Intelligent integrated surgical device

Abstract

The utility model discloses an intelligent integrated surgical device which comprises a life maintenance box, a surgical treatment box, a communication unit and a power management unit. An equipment bracket is fixed in the life maintenance box, and a monitoring module, a breathing module, an infusion module and an injection module are fixed on the equipment bracket; a high-frequency electrotome module, a suction module, an intraoperative body temperature maintaining module, an integrated operating bed module, an instrument tray and an infusion support are arranged in the operation treatment box; the integrated operating bed module has the body position adjusting capability; and the integrated intelligent auxiliary unit can timely identify and warn the dangerous injury condition and the injury condition development trend of the wounded person. Therefore, the system can guarantee the development of the injury control operation in the disaster emergency rescue process, and has the function of intelligently judging the injury condition; the monitoring module, the breathing support module and the liquid infusion module can be modularly detached for use and are used for front-out support and on-site first aid in a complex environment.

Description

Technical Field

[0001] The utility model relates to the technical field of emergency surgery and treatment, in particular to an intelligent integrated surgical device. Background Art

[0002] During disaster emergency rescue, carrying out damage control surgery as early as possible will provide conditions for the injured to receive further specialized treatment and improve the success rate of treatment.

[0003] Currently, there are still the following difficulties in performing damage control surgery in a field environment:

[0004] First, the medical equipment is dispersed and complex, making deployment and withdrawal difficult. Surgeries require numerous specialized devices, including monitors, ventilators, and infusion pumps. Each device has a single function, is bulky and heavy, making deployment and withdrawal difficult, and long-distance transportation can increase equipment failure rates. Traditional emergency transport ventilators are often pneumatically and electrically controlled, relying on compressed oxygen for power. This not only results in large volume during use, but also presents significant challenges in supplying compressed oxygen during disaster relief efforts.

[0005] Second, the level of intelligent injury diagnosis is low. Rapid intraoperative identification of critical injuries and early postoperative warnings are crucial to the patient's prognosis. Currently, injury identification and warnings are mostly determined by doctors based on their experience and combined with blood gas and biochemical test results. This can be delayed, missing the optimal time for intervention, and is highly dependent on the doctor's experience. Furthermore, laboratory test indicators such as blood gas and biochemical parameters are difficult to obtain in the field, especially when large numbers of patients are passing through, resulting in long testing times. This makes it difficult to meet the needs for timely and accurate warning and identification of critical injuries.

[0006] The disaster rescue site treatment environment is harsh and the terrain is complex, which creates obstacles to the transportation of high-level medical equipment and the evacuation of the wounded. There is an urgent need to integrate the functions of various medical equipment used in the operation to form an intelligent integrated surgical device that is easy to transport, suitable for use in disaster rescue, can fully guarantee the implementation of the operation, and at the same time has the function of auxiliary diagnosis of critical injuries.

[0007] The intelligence mentioned in the present invention refers to the use of computer technology to identify the injuries of the wounded and sick, assist rescue personnel in quickly determining the injuries and issuing early warnings for possible injuries. Utility Model Content

[0008] The purpose of the utility model is to provide an intelligent integrated surgical device in order to solve the problems that the existing surgical equipment is scattered and complicated, has a low degree of intelligence and is inconvenient to use during emergency medical rescue.

[0009] The utility model discloses an intelligent integrated surgical device comprising a life support box, a surgical treatment box, a communication unit and a power management unit;

[0010] The life support box includes a first box body; the first box body is a separate structure with upper and lower parts, including a first upper box body and a first lower box body; in the evacuated state, the first upper box body is on the upper part and the first lower box body is on the lower part, and the two are connected as one by a buckle; a protrusion is provided at the bottom of the first lower box body, and a groove matching the protrusion is provided at the top of the first upper box body. In the working state, the first lower box body is placed above the first upper box body, and the two are fixed by the protrusion and the groove; four pulleys are installed at the four bottom corners of the first upper box body to facilitate the movement of the box body; the various components of the evacuated state indication device are folded and placed in the life support box and the surgical treatment box for use in transportation, warehousing and other scenarios; the various components of the working state indication device are unfolded to the working position, and surgical work can be performed.

[0011] An equipment bracket is fixed in the first lower box, and a monitoring module, a breathing module, an infusion module and an injection module are fixed on the equipment bracket via a detachable structure.

[0012] An integrated display control module is provided in the first lower box body, and the integrated display control module is hinged to the equipment bracket through a hinge; when in the retracted state, the integrated display control module is folded inside the box body, parallel to the box cover; when in the working state, the integrated display control module is folded open and placed above the equipment bracket; the integrated display control module is electrically connected to the monitoring module, respiratory module, infusion module and injection module, etc., to centrally display the received information and control the connected modules through the setting interface.

[0013] The surgical treatment box includes a second box body; the second box body is a separate structure with upper and lower parts, including a second upper box body and a second lower box body; in the retracted state, the second upper box body is on the upper part and the second lower box body is on the lower part, and the two are connected as one by a buckle; in the working state, the second upper box body is removed and used as an instrument table; the modules in the second lower box body are unfolded to form a surgical environment; the second lower box body is equipped with an integrated operating bed module, a high-frequency electric knife module, a suction module, an intraoperative body temperature maintenance module, a power management unit box body, an instrument tray and an infusion stand.

[0014] The power management unit housing is located below the center of the integrated operating bed module, with its bottom end secured to the bottom of the second lower housing. The second sidewall of the power management unit housing is provided with a plurality of latching positions. When in operation, these latching positions are used to latch onto functional modules, such as an intraoperative body temperature maintenance module. When retracted, the modules are folded and secured within the second lower housing.

[0015] The high-frequency electric knife module is fixed on a tray, and the tray is hinged to the first side wall of the power management unit case. The first side wall of the power management unit case is provided with a groove that matches the size of the high-frequency electric knife module, and the tray and the first side wall of the power management unit case are provided with matching buckles; in the retracted state, the high-frequency electric knife module is folded into the groove by folding the tray and fixed by the buckle; in the working state, the buckle is opened, and the tray and the high-frequency electric knife module are folded to the use position and fixed.

[0016] The integrated display control module is embedded with an intelligent auxiliary unit; the intelligent auxiliary unit is a software system, including an injury setting module, an injury warning module, an injury identification module and an injury warning time setting module; the injuries include at least hemorrhagic shock, acute hypotension, and acute respiratory distress syndrome.

[0017] The communication unit is integrated in the integrated display control module, including a function centralized control module and a hospital information system communication module; the function centralized control module is electrically connected to the function module and performs data exchange; the hospital information system communication module is communicatively connected to other information systems in the hospital and performs medical information exchange; the other information systems in the hospital include imaging systems, testing systems and inspection systems, which are used to view information such as examination and imaging of the injured.

[0018] The power management unit is fixedly installed in the power management unit box and includes a centralized power supply module and an intelligent power management module.

[0019] As an optional embodiment, the integrated operating bed module includes a bed plate, a lifting mechanism, a translation mechanism, a front-back tilt mechanism, a left-right tilt mechanism, and a patient fixation belt;

[0020] The bed board is detachable into a headboard, a backboard, and a legboard, reducing the size when folded, and has the function of bending up and down to adjust the body position; the material of the bed board meets the requirements of X-ray transparency and meets the needs of intraoperative imaging support; the edge of the bed board is provided with a pipeline fixing structure for fixing the connecting wires and connecting pipelines;

[0021] In the retracted state, the headboard and the legboard are disassembled and stored in the second box; in the working state, the headboard and the legboard are connected to the backboard to form an operating table.

[0022] As an optional embodiment, the translation mechanism is arranged at the bottom of the bed board; the translation mechanism is a slide groove and slide rail structure, and a limiting module is arranged on the slide rail; the limiting module is used to limit the translation position of the bed board.

[0023] The lifting mechanism is arranged at the middle position of the bottom of the back plate, and is a structure in which a fixed rod and a lifting rod are overlapped and connected with each other, wherein the bottom of the fixed rod is fixed to the bottom of the second lower box body, and the top of the lifting rod is fixed to the center of the bottom of the back plate; the lifting mechanism also includes a sliding device and a gear turntable, a rack is fixed on the lifting rod, and the sliding device and the gear turntable are laterally connected. The gear turntable is rotated to realize the up and down movement of the rack of the lifting rod in the sliding device, thereby driving the lifting and lowering of the bed board, so as to realize the lifting and lowering of the integrated operating bed module; when the lifting mechanism is retracted to the lowest position, the top of the power management unit box contacts the bed board and serves as a support for the bed board, which helps to stabilize the operating bed;

[0024] The bottom of the headboard and the legboard are both provided with a forward and backward tilting structure, which is a hydraulic type. The top of the forward and backward tilting structure is connected to the headboard and the bottom of the legboard, and the bottom end is connected to a support rod. The bottom end of the support rod is supported on the ground. The forward and backward tilting structure is used to lift the bed surface to achieve the forward and backward tilting movement.

[0025] The left and right tilting structures are arranged on the left and right sides of the bottom of the bed board. The left and right tilting structures are connected to the edge of the bed board through a hydraulic rod, and the left and right tilting gear turntable is used to drive the bed surface to tilt left and right.

[0026] An infusion stand fixing position and an instrument tray fixing position are provided on one side edge of the bed board for fixing the infusion stand and the instrument tray;

[0027] Fixing belts are provided at the edges of the backboard and the legboard for fixing the injured during surgery.

[0028] As an optional embodiment, the detachable structure is a square structure, including a module mounting end and a bracket mounting end, and the module mounting end and the bracket mounting end are used in conjunction with each other; the module mounting end is installed on the back of each functional module, and the bracket mounting end is installed on the equipment bracket in the box; four limit clamping structures are symmetrically arranged on the four vertices of the module mounting end, a fixed clamping hole is arranged at the center, a limit block is arranged in the fixed clamping hole, and a limit hole and a limit block release button are arranged on the side of the module mounting end; four limit clamping grooves are opened at the four vertices of the bracket mounting end, and the center is elastically opened. The spring is connected to the retractable limit rod, and a retractable rod release button is set on the side of the bracket mounting end. The limit rod at the bracket mounting end is usually in a retracted state; when the detachable structure needs to be clamped, first the clamping device of the module mounting end is clamped into the clamping slot of the bracket mounting end, and the retractable limit rod release button of the bracket mounting end is pressed to insert the retractable limit rod into the fixed clamping hole of the module mounting end; when disassembly is required, the limit hole limit block release button of the module mounting end is pressed, and the retractable limit rod is retracted under the drive of the spring, and the module mounting end can be taken out of the limit slot for use.

[0029] As an optional embodiment, the infusion module is a retractable structure. When in working state, the infusion module is clamped on the edge of the bed board; the injection module is a three-channel structure and is fixed to the back of the infusion module in a pull-out and rotatable manner. When in use, the injection module is pulled out, and when not in use, the pipeline of the injection module is rotated on the rotating shaft.

[0030] As an optional implementation, the intraoperative body temperature maintenance module is provided with no less than two groups of body temperature monitoring probes, which can monitor the body temperature of the injured person and automatically adjust the output temperature based on the monitoring results.

[0031] As an optional implementation, the function centralized control module is electrically connected to the monitoring module, respiratory module, infusion module, injection module, intraoperative body temperature maintenance module, high-frequency electric knife module and suction module, and performs centralized control over each of the above modules. The function centralized control module controls the monitoring module to collect heart rate, blood pressure, blood oxygen saturation and respiratory rate information, and stores the data; alarms are issued for abnormal monitoring data, and alarms are issued when abnormal body temperature is identified; the function centralized control module controls the intraoperative body temperature maintenance module to automatically adjust the output temperature setting; the function centralized control module performs intelligent early warning identification of injuries based on the stored monitoring data, and when there is a risk of acute hypotension or it is identified that it has occurred, the function centralized control module controls the injection module to execute an intelligent auxiliary intervention strategy; when there is a risk of hemorrhagic shock or it is identified that it has occurred, the function centralized control module controls the infusion module to intelligently The system adjusts the fluid infusion strategy; when there is a risk of acute respiratory distress syndrome or it is identified that it has occurred, the function centralized control module controls the breathing module to intelligently adjust the ventilation strategy; the function centralized control module controls the infusion module to detect the infusion speed and infusion volume, and issues an alarm prompt based on the detection results, and the alarm information includes at least empty bottle, bubbles, and blockage; the function centralized control module controls the high-frequency electrosurgical module to perform impedance detection, and automatically adjusts the power based on the detection results; the function centralized control module controls the suction module to perform pressure mode control, specifically including positive pressure mode and negative pressure mode; and performs working mode control, including continuous suction mode and intermittent suction mode.

[0032] As an optional embodiment, the integrated display control module displays content including basic patient information, surgery and anesthesia timing information, imaging system, testing system, inspection system, injury scoring system, vital sign monitoring information, mechanical ventilation parameters, fluid infusion parameters, injury warning identification system information and key physiological parameter change trend information; the key physiological parameter change trend is used to select key physiological parameters from the mechanical ventilation parameters or vital sign monitoring parameters, and dynamically display the change trend.

[0033] The vital sign monitoring information includes at least heart rate, respiratory rate, body temperature, blood oxygen saturation, blood pressure and pulse; the mechanical ventilation parameters include at least minute ventilation, inspired oxygen concentration, respiratory tidal volume, positive end-expiratory pressure and breathing pattern; the liquid infusion parameters include at least infusion rate and cumulative infusion volume.

[0034] As an optional implementation, the injury scoring system is a software system embedded in the integrated display control module, including EWS score, GCS score and SOFA score. When calculating the GCS score, after the doctor judges the patient's condition, the system automatically calculates the GCS score according to the doctor's selection; the EWS score and SOFA score are automatically calculated based on the monitoring and test results.

[0035] As an optional implementation, the results output by the injury warning module are displayed through the injury warning identification system in the integrated display control module; at least three warning intervals are preset in the injury warning duration setting module, and the selection is made through the warning interval in the injury warning identification system; the injury warning identification system dynamically displays the identification results, warning results and the changing trend of the warning results.

[0036] Compared with the prior art, the embodiments of the present invention have the following beneficial effects:

[0037] The present invention discloses an intelligent integrated surgical device. First, it solves the problem of existing surgical equipment being scattered and complicated and inconvenient to deploy and withdraw under emergency rescue conditions. The functional modules used during surgery, such as monitoring, respiratory support, fluid infusion, electrosurgery, suction, headlight, intraoperative heat preservation, and operating table, are integrated into two universal box groups. The equipment is centrally powered. During surgery, only the corresponding leads and tubes need to be connected, and there is no need to take them out separately for deployment. The device can be quickly deployed and withdrawn, meeting the needs of field surgery under emergency rescue conditions. Second, the life support module adopts a modular design. It can be used in combination to ensure the implementation of damage control surgery during disaster emergency rescue, or it can be taken out separately to support life support in complex environments. Third, it has intelligent auxiliary diagnosis capabilities. Based on the basic vital signs data of the injured, it can warn of the current occurrence of injuries such as hemorrhagic shock, acute respiratory distress syndrome, and acute hypotension, as well as the risk of occurrence after a certain time interval, so as to timely grasp the progress of the injury and provide doctors with more time for auxiliary intervention. Fourth, the integrated operating table has the ability to adjust to multiple body positions, which can meet the body position adjustment needs of different operations; the operating table panel and main frame materials meet the X-ray penetration requirements and can support intraoperative imaging examination needs when necessary. BRIEF DESCRIPTION OF THE DRAWINGS

[0038] Figure 1This is a schematic diagram of the front structure of a life support box in working state disclosed in an embodiment of the utility model;

[0039] Figure 2 This is a schematic structural diagram of a surgical treatment box in working condition disclosed in an embodiment of the present utility model;

[0040] Figure 3 This is a structural schematic diagram of a surgical treatment box with a bed board in a folded state disclosed in an embodiment of the utility model;

[0041] Figure 4 This is a framework diagram of an intelligent integrated surgical device disclosed in an embodiment of the present utility model;

[0042] Figure 5 This is a schematic diagram of the structure of a function centralized control module disclosed in an embodiment of the present utility model;

[0043] Figure 6 This is a schematic diagram of display content of an integrated display control module disclosed in an embodiment of the present utility model;

[0044] Figure 7 This is a schematic diagram of a GCS score calculation process disclosed in an embodiment of the present utility model.

[0045] Reference numerals and descriptions:

[0046] 1. First upper box, 2. First lower box, 3. Monitoring module, 4. Respiratory module, 5. Infusion module, 6. Injection module, 7. Integrated display control module, 8. Second upper box, 9. Second lower box, 10. High-frequency electrosurgical unit, 11. Suction module, 12. Intraoperative body temperature maintenance module, 13. Power management unit box, 14. Instrument tray, 15. Infusion stand, 16. Lifting mechanism, 17. Left and right tilt mechanism, 18. Headboard, 19. Backboard, 20. Leg board. DETAILED DESCRIPTION

[0047] 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 embodiments described 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 making creative efforts are within the scope of protection of the present invention.

[0048] Example 1

[0049] See also Figures 1 to 7 .

[0050] like Figure 1As shown, the life support box includes a first box body; the first box body is a separate structure with upper and lower parts, including a first upper box body 1 and a first lower box body 2; in the retracted state, the first upper box body 1 is on the upper part and the first lower box body 2 is on the lower part, and the two are connected as a whole by a buckle; a protrusion is provided at the bottom of the first lower box body 2, and a groove matching the protrusion is provided at the top of the first upper box body 1. In the working state, the first lower box body 2 is placed above the first upper box body 1, and the two are fixed by the protrusion and the groove; four pulleys are installed at the four bottom corners of the first upper box body 1 to facilitate the movement of the box body;

[0051] An equipment bracket is fixed in the first lower box 2, and a monitoring module 3, a breathing module 4, an infusion module 5 and an injection module 6 are fixed on the equipment bracket through a detachable structure;

[0052] An integrated display control module 7 is provided in the first lower box 2, and the integrated display control module 7 is hinged to the equipment bracket by a hinge; in the retracted state, the integrated display control module 7 is folded inside the box, parallel to the box cover; in the working state, the integrated display control module 7 is folded open and placed above the equipment bracket; the integrated display control module 7 is electrically connected to the monitoring module 3, the respiratory module 4, the infusion module 5, the injection module 6, etc., to centrally display the received information and control the connected modules through the setting interface;

[0053] like Figure 2 As shown, the surgical treatment box includes a second box body; the second box body is a separate structure with upper and lower parts, including a second upper box body 8 and a second lower box body 9; in the retracted state, the second upper box body 8 is on the upper part and the second lower box body 9 is on the lower part, and the two are connected as a whole by a buckle; in the working state, the second upper box body 8 is removed and used as an instrument table; the modules in the second lower box body 9 are unfolded to build a surgical environment;

[0054] The second lower box 9 is provided with an integrated operating bed module, a high-frequency electrosurgical unit module 10, a suction module 11, an intraoperative body temperature maintenance module 12, a power management unit box 13, an instrument tray 14 and an infusion stand 15;

[0055] The power management unit box 13 is located below the middle of the integrated operating bed module, and the bottom end of the power management unit box 13 is fixed to the bottom of the second lower box 9;

[0056] The high-frequency electrosurgical module 10 is fixed to a tray, which is hinged to a first side wall of the power management unit housing 13. The first side wall of the power management unit housing 13 is provided with a groove that matches the size of the high-frequency electrosurgical module 10, and the tray and the first side wall of the power management unit housing 13 are provided with matching buckles. In the retracted state, the high-frequency electrosurgical module 10 is retracted into the groove by folding the tray and secured with the buckle. In the working state, the buckle is opened, and the tray and the high-frequency electrosurgical module 10 are folded to the use position and secured.

[0057] The second side wall of the power management unit housing 13 is provided with a plurality of snap-in positions, which are used to snap-in functional modules when in working state, such as Figure 2 The intraoperative body temperature maintenance module 12 is shown; if necessary, the functional module can also be removed for other urgent scenarios; when in the withdrawn state, the module is folded and fixed in the second lower box 9 for easy withdrawal.

[0058] The integrated display control module 7 is embedded with an intelligent auxiliary unit; the intelligent auxiliary unit is a software system, including an injury setting module, an injury warning module, an injury identification module and an injury warning time setting module; the injuries include at least hemorrhagic shock, acute hypotension, and acute respiratory distress syndrome; the intelligent auxiliary unit is used to assist doctors in intelligent diagnosis of injuries such as acute hypotension, acute respiratory distress syndrome, and hemorrhagic shock based on the monitored physical sign data; it has injury identification function and injury warning function; the injury identification function is used to determine whether the injured person has a specific injury at the current moment; the injury warning function is used to predict whether the injured person will have a specific injury after a specific prediction interval, and the prediction interval can be customized to different time lengths such as half an hour and 1 hour.

[0059] The communication unit is integrated in the integrated display control module 7, including a function centralized control module and a hospital information system communication module; the function centralized control module is electrically connected to the function module and performs data exchange; the hospital information system communication module is communicatively connected to other information systems in the hospital and performs medical information exchange; the other information systems in the hospital include imaging systems, testing systems and inspection systems, which are used to view information such as inspection and imaging of the injured.

[0060] The power management unit is fixedly installed in the power management unit box 13 and includes a centralized power supply module and an intelligent power management module.

[0061] It can be seen that the intelligent integrated surgical device described in this embodiment is implemented. Figure 4A framework diagram of an intelligent integrated surgical device is provided. The technical solution provided in this application enables rapid deployment and retraction, resolving the issue of existing surgical equipment being fragmented and complex, making it difficult to rapidly conduct surgeries under emergency rescue conditions. Using intelligent auxiliary units, intelligent auxiliary diagnosis capabilities are implemented, improving the ability to treat the wounded.

[0062] In another optional embodiment, the integrated operating bed module includes a bed plate, a lifting mechanism 16, a translation mechanism, a front-back tilt mechanism, a left-right tilt mechanism 17 and a patient fixation belt;

[0063] The bed board is detachable into a head board 18, a back board 19, and a leg board 20, which reduces the size when folded and has the function of bending up and down to adjust the body position. The material of the bed board meets the requirements of X-ray transparency and meets the needs of intraoperative imaging support. The edge of the bed board is provided with a pipeline fixing structure for fixing the connecting wires and connecting pipelines.

[0064] like Figure 3 As shown, in the retracted state, the head plate 18 and the leg plate 20 are disassembled and stored in the second box; in the working state, the head plate 18 and the leg plate 20 are connected to the back plate 19 to form an operating table.

[0065] The translation mechanism is provided at the bottom of the bed board; the translation mechanism is a slide rail structure, and a limit module is provided on the slide rail; one side of the slide rail is fixed to the bottom of the back plate 19, and the other side is fixed to the top of the power management unit box 13; the limit module is used to limit the translation position of the bed board;

[0066] The lifting mechanism 16 is provided in the middle of the bottom of the back plate 19. The lifting mechanism 16 is a structure in which a fixed rod and a lifting rod are overlapped and connected to each other, wherein the bottom of the fixed rod is fixed to the bottom of the second lower box 9, and the top of the lifting rod is fixed to the center of the bottom of the back plate 19;

[0067] The lifting mechanism 16 also includes a sliding device and a gear turntable. A rack is fixed to the lifting rod, which laterally connects the sliding device and the lifting gear turntable. Rotating the gear turntable causes the rack of the lifting rod to move up and down within the sliding device, thereby driving the bed board to move up and down, thereby achieving the lifting and lowering of the integrated operating bed module. When the lifting mechanism 16 is retracted to the lowest position, the top of the power management unit box 13 contacts the bed board and serves as a support for the bed board, which helps to stabilize the operating bed.

[0068] The bottom of the headboard 18 and the legboard 20 are both provided with a forward and backward tilting structure, which is of hydraulic type. The top of the forward and backward tilting structure is connected to the bottom of the headboard 18 and the legboard 20, and the bottom is connected to a support rod. The bottom end of the support rod is supported on the ground. The forward and backward tilting structure is used to lift the bed surface to achieve the forward and backward tilting movement.

[0069] The left and right tilting mechanism 17 is arranged on the left and right sides of the bottom of the bed board. The left and right tilting mechanism 17 is connected to the edge of the bed board through a hydraulic rod, and the left and right tilting gear turntable is used to drive the bed surface to tilt left and right.

[0070] An IV stand 15 fixing position and an instrument tray 14 fixing position are provided on one side edge of the bed board for fixing the IV stand 15 and the instrument tray 14;

[0071] Fixing belts are provided at the edges of the back plate 19 and the leg plate 20 for fixing the injured person during surgery.

[0072] It can be seen that the intelligent integrated surgical device described in this embodiment provides an integrated operating table with a spliced structure, which can be quickly withdrawn. At the same time, it has multi-position adjustment capabilities to meet the position adjustment needs of different surgeries; the operating table panel and main frame materials meet the X-ray transparency requirements and can support intraoperative imaging examination needs when necessary.

[0073] In another optional embodiment, the detachable structure is a square structure, including a module mounting end and a bracket mounting end, the module mounting end and the bracket mounting end are used in conjunction with each other; the module mounting end is mounted on the back of each functional module, and the bracket mounting end is mounted on the equipment bracket in the box; four limit clamping structures are symmetrically arranged on the four vertices of the module mounting end, a fixed clamping hole is provided at the center, a limit block is provided in the fixed clamping hole, and a limit hole and a limit block release button are provided on the side of the module mounting end;

[0074] Four limit snap-in slots are provided at the four vertices of the bracket mounting end, a retractable limit rod is connected to the center through a spring, and a retractable rod release button is provided on the side of the bracket mounting end. The limit rod at the bracket mounting end is usually in a retracted state;

[0075] When the detachable structure needs to be connected, first insert the connecting device of the module mounting end into the card slot of the bracket mounting end, press the telescopic rod release button of the bracket mounting end, and insert the telescopic limit rod into the fixed connecting hole of the module mounting end; when disassembly is required, press the limit hole limit block release button of the module mounting end, and the telescopic limit rod will contract under the drive of the spring, so that the module mounting end can be taken out of the limit slot for use.

[0076] It can be seen that the detachable structure provided by the intelligent integrated surgical device described in this embodiment can realize the rapid disassembly of functional modules, which can not only ensure the progress of surgery, but also be taken out separately to support life support in complex environments.

[0077] In another optional embodiment, the injection module 6 is a three-channel structure and is fixed to the back of the infusion module 5 in a pull-out and rotatable manner. When in use, the injection module 6 is pulled out, and when not in use, the pipeline of the injection module 6 is rotated on the rotating shaft; the infusion module 5 is a retractable structure, and when in working state, the infusion module 5 is clamped on the edge of the bed board.

[0078] In another optional embodiment, the intraoperative body temperature maintenance module 12 is provided with no less than two groups of body temperature monitoring probes, which can monitor the body temperature of the injured person and automatically adjust the output temperature based on the monitoring results.

[0079] In another alternative embodiment, please refer to Figure 5 The function centralized control module centrally controls the monitoring module 3, the respiratory module 4, the infusion module 5, the injection module 6, the intraoperative body temperature maintenance module 12, the high-frequency electric knife module 10 and the suction module 11; the function centralized control module controls the monitoring module 3 to collect heart rate, blood pressure, blood oxygen saturation and respiratory rate information, and stores the data; it alarms for abnormal monitoring data, and alarms when abnormal body temperature is identified; the function centralized control module controls the intraoperative body temperature maintenance module 12 to automatically adjust the output temperature setting; the function centralized control module performs intelligent early warning identification of injuries based on the stored monitoring data. When there is a risk of acute hypotension or it is identified that it has occurred, the function centralized control module controls the injection module 6 to execute an intelligent auxiliary intervention strategy; when there is a risk of hemorrhagic shock Or when it is identified that it has occurred, the function centralized control module controls the infusion module 5 to intelligently adjust the fluid infusion strategy; when there is a risk of acute respiratory distress syndrome or it is identified that it has occurred, the function centralized control module controls the breathing module 4 to intelligently adjust the ventilation strategy; the function centralized control module controls the infusion module 5 to perform infusion speed detection and infusion volume detection, and issues an alarm prompt based on the detection results, and the alarm information includes at least empty bottle, bubbles, and blockage; the function centralized control module controls the high-frequency electric knife module 10 to perform impedance detection, and automatically adjusts the power based on the detection results; the function centralized control module controls the suction module 11 to perform pressure mode control, specifically including positive pressure mode and negative pressure mode; and performs working mode control, including continuous suction mode and intermittent suction mode.

[0080] It can be seen that the intelligent integrated surgical device described in this embodiment can realize the centralized control of each functional module through the provided function centralized control module, thereby facilitating the operation of each module and reducing the demand for personnel.

[0081] In another optional embodiment, Figure 6 As shown, the integrated display control module 7 displays basic patient information, surgical and anesthesia timing information, imaging system, testing system, examination system, injury scoring system, vital sign monitoring information, mechanical ventilation parameters, fluid infusion parameters, injury warning identification system information, and key physiological parameter change trend information. Basic patient information includes age, gender, date of birth, height, weight, etc.; the key physiological parameter change trend is used to select key physiological parameters from the mechanical ventilation parameters or vital sign monitoring parameters and dynamically display the change trend.

[0082] The vital sign monitoring information includes at least heart rate, respiratory rate, body temperature, blood oxygen saturation, blood pressure and pulse; the mechanical ventilation parameters include at least minute ventilation, inspired oxygen concentration, respiratory tidal volume, positive end-expiratory pressure and breathing pattern; the liquid infusion parameters include at least infusion rate and cumulative infusion volume.

[0083] In another optional embodiment, the injury scoring system is a software system embedded in the integrated display control module 7, including EWS score, GCS score and SOFA score. For the calculation of GCS score, please refer to Figure 7 After the doctor determines the patient's condition, the system automatically calculates the GCS score according to the doctor's selection; the EWS score and SOFA score are automatically calculated based on the monitoring and test results.

[0084] In another optional embodiment, as an optional implementation method, the display platform in the integrated display control module 7 is an industrial computer integrated display screen, the industrial computer processor has an onboard 11th generation Intel Core i 7, 32G memory, 512G storage space, and I / O ports including a USB port, an RJ45 standard network port, and a serial port.

[0085] In another optional embodiment, the results output by the injury warning module are displayed by the injury warning identification system in the integrated display control module 7; at least three warning intervals are preset in the injury warning duration setting module, and the warning interval is selected through the injury warning identification system; the injury warning identification system dynamically displays the identification results, warning results and the changing trend of the warning results.

[0086] It can be seen that the implementation of the intelligent integrated surgical device described in this embodiment can provide early warning of the patient's injury condition and provide valuable reserved time for the patient's treatment.

[0087] Example 2

[0088] The second embodiment is a method for using the intelligent integrated surgical device disclosed in the first embodiment of the present invention, comprising:

[0089] During damage control surgery during disaster emergency rescue, the intelligent integrated surgical device is deployed to its operational state, and the patient undergoes surgery on the integrated operating table. The equipment does not need to be removed; it can be used normally after connecting leads and tubes. The surgeon performs surgery on the patient using the high-frequency electrosurgical unit integrated on the side of the bed and the suction module integrated on the bottom of the bed. The surgeon also manages the patient's body temperature using the intraoperative temperature maintenance module integrated on the bottom of the bed. The anesthesiologist monitors the patient's basic vital signs using the monitoring module in the life support unit, provides respiratory support using the respiratory module, and provides anesthesia support using the infusion and injection modules. The integrated display and control module allows the anesthesiologist to view the patient's vital sign monitoring results, fluid infusion information, and injury warning identification results. This helps the anesthesiologist promptly understand the patient's injury development trends and take appropriate intervention measures based on the warning results to prevent further deterioration of the injury. The anesthesiologist can also view the patient's test, imaging, and examination results through the hospital information system communication module.

[0090] It should be noted that when vital sign monitoring equipment, respiratory support equipment and fluid infusion equipment are needed during disaster relief, the corresponding modules can be disassembled separately for forward support use.

[0091] The above description of the main features and advantages of the present invention is not intended to limit the present invention. For those skilled in the art, any modifications, equivalent substitutions, improvements, etc. made within the spirit and principles should be included in the scope of protection of the present invention. The above embodiments should be regarded as exemplary and non-limiting, and therefore any reference numerals should not be construed as limiting the claims involved.

[0092] Finally, it should be noted that the intelligent integrated surgical device disclosed in the embodiment of the present invention is only a preferred embodiment of the present invention, which is only used to illustrate the technical solution of the present invention, rather than to limit it. Although the present invention has been described in detail with reference to the aforementioned embodiments, ordinary technicians in this field should understand that it is still possible to modify the technical solutions recorded in the aforementioned embodiments, or to replace some of the technical features therein with equivalents. However, these modifications or replacements do not cause the essence of the corresponding technical solutions to deviate from the spirit and scope of the technical solutions of the various embodiments of the present invention.

Claims

1. An intelligent integrated surgical device, characterized in that: Includes life support box, surgical treatment box, communication unit and power management unit; The life support box comprises a first box body; the first box body is a separate structure with an upper and a lower part, comprising a first upper box body and a first lower box body; in a retracted state, the first upper box body is on the upper part and the first lower box body is on the lower part, and the two are connected as a whole by a buckle; a protrusion is provided at the bottom of the first lower box body, and a groove matching the protrusion is provided at the top of the first upper box body; in a working state, the first lower box body is placed on top of the first upper box body, and the two are fixed by the protrusion and the groove; four pulleys are installed at the four bottom corners of the first upper box body to facilitate the movement of the box body; an equipment bracket is fixed in the first lower box body, and a monitoring module, a breathing module, an infusion module and an injection module are fixed on the equipment bracket by a detachable structure; an integrated display control module is provided in the first lower box body, and the integrated display control module is hinged to the equipment bracket by a hinge; in a retracted state, the integrated display control module is folded into the box body and parallel to the box cover; in a working state, the integrated display control module is folded open and placed above the equipment bracket; The surgical treatment box includes a second box body; the second box body is a separate structure with upper and lower parts, including a second upper box body and a second lower box body; in the retracted state, the second upper box body is on the upper part and the second lower box body is on the lower part, and the two are connected as a whole by a buckle; in the working state, the second upper box body is removed and used as an instrument table; the modules in the second lower box body are unfolded and built into a surgical environment; the second lower box body is equipped with an integrated operating bed module, a high-frequency electric knife module, a suction module, an intraoperative body temperature maintenance module, a power management unit box body, an instrument tray and an infusion stand; the power management unit box body is located below the middle of the integrated operating bed module, and the bottom end of the power management unit box body is fixed to the bottom of the second lower box body; The high-frequency electrosurgical module is fixed on a tray, which is hinged to the first side wall of the power management unit housing. The first side wall of the power management unit housing is provided with a groove that matches the size of the high-frequency electrosurgical module, and the tray and the first side wall of the power management unit housing are provided with matching buckles. In the retracted state, the high-frequency electrosurgical module is retracted into the groove by folding the tray and fixed by the buckle. In the working state, the buckle is opened, and the tray and the high-frequency electrosurgical module are folded to the use position and fixed. The second side wall of the power management unit housing is provided with a plurality of snap-in positions, which are used to snap-in the functional modules when in working state; and to fold and fix the modules into the second lower housing when in the retracted state; The integrated display control module is embedded with an intelligent auxiliary unit; the intelligent auxiliary unit is a software system including an injury setting module, an injury warning module, an injury identification module and an injury warning duration setting module; the injury conditions include at least hemorrhagic shock, acute hypotension, and acute respiratory distress syndrome; The communication unit is integrated in the integrated display control module, and includes a function centralized control module and a hospital information system communication module; the function centralized control module is electrically connected to the function module and performs data exchange; the hospital information system communication module is communicatively connected to the hospital information system and performs medical information exchange; The power management unit is fixedly installed in the power management unit box and includes a centralized power supply module and an intelligent power management module.

2. The intelligent integrated surgical device according to claim 1, characterized in that: The integrated operating bed module includes a bed board, a lifting mechanism, a translation mechanism, a forward and backward tilting mechanism, a left and right tilting mechanism and a patient fixation belt; the bed board is detachable into a head board, a back board and a leg board; a pipeline fixing structure is provided at the edge of the bed board; in the retracted state, the head board and the leg board are disassembled and stored in the second box; in the working state, the head board and the leg board are connected to the back board to form an operating bed board.

3. The intelligent integrated surgical device according to claim 2, characterized in that: The translation mechanism is arranged at the bottom of the bed board; the translation mechanism is a slide rail structure, and a limit module is arranged on the slide rail; the limit module is used to limit the translation position of the bed board; the lifting mechanism is arranged in the middle position of the bottom of the backboard, and the lifting mechanism includes a fixed rod and a lifting rod, the bottom of the fixed rod is fixed to the bottom of the second lower box body, and the top of the lifting rod is fixed to the center of the bottom of the backboard; the lifting mechanism also includes a sliding device and a gear turntable, and a rack is fixed on the lifting rod, which connects the sliding device and the gear turntable horizontally, and the gear turntable is rotated to realize the up and down movement of the rack of the lifting rod in the sliding device. Drives the bed board to rise and fall; when the lifting mechanism is retracted to the lowest position, the top of the power management unit box contacts the bed board and serves as a support for the bed board; the bottom of the head board and the leg board are both provided with a forward and backward tilting structure, and the forward and backward tilting structure is hydraulic; the left and right tilting structures are arranged on the left and right sides of the bottom of the bed board, and the left and right tilting structures are connected to the edge of the bed board through a hydraulic rod, and the left and right tilting gear turntable is used to drive the bed surface to tilt left and right; an infusion stand fixing position and an instrument tray fixing position are provided on one side edge of the bed board for fixing the infusion stand and the instrument tray; fixing belts are provided on the edges of the back board and the leg board for fixing the injured during surgery.

4. The intelligent integrated surgical device according to claim 1, characterized in that: The detachable structure is a square structure, including a module mounting end and a bracket mounting end, and the module mounting end and the bracket mounting end are used in conjunction with each other; the module mounting end is installed on the back of each functional module, and the bracket mounting end is installed on the equipment bracket in the box; four limiting clamping structures are symmetrically arranged on the four vertices of the module mounting end, a fixed clamping hole is arranged at the center, a limiting block is arranged in the fixed clamping hole, and a limiting hole and limiting block release button is arranged on the side of the module mounting end; four limiting clamping grooves are opened at the four vertices of the bracket mounting end, a retractable limiting rod is connected to the center by a spring, and a retractable rod release button is arranged on the side of the bracket mounting end.

5. The intelligent integrated surgical device according to claim 1, characterized in that: The infusion module is a retractable structure; the injection module is a three-channel structure, which is fixed to the back of the infusion module in a pull-out and rotatable manner. When in use, the injection module is pulled out, and when not in use, the pipeline of the injection module is rotated on the rotating shaft.

6. The intelligent integrated surgical device according to claim 1, characterized in that: The intraoperative body temperature maintenance module is provided with no less than 2 groups of body temperature monitoring probes.

7. The intelligent integrated surgical device according to claim 1, characterized in that: The function centralized control module is electrically connected to the monitoring module, the breathing module, the infusion module, the injection module, the intraoperative body temperature maintenance module, the high-frequency electric knife module and the suction module, and performs centralized control on each of the above modules.

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