CN104337605A - Tool for being inserted inot intrauterine device postpartumly and method thereof - Google Patents
Tool for being inserted inot intrauterine device postpartumly and method thereof Download PDFInfo
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- CN104337605A CN104337605A CN201410318323.5A CN201410318323A CN104337605A CN 104337605 A CN104337605 A CN 104337605A CN 201410318323 A CN201410318323 A CN 201410318323A CN 104337605 A CN104337605 A CN 104337605A
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- iud
- hard tube
- puerperal
- instrument
- intron
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Abstract
A tool for postpartum IUD insertion (IUD) is flexible and its dimensions are suitable uterus and can safely carry IUD in a particular direction to the end of the uterus. IUD is driven from the outside by being placed near the bottom of the uterus. With this tool, the process is performed shortly after birth, and therefore being convenient for those women whom do not want to return to hospital for facilitate intra-uterine.
Description
This application claims the priority of the provisional application of the India bearing series No.2534/MUM/2013 that on 08 01st, 2013 submits to.
Technical field
The present invention relates to a kind of point of the puerperium in uterus instrument of intron intrauterine device (being abbreviated as IUD) and its method soon, be medically called that the puerperal of IUD inserts.
Background technology
About puerperal, the research of implanted device intrauterine device is agreed with placing intrauterine contraceptive device (IUD) soon in a point puerperium; Because vagina, cervix uteri and uterus are extended, this makes placement easy.Although the significant advantage inserting IUD puerperal is that it is painless, do not cause extra bleeding and do not hinder suckling, another society inserted puerperal and free-revving engine are economically, because IUD was placed at once in puerperal, women does not need again medical to insert IUD to hospital/sanatorium.This is because initiatively do not adopt contraceptive device the women of some developing countries.
In the past, obtain and inserted relevant many principles to IUD in puerperal.Patent No.US4721105 describes the inserter for placing IUD puerperal immediately in cavity of uterus.This device comprises two inside and outside circle cylindrical rod, this cylindrical by means of locking member be engaged with each other.Pin is attached to IUD.This pin helps IUD to be attached to cavity of uterus.This process nature advances pin by utilizing interior bar to push away it, and fundus of uterus may be caused excessively to be punctured.
Patent No.US3954103 discloses a kind of inserter manually placing intrauterine contraceptive device for point puerperium immediately in uterus; This needs doctor hands is put in cavity of uterus and uses pin fixing device.The method of this placement IUD is unhygienic and require high skill, is therefore dangerous.
Another prior art, patent No.US5303717 describes a kind of device in uterus stator intrauterine device, this device comprises the non-biodegradable screw thread being attached to contraceptive device, this device is connected to retaining member, this retaining member forms by helping the biodegradable material being attached to the postpartum state in uterus, and dissolves at leisure after recover of uterus normal condition.The method also adopts pin to be attached in uterus by IUD, causes it to be excessive risk and misery.
Common and well-known, the equipment that many surgeon adopt drill with ferrule bar cramp (Kelly clip) or placental forceps to insert as puerperal, because the size in uterus is large enough to the large handle holding drill with ferrule bar cramp.This process need sterilizes at every turn.Equally, there is the possibility that IUD falls down inadequately.In addition, these operating theater instruments of movement existed due to careless slip or hands may cause to the damage of tender body part may.
Therefore, this inserts in satisfaction that the art methods of IUD and equipment has been considered to its easiness, health and safety when inserting IUD for puerperal is at once not enough.
Puerperal, the size in uterus was enough large, and probably IUD is placed with its arm on non-horizontal surface.Except expertly adopting drill with ferrule bar cramp etc., usually do not have known method/equipment to point out from outside or ensure that IUD is placed on specific direction under postpartum state.
Our invention overcomes these problems.
Object of the present invention
The object of this invention is to provide the one wholesomely instrument of intron intrauterine device (IUD) under the postpartum state of uterus.
Another object be invention a kind of under the postpartum state in uterus at the simple tool of specific direction intron intrauterine device (IUD).
Another object of the present invention is to provide a kind of IUD inserter, and this IUD inserter can use soon in puerperal, does not therefore need women again to go to a doctor in order to implanted device intrauterine device (IUD).
Summary of the invention
Our invention is a kind of instrument for intron intrauterine device in puerperal (IUD).Instrument is made up of the hard long tube of flexibility, and the hard long tube of this flexibility is placed in cardinal extremity with IUD with identical shape and specific direction, and this specific direction is the horizontal direction in the uterus relative to the women lain low, and IUD requires to be maintained at intrauterine.This direction can by being guaranteed at the associated projection of handle end.This ensures that IUD is not inserted into non-horizontal directions, otherwise this is possible due to size that puerperal, uterus expanded.This instrument is packaged in be had in the bag of translucent cover, and is finally sterilized.
The specific direction of this IUD is kept by the multiple grooves being arranged on the cardinal extremity of bendable hard tube, and suture is firmly held from handle end simultaneously.Groove or be integrally provided the cardinal extremity of bendable hard tube, or alternatively and optionally, by installing the extention of directional head by name in the bottom of bendable hard tube.
As another embodiment, specific direction does not have groove to be maintainable yet, by catching the suture of emerging from bendable hard tube tightly, and/or by being engaged securely with object of reference by suture, or by thread entanglement is locked suture in slit.This slit or integrally in bendable hard tube or be arranged in the extention on bendable hard tube.
The length of bendable hard tube for when its cardinal extremity is close to fundus of uterus, its handle end through expand puerperal uterus and the cervix uteri of expansion outstanding from vagina.IUD is equipped with the suture corresponding with the length of bendable hard tube thus gives prominence to rational length from handle end.Bendable hard tube is made up of the thermoplastic with material property and thickness, thus it can slight curvature and as required bending in taking when inserting of needing; Simultaneously it is sufficiently rigid and during insertion can not warpage and IUD midway is fallen down.
In order to perform the process of insertion, bag is partially opened and bendable hard tube together with being placed in IUD is extracted out from bag.Bendable hard tube is held together with the suture being kept to strain from handle end, and IUD is sent in uterus in puerperal.By check protuberance and or object of reference, the specific direction of IUD is maintainable.The fundus of uterus of cavity of uterus is felt from outside and is pressed to order about and to stop IUD in uterus, and suture is released and bendable hard tube is drawn out of, and leaves IUD in uterus.In whole process, surgeon does not have straightforward manipulation IUD.Thus, this process is health.
Accompanying drawing explanation
Fig. 1 shows our instrument that surgeon gets ready.This instrument can be used to difform IUD, and another difform IUD with dotted line display using as diagrammatic example.
The bag of the instrument that is equipped with that Fig. 2 A/2B opens display section, comprises bendable hard tube and the difform IUD being placed in bendable hard tube.
Fig. 3 shows the radian that bendable hard tube is designed to adopt when inserting.
The embodiment of Fig. 4 A display channel, this groove ensures that IUD keeps specific direction and the direction of IUD is confirmable at handle end place.
Another embodiment of Fig. 4 B display channel, this groove ensures that IUD keeps specific direction.
Fig. 4 C shows the non-circular shape of object of reference, and Fig. 4 D shows the suture be locked in slit.
Fig. 5 shows the relative position of surgical hands when the process inserting IUD puerperal completes soon, bendable hard tube and IUD.
Fig. 6 display has arrived the IUD of fundus of uterus, and Fig. 7 display is placed on the IUD of fundus of uterus and bendable hard tube is drawn out of.
Detailed description of the invention
Referring now to accompanying drawing describe in detail according to of the present invention for puerperal intron intrauterine device the instrument of novelty and the preferred embodiment of method.Here the term adopted and statement only for illustration of and be not used in restriction.
Instrument 10 according to the present invention comprises bendable hard tube 14, and IUD30 is with same shape and the cardinal extremity 18 being placed in bendable hard tube 14 with specific direction, and requires to be maintained at intrauterine, and specific direction is the horizontal direction in the uterus relative to the women that lies low.
Bendable hard tube 14 have length 20 make when cardinal extremity 18 close to handle end during fundus of uterus 49 17 through puerperal uterus and the cervix uteri of expansion give prominence at vagina outside.
Multiple groove 42 is optionally arranged on the cardinal extremity 18 of bendable hard tube 14, ensures that IUD30 keeps direction when suture keeps securely from handle end 17.Multiple grooves 42 have the opening of round edge and convergence, are convenient to bendable hard tube 14 and injure and enter uterus 50 littlely.Arrange with the relation limited with groove 42 by means of labelling, line or groove at the protuberance 44 of handle end 17, make to determine that the specific direction of IUD30 becomes possibility from handle end 17.Groove 42 or be integrally provided bendable hard tube 14 cardinal extremity 18 or, alternatively and optionally, by installing the extention of directional head 45 by name at the cardinal extremity 18 of bendable hard tube 14.
As another embodiment, specific direction also can by catch tightly the suture 15 of emerging from the handle end 17 of bendable hard tube 14 and or by suture 15 is engaged securely with object of reference 31, or pass through suture 15 to be wrapped in lock suture in slit 46 and be kept.Slit 46 or integrally in bendable hard tube 14 or be arranged in the extention on bendable hard tube 14.
Object of reference 31 is in fact the non-circular component with suitable handle, has hole 31A thus it slides and closely to fit on bendable hard tube 14 thus once to install it and can not freely rotate on bendable hard tube at center.Due to its non-circular shape, it is as with reference to determine its Angle Position about labelling any on bendable hard tube 14 or protuberance.
IUD30 is equipped with the suture 15 corresponding with the length 20 of bendable hard tube 14, thus the suture 15 of suitable length protrudes past handle end 17.This in fact also refers to that the suture that this suture 15 obviously uses than the IUD under normal i.e. non-postpartum status is long.In other words, the suture 15 mated with IUD is provided with.
Bendable hard tube 14 is made up of the thermoplastic with material property and thickness 19, thus it can axially bend slightly, as shown in Figure 3, and needs due to the shape in uterus 50, takes require bending 16 when inserting.
Although bendable hard tube 14 is flexible, it has length 20, and this length 20 is obviously greater than the length that normal uterus is suitable for.Therefore, it is unduly soft and have enough hardness, thus carrying IUD30 is until it is important that fundus of uterus 49 and IUD30 can not fall down halfway.Meanwhile, bendable hard tube 14 should not bend under due to the issuable back pressure of resistance of cervix uteri or Uterus wall.Therefore the thickness 19 of bendable hard tube 14 must be correspondingly optimum and relevant with the character of the material of the thermoplastic selected.Typically, for high density polyethylene (HDPE), polypropylene or equivalent material, the order of thickness is 0.5 to 2.5mm.In principle, the toughness of the thermoplastic of thickness and selection is inversely proportional to.
In other words, due to the shape and size in uterus 50 puerperal, pliability and hardness optimization are the importances of bendable hard tube 14, so as bendable hard tube 14 rigidly (rigidly) carry IUD30 until fundus of uterus 49.
Instrument 10 to be sealed in bag and to be finally sterilized, thus becomes the totally enclosed apparatus 25 in the bag 35 with translucent cover 39.
About the process inserted, translucent cover 39 is partly separated with the base portion 36 of bag 35.By holding bendable hard tube 14 from handle end 17, instrument 10 is taken out by from transparent bag 35.By continuing with a palm 41 to hold bendable hard tube 14 and the suture 15 at handle end 17 place, as shown in Figure 5, instrument 10 is inserted in uterus 50 by from cardinal extremity 18.Suture 15 keeps being tightened up.Due to the vagina of expansion, the big uncork in cervix uteri and uterus, the size of IUD30 is unessential, and it is very important under normal i.e. non-postpartum status.The cavity of uterus that IUD30 is carried to expansion is interior until surgeon feels that IUD30 touches fundus of uterus 49.The specific direction of IUD30 by notice protuberance 44 and or object of reference 31 be maintained.
Cavity of uterus, to be pressed from outside with palm 40 and IUD30 utilizes the arbitrary important finger 40a on abdominal part to be ordered about from objective sensation by another palm 40, as shown in Figure 5.Maintenance described above is by the IUD30 ordered about from outside, and this moment, suture 15 is released from palm 41 and/or object of reference 31 or slit 46 at handle end 17 place of bendable hard tube 14; Then bendable hard tube 14 little by little and be drawn out of safely.
Fig. 6 is presented at the IUD30 of fundus of uterus, and Fig. 7 display is suitably disposed the IUD30 of fundus of uterus 50.
In most of figure, the intrauterine contraceptive device IUD of Common Shape " T " is shown to describe this process, but this equipment and process are applicable to other similar and various intrauterine contraceptive device of associated shape.
In order to ensure the specific direction of IUD30, groove 42 and one or more protuberances 44 are set.Protuberance 44 can clearly be seen at handle end 17 place, therefore surgeon can ensure bendable hard tube 14 be booked thus IUD30 in the horizontal plane.
This specific direction can also by arrange and manually the directed object of reference 31 relevant to groove 42 obtains.
This specific direction can also obtain without groove, by catching the suture 15 of emerging from the handle end 17 of bendable hard tube 14 tightly, with or by being engaged securely with object of reference 31 by suture 15.When passing the object of reference 31 as shown in Fig. 1,2A, 2B, suture 15 is engaged securely and is kept tightly.Thus, IUD30 is ordered about and is not rotated arbitrarily, therefore maintains specific direction.
This specific direction can also obtain without groove, by catching the suture 15 of emerging from the handle end 17 of bendable hard tube 14 tightly, locks suture 15 by being wrapped in slit 46 by suture 15.Slit 46 or the extention being an entirety with bendable hard tube 14 or being arranged on bendable hard tube 14.Thus, IUD30 is ordered about and is not rotated arbitrarily, therefore keeps specific direction.
Suture 15 or to engage with slit 46 or by object of reference 31 or any other method being used as limiting mode, suture 15 can also as guiding so that determine the direction of IUD30.
Without groove or the groove utilizing various shape and size, the specific direction of IUD can by keeping suture to be maintained with various possible method from handle end securely.
Claims (14)
1. the instrument for intron intrauterine device in puerperal (IUD), comprise the IUD of the suture with coupling, it is characterized in that, described instrument has bendable hard tube, described IUD is placed in the cardinal extremity of bendable hard tube with specific direction, and direction is confirmable at handle end place, and suture is firmly held from the described handle end of described bendable hard tube, described instrument to be packaged in the sack with translucent cover and to be finally sterilized, and described bag can partly be opened.
2. as claimed in claim 1 for the instrument in intron intrauterine device in puerperal (IUD), it is characterized in that, described IUD is placed in described bendable hard tube with identical shape and described specific direction, described specific direction is the horizontal direction in the uterus relative to the women lain low, and requires that described IUD is maintained at intrauterine.
3. as claimed in claim 1 for the instrument in intron intrauterine device in puerperal (IUD), it is characterized in that, described bendable hard tube have make when its cardinal extremity close to bottom uterus time its handle end through puerperal uterus and expansion cervix uteri and be projected into the length of vagina outside.
4., as claimed in claim 1 for the instrument in intron intrauterine device in puerperal (IUD), it is characterized in that, in order to ensure the described specific direction of described IUD, described bendable hard tube has multiple groove at described cardinal extremity.
5. the instrument for intron intrauterine device in puerperal (IUD) as described in claim 1 or 4, it is characterized in that, in order to ensure the described specific direction of described IUD, described bendable hard tube integrally has multiple groove at the described cardinal extremity of described bendable hard tube.
6. the instrument for intron intrauterine device in puerperal (IUD) as described in claim 1 or 4, it is characterized in that, in order to ensure the described specific direction of described IUD, described bendable hard tube by means of be arranged on described bendable hard tube described cardinal extremity directional head and there is multiple groove.
7. as claimed in claim 1 for the instrument in intron intrauterine device in puerperal (IUD), it is characterized in that, the described specific direction of described IUD is by catching described suture tightly or passing through engaged securely with object of reference by described suture and guaranteed.
8. as claimed in claim 1 for the instrument in intron intrauterine device in puerperal (IUD), it is characterized in that, the described specific direction of described IUD locks described suture by described suture being carried out in slit winding and is guaranteed, described slit is integrally arranged in described bendable hard tube or is arranged in the extention be arranged on described bendable hard tube.
9. as claimed in claim 1 for the instrument in intron intrauterine device in puerperal (IUD), it is characterized in that, in order to determine the described specific direction of described IUD, described bendable hard tube has the more than one protuberance arranged with qualified relation by means of labelling or line or groove at described handle end.
10., as claimed in claim 1 for the instrument in intron intrauterine device in puerperal (IUD), it is characterized in that, in order to ensure the described specific direction of described IUD, described bendable hard tube is provided with object of reference.
11., as claimed in claim 1 for the instrument in intron intrauterine device in puerperal (IUD), is characterized in that, described bendable hard tube is bent when inserting.
12. as claimed in claim 1 for the instrument in intron intrauterine device in puerperal (IUD), and it is characterized in that, described intrauterine contraceptive device (IUD) is carried to bottom uterus by described bendable hard tube rigidly.
The method of 13. 1 kinds of intron intrauterine device in puerperal (IUD), is characterized in that, comprise the following steps:
A. the translucent cover of sack is partly opened;
B. from described sack, instrument is taken out;
C. bendable hard tube is held together from handle end suture of ining succession;
D. described IUD is carried in uterus in puerperal;
E. the specific direction of described IUD is guaranteed by observation protuberance or object of reference;
F. described IUD is ordered about from outside;
G. described suture is discharged;
H. described bendable hard tube is extracted out.
14. 1 kinds of instruments for intron intrauterine device in puerperal (IUD) and method, is characterized in that, substantially with reference to described in described accompanying drawing book as described above.
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| IN2534/MUM/2013 | 2013-08-01 | ||
| IN2534MU2013 IN2013MU02534A (en) | 2013-08-01 | 2013-08-01 |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN104337605A true CN104337605A (en) | 2015-02-11 |
| CN104337605B CN104337605B (en) | 2017-09-22 |
Family
ID=52494611
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201410318323.5A Expired - Fee Related CN104337605B (en) | 2013-08-01 | 2014-07-04 | The instrument and its method in intrauterine contraceptive device are inserted for postpartum |
Country Status (4)
| Country | Link |
|---|---|
| CN (1) | CN104337605B (en) |
| BR (1) | BR102014016350A2 (en) |
| IN (1) | IN2013MU02534A (en) |
| MX (1) | MX2014009261A (en) |
Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DE2826352A1 (en) * | 1978-06-16 | 1979-12-20 | Kurz Karl Heinz | Flexible intra-uterine contraceptive device - has loops forming part of flat elliptical ring with minor axis on shank |
| CN2057098U (en) * | 1987-09-24 | 1990-05-16 | “医疗仪器”科学生产联合企业 | Device for inserting contraceptive device |
| CN2127008Y (en) * | 1992-03-19 | 1993-02-17 | 曾庆亮 | Contraceptive placing device |
| CN2131489Y (en) * | 1992-08-22 | 1993-05-05 | 徐景铎 | Multi-function iud inserting device |
| WO2007075086A1 (en) * | 2005-12-27 | 2007-07-05 | Willem Arthur Adriaan Van Os | Intrauterine device and applicator for introducing the same into the uterus |
| CN201205312Y (en) * | 2008-05-27 | 2009-03-11 | 管瑞梅 | Novel practical placer |
| CN201275175Y (en) * | 2008-07-10 | 2009-07-22 | 重庆市人口和计划生育科学技术研究院 | Memory alloy T-shaped intrauterine device and matched placing device |
-
2013
- 2013-08-01 IN IN2534MU2013 patent/IN2013MU02534A/en unknown
-
2014
- 2014-07-01 BR BR102014016350A patent/BR102014016350A2/en not_active Application Discontinuation
- 2014-07-04 CN CN201410318323.5A patent/CN104337605B/en not_active Expired - Fee Related
- 2014-07-31 MX MX2014009261A patent/MX2014009261A/en unknown
Patent Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DE2826352A1 (en) * | 1978-06-16 | 1979-12-20 | Kurz Karl Heinz | Flexible intra-uterine contraceptive device - has loops forming part of flat elliptical ring with minor axis on shank |
| CN2057098U (en) * | 1987-09-24 | 1990-05-16 | “医疗仪器”科学生产联合企业 | Device for inserting contraceptive device |
| CN2127008Y (en) * | 1992-03-19 | 1993-02-17 | 曾庆亮 | Contraceptive placing device |
| CN2131489Y (en) * | 1992-08-22 | 1993-05-05 | 徐景铎 | Multi-function iud inserting device |
| WO2007075086A1 (en) * | 2005-12-27 | 2007-07-05 | Willem Arthur Adriaan Van Os | Intrauterine device and applicator for introducing the same into the uterus |
| CN201205312Y (en) * | 2008-05-27 | 2009-03-11 | 管瑞梅 | Novel practical placer |
| CN201275175Y (en) * | 2008-07-10 | 2009-07-22 | 重庆市人口和计划生育科学技术研究院 | Memory alloy T-shaped intrauterine device and matched placing device |
Also Published As
| Publication number | Publication date |
|---|---|
| BR102014016350A2 (en) | 2015-10-06 |
| IN2013MU02534A (en) | 2015-06-12 |
| CN104337605B (en) | 2017-09-22 |
| MX2014009261A (en) | 2015-02-17 |
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Granted publication date: 20170922 Termination date: 20200704 |
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