CN106667557A - Saccule type uterine manipulator - Google Patents

Saccule type uterine manipulator Download PDF

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Publication number
CN106667557A
CN106667557A CN201710046111.XA CN201710046111A CN106667557A CN 106667557 A CN106667557 A CN 106667557A CN 201710046111 A CN201710046111 A CN 201710046111A CN 106667557 A CN106667557 A CN 106667557A
Authority
CN
China
Prior art keywords
bar
bar shaped
shaped support
utricule
positioning
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.)
Pending
Application number
CN201710046111.XA
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Chinese (zh)
Inventor
钟鸣
岳计强
杜荷军
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Hangzhou Kinge Medical Equipment Ltd By Share Ltd
Hangzhou Kangji Medical Instrument Co Ltd
Original Assignee
Hangzhou Kinge Medical Equipment Ltd By Share Ltd
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Hangzhou Kinge Medical Equipment Ltd By Share Ltd filed Critical Hangzhou Kinge Medical Equipment Ltd By Share Ltd
Priority to CN201710046111.XA priority Critical patent/CN106667557A/en
Publication of CN106667557A publication Critical patent/CN106667557A/en
Pending legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/42Gynaecological or obstetrical instruments or methods
    • A61B17/4241Instruments for manoeuvring or retracting the uterus, e.g. during laparoscopic surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • 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 provides a saccule type uterine manipulator and belongs to the technical field of medical apparatuses and instruments. The technical problems of the prior art are solved. The saccule type uterine manipulator comprises a strip-shaped support, wherein a uterine swinging rod is hinged to the front end of the strip-shaped support and is connected with a swing driving mechanism capable of controlling the uterine swinging rod to swing with respect to the strip-shaped support, the uterine swinging rod is peripherally sleeved with a uterine manipulating cup capable of swinging with the uterine swinging rod, the front end of the uterine swinging rod is exposed out of the uterine manipulating cup, a positioning bag body is arranged on the strip-shaped support and is connected with a first medium conveying mechanism, and an adjustable positioning mechanism capable of axially adjusting and positioning the position of a saccule body and positioning the saccule body on the strip-shaped support. The saccule type uterine manipulator has the advantages of being simple in structure, quick and convenient to operate, capable of effectively maintaining pneumoperitoneum and the like.

Description

Balloon type uterus raising device
Technical field
The present invention relates to technical field of medical instruments, more particularly, to a kind of balloon type uterus raising device.
Background technology
As laparoscopic technique is in the popularization and application of Gynecology, at present almost all of Gynecological acute abdomwn is all by abdomen Endoscope-assistant surgery is substituted.And laparoscopic surgery possess abdominal it is unsurpassable it is minimally invasive, get a clear view, recover fast, go out The advantages of insufficiency of blood.Most gynecological laparoscopic operations all be unable to do without an important operating theater instruments --- uterus raising device.Uterus raising device Initial design be for manipulating uterus producing appropriate tension force, appearing operative space or convenient some special portions for reaching pelvic cavity Position, its application provides important guarantee for the exposure of female pelvic cavity surgical field of view.Uterus raising device is used for the lower Jing of peritoneoscope auxiliary Vaginal hysterectomy and total hysterectomy under laparoscopy, the logical fluid inspection of fallopian tube dyeing under peritoneoscope, and various abdomens Coordinate positioning uterus during endoscope-assistant surgery.At present uterus raising device is widely used in gynecological's total hysterectomy inside fascia operation, due to pelvic cavity and the external world Communicate, substantial amounts of swollen abdomen gas and interior liquid can overflow from uterine cavity after hysterectomy.
In order to prevent intrauterine gas and interior hydrorrhea from going out and preferably expose surgical field of view, just derive except with sacculus Uterus raising device, existing balloon type uterus raising device has two air bags mostly, and one is arranged on the front end of pendulum palace bar again after its expansion, On the one hand uterus is lifted, on the other hand pendulum palace bar and uterus is carried out position and fixed, it is to avoid pendulum palace bar is to endometrium Damage;Another air bag is arranged on the rear end of pendulum palace bar, is expanded after expansion, and vaginal walls of fitting, and prevents from performing the operation Intraabdominal gas and interior liquid in journey flows out, and advantageously ensures that surgical field of view after expanding.On the one hand, existing balloon type is lifted The air bag of the rear end of palace device is fixed with uterus raising device mostly, and due to age etc., the size of factor cavity of uterus is also different, and utricule is certain Depth is difficult to perfect laminating vaginal walls, be to uterus raising device anterior displacement so that utricule keeps complete laminating to maintain pneumoperitoneum, very Easily make pendulum palace bar bore a hole uterus, affect operation safety, and maintain pneumoperitoneum effect poor;On the other hand, put palace bar to adjust Section is difficult, it is difficult to provides optimal operation angle, exposure surgical field of view, affects procedure efficiency and postoperative effect.
In order to solve the problems, such as prior art, people have carried out long-term exploration, it is proposed that solution miscellaneous Scheme.For example, Chinese patent literature discloses a kind of folding type versatile uterus lifting machine [application number:200920171562.7], by Pendulum palace bar, in utero sacculus, the injection mouth of pipe, cervix uteri support, vagina blocking capsule, support rod, rotary handle, positioning knob are with synchromesh gear Toothed Belts Gearing is connected and composed.The annular tooth clutch of positioning knob joystick, handle is rotated and drives synchronous toothed belt gear and Bai Gong Bar, the upper and lower swing of cervix uteri support or stop;Swung with swing control pendulum palace bar, cervix uteri support of handle.
Such scheme solves the problems, such as to a certain extent existing uterus raising device, but remains:Pendulum palace bar Adjust inconvenience, it is difficult to uterus is lifted well, there is provided optimal surgery location;In total hysterectomy, it is difficult to by adjusting The position of section positioning utricule maintains the technical problems such as pneumoperitoneum effect difference reaching optimal seal state.
The content of the invention
The purpose of the present invention is for the problems referred to above, there is provided a kind of simple structure, simple operation, can effectively maintain pneumoperitoneum Balloon type uterus raising device.
To reach above-mentioned purpose, following technical proposal is present invention employs:This balloon type uterus raising device, including bar shaped support, Pendulum palace bar is hinged with the front end of bar shaped support, described puts palace bar and can control to put what palace bar swung relative to bar shaped support Swing driving mechanism is connected, it is characterised in that described pendulum palace bar periphery is arranged with the act palace cup that can be swung with pendulum palace bar, and The front end of pendulum palace bar is exposed to act palace cup, and described bar shaped support is provided with positioning utricule and positions utricule and conveys with first medium Mechanism is connected, and being provided between described positioning utricule and bar shaped support can be along the axially adjustable positioning utricule position of bar shaped support and energy Positioning utricule is positioned at into the adjustable positioning mechanism of bar shaped support.
This balloon type uterus raising device can be made in operation process by operating swing driving mechanism to be adjusted pendulum palace bar Uterus reaches the best angle of operation, fully provides surgical field of view, improves procedure efficiency;It is defeated by first medium when utricule is positioned After sending mechanism to swell, positioning utricule is fitted completely vaginal walls, and adjustable positioning mechanism can axially adjustable positioning utricule, solution Positioning of having determined utricule factor palace is of different sizes and be difficult to the problem of perfect laminating vaginal walls, the adjustable positioning mechanism can make Positioning utricule effectively maintains pneumoperitoneum relative to optimal seal state is kept outside chamber, prevents intrauterine gas and interior liquid from flowing out.
In above-mentioned balloon type uterus raising device, described adjustable positioning mechanism includes connecting by made by flexible material Set, described adapter sleeve is sheathed on the periphery of bar shaped support and the hinged place of pendulum palace bar, the front end of described adapter sleeve with lift palace Cup rear end is connected, and the rear end of described adapter sleeve is connected with the reducing sleeve being sheathed on bar shaped support, and described positioning utricule is consolidated It is scheduled on reducing sleeve, between described reducing sleeve rear end and bar shaped support axially adjustable location structure is provided with.
In above-mentioned balloon type uterus raising device, described axially adjustable location structure includes the bar being sheathed on bar shaped support Shape sheath, the front end of described bar shaped sheath is connected with reducing sleeve, and described bar shaped sheath is provided with least one positioning tooth, institute The bar shaped support stated is provided with axially extending positioning tooth bar, and described positioning tooth can be embedded between the teeth of positioning tooth bar, institute The positioning tooth stated is arranged on the flexibly positioned plate of bar shaped sheath and the flexibly positioned plate can under external force drive positioning tooth Depart from positioning tooth bar.Positioning utricule is set to carry out position tune by positioning tooth bar on the positioning tooth on bar shaped sheath and bar shaped support Save and fixed, it is ensured that the stability in positioning utricule operation process, prevent gas and the leakage of interior liquid, ensured that operation is regarded It is wild.
In above-mentioned balloon type uterus raising device, described bar shaped sheath includes the barrel being connected with reducing sleeve, in cylinder The rear end in portion is provided with least two and is parallel to each other and circumferentially spaced sheath lobe, and described flexibly positioned plate is arranged on two Between sheath lobe, and it is provided with the end of flexibly positioned plate and outward-dipping pulls body.Pressing is made on flexibly positioned plate by pulling body Positioning tooth depart from positioning tooth bar, it is easy to adjust, improve procedure efficiency.
In above-mentioned balloon type uterus raising device, described adapter sleeve is provided with can improve adapter sleeve shape when putting palace bar and swinging The deformation of change ability promotes structure.
In above-mentioned balloon type uterus raising device, described cell body is arranged on bar shaped support, and described alignment pin is movable Be arranged on handle, described deformation promotes structure to include the first ripple group and the second ripple group located at adapter sleeve sidepiece, Described the first ripple group and the second ripple group is located at respectively the upper and lower of adapter sleeve crooked position;The first described ripple The wave bottom difference hollow out of group and the second ripple group, the waveform of the first described ripple group is less than the waveform of the second ripple group. The first ripple group and the second ripple group of hollow out can assist in adapter sleeve swing, and swing can be made more stable, and when switching When set is axially forwardly elapsed to adapter sleeve, the openwork part compression of the first ripple group and the second ripple group.
In above-mentioned balloon type uterus raising device, described positioning utricule one end has with positioning utricule one and is coaxially disposed Flexible body, described flexible body is sheathed on adapter sleeve and covers the first ripple group and the second ripple group.
In above-mentioned balloon type uterus raising device, described swing driving mechanism includes the swing being hinged with bar shaped support Head, described pendulum palace rod rear end has welded joint, and described welded joint is fixed on swinging head and described act palace cup is arranged on On welded joint, described bar shaped back-end support is hinged with handle, be provided between described handle and swinging head when handle relative to Bar shaped support can drive the link gear that swinging head swings when swinging.Link gear is realized in the case of bar shaped support is motionless It is adjusted to putting palace bar, improves safety and the convenience of operation.
In above-mentioned balloon type uterus raising device, described link gear includes first connecting rod arranged in parallel and second Connecting rod, described first connecting rod and the front end of second connecting rod be hinged with swinging head respectively and pin joint respectively be located at swinging head with The both sides of bar shaped support pin joint, described first connecting rod and the rear end of second connecting rod is hinged respectively and pin joint point with handle Not Wei Yu handle and bar shaped support pin joint both sides.
In above-mentioned balloon type uterus raising device, described pendulum palace bar is provided with uterine cavity utricule, described uterine cavity utricule and Second medium conveying mechanism is connected, and in the outer end of pendulum palace bar flexible head is provided with, and has spray hole on described flexible head, described Spray hole be connected and hydrojet passage is connected with liquid transporting body with the hydrojet passage of pendulum palace bar.Uterine cavity utricule after expansion Fit completely with uterus inwall.
In above-mentioned balloon type uterus raising device, described first medium conveying mechanism includes the be connected with positioning utricule One conduit, is connected with the first instruction utricule and the first check valve on the first described conduit;Described second medium conveying mechanism It is connected with uterine cavity utricule including the second conduit that is connected of medium channel and medium channel with pendulum palace bar, described second leads The second instruction utricule and the second check valve are connected with pipe;Described liquid transporting body includes the hydrojet passage with uterine cavity utricule The 3rd conduit being connected, on the 3rd described conduit the 3rd check valve is connected with.By to liquid transporting body injected media Cavity of uterus is cleaned or injection through hydrojet passage;Here the first instruction utricule and second indicates that utricule can be straight respectively See the state of ground reflection positioning utricule and uterine cavity utricule.
Compared with prior art, the advantage of this balloon type uterus raising device is:Positioning utricule is easy to adjust, can effectively tie up The intrauterine pneumoperitoneum of different size is held, prevents intrauterine gas and interior liquid from flowing out;Swing driving mechanism can be realized putting palace bar In regulation in utero, optimal operation angle is provided for operation, procedure efficiency is high;There is flexible shroud at swinging joint, reduce Damage in pendulum palace bar operation to inwall, operation safety is high;Link gear is realized can be right in the case of bar shaped support is motionless Pendulum palace bar is adjusted, and improves safety and the convenience of operation..
Description of the drawings
Fig. 1 is the structural representation that the present invention is provided.
Fig. 2 is the structure sectional view that the present invention is provided.
Fig. 3 is the schematic diagram of the adjustable positioning structure signal that the present invention is provided and sleeve body.
Fig. 4 is the partial enlarged drawing at the A that the present invention is provided.
Fig. 5 is the partial enlarged drawing at the B that the present invention is provided.
In figure, bar shaped support 1, pendulum palace bar 2, swing driving mechanism 3, act palace cup 4, positioning utricule 5, first medium conveyer It is structure 6, adjustable positioning mechanism 7, adapter sleeve 8, reducing sleeve 9, axially adjustable location structure 10, bar shaped sheath 11, positioning tooth 12, fixed Position tooth bar 13, flexibly positioned plate 14, barrel 15, sheath lobe 16, pull body 17, deformation promote structure 18, the first ripple group 19, the Two ripple groups 20, flexible body 21, swinging head 22, welded joint 23, handle 24, link gear 25, first connecting rod 26, second connecting rod 27th, uterine cavity utricule 28, second medium conveying mechanism 29, flexible head 30, spray hole 31, hydrojet passage 32, liquid transporting body 33rd, the first conduit 34, first indicates that utricule 35, the first check valve 36, medium channel 37, the second conduit 38, second indicate utricule 39th, the second check valve 40, the 3rd conduit 41, the 3rd check valve 42.
Specific embodiment
With reference to the accompanying drawings and detailed description the present invention will be further described in detail.
As Figure 1-5, this balloon type uterus raising device includes bar shaped support 1, and in the front end of bar shaped support 1 pendulum palace bar is hinged with 2, pendulum palace bar 2 is connected with controlling pendulum palace bar 2 relative to the swing driving mechanism 3 that bar shaped support 1 swings, it is characterised in that Pendulum palace bar 2 periphery is arranged with the act palace cup 4 that can be swung with pendulum palace bar 2, and the front end of pendulum palace bar 2 is exposed to act palace cup 4, bar shaped Support 1 is provided with positioning utricule 5 and positions utricule 5 and is connected with first medium conveying mechanism 6, position utricule 5 and bar shaped support 1 it Between be provided with can along bar shaped support 1 it is axially adjustable positioning the position of utricule 5 and can will positioning utricule 5 be positioned at the adjustable of bar shaped support 1 Formula detent mechanism 7.
The best angle to make uterus reach operation is adjusted by operating 3 pairs of pendulum palace bars 2 of swing driving mechanism, is filled Divide and surgical field of view is provided, improve procedure efficiency;After positioning utricule 5 is swollen by first medium conveying mechanism 6, utricule 5 is positioned Fit completely vaginal walls, and adjustable positioning mechanism 7 can axially adjustable positioning utricule 5, solve positioning utricule 5 factor palace Problem that is of different sizes and being difficult to perfect laminating vaginal walls, the adjustable positioning mechanism 7 can make positioning utricule 5 relative to chamber Outer holding optimal seal state, effectively maintains pneumoperitoneum, prevents intrauterine gas and interior liquid from flowing out.
Specifically, the adjustable positioning mechanism 7 of the balloon type uterus raising device includes adapter sleeve 8 by made by flexible material, even Female connector 8 is sheathed on the periphery of bar shaped support 1 and the hinged place of pendulum palace bar 2, and the front end of adapter sleeve 8 is connected with the rear end of palace cup 4 is lifted, even The rear end of female connector 8 is connected with the reducing sleeve 9 being sheathed on bar shaped support 1, and positioning utricule 5 is fixed on reducing sleeve 9, reducing sleeve 9 Axially adjustable location structure 10 is provided between rear end and bar shaped support 1, axially adjustable location structure 10 is by driving the axle of reducing sleeve 9 To displacement, so that positioning utricule 5 realizes the regulation of position in operation process, the requirement for maintaining pneumoperitoneum is met.
Axially adjustable location structure 10 includes the bar shaped sheath 11 being sheathed on bar shaped support 1, the front end of bar shaped sheath 11 It is connected with reducing sleeve 9, bar shaped sheath 11 is provided with least one positioning tooth 12, and bar shaped support 1 is provided with axially extending positioning Tooth bar 13, positioning tooth 12 can be embedded between the teeth of positioning tooth bar 13, and positioning tooth 12 is arranged on the flexibly positioned of bar shaped sheath 11 On plate 14 and the flexibly positioned plate 14 can drive under external force positioning tooth 12 depart from positioning tooth bar 13.
Positioning utricule 5 is set to enter line position by positioning tooth bar 13 on the positioning tooth 12 on bar shaped sheath 11 and bar shaped support 1 Put regulation and fix, it is ensured that the stability in the positioning operation process of utricule 5, prevent gas and the leakage of interior liquid, ensure handss The art visual field.
Bar shaped sheath 11 includes the barrel 15 being connected with reducing sleeve 9, and in the rear end of barrel 15 at least two phases are provided with Mutual parallel and circumferentially spaced sheath lobe 16, flexibly positioned plate 14 is arranged between two sheath lobes 16, and fixed in elasticity The end of position plate 14 be provided with it is outward-dipping pull body 17, pressing departs from the positioning tooth 12 on flexibly positioned plate 14 by pulling body 17 Positioning tooth bar 13, it is easy to adjust, improve procedure efficiency.Adapter sleeve 8 is provided with can improve adapter sleeve 8 when putting palace bar 2 and swinging The deformation of deformability promotes structure 18
Further, the deformation promotes structure 18 to include the first ripple group 19 and the second ripple located at the sidepiece of adapter sleeve 8 Group 20, the first ripple group 19 and the second ripple group 20 are respectively positioned at the upper and lower of the crooked position of adapter sleeve 8;First ripple group 19 and second ripple group 20 wave bottom difference hollow out, the waveform of the first ripple group 19 less than the second ripple group 20 waveform, The first ripple group 19 and the second ripple group 20 of hollow out can assist in adapter sleeve 8 and swing, and swing can be made more stable, and work as When reducing sleeve 9 is axially forwardly elapsed to adapter sleeve 8, the openwork part compression of the first ripple group 19 and the second ripple group 20.
In the application, the flexible body 21 that the one end of utricule 5 has with the one of positioning utricule 5 and is coaxially disposed is positioned, it is flexible Body 21 is sheathed on adapter sleeve 8 and covers the first ripple group 19 and the second ripple group 20, and flexible body 21 can reduce pendulum Damage when palace bar 2 swings to inwall;Additionally, swing driving mechanism 3 includes the swinging head 22 being hinged with bar shaped support 1, pendulum The rear end of palace bar 2 has welded joint 23, and welded joint 23 is fixed on swinging head 22 and lifts palace cup 4 and is arranged on welded joint 23, bar shaped The rear end of support 1 is hinged with handle 24, and the energy when handle 24 swings relative to bar shaped support 1 is provided between handle 24 and swinging head 22 To putting palace bar 2 by driving the link gear 25 of the swing of swinging head 22, link gear 25 to realize in the case of bar shaped support 1 is motionless It is adjusted, improves safety and the convenience of operation.
Further, link gear 25 includes first connecting rod 26 and second connecting rod 27 arranged in parallel, and first connects The front end of bar 26 and second connecting rod 27 is hinged respectively with swinging head 22 and pin joint is located at respectively swinging head 22 and bar shaped support 1 The rear end of the both sides of pin joint, first connecting rod 26 and second connecting rod 27 is hinged respectively with handle 24 and pin joint is located at respectively handss The both sides of handle 24 and the pin joint of bar shaped support 1.
Uterine cavity utricule 28 is provided with pendulum palace bar 2, uterine cavity utricule 28 is connected with second medium conveying mechanism 29, in pendulum palace bar 2 outer end is provided with flexible head 30, has spray hole 31, spray hole 31 and the hydrojet passage 32 for putting palace bar 2 on flexible head 30 It is connected and hydrojet passage 32 is connected with liquid transporting body 33, the uterine cavity utricule 28 after expansion is fitted completely with uterus inwall. The first medium conveying mechanism 6 includes the first conduit 34 being connected with positioning utricule 5, and on the first conduit 34 the first finger is connected with Show the check valve 36 of utricule 35 and first;Second medium conveying mechanism 29 includes the be connected with the medium channel 37 of pendulum palace bar 2 Two conduits 38 and medium channel 37 is connected with uterine cavity utricule 28, are connected with the second instruction utricule 39 and second on the second conduit 38 Check valve 40;Liquid transporting body 33 includes the 3rd conduit 41 being connected with the hydrojet passage 32 of uterine cavity utricule 28, and the 3rd leads The 3rd check valve 42 is connected with pipe 41, by entering to cavity of uterus through hydrojet passage 32 to the injected media of liquid transporting body 33 Row cleaning or injection;Here the first instruction utricule 35 and second indicates that utricule 39 can respectively intuitively reflection positions utricule 5 With the state of uterine cavity utricule 28.
Specific embodiment described herein is only explanation for example spiritual to the present invention.Technology neck belonging to of the invention The technical staff in domain can be made various modifications to described specific embodiment or supplement or replaced using similar mode Generation, but without departing from the spiritual of the present invention or surmount scope defined in appended claims.
Although more having used bar shaped support 1, pendulum palace bar 2, swing driving mechanism 3, act palace cup 4, positioning utricule herein 5th, first medium conveying mechanism 6, adjustable positioning mechanism 7, adapter sleeve 8, reducing sleeve 9, axially adjustable location structure 10, bar shaped shield Set 11, positioning tooth 12, positioning tooth bar 13, flexibly positioned plate 14, barrel 15, sheath lobe 16, pull body 17, deformation promote structure 18th, the first ripple group 19, the second ripple group 20, flexible body 21, swinging head 22, welded joint 23, handle 24, link gear 25, First connecting rod 26, second connecting rod 27, uterine cavity utricule 28, second medium conveying mechanism 29, flexible head 30, spray hole 31, hydrojet Passage 32, liquid transporting body 33, the first conduit 34, first indicate utricule 35, the first check valve 36, medium channel 37, second Conduit 38, second indicates the terms such as utricule 39, the second check valve 40, the 3rd conduit 41, the 3rd check valve 42, but is not precluded from making With the probability of other terms.It is used for the purpose of more easily describing and explaining the essence of the present invention using these terms;It To be construed to any additional restriction be all contrary with spirit of the invention.

Claims (11)

1. a kind of balloon type uterus raising device, including bar shaped support (1), in the front end of bar shaped support (1) pendulum palace bar (2), institute are hinged with Pendulum palace bar (2) stated is connected with controlling pendulum palace bar (2) relative to the swing driving mechanism (3) that bar shaped support (1) swings, its It is characterised by, described pendulum palace bar (2) periphery is arranged with act palace cup (4) that can be swung with pendulum palace bar (2), and puts palace bar (2) Front end be exposed to act palace cup (4), described bar shaped support (1) be provided with positioning utricule (5) and position utricule (5) with first be situated between Matter conveying mechanism (6) is connected, and being provided between described positioning utricule (5) and bar shaped support (1) can be along the axial tune of bar shaped support (1) Adjust a utricule (5) position and can be positioned at the adjustable positioning mechanism (7) of bar shaped support (1) by positioning utricule (5).
2. balloon type uterus raising device according to claim 1, it is characterised in that described adjustable positioning mechanism (7) includes Adapter sleeve (8) by made by flexible material, described adapter sleeve (8) is sheathed on the hinged place of bar shaped support (1) and pendulum palace bar (2) Periphery, the front end of described adapter sleeve (8) is connected with palace cup (4) rear end is lifted, the rear end of described adapter sleeve (8) be sheathed on Reducing sleeve (9) on bar shaped support (1) is connected, and described positioning utricule (5) is fixed on reducing sleeve (9), described reducing sleeve (9) axially adjustable location structure (10) is provided between rear end and bar shaped support (1).
3. balloon type uterus raising device according to claim 2, it is characterised in that described axially adjustable location structure (10) bag The bar shaped sheath (11) being sheathed on bar shaped support (1) is included, the front end of described bar shaped sheath (11) is connected with reducing sleeve (9), Described bar shaped sheath (11) is provided with least one positioning tooth (12), and described bar shaped support (1) is provided with axially extending Positioning tooth bar (13), described positioning tooth (12) can be embedded between the teeth of positioning tooth bar (13), and described positioning tooth (12) sets Put on the flexibly positioned plate (14) of bar shaped sheath (11) and the flexibly positioned plate (14) can under external force drive positioning tooth (12) positioning tooth bar (13) is departed from.
4. balloon type uterus raising device according to claim 3, it is characterised in that described bar shaped sheath (11) includes and switching The connected barrel (15) of set (9), is provided with least two and is parallel to each other and circumferentially spaced in the rear end of barrel (15) Sheath lobe (16), described flexibly positioned plate (14) is arranged between two sheath lobes (16), and in flexibly positioned plate (14) End is provided with outward-dipping pulls body (17).
5. the balloon type uterus raising device according to Claims 2 or 3 or 4, it is characterised in that described adapter sleeve (8) is provided with The deformation that adapter sleeve (8) deformability can be improved when putting palace bar (2) and swinging promotes structure (18).
6. balloon type uterus raising device according to claim 5, it is characterised in that described deformation promotes structure (18) including setting In the first ripple group (19) and the second ripple group (20) of adapter sleeve (8) sidepiece, described the first ripple group (19) and the second ripple Stricture of vagina group (20) is respectively positioned at the upper and lower of adapter sleeve (8) crooked position;Described the first ripple group (19) and the second ripple The wave bottom difference hollow out of group (20), the waveform of the first described ripple group (19) is less than the waveform of the second ripple group (20).
7. balloon type uterus raising device according to claim 6, it is characterised in that described positioning utricule (5) one end have with Positioning utricule (5) one and the flexible body (21) that is coaxially disposed, described flexible body (21) be sheathed on adapter sleeve (8) and First ripple group (19) and the second ripple group (20) are covered.
8. the balloon type uterus raising device according to claim 1 or 2 or 3 or 4, it is characterised in that described swing driving mechanism (3) swinging head (22) being hinged with bar shaped support (1) is included, described pendulum palace bar (2) rear end has welded joint (23), described Welded joint (23) be fixed on swinging head (22) and described act palace cup (4) is arranged on welded joint (23), described bar shaped Support (1) rear end is hinged with handle (24), be provided between described handle (24) and swinging head (22) when handle (24) relative to Bar shaped support (1) can drive the link gear (25) that swinging head (22) swings when swinging.
9. balloon type uterus raising device according to claim 8, it is characterised in that described link gear (25) is including mutually flat First connecting rod (26) and second connecting rod (27) that row is arranged, described first connecting rod (26) and the front end of second connecting rod (27) is distinguished It is hinged with swinging head (22) and pin joint is respectively positioned at swinging head (22) and the both sides of bar shaped support (1) pin joint, it is described The rear end of first connecting rod (26) and second connecting rod (27) is hinged respectively with handle (24) and pin joint is located at respectively handle (24) With the both sides of bar shaped support (1) pin joint.
10. balloon type uterus raising device according to claim 8, it is characterised in that described pendulum palace bar (2) is provided with uterine cavity capsule Body (28), described uterine cavity utricule (28) is connected with second medium conveying mechanism (29), and in the outer end of pendulum palace bar (2) flexibility is provided with Head (30), has a spray hole (31) on described flexible head (30), the hydrojet of described spray hole (31) and pendulum palace bar (2) Passage (32) is connected and hydrojet passage (32) is connected with liquid transporting body (33).
11. balloon type uterus raising devices according to claim 10, it is characterised in that described first medium conveying mechanism (6) Including the first conduit (34) being connected with positioning utricule (5), on described the first conduit (34) the first instruction utricule is connected with And the first check valve (36) (35);Described second medium conveying mechanism (29) includes the medium channel (37) with pendulum palace bar (2) The second conduit (38) and medium channel (37) being connected is connected with uterine cavity utricule (28), connects on described the second conduit (38) It is connected to the second instruction utricule (39) and the second check valve (40);Described liquid transporting body (33) includes and uterine cavity utricule (28) The 3rd conduit (41) that is connected of hydrojet passage (32), be connected with the 3rd check valve (42) on the 3rd described conduit (41).
CN201710046111.XA 2017-01-21 2017-01-21 Saccule type uterine manipulator Pending CN106667557A (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109745086A (en) * 2017-11-02 2019-05-14 财团法人交大思源基金会 Has the Minimally Invasive Surgery apparatus of end steering mechanism
CN110811792A (en) * 2019-12-04 2020-02-21 温州医科大学附属第一医院 Automatic uterus lifting device

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CN110811792A (en) * 2019-12-04 2020-02-21 温州医科大学附属第一医院 Automatic uterus lifting device

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