CN212820015U - Specimen comprehensive processing operation table - Google Patents
Specimen comprehensive processing operation table Download PDFInfo
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- CN212820015U CN212820015U CN202020778886.3U CN202020778886U CN212820015U CN 212820015 U CN212820015 U CN 212820015U CN 202020778886 U CN202020778886 U CN 202020778886U CN 212820015 U CN212820015 U CN 212820015U
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Abstract
本实用新型公开了一种标本综合处理操作台，包括操作台主体，操作台主体设有置物台面及操作台面；置物台面水平设置，操作台面顶端与置物台面连接，操作台面由顶端开始向下倾斜设置；操作台面为可与电脑无线数据通信连接的液晶显示器；还包括照明装置，照明装置设置于置物台面上并可对操作台面进行照明，照明装置包括照明灯和荧光显像灯；还包括摄像装置，摄像装置设置于置物台面上或设置于照明装置上；操作台面、照明装置及摄像装置均设有控制元件及电源线。本实用新型使手术中标本取材及淋巴结分拣更为标准化，无需依靠医生经验进行，提高了操作的准确度。本实用新型的使用及清洁方便，具有很好的临床应用前景。
The utility model discloses an operation table for comprehensive processing of specimens, which comprises a main body of the operation table, and the main body of the operation table is provided with an object storage table and an operation table; setting; the operating table is a liquid crystal display that can be connected with the computer for wireless data communication; it also includes a lighting device, which is arranged on the object table and can illuminate the operating table, and the lighting device includes a lighting lamp and a fluorescent imaging lamp; it also includes a camera The camera device is arranged on the storage table or on the lighting device; the operating table, the lighting device and the camera device are all provided with control elements and power lines. The utility model makes the sampling of specimens and the sorting of lymph nodes in the operation more standardized, does not need to rely on the experience of doctors, and improves the accuracy of the operation. The utility model is convenient to use and clean, and has a good clinical application prospect.
Description
Technical Field
The utility model relates to an operation panel, specifically speaking are a sample integrated processing operation panel that is used for operation sample to stay to get and lymph gland letter sorting.
Background
The malignant tumor of the digestive tract has no obvious clinical symptoms at the early stage, so that the tumor is in the advanced stage when most patients visit the clinic and is often accompanied with the metastasis of peripheral lymph nodes, thereby leading to poor long-term prognosis of the patients. At present, the radical excision of tumor is still the only cure means for digestive tract malignant tumor patient. Among them, complete excision of tumor lesions and regional lymph node dissection are the key to radical tumor surgery. Lymph node metastasis is an independent risk factor affecting the prognosis of a patient. The number of lymph nodes is an important standard for testing the quality of radical operation of gastric cancer.
In multiple studies, the long-term prognosis of tumor patients is related to the number of lymph nodes detected and lymph node metastasis. The eighth edition of UICC/AJCC stomach cancer TNM staging emphasizes the importance of detecting a sufficient number of lymph nodes for N staging, and proposes that the lymph node detection number of the radical gastric cancer surgery should be more than 16, and if the staging is further accurate, the lymph node detection number is preferably more than 30. Meanwhile, the clinical data of patients with gastric cancer in the SEER (Surveillance, epidemic, and End Results) database in the United states show that every 10 lymph nodes are increased, the prognosis of the patients can be improved to a certain extent. Even for post-operative lymph node-negative patients, the number of lymph node acquisitions remains an independent factor affecting prognosis. However, the number of lymph nodes tested has many factors, including the post-operative lymph node test pattern in addition to the scope of lymph node dissection. Since the previous clinicians have blindness and randomness in the process of postoperative lymph node sorting and can not clearly, intuitively and accurately display lymph vessels and lymph nodes, even if tumor patients receive standard digestive tract malignant tumor radical operation, the number of lymph nodes is insufficient due to the defect of a tissue specimen lymph node detection mode, so that tumor TNM (tumor necrosis factor) is subjected to staged drift (also called a wil-Roger phenomenon), and the prognosis judgment and the formulation of a postoperative treatment scheme are influenced. Therefore, there is a need for an operating platform and a system for effectively sorting gastrointestinal malignant tumor lymph nodes, so as to assist clinicians in accurately picking up tissue specimens and obtaining more accurate pathological N stages. Moreover, the accurate N stage is also an important reference index for judging the prognosis of the patient and adopting postoperative adjuvant therapy.
The existing lymph node sorting process comprises the following steps: the method is characterized in that an operation sheet is laid on the existing operation table top, tissues excised in the operation are placed on an operation table, lymph nodes and lymph nodes are judged by the experience of doctors under the irradiation of a common incandescent lamp, the grouping of the lymph nodes is only carried out according to the lymph node grouping range evaluation in the memory of the doctors, normalization and standardization operation are carried out, blindness and randomness are realized in the lymph node sorting process, and the lymph nodes cannot be clearly, visually and accurately displayed. This procedure is difficult for physicians without much experience, and the experience of their clinicians directly affects lymph node sorting results. In addition, there is currently no standardized method for measuring tumor lesion and tissue specimen size after ex vivo tissue specimens. Meanwhile, the material taking range of the left cancer tissue, the nearby cancer tissue and the normal tissue specimen is different from person to person, and the whole material taking process cannot be completed by one person, so that the material taking efficiency of the tissue specimen is low, the protein or DNA in the tissue specimen is degraded or denatured because the protein or DNA is not effectively protected in a short time, and the data quality of future medical research is influenced.
In view of the above, it is still an urgent need for those skilled in the art to improve the quality of lymph node pathology and the number of lymph node detections in cancer specimens.
Disclosure of Invention
The utility model aims to solve the technical problem that a sample comprehensive treatment operation panel that can assist the doctor to carry out accurate lymph gland letter sorting work is provided.
In order to achieve the above object, the utility model adopts the following technical scheme:
a specimen comprehensive treatment operating table comprises an operating table main body, wherein the top of the operating table main body is provided with an object placing table top and an operating table top; the object placing table top is horizontally arranged, the top end of the operation table top is connected with the object placing table top, and the operation table top is inclined downwards from the top end; the operation table-board is a liquid crystal display which can be in wireless data communication connection with a computer; the illumination device is arranged on the object placing table top or the operation table top and can illuminate the operation table top, and the illumination device comprises an illumination lamp and a fluorescent display lamp; the camera shooting device is arranged on the object placing table top or the operation table top or the illuminating device; the operation table board, the illuminating device and the camera device are all provided with control elements and power wires.
Preferably, the operation table top is further connected with a host computer, and the host computer is arranged inside the operation table main body.
Preferably, the portable terminal further comprises a tablet computer, wherein the tablet computer can be fixed on the object placing table top, and the tablet computer and the operation table top can be in wireless data communication connection.
Preferably, the included angle between the operation table top and the horizontal plane is 5-15 degrees.
Preferably, the operation table top is provided with measurement scales.
Wherein preferably, the side of operation panel main part is equipped with disposable protecting film rack.
Preferably, at least one drawable table plate arranged in the console main body is arranged on the side surface of the console main body.
Preferably, the table plate is provided with a specimen sorting mark.
Preferably, the number of the table plates is two, and the two table plates are arranged in parallel up and down.
Preferably, the console body is further provided with a drawer.
Wherein, preferably, be equipped with detachable sample and keep the frame on putting the thing mesa.
Preferably, the lighting device further comprises a lighting bracket, wherein the lighting device is hinged with the lighting bracket, and the lighting device can rotate around a hinged shaft; the storage table is provided with a placing groove, a sliding rail is arranged on the inner wall of the placing groove, the lighting support is connected with the sliding rail in a matching mode, and the lighting device and the lighting support can slide into the placing groove through the sliding rail after being folded.
Preferably, the garbage collecting rack is arranged below the tail end of the operating table and fixed on the operating table main body.
Wherein preferably, operation mesa tail end is equipped with the water conservancy diversion limit, the water conservancy diversion limit is outstanding the setting of operation panel main part is just located rubbish is accomodate and is put up the top.
Wherein preferably, the operation panel main part bottom is equipped with the landing leg, the landing leg bottom is equipped with universal pulley.
The utility model has the advantages that:
the utility model discloses having compensatied prior art's blank, having made the sample draw materials and lymph gland letter sorting more standardized and accurate in the operation, the operator can carry out the sample drawing and lymph gland letter sorting of sample of performing the operation according to the sample model and the lymph gland distribution map that the operation mesa shows, need not to rely on doctor's experience to go on, has improved the degree of accuracy of lymph gland letter sorting operation, improves the lymph gland and has examined and obtain quantity. The utility model discloses can realize the field survey, the field is drawn materials and shoot the record. The utility model discloses can transfer going on of patient information and data auxiliary operation at any time in operation process, draw materials to cancer tissue, cancer side tissue and normal tissue sample and also provide accurate guidance, single work of drawing materials of can accomplishing improves the efficiency of drawing materials, saves the time of drawing materials, avoids the degeneration or the degradation of protein and DNA, has guaranteed the quality of medical research data. The utility model discloses the volume is less, portable and portable. The utility model discloses an it is convenient to use and clean, has fine clinical application prospect.
Drawings
Fig. 1 is a schematic structural diagram of embodiment 1 of the present invention;
fig. 2 is a first schematic structural diagram of embodiment 2 of the present invention;
fig. 3 is a second schematic structural diagram of embodiment 2 of the present invention;
FIG. 4 is a schematic diagram of the table top of the present invention;
fig. 5 is a schematic view of the lighting device of the present invention.
Reference numerals:
the operation panel comprises an operation panel main body 1, an object placing table top 11, a groove 111, an operation table top 12, measurement scales 121, a placing groove 13, a sliding rail 131, a table plate 14, a flow guide edge 15, an illuminating device 2, an illuminating lamp 21, a fluorescent display lamp 22, an illuminating support 3, a camera device 4, a tablet personal computer 5, a disposable protective film placing frame 6, a drawer 7, a specimen retaining frame 8, an instrument placing groove 81, a material taking tube placing groove 82, a garbage containing frame 9, a fixing frame 91, a fixing ring 92, supporting legs 10 and universal pulleys 101.
Detailed Description
The embodiment of the utility model provides an use stomach cancer, intestinal cancer model to draw materials as the example, the utility model discloses the sample that also can be used to other cancer operations is drawn materials and lymph gland letter sorting.
< example 1>
Fig. 1 shows the basic configuration structure of the present invention, based on which the technical effects of the present invention can be achieved. The basic configuration structure includes:
the operating table comprises an operating table main body 1, wherein the operating table main body 1 is provided with a storage table top 11 and an operating table top 12;
the object placing table top 11 is a horizontal table top and can be used for placing objects such as containing boxes or instruments and the like in tissue specimen taking and lymph node sorting.
The lighting device 2 is disposed on the table top 11, and a light source of the lighting device 2 irradiates the operation table top 12. In this embodiment, lighting device 2's light source is light 21, light 21 is for can be incandescent light or operating lamp, and light 21 mainly used improves the illumination luminance when the tissue sample is drawn materials, improves the definition of tissue sample discernment, simultaneously, can improve when shooing the tissue sample and shoot luminance and shoot the definition. The lighting device 2 is further provided with a fluorescent imaging lamp 22, and the fluorescent imaging lamp 22 is used for lymph node sorting. In order to trace lymph nodes during operation, tracing fuel, such as indocyanine green, is injected, and the fluorescence color of the tracing fuel can be different from that of other tissues under the irradiation of infrared light, so the fluorescent imaging lamp 22 in this embodiment can be an infrared lamp. Of course, the lamp for visualizing the tracer dye can also be provided in accordance with the usual tracer dyes. The illumination lamp 21 and the fluorescent image display lamp 22 can be respectively disposed on different lamp holders, or can be combined and disposed on the same lamp holder, as shown in fig. 5. The lighting device 2 is further provided with a lighting control element for controlling the lighting device 21 and the fluorescent image lamp 22 to be turned on or off, and the lighting device 21 and the fluorescent image lamp 22 can be turned on respectively or simultaneously. If the nano carbon is adopted to inject and trace the lymph nodes, the lymph node can be distinguished by directly utilizing the illuminating lamp 21 without adopting the fluorescent imaging lamp 21.
The utility model discloses in still including illumination support 3. The illumination support 3 is hinged with the illumination device 2, the illumination device 2 can rotate around a hinged shaft, and the illumination position and the illumination angle of the illumination device 2 are adjusted through rotation. The storage table top 11 is provided with a placing groove 13, the inner wall of the placing groove 13 is provided with a slide rail 131, the illumination support 3 is connected with the slide rail 131 in a matching manner, the illumination device 2 can be folded in the illumination support 3 or attached to the illumination support 3 after rotating towards one side of the illumination support 3, the illumination support 3 and the illumination device 2 can slide into the placing groove 13 through the slide rail 131 after being folded, the placing groove 13 can just accommodate the illumination support 3 and the illumination device 2, the structure can realize the hidden accommodating effect of the illumination device, and the storage table top 11 is planar when the illumination device 2 is not used.
The utility model discloses in still including camera device 4. In this embodiment, the camera 4 is a camera, and is installed on the illumination device 2 or the illumination support 3, preferably on the illumination device 2, so that the specimen can be photographed under the illumination of the illumination device 2. The camera device 4 can be connected with a computer through Bluetooth, and can transmit a shot picture or a shot video to an operator computer after shooting a picture or a video under the control of computer pre-installed sample model processing software.
The top end of the operation table top 12 is connected with the object placing table top 11, and the operation table top 12 is arranged from the top end to be inclined downwards. The inventor recommends that the included angle between the operation table top 12 and the horizontal plane is 5-15 degrees, and preferably 10 degrees. The operation table 12 is a liquid crystal display capable of being connected with a computer in a wireless data communication manner, and the display is preferably a display with a waterproof function, because the specimen drawing process is completed on the display, and the specimen can be cleaned by water or a disinfectant after drawing. The wireless data communication can be a Bluetooth connection, the operation table top 12 can be connected with a computer, and the computer is pre-loaded with specimen model processing software. The computer can be for the computer host computer of pre-installation in operation panel main part 1, also can use external computer to also be feasible, as long as the computer of pre-installation sample model processing software all can be applied to the utility model discloses. The operator can present cancer model specimens such as simulated gastric cancer, intestinal cancer and the like on the operation table 12 only by inputting specimen data through the software, and the model comprises lymph node distribution around the specimens. The operator can carry out standard operation by referring to the model in the process of specimen drawing and lymph node sorting. The operation table 12 is further provided with a measurement scale 121, which is convenient for measuring sample data and shooting record.
The operation table 12, the illumination device 2, and the imaging device 4 are provided with power supply lines. The specimen processing software pre-installed in the computer can realize the wireless control of the operation table 12, the lighting device 2 and the camera device 4.
< example 2>
As shown in fig. 2 and 3, embodiment 2 is an upgraded version of embodiment 1. On the basis of the embodiment 1, the embodiment 2 is further provided with a tablet computer 5, and the tablet computer 5 can be fixedly placed on the storage table top 11. The storage table 11 is provided with a groove 111 matched with the tablet computer, and when the tablet computer 5 is placed in the groove 111, the tablet computer is vertically arranged with the storage table 11 or slightly inclined, so that the tablet computer is convenient for an operator to use. The tablet computer 5 and the operation table 12 can be connected in wireless data communication, namely, in Bluetooth connection. The internal system of the hospital can be pre-installed in the tablet personal computer 5, and the information of the patient such as the assay, the influence data, the gastroscope data and the like can be read at any time. Meanwhile, specimen model processing software can be pre-loaded, and virtual cancer model specimen and lymph node distribution graphic representation can be realized by inputting specimen data.
The side of operation panel main part 1 is equipped with disposable protecting film rack 6, can place disposable protecting film in it, can utilize disposable protecting film to cover operation mesa 12 earlier before the sample processing of drawing materials. The disposable protective film is a transparent film and is similar to a preservative film in material, and the display function of the operation table top 12 is not affected after the film is coated. After the material is obtained, the film can be picked off and discarded.
Place in operation panel main part 1 side is equipped with two drawable table 14 of operation panel main part, two table 14 are used for placing stomach sample and intestines sample respectively, are equipped with sample letter sorting mark on the table 14, and one of them is lymph gland letter sorting mark platform, and the lymph gland that the letter sorting is good can be put in corresponding mark position, is put into sample bag censorship in unison by the personnel of drawing materials.
The operation table main body 1 is also provided with a drawer 7, and the drawer 7 can be used for placing instruments or storing articles such as a tablet computer 5, a specimen retaining frame 8 and the like.
The object placing table top 11 is provided with a detachable specimen retaining frame 8, and the specimen retaining frame 8 is provided with an instrument placing groove 81 and a plurality of material taking tube placing grooves 82.
The embodiment further comprises a garbage containing frame 9, wherein the garbage containing frame 9 is located below the tail end of the operating table 12 and is fixed on the operating table main body 1. The tail end of the operation table top 12 is provided with a flow guiding edge 15, and the flow guiding edge 15 protrudes out of the operation table main body 1 and is arranged above the garbage storage frame 9. The garbage containing frame 9 comprises a fixing frame 91 and a fixing ring 92, wherein the fixing frame 91 is fixed on the operating table main body 1, and the fixing frame 91 can be sleeved with a disposable medical garbage bag and is fixed by the fixing ring 92. The whole operation table top 12 and the horizontal plane have an included angle of 10 degrees, a disposable protective film is laid on the operation table top 12 and the table plate 14 before material taking is carried out each time, and dirt on the operation table can be kept in a medical garbage bag below along the inclined angle due to the inclined angle during material taking, so that waste treatment is facilitated.
The bottom of the operating platform main body 1 is provided with the supporting leg 10, the bottom of the supporting leg 10 is provided with the universal pulley 101, the operating platform main body 1 is convenient to move due to the design, and the universal pulley 101 can also be designed into a structure with a brake, so that the operating platform main body 1 is convenient to fix.
The utility model discloses in, operation mesa 12 is whole to be used for tissue specimen to draw materials and lymph gland letter sorting, and operation mesa 12 is LCD, can demonstrate simulation stomach cancer and the intestinal cancer model sample that presents after carrying out data input through operator's computer, operation panel from taking computer or panel computer. The model of gastric cancer and intestinal cancer comprises the distribution of lymph nodes around the stomach and the intestine.
Tissue specimen leaving process: the operation table 12 is marked with scales (0.1 cm minimum scale, the total table is 65cm long × 45cm wide) and is used for measuring the sizes of tumor focus and tissue samples, and after the corresponding numerical values of the samples are input by the tablet personal computer 5, the lower operation table 12 can show simulated gastric cancer or intestinal cancer model samples and the sampling ranges of cancer tissues, tissues beside the cancer and normal tissues (the sampling ranges are set according to the standard ranges defined by tissues beside the cancer and normal tissues). The upper right corner of the operation table board 12 is provided with a specimen retention frame 8 which can be used for placing a sampling instrument and a specimen sampling tube.
Lymph node sorting process: a) the method can be carried out in an operation area below the operation table board 12, the size of a sample is measured through measuring scales, and corresponding stomach and intestine models and surrounding lymph nodes needing to be cleaned are simulated through data input (including operation type, cleaning range, special lymph node group and the like) of a tablet computer. b) The nano-carbon or indocyanine green fluorescent imaging agent needs to be injected before all gastrointestinal specimens are separated in vitro, and the fluorescent imaging lamp 22 is turned on to display special light of the fluorescent agent. c) The lymph node areas of all stations are divided according to the electronic specimen model displayed on the operation table board 12, and the lymph nodes and the lymph vessels marked by fluorescence are found according to fluorescent agent injection in the operation, and are sorted and inspected. d) Lymph nodes separated in vitro are placed on a drawing table plate 14 at the right side, and the arrangement of a specific small table plate is shown in the overall frame chart. The utility model discloses can realize that the scene advances focus size and tissue specimen survey to supplementary doctor carries out the operation and the art person report of accurate stomach intestine sample tissue and lymph gland letter sorting of staying.
Claims (15)
1. A specimen comprehensive treatment operating table is characterized by comprising an operating table main body, wherein the top of the operating table main body is provided with an object placing table top and an operating table top; the object placing table top is horizontally arranged, the top end of the operation table top is connected with the object placing table top, and the operation table top is inclined downwards from the top end; the operation table-board is a liquid crystal display which can be in wireless data communication connection with a computer; the illumination device is arranged on the object placing table top or the operation table top and can illuminate the operation table top, and the illumination device comprises an illumination lamp and a fluorescent display lamp; the camera shooting device is arranged on the object placing table top or the operation table top or the illuminating device; the operation table board, the illuminating device and the camera device are all provided with control elements and power wires.
2. The specimen integrated processing station of claim 1, wherein:
the operation table top is further connected with a computer host, and the computer host is arranged inside the operation table main body.
3. The specimen comprehensive processing console of claim 1, further comprising a tablet pc, the tablet pc being fixable to the placement table top, the tablet pc being connectable in wireless data communication with the operation table top.
4. The specimen integrated processing station of claim 1, wherein:
the included angle between the operation table top and the horizontal plane is 5-15 degrees.
5. The specimen integrated processing station of claim 1, wherein:
and the operating table surface is provided with measuring scales.
6. The specimen integrated processing station of claim 1, wherein:
the side of the operating table main body is provided with a disposable protective film placing frame.
7. The specimen integrated processing station of claim 1, wherein:
at least one drawable table plate arranged in the operating table main body is arranged on the side surface of the operating table main body.
8. The specimen integrated processing console of claim 7, wherein:
and the table plate is provided with a specimen sorting mark.
9. The specimen integrated processing station of claim 8, wherein:
the number of the table plates is two, and the two table plates are arranged in parallel up and down.
10. The specimen integrated processing station of claim 1, wherein:
the operating table main body is also provided with a drawer.
11. The specimen integrated processing station of claim 1, wherein:
the object placing table top is provided with a detachable specimen retaining frame.
12. The specimen integrated processing console of claim 1, further comprising an illumination support, the illumination device being hingedly connected to the illumination support, the illumination device being rotatable about a hinge axis; the storage table is provided with a placing groove, a sliding rail is arranged on the inner wall of the placing groove, the lighting support is connected with the sliding rail in a matching mode, and the lighting device and the lighting support can slide into the placing groove through the sliding rail after being folded.
13. The specimen comprehensive processing operation table according to claim 1, further comprising a garbage accommodating frame located below the rear end of the operation table top and fixed to the operation table main body.
14. The specimen integrated processing station of claim 13, wherein:
the tail end of the operation table top is provided with a flow guide edge, and the flow guide edge protrudes out of the operation table main body and is located above the garbage storage frame.
15. The specimen integrated processing station of claim 1, wherein:
the bottom of the operating platform main body is provided with a supporting leg, and the bottom of the supporting leg is provided with a universal pulley.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202020778886.3U CN212820015U (en) | 2020-05-12 | 2020-05-12 | Specimen comprehensive processing operation table |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202020778886.3U CN212820015U (en) | 2020-05-12 | 2020-05-12 | Specimen comprehensive processing operation table |
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| CN212820015U true CN212820015U (en) | 2021-03-30 |
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