CN208769946U - A kind of uterine neck cone cutting system - Google Patents

Abstract

The utility model discloses a kind of uterine neck to bore cutting system, the system includes: that guide rod, cone cut operating mechanism, linkage mechanism and coagulation net, is completed by the cooperation that the guide rod, cone cut operating mechanism, linkage mechanism and coagulation net to the guidance of cervical tissue to be cut positioning, cutting and hemostasis.Wherein, the guide rod outer surface is respectively arranged with one section of scale logo area and one section of external screw thread area, and the guide rod of this section with external screw thread area connects the linkage mechanism；The linkage mechanism is also connected with the cone and cuts operating mechanism；The cone cuts operating mechanism, including horizontal connection mechanism and transmission mechanism, and the transmission mechanism top connects the horizontal connection mechanism, and the transmission mechanism end is fixedly installed with blade.The utility model solves the problems, such as not have the equipment of profession to cause when traditional uterine neck cone cuts cryoprobe cutting that operation difficulty is big, cannot accurately control cut coverage, be easy to cause intraoperative hemorrhage.

Description

A kind of uterine neck cone cutting system

Technical field

The utility model belongs to medical field, especially relate to a kind of uterine neck cone for during operation on cervix and cut be System.

Background technique

Conservative uterine neck cone blanking method is the main method of current Cervical intraepitheliaI neoplasia (CIN) treatment.It applies at present Cone blanking method has cooled-knife method, annular cutting method and laser method.Cold knife conization art is having diagnosing and treating work to patient because of it With while, have can provide sufficient tissue specimen to carry out pathological diagnosis, the advantages of especially evaluation sample edge, The status for having its irreplaceable in clinic.And it is to be operated with the scalpel of most original that current cryoprobe cutting is clinical. It is required that Doctors' skill degree is higher, operation difficulty is big, cannot accurate cut coverage, entirely with doctor's subjective judgement, clipping time is long, And intraoperative hemorrhage is more.

Therefore, a kind of cut coverage that is easy to operate, can effectively controlling tumour how is designed, and reduces intraoperative hemorrhage Uterine neck bores cutting system, becomes for current urgent problem to be solved.

Utility model content

The purpose of this utility model is to provide a kind of uterine neck cone cutting system, cuts equipment operation to solve original uterine neck cone Difficulty is big, cannot accurately control cut coverage, be easy to cause the problem of intraoperative hemorrhage.

In order to solve the above technical problems, technical solution used by the utility model is as follows:

A kind of uterine neck cone cutting system, the system include: guide rod, bore and cut operating mechanism, linkage mechanism and coagulation net, lead to Cross the guide rod, cone cuts guidance of the cooperation completion of operating mechanism, linkage mechanism and coagulation net to cervical tissue to be cut Positioning, cutting and hemostasis, which is characterized in that

The guide rod, in rodlike, the guide rod outer surface is respectively arranged with one section of scale logo area and one section of outer spiral shell Line area, this section of guide rod with external screw thread area connect the linkage mechanism；

The linkage mechanism, is separately connected the guide rod and cone cuts operating mechanism, and the linkage mechanism has an accommodating The hollow cavity of the guide rod, the internal threaded regions which has and the external screw thread area of the guide rod matches, chamber External wall has multiple latches around a circle arrangement of the prominent outer wall surface；

Described bore cuts operating mechanism, including horizontal connection mechanism and transmission mechanism, described in the transmission mechanism top connection Horizontal connection mechanism, the horizontal connection mechanism offer hollow rectangle window, and the edge of the rectangle window is multiple is connected Latch, the latch of the chamber outer wall of the linkage mechanism is meshed with the latch of the rectangle window, the transmission mechanism end It is fixedly installed with the blade for cutting cervical tissue.

Further, the transmission mechanism includes the first tooth shell, knob and coaxial arrangement and in shell Wheel and second gear, the first gear and second gear connect realization by an endless belt and rotate synchronously, first tooth Wheel is located at the knob on outer surface of outer cover by transmission shaft connection, and the second gear end is fixedly connected with blade.

Further, the second gear is semicircular gear, and the central axis of the semicircular gear is fixedly connected with blade, Plane where the semicircular gear is vertically arranged with plane where the blade.

Further, the scale logo area is set to guiding nose, and the scale logo area is by equidistant different colours Annulus arrange, the external screw thread area is provided close to the back-end location of the guide rod, above-mentioned on the guide rod External screw thread area is arranged also by the annulus of equidistant different colours.

Further, the small annulus of the scale logo area and external screw thread area with seven sections of different colours marks, every section Small annular section length is 0.5cm, wherein has a segment length extremely between the end of the scale logo area and the head end in external screw thread area Less be 10cm smooth no color area, close to guide rod rear end least significant end of the external screw thread offset from guide rod also have one section without spiral shell The smooth no color area of line, length are at least 1cm.

Further, the front end portion of guide rod position where from front end toward scale logo area is gradually by carefully becoming Slightly.

Further, the coagulation net is made of coniform coagulation host's body more coagulation silks, in the coniform electricity There is a through-hole to be pierced by for guide rod on the top of solidifying host's body, coagulation net bottom face circumferential location connection insulation handle, in the insulation handle Portion is embedded with coagulation conducting wire, one section of connection coagulation host's body of coagulation conducting wire, and other end connection is located at the electriocoagulator of insulation handle other end.

Further, the external screw thread head of district in the internal threaded regions length and guide rod on the cavity inner wall of the linkage mechanism Spend identical, inside cavity to the external screw thread area that the guide rod can be inserted into the linkage mechanism is just completely covered, the linkage It is a T shape spanner at the top of mechanism.

Further, the outer edge of the rectangle window of the levels operation mechanism has scale mark.

Compared with prior art, uterine neck described in the utility model bores cutting system, has the following technical effect that

One, the utility model designs scale label specifically for cutting process, and is cut by guide rod, linkage mechanism, cone Effective cooperation of operating mechanism accurately controls cut coverage (including depth of cut and length) according to the state of an illness, simplifies existing Uterine neck bores the operating difficulty cut, and saves clipping time, provides great convenience for curative activity.

Two, existing manual cutting has been carried out semi-automatic processing by the utility model, and cutting process is simplified to knob Mode reduces surgical operation step and operating time, easy, quick, whole can separate the uterine neck of required cutting.

Three, the utility model design can be with comprehensive fast short stopping after taking out pathology for the blood coagulation component of uterine neck structure Blood reduces intraoperative blood loss, and reduces postoperative complication.

Detailed description of the invention

Fig. 1 (a) is a structural schematic diagram of the guide rod that uterine neck described in the utility model embodiment bores cutting system；

Fig. 1 (b) is another structural schematic diagram for the guide rod that uterine neck described in the utility model embodiment bores cutting system

Fig. 2 is the structural schematic diagram for the linkage mechanism that uterine neck described in the utility model embodiment bores cutting system；

Fig. 3 is that the cone of the cone cutting system of uterine neck described in the utility model embodiment cuts the structural schematic diagram of operating mechanism.

Fig. 4 is the structural schematic diagram for the coagulation net that uterine neck described in the utility model embodiment bores cutting system.

Fig. 5 is the reference view in a state of use that uterine neck described in the utility model embodiment bores cutting system.

Fig. 6 is the structural schematic diagram of levels operation mechanism described in the utility model embodiment.

Specific embodiment

The utility model is described in further detail below in conjunction with attached drawing, but not as the restriction to the utility model.

Referring to Fig.1 shown in (a)~Fig. 6, a kind of uterine neck disclosed in the present embodiment bores cutting system, which includes: guiding Stick 1, cone cut operating mechanism 3, linkage mechanism 2 and coagulation net 4, cut operating mechanism 3, linkage mechanism by the guide rod 1, cone 2 and the cooperation of coagulation net 4 complete to the guidance of cervical tissue to be cut positioning, cutting and hemostasis.

The guide rod 1 is mainly used for being inserted into measurement depth of cut in uterine neck, maintains uterine neck pipeline unobstructed and pre- anti-sticking Even, in use, the guide rod 1 is connected to the linkage mechanism 2.

Specifically, the guide rod 1 is whole cylindrical, and 1 outer surface of guide rod is respectively arranged with a Duan Kedu Logo area 11 and one section of external screw thread area 12, wherein this section of guide rod 1 with external screw thread area 12 connects the linkage mechanism 2。

More specifically, the scale logo area 11 is set to one end inside 1 front end of guide rod, namely insertion uterine neck, should Scale logo area 11 is arranged by the annulus of equidistant different colours, and the external screw thread area 12 is provided close to described lead Draw the back-end location of stick 1, external screw thread area 12 has a bit of interval apart from 1 end of guide rod, above-mentioned outer on the guide rod 1 Threaded area 12 is arranged also by the annulus of equidistant different colours, the length and external screw thread of the scale logo area 11 The length in area 12 is identical.

In one embodiment of the utility model, the scale logo area 11 and external screw thread area 12 have seven sections of different face The small annulus of colour code will, every section small annular section length is 0.5cm, and whole section in this way of length is just 3.5cm, and the length of 3.5CM Degree, which can be bent, meets the height that general cervical tissue has.Wherein, the end and external screw thread area of the scale logo area 11 There is a segment length to be at least the smooth no color area of 10cm between 12 head end, which is no longer than 20cm, the interlude distance For the depth for reserving vagina, tail end of the external screw thread area 12 apart from guide rod 1 close to 1 rear end of guide rod also have one section it is non-threaded Smooth no color area, length are at least 1cm.It should be noted that the length in above-mentioned scale logo area 11 and external screw thread area 12 It is not limited to be set as 3.5cm, 3.5cm can be more than or less than, the length in the smooth no color area of interlude is also not necessarily limited to must be big In 10cm.

Referring to shown in Fig. 1 (b), as one preferred embodiment of the utility model, 1 front end portion of guide rod is designed For by thin thicker shape, front end is most thin, is convenient for cervix dilating when guide rod 1 is inserted into intrauterine in this way, and will not be to uterus It causes to damage.Wherein, have and 3.5cm is preferably equal to by 1 length of guide rod of thin thicker part, or be slightly less than 3.5cm。

As another preferred embodiment of the utility model, the guide rod 1 is additionally provided with one section close to front end position Arc groove, the arc groove are to open up along guide rod direction.For arc groove apart from front end about 2~3cm, the arc is recessed Slot guides suture needle when can be used for suturing Cervical stump.In use, tissue, ecto-entad direction inserting needle, from cut surface are inserted into suture needle Needle out, out when needle, guide rod 1 can be assisted such as lever principle, and needle is positioned by groove, out needle.

Shown in Figure 2, the linkage mechanism 2, whole section is T-shaped, and causing cone to cut for rotation, operating mechanism 3 is whole to hang down Vertical cut is cut, and facilitates manual control, and the linkage mechanism 2 in use, is separately connected the guide rod 1 and cone cuts operating mechanism 3, the linkage mechanism 2 has hollow cavity, and cavity is cylindrical, for accommodating the guide rod 1, specially has external screw thread Area 12 and that section of non-threaded smooth no color region later, which has and the external screw thread area of the guide rod 1 12 internal threaded regions 22 matched, internal threaded regions 22 are from the cavity hatch of linkage mechanism 2 to medium position, the linkage mechanism 2 Cavity inner wall on 22 length of internal threaded regions it is identical with 12 length of external screw thread area on guide rod 1, the guide rod 1 can be inserted into The inside cavity of the linkage mechanism 2 to external screw thread area 12 is just completely covered, and 1 top of guide rod is just held in cavity Bottom, chamber outer wall have the multiple latches 21 for being full of loop arrangement of the prominent outer wall surface, in the present embodiment, should Latch 21 is four, spaced set.The linkage mechanism 2 also has leader 23, is located at top, in use, rotating this Hand 23 may make guide rod 1.

Shown in Figure 3, the cone cuts operating mechanism 3, including horizontal connection mechanism 31 and transmission mechanism 32, the transmission 32 top of mechanism connects the horizontal connection mechanism 31, and the connection type of the two can be flexibly connected to be formed by hinge, make Used time, expansion form orthogonal state, when not in use altogether, cooperate shown in Figure 6, the horizontal connection mechanism 31 Hollow rectangle window 311 is offered, the inward flange of the rectangle window 311 is multiple connected latches 312, the linkage mechanism The two rows in two long sides on latch and the rectangle window 311 in the protrusion of a pair of opposing on 2 chamber outer wall Latch is just meshed, and 32 end of transmission mechanism is fixedly installed with blade 5, when rotating the linkage mechanism 2, passes through linkage The latch 312 of the rectangle window 311 of the latch 21 and horizontal connection mechanism 31 of 2 outer wall of mechanism is due to will lead to be intermeshed Horizontal connection mechanism 31 horizontally slips, to have adjusted the distance between transmission mechanism 32 and guide rod 1, control blade 5 is cut Horizontal extent.In order to more accurately observe the distance between guide rod 1 and blade 5, in the rectangular of the horizontal connection mechanism 31 It is provided with graduation mark on the outer edge of shape window 311, which can be short by the dark color mark of such as 0.5CM at spacing intervals Line marks, and the spacing that both in this way can probably judge plays certain reference role to the range that cone is cut, what conical stiffener was cut Precision.It should be noted that in use, guide rod 1 and linkage mechanism 2 on the same line, horizontal connection mechanism 31 It is mutually perpendicular to linkage mechanism 2, horizontal connection mechanism 31 and transmission mechanism 32 are mutually perpendicular to, therefore guide rod 1 and transmission mechanism 32 Be parallel to each other, the two tool is at regular intervals, and the adjustment of this spacing by position of the linkage mechanism 2 in rectangle window 311 come Control.At the initial stage of using, the intracavitary internal screw thread of external screw thread and linkage mechanism 2 on guide rod 1 is uncombined, and guide rod 1 Every to go deep into a bit to uterus, the height that external screw thread and internal screw thread are just combined by way of turn-taking is more more.It is prior It is the graduation mark of depth and outside that the downward insertion depth of guide rod can be combined according to internal threaded regions and external screw thread area at any time Determine, naked eyes are as it can be seen that accurate.

Specifically, the transmission mechanism 32 include shell, positioned at case surface knob 321 and coaxial arrangement and Positioned at the first gear 322 and second gear 323 of interior of shell, the first gear 322 and second gear 323 pass through one The connection of endless belt 324, which is realized, to be rotated synchronously, and the axle center of the first gear 322 is also located at housing exterior by transmission shaft connection Knob 321 on face, 323 end of second gear are fixedly connected with blade 5.Turning knob can drive two gear rotations, Gear rotation will lead to blade 5 and rotate within a certain angle, and maximum can pass through up time by vertical 90 degree to horizontal 90-degree direction Needle or counterclockwise rotation, controllable blade 5 are cut back and forth within the scope of horizontal 180 degree.The blade 5 protrudes from outside shell Portion.

As one optional embodiment of the utility model, controlled in one action to limit the blade 5 In 90 degree of slewing area, the second gear is designed as semicircular gear, the central axis and blade 5 of the semicircular gear are solid Fixed connection, plane where the semicircular gear are vertically arranged with the 5 place plane of blade.The initial bit of the semicircular gear Plane where being set to its cut through is horizontal direction, in this way, may only rotate clockwise or counter-clockwise in primary rotation 90 degree, so that blade 5 is also cut within the scope of vertical 90 degree and horizontal 90-degree.

Shown in Figure 4, the coagulation net 4 is preferably arranged at least 6, can be formed one in this way by more coagulation silks The coagulation host body 41 of cone-shaped structure, is set as coniform wide coverage, and the material that coagulation silk uses can be conductive gold Belong to material, for example silver, copper, the metal wire-drawings material such as MnZn, the diameter of coagulation net 4 are about diameter 3cm.It is coniform at this There is a through-hole 43 to be pierced by for guide rod 1 on the top of 4 main body of coagulation net.The a certain position of 4 base circumference of coagulation net connects insulation handle 42, coagulation conducting wire, one section of connection coagulation host's body of coagulation conducting wire are embedded with inside the insulation handle 42, other end connection is located at insulation handle The electriocoagulator of other end.By the electriocoagulator that shocks by electricity, electric current reaches coagulation net 4 by the conducting wire inside insulation handle, generates coagulation effect Fruit.The structure coagulation range for being set as coniform is wide, sufficiently stops blooding, and reticular structure is flexible, sufficiently fitting tissue.

Below come be described in detail uterine neck described in the utility model embodiment cone cutting system use operating method:

Step 1: by the smooth one end of guide rod 1 (that one end with scale logo area 11) insertion cervical orifice；

Step 2: linkage mechanism 2 to be inserted into the rectangle window 311 in the horizontal connection mechanism 31 of uterine neck Zhui Qie mechanism 32 It is interior, so that the latch on 2 outer wall of linkage mechanism is intermeshed with the latch in rectangle window 311, linkage mechanism is then controlled again 2, so that guide rod 1 (that one end with external screw thread area 12) is nested into the inner cavity of linkage mechanism 2, adjust horizontal connection mechanism 31, by the link position of rectangle window 311 and linkage mechanism 2, the interval between guide rod 1 and blade 5 is controlled, control is cut Cut range；

Step 3: depth is cut.Linkage mechanism 2 is rotated clockwise by the manual wrench on 2 top of linkage mechanism, due to Guide rod 1 is nested in 2 inner cavity of linkage mechanism, is combined by the external screw thread on the internal screw thread and guide rod 1 in linkage mechanism 2, Continue to rotate, guide rod 1 is continued deeper into uterine neck, according to the scale size of the threaded area on guide rod 1, calculates guiding Stick 1 is in intrauterine depth, and then accurate depth of cut.

Step 4: cutting: after reaching designated depth, the slowly knob on 32 shell of rotating actuator, with moving gear Rotation, and then rotate by a certain angle with cutting blade 5, cervical tissue is completely separated.

Step 5: removing pathological tissue and cone cuts operating mechanism 3, upper coagulation net 4 is covered on guide rod 1 and is carried out in cut place Electric coagulation hemostasis.

Step 6: needlework stop blooding, by the groove on guide rod 1, so that needlework more smoothly suture.

An Application Example of cutting system is bored to introduce explanation using the uterine neck of the utility model below.

1, after anaesthetizing, patient takes lithotomy position.Aseptic hole-towel is spread after disinfection vulvovaginal.

2, row catheterization places vaginal speculum exposure uterine neck, and sterilizes vagina and uterine neck.

3, iodine solution is applied in cervical surface, is put into guide rod 1 in cervical canal, is installed 5 groups of blade, spanner.And adjust level Distance is horizontal resection range at 0.5cm outside lesion or outside the not colored area of iodine.Rotate the T-type spanner on linkage mechanism 2, knife Piece 5 is cut forward clockwise along guide rod 1,1 high scale of guide rod is watched, when depth of cut is enough, on rotating blade 5 Angulation knob, by blade 5 inwardly rotation 30-50 degree angle, make excisional cone cervix.According to surgical indication difference, uterine neck can be goed deep into Pipe 1-2cm.

4, cutting finishes, and removal linkage mechanism 2 and cone cut operating mechanism 3, and Pathologic specimen is taken out inspection.

5, coagulation net 4 is installed, the electric coagulation hemostasis of the surface of a wound is carried out.If there is arterial hamorrhage, gutstring sewing hemostasis can be used.Exist at this time The groove of 1 front end of guide rod can help suture needle more smoothly to skid off when needle out.

Compared with prior art, uterine neck described in the utility model bores cutting system, solves traditional uterine neck cone and cuts cryoprobe Not having the equipment of profession to cause when cutting, operation difficulty is big, cannot accurately control cut coverage, be easy to cause asking for intraoperative hemorrhage Topic.

Several preferred embodiments of the present invention have shown and described in above description, but as previously described, it should be understood that this Utility model is not limited to forms disclosed herein, and should not be regarded as an exclusion of other examples, and can be used for various Other combinations, modification and environment, and above-mentioned introduction or related fields can be passed through within the scope of the inventive concept described herein Technology or knowledge be modified.And changes and modifications made by those skilled in the art do not depart from the spirit and model of the utility model It encloses, then it all should be in the protection scope of the appended claims for the utility model.

Claims (9)

1. a kind of uterine neck bores cutting system, which includes: guide rod, bores and cut operating mechanism, linkage mechanism and coagulation net, pass through It is fixed that the guidance to cervical tissue to be cut is completed in the cooperation that the guide rod, cone cut operating mechanism, linkage mechanism and coagulation net Position, cutting and hemostasis, which is characterized in that

The guide rod, in rodlike, the guide rod outer surface is respectively arranged with one section of scale logo area and one section of external screw thread area, This section of guide rod with external screw thread area connects the linkage mechanism；

The linkage mechanism, is separately connected the guide rod and cone cuts operating mechanism, and the linkage mechanism has an accommodating, and this is led Draw the hollow cavity of stick, the internal threaded regions which has and the external screw thread area of the guide rod matches, outside cavity Wall has multiple latches around a circle arrangement of the prominent outer wall surface；

The cone cuts operating mechanism, including horizontal connection mechanism and transmission mechanism, and the transmission mechanism top connects the level Bindiny mechanism, the horizontal connection mechanism offer hollow rectangle window, and the edge of the rectangle window is multiple connected cards Tooth, the latch of the chamber outer wall of the linkage mechanism are meshed with the latch of the rectangle window, and the transmission mechanism end is fixed Blade for cutting cervical tissue is installed.

2. uterine neck as described in claim 1 bores cutting system, which is characterized in that the transmission mechanism include shell, knob and First gear and second gear be coaxially disposed and being located in shell, the first gear and second gear pass through an annulus wheel Band connection, which is realized, to be rotated synchronously, knob of the first gear by transmission shaft connection on outer surface of outer cover, and described second Gear end is fixedly connected with blade.

3. uterine neck as claimed in claim 2 bores cutting system, which is characterized in that the second gear is semicircular gear, should be partly The central axis of circular gear is fixedly connected with blade, and plane is vertical plane where the semicircular gear and the blade place sets It sets.

4. uterine neck as described in claim 1 bores cutting system, which is characterized in that the scale logo area is set to guiding nose, The scale logo area is arranged by the annulus of equidistant different colours, and the external screw thread area is provided close to the guide rod Back-end location, the above-mentioned external screw thread area on the guide rod is arranged also by the annulus of equidistant different colours.

5. uterine neck as claimed in claim 4 bores cutting system, which is characterized in that the scale logo area and external screw thread area have seven Section different colours mark small annulus, it is every section small annular section length be 0.5cm, wherein the end of the scale logo area and There is a segment length to be at least the smooth no color area of 10cm between the head end in external screw thread area, close to the external screw thread area of guide rod rear end Least significant end apart from guide rod also has one section of non-threaded smooth no color area, and length is at least 1cm.

6. uterine neck as described in claim 4 or 5 bores cutting system, which is characterized in that the front end portion of the guide rod is before most It holds toward position where scale logo area gradually by thin thicker.

7. uterine neck as described in claim 1 bores cutting system, which is characterized in that the coagulation net forms circular cone by more coagulation silks Coagulation host's body of shape on the top of coniform coagulation host's body there is a through-hole to be pierced by for guide rod, coagulation net bottom face Circumferential location connects insulation handle, is embedded with coagulation conducting wire, one section of connection coagulation host's body of coagulation conducting wire, the other end inside the insulation handle Connection is located at the electriocoagulator of insulation handle other end.

8. uterine neck as described in claim 1 bores cutting system, which is characterized in that the interior spiral shell on the cavity inner wall of the linkage mechanism Line section length is identical with the external screw thread section length on guide rod, and the guide rod can be inserted into the inside cavity of the linkage mechanism extremely External screw thread area is just completely covered, and is a T shape spanner at the top of the linkage mechanism.

9. uterine neck as described in claim 1 bores cutting system, which is characterized in that the rectangle window of the levels operation mechanism Outer edge have scale mark.