CN109620374A - A kind of uterus raising device that can reduce to uterus pressure surface product - Google Patents
A kind of uterus raising device that can reduce to uterus pressure surface product Download PDFInfo
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- CN109620374A CN109620374A CN201910126932.3A CN201910126932A CN109620374A CN 109620374 A CN109620374 A CN 109620374A CN 201910126932 A CN201910126932 A CN 201910126932A CN 109620374 A CN109620374 A CN 109620374A
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- 210000004291 uterus Anatomy 0.000 title claims abstract description 207
- 238000000034 method Methods 0.000 claims description 11
- 230000008859 change Effects 0.000 claims description 7
- 239000008280 blood Substances 0.000 abstract description 8
- 210000004369 blood Anatomy 0.000 abstract description 8
- 230000003902 lesion Effects 0.000 abstract description 8
- 208000015181 infectious disease Diseases 0.000 abstract description 6
- 238000005516 engineering process Methods 0.000 abstract description 2
- 210000001519 tissue Anatomy 0.000 description 16
- 210000000683 abdominal cavity Anatomy 0.000 description 9
- 206010040007 Sense of oppression Diseases 0.000 description 7
- 238000010586 diagram Methods 0.000 description 7
- 230000007812 deficiency Effects 0.000 description 3
- 239000012530 fluid Substances 0.000 description 3
- 238000009802 hysterectomy Methods 0.000 description 3
- 230000008569 process Effects 0.000 description 3
- 238000001356 surgical procedure Methods 0.000 description 3
- 238000011109 contamination Methods 0.000 description 2
- FGRBYDKOBBBPOI-UHFFFAOYSA-N 10,10-dioxo-2-[4-(N-phenylanilino)phenyl]thioxanthen-9-one Chemical compound O=C1c2ccccc2S(=O)(=O)c2ccc(cc12)-c1ccc(cc1)N(c1ccccc1)c1ccccc1 FGRBYDKOBBBPOI-UHFFFAOYSA-N 0.000 description 1
- 208000005641 Adenomyosis Diseases 0.000 description 1
- 206010028980 Neoplasm Diseases 0.000 description 1
- 208000002193 Pain Diseases 0.000 description 1
- 235000008331 Pinus X rigitaeda Nutrition 0.000 description 1
- 235000011613 Pinus brutia Nutrition 0.000 description 1
- 241000018646 Pinus brutia Species 0.000 description 1
- 230000003187 abdominal effect Effects 0.000 description 1
- 230000009471 action Effects 0.000 description 1
- 238000005452 bending Methods 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000017531 blood circulation Effects 0.000 description 1
- 201000011510 cancer Diseases 0.000 description 1
- 230000001627 detrimental effect Effects 0.000 description 1
- 235000013399 edible fruits Nutrition 0.000 description 1
- 201000009274 endometriosis of uterus Diseases 0.000 description 1
- 230000003090 exacerbative effect Effects 0.000 description 1
- 230000035876 healing Effects 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- 238000011835 investigation Methods 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
- 230000003211 malignant effect Effects 0.000 description 1
- 208000017708 myomatous neoplasm Diseases 0.000 description 1
- 210000001672 ovary Anatomy 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 231100000241 scar Toxicity 0.000 description 1
- 230000006641 stabilisation Effects 0.000 description 1
- 238000011105 stabilization Methods 0.000 description 1
- 210000001215 vagina Anatomy 0.000 description 1
- 210000001835 viscera Anatomy 0.000 description 1
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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
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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
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
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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
- A61B2017/4216—Operations on uterus, e.g. endometrium
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- Engineering & Computer Science (AREA)
- General Health & Medical Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
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- Animal Behavior & Ethology (AREA)
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Abstract
The invention belongs to the field of medical instrument technology, the uterus raising device to uterus pressure surface product can be reduced more particularly to one kind, including mobile jib, described mobile jib one end is for protruding into the inserting end inside uterus, the other end is to be placed in the external operating side of patient, uterus holding part is provided on the inserting end of the mobile jib, the uterus holding part, including several catch amis, when the uterus holding part is the grasping state, the gripper end of the catch amis fits with uterus inner wall, the control unit acted for controlling the uterus holding part from collapse state to unfolded state is additionally provided on the mobile jib.The uterus raising device of the application avoids the large area extruding to uterine wall, in this way, significantly reducing the risk that intrauterine blood is squeezed into surrounding tissue, and then the risk of periuterine lesion tissue and infection is greatly reduced.
Description
Technical field
The invention belongs to the field of medical instrument technology, and in particular to one kind can reduce the act palace to uterus pressure surface product
Device.
Background technique
Complete hysterectomy is a kind of modus operandi being widely applied in gynemetrics's treatment, can be with son treatment uterus muscle
Tumor, Adenomyosis, ovary and uterus tumour etc., traditional mode are to cut abdominal cavity of patients to carry out panhysterectomy, such side
Although formula can be realized the excision in uterus, but due to the deficiencies of wound area is big, healing time is long, surgery cost is expensive,
It is gradually eliminated, instead the laparoscopically hysterectomy being widely used at present.
Laparoscopically hysterectomy sharpest edges are that wound area is small, interfere less abdominal viscera, damage is small, restores
Fastly, it is able to maintain the stabilization of organismic internal environment, without apparent scar.But there is also the small equal limitations in operating space, so, in order to true
The smooth of surgical procedure is protected, operation risk is reduced, needs to be adjusted the position in uterus before uterectomy, be in uterus
Facilitate the position of operation, and it also requires the uterus being adjusted in place is fixed, avoids in surgical procedure, uterus shifts
Etc. risks.
Currently, the fixation for uterus position, usually use uterus raising device, structure be usually include rod-shaped or software
The oppression department of cryptomere and the control stick being connected with oppression department, when operation, oppression department extend into intrauterine, operation doctor by patient's vagina
Raw or nurse squeezes oppression department inside patient uterine by operating lever operation oppression department, then carries out the position tune in uterus
It is whole and fixed.
Although aforesaid way can be realized the adjustment to uterus position, it can also meet to a certain extent and uterus is consolidated
It is fixed, but in actual operation, inventors have found that current uterus raising device is there is also there is serious deficiency, it is specific as follows to state:
In current uterus raising device, either to the adjustment of the uterus position still fixation to uterus position, all have to make
The oppression department of uterus raising device compresses uterine wall, and compresses degree and also just determine whether uterus raising device can reliably fix uterus and right
Uterus position is adjusted, so in current uterus raising device in use, requiring using biggish oppressive force, it is ensured that oppression department compresses
Uterine wall, and then realize and the position in uterus is adjusted and fixed, and in further further investigation, inventors have found that in this way
Being squeezed energetically uterus for large area, also results in serious problem, is characterized in particular in: when uterine wall is by above-mentioned extruding force
When, internal blood can be squeezed out uterus and enter in the tissue that is connected with uterus, when uterus is there are when malignant change tissue, example
When such as malignant tumour, such mode of operation although postoperative uterus is removed, but makes its hetero-organization there is greatly infection
With lesion risk.
Summary of the invention
It is an object of the invention to: exist for current uterus raising device structure and squeeze uterus, intrauterine blood is caused to flow into it
Hetero-organization and cause its hetero-organization to there is the deficiency of pollution and lesion risk, provide it is a kind of uterus is oppressed can reduce, into
And reduce the infected uterus raising device structure with lesion risk of uterus perienchyma.
To achieve the goals above, the technical solution adopted by the present invention are as follows:
A kind of uterus raising device that can reduce to uterus pressure surface product, including mobile jib, described mobile jib one end are for protruding into intrauterine
The inserting end in portion, the other end are to be placed in the external operating side of patient, and uterus grasping part is provided on the inserting end of the mobile jib
Part, the uterus holding part, including several catch amis have the grasping for matching with uterus inner wall in the catch amis
End, each catch amis be can relatively movable cooperation, make the uterus holding part have collapse state and unfolded state,
The uterus holding part is from collapse state into unfolded state change procedure, and the pressure side of each catch amis is towards being located remotely from each other
Direction is mobile, and the uterus holding part is made to there is at least one grasping state, be when the uterus holding part described in grab
When holding state, gripper end and the uterus inner wall of the catch amis fit, and are additionally provided on the mobile jib described for controlling
The control unit that uterus holding part is acted from collapse state to unfolded state.
The uterus raising device of the application controls the movement of uterus holding part by control unit, uterus holding part is made to be placed in son
After in utero, changed from collapse state to unfolded state, realize the grasping to uterus, and in the scheme of the application, uterus is grabbed
Component is held, is that the gripper end of each catch amis is bonded in multiple local locations with uterus inner wall, to realize when grasping uterus
Grasping of the holding part to uterus avoids the large area extruding to uterine wall, in this way, significantly subtracting in this way
Small intrauterine blood is squeezed into the risk of surrounding tissue, and then the wind of periuterine lesion tissue and infection is greatly reduced
Danger.
Preferably, the control unit is the hollow cylinder of both ends open, and the control unit is set in outside the mobile jib,
And when the control unit is moved along the mobile jib, the uterus holding part can be controlled along the axial movement of the mobile jib
It folds or is unfolded.
Preferably, when the control unit is mobile towards the uterus holding part, the palace wall holding part is gradually received
It closes, when the uterus holding part is collapse state, the uterus holding part is all or part of positioned at the control
In component processed；
When the control unit is mobile towards the direction far from the uterus holding part, the palace wall holding part is gradually spread out.
Preferably, graduation mark is provided on the mobile jib side wall and/or the control unit lateral wall.
It as a preferred embodiment, is to be threadedly engaged between the control unit and the mobile jib.
It is further preferred that the control unit is additionally provided with assurance portion, institute far from one end of the uterus holding part
Stating assurance portion is the bulge-structure for protruding from the control unit outer wall, or recessed on the control unit outer wall to be arranged in
It falls into.
As another preferred embodiment, it is additionally provided on the mobile jib for driving the control unit along the mobile jib
Mobile driving device.
It is further preferred that the driving device is linear motor.
Preferably, bracket is also removably connected on the operating side of the mobile jib, the bracket is used for and operating bed phase
Even.
Preferably, the catch amis slender rod piece.
Preferably, the equal length of each catch amis.
Preferably, the catch amis is at least three.
Preferably, each catch amis is uniformly distributed along the mobile jib central axis circumferencial direction, also, the uterus grasps
From collapse state into unfolded state change procedure, the projection of the motion profile or motion profile of each gripper end is located at component
The radial direction of the circumference.
Preferably, the uterus holding part further includes connector, and the catch amis is spindle rotationally arranged in the connection
On part, the connector is removably connect with the mobile jib.
Preferably, it is additionally provided with elastic device in the connector, the elastic device is for bestowing the catch amis
Elastic force makes the uterus holding part have the trend for keeping unfolded state.
Preferably, uterine wall occlusion end is additionally provided in the gripper end, uterine wall occlusion end includes end
Mounting portion and occlusion portion are arranged on the end ontology for ontology,
The mounting portion is used to be connected with the gripper end,
The occlusion portion is for being engaged uterus inner wall, to realize the fixation of the end ontology and uterine wall relative position.
It preferably, is removably to connect between the uterine wall occlusion end and the gripper end.
As a preferred embodiment, the groove to be arranged on the end ontology.
It is further preferred that the groove is V-type groove.
It is further preferred that the end ontology at the recess edge is wedge angle.
As another preferred embodiment, the occlusion portion is the openable and closable tooth engaged being arranged on the end ontology.
As another preferred embodiment, the occlusion portion is several sharp protrusions being arranged on the end ontology.
It is further preferred that the sharp protrusion is less than uterus wall thickness away from the height of the end ontology.
It is further preferred that the sharp protrusion is less than the 2/3 of uterus wall thickness away from the height of the end ontology.
Preferably, the uterus holding part from collapse state into unfolded state change procedure, the end ontology by
Uterus inner wall is gradually squeezed,
The sharp end of the sharp protrusion is bent upwards towards away from the end ontology pressing square.
As a preferred embodiment, the end ontology is the cambered surface of evagination towards one end of uterus inner wall, described sharp
Protrusion is distributed in the cambered surface.
As another preferred embodiment, the end ontology is towards one end of uterus inner wall on the direction along occlusion track
A stripes are extended to form, the sharp protrusion is arranged in side of the stripes towards uterine wall.
In conclusion by adopting the above-described technical solution, the beneficial effect of the application is:
The uterus raising device of the application controls the movement of uterus holding part by control unit, uterus holding part is made to be placed in intrauterine
Later, changed from collapse state to unfolded state, realize the grasping to uterus, and in the scheme of the application, uterus grasping part
Part is that the gripper end of each catch amis is bonded in multiple local locations with uterus inner wall, to realize grasping when grasping uterus
Grasping of the component to uterus avoids the large area extruding to uterine wall, in this way, significantly reducing in this way
Intrauterine blood is squeezed into the risk of surrounding tissue, and then the risk of periuterine lesion tissue and infection is greatly reduced.
Detailed description of the invention
Fig. 1 is the structural schematic diagram of uterus raising device；
Fig. 2 is the structural schematic diagram that uterine wall is engaged end one of which embodiment；
Fig. 3 is the structural schematic diagram that uterine wall is engaged end one of which embodiment
Fig. 4 is the structural schematic diagram that uterine wall is engaged end one of which embodiment；
Fig. 5 is the structural schematic diagram that uterine wall is engaged end one of which embodiment；
Fig. 6 is the broken section structural schematic diagram of connector and catch amis cooperation；
Fig. 7 is the partial schematic sectional view that control unit and mobile jib and holding part cooperate；
Fig. 8 is the structural schematic diagram of uterus raising device when driving device uses linear motor,
Marked in the figure: A- uterine wall is engaged end, the end 1- ontology, 2- mounting portion, 3- occlusion portion, 4- control unit, 5- grasping
Arm, 6- gripper end, 7- connector, 8- elastic device, 9- mobile jib, 10- assurance portion, 11- bracket, 12- driving device.
Specific embodiment
Lower region is in conjunction with attached drawing, and the present invention is described in detail.
In order to make the objectives, technical solutions, and advantages of the present invention clearer, with reference to the accompanying drawings and embodiments, right
The present invention is further elaborated.It should be appreciated that described herein, specific examples are only used to explain the present invention, not
For limiting the present invention.
Embodiment 1, as shown in figs. 1-7:
A kind of uterus raising device that can reduce to uterus pressure surface product, including mobile jib 9, described 9 one end of mobile jib are for protruding into uterus
Internal inserting end, the other end is to be placed in the external operating side of patient, and uterus grasping is provided on the inserting end of the mobile jib 9
Component, the uterus holding part, including several catch amis 6 have in the catch amis 6 for matching with uterus inner wall
Gripper end, each catch amis 6 be can relatively movable cooperation, make the uterus holding part have collapse state and expansion
State, the uterus holding part is from collapse state into unfolded state change procedure, and the pressure side of each catch amis 6 is towards mutual
Separate direction is mobile, and makes the uterus holding part there are at least one grasping states, when the uterus holding part is
When the grasping state, gripper end and the uterus inner wall of the catch amis 6 fit, and are additionally provided with and are used on the mobile jib 9
Control the control unit 4 that the uterus holding part is acted from collapse state to unfolded state.
The uterus raising device of the present embodiment controls the movement of uterus holding part by control unit 4, is placed in uterus holding part
After intrauterine, changed from collapse state to unfolded state, realizes the grasping to uterus, and in the scheme of the application, uterus
Holding part is that the gripper end of each catch amis 6 is bonded in multiple local locations with uterus inner wall when grasping uterus, thus
It realizes grasping of the holding part 4 to uterus, in this way, the large area extruding to uterine wall is avoided, in this way, substantially
The risk for reducing intrauterine blood and being squeezed into surrounding tissue, and then be greatly reduced periuterine lesion tissue and infection
Risk.
As preferred embodiment, further, the control unit 4 is the hollow cylinder of both ends open, the control
Component 4 processed is set in outside the mobile jib 9, and can be along the axial movement of the mobile jib 9, and the control unit 4 is along the mobile jib 9
When mobile, control the uterus holding part and fold or be unfolded.
As preferred embodiment, further, when the control unit 4 is mobile towards the uterus holding part,
The palace wall holding part gradually folds, and when the uterus holding part is collapse state, the uterus holding part is whole
Or it is part of in the control unit 4；The control unit 4 is mobile towards the direction far from the uterus holding part
When, the palace wall holding part is gradually spread out.
In the above-described embodiment, by the moving along mobile jib 9 of control unit 4, it can be realized and holding part is unfolded
The control of degree, is not only simple and efficient, but also control process is stablized.
As preferred embodiment, further, on 4 lateral wall of 9 side wall of mobile jib and/or the control unit
It is provided with graduation mark.In this embodiment, on the one hand the setting of graduation mark is can have easily to know the length that uterus raising device protrudes into
On the other hand degree can also measure the expansion of holding part by the relative position variation degree of mobile jib 9 and control unit 4
Degree further facilitates the use of the application uterus raising device, reduces operation risk.
As preferred embodiment, further, it is threadedly engaged between the control unit 4 and the mobile jib 9.It is logical
This kind of mode is crossed, the moving along mobile jib 9 of control unit 4 can be realized in rotation-control members 4, and then realizes and holding part is unfolded
The control of degree.
As preferred embodiment, further, the one end of the control unit 4 far from the uterus holding part is also
Sure portion 10 is set, and the assurance portion 10 is the bulge-structure for protruding from 4 outer wall of control unit, or to be arranged in institute
State the recess on 4 outer wall of control unit.The setting in assurance portion 10 facilitates medical staff's rotation control unit 4.
As another embodiment, as shown in Figure 8, it is additionally provided on the mobile jib 9 for driving the control
The driving device 12 that component 4 is moved along the mobile jib 9.
It is further preferred that the driving device 12 is linear motor.The motor shaft and control unit 4 of linear motor are cut with scissors
It connects, the motor cabinet of linear motor is arranged on mobile jib 9.
In the above method, one end of the control unit 4 is controlled by setting linear motor, control process is more square
Just efficiently.
As preferred embodiment, bracket 11, the bracket are also removably connected on the operating side of the mobile jib 9
11 with operating bed for being connected.In which, by the way that bracket 11 is arranged, pass through bracket after uterus raising device is adjusted in place for uterus raising device
It is fixed on operating bed, in this way, reducing the labor intensity of medical staff.
As preferred embodiment, 6 slender rod piece of catch amis.Slender rod piece is set by catch amis 6, on the one hand
It is that can ensure that there is lesser outer dimension under collapse state, convenient for protruding into intrauterine, on the other hand, also further subtracts
The small contact area of catch amis 6 and uterine wall, and then further avoid causing large area to squeeze uterine wall.
As preferred embodiment, the equal length of each catch amis 6.
As preferred embodiment, the catch amis 6 is at least three.In this way, at least three
Grasping uterine wall is set, so, it is ensured that reliably grasp to sub- palace.
As preferred embodiment, each catch amis 6 is along the circumferential direction uniformly distributed, also, the uterus grasping part
For part from collapse state into unfolded state change procedure, the projection of the motion profile or motion profile of each gripper end is located at should
The radial direction of circumference.In this way in a circumferential direction, grasping force uniformly is bestowed to uterine wall, in this way, into one
The reliability for ensuring holding part grasping uterus of step.
As preferred embodiment, as shown in Figure 7, the uterus holding part further includes connector 7, the grasping
Arm 6 is spindle rotationally arranged on the connector 7, and the connector 7 is removably connect with the mobile jib 9.In this approach,
The replacement uterus holding part that can be convenient is that connector 7 is removed from mobile jib 9 needing replacing.
As preferred embodiment, be additionally provided with elastic device 8 in the connector 7, the elastic device 8 for pair
The catch amis 6 bestows elastic force, and the uterus holding part is made to have the trend for keeping unfolded state.
As preferred embodiment, uterine wall occlusion end A, the uterine wall occlusion are additionally provided in the gripper end
End A includes end ontology 1, is arranged mounting portion 2 and occlusion portion 3 on the end ontology 1, the mounting portion 2 be used for it is described
Gripper end is connected, and the occlusion portion 3 is for being engaged uterus inner wall, to realize the end ontology 1 and uterine wall relative position
It is fixed.
In the present embodiment, the uterine wall of setting is engaged end A, when in use, is engaged stinging for end A by uterine wall
Conjunction portion 3 is engaged uterus inner wall, and then realizes movement of the uterus raising device to intrauterine wall, that is, when palace device carries out position adjustment to uterus
It is to be engaged uterus inner wall by being engaged the occlusion portion 3 of end, by adjusting uterus raising device position or fixation or when the fixation of position
Uterus raising device is realized, so the pressure that catch amis 6 bestows uterine wall can be greatly reduced, is on the one hand to further decrease uterus
Interior blood is flowed into surrounding tissue energy, on the other hand, additionally it is possible to reduce the intensity requirement to catch amis 6, and then can use and cut
The smaller catch amis 6 of area, in this way, further under collapse state holding part size；
The further uterine wall using present embodiment is engaged end A, is engaged by the local location to intrauterine wall,
For traditional uterus raising device, it is that of avoiding the extruding of large area first, is squeezed in this way, significantly reducing intrauterine blood
It is pressed into the risk of surrounding tissue, and then the risk of periuterine lesion tissue and infection is greatly reduced；On the other hand, tradition lifts palace
Fixation of the device either to the adjustment of the position in uterus or to uterus position is all by way of extruding, when uterus is from uterine neck
When position is cut off, due to losing the support of position of uterine neck, uterus is easy to the opposite sliding with uterus raising device generation and deflects, when serious very
To falling into abdominal cavity of patients, intrauterine tissue fluid flows into abdominal cavity, leads to intra-abdominal contamination.
And exist in present embodiment, occlusion of the occlusion portion 3 to intrauterine wall is only to squeeze relative to traditional uterus raising device
For mode, occlusion is more firm, and when uterus, which is cut from position of uterine neck, to be cut off, occlusion portion 3 can't by way of occlusion
Opposite sliding occurs with uterus, in this way, realizing that uterus raising device is reliably fixed uterus, in this way, avoiding uterus falls into abdominal cavity
And intrauterine tissue fluid stays the risk that intra-abdominal contamination is caused into abdominal cavity, so also substantially being mentioned using the scheme of present embodiment
High operation safety；
In another aspect, for traditional uterus raising device, with the mode and uterine wall for then passing through extruding, in uterus position tune
It is whole in place after, carry out uterus it is fixed when, it is also necessary to bestow certain forward thrust to uterus, uterus made to be in the shape squeezed by pushing tow
State, so realizes the fixation in uterus, and such mode also further exacerbates the wind that intrauterine blood flows into other tissues
Danger, furthermore, it would be desirable to bestow certain forward thrust to uterus raising device, such requirement is more demanding to the outer wall support of uterus raising device,
So the external module for also resulting in uterus raising device is complex, when being pressed using man-hour manually hand-held, there is also biggish working strengths；
And more seriously, under the thrusting action, when uterus is cut off from from uterine neck, the moment, uterus raising device can pushing tow uterus
On the one hand Forward is possible to cause damaging surrounding tissue, on the other hand also exacerbating uterus falls into abdominal cavity or intrauterine group
Knit the risk that liquid stream enters abdominal cavity；
And using the uterine wall of present embodiment occlusion end A be engaged by the way of, due to using be engaged by the way of can be real
Now to the fixation in uterus, so not needing to ensure that uterus is fixed by bestowing pushing tow pressure, so can substantially reduce even
The requirement that jacking force is bestowed to uterus is avoided, so, the extruding to uterine wall is not only further reduced, but also also reduce
Requirement to uterus raising device outside operator or device also reduces equipment while medical staff's working strength is greatly reduced
Cost；Another further aspect also avoids uterus and is cut off from uterine neck the moment, the risk that uterus moves forward by thrust, further
The risk that uterus falls into abdominal cavity or intrauterine tissue fluid flows into abdominal cavity is reduced, operation safety is greatly improved.
It is as shown in FIG. 6 as preferred embodiment, be between the uterine wall occlusion end A and the gripper end
Dismountable connection.In the uterus raising device scheme of the application, it is component easy to wear that uterine wall, which is engaged end A, so uterine wall is stung
Closing between end A and gripper end is removably to connect, and can easily replace uterine wall occlusion end A, avoid entirely lifting palace
The replacement of device reduces patient medical expense burden in this way, further reducing cost of use.
As preferred embodiment, further, as shown in Figure 2, the occlusion portion 3 is to be arranged in the end sheet
Groove on body 1.Groove is set by occlusion portion 3, when in use, certain pressure is bestowed to occlusion end A, makes uterus inner wall
In locally embedding to groove, the occlusion to uterine wall is realized.
It is further preferred that the groove is V-type groove.
It is further preferred that the end ontology 1 at the recess edge is wedge angle.Wedge angle is formed at this, the wedge angle is also
It can be pierced into uterine wall, in this way, further improving the stability and reliability of occlusion end occlusion uterine wall.
As another embodiment, as shown in Figure 3, the occlusion portion 3 be arranged on the end ontology 1 can
The tooth engaged of folding.In this manner, it may be convenient to control the folding of tooth engaged, and then control occlusion uterine wall or pine
Open uterine wall.
As another embodiment, as shown in Figures 4 and 5, the occlusion portion 3 is to be arranged on the end ontology 1
Several sharp protrusions.In this embodiment, by the way that sharp protrusion is arranged, when occlusion end presses to sub- palace wall, this
A little sharp protrusions are pierced into uterine walls, and then are realized and to be reliably connected with uterus.
It is further preferred that the sharp protrusion is less than uterus wall thickness away from the height of the end ontology 1.
It is further preferred that the sharp protrusion is less than the 2/3 of uterus wall thickness away from the height of the end ontology 1.
By the above-mentioned means, sharp protrusion is avoided to pierce through uterine wall and increase operation risk.
As preferred embodiment, on the basis of above scheme, further, the end ontology 1 has occlusion rail
Mark, when the end ontology 1 is moved along occlusion track, the end ontology 1 gradually squeezes uterus inner wall, the sharp protrusion
Sharp end towards being bent upwards away from 1 pressing square of end ontology.In this embodiment, by setting sharp protrusion to
Bending, when avoiding end mobile towards occlusion track opposite direction, sharp protrusion is detached from uterine wall, in this way, further improve
The reliability being engaged between occlusion portion 3 and uterine wall, need to illustrate when, the uterus raising device of the application is to be directed to uterus to cut
Except operation, so, in uterus raising device operating process, even there is the movement such as occlusion, piercing to uterine wall, surgeon's knot will not be given
Fruit brings detrimental effect.
As shown in Figures 4 and 5 as a preferred implementation manner, one end of end ontology 1 towards the uterus inner wall is
The cambered surface of evagination, the sharp protrusion are distributed in the cambered surface.
As another preferred embodiment, as shown in Figure 5, one end of end ontology 1 towards the uterus inner wall exists
A stripes are extended to form along the direction of occlusion track, the sharp protrusion is arranged in the stripes one towards uterine wall
Side.
Above embodiments are only to illustrate the present invention and not limit the technical scheme described by the invention, although this explanation
The present invention has been described in detail referring to above-mentioned each embodiment for book, but the present invention is not limited to above-mentioned specific implementation
Mode, therefore any couple of present invention modifies or equivalent replacement；And the technical side of all spirit and scope for not departing from invention
Case and its improvement, are intended to be within the scope of the claims of the invention.
Claims (10)
1. one kind can reduce the uterus raising device to uterus pressure surface product, which is characterized in that including mobile jib, described mobile jib one end is to use
In protruding into the inserting end inside uterus, the other end is to be placed in the external operating side of patient, is arranged on the inserting end of the mobile jib
Have uterus holding part, the uterus holding part, including a several catch amis, have in the catch amis for uterus inner wall
The gripper end matched, each catch amis be can relatively movable cooperation, make the uterus holding part have fold shape
State and unfolded state, the uterus holding part from collapse state into unfolded state change procedure, the compressing of each catch amis
End is mobile towards the direction that is located remotely from each other, and makes the uterus holding part there are at least one grasping states, when the uterus is grabbed
Hold component be the grasping state when, gripper end and the uterus inner wall of the catch amis fit, and also set up on the mobile jib
There is the control unit acted for controlling the uterus holding part from collapse state to unfolded state.
2. uterus raising device according to claim 1, which is characterized in that the control unit is the hollow cylinder of both ends open,
The control unit is set in outside the mobile jib, and can be along the axial movement of the mobile jib, and the control unit is along the master
When bar is mobile, controls the uterus holding part and fold or be unfolded.
3. uterus raising device according to claim 2, which is characterized in that the control unit is moved towards the uterus holding part
When dynamic, the palace wall holding part is gradually folded, when the uterus holding part is collapse state, the uterus holding part
It is all or part of in the control unit；
When the control unit is mobile towards the direction far from the uterus holding part, the palace wall holding part is gradually spread out.
4. uterus raising device according to claim 2 or 3, which is characterized in that in the mobile jib side wall and/or the control unit
Graduation mark is provided on lateral wall.
5. uterus raising device according to claim 2 or 3, which is characterized in that be spiral shell between the control unit and the mobile jib
Line cooperation.
6. uterus raising device described in -5 any one according to claim 1, which is characterized in that the control unit is far from the uterus
One end of holding part is additionally provided with assurance portion, and the assurance portion is the bulge-structure for protruding from the control unit outer wall, or
Person is the recess being arranged on the control unit outer wall.
7. uterus raising device according to claim 1 to 3, which is characterized in that be additionally provided with and be used on the mobile jib
The driving device for driving the control unit to move along the mobile jib.
8. uterus raising device according to claim 7, which is characterized in that the driving device is linear motor.
9. uterus raising device according to claim 1 to 3, which is characterized in that be additionally provided with uterus in the gripper end
Wall is engaged end, and uterine wall occlusion end includes end ontology, and mounting portion and occlusion portion, institute are arranged on the end ontology
Mounting portion is stated for being connected with the gripper end, the occlusion portion for being engaged uterus inner wall, with realize the end ontology and
The fixation of uterine wall relative position.
10. the uterus raising device according to claim 9, which is characterized in that the uterine wall occlusion end and the gripper end
Between be removably to connect.
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910126932.3A CN109620374B (en) | 2019-02-20 | 2019-02-20 | Uterine manipulator capable of reducing uterine compression area |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910126932.3A CN109620374B (en) | 2019-02-20 | 2019-02-20 | Uterine manipulator capable of reducing uterine compression area |
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| CN109620374A true CN109620374A (en) | 2019-04-16 |
| CN109620374B CN109620374B (en) | 2024-01-30 |
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| CN109620374B (en) | 2024-01-30 |
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