CN104825210B - Cervical conization device - Google Patents
Cervical conization device Download PDFInfo
- Publication number
- CN104825210B CN104825210B CN201510176241.6A CN201510176241A CN104825210B CN 104825210 B CN104825210 B CN 104825210B CN 201510176241 A CN201510176241 A CN 201510176241A CN 104825210 B CN104825210 B CN 104825210B
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- CN
- China
- Prior art keywords
- bare terminal
- terminal end
- conization
- knife
- clamp
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Fee Related
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- 238000002621 cervical conization Methods 0.000 title abstract 4
- 210000003679 cervix uteri Anatomy 0.000 claims abstract description 32
- 238000005452 bending Methods 0.000 claims description 10
- 230000002035 prolonged effect Effects 0.000 claims 1
- 230000007547 defect Effects 0.000 abstract description 2
- 238000003745 diagnosis Methods 0.000 description 3
- 206010008342 Cervix carcinoma Diseases 0.000 description 2
- 208000006105 Uterine Cervical Neoplasms Diseases 0.000 description 2
- 230000009286 beneficial effect Effects 0.000 description 2
- 239000008280 blood Substances 0.000 description 2
- 210000004369 blood Anatomy 0.000 description 2
- 201000010881 cervical cancer Diseases 0.000 description 2
- 201000010099 disease Diseases 0.000 description 2
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 2
- 230000001575 pathological effect Effects 0.000 description 2
- 210000004291 uterus Anatomy 0.000 description 2
- 206010002091 Anaesthesia Diseases 0.000 description 1
- 206010028980 Neoplasm Diseases 0.000 description 1
- 208000018079 Uterine Cervical disease Diseases 0.000 description 1
- 208000006374 Uterine Cervicitis Diseases 0.000 description 1
- 230000037005 anaesthesia Effects 0.000 description 1
- 238000001574 biopsy Methods 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 201000011510 cancer Diseases 0.000 description 1
- 206010008323 cervicitis Diseases 0.000 description 1
- 208000026735 cervix disease Diseases 0.000 description 1
- 210000000080 chela (arthropods) Anatomy 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 238000013399 early diagnosis Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 230000003628 erosive effect Effects 0.000 description 1
- 210000004996 female reproductive system Anatomy 0.000 description 1
- 238000007689 inspection Methods 0.000 description 1
- 230000003902 lesion Effects 0.000 description 1
- 206010025482 malaise Diseases 0.000 description 1
- 230000003211 malignant effect Effects 0.000 description 1
- 210000001161 mammalian embryo Anatomy 0.000 description 1
- 230000009826 neoplastic cell growth Effects 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 238000010827 pathological analysis Methods 0.000 description 1
- 238000007634 remodeling Methods 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
- 210000001364 upper extremity Anatomy 0.000 description 1
- 210000001215 vagina Anatomy 0.000 description 1
- 230000000007 visual effect Effects 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/3209—Incision instruments
- A61B17/3211—Surgical scalpels, knives; Accessories therefor
- A61B17/3213—Surgical scalpels, knives; Accessories therefor with detachable blades
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/2812—Surgical forceps with a single pivotal connection
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/285—Surgical forceps combined with cutting implements
-
- 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
- A61B2017/4216—Operations on uterus, e.g. endometrium
- A61B2017/4225—Cervix uteri
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medical Informatics (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Veterinary Medicine (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Ophthalmology & Optometry (AREA)
- Gynecology & Obstetrics (AREA)
- Pregnancy & Childbirth (AREA)
- Reproductive Health (AREA)
- Surgical Instruments (AREA)
Abstract
The invention relates to a cervical conization device. With the device, defects that operation randomness is high and the conization amount can not be controlled easily based on doctor control when a scalpel is used for cervical conization in the prior art can be overcome. The cervical conization device comprises a clamp and a conization knife cooperating with the clamp. The conization knife includes a blade and a handle; the cross section of the blade at the vertical length direction is in an arc shape; and an edge of one side of the blade is a knife edge and the front end of the knife edge extends to a front end part of the edge of the other side. The clamp is formed by hinging of two clamp arms; and clamping ends are arranged at the end portions of the clamp arms. The clamping ends of the clamp are used for clamping the cervical ends; the conization knife carries out conical rotary cutting by using the cervix aperture as the axis; and the conization angel and conization sample amount are controlled based on the arc radian of the conization knife. Therefore, the human control and intervention are reduced and the conization can be realized precisely.
Description
Technical field
The present invention relates to the cervix conization device used in a kind of operating theater instruments, especially a kind of conization.
Background technology
Cervix uteri is one of vital tissue organ in female reproductive system, until old woman, uterus from embryo and female child
NC is related to health, happy family life, economy and the social problem of women itself.Uterus is because of its anatomical location and histology
Feature, is the predilection site of obstetrical and gynecological disease, and Cervicitis (cervical erosion), Cervical intraepitheliaI neoplasia, cervical cancer are most common
Obstetrical and gynecological disease, cervical cancer are one of common gynecologic malignant tumors, and its sickness rate accounts for female malignant second, serious to threaten
To women's life security and quality of life, find that cure rate is higher, particular it appear that the importance of early diagnosiss, cervical biopsy in time
It is clinical conventional means to cut with cervix uteri cone.
Conization of cervix is the conventional means of gynecological diagnosis, Operative Range and treatment, is ecto-entad in cone
Shape cut a part of cervical tissue, it is the inspection that foundation is provided for pathological tissue, cytodiagnosises, makes a definite diagnosis cervix disease
Become;It is also a kind of Therapeutic Method of excision small lesion simultaneously.Leep knife is commonly used at present clinically(TURP)Make cervix uteri cone with cryoprobe
Cut art;LEEP knives its advantages is simple and easy to do, it may be unnecessary to which in hospital, operating time is short only to need 5 minutes to 10 minutes or so,
Leep knife facilitating operations, go out insufficiency of blood, are extensively carried out, but specimen incisxal edge is due to being unfavorable for pathological diagnosis by heat effect destruction;
Cold-knife incision advantage is that incisxal edge is clear, beneficial to pathologic finding, has the disadvantage that needs are in hospital, needs anesthesia, and operating time is long, goes out blood shadow
Ring the gradient of visual area and knife(30 °~40 °)Direction, manipulates by the operation of doctor, it is desirable to have certain operation skill, especially
It is being that cone is cut in the control of specimen amount, diagnosis or the purpose treated will be being taken into account.
The content of the invention
The present invention carries out cervix uteri cone using dissecting knife in solving prior art and cuts, and by doctor's control, operation is random big,
A kind of cone uppity defect of the amount of cutting, there is provided cervix conization device, controls disposably to complete cone by boring the size of cutting knife to cut
Specimen, trimscript this when can not be affected surgical field of view, the similar Leep knives Operated Specimens of cone trimscript sheet by bleeding and smog;And in knife
Preposition Bi LED cold light sources at handle, blade are connected with handle of a knife with draw-in groove, and blade is interchangeable.
The technical solution adopted for the present invention to solve the technical problems is:A kind of cervix conization device, including clamping cervix uteri
Clamp and the cone cutting knife coordinated with clamp, cone cutting knife have blade and handle of a knife, the shape of the cross section in blade vertical length direction
For arc, a lateral edges sword side of blade, the front end on sword side extends to the front end position of another lateral edges;Clamp is by two jig arm
It is hinged and forms, the end of jig arm is provided with bare terminal end.The bare terminal end of clamp is used to clamp cervix uteri end, and cone cutting knife is with opening of the cervix as axle
The tapered rotary-cut of line, controls to bore corner cut degree and cone by boring the arc radian of cutting knife and cuts specimen amount, reduce artificial control and
Intervene, cone is cut accurate.
Preferably, the relative face of bare terminal end is cambered surface, two bare terminal ends close up, and cambered surface surrounds cylindrical clamping face.
Preferably, jig arm is in the position bifurcated being hinged, each jig arm is divided into two yokes, and the end of each yoke is to divide
Bare terminal end, four points of bare terminal ends close up to form cylindrical clamping face.
Preferably, jig arm is bending-like, the position of bending is in the position that two jig arm are hinged, or in the hinge of jig arm
Connect between position and bare terminal end;The bending angle of jig arm is right angle.
Preferably, the position between the bending part and bare terminal end of jig arm is curved portions, after bare terminal end closes up, curved portions are closed
Hold together into tubular structure, the middle part of tubulose is cone cutting knife operating position.
Preferably, some uniform double wedges are provided with the relative surface of bare terminal end, double wedge is along bare terminal end axial direction
Direction, the cross section of double wedge are curved.
Preferably, the end of bare terminal end is flat-shaped, bare terminal end thickness gradually increases from end towards afterbody, bare terminal end
Outer surface is arc shape from end phase afterbody, and the inner surface of bare terminal end is rearwardly linear from end.
Preferably, cone cutting knife is in sharp triangle, the front end for boring cutting knife is cylindrical body, and cylindrical body reaches sword side front end
Outward.
Preferably, between cylindrical body and cone another side of the cutting knife in addition to sword side shape in an angle, the angle is
The inclination angle that cone is cut.
Preferably, the front end of handle of a knife is provided with Bi LED cold light sources, blade and handle of a knife are Split type structure, the tail end of blade
Draw-in groove is provided with, the front end of handle of a knife is provided with dop, and dop snaps onto connection blade and handle of a knife in draw-in groove.Blade and handle of a knife point
Body, is engaged with draw-in groove by the dop for cooperating, and is easy to blade exchange, selects suitable model specification.
Preferably, cone cutting knife is connected with electric slicer tool by handle of a knife, realized from mantle in the way of rotating at a slow speed
Cut.
The invention has the beneficial effects as follows:The bare terminal end of clamp is used to clamp cervix uteri end, and cone cutting knife by axis of opening of the cervix is in
Taper rotary-cut, is controlled to bore corner cut degree and the cone amount of cutting by the arc radian of cone cutting knife, reduces artificial control and intervention, and cone is cut
Accurately.
Description of the drawings
Fig. 1 is a kind of structural representation of the present invention;
Fig. 2 is present invention cone second structural representation of cutting knife;
Fig. 3 is a kind of partial structural diagram of clamp of the present invention;
Fig. 4 is another kind of structural representation of clamp of the present invention;
Fig. 5 is a kind of partial side view of clamp of the present invention;
In figure:1st, clamp, 2, lever, 3, jointed shaft, 4, front bar, 5, bare terminal end, 6, conical head, 7, double wedge, 8, clamping face,
9th, blade, 10, handle of a knife, 11, cone cutting knife, 12, cylindrical body, 13, yoke, 14, point bare terminal end, 15, extension rod, 16, kayser.
Specific embodiment
Below by specific embodiment, and accompanying drawing is combined, technical scheme is described in further detail.
Embodiment 1:A kind of cervix conization device(Referring to accompanying drawing 1), the cone cutting knife 11 coordinated including clamp 1 and with clamp.Folder
Pincers are hinged by jointed shaft 3 by two jig arm and are formed, and the rear portion of jointed shaft is the lever 2 of jig arm, and the front portion of jointed shaft is jig arm
Front bar, the end of front bar is connected with bare terminal end 5.The end of bare terminal end be conical head 6, the relative face of bare terminal end be cambered surface, arc
Some uniform double wedges 7 are provided with face, the cross section of double wedge is arc shape.Jig arm causes front bar in the position bending of jointed shaft
It is perpendicular with lever, operate lever, bare terminal end to close up and open simultaneously, bare terminal end closes up, and the cambered surface of bare terminal end surrounds cylinder
Clamping face 8, tubular structure of the clamping face in cylinder, the middle part of tubulose cut operating position for cone cutting knife cone.The two of clamp
Kayser 16 is provided with the relative side of lever, two latch surfaces are provided with the latch of wedge shape, and the latch of two kaysers is relative.Cone
Cutting knife has blade 9 and a handle of a knife 10, and the cross section in blade vertical length direction is shaped as arc, a lateral edges sword of blade
Side, the front end on sword side extend to the front end position of another lateral edges and form tip.The arc of blade cuts the cone of operation according to cone
Shape angle is divided into plurality of specifications, the different arc of different specification correspondences.
When implementation cone cuts operation, the front bar of clamp extend into intravaginal, and the conical head of bare terminal end reaches up to fornix vaginae,
Operation lever closes up, and two bare terminal ends close up simultaneously, and cambered surface is clamped cervix uteri front end formation tubbiness and wales cervix uteri head, now cervical tissue
There is relative tension, and will not move, be easy to cutting.Front bar extend into intravaginal and vagina can also be expanded, and is easy to operation to see
Examine.Cone cutting knife extend into intravaginal, and the tip of blade is pierced into from cervix uteri lower lip to the tapered rotation of upper limb, and sword side cuts out cone
Shape.The angle of taper is controlled according to the radian of the blade for boring cutting knife, artificial intervention is reduced.
Embodiment 2:A kind of cervix conization device, is that the front end of cone cutting knife is cylindrical body in place of the difference with embodiment 1
12(Referring to accompanying drawing 2), cylindrical body reached outside the front end of sword side, and the length stretched out is 2cm, a diameter of 3mm of cylindrical body.Cylindrical body
In an angle, the angle as bores the inclination angle cut to shape between another side of the cone cutting knife in addition to sword side.Remaining structure is joined
According to embodiment 1.
It is handling when cutting in view of cone, bore between the handle of a knife and blade of cutting knife with the connection of one section of bending part, handle of a knife with
Cylindrical body is in straight line.
When cone cuts operation, the cylindrical body for boring cutting knife is extend in opening of the cervix, with cylindrical body as pivot center rotating cone cutting knife,
Sword side cuts out cone-shaped.
Embodiment 3:A kind of cervix conization device, in place of the difference with embodiment 1 or embodiment 2 be:The front bar of clamp point
Fork, each front bar are divided into two yokes 13, and the end of each yoke is connected with point bare terminal end 14, clamp four totally points of clamping
End, forms four contact surfaces with outside cervix uteri head when four points of bare terminal end tubbiness wale cervix uteri.Remaining structure with reference to embodiment 1 or
Embodiment 2.
Embodiment 4:A kind of cervix conization device, part unlike the embodiments above is:The bending part of clamp is in and is hinged
The front portion of axle, that is have extension rod 15 between the front bar and jointed shaft in the present embodiment, clamp is opened from the end of extension rod
Beginning bending.Each front bar is divided into two yokes, each yoke end connection point bare terminal end.Arc shape of the front bar in middle evagination, two
Front bar operates lever in shape is encircled, and front bar drives a point bare terminal end to close up, and after closing up, reserves cone cutting knife operation empty in the middle of two front bars
Between.Remaining structure is with reference to other embodiment.
Embodiment 5:A kind of cervix conization device, blade and the handle of a knife for boring cutting knife is Split type structure, and the tail end of blade is provided with
Draw-in groove, the front end of handle of a knife are provided with dop, and dop snaps onto connection blade and handle of a knife in draw-in groove.The front end of handle of a knife is provided with Bi
LED cold light sources.Remaining structure is with reference to other embodiment.
Embodiment 6:A kind of cervix conization device, the tail end of handle of a knife are connected to electric slicer tool, in the way of rotating at a slow speed
Realization is cut from mantle.
Embodiment described above is several preferred versions of the present invention, not makees any pro forma limit to the present invention
System, also has other variants and remodeling on the premise of without departing from the technical scheme described in claim.
Claims (5)
1. a kind of cervix conization device, it is characterised in that the cone cutting knife coordinated including clamp and with clamp, cone cutting knife have blade and
Handle of a knife, be shaped as arc of the blade perpendicular to the cross section of axial direction, a lateral edges of blade are sword side, and the front end on sword side is prolonged
Reach the front end position of another lateral edges;Clamp is hinged by two jig arm and is formed, and the end of jig arm is provided with bare terminal end;Bare terminal end
Relative face is cambered surface, and two bare terminal ends close up, and cambered surface surrounds cylindrical clamping face;Jig arm is in the position bifurcated being hinged, Mei Yizhi
Jig arm is divided into two yokes, and the end of each yoke is to divide a bare terminal end, four points of bare terminal ends to close up to form cylindrical clamping face;Cone is cut
Knife is in sharp triangle, and the front end for boring cutting knife is cylindrical body, and cylindrical body reached outside the front end of sword side;Cylindrical body removes sword side with cone cutting knife
Between outer another side, in an angle, the angle as bores the inclination angle cut to shape.
2. cervix conization device according to claim 1, it is characterised in that jig arm is bending-like, and the position of bending is in two folders
The position that arm is hinged, or between the articulated position and bare terminal end of jig arm;The bending angle of jig arm is right angle.
3. cervix conization device according to claim 2, it is characterised in that the position between the bending part and bare terminal end of jig arm
For curved portions, after bare terminal end closes up, curved portions close up into tubular structure, and the middle part of tubulose is cone cutting knife operating position.
4. cervix conization device according to claim 1, it is characterised in that be provided with the relative surface of bare terminal end some
Uniform double wedge, along bare terminal end axial direction, the cross section of double wedge is curved for double wedge.
5. cervix conization device according to claim 1, it is characterised in that the end of bare terminal end be it is flat-shaped, bare terminal end thickness from
End gradually increases towards afterbody, and the outer surface of bare terminal end is arc shape from end phase afterbody, and the inner surface of bare terminal end is from end
It is rearwardly linear.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN201510176241.6A CN104825210B (en) | 2015-04-15 | 2015-04-15 | Cervical conization device |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201510176241.6A CN104825210B (en) | 2015-04-15 | 2015-04-15 | Cervical conization device |
Publications (2)
Publication Number | Publication Date |
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CN104825210A CN104825210A (en) | 2015-08-12 |
CN104825210B true CN104825210B (en) | 2017-05-17 |
Family
ID=53803692
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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CN201510176241.6A Expired - Fee Related CN104825210B (en) | 2015-04-15 | 2015-04-15 | Cervical conization device |
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CN (1) | CN104825210B (en) |
Families Citing this family (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN105167823A (en) * | 2015-08-26 | 2015-12-23 | 黄绍菊 | Cervical conization scalpel |
CN108837263B (en) * | 2018-06-27 | 2020-07-31 | 重庆市妇幼保健院 | Tracheal catheter forceps |
Family Cites Families (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5059198A (en) * | 1986-04-21 | 1991-10-22 | Gimpelson Richard J | Gynecological tenaculum |
US20090105720A1 (en) * | 2007-10-19 | 2009-04-23 | Boone Brenda J | Non-invasive surgical tenaculum |
CN201160876Y (en) * | 2008-03-15 | 2008-12-10 | 陈琦 | Pliers for fixing neck of uterus |
CN201356619Y (en) * | 2009-03-04 | 2009-12-09 | 李勇 | Blade for cervical conization |
CN204581434U (en) * | 2015-04-15 | 2015-08-26 | 杜晓东 | Cervix conization device |
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2015
- 2015-04-15 CN CN201510176241.6A patent/CN104825210B/en not_active Expired - Fee Related
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