CN201847663U - Digital delivery monitor - Google Patents

Abstract

The utility model belongs to the field of a medical appliance and particularly relates to a digital delivery monitor. The digital delivery monitor comprises a billed speculum, a color camera, a digital push-pull force gauge, a computer and a support. The billed speculum can be in reversibility connection with the digital push-pull force gauge and can also be in reversibility connection with the color camera. The computer is connected with the color camera by a wire. The digital push-pull force gauge is connected with the computer by a universal serial bus (USB) cable. The support is in reversibility connected with the digital push-pull force gauge or the digital push-pull force gauge and the color camera which are connected. The digital delivery monitor digitally monitors important indexes which reflect the labor course, such as the expansion degree of a cervix, the descending degree of fetal presentation, fetal position changing condition, the descending thrust of a fetal head, which is caused by the labor force, and the like. The digital delivery monitor changes the conventional subjective judgment mode of the vaginal touch examination and the conventional indirect monitoring mode of an abdominal wall pressure sensor.

Description

A kind of digitized childbirth monitor

Technical field

This utility model belongs to medical instruments field, relates to a kind of digitized childbirth monitor particularly.

Background technology

Human clinical monitoring through cloudy birth process still is in empirical science and experience monitoring level substantially, except that the fetal rhythm rate has realized through the monitoring of stomach wall Doppler electronic, the important monitoring index of relevant stages of labor, as dialatation of cervical os degree, fetal presentation decline degree, important monitoring index such as fetal head decline thrust due to fetal position situation of change and the force of labor, still on the subjective judgment level that is in the vaginal touch inspection of non-digitalization and draws in view of the above, use clinically now through stomach wall pressure sensor monitoring uterine contraction, the variation of the uplift forces that its principle applies to stomach wall for the uterus that is contraction state with the pressure sensor monitoring uterine contraction phase, it only reflects indirectly that uterine contraction is strong and weak and changes and the persistent period.Owing to aforementioned internalise, change the existence of factor indirectly, make the important monitoring index of relevant stages of labor can not be accurately, draw objectively, so that be based upon the theoretical knowledge of relevant childbirth on the above-mentioned monitoring basis and the category that Clinical Processing still rests on empirical science substantially, at aspects such as science, objectivity and practicality great limitation is arranged still, up to now, Shang Wuke implements the instrument of direct digital monitoring for clinical use to the important monitoring index of above-mentioned relevant stages of labor.

The utility model content

The purpose of this utility model be to provide a kind of in the moon childbirth to important monitoring indexes such as fetal head decline thrust due to dialatation of cervical os degree, fetal presentation decline degree, fetal position situation of change, the force of labor implement directly, digital monitoring instrument easily.

This utility model solves the problems of the technologies described above the technical scheme that is adopted: this numeral is divided the childbirth monitor, comprise duck-billed speculum, colour imagery shot, digital pull and push dynamometer, computer and bearing, it is characterized in that: described duck-billed speculum is set to be made up of the last leaf and the inferior lobe that are connected, the leading portion of last leaf is set to be used to probe into the portion that probes into of vagina, back segment is set to be used to connect the connecting portion of colour imagery shot and digital pull and push dynamometer, the leading portion of inferior lobe is set to be used to probe into the portion that probes into of vagina, back segment is set to be used for the handle portion of manipulation, last leaf be set to probe into both sides, portion rear end being connected of inferior lobe and be provided with pivot pin at last leaf, probe into both sides, portion rear end inferior lobe and be provided with axis hole, hinged with pivot pin and axis hole; Described colour imagery shot comprises shell, camera lens, body and illuminating lamp, and shell is set to the handle shape housing, and body is placed in the shell, and camera lens is placed in the shell front end, illuminating lamp be placed in camera lens around; Described digital pull and push dynamometer is the digital pull and push dynamometer with shell, push-pull effort probe, keyboard, display and USB communication interface; The connecting portion of described duck-billed speculum can be connected with the push-pull effort probe reversibility of described digital pull and push dynamometer, also can be connected with described colour imagery shot shell front end reversibility, described computer is connected with described colour imagery shot with lead, described digital pull and push dynamometer is connected with described computer with USB cable, and described bearing is connected with described digital pull and push dynamometer or with the digital pull and push dynamometer that is connected, colour imagery shot reversibility.Described two probe into portion's outer surface vertically goes up and can be provided with the sign line that indicates length, and described two probe into the sign line that transversely can be provided with sign length of portion's front end inner surface; Described two probe into portion's front end inner surface is provided with color sign point or line; Described upward leaf probes into the portion rear portion or inferior lobe probes into the spy window that the portion rear portion can be provided with window-like, also this spy window can be set.Described upward leaf probes into portion and inferior lobe probes into portion under closure state, and the two front end end faces that probe into portion constitute the plane configuration that probes into portion's longitudinal axis perpendicular to last leaf.Describedly go up that leaf probes into portion and inferior lobe probes into portion under closure state, be nested with an overseas cap, this overseas cap have drawn from medical grade rubber or silicone rubber material but probe into portion's front end reversibility in two.The shell of described colour imagery shot and the shell of digital pull and push dynamometer can be set to separately independently shell, and two shells can constitute slotting connection of reversible cover or the connection of bayonet socket draw-in groove or be threaded or screw connection or pin-and-hole annexation, and constitute the handle shape configuration jointly; The shell that maybe can described colour imagery shot and the shell of digital pull and push dynamometer are set to a common enclosure, this common enclosure constitutes the handle shape configuration, front end in this common enclosure is provided with camera lens and push-pull effort probe, the push-pull effort probe of this common enclosure front end can correspondingly be provided with the multiple configuration that cooperatively interacts with the connecting portion of described duck-billed speculum, insert connection to constitute reversible cover between the two, or the connection of bayonet socket draw-in groove, or be threaded, or the screw connection, or pin-and-hole connects.The connecting portion of described duck-billed speculum can correspondingly be provided with the multiple configuration that cooperatively interacts with the push-pull effort of described digital pull and push dynamometer probe, insert connection to constitute reversible cover between the two, or the connection of bayonet socket draw-in groove, or be threaded, or the screw connection, or pin-and-hole connects.The connecting portion of described duck-billed speculum and described colour imagery shot shell front end can correspondingly be provided with the multiple configuration that cooperatively interacts, and insert and connect to constitute reversible cover between the two, or the bayonet socket draw-in groove connects, or be threaded, or screw connects, or pin-and-hole connects.On described colour imagery shot shell, light-control knob and focusing knob can be set, be respectively applied for the brightness of the described illuminating lamp of adjustment and the focal length of described camera lens.Described illuminating lamp is 2～10 white LED lamps, or annular white LED lamp.Described bearing is set to have the hard block of the upper and lower surface that parallels, and the surface is provided with and is used for the reversibility fixedly boss or the groove of colour imagery shot and digital pull and push dynamometer thereon; Described bearing can have the setting of differing heights.

Monitoring principle of the present utility model and using method:

1. monitor fetal position and monitoring dialatation of cervical os numerical value: in the moon is given a birth the first and second stages of labor observation processes, use this utility model mature.Duck-billed speculum is connected with colour imagery shot, or with the digital pull and push dynamometer that is connected, colour imagery shot connects, or with the digital pull and push dynamometer with common enclosure, colour imagery shot connects, be coated with aseptic lubricant in the portion outer surface of probeing into, opening colour imagery shot also is connected it with computer, the hand-held colour imagery shot end of operator low probes into duck-billed speculum portion's transvaginal mouth and probes into vagina, under the guiding of the shown colour imagery shot image of computer monitor, to probe into portion's front end visits to the cervix uteri place, operator's manipulation control two probes into the relative folding degree and the anglec of rotation of portion, observes the cervix uteri situation by the colour imagery shot shooting, proamnion capsule situation, dialatation of cervical os degree and presentation portion composition and orientation; Broken as the proamnion capsule, presentation portion is a fetal head, then judge fetal position by the tendency direction of observing the fetal head hair, check that first the best incorporated abdominal ultrasonic detects the situation in fetus orientation and confirmed, after this then determine fetal position with the tendency direction of observing hair, also can be when confirming fetal position first on fetal head hair and scalp, be coated with setting-out or point is indicated, so that observe subsequently with medical pigment; As the disappearance of not breaking as yet of proamnion capsule, then can observe amniotic fluid character in the proamnion capsule.Clinical research shows: reach under the above situation of 4cm in the dialatation of cervical os, observe the tendency direction of fetal head hair and judge that the method for fetal position touches the fetal head fontanel and judges that the method for fetal position has higher accuracy rate than traditional vaginal touch by this utility model, cooperate fetus hair, scalp paint to indicate, can carry out the colour imagery shot shooting of different time to it, by the comparative analysis that the pigment on the picture is indicated, can accurately obtain the change information of fetal position.

When measuring dialatation of cervical os degree, observe under the guide in shooting, operator's manipulation probes into portion's front end with two and places two edge places of the cervix uteri mouth maximum separation diameter radial line of expansion respectively with open configuration, makes two colors that probe into portion's front end indicate point or lines are demarcated just at aforesaid two edge places.Of the present utility model setting in advance: because the last leaf connecting portion of colour imagery shot and duck-billed speculum tool constitutes the relation that is fixedly coupled, color sign point or the position of line in the shooting visual field of colour imagery shot that therefore last leaf probes into portion's front end are changeless all the time, inferior lobe probes into portion and the last leaf portion that probes into and constitutes an axle annexation by hinged, the inferior lobe portion of probeing into can aforementioned axis be rotating shaft and rotating relative to going up the leaf portion of probeing into, two length that probe into portion are known, inferior lobe probes into the color sign point of portion's front end or line probes into the color sign point of portion's front end with respect to last leaf or the different splay apart degree of line can predict in advance, therefore the color that can above leaf in the shooting visual field of colour imagery shot probes into portion's front end indicates point or the initial point of line for finding range, correspondingly calibrate two and probe into the colors sign point of portion's front end or the separating distance numerical value of the different released states of line, by designing corresponding application and being installed on the computer, can be implemented in and load the distance that is used to indicate distance values in the shooting visual field that computer monitor shows and judge line, probe into portion front end color in two of cervix dilating mouth two edge places when indicating point or line when absorbing set, can be by this apart from judging that line draws two distance values that probe between portion's front end color sign point or line, also just drawn the intermarginal distance of cervix dilating mouth two accordingly, i.e. dialatation of cervical os numerical value; Also can be generally obtain certain image document of dialatation of cervical os situation constantly, the evaluation that draws dialatation of cervical os progress by the difference comparison between the image document of dialatation of cervical os situation constantly by shooting.Under the less situation of dialatation of cervical os degree, as expanding less than 5cm, under shooting observe to be guided, the two intermarginal distances that can attach the cervix uteri mouth maximum separation diameter radial line of measuring expansion by the sign line that last leaf or inferior lobe probe into the sign length that transversely is provided with of portion's front end inner surface drew dialatation of cervical os numerical value; Also can be generally obtain certain image document of dialatation of cervical os situation constantly, the evaluation that draws dialatation of cervical os progress by the difference comparison between the image document of dialatation of cervical os situation constantly by shooting.

2. fetal head decline thrust due to the monitoring force of labor: the force of labor of traditional view by uterine contraction power, abdominal pressure and basin at the bottom of key element such as myotility form, in the different phase of stages of labor, participate in the key element difference that force of labor forms, the size of force of labor also has different the variation.Up to now, aspect the force of labor monitoring, myotility still can not directly be monitored with noninvasive method at the bottom of uterine contraction power, abdominal pressure and the basin, and monitoring internal pressure of uterine cavity power changes the relation that just reflects between uterine contraction power and abdominal pressure and internal pressure of uterine cavity, limitation is arranged, directly do not reflect force of labor.In the mechanical system of birth process complexity, force of labor, birth canal and fetus three factors interact, force of labor is a power source of keeping progress of labor (fetal head decline), the orientation of molding of fetal head deformation extent and adaptation birth canal form changes, with the force of labor size, the birth canal resistance is closely related, fetus body factor (comprises fetal weight, attitude in utero, trunk axle and fetal head axle clamp angle etc.) force of labor (mainly referring to uterine contraction power and abdominal pressure) is closely related to the effect of fetal head with transmitting, what of amniotic fluid amount are also relevant with the transmission of force of labor, the final effect of whole mechanical system will be embodied in that fetal head overcomes the birth canal resistance and in it on size of decline thrust, decline thrust directly reflects force of labor and the interactional final result of birth canal resistance, directly reflection fetus body is to the force of labor transmission of (mainly referring to uterine contraction power and abdominal pressure), and also directly reflection impels the molding of fetal head distortion and adapts to the birth canal form and the power that the orientation changes takes place.The decline thrust of the fetal head that this utility model is monitored in birth canal is the objectively responding of whole effect that birth process is comprised the whole mechanical system of force of labor, birth canal and fetus three factors.

The detection utensil that this utility model has constituted fetal head decline thrust with the last leaf and the digital pull and push dynamometer of duck-billed speculum, two probe into front end end face plane configuration under portion's closure state can increase contact area with fetal head, to reduce probability to the damage of fetal head local compression, can be further increase contact area with fetal head, reach pressure buffer thus and reduce the purpose of pressure by being nested with overseas cap; Fetal head decline thrust affacts the push-pull effort probe so as to the last leaf of character of rigid body, and then realizes digital monitoring purpose to fetal head decline thrust by digital pull and push dynamometer, and whole monitoring system is simple in structure, and is with low cost, easy to utilize.

In giving a birth the first and second stages of labor observation processes, the moon uses this utility model in mature head position.Duck-billed speculum (disposable product) is connected with digital pull and push dynamometer, or with the digital pull and push dynamometer that is connected, colour imagery shot connects, or with the digital pull and push dynamometer with common enclosure, colour imagery shot connects, can settle or not settle overseas cap as required, open digital pull and push dynamometer and it is connected computer, make anemia of pregnant woman's dorsal position of making even, advise it in testing process, to keep position and body appearance motionless as far as possible, in the uterine contraction intermission, the operator low probes into two portions of probeing into of closure state in vagina and makes its preceding end in contact fetal head, in case of necessity the operator in addition finger probe into vagina and implement palpation and guide two to probe into portion's front end set, be used bearing (being set to have bigger bed surface contact area), it is positioned on the bed surface at nearly anemia of pregnant woman's pudendum place, with digital pull and push dynamometer or the colour imagery shot that is connected, digital pull and push dynamometer is placed on the upper surface of support, and will be fixing with boss on it or groove, the longitudinal axis that makes leaf probe into portion probes into vagina with level, and in whole observation process, remain unchanged, in the uterine contraction phase, the operator presses bearing with hands, make it fixed-site, avoid its relative bed surface displacement, finish the detection of whole uterine contraction phase thus; In kind make under duck-billed speculum and the fixed condition of digital pull and push dynamometer in each detection, had basic comparability between detected value; Fetal head decline thrust can have two kinds of methods due to the monitoring force of labor: one is for to probe into portion applies axial thrust (this axial thrust can be predicted by digital pull and push dynamometer) from certain dynamics to fetal head in the uterine contraction intermission by duck-billed speculum two, make fetal head to uterine cavity direction retraction certain distance, with this axial thrust serves as to detect starting point, detects the fetal head decline thrust of whole uterine contraction phase; It two only contacts fetal head for probeing into portion's front end at uterine contraction intermission duck-billed speculum two, and applied thrust is not to detect starting point with the zero pressure, detects the fetal head decline thrust of whole uterine contraction phase.Aforementioned two methods, the former purpose are to get rid of the birth canal resistance as far as possible and detect fetal head decline thrust, and latter's purpose is comprehensive birth canal resistance and detects fetal head decline thrust.Fetal head decline thrust shows with digital form on digital pull and push dynamometer display, the operator can set automatic sample frequency by keyboard, or set manually and sample, can carry out the storage of sampled data, can be provided with, inquire about and delete the data base, also can be connected with computer by the standard USB communication interface on the digital pull and push dynamometer, corresponding driving program and application program are installed on this computer, and the thrust that fetal head can be descended is thus shown and record in the mode of chart or numerical value on computers.

3. monitoring fetal presentation decline degree in birth canal: with the level position duck-billed speculum two is probeed into portion's (being closure state) and probe into vagina and make it front end and contact with fetal head presentation portion, make the leaf portion that probes into paste (available medical pigment is drawn a little or line indicates) mutually with the vaginal orifice leading edge on this leading edge, probe into portion's outer surface by last leaf and vertically go up the scale value that the sign line of the sign length that is provided with is read vaginal orifice leading edge place, by comparing certain hour scale value reading at interval, can predict the decline degree of fetal head in birth canal.Clinical research proves: traditional fetal head decline degree judges that reference point is the imaginary line of both sides between ischial spines, touch earlier undisguised property minimum point and carry out subjective non-direct-view feel down with aforementioned imaginary line and compare and draw judgement, poor accuracy by the intravaginal touch; The vaginal orifice leading edge is the soft tissue sign, pubic symphysis and both sides pubic branch because of bone near it, and on its fascia attached to its dark face, its anatomical position relative fixed and can line-of-sighting observation in birth process can be used as dynamic monitoring fetal head decline degree and judges reference point preferably.

The clinical effectiveness that this utility model is useful: this utility model makes that reflection stages of labor important index such as fetal head decline thrust is able to digital monitoring due to dialatation of cervical os degree, fetal presentation decline degree, fetal position situation of change and the force of labor, above-mentioned each monitoring materials has possessed more horn of plenty and objectively showing and the record form such as numerical value, chart, image, on scientific and accuracy, obtain the raising of matter, changed the subjective judgment pattern of traditional vaginal touch inspection and the indirect monitoring pattern of stomach wall pressure transducer.Clinical research shows: the operation of implementing monitoring with this utility model is simple and easy to do, and practise midwifery person need not to experience long-term training just can expertly grasp the monitoring operation, of the present utility model cheap, possesses popularizing application prospect.

Description of drawings

Fig. 1 is the whole hardware configuration sketch map of this utility model.

Fig. 2 is the structural representation of digital pull and push dynamometer of this utility model and colour imagery shot common enclosure.

Fig. 3 is the side sight sketch map that this utility model duck-billed speculum two probes into a kind of configuration of portion.

Fig. 4 is the side sight sketch map that this utility model duck-billed speculum two probes into a kind of configuration of portion.

Fig. 5 is that this utility model duck-billed speculum probes into portion's outer surface vertical view.

Fig. 6 is that this utility model duck-billed speculum probes into portion's inner surface vertical view.

Fig. 7 is that this utility model duck-billed speculum two probes into portion's front end color sign point or line sketch map.

Fig. 8 is that this utility model duck-billed speculum two probes into portion's closure state lower front end end view.

Fig. 9 is this utility model colour imagery shot anterior aspect structural representation.

Figure 10 is the sketch map that this utility model duck-billed speculum is connected with digital pull and push dynamometer.

Figure 11 is the sketch map that this utility model duck-billed speculum is connected with colour imagery shot.

Figure 12 is the sketch map of this utility model bearing convex platform reversibility stationary digital formula pull and push dynamometer.

Figure 13 is the digital ergometer that is connected to a fixed of this utility model bearing upper groove reversibility and the sketch map of colour imagery shot.

Figure 14 is that this utility model shooting visual field middle distance judges that line and two probes into the sketch map that portion's front end color indicates point or line sign dialatation of cervical os degree.

Figure 15 is that the portion of probeing into laterally indicates line and indicates dialatation of cervical os degree and fetal head hair tendency and scribble a little or the sketch map of line sign fetal position in this utility model shooting visual field.

Figure 16 is the sketch map that this utility model detects fetal head decline thrust due to fetal presentation decline degree and the monitoring force of labor.

The specific embodiment

With reference to Fig. 1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16, whole hardware configuration of the present utility model comprises duck-billed speculum 1, colour imagery shot 2, digital pull and push dynamometer 3, computer 4 and bearing 5 as shown in Figure 1.Duck-billed speculum 1 is set to be made up of with inferior lobe 7 the last leaf 6 that is connected, the leading portion of last leaf 6 is set to be used to probe into the portion that probes into 8 of vagina, back segment is set to be used to connect the connecting portion 9 of colour imagery shot 2 and digital pull and push dynamometer 3, the leading portion of inferior lobe 7 is set to be used to probe into the portion that probes into 10 of vagina, back segment is set to be used for the handle portion 11 of manipulation, last leaf 6 be set to being connected of inferior lobe 7 to be provided with pivot pin in both sides, the portion of probeing into 8 rear end, to be provided with axis hole in both sides, the portion of probeing into 10 rear end, with pivot pin and hinged 12 (as the Fig. 1,2,3,4) of axis hole; Two probe into portion 8 and 10 can be set to non-parallel configuration under closure state, as longitudinal axis that probes into portion 8 and the longitudinal axis (as Fig. 3) in a certain angle that probes into portion 10, or two probe into portion 8 and parallel with 10 segment section, segment section irrelevancy capable (as Fig. 4) in addition, two probe into portion 8 and 10 also can be set to parallel configuration (as Fig. 1 under closure state, 2), probe into portion 8 or probe into portion 10 and can be set to parallel configuration, be equal to (as Fig. 5) as width from front to back, also can be set to non-parallel configuration, as width difference (as Fig. 6) from front to back, two outer surfaces that probe into portion 8 and 10 are vertically gone up and can be provided with the sign line 13 (as Fig. 5) that indicates length, and two probe into the sign line 14 (as Fig. 6) that transversely can be provided with sign length of the front end inner surface of portion 8 and 10; Two probe into portion 8 and 10 front end inner surfacies is provided with color and indicates point or line 15 (as Fig. 7); Probe into portion 8 rear portions or probe into the spy window 16 (as Fig. 5) that portion 10 rear portions can be provided with window-like, visiting window 16 through this can probe into custom-designed elongated shape utensil enforcement intravaginal sampling or be coated with operations such as paint or detection on the fetal head scalp, also this spy window 16 can be set, under portion of probeing into 8 and 10 closure states, the two front end end faces that probe into portion 8 and 10 constitute plane configuration 17 perpendicular to the portion's of probeing into 8 longitudinal axis (as Fig. 8,16), probe under portion 8 and 10 closure states two, probe into portion 8 and but 10 front end reversibilitys are nested with an overseas cap 18 (as Figure 10) in two, this overseas cap 18 have drawn from medical grade rubber or silicone rubber material; Colour imagery shot 2 comprises shell 19, camera lens 20, body 21 and illuminating lamp 22, shell 19 is set to the handle shape housing, body 21 is placed in the shell 19, camera lens 20 is placed in shell 19 front ends, illuminating lamp 22 be placed in camera lens 20 around, light-control knob 23 and focusing knob 24 can be set on shell 19, be respectively applied for the brightness of adjusting illuminating lamp 22 and the focal length of camera lens 20, illuminating lamp 22 is 2～10 white LED lamps, or annular white LED lamp (as Fig. 9,11); Digital pull and push dynamometer 3 is for having the digital pull and push dynamometer (as Fig. 1,10) of shell 25, push-pull effort probe 26, keyboard 27, display 28 and USB communication interface 29, and such digital pull and push dynamometer is the current techique product, as the handheld digital pull and push dynamometer; The connecting portion 9 of duck-billed speculum 1 can be connected with the push-pull effort of digital pull and push dynamometer 3 26 reversibilitys of popping one's head in, both can correspondingly be provided with the multiple configuration that cooperatively interacts, insert connection with the cover that constitutes between the two, or the bayonet socket draw-in groove connects, or be threaded, or screw connects, or pin-and-hole connects (as Figure 10), the connecting portion 9 of duck-billed speculum 1 also can be connected with the shell 19 front end reversibilitys of colour imagery shot 2, both can correspondingly be provided with the multiple configuration that cooperatively interacts, insert connection with the cover that constitutes between the two, or the connection of bayonet socket draw-in groove, or be threaded, or screw connects, or pin-and-hole connection (as Figure 11), computer 4 is connected (as Fig. 1 with colour imagery shot 2 with lead, 2), digital pull and push dynamometer 3 is connected (as Fig. 1 with computer 4 with USB cable, 2); The shell 19 of colour imagery shot 2 can be set to separately independently shell with the shell 25 of digital pull and push dynamometer 3, and two shells 19 and 25 can constitute the reversibility annexation and (be connected as overlapping to insert, or the bayonet socket draw-in groove connects, or be threaded, or screw connects, or pin-and-hole connects), and constitute handle shape configuration (as Fig. 1) jointly; The shell of the shell of colour imagery shot 2 and digital pull and push dynamometer 3 also can be set to a common enclosure 39, this common enclosure 39 constitutes the handle shape configuration, front end in this common enclosure 39 is provided with camera lens 20 and push-pull effort probe 26, the push-pull effort probe 26 of these common enclosure 39 front ends can correspondingly be provided with the multiple configuration that cooperatively interacts with the connecting portion 9 of duck-billed speculum 1, insert connection with the cover that constitutes between the two, or the bayonet socket draw-in groove connects, or be threaded, or the screw connection, or pin-and-hole connects (as Fig. 2); Bearing 5 is set to have the hard block of the upper and lower surface that parallels, and its geometric configuration can be provided with multiple, as "] " shape or

Shape (as Fig. 1,10), the surface is provided with boss 30 or groove 31 thereon, be used for reversibility stationary digital formula pull and push dynamometer 3, or be used for digital pull and push dynamometer 3 and colour imagery shot 2 (as Fig. 1,2,10,11,12,13) that reversibility is connected to a fixed, bearing 5 can have the differing heights setting.

This utility model is measured cervix uteri mouth 32 degrees of expansion: with duck-billed speculum 1, colour imagery shot 2 is connected successively with computer 4, colour imagery shot 2 with a certain focal length imaging conditions under, on the shooting visual field 33 of computer 4 display screens, show distance and judge line 34 (as Figure 14), when measuring cervix uteri mouth 32 degrees of expansion, indicate point or line 15 lucky set with two colors that probe into portion 8 and 10 front ends and demarcate two edge places at the cervix uteri mouth 32 maximum separation diameter radial lines of expanding, wherein probe into portion's 8 front ends color indicate point or line 15 and be arranged on distance and judge on line 34 start positions, can observe and read the distance of 15 on this two colors sign point or line on the distance judgement line 34 of the shooting visual field 33 demonstrations, this distance value promptly is that cervix uteri mouth 32 is expanded numerical value (as Figure 14); Also can generally obtain certain image document of cervix uteri mouth 32 expansion situations constantly, draw the evaluation that cervix uteri mouth 32 is expanded progresses by the comparison between the image document of difference moment cervix uteri mouth 32 expansion situations by shooting; Under the less situation of cervix uteri mouth 32 degrees of expansion, as expanding less than 5cm, under shooting observe to be guided, the two intermarginal distances that the sign line 14 of the sign length that transversely is provided with that can be by portion of probeing into 8 or 10 front end inner surfacies attaches the cervix uteri mouth 32 maximum separation diameter radial lines of measuring expansion drew cervix uteri mouth 32 expansion numerical value (as Figure 15).

This utility model monitoring fetal position: with duck-billed speculum 1, colour imagery shot 2 is connected successively with computer 4, judge fetal position by the tendency direction of observing fetal head 35 hairs, can assist abdominal ultrasound examination to be assisted affirmation in case of necessity, can after confirming fetal position first, on fetal head hair and scalp, scribble a little or line 36 indicates fetal position with medical pigment, as scribble arrow 36, the face amount portion of arrow points fetal head 35, the negative side of arrow is the occipitalia (as Figure 16) of fetal head 35, as with progress of labor, fetal head 35 is further bowed in the wrong, arrow 36 displacements, this arrow 36 can be prolonged, be convenient to thus observe subsequently, draw the accurate variation evaluation of fetal position by the shooting comparison of different time.

This utility model monitoring fetal head 35 decline degree in vagina 37: with the level position 1 liang of duck-billed speculum is probeed into portion 8 and 10 (being closure state) and probe into vagina 37 and make it front end and contact with fetal head 35 presentation portions, make the portion of probeing into 8 paste (available medical pigment is drawn a little or line indicates) mutually with vaginal orifice leading edge 38 on this leading edge, the sign line 13 of the sign length that vertically go up to be provided with by the portion's of probeing into 8 outer surfaces is read the scale value (as Figure 16) at vaginal orifice leading edge 38 places, by comparing certain hour scale value reading at interval, can predict the decline degree of fetal head 35 in vagina 37.

Fetal head 35 decline thrusts due to this utility model monitoring force of labor: with duck-billed speculum 1, digital pull and push dynamometer 3 is connected successively with computer 4, in the uterine contraction intermission, the operator probes into portion 8 and 10 with two of closure state and low probes into vagina 37 and make its preceding end in contact fetal head 35 (as Figure 16), in case of necessity the operator in addition finger probe into vagina 37 and implement palpation and guide two to probe into portion 8 and 10 front end set, be used bearing 5 (being set to have bigger bed surface contact area), it is positioned on the bed surface at nearly anemia of pregnant woman's pudendum place, digital pull and push dynamometer 3 or the colour imagery shot 2 that is connected and digital pull and push dynamometer 3 are placed on bearing 5 upper surfaces, and will be fixing (as Fig. 1 with boss on it 30 or groove 31,2,12,13), the longitudinal axis that makes leaf probe into portion 8 probes into vagina 37 with level, and in whole observation process, remain unchanged, in the uterine contraction phase, the operator presses bearing 5 with hands, make it fixed-site, avoid its relative bed surface displacement, finish the detection of whole uterine contraction phase thus.

Claims (10)

1. digitized childbirth monitor, comprise duck-billed speculum, colour imagery shot, digital pull and push dynamometer, computer and bearing, it is characterized in that: described duck-billed speculum is set to be made up of the last leaf and the inferior lobe that are connected, the leading portion of last leaf is set to be used to probe into the portion that probes into of vagina, back segment is set to be used to connect the connecting portion of colour imagery shot and digital pull and push dynamometer, the leading portion of inferior lobe is set to be used to probe into the portion that probes into of vagina, back segment is set to be used for the handle portion of manipulation, last leaf be set to probe into both sides, portion rear end being connected of inferior lobe and be provided with pivot pin at last leaf, probe into both sides, portion rear end inferior lobe and be provided with axis hole, hinged with pivot pin and axis hole; Described colour imagery shot comprises shell, camera lens, body and illuminating lamp, and shell is set to the handle shape housing, and body is placed in the shell, and camera lens is placed in the shell front end, illuminating lamp be placed in camera lens around; Described digital pull and push dynamometer is the digital pull and push dynamometer with shell, push-pull effort probe, keyboard, display and USB communication interface; The connecting portion of described duck-billed speculum can be connected with the push-pull effort probe reversibility of described digital pull and push dynamometer, also can be connected with described colour imagery shot shell front end reversibility, described computer is connected with described colour imagery shot with lead, described digital pull and push dynamometer is connected with described computer with USB cable, and described bearing is connected with described digital pull and push dynamometer or with the digital pull and push dynamometer that is connected, colour imagery shot reversibility.

2. a kind of digitized childbirth monitor according to claim 1, it is characterized in that: described two probe into portion's outer surface vertically goes up and can be provided with the sign line that indicates length, and described two probe into the sign line that transversely can be provided with sign length of portion's front end inner surface; Described two probe into portion's front end inner surface is provided with color sign point or line; Described upward leaf probes into the portion rear portion or inferior lobe probes into the spy window that the portion rear portion can be provided with window-like, also this spy window can be set.

3. a kind of digitized childbirth monitor according to claim 1, it is characterized in that: described upward leaf probes into portion and inferior lobe probes into portion under closure state, and the two front end end faces that probe into portion constitute the plane configuration that probes into portion's longitudinal axis perpendicular to last leaf.

4. a kind of digitized childbirth monitor according to claim 1, it is characterized in that: described upward leaf probes into portion and inferior lobe probes into portion under closure state, but probe into portion's front end reversibility in two and be nested with an overseas cap, this overseas cap have drawn from medical grade rubber or silicone rubber material.

5. a kind of digitized childbirth monitor according to claim 1, it is characterized in that: the shell of described colour imagery shot and the shell of digital pull and push dynamometer can be set to separately independently shell, and two shells can constitute slotting connection of reversible cover or the connection of bayonet socket draw-in groove or be threaded or screw connection or pin-and-hole annexation, and constitute the handle shape configuration jointly; The shell that maybe can described colour imagery shot and the shell of digital pull and push dynamometer are set to a common enclosure, this common enclosure constitutes the handle shape configuration, front end in this common enclosure is provided with camera lens and push-pull effort probe, the push-pull effort probe of this common enclosure front end can correspondingly be provided with the multiple configuration that cooperatively interacts with the connecting portion of described duck-billed speculum, insert connection to constitute reversible cover between the two, or the connection of bayonet socket draw-in groove, or be threaded, or the screw connection, or pin-and-hole connects.

6. a kind of digitized childbirth monitor according to claim 1, it is characterized in that: the connecting portion of described duck-billed speculum can correspondingly be provided with the multiple configuration that cooperatively interacts with the push-pull effort of described digital pull and push dynamometer probe, insert connection to constitute reversible cover between the two, or the bayonet socket draw-in groove connects, or be threaded, or the screw connection, or pin-and-hole connects.

7. a kind of digitized childbirth monitor according to claim 1, it is characterized in that: the connecting portion of described duck-billed speculum can correspondingly be provided with the multiple configuration that cooperatively interacts with described colour imagery shot shell front end, insert connection to constitute reversible cover between the two, or the bayonet socket draw-in groove connects, or be threaded, or the screw connection, or pin-and-hole connects.

8. a kind of digitized childbirth monitor according to claim 1 is characterized in that: on described colour imagery shot shell light-control knob and focusing knob can be set, be respectively applied for the brightness of the described illuminating lamp of adjustment and the focal length of described camera lens.

9. a kind of digitized childbirth monitor according to claim 1, it is characterized in that: described illuminating lamp is 2～10 white LED lamps, or annular white LED lamp.

10. a kind of digitized childbirth monitor according to claim 1, it is characterized in that: described bearing is set to have the hard block of the upper and lower surface that parallels, and the surface is provided with and is used for the reversibility fixedly boss or the groove of colour imagery shot and digital pull and push dynamometer thereon; Described bearing can have the setting of differing heights.

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