CN105963003A - Assembly for oviduct intervention recanalization surgery - Google Patents
Assembly for oviduct intervention recanalization surgery Download PDFInfo
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- CN105963003A CN105963003A CN201610397539.4A CN201610397539A CN105963003A CN 105963003 A CN105963003 A CN 105963003A CN 201610397539 A CN201610397539 A CN 201610397539A CN 105963003 A CN105963003 A CN 105963003A
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- head
- wire
- trocar sheath
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/42—Gynaecological or obstetrical instruments or methods
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/42—Gynaecological or obstetrical instruments or methods
- A61B2017/4233—Operations on Fallopian tubes, e.g. sterilization
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- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
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- Reproductive Health (AREA)
- Pregnancy & Childbirth (AREA)
- Engineering & Computer Science (AREA)
- Gynecology & Obstetrics (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
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- General Health & Medical Sciences (AREA)
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- Veterinary Medicine (AREA)
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- Endoscopes (AREA)
Abstract
The invention discloses an assembly for an oviduct intervention recanalization surgery. The assembly comprises an outer sleeve and a guide wire arranged in the outer sleeve. The outer sleeve comprises a handheld part, an insertion part and a guide tube head, wherein the handheld part, the insertion part and the guide tube head are sequentially connected from the tail end to the head end. The handheld part comprises a horizontal through tube and an operating handle arranged on the horizontal through tube, the horizontal through tube is a hard tube, the insertion part and the guide tube head are both hoses, the hardness of the guide tube head is smaller than that of the insertion part, and the insertion part comprises a horizontal insertion section and a slant insertion section which are connected. The guide wire comprises a guide wire body and an arc guide head arranged at the front end of the guide wire body, the arc guide head is a soft wire, the guide wire is inserted into the outer sleeve, and the tail end of the guide wire is detachably connected with the tail end of the outer sleeve through a fixing device. Compared with the prior art, the assembly has the advantages that one person can conveniently carry out operation, operation efficiency is improved, surgery time is shortened, and the surgery success rate is increased.
Description
Technical field
The present invention relates to a kind of medical apparatus and instruments, a kind of external member getting involved again logical operation for fallopian tube.
Background technology
Along with the development of society, the sickness rate of infertility increases year by year, and the ratio that Tubal factor is shared in female acyesis
Example the highest (more than 45%).Miscarriage, uterine cavity and pelvic inflammation often lead to salpingemphraxis, and noninvasive fallopian tube is got involved again
Logical operation is the Therapeutic Method that it is important.At present, the most wide variety of fallopian tube recanalization intervention apparatus, it is usually by overcoat
Pipe, guiding wire, microtubular and micro-wire composition.Its basic operation method is: with gripping tongs vaginal dilation, exposes uterus
Eck, imports uterus by trocar sheath through cervix uteri mouth under guiding wire imports, trocar sheath head end is fixed on fallopian tube opening part,
Withdraw from guiding wire, insert microtubular through trocar sheath, the head end of microtubular is placed in fallopian tube opening part and sends in microtubular again
Adhesion in fallopian tube lumen is loosened, is separated by micro-wire, thus solves salpingemphraxis problem.
But, owing to existing trocar sheath itself is the most soft, external diameter is less, and torsion is poor, adds the space of the outer vagina of cervix uteri mouth
Relatively big, cause support degree inadequate, easily cause trocar sheath flexible, the guidance quality of trocar sheath is deteriorated, and often needs repeated multiple times operation
Trocar sheath could successfully be inserted fallopian tube opening part, and multi-pass operation adds the damage to endometrium, and in practical operation
In generally require at least two people and coordinate and just can be smoothed out, the material of trocar sheath is rigid plastics simultaneously, is probeing into the defeated ovum of patient
Patient can be caused during tube opening the most painful.Current guiding wire head design becomes barb shape, and the seal wire of barb shape exists
Can be punctured by the most anti-hemostatic tube during dredging human vas, but in Salpingostomy, during application, work as seal wire from uterine cavity to defeated ovum
When pipe narrow positions probes into, barb shape seal wire easily forms circular arc after being obstructed to be caused being difficult to probe into relatively narrower position；And owing to drawing
Seal wire head is designed as this barb shape, guides seal wire can only insert from the head of trocar sheath rearwardly direction, when guiding less than
During position, it is impossible to guiding seal wire is forwardly inserted from trocar sheath caudal directions, and insert guiding after trocar sheath can only be taken out again and lead
Silk, then again insertable in patient's uterine cavity, brings more misery to patient, reduces procedure efficiency, bring inconvenience.This
Carrying out under X-ray equipment monitors due to fallopian tube Interventional Salpingography outward, X-ray has certain injury to human body, so
Operating time is the longest, also implies that patient and doctor will accept more radiation exposure dose.
Summary of the invention
It is an object of the invention to overcome the deficiencies in the prior art, it is provided that a kind of external member getting involved again logical operation for fallopian tube.
The present invention is achieved by the following technical solutions:
A kind of external member getting involved again logical operation for fallopian tube, including trocar sheath and the guiding seal wire be located in trocar sheath, described outside
Sleeve pipe includes Handheld Division, insertion section and the guiding tube head being sequentially connected with from tail end to front end, and described Handheld Division includes that a level is straight
Siphunculus and be arranged at the operation handle on described horizontal straight pipe, described horizontal straight pipe is hard tube, described insertion section and guiding tube
Head is flexible pipe, and the hardness of described guiding tube head is less than the hardness of described insertion section, and described insertion section includes the level being connected
Inserting paragraph and tilt inserting paragraph, described in the section of being horizontally inserted and tilting between inserting paragraph connect by arc transition, described level is straight-through
Pipe is connected with the described section of being horizontally inserted and is positioned on same horizontal line；Described guiding seal wire includes guidewire body and is arranged at
The circular arc seeker of described guidewire body front end, the hardness of described circular arc seeker is less than the hardness of described guidewire body, described circle
Arc seeker is soft silk, and described guiding seal wire inserts in described trocar sheath, and the inclination of described circular arc seeker and described trocar sheath
Inserting paragraph with to guide tube head corresponding and stretch out outside described guiding tube head, described guiding seal wire tail end by fixing device with described outside
Cannula end removably connects.
Described external member also includes being installed on the microtubular in described trocar sheath and micro-wire, and described micro-wire inserts in described microtubular,
Described microtubular front end connects one section of roentgenopaque microtubular head, and described micro-wire includes micro-wire body and is positioned at institute
State the micro-wire top guide of micro-wire body front end, described micro-wire top guide flexible and be flexible guidewire.
Described fixing device includes head and the afterbody being front and back connected, and described afterbody is elastic component, and described head center is provided with
Internal thread hole, described afterbody is provided centrally with through hole, and described internal thread hole is connected with described through hole, and outside described afterbody front end
Footpath is less than afterbody rear end external diameter and angled transition, and described lateral tail face is provided with the first external screw thread, and described afterbody is externally provided with and it
Threaded outer nut, the horizontal straight pipe tail end of described trocar sheath is provided with injection cannula joint, described injection cannula joint
Lateral surface is provided with one section of external thread section matched with the internal thread hole of described head center.
The described section of being horizontally inserted and the angle tilted between inserting paragraph are 120 °～150 °.
Described injection cannula joint internal diameter is more than described horizontal straight pipe internal diameter.
Described horizontal straight pipe is plastic conduit.
The present invention has the advantage that compared to existing technology
1, a kind of external member getting involved again logical operation for fallopian tube that the present invention provides, owing to being designed as hard tube at horizontal straight pipe,
And it is provided with operation handle on hard horizontal straight pipe, facilitate single operation, improve operating efficiency；Lead simultaneously
Silk Front-end Design is circular arc seeker, is more favorable for guiding trocar sheath to probe into oviducal narrow positions, is effectively increased operation effect
Rate, shortens operating time, improves success rate of operation, thus decrease the roentgenization suffered by patient and doctor.
2, a kind of external member getting involved again logical operation for fallopian tube of present invention offer, the guiding tube head of its trocar sheath and guiding seal wire
Circular arc seeker be flexible material, thorn to endometrium when effectively reducing trocar sheath and guide seal wire to enter patient uterine
Swash, thus reduce the pain of patient, reduce the wound to endometrium simultaneously.
3, a kind of external member getting involved again logical operation for fallopian tube that the present invention provides, it will guide seal wire with outer by fixing device
Sleeve pipe is relatively fixed, and guides seal wire can guide during preferably trocar sheath being inserted patient uterine, it is ensured that trocar sheath becomes
Merit inserts uterus uterine cavity, and avoids during insertion that both mutually produce displacements thus damage endometrium.
4, a kind of external member getting involved again logical operation for fallopian tube that the present invention provides, its fixing device uses helicitic texture, operation
Time only need to rotate and can realize guiding being relatively fixed between seal wire and trocar sheath, simple to operation, good fixing effect, and becoming
This is low.
Accompanying drawing explanation
Fig. 1 is the outer sleeve structure schematic diagram of the present invention.
Fig. 2 is the fixture structure schematic diagram of the present invention.
Fig. 3 is the guiding guide wire schematic diagram of the present invention.
Fig. 4 is the microtubular structural representation of the present invention.
Fig. 5 is the micro-wire structural representation of the present invention.
Label in figure: 1 trocar sheath, 11 horizontal straight pipes, 12 operation handles, 13 sections of being horizontally inserted, 14 tilt inserting paragraphs,
15 guide tube heads, 16 injection cannula joints, 2 guide seal wires, 21 guidewire body, 22 circular arc seekers, 3 microtubulars, 31
Microtubular head, 4 micro-wires, 41 micro-wire bodies, 42 micro-wire top guides, 5 fixing devices, 51 heads, 52 afterbodys, 53
Internal thread hole, 54 through holes, 55 outer nuts.
Detailed description of the invention
Elaborating embodiments of the invention below, the present embodiment is implemented under premised on technical solution of the present invention,
Give detailed embodiment and concrete operating process, but protection scope of the present invention is not limited to following embodiment.
See Fig. 1 to Fig. 3, present embodiment discloses a kind of external member getting involved again logical operation for fallopian tube, including trocar sheath 1
And the guiding seal wire 2 being located in trocar sheath 1, Handheld Division that trocar sheath 1 includes being sequentially connected with from tail end to front end, insertion section and
Guiding tube head 15, Handheld Division includes a horizontal straight pipe 11 and is arranged at the operation handle 12 on horizontal straight pipe 11, level
Straight pipe 11 is hard tube, such as, can be plastic conduit, arranges operation handle 12 on hard horizontal straight pipe 11, convenient
Single operate, improve operating efficiency.Wherein, the length of horizontal straight pipe 11, insertion section and guiding tube head 15 can be divided
It is not set to 22cm, 10cm and 2mm.Insertion section and guiding tube head 15 are flexible pipe, and guide the hardness of tube head 15 less than inserting
Entering the hardness in portion, insertion section includes the section of being horizontally inserted 13 being connected and tilts inserting paragraph 14, and the section of being horizontally inserted 13 and inclination are inserted
Angle between the section of entering 14 is 120 °～150 °, and passes through arc transition between the section of being horizontally inserted 13 and inclination inserting paragraph 14
Connecting, horizontal straight pipe 11 is connected with the section of being horizontally inserted 13 and is positioned on same horizontal line；Seal wire 2 is guided to include seal wire
Body 21 and be arranged at the circular arc seeker 22 of guidewire body 21 front end, the hardness of circular arc seeker 22 is less than guidewire body
The hardness of 21, circular arc seeker 22 is soft silk, guides seal wire 2 to insert in trocar sheath 1, and circular arc seeker 22 and trocar sheath
The inclination inserting paragraph 14 of 1 guides outside tube head 15 with guiding tube head 15 corresponding and stretching out, and guides seal wire 2 tail end by fixing dress
Put 5 to removably connect with trocar sheath 1 tail end.
Referring also to Fig. 4, Fig. 5, external member also includes that microtubular 3 and the micro-wire 4 being installed in trocar sheath 1, micro-wire 4 are inserted
Entering in microtubular 3, microtubular 3 front end connects one section of roentgenopaque microtubular head 31, a length of 3mm of microtubular head 31.
Micro-wire 4 includes micro-wire body 41 and is positioned at the micro-wire top guide 42 of micro-wire body 41 front end, micro-wire top guide 42
Flexible and be flexible guidewire.
In specifically arranging, fixing device 5 includes head 51 and the afterbody 52 being front and back connected, and afterbody 52 is elastic component, head
51 are provided centrally with internal thread hole 53, and afterbody 52 is provided centrally with through hole 54, and internal thread hole 53 is connected with through hole 54, and
Afterbody 52 front end external diameter is less than afterbody 52 rear end external diameter and angled transition, and afterbody 52 lateral surface is provided with the first external screw thread, afterbody
52 are externally provided with the outer nut 55 threadeded with it, and horizontal straight pipe 11 tail end of trocar sheath 1 is provided with injection cannula joint 16,
Injection cannula joint 16 internal diameter is more than horizontal straight pipe 11 internal diameter, and this injection cannula joint 16 can facilitate the access of subsequent injections device,
Injection cannula joint 16 lateral surface is provided with one section of external thread section matched with the internal thread hole 53 at head 51 center.
When needs are fixing, guiding seal wire 2 entirety is passed from fixing device 5 center, then by the head 51 of fixing device 5
It is enclosed within outside injection cannula joint 16 and carries out threaded and screw, then guiding guide wire is inserted forward from trocar sheath 1 tail end direction
Enter, insert after putting in place, the outer nut 55 outside the afterbody 52 of fixing device 5 is screwed in forward, owing to afterbody 52 front end external diameter is little
In afterbody 52 rear end external diameter and angled transition, and afterbody 52 is elastic component, therefore during outer nut 55 screws in forward,
Through hole 54 diameter at afterbody 52 center can be gradually reduced, thus realizes guiding seal wire 2 to clamp and being relatively fixed of trocar sheath 1.
By fixing device 5, guiding seal wire 2 is relatively fixed with trocar sheath 1, guides seal wire 2 preferably trocar sheath 1 to be inserted and suffer from
Person guides during uterus, it is ensured that trocar sheath 1 is successively inserted into uterus uterine cavity, and avoids both phases during insertion
Produce displacement mutually thus damage endometrium.
The work process of the disclosed external member getting involved again logical operation for fallopian tube of this enforcement is as follows:
During use, first seal wire 2 front end will be guided to be forwardly inserted from the tail end direction of trocar sheath 1, until guiding seal wire 2 front end
Circular arc seeker 22 stretch out the outer segment distance of guiding tube head 15 of trocar sheath 1, seal wire 2 tail will be guided by fixing device 5
End and trocar sheath 1 tail end are relatively fixed formation one.Expand patient's vagina with gripping tongs, expose the cervix uteri mouth in uterus, through cervix uteri
Trocar sheath 1 and guiding seal wire 2 are together imported uterus, by the front end guidance tube head of trocar sheath 1 under guiding seal wire 2 to import by mouth
15 are fixed on fallopian tube opening part, then withdraw from guiding seal wire 2.Follow-up insert microtubular 3 through trocar sheath 1, by microtubular 3
Front end be placed in fallopian tube opening part again in microtubular 3 send into micro-wire 4, micro-wire 4 front end is inserted into salpingemphraxis
Position rotates, and the obstruction causing adhesion in fallopian tube lumen is loosened, separated, thus solves salpingemphraxis problem.
It is circular arc seeker 22 owing to guiding seal wire 2 Front-end Design, if first time guides not in place outside seal wire 2 will be guided to withdraw from
Sleeve pipe 1, then again can again guide guiding seal wire 2 to be forwardly inserted from trocar sheath 1 afterbody 52, solve original drawing
Seal wire 2 head 51 owing to being designed as the problem that again can not guide that barb shape is caused again insertable into trocar sheath 1,
Easy to operate, save operating time, alleviate patient suffering, success rate of operation is higher.And owing to guiding seal wire 2 front end to set
It is calculated as circular arc seeker 22, is more favorable for guiding trocar sheath 1 to probe into oviducal narrow positions, is effectively increased operating efficiency,
Shorten operating time, improve success rate of operation, thus decrease the roentgenization suffered by patient and doctor.
These are only presently preferred embodiments of the present invention, not in order to limit the present invention, all the spirit and principles in the present invention it
Interior made any amendment, equivalent and improvement etc., should be included within the scope of the present invention.
Claims (6)
1. the external member getting involved again logical operation for fallopian tube, it is characterised in that: include trocar sheath and drawing of being located in trocar sheath
Seal wire, described trocar sheath includes Handheld Division, insertion section and the guiding tube head being sequentially connected with from tail end to front end, described Handheld Division
Including a horizontal straight pipe and be arranged at the operation handle on described horizontal straight pipe, described horizontal straight pipe is hard tube, described
Insertion section and guiding tube head are flexible pipe, and the hardness of described guiding tube head is wrapped less than the hardness of described insertion section, described insertion section
Include the section of being horizontally inserted that is connected and tilt inserting paragraph, described in the section of being horizontally inserted and tilting connected by arc transition between inserting paragraph,
Described horizontal straight pipe is connected with the described section of being horizontally inserted and is positioned on same horizontal line；Described guiding seal wire includes that seal wire is originally
Body and be arranged at the circular arc seeker of described guidewire body front end, the hardness of described circular arc seeker is less than described guidewire body
Hardness, described circular arc seeker is soft silk, and described guiding seal wire inserts in described trocar sheath, and described circular arc seeker is with described
The inclination inserting paragraph of trocar sheath is corresponding with guiding tube head and stretches out outside described guiding tube head, and described guiding seal wire tail end is by fixing
Device removably connects with described trocar sheath tail end.
A kind of external member getting involved again logical operation for fallopian tube, it is characterised in that: described external member is also
Including the microtubular being installed in described trocar sheath and micro-wire, described micro-wire inserts in described microtubular, before described microtubular
End connection has one section of roentgenopaque microtubular head, and described micro-wire includes micro-wire body and is positioned at described micro-wire body
The micro-wire top guide of front end, described micro-wire top guide flexible and be flexible guidewire.
A kind of external member getting involved again logical operation for fallopian tube, it is characterised in that: described fixing dress
Putting the head and afterbody including front and back being connected, described afterbody is elastic component, and described head center is provided with internal thread hole, described
Afterbody is provided centrally with through hole, and described internal thread hole is connected with described through hole, and described afterbody front end external diameter is less than afterbody rear end
External diameter and angled transition, described lateral tail face is provided with the first external screw thread, and described afterbody is externally provided with the outer spiral shell threadeded with it
Mother, the horizontal straight pipe tail end of described trocar sheath is provided with injection cannula joint, and described injection cannula joint lateral surface is provided with one
The external thread section that section matches with the internal thread hole of described head center.
A kind of external member getting involved again logical operation for fallopian tube, it is characterised in that: described level is inserted
The section of entering and the angle tilted between inserting paragraph are 120 °～150 °.
A kind of external member getting involved again logical operation for fallopian tube, it is characterised in that: described injection set
Internal diameter of pipe joint is more than described horizontal straight pipe internal diameter.
A kind of external member getting involved again logical operation for fallopian tube, it is characterised in that: described level is straight
Siphunculus is plastic conduit.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610397539.4A CN105963003A (en) | 2016-05-31 | 2016-05-31 | Assembly for oviduct intervention recanalization surgery |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610397539.4A CN105963003A (en) | 2016-05-31 | 2016-05-31 | Assembly for oviduct intervention recanalization surgery |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN105963003A true CN105963003A (en) | 2016-09-28 |
Family
ID=57011624
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201610397539.4A Pending CN105963003A (en) | 2016-05-31 | 2016-05-31 | Assembly for oviduct intervention recanalization surgery |
Country Status (1)
| Country | Link |
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| CN (1) | CN105963003A (en) |
Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20080071269A1 (en) * | 2006-09-18 | 2008-03-20 | Cytyc Corporation | Curved Endoscopic Medical Device |
| CN201248755Y (en) * | 2008-04-11 | 2009-06-03 | 广州中医药大学 | Positioning and shape-correcting apparatus for selective salpingography or fallopian tube recanallzation |
| CN201791224U (en) * | 2010-09-21 | 2011-04-13 | 北京微创介入医疗装备有限公司 | Salpingography dredge conduit device |
| CN102139821A (en) * | 2011-01-27 | 2011-08-03 | 上海交通大学 | Variable cross-section diversion air duct for automatic bobbin winder |
| CN202892010U (en) * | 2012-11-21 | 2013-04-24 | 江恩荣 | Improved disposable fallopian tube recanalization sleeve piece |
| CN103829991A (en) * | 2014-03-05 | 2014-06-04 | 陈巧辉 | Hydrotubation radiography re-hydrotubation device |
| CN205697963U (en) * | 2016-05-31 | 2016-11-23 | 李兵 | A kind of external member leading to operation for fallopian tubal intervention again |
-
2016
- 2016-05-31 CN CN201610397539.4A patent/CN105963003A/en active Pending
Patent Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20080071269A1 (en) * | 2006-09-18 | 2008-03-20 | Cytyc Corporation | Curved Endoscopic Medical Device |
| CN201248755Y (en) * | 2008-04-11 | 2009-06-03 | 广州中医药大学 | Positioning and shape-correcting apparatus for selective salpingography or fallopian tube recanallzation |
| CN201791224U (en) * | 2010-09-21 | 2011-04-13 | 北京微创介入医疗装备有限公司 | Salpingography dredge conduit device |
| CN102139821A (en) * | 2011-01-27 | 2011-08-03 | 上海交通大学 | Variable cross-section diversion air duct for automatic bobbin winder |
| CN202892010U (en) * | 2012-11-21 | 2013-04-24 | 江恩荣 | Improved disposable fallopian tube recanalization sleeve piece |
| CN103829991A (en) * | 2014-03-05 | 2014-06-04 | 陈巧辉 | Hydrotubation radiography re-hydrotubation device |
| CN205697963U (en) * | 2016-05-31 | 2016-11-23 | 李兵 | A kind of external member leading to operation for fallopian tubal intervention again |
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Application publication date: 20160928 |
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