CN109106432A - A kind of equipment and its application method for removing ectopic pregnancy lesion through natural cavity - Google Patents
A kind of equipment and its application method for removing ectopic pregnancy lesion through natural cavity Download PDFInfo
- Publication number
- CN109106432A CN109106432A CN201810627245.5A CN201810627245A CN109106432A CN 109106432 A CN109106432 A CN 109106432A CN 201810627245 A CN201810627245 A CN 201810627245A CN 109106432 A CN109106432 A CN 109106432A
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- China
- Prior art keywords
- pipe
- lesion
- equipment
- bending part
- ectopic pregnancy
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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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M31/00—Devices for introducing or retaining media, e.g. remedies, in cavities of the body
-
- 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
A kind of equipment for removing ectopic pregnancy lesion through natural cavity, including handshake part, controllable bending part and removing pipe；The end for removing the controllable bending part of Guan Kecong is stretched out, and is embedded link according to interval in silica gel, and at least one bracing wire is fixed in handshake part through each link；Rolling-up mechanism is set in handshake part for winding bracing wire, negative pressure generation mechanism is additionally provided in handshake part, the end for removing pipe is equipped with block clearing mechanism.The present invention, which controls controllable bending part by handshake part, makes its end alignment fallopian tubal in intrauterine adjustment angle, then controls removing pipe and stretch out and protruded into fallopian tubal from controllable bending part end, is cleared up by removing pipe intratubal ectopic pregnancy mass.The invention gives another approach for the treatment of ectopic pregnancy, carries out removing lesion in lumen by vagina, uterus, fallopian tubal natural cavity, without operating on, operating time is short, therapeutic effect is good, under certain condition, may be implemented to walk on the day of doing on the day of sufferer.The invention also discloses its application methods.
Description
Technical field
The present invention relates to a kind of equipment and its application method that ectopic pregnancy lesion is removed through natural cavity.
Background technique
Ectopic pregnancy is also known as ectopic pregnancy, refers to the fertilized eggs abnormal pregnancy process that implantation is developed outside uterine cavity, with fallopian tubal
Gestation is most common.Often cause lumen unobstructed bad by the inflammation of fallopian tubal lumen or surrounding, hinders cytula to operate normally, be allowed to
Stop, implantation, development in fallopian tubal, lead to tubal abortion or rupture.It goes to miscarrying or rupturing toward non-evident sympton,
May also there are menopause, abdominal pain, the symptom of a small amount of colporrhagia.Once rupture, then show as acute severe abdominal pain, recurrent exerbation,
Colporrhagia, or even shock；And the women being too obese be because multiple inspection cannot clarify a diagnosis, easy delay treatment opportunity, band
To seriously threaten.
If ectopic pregnancy occurs for women, the method handled at present has: 1, conventional medicament conservative therapy.2, fallopian tubal is opened
Window suture.3, resection is carried out to fallopian tubal.
The above method, is all painful choice for pregnant woman, and conventional medicament conservative therapy is in ectopic pregnancy early stage
Treatment method will also divide adaptation population, and in fallopian tubal, rupture and tubal pregnancy mass diameter are less than 3cm not yet, without bright
Aobvious internal haemorrhage, crowd of the blood-prostatae barrier less than 2000U/L are suitble to using conservative medication.Although this treatment method is to pregnant woman's nothing
Operative treatment is needed, but needs chemotherapeutic drug therapy, killed embryo polarizes in situ, be easy to cause salpingemphraxis, influences
Fecundity, so female patient will be used with caution, the people for especially having fertility to require not attempt the method easily.To fallopian tubal
Resection is seriously difficult to repair very much generally be directed to salpingorrhexis, and with the ectopic pregnancy of haemorrhagic shock person's symptom, can only
The fallopian tubal of excision Ipsilateral is taken, becoming pregnant and giving birth to for women is influenced whether after excision.And windowing suture is carried out to fallopian tubal
Art is best at last in three kinds of methods, but still needs to carry out laparoscope or carry out windowing suture through abdominal operation etc., is invasive hand
Art injures patient also larger.
For at present, there are no a kind of relatively good equipment or method to destroy minimum to fallopian tubal by natural cavity
In the case where complete ectopic pregnancy treatment and removing.
Summary of the invention
The object of the invention is to the deficiencies in order to solve existing ectopic pregnancy treatment various methodologies, and provide a kind of through certainly
The equipment that right cavity removes ectopic pregnancy lesion mass, no operative scar pass fully through human body natural's cavity, destroy most to fallopian tubal
It is small, separately additionally provide application method.
The technical solution of the problem of being solved of the invention is as follows:
It is a kind of through natural cavity remove ectopic pregnancy lesion equipment, it is characterised in that: including a handshake part, a controllable bending part and
One removes pipe；
The end for removing the controllable bending part of Guan Kecong is stretched out, and is made outside the controllable bending part by silica gel, in silicon
It is embedded link according to interval in glue, at least one bracing wire is fixed in handshake part through each link；
Rolling-up mechanism is set in the handshake part for winding bracing wire, and negative pressure generation mechanism is additionally provided in handshake part for managing to removing
Negative pressure is generated, the end for removing pipe is equipped with block clearing mechanism.
The end of the controllable bending part is additionally provided with camera and LED light.
The rolling-up mechanism includes a servo motor, can be by set by the table body of handshake part for bracing wire fixation around line gear
Turning gear controls entire wrapup procedure.
The block clearing mechanism includes block clearing head, and block clearing head is removing tube end and is being provided with osculum by the side of close end, small
A strip is set up in mouthful and twists leaf, and when negative pressure generates, strip twists leaf as suction rotates.
The block clearing mechanism includes a netted head, is equipped with rotary cutter in the netted head, rotary cutter is in negative pressure
Under the action of rotate.
The pipe portion for removing pipe is additionally provided with drug administration mechanism, and drug administration mechanism includes delivery tube, the administration in handshake part
Press pump.
Equipment application method, which comprises the steps of:
S1, physical examination is first carried out to sufferer, meeting operation requirement can perform the operation；
S2, it sufferer is faced upward to lie takes lithotomy position, and local anaesthesia is carried out to it, its vagina is expanded with vaginal dilator；
S3, handshake part described in equipment is held, controllable bending part is protruded into the intravaginal of expansion, and uterus is protruded into on head；
S4, it controllable bending part is adjusted by handshake part bends its cephalad direction, its is made to be directed at fallopian tubal direction；
S5, fallopian tubal is stretched out and stretched to from controllable bending part by handshake part control removing pipe and is protruded into fallopian tubal；
S6, it is monitored by the depth that B ultrasound instrument protrudes into position where gamete intrafallopian transfer ovum and removing pipe, is assisted with this
It removes pipe and removes the stifled lesion of fertilization egg implantation institute.
It is removed in step S6 and infrared launcher is installed on pipe, radar stealthy materials monitor is placed by operating table to removing pipe
Position is monitored.
Beneficial effects of the present invention are as follows:
The present invention, which controls controllable bending part by handshake part, makes its end alignment ipsilateral fallopian tube in intrauterine adjustment angle, then controls
System removes pipe and stretches out and protruded into fallopian tubal from controllable bending part end, is carried out clearly to intratubal by conceptus by removing pipe
Reason.The invention gives another approach for the treatment of ectopic pregnancy, carries out by vagina, uterus, fallopian tubal natural cavity
Lesion is removed in lumen, without operating on, operating time is short, and therapeutic effect is good, under certain condition, on the day of can also realizing sufferer
Doing the same day can walk.
Detailed description of the invention:
Fig. 1 is surface structure schematic diagram of the invention；
Fig. 2 is the surface structure schematic diagram that removing pipe stretches out described in Fig. 1；
Fig. 3 is the schematic diagram of the section structure of the invention；
Fig. 4 is structural schematic diagram when Fig. 3 solid is put；
Structural schematic diagram when Fig. 5 is controllable bending part of the present invention bending；
Fig. 6 is the structural schematic diagram of the present invention for removing tube end block clearing mechanism.
Specific embodiment:
Further details of elaboration is done to the present invention with reference to the accompanying drawing.
Refering to fig. 1 to Fig. 6, a kind of equipment for removing ectopic pregnancy lesion through natural cavity, including a handshake part 1, one is controllable
Bending part 2 and a removing pipe 3；
The removing pipe 3 can be stretched out from the end of controllable bending part 2, and controllable 2 outside 21 of bending part is made by silica gel,
It is embedded link 22 according to interval in silica gel, at least one bracing wire 23 is fixed in handshake part 1 through each link；
Rolling-up mechanism 11 is set in the handshake part 1 for winding bracing wire, be additionally provided in handshake part 1 negative pressure generation mechanism 12 for pair
It removes pipe 3 and generates negative pressure, the end 31 for removing pipe 3 is equipped with block clearing mechanism 4.
Battery is set in handshake part 1 and provides power as rolling-up mechanism 11, negative pressure generation mechanism 12 and block clearing mechanism 4, is held
Hand 1 can be with external power supply.Negative pressure generation mechanism 12 can also provide negative pressure by external device and generate.
Realization principle of the invention is as follows:
The equipment application method, includes the following steps:
S1, physical examination is first carried out to sufferer, meeting operation requirement can perform the operation；After i.e. ectopic pregnancy is made a definite diagnosis, pass through detection
As a result determine whether have surgical condition, such as inflammation is serious, conservative therapy can be first passed through and be purged operation again later.
S2, it sufferer is faced upward to lie takes lithotomy position, and local anaesthesia is carried out to it, its vagina is expanded with vaginal dilator；
S3, handshake part described in equipment is held, controllable bending part is protruded into the intravaginal of expansion, and uterus is protruded into on head；By institute
It states and smears medical lubricating fluid on the outside of the controllable bending part 2 for removing equipment, then protruded into vagina, finally protrude into intrauterine.
S4, it controllable bending part is adjusted by handshake part bends its cephalad direction, its is made to be directed at fallopian tubal direction；
In above-mentioned steps, then the fallopian tubal of first ectopic pregnancy side shown according to testing result is adjusted in handshake part 1
Rolling-up mechanism 11, the bracing wire 23 that corresponding direction runs through each link 22 is wound, with the winding of rolling-up mechanism 11, is drawn
Line 23 first by the top link 22 to institute close to link 22 side drop-down.
Because controllable 2 outside 21 of bending part is made by silica gel, so there is elasticity, and bracing wire 23 is in each link 22
It is interior, so link also acts the effect of limitation bracing wire 23, so that bracing wire 23 is not detached from link in winding, and in link 22
Setting and structure under receive the pulling force downward in side of bracing wire 23, so that entire controllable bending part 2 be made to draw to the direction.When
The pulling force that the link of right the top receives is maximum, so that topmost to bend effect most obvious for controllable bending part 2.
S5, fallopian tubal is stretched out and stretched to from controllable bending part by handshake part control removing pipe and is protruded into fallopian tubal；
Under normal circumstances, fallopian tubal is certain in intrauterine angle, so the rolling-up mechanism 11 in handshake part 1 sets winding
The angle that bracing wire 23 makes controllable 2 end of bending part correspond to fallopian tubal direction is also fixation, thus eliminates the fiber crops adjusted again
It is tired.
Certainly the case where there is also other, that is, because of the difference of individual difference, lead to uterus, fallopian tubal size, angle
It will be different, the result of intrauterine fallopian tubal position is verified when needed at this time in conjunction with detection, if it is some with poor
Other auxiliary can be used to implement to perform the operation in anisotropic individual.
S6, it is monitored by the depth that B ultrasound instrument protrudes into position where gamete intrafallopian transfer ovum and removing pipe, with this
It assists to remove the stifled lesion of pipe removing fertilization egg implantation institute.
In above-mentioned steps, removing pipe 3 will be controlled by handshake part 1 and will be stretched out from controllable 2 end of bending part, pipe 3 is removed and protrudes into
In fallopian tubal, the end 31 for removing pipe 3 is equipped with block clearing mechanism 4, and carry out block clearing can be synchronized while protruding into fallopian tubal, so that
The fertilized eggs of bed enter through block clearing mechanism 4 removes pipe 3, finally enters in negative pressure generation mechanism 12, the palace of fallopian tubal is completed with this
Outer pregnant removing operation.
Remove the same day, sufferer in order to prevent other surprisingly occur, can be hospitalized for observation.If larger bleeding does not occur for intrauterine,
Also same day discharge may be selected.
It is removed in step S6 and infrared launcher is installed on pipe, radar stealthy materials monitor is placed by operating table to removing pipe
Position is monitored.
Further, as the improvement to embodiment, the end 24 of the controllable bending part 2 is additionally provided with camera and LED
Lamp.In the present invention, camera can be wireless, and handshake part 1 is mainly assisted to adjust bending direction and the bending of controllable bending part 2
Angle.So that operator operates and do not need blind operation early period.
Further, as the improvement to embodiment, the rolling-up mechanism includes a servo motor, for bracing wire it is fixed around
Line gear can pass through the entire wrapup procedure of (figure the is not marked) control of turning gear set by the table body of handshake part.
In the present invention, the turning gear (figure is not marked) corresponding potential difference, also synchronously control servo motor when rotation
Rotation.
With continued reference to shown in figure A, further, as the improvement to embodiment, the block clearing mechanism 4 includes clear in Fig. 6
Plug, block clearing head are removing 3 end 31 of pipe and are being provided with osculum 41 by the side of close end 31, setting up a strip in osculum 41 and twist
Leaf 42, when negative pressure generates, strip twists leaf 42 as suction rotates.
Negative pressure generation mechanism 21 forms negative-pressure sucking in removing pipe 3, and strip strand leaf 42 is rotated with suction, block clearing head
Set osculum 41 touches blocking tissue, tissue is as osculum 41 enters and touches length when removing pipe 3 protrudes into fallopian tubal
Strip twists leaf 42, and strip twists the rotation generation strand power of leaf 42 and rubs to tissue, and is inhaled into negative pressure under the suction of lower section
It in generation mechanism 21, is further protruded into pipe 3 is removed, the accompanying tissue and fertilized eggs on fallopian tubal tube wall of fertilized eggs
It is whole all to be rubbed and sucked removing pipe 3, eventually enter into negative pressure generation mechanism 21.
With continued reference to shown in figure B, further, as the improvement to embodiment, the block clearing mechanism 4 includes one in Fig. 6
Netted head 43, the netted head 43 is interior to be equipped with rotary cutter 44, and rotary cutter 44 rotates under the action of negative pressure.
Negative pressure generation mechanism 21 forms negative-pressure sucking in removing pipe 3, and rotary cutter 44 rotates under the action of negative pressure, inhales
Power and netted head 43 is contacted with blocking tissue when protruding into, so that tissue part is penetrated into netted head 43, which is revolved
Rotor head 44 is scraped by negative pressure negative suction generation mechanism 21, is further protruded into pipe 3 is removed, fertilized eggs it is accompanying
Tissue and fertilized eggs on fallopian tubal tube wall are integrally all scraped broken and suck removing pipe 3, and negative pressure generation mechanism 21 is eventually entered into.Phase
Compare osculum 41, netted head 43 has the function of incidental injury prevention to fallopian tubal tube wall.
In addition, the pipe portion for removing pipe 3 is additionally provided with drug administration mechanism (figure is not marked) as the improvement to embodiment, give
Medicine mechanism includes delivery tube, the administration press pump in handshake part.If tubal wall has bleeding after can be to remove mass,
Coagulation spin etc. can be placed in by pipeline carry out local hemostasis.
In the present invention, after block clearing is completed, processing can be administered to fallopian tubal by drug administration mechanism (figure is not marked).
Claims (8)
1. a kind of equipment for removing ectopic pregnancy lesion through natural cavity, it is characterised in that: including a handshake part, a controllable bending part
And one remove pipe；
The end for removing the controllable bending part of Guan Kecong is stretched out, and is made outside the controllable bending part by silica gel, in silicon
It is embedded link according to interval in glue, at least one bracing wire is fixed in handshake part through each link；
Rolling-up mechanism is set in the handshake part for winding bracing wire, and negative pressure generation mechanism is additionally provided in handshake part for managing to removing
Negative pressure is generated, the end for removing pipe is equipped with block clearing mechanism.
2. it is according to claim 1 it is a kind of through natural cavity remove ectopic pregnancy lesion equipment, it is characterised in that: it is described can
The end of control bending part is additionally provided with camera and LED light.
3. a kind of equipment for removing ectopic pregnancy lesion through natural cavity according to claim 1, it is characterised in that: the receipts
Rolling up mechanism includes a servo motor, for bracing wire it is fixed around line gear, can be controlled by turning gear set by the table body of handshake part entire
Wrapup procedure.
4. a kind of equipment for removing ectopic pregnancy lesion through natural cavity according to claim 1, it is characterised in that: described clear
Stifled mechanism includes block clearing head, and block clearing head is removing tube end and is being provided with osculum by the side of close end, sets up a strip in osculum
Shape twists leaf, and when negative pressure generates, strip twists leaf as suction rotates.
5. a kind of equipment for removing ectopic pregnancy lesion through natural cavity according to claim 1, it is characterised in that: described clear
Stifled mechanism includes a netted head, is equipped with rotary cutter in the netted head, rotary cutter rotates under the action of negative pressure.
6. a kind of equipment for removing ectopic pregnancy lesion through natural cavity according to claim 1, it is characterised in that: described clear
Except the pipe portion of pipe is additionally provided with drug administration mechanism, drug administration mechanism includes delivery tube, the administration press pump in handshake part.
7. equipment application method, which comprises the steps of:
S1, physical examination is first carried out to sufferer, meeting operation requirement can perform the operation；
S2, it sufferer is faced upward to lie takes lithotomy position, and local anaesthesia is carried out to it, its vagina is expanded with vaginal dilator；
S3, handshake part described in equipment is held, controllable bending part is protruded into the intravaginal of expansion, and uterus is protruded into on head；
S4, it controllable bending part is adjusted by handshake part bends its cephalad direction, its is made to be directed at fallopian tubal direction；
S5, fallopian tubal is stretched out and stretched to from controllable bending part by handshake part control removing pipe and is protruded into fallopian tubal；
S6, it is monitored by the depth that B ultrasound instrument protrudes into position where gamete intrafallopian transfer ovum and removing pipe, is assisted with this
It removes pipe and removes the stifled lesion of fertilization egg implantation institute.
8. equipment application method according to claim 7, it is characterised in that: removed in step S6 on pipe and be equipped with infrared emission
Device, operating table side are placed radar stealthy materials monitor and are monitored to the position for removing pipe.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810627245.5A CN109106432B (en) | 2018-06-19 | 2018-06-19 | Device for removing ectopic pregnancy focus through natural cavity and using method thereof |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810627245.5A CN109106432B (en) | 2018-06-19 | 2018-06-19 | Device for removing ectopic pregnancy focus through natural cavity and using method thereof |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN109106432A true CN109106432A (en) | 2019-01-01 |
| CN109106432B CN109106432B (en) | 2022-08-12 |
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ID=64822396
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201810627245.5A Active CN109106432B (en) | 2018-06-19 | 2018-06-19 | Device for removing ectopic pregnancy focus through natural cavity and using method thereof |
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| Country | Link |
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| CN (1) | CN109106432B (en) |
Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20090221998A1 (en) * | 2007-11-14 | 2009-09-03 | Gordon Epstein | Anchored rf ablation device for the destruction of tissue masses |
| US20120232339A1 (en) * | 2009-09-02 | 2012-09-13 | Laszlo Csiky | Surgical device and accessories |
| CN202515742U (en) * | 2012-04-06 | 2012-11-07 | 田春芳 | Uterine cavity content crushing device |
| US20140163664A1 (en) * | 2006-11-21 | 2014-06-12 | David S. Goldsmith | Integrated system for the ballistic and nonballistic infixion and retrieval of implants with or without drug targeting |
| CN204446047U (en) * | 2015-01-08 | 2015-07-08 | 余军辉 | Portable visible artificial abortion instrument |
-
2018
- 2018-06-19 CN CN201810627245.5A patent/CN109106432B/en active Active
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20140163664A1 (en) * | 2006-11-21 | 2014-06-12 | David S. Goldsmith | Integrated system for the ballistic and nonballistic infixion and retrieval of implants with or without drug targeting |
| US20090221998A1 (en) * | 2007-11-14 | 2009-09-03 | Gordon Epstein | Anchored rf ablation device for the destruction of tissue masses |
| US20120232339A1 (en) * | 2009-09-02 | 2012-09-13 | Laszlo Csiky | Surgical device and accessories |
| CN202515742U (en) * | 2012-04-06 | 2012-11-07 | 田春芳 | Uterine cavity content crushing device |
| CN204446047U (en) * | 2015-01-08 | 2015-07-08 | 余军辉 | Portable visible artificial abortion instrument |
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| Publication number | Publication date |
|---|---|
| CN109106432B (en) | 2022-08-12 |
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