CN109984807A - Complete Uterine septum surgical scissors - Google Patents
Complete Uterine septum surgical scissors Download PDFInfo
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- CN109984807A CN109984807A CN201910369040.6A CN201910369040A CN109984807A CN 109984807 A CN109984807 A CN 109984807A CN 201910369040 A CN201910369040 A CN 201910369040A CN 109984807 A CN109984807 A CN 109984807A
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- Prior art keywords
- scissors
- uterine
- interval
- groove
- septum
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- 230000003993 interaction Effects 0.000 claims abstract description 4
- 244000309464 bull Species 0.000 claims description 3
- 230000000642 iatrogenic effect Effects 0.000 abstract description 5
- 230000000694 effects Effects 0.000 abstract 1
- 238000000034 method Methods 0.000 description 6
- 238000010586 diagram Methods 0.000 description 5
- 210000000568 mesometrium Anatomy 0.000 description 3
- 210000001519 tissue Anatomy 0.000 description 3
- 208000021267 infertility disease Diseases 0.000 description 2
- 238000010008 shearing Methods 0.000 description 2
- 208000001951 Fetal Death Diseases 0.000 description 1
- 206010055690 Foetal death Diseases 0.000 description 1
- 208000008899 Habitual abortion Diseases 0.000 description 1
- 240000007594 Oryza sativa Species 0.000 description 1
- 235000007164 Oryza sativa Nutrition 0.000 description 1
- 208000006399 Premature Obstetric Labor Diseases 0.000 description 1
- 208000003107 Premature Rupture Fetal Membranes Diseases 0.000 description 1
- 206010036600 Premature labour Diseases 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- 210000003679 cervix uteri Anatomy 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 210000005002 female reproductive tract Anatomy 0.000 description 1
- 231100000479 fetal death Toxicity 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
- 230000036244 malformation Effects 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 230000035935 pregnancy Effects 0.000 description 1
- 208000026440 premature labor Diseases 0.000 description 1
- 238000002271 resection Methods 0.000 description 1
- 235000009566 rice Nutrition 0.000 description 1
- 210000003296 saliva Anatomy 0.000 description 1
- 238000011272 standard treatment Methods 0.000 description 1
- 238000002604 ultrasonography Methods 0.000 description 1
- 210000004291 uterus Anatomy 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/3201—Scissors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/42—Gynaecological or obstetrical instruments or methods
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/42—Gynaecological or obstetrical instruments or methods
- A61B2017/4216—Operations on uterus, e.g. endometrium
- A61B2017/4225—Cervix uteri
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Medical Informatics (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Engineering & Computer Science (AREA)
- General Health & Medical Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- Gynecology & Obstetrics (AREA)
- Pregnancy & Childbirth (AREA)
- Reproductive Health (AREA)
- Pathology (AREA)
- Surgical Instruments (AREA)
Abstract
This application involves a kind of complete Uterine septum surgical scissors, symmetrical a pair of scissors element is intersected riveting by shaft, enables the activity between open configuration and occlusive state of two scissors elements；The inside of two scissors elements is successively relatively set with from caulking part to scissors cephalad direction: groove and blade, and the length of groove is 3 centimetres, and the depth of groove is 0.5 centimetre；When two scissors elements are at least partly engaged or are fully engaged against, two grooves being oppositely arranged form the space placed separately of the interval for uterine neck tube portion placed separately, and the interval of uterine cavity part is sheared in the two blades interaction being oppositely arranged.The surgical scissors become in completely and are divided into infull interval, are conducive to the interval excision under hysteroscope.The interval of uterine neck tube portion is set to be unlikely to removed simultaneously, to reduce the generation of iatrogenic incompetence,cervical.
Description
Technical field
This application involves field of medical device more particularly to a kind of complete Uterine septum surgical scissors.
Background technique
Uterine septum is clinical most commonly seen female genital tract deformity, accounts for the 80%-90% of uterine malformation, Uterine septum
Infertile, sterile such as recurrent abortion, premature labor, premature rupture of fetal membranes, Intrauterine Fetal Death probability is caused to be above normal pregnancies, in infertile crowd
In disease incidence be 17.9%.Uterine septum is divided into infull son according to the form of septal tissue and the attachment position at interval tip
Palace interval and complete Uterine septum, the latter account for the 14%-17% of Uterine septum.
Excision of septum of uterus is the standard treatments of Uterine septum under hysteroscope, and the purpose is to cut off or separate interval
Tissue, restores the normal anatomy form of uterine cavity.The cutting of complete interval is isolated from uterine neck internal orifice level and starts, and laterally cuts
Then septal tissue is operated to opposite side uterine cavity by infull interval method.The interval of uterine neck tube portion is often not cut off, with
It avoids that cervical cempetence is caused to damage.
In complete Uterine septum, part completely in be interposed between at nearly uterine neck internal orifice and there is aperture to communicate two sides uterine cavity, perform the operation
Thus aperture it can start upwards to cut off interval；And part interval completely need to use some special methods without traffic duct
Interval is penetrated, into opposite side uterine cavity, then opens interval to palace undercutting again.It can not since hysteroscope is located at side uterine cavity in art
See opposite side uterine cavity, therefore how accurately to cut Uterine septum and be unlikely to cut is operation in anterior uterine wall or rear wall muscle layer
Difficult point where.
Most common method: it is placed in hysteroscope after expansion side cervical canal, other side uterine cavity built-in enters Foley urethral catheterization
4-5ml liquid is injected in Guan Bingxiang air bag, keeps Uterine septum stretching, extension thinning, then uses electrode saliva in uterine neck under B ultrasound guide
One aperture of flat upper incision, exposes the urethral catheterization tube airbag of opposite side, communicates two sides uterine cavity.
But when interval is thicker, still it is relatively difficult reach accurately cut form traffic duct.Common surgical scissors can
Interval is cut off a part, become in completely and be divided into infull interval, but the disadvantage is that do not carry out selective excision, is using
Intracervical interval and intrauterine interval are cut off together in the process, it is postoperative iatrogenic to be thus likely to result in patient
Incompetence,cervical.The interval at uterine neck internal orifice is passed through without a kind of simple, economic, accurate and quick method so far both at home and abroad
It wears, and the interval of conserving cervix tube portion.
In conclusion it is difficult to further decrease operation in order to be further improved under hysteroscope complete Uterine septum resection operation
Degree, it is necessary to which operational tool is further improved.
Summary of the invention
In order to solve the above-mentioned technical problem or it at least is partially solved above-mentioned technical problem, this application provides one to finish
Full Uterine septum surgical scissors.
This application provides a kind of complete Uterine septum surgical scissors, and for running through the interval at uterine neck internal orifice, this is complete
Full Uterine septum surgical scissors include: the first scissors element；With symmetrical second scissors element of first scissors element；It is described
First scissors element and second scissors element are intersected riveting by shaft so that first scissors element with it is described
Second scissors element can be movable between open configuration and occlusive state；Wherein, first scissors element and described second
The inside of scissors element is successively relatively set with from caulking part to scissors cephalad direction: groove and blade, the length of the groove
It is 3 centimetres, the depth of the groove is 0.5 centimetre；Wherein, when first scissors element and second scissors element at least
Part is when being engaged or being fully engaged against, two be oppositely arranged the groove formed the interval for uterine neck tube portion placed separately every
Between emptying, the interval of uterine cavity part is sheared in two be oppositely arranged the blade interaction.
In some embodiments, the outside on the scissors head is rounded structure, 1 centimetre of the length of the blade.
In some embodiments, the shape that the blade is linear or arc is curved.
In some embodiments, it is described to shelve when first scissors element and second scissors element are fully engaged against
The width in space is 0.4 centimetre.
In some embodiments, the both ends of the groove are filleted corner.
In some embodiments, the radius of the bull nose of the rounded structure is 0.25 centimetre.
In some embodiments, the radius of the filleted corner is 0.5 centimetre.
In some embodiments, when being protruded into two sides uterine cavity, two scissors heads it is outer, the distance between be
2.35 centimetres, the distance that two blades are located at groove side is 0.5 centimetre.
Above-mentioned technical proposal provided by the embodiments of the present application has the advantages that the embodiment of the present application compared with prior art
Complete Uterine septum surgical scissors, make one end of groove start to shear when being located at cervical orifice, when occlusion, by uterine neck tube portion
Interval be placed in groove, and blade can more quickly and accurately cut the interval of uterine cavity part more than uterine neck internal orifice level
The notch for opening a 1cm communicates two sides uterine cavity, is equivalent in change completely and is divided into infull interval, is conducive to next step hysteroscope
Under interval excision.The interval for protecting uterine neck tube portion again simultaneously, makes it be unlikely to removed, to reduce iatrogenic
The generation of incompetence,cervical.
Detailed description of the invention
The drawings herein are incorporated into the specification and forms part of this specification, and shows and meets implementation of the invention
Example, and be used to explain the principle of the present invention together with specification.
In order to more clearly explain the embodiment of the invention or the technical proposal in the existing technology, to embodiment or will show below
There is attached drawing needed in technical description to be briefly described, it should be apparent that, for those of ordinary skill in the art
Speech, without any creative labor, is also possible to obtain other drawings based on these drawings.
Fig. 1 is the schematic diagram of the surgical scissors occlusive state of the embodiment of the present application；
Fig. 2 is the schematic diagram of the surgical scissors open configuration of the embodiment of the present application；
Fig. 3 is a kind of schematic diagram of scissors element of the surgical scissors of the embodiment of the present application；
Fig. 4 is a kind of schematic diagram when protruding into of the surgical scissors of the embodiment of the present application；
Fig. 5 is a kind of schematic diagram of occlusive state of surgical scissors of the embodiment of the present application.
Specific embodiment
It should be appreciated that the specific embodiments described herein are merely illustrative of the present invention, it is not intended to limit the present invention.
The invention relates to a kind of complete Uterine septum perform the operation used in scissors, for will be at uterine neck internal orifice
Every running through.Referring to shown in Fig. 1-5, the complete Uterine septum surgical scissors of the embodiment of the present application, the complete Uterine septum operating scissors
Knife, including a pair of symmetrical scissors element 1 and 2 mutually riveted by shaft 3.
In the embodiment of the present application, scissors element 1 and scissors element 2 are intersected riveting by shaft 3, so that scissors is first
Part 1 and scissors element 2 can be movable between open configuration (as shown in Figure 2) and occlusive state (as shown in Fig. 1 or 5).Occlusion
State includes at least partly being engaged and being fully engaged against.
In the embodiment of the present application, the inside of scissors element 1 and scissors element 2 is from caulking part (i.e. shaft 3) to scissors bit
6 direction of portion is successively relatively set with: groove 4 and blade 5.Groove 4 has the function of protecting the interval of uterine neck tube portion, cervical canal
Partial interval is not removed, and reduces the generation of iatrogenic incompetence,cervical.
In the embodiment of the present application, the length of groove is 3 centimetres (being 30 millimeters in figure), and the depth of groove is 0.5 centimetre
(being 5 millimeters in figure).It is 3cm according to the general length of normal female cervical canal, therefore designing 4 length of groove is 3cm, depth is
0.5cm。
In the embodiment of the present application, when scissors element 1 is at least partly engaged with second scissors element or is stung completely
When conjunction, two grooves 4 being oppositely arranged form the space placed separately of the interval for uterine neck tube portion placed separately, two be oppositely arranged
The interval of uterine cavity part is sheared in the interaction of blade 5.
In some embodiments, referring to figs. 1 to shown in Fig. 5, the outside on scissors head 6 is rounded structure, can be prevented
Other structures in uterine cavity are damaged during shearing uterine cavity part interval.1 centimetre of the length (being 10 millimeters in figure) of blade, prevents
It excessively cuts off interval and switches in mesometrium, reduce the generation of intraoperative compliaction.In some embodiments, scissors head 6
The radius of the bull nose of rounded structure is 0.25 centimetre (being 2.5 millimeters in figure).
In some embodiments, scissors head 6 is rounded structure, and 1 centimetre of the length of blade can be prevented in shearing uterine cavity
Other structures in uterine cavity are damaged during the interval of part, and prevent from excessively cutting off interval and switching in mesometrium, are reduced
The generation of intraoperative compliaction.
In some embodiments, as shown in figure 5, when scissors element 1 and scissors element 2 are fully engaged against, be oppositely arranged two
The width in the space placed separately for the interval for uterine neck tube portion placed separately that a groove 4 is formed is 0.4 centimetre (being 4 millimeters in figure).
In some embodiments, referring to figs. 1 to shown in Fig. 5, the both ends of groove 4 are filleted corner.In some embodiments, such as
Shown in Fig. 3, the radius of the filleted corner of groove 4 is 0.5 centimetre (being 5 millimeters in figure).Groove 4 is filleted corner, more compared to rectangle
Add it is firm so that the both ends of groove 4 occlusion when be not easily broken.
In some embodiments, as shown in figure 4, when protruding into the uterine cavity of two sides, two scissors heads 6 it is outer then between away from
It is 0.5 centimetre (is 5 millis in figure from for 2.35 centimetres (being 23.5 millimeters in figure), two blades are located at the distance of groove side
Rice).
In some embodiments, the shape that blade 5 is linear or arc is curved.
By the embodiment of the present application, the inside of two symmetrical scissors elements 1 and 2 is oppositely arranged fluted 4, according to normal female
Property the general length of cervical canal be 3cm, therefore design 4 length of groove be 3cm, depth 0.5cm；In addition 4 shape filleted corner of groove
Groove 4, compared to rectangle it is firmer so that 4 both ends of groove occlusion when be not easily broken.When operating with, first by interval
The cervical canal of two sides is expanded to expansion item 10, opens scissors as shown in figure 4, scissors is respectively protruding into the uterine cavity of two sides, makes recessed
One end of slot 4 starts to shear when being located at cervical orifice, and when occlusion, the interval of uterine neck tube portion is placed in groove 4 just, and knife
The interval of uterine cavity part can more quickly and accurately be cut off the notch of a 1cm by sword 5 more than uterine neck internal orifice level, make two
Side uterine cavity communicates, and is equivalent in change completely and is divided into infull interval, is conducive to the interval excision under next step hysteroscope.It protects again simultaneously
The interval for having protected uterine neck tube portion makes it be unlikely to removed, to reduce the generation of iatrogenic incompetence,cervical.It cuts
Cutter head portion 6 is rounded structure, 5 length 1cm of blade, can prevent during shear uterine cavity part interval in damage uterine cavity it
His structure, and prevent from excessively cutting off interval and switching in mesometrium, reduce the generation of intraoperative compliaction.
The embodiment of the present invention is described with above attached drawing, but the invention is not limited to above-mentioned specific
Embodiment, the above mentioned embodiment is only schematical, rather than restrictive, those skilled in the art
Under the inspiration of the present invention, without breaking away from the scope protected by the purposes and claims of the present invention, it can also make very much
Form, all of these belong to the protection of the present invention.
Claims (8)
1. a kind of complete Uterine septum surgical scissors, for running through the interval at uterine neck internal orifice characterized by comprising
First scissors element；
With symmetrical second scissors element of first scissors element；
First scissors element and second scissors element are intersected riveting by shaft, so that first scissors is first
Part and second scissors element can be movable between open configuration and occlusive state；
Wherein, the inside of first scissors element and second scissors element is from caulking part to scissors cephalad direction successively phase
To groove and blade is provided with, the length of the groove is 3 centimetres, and the depth of the groove is 0.5 centimetre；
Wherein, when first scissors element is at least partly engaged or is fully engaged against with second scissors element, relatively
Two be arranged the groove forms the space placed separately of the interval for uterine neck tube portion placed separately, two knives being oppositely arranged
The interval of uterine cavity part is sheared in sword interaction.
2. complete Uterine septum surgical scissors according to claim 1, which is characterized in that the outside on the scissors head is
Rounded structure, 1 centimetre of the length of the blade.
3. complete Uterine septum surgical scissors according to claim 1, which is characterized in that the blade is linear or arc is curved
Shape.
4. complete Uterine septum surgical scissors according to claim 1, which is characterized in that first scissors element and institute
It states the second scissors element to be fully engaged against when in the occlusive state, the width for shelving space is 0.4 centimetre.
5. complete Uterine septum surgical scissors according to claim 1, which is characterized in that the both ends of the groove are inner circle
Angle.
6. complete Uterine septum surgical scissors according to claim 2, which is characterized in that the bull nose of the rounded structure
Radius be 0.25 centimetre.
7. complete Uterine septum surgical scissors according to claim 5, which is characterized in that the radius of the filleted corner is
0.5 centimetre.
8. complete Uterine septum surgical scissors according to claim 1, which is characterized in that when being protruded into two sides uterine cavity,
The outer of two scissors heads is the distance between then 2.35 centimetres, and the distance that two blades are located at groove side is
0.5 centimetre.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910369040.6A CN109984807A (en) | 2019-05-05 | 2019-05-05 | Complete Uterine septum surgical scissors |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910369040.6A CN109984807A (en) | 2019-05-05 | 2019-05-05 | Complete Uterine septum surgical scissors |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN109984807A true CN109984807A (en) | 2019-07-09 |
Family
ID=67135989
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201910369040.6A Pending CN109984807A (en) | 2019-05-05 | 2019-05-05 | Complete Uterine septum surgical scissors |
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| Country | Link |
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| CN (1) | CN109984807A (en) |
Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5234453A (en) * | 1990-05-10 | 1993-08-10 | Symblosis Corporation | Cobalt base alloy end effectors for laparoscopic surgical scissors |
| CN201692007U (en) * | 2010-07-01 | 2011-01-05 | 张文静 | Gynecological operating scissors |
| CN202801745U (en) * | 2012-10-21 | 2013-03-20 | 付艳慧 | Pair of novel gynecological operating scissors |
| CN203829003U (en) * | 2014-04-23 | 2014-09-17 | 深圳市盐田区人民医院 | Double-joint intrauterine tissue cutting forceps |
| CN210301143U (en) * | 2019-05-05 | 2020-04-14 | 温州医科大学附属第二医院、温州医科大学附属育英儿童医院 | Complete uterus septum operation scissors |
-
2019
- 2019-05-05 CN CN201910369040.6A patent/CN109984807A/en active Pending
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5234453A (en) * | 1990-05-10 | 1993-08-10 | Symblosis Corporation | Cobalt base alloy end effectors for laparoscopic surgical scissors |
| CN201692007U (en) * | 2010-07-01 | 2011-01-05 | 张文静 | Gynecological operating scissors |
| CN202801745U (en) * | 2012-10-21 | 2013-03-20 | 付艳慧 | Pair of novel gynecological operating scissors |
| CN203829003U (en) * | 2014-04-23 | 2014-09-17 | 深圳市盐田区人民医院 | Double-joint intrauterine tissue cutting forceps |
| CN210301143U (en) * | 2019-05-05 | 2020-04-14 | 温州医科大学附属第二医院、温州医科大学附属育英儿童医院 | Complete uterus septum operation scissors |
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