CN106037856B - A kind of uterine hemostasis pincers - Google Patents

A kind of uterine hemostasis pincers Download PDF

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Publication number
CN106037856B
CN106037856B CN201610456845.0A CN201610456845A CN106037856B CN 106037856 B CN106037856 B CN 106037856B CN 201610456845 A CN201610456845 A CN 201610456845A CN 106037856 B CN106037856 B CN 106037856B
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curved
handle
tong arm
rectangle
clamp
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CN201610456845.0A
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CN106037856A (en
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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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    • 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
    • A61B17/28—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
    • A61B17/2812—Surgical forceps with a single pivotal connection
    • A61B17/282—Jaws
    • 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
    • A61B17/12—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
    • 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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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Public Health (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Reproductive Health (AREA)
  • Ophthalmology & Optometry (AREA)
  • Vascular Medicine (AREA)
  • Gynecology & Obstetrics (AREA)
  • Pregnancy & Childbirth (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses a kind of uterine hemostasis pincers, including：Two rectangle binding clips, two curved clamp handles, rotating shaft, two tong arms and two handles；Wherein described rectangle binding clip is in hollow out rectangle, is arranged on curved clamp handle front end, and the curved clamp handle is curved in evagination, and afterbody connection tong arm, the tail end of tong arm is provided with handle；Rotating shaft is arranged among curved clamp handle and tong arm, is made two curved clamp handles and tong arm interconnection and can be fastened or open along rotating shaft, after fastening, two rectangle binding clips are brought into close contact, and are in hollow form between two curved clamp handles.The uterine hemostasis wrench structure of the present invention is novel, it is easily operated, for clamping Cesarean esction (after delivery of baby) corpus uteri, especially lower uterine segment front and rear wall, play and whole organ hemostasis by compression is acted on immediately, placenta attachment area is avoided to bleed profusely in a short time, coordinate UAE, uterectomy and call assistance treatment, the life security for the puerpera that tries hard to keep.

Description

A kind of uterine hemostasis pincers
Technical field
The invention belongs to medical operation device technical field, and more particularly to one kind being capable of clamp uterus for gynaecology and obstetrics operation Uterine hemostasis pincers.
Background technology
At present, ob-gyn carried out for puerpera perform the operation when, it is exactly haemostatic clamp to commonly use and use most.But at present The haemostatic clamp of market is used for the clamp hemostasis (elbow, straight head hemostatic forceps) of local vascular, and the clamp of preferably at most local organization stops Blood (such as sponge holding forceps), shortage is a kind of can be to the hemostasis instrument of whole uterus organ clamp.
Chinese patent CN201410086066.7 discloses a kind of gynemetrics's haemostatic clamp, is provided with upper grip head and lower pliers head Intermeshing projection and depression, are designed using rack, can effectively be clamped in use, the rubber blanket on binding clip can Reduce pain of the patient in surgical procedure.
As " placental presentation ", especially " dangerous type placental presentation " incidence of disease raise, again during operative delivery, uterus (hypomere) bleeding is serious, and even mortality is bled profusely, and there is an urgent need to a kind of energy clamp uterus (and or lower uterine segment), stands Reduce, prevent the instrument of uterine hemorrhage.
The content of the invention
The purpose of the present invention is the defects of being directed to prior art, there is provided one kind being capable of clamp uterus suitable for gynaecology and obstetrics operation Uterine hemostasis pincers.
To achieve these goals, the present invention uses following technical scheme：A kind of uterine hemostasis pincers, including：Two rectangles Binding clip, two curved clamp handles, rotating shaft, two tong arms and two handles；Wherein described rectangle binding clip is in hollow out rectangle, is arranged on song Clamp handle front end, the curved clamp handle is curved in evagination, and afterbody connection tong arm, the tail end of tong arm is provided with handle；Rotating shaft is set Among curved clamp handle and tong arm, make two curved clamp handles and tong arm interconnection and can fasten or open along rotating shaft, fasten Afterwards, two rectangle binding clips are brought into close contact, and are in hollow form between two curved clamp handles.
The edge of the rectangle binding clip is rounded, and the length of rectangle is in 5~8cm, and width is in 4~5cm.
The 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, which is connected, connects tong arm.
Angle between the long side and tong arm of the rectangle binding clip is 180 ° on the projection surface, the length of curved handle both ends line Spend for 15~18cm.
The curvature of the curved handle front end is less than the curvature of rear end, and the angle of curved handle both ends line and front end is 20 °~ 30 °, the angle with rear end is 40 °~60 °.
Angle between the long side and tong arm of the rectangle binding clip is 135 °~145 ° on the projection surface, the length on curved base Spend for 5~8cm.
The curvature at the curved handle both ends is identical.
The tong arm is provided with the latch of locking positioning close to the position of handle.
It is rectangle that the uterine hemostasis of the present invention, which clamps overall binding clip, and curved clamp handle is that evagination is curved, curved clamp handle including 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 difference Rectangle binding clip is connected, afterbody, which is connected, connects tong arm, and tong arm is provided with the latch of locking positioning close to the position of handle.And according to making It is different with position, it is divided into corpus and hypomere haemostatic clamp and lower uterine segment haemostatic clamp.
Angle wherein between the long side of the rectangle binding clip of corpus and hypomere haemostatic clamp and tong arm is on the projection surface 180 °, while curved handle is longer, the length of both ends line is 15~18cm, and the curvature of curved handle front end is less than the song of rear end The angle of rate, curved handle both ends line and front end is 20 °~30 °, and the angle with rear end is 40 °~60 °.After curved clamp handle fastens Shape and uterus shape between curved handle are coincide substantially, can be across corpus uteri, the preceding uterus rear wall of clamp, if palace body shrinks not It is good, can be according to uterus size, in palace, body front and rear wall pad presses gauze, and corpus uteri is 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 Artery.Corpus and hypomere haemostatic clamp 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, it is not easily stripped, does not peel off placenta by force, uterus is taken out of into basin abdomen immediately Chamber, if with two corpus and hypomere haemostatic clamp clamp in palace body and hypomere --- body contraction in palace is bad, can be according to son Palace size, in palace, body front and rear wall pad presses gauze --- and corpus uteri is strengthened oppressing, plays haemostatic effect, avoids placenta attachment area Bleed profusely in a short time, save pregnant and lying-in women's life security from damage.
Angle between the long side and tong arm of the rectangle binding clip of lower uterine segment haemostatic clamp is 135 °~145 ° on the projection surface, The length on curved base is 5~8cm, and the curvature at curved handle both ends is identical.Rectangle binding clip can clamp lower uterine segment, curved The curved handle of clamp handle is in small curved hollow, with the angled angle of binding clip principal direction, can avoid uterine vascular, reduce under uterus Section bleeding, while the operation to uterine vascular is not influenceed.Suitable for the patient of only lower uterine segment bleeding, be particularly suitable for use in whole palace Body can not take out of the patient of pelvic cavity, and haemostatic clamp grip portions are outside pelvic cavity.
The uterine hemostasis wrench structure of the present invention is novel, easily operated, for clamp Cesarean esction (after delivery of baby) corpus uteri, Especially lower uterine segment front and rear wall, play and whole organ hemostasis by compression is acted on immediately, avoid placenta attachment area big in a short time Blood is measured, coordinates UAE, uterectomy and call assistance treatment, the life security for the puerpera that tries hard to keep.Energy simultaneously It is enough effectively to avoid uterine artery, do not influence the operation to uterine artery in operation.
Brief description of the drawings
Fig. 1 is the structural representation of the corpus of embodiment 1 and hypomere haemostatic clamp.
Structural representation when Fig. 2 is the corpus of embodiment 1 and hypomere haemostatic clamp fastening
Fig. 3 is the structural representation of the lower uterine segment haemostatic clamp of embodiment 2.
Fig. 4 is the structural representation of the lower uterine segment haemostatic clamp of embodiment 2.
Embodiment
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 haemostatic clamp include：Two rectangle binding clips 1, two curved clamp handle, rotating shaft 2nd, two tong arms 3 and two handles 4.Wherein curved clamp handle includes two curved handles 5.
Wherein rectangle binding clip is in hollow out rectangle, and edge is rounded, and the length of rectangle is in 5~8cm, and width is in 4~5cm.It is bent The front end of shape handle is separated from each other connection rectangle binding clip respectively, and afterbody, which is connected, connects tong arm, and two curved handles and tong arm clamp into Y shape The tail end of arm is provided with handle；Rotating shaft is arranged among curved clamp handle and tong arm, makes two curved clamp handles and tong arm interconnection And can fasten or open along rotating shaft, after fastening, two rectangle binding clips are brought into close contact, and are 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 the long side and tong arm of the rectangle binding clip of corpus and hypomere haemostatic clamp is 180 ° on the projection surface, Curved handle is longer simultaneously, and the length of both ends line is 15~18cm, and the curvature of curved handle front end is less than the curvature of rear end, bent Shape handle both ends line and the angle of front end are 20 °~30 °, and the angle with rear end is 40 °~60 °.
Shape and uterus shape after curved clamp handle fastens between curved handle are coincide substantially, can be across corpus uteri, before clamp Uterus rear wall, can be according to uterus size if body contraction in palace is bad, and in palace, body front and rear wall pad presses gauze, and corpus uteri is oppressed, Play haemostatic effect.The area of rectangle binding clip energy clamp lower uterine segment front and rear wall 50%, the binding clip of two pairs of pliers can press from both sides simultaneously Whole lower uterine segment is held, avoids uterine artery.Corpus and hypomere haemostatic clamp main function are large area clamp uterus, uterus Hypomere front and rear wall, plays a part of hemostasis by compression.After delivery of baby, if suspecting Placenta acrreta, it is not easily stripped, does not peel off by force Placenta, uterus is taken out of into abdominopelvic cavity immediately, if with two corpus and hypomere haemostatic clamp clamp in palace body and hypomere --- Palace body contraction is bad, can be according to uterus size, and in palace, body front and rear wall pad presses gauze --- and corpus uteri is strengthened oppressing, played only Blood effect, avoid placenta attachment area from bleeding profusely in a short time, save pregnant and lying-in women's life security from damage.
Embodiment 2
As shown in Figures 3 and 4, lower uterine segment haemostatic clamp includes：Two rectangle binding clips, 1, two curved clamp handle, rotating shaft 2, two Tong arm 3 and two handles 4.Wherein curved clamp handle includes two curved handles 5.
Wherein rectangle binding clip is in hollow out rectangle, and edge is rounded, and the length of rectangle is in 5~8cm, and width is in 4~5cm.It is bent The front end of shape handle is separated from each other connection rectangle binding clip respectively, and afterbody, which is connected, connects tong arm, and two curved handles and tong arm clamp into Y shape The tail end of arm is provided with handle；Rotating shaft is arranged among curved clamp handle and tong arm, makes two curved clamp handles and tong arm interconnection And can fasten or open along rotating shaft, after fastening, two rectangle binding clips are brought into close contact, and are 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 the long side and tong arm of rectangle binding clip is 135 °~145 ° on the projection surface, and the length on curved base is 5~8cm, and the curvature at curved handle both ends is identical.
The rectangle binding clip of lower uterine segment haemostatic clamp can clamp lower uterine segment, the curved handle of curved clamp handle in it is small it is curved in Sky, with the angled angle of binding clip principal direction, uterine vascular can be avoided, reduces lower uterine segment bleeding, while do not influence antithetical phrase The operation of palace blood vessel.Suitable for the patient of only lower uterine segment bleeding, the whole palace body that is particularly suitable for use in can not take out of the patient of pelvic cavity, Haemostatic clamp grip portions are outside pelvic cavity.
The above described is only a preferred embodiment of the present invention, any type of limitation is not done to the present invention.It is every Any simple modification, equivalent change and modification that technology and method according to the present invention are substantially made to above example, still Belong in the range of the technology and method scheme of the present invention.

Claims (3)

  1. A kind of 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 described rectangle binding clip is in hollow out rectangle, is arranged on curved clamp handle front end, and the curved clamp handle is in outer evagination Shape, afterbody connection tong arm, the tail end of tong arm are provided with handle；Rotating shaft is arranged among curved clamp handle and tong arm, make two it is curved Clamp handle and tong arm interconnection simultaneously can be fastened or opened along rotating shaft, and after fastening, two rectangle binding clips are brought into close contact, and two curved It is in hollow form between clamp handle；
    The edge of the rectangle binding clip is rounded, and the length of rectangle is in 5~8cm, and width is in 4~5cm；
    The 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 connection rectangle binding clip respectively, and afterbody, which is connected, connects tong arm；
    Angle between the long side and tong arm of the rectangle binding clip is 180 ° on the projection surface, and the length of curved handle both ends line is 15~18cm；
    The curvature of the curved handle front end is less than the curvature of rear end, and the angle of curved handle both ends line and front end is 20 °~30 °, Angle with rear end is 40 °~60 °.
  2. A kind of 2. 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 described rectangle binding clip is in hollow out rectangle, is arranged on curved clamp handle front end, and the curved clamp handle is in outer evagination Shape, afterbody connection tong arm, the tail end of tong arm are provided with handle；Rotating shaft is arranged among curved clamp handle and tong arm, make two it is curved Clamp handle and tong arm interconnection simultaneously can be fastened or opened along rotating shaft, and after fastening, two rectangle binding clips are brought into close contact, and two curved It is in hollow form between clamp handle；
    The edge of the rectangle binding clip is rounded, and the length of rectangle is in 5~8cm, and width is in 4~5cm；
    The 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 connection rectangle binding clip respectively, and afterbody, which is connected, connects tong arm；
    Angle between the long side and tong arm of the rectangle binding clip is 135 °~145 ° on the projection surface, and the length on curved base is 5~8cm；
    The curvature at the curved handle both ends is identical.
  3. 3. uterine hemostasis pincers according to claim 1 or claim 2, it is characterised in that：The tong arm is provided with close to the position of handle The latch of locking positioning.
CN201610456845.0A 2016-06-22 2016-06-22 A kind of uterine hemostasis pincers Expired - Fee Related CN106037856B (en)

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CN106037856B true CN106037856B (en) 2017-12-15

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Families Citing this family (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

Family Cites Families (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

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