CN105250012A - Cesarean section safe delivery device - Google Patents
Cesarean section safe delivery device Download PDFInfo
- Publication number
- CN105250012A CN105250012A CN201510749313.1A CN201510749313A CN105250012A CN 105250012 A CN105250012 A CN 105250012A CN 201510749313 A CN201510749313 A CN 201510749313A CN 105250012 A CN105250012 A CN 105250012A
- Authority
- CN
- China
- Prior art keywords
- delivery device
- incision
- uterine incision
- clip
- hemostatic 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.)
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/42—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
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B2017/12004—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding
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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
Abstract
The invention discloses a cesarean section safe delivery device, which is characterized in that the cesarean section safe delivery device comprises multiple hemostatic clips, a clip placer and an abdominal cavity protective plate. The abdominal cavity protective plate is a soft round plate of which the periphery is a plate skirt part and the middle is provided with a round hole; the inner diameter of the round hole is equivalent to the diameter of a uterine incision which is supported to be round; the three fourths arc of the round hole is connected with an elastic open support ring by a circle of coffer; two ends of the opening of the ring are respectively connected with one adjustment lever; the multiple hemostatic clips are clamped at the periphery of the uterine incision by the clip placer to close blood vessels; the open support ring is contracted by reducing an included angle between the two adjustment levers, and then is reversely buckled and set in the uterine incision; the open support ring is reset to support the uterine incision to be round by enlarging the included angle between the two adjustment levers, the coffer envelops all the hemostatic clips at the periphery of the uterine incision, and the plate skirt part covers an abdominal incision and the abdominal cavity.
Description
Technical field
The present invention relates to obstetric operation assistive device, particularly in a kind of Cesarean esction process for stopping blooding and preventing the assistive device of amniotic embolism danger.
Background technology
In recent years, along with the progress of prenatal foetal monitoring means, the fast development of reproductive medicine, increasing of precious youngster and polyembryony, the raising of anaesthesia technology and the improvement of Cesarean operation method, and the impact such as social factor, cause Cesarean operation rate to remain high.But clinically, caesarean delivered amount of bleeding is apparently higher than vaginal delivery.Because uterine incision is almost in exposed unprotect state, so cause puerpera's amount of bleeding in operation obviously to increase during this period of time at incision to delivery of baby; Also make amniotic embolism danger add 2-3 doubly, with postoperative infection, endometriosis equivalent risk is also inevitable simultaneously.
Summary of the invention
The object of this invention is to provide and a kind ofly before delivery of baby, just uterine incision and whole abdominal cavity can be protected from overflowing amniotic fluid infringement to cause the utensil of infection and amniotic embolism danger to uterus incision hemostasis.
For reaching above object, the present invention takes following technical scheme to be achieved:
The safe birth delivery device of a kind of Cesarean esction, it is characterized in that, comprise multiple hemostatic clamp, one put binder and an abdominal cavity protective disc, described abdominal cavity protective disc is a periphery is dish skirt section, round-meshed soft disk is opened in centre, its circular hole internal diameter is equivalent to uterine incision by the diameter after holding round, circular hole 3/4 circular arc connects an elastic opening pushing out ring by a corral weir, and its opening two ends are all connected with an adjusting rod; Described multiple hemostatic clamp is all held on uterine incision periphery shutoff blood vessel by putting binder, and first by the angle between reduction two adjusting rod, opening pushing out ring is shunk, left-hand thread is embedded in uterine incision; By the angle between amplification two adjusting rod, opening pushing out ring is resetted again to be held round by uterine incision, described cofferdam is by all hemostasis clip packs of uterine incision periphery by it, and abdominal incision and abdominal cavity then cover by dish skirt section.
In such scheme, described hemostatic clamp is the hollow triangular prism be made up of elastic clamping body, and its cross section is isosceles triangle, and the rib of drift angle is opening, and opening both sides are bar-shaped clip, under the elastic force of elastic clamping body, closed between two clips; The clamp of bar-shaped clip length direction center, every limit is all connected with a link.
Described clip is slightly cambered outwards camber line along elastic clamping body length direction.
Described binder of putting is X-shaped hand vice, the left and right sides is symmetrical, front end, every side stay bolt arm and this rear flank end force arm are integrated, be connected by splicer in the middle of both sides, two lateral bracing arm minimal openings are equal with the isosceles triangle bottom side length in hemostatic clamp cross section, and isosceles triangle two base angle is as fulcrum, and two lateral bracing arm front ends hook the link of the corresponding side of hemostatic clamp respectively, under force arm effect, two clips that hemostatic clamp is closed are strutted, and be held on uterine incision edge.
A stage clip is connected with between the force arm of described both sides.
Described stay bolt arm front end is provided with anti-slip tank.
Compared with prior art; advantage of the present invention is; can significantly reduce self, environment or artificially unnecessary puerperal infection is caused to puerpera; just fix with uterine incision before delivery of baby and be covered in stomach wall; while hemostasis, protect uterine incision and incision of abdominal wall, meanwhile, can intraoperative hemorrhage be reduced; reduce amniotic embolism, infection and endometriotic risk, there is practicality, easily and efficiently feature.
Accompanying drawing explanation
Fig. 1 is the schematic diagram of the hemostatic clamp part of apparatus of the present invention.Wherein, (b) figure is the side view of (a) figure.
Fig. 2 is the schematic diagram putting binder part of apparatus of the present invention.Wherein, (b) figure is the A portion enlarged drawing of (a) figure.
Fig. 3 is that Fig. 2 puts binder using state (opening hemostatic clamp) schematic diagram.
Fig. 4 is the schematic diagram of the abdominal cavity protective disc part of apparatus of the present invention.Wherein, (b) figure is that the B-B of (a) figure is to sectional view.
Fig. 5 is hemostatic clamp using state figure of the present invention.
In Fig. 1 to Fig. 4: 1, elastic clamping body; 2, link; 3, clip; 4, camber line (evagination); 5, stay bolt arm; 6, force arm; 7, splicer; 8, stage clip; 9, anti-slip tank; 10, opening pushing out ring; 11, adjusting rod; 12, skirt section is coiled; 13, cofferdam; 14, turn; 15, abdominal incision; 16, uterine incision; 17, hemostatic clamp.
Detailed description of the invention
For hemostasis in Cesarean operation and prevent the device of amniotic embolism, comprise multiple hemostatic clamp (Fig. 1), one put binder (Fig. 2), an abdominal cavity protective disc (Fig. 4).
With reference to figure 1, hemostatic clamp is by the hollow triangular prism be made of shaping by elastic clamping body 1, its cross section is isosceles triangle, the rib of its vertex angle is opening, the both sides of opening rib are bar-shaped clip 3 (cross section is circle), under the elastic force of elastic clamping body, closed between two clips, clip is slightly cambered outwards camber line 4 [(a) figure] along elastic clamping body 1 length direction, to adapt to the concave shape being cut open edge, uterus.The clamp of every limit clip length direction center is all connected with a link 2, is beneficial to put binder and operation is strutted to clip.The length of hemostatic clamp is about 30mm, and clip maximum open is 10mm.
With reference to figure 2, Fig. 3, putting binder is X-shaped hand vice, the left and right sides is symmetrical, front end, every side stay bolt arm 5 and this rear flank end force arm 6 are integrated, and are connected in the middle of both sides by splicer 7, the U-shaped that front end, both sides is formed, minimal openings is equal with the isosceles triangle bottom side length in Rhizoma Sparganii hemostatic clamp cross section, stay bolt arm 5 front end is provided with anti-slip tank 9, for fixing link 2, comes off from stay bolt arm to avoid hemostatic clamp.A stage clip 8 is connected with between the force arm of both sides, hand vice rear end, when force arm is exerted pressure relatively (by Fig. 3 lower end arrow), this stage clip is compressed, the stay bolt arm that hemostatic clamp link is hooked in both sides, front end runs counter to motion, under fulcrum o (isosceles triangle two base angle, hemostatic clamp cross section) effect, two closed clips can be strutted, be placed in the uterine incision edge that need stop blooding; Remove exerting pressure to force arm, under the effect of spring 8, X-shaped hand vice reset, and hemostatic clamp two clip also resets, and relevant blood vessel can be closed.
With reference to figure 4; abdominal cavity protective disc is the soft disk of a central aperture; the silica gel material of autoclave sterilization can be adopted to make; middle circular hole internal diameter is at about 10cm; this interstitial hole 3/4 circular arc connects an opening pushing out ring 10 by a corral weir 13 (being highly not more than 2cm); wherein be provided with turn 14, the angle α that two openings of this opening pushing out ring are all connected with between an adjusting rod 11, two adjusting rod 11 is not more than 45 °.
When hysterotomy and good with hemostatic clamp shutoff after, opening pushing out ring is shunk by adjusting rod, intrauterine is imbedded naturally in cofferdam, simultaneously, all hemostasis clip packs of button periphery are cut by it in uterus by cofferdam, adjusting rod also has an effect can go to regulate uterine incision degree of strutting to facilitate production according to baby head size, and the effect in dish skirt section 12 can prevent wound contaminated, facilitates drain amniotic fluid.
With reference to figure 5, the operation principle of apparatus of the present invention is, after uterus is cut open, hemostatic clamp both sides link is hooked respectively to anti-slip tank with putting binder two lateral bracing arm front end, two closed clips are strutted, being clamped on uterine incision, strutting 12-14 hemostatic clamp 17 in the same way with putting binder; Be clamped in one week of uterine incision 16 in order, strutted and can form a diameter and be approximately about 10cm circular hole.Then; opening angle is reduced (being less than diameter when uterine incision holds round) left-hand thread by adjusting rod by the opening pushing out ring 10 on abdominal cavity protective disc to be embedded in uterine incision; then adjusting rod is resetted (effect of turn 14); make to be fixed on uterine incision periphery upward at the bottom of abdominal cavity protective disc, abdominal incision 15 and abdominal cavity can cover by dish skirt section.Preventing the amniotic fluid when getting baby to be spilled in abdominal cavity or uterus wound blood vessels, causing thromboembolism or abdominal infection.
Claims (6)
1. the safe birth delivery device of Cesarean esction, it is characterized in that, comprise multiple hemostatic clamp, one put binder and an abdominal cavity protective disc, described abdominal cavity protective disc is a periphery is dish skirt section, round-meshed soft disk is opened in centre, its circular hole internal diameter is equivalent to uterine incision by the diameter after holding round, circular hole 3/4 circular arc connects an elastic opening pushing out ring by a corral weir, and its opening two ends are all connected with an adjusting rod; Described multiple hemostatic clamp is all held on uterine incision periphery shutoff blood vessel by putting binder, and first by the angle between reduction two adjusting rod, opening pushing out ring is shunk, left-hand thread is embedded in uterine incision; By the angle between amplification two adjusting rod, opening pushing out ring is resetted again to be held round by uterine incision, described cofferdam is by all hemostasis clip packs of uterine incision periphery by it, and abdominal incision and abdominal cavity then cover by dish skirt section.
2. the safe birth delivery device of Cesarean esction as claimed in claim 1, it is characterized in that, described hemostatic clamp is the hollow triangular prism be made up of elastic clamping body, its cross section is isosceles triangle, and the rib of drift angle is opening, and opening both sides are bar-shaped clip, under the elastic force of elastic clamping body, closed between two clips; The clamp of bar-shaped clip length direction center, every limit is all connected with a link.
3. the safe birth delivery device of Cesarean esction as claimed in claim 2, is characterized in that, described clip is slightly cambered outwards camber line along elastic clamping body length direction.
4. the safe birth delivery device of Cesarean esction as claimed in claim 2, it is characterized in that, described binder of putting is X-shaped hand vice, the left and right sides is symmetrical, front end, every side stay bolt arm and this rear flank end force arm are integrated, be connected by splicer in the middle of both sides, two lateral bracing arm minimal openings are equal with the isosceles triangle bottom side length in hemostatic clamp cross section, isosceles triangle two base angle is as fulcrum, two lateral bracing arm front ends hook the link of the corresponding side of hemostatic clamp respectively, under force arm effect, two clips that hemostatic clamp is closed are strutted, and be held on uterine incision edge.
5. the safe birth delivery device of Cesarean esction as claimed in claim 4, is characterized in that, be connected with a stage clip between the force arm of described both sides.
6. the safe birth delivery device of the Cesarean esction as described in claim 4 or 5, is characterized in that, described stay bolt arm front end is provided with anti-slip tank.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN201510749313.1A CN105250012B (en) | 2015-11-05 | 2015-11-05 | A kind of safe birth delivery device of Cesarean esction |
Applications Claiming Priority (1)
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CN201510749313.1A CN105250012B (en) | 2015-11-05 | 2015-11-05 | A kind of safe birth delivery device of Cesarean esction |
Publications (2)
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CN105250012A true CN105250012A (en) | 2016-01-20 |
CN105250012B CN105250012B (en) | 2017-08-04 |
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CN201510749313.1A Expired - Fee Related CN105250012B (en) | 2015-11-05 | 2015-11-05 | A kind of safe birth delivery device of Cesarean esction |
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Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN2041156U (en) * | 1988-09-10 | 1989-07-19 | 青岛医学院 | Non-trauma torsion spring type skin haemostatic forceps |
CN202096246U (en) * | 2011-06-15 | 2012-01-04 | 中国人民解放军第三军医大学第二附属医院 | Hemostatic clamp for uterine incision |
WO2012159117A1 (en) * | 2011-05-19 | 2012-11-22 | Goldberg Roger P | Soft-tissue retractor device |
US20150119647A1 (en) * | 2013-10-25 | 2015-04-30 | Michael J. Vaillancourt | Wound Protector |
CN205107841U (en) * | 2015-11-05 | 2016-03-30 | 西安医学院第二附属医院 | It produces safe device of delivering a child to cut open palace |
-
2015
- 2015-11-05 CN CN201510749313.1A patent/CN105250012B/en not_active Expired - Fee Related
Patent Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN2041156U (en) * | 1988-09-10 | 1989-07-19 | 青岛医学院 | Non-trauma torsion spring type skin haemostatic forceps |
WO2012159117A1 (en) * | 2011-05-19 | 2012-11-22 | Goldberg Roger P | Soft-tissue retractor device |
CN202096246U (en) * | 2011-06-15 | 2012-01-04 | 中国人民解放军第三军医大学第二附属医院 | Hemostatic clamp for uterine incision |
US20150119647A1 (en) * | 2013-10-25 | 2015-04-30 | Michael J. Vaillancourt | Wound Protector |
CN205107841U (en) * | 2015-11-05 | 2016-03-30 | 西安医学院第二附属医院 | It produces safe device of delivering a child to cut open palace |
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CN105250012B (en) | 2017-08-04 |
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Granted publication date: 20170804 Termination date: 20181105 |