CN109700512B - Self-help uterine manipulator for laparoscope - Google Patents
Self-help uterine manipulator for laparoscope Download PDFInfo
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- CN109700512B CN109700512B CN201910112314.3A CN201910112314A CN109700512B CN 109700512 B CN109700512 B CN 109700512B CN 201910112314 A CN201910112314 A CN 201910112314A CN 109700512 B CN109700512 B CN 109700512B
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- rod
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- connecting rod
- sleeved
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- 210000004291 uterus Anatomy 0.000 abstract description 5
- 206010034238 Pelvic adhesions Diseases 0.000 description 1
- 206010046810 Uterine perforation Diseases 0.000 description 1
- 230000003187 abdominal effect Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 238000003745 diagnosis Methods 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 230000002349 favourable effect Effects 0.000 description 1
- 238000009802 hysterectomy Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 210000001215 vagina Anatomy 0.000 description 1
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- Endoscopes (AREA)
- Surgical Instruments (AREA)
Abstract
The invention relates to a medical instrument, in particular to a self-help uterine manipulator for a laparoscope. Comprises a base, wherein an up-down adjusting device is arranged on the base; the top end of the upper and lower adjusting device is provided with a rotary sleeve, the side wall of the rotary sleeve is connected with a first connecting rod, the first connecting rod is in clamping fit with a second connecting rod, a nut is sleeved on the first connecting rod, an internal thread is arranged on the nut, and an external thread matched with the internal thread is arranged on the end part of the second connecting rod; the end of the second connecting rod is connected with one end of the first cross rod, the first cross rod is sleeved with a movable sleeve, the movable sleeve is fixed with the first cross rod through a second bolt, the bottom of the outer wall of the movable sleeve is provided with a connecting plate, the other end of the first cross rod is connected with a uterine lifting rod through a cardan shaft, a cervical plug is sleeved on the uterine lifting rod, and a connecting rod is connected between the uterine lifting rod and the connecting plate. The invention can control the position of uterus, has simple operation, does not need special control, can save manpower and operation time, and has high working efficiency.
Description
Technical Field
The invention relates to a medical instrument, in particular to a self-help uterine manipulator for a laparoscope.
Background
Currently, a laparoscope with a minimally invasive effect plays a great role in diagnosis and treatment of abdominal diseases, when a hysterectomy, an accessory operation or a pelvic adhesion operation is performed under the laparoscope, due to the difference of the position, the size and the operation range of the uterus, the uterus needs to be fixed at a position favorable for operation, but a uterine lifter for fixing the position of the uterus needs to be operated by a special person, so that the phenomenon of asynchronism with the operation of an operator occurs, the operation is influenced, and the working efficiency is reduced.
Disclosure of Invention
In order to solve the problems, the invention provides a self-help uterine manipulator for a laparoscope.
The technical scheme of the invention is as follows: the self-help uterine manipulator for the laparoscope comprises a base 1, wherein an up-down adjusting device 2 is arranged on the base 1;
The up-down adjusting device 2 comprises an adjusting rod 3, an adjusting sleeve 4 and a fixing device 5, wherein the adjusting sleeve 4 is sleeved outside the adjusting rod 3, and the adjusting rod 3 can move up and down relative to the adjusting sleeve 4 and is fixed through the fixing device 5;
The top end of the adjusting rod 3 is provided with a rotating sleeve 6, the rotating sleeve 6 is connected with the adjusting rod 3 through a first bolt 7, the side wall of the rotating sleeve 6 is connected with a first connecting rod 8, the first connecting rod 8 is in clamping fit with a second connecting rod 9, a nut 10 is sleeved on the first connecting rod 8, an internal thread is arranged on the nut 10, and an external thread matched with the internal thread is arranged on the end part of the second connecting rod 9; the tip of second connecting rod 9 is connected with the one end of first horizontal pole 11, the cover is equipped with on the first horizontal pole 11 and removes sleeve 12, it is fixed with first horizontal pole 11 through second bolt 13 to remove sleeve 12 for first horizontal pole 11 can left and right sides, the outer wall bottom of removing sleeve 12 is equipped with connecting plate 17, the other end of first horizontal pole 11 is connected with lifting the palace stick 15 through cardan shaft 14, lifting the palace stick 15 is gone up the cover and is equipped with cervical stopper 16, lifting and being connected with connecting rod 18 between palace stick 15 and the connecting plate 17.
Preferably, the bottom of the base 1 is provided with a universal wheel 27.
Preferably, a hollow cylinder 26 is disposed in the base 1.
Preferably, the adjustment rod 3 can extend into the hollow cylinder 26.
Preferably, the adjusting rod 3 of the up-down adjusting device 2 is provided with a plurality of clamping grooves 19 along the length direction thereof, and the spacing between the clamping grooves 19 is equal; the inner wall of the adjusting sleeve 4 is provided with a containing groove 20 and a perforation 21 in sequence from the inner wall to the outer wall, wherein the inner diameter of the perforation 21 is smaller than the inner diameter of the containing groove 20; the fixing device 5 comprises a T-shaped rod 22, a spring 25 is sleeved on the cross rod of the T-shaped rod 22, the end part of the T-shaped rod is connected with a flange 23, and the flange 23 is connected with a fixing rod 24; the adjusting rod 3 is sleeved with an adjusting sleeve 4, the adjusting sleeve 4 penetrates through the through hole 21 and the accommodating groove 20, a fixing rod 24 of the adjusting sleeve 4 is inserted into the clamping groove 19, and the flange 23 is arranged in the accommodating groove 20.
Preferably, the diameter of the flange 23 is greater than the diameter of the catch 19.
Preferably, the end of the uterine lifting rod 15 is in a smooth semicircle shape.
The beneficial effects of the invention are as follows: (1) When the cervical plug is required to be adjusted up and down, a user pulls the fixing device outwards relative to the clamping groove of the adjusting rod through the T-shaped rod, so that the fixing rod is separated from the clamping groove, the adjusting rod moves up and down freely relative to the adjusting sleeve, the adjusting rod is adjusted to a proper height, the fixing rod is aligned to the clamping groove, at the moment, the fixing rod is inserted into the clamping groove under the action of the elasticity of the spring from the T-shaped rod, and at the moment, the upward and downward movement of the adjusting rod relative to the adjusting sleeve is limited. The up-down adjusting device is simple to adjust, easy to operate and convenient for medical staff to use.
(2) When the cervical plug is required to swing left and right, after the first bolt is screwed out, the rotary sleeve can rotate left and right relative to the adjusting rod, so that the cervical plug moves left and right. The operation is convenient.
(3) When the transverse distance between the cervical plug and the patient needs to be adjusted, the cervical plug and the two connecting rods move towards the approaching direction, so that the cervical plug is far away from the transverse distance of the patient, meanwhile, the first connecting rod and the two connecting rods are in clamping fit, the situation of detachment cannot occur, and when the first connecting rod and the two connecting rods move towards the opposite and far direction, the cervical plug is close to the transverse distance of the patient, and the situation of detachment cannot occur due to the fact that threads are arranged.
(4) When the cervical plug lifting device is operated, the left and right positions or the upper and lower positions are not aligned, the second bolt can be taken down, the movable sleeve is moved back and forth, so that the connecting rod drives the lifting rod to adjust the cervical plug up and down and left and right, the cervical plug lifting device is suitable for different ages, different vaginas and different cervices, and the operation is convenient.
(5) The end part of the uterine lifting rod is smooth and semicircular, so that uterine perforation is avoided.
In conclusion, the invention can control the position of uterus, has simple operation, does not need special control, can save manpower and operation time, and has high working efficiency.
Drawings
In order to more clearly illustrate the embodiments of the invention or the technical solutions in the prior art, the drawings that are required in the embodiments or the description of the prior art will be briefly described, it being obvious that the drawings in the following description are only some embodiments of the invention, and that other drawings may be obtained according to these drawings without inventive effort for a person skilled in the art.
FIG. 1 is a schematic diagram of the structure of the present invention;
FIG. 2 is a schematic view of the structure of the up-down adjusting device of the present invention;
FIG. 3 is a schematic view of a fixture;
Fig. 4 is a partial schematic view of the present invention.
In the figure, a base 1, an up-down adjusting device 2, an adjusting rod 3, an adjusting sleeve 4, a fixing device 5, a rotating sleeve 6, a first bolt 7, a first connecting rod 8, a second connecting rod 9, a nut 10, a first cross rod 11, a moving sleeve 12, a second bolt 13, a universal shaft 14, a uterine rod 15, a cervical plug 16, a connecting plate 17, a connecting rod 18, a clamping groove 19, a containing groove 20, a through hole 21, a T-shaped rod 22, a flange 23, a fixing rod 24, a spring 25, a hollow cylinder 26 and a universal wheel 27.
Detailed Description
The following description of the embodiments of the present invention will be made clearly and completely with reference to the accompanying drawings, in which it is apparent that the embodiments described are only some embodiments of the present invention, but not all embodiments. All other embodiments, which can be made by those skilled in the art based on the embodiments of the invention without making any inventive effort, are intended to be within the scope of the invention.
Referring to fig. 1-3, a self-help uterine manipulator for laparoscope comprises a base 1, wherein a hollow cylinder 26 is arranged in the base 1, an up-down adjusting device 2 is arranged on the base 1, and the self-help uterine manipulator comprises:
The up-down adjusting device 2 comprises an adjusting rod 3, an adjusting sleeve 4 and a fixing device 5, wherein the adjusting sleeve 4 is sleeved outside the adjusting rod 3, the adjusting rod 3 can move up and down relative to the adjusting sleeve 4 and is fixed through the fixing device 5, and the up-down adjusting device is specifically:
The adjusting rod 3 of the upper and lower adjusting device 2 is provided with a plurality of clamping grooves 19 along the length direction, and the spacing of the clamping grooves 19 is equal; the inner wall of the adjusting sleeve 4 is provided with a containing groove 20 and a perforation 21 in sequence from the inner wall to the outer wall, wherein the inner diameter of the perforation 21 is smaller than the inner diameter of the containing groove 20; the fixing device 5 comprises a T-shaped rod 22, a spring 25 is sleeved on the cross rod of the T-shaped rod 22, the end part of the T-shaped rod is connected with a flange 23, and the flange 23 is connected with a fixing rod 24; the adjusting rod 3 is sleeved with an adjusting sleeve 4, the fixing device 4 penetrates through the through hole 21 and the accommodating groove 20 to be thick, the fixing rod 24 of the fixing device 4 is inserted into the clamping groove 19, and the flange 23 is arranged in the accommodating groove 20.
When the cervical plug 16 is required to be adjusted up and down, a user pulls the fixing device 4 outwards relative to the clamping groove 19 of the adjusting rod 3 through the T-shaped rod 22, so that the fixing rod 24 is separated from the clamping groove 19, the adjusting rod 3 can move up and down freely relative to the adjusting sleeve 4, the adjusting rod 4 is adjusted to a proper height, the fixing rod 24 is aligned with the clamping groove 19, at the moment, the T-shaped rod 22 is opened, the fixing rod 24 is inserted into the clamping groove 19 under the action of the elastic force of the spring 25, and at the moment, the up and down movement of the adjusting rod 3 relative to the adjusting sleeve 4 is limited. The up-down adjusting device 2 is simple to adjust, easy to operate and convenient for medical staff to use.
The top of the adjusting rod 3 is provided with a rotating sleeve 6, the rotating sleeve 6 is fixed with the adjusting rod 3 through a first bolt 7, when the first bolt 7 is screwed out when the first bolt needs to swing left and right, the rotating sleeve 6 can rotate left and right relative to the adjusting rod 3, and therefore the cervical plug 16 can move left and right.
The lateral wall of rotatory sleeve 6 is connected with head rod 8, head rod 8 and the cooperation of second connecting rod 9 joint, the cover is equipped with nut 10 on the head rod 8, be equipped with the internal thread on the nut 10, be equipped with the external screw thread with internal thread assorted on the second connecting rod 9 tip. When the transverse distance between the cervical plug 16 and a patient needs to be adjusted, the cervical plug 16 moves towards the direction close to the patient through the first connecting rod 8 and the second connecting rod 9, so that the cervical plug 16 is far away from the transverse distance of the patient, and meanwhile, the first connecting rod 8 and the second connecting rod 9 are in clamping fit, so that the situation of detachment cannot occur, and when the first connecting rod 8 and the second connecting rod 9 move towards the direction relatively far away from each other, the cervical plug 16 is close to the transverse distance of the patient, and the situation of detachment cannot occur due to the fact that threads are arranged.
The tip of second connecting rod 9 is connected with the one end of first horizontal pole 11, the cover is equipped with on the first horizontal pole 11 and removes sleeve 12, it is fixed with first horizontal pole 11 through second bolt 13 to remove sleeve 12 for first horizontal pole 11 about, the outer wall bottom of removing sleeve 12 is equipped with connecting plate 17, the other end of first horizontal pole 11 is connected with lifting palace stick 15 through cardan shaft 14, lifting palace stick 15 is gone up the cover and is equipped with cervical stopper 16, it is connected with connecting rod 18 to lift between palace stick 15 and the connecting plate 17.
In operation, the second bolt 13 can be removed, and the movable sleeve 12 can be moved back and forth, so that the connecting rod 18 drives the uterine lifting rod 15 to adjust the cervical plug 16 up and down, and the operation is convenient.
Further, a universal wheel 27 is arranged at the bottom of the base 1.
Further, the adjusting rod 3 may extend into the hollow cylinder 26.
Further, the diameter of the flange 23 is larger than the diameter of the clamping groove 19.
Further, the end of the uterine lifting rod 15 is in a smooth semicircle shape.
When the cervical plug 16 is required to be adjusted up and down, a user pulls the fixing device 4 outwards relative to the clamping groove 19 of the adjusting rod 3 through the T-shaped rod 22 by adopting the up-down adjusting device 2, so that the fixing rod 24 is separated from the clamping groove 19, the adjusting rod 3 can move up and down freely relative to the adjusting sleeve 4, the adjusting rod 4 is adjusted to a proper height, the fixing rod 24 is aligned with the clamping groove 19, at the moment, the T-shaped rod 22 is opened, the fixing rod 24 is inserted into the clamping groove 19 under the action of the elastic force of the spring 25, and at the moment, the up-down movement of the adjusting rod 3 relative to the adjusting sleeve 4 is limited.
When the first bolt 7 is screwed out, the rotation sleeve 6 can be rotated left and right with respect to the adjustment lever 3, so that the cervical plug 16 can be moved left and right.
When the transverse distance between the cervical plug 16 and a patient needs to be adjusted, the cervical plug 16 moves towards the direction close to the patient through the first connecting rod 8 and the second connecting rod 9, so that the cervical plug 16 is far away from the transverse distance of the patient, and meanwhile, the first connecting rod 8 and the second connecting rod 9 are in clamping fit, so that the situation of detachment cannot occur, and when the first connecting rod 8 and the second connecting rod 9 move towards the direction relatively far away from each other, the cervical plug 16 is close to the transverse distance of the patient, and the situation of detachment cannot occur due to the fact that threads are arranged.
When the cervical plug 16 is operated, the left and right positions or the upper and lower positions are not aligned, and the second bolt 13 can be removed to move the movable sleeve 12 back and forth, so that the connecting rod 18 drives the uterine lifting rod 15 to adjust the cervical plug 16 up and down, and the operation is convenient.
The foregoing description is only of the preferred embodiments of the present invention and is not intended to limit the scope of the present invention. Any modification, equivalent replacement, improvement, etc. made within the spirit and principle of the present invention are included in the protection scope of the present invention.
Claims (3)
1. The self-help uterine manipulator for the laparoscope is characterized by comprising a base (1), wherein an up-down adjusting device (2) is arranged on the base (1);
The up-down adjusting device (2) comprises an adjusting rod (3), an adjusting sleeve (4) and a fixing device (5), wherein the adjusting sleeve (4) is sleeved outside the adjusting rod (3), and the adjusting rod (3) can move up and down relative to the adjusting sleeve (4) and is fixed through the fixing device (5);
The top of the adjusting rod (3) is provided with a rotating sleeve (6), the rotating sleeve (6) is connected with the adjusting rod (3) through a first bolt (7), the side wall of the rotating sleeve (6) is connected with a first connecting rod (8), the first connecting rod (8) is in clamping fit with a second connecting rod (9), a nut (10) is sleeved on the first connecting rod (8), an internal thread is arranged on the nut (10), and an external thread matched with the internal thread is arranged on the end part of the second connecting rod (9); the end of the second connecting rod (9) is connected with one end of the first cross rod (11), a movable sleeve (12) is sleeved on the first cross rod (11), the movable sleeve (12) can move left and right relative to the first cross rod (11), the movable sleeve is fixed with the first cross rod (11) through a second bolt (13), a connecting plate (17) is arranged at the bottom of the outer wall of the movable sleeve (12), the other end of the first cross rod (11) is connected with a uterine lifting rod (15) through a universal shaft (14), a cervical plug (16) is sleeved on the uterine lifting rod (15), and a connecting rod (18) is connected between the uterine lifting rod (15) and the connecting plate (17);
the bottom of the base (1) is provided with a universal wheel (27);
a hollow cylinder (26) is arranged in the base (1);
The adjusting rod (3) can extend into the hollow cylinder (26);
The adjusting rod (3) of the upper and lower adjusting device (2) is provided with a plurality of clamping grooves (19) along the length direction, and the spacing of the clamping grooves (19) is equal; the inner wall of the adjusting sleeve (4) is sequentially provided with a containing groove (20) and a perforation (21) from the inner wall to the outer wall, wherein the inner diameter of the perforation (21) is smaller than the inner diameter of the containing groove (20); the fixing device (5) comprises a T-shaped rod (22), a spring (25) is sleeved on a cross rod of the T-shaped rod (22), the end part of the spring is connected with a flange (23), and the flange (23) is connected with a fixing rod (24); the adjusting rod (3) is sleeved with an adjusting sleeve (4), the adjusting sleeve (4) penetrates through the perforation (21) and the accommodating groove (20), a fixing rod (24) of the adjusting sleeve (4) is inserted into the clamping groove (19), and the flange (23) is arranged in the accommodating groove (20).
2. A laparoscopic self-service uterine manipulator according to claim 1, characterized in that the diameter of the flange (23) is larger than the diameter of the clamping groove (19).
3. A laparoscopic self-service uterine manipulator according to claim 1, characterized in that the ends of the manipulator rod (15) are smooth semi-circular.
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CN201910112314.3A CN109700512B (en) | 2019-02-13 | 2019-02-13 | Self-help uterine manipulator for laparoscope |
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CN201910112314.3A CN109700512B (en) | 2019-02-13 | 2019-02-13 | Self-help uterine manipulator for laparoscope |
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CN109700512A CN109700512A (en) | 2019-05-03 |
CN109700512B true CN109700512B (en) | 2024-04-26 |
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CN201910112314.3A Active CN109700512B (en) | 2019-02-13 | 2019-02-13 | Self-help uterine manipulator for laparoscope |
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Families Citing this family (3)
Publication number | Priority date | Publication date | Assignee | Title |
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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 |
CN113229907B (en) * | 2021-05-06 | 2022-09-06 | 南安市中研中医药有限公司 | Uterus lifting fixer under cervical part peritoneoscope of being convenient for to fix |
CN114601574A (en) * | 2022-04-13 | 2022-06-10 | 洪心雅 | Uterus lifting device |
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CN101862216A (en) * | 2010-06-25 | 2010-10-20 | 深圳市第二人民医院 | Self-help uterine manipulator of laparoscope |
CN104905852A (en) * | 2015-04-28 | 2015-09-16 | 中日友好医院 | Intelligent multifunctional remote control uterus manipulator |
CN108451567A (en) * | 2018-04-20 | 2018-08-28 | 马鞍山小古精密机电科技有限公司 | A kind of retractor for operation |
CN108670413A (en) * | 2018-06-11 | 2018-10-19 | 合肥德易电子有限公司 | Ju Gong robots |
CN108968434A (en) * | 2018-06-28 | 2018-12-11 | 许昌市建安区椹涧乡第二初级中学 | Supporter is used in the multi-functional teaching of one kind |
CA3012898A1 (en) * | 2017-08-07 | 2019-02-07 | Covidien Lp | Uterine manipulator with adjustable cervical cup |
CN210056184U (en) * | 2019-02-13 | 2020-02-14 | 中南大学湘雅三医院 | Self-service uterus lifting device of laparoscope |
Family Cites Families (1)
Publication number | Priority date | Publication date | Assignee | Title |
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US9936974B2 (en) * | 2011-07-12 | 2018-04-10 | Jerome V. Ponder | Laparoscopic uterine manipulator assembly and methodology for use |
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2019
- 2019-02-13 CN CN201910112314.3A patent/CN109700512B/en active Active
Patent Citations (7)
Publication number | Priority date | Publication date | Assignee | Title |
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CN101862216A (en) * | 2010-06-25 | 2010-10-20 | 深圳市第二人民医院 | Self-help uterine manipulator of laparoscope |
CN104905852A (en) * | 2015-04-28 | 2015-09-16 | 中日友好医院 | Intelligent multifunctional remote control uterus manipulator |
CA3012898A1 (en) * | 2017-08-07 | 2019-02-07 | Covidien Lp | Uterine manipulator with adjustable cervical cup |
CN108451567A (en) * | 2018-04-20 | 2018-08-28 | 马鞍山小古精密机电科技有限公司 | A kind of retractor for operation |
CN108670413A (en) * | 2018-06-11 | 2018-10-19 | 合肥德易电子有限公司 | Ju Gong robots |
CN108968434A (en) * | 2018-06-28 | 2018-12-11 | 许昌市建安区椹涧乡第二初级中学 | Supporter is used in the multi-functional teaching of one kind |
CN210056184U (en) * | 2019-02-13 | 2020-02-14 | 中南大学湘雅三医院 | Self-service uterus lifting device of laparoscope |
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