CN114159290A - Cervix maturation promoting device with visual control function - Google Patents

Cervix maturation promoting device with visual control function Download PDF

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Publication number
CN114159290A
CN114159290A CN202111512185.0A CN202111512185A CN114159290A CN 114159290 A CN114159290 A CN 114159290A CN 202111512185 A CN202111512185 A CN 202111512185A CN 114159290 A CN114159290 A CN 114159290A
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China
Prior art keywords
cavity
infusion
sets
tube
transfusion
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Granted
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CN202111512185.0A
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Chinese (zh)
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CN114159290B (en
Inventor
丁祺
孙亚楠
安静
常春
赵兴楠
王仲敏
梁磊
刘丽爽
李明明
耿松珊
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980th Hospital of the Joint Logistics Support Force of PLA
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980th Hospital of the Joint Logistics Support Force of PLA
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Priority to CN202111512185.0A priority Critical patent/CN114159290B/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H21/00Massage devices for cavities of the body, e.g. nose, ears and anus ; Vibration or percussion related aspects A61H23/00
    • 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
    • A61B17/42Gynaecological or obstetrical instruments or methods

Abstract

The invention discloses a cervical ripening promoting device with a visual control function, and relates to the field of medical devices. The following scheme is proposed, which comprises a transfusion tube, wherein a primary transfusion cavity, a secondary transfusion cavity and an observation cavity are arranged in the transfusion tube, a near-end balloon and a far-end balloon are fixedly connected to the transfusion tube, an endoscope is inserted into the observation cavity, and a transfusion mechanism for transfusion and a detection mechanism for detecting the pressure in the near-end balloon and the far-end balloon are further arranged on the transfusion tube. The endoscope and the cervical balloon are combined to observe the internal condition of a patient during cervical balloon dilatation, so that medical staff can conveniently deal with emergency situations in time; according to the invention, the detection mechanism is arranged to facilitate medical staff to judge the balloon condition, and by comparing the two groups of detection assemblies, the situation that the medical staff injects the same balloon continuously due to negligence can be avoided, and meanwhile, the detection assemblies can facilitate the detection of the device tightness before the operation, so that the device safety is improved.

Description

Cervix maturation promoting device with visual control function
Technical Field
The invention relates to the field of medical devices, in particular to a cervical ripening promoting device with a visual control function.
Background
After the female reaches the expected delivery period, if the woman still does not give birth, the method of manual intervention is generally selected for induced delivery, and the methods for induced delivery are various, wherein the cervical sacculus induced delivery is a more common method. Generally, a balloon filled with water is placed above the internal opening of the cervix, and the gravity of the balloon can press the cervix to cause the shortening of the cervical canal and the expansion of the uterine opening, and meanwhile, uterine contraction can be started to a certain degree.
Because the operation in the vagina needs to be carried out to the cervical sacculus, and will place the sacculus in the palace chamber, can increase the risk of infection, arouse the premature rupture of fetal membranes and increase the risk of abnormal bleeding simultaneously easily, and can't observe the internal situation when carrying out cervical sacculus dilatation, the operation risk of cervical sacculus dilatation has been improved, carry out cervical sacculus dilatation messenger and need inject normal saline to two sacculus within a definite time and make it bloated, because can't learn the internal situation, lead to being difficult to hold the sacculus size, the condition of continuous injection to same sacculus because medical personnel's carelessness can take place simultaneously.
Disclosure of Invention
Objects of the invention
In view of this, the present invention provides a cervical ripening apparatus with visual control function, so as to reduce the risk of cervical ripening operation and facilitate medical care personnel to control the operation process.
(II) technical scheme
In order to achieve the technical purpose, the invention provides a cervical ripening device with a visual control function, which comprises the following components:
the device comprises a transfusion tube, the two ends of the transfusion tube are sealed, a first-level transfusion cavity, a second-level transfusion cavity and an observation cavity are arranged in the transfusion tube, the first-level transfusion cavity and the second-level transfusion cavity are symmetrically arranged on two sides of the observation cavity, one end of the observation cavity penetrates through the transfusion tube and is communicated with the outside, a near-end balloon and a far-end balloon are fixedly connected onto the transfusion tube, the near-end balloon and the far-end balloon are both covered outside the transfusion tube, the far-end balloon is close to the sealed end of the observation cavity, the near-end balloon is positioned between the open end of the observation cavity and the far-end balloon and is positioned close to the far-end balloon, a first-level hole communicated with the first-level transfusion cavity and the near-end balloon is arranged on the cavity wall of the first-level transfusion cavity, the second-level hole communicated with the second-level transfusion cavity and the far-end balloon is arranged on the cavity wall of the second-level transfusion cavity, the endoscope is inserted into the observation cavity, the infusion tube is also provided with an infusion mechanism for infusion and a detection mechanism for detecting the pressure in the near-end saccule and the far-end saccule.
Preferably, detection mechanism includes one-level coupling hose, one-level valve, fixed plate, connecting pipe and determine module, one-level coupling hose, one-level valve, connecting pipe and determine module all are provided with two sets ofly, and are two sets ofly the one-level valve is installed respectively on two sets of one-level coupling hose, and is two sets ofly the one-level coupling hose communicates with one-level infusion chamber and second grade infusion chamber respectively, and is two sets ofly the one end that the transfer line was kept away from to the one-level coupling hose respectively with two sets of connecting pipe fixed connection, two sets ofly the equal fixed connection of connecting pipe sets up in fixed plate one side and the symmetry, and is two sets ofly the determine module symmetry sets up on the fixed plate and communicates with two sets of connecting pipes respectively.
Preferably, the detecting component includes installation pipe, piston, connecting rod, elastic component, indicator panel and baffle, installation pipe fixed connection is in the fixed plate bottom and one end and connecting pipe intercommunication, baffle fixed connection is in the installation pipe, the airtight sliding connection of piston is in the installation pipe and lie in the baffle and be close to one side of connecting pipe, connecting rod fixed connection is in one side that the piston is close to the baffle, connecting rod and baffle sliding connection are and run through the baffle, the one end of piston is kept away from at the connecting rod to indicator panel fixed connection, the elastic component cover is established on the connecting rod and is located between piston and the baffle, the elastic component both ends respectively with piston and baffle butt.
Preferably, the axes of the installation tube, the connecting rod, the piston, the partition plate and the indicating plate are overlapped, and the position of the detection mechanism is far away from the near-end balloon.
Preferably, the installation pipe is made of transparent materials, and indication scales reflecting the pressure are carved on the installation pipe.
Specifically, the transparent mounting tube facilitates viewing of the indicator panel position, and then obtains a pressure reading.
Preferably, infusion mechanism includes syringe, tee bend connecting pipe, second grade valve and second grade coupling hose, the second grade valve all is provided with two sets ofly with second grade coupling hose, and is two sets of the second grade valve is installed respectively on two sets of second grade coupling hose, and is two sets of second grade coupling hose communicates with one-level infusion chamber and second grade infusion chamber respectively, and is two sets of the one end and the syringe that the transfer line was kept away from to second grade coupling hose all communicate with tee bend connecting pipe.
Preferably, the infusion mechanism is located at the infusion tube and at an end away from the distal balloon.
Preferably, the infusion tube, the near-end balloon and the far-end balloon are all made of transparent materials, and the radius of the observation cavity is larger than that of the endoscope probe.
Specifically, the transparent infusion tube, the near-end balloon and the far-end balloon enable the endoscope probe to observe the internal situation, the radius of the observation cavity is larger than that of the endoscope, and the situation that the endoscope probe cannot go deep into the observation cavity due to the fact that the pressure of the primary infusion cavity and the pressure of the secondary infusion cavity are increased to press the observation cavity is avoided.
According to the technical scheme, the method has the following beneficial effects:
1: the invention realizes that the internal condition of a patient can be observed when the cervical balloon dilatation is carried out by combining the endoscope and the cervical balloon, thereby facilitating medical personnel to deal with emergency in time and reducing the operation risk.
2: the invention is convenient for medical personnel to judge the condition of the sacculus by arranging the detection mechanism, is convenient for controlling the size of the sacculus, can avoid the condition that the medical personnel continuously injects the same sacculus due to negligence by comparing two groups of detection assemblies, and can conveniently check the tightness of the device before the operation by the detection assemblies, thereby improving the safety of the device.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly described below, it is obvious that the drawings in the following description are only embodiments of the present invention, and for those skilled in the art, other drawings can be obtained according to the provided drawings without creative efforts.
Fig. 1 is a schematic view of the overall structure of a cervical ripening apparatus with visual control function provided by the invention.
Fig. 2 is an enlarged view of the structure of the area a in fig. 1 according to the present invention.
Fig. 3 is a partial structural cross-sectional schematic view of a cervical ripening apparatus with visual control function provided by the invention.
Fig. 4 is an enlarged view of the structure of the region B in fig. 3 according to the present invention.
Fig. 5 is a partial structural schematic diagram of a detecting mechanism of the cervical ripening device with visual control function provided by the invention.
Fig. 6 is a schematic cross-sectional structural diagram of an infusion tube of the cervical ripening device with visual control function provided by the invention.
Description of the drawings: 1. a transfusion tube; 2. a primary infusion cavity; 3. a secondary infusion cavity; 4. an observation cavity; 5. a proximal balloon; 6. a distal balloon; 7. primary hole opening; 8. secondary hole opening; 9. an endoscope; 10. a secondary connecting hose; 11. a primary connecting hose; 12. a first-stage valve; 13. a fixing plate; 14. a connecting pipe; 15. installing a pipe; 16. a piston; 17. a connecting rod; 18. an elastic member; 19. an indicator panel; 20. a partition plate; 21. an injector; 22. a three-way connecting pipe; 23. a secondary valve.
Detailed Description
The following description is merely exemplary in nature and is not intended to limit the present disclosure, application, or uses. It should be understood that throughout the drawings, identical or similar reference numerals indicate identical or similar parts and features. The drawings are only schematic representations of the concepts and principles of the embodiments of the disclosure, and do not necessarily show specific dimensions or proportions of the various embodiments of the disclosure. Certain features that are part of a particular figure may be exaggerated in order to illustrate relevant details or structures of embodiments of the present disclosure.
Referring to FIGS. 1-6:
example one
A cervix uteri maturation promoting device with a visual control function comprises a transfusion tube 1, wherein two ends of the transfusion tube 1 are sealed, a primary transfusion cavity 2, a secondary transfusion cavity 3 and an observation cavity 4 are arranged in the transfusion tube 1, the primary transfusion cavity 2 and the secondary transfusion cavity 3 are symmetrically arranged at two sides of the observation cavity 4, one end of the observation cavity 4 penetrates through the transfusion tube 1 and is communicated with the outside, a near-end balloon 5 and a far-end balloon 6 are fixedly connected to the transfusion tube 1, the near-end balloon 5 and the far-end balloon 6 are both covered outside the transfusion tube 1, the far-end balloon 6 is close to the sealed end of the observation cavity 4, the near-end balloon 5 is positioned between the opening end of the observation cavity 4 and the far-end balloon 6 and is close to the far-end balloon 6, a primary opening 7 for communicating the primary transfusion cavity 2 and the near-end balloon 5 is formed on the cavity wall of the primary transfusion cavity 2 in the near-end balloon 5, a secondary opening 8 for communicating the secondary transfusion cavity 3 and the far-end balloon 6 is formed on the cavity wall of the secondary transfusion cavity 3 in the far-end balloon 6, an endoscope 9 is inserted in the observation cavity 4, and an infusion mechanism for infusion and a detection mechanism for detecting the pressure in the near-end saccule 5 and the far-end saccule 6 are arranged on the infusion tube 1.
Specifically, detection mechanism includes one-level coupling hose 11, one-level valve 12, fixed plate 13, connecting pipe 14 and determine module, one-level coupling hose 11, one-level valve 12, connecting pipe 14 and determine module all are provided with two sets ofly, two sets of one-level valves 12 are installed respectively on two sets of one-level coupling hose 11, two sets of one-level coupling hose 11 communicate with one-level transfusion cavity 2 and second grade transfusion cavity 3 respectively, two sets of one-level coupling hose 11 keep away from the one end of transfer line 1 respectively with two sets of connecting pipe 14 fixed connection, two sets of equal fixed connection of connecting pipe 14 are in fixed plate 13 one side and the position symmetry sets up, two sets of determine module symmetry set up on fixed plate 13 and communicate with two sets of connecting pipe 14 respectively.
More specifically, the detection subassembly includes installation pipe 15, piston 16, connecting rod 17, elastic component 18, indicator board 19 and baffle 20, installation pipe 15 fixed connection is in fixed plate 13 bottom and one end and connecting pipe 14 intercommunication, baffle 20 fixed connection is in installation pipe 15, piston 16 airtight sliding connection is in installation pipe 15 and be located the one side that baffle 20 is close to connecting pipe 14, connecting rod 17 fixed connection is in the one side that piston 16 is close to baffle 20, connecting rod 17 and baffle 20 sliding connection and run through baffle 20, indicator board 19 fixed connection is in the one end that piston 16 was kept away from to connecting rod 17, elastic component 18 overlaps on connecting rod 17 and is located between piston 16 and the baffle 20, elastic component 18 both ends respectively with piston 16 and baffle 20 butt.
Furthermore, the axes of the installation tube 15, the connecting rod 17, the piston 16, the partition plate 20 and the indicating plate 19 are overlapped, the position of the detection mechanism is far away from the near-end balloon 5, the installation tube 15 is made of transparent materials, and indication scales reflecting the pressure are carved on the installation tube 15.
It should be noted that transparent mounting tube 15 is convenient for observe indicator panel 19 position, cooperates the instruction scale to obtain the pressure reading then, makes things convenient for medical personnel to judge the condition of near-end sacculus 5 and distal end sacculus 6 in patient's is internal, can make things convenient for medical personnel to judge the injection target through the contrast reading, avoids infusing distal end sacculus 6 or near-end sacculus 5 with normal saline in succession.
Example two
The utility model provides a device for promoting cervical ripening with visual control function, its on the basis of embodiment one, infusion mechanism includes syringe 21, tee bend connecting pipe 22, second grade valve 23 and second grade connecting hose 10, second grade valve 23 all is provided with two sets ofly with second grade connecting hose 10, two sets of second grade valves 23 are installed respectively on two sets of second grade connecting hose 10, two sets of second grade connecting hose 10 communicate with one-level infusion chamber 2 and second grade infusion chamber 3 respectively, two sets of second grade connecting hose 10 keep away from the one end of transfer line 1 and syringe 21 all communicate with tee bend connecting pipe 22.
Furthermore, the infusion mechanism is positioned at one end of the infusion tube 1 and the far end saccule 6, the infusion tube 1, the near end saccule 5 and the far end saccule 6 are all made of transparent materials, and the radius of the observation cavity 4 is larger than the radius of the probe of the endoscope 9.
It should be noted that the transparent infusion tube 1, the near-end balloon 5 and the far-end balloon 6 enable the probe of the endoscope 9 to observe the internal situation, and the radius of the observation cavity 4 is larger than the radius of the probe of the endoscope 9, so that the situation that the probe of the endoscope 9 cannot go deep into the observation cavity 4 due to the fact that the observation cavity 4 is pressed by the pressure increase of the primary infusion cavity 2 and the secondary infusion cavity 3 is avoided.
The working principle is as follows: in the using process of the invention, the near-end saccule 5 and the far-end saccule 6 are inserted into the uterus of a patient through the infusion tube 1, the injector 21 is connected with the three-way connecting tube 22 after a proper amount of normal saline is sucked into the injector 21, the secondary valve 23 communicated with the secondary infusion cavity 3 is opened, the two groups of primary valves 12 are opened, the injector 21 is pushed, the normal saline is injected into the far-end saccule 6, the far-end saccule 6 is expanded, the pressure in the far-end saccule 6 and the secondary infusion cavity 3 is increased, and the piston 16 of the detection component communicated with the secondary infusion cavity 3 is pushed to move upwards.
The scale indicated by the indicating plate 19 corresponding to the detection component is increased, the infusion tube 1 is pulled outwards, the near-end saccule 5 is pulled out of the uterus and enters the vagina, the far-end saccule is clamped in the uterus, the secondary valve 23 communicated with the secondary infusion cavity 3 is closed, the injector 21 is pulled out, the three-way connecting tube 22 is inserted and communicated again after a proper amount of physiological saline is sucked, and the secondary valve 23 communicated with the primary infusion cavity 2 is opened.
Promote syringe 21, during normal saline pours into near-end sacculus 5, near-end sacculus 5 is bloated, pressure increase in near-end sacculus 5 and the one-level infusion chamber 2, promote to shift up with the piston 16 of the detection subassembly of one-level infusion chamber 2 intercommunication, the scale increase that the indicator panel 19 that corresponds the detection subassembly instructs, close the second grade valve 23 with one-level infusion chamber 2 intercommunication, repeat above step, pour into normal saline into far-end sacculus 6 and near-end sacculus 5 in proper order, observe the scale number of degrees that the detection subassembly instructs, avoid pouring into far-end sacculus 6 or near-end sacculus 5 with normal saline in succession.
Can judge distal end sacculus 6 and near-end sacculus 5 degree of swelling simultaneously, stop the injection when distal end sacculus 6 and near-end sacculus 5 swell to suitable degree, close all one-level valves 12 and secondary valve 23, near-end sacculus 5 oppresses cervical position with distal end sacculus 6 jointly and promotes its maturity, stretch into endoscope 9 probe and observe in the chamber 4, because transfer line 1, near-end sacculus 5, distal end sacculus 6 and normal saline are all transparent, the condition of patient's metrorrhagia and cervical ripening condition etc. are observed to the accessible endoscope, make things convenient for medical personnel to make the reaction fast under the unexpected condition.
When the tightness of the device is checked before an operation, all the first-stage valves 12 and the second-stage valves 23 are opened, a proper amount of normal saline is injected into the near-end balloon 5 and the far-end balloon 6 through the injector 21, scales indicated by the indicating plates 19 of the two groups of detection assemblies are observed, all the second-stage valves 23 are closed, whether the indicated scales descend or not is observed after a period of time, the tightness of the device is good if the scales do not descend, and otherwise, the tightness is poor.
Exemplary embodiments of the proposed solution of the present disclosure have been described in detail above with reference to preferred embodiments, however, it will be understood by those skilled in the art that many variations and modifications may be made to the specific embodiments described above, and that many combinations of the various technical features and structures presented in the present disclosure may be made without departing from the concept of the present disclosure, without departing from the scope of the present disclosure, which is defined by the appended claims.

Claims (8)

1. The cervical ripening device with the visual control function comprises a transfusion tube (1) and is characterized in that two ends of the transfusion tube (1) are sealed, a primary transfusion cavity (2), a secondary transfusion cavity (3) and an observation cavity (4) are arranged in the transfusion tube (1), the primary transfusion cavity (2) and the secondary transfusion cavity (3) are symmetrically arranged on two sides of the observation cavity (4), one end of the observation cavity (4) penetrates through the transfusion tube (1) to be communicated with the outside, a near-end balloon (5) and a far-end balloon (6) are fixedly connected to the transfusion tube (1), and the near-end balloon (5) and the far-end balloon (6) are both covered outside the transfusion tube (1);
the utility model discloses a visual inspection device, including far-end sacculus (6), chamber (4) sealed end is close to observation to far-end sacculus (6) position, near-end sacculus (5) are located and observe between chamber (4) open end and far-end sacculus (6) and the position is close to far-end sacculus (6), open one-level trompil (7) that have intercommunication one-level infusion chamber (2) and near-end sacculus (5) on the chamber wall that near-end sacculus (5) are located in one-level infusion chamber (2), it has second grade trompil (8) of intercommunication second grade infusion chamber (3) and far-end sacculus (6) to open on the chamber wall that second grade infusion chamber (3) are located far-end sacculus (6), it has endoscope (9) to peg graft in observation chamber (4), still be provided with the infusion mechanism that is used for the infusion and be used for detecting near-end sacculus (5) and the detection mechanism of far-end sacculus (6) internal pressure on transfer line (1).
2. The cervical ripening device with visual control function according to claim 1, wherein the detection mechanism comprises a first-stage connection hose (11), a first-stage valve (12), a fixing plate (13), a connection pipe (14) and a detection component, the first-stage connection hose (11), the first-stage valve (12), the connection pipe (14) and the detection component are provided with two sets, the two sets of the first-stage valve (12) are respectively installed on the two sets of the first-stage connection hose (11), the two sets of the first-stage connection hose (11) are respectively communicated with the first-stage infusion cavity (2) and the second-stage infusion cavity (3), one ends of the two sets of the first-stage connection hose (11) far away from the infusion tube (1) are respectively fixedly connected with the two sets of the connection pipe (14), and the two sets of the connection pipe (14) are both fixedly connected to one side of the fixing plate (13) and are symmetrically arranged, the two groups of detection assemblies are symmetrically arranged on the fixing plate (13) and are respectively communicated with the two groups of connecting pipes (14).
3. The cervical ripening device with visual control function according to claim 2, wherein the detection assembly comprises a mounting tube (15), a piston (16), a connecting rod (17), an elastic member (18), an indicator plate (19) and a partition plate (20), the mounting tube (15) is fixedly connected to the bottom of the fixing plate (13) and one end of the mounting tube is communicated with the connecting tube (14), the partition plate (20) is fixedly connected in the mounting tube (15), the piston (16) is hermetically and slidably connected in the mounting tube (15) and is located on one side of the partition plate (20) close to the connecting tube (14), the connecting rod (17) is fixedly connected to one side of the piston (16) close to the partition plate (20), the connecting rod (17) is slidably connected with the partition plate (20) and penetrates through the partition plate (20), the indicator plate (19) is fixedly connected to one end of the connecting rod (17) far away from the piston (16), the elastic piece (18) is sleeved on the connecting rod (17) and located between the piston (16) and the partition plate (20), and two ends of the elastic piece (18) are respectively abutted to the piston (16) and the partition plate (20).
4. The cervical ripening device of claim 3, wherein the mounting tube (15), the connecting rod (17), the piston (16), the spacer (20) and the indicator plate (19) are coaxially aligned, and the detection mechanism is located away from the proximal balloon (5).
5. The cervical ripening device of claim 4, wherein the mounting tube (15) is made of transparent material, and the mounting tube (15) is marked with indication scales reflecting the pressure.
6. The cervical ripening device with visual control function of claim 1, wherein the infusion mechanism comprises an injector (21), a three-way connecting pipe (22), two sets of secondary valves (23) and two sets of secondary connecting hoses (10), the two sets of secondary valves (23) and the two sets of secondary connecting hoses (10) are respectively arranged, the two sets of secondary valves (23) are respectively arranged on the two sets of secondary connecting hoses (10), the two sets of secondary connecting hoses (10) are respectively communicated with the primary infusion cavity (2) and the secondary infusion cavity (3), one end of the two sets of secondary connecting hoses (10) far away from the infusion tube (1) and the injector (21) are respectively communicated with the three-way connecting pipe (22).
7. The cervical ripening device of claim 6, wherein the infusion mechanism is located at the infusion tube (1) and at an end remote from the distal balloon (6).
8. The cervical ripening device with visual control function of claim 1, wherein the infusion tube (1), the proximal balloon (5) and the distal balloon (6) are all made of transparent materials, and the radius of the observation cavity (4) is larger than the probe radius of the endoscope (9).
CN202111512185.0A 2021-12-08 2021-12-08 Cervical ripening device with visual control function Active CN114159290B (en)

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US20100185173A1 (en) * 2007-08-29 2010-07-22 Youri Popowski Method and kit for delivery of brachytherapy to a subject
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