CN113081205B

CN113081205B - Uterus lifting fixer for fixing uterine neck under laparoscope

Info

Publication number: CN113081205B
Application number: CN202110348817.8A
Authority: CN
Inventors: 张毅芳; 范加诚; 张毅; 张倩倩; 刘西鹏; 徐如雪
Original assignee: Shandong First Medical University and Shandong Academy of Medical Sciences
Current assignee: Shandong First Medical University and Shandong Academy of Medical Sciences
Priority date: 2021-03-31
Filing date: 2021-03-31
Publication date: 2021-11-23
Anticipated expiration: 2041-03-31
Also published as: CN113081205A

Abstract

The invention relates to the technical field of gynecological operations, in particular to a uterus lifting fixer for conveniently fixing a cervical part under a laparoscope, which comprises a lower arc rod, wherein a coaxial upper arc rod is arranged above the lower arc rod, the middle part of the lower arc rod is fixedly connected with a connecting arc plate close to the axis of the lower arc rod, the upper end of the connecting arc plate is fixedly connected with a connecting box, the rear end surface of the connecting box is connected with a movable plate in a sliding way along the vertical direction, the rear end of the movable plate is fixedly connected with the upper arc rod, the outer surface of the connecting arc plate is provided with a lifting mechanism for controlling the upper end of the movable plate to slide, the uterus lifting fixer is flexibly adapted to the position of a treatment hole on a gynecological operation bed, the whole fixer can be stably installed and lifted with the cervical part by one-time operation, the efficiency in the operation is improved, the uterus lifting fixer is attached to practical use, and the position of the uterus front and the treatment hole can not be blocked after the uterus lifting fixer is arranged, to ensure the normal operation of medical care operation.

Description

Uterus lifting fixer for fixing uterine neck under laparoscope

Technical Field

The invention relates to the technical field of gynecological operations, in particular to a uterus lifting fixer for conveniently fixing a cervical part under a laparoscope.

Background

In many gynecological laparoscopic procedures involving the pelvic cavity, it is generally necessary to retract the uterus upward or sideways to better expose the operative field due to the small pelvic space. Currently, there are 2 main methods used clinically, one method is that an assistant pulls the uterus upwards or laterally to expose the operation area under the laparoscope by using an atraumatic grasper or other instruments, but the method needs an additional puncture hole to insert an operation instrument, and the operation of other laparoscopic instruments is possibly interfered by the instrument pulling the uterus, so the operation is inconvenient; another method is that an assistant puts the uterus lifter into the vagina to push the uterus to the required direction, but the operation needs to be completed by a second assistant, so that the laparoscopic surgery which can be completed by 2 doctors originally needs 3 doctors to complete, and the medical cost is increased invisibly; lift the fixer through the uterus among the prior art and lift, and in-service use, the fixer is arranged the back, can make uterus the place ahead be difficult to nurse the operation, produce great obstacle, and arrange the in-process, both sides are fixed on the both sides support of gynaecology's operation table when lifting the fixer and using, consequently need the operation table cooperation of specially-made area support (conventional gynaecology's operation table is most to not take), need will lift partial angle when lifting to the uterus position, the position is adjusted and is locked again, loaded down with trivial details inconvenience, use serious influence efficiency in the art.

Disclosure of Invention

The invention aims to solve the defects in the prior art and provides a uterine lifting fixator for conveniently fixing a cervical part under a laparoscope.

In order to achieve the above purposes, the technical scheme adopted by the invention is as follows: a uterus lifting fixer for conveniently fixing a uterine neck under a laparoscope comprises a lower arc rod, wherein a coaxial upper arc rod is arranged above the lower arc rod, a connecting arc plate close to the axis of the lower arc rod is fixedly connected to the middle of the lower arc rod, a connecting box is fixedly connected to the upper end of the connecting arc plate, a movable plate is connected to the rear end face of the connecting box in a sliding mode in the vertical direction, the upper arc rod is fixedly connected to the rear end of the movable plate, a lifting mechanism for controlling the upper end of the movable plate to slide is arranged on the outer surface of the connecting arc plate, two symmetrical fixed plates are fixedly connected to the upper end face of the connecting box close to two sides of the connecting box, two clamping plates are assembled on the inner side of the connecting box in a sliding mode, the clamping plates are correspondingly positioned in front of the fixed plates, and an adjusting mechanism capable of sliding in the vertical direction is assembled between the clamping plates and the fixed plates in a sliding mode, rotate jointly between the guiding mechanism of both sides and connect the square case that extends towards the rear, it is died with guiding mechanism clamp lock along with the shifting up of fly leaf to press from both sides tight plate, the rear end sliding insertion of square case has the pars contractilis, the rear end fixedly connected with of pars contractilis lifts the palace stick, the outer fixed surface cover that lifts the palace stick is equipped with uterus cup and holds in the palm, the lower terminal surface slidable mounting of square case has lower limiting plate, the lower terminal surface of lower limiting plate is provided with the top moving mechanism who extends to the junction box inboard, top moving mechanism is with the upper limit plate of lower limiting plate along with shifting up of fly leaf and is pressed from both sides tight pars contractilis pressed from both sides, down the arc pole do not be provided with jointly along with the fly leaf shifts up and carry out the side of centre gripping with the both sides punishment of last arc pole and press from both sides the mechanism.

Preferably, the up end of connecting box sets up the poling that extends downwards, the inboard of poling is close to the lower extreme intermediate position and extends backward and passes the groove, set up the groove of hiding of connecting to pass the groove top on the inner wall of poling, the top surface of hiding the groove has seted up the second inclined plane, the fly leaf includes diaphragm and fixed connection at its front end and the riser that extends towards the top, riser and poling sliding fit, the activity groove has been seted up to the rear end face of riser, the front end of diaphragm and pass groove sliding fit, the inboard of activity groove is provided with the piece of pushing, along with shifting up of fly leaf the piece of pushing up the mechanism upwards pushes away.

Preferably, the pushing and extruding part comprises a push plate which is slidably assembled on the inner side of the movable groove and the through groove, and a guide rod which is vertically connected to the rear end surface of the push plate close to the lower part, the guide rod penetrates through the transverse plate and the inner side of the upper arc rod, the rear end of the guide rod extends out of the limiting head, a compression spring is sleeved on the outer side of the guide rod close to the front part of the limiting head, a third inclined surface which has the same gradient as the second inclined surface is arranged on the upper end surface of the push plate, a first tooth surface is arranged on the front end surface of the push plate, the pushing mechanism comprises a pushing rod which is movably connected between the upper end and the lower limiting plate, the lower end of the pushing rod extends into the inner side of the through groove, and a fourth tooth surface which is meshed with the first tooth surface is arranged on the rear end surface of the pushing rod.

Preferably, the lower end face of the lower limiting plate is fixedly connected with an arc-shaped frame which is movably sleeved on the upper end of the ejector rod, arc-shaped openings are formed in the outer surfaces of two sides of the arc-shaped frame, the outer surfaces of two sides of the ejector rod extend out of a guide shaft at a position close to the upper end, the guide shaft is in sliding fit with the arc-shaped openings, and the upper end of the ejector rod is movably connected with the lower limiting plate through the arc-shaped frame.

Preferably, press from both sides tight plate and include that the lower extreme stretches into to wearing the inboard limiting plate of groove, wear the inboard square guide block of limiting plate is passed in the fixedly connected with activity on the inner wall of groove, the rear end face that is located the outside of wearing groove of limiting plate is provided with the second flank, the fourth inclined plane has been seted up to the lower extreme of limiting plate, the place ahead department that the up end of riser corresponds the limiting plate extends and stretches out the protrusion board, the up end of protrusion board is seted up the first inclined plane the same with fourth inclined plane inclination, guiding mechanism is including pressing from both sides the centre gripping piece between fixed plate and the tight plate of clamp, the preceding terminal surface that presss from both sides the piece is seted up the third flank of tooth that meshes with the second flank of tooth mutually, press from both sides the piece and be close to one side of square case and extend fixed connection's tooth post with it, just rotate between tooth post and the centre gripping piece and be connected and surface and second flank of tooth mesh mutually.

Preferably, the outer surface of one side of the tooth column extends to movably penetrate through a connecting shaft on the inner side of the clamping block, and one end of the connecting shaft is inserted with a connecting bolt in threaded fit.

Preferably, the fixed plate comprises a fixed clamping plate fixedly connected to the upper end face of the connecting box, an upward extending guide column vertically extends from the bottom face of the inner side of the fixed clamping plate, and the guide column is in sliding fit with the adjusting mechanism.

Preferably, the flexible portion includes the square pole body, sets up the groove of staying of terminal surface before the square pole body, the square pole body corresponds the inboard that the position department activity of staying the groove inserts square case, the tooth mouth has been seted up to the lower terminal surface of the square pole body, the spacing rack with tooth mouth looks meshing is seted up to the up end of lower limiting plate, a plurality of T type posts that pass the connecting box up end are extended perpendicularly to the up end of lower limiting plate, just the inboard that the groove was stayed to T type post process.

Preferably, the side clamp mechanism comprises a fixed curved plate fixedly connected to the outer surface of the lower arc rod, an upper pressure plate fixedly connected to the upper end of the fixed curved plate and extending towards the rear, a guide opening formed in the front end face of the fixed curved plate, a T-shaped block in sliding fit with the guide opening, and a cross plate fixedly connected to the rear end of the T-shaped block, wherein the rear end of the cross plate is fixedly connected with the upper arc rod.

Preferably, elevating system includes the inboard screw thread section of thick bamboo of fixed embedding connection arc board, passes screw thread section of thick bamboo inboard and looks screw-thread fit's threaded rod, the multiple angle head of fixed connection at the threaded rod lower extreme, the upper end of threaded rod is connected with the lower terminal surface rotation of fly leaf.

Compared with the prior art, the invention has the following beneficial effects:

1. this fixer uses to the partial operation in the peritoneoscope, the last treatment hole position of nimble adaptation gynaecology's operation table, consolidate the installation on the border of this position, when position and angular adjustment in order to lift the cervix are carried out in the support of uterus cup, at last locking positioning process, can make the position and the angle lock of uterus cup support in step when fixing the processing hole of fixer on gynaecology's operation table die, consequently, do not need a plurality of positions to stretch out and draw back the regulation, angular adjustment, lock die, one operation can make whole fixer steady installation and cervix lift, efficiency in the improvement art, laminating in-service use, and after arranging, can not produce the position of uterus the place ahead and treatment hole and block, in order to ensure the normal clear of medical operation.

2. In the installation and arrangement process, the threaded rod is rotated to the lowest, the whole fixer is arranged at the inner side of the treatment hole, the upper pressure plate is attached to the surface of the operating bed, the upper arc rod is immediately positioned below the operating bed, the movable plate moves downwards due to the downward movement of the threaded rod, the protruding plate moves downwards along the inner side of the through groove in the process until the protruding plate is separated from the front of the limiting plate, the limiting plate is unlocked, the clamping block can slide up and down (the limiting plate can slide forwards along the surface of the square guide block, the second tooth surface is not clamped with the third tooth surface), the purpose of adjusting the height of the uterine cup-shaped holder is achieved, the tooth column can also rotate relative to the clamping block at the moment, the purpose of adjusting the angle of the uterine cup-shaped holder is achieved, when the movable plate moves downwards, the push plate drives the jacking rod to move downwards until the push plate is collected into the inner side of the hidden groove, then the jacking rod can slide downwards, even if the lower limiting plate can move downwards, the limiting rack is separated from the tooth mouth, the square rod body can slide back and forth to achieve the purpose of adjusting the front and back extension of the uterine cup-shaped support, and the up-down, angle and front and back adjustment enable the uterine cup-shaped support to accurately abut against the position of a cervix.

3. When the uterine cupping support can accurately abut against the position of the cervix and needs to be locked and positioned, the uterine cupping support can be moved upwards by rotating the threaded rod, and the thinning process is as follows: the movable plate moves upwards along with the movable plate, the push plate moves upwards, the lower push plate moves towards the front upper side under the matching of the second inclined surface and the third inclined surface, then the first tooth surface is meshed with the fourth tooth surface, the pushing rod is driven to move upwards when the push plate moves upwards continuously, the pushing rod pushes the arc-shaped frame upwards, the lower limit plate moves upwards, the limit rack is clamped into the tooth mouth, namely the square rod body is locked, the front and back movement of the uterine cup-shaped holder is limited, when the movable plate moves upwards, the first inclined surface is matched with the fourth inclined surface, the limit plate moves backwards, namely the second tooth surface is meshed with the third tooth surface and locked, the clamping block does not move upwards and downwards any more, the aim of locking the uterine cup-shaped holder to move upwards and downwards is achieved, meanwhile, the tooth column is clamped into the second tooth surface, the aim of preventing the square box from rotating is achieved, the aim of locking the rotation angle of the uterine cup-shaped holder is achieved, therefore, the one-step operation enables the uterine cup-shaped holder to be completely locked, and at the same time, the last arc pole that shifts up of fly leaf makes shifts up, and the cross slab board moves up in step, has accomplished whole fixer promptly and has installed on the border of handling the hole under the tight operation table of cross slab clamp, has once operated the lock that has accomplished the angular position that whole installation, uterus cup held in the palm promptly on the whole and has died, and the operation is convenient, improves efficiency in the art.

4. The whole fixer can not obstruct the front of the uterus after being arranged and occupy too many positions inside the treatment hole, thereby being beneficial to the medical treatment in the operation.

Drawings

FIG. 1 is a schematic view of a uterine lifting fixator for facilitating fixation of a cervical part under a laparoscope according to the present invention;

FIG. 2 is a schematic partial half-section view of a laparoscopic uterus lift anchor for facilitating anchoring of the cervical region of the uterus of the present invention;

FIG. 3 is an enlarged view of a portion A of the cervical lifting fixture for facilitating laparoscopic fixation of the cervical region of the uterus of the present invention in FIG. 2;

FIG. 4 is an enlarged view of FIG. 2 at B of the cervical lifting fixture for facilitating laparoscopic fixation of the cervical region in accordance with the present invention;

FIG. 5 is a cross-sectional view of a square box of a laparoscopic uterine lift anchor for facilitating anchoring of the cervical region of the uterus of the present invention;

FIG. 6 is an enlarged view at C of FIG. 5 of a laparoscopic cervical lifting fixture of the present invention for facilitating anchoring of the cervical region;

FIG. 7 is a schematic view of the telescopic portion of a uterus lifting fixator for conveniently fixing the cervical part of the uterus under laparoscope according to the present invention;

FIG. 8 is a schematic view of a lower retainer plate of a cervical lifting fixator for facilitating fixation of a cervical region under a laparoscope according to the present invention;

FIG. 9 is a cross-sectional view of a clamping plate of a laparoscopic uterine lift anchor for facilitating fixation of a cervical region of a uterus of the present invention;

FIG. 10 is another cross-sectional view of a clamping plate of a laparoscopic uterine lift anchor for facilitating fixation of a cervical region of a uterus of the present invention;

FIG. 11 is an exploded view of an adjustment mechanism of a laparoscopic cervical lifting fixture for facilitating fixation of the cervical region of the uterus of the present invention;

FIG. 12 is a schematic view of a movable plate of the uterus lifting fixator for conveniently fixing the cervical part of the uterus under laparoscope of the present invention;

FIG. 13 is a partial schematic view of a laparoscopic cervical lifting fixture for facilitating anchoring of the cervical region of the uterus of the present invention;

FIG. 14 is a schematic view of a laparoscopic uterine lift anchor for facilitating cervical immobilization in use of a uterus of the present invention.

In the figure: 1. a lower arc rod; 2. an upper arc rod; 3. connecting the arc plates; 4. a lifting mechanism; 41. a threaded barrel; 42. a threaded rod; 43. a multi-angle head; 5. a movable plate; 51. a transverse plate; 52. a vertical plate; 53. a protruding plate; 54. a first inclined plane; 55. a movable groove; 6. a connection box; 61. hiding the groove; 62. a second inclined plane; 63. penetrating a groove; 64. passing through the slot; 7. pushing the piece; 71. pushing the plate; 72. a first tooth surface; 73. a third inclined plane; 74. a guide bar; 75. a limiting head; 76. a compression spring; 8. clamping the plate; 81. a limiting plate; 82. a fourth slope; 83. a second tooth surface; 84. a square guide block; 9. fixing a plate; 91. fixing the clamping plate; 92. a guide post; 10. an adjustment mechanism; 101. clamping the block; 102. a third tooth surface; 103. a tooth post; 104. a connecting shaft; 105. a connecting bolt; 11. a square box; 12. a telescopic part; 121. a square rod body; 122. reserving a groove; 123. a tooth mouth; 13. lifting the uterine rod; 14. a uterine cupping support; 15. a lower limiting plate; 16. a T-shaped column; 17. a limit rack; 18. a jacking mechanism; 181. pushing the rod; 182. a fourth tooth surface; 183. a guide shaft; 184. an arc frame; 185. an arc-shaped opening; 19. a side clamping mechanism; 191. fixing the bent plate; 192. a transverse connection plate; 193. a guide port; 194. a T-shaped block; 195. and (5) an upper pressing plate.

Detailed Description

The following description is presented to disclose the invention so as to enable any person skilled in the art to practice the invention. The preferred embodiments in the following description are given by way of example only, and other obvious variations will occur to those skilled in the art.

As shown in fig. 1-14, a uterus lifting fixer for conveniently fixing the cervical part of the uterus under laparoscope comprises a lower arc rod 1, a coaxial upper arc rod 2 is arranged above the lower arc rod 1, a connecting arc plate 3 approaching to the axis of the lower arc rod 1 is fixedly connected to the middle of the lower arc rod 1, a connecting box 6 is fixedly connected to the upper end of the connecting arc plate 3, a movable plate 5 is slidably connected to the rear end surface of the connecting box 6 along the vertical direction, the upper arc rod 2 is fixedly connected to the rear end of the movable plate 5, a lifting mechanism 4 for controlling the upper end of the movable plate 5 to slide is arranged on the outer surface of the connecting arc plate 3, two symmetrical fixing plates 9 are fixedly connected to the upper end surface of the connecting box 6 approaching to the two sides, two clamping plates 8 are slidably assembled on the inner side of the connecting box 6, the clamping plates 8 are correspondingly positioned in front of the fixing plates 9, an adjusting mechanism 10 capable of sliding along the vertical direction is slidably assembled between the clamping plates 8 and the fixing plates 9, the adjusting mechanisms 10 on the two sides are connected with a square box 11 extending towards the rear in a rotating mode, the clamping plate 8 clamps and locks the adjusting mechanisms 10 along with the moving plate 5 moving upwards, a telescopic portion 12 is inserted into the rear end of the square box 11 in a sliding mode, a womb lifting rod 13 is fixedly connected to the rear end of the telescopic portion 12, a womb cup-shaped support 14 is fixedly sleeved on the outer surface of the womb lifting rod 13, a lower limiting plate 15 is installed on the lower end face of the square box 11 in a sliding mode, a jacking mechanism 18 extending to the inner side of the connecting box 6 is arranged on the lower end face of the lower limiting plate 15, the jacking mechanism 18 upwards pushes the lower limiting plate 15 along with the moving plate 5 and clamps the telescopic portion 12, and side clamping mechanisms 19 which clamp along with the moving plate 5 moving upwards are arranged on the two sides of the lower arc rod 1 and the upper arc rod 2.

The upper end surface of the connecting box 6 is provided with a through groove 63 extending downwards, the inner side of the through groove 63 is close to the middle position of the lower end and extends backwards to form a through groove 64, the inner wall of the through groove 63 is provided with a hidden groove 61 connected above the through groove 64, the top surface of the hidden groove 61 is provided with a second inclined surface 62, the movable plate 5 comprises a transverse plate 51 and a vertical plate 52 fixedly connected to the front end of the movable plate 5 and extending upwards, the vertical plate 52 is in sliding fit with the through groove 63, the rear end surface of the vertical plate 52 is provided with a movable groove 55, the front end of the transverse plate 51 is in sliding fit with the through groove 64, the inner side of the movable groove 55 is provided with a pushing part 7, the pushing mechanism 18 is pushed upwards along with the upward movement of the movable plate 5, so that the lower limit plate 15 locks the telescopic part 12.

The pushing and extruding part 7 comprises a push plate 71 which is slidably assembled inside the movable groove 55 and the through groove 63, and a guide rod 74 which is vertically connected to the rear end surface of the push plate 71 and is close to the lower part, the guide rod 74 slides through the transverse plate 51 and the inner side of the upper arc rod 2, and the rear end of the guide rod extends out of a limiting head 75, a compression spring 76 is sleeved on the outer side of the guide rod 74 and is close to the front part of the limiting head 75, a third inclined surface 73 with the same inclination as the second inclined surface 62 is arranged on the upper end surface of the push plate 71, a first tooth surface 72 is arranged on the front end surface of the push plate 71, the pushing mechanism 18 comprises a pushing rod 181 which is movably connected between the upper end and the lower limiting plate 15, the lower end of the pushing rod 181 extends into the inner side of the through groove 63, and a fourth tooth surface 182 which is meshed with the first tooth surface 72 is arranged on the rear end surface of the pushing rod 181.

The lower end face of the lower limiting plate 15 is fixedly connected with an arc-shaped frame 184 which is movably sleeved on the upper end of the pushing rod 181, arc-shaped openings 185 are formed in the outer surfaces of the two sides of the arc-shaped frame 184, the outer surfaces of the two sides of the pushing rod 181 extend out of a guide shaft 183 near the upper end, the guide shaft 183 is in sliding fit with the arc-shaped openings 185, the upper end of the pushing rod 181 is movably connected with the lower limiting plate 15 through the arc-shaped frame 184, and when the square box 11 rotates, the arc-shaped openings 185 can slide on the surfaces of the guide shafts 183 and cannot block rotation.

The clamping plate 8 comprises a limiting plate 81 with the lower end extending into the inner side of the through groove 63, a square guide block 84 movably penetrating through the inner side of the limiting plate 81 is fixedly connected to the inner wall of the through groove 63, a second tooth surface 83 is arranged on the rear end surface of the limiting plate 81 positioned outside the through groove 63, a fourth inclined surface 82 is arranged at the lower end of the limiting plate 81, the upper end surface of a vertical plate 52 extends out of a protruding plate 53 corresponding to the front part of the limiting plate 81, a first inclined surface 54 with the same inclination as the fourth inclined surface 82 is arranged on the upper end surface of the protruding plate 53, the adjusting mechanism 10 comprises a clamping block 101 clamped between the fixed plate 9 and the clamping plate 8, a third tooth surface 102 meshed with the second tooth surface 83 is arranged on the front end surface of the clamping block 101, and a tooth post 103 fixedly connected with the clamping block 101 extends out of one side close to the square box 11, and the tooth post 103 is rotationally connected with the clamping block 101 and the outer surface is meshed with the second tooth surface 83.

The outer surface of one side of the tooth column 103 extends to movably pass through a connecting shaft 104 on the inner side of the clamping block 101, one end of the connecting shaft 104 is inserted with a connecting bolt 105 in threaded fit, and the connecting bolt 105 is screwed down when the connecting bolt is disassembled.

The fixing plate 9 includes a fixing clamp plate 91 fixedly connected to the upper end surface of the connecting box 6, a guide post 92 extending upwards is vertically extended from the inner bottom surface of the fixing clamp plate 91, the guide post 92 is in sliding fit with the adjusting mechanism 10, and the guide post 92 increases the stability of the up-and-down sliding of the adjusting mechanism 10.

The telescopic part 12 comprises a square rod body 121, a groove 122 is reserved on the front end face of the square rod body 121, the square rod body 121 is movably inserted into the inner side of the square box 11 corresponding to the position of the groove 122, a tooth opening 123 is formed in the lower end face of the square rod body 121, a limiting rack 17 meshed with the tooth opening 123 is formed in the upper end face of the lower limiting plate 15, a plurality of T-shaped columns 16 penetrating the upper end face of the connecting box 6 are perpendicularly extended from the upper end face of the lower limiting plate 15, the T-shaped columns 16 pass through the inner side of the groove 122, and the groove 122 is reserved to ensure that the telescopic part 12 cannot be blocked by the T-shaped columns 16 when sliding.

The side clamping mechanism 19 comprises a fixed curved plate 191 fixedly connected with the outer surface of the lower arc rod 1, an upper pressure plate 195 fixedly connected with the upper end of the fixed curved plate 191 and extending towards the rear, a guide opening 193 formed in the front end surface of the fixed curved plate 191, a T-shaped block 194 in sliding fit with the guide opening 193, and a cross connecting plate 192 fixedly connected with the rear end of the T-shaped block 194, wherein the rear end of the cross connecting plate 192 is fixedly connected with the upper arc rod 2; the lifting mechanism 4 comprises a threaded cylinder 41 fixedly embedded in the inner side of the connecting arc plate 3, a threaded rod 42 penetrating through the inner side of the threaded cylinder 41 and in threaded fit with the threaded cylinder, and a multi-angle head 43 fixedly connected to the lower end of the threaded rod 42, so that the lifting mechanism is convenient to rotate, and the upper end of the threaded rod 42 is rotatably connected with the lower end face of the movable plate 5.

In the installation and arrangement process, the threaded rod 42 is rotated to the lowest, the whole fixer is arranged at the inner side of the treatment hole, the upper pressure plate 195 is attached to the surface of the operating bed, the upper arc rod 2 is immediately positioned below the operating bed, the movable plate 5 moves downwards due to the downward movement of the threaded rod 42, the convex plate 53 moves downwards along the inner side of the penetrating groove 63 in the process until the convex plate is separated from the front of the limit plate 81, the limit plate 81 is unlocked, the clamping block 101 can slide up and down after that (the limit plate 81 can slide forwards along the surface of the square guide block 84, the second tooth surface 83 does not block the third tooth surface 102 any more), the purpose of adjusting the height of the uterine cup-shaped holder 14 is achieved, at the moment, the tooth posts 103 can also rotate relative to the clamping block 101, the purpose of adjusting the angle of the uterine cup-shaped holder 14 is achieved, when the movable plate 5 moves downwards, the push plate 71 drives the pushing rod 181 to move downwards until the push plate 71 is accommodated in the inner side of the groove 61, and then the pushing rod 181 can slide downwards, the lower limit plate 15 can move downwards, so that the limit rack 17 is separated from the tooth mouth 123, the square rod body 121 can slide forwards and backwards, and the purpose of adjusting the front and back extension of the uterine cuplike support 14 is achieved, and the upper and lower adjustment, the angle adjustment and the front and back adjustment enable the uterine cuplike support 14 to accurately abut against the position of a cervix; when the uterine cup-shaped support 14 needs to be locked and positioned after being accurately abutted against the position of the cervix, the threaded rod 42 is rotated to move upwards, and the refining process is as follows: the movable plate 5 moves upwards, the push plate 71 moves towards the front upper side under the matching of the second inclined surface 62 and the third inclined surface 73, then the first tooth surface 72 is meshed with the fourth tooth surface 182, the pushing rod 181 is driven to move upwards when the push plate 71 moves upwards continuously, the pushing rod 181 pushes the arc-shaped frame 184 upwards, the lower limiting plate 15 moves upwards, the limiting rack 17 is clamped into the tooth mouth 123, namely the square rod body 121 is locked, the front and back movement of the uterine cup-shaped support 14 is limited, when the movable plate 5 moves upwards, the first inclined surface 54 is matched with the fourth inclined surface 82, the limiting plate 81 moves backwards, even if the second tooth surface 83 is meshed with the third tooth surface 102 and locked, the clamping block 101 does not move upwards and downwards, the aim of locking the uterine cup-shaped support 14 is achieved, meanwhile, the tooth column 103 is clamped into the second tooth surface 83, the aim of preventing the square box 11 from rotating is achieved, and the aim of locking the rotating angle of the uterine cup-shaped support 14 is achieved, therefore, the uterine cup-shaped support 14 is completely locked by the one-step operation, meanwhile, the movable plate 5 moves upwards to enable the upper arc rod 2 to move upwards, the transverse connecting plate 192 moves upwards synchronously until the transverse connecting plate 192 clamps the lower surface of the operating bed, namely the whole fixer is installed on the edge of the treatment hole, the whole installation and the locking of the angle position of the uterine cup-shaped support 14 are completed by one-step operation, the operation is convenient, and the efficiency in the operation is improved.

This fixer uses to the partial operation in the peritoneoscope, the last processing hole position of nimble adaptation gynaecology's operation table, consolidate the installation on the border of this position, when uterus cup holds in the palm 14 and carries out position and angular adjustment in order to lift the cervix, at last locking location in-process, can make the position and the angle lock of uterus cup support 14 die with the synchronous when fixing the processing hole of fixer on gynaecology's operation table, consequently, do not need a plurality of positions to carry out flexible regulation, angular adjustment, the lock dies, one operation can make whole fixer steady installation and cervix lift, efficiency in the improvement art, laminating in-service use, and after arranging, can not produce the position of uterus the place ahead and processing hole and block, in order to ensure the normal clear of medical care operation. The whole fixer can not obstruct the front of the uterus after being arranged and occupy too many positions inside the treatment hole, thereby being beneficial to the medical treatment in the operation.

The foregoing shows and describes the general principles, essential features, and advantages of the invention. It will be understood by those skilled in the art that the present invention is not limited to the embodiments described above, which are merely illustrative of the principles of the invention, but that various changes and modifications may be made without departing from the spirit and scope of the invention, which fall within the scope of the invention as claimed. The scope of the invention is defined by the appended claims and equivalents thereof.

Claims

1. The utility model provides a be convenient for under peritoneoscope fixed uterus neck of being convenient for lifts fixer with uterus, includes lower arc pole (1), its characterized in that: the upper part of the lower arc rod (1) is provided with a coaxial upper arc rod (2), the middle part of the lower arc rod (1) is fixedly connected with a connecting arc plate (3) close to the axis of the lower arc rod, the upper end of the connecting arc plate (3) is fixedly connected with a connecting box (6), the rear end surface of the connecting box (6) is connected with a movable plate (5) in a sliding way along the vertical direction, the rear end of the movable plate (5) is fixedly connected with the upper arc rod (2), the outer surface of the connecting arc plate (3) is provided with a lifting mechanism (4) for controlling the upper end of the movable plate (5) to slide, the upper end surface of the connecting box (6) is close to two symmetrical fixed plates (9) at two sides, the inner side of the connecting box (6) is assembled with two clamping plates (8) in a sliding way, and the clamping plates (8) are correspondingly positioned in the front of the fixed plates (9), the utility model discloses a clamping device, including clamping plate spare (8) and fixed plate spare (9) between slide and be equipped with can follow gliding guiding mechanism (10) of upper and lower direction, common rotation connects square case (11) of extending towards the rear between guiding mechanism (10) of both sides, clamping plate spare (8) press from both sides guiding mechanism (10) along with the shifting up of fly leaf (5) and press from both sides tight lock, the rear end sliding insertion of square case (11) has pars contractilis (12), the rear end fixedly connected with of pars contractilis (12) lifts palace stick (13), the outer fixed cover of lifting palace stick (13) is equipped with uterus cup and holds in the palm (14), the lower terminal surface slidable mounting of square case (11) has lower limiting plate (15), the lower terminal surface of lower limiting plate (15) is provided with and extends to connecting box (6) inboard top moving mechanism (18), top moving mechanism (18) along with the shifting up of fly leaf (5) with lower limiting plate (15) upwards top moving and press from both sides pars contractilis (12), the two sides of the lower arc rod (1) and the upper arc rod (2) are respectively and commonly provided with a side clamping mechanism (19) which clamps along with the upward movement of the movable plate (5); the upper end surface of the connecting box (6) is provided with a through groove (63) extending downwards, the inner side of the through groove (63) is extended backwards to form a through groove (64) near the middle position of the lower end, the inner wall of the through groove (63) is provided with a hidden groove (61) which is connected with the upper part of the through groove (64), the top surface of the hidden groove (61) is provided with a second inclined surface (62), the movable plate (5) comprises a transverse plate (51) and a vertical plate (52) which is fixedly connected with the front end of the movable plate and extends upwards, the vertical plate (52) is in sliding fit with the through groove (63), a movable groove (55) is arranged on the rear end surface of the vertical plate (52), the front end of the transverse plate (51) is in sliding fit with the through groove (64), a pushing piece (7) is arranged on the inner side of the movable groove (55), and the pushing piece (7) pushes the jacking mechanism (18) upwards along with the upward movement of the movable plate (5); the pushing piece (7) comprises a push plate (71) which is assembled inside the movable groove (55) and the through groove (63) in a sliding way, and a guide rod (74) which is vertically connected to the rear end surface of the push plate (71) close to the lower part, the guide rod (74) passes through the transverse plate (51) and the inner side of the upper arc rod (2) in a sliding way, and the rear end of the guide rod extends out of the limiting head (75), a compression spring (76) is sleeved at the outer side of the guide rod (74) close to the front part of the limiting head (75), the upper end surface of the push plate (71) is provided with a third inclined surface (73) with the same inclination as the second inclined surface (62), the front end surface of the push plate (71) is provided with a first tooth surface (72), the jacking mechanism (18) comprises a jacking rod (181) movably connected between the upper end and the lower limiting plate (15), the lower end of the ejector rod (181) extends into the inner side of the through groove (63), and the rear end face of the ejector rod (181) is provided with a fourth tooth surface (182) meshed with the first tooth surface (72); the lower end face of the lower limiting plate (15) is fixedly connected with an arc-shaped frame (184) movably sleeved at the upper end of the pushing rod (181), arc-shaped openings (185) are formed in the outer surfaces of two sides of the arc-shaped frame (184), the outer surfaces of two sides of the pushing rod (181) extend out of a guide shaft (183) at the position close to the upper end, the guide shaft (183) is in sliding fit with the arc-shaped openings (185), and the upper end of the pushing rod (181) is movably connected with the lower limiting plate (15) through the arc-shaped frame (184); the clamping plate (8) comprises a limiting plate (81) with the lower end extending into the inner side of the through groove (63), a square guide block (84) is fixedly connected to the inner wall of the through groove (63) in a movable mode and penetrates through the inner side of the limiting plate (81), a second tooth surface (83) is arranged on the rear end face, located outside the through groove (63), of the limiting plate (81), a fourth inclined face (82) is formed at the lower end of the limiting plate (81), the upper end face of a vertical plate (52) extends out of a protruding plate (53) corresponding to the front position of the limiting plate (81), a first inclined face (54) with the same inclination as the fourth inclined face (82) is formed in the upper end face of the protruding plate (53), the adjusting mechanism (10) comprises a clamping block (101) clamped between the fixing plate (9) and the clamping plate (8), and a third tooth surface (102) meshed with the second tooth surface (83) is formed in the front end face of the clamping block (101), a tooth column (103) fixedly connected with the clamping block (101) extends from one side of the clamping block (101) close to the square box (11), the tooth column (103) is rotatably connected with the clamping block (101), and the outer surface of the tooth column is meshed with the second tooth surface (83); a connecting shaft (104) movably penetrating through the inner side of the clamping block (101) extends out of the outer surface of one side of the tooth column (103), and a connecting bolt (105) in threaded fit is inserted into one end of the connecting shaft (104); the fixing plate (9) comprises a fixing clamp plate (91) fixedly connected to the upper end face of the connecting box (6), an upward extending guide column (92) vertically extends from the bottom surface of the inner side of the fixing clamp plate (91), and the guide column (92) is in sliding fit with the adjusting mechanism (10); the telescopic part (12) comprises a square rod body (121) and a reserved groove (122) formed in the front end face of the square rod body (121), the position, corresponding to the reserved groove (122), of the square rod body (121) is movably inserted into the inner side of the square box (11), a tooth opening (123) is formed in the lower end face of the square rod body (121), a limiting rack (17) meshed with the tooth opening (123) is formed in the upper end face of the lower limiting plate (15), a plurality of T-shaped columns (16) penetrating through the upper end face of the connecting box (6) vertically extend out of the upper end face of the lower limiting plate (15), and the T-shaped columns (16) pass through the inner side of the reserved groove (122); the side clamping mechanism (19) comprises a fixed curved plate (191) fixedly connected to the outer surface of the lower arc rod (1), an upper pressure plate (195) fixedly connected to the upper end of the fixed curved plate (191) and extending towards the rear, a guide opening (193) formed in the front end face of the fixed curved plate (191), a T-shaped block (194) in sliding fit with the guide opening (193), and a cross connecting plate (192) fixedly connected to the rear end of the T-shaped block (194), wherein the rear end of the cross connecting plate (192) is fixedly connected with the upper arc rod (2); elevating system (4) are including fixed embedding connection arc board (3) inboard screw thread section of thick bamboo (41), pass screw thread section of thick bamboo (41) inboard and looks screw-thread fit's threaded rod (42), fixed connection at the multi-angle head (43) of threaded rod (42) lower extreme, the upper end of threaded rod (42) is connected with the lower terminal surface rotation of fly leaf (5).