top seat 137, one end of the two first screw rods 135 is rotatably connected to one side of the two clamping limit parts 134 respectively, and the lower end of the support frame 12 is fixedly connected to a support column 121, and the support column 121 is movably inserted in the first movable groove 132 and the lower end of the support column 121 is in contact with the upper end of the top seat 137.

[0050] The hollow metal plate 11 is provided with a groove 111 and a clamping groove 112 connected to the groove 111, and a screw groove 113 is also provided on the inner wall of the groove 111. A clamping portion 22 inserted into the groove 111 and the clamping groove 112 is integrally formed at one end of the connecting plate 21. A limiting strip 114 is inserted at the opening of the groove 111, and a bolt is screwed inside the limiting strip 114. One end of the bolt passes through the limiting strip 114 and is screwed in the screw groove 113 for limiting the clamping portion 22. After the bolt is unscrewed from the screw groove 113 and the limiting strip 114 and the limiting strip 114 is removed from the groove 111, the clamping portion 22 can be removed from the clamping groove 112 and the groove 111, so that the connecting plate 21 can be removed from one side of the hollow metal plate 11.

[0051] The direction adjustment component 42 includes a gear wheel 421 rotatably connected to the inside of the plate body 41, a limit seat 422 slidably connected to the inside of the plate body 41, a limit flange integrally formed on one side of the limit seat 422 and used to be inserted between two adjacent first tooth keys on the outside of the gear wheel 421, and a second screw rod 423 screwed to the inside of the plate body 41, and one end of the second screw rod 423 is rotatably connected to the limit seat 422.

[0052] The angle adjustment assembly 45 includes a first gear 453 rotatably connected to the inside of the side plate 44, a rack 452 slidably connected to the inside of the side plate 44 and meshing with the first gear 453, and a third screw rod 451 rotatably connected to the inside of the side plate 44 and screwed to the inside of the rack 452. One side of the first hollow guide sleeve 46 is fixedly connected to one side of the first gear 453.

[0053] By adopting the above technical scheme, the adjustment methods of the lifting and lowering adjustment part 13 include manual and electric adjustment. The manual adjustment method is: hold the lower end of the support frame 12 with one hand and force the support frame 12 and the hollow metal plate 11 to lift up, so that the support column 121 can move upward in the first movable groove 132, and after moving to the appropriate position, rotate the two first screw rods 135 respectively. The rotation of the two first screw rods 135 respectively drives the two clamping limit parts 134 to move toward the direction of the support column 121, and the clamping limit part 134 limits the support column 121. This limiting method is to open a slot on the outer surface of the support column 121 and set an insert block on the outer surface of the clamping limit part 134. The limiting is achieved by the structure of the pin, which is a mature limiting means and will not be repeated here. The electric adjustment method is: control the electric push rod 136 to work and drive the top seat 137 to move upward in the first movable groove 132. The movement of the top seat 137 can drive the support column 121 to move in the first movable groove 132, thereby adjusting the height of the support column 121 and the hollow metal plate 11.

[0054] The adjustment method of the direction adjustment component 42 is: rotate the second screw rod 423 to move the limit seat 422. The movement of the limit seat 422 separates the limit flange from the first tooth key outside the toothed disc 421, canceling the limit on the toothed disc 421. At this time, the plate body 41 can be rotated to adjust the direction of the first hollow guide sleeve 46 and the guide extension part 47.

[0055] The adjustment method of the angle adjustment component 45 is: rotating the third screw rod 451 can drive the rack 452 to move up and down inside the side plate 44, and the up and down movement of the rack 452 can drive the first gear 453 inside the side plate 44 to rotate clockwise or counterclockwise, thereby adjusting the angle of the first hollow guide sleeve 46 and the guide extension part 47.

[0056] The direction adjustment component 42 and the angle adjustment component 45 can be used to adjust the delivery direction and angle of the guide wire to ensure that it enters the blood vessel in a suitable direction and angle, thereby reducing advancement failure caused by direction deviation.

[0057] like Fig. 9 and Fig.10As shown, the guide extension portion 47 includes a connecting frame 471 fixedly connected to the lower end of the outer surface of the first hollow guide sleeve 46 and a second hollow guide sleeve 472 fixedly connected to one side of the connecting frame 471, one side of the first hollow guide sleeve 46 is clamped with a first hollow guide ring 5, one side of the second hollow guide sleeve 472 is clamped with a second hollow guide ring 6, the upper ends of the outer surfaces of the first hollow guide ring 5 and the second hollow guide ring 6 are both provided with a liquid inlet 7, and one side of the first hollow guide ring 5 and the second hollow guide ring 6 are both provided with a plurality of nozzles 8 distributed in a circular array, the nozzles 8 are connected to the liquid inlet 7, the nozzles 8 on one side of the first hollow guide ring 5 are located inside the first hollow guide sleeve 46 and the nozzles 8 on one side of the second hollow guide ring 6 are located outside, and the lower ends of the outer surfaces of the first hollow guide sleeve 46 and the second hollow guide sleeve 472 are both provided with a liquid discharge port 48.

[0058] By adopting the above technical scheme, the liquid inlet 7 at the upper part of the first hollow guide ring 5 and the second hollow guide ring 6 is respectively connected to the pipeline for conveying heparin saline and physiological saline, the discharge port 48 at the lower part of the first hollow guide sleeve 46 and the second hollow guide sleeve 472 is connected to the pipeline for recovering the liquid, the saline inside the first hollow guide sleeve 46 and the second hollow guide sleeve 472 can be discharged from the discharge port 48, the heparin saline is sprayed from the nozzle 8 on one side of the first hollow guide ring 5, and the physiological saline is sprayed from the nozzle 8 on one side of the second hollow guide ring 6, and the physiological saline can be sprayed on the outer surface of the guide wire through the nozzle 8 on one side of the second hollow guide ring 6, so as to lubricate the outer surface of the guide wire that is about to enter the second hollow guide sleeve 472, thereby reducing the friction between the guide wire and the first hollow guide ring 5, the second hollow guide ring 6, the first hollow guide sleeve 46 and the second hollow guide sleeve 47. 2, reducing local heat accumulation, thereby avoiding damage to the guide wire or guide sleeve, helping the guide wire to smoothly enter the first hollow guide ring 5, the second hollow guide ring 6, the first hollow guide sleeve 46 and the second hollow guide sleeve 472. The nozzle 8 on one side of the first hollow guide ring 5 can spray heparin saline on the outer surface of the guide wire to form a layer of water film on the surface of the guide wire, thereby reducing the friction between the guide wire and the inner wall of the blood vessel or the catheter, and reducing the risk of damage to the inner wall of the blood vessel. At the same time, heparin saline can reduce the aggregation of platelets on the surface of the guide wire, delay or prevent thrombosis, and reduce the risk of thrombosis. In the process of guiding, anti-thrombosis pretreatment of the guide wire can be achieved. After lubricating the guide wire with physiological saline, a smooth surface is provided for the subsequent coating of heparin saline, thereby avoiding the rapid loss of heparin saline due to surface roughness or uneven coating. Through this "transitional" lubrication, the heparinized saline coating may be more uniform and lasting; although the lubricating effect of normal saline is shorter, it may help accelerate the coating of heparinized saline and maintain its lubricating layer stable, thereby prolonging the time that heparinized saline stays on the guide wire surface. While normal saline plays a preliminary lubricating role, it reduces the rate at which heparinized saline is lost from the guide wire surface.

[0059] like Fig.11 and Fig.12 As shown, the first hollow guide sleeve 46 and the second hollow guide sleeve 472 are both connected to the homogenizing component 9, and the homogenizing component 9 includes a rotating ring 91 rotatably connected to the inner walls of the first hollow guide sleeve 46 and the second hollow guide sleeve 472, a third hollow guide ring 92 connected to one side of the rotating ring 91, a plurality of rubber bristles 93 fixedly distributed in an annular array on the inner wall of the third hollow guide ring 92, and a second tooth key 97 provided on the outer ring surface of the third hollow guide ring 92. The first hollow guide sleeve 46 and the second hollow guide sleeve 472 are both fixedly connected to the outer surfaces with a first motor 94 and a protective cover 95, and the protective cover 95 is internally rotatably connected with a second gear 96 meshing with the second tooth key 97, and the output shaft of the first motor 94 passes through the protective cover 95 and is fixedly connected to one side of the second gear 96.

[0060] A plurality of guide rods 921 are movably inserted inside the rotating ring 91, and one ends of the plurality of guide rods 921 are fixedly connected to one side of the third hollow guide ring 92, and the other ends of the plurality of guide rods 921 are fixedly connected to a first ring body 923, and a plurality of first inclined top blocks 924 are fixedly connected to one side of the first ring body 923 in a circular distribution, and a spring 922 is also sleeved on the outside of the guide rod 921, and the two ends of the spring 922 are respectively connected to one side of the first ring body 923 and one side of the rotating ring 91, and the inner walls of the first hollow guide sleeve 46 and the second hollow guide sleeve 472 are fixedly connected to a second ring body 925, and a plurality of second inclined top blocks 926 are fixedly connected to one side of the second ring body 925 in a circular distribution.

[0061] By adopting the above technical solution, the second gear 96 is driven to rotate by the first motor 94, and the second gear 96 rotates to drive the rotating ring 91 to rotate through the second tooth key 97. When the rotating ring 91 rotates inside the first hollow guide sleeve 46 and the second hollow guide sleeve 472, it can drive the third hollow guide ring 92 and the plurality of rubber bristles 93 to rotate. The rubber bristles 93 produce slight friction with the outer surface of the guide wire, and the physiological saline and heparin saline sprayed on the outer surface of the guide wire are evenly distributed on the surface of the guide wire, thereby avoiding liquid aggregation or uneven distribution, and increasing The contact time of the salt water with the surface of the guide wire is increased to improve the wettability of the surface of the guide wire, which is conducive to the stable adhesion of the coating. When the third hollow guide ring 92 rotates, the first ring body 923 can also be driven to rotate through the guide rod 921. When the first ring body 923 rotates, the first inclined top block 924 contacts the second inclined top block 926. The inclined surfaces of the first inclined top block 924 and the second inclined top block 926 cooperate to push the first ring body 923 to move toward the direction of the rotating ring 91, compressing the spring 922. When the first ring body 923 continues to rotate and drives the first inclined top block 92 When the first inclined lifting block 924 is rotated to separate from the second inclined lifting block 926, the spring 922 generates a force to push the first ring body 923 to move toward the second ring body 925 and reset, so that the first ring body 923 can generate a translational motion during the rotation process. The movement of the first ring body 923 drives the third hollow guide ring 92 and the rubber bristles 93 to move through the guide rod 921, which can spread the liquid more evenly on the surface of the guide wire, avoid liquid aggregation or uneven distribution, and form a uniform lubricating layer or cleaning liquid layer. At the same time, when the first After the inclined lift block 924 is separated from the second inclined lift block 926, when the force generated by the spring 922 can push the first ring body 923 to move toward the direction of the second ring body 925 and reset, the force generated by the spring 922 can make the third hollow guide ring 92 move toward the direction of the rotating ring 91 and collide with the rotating ring 91. The vibration force generated by the collision contact acts on the outer surface of the guide wire through the rubber bristles 93. The vibration helps to break the bubbles entrained in the liquid by disturbing the liquid layer, thereby reducing residual bubbles and improving the quality of the liquid film.

[0062] like Fig.13 and Fig.14As shown, the inner wall of the first hollow guide sleeve 46 is connected to a debubble assembly 10, and the debubble assembly 10 includes a fourth hollow guide ring 101 fixedly connected to the inner wall of the first hollow guide sleeve 46, a third ring body 103 fixedly connected to the inside of the fourth hollow guide ring 101, a rubber sheet 104 fixedly connected to the inner wall of the third ring body 103, a third movable groove 102 opened in the fourth hollow guide ring 101 and the third ring body 103, a positioning ring 108 fixedly connected to the inner wall at the opening of the third movable groove 102, a rotating rod 105 having one end rotatably connected to the inside of the positioning ring 108, an eccentric block 106 fixedly connected to the outside of the rotating rod 105, and a second motor 107 fixedly connected to one side of the fourth hollow guide ring 101, and the output shaft of the second motor 107 is fixedly connected to one end of the rotating rod 105, and the other end of the rotating rod 105 is rotatably connected to the inner wall of the third movable groove 102 opened in the third ring body 103.

[0063] By adopting the above technical solution, when the guide wire passes through the first hollow guide sleeve 46, the homogenization component 9 inside the first hollow guide sleeve 46 has completed the homogenization of the heparin saline on the outer surface of the guide wire. At this time, in order to prevent the rubber bristles 93 from failing to completely remove the bubbles in the liquid on the outer surface of the guide wire, the second motor 107 drives the rotating rod 105 and the eccentric block 106 to rotate. The rotation of the eccentric block 106 generates high-frequency vibrations that directly act on the third ring body 103, which are transmitted to the rubber sheet 104 through the third ring body 103, and then transmitted to the liquid on the outer surface of the guide wire through the rubber sheet 104, thereby prompting the discharge of bubbles in the liquid.

[0064] The workflow of the technical solution provided by the present invention is as follows:

[0065] The lifting and adjusting part 13 is installed on the slide rail on one side of the interventional operating bed through the slide seat 14, and the slide seat 14 is limited by the slide rail buckle 15. The height of the support frame 12 is adjusted by the lifting and adjusting part 13 so that the lower end of the support frame 12 can adapt to the height of the patient after lying down, and then the sterile sheet is spread on the hollow metal plate 11, and then the tray is placed on the sterile sheet laid on the hollow metal plate 11, and the sterile sheet is spread again. The hollow metal plate 11 can be used to place a contrast agent bowl, a heparin saline bowl and consumables, etc., and then the tail plate 3 is rotated to make the tail plate 3 unfold on one side of the hollow metal plate 11. The raised part 32 on the tail plate 3 can prevent one end of the guide wire from sliding off the operating table, and the second hollow guide ring 6 is removed from the second hollow guide sleeve 472, and one end of the guide wire passes through the second hollow guide ring 6 and then enters the second hollow guide sleeve 472 and then Pass the guide wire out from the other end of the second hollow guide sleeve 472, install the second hollow guide ring 6 on one side of the second hollow guide sleeve 472, and then remove the first hollow guide ring 5 from one side of the first hollow guide sleeve 46. One end of the guide wire passing through the second hollow guide sleeve 472 passes through the first hollow guide ring 5 and then enters the first hollow guide sleeve 46 and then passes out from the other end of the first hollow guide sleeve 46. The guide wire passing through the other end of the first hollow guide sleeve 46 is grasped by the doctor. When the doctor pulls the guide wire and sends the guide wire into the blood vessel, the first hollow guide sleeve 46 and the guide extension part 47 can passively guide the guide wire to be straight. The direction and angle of the guide wire can be adjusted by the direction adjustment component 42 and the angle adjustment component 45 to ensure that it enters the blood vessel in the appropriate direction and angle, thereby reducing the advancement failure caused by direction deviation.

[0066] The present invention covers any substitution, modification, equivalent method and scheme made on the essence and scope of the present invention. In order to make the public have a thorough understanding of the present invention, specific details are described in detail in the following preferred embodiments of the present invention, but those skilled in the art can fully understand the present invention without the description of these details. In addition, in order to avoid unnecessary confusion about the essence of the present invention, well-known methods, processes, procedures, components and circuits are not described in detail.

[0067] The above is only a preferred embodiment of the present invention. It should be pointed out that for ordinary technicians in this technical field, several improvements and modifications can be made without departing from the principle of the present invention. These improvements and modifications should also be regarded as the scope of protection of the present invention.

Claims

1. A multifunctional operating table adapted for an interventional operating bed, comprising a support portion for installation on one side of the operating bed, characterized in that: The support part includes a slide seat for slidingly connecting to the slide rail on the side of the operating table, a slide rail buckle connected to the inside of the slide seat, a lifting and lowering adjustment part fixed to one side of the slide seat, a support frame connected to the lifting and lowering adjustment part, and a hollow metal plate fixed to the upper end of the support frame; A guide unit is connected to one side of the hollow metal plate, and the guide unit includes a connecting plate whose one end is clamped inside the hollow metal plate and a guide part fixed to the upper end of the connecting plate, the guide part includes a plate body clamped at the upper end of the connecting plate, a plurality of direction adjustment components connected to the inside of the plate body, a plurality of rotating seats respectively connected to the plurality of direction adjustment components and rotatably connected to the upper end of the plate body, two side plates respectively fixed to the upper ends of the plurality of rotating seats, a first hollow guide sleeve rotatably connected between the two side plates, an angle adjustment component connected to the inside of one of the side plates for adjusting the angle of the first hollow guide sleeve, and a guide extension part fixed to the outer surface of the first hollow guide sleeve.

2. The multifunctional surgical operating table adapted for an interventional operating bed according to claim 1, characterized in that: The lifting and lowering adjustment part includes a seat body fixedly connected to one side of the sliding seat, a first movable groove opened inside the seat body and two second movable grooves connected to the first movable groove and symmetrical to each other, two clamping limit parts respectively slidably connected to the two second movable grooves, two first screw rods screwed inside the seat body and symmetrical to each other, an electric push rod fixed to the lower end of the seat body, and a top seat slidably connected to the first movable groove, and the telescopic end of the electric push rod passes through the seat body and is fixedly connected to the lower end of the top seat, one end of the two first screw rods is rotatably connected to one side of the two clamping limit parts respectively, and a support column is fixed to the lower end of the support frame, and the support column is movably inserted in the first movable groove and the lower end of the support column is in contact with the upper end of the top seat.

3. The multifunctional surgical operating table adapted for an interventional operating bed according to claim 2, characterized in that: A groove and a clamping groove connected to the groove are provided inside the hollow metal plate, and a screw groove is also provided on the inner wall of the groove. A clamping portion inserted into the groove and the clamping groove is integrally formed at one end of the connecting plate. A limiting strip is inserted at the opening of the groove, and a bolt is screwed inside the limiting strip. One end of the bolt passes through the limiting strip and is screwed in the screw groove to limit the clamping portion.

4. The multifunctional surgical operating table adapted for an interventional operating bed according to claim 3, characterized in that: The direction adjustment assembly includes a gear disk rotatably connected to the inside of the plate body, a limit seat slidably connected to the inside of the plate body, a limit flange integrally formed on one side of the limit seat and used to be inserted between two adjacent first tooth keys on the outside of the gear disk, and a second screw rod screwed to the inside of the plate body, and one end of the second screw rod is rotatably connected to the other side of the limit seat.

5. The multifunctional surgical operating table adapted for an interventional operating bed according to claim 4, characterized in that: The angle adjustment assembly includes a first gear rotatably connected to the inside of the side plate, a rack slidably connected to the inside of the side plate and meshing with the first gear, a third screw rod rotatably connected to the inside of the side plate and screwed to the inside of the rack, and one side of the first hollow guide sleeve is fixedly connected to one side of the first gear.

6. The multifunctional surgical operating table adapted for an interventional operating bed according to claim 5, characterized in that: The guide extension portion includes a connecting frame fixedly connected to the lower end of the outer surface of the first hollow guide sleeve and a second hollow guide sleeve fixedly connected to one side of the connecting frame, a first hollow guide ring is clamped on one side of the first hollow guide sleeve, a second hollow guide ring is clamped on one side of the second hollow guide sleeve, liquid inlets are provided at the upper ends of the outer surfaces of the first hollow guide ring and the second hollow guide ring, and a plurality of nozzles are distributed in a circular array on one side of the first hollow guide ring and the second hollow guide ring, the nozzle on one side of the hollow guide ring is located inside the first hollow guide sleeve and the nozzle on one side of the hollow guide ring is located outside, and liquid discharge ports are provided at the lower ends of the outer surfaces of the first hollow guide sleeve and the second hollow guide sleeve.

7. The multifunctional surgical operating table adapted for an interventional operating bed according to claim 6, characterized in that: The first hollow guide sleeve and the second hollow guide sleeve are both connected to a homogenizing component, and the homogenizing component includes a rotating ring rotatably connected to the inner walls of the first hollow guide sleeve and the second hollow guide sleeve, a third hollow guide ring connected to one side of the rotating ring, a plurality of rubber bristles fixedly distributed in an annular array on the inner wall of the third hollow guide ring, and a second tooth key arranged on the outer ring surface of the third hollow guide ring. The first motor and the protective cover are both fixedly connected to the outer surfaces of the first hollow guide sleeve and the second gear meshing with the second tooth key, and the output shaft of the first motor passes through the protective cover and is fixedly connected to one side of the second gear.

8. The multifunctional surgical operating table adapted for an interventional operating bed according to claim 7, characterized in that: A guide rod is movably inserted inside the rotating ring, and one end of the guide rod is fixedly connected to one side of the third hollow guide ring, the other end of the guide rod is fixedly connected to the first ring body, and one side of the first ring body is annularly distributed and fixedly connected to a plurality of first inclined top blocks, a spring is also sleeved on the outside of the guide rod, and the two ends of the spring are respectively connected to one side of the first ring body and one side of the rotating ring, the inner walls of the first hollow guide sleeve and the second hollow guide sleeve are both fixedly connected to the second ring body, and one side of the second ring body is annularly distributed and fixedly connected to a plurality of second inclined top blocks.

9. The multifunctional surgical operating table adapted for an interventional operating bed according to claim 7, characterized in that: The inner wall of the first hollow guide sleeve is connected to a debubble assembly, and the debubble assembly includes a fourth hollow guide ring fixedly connected to the inner wall of the first hollow guide sleeve, a third ring body fixedly connected to the inside of the fourth hollow guide ring, a rubber sheet fixedly connected to the inner wall of the third ring body, a third movable groove opened in the fourth hollow guide ring and the inside of the third ring body, a positioning ring fixedly connected to the inner wall of the third movable groove opening, a rotating rod having one end rotatably connected to the inside of the positioning ring and the other end rotatably connected to the inner wall of the third movable groove, an eccentric block fixedly connected to the outside of the rotating rod, and a second motor fixedly connected to one side of the fourth hollow guide ring, and the output shaft of the second motor is fixedly connected to one end of the rotating rod.

10. The multifunctional surgical operating table adapted for an interventional operating bed according to claim 9, characterized in that: The other side of the hollow metal plate is connected with a tail plate, and one side of the tail plate is connected to the other side of the hollow metal plate through a hinge, and a warping portion is integrally formed on the upper end of the other side of the tail plate.

Citation Information

Patent Citations

  • Guidewire delivery device for vascular interventional surgery robots

    CN115282442B