CN113116482A - Direct-vision induced abortion uterine curettage system - Google Patents

Direct-vision induced abortion uterine curettage system Download PDF

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Publication number
CN113116482A
CN113116482A CN201911426041.6A CN201911426041A CN113116482A CN 113116482 A CN113116482 A CN 113116482A CN 201911426041 A CN201911426041 A CN 201911426041A CN 113116482 A CN113116482 A CN 113116482A
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CN
China
Prior art keywords
direct
uterine curettage
curettage
abortion uterine
view
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Pending
Application number
CN201911426041.6A
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Chinese (zh)
Inventor
周星
徐华苹
苏文宇
王玉娥
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Guangzhou T K Medical Instrument Co ltd
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Guangzhou T K Medical Instrument Co ltd
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Priority to CN201911426041.6A priority Critical patent/CN113116482A/en
Priority to PCT/CN2020/127617 priority patent/WO2021135651A1/en
Publication of CN113116482A publication Critical patent/CN113116482A/en
Pending 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
    • A61B17/42Gynaecological or obstetrical instruments or methods
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/320016Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/361Image-producing devices, e.g. surgical cameras
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B2017/320004Surgical cutting instruments abrasive
    • A61B2017/320008Scrapers
    • 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
    • A61B2017/4216Operations on uterus, e.g. endometrium
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/361Image-producing devices, e.g. surgical cameras
    • A61B2090/3612Image-producing devices, e.g. surgical cameras with images taken automatically
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2217/00General characteristics of surgical instruments
    • A61B2217/002Auxiliary appliance
    • A61B2217/005Auxiliary appliance with suction drainage system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2217/00General characteristics of surgical instruments
    • A61B2217/002Auxiliary appliance
    • A61B2217/007Auxiliary appliance with irrigation system

Abstract

The direct-view abortion uterine curettage system comprises a direct-view abortion uterine curettage device, an intraoperative ultrasonic monitoring device, a display system, an image processing system, a power supply system and a circuit system. The display system at least comprises 1 display, and the direct-vision induced abortion uterine curettage device, the intraoperative ultrasonic monitoring device, the display system and the image processing system are connected with the power supply system through a circuit. The direct-vision abortion uterine curettage device collects video data of an operation part in abortion, and the intraoperative ultrasonic monitoring device collects integral image data of a uterus; local video data collected by the direct-vision abortion uterine curettage device and overall image data collected by the intraoperative ultrasonic monitoring device can enable intraoperative conditions of an operation part to be observed in real time in the abortion operation, and whether the pregnancy sac is completely sucked out or not can be judged through the overall image data. In clinical use, the safe operation of the operation can be ensured, and the cleaning of the induced abortion operation can also be ensured. The clinical application is safer and more reliable.

Description

Direct-vision induced abortion uterine curettage system
Technical Field
The invention relates to an endoscopic surgical instrument, in particular to a direct vision induced abortion uterine curettage system with a protection mechanism for endoscopic surgery.
Background
Induced abortion surgery refers to the surgical approach to terminate pregnancy. The artificial abortion operation usually includes negative pressure suction and forceps-scraping, and the embryo tissue in uterus is sucked out by using a suction tube or taken out by using surgical instruments such as oval forceps, so as to terminate the pregnancy. Thus, the heart of the human flow surgery is two-fold: firstly, embryo tissues need to be cleaned, so that incomplete abortion is prevented; and secondly, accidental injury to the uterus in the operation process, such as accidental perforation of the uterus and the like, is prevented.
Since the induced abortion operation needs to be performed in utero, the conventional induced abortion operation often depends on the experience and feeling of a doctor, and thus various complications are liable to occur. With the development of endoscopic techniques, more and more operations are being performed under endoscopic surgery, wherein the induced abortion surgery is also beginning to be performed gradually under endoscopic direct vision.
In the existing direct-view induced abortion device, a lens module is arranged at the foremost end of the direct-view induced abortion device, a tube body of an induced abortion tube is of a double-cavity structure, one cavity is used for installing a circuit, image data collected by the lens module is transmitted to a host and is displayed on a display after being processed, the other cavity is used as a negative pressure suction tube, one end of the negative pressure suction tube is connected with a negative pressure source, and the opening at the other end is arranged at the front end of the induced abortion tube.
The current people stream device of looking directly at is in the operation in-process, and the camera lens can only be observed the local state of the peripheral less scope in operation position usually, if pregnant bag is great, or the position of implantation is pressed close to the corner more, probably appears omitting in the observation process, causes the people stream operation incomplete, consequently needs to improve current people stream device of looking directly.
Disclosure of Invention
According to the direct-view abortion uterine curettage system, through the matching design of the lens and the ultrasonic monitoring device, the local video image of the operation part can be directly acquired through the lens, and the whole image information of the uterus can be acquired through the ultrasonic monitoring device, so that on one hand, the condition of the operation part can be observed in real time, the accidental injury of the uterus is prevented, on the other hand, whether the pregnancy sac is completely sucked out or not is judged through the whole image data of the uterus acquired by the ultrasonic monitoring device, and the clinical application is safer and more reliable.
The invention discloses a direct-vision induced abortion uterine curettage system, which is characterized in that: the direct-view abortion uterine curettage system 900 comprises a direct-view abortion uterine curettage device 100, an intraoperative ultrasonic monitoring device 200, a display system 102, an image processing system 103, a power supply system 104 and a circuit system 107;
A. the display system 102 comprises at least 1 display 102-1; the line system 107 comprises a circuit 3 and a signal transmission line 3-1;
B. the video data collected by the direct-view abortion uterine curettage device 100 is processed by the image processing system 103 and then output by the signal transmission line 3-1 to be displayed on the display 102-1;
C. the intraoperative ultrasonic monitoring device 200 at least comprises 1 probe 201, and signals detected by the probe 201 are processed by the image processing system 103 and then output through the signal transmission line 3-1 to be displayed on the display 102-1;
D. the direct-view abortion uterine curettage device 100, the intraoperative ultrasound monitoring device 200, the display system 102, and the image processing system 103 are connected via the circuit 3 and the power supply system 104;
E. the direct-view abortion uterine curettage device 100 collects video data of an operation part in abortion, and the intraoperative ultrasonic monitoring device 200 collects whole image data of a uterus; the local video data collected by the direct-vision abortion uterine curettage device 100 and the whole image data collected by the intraoperative ultrasonic monitoring device 200 can enable the intraoperative condition of an operation part to be observed in real time in the abortion operation, and can judge whether the abortion operation completely sucks out the pregnant sac through the whole image data.
The direct-view abortion uterine curettage system provided by the invention utilizes the cooperation of the direct-view abortion uterine curettage device 100 and the intraoperative ultrasonic monitoring device 200 to observe the operation part of an abortion operation in real time and acquire real-time video and image data by utilizing the direct-view abortion uterine curettage device 100, and utilizes the intraoperative ultrasonic monitoring device 200 to acquire the whole image data of the uterus, so as to further confirm whether residual gestational sac in the uterus is not sucked out or not. The clinical application is safer and more reliable.
The circuit 3 and the signal transmission line 3-1 of the line system 107 may be separately arranged according to the requirement, or may be designed into one system according to the requirement.
The direct-view abortion uterine curettage device 100 comprises a uterine curettage mechanism 1, an observation module 2, a circuit system 107, a negative pressure suction mechanism 4 and an operating rod 5;
A. the observation module 2 comprises an illumination module 21 and a lens module 22; the lighting module 21 and the lens module 22 are arranged at the front end of the operating rod 5 and are arranged in the protective cover 20; the image and video observed by the lens module 22 are input into the image processing system 103 through the signal transmission line 3-1 of the circuit system 107 for processing, and then output through the signal transmission line 3-1; the observation module 2 is connected to the power supply system 104 via the circuit 3 of the line system 107;
B. the uterine curettage mechanism 1 comprises at least 1 curettage device 11, and the curettage device 11 is arranged at the front end of the operating rod 5;
C. the negative pressure suction mechanism 4 includes a suction inlet 41, a suction outlet 42, and a suction passage 43; the introduction port 41 is provided at the front end of the operating lever 5; the suction outlet 42 is arranged at the rear end of the operating rod 5, and the suction channel 43 is arranged in the operating rod 5;
D. the rear end 5-2 of the operating rod 5 is provided with a handle 52; the front end 5-1 of the operating rod 5 is provided with an observation module 2 and a uterine curettage mechanism 1; the tube body 5-3 of the operating rod 5 contains the line system 107 and the negative pressure suction mechanism 4; the image processing system 103 is arranged in the handle 52.
The implantation position of the embryo tissue can be conveniently found through the camera 22-1 of the lens module 22, and then the embryo tissue is stripped from the uterus by the curettage device 11, and then the stripped embryo tissue is sucked and discharged out of the body through the negative pressure suction mechanism 4. The uterine curettage mechanism 1 and the negative pressure suction mechanism 4 can be designed into relatively independent mechanisms, so that the curettage effect of the uterine curettage mechanism 1 on a bed embryo is ensured, and meanwhile, the curetted tissue and tissue fluid such as generated blood and the like can be effectively and quickly sucked and discharged out of a body through the negative pressure suction mechanism 4.
The camera 22-1 of the lens module 22 is arranged at the rear end of the curettage device 11, and the curettage device 11 is located in the visual field of the camera 22-1. The technical scheme that the camera 22-1 is arranged at the rear can ensure that the curettage device 11 is completely positioned in the visual field range of the camera 22-1, and because the observation angle of the camera 22-1 faces the front of an operation area, an observation blind area cannot exist in the process, and accidental injuries to the uterus and accessories caused by untimely observation are avoided. Meanwhile, the curettage device 11 is positioned in front of the camera 22-1, so that the curettage device 11 does not have an operation dead angle due to shielding generated by the height of the lens module 22, embryo tissues can be completely removed from the implantation at any position of the uterus, especially for the implantation position near the oviduct orifice, namely the uterine fundus, the curettage device 11 can also easily remove the embryo tissues, the incomplete human flow condition can not occur in the operation process, and the cleaning is completed under direct vision, so that the accidental injury of the uterine fundus due to overlarge operation action can not be caused, the injury to the uterine fundus can be well avoided, and serious medical accidents such as uterine perforation and the like can not occur. Therefore, the technical scheme of the rear camera ensures that the clinical operation process of the induced abortion is safer and more effective.
The curettage device 11 is a curettage net 11-3. The camera 22-1 can directly observe the situation behind the scraping net 11-3 from the net-shaped gap, and the whole process of the operation process and the panoramic observation of the operation area can be realized even if the scraping net 11-3 is not made of transparent materials.
The curettage net 11-3 of the curettage device 11 of the curettage mechanism 1 can be compressed in the sheath tube 5-0; the scraping net 11-3 can prop open the uterus after releasing expansion from the outer sheath tube 5-0, and the observation visual field is enlarged. The curettage net 11-3 of the curettage device 11 of the uterine curettage mechanism 1 can be compressed in the sheath tube 5-0, and when the constraint of the sheath tube 5-0 is removed backwards, the curettage net 11-3 can completely or basically restore the shape before compression. When the uterine curettage device is used clinically, the curettage net 11-3 can be folded into the outer sheath tube 5-0, the curettage net 11-3 is released by retreating the outer sheath tube 5-0 after the uterine curettage device enters a uterus through a cervix, and the curettage net 11-3 is unfolded, so that embryonic tissues can be removed. Meanwhile, as the scraping net 11-3 is unfolded, the uterus at the front end of the camera 22-1 can be unfolded, the observation visual field is expanded, the operation part and the peripheral tissues can be better observed in the clinical use process, and the observation effect in the clinical use process is very good. The scraping wires 11-31 of the scraping net 11-3 can be made of materials with various shapes such as wire materials, thin tube materials, sheet materials and the like.
The camera 22-1 of the lens module 22 is arranged at the front end of the curettage device 11. The camera 22-1 can directly observe the working state of the suction inlet 41 of the negative pressure suction mechanism 4, and determine that the stripped implantation tissue is sucked and discharged out of the body by the negative pressure suction mechanism 4.
The camera 22-1 of the lens module 22 is arranged inside the curettage device 11. The camera 22-1 is internally provided with the whole structure of the curettage device 11, so that the clinical use is very convenient.
The viewing direction of the camera 22-1 of the lens module 22 can be adjusted.
By adjusting the observation direction of the camera 22-1, the working state and the surrounding tissue condition of the curettage device 11 can be observed in all directions, particularly the implantation position of the embryo can be found quickly, and the observation effect is more comprehensive in clinical use.
The adjusting mechanism 22-11 for adjusting the observing direction of the camera 22-1 is arranged on the handle 52. The adjusting mechanism 22-11 is arranged on the handle 52, so that the observing direction of the camera 22-1 can be conveniently adjusted outside the body in clinical use, and the operation is simpler.
The working position direction of the curettage device 11 can be adjusted. The working position direction of the curettage device 11 can be adjusted according to the needs, the curettage device can better adapt to the structural shape in the uterus, and the curettage device has better cleaning effect on the parts which are difficult to clean, such as the corners of the uterus and the like.
The oscillating mechanism 11-4 of the curettage device 11 for adjusting the direction of the working position is arranged on the handle 52. The swinging mechanism 11-4 is arranged on the handle 52, so that the working direction of the working part of the curettage device 11 can be conveniently adjusted outside the body in clinical use, and the operation is simpler.
The viewing direction of the camera 22-1 of the lens module 22 and the working position direction of the curettage device 11 can be adjusted simultaneously.
In practical applications, the clinician can adjust only the viewing direction of the camera 22-1 or the working site direction of the curettage device 11 as needed, or can adjust both the viewing direction of the camera 22-1 and the working site direction of the curettage device 11.
When the viewing direction of the camera 22-1 and the working site direction of the curettage device 11 are adjusted simultaneously, the adjusting mechanism 22-11 and the swinging mechanism 11-4 can be combined into one adjusting mechanism to be arranged on the handle 52.
The tube body 5-3 of the operating rod 5 at least comprises 2 cavities; the circuit 3 is arranged in the 1 st cavity tube, and the 2 nd cavity tube forms or is provided with a suction channel 43 of the negative pressure suction mechanism 4. Due to the design of the double-cavity channel, the circuit 3 can be isolated from blood, tissue fluid and other liquids possibly generated in an operation, potential safety hazards such as short circuit and electric leakage can be better avoided in the using process, and the clinical using process is safer.
The direct-vision abortion uterine curettage device 100 further comprises a flushing mechanism 6. In the operation process, the flushing mechanism 6 can flush the interior of the uterus, and can timely flush the blood at the front end of the camera 22-1 completely, so that the observation visual field is kept clean. Meanwhile, the flushing mechanism 6 can also flush the curettage device 11 and the uterine wall in time, and particularly can flush the operation part in time, so that whether the embryonic tissue is completely cleared from the implantation position or not can be observed in time, the completeness of the embryonic tissue in the abortion operation process is ensured, the incomplete abortion condition is effectively avoided, and the clinical operation process is safer.
The tube body 5-3 of the operating rod 5 is a three-cavity tube; the circuit 3 is arranged in the 1 st cavity tube, the 2 nd cavity tube forms or is provided with the suction channel 43 of the negative pressure suction mechanism 4, and the 3 rd cavity tube forms or is provided with a water inlet pipeline 63 of the flushing mechanism 6. The design of three chamber passageways can separate the irrigation passageway and the suction passageway while guaranteeing that circuit 3 is kept apart the protection, can guarantee better like this that there is not the tissue or the liquid of suction to get back to the uterus in the in-process of washing, and the use is more efficient, safety.
The water outlet 61 of the flushing mechanism 6 of the direct-vision abortion uterine curettage device 100 with the electronic protection mechanism is provided with at least one water outlet 61 from which water can be sprayed to flush and clean the protective cover 20 of the observation module 2. The washing mechanism 6 can timely wash the protective cover 20 of the observation mechanism 2, so that the observation effect of the observation mechanism 2 is ensured.
The flushing mechanism 6 is provided with a flushing switch 64 for controlling the flushing water flow. The flush switch 64 can turn the flushing mechanism 6 on and off and can control the amount of flushing water and the flushing pressure. In the clinical use process, a clinician can open or close the flushing mechanism 6 according to the actual needs of the operation process, and simultaneously selects the proper size and pressure of the flushing water flow according to the needs, so that the clinical use process is more convenient.
The flush switch 64 is provided on the handle 52 of the operating lever 5. The flushing switch 64 is arranged on the handle 52, so that medical staff can operate the flushing device with one hand during clinical use, and the use process is more convenient.
The negative pressure suction mechanism 4 is provided with a negative pressure control switch 44 capable of controlling a negative pressure state. The negative pressure control switch 44 can turn on or off the negative pressure suction mechanism 4, and can adjust the negative pressure suction force of the negative pressure suction mechanism 4 according to the amount of stripped tissues, blood and tissue fluid in the uterus during the operation. When the negative pressure suction device is used clinically, doctors can conveniently adjust the negative pressure suction force required by the doctors, so that the situation that stripped tissues cannot be sucked out timely due to too small negative pressure suction force is avoided, and accidental injuries of tissues such as endometrium and the like due to too large negative pressure are avoided.
The negative pressure control switch 44 is provided on the handle 52 of the operation lever 5. The negative pressure control switch 44 is arranged on the handle 52, so that medical staff can operate the negative pressure control switch with one hand during clinical use, and the use process is more convenient.
The protective cover 20 of the observation mechanism 2 is provided with a coating. The coating can select hydrophobic coating, and liquid such as bloody water can be fast like this fall after condensing into the water droplet on protection casing 20, also can select hydrophilic coating, and liquid such as bloody water can be fast like this form transparent water film on protection casing 20 surface, can not shelter from camera 22-1.
The circuit 3 is provided with an electrical interface 31 for connection to a host. The direct-view abortion uterine curettage device 100 is connected with a host and a power supply through the electrical interface 31.
The direct-vision abortion uterine curettage device 100 comprises an electronic protection mechanism 30; the electronic protection mechanism 30 is disposed outside the observation module 2 and/or the circuit 3, and performs waterproof, gas-proof, and insulation protection on electronic components of the observation module 2 and/or the circuit 3.
Set up observation module 2 with circuit 3's outside electron protection mechanism 30 can be right observation module 2 with circuit 3's electronic components carries out waterproof, gas-proof, insulation protection, effectively prevents that the normal work of electronic components is influenced to the bloody water or tissue fluid that produce among the operation process, guarantees the normal clear of operation, and clinical operation process is safer.
The electronic protection mechanism 30 is a protection mechanism 30-1 disposed around the illumination module 21 and the lens module 22, or an insulating protection layer 30-2 disposed outside the circuit 3, or an insulating adhesive layer 30-3 disposed in the handle 52 for protecting the image processing system 103.
The protection mechanism 30-1 is formed by arranging a protection cover 20 at the front ends of the illumination module 21 and the lens module 22, arranging an isolation seat 24 at the rear side of the illumination module 21 and the lens module 22, forming a closed space by adhering the protection cover 20, the isolation seat 24 and the tube body 5-3 and the like, completely isolating the illumination module 21 and the lens module 22 from human tissues, and ensuring that blood or tissue fluid generated in the operation process cannot influence the normal work of the illumination module 21 and the lens module 22.
The waterproof and insulating protective layer 30-2 is arranged outside the circuit 3, so that accidents such as short circuit and the like caused by bloody water or tissue fluid generated in the operation process can be effectively avoided.
The image processing system 103 is arranged in the handle 52, glue filling processing is carried out on the periphery of the image processing system 103 to form the insulating glue layer 30-3, the image processing system 103 and the periphery of the circuit 3 are completely sealed and isolated, and the waterproof, gas-proof and insulating protection purposes are achieved.
In practical application, one or more of the protection mechanism 30-1, the insulating protection layer 30-2 and the insulating adhesive layer 30-3 can be used in combination according to requirements to comprehensively protect electronic components of the direct-view abortion uterine curettage device with the electronic protection mechanism from water, gas and insulation.
Further, a glue containing groove 52-1 is formed in the handle 52, the image processing system 103 is arranged in the glue containing groove 52-1, and the insulating glue layer 30-3 is poured into the glue containing groove 52-1 to protect the image processing system 103. The glue containing groove 52-1 can be used for pouring glue conveniently, and the actual use process is very convenient.
The direct-view abortion uterine curettage device 100 further comprises an identification system 8. The identification system 8 may prompt the depth of the joystick 5 into the body. The marking system 8 may be a graduated scale 81 disposed outside the operating rod 5, or may be other marking methods, which the applicant does not intend to describe in detail herein, but do not depart from the scope of the present application.
The direct-vision abortion uterine curettage device 100 further comprises a protective sheath 10. The protective sleeve 10 is arranged at the front end 5-1 of the operating rod 5, so that the protective cover 20 and the pipe body 5-3 around the camera 22-1 can be protected from being scratched or damaged in the transportation and storage processes, and the observation effect in the clinical use process can be better ensured.
An isolation sleeve 201-1 is arranged outside a probe 201 of the intraoperative ultrasonic monitoring device 200. The isolation sleeve 201-1 can be a disposable protective sleeve after sterilization, so that the safety and sanitation of clinical use are ensured.
The intraoperative ultrasound monitoring device 200 also includes a probe fixture 202. The probe 201 can be fixed by the probe fixing device 202, and the effect stability of the ultrasonic monitoring process can be ensured in the clinical operation process.
The probe fixture 202 is disposed on a vaginal dilator 203. The probe 201 can be fixed on the vaginal dilator 203 through the probe fixing device 202, and the vaginal dilator 203 can dilate the vagina at the same time, so that the curettage device 11 of the direct-vision abortion uterine curettage device 100 can conveniently enter the uterus through the vagina.
The display system 102 includes 2 displays 102-1; the local video data collected by the direct-vision abortion uterine curettage device 100 and the overall image data collected by the intraoperative ultrasonic monitoring device 200 are respectively displayed on 2 displays 102-1. The design that shows respectively can make clinical in-process, and the medical personnel of different posts can see the information on the different displays as required, and clinical use is more nimble.
The display system 102 includes 1 display 102-1; the local video data collected by the direct-vision abortion uterine curettage device 100 and the overall image data collected by the intraoperative ultrasonic monitoring device 200 are synchronously displayed on 1 display 102-1. The image data can also be displayed on 1 display 102-1 synchronously, and the observation can be carried out synchronously in clinic.
The direct-view abortion uterine curettage system 900 further comprises a flushing system 106; the water inlet 106-1 of the flushing system 106 is connected with an infusion bottle or a bag 7 through a water pipe 106-4, and the water outlet 106-2 of the flushing system 106 is connected with the water inlet 62 of the flushing mechanism 6 of the direct-vision abortion uterine curettage device 100 through a water pipe 106-4. The flushing system 106 can be timely right in the operation process the direct-view abortion uterine curettage device 100 with the electronic protection mechanism and the peripheral tissues are flushed, so that the observation visual field is kept clean, and the operation part can be timely flushed, thereby timely observing whether the embryo tissues are completely cleared from the implantation position, ensuring the completeness of the embryo tissues in the abortion operation process, effectively avoiding the incomplete condition of abortion, and ensuring the safety of the clinical operation process.
The irrigation system 106 is driven using a peristaltic pump 106-3. The peristaltic pump 106-3 may more precisely control the flow and speed of the incoming water. Of course, in practice, a person skilled in the art may also adopt different driving means to drive the flushing system 106 without departing from the scope of protection of the present application.
The direct-view abortion uterine curettage system 900 further comprises a negative pressure aspirator 105; the suction outlet 42 of the negative pressure suction mechanism 4 of the direct-vision abortion uterine curettage device 100 is connected with the negative pressure suction apparatus 105. The direct-view abortion uterine curettage system 900 comprises the negative pressure suction device 105 and the flushing system 106, the negative pressure suction function and the flushing function are integrated on one device, the whole operation process of the direct-view abortion can be completed by only one device, the external negative pressure source and the external flushing system are not needed, the limitation and influence of the external environment on the operation process are greatly reduced, and the application range is very wide.
During clinical use, will attract export 42 and the negative pressure suction apparatus of hospital or the negative pressure pipe connection of medical special negative pressure source, open electrical power generating system 104, direct-view people flows uterine curettage system 900 and begins work, observation mechanism 2 starts, the video signal that observation mechanism 2 gathered passes through can be transmitted to through wired or wireless mode after image processing system 103 handles display system 102 and show on display system 102. Meanwhile, the probe 201 fixed on the vaginal dilator 203 starts to work to acquire data of the whole uterine image, and the acquired data is processed by the image processing system 103 and then transmitted to the display system 102 in a wired or wireless manner and displayed on the display system 102.
Under the observation of the camera 22-1, the direct-vision abortion uterine curettage device 100 enters the uterus along the vagina through the cervical orifice, the implanted embryo tissue is found, then the implanted embryo tissue is stripped from the uterus by the curetter 11 of the uterine curettage mechanism 1, the negative pressure aspirator 105 or the medical special negative pressure source is opened, the stripped embryo tissue and the blood water generated along with the stripped embryo tissue are sucked and discharged out of the body through the suction outlet 42, the flushing system 106 can flush the direct-vision abortion uterine curettage device 100 with the electronic protection mechanism and the peripheral tissues in time in the operation process, and the operation part can be flushed in time while the observation visual field is kept clean.
Until the embryo tissue is completely stripped and sucked out of the body, and the ultrasonic monitoring device 200 confirms that the gestational sac is completely cleaned, namely, the abortion operation is completed.
The direct-view abortion uterine curettage system 900 of the present invention comprises a direct-view abortion uterine curettage device 100, an intraoperative ultrasound monitoring device 200, a display system 102, an image processing system 103, a power supply system 104 and a circuit system 107. The display system 102 at least comprises 1 display 102-1, and the direct-view uterine curettage device 100, the intraoperative ultrasonic monitoring device 200, the display system 102 and the image processing system 103 are connected with the power supply system 104 through the circuit 3. The direct-view abortion uterine curettage device 100 collects video data of an operation part in abortion, and the intraoperative ultrasonic monitoring device 200 collects whole image data of a uterus; the local video data collected by the direct-vision abortion uterine curettage device 100 and the whole image data collected by the intraoperative ultrasonic monitoring device 200 can enable the intraoperative condition of an operation part to be observed in real time in the abortion operation, and can judge whether the abortion operation completely sucks out the pregnant sac through the whole image data. In clinical use, the safe operation of the operation can be ensured, and the cleaning of the induced abortion operation can also be ensured. The clinical application is safer and more reliable.
Drawings
Fig. 1 is a schematic structural view of a direct-view uterine curettage system of the present invention.
Fig. 2 is a structural schematic diagram of the direct-vision abortion uterine curettage device with the lens arranged at the front end of the curettage device.
Fig. 2-1 is a cross-sectional view of fig. 2.
Fig. 2-2 is an enlarged view at a of fig. 2-1.
Fig. 2-3 is an enlarged view at B of fig. 2-1.
Fig. 3 is a schematic structural view of the direct-view uterine curettage device with an electronic protection mechanism of the invention with a rear lens.
Fig. 3-1 is a cross-sectional view of fig. 3.
Fig. 3-2 is an enlarged view at C of fig. 3-1.
Fig. 3-3 is an enlarged view at D of fig. 3-1.
Fig. 4 is a schematic structural diagram of the direct-view abortion uterine curettage device with an electronic protection mechanism, wherein the top of the curettage net is formed into a ring-shaped platform through fixing beads.
Fig. 4-1 is an enlarged view at E of fig. 4.
Fig. 4-2 is a partial cutaway view of fig. 4-1.
Fig. 5 is a structural schematic diagram of the direct-view abortion uterine curettage device with an electronic protection mechanism of the invention, wherein the top of the curettage net is welded to form an annular platform.
Fig. 5-1 is an enlarged view at F of fig. 5.
Fig. 5-2 is a partial cutaway view of fig. 5-1.
Fig. 6 is a structural schematic diagram of the direct-vision abortion uterine curettage device with the electronic protection mechanism, which is provided with the camera and the observation direction of which can be adjusted.
Fig. 6-1 is an enlarged view at G of fig. 6.
Fig. 7 is a structural schematic diagram of the direct-vision abortion uterine curettage device with the electronic protection mechanism of the invention, wherein the working position direction of the curettage device is adjustable.
Fig. 7-1 is an enlarged view at H of fig. 7.
Fig. 8 is a schematic structural view of the direct-view abortion uterine curettage device with electronic protection mechanism of the present invention, in which the observation direction of the camera and the working part direction of the curettage device are adjusted simultaneously.
Fig. 8-1 is an enlarged view at I of fig. 8.
Fig. 9 is a schematic structural view of the direct-view uterine curettage device with an electronic protection mechanism of the present invention when the curettage net is compressed in the sheath tube.
Fig. 10 is a schematic structural diagram of the direct-vision abortion uterine curettage system of the present invention comprising a flushing mechanism.
Fig. 11 is a schematic structural diagram of a direct-vision abortion uterine curettage system of the present invention comprising a negative pressure suction mechanism.
Fig. 12 is a working principle diagram of the direct-vision abortion uterine curettage system of the present invention.
In the above figures:
900 is the direct vision uterine curettage system of the present invention.
100 is a direct-view curettage device, 101 is a shell, 102 is a display system, 103 is an image processing system, 104 is a power supply system, 105 is a negative pressure aspirator, 106 is a flushing system, 107 is a circuit system, 200 is an intraoperative ultrasonic monitoring device, 201 is a probe, 202 is a probe fixing device, and 203 is a vaginal dilator.
102-1 is a display, and 201-1 is an isolation sleeve.
The uterine curettage device 1, the observation device 2, the circuit 3, the signal transmission line 3-1, the negative pressure suction device 4, the operation rod 5, the flushing device 6, the infusion bottle or bag 7, the identification system 8, the protective sleeve 10 and the electronic protection device 30.
11 is a curettage device, 11-3 is a curettage net, and 11-4 is a swing mechanism; 11-31 are curettage wires.
20 is a protective cover, 21 is a lighting module, 22 is a lens module, and 24 is an isolation seat; 22-1 is a camera, and 22-11 is an adjusting mechanism.
30-1 is a protection mechanism, 30-2 is an insulating protection layer, and 30-3 is an insulating glue layer
And 31 is a circuit interface.
Reference numeral 41 denotes a suction inlet, 42 denotes a suction outlet, 43 denotes a suction passage, and 44 denotes a negative pressure control switch.
5-0 is an outer sheath tube, 5-1 is the front end, 5-2 is the rear end, and 5-3 is a tube body; 52 is a handle, and 52-1 is a glue containing groove.
61 is a water outlet, 62 is a water inlet, 63 is a water inlet pipe, and 64 is a flushing switch.
7-1 is a pipeline, and 81 is a graduated scale.
106-1 is a water inlet, 106-2 is a water outlet, 106-3 is a peristaltic pump, and 106-4 is a water pipe.
Detailed Description
Example 1: the present invention relates to a direct-vision uterine curettage system
Referring to fig. 1 to 2-3, the direct-view abortion uterine curettage system of the present embodiment includes a direct-view abortion uterine curettage device 100, an intraoperative ultrasound monitoring device 200, a display system 102, an image processing system 103, a power supply system 104 and a circuit system 107.
Referring to fig. 1 and 12, in the present embodiment, the display system 102 includes 2 displays 102-1, the wiring system 107 includes a circuit 3 and a signal transmission line 3-1, and in the present embodiment, the circuit 3 and the signal transmission line 3-1 are designed as a whole. The circuit 3 and the signal transmission line 3-1 of the wiring system 107 may also be provided separately as needed.
The video data collected by the direct-view abortion uterine curettage device 100 is processed by the image processing system 103 and then output to the display 102-1 through the signal transmission line 3-1 for display.
Referring to fig. 1, the intraoperative ultrasonic monitoring device 200 at least includes 1 probe 201, and a signal detected by the probe 201 is processed by the image processing system 103 and then output through the signal transmission line 3-1 to be displayed on the display 102-1.
The direct-view abortion uterine curettage device 100, the intraoperative ultrasound monitoring device 200, the display system 102, and the image processing system 103 are connected via the circuit 3 and the power supply system 104.
The direct-view abortion uterine curettage device 100 collects video data of an operation part in abortion, and the intraoperative ultrasonic monitoring device 200 collects whole image data of a uterus; the local video data collected by the direct-vision abortion uterine curettage device 100 and the whole image data collected by the intraoperative ultrasonic monitoring device 200 can enable the intraoperative condition of an operation part to be observed in real time in the abortion operation, and can judge whether the abortion operation completely sucks out the pregnant sac through the whole image data.
Referring to fig. 3 to 5-2, the direct-view abortion uterine curettage device 100 comprises a uterine curettage mechanism 1, an observation module 2, a line system 107, a negative pressure suction mechanism 4 and an operation rod 5.
The observation module 2 comprises an illumination module 21 and a lens module 22; the lighting module 21 and the lens module 22 are arranged at the front end of the operating rod 5 and are arranged in the protective cover 20; the image and video observed by the lens module 22 are input into the image processing system 103 through the signal transmission line 3-1 of the circuit system 107 for processing, and then output through the signal transmission line 3-1; the observation module 2 is connected to the power supply system 104 via the circuit 3 of the line system 107;
the uterine curettage mechanism 1 comprises at least 1 curettage device 11, and the curettage device 11 is arranged at the front end of the operating rod 5.
The negative pressure suction mechanism 4 includes a suction inlet 41, a suction outlet 42, and a suction passage 43; the introduction port 41 is provided at the front end of the operating lever 5; the suction outlet 42 is provided at the rear end of the operation lever 5, and the suction passage 43 is provided in the operation lever 5.
The rear end 5-2 of the operating rod 5 is provided with a handle 52; the front end 5-1 of the operating rod 5 is provided with an observation module 2 and a uterine curettage mechanism 1; the tube body 5-3 of the operating rod 5 contains the line system 107 and the negative pressure suction mechanism 4; the image processing system 103 is arranged in the handle 52.
Referring to fig. 3 to 5-2, in the present embodiment, the camera 22-1 of the lens module 22 is disposed at the rear end of the curettage device 11, and the curettage device 11 is located in the visual field of the camera 22-1. The technical scheme that the camera 22-1 is arranged at the rear can ensure that the curettage device 11 is completely positioned in the visual field range of the camera 22-1, and because the observation angle of the camera 22-1 faces the front of an operation area, an observation blind area cannot exist in the process, and accidental injuries to the uterus and accessories caused by untimely observation are avoided. Meanwhile, the curettage device 11 is positioned in front of the camera 22-1, so that the curettage device 11 does not have an operation dead angle due to shielding generated by the height of the lens module 22, embryo tissues can be completely removed from the implantation at any position of the uterus, especially for the implantation position near the oviduct orifice, namely the uterine fundus, the curettage device 11 can also easily remove the embryo tissues, the incomplete human flow condition can not occur in the operation process, and the cleaning is completed under direct vision, so that the accidental injury of the uterine fundus due to overlarge operation action can not be caused, the injury to the uterine fundus can be well avoided, and serious medical accidents such as uterine perforation and the like can not occur. Therefore, the technical scheme of the rear camera ensures that the clinical operation process of the induced abortion is safer and more effective.
The curettage device 11 is a curettage net 11-3. The camera 22-1 can directly observe the situation behind the scraping net 11-3 from the net-shaped gap, and the whole process of the operation process and the panoramic observation of the operation area can be realized even if the scraping net 11-3 is not made of transparent materials.
Referring to fig. 4-1 and 5-1, in the present embodiment, the scraping net 11-3 is formed by winding and combining 2 scraping wires 11-31, and is in a cross shape. The crisscross structure is designed, so that the implanted tissue can be scraped from the implanted position by slightly rotating the scraping net 11-3.
The scraping wires 11-31 of the scraping net 11-3 can be made of materials with various shapes such as wire materials, thin tube materials, sheet materials and the like.
Referring to fig. 4-5-2, to ensure the cleaning effect of the tips of the filaments 11-31, they are typically formed as a circular platform at the tip.
In practical applications, the scraping net 11-3 may be formed by winding 1 scraping wire 11-31 or by winding a plurality of scraping wires 11-31 and then stacking them, and the scraping net 11-3 may be made into any shape, which is not illustrated herein by the applicant without departing from the scope of the present application.
The curettage device 11 of the uterine curettage mechanism 1 can also be a woven mesh made of wires. The design of the soft mesh grid ensures that the force applied in the embryo implantation scraping process is more soft and uniform, and the damage to the uterus is less.
Referring to fig. 9, the curettage net 11-3 of the curettage device 11 of the curettage mechanism 1 can be compressed inside the sheath tube 5-0; the scraping net 11-3 can prop open the uterus after releasing expansion from the outer sheath tube 5-0, and the observation visual field is enlarged. The curettage net 11-3 of the curettage device 11 of the uterine curettage mechanism 1 can be compressed in the sheath tube 5-0, and when the constraint of the sheath tube 5-0 is removed backwards, the curettage net 11-3 can completely or basically restore the shape before compression. When the uterine curettage device is used clinically, the curettage net 11-3 can be folded into the outer sheath tube 5-0, the curettage net 11-3 is released by retreating the outer sheath tube 5-0 after the uterine curettage device enters a uterus through a cervix, and the curettage net 11-3 is unfolded, so that embryonic tissues can be removed. Meanwhile, as the scraping net 11-3 is unfolded, the uterus at the front end of the camera 22-1 can be unfolded, the observation visual field is expanded, the operation part and the peripheral tissues can be better observed in the clinical use process, and the observation effect in the clinical use process is very good. The scraping wires 11-31 of the scraping net 11-3 can be made of materials with various shapes such as wire materials, thin tube materials, sheet materials and the like.
Referring to fig. 2-3, in practice, the camera 22-1 may also be disposed at the front end, inside, or other portions of the curettage device 11.
When the camera 22-1 of the lens module 22 can be arranged at the front end of the curettage device 11. The camera 22-1 can directly observe the working state of the suction inlet 41 of the negative pressure suction mechanism 4, and determine that the stripped implantation tissue is sucked and discharged out of the body by the negative pressure suction mechanism 4.
The tube body 5-3 of the operating rod 5 at least comprises 2 cavities; the circuit 3 is arranged in the 1 st cavity tube, and the 2 nd cavity tube forms or is provided with a suction channel 43 of the negative pressure suction mechanism 4. Due to the design of the double-cavity channel, the circuit 3 can be isolated from blood, tissue fluid and other liquids possibly generated in an operation, potential safety hazards such as short circuit and electric leakage can be better avoided in the using process, and the clinical using process is safer.
Referring to fig. 3 and 4, the negative pressure suction mechanism 4 is provided with a negative pressure control switch 44 capable of controlling a negative pressure state. The negative pressure control switch 44 can turn on or off the negative pressure suction mechanism 4, and can adjust the negative pressure suction force of the negative pressure suction mechanism 4 according to the amount of stripped tissues, blood and tissue fluid in the uterus during the operation. When the negative pressure suction device is used clinically, doctors can conveniently adjust the negative pressure suction force required by the doctors, so that the situation that stripped tissues cannot be sucked out timely due to too small negative pressure suction force is avoided, and accidental injuries of tissues such as endometrium and the like due to too large negative pressure are avoided.
The negative pressure control switch 44 is provided on the handle 52 of the operation lever 5. The negative pressure control switch 44 is arranged on the handle 52, so that medical staff can operate the negative pressure control switch with one hand during clinical use, and the use process is more convenient.
The protective cover 20 of the observation mechanism 2 is provided with a coating. The coating can select hydrophobic coating, and liquid such as bloody water can be fast like this fall after condensing into the water droplet on protection casing 20, also can select hydrophilic coating, and liquid such as bloody water can be fast like this form transparent water film on protection casing 20 surface, can not shelter from camera 22-1.
The circuit 3 is provided with an electrical interface 31 for connection to a host computer. The direct-view abortion uterine curettage device 100 is connected with a host and a power supply through the electrical interface 31.
Referring to fig. 2 to 3-3, in the present embodiment, the direct-view uterine curettage device 100 includes an electronic protection mechanism 30; the electronic protection mechanism 30 is disposed outside the observation module 2 and/or the circuit 3, and performs waterproof, gas-proof, and insulation protection on electronic components of the observation module 2 and/or the circuit 3.
Set up observation module 2 with circuit 3's outside electron protection mechanism 30 can be right observation module 2 with circuit 3's electronic components carries out waterproof, gas-proof, insulation protection, effectively prevents that the normal work of electronic components is influenced to the bloody water or tissue fluid that produce among the operation process, guarantees the normal clear of operation, and clinical operation process is safer.
The electronic protection mechanism 30 is a protection mechanism 30-1 disposed around the illumination module 21 and the lens module 22, or an insulating protection layer 30-2 disposed outside the circuit 3, or an insulating adhesive layer 30-3 disposed in the handle 52 for protecting the image processing system 103.
The protection mechanism 30-1 is formed by arranging a protection cover 20 at the front ends of the illumination module 21 and the lens module 22, arranging an isolation seat 24 at the rear side of the illumination module 21 and the lens module 22, forming a closed space by adhering the protection cover 20, the isolation seat 24 and the tube body 5-3 and the like, completely isolating the illumination module 21 and the lens module 22 from human tissues, and ensuring that blood or tissue fluid generated in the operation process cannot influence the normal work of the illumination module 21 and the lens module 22.
The waterproof and insulating protective layer 30-2 is arranged outside the circuit 3, so that accidents such as short circuit and the like caused by bloody water or tissue fluid generated in the operation process can be effectively avoided.
The image processing system 103 is arranged in the handle 52, glue filling processing is carried out on the periphery of the image processing system 103 to form the insulating glue layer 30-3, the image processing system 103 and the periphery of the circuit 3 are completely sealed and isolated, and the waterproof, gas-proof and insulating protection purposes are achieved.
In practical application, one or more of the protection mechanism 30-1, the insulating protection layer 30-2 and the insulating adhesive layer 30-3 can be used in combination according to requirements to comprehensively protect electronic components of the direct-view abortion uterine curettage device with the electronic protection mechanism from water, gas and insulation.
Further, a glue containing groove 52-1 is formed in the handle 52, the image processing system 103 is arranged in the glue containing groove 52-1, and the insulating glue layer 30-3 is poured into the glue containing groove 52-1 to protect the image processing system 103. The glue containing groove 52-1 can be used for pouring glue conveniently, and the actual use process is very convenient.
Referring to fig. 6, 7 and 8, in the present embodiment, the direct-view uterine curettage device 100 further comprises an identification system 8. The identification system 8 may prompt the depth of the joystick 5 into the body. The marking system 8 may be a graduated scale 81 disposed outside the operating rod 5, or may be other marking methods, which the applicant does not intend to describe in detail herein, but do not depart from the scope of the present application.
The direct-vision abortion uterine curettage device 100 further comprises a protective sleeve 10. The protective sleeve 10 is arranged at the front end 5-1 of the operating rod 5, so that the protective cover 20 and the pipe body 5-3 around the camera 22-1 can be protected from being scratched or damaged in the transportation and storage processes, and the observation effect in the clinical use process can be better ensured.
Referring to fig. 10, the probe 201 of the intraoperative ultrasonic monitoring device 200 may be externally provided with an isolation sleeve 201-1. The isolation sleeve 201-1 can be a disposable protective sleeve after sterilization, so that the safety and sanitation of clinical use are ensured.
The intraoperative ultrasound monitoring device 200 also includes a probe fixture 202. The probe 201 can be fixed by the probe fixing device 202, and the effect stability of the ultrasonic monitoring process can be ensured in the clinical operation process.
Referring to fig. 1, in the present embodiment, the probe fixture 202 is disposed on a vaginal dilator 203, and the lower duckbill of the vaginal dilator 203 constitutes the probe fixture 202. The probe 201 can be fixed on the vaginal dilator 203 through the probe fixing device 202, and the vaginal dilator 203 can dilate the vagina at the same time, so that the curettage device 11 of the direct-vision abortion uterine curettage device 100 can conveniently enter the uterus through the vagina.
In this embodiment, the display system 102 includes 2 displays 102-1; the local video data collected by the direct-vision abortion uterine curettage device 100 and the overall image data collected by the intraoperative ultrasonic monitoring device 200 are respectively displayed on 2 displays 102-1. The design that shows respectively can make clinical in-process, and the medical personnel of different posts can see the information on the different displays as required, and clinical use is more nimble.
In practical applications, the local video data collected by the direct-view abortion uterine curettage device 100 and the whole image data collected by the intraoperative ultrasonic monitoring device 200 can be synchronously displayed on 1 display 102-1, so that synchronous observation in clinic is facilitated.
Referring to fig. 12, in clinical use, the suction outlet 42 is connected to a negative pressure suction apparatus of a hospital or a negative pressure tube of a medical special negative pressure source, the power supply system 104 is turned on, the direct-view abortion uterine curettage system 900 starts to work, the observation mechanism 2 is started, and a video signal collected by the observation mechanism 2 is processed by the image processing system 103 and then transmitted to the display system 102 in a wired or wireless manner, and is displayed on the display system 102. Meanwhile, the probe 201 fixed on the vaginal dilator 203 starts to work to acquire data of the whole uterine image, and the acquired data is processed by the image processing system 103 and then transmitted to the display system 102 in a wired or wireless manner and displayed on the display system 102.
Under the observation of the camera 22-1, the direct-vision abortion uterine curettage work 100 enters the uterus along the vagina through the cervical orifice, the implanted embryo tissue is found, then the implanted embryo tissue is stripped from the uterus by the curetter 11 of the uterine curettage mechanism 1, the negative pressure aspirator 105 or the medical special negative pressure source is opened, the stripped embryo tissue and the blood water generated therewith are sucked and discharged out of the body through the suction outlet 42 until the embryo tissue is completely stripped and sucked and discharged out of the body, and the intra-operative ultrasound monitoring device 200 confirms that the pregnant sac is completely cleaned, namely, the abortion operation is completed.
The direct-view abortion uterine curettage system provided by the invention utilizes the cooperation of the direct-view abortion uterine curettage device 100 and the intraoperative ultrasonic monitoring device 200 to observe the operation part of an abortion operation in real time and acquire real-time video and image data by utilizing the direct-view abortion uterine curettage device 100, and utilizes the intraoperative ultrasonic monitoring device 200 to acquire the whole image data of the uterus, so as to further confirm whether residual gestational sac in the uterus is not sucked out or not. The clinical application is safer and more reliable.
Example 2: viewing direction adjustable direct-view abortion uterine curettage system of the invention
Referring to fig. 6 to 8-1, the present embodiment is different from embodiment 1 in that, in the present embodiment, the camera 22-1 of the lens module 22 is disposed inside the curettage device 11.
Referring to fig. 6, 7 and 8, in the present embodiment, the camera 22-1 of the lens module 22 is disposed inside the curettage device 11.
Referring to fig. 6 and 6-1, the viewing direction of the camera 22-1 of the lens module 22 can be adjusted.
By adjusting the observation direction of the camera 22-1, the working state and the surrounding tissue condition of the curettage device 11 can be observed in all directions, particularly the implantation position of the embryo can be found quickly, and the observation effect is more comprehensive in clinical use.
The adjusting mechanism 22-11 for adjusting the observing direction of the camera 22-1 is arranged on the handle 52. The adjusting mechanism 22-11 is arranged on the handle 52, so that the observing direction of the camera 22-1 can be conveniently adjusted outside the body in clinical use, and the operation is simpler.
Referring to fig. 7 and 7-1, in this embodiment, the working site direction of the curettage device 11 is also adjustable. The working position direction of the curettage device 11 can be adjusted according to the needs, the curettage device can better adapt to the structural shape in the uterus, and the curettage device has better cleaning effect on the parts which are difficult to clean, such as the corners of the uterus and the like.
The oscillating mechanism 11-4 of the curettage device 11 for adjusting the direction of the working position is arranged on the handle 52. The swinging mechanism 11-4 is arranged on the handle 52, so that the working direction of the working part of the curettage device 11 can be conveniently adjusted outside the body in clinical use, and the operation is simpler.
In practical applications, the clinician can adjust only the viewing direction of the camera 22-1 or the working site direction of the curettage device 11 as needed, or can adjust both the viewing direction of the camera 22-1 and the working site direction of the curettage device 11.
Referring to fig. 8 and 8-1, when the viewing direction of the camera 22-1 and the working site direction of the curettage device 11 are adjusted simultaneously, the adjusting mechanism 22-11 and the swinging mechanism 11-4 may be combined into one mechanism provided on the handle 52, that is, the viewing direction of the camera 22-1 and the working site direction of the curettage device 11 are adjusted simultaneously by the same adjusting mechanism.
In this embodiment, since the observing direction of the camera 22-1 and the working position direction of the curettage device 11 can be adjusted, the clinical effect is better for the corners which are difficult to be cleaned and observed in clinical use.
Example 3: the direct-vision abortion uterine curettage system of the present invention comprises a washing system
Referring to fig. 10, the difference from the embodiment 1 is that in this embodiment, the direct-vision uterine curettage system 900 further comprises a flushing system 106.
Referring to fig. 3 and 4, in the present embodiment, the direct-vision abortion uterine curettage device 100 further comprises a washing mechanism 6. In the operation process, the flushing mechanism 6 can flush the interior of the uterus, and can timely flush the blood at the front end of the camera 22-1 completely, so that the observation visual field is kept clean. Meanwhile, the flushing mechanism 6 can also flush the curettage device 11 and the uterine wall in time, and particularly can flush the operation part in time, so that whether the embryonic tissue is completely cleared from the implantation position or not can be observed in time, the completeness of the embryonic tissue in the abortion operation process is ensured, the incomplete abortion condition is effectively avoided, and the clinical operation process is safer.
The tube body 5-3 of the operating rod 5 is a three-cavity tube; the circuit 3 is arranged in the 1 st cavity tube, the 2 nd cavity tube forms or is provided with the suction channel 43 of the negative pressure suction mechanism 4, and the 3 rd cavity tube forms or is provided with a water inlet pipeline 63 of the flushing mechanism 6. The design of three chamber passageways can separate the irrigation passageway and the suction passageway while guaranteeing that circuit 3 is kept apart the protection, can guarantee better like this that there is not the tissue or the liquid of suction to get back to the uterus in the in-process of washing, and the use is more efficient, safety.
The water outlet 61 of the flushing mechanism 6 is provided with at least one water outlet 61 which can spray water to flush and clean the protective cover 20 of the observation module 2. The washing mechanism 6 can timely wash the protective cover 20 of the observation mechanism 2, so that the observation effect of the observation mechanism 2 is ensured.
In this embodiment, the flushing mechanism 6 is provided with a flush switch 64 for controlling the flushing water flow. The flush switch 64 can turn the flushing mechanism 6 on and off and can control the amount of flushing water and the flushing pressure. In the clinical use process, a clinician can open or close the flushing mechanism 6 according to the actual needs of the operation process, and simultaneously selects the proper size and pressure of the flushing water flow according to the needs, so that the clinical use process is more convenient.
The flush switch 64 is provided on the handle 52 of the operating lever 5. The flushing switch 64 is arranged on the handle 52, so that medical staff can operate the flushing device with one hand during clinical use, and the use process is more convenient.
The water inlet 106-1 of the flushing system 106 is connected with an infusion bottle or a bag 7 through a water pipe 106-4, and the water outlet 106-2 of the flushing system 106 is connected with the water inlet 62 of the flushing mechanism 6 of the direct-vision abortion uterine curettage device 100 through a water pipe 106-4. The flushing system 106 can be timely right in the operation process the direct-view abortion uterine curettage device 100 with the electronic protection mechanism and the peripheral tissues are flushed, so that the observation visual field is kept clean, and the operation part can be timely flushed, thereby timely observing whether the embryo tissues are completely cleared from the implantation position, ensuring the completeness of the embryo tissues in the abortion operation process, effectively avoiding the incomplete condition of abortion, and ensuring the safety of the clinical operation process.
Referring to fig. 10, the irrigation system 106 is driven using a peristaltic pump 106-3. The peristaltic pump 106-3 may more precisely control the flow and speed of the incoming water. Of course, in practice, a person skilled in the art may also adopt different driving means to drive the flushing system 106 without departing from the scope of protection of the present application.
In this embodiment, the flushing system 106 can flush the direct-view abortion uterine curettage device 100 and the surrounding tissues in time during the operation, so as to ensure that the observation field of vision is kept clean and the operation site can be flushed in time, thereby ensuring safer clinical use.
Example 4: the present invention relates to a direct-vision abortion uterine curettage system comprising a negative pressure suction device
Referring to fig. 11, the difference between the direct-view uterine curettage system of this embodiment and embodiment 3 is that, in this embodiment, the direct-view uterine curettage system 900 further includes a negative pressure suction device 105.
In this embodiment, the suction outlet 42 of the negative pressure suction mechanism 4 of the uterine curettage device 100 with direct vision is connected to the negative pressure suction unit 105; the water inlet 106-1 of the flushing system 106 is connected with an infusion bottle or a bag 7 through a pipeline 7-1, and the water outlet 106-2 of the flushing system 106 is connected with the water inlet 62 of the flushing mechanism 6 through a pipeline 7-1.
In clinical use, the suction outlet 42 of the negative pressure suction mechanism 4 and the negative pressure aspirator 105 are connected, and the negative pressure aspirator 105 can continuously suck and discharge tissues peeled off in an operation and blood water generated in the operation out of the body during the operation.
The direct-view abortion uterine curettage system with the flushing mechanism comprises the negative pressure suction device 105 and the flushing system 106, the negative pressure suction function and the flushing function are integrated on one device, the whole operation process of the direct-view abortion can be completed by one device, the external negative pressure source and the external flushing system are not needed, the limitation and influence of the external environment on the operation process are greatly reduced, and the application range is very wide.
It should be noted that structures disclosed and illustrated herein may be replaced by other structures having the same effect, and the described embodiments of the invention are not the only structures for carrying out the invention. Although preferred embodiments of the present invention have been shown and described herein, it will be apparent to those skilled in the art that these embodiments are by way of example only and that numerous changes, modifications and substitutions may be made without departing from the invention by those skilled in the art, and it is intended that the scope of the invention be defined by the spirit and scope of the appended claims.

Claims (35)

1. Direct-view abortion uterine curettage system, its characterized in that: the direct-view abortion uterine curettage system (900) comprises a direct-view abortion uterine curettage device (100), an intraoperative ultrasonic monitoring device (200), a display system (102), an image processing system (103), a power supply system (104) and a circuit system (107);
A. the display system (102) comprises at least 1 display (102-1); the line system (107) comprises a circuit (3) and a signal transmission line (3-1);
B. video data collected by the direct-view people stream uterine curettage device (100) is processed by the image processing system (103) and then is output by the signal transmission line (3-1) to be displayed on the display (102-1);
C. the intraoperative ultrasonic monitoring device (200) at least comprises 1 probe (201), and signals detected by the probe (201) are processed by the image processing system (103) and then output by the signal transmission line (3-1) to be displayed on the display (102-1);
D. the direct-view abortion uterine curettage device (100), the intraoperative ultrasound monitoring device (200), the display system (102), and the image processing system (103) are connected with the power supply system (104) through the circuit (3);
E. the direct-view abortion uterine curettage device (100) collects video data of an operation part in abortion, and the intraoperative ultrasonic monitoring device (200) collects whole image data of a uterus; local video data collected by the direct-vision abortion uterine curettage device (100) and overall image data collected by the intraoperative ultrasonic monitoring device (200) can enable intraoperative conditions of an operation part to be observed in real time in the abortion operation, and whether the pregnancy sac is completely sucked out or not can be judged through the overall image data.
2. The direct-view abortion uterine curettage system of claim 1, wherein: the direct-view abortion uterine curettage device (100) comprises a uterine curettage mechanism (1), an observation module (2), a circuit system (107), a negative pressure suction mechanism (4) and an operating rod (5);
A. the observation module (2) comprises an illumination module (21) and a lens module (22); the lighting module (21) and the lens module (22) are arranged at the front end of the operating rod (5) and are arranged in the protective cover (20); images and videos observed by the lens module (22) are input into the image processing system (103) through a signal transmission line (3-1) of the circuit system (107) for processing, and then are output through the signal transmission line (3-1); the observation module (2) is connected to the power supply system (104) via the circuit (3) of the line system (107);
B. the uterine curettage mechanism (1) comprises at least 1 curettage device (11), and the curettage device (11) is arranged at the front end of the operating rod (5);
C. the negative pressure suction mechanism (4) comprises a suction inlet (41), a suction outlet (42) and a suction channel (43); the lead-in port (41) is arranged at the front end of the operating rod (5); the suction outlet (42) is arranged at the rear end of the operating rod (5), and the suction channel (43) is arranged in the operating rod (5);
D. the rear end (5-2) of the operating rod (5) is provided with a handle (52); the front end (5-1) of the operating rod (5) is provided with an observation module (2) and a uterine curettage mechanism (1); the tube body (5-3) of the operating rod (5) contains the circuit system (107) and the negative pressure suction mechanism (4); the image processing system (103) is arranged in the handle (52).
3. The direct-view abortion uterine curettage system of claim 2, wherein: the camera (22-1) of the lens module (22) is arranged at the rear end of the curettage device (11), and the curettage device (11) is positioned in the visual field of the camera (22-1).
4. The direct-view abortion uterine curettage system of claim 2, wherein: the curettage device (11) is a curettage net (11-3).
5. The direct-view abortion uterine curettage system of claim 4, wherein: the curettage net (11-3) of the curettage device (11) of the curettage mechanism (1) can be compressed in the sheath tube (5-0); the scraping net (11-3) can prop open the uterus after releasing expansion from the outer sheath tube (5-0), and the observation visual field is enlarged.
6. The direct-view abortion uterine curettage system of claim 2, wherein: the camera (22-1) of the lens module (22) is arranged at the front end of the curettage device (11).
7. The direct-view abortion uterine curettage system of claim 2, wherein: the camera (22-1) of the lens module (22) is arranged inside the curettage device (11).
8. The direct-view abortion uterine curettage system of claim 2, wherein: the observation direction of a camera (22-1) of the lens module (22) can be adjusted.
9. The direct-view abortion uterine curettage system of claim 8, wherein: the adjusting mechanism (22-11) for adjusting the observation direction of the camera (22-1) is arranged on the handle (52).
10. The direct-view abortion uterine curettage system of claim 2, wherein: the direction of the working position of the curettage device (11) can be adjusted.
11. The direct-view abortion uterine curettage system of claim 10, wherein: the oscillating mechanism (11-4) of the curettage device (11) for adjusting the direction of the working position is arranged on the handle (52).
12. The direct-view abortion uterine curettage system of claim 2, wherein: the observation direction of a camera (22-1) of the lens module (22) and the direction of the working part of the curettage device (11) can be adjusted simultaneously.
13. The direct-view abortion uterine curettage system of claim 2, wherein: the tube body (5-3) of the operating rod (5) at least comprises 2 cavities; the circuit (3) is arranged in the 1 st cavity tube, and the 2 nd cavity tube forms or is provided with a suction channel (43) of the negative pressure suction mechanism (4).
14. The direct-view abortion uterine curettage system of claim 2, wherein: the direct-vision abortion uterine curettage device (100) further comprises a flushing mechanism (6).
15. The direct-view abortion uterine curettage system of claim 14, wherein: the tube body (5-3) of the operating rod (5) is a three-cavity tube; the circuit (3) is arranged in the 1 st cavity tube, the suction channel (43) of the negative pressure suction mechanism (4) is formed or arranged in the 2 nd cavity tube, and the water inlet pipeline (63) of the flushing mechanism (6) is formed or arranged in the 3 rd cavity tube.
16. The direct-view abortion uterine curettage system of claim 14, wherein: the water outlet (61) of the flushing mechanism (6) of the direct-vision induced abortion uterine curettage device (100) with the electronic protection mechanism is provided with at least one water outlet (61) which can spray water to flush and clean the protective cover (20) of the observation module (2).
17. The direct-view abortion uterine curettage system of claim 14, wherein: the flushing mechanism (6) is provided with a flushing switch (64) for controlling flushing water flow.
18. The direct-view abortion uterine curettage system of claim 17, wherein: the flushing switch (64) is arranged on the handle (52) of the operating rod (5).
19. The direct-view abortion uterine curettage system of claim 2, wherein: the negative pressure suction mechanism (4) is provided with a negative pressure control switch (44) capable of controlling the negative pressure state.
20. The direct-view abortion uterine curettage system of claim 19, wherein: the negative pressure control switch (44) is arranged on a handle (52) of the operating rod (5).
21. The direct-view abortion uterine curettage system of claim 2, wherein: and a coating is arranged on the protective cover (20) of the observation mechanism (2).
22. The direct-view abortion uterine curettage system of claim 1, wherein: the circuit (3) is provided with an electrical interface (31) connected with a host computer.
23. The direct-view abortion uterine curettage system of claim 2, wherein: the direct-view uterine curettage device (100) comprises an electronic protection mechanism (30); the electronic protection mechanism (30) is arranged outside the observation module (2) and/or the circuit (3) and used for carrying out waterproof, gas-proof and insulation protection on electronic components of the observation module (2) and/or the circuit (3). .
24. The direct-view abortion uterine curettage system of claim 23, wherein: the electronic protection mechanism (30) is a protection mechanism (30-1) arranged at the periphery of the lighting module (21) and the lens module (22), or an insulating protection layer (30-2) arranged outside the circuit (3), or an insulating glue layer (30-3) arranged in the handle (52) and used for protecting the image processing system (103).
25. The direct-view abortion uterine curettage system of claim 24, wherein: a glue containing groove (52-1) is formed in the handle (52), the image processing system (103) is arranged in the glue containing groove (52-1), and the insulating glue layer (30-3) is filled in the glue containing groove (52-1) to protect the image processing system (103).
26. The direct-view abortion uterine curettage system of claim 2, wherein: the direct-view abortion uterine curettage device (100) further comprises an identification system (8).
27. The direct-view abortion uterine curettage system of claim 2, wherein: the direct-vision abortion uterine curettage device (100) further comprises a protective sleeve (10).
28. The direct-view abortion uterine curettage system of claim 1, wherein: an isolation sleeve (201-1) is arranged outside a probe (201) of the intraoperative ultrasonic monitoring device (200).
29. The direct-view abortion uterine curettage system of claim 1, wherein: the intraoperative ultrasound monitoring device (200) also includes a probe fixation device (202).
30. The direct view uterine curettage system of claim 29, wherein: the probe fixing device (202) is arranged on the vaginal dilator (203).
31. The direct-view abortion uterine curettage system of claim 1, wherein: the display system (102) comprises 2 displays (102-1); local video data collected by the direct-vision abortion uterine curettage device (100) and overall image data collected by the intraoperative ultrasonic monitoring device (200) are respectively displayed on 2 displays (102-1).
32. The direct-view abortion uterine curettage system of claim 1, wherein: the display system (102) comprises 1 display (102-1); local video data collected by the direct-vision abortion uterine curettage device (100) and overall image data collected by the intraoperative ultrasonic monitoring device (200) are synchronously displayed on 1 display (102-1).
33. The direct-view abortion uterine curettage system of claim 1, wherein: the direct-view uterine curettage system (900) also comprises a flushing system (106); the water inlet (106-1) of the flushing system (106) is connected with an infusion bottle or a bag (7) through a water pipe (106-4), and the water outlet (106-2) of the flushing system (106) is connected with the water inlet (62) of the flushing mechanism (6) of the direct-vision induced abortion uterine curettage device (100) through the water pipe (106-4).
34. The direct-view abortion uterine curettage system of claim 33, wherein: the flushing system (106) is driven by a peristaltic pump (106-3).
35. The direct-view abortion uterine curettage system of claim 1, wherein: the direct-view abortion uterine curettage system (900) further comprises a negative pressure aspirator (105); the suction outlet (42) of the negative pressure suction mechanism (4) of the direct-vision induced abortion uterine curettage device (100) is connected with the negative pressure suction apparatus (105).
CN201911426041.6A 2019-12-31 2019-12-31 Direct-vision induced abortion uterine curettage system Pending CN113116482A (en)

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CN114504367A (en) * 2022-03-07 2022-05-17 上海宇度医学科技股份有限公司 Visual suction device
CN116687534B (en) * 2023-08-02 2023-11-07 新光维医疗科技(苏州)股份有限公司 Insertion assembly and endoscope

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US6210330B1 (en) * 1999-08-04 2001-04-03 Rontech Medical Ltd. Apparatus, system and method for real-time endovaginal sonography guidance of intra-uterine, cervical and tubal procedures
CN201019726Y (en) * 2007-04-14 2008-02-13 徐州雷奥医疗设备有限公司 Omnidistance visible uterine cavity endoscopic device
CN201790883U (en) * 2010-04-09 2011-04-13 无锡中大影像科技有限公司 Numerical control superconduction visual gynecological surgical apparatus
CN202288422U (en) * 2011-10-28 2012-07-04 刘桐言 Novel uterine curettage device
CN202776500U (en) * 2012-07-09 2013-03-13 珠海康莱福医用科技有限公司 Visual abortion operation equipment
US10335233B2 (en) * 2013-06-28 2019-07-02 Biolitec Unternehmensbeteilligungs Ii Ag Myoma/polyp in-office treatment with lasers
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