Treatment bed for digestive endoscopy operation

Abstract

The invention discloses a digestive endoscopic surgery treatment bed, and belongs to the technical field of medical auxiliary instruments, the digestive endoscopic surgery treatment bed comprises a treatment bed body, the treatment bed body is rotatably connected with a half-barrel-shaped placing cylinder, the treatment bed body is provided with a rotating mechanism for driving the placing cylinder to rotate, the treatment bed body is provided with three rotating locking mechanisms, and the rotating locking mechanisms are connected with the half-barrel-shaped placing cylinder. The rotary locking mechanism can lock the placing cylinder on the treatment bed body, sliding moving mechanisms are arranged on the treatment bed body and located on the two sides of the placing cylinder, and each sliding moving mechanism is provided with a flexible pressing actuator. By rotating the rotating mechanism and the half-barrel-shaped placing cylinder, automatic and accurate overturning of the body position of a patient is achieved; a traditional low-efficiency mode of manually carrying and turning over the general anesthesia patient is changed, the physical burden of medical staff is greatly relieved, the risk of iatrogenic injury of the cervical vertebra, joints and the like of the patient possibly caused in the carrying process is fundamentally avoided, and medical safety is improved.

Description

TECHNICAL FIELD

[0001] The present application belongs to the technical field of medical auxiliary instruments, and particularly relates to a digestive endoscope surgery treatment bed. BACKGROUND

[0002] The digestive endoscope technology has experienced a development process from a hard endoscope, a semi-curved endoscope, a light guide fiber endoscope to an electronic endoscope. With the continuous progress of technology, more and more minimally invasive treatments under the digestive endoscope are carried out, such as endoscopic mucosal resection (ESD), duodenal endoscopic sphincterotomy (ERCP), etc. These treatment methods have good curative effects, less trauma and low cost, but the requirements for the operating table are also higher and higher. The fourth-level operation of the digestive tract (esophagus, stomach, colorectum) takes a long time, mainly because of the special parts, such as the low-lying position of the digestive tract. Due to gravity, water is stored in the tumor site, and it is not easy to inject under the mucosa. After injection, it is difficult to lift, the submucosal fluid is lost quickly, it is not easy for the endoscope and the cutting knife to enter the submucosal layer during the operation. After bleeding during the operation, the blood soaks the lesion site, resulting in unclear vision and difficulty in hemostasis. The difficulty of the operation increases in the later stage due to the accumulation of the lesion. Traction assistance and other methods are needed to improve the operating environment.

[0003] In the digestive endoscope surgery, the patient needs to change the body position according to the type of operation and the operation steps. For example, in the upper digestive tract endoscopic surgery, the patient usually needs to lie flat for anesthesia induction and tracheal intubation, and then change to a left lateral decubitus position for surgery. The existing operating table is usually a movable flat bed. The body position of the patient after general anesthesia is completely turned over by manual carrying, which not only increases the risk of injury to the cervical spine, joints and other parts of the patient, but also increases the burden of medical personnel Therefore, it is necessary to provide a digestive endoscope surgery treatment bed for use. SUMMARY

[0004] The present application provides a digestive endoscope surgery treatment bed to solve the problems in the prior art.

[0005] The present application adopts the following technical scheme: a digestive endoscope surgery treatment bed, comprising a treatment bed body, a semi-barrel-shaped placement cylinder is rotatably connected to the treatment bed body, a rotating mechanism is arranged on the treatment bed body to drive the placement cylinder to rotate, three rotating locking mechanisms are arranged on the treatment bed body and rotatably connected between the rotating locking mechanisms and the treatment bed body, the rotating locking mechanisms can lock the placement cylinder on the treatment bed body, a sliding movement mechanism is arranged on each side of the placement cylinder on the treatment bed body, a flexible pressing actuator is arranged on each sliding movement mechanism, and a central control system is electrically connected to the rotating mechanism, the rotating locking mechanisms, the sliding movement mechanisms and the flexible pressing actuators.

[0006] Further technical solutions, the rotating rotating mechanism includes a rotating motor, a first gear, a second gear and a mounting shell, the mounting shell is located on the side wall of the treatment bed body, the two ends of the placing cylinder are respectively provided with a first rotating shaft and a second rotating shaft, the rotating motor is located on the mounting shell, the first gear is connected with the main shaft of the rotating motor, the second gear is located on the second rotating shaft, and the first gear and the second gear are engaged with each other.

[0007] Further technical solutions, the placing cylinder is internally provided with a soft pad.

[0008] Further technical solutions, four binding belts are arranged on the placing cylinder, and the four binding belts are arranged in pairs on the side wall of the placing cylinder.

[0009] Further technical solutions, the three rotating locking mechanisms are arranged in a triangular structure on the side wall of the treatment bed body; each rotating locking mechanism comprises a rotating motor, a rotating cylinder, a locking rod and a locking column, two rotating rings are arranged on the rotating cylinder, the rotating cylinder is rotatably connected in the side wall of the treatment bed body through the two rotating rings, the rotating motor is located on the side wall of the treatment bed body and is in transmission connection with the rotating cylinder, an arc-shaped groove is arranged on the side wall of the rotating cylinder, the locking column is mounted on the outer wall of the locking rod, the locking rod slides in the arc-shaped groove, and the locking rod rotates in the rotating cylinder.

[0010] Further technical solutions, the placing cylinder is provided with a horizontally arranged first locking hole and a second locking hole, a third locking hole is arranged below the first locking hole and the second locking hole, and the first locking hole, the second locking hole and the third locking hole correspond to the three rotating locking mechanisms respectively.

[0011] Further technical solutions, each sliding movement mechanism comprises a bidirectional electric sliding table arranged horizontally in the treatment bed body.

[0012] Further technical solutions, two flexible pressing actuators are arranged on each bidirectional electric sliding table, and the flexible pressing actuators are mechanical tentacles.

[0013] The above-mentioned at least one technical solution adopted by the embodiment of the present application can achieve the following beneficial effects: Firstly, the application realizes the automatic and accurate turning of the patient's position by rotating the rotating mechanism and the semi-barrel-shaped placing cylinder, changes the traditional inefficient mode of manually carrying and turning the general anesthesia patient, greatly reduces the physical burden of medical staff, fundamentally avoids the iatrogenic injury risk of the patient's cervical vertebra and joints during the carrying process, improves the medical safety, and at the same time, allows the accurate adjustment of the patient's digestive tract lesion site to a high position during the operation, uses gravity to make the effusion and blood flow to a low position, directly improves the operation problems such as unclear vision and poor submucosal injection caused by water storage and drooping, and creates more ideal operation conditions for complex endoscopic surgery.

[0014] Secondly, the application provides a quantifiable and sustainable abdominal pressing solution for surgery through the flexible pressing executor integrated on the sliding movement mechanism. It can replace manual pressing to accurately press the abdomen at a specific target point for a long time with constant force, effectively solving the pain points of manual pressing such as fatigue, position drift and unstable force. It can stably improve the surgical field exposure under the endoscope, making the submucosal dissection and hemostasis operation more smooth, directly addressing the challenges of unclear vision and difficult instrument operation during the operation, so as to shorten the operation time, improve the operation success rate and safety, and free the nurses from heavy physical labor, optimizing the allocation of human resources. BRIEF DESCRIPTION OF DRAWINGS

[0015] The drawings described herein are used to provide further understanding of the application, and form a part of the application. The illustrative embodiments of the application and their descriptions are used to explain the application, and do not constitute an improper limitation on the application. In the drawings: Figure 1 It is a perspective view of the three-dimensional structure of the application; Figure 2 It is a top view of the application; Figure 3 It is a perspective view of the placing cylinder in the application Figure 1 ; Figure 4 It is a perspective view of the placing cylinder in the application Figure 2 ; Figure 5 It is a perspective view of the rotating mechanism in the application; Figure 6 It is an enlarged view of A in the application; Figure 5 It is a perspective view of the rotating locking mechanism in the application; Figure 7 It is a perspective view of the sliding movement mechanism and the flexible pressing executor in the application; Figure 8 Figure 9 ​This is a three-dimensional structural diagram of the flexible pressing actuator in this invention; Figure label: Treatment bed body 1, placement cylinder 2, soft pad 20, binding strap 21, first locking hole 22, second locking hole 23, third locking hole 24, first rotating shaft 25, second rotating shaft 26, rotation mechanism 3, rotating motor 31, first gear 32, second gear 33, mounting shell 34, rotation locking mechanism 4, rotating motor 41, rotating cylinder 42, locking rod 43, locking column 44, rotating ring 45, arc groove 46, sliding movement mechanism 5, bidirectional electric slide 51, flexible pressing actuator 6. Detailed Implementation

[0016] To make the objectives, technical solutions, and advantages of this invention clearer, the technical solutions of this invention will be clearly and completely described below in conjunction with specific embodiments and corresponding drawings. Obviously, the described embodiments are only a part of the embodiments of this invention, and not all of them. Based on the embodiments of this invention, all other embodiments obtained by those skilled in the art without creative effort are within the scope of protection of this invention.

[0017] The following detailed description, in conjunction with the accompanying drawings, illustrates the technical solutions of a digestive endoscopy surgical treatment bed provided by various embodiments of the present invention.

[0018] Reference Figures 1 to 9 As shown, this embodiment of the invention provides a digestive endoscopy treatment bed, including a treatment bed body 1. A semi-cylindrical placement cylinder 2 is rotatably connected to the treatment bed body 1. The treatment bed body 1 is provided with a rotation mechanism 3 that drives the placement cylinder 2 to rotate. The treatment bed body 1 is provided with three rotation locking mechanisms 4, which are rotatably connected to the treatment bed body 1. The rotation locking mechanisms 4 can lock the placement cylinder 2 onto the treatment bed body 1. The treatment bed body 1 is provided with sliding moving mechanisms 5 on both sides of the placement cylinder 2. Each sliding moving mechanism 5 is provided with a flexible pressing actuator 6. The treatment bed body 1 is provided with a central control system that is electrically connected to the rotation mechanism 3, the rotation locking mechanism 4, the sliding moving mechanism 5 and the flexible pressing actuator 6.

[0019] In this invention, the problem of automated body position change is solved by rotating mechanism 3 and semi-bucket-shaped placement cylinder 2; the rotation locking mechanism 4 ensures absolute stability after body position change; and the sliding movement mechanism 5 and flexible pressing actuator 6 realize precise and continuous abdominal pressing assistance.

[0020] In a specific embodiment, the rotating mechanism 3 includes a rotary motor 31, a first gear 32, a second gear 33, and a mounting shell 34. The mounting shell 34 is located on the side wall of the treatment bed body 1. The two ends of the placement cylinder 2 are respectively provided with a first rotating shaft 25 and a second rotating shaft 26. The rotary motor 31 is located on the mounting shell 34. The first gear 32 is connected to the main shaft of the rotary motor 31. The second gear 33 is located on the second rotating shaft 26. The first gear 32 and the second gear 33 mesh with each other.

[0021] After the patient lies flat inside the placement cylinder 2, when it is necessary to change the patient's position (such as from supine to left lateral decubitus), the central control system controls the rotary motor 31 to work. The rotary motor 31 drives the first gear 32 to rotate through its main shaft, and the second gear 33, which meshes with the first gear 32, rotates accordingly. Since the second gear 33 is fixedly connected to the second rotating shaft 26 of the placement cylinder 2, it drives the entire placement cylinder 2 to rotate smoothly through the first rotating shaft 25 and the second rotating shaft 26. By controlling the rotation angle of the rotary motor 31, the patient can be precisely switched from supine to left lateral decubitus or right lateral decubitus position, etc., as required for the surgery. It completely replaces the manual handling and turning of patients under general anesthesia, greatly reducing the risk of cervical spine and joint injuries that may be caused by manual handling, while also significantly reducing the physical burden on medical staff; it can adjust the patient's lesion site to a higher position, and use gravity to make fluids, such as irrigation water and blood, flow to a lower position, thereby improving the surgical field of vision, facilitating submucosal injection and subsequent operations, and directly addressing problems such as water retention, sagging, and unclear vision in the background technique.

[0022] In a specific embodiment, the placement cylinder 2 is provided with a soft pad 20 inside. The soft pad 20 is pre-set inside the placement cylinder 2, and its material and thickness are adapted to the curves of the human body to reduce local pressure.

[0023] In a specific embodiment, the placement cylinder 2 is provided with four binding straps 21, which are symmetrically arranged in pairs on the side wall of the placement cylinder 2. The four binding straps 21 arranged in pairs, such as two for the waist and two for the legs, can be adjusted in tightness by Velcro or buckles after the patient lies down, fixing the torso and limbs to the placement cylinder 2 as one unit, ensuring synchronous movement when changing body positions.

[0024] In a specific embodiment, three rotating locking mechanisms 4 are arranged in a triangular structure on the side wall of the treatment bed body 1. Each rotating locking mechanism 4 includes a rotating motor 41, a rotating cylinder 42, a locking rod 43, and a locking pin 44. The rotating cylinder 42 is provided with two rotating rings 45, and the rotating cylinder 42 is rotatably connected to the side wall of the treatment bed body 1 through the two rotating rings 45. The rotating motor 41 is located on the side wall of the treatment bed body 1 and is connected to the rotating cylinder 42 for transmission. The side wall of the rotating cylinder 42 is provided with an arc-shaped groove 46. The locking pin 44 is installed on the outer wall of the locking rod 43. The locking rod 43 slides in the arc-shaped groove 46 and rotates in the rotating cylinder 42.

[0025] When the placement cylinder 2 is rotated to the target position, the central control system controls the rotating motor 41 to drive the rotating cylinder 42 to rotate. This causes the rotating cylinder 42 to rotate on the treatment bed body 1 via two rotating rings 45. This, in turn, causes the arc-shaped groove 46 on the rotating cylinder 42 to rotate on the locking post 44. Consequently, the locking post 44 drives the locking rod 43 to rotate along its own axis and extend out, inserting into the corresponding locking hole on the placement cylinder 2. This achieves rigid fixation between the placement cylinder 2 and the bed body, preventing accidental changes in the patient's position due to equipment failure or external force during the operation and ensuring absolute stability of the surgery.

[0026] In a specific embodiment, the placement cylinder 2 is provided with a horizontally arranged first locking hole 22 and a second locking hole 23, and a third locking hole 24 is provided below the first locking hole 22 and the second locking hole 23. The first locking hole 22, the second locking hole 23 and the third locking hole 24 correspond to three rotating locking mechanisms 4 respectively.

[0027] It should be noted that when the patient is in the left lateral decubitus position, the locking rod 43 in the rotating locking mechanism 4 at the first locking hole 22 is inserted into the first locking hole 22, while the two locking rods 43 in the second locking hole 23 and the second locking hole 23 are disengaged from each other. When the patient is in the right lateral decubitus position, the locking rod 43 in the rotating locking mechanism 4 at the second locking hole 23 is inserted into the second locking hole 23, while the two locking rods 43 in the first locking hole 22 and the third locking hole 24 are disengaged from each other. When the patient is in a supine position, the three locking rods 43 in the three rotating locking mechanisms 4 are respectively inserted into the first locking hole 22, the second locking hole 23 and the third locking hole 24, thereby achieving locking and fixing of the placed cylinder 2.

[0028] The three locking holes are designed for supine, left lateral, and right lateral decubitus positions, allowing for easy fixation at any location to meet the positioning requirements of different surgical procedures without the need for additional manual fixation devices. In a specific embodiment, each of the sliding movement mechanisms 5 includes a bidirectional electric slide 51 horizontally disposed inside the treatment bed body 1; each of the bidirectional electric slides 51 is provided with two flexible pressing actuators 6, the flexible pressing actuators 6 being mechanical tentacles.

[0029] The four flexible compression actuators are primarily designed to compress the patient's abdomen. They can perform compressions on the upper left, middle left, lower left, upper right, middle right, and lower right sides of the abdomen, and can be used in various body positions (left lateral decubitus, right lateral decubitus, and supine).

[0030] The central control system controls the moving end of the bidirectional electric slide 51 to move bidirectionally in a direction parallel to the long axis of the placed cylinder 2. A flexible pressing actuator 6 is fixed on the moving end. Medical staff can input coordinates through the control panel or manually adjust them through the handle to accurately locate the abdominal area that needs to be pressed, such as the antrum of the stomach, the duodenum, etc. Under the control system's command, continuous and stable pressure is applied to designated points on the abdomen with preset force and depth. Its flexible properties allow it to better conform to the curves of the human body, avoiding excessive local pressure that could cause tissue damage.

[0031] Adaptable to different patients and surgical sites: The slide travels to cover the entire abdomen and can be adjusted according to the patient's body type, such as adult / child, obese / thin, or surgical type, such as upper abdomen for esophageal surgery and lower abdomen for colorectal surgery, solving the problems of difficulty in fixing and adjusting the manual pressure site; It should be noted that the flexible pressing actuator 6 consists of a multi-joint mechanical hand and a robotic arm. The robotic arm can extend, retract, and adjust the length of the multi-joint mechanical hand according to the pressing needs. It can be fixed and stopped at each position and angle so that the multi-joint mechanical hand can press the patient's abdomen. The end of the multi-joint mechanical hand is wrapped with medical silicone to avoid damaging the patient's skin. It can replace manual pressure and improve the surgical field of vision: It solves the problems of uneven pressure and easy fatigue caused by manual pressure. The touch can maintain a constant pressure, which increases the drainage rate of fluid / blood in the lesion area, significantly improves the endoscopic field of vision, and reduces the risk of surgical bleeding. By maintaining the retention of submucosal fluid through pressure, the mucosal lifting time is prolonged, which makes it easier for the endoscope and incision knife to enter the submucosal layer and reduces the risk of perforation. Medical staff do not need to bend over and press continuously, so that manpower can be devoted to endoscopic operation and improve the efficiency of surgical team collaboration.

[0032] Working principle: Preoperatively: The patient lies in a cylindrical tube 2, with a soft pad 20 fitting the body, and is secured with a binding strap 21; Anesthesia stage: Rotating mechanism 3 drives the cylinder to rotate to the supine position, locking mechanism locks, and anesthesia induction and endotracheal intubation are completed; Surgical stage: Rotate the rotating mechanism 3 to switch to the surgical position (such as the left lateral decubitus position), and rotate the locking mechanism 4 to lock it again; the sliding moving mechanism 5 moves to the target area, and the tentacles apply quantitative pressure to assist the endoscopic operation; Post-operatively: Rotate the rotating mechanism 3 times to return to the supine position, unlock, and then transfer the patient.

[0033] The above description is merely an embodiment of the present invention and is not intended to limit the invention. Various modifications and variations can be made to the present invention by those skilled in the art. Any modifications, equivalent substitutions, improvements, etc., made within the spirit and principle of the present invention should be included within the scope of the claims of the present invention.

Claims

1. A digestive endoscopy surgical treatment bed, characterized in that, The treatment bed includes a treatment bed body (1), on which a semi-barrel-shaped placement cylinder (2) is rotatably connected. The treatment bed body (1) is provided with a rotation mechanism (3) that drives the placement cylinder (2) to rotate. The treatment bed body (1) is provided with three rotation locking mechanisms (4), which are rotatably connected to the treatment bed body (1). The rotation locking mechanism (4) can lock the placement cylinder (2) on the treatment bed body (1). The treatment bed body (1) is provided with sliding moving mechanisms (5) on both sides of the placement cylinder (2). Each sliding moving mechanism (5) is provided with a flexible pressing actuator (6). The treatment bed body (1) is provided with a central control system that is electrically connected to the rotation mechanism (3), the rotation locking mechanism (4), the sliding moving mechanism (5) and the flexible pressing actuator (6).

2. The digestive endoscopy treatment bed according to claim 1, characterized in that: The rotating mechanism (3) includes a rotary motor (31), a first gear (32), a second gear (33), and a mounting shell (34). The mounting shell (34) is located on the side wall of the treatment bed body (1). The two ends of the placement cylinder (2) are respectively provided with a first rotating shaft (25) and a second rotating shaft (26). The rotary motor (31) is located on the mounting shell (34). The first gear (32) is connected to the main shaft of the rotary motor (31). The second gear (33) is located on the second rotating shaft (26). The first gear (32) and the second gear (33) mesh with each other.

3. The digestive endoscopy treatment bed according to claim 1, characterized in that: The placement cylinder (2) is provided with a soft pad (20) inside.

4. The digestive endoscopy treatment bed according to claim 1, characterized in that: The placement cylinder (2) is provided with four binding straps (21), which are arranged symmetrically in pairs on the side wall of the placement cylinder (2).

5. The digestive endoscopy treatment bed according to claim 1, characterized in that: Three rotating locking mechanisms (4) are arranged in a triangular structure on the side wall of the treatment bed body (1); each of the rotating locking mechanisms (4) includes a rotating motor (41), a rotating cylinder (42), a locking rod (43) and a locking column (44). The rotating cylinder (42) is provided with two rotating rings (45). The rotating cylinder (42) is rotatably connected to the side wall of the treatment bed body (1) through the two rotating rings (45). The rotating motor (41) is located on the side wall of the treatment bed body (1) and is connected to the rotating cylinder (42) for transmission. The side wall of the rotating cylinder (42) is provided with an arc groove (46). The locking column (44) is installed on the outer wall of the locking rod (43). The locking rod (43) slides in the arc groove (46) and rotates in the rotating cylinder (42).

6. The digestive endoscopy treatment bed according to claim 5, characterized in that: The placement cylinder (2) is provided with a first locking hole (22) and a second locking hole (23) arranged horizontally. A third locking hole (24) is provided below the first locking hole (22) and the second locking hole (23). The first locking hole (22), the second locking hole (23) and the third locking hole (24) correspond to three rotating locking mechanisms (4).

7. The digestive endoscopy treatment bed according to claim 1, characterized in that: Each of the sliding movement mechanisms (5) includes a bidirectional electric slide (51) horizontally disposed inside the treatment bed body (1).

8. The digestive endoscopy treatment bed according to claim 7, characterized in that: Each of the bidirectional electric slides (51) is provided with two flexible pressing actuators (6), which are mechanical tentacles.

Images