CN109717936B - Integrated uterus dilating rod - Google Patents

Integrated uterus dilating rod Download PDF

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Publication number
CN109717936B
CN109717936B CN201910149280.5A CN201910149280A CN109717936B CN 109717936 B CN109717936 B CN 109717936B CN 201910149280 A CN201910149280 A CN 201910149280A CN 109717936 B CN109717936 B CN 109717936B
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rod
pull rod
dilating
sleeve
uterus
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CN109717936A (en
Inventor
王怡冉
李育红
尹红梅
张寒
刘宁
单单单
樊孝文
李温霞
李建英
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Henan Provincial Peoples Hospital
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Henan Provincial Peoples Hospital
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Abstract

The invention relates to the medical field, in particular to an expanding and sucking integrated uterus expanding rod, wherein a pull rod and a plurality of elastic arch bars distributed around the pull rod are arranged in the rod, the upper end part and the lower end part of each elastic arch bar are respectively gathered towards the center and sleeved on the pull rod, and the middle part of each elastic arch bar is respectively outwards bulged towards the direction deviating from the pull rod and is contacted with the inner wall of the rod body; the upper sleeve and the lower sleeve are respectively sleeved on the pull rod at the upper end and the lower end of the elastic arch bar, and the pull rod passes through the lower sleeve to enable the elastic arch bar to be clamped at the upper end of the sleeve; the upper end and the lower end of the pull rod are respectively connected with an upper tension spring and a lower tension spring, a lock body is correspondingly arranged between the lower tension spring and the sleeve, and the bending radian of the elastic arch bar is adjusted by controlling the pull rod to move upwards through the lock body; the invention integrates uterus dilating and uterus sucking, and simplifies the operation of changing the uterus dilating rod and the uterus sucking rod.

Description

Integrated uterus dilating rod
Technical Field
The invention relates to the technical field of medical instruments, in particular to an expanding and sucking integrated uterus expanding rod.
Background
When the uterus is inspected and diagnosed or the uterus is not full, the uterus is required to be dilated to suck out the residual tissue in the uterus, the main current uterus dilating instrument is a uterus dilating rod, a group of uterus dilating rods with different diameters are adopted, and the uterus dilating rod is sequentially inserted into and pulled out of the uterus from small to large, so that the purpose of dilating the cervix is finally achieved.
A group of uterus dilating rods is usually 4mm, 4.5mm, 5mm, 5.5mm, 6mm, 6.5mm, 7mm and the like, each 0.5mm is a grade number, 9 total from 0 to 8 are different from the uterus dilating rods in size, and the uterus dilating rods are used one by one from small to large in operation. The repeated operation is carried out, the rod is frequently replaced in the process of inserting and pulling out the uterine dilating rod, the uterine dilating rod and the contracted cervical surface are repeatedly rubbed strongly, so that the pain of a patient is increased, the rupture of capillary vessels on the cervical surface is aggravated, the patient is excessively bleeding, and the safe and smooth uterine dilating process is difficult to ensure; even because the number of the used uterine dilating rods is large, the probability of cervical infection is correspondingly high, and the risk factors of injury to human bodies are large; meanwhile, doctors need to constantly replace the uterine dilating rods with different diameters, the operation is very complicated, and the operation time is prolonged.
Disclosure of Invention
Aiming at the defects and problems in the prior art, the invention provides an integrated uterus dilating rod which integrates uterus dilating and uterus sucking functions, the switch can be automatically turned on to thicken and dilate uterus after the uterus dilating rod enters the uterus, and the residual intrauterine tissues can be smoothly sucked out by utilizing a catheter, so that the operations of replacing the uterus dilating rod and the uterus sucking rod are simplified, and the surgical damage and infection risk are reduced.
The invention solves the technical problems by adopting the scheme that: the utility model provides an expand and inhale integral type expands palace stick, includes the body and locates the body tip and form the palace head that expands of contained angle alpha between with the body an organic whole, its characterized in that: the rod body is internally provided with a cavity, the cavity is internally provided with a capacity expansion body for adjusting the diameter of the rod body, the capacity expansion body comprises a pull rod and a plurality of elastic arch bars uniformly distributed around the pull rod, the upper end part and the lower end part of each elastic arch bar are respectively gathered towards the center and are sleeved on the pull rod, and the middle part of each elastic arch bar is respectively outwards bulged towards the direction deviating from the pull rod and is contacted with the inner wall of the rod body; the upper sleeve and the lower sleeve are respectively sleeved on the pull rod at the upper end and the lower end of the elastic arch bar, the upper sleeve is movably sleeved on the pull rod, the lower sleeve is fixedly arranged in the rod body, and the pull rod at the lower end of the elastic arch bar passes through the lower sleeve to enable the elastic arch bar to be clamped at the upper end of the lower sleeve; the upper end of the pull rod is connected with an upper tension spring, and the other end of the upper tension spring is fixed in the rod body; the lower end of the pull rod is provided with a lock body which is movably arranged on the side wall of the rod body, the inner end of the lock body is connected with the pull rod, and the lock body controls the pull rod to move up and down to adjust the bending radian of the elastic arch bar; the end of the uterus dilating head is provided with an inner suction hole, the outer end of the rod body is provided with an outer suction hole, a conduit communicated with the inner suction hole and the outer suction hole is arranged in the rod body, a plug is arranged at the inner suction hole, a pull rope is penetrated in the conduit, one end of the pull rope is connected with the plug, and the other end of the pull rope extends out of the outer suction hole.
Further, the included angle alpha between the rod body and the uterus dilating head is 160-172 degrees.
Further, the outer wall of the sleeve is integrally provided with a retainer ring, two parallel limiting rings are correspondingly arranged on the inner wall of the rod body, and the retainer ring is clamped in the two limiting rings to fix the sleeve.
Further, the lower end of the pull rod is connected with a lower tension spring, the other end of the lower tension spring is fixed in the rod body, and the lock body is arranged between the lower tension spring and the sleeve and is connected with the pull rod.
Further, the lock body comprises a movable slide block and a braking column, wherein sliding grooves are formed in two sides of the movable slide block, the movable slide block is clamped in long holes in the side wall of the rod body through the sliding grooves, so that the movable slide block can move along the long holes, the inner side of the movable slide block is connected with the braking column, and the tail end of the braking column is connected with the pull rod.
Further, rubber damping sheets are respectively arranged on two surfaces of the sliding groove, which are in contact with the movable sliding block, and grading teeth are arranged on the rubber damping sheets at intervals.
Further, a friction sleeve is fixedly sleeved outside the pull rod between the lower tension spring and the sleeve, a cylindrical groove is formed in the outer wall of the friction sleeve, and the end part of the brake column is clamped in the cylindrical groove, so that the friction sleeve and the pull rod move together with the brake column.
Further, an end cap is arranged at the outer end of the rod body, the suction hole is plugged by the end cap, and the outer end of the pull rope is fixed on the inner wall of the end cap.
The invention has the beneficial effects that: the uterus dilating and sucking integrated uterus dilating rod integrates uterus dilating and sucking functions, and the uterus dilating rod can be thickened step by step after being started to dilate uterus, so that repeated friction between the uterus dilating rod and the surface of a cervix caused by repeated rod replacement is avoided, the rupture rate of capillary vessels on the surface of the cervix is reduced, the bleeding amount is reduced, the pain of a patient is relieved, only one uterus dilating rod is needed in one uterus dilating operation, the probability of cervical infection is reduced, the uterus dilating rod is saved, meanwhile, the operation steps of doctors are simplified, and the operation duration is shortened. And through the pipe that communicates with interior suction opening, will uterine tissue remain and suck out smoothly after the dilatation stick finishes the dilatation, need not to change the dilatation stick, inhale the palace stick, greatly reduced operation damage and infection risk.
The uterus dilating rod is made of elastic materials, has softer appearance, is more comfortable to use, is designed to be in a curved shape in accordance with the shape of uterus, and is easier to smoothly enter the uterus. The expanding body in the shape of a lantern is additionally arranged in the uterus expanding rod, the supporting bar is bent to be a cambered surface by utilizing the elasticity of the supporting bar, the supporting bar is in contact with the inner wall of the rod body, the diameter of the rod body of the uterus expanding rod can be changed in real time by changing the bending radian of the elastic arch bar, the uterus expanding rod can be thickened step by step after entering the uterus, the frequency of changing the uterus expanding rod is avoided, the friction times between the uterus expanding rod and the surface of the cervix are reduced, the rupture rate of capillary vessels on the surface of the cervix is reduced, and the bleeding amount is reduced. In one uterine dilatation operation, one uterine dilatation rod can finish uterine dilatation, the probability of cervical infection caused by the uterine dilatation rod can be reduced to the greatest extent, the operation steps of doctors are simplified, the operation time is shortened, and the risk of patients is reduced. Meanwhile, the number of the uterine dilating rods is saved, and the operation cost is saved.
The invention arranges the conduit in the uterine dilatation rod, the conduit is communicated with the inner suction port at the inner end of the uterine dilatation rod, after the uterine dilatation is finished, the conduit is communicated with the external negative pressure device, the residual intrauterine tissue can be smoothly sucked out along the conduit through the negative pressure, the uterine suction rod does not need to be replaced additionally, the operation damage and the infection risk are greatly reduced, the two operations of uterine dilatation and uterine suction are finished on one uterine dilatation rod, and the operation of doctors is simplified.
Drawings
Fig. 1 is a schematic diagram of the overall structure of the present invention.
Fig. 2 is a schematic diagram of the overall structure of the present invention.
Fig. 3 is a schematic structural diagram of the expansion body in an initial state.
Fig. 4 is a schematic structural view of the capacity expander in a state of maximum capacity diameter.
Fig. 5 is a schematic view of a mounting structure of the lock body.
Fig. 6 is a second schematic diagram of the installation structure of the lock body.
Fig. 7 is a schematic view of the installation structure of the retainer ring.
Fig. 8 is a schematic view of the mounting structure of the elastic arch bar.
Fig. 9 is a diagram showing the shape change of the rod body before and after expansion.
FIG. 10 is a schematic view of the installation structure of the catheter in the rod body.
Fig. 11 is a schematic view of the structure when the pull cord is pulled.
Fig. 12 is a schematic structural diagram of embodiment 2.
In the figure: 1-stick body, 2-uterine dilatation head, 3-pull rod, 4-elastic arch bar, 5-upper sleeve, 6-lower sleeve, 7-upper tension spring, 8-lower tension spring, 9-lock body, 91-movable slide block, 92-brake column, 93-rubber damping piece, 94-grading tooth, 95-friction sleeve, 96-column groove, 97-long hole, 10-inner suction hole, 11-outer suction hole, 12-conduit, 13-plug, 14-pull rope, 15-end cap, 16-limit ring and 17-retainer ring.
Detailed Description
The invention will be further described with reference to the drawings and examples.
Example 1: an expanding and sucking integrated uterus expanding rod, as shown in figures 1-11, comprises a rod body 1 and a uterus expanding head 2 which is integrally arranged at the tail end of the rod body and forms an included angle alpha with the rod body, wherein the included angle alpha between the rod body and the uterus expanding head is 160-172 degrees, the shape of the uterus expanding head is consistent with the shape of uterus, and the uterus expanding head can easily and smoothly enter the uterus. The rod body 1 is internally provided with a cavity, the cavity is internally provided with a capacity expansion body for adjusting the diameter of the rod body, the capacity expansion body comprises a pull rod and a plurality of elastic arch bars 4 which are uniformly distributed around the pull rod 3, the upper end of the pull rod 3 is connected with an upper tension spring 7, and the upper end of the upper tension spring 7 is fixed at a position, close to the upper part, of the inner wall of the rod body. In the embodiment, 8 elastic arch bars are uniformly distributed around the pull rod, the pull rod 3 is arranged at the center of the inner cavity of the rod body along the length direction of the rod body, the upper end parts and the lower end parts of the 8 elastic arch bars 4 are respectively gathered towards the center and are sleeved on the pull rod 3 in a sliding way, so that the elastic arch bars 4 can move along the pull rod 3; the middle parts of the 8 elastic arch bars are respectively outwards bulged in an arc shape towards the direction deviating from the pull rod 3, so that the elastic arch bars 4 integrally form a lantern shape, the elastic arch bars 4 outwards bulge to be in contact with the inner wall of the rod body 1, the rod body 1 is outwards extruded, the diameter of the rod body is enlarged, and the effect of capacity expansion is achieved.
An upper sleeve 5 and a lower sleeve 6 are respectively sleeved on the pull rod at the upper end and the lower end of the elastic arch bar 4, wherein the upper sleeve 5 is movably sleeved on the pull rod 3, and the upper sleeve 5 can move on the pull rod 3 between the upper tension spring 7 and the elastic arch bar 4. The lower sleeve 6 is fixedly arranged at the lower part of the rod body 1, specifically, the upper part of the rod body 1 is made of elastic materials, the part of the lower part of the rod body 1, which is used for being held by a doctor, is made of inelastic materials, two parallel limiting rings 16 are correspondingly arranged on the inner wall of the rod body 1 in the holding position of the doctor, a retaining ring 17 is integrally arranged on the outer wall of the lower sleeve 6, the retaining ring 17 is clamped on the inner wall of the rod body 1 by fixing the lower sleeve 6 in the two limiting rings 16, and a pull rod positioned at the lower end of the elastic arch bar 4 passes through the lower sleeve 6, so that the elastic arch bar 4 is clamped at the upper end part of the lower sleeve 6. When the upper sleeve 6 moves downwards, the lower end of the elastic arch bar 4 is clamped at the upper end of the lower sleeve 6, namely the lower end of the elastic arch bar 4 cannot move, so that the upper sleeve 5 presses the elastic arch bar 4 to expand outwards, and the diameter of the rod body 1 is enlarged to achieve the capacity expansion effect.
The lower end of the pull rod 3 is connected with a lock body 9, the lock body comprises a movable slide block 91 and a brake column 92, the side wall of the rod body 1 is provided with a long hole 97, both sides of the movable slide block 91 are provided with sliding grooves, the movable slide block 91 is clamped in the long hole 97 on the side wall of the rod body 1 through the sliding grooves, and the movable slide block 91 can be pushed to move along the long hole 97. Rubber damping sheets 93 are respectively arranged on two surfaces of the sliding groove, which are contacted with the movable sliding block, so that friction force between the movable sliding block 91 and the long hole 97 is increased to prevent the movable sliding block from slipping, grading teeth 94 are arranged on the rubber damping sheets 93 at intervals, and the function of the grading teeth is that a doctor knows the uterus dilating degree of the uterus dilating rod at the moment. The inner side of the movable slider 91 is connected with a brake column 92, the tail end of the brake column 92 is connected with the pull rod 3, and the pull rod is controlled to move up and down through the brake column 92. In this embodiment, a friction sleeve 95 is fixedly sleeved outside the pull rod 3 at the joint with the brake column 92, a cylindrical groove 96 is formed on the outer wall of the friction sleeve 95, and the end part of the brake column 95 is clamped in the cylindrical groove 96, so that the friction sleeve 95 and the pull rod 3 move together with the brake column 92. When the movable slider 91 is pushed down, the brake column 92 moves downwards along with the movable slider, meanwhile, the brake column 92 drives the friction sleeve 95 and the pull rod 3 to move downwards, and then the upper tension spring 7 stretches to press the upper sleeve 5 to move downwards, so that the upper sleeve 5 presses the elastic arch bar 4 to expand outwards, and the bending radian of the elastic arch bar 4 is adjusted to realize uterus expansion.
The end of the uterus dilating head 2 is provided with an inner suction hole 10, the outer end of the rod body 1 is provided with an outer suction hole 11, a conduit 12 communicated with the inner suction hole 10 and the outer suction hole 11 is arranged in the rod body 1, a plug 13 is arranged at the inner suction hole 10, the plug 13 seals the inner suction hole 10, a pull rope 14 penetrates through the conduit 12, one end of the pull rope 14 is connected with the plug 13, the other end extends out of the outer suction hole 11, an end cap 15 is arranged at the outer end of the rod body 1, the end cap 15 seals the outer suction hole 11, and the outer end of the pull rope 14 is fixed on the inner wall of the end cap 15. After the uterus dilating is completed, the end cap 15 is pulled out, the end cap 15 is pulled to pull the pull rope 14 outwards, the plug 13 at the inner suction hole 10 is pulled out of the catheter 12 by the pull rope 14, and at the moment, the catheter 12 is externally connected with a negative pressure device for communication, so that residual tissues in the uterus can be sucked out through the catheter 12. The uterus sucking rod does not need to be replaced additionally, so that the surgical damage and infection risk are greatly reduced, and the uterus dilating and uterus sucking operations are completed on one uterus dilating rod.
In the uterus dilating process of the rod body 1, the upper tension spring 7 stretches downwards under tension, and as the upper part of the rod body 1 enters the uterus and is made of elastic materials, the upper part of the rod body 1 is subjected to the downward tension of the upper tension spring 7, so as to further bend the rod body 1 from an initial state angle to bend one side of the inner suction hole 10 at the end part of the uterus dilating head 2, the inner suction hole 10 can be attached to the inner wall of the uterus, and compared with the suspension adsorption in the uterus, the inner suction hole 10 at the end part of the uterus dilating head 2 is more convenient for adsorbing residual substances on the inner wall of the uterus after being bent to one side, thereby ensuring the cleaning of the uterus.
Example 2: the uterus dilating rod of this embodiment mainly includes differences from embodiment 1.
In this embodiment, as shown in fig. 12, a lower tension spring 8 is connected to the lower end of the pull rod 3, the other end of the lower tension spring 8 is fixed inside the rod body 1, and the lock body is disposed between the lower tension spring and the sleeve and connected with the pull rod. When the sum of the elasticity of the lower tension spring 8 and the force of hand pulling is larger than the sum of the elasticity of the upper tension spring and the elasticity of the elastic arch bar, the movable slider 91 moves downwards, so that the lower tension spring 8 has the function of providing a pulling-down force, reducing the force of hand pulling, enabling the hand to easily push the movable slider 91, and enabling the movable slider 91 to drive the brake column 92 and further drive the pull rod 3 to move up and down.

Claims (6)

1. The utility model provides an expand and inhale integral type expands palace stick, includes the body and locates the body tip and form the palace head that expands of contained angle alpha between with the body an organic whole, its characterized in that: the rod body is internally provided with a cavity, the cavity is internally provided with a capacity expansion body for adjusting the diameter of the rod body, the capacity expansion body comprises a pull rod and a plurality of elastic arch bars uniformly distributed around the pull rod, the upper end part and the lower end part of each elastic arch bar are respectively gathered towards the center and are sleeved on the pull rod, and the middle part of each elastic arch bar is respectively outwards bulged towards the direction deviating from the pull rod and is contacted with the inner wall of the rod body; the upper sleeve and the lower sleeve are respectively sleeved on the pull rod at the upper end and the lower end of the elastic arch bar, the upper sleeve is movably sleeved on the pull rod, the lower sleeve is fixedly arranged in the rod body, and the pull rod at the lower end of the elastic arch bar passes through the lower sleeve to enable the elastic arch bar to be clamped at the upper end of the lower sleeve; the upper end of the pull rod is connected with an upper tension spring, and the other end of the upper tension spring is fixed in the rod body; the lower end of the pull rod is provided with a lock body which is movably arranged on the side wall of the rod body, the inner end of the lock body is connected with the pull rod, and the lock body controls the pull rod to move up and down to adjust the bending radian of the elastic arch bar; the end part of the uterus dilating head is provided with an inner suction hole, the outer end of the rod body is provided with an outer suction hole, a conduit communicated with the inner suction hole and the outer suction hole is arranged in the rod body, a plug is arranged at the inner suction hole, a pull rope is penetrated in the conduit, one end of the pull rope is connected with the plug, and the other end of the pull rope extends out of the outer suction hole;
the included angle alpha between the rod body and the uterus dilating head is 160-172 degrees;
the lower sleeve outer wall is integrally provided with a retainer ring, two parallel limiting rings are correspondingly arranged on the inner wall of the rod body, and the retainer ring is clamped in the two limiting rings to fix the lower sleeve.
2. The dilating and sucking integrated dilating rod as claimed in claim 1, wherein: the lower end of the pull rod is connected with a lower tension spring, the other end of the lower tension spring is fixed in the rod body, and the lock body is arranged between the lower tension spring and the sleeve and is connected with the pull rod.
3. The dilating and sucking integrated dilating rod as claimed in claim 1, wherein: the lock body comprises a movable slide block and a braking column, wherein sliding grooves are formed in two sides of the movable slide block, the movable slide block is clamped in long holes in the side wall of the rod body through the sliding grooves, so that the movable slide block can move along the long holes, the inner side of the movable slide block is connected with the braking column, and the tail end of the braking column is connected with a pull rod.
4. A dilating and suction integrated cervical dilating rod as defined in claim 3, wherein: rubber damping sheets are respectively arranged on two surfaces of the sliding groove, which are in contact with the movable sliding block, and grading teeth are arranged on the rubber damping sheets at intervals.
5. A dilating and suction integrated cervical dilating rod as defined in claim 3, wherein: the friction sleeve is fixedly sleeved outside the pull rod between the lower tension spring and the lower sleeve, a cylindrical groove is formed in the outer wall of the friction sleeve, and the end part of the brake column is clamped in the cylindrical groove, so that the friction sleeve and the pull rod move together with the brake column.
6. The dilating and sucking integrated dilating rod as claimed in claim 1, wherein: the outer end of the rod body is provided with an end cap, the end cap seals the suction hole, and the outer end of the pull rope is fixed on the inner wall of the end cap.
CN201910149280.5A 2019-02-28 2019-02-28 Integrated uterus dilating rod Active CN109717936B (en)

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CN109717936B true CN109717936B (en) 2024-03-19

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111166444B (en) * 2020-01-13 2022-04-15 青岛市妇女儿童医院(青岛市妇幼保健院、青岛市残疾儿童医疗康复中心、青岛市新生儿疾病筛查中心) Uterine curettage device for gynecological treatment
CN113397673B (en) * 2021-07-16 2024-02-02 申兵涛 Gynecological intensity-adjustable type quick uterine curettage device

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FR2548909A1 (en) * 1983-06-24 1985-01-18 Dornion Claude Bougie which can be used for dilating the neck of the uterus
CN201361352Y (en) * 2009-03-04 2009-12-16 苏州宇度医疗器械有限责任公司 Cervix uteri expanding rod
CN201603266U (en) * 2010-03-05 2010-10-13 山东省千佛山医院 Replacement-free dilating bar
CN104257418A (en) * 2014-10-11 2015-01-07 丽水市人民医院 Cervical dilator
CN204582273U (en) * 2015-04-24 2015-08-26 方文兰 A kind of gradual cervical dilator
CN205163161U (en) * 2015-11-06 2016-04-20 中南大学湘雅医院 Palace chamber hemostasis ball
CN206518763U (en) * 2016-11-14 2017-09-26 十堰市太和医院(湖北医药学院附属医院) Disposable painless uterus dilating stick
CN108339187A (en) * 2018-03-31 2018-07-31 武汉市中西医结合医院(武汉市第医院) Expand palace rifle
CN209751185U (en) * 2019-02-28 2019-12-10 王怡冉 Expand and inhale integral type and expand palace stick

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US20050055043A1 (en) * 2002-12-12 2005-03-10 Os Technology, Llc. Cervical canal dilator

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2548909A1 (en) * 1983-06-24 1985-01-18 Dornion Claude Bougie which can be used for dilating the neck of the uterus
CN201361352Y (en) * 2009-03-04 2009-12-16 苏州宇度医疗器械有限责任公司 Cervix uteri expanding rod
CN201603266U (en) * 2010-03-05 2010-10-13 山东省千佛山医院 Replacement-free dilating bar
CN104257418A (en) * 2014-10-11 2015-01-07 丽水市人民医院 Cervical dilator
CN204582273U (en) * 2015-04-24 2015-08-26 方文兰 A kind of gradual cervical dilator
CN205163161U (en) * 2015-11-06 2016-04-20 中南大学湘雅医院 Palace chamber hemostasis ball
CN206518763U (en) * 2016-11-14 2017-09-26 十堰市太和医院(湖北医药学院附属医院) Disposable painless uterus dilating stick
CN108339187A (en) * 2018-03-31 2018-07-31 武汉市中西医结合医院(武汉市第医院) Expand palace rifle
CN209751185U (en) * 2019-02-28 2019-12-10 王怡冉 Expand and inhale integral type and expand palace stick

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