CN110432959B

CN110432959B - Uterine lifting device

Info

Publication number: CN110432959B
Application number: CN201910835031.1A
Authority: CN
Inventors: 裴美丽; 刘丹; 赵娟; 杨婷; 杨筱凤; 李洁; 江玉; 邹余粮
Original assignee: First Affiliated Hospital of Medical College of Xian Jiaotong University
Current assignee: First Affiliated Hospital of Medical College of Xian Jiaotong University
Priority date: 2019-09-05
Filing date: 2019-09-05
Publication date: 2024-03-08
Anticipated expiration: 2039-09-05
Also published as: CN110432959A

Abstract

The invention relates to a uterine manipulator. The uterus lifting device comprises a support, a lifting Gong Gan and a vault cup, wherein the vault cup is arranged on a uterus lifting rod, the uterus lifting rod is arranged on the support, one end of the uterus lifting rod, which is away from the support, is provided with a uterus lifting frame, the top of the uterus lifting frame is provided with a fifth balloon, four sides of the uterus lifting frame are respectively provided with a first balloon, a second balloon, a third balloon and a fourth balloon, the fifth balloon is communicated with the fifth balloon through the fifth tube, the fourth balloon is communicated with the fourth balloon through the fourth tube, the third balloon is communicated with the third balloon through the third tube, the second balloon is communicated with the second balloon through the second tube, the first balloon is communicated with the first balloon through the first tube, the uterus lifting frame is of a hollow structure, the uterus lifting frame and the uterus lifting rod are respectively provided with through holes for allowing the first tube, the second tube, the third tube, the fourth tube and the fifth tube to pass through, and the first, the second tube, the third tube, the fifth tube and the uterus lifting frame are placed in the uterus lifting frame through the through holes. The invention can realize accurate uterine movement in operation without retraction.

Description

Uterine lifting device

Technical Field

The invention relates to the field of medical appliances, in particular to a uterine manipulator.

Background

In the laparoscopic or robotic assisted downlink hysterectomy (including total hysterectomy, cervical cancer radical surgery, endometrial cancer radical surgery, etc.) procedures, the assistant needs to precisely move the uterus in different directions in order to cooperate with the operator's surgery. At present, a traditional uterine manipulator is clinically used, in order to ensure the safety and smooth completion of an operation, an assistant has to manually force to ensure that the uterus is jacked up towards the head end of a patient in the operation process and timely adjust the directions of the uterus up, down, left and right along with the operation of an operator, otherwise, the risk of bladder and ureter injury is not easy to occur due to insufficient tension near the retroperitoneal of the bladder uterus, or the risk of bleeding in the operation is not easy to be increased due to insufficient tension of a broad ligament, or the ureter is easily damaged due to insufficient tension of tissue beside the uterus, and even part of cervical residues are caused due to poor exposure. In actual clinic, the staff of the assistant responsible for lifting the uterus has large variation and uneven proficiency, and due to insufficient staff, the situation that a practitioner takes charge of lifting the uterus is caused by 'temporary grabbing and strengthening' sometimes, the situation that the uterus lifting device is retracted and the uterus moves difficultly meets the requirements of operators in the matching process often occurs, so that the operators need to continuously disperse the vigor to guide the assistant to adjust the uterus lifting device, and adverse events are easy to occur if the operators are careless. Therefore, there is an urgent need to develop a device that can be controlled by the operator, can achieve accurate uterine movements during surgery, and does not retract.

Disclosure of Invention

The invention provides a uterine lifting device which can realize accurate uterine movement in operation and does not retract in order to solve the technical problems in the background technology.

The technical scheme of the invention is as follows: the invention relates to a uterine manipulator, which comprises a bracket, a lifter Gong Gan and a dome cup, wherein the dome cup is arranged on a uterine manipulator which is arranged on the bracket, and the uterine manipulator is characterized in that: the uterus lifting rod is provided with a uterus lifting frame at one end deviating from the support, a fifth balloon is arranged at the top of the uterus lifting frame, a first balloon, a second balloon, a third balloon and a fourth balloon are respectively arranged on four sides of the uterus lifting frame, the fifth balloon is communicated with the fifth balloon through a fifth through pipe, the fourth balloon is communicated with the fourth balloon through a fourth through pipe, the third balloon is communicated with the third balloon through a third through pipe, the second balloon is communicated with the second balloon through a second through pipe, the first balloon is communicated with the first balloon through a first through pipe, the uterus lifting frame and the uterus lifting rod are of hollow structures, through holes for the first through pipe, the second through pipe, the third through pipe, the fourth through pipe and the fifth through pipe to pass through are formed in the uterus lifting frame and the uterus lifting rod, and the first through pipe, the second through pipe, the third through pipe, the fourth through pipe and the fifth through holes are formed in the uterus lifting frame and the uterus lifting rod.

Preferably, the uterine manipulator further comprises a vaginal balloon, the vaginal balloon surrounds the outside of the uterine manipulator, the vaginal balloon is communicated with the sixth inflatable balloon through a sixth through pipe, the inner wall of the vaginal balloon is in a zigzag shape, and a spherical hinge joint capable of enabling the uterine manipulator to swing around is arranged at the connecting section of the uterine manipulator Gong Gan and the support.

Preferably, the serration of the inner wall of the vaginal balloon is 12 serration.

Preferably, the first balloon, the second balloon, the third balloon and the fourth balloon are arranged on the uterine lifting frame in a central symmetry manner.

Preferably, the vaginal balloon is fastened and arranged on the uterine lifting rod through a fastening belt.

Preferably, the first balloon, the second balloon, the third balloon, the fourth balloon and the fifth balloon are respectively provided with a mark.

Preferably, the support is provided with a chute capable of allowing the uterine lifting rod to move up and down, and the chute is provided with a screw capable of locking the uterine lifting rod.

Preferably, the connection part of the lifting Gong Gan and the bracket is provided with a horizontal chute for the uterine lifting rod to slide horizontally, and the screw is arranged in the horizontal chute.

Preferably, a control valve is arranged between each inflatable balloon and the through pipe.

The invention has the following advantages:

1) The special five-balloon design is arranged in the vagina, so that the uterus can be accurately jacked up to the direction required to be jacked up according to the requirements of operators, and the adjustment space of the uterus lifter in the vagina is increased;

2) The vaginal balloon is arranged in the vagina, the inner wall of the vaginal balloon is zigzag, and the lifting Gong Gan can swing around in the vaginal balloon to adjust the position under the action of the spherical hinge joint, so that not only is the adjustment space of the uterine lifter in the vagina increased in operation realized, but also the accurate displacement of the uterus at different angles up and down and left and right can be realized, and meanwhile, the vaginal wall is protected from unnecessary damage in the accurate movement process;

3) The operator directly controls the first balloon, the second balloon, the third balloon, the fourth balloon and the fifth balloon according to different marks, thereby realizing accurate movement of uterus in the operation and perfectly matching with the operation;

4) The invention is provided with the movable support, can liberate manpower, does not need to be specially equipped with an assistant for lifting uterus, has busy clinical work, can treat other things as early as possible, improves the working efficiency, and reduces doctor-patient disputes.

Drawings

FIG. 1 is a schematic diagram of the structure of the present invention;

FIG. 2 is a schematic distribution diagram of a first balloon, a second balloon, a third balloon, a fourth balloon, and a fifth balloon according to the present invention;

fig. 3 is a cross-sectional view of the vaginal balloon of the present invention.

The reference numerals are as follows:

1. the vaginal balloon comprises a first balloon, 2, a uterine lifting rod, 3, a fastening belt, 4, a vaginal balloon, 5, a sixth through pipe, 6, a sixth balloon, 7, a first balloon, 8, a control valve, 9, a first through pipe, 10, a second balloon, 11, a spherical hinged joint, 12, a sliding groove, 13, a bracket, 14, a screw, 15, a second through pipe, 16, a supporting rod, 17, a third balloon, 18, a third through pipe, 19, a fourth through pipe, 20, a fourth balloon, 21, a fifth balloon, 22, a fifth through pipe, 23, a third balloon, 24, a uterine lifting frame, 25, a fifth balloon, 26, a second balloon, 27, a fourth balloon, 28, a cavity, 29, an inner wall of the vaginal balloon, 30 and a dome cup.

Detailed Description

Referring to fig. 1, 2 and 3, the concrete implementation structure of the invention comprises a bracket 13, a lifting Gong Gan 2 and a dome cup 30, wherein the dome cup 30 is arranged on the lifting rod 2, the lifting rod 2 is arranged on the bracket 13, one end of the lifting rod 2, which is far away from the bracket 13, is provided with a lifting frame 24, the top of the lifting frame 24 is provided with a fifth balloon 25, four sides of the lifting frame 24 are respectively provided with a first balloon 1, a second balloon 26, a third balloon 23 and a fourth balloon 27, and the first balloon 1, the second balloon 26, the third balloon 23 and the fourth balloon 27 are arranged on the lifting frame 24 in a central symmetry manner. The fifth balloon 25 is communicated with the fifth balloon 21 through the fifth through pipe 22, the fourth balloon 27 is communicated with the fourth balloon 20 through the fourth through pipe 19, the third balloon 23 is communicated with the third balloon 17 through the third through pipe 18, the second balloon 26 is communicated with the second balloon 10 through the second through pipe 15, the first balloon 1 is communicated with the first balloon 7 through the first through pipe 9, the lifting Gong Gan and the lifting frame 24 are hollow structures, through holes for the first through pipe 9, the second through pipe 15, the third through pipe 18, the fourth through pipe 19 and the fifth through pipe 22 to pass are formed in the lifting frame 2 and the lifting rod 24, and the first through pipe 9, the second through pipe 15, the third through pipe 18, the fourth through pipe 19 and the fifth through pipe 22 are arranged in the lifting frame 24 and the lifting rod 2 through the through holes, so that the operation space can be saved, and the operation of operators can be facilitated. The first inflatable balloon 7, the second inflatable balloon 10, the third inflatable balloon 17, the fourth inflatable balloon 20 and the fifth inflatable balloon 21 are respectively provided with marks in the front, left, back, right and middle, so that operation by an operator is facilitated. The control valve 8 is arranged between each balloon and the through pipe, the size of the inflation amount or the liquid filling amount can be controlled, the control valve 8 can be a control valve of a double balloon for obstetrical labor induction, the control valve is a plastic cap-like control valve arranged at the outer opening of the through pipe, the injector is connected with the plastic cap to inject liquid or gas into the balloon, the injector is taken away, the injected liquid or gas cannot flow out, and the plastic cap is pulled out to automatically flow out. The invention also comprises a vaginal balloon 4, the vaginal balloon 4 surrounds the outside of the uterine lifting rod 2, the vaginal balloon 4 is communicated with a sixth inflatable balloon 6 through a sixth through pipe 5, a control valve 8 is arranged between the sixth inflatable balloon 6 and the sixth through pipe 5, the inner wall 29 of the vaginal balloon is in a saw-tooth shape, the saw-tooth shape of the inner wall 29 of the vaginal balloon is preferably 12 saw-tooth shapes, and in the embodiment, the saw-tooth shape of the inner wall 29 of the vaginal balloon is in an 8 saw-tooth shape. The connecting section of the lifting Gong Gan 2 and the support 13 is provided with a spherical hinge joint 11 capable of enabling the lifting rod 2 to swing around, the lifting rod 2 can swing in the zigzag direction in the cavity 28 of the vaginal saccule 4 through the spherical hinge joint 11, if the lifting rod 2 is 12 zigzag, the lifting rod 2 can move towards 12 specific point positions, and the spherical hinge joint 11 can adopt the existing spherical hinge mode. The vaginal saccule 4 is fastened and arranged on the uterine lifting rod 2 through the fastening belt 3, so as to prevent the vaginal saccule 4 from falling off the uterine lifting rod 2. The support 13 is provided with a chute 12 capable of enabling the uterine lifting rod 2 to move up and down, the chute 12 is provided with a screw 14 capable of locking the uterine lifting rod 2, the up-down position of the uterine lifting rod 2 can be adjusted through the chute 12, the uterine lifting rod 2 is provided with a horizontal chute capable of enabling the uterine lifting rod 2 to slide horizontally, the horizontal chute is arranged at the connecting end part of the uterine lifting rod 2 and the support 13, the screw 14 is arranged in the horizontal chute, the uterine lifting rod 2 slides horizontally along the screw 14 through the horizontal chute, and the horizontal position of the uterine lifting rod 2 can be adjusted.

When the invention is used, a patient is anesthetized, a bladder lithotomy position is taken, a conventional disinfection towel is paved, a uterine lifting frame 24 at the head end of a uterine lifting rod 2 is placed into a uterine cavity, a dome cup 30 is propped against a vaginal dome, the bladder is conveniently pushed down, the vaginal part is inflated and fixed through a vaginal balloon 4, and the uterine lifting rod 2 is fixed to the optimal height and horizontal distance of the patient to be treated through a bracket 13. In the operation process, the operator accurately realizes that the uterus moves to 12 concrete point positions up, down, left and right by adjusting the swing of the uterine lifting rod 2 in the cavity 28 of the vaginal balloon 4 along the zigzag direction according to the operation requirement, and can continuously jack up the uterus by the uterine lifting frame 24, and the positions of the uterus are accurately adjusted by controlling the first balloon 1, the second balloon 26, the third balloon 23, the fourth balloon 27 and the fifth balloon 25 according to the operation requirement, so that each step of the operation is perfectly matched.

The above is only a specific embodiment disclosed in the present invention, but the scope of the present invention is not limited thereto, and the scope of the present invention should be defined by the claims.

Claims

1. The utility model provides a lift palace ware, includes support, lifts Gong Gan and dome cup, the dome cup sets up on lifting palace pole, lift Gong Gan sets up on the support, its characterized in that: the uterus lifting rod is provided with a uterus lifting frame at one end deviating from the support, the top of the uterus lifting frame is provided with a fifth balloon, four sides of the uterus lifting frame are respectively provided with a first balloon, a second balloon, a third balloon and a fourth balloon, the fifth balloon is communicated with the fifth balloon through the fifth tube, the fourth balloon is communicated with the fourth balloon through the fourth tube, the third balloon is communicated with the third balloon through the third tube, the second balloon is communicated with the second balloon through the second tube, the first balloon is communicated with the first balloon through the first tube, the uterus lifting frame is of a hollow structure with the uterus lifting frame, through holes for the first tube, the second tube, the third tube, the fourth tube and the fifth tube to pass through are formed in the uterus lifting frame and the fourth balloon through the through holes, the first tube, the second tube, the fourth tube and the fifth tube are arranged in the uterus lifting frame and the third tube through the third tube, the second balloon is communicated with the fourth balloon through the third tube, the first balloon is hinged to the vaginal balloon at the periphery of the vaginal needle, the vaginal needle is hinged to the vaginal needle balloon at the vaginal needle at the periphery of the vaginal needle 35, the vaginal needle is hinged to the vaginal needle at the vaginal needle, the vaginal needle of the vaginal needle is the vaginal needle at the vaginal needle of the balloon, and the vaginal needle is the vaginal needle at the vaginal needle of the balloon and the vaginal needle of the balloon.

2. Uterine manipulator according to claim 1, characterized in that: the serration of the inner wall of the vaginal saccule is 12 serration.

3. A uterine manipulator according to claim 2, characterized in that: the vaginal saccule is fastened and arranged on the uterine lifting rod through a fastening belt.

4. A uterine manipulator according to any of claims 1 to 3, characterized in that: the first balloon, the second balloon, the third balloon, the fourth balloon and the fifth balloon are respectively provided with a mark.

5. A uterine manipulator according to claim 4, characterized in that: the support is provided with a chute capable of enabling the uterine lifting rod to move up and down, and the chute is provided with a screw capable of locking the uterine lifting rod.

6. A uterine manipulator according to claim 5, characterized in that: the connecting part of the lifting Gong Gan and the bracket is provided with a horizontal chute for horizontally sliding the uterine lifting rod, and the screw is arranged in the horizontal chute.

7. A uterine manipulator according to claim 6, characterized in that: a control valve is arranged between each balloon and the through pipe.