Hand-Held Ultrasonic Gynecological Probe
Technical field
This utility model relates to real-time ultrasound checkout gear, the especially Hand-Held Ultrasonic Gynecological Probe that is used for gynecilogical operation.
Background technology
In many cases, the intrauterine of gynecological, comprise that cervix uteri and fallopian tube surgical procedure all are the operations that undergos surgery of no visual field, surgeon only carries out operation by " sensation " and experience that manual apparatus transmits.But, make operation downgrade even influence probably by the health of operator if the doctor is inaccurate to the position and the size judgement in uterus.Even can pierce through the uterus and even to the wound of abdominal viscera, as intestinal, nethike embrane, mesentery, ureter and oviducal damage etc.Transparietal ultrasound wave can not be used for monitoring and guide above-mentioned surgical operation in real time usually, because its resolution is lower, needs the patient to keep bladder to be full of urine in operation process, and needs extra surgical material.
U.S. Patent No. 4,497 325,4671292, the intravaginal Vltrasonic device that is used for monitoring in real time and guides surgical procedure was disclosed.Adopt above-mentioned Vltrasonic device to monitor intrauterine, cervix uteri and oviducal surgical operation in real time, proposed some ultrasonic probes, they comprise that being used for that pin and/or conduit are imported to structural pin and/or the connected conduit that will treat guides part.But, adopt the above-mentioned surgical operation that ultrasonic probe inside vagina carried out normally very limited.This operation comprises piercing through and drain, local organization sampling and fluidic collection of abscess.It is above-mentioned that to be used to guide and to monitor the weak point with device oviducal surgical operation intrauterine, cervix uteri be because this device non-is obedient to characteristic and causes.
WO 99,/03 399 described device is to be placed in intravaginally in use, and is fixed on the cervical tissue by the cervix uteri clamper.This may cause losing between ultrasound emission face and the cervical tissue district and contacts.Just can make ultrasonic description greatly inferior and lose this contact, and significantly reduce resolution.In addition, ultrasonic probe produces pressure along the mobile meeting of tissue district direction to above-mentioned fixing point.This can cause tissue injury.
U.S. Pat 6960166 is diagnostors that ultrasound wave shows, utilizes ultrasound wave to monitor and carries out the transplanting of in-vitro embryos by cervix uteri, provides a kind of vagina preferably to show ultrasonoscopy, and ultrasonic probe can be fixed on the front or back blade of specula.
Open CN1264280A of Chinese patent and wO 99,/03 399 are similar, and the endo-vaginal ultrasonic examination guiding that intrauterine is disposed is to be used for guiding and monitoring intrauterine, the system that cervix uteri and fallopian tube are disposed.This system comprises that (a) one can be by more weak manual assembly of surgeon.This assembly comprises: (i) interior intravaginal ultrasonic transducer of a part that is suitable for inserting patient's vagina; (ii) cervix uteri clamper that is used for clamping patient cervix uteri; And (iii) one be used for adapter that ultrasonic transducer and cervix uteri clamper (14) are linked together; (b) medical apparatus and instruments that is used to carry out disposal process, and (c) one be used for that monitoring is aimed at medical apparatus and instruments also with the intravaginal ultrasonic transducer thereby just with the aligned device of ultrasonic beam.
The intravaginal real-time ultrasound of open (CN00813840.0) gynecilogical operation of Chinese patent is traced and is guided and monitor intrauterine, cervix uteri and device oviducal surgical operation (10), this device (10) comprises an assembly, and this assembly has: the intravaginal part that can insert the patient is so that against the next localized intravaginal ultrasonic transmitter (12) of patient's cervix uteri; A cervix uteri clamper (14) that is used for the clamping cervix uteri; With one be used to make ultrasonic acoustic generator (12) and the interconnected adapter of cervix uteri clamper (14) (20), the structure of this adapter (20) is made and can oppositely be stoped ultrasonic transmitter (12) with respect to the moving of cervix uteri clamper (14), and described to be reversed the mobile of prevention be moving along the direction of leaving cervix uteri.Guide and monitor the system of medical apparatus and instruments used in intrauterine, cervix uteri and the operation on fallopian tube operation, this system has: (a) the intravaginal ultrasonic transmitter that can insert patient's an intravaginal part; (b) cervix uteri clamper that is used for clamping patient cervix uteri; (c) one is used for ultrasonic transmitter and the interconnected adapter of cervix uteri clamper, and the structure of this adapter is made and can oppositely be stoped ultrasonic transmitter with respect to cervix uteri clamper moving along the direction of leaving patient's cervix uteri; (d) the localized device of the ultrasonic beam sent with respect to ultrasonic transmitter in per vaginam of monitoring medical apparatus and instruments.
The disclosed women's family planning operation of Chinese patent Type B ultrasonic monitoring instrument (notification number CN2717390) provides a kind of Type B ultrasonic monitoring instrument that is specifically designed to women's family planning operation monitoring usefulness that combines with specula, suction pump.The bonded ultrasound probe of notification number CN2717390 and specula comes with some shortcomings in practicality, comprise in the family planning operation in gynecological, cervix uteri clamper and operating theater instruments take two handss of doctor, and specula generally can't be regulated or move after inserting its position.In the operation process often because various factors causes the skew of B ultrasonic image, even since the disengaging of probe the arched roof wall lose image, readjusting probe like this in operation, that image is come into view is very inconvenient.With the deficiency of the bonded ultrasound probe of specula may cause using limited.
The operation kind and the operating theater instruments of gynecological are extremely many, comprise various intrauterine, cervix uteri or operation on fallopian tube operation are as hysterosalpingography, the uterus mechanical hand, Hulka control tenaculum or clamp, fast vacuum suction dilatation and curettage device, uterus degree of depth probe, sampler, plastics uterus detector or rustless steel uterus detector, both-end or single-ended uterine dilator, the dilatation and curettage device, hysterectomy forceps, the intra-uterine device extractor, the biopsy borer, specula in the cervix uteri, aspirator, suction tube, coagulater, embryo's translator, insemination device, the uterine catheter, fallopian tube conduit etc.
Yet existing Type B ultrasonic monitoring instrument limits to some extent, perhaps the volume of Type B ultrasonic probe is bigger, perhaps need dedicated workholder or holder to fix, the position of Type B ultrasonic probe is difficult to arrive more satisfactory position in other words, or difficult adjustment of skew back probe positions, thereby can not adapt to multiple gynecilogical operation.
Summary of the invention
The purpose of this utility model is: propose a kind of Hand-Held Ultrasonic Gynecological Probe, it is a kind of gynecological real-time ultrasound checkout gear, Type B ultrasonic monitoring instrument probe with suitable volume, need not holders such as dedicated workholder or employing specula fixes, not only relative fixed but also be easy to after image shift probe positions be adjusted, adaptation can adapt to the demand of multiple gynecilogical operation.The use habit that meets the doctor can be used for gynecological's ultrasound probe of intrauterine, cervix uteri and fallopian tube surgical operation and non-surgery operation operation (comprising uses such as physical examination).
Hand-Held Ultrasonic Gynecological Probe is provided with a thin bar of strip, and an end of thin bar is gynecological's Ultrasonic-B probe in the body, and the other end is provided with the hands handle; Fit in the plane that thin bar of strip and handle constitute and the pincers handle plane of cervix uteri clamper.Thin bar and the size of cervix uteri clamper in the specula hole are the thinnest, occupy minimum position, do not influence simultaneously the work of the operating theater instruments that enters from specula.Ultrasonic-B probe connects the lead-in wire that and draws through the end of thin bar and handle.
The cervix uteri clamper can be cervical clamps (having long handle), also can be tissue forceps.Also may be other control tenaculum or clamp.
Handle is the projection that is provided with on the plane of thin bar of strip and handle formation.This projection is at cervix uteri holder handle bar position, relies on to some extent in the time of can making the thin bar of forefinger and middle clamping like this.
Also can be vertical and on holder handle bar position, be provided with projection on the plane that the thin bar of strip and handle constitute, on this projection, be provided with the groove of embedding cervix uteri holder handle bar.
Hand-Held Ultrasonic Gynecological Probe of the present utility model generally uses at the specula state of inserting.Using method of the present utility model and process are: in the specula hole earlier with strong hands (majority use the right hand) with the jaw of cervical clamps or tissue forceps stretch into bite cervix uteri in the hole and will clamp the handle fixed teeth fixing after the more weak hands (majority's left hands) of transfer, then Hand-Held Ultrasonic Gynecological Probe is close to the arched roof wall according to the image of the monitor relative fixed of will popping one's head in, and the pincers handle of Ultrasonic-B probe and tissue or cervical clamps transferred left hand simultaneously, fit in the pincers handle plane of thin bar of strip and handle plane and cervix uteri clamper.Thin bar and cervix uteri clamper stretch in the specula hole size minimum of handle bar in the hole: the handle bar of thin bar of prolonged type and cervix uteri clamper is just in time at the specula oral area, do not influence that the right hand is hand-held to utilize suction pump, cutting nippers etc. to operate.General left hand is held cervix uteri clamper pincers handle and Hand-Held Ultrasonic Gynecological Probe, has guaranteed the relative fixed of left hand probe positions.Utilize the fine setting of left hand when image is vacillated: when utilizing handle shape, can utilize the cooperation of palm root, thumb and middle finger, the third finger, little finger of toe, ultrasound probe can move forward and backward or move up and down fine setting accordingly.
Improvement of the present invention is: Hand-Held Ultrasonic Gynecological Probe is protruding with fit a planar side of cervix uteri clamper; In addition, the handle contour shape of the contour shape of handle and cervix uteri clamper is same or similar.
This utility model probe is attached to uterus neck or fornix position (it is relative with the shape of fornix identical to pop one's head in) when work, be unlikely to influence operation and inspection to the uterus, as intrauterine device detect, place and take out operation, also comprise artificial abortion's art etc.Typical medical apparatus and instruments comprises use uterus sampler, uterus detector or rustless steel uterus detector, both-end or the single-ended interior specula of uterine dilator, sparkmann sleeve pipe, cervix uteri, long narrow bending of the hand handle can be fitted or engages with the front end that enters of above-mentioned operating theater instruments, and the front end place that enters of operating theater instruments is provided with clamp etc.Mean that long narrow bending of the hand handle does not influence entering and using of operating theater instruments, and various operating theater instruments are all worked under the monitoring of this utility model ultrasonic transmitter, promptly the position of the overall process of cervix uteri or operation on fallopian tube operation and operating theater instruments is all under the visual monitoring of this utility model.
Characteristics of the present utility model are: overcome the shortcoming of existing apparatus, met doctor's use habit, and not only relative fixed but also can after image shift, probe positions easily adjust, adaptation can adapt to the demand of multiple gynecilogical operation.The gynecological's ultrasound probe that can be used for intrauterine, cervix uteri and fallopian tube surgical operation and non-surgery operation operation (comprising uses such as physical examination).
Description of drawings
Fig. 1 is the structural representation that this utility model probe is connected with the cervix uteri clamper
Fig. 2 be this utility model probe be connected with the cervix uteri clamper another angle use the time structural representation
Probe 1, thin bar or the thin bar 2 of strip, handle 3, cervix uteri clamper jaw 4, cervix uteri clamper handle bar 5.
The specific embodiment
The following describes embodiment.Wherein this device of each embodiment can both make the surgeon easily used medical apparatus and instruments be faced standard with ultrasound emission, just with as illustrated in fig. 1 and 2 two kinds of situations.
As shown in the figure, hand-held gynecological is provided with a thin bar 2 of strip with Ultrasonic-B probe 1, and an end of thin bar is gynecological's Ultrasonic-B probe in the body, and the other end is provided with handle 3; Thin bar of strip and handle constitute a plane.It generally is a more smooth face that the handle position is especially clamped in the side of cervix uteri clamper, and the pivot pin position does not also have outstanding.It is better that the handle contour shape of Ultrasonic-B probe handle contour shape and cervix uteri clamper constitutes identical effect structure, similarly also can.The cross section of thin bar can be a rectangle, also is convenient to winding displacement; Its width is general identical or close with cervix uteri clamper handle bar width.And the handle bar and the handle position of thin bar and cervix uteri clamper all can be the positions of width dimensions minimum.Thin bar and cervix uteri clamper also account for minimum position in the specula hole, do not influence the work of operating theater instruments.The jaw 4 of cervical clamps or tissue forceps stretches into to be bitten cervix uteri and will clamp the more weak hands (majority's left hands) of the fixing back transfer of handle fixed teeth in the specula hole, then Hand-Held Ultrasonic Gynecological Probe being put in the specula hole is close to the arched roof wall and finds best probe positions according to the image of monitor, the handle 3 of will popping one's head in then merges to the more weak handgrip of cervix uteri clamper bar handle 5 usefulness and holds, thereby also makes the Ultrasonic-B probe relative fixed.
The width of Ultrasonic-B probe is wider than cervical clamps or tissue forceps certainly, so Ultrasonic-B probe should protrude in a planar side of fitting; As shown in Figure 1, can make the lateral dimension of the thin bar of cervix uteri clamper handle bar and probe all be no more than the width range of probe like this.
The simplest handle is exactly the projection that is provided with on described plane, can be a T shape on the contour shape, can be used for the cervix uteri clamper of long handle.
The thin bar of strip is vertical with the plane of handle formation and be provided with projection on holder handle bar position, is provided with the groove that embeds cervix uteri holder handle bar on this projection.
Handle also can be to be provided with projection on the plane of thin bar of strip and handle formation.This projection is at cervix uteri holder handle bar position, relies on to some extent in the time of can making the thin bar of forefinger and middle clamping like this.
Also can be vertical and on holder handle bar position, be provided with projection on the plane that the thin bar of strip and handle constitute, on this projection, be provided with the groove of embedding cervix uteri holder handle bar.