CN100367916C - Special vaginal foraix location retractor for hysterectomy under peritoneoscope - Google Patents
Special vaginal foraix location retractor for hysterectomy under peritoneoscope Download PDFInfo
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- CN100367916C CN100367916C CNB2005100331397A CN200510033139A CN100367916C CN 100367916 C CN100367916 C CN 100367916C CN B2005100331397 A CNB2005100331397 A CN B2005100331397A CN 200510033139 A CN200510033139 A CN 200510033139A CN 100367916 C CN100367916 C CN 100367916C
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- shaped sleeve
- location
- dilator
- shaft
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Abstract
The present invention discloses a special vaginal fornix positioning expander for hysterectomy under a peritoneoscope. The expander is composed of a rod-shaped object and a cup-shaped sleeve, wherein the rod-shaped object passes through the bottom of the cup-shaped sleeve, the front end of the rod-shaped object extends out of a cup opening, and a handle is arranged on the tail end of the rod-shaped object. The positioning expander of the present invention has the advantages of simple structure, easy processing, low manufacture cost, easy use mastery, and easy popularization and generalization, is particularly suitable for local hospitals to implement peritoneoscope minimally invasive surgeries in the field of gynecology and has wide market prospects.
Description
Technical field
The present invention relates to medical apparatus and instruments, is the operating theater instruments of laparoscopic hysterectomy special use.
Background technology
Uterectomy is the important means of the good malignant disease in the various uterus of treatment.Modus operandi mainly contains three kinds of abdomen formula, cloudy formula and abdominal cavity mirrors.Laparoscopic hysterectomy because of possess the sick rate of Wicresoft, postoperative low, recover fast and advantage such as the hospital stays is short, selected for use by patient and patient more and more.But be subjected to the influence of operating theater instruments and operator technical merit, easily the important organs such as bladder, ureter and rectum near the uterus caused damage in operation, thereby be difficult to obtain in practice promote, it is more difficult especially to promote in middle and small hospital.
The patent No. is that 00235680.5 Chinese invention patent discloses a kind of laparoscopic hysterectomy tractive holder, it comprises pull bar, push rod, sleeve, auger, the fixing auger in telescopic lower end at telescopic upper end cylinder lever connecting rod, is provided with push rod in telescopic side.This tractor is when laparoscopic surgery, it is placed on the bottom, uterus through aperture, can lift to a certain extent and fixing uterus, operative site is fully appeared, reduced the probability of other tissue in palace and internal organs damaged, but the operation technique complexity need open four holes in the patient abdominal cavity, and existing transvaginal uterus raising device uses more convenient than it.During for a long time owing to the fornix between unresolved dialysis uterus and the vagina, identification arched roof top, fully appear rotary-cut portion, avoid difficult problems such as bladder and ureteral damage, thereby laparoscopic hysterectomy still can not be used widely and promote up to now.
Summary of the invention
The purpose of this invention is to provide a kind of fornix vaginae location dilator that is exclusively used in laparoscopic hysterectomy, under peritoneoscope, be easy to identification and rotary-cut fornix vaginae top when making operation, avoid the damage of important organs such as bladder, ureter and rectum to greatest extent, simplify operating procedure, improved the safety of operation.
For reaching above-mentioned purpose, the present invention adopts following technical scheme: this fornix vaginae location dilator, to form by shaft and cup-shaped sleeve, and shaft passes the cup end of cup-shaped sleeve, and front end stretches out outside the rim of a cup, and tail end is a handle portion; The rim of a cup of described cup-shaped sleeve is skewed, and a side cup is dark dark greater than the opposite side cup.
As a kind of prioritization scheme, described shaft passes the center of circle at the bottom of the described cup-shaped sleeve cup.
For the ease of the shaft rotation cup-shaped sleeve of holding with a firm grip, make its fornix vaginae that links closely, the handle portion of described shaft is " T " font.
As another preferred version, the rim of a cup external diameter of described cup-shaped sleeve is 40～45mm, and cup end external diameter is 30～35mm, and cup is dark to be 50～60mm; The cup-shaped sleeve wall thickness is 5～6mm; The length of shaft is 250～280mm.
When needs manufactured disposable using apparatus, described shaft and cup-shaped sleeve can adopt the manufacturing of polypropylene non-toxic material.
Fornix vaginae of the present invention location dilator is to use like this: according to the size in cut uterus, select diameter and the suitable cup-shaped sleeve of the degree of depth; Rotary handle, the length adjustment of the shaft front end being stretched out rim of a cup is to corresponding with the degree of depth in uterus.Handle portion of holding shaft of operator pushes cup-shaped sleeve from patient's vagina, make the rim of a cup fornix vaginae that links closely; Shaft inserts in the cervical canal, by swing and rotary handle, makes its front end arrive the position of fundus of uterus, plays the palace effect of lifting simultaneously.Under the peritoneoscope, after touching bladder, coagulate disconnected uterine artery and utero-sacral ligament, patient one holds on the handle top cup-shaped sleeve and props up the fornix vaginae top, ureter, bladder, rectum are all organized away from the side, palace and are fully appeared the fornix top at this moment, and another hands electricity consumption hooks with fixed attention pastes sleeve rim of a cup inboard, is kept at an angle mobile electric hook along rim of a cup, from anterior fornix from 3 o'clock to 9 o'clock, promptly make 0 ° of-180 ° of ring-like incision anterior fornix from a side starting point to the opposite side stop.Take out fornix location dilator from vagina,,, the uterus is taken out from vagina, sew up vaginal vault at last with the ring-like posterior fornix of cutting off of shears with cervical clamps tractive cervix uteri.
Adopt fornix vaginae of the present invention location dilator to implement laparoscopic hysterectomy, because utilizing cup-shaped sleeve props up fornix vaginae portion location, operator is easy to identification and rotary-cut fornix vaginae top, avoided the damage of important organs such as bladder, ureter, rectum to greatest extent, simultaneously also excise vagina tissue to Min., kept the effective length of vagina.This location dilator utilizes patient's natural chamber degree transvaginal to insert, and it is external to remove umbilical part one hole placement peritoneoscope mirror, only needs to open a hole again at abdominal part and imports ultrasound knife, makes this less invasive techniques of retractor for hysterectomy under peritoneoscope that further development arranged; Shaft is connected and fixed by screw thread and cup-shaped sleeve, can regulate the length that its front end stretches out as required, thus fixing applicable to the big or small uterus of difference; The form that cup-shaped sleeve adopts rim of a cup to tilt is convenient to the position that the operator gyrobearing is grasped rotary-cut; The handle portion of shaft is the design of " T " font, is convenient to operator and is holding rotation, pushes away, drawing, and operates light.In a word, use fornix vaginae of the present invention location dilator to simplify operating procedure, increased operation safety, shortened operating time and hospital stays, alleviated patient economy burden, and can keep to greatest extent vagina length, reduce the discomfort of postoperative.This fornix vaginae location dilator is simple in structure, handling ease, and low cost of manufacture is used easily and is grasped, easily popularizes, easily promotes, and is applicable to any hospital, is particularly useful for basic hospital and carries out the peritoneoscope Minimally Invasive Surgery, has extensive market prospects.
Description of drawings
Fig. 1 is the structural representation of first kind of embodiment of fornix vaginae of the present invention location dilator.
Fig. 2 is the left view of Fig. 1.
Fig. 3 is the right view of Fig. 1.
Fig. 4 is the structural representation of second kind of embodiment of the present invention.
Fig. 5 is the structural representation of the third embodiment of the present invention.
The specific embodiment
Embodiment 1:
As shown in Figure 1, 2, 3, it is round table-like that cup-shaped sleeve is, little at the bottom of the rim of a cup mug, and rim of a cup external diameter c is 40～45mm, and cup end outside diameter d is 30～35mm, and the dark b of cup is 50～60mm, and the best is 55mm; The cup-shaped sleeve wall thickness is 5～6mm.Shaft 1 passes central authorities at the bottom of 2 glasss in the sleeve, and front end stretches out outside the rim of a cup, and tail end is the handle portion 11 that is " T " font.Shaft 1 total length a is 250～280mm, and the length e of front side is 65mm～75mm at the bottom of being in glass.Cause the vaginal wall damage when inserting vagina, all edges are that fillet is excessive.As permanent use, material can be selected rustless steel for use; As disposable, material can be selected the polypropylene non-toxic material for use.
Embodiment 2:
As shown in Figure 4, its place different with embodiment 1 is that shaft 1 middle part periphery is threaded 12, and a cup end central authorities are screws that match with it 21, and is fixing by being threaded between shaft 1 and the cup-shaped sleeve 2.During operation, according to the size in uterus, rotation shaft 1 is adjusted to position at the bottom of the palace to the extension elongation of its front end, so that with uterus jack-up, plays the effect of lifting the palace.This structure can make the location dilator keep the consistent angle that do not become with the uterus vagina longitudinal axis, is applicable to bigger uterus, more helps identification and rotary-cut fornix vaginae.All the other each several parts are with embodiment 1.
Embodiment 3:
As shown in Figure 5, among this embodiment, the rim of a cup of cup-shaped sleeve 2 is skewed, and a side cup is dark dark greater than the opposite side cup.Gyrobearing was beneficial to fully appear the fornix top when operator used, and firmly believed direction, grasped the position of rotary-cut more accurately.All the other structures are with embodiment 2.
Claims (7)
1. the fornix vaginae of laparoscopic hysterectomy special use location dilator is made up of shaft (1) and cup-shaped sleeve (2), and shaft (1) passes the cup end of cup-shaped sleeve (2), and front end stretches out outside the rim of a cup, and tail end is handle portion (11); It is characterized in that: the rim of a cup of described cup-shaped sleeve (2) is skewed, and a side cup is dark dark greater than the opposite side cup.
2. fornix vaginae according to claim 1 location dilator is characterized in that: described shaft (1) passes described cup-shaped sleeve (2) the cup center of circle at the end.
3. fornix vaginae according to claim 1 and 2 location dilator, it is characterized in that: the handle portion (11) of described shaft (1) is " T " font.
4. fornix vaginae according to claim 1 and 2 location dilator, it is characterized in that: the rim of a cup external diameter of described cup-shaped sleeve (2) is 40～45mm, and cup end external diameter is 30～35mm, and cup is dark to be 50～60mm.
5. fornix vaginae according to claim 1 and 2 location dilator, it is characterized in that: described cup-shaped sleeve (2) wall thickness is 5～6mm.
6. fornix vaginae according to claim 1 and 2 location dilator, it is characterized in that: the length of described shaft (1) is 250～280mm.
7. fornix vaginae according to claim 1 and 2 location dilator, it is characterized in that: described shaft (1) and cup-shaped sleeve (2) adopt rustless steel or polypropylene material manufacturing.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CNB2005100331397A CN100367916C (en) | 2005-02-05 | 2005-02-05 | Special vaginal foraix location retractor for hysterectomy under peritoneoscope |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CNB2005100331397A CN100367916C (en) | 2005-02-05 | 2005-02-05 | Special vaginal foraix location retractor for hysterectomy under peritoneoscope |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN1657013A CN1657013A (en) | 2005-08-24 |
| CN100367916C true CN100367916C (en) | 2008-02-13 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CNB2005100331397A Expired - Fee Related CN100367916C (en) | 2005-02-05 | 2005-02-05 | Special vaginal foraix location retractor for hysterectomy under peritoneoscope |
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| Country | Link |
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| CN (1) | CN100367916C (en) |
Families Citing this family (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102657912A (en) * | 2012-05-22 | 2012-09-12 | 刘仙 | Cylindrical transvaginal pelvic cavity opener |
| CN104473679B (en) * | 2014-12-04 | 2016-07-06 | 丽水市人民医院 | Uterus cutting external member |
| JP7003066B2 (en) * | 2016-06-09 | 2022-02-04 | コンメッド コーポレイション | Uterine manipulator device |
| US10695092B2 (en) | 2018-02-20 | 2020-06-30 | Conmed Corporation | Uterine manipulator |
| CN108524059A (en) * | 2018-05-03 | 2018-09-14 | 上海市第妇婴保健院 | The sling operation method and device of ligamentum inguinale treats pelvic organ prolapse in front of ligamentum teres to anterior superior spine |
| CN112426206B (en) * | 2020-12-10 | 2021-12-21 | 广州市雪儿海蒂门诊部有限公司 | Operation device for clitoral adhesion removal operation and control method |
Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP1125556A1 (en) * | 2000-02-18 | 2001-08-22 | Medsys S.A. | Uterine manipulator |
| CN2474090Y (en) * | 2001-04-26 | 2002-01-30 | 华中科技大学同济医学院附属同济医院 | Vaginal pessry |
| CN1481762A (en) * | 2002-02-11 | 2004-03-17 | 自由无限私人有限公司 | Uterine and vaginal vault manipulator |
| CN2768660Y (en) * | 2005-02-05 | 2006-04-05 | 暨南大学 | Special veginal fornix positioning dilator for hysterectomy under abdominoscope |
-
2005
- 2005-02-05 CN CNB2005100331397A patent/CN100367916C/en not_active Expired - Fee Related
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP1125556A1 (en) * | 2000-02-18 | 2001-08-22 | Medsys S.A. | Uterine manipulator |
| CN2474090Y (en) * | 2001-04-26 | 2002-01-30 | 华中科技大学同济医学院附属同济医院 | Vaginal pessry |
| CN1481762A (en) * | 2002-02-11 | 2004-03-17 | 自由无限私人有限公司 | Uterine and vaginal vault manipulator |
| CN2768660Y (en) * | 2005-02-05 | 2006-04-05 | 暨南大学 | Special veginal fornix positioning dilator for hysterectomy under abdominoscope |
Also Published As
| Publication number | Publication date |
|---|---|
| CN1657013A (en) | 2005-08-24 |
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Granted publication date: 20080213 Termination date: 20110205 |