CN111012417A - Auxiliary suture retractor for birth canal wound - Google Patents

Auxiliary suture retractor for birth canal wound Download PDF

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Publication number
CN111012417A
CN111012417A CN202010026510.1A CN202010026510A CN111012417A CN 111012417 A CN111012417 A CN 111012417A CN 202010026510 A CN202010026510 A CN 202010026510A CN 111012417 A CN111012417 A CN 111012417A
Authority
CN
China
Prior art keywords
handle
birth canal
blade
right blade
collecting port
Prior art date
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.)
Withdrawn
Application number
CN202010026510.1A
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Chinese (zh)
Inventor
闫首珍
陆敬巧
赵雪飘
吴晓琳
孙琳
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Suqian First Hospital
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Suqian First Hospital
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Suqian First Hospital filed Critical Suqian First Hospital
Priority to CN202010026510.1A priority Critical patent/CN111012417A/en
Publication of CN111012417A publication Critical patent/CN111012417A/en
Withdrawn legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/42Gynaecological or obstetrical instruments or methods

Abstract

The invention discloses an auxiliary suture hook for a birth canal wound, which comprises a first handle and a second handle, wherein the first handle is connected with a left blade, and the second handle is connected with a right blade; the first handle and the second handle are provided with main screw holes and matched with the main screws to form a pincer-shaped structure. The device can fix the left and right blades through the matching of the adjusting screw and the adjusting nut, thereby effectively expanding and positioning the birth canal of the lying-in woman.

Description

Auxiliary suture retractor for birth canal wound
Technical Field
The invention relates to the technical field related to medical instruments of obstetrics and gynecology department, in particular to an auxiliary suture hook for a birth canal wound.
Background
The obstetrics and gynecology department is one of four main subjects of clinical medicine, and is mainly used for researching the etiology, pathology, diagnosis and prevention of female reproductive organ diseases; the physiological and pathological changes of pregnancy and childbirth are high risk, the prevention and treatment of pregnancy and dystocia, female endocrine, family planning, female health care and the like. The advanced research of medical basic theories such as modern molecular biology, oncology, genetics, reproductive endocrine academy immunology and the like and the progress of clinical medical diagnosis and treatment detection technology widen and deepen the development of obstetrics and gynecology, and play an important role in ensuring the health and reproductive health of women and preventing and treating various gynecological diseases.
When a wound in the birth canal or a vaginal wound is deep in the birth canal after delivery of a parturient (the wound position is generally 45 degrees in the left leg examination of the parturient), especially when the wound extends to the position of the vaginal fornix close to the cervix, a certain device is required to expand the birth canal and suture the wound in the birth canal in the expanded state.
At present, medical instruments used by gynecologists for carrying out vaginal examination or operation on female patients mainly comprise a vaginal speculum and a vaginal draw hook, which cannot well expand the operation field of the birth canal, are difficult to carry out suture operation on wounds with deeper birth canals, and bring strong pain and discomfort to the patients due to forced expansion. Meanwhile, the amount of the hematocele in the uterus needs to be accurately counted in a drainage manner during clinical operation, namely the hematocele in the uterus is distinguished from the hemorrhage of the birth canal wound as much as possible, and the integrated medical instrument is not available at present.
After examining the relevant data, the vaginal seam-assisting forceps in the prior art is designed to be two pieces of grid-shaped forceps, which can refer to the Chinese patent 201210596158.0. The grid type of this design does not facilitate the suture of wound crochet needle, and can not realize the accurate collection of intrauterine blood.
In view of the problems in the background art, the auxiliary suture hook for the birth canal wound is improved, the effective expansion of the birth canal of a puerpera can be realized, the special grid design is convenient for the suture of the birth canal wound, and meanwhile, the hematocele in the uterus can be accurately drained.
Disclosure of Invention
Technical problem to be solved
In order to solve the problems, the invention provides an auxiliary suture retractor for a birth canal wound, which aims to: the precise positioning and sewing of the wound in the birth canal are facilitated; accurately collecting the intrauterine hematocele; the use effect and the operation efficiency of the medical equipment are improved.
(II) technical scheme
In order to achieve the purpose, the invention provides the following technical scheme:
a birth canal wound auxiliary suture retractor comprises a first handle and a second handle, wherein the first handle is connected with a left blade, and the second handle is connected with a right blade; the first handle and the second handle are provided with main screw holes and matched with the main screws to form a pincer-shaped structure.
Preferably, the second collecting opening is designed to be a cylindrical opening, and the outer side of the second collecting opening is provided with an indentation.
As the preferable scheme of the previous step, the left blade is provided with a long strip-shaped through hole of the left blade groove, and the right blade is provided with a long strip-shaped through hole of the right blade groove.
As the preferable scheme of the previous step, the distance A and the pitch B between the left blade groove and the right blade groove are 5-10 mm.
As the preferable scheme of the previous step, the first handle is welded and fixed with one end of the outer side of the left blade; the second handle is welded and fixed with one end of the outer side of the right blade.
As the preferable scheme of the previous step, the main screw passes through the main screw holes of the first handle and the second handle, the first collecting port and the diversion trench are fixed between the left blade and the right blade through the sleeve and the locking screw, and the diversion trench and the second collecting port extend to the outer sides of the left blade and the right blade.
As a preferable scheme of the previous step, the first handle is connected with an adjusting screw rod through a fixing pin, the adjusting screw rod penetrates through a long adjusting hole formed in the second handle, and an adjusting nut is arranged on the adjusting screw rod and is opened and closed by controlling the angle of the first handle and the angle of the second handle through the adjusting nut.
(III) advantageous effects
The invention provides an auxiliary suture retractor for a birth canal wound, which has the following beneficial effects:
1. the device can fix the left and right blades through the matching of the adjusting screw and the adjusting nut, thereby effectively expanding and positioning the birth canal of the lying-in woman.
2. The strip-shaped through hole of the special blade groove of the device is convenient for medical staff to accurately suture the birth canal wound.
3. The first collecting port of the device is sleeved on the cervix of a puerpera, the intrauterine hematocele flows out from the cervix through the flow guide groove and flows downwards through the drainage groove, so that the intrauterine hematocele can accurately drain the hematocele in the uterus, and the second collecting port can be sleeved with the hose and then connected into the blood collecting bottle, so that medical personnel can conveniently count the intrauterine hematocele.
4. The device is convenient to use, does not have great bad feelings such as pain and the like to the patient, and improves the operation effect.
5. The invention has the advantages of light weight, simple structure and convenient manufacture, popularization and use.
Drawings
FIG. 1 is a schematic view of the components of the deflector of the present invention.
FIG. 2 is a schematic view of the components of the blade assembly mechanism of the present invention.
Fig. 3 is a front view of the present invention.
FIG. 4 is a top view of the present invention.
Fig. 5 is a left side view of the present invention.
FIG. 6 is a schematic view of the open state of the present invention.
Fig. 7 is a schematic cross-sectional view of the operation of the present invention.
The device comprises a first collecting port 1, a first collecting port 2, a flow guide groove 3, a flow guide groove 4, a second collecting port 5, a main screw 6, a left blade 7, a left blade groove 8, a main screw hole 9, a first handle 10, a right blade 11, a right blade groove 12, a second handle 13, an adjusting screw rod 14, an adjusting nut 15, a long adjusting hole 16, a sleeve pipe 17, a locking screw 18, a fixing pin 19, a cervix 20, a suture line 21, a birth canal wound 22 and a birth canal tissue.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
Example (b):
as shown in fig. 1, the first collecting port 1, the diversion trench 2, the drainage trench 3 and the second collecting port 4 are of an integral structure, and the main screw 5 is welded with the back of the drainage trench 3; the first collecting port 1 is used and sleeved on the cervix of a puerpera, and the intrauterine hematocele flows out from the cervix through the flow guide groove 2 and flows out downwards through the flow guide groove 3; the second collection port 4 can be used for sleeving a hose and then connecting the hose into a blood collection bottle, so that medical staff can conveniently count the amount of the blood accumulated in the uterus; the second collecting port 4 is designed to be a cylindrical opening, so that the equipment can be conveniently cleaned; the outer side of the second collecting port 4 is provided with an indentation, so that the hose is not easy to slip when being connected.
As shown in fig. 2, the left blade 6 has a long strip-shaped through hole of the left blade groove 7, and the right blade 10 has a long strip-shaped through hole of the right blade groove 11; the distance A and the pitch B between the left blade groove 7 and the right blade groove 11 are 5-10 mm; the first handle 9 is fixedly welded with one end of the outer side of the left blade 6; the second handle 12 is welded and fixed with one end of the outer side of the right blade 10; the first handle 9 and the second handle 12 are provided with a main screw hole 8 which is matched with the main screw 5 to form a 'pincer' structure.
As shown in fig. 3, 4, 5, 6 and 7, the first collecting port 1, the diversion trench 2, the drainage trench 3 and the second collecting port 4 are of an integral structure, and the main screw 5 is welded with the back of the drainage trench 3; the first collecting opening 1 is used and sleeved on a cervix 19 of a puerpera, the section of the diversion trench 2 is of a smaller arc-shaped structure, and the open space at the upper side of the diversion trench 2 is convenient for medical staff to carry out wound suturing; the intrauterine hematocele flows out from the cervix through the diversion trench 2 and flows down through the drainage trench 3; the second collection port 4 can be used for sleeving a hose and then connecting the hose into a blood collection bottle, so that medical staff can conveniently count the amount of the blood accumulated in the uterus; the second collecting port 4 is designed to be a cylindrical opening, so that the equipment can be conveniently cleaned; the outer side of the second collecting port 4 is provided with an indentation, so that the hose is not easy to slip when being connected.
The left blade 6 is provided with a long strip-shaped through hole of a left blade groove 7, and the right blade 10 is provided with a long strip-shaped through hole of a right blade groove 11; the distance A and the pitch B between the left blade groove 7 and the right blade groove 11 are 5-10 mm; the first handle 9 is fixedly welded with one end of the outer side of the left blade 6; the second handle 12 is welded and fixed with one end of the outer side of the right blade 10; the first handle 9 and the second handle 12 are provided with a main screw hole 8 which is matched with the main screw 5 to form a 'pincer' structure.
The main screw 5 passes through the main screw holes 8 of the first handle 9 and the second handle 12, the first collecting port 1 and the diversion trench 2 are fixed in the cavities of the left blade 6 and the right blade 10 through the sleeve 16 and the locking screw 17, and the diversion trench 3 and the second collecting port 4 extend to the outside.
The fixing pin 18 fixes the adjusting screw 13 on the first handle 9, the adjusting screw 13 can pass through the long adjusting hole 15 on the second handle 12, and the adjusting nut 14 can control a certain opening and closing angle of the first handle 9 and the second handle 12.
1) Slowly delivering the device into the birth canal tissue 22 to ensure that the cervix 19 is sleeved in the first collecting opening 1;
2) the first handle 9 and the second handle 12 are gripped to ensure that the opening angles of the left blade 6 and the right blade 10 meet the surgical requirements;
3) rotating an adjusting nut 14 on an adjusting screw 13 to fix the relative angle of the first handle 9 and the second handle 12 and keep the opening angle of the left blade 6 and the right blade 10;
4) normally, the birth canal wound 21 is generally in the 45 ° downward left side of the parturient, and the medical staff can perfectly drip the birth canal wound suture required by the clinical birth canal wound spacing in the elongated through hole of the left blade groove 7 on the left blade 6, such as the suture 20 satisfying the clinical spacing in the figure (few have the wound on the right side of the birth canal, and the elongated through hole of the right blade groove 11 on the right blade 10 can be selected to carry out the birth canal wound suture).
5) The hematocele in the cervix 19 can flow out through the first collecting port 1, the diversion trench 2, the drainage trench 3 and the second collecting port 4, medical personnel can place a vessel below the second collecting port 4 for collection, and can also be connected into a blood collecting bottle and the like through a hose sleeved on the second collecting port 4, so that the amount of the bleeding can be observed conveniently;
6) if the position of a specific wound is deviated, the angle, the depth and the opening width of the device on the birth canal tissue 22 can be slightly rotated, so that the surgical requirements of the special wound position are met;
7) after the operation is finished, observing whether the hematocele flows out of the cervix 19, if so, completely collecting the hematocele in the cervix 19; if the accumulated blood volume does not need to be collected continuously, the discharge state meets the clinical requirement, the adjusting nut 14 on the adjusting screw 13 is loosened, the relative angle of the first handle 9 and the second handle 12 is increased, the opening angle of the left blade 6 and the right blade 10 is reduced, and finally the device can be taken out from the birth canal tissue 22 and then is cleaned, disinfected and the like.
The specific implementation process comprises the following steps:
1) slowly delivering the device into the birth canal tissue 22 to ensure that the cervix 19 is sleeved in the first collecting opening 1;
2) the first handle 9 and the second handle 12 are gripped to ensure that the opening angles of the left blade 6 and the right blade 10 meet the surgical requirements;
3) rotating an adjusting nut 14 on an adjusting screw 13 to fix the relative angle of the first handle 9 and the second handle 12 and keep the opening angle of the left blade 6 and the right blade 10;
4) normally, the birth canal wound 21 is generally in the 45 ° downward left side of the parturient, and the medical staff can perfectly drip the birth canal wound suture required by the clinical birth canal wound spacing in the elongated through hole of the left blade groove 7 on the left blade 6, such as the suture 20 satisfying the clinical spacing in the figure (few have the wound on the right side of the birth canal, and the elongated through hole of the right blade groove 11 on the right blade 10 can be selected to carry out the birth canal wound suture).
5) The hematocele in the cervix 19 can flow out through the first collecting port 1, the diversion trench 2, the drainage trench 3 and the second collecting port 4, medical personnel can place a vessel below the second collecting port 4 for collection, and can also be connected into a blood collecting bottle and the like through a hose sleeved on the second collecting port 4, so that the amount of the bleeding can be observed conveniently;
6) if the position of a specific wound is deviated, the angle, the depth and the opening width of the device on the birth canal tissue 22 can be slightly rotated, so that the surgical requirements of the special wound position are met;
7) after the operation is finished, observing whether the hematocele flows out of the cervix 19, if so, completely collecting the hematocele in the cervix 19; if the accumulated blood volume does not need to be collected continuously, the discharge state meets the clinical requirement, the adjusting nut 14 on the adjusting screw 13 is loosened, the relative angle of the first handle 9 and the second handle 12 is increased, the opening angle of the left blade 6 and the right blade 10 is reduced, and finally the device can be taken out from the birth canal tissue 22 and then is cleaned, disinfected and the like.
In view of the above, the present invention achieves the intended objects.
It is noted that, herein, relational terms such as first and second, and the like may be used solely to distinguish one entity or action from another entity or action without necessarily requiring or implying any actual such relationship or order between such entities or actions. Also, the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or apparatus that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or apparatus. Without further limitation, an element defined by the phrase "comprising an … …" does not exclude the presence of other identical elements in a process, method, article, or apparatus that comprises the element.
Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.

Claims (7)

1. A birth canal wound auxiliary suture retractor comprises a first handle and a second handle, wherein the first handle is connected with a left blade, and the second handle is connected with a right blade; the first handle and the second handle are provided with main screw holes and matched with the main screws to form a pincer-shaped structure.
2. The auxiliary suture retractor for the birth canal wound according to claim 1, wherein: the second collecting port is designed to be a cylindrical opening, and the outer side of the second collecting port is provided with an indentation.
3. The auxiliary suture retractor for the birth canal wound according to claim 1, wherein: the left blade is provided with a long-strip-shaped through hole of the left blade groove, and the right blade is provided with a long-strip-shaped through hole of the right blade groove.
4. The auxiliary suture retractor for the birth canal wound according to claim 3, wherein: the distance A and the pitch B between the left blade groove and the right blade groove are 5-10 mm.
5. The auxiliary suture retractor for the birth canal wound according to claim 1, wherein: the first handle is fixedly welded with one end of the outer side of the left blade; the second handle is welded and fixed with one end of the outer side of the right blade.
6. The auxiliary suture retractor for the birth canal wound according to claim 1, wherein: the main screw passes through the main screw holes of the first handle and the second handle, the first collecting port and the guide groove are fixed between the left blade and the right blade through the sleeve and the locking screw, and the guide groove and the second collecting port extend to the outer sides of the left blade and the right blade.
7. The retractor for assisting suture of birth canal wound as claimed in claim 1 or 6, wherein: the first handle is connected with an adjusting screw rod through a fixing pin, the adjusting screw rod penetrates through a long adjusting hole formed in the second handle, and an adjusting nut is arranged on the adjusting screw rod and is opened and closed by controlling the angle of the first handle and the angle of the second handle.
CN202010026510.1A 2020-01-10 2020-01-10 Auxiliary suture retractor for birth canal wound Withdrawn CN111012417A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202010026510.1A CN111012417A (en) 2020-01-10 2020-01-10 Auxiliary suture retractor for birth canal wound

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202010026510.1A CN111012417A (en) 2020-01-10 2020-01-10 Auxiliary suture retractor for birth canal wound

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CN111012417A true CN111012417A (en) 2020-04-17

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112957087A (en) * 2021-05-19 2021-06-15 上海宇度医学科技股份有限公司 Laparoscopic surgery retractor, laparoscopic surgery tissue taking-out assembly and taking-out method

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112957087A (en) * 2021-05-19 2021-06-15 上海宇度医学科技股份有限公司 Laparoscopic surgery retractor, laparoscopic surgery tissue taking-out assembly and taking-out method
CN112957087B (en) * 2021-05-19 2021-08-10 上海宇度医学科技股份有限公司 Laparoscopic surgery retractor, laparoscopic surgery tissue taking-out assembly and taking-out method

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Application publication date: 20200417

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