CN110537963A - Novel multi-functional uterus lifting device - Google Patents
Novel multi-functional uterus lifting device Download PDFInfo
- Publication number
- CN110537963A CN110537963A CN201910812732.3A CN201910812732A CN110537963A CN 110537963 A CN110537963 A CN 110537963A CN 201910812732 A CN201910812732 A CN 201910812732A CN 110537963 A CN110537963 A CN 110537963A
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- China
- Prior art keywords
- rod
- adjusting button
- inner ring
- outer ring
- supporting rod
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- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/3209—Incision instruments
- A61B17/3211—Surgical scalpels, knives; Accessories therefor
-
- 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
- A61B17/4241—Instruments for manoeuvring or retracting the uterus, e.g. during laparoscopic surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/42—Gynaecological or obstetrical instruments or methods
- A61B2017/4216—Operations on uterus, e.g. endometrium
Abstract
The invention relates to a novel multifunctional uterine manipulator which is characterized by comprising a supporting rod, a fixing clamp, a uterine manipulator rod, an outer ring and an inner ring, wherein the supporting rod is fixedly connected with the uterine manipulator rod; the upper and lower positions of the side edge of the supporting rod are respectively provided with an inner ring adjusting button and an outer ring adjusting button; the top surface of the supporting rod is provided with a cutter adjusting button; the fixing clamp is arranged at the side edge position of the middle part of the supporting rod and is fixedly connected with the womb lifting rod; the outer ring and the inner ring are respectively provided with an interface and a telescopic rod; the bottom of the cutter adjusting button is provided with a connecting rod, and the bottom of the connecting rod is provided with a cutter; steel wires are respectively arranged in the outer ring and the inner ring in a penetrating way; the top of the inner ring adjusting button is provided with a rolling sheet; the uterus lifting rod is arranged above the centers of the inner ring and the outer ring. Its advantages are: the cup type has flexible function, can adjust suitable size according to individual difference, is furnished with interior cup and outer cup simultaneously, and possesses the cutting function, guarantees tumour excision scope, and the peritoneoscope looks directly at, and is safer.
Description
Technical Field
The invention relates to the technical field of medical instruments, in particular to a novel multifunctional uterine manipulator.
Background
The uterine elevator is used for the operation of total or secondary total cutting of uterus, it mainly includes central guide arm, cervix uteri fixer, fornix cup, characterized by that the anterior part of the cervix uteri fixer has cervical supports, its front end is the threaded cone; a central channel is axially arranged in the cervical fixer, and a central guide rod passes through the central channel; the fornix cup wraps around the periphery of the cervical fixer, the inner diameter of the front part of the fornix cup is larger than or equal to the diameter of the cervical support to form a cup body, the back part of the fornix cup is narrowed to form a handle, and the tail end of the handle is provided with a screw which can fix the fornix cup on a specific position of the cervical fixer. The three different parts can be organically combined together, so that the problems of gas leakage after the vagina is cut, difficult uterus swinging, fuzzy boundary display between the cervix and the vaginal wall and the like in the laparoscopic total hysterectomy operation are solved, and the complete excision of the cervix is particularly facilitated.
The existing common uterine manipulator with uterine manipulator function comprises a uterine manipulator and a special uterine manipulator, but the uterine manipulator only has uterine manipulator function, the special uterine manipulator has uterine manipulator and auxiliary positioning and cutting function, but individual difference exists, the thickness of each individual cervix is different, the existing uterine manipulator only has three cup shapes, and the existing uterine manipulator can only estimate and has uncertainty when meeting unmatched patients.
Chinese patent documents: CN201510240305.4, application date 2015.05.12, patent names: a multifunctional visual cup type uterine manipulator. Discloses a multifunctional cup type uterine manipulator convenient to use, which comprises an inner rod, an adjusting sleeve, a uterine lifting cup and a visual device; the inner rod is inserted in the adjusting sleeve; the front end of the adjusting sleeve is in threaded connection with the uterine lifting cup, the inner rod is of a hollow structure, the front end of the inner rod is provided with a U-shaped clamping groove, and telescopic claw tongs are arranged in the clamping groove; a draw bar is inserted in the inner rod; the rear end of the traction rod extends out of the rear part of the inner rod; the front end and the rear end of the inner rod are respectively provided with a sealing ring through which a traction rod can pass; the visual equipment comprises an LED lamp, a miniature camera, a display, a storage battery, a connecting handle, a first electric socket and a second electric socket. The multifunctional visual cup type uterine elevator can realize the actions of carrying out upward lifting, pressing down, twisting and the like on the uterus during the operation by opening the telescopic claw forceps; and the operation process can be monitored in real time in the operation through visual equipment, so that the operation of the gynecological minimally invasive operation is more convenient, time-saving and labor-saving.
Chinese patent documents: CN201320285823.4, application date 2013.05.23, patent names: a rotary-cut cup type uterine manipulator. The rotary-cut cup type uterine manipulator is characterized in that a rotary-cut cup is sleeved in the uterine lifting cup, a rotary-cut knife is arranged above the rotary-cut cup, the lower part of the rotary-cut cup is matched and connected with the rotary-cut rod sleeved in the uterine lifting loop rod, the guide rod is arranged in the rotary-cut rod in a sliding manner, and the rotary-cut rod can rotate in the uterine lifting loop rod. The utility model discloses a take cutting function's uterus ware of lifting can fix, swing uterus, can push away vagina fornix portion again, vagina gas leakage, the operation is complicated when having avoided excision vagina fornix portion, the shortcoming such as risk is higher, has improved the security of operation, has shortened the operation time. But about a cup type has flexible function, can adjust suitable size according to individual difference, is furnished with interior cup and outer cup simultaneously, and possesses the cutting function, guarantees tumour excision scope, and the peritoneoscope looks directly, and safer novel uterus lifter of multi-functional does not have relevant report at present.
Disclosure of Invention
The invention aims to overcome the defects in the prior art, and provides a novel multifunctional uterine manipulator which has a cup shape, a telescopic function, an appropriate size which can be adjusted according to individual differences, an inner cup and an outer cup which are matched simultaneously, a cutting function, a tumor resection range guarantee, direct vision of a laparoscope and higher safety.
In order to achieve the purpose, the invention adopts the technical scheme that:
A novel multifunctional uterine manipulator is characterized by comprising a support rod, a fixing clamp, a uterine manipulator rod, an outer ring and an inner ring; the upper and lower positions of the side edge of the supporting rod are respectively provided with an inner ring adjusting button and an outer ring adjusting button; the top surface of the supporting rod is provided with a cutter adjusting button; the fixing clamp is arranged at the side edge position of the middle part of the supporting rod and is fixedly connected with the womb lifting rod; the outer ring and the inner ring are arranged at the bottom of the supporting rod; the outer ring and the inner ring are respectively provided with an interface and a telescopic rod; the interface and the telescopic rod are respectively arranged in the supporting rod; the bottom of the cutter adjusting button is provided with a connecting rod, and the bottom of the connecting rod is provided with a cutter; the bottom of the supporting rod is provided with an opening for the cutting knife to enter and exit; steel wires are respectively arranged in the outer ring and the inner ring in a penetrating way; the steel wire respectively penetrates through the interface and the inside of the telescopic rod to be connected with the inner ring adjusting button and the outer ring adjusting button; the top of the inner ring adjusting button is provided with a rolling sheet; the front end of the coiled sheet is embedded in the side wall of the top of the telescopic rod; the surface of the top of the uterus lifting rod is provided with a uterus lifting adjusting button, the inside of the uterus lifting adjusting button is provided with an adjusting rod, and the top of the adjusting rod is provided with a uterus lifting rod; the uterus lifting rod is arranged above the centers of the inner ring and the outer ring.
As a preferred technical scheme, the inner ring adjusting button, the outer ring adjusting button, the uterus lifting adjusting button and the supporting rod are respectively in a thread matching structure.
As a preferable technical scheme, the inner ring and the outer ring are both made of elastic telescopic materials.
As a preferable technical solution, a plurality of different color points are further provided on the outer ring adjusting knob and the inner ring adjusting knob.
The invention has the advantages that:
1. The outer ring and the inner ring have telescopic functions, and the proper size can be adjusted according to individual difference, so that the resection range is ensured.
2. Through the cutting knife, the circular cutting of the tumor can be carried out, and the operation is safer under the direct vision of the laparoscope.
3. The design of the uterus lifting rod is that the right-handed rotation is used for opening the umbrella and the left-handed rotation is used for closing the umbrella through the knob at the head end, and the uterus lifting rod is used for supporting the uterine fundus to assist in lifting the uterus.
Drawings
Fig. 1 is a schematic three-dimensional structure diagram of the novel multifunctional uterine manipulator.
Fig. 2 is a schematic bottom structure diagram of the novel multifunctional uterine manipulator.
fig. 3 is a schematic plane structure diagram of the novel multifunctional uterine manipulator.
Detailed Description
The following detailed description of the present invention will be made with reference to the accompanying drawings.
The reference numerals and components referred to in the drawings are as follows:
1. Support rod 11, inner ring adjusting button
12. Outer ring adjusting knob 121. rolling piece
13. Cutter adjusting button 131 connecting rod
132. cutting knife 133, opening
2. Fixing clamp 3. uterine manipulator
31. Lift uterus adjusting button 32, adjust the pole
33. Lifting rod 4. outer ring
41. Interface 45. steel wire
5. Inner ring 51 telescopic rod
Example 1
Referring to fig. 1, fig. 1 is a schematic perspective view of a novel multifunctional uterine manipulator of the present invention. A novel multifunctional uterine manipulator comprises a support rod 1, a fixing clamp 2, a uterine manipulator rod 3, an outer ring 4 and an inner ring 5; the upper and lower positions of the side edge of the support rod 1 are respectively provided with an inner ring adjusting button 11 and an outer ring adjusting button 12; the top surface of the support rod 1 is provided with a cutter adjusting button 13; the fixing clamp 2 is arranged at the side edge position of the middle part of the supporting rod 1 and is fixedly connected with the womb lifting rod 3; the outer ring 4 and the inner ring 5 are arranged at the bottom of the support rod 1; the outer ring 4 and the inner ring 5 are respectively provided with a connector 41 and a telescopic rod 51; the interface 41 and the telescopic rod 51 are respectively arranged inside the support rod 1; the bottom of the cutter adjusting button 13 is provided with a connecting rod 131, and the bottom of the connecting rod 131 is provided with a cutting knife 132; an opening 133 for the cutting knife 132 to enter and exit is arranged at the bottom of the support rod 1; steel wires 45 are respectively arranged in the outer ring 4 and the inner ring 5 in a penetrating way; the steel wire 45 respectively penetrates through the interface 41 and the inside of the telescopic rod 51 to be connected with the inner ring adjusting button 11 and the outer ring adjusting button 12; a rolling sheet 121 is arranged at the top of the inner ring adjusting button 12; the front end of the rolling sheet 121 is embedded in the side wall of the top of the telescopic rod 21; the surface of the top of the womb lifting rod 3 is provided with a womb lifting adjusting button 31, the inside of the womb lifting adjusting button is provided with an adjusting rod 32, and the top of the adjusting rod 32 is provided with a womb lifting rod 33; the uterine lifting rod 3 is arranged above the centers of the inner ring 5 and the outer ring 4.
It should be noted that: the inner ring adjusting button 11, the outer ring adjusting button 12 and the uterine manipulator adjusting button 31 are respectively in a thread matching structure with the support rod 1; the inner ring 5 and the outer ring 4 are both made of elastic telescopic materials, and steel wires 45 are respectively arranged in the inner ring and the outer ring in a penetrating way; the steel wire 45 passing through the inner part of the outer ring 4 can be gradually contracted by rotating the outer ring adjusting knob 12, so that the size of the outer ring 4 can be gradually reduced, and the steel wire 45 can be gradually loosened by reversely rotating the outer ring adjusting knob 12, so that the size of the outer ring 4 can be enlarged; the inner ring 5 can be gradually contracted to penetrate through the steel wire 45 in the inner ring 5 by rotating the inner ring adjusting button 11, meanwhile, the rolling sheet 121 arranged at the top of the inner ring adjusting button 11 can be gradually released downwards and prop against the telescopic rod 21, so that the joint of the telescopic rod 21 and the inner ring 5 is gradually close to the central position of the outer ring 4, and the inner ring 5 can be gradually contracted and simultaneously released by the contraction of the steel wire 45 and the simultaneous release of the rolling sheet 121, and the same distance between the inner ring 5 and the outer ring 4 can be ensured; the steel wire 45 can be loosened and the winding sheet 121 can be tightened at the same time by reversely rotating the outer ring adjusting knob 12, so that the inner ring 5 can be gradually enlarged; the cutting knife 132 arranged at the bottom of the connecting rod 131 extends out of the opening 133 at the bottom of the supporting rod 1 by pressing the knife adjusting button 13 downwards, and then the tumor can be cut off by rotating the knife adjusting button 13; the uterus lifting rod 33 arranged at the top of the adjusting rod 32 can be extended to be umbrella-shaped by rotating the uterus lifting adjusting button 31 at the top of the uterus lifting rod 3, and the uterus lifting rod can be used for supporting the bottom of the uterus to assist in uterus lifting; the head end of the uterus lifting rod 3 can be opened and closed by a blue knob, the right hand is used for opening the umbrella, the left hand is used for closing the umbrella, the umbrella end is in a position contacting the uterine floor, the rotation of the uterine body is assisted for the operation, and the umbrella end is a part entering the uterine cavity; the fixing clamp 2 arranged on the connecting support rod 1 and the uterine lifting rod 3 is used for locking the uterine lifting rod 3 and preventing the uterine lifting rod 3 from being separated outwards.
Example 2
The present embodiment is substantially the same as embodiment 1, except that different color points (not shown in the figure) are provided on the threaded bodies of the inner ring adjusting knob 11 and the outer ring adjusting knob 12 in the present embodiment, and the different color points indicate the distance from the top of the adjusting knob; through the design of the color points with different colors, when the size of the outer ring 4 or the inner ring 5 is adjusted, the size of the outer ring 4 or the inner ring 5 can be judged in an auxiliary manner by adjusting the positions of the color points on the buttons.
According to the novel multifunctional uterine manipulator, the outer ring and the inner ring have the telescopic function, and the size can be adjusted to be proper according to individual difference; the distance difference between the outer cup and the inner cup is used for checking the size of the multiple resection parts by scientific data to ensure the resection range (the tumor resection range should be more than 3 cm); the cutting knife can perform the circular cutting of the tumor, and the operation is safer under the direct vision of the laparoscope; the design of the uterus lifting rod is that the right-handed rotation is used for opening the umbrella and the left-handed rotation is used for closing the umbrella through the knob at the head end, and the uterus lifting rod is used for supporting the uterine fundus to assist in lifting the uterus.
The above description is only a preferred embodiment of the present invention, and it should be noted that, for those skilled in the art, several modifications and additions can be made without departing from the method of the present invention, and these modifications and additions should also be regarded as the protection scope of the present invention.
Claims (4)
1. A novel multifunctional uterine manipulator is characterized by comprising a support rod, a fixing clamp, a uterine manipulator rod, an outer ring and an inner ring; the upper and lower positions of the side edge of the supporting rod are respectively provided with an inner ring adjusting button and an outer ring adjusting button; the top surface of the supporting rod is provided with a cutter adjusting button; the fixing clamp is arranged at the side edge position of the middle part of the supporting rod and is fixedly connected with the womb lifting rod; the outer ring and the inner ring are arranged at the bottom of the supporting rod; the outer ring and the inner ring are respectively provided with an interface and a telescopic rod; the interface and the telescopic rod are respectively arranged in the supporting rod; the bottom of the cutter adjusting button is provided with a connecting rod, and the bottom of the connecting rod is provided with a cutter; the bottom of the supporting rod is provided with an opening for the cutting knife to enter and exit; steel wires are respectively arranged in the outer ring and the inner ring in a penetrating way; the steel wire respectively penetrates through the interface and the inside of the telescopic rod to be connected with the inner ring adjusting button and the outer ring adjusting button; the top of the inner ring adjusting button is provided with a rolling sheet; the front end of the coiled sheet is embedded in the side wall of the top of the telescopic rod; the surface of the top of the uterus lifting rod is provided with a uterus lifting adjusting button, the inside of the uterus lifting adjusting button is provided with an adjusting rod, and the top of the adjusting rod is provided with a uterus lifting rod; the uterus lifting rod is arranged above the centers of the inner ring and the outer ring.
2. The novel multifunctional uterine elevator as claimed in claim 1, wherein the inner ring adjusting button, the outer ring adjusting button and the uterine elevator adjusting button are respectively in a thread fit structure with the support rod.
3. The novel multifunctional uterine elevator as claimed in claim 1, wherein the inner ring and the outer ring are both made of elastic and stretchable material.
4. The novel multifunctional uterine elevator as claimed in claim 1, wherein the outer ring adjusting button and the inner ring adjusting button are further provided with different color points.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910812732.3A CN110537963B (en) | 2019-08-29 | 2019-08-29 | Multifunctional uterine manipulator |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910812732.3A CN110537963B (en) | 2019-08-29 | 2019-08-29 | Multifunctional uterine manipulator |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN110537963A true CN110537963A (en) | 2019-12-06 |
| CN110537963B CN110537963B (en) | 2022-08-19 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201910812732.3A Active CN110537963B (en) | 2019-08-29 | 2019-08-29 | Multifunctional uterine manipulator |
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Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20040111097A1 (en) * | 2001-02-20 | 2004-06-10 | Van Heerden Marcus Vincent | Uterine manipulator device |
| CN202489982U (en) * | 2011-12-30 | 2012-10-17 | 杭州康基医疗器械有限公司 | Concave light microscope uterine manipulator |
| CN203244440U (en) * | 2013-05-27 | 2013-10-23 | 中国人民解放军第三军医大学第二附属医院 | Uterus lifting cup with uterus fornix cutting function |
| CN203303125U (en) * | 2013-05-23 | 2013-11-27 | 侍立峰 | Rotary-cut cup-type uterine manipulator |
| CN105105830A (en) * | 2015-09-29 | 2015-12-02 | 三峡大学第一临床医学院 | Uterus lifting cup with vagina suture needles and lines |
| US20170325844A1 (en) * | 2016-05-10 | 2017-11-16 | Covidien Lp | Uterine manipulator |
| CN109875676A (en) * | 2019-03-04 | 2019-06-14 | 武欣 | A kind of uterus canceration vaginal canal resection operation utensil |
-
2019
- 2019-08-29 CN CN201910812732.3A patent/CN110537963B/en active Active
Patent Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20040111097A1 (en) * | 2001-02-20 | 2004-06-10 | Van Heerden Marcus Vincent | Uterine manipulator device |
| CN202489982U (en) * | 2011-12-30 | 2012-10-17 | 杭州康基医疗器械有限公司 | Concave light microscope uterine manipulator |
| CN203303125U (en) * | 2013-05-23 | 2013-11-27 | 侍立峰 | Rotary-cut cup-type uterine manipulator |
| CN203244440U (en) * | 2013-05-27 | 2013-10-23 | 中国人民解放军第三军医大学第二附属医院 | Uterus lifting cup with uterus fornix cutting function |
| CN105105830A (en) * | 2015-09-29 | 2015-12-02 | 三峡大学第一临床医学院 | Uterus lifting cup with vagina suture needles and lines |
| US20170325844A1 (en) * | 2016-05-10 | 2017-11-16 | Covidien Lp | Uterine manipulator |
| CN109875676A (en) * | 2019-03-04 | 2019-06-14 | 武欣 | A kind of uterus canceration vaginal canal resection operation utensil |
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| Publication number | Publication date |
|---|---|
| CN110537963B (en) | 2022-08-19 |
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