CN106037856A - Uterus haemostatic forceps - Google Patents

Uterus haemostatic forceps Download PDF

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Publication number
CN106037856A
CN106037856A CN201610456845.0A CN201610456845A CN106037856A CN 106037856 A CN106037856 A CN 106037856A CN 201610456845 A CN201610456845 A CN 201610456845A CN 106037856 A CN106037856 A CN 106037856A
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CN
China
Prior art keywords
forceps
curved
handle
tong arm
curve
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Granted
Application number
CN201610456845.0A
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Chinese (zh)
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CN106037856B (en
Inventor
韩平
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Jiangsu Province Hospital First Affiliated Hospital With Nanjing Medical University
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Jiangsu Province Hospital First Affiliated Hospital With Nanjing Medical University
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Priority to CN201610456845.0A priority Critical patent/CN106037856B/en
Publication of CN106037856A publication Critical patent/CN106037856A/en
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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/2812Surgical forceps with a single pivotal connection
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/2812Surgical forceps with a single pivotal connection
    • A61B17/282Jaws
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/42Gynaecological or obstetrical instruments or methods
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B2017/12004Surgical 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/42Gynaecological or obstetrical instruments or methods
    • A61B2017/4216Operations on uterus, e.g. endometrium

Abstract

The invention discloses a pair of uterus haemostatic forceps. The uterus haemostatic forceps include two rectangular forceps heads, two curve forceps rods, a rotation shaft, two forceps arms and two handles; the rectangular forceps heads are of hollow rectangular structures and are arranged at the front end of the curve forceps rods; the curve forceps rods are convex curve-shaped, and the tails of the curve forceps rods are connected to the forceps arms; the tail ends of the forceps arms are provided with the handles; the rotation shaft is arranged between the curve forceps rods and the forceps arms, can allow the two curve forceps rods and the forceps arms to be connected in a cross manner and open and close along the rotation shaft, wherein after closure, the two rectangular forceps heads are attached to each other tightly, and a hollow structure is form between the two curve forceps rods. The uterus haemostatic forceps are novel in structure, is easy to operate, can be used for clamping Caesarean delivery (after delivery of baby) corpus uteri, in particular to the front and back walls of the lower section of the uterus, can achieve a compression hemostasis effect on the whole organ so as to prevent short-term excessive bleeding of placenta attachment sites, can match uterine artery embolisation, hysterectomy and call aid treatment, and ensure life safety of puerperae.

Description

A kind of uterine hemostasis pincers
Technical field
The invention belongs to medical operation device technical field, can clamp uterus for obstetrics and gynecology operation particularly to one Uterine hemostasis pincers.
Background technology
At present, gynecologist is when carrying out operation for puerpera, and commonly using and use most is exactly mosquito forceps.But at present The mosquito forceps of market is only used for clamp hemostasis (elbow, the straight head hemostatic forceps), the preferably at most clamp of local organization of local vascular Blood (such as sponge holding forceps), lack a kind of can be to the hemostasis instrument of whole uterus organ clamp.
Chinese patent CN201410086066.7 discloses a kind of department of obstetrics and gynecology mosquito forceps, and upper grip head and lower pliers head are provided with Intermeshing projection and depression, use tooth bar design, can the most effectively clamp, and the rubber blanket on binding clip can Reduce patient's misery in operation process.
Along with " placenta previa ", especially " dangerous type placenta previa " sickness rate raises, again during operative delivery, and uterus (hypomere) is hemorrhage seriously, and even mortality is bled profusely, in the urgent need to a kind of can clamp uterus (with or lower uterine segment), vertical I.e. reduce, prevent the instrument of metrorrhagia.
Summary of the invention
It is an object of the invention to the defect for prior art, it is provided that one is applicable to obstetrics and gynecology operation can clamp uterus Uterine hemostasis pincers.
To achieve these goals, the present invention by the following technical solutions: a kind of uterine hemostasis pincers, including two rectangles Binding clip, two curved clamp handles, rotating shaft, two tong arms and two handles;Wherein said rectangle binding clip is hollow out rectangle, is arranged on song Clamp handle front end, described curved clamp handle is that evagination is curved, and afterbody connects tong arm, and the tail end of tong arm is provided with handle;Rotating shaft is arranged In the middle of curved clamp handle and tong arm, make two curved clamp handles and tong arm interconnection and can fasten along rotating shaft or open, fastening After, two rectangle binding clips fit tightly, in hollow form between two curved clamp handles.
The edge of described rectangle binding clip is rounded, and the length of rectangle is 5~8cm, and width is 4~5cm.
Described curved clamp handle includes one to three curved handle, and when the quantity of curved handle is one, quantity is two and three During root, the front end of curved handle is separated from each other connection rectangle binding clip respectively, and afterbody is connected and connects tong arm.
Angle between long limit and the tong arm of described rectangle binding clip is 180 ° on the projection surface, the length of curved handle two ends line Degree is 15~18cm.
The curvature of described curved handle front end less than the curvature of rear end, the angle of curved handle two ends line and front end be 20 °~ 30 °, be 40 °~60 ° with the angle of rear end.
Angle between long limit and the tong arm of described rectangle binding clip is 135 °~145 ° on the projection surface, the length on curved base Degree is 5~8cm.
The curvature at described curved handle two ends is identical.
Described tong arm is provided with the latch of locking positioning near the position of handle.
The uterine hemostasis overall binding clip of pincers of the present invention is rectangle, and curved clamp handle is that evagination is curved, curved clamp handle include one to Three curved handles, when the quantity of curved handle is one, when quantity is two and three, the front end of curved handle is separated from each other respectively Connecting rectangle binding clip, afterbody is connected and connects tong arm, and tong arm is provided with the latch of locking positioning near the position of handle.And according to making Different with position, it is divided into corpus and hypomere mosquito forceps and lower uterine segment mosquito forceps.
Wherein the angle between long limit and the tong arm of the rectangle binding clip of corpus and hypomere mosquito forceps is on the projection surface 180 °, the most curved handle is longer, a length of the 15 of two ends line~18cm, and the curvature of curved handle front end is less than the song of rear end Rate, curved handle two ends line is 20 °~30 ° with the angle of front end, is 40 °~60 ° with the angle of rear end.After curved clamp handle fastens Shape and uterus shape between curved handle are the most identical, can stride across body of uterus, clamp front uterus rear wall, if palace body shrinks not Good, gauze can be pressed at palace body front and rear wall pad according to uterus size, body of uterus oppressed, plays haemostatic effect.Rectangle pincers simultaneously The area of head energy clamp lower uterine segment front and rear wall 50%, the binding clip of two pairs of pliers can clamp whole lower uterine segment, avoid uterus Tremulous pulse.Corpus and hypomere mosquito forceps Main Function are large area clamp uterus, lower uterine segment front and rear wall, play hemostasis by compression Effect.After delivery of baby, if suspecting Placenta acrreta, being not easily stripped, peeling off Placenta Hominis by force, immediately uterus is taken out of basin abdomen Chamber, if shrinking the best with two corpus and hypomere mosquito forceps clamp in palace body and hypomere palace body, can be according to son Palace size, strengthens compressing at palace body front and rear wall pad pressure gauze to body of uterus, plays haemostatic effect, it is to avoid Placenta Hominis attachment area Bleed profusely in a short time, save pregnant and lying-in women's life security from damage.
Angle between long limit and the tong arm of the rectangle binding clip of lower uterine segment mosquito forceps is 135 °~145 ° on the projection surface, A length of the 5 of curved base~8cm, and the curvature at curved handle two ends is identical.Rectangle binding clip can clamp lower uterine segment, curved The curved handle of clamp handle is little curved hollow, angle angled with binding clip principal direction, can avoid uterine vascular, reduces under uterus Section is hemorrhage, does not affect the operation to uterine vascular simultaneously.It is applicable to the patient that only lower uterine segment is hemorrhage, is particularly suited for whole palace Body can not take out of the patient of pelvic cavity, and mosquito forceps grip portions is outside pelvic cavity.
The uterine hemostasis wrench structure of the present invention is novel, it is easy to operation, be used for clamping Cesarean esction (after delivery of baby) body of uterus, Especially lower uterine segment front and rear wall, plays immediately to whole organ hemostasis by compression effect, it is to avoid Placenta Hominis attachment area is the biggest Measure blood, coordinate uterine arterial embolization, uterectomy and call assistance treatment, the life security of the puerpera that tries hard to keep.Energy simultaneously Enough effectively avoid uterine artery, do not affect the operation to uterine artery when operation.
Accompanying drawing explanation
Fig. 1 is embodiment 1 corpus and the structural representation of hypomere mosquito forceps.
Fig. 2 is structural representation when embodiment 1 corpus and hypomere mosquito forceps fastening
Fig. 3 is the structural representation of embodiment 2 lower uterine segment mosquito forceps.
Fig. 4 is the structural representation of embodiment 2 lower uterine segment mosquito forceps.
Detailed description of the invention
The present invention is described further with specific embodiment below in conjunction with the accompanying drawings.
Embodiment 1
As illustrated in fig. 1 and 2, corpus and hypomere mosquito forceps include: 1, two curved clamp handles of two rectangle binding clips, rotating shaft 2, two Individual tong arm 3 and two handles 4.The most curved clamp handle includes two curved handles 5.
Wherein rectangle binding clip is hollow out rectangle, and edge is rounded, and the length of rectangle is 5~8cm, and width is 4~5cm.Bent The front end of shape handle is separated from each other connection rectangle binding clip respectively, and afterbody is connected and connects tong arm, and two curved handles become Y shape with tong arm, pincers The tail end of arm is provided with handle;Rotating shaft is arranged in the middle of curved clamp handle and tong arm, makes two curved clamp handles and tong arm interconnection And can fasten along rotating shaft or open, after fastening, two rectangle binding clips fit tightly, in hollow form between curved handle.Tong arm is close The position of handle is provided with the latch 6 of locking positioning.
Angle between long limit and the tong arm of the rectangle binding clip of corpus and hypomere mosquito forceps is 180 ° on the projection surface, The most curved handle is longer, a length of the 15 of two ends line~18cm, and the curvature of curved handle front end is less than the curvature of rear end, bent Shape handle two ends line is 20 °~30 ° with the angle of front end, is 40 °~60 ° with the angle of rear end.
After curved clamp handle fastening, shape and uterus shape between curved handle are the most identical, can stride across body of uterus, before clamp Uterus rear wall, if palace body shrinks the best, can press gauze at palace body front and rear wall pad according to uterus size, oppresses body of uterus, Play haemostatic effect.The area of rectangle binding clip energy clamp lower uterine segment front and rear wall 50% simultaneously, the binding clip of two pairs of pliers can press from both sides Hold whole lower uterine segment, avoid uterine artery.Corpus and hypomere mosquito forceps Main Function are large area clamp uterus, uterus Hypomere front and rear wall, plays the effect of hemostasis by compression.After delivery of baby, if suspecting Placenta acrreta, being not easily stripped, peeling off by force Placenta Hominis, takes out of abdominopelvic cavity by uterus immediately, if with two corpus and hypomere mosquito forceps clamp in palace body and hypomere Palace body shrinks the best, at palace body front and rear wall pad pressure gauze, body of uterus can be strengthened compressing according to uterus size, only play Blood effect, it is to avoid Placenta Hominis attachment area is bled profusely in a short time, saves pregnant and lying-in women's life security from damage.
Embodiment 2
As shown in Figures 3 and 4, lower uterine segment mosquito forceps includes: 1, two curved clamp handles of two rectangle binding clips, 2, two tong arms of rotating shaft 3 and two handles 4.The most curved clamp handle includes two curved handles 5.
Wherein rectangle binding clip is hollow out rectangle, and edge is rounded, and the length of rectangle is 5~8cm, and width is 4~5cm.Bent The front end of shape handle is separated from each other connection rectangle binding clip respectively, and afterbody is connected and connects tong arm, and two curved handles become Y shape with tong arm, pincers The tail end of arm is provided with handle;Rotating shaft is arranged in the middle of curved clamp handle and tong arm, makes two curved clamp handles and tong arm interconnection And can fasten along rotating shaft or open, after fastening, two rectangle binding clips fit tightly, in hollow form between curved handle.Tong arm is close The position of handle is provided with the latch 6 of locking positioning.
Angle between long limit and the tong arm of rectangle binding clip is 135 °~145 ° on the projection surface, curved base a length of 5~8cm, and the curvature at curved handle two ends is identical.
The rectangle binding clip of lower uterine segment mosquito forceps can clamp lower uterine segment, the curved handle of curved clamp handle be little curved in Sky, angle angled with binding clip principal direction, uterine vascular can be avoided, reduce lower uterine segment hemorrhage, not affect antithetical phrase simultaneously The operation of palace blood vessel.It is applicable to the patient that only lower uterine segment is hemorrhage, is particularly suited for whole palace body and can not take out of the patient of pelvic cavity, Mosquito forceps grip portions is outside pelvic cavity.
The above, be only presently preferred embodiments of the present invention, and the present invention not does any type of restriction.Every Any simple modification, equivalent variations and modification above example made according to technology and the method essence of the present invention, the most still Belong in the range of technology and the method scheme of the present invention.

Claims (8)

1. uterine hemostasis pincers, it is characterised in that including: two rectangle binding clips, two curved clamp handles, rotating shaft, two tong arms and Two handles;Wherein said rectangle binding clip is hollow out rectangle, is arranged on curved clamp handle front end, and described curved clamp handle is that evagination is bent Shape, afterbody connects tong arm, and the tail end of tong arm is provided with handle;Rotating shaft is arranged in the middle of curved clamp handle and tong arm, make two curved Clamp handle and tong arm interconnection also can fasten along rotating shaft or open, and after fastening, two rectangle binding clips fit tightly, and two curved In hollow form between clamp handle.
Uterine hemostasis the most according to claim 1 clamps, it is characterised in that: the edge of described rectangle binding clip is rounded, rectangle Length 5~8cm, width is 4~5cm.
Uterine hemostasis pincers the most according to claim 1, it is characterised in that: described curved clamp handle includes one to three curved handle, When the quantity of curved handle is one, when quantity is two and three, the front end of curved handle is separated from each other and connects rectangle pincers respectively Head, afterbody is connected and connects tong arm.
4. the uterine hemostasis pincers stated according to claim 3, it is characterised in that: the folder between long limit and the tong arm of described rectangle binding clip Angle is 180 ° on the projection surface, a length of the 15~18cm of curved handle two ends line.
Uterine hemostasis the most according to claim 4 clamps, it is characterised in that: the curvature of described curved handle front end is less than rear end Curvature, curved handle two ends line is 20 °~30 ° with the angle of front end, is 40 °~60 ° with the angle of rear end.
Uterine hemostasis the most according to claim 3 clamps, it is characterised in that: between long limit and the tong arm of described rectangle binding clip Angle is 135 °~145 ° on the projection surface, a length of the 5 of curved base~8cm.
Uterine hemostasis the most according to claim 6 clamps, it is characterised in that: the curvature at described curved handle two ends is identical.
8. state uterine hemostasis pincers according to claim 1, it is characterised in that: it is fixed that described tong arm is provided with locking near the position of handle The latch of position.
CN201610456845.0A 2016-06-22 2016-06-22 A kind of uterine hemostasis pincers Expired - Fee Related CN106037856B (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109157270A (en) * 2018-04-25 2019-01-08 深圳市盐田区人民医院 A kind of Cesarean esction external member
CN109498130A (en) * 2018-12-24 2019-03-22 宝鸡市妇幼保健院 A kind of intact uterus haemostatic clamp

Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2070162U (en) * 1990-03-16 1991-01-30 空军济南医院医务处 Blocking device for endometrorrhagia
US5059198A (en) * 1986-04-21 1991-10-22 Gimpelson Richard J Gynecological tenaculum
CN2265162Y (en) * 1996-01-04 1997-10-22 缪成松 Multi-function viscera traction forceps
CN200945182Y (en) * 2006-09-01 2007-09-12 张媛 Uterus special clamp for cesarean section
CN202288388U (en) * 2011-10-26 2012-07-04 潘月珍 Special hemostat for cesarean delivery
CN202665619U (en) * 2012-07-14 2013-01-16 宋秀莲 Special hemostat for gynecology and obstetrics department
CN203169256U (en) * 2012-12-28 2013-09-04 深圳市盐田区人民医院 Compression hemostatic forceps used for lower uterine segment
CN205307065U (en) * 2016-01-25 2016-06-15 胡兴艳 Uterus pincers
CN205831857U (en) * 2016-06-22 2016-12-28 南京医科大学第一附属医院 A kind of corpus and hypomere mosquito forceps

Patent Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5059198A (en) * 1986-04-21 1991-10-22 Gimpelson Richard J Gynecological tenaculum
CN2070162U (en) * 1990-03-16 1991-01-30 空军济南医院医务处 Blocking device for endometrorrhagia
CN2265162Y (en) * 1996-01-04 1997-10-22 缪成松 Multi-function viscera traction forceps
CN200945182Y (en) * 2006-09-01 2007-09-12 张媛 Uterus special clamp for cesarean section
CN202288388U (en) * 2011-10-26 2012-07-04 潘月珍 Special hemostat for cesarean delivery
CN202665619U (en) * 2012-07-14 2013-01-16 宋秀莲 Special hemostat for gynecology and obstetrics department
CN203169256U (en) * 2012-12-28 2013-09-04 深圳市盐田区人民医院 Compression hemostatic forceps used for lower uterine segment
CN205307065U (en) * 2016-01-25 2016-06-15 胡兴艳 Uterus pincers
CN205831857U (en) * 2016-06-22 2016-12-28 南京医科大学第一附属医院 A kind of corpus and hypomere mosquito forceps

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109157270A (en) * 2018-04-25 2019-01-08 深圳市盐田区人民医院 A kind of Cesarean esction external member
CN109498130A (en) * 2018-12-24 2019-03-22 宝鸡市妇幼保健院 A kind of intact uterus haemostatic clamp

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