CN209713087U - A uterine lifter capable of automatically compressing the uterine cavity - Google Patents
A uterine lifter capable of automatically compressing the uterine cavity Download PDFInfo
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- CN209713087U CN209713087U CN201920216564.7U CN201920216564U CN209713087U CN 209713087 U CN209713087 U CN 209713087U CN 201920216564 U CN201920216564 U CN 201920216564U CN 209713087 U CN209713087 U CN 209713087U
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Abstract
本实用新型属于医疗器械技术领域,具体涉及一种能够自动压迫宫腔的举宫器,包括主杆,所述主杆一端为用于伸入子宫内部的伸入端,另一端为置于患者体外的操作端,在所述主杆的伸入端上设置有子宫抓持部件,所述子宫抓持部件,包括若干抓持臂,所述抓持臂上具有用于与子宫内壁相配合的抓持端,所述主杆还连接有支架,所述支架包括与手术床可拆卸相连的卡持座。本申请的举宫器,大幅降低了医护人员的工作强度,自动压迫宫腔,而且还确保了举宫器对子宫壁施力的稳定性,避免手术过程中,施力不稳定而造成子宫位置晃动的风险;而且避免了对子宫壁的大面积挤压,如此,大幅的减小了子宫内血液被挤压入周围组织的风险。
The utility model belongs to the technical field of medical devices, in particular to a uterine lifter capable of automatically compressing the uterine cavity, comprising a main rod, one end of which is used to extend into the uterus, and the other end is a The operating end outside the body is provided with a uterine grasping part on the protruding end of the main rod, and the uterine grasping part includes several grasping arms, and the grasping arms have a At the grasping end, the main pole is also connected with a bracket, and the bracket includes a holding seat detachably connected with the operating bed. The uterine lifter of the present application greatly reduces the working intensity of the medical staff, automatically compresses the uterine cavity, and also ensures the stability of the uterine lifter applying force to the uterine wall, avoiding the instability of the uterine position during the operation. The risk of shaking; and avoiding a large area of extrusion to the uterine wall, thus greatly reducing the risk of blood in the uterus being squeezed into the surrounding tissues.
Description
技术领域technical field
本实用新型属于医疗器械技术领域,具体涉及一种能够自动压迫宫腔的举宫器。The utility model belongs to the technical field of medical instruments, in particular to a uterine lifter capable of automatically compressing the uterine cavity.
背景技术Background technique
全子宫切除术是妇产科治疗上广泛的应用的一种手术方式,可运用子治疗子宫肌瘤、子宫肌腺症、子宫卵巢肿瘤等,传统的方式是切开患者腹腔进行全子宫切除,这样的方式虽然能够实现子宫的切除,但是由于创伤面积大、愈合时间长、手术费用昂贵等不足,已逐渐被淘汰,取而代之的是目前已被广泛应用的腹腔镜子宫切除术。Total hysterectomy is a widely used surgical method in obstetrics and gynecology. It can be used to treat uterine fibroids, adenomyosis, uterine and ovarian tumors, etc. The traditional method is to cut the patient's abdominal cavity for total hysterectomy. Although this method can achieve hysterectomy, it has been gradually eliminated due to the disadvantages of large trauma area, long healing time, and expensive operation costs. It has been replaced by laparoscopic hysterectomy, which is currently widely used.
腹腔镜子宫切除术最大优势在于创伤面积小、对腹腔脏器干扰少、损伤小、恢复快,能保持机体内环境的稳定,无明显的疤痕。但是也存在操作空间小等限制,所以,为了确保手术过程的顺利,降低手术风险,需要在子宫切除前对子宫的位置进行调整,使子宫处于方便手术的位置,并且还需要对调整到位的子宫进行固定,避免手术过程中,子宫出现移位等风险。The biggest advantage of laparoscopic hysterectomy lies in the small trauma area, less interference to abdominal organs, less damage, quick recovery, and the ability to maintain a stable internal environment without obvious scars. However, there are also limitations such as small operating space. Therefore, in order to ensure the smooth operation process and reduce the risk of surgery, it is necessary to adjust the position of the uterus before hysterectomy, so that the uterus is in a position that is convenient for surgery, and it is also necessary to adjust the position of the adjusted uterus. Fixation is carried out to avoid risks such as uterine displacement during the operation.
目前,对于子宫位置的固定,通常是采用举宫器,其结构通常是包括杆状或者软体囊状的压迫部和与压迫部相连的操纵杆,手术时,压迫部由患者阴道伸入到子宫内,手术医生或者护士通过操纵杆操作压迫部,使压迫部挤压患者子宫内部,然后进行子宫的位置调整和固定。At present, for the fixation of the position of the uterus, a uterine lifter is usually used, and its structure usually includes a rod-shaped or soft capsule-shaped compression part and a joystick connected to the compression part. During the operation, the compression part is inserted into the uterus from the patient's vagina. Inside, the surgeon or nurse operates the compression part through the joystick, so that the compression part squeezes the inside of the patient's uterus, and then adjusts and fixes the position of the uterus.
虽然上述方式能够实现对子宫位置的调整,也能够在一定程度上满足对子宫的固定,但是在实际手术中,发明人发现,目前的举宫器还存在有严重的不足,具体如下述:Although the above method can realize the adjustment of the position of the uterus, and can satisfy the fixation of the uterus to a certain extent, but in the actual operation, the inventor found that the current uterine lifter still has serious deficiencies, specifically as follows:
在目前的举宫器中,无论是对子宫位置的调整还是对子宫位置的固定,其都必须要使举宫器的压迫部压紧子宫壁,而压紧程度也就决定了举宫器是否能可靠的固定子宫以及对子宫位置进行调整,所以在目前举宫器使用中,都需要使用较大的压迫力,确保压迫部压紧子宫壁,进而实现对子宫的位置调整和固定,而在进一步的深入研究中,发明人发现,这样大面积的对子宫进行大力挤压,还会导致严重的问题,具体在于:当子宫壁受到上述挤压力时,其内部血液会被挤压出子宫进入与子宫相连的组织中,当子宫存在恶性病变组织时,例如恶性肿瘤时,这样的操作方式,虽然术后子宫被切除,但是却使其他组织存在极大的感染和病变风险。In the current uterine lifter, whether it is to adjust the position of the uterus or to fix the position of the uterus, it must make the compression part of the uterine lifter press the uterine wall, and the degree of compression determines whether the uterine lifter It can reliably fix the uterus and adjust the position of the uterus. Therefore, in the current use of the uterine lifter, it is necessary to use a large compressive force to ensure that the compressing part presses the uterine wall, thereby realizing the position adjustment and fixation of the uterus. In further in-depth research, the inventor found that such a large area of the uterus is squeezed vigorously, which will also cause serious problems, specifically: when the uterine wall is subjected to the above-mentioned squeezing force, the internal blood will be squeezed out of the uterus Into the tissues connected to the uterus, when there are malignant lesions in the uterus, such as malignant tumors, although the uterus is resected after the operation, other tissues are at great risk of infection and disease.
发明内容Contents of the invention
本实用新型的目的在于:针对目前举宫器结构存在挤压子宫,造成子宫内血液流入其他组织而致使其他组织存在污染和病变风险的不足,提供一种在能够减小对子宫压迫,进而减小子宫周边组织被感染和病变风险的举宫器结构。The purpose of this utility model is to provide a method that can reduce the pressure on the uterus and reduce the pressure on the uterus, aiming at the disadvantages of the current structure of the uterine lifter that squeezes the uterus, causing the blood in the uterus to flow into other tissues and causing other tissues to have pollution and disease risks. The structure of the uterus with a small risk of infection and pathological changes in the surrounding tissues of the uterus.
为了实现上述目的,本实用新型采用的技术方案为:In order to achieve the above object, the technical solution adopted by the utility model is:
一种能够自动压迫宫腔的举宫器,包括主杆,所述主杆一端为用于伸入子宫内部的伸入端,另一端为置于患者体外的操作端,在所述主杆的伸入端上设置有子宫抓持部件,所述子宫抓持部件,包括若干抓持臂,所述抓持臂上具有用于与子宫内壁相配合的抓持端,所述主杆还连接有支架,所述支架包括与手术床可拆卸相连的卡持座。A uterine lifter capable of automatically compressing the uterine cavity, comprising a main rod, one end of the main rod is an extending end used to extend into the uterus, and the other end is an operating end placed outside the patient's body. A uterine grasping part is arranged on the extending end, and the uterine grasping part includes several grasping arms, and the grasping arms have grasping ends for matching with the inner wall of the uterus, and the main rod is also connected with The support includes a holding seat detachably connected with the operating bed.
本申请的举宫器,使用时,子宫抓持部件伸入到子宫内,抓持端与子宫壁想贴合,实现举宫器对子宫的顶推和/或托举,进而实现对子宫位置的调整和位置的固定,当子宫位置调整到位时,将支架的卡持座固定在手术床上,实现支架对主杆的支撑,进而保证抓持部件对子宫的抓持状态,如此,大幅降低了医护人员的工作强度,而且还确保了举宫器对子宫壁施力的稳定性,避免手术过程中,施力不稳定而造成子宫位置晃动的风险;The uterine lifter of the present application, when in use, the uterine grasping part extends into the uterus, and the grasping end fits closely with the uterine wall, so that the uterine lifter can push and/or lift the uterus, and then realize the positioning of the uterus. When the position of the uterus is adjusted in place, the clamping seat of the bracket is fixed on the operating bed to realize the support of the bracket to the main rod, thereby ensuring the gripping state of the gripping parts on the uterus, thus greatly reducing the The working intensity of the medical staff, but also ensure the stability of the force applied by the uterine lifter to the uterine wall, avoiding the risk of shaking the uterus due to unstable force application during the operation;
进一步的,在本申请的方案中,子宫抓持部件在抓持子宫时,是各个抓持臂的抓持端在多个局部位置与子宫内壁贴合,从而实现抓持部件对子宫的抓持,通过这样的方式,避免了对子宫壁的大面积挤压,如此,大幅的减小了子宫内血液被挤压入周围组织的风险,进而大幅降低子宫周围组织病变和感染的风险,进一步的,由于支架的设置,能够确保抓持部件对子宫壁施力的一致性,确保了抓持部件抓持子宫的稳定性。Further, in the solution of the present application, when the uterine grasping component grasps the uterus, the grasping end of each grasping arm is attached to the inner wall of the uterus at multiple local positions, so as to realize the grasping of the uterus by the grasping component In this way, a large area of extrusion on the uterine wall is avoided, thus greatly reducing the risk of blood in the uterus being squeezed into the surrounding tissues, thereby greatly reducing the risk of lesions and infections in the surrounding tissues of the uterus, and further , due to the setting of the bracket, it can ensure the consistency of the force exerted by the grasping part on the uterine wall, and ensure the stability of the grasping part to grasp the uterus.
优选的,所述支架包括转向座和连接在所述转向座与卡持座之间的调节杆,所述主杆与所述转向座相连,所述转向座与所述卡持座之间的距离可调。Preferably, the bracket includes a steering seat and an adjustment rod connected between the steering seat and the holding seat, the main rod is connected with the steering seat, and the adjustment rod between the steering seat and the holding seat Adjustable distance.
进一步优选的,所述调节杆包括内杆和套设在所述内杆外的外杆,所述内杆与外杆之间为螺纹连接,Further preferably, the adjusting rod includes an inner rod and an outer rod sleeved outside the inner rod, and the inner rod and the outer rod are threadedly connected,
所述内杆与所述卡持座连接,外杆与所述转向座连接;或者,所述内杆与转向座连接,所述外杆与所述卡持座连接。The inner rod is connected with the clamping seat, and the outer rod is connected with the steering seat; or, the inner rod is connected with the steering seat, and the outer rod is connected with the clamping seat.
作为另一种优选方案,所述调节杆与所述卡持座之间设置有液压油缸或者直线电机,使设施调节杆与所述卡持座之间的距离可调。As another preferred solution, a hydraulic cylinder or a linear motor is arranged between the adjusting rod and the holding seat, so that the distance between the facility adjusting rod and the holding seat can be adjusted.
作为一种优选方案,所述调节杆与所述转向座之间回转配合。As a preferred solution, the adjusting rod is rotationally engaged with the steering seat.
进一步优选的,所述调节杆与所述转向座之间的回转配合为带阻尼的回转配合。Further preferably, the swivel fit between the adjustment rod and the steering seat is swivel fit with damping.
作为另一种优选方案,所述调节杆与所述转向座之间为球铰配合,所述调节杆与球铰的球头连接,所述转向座与所述球铰的球座连接,所述支架还包括用于锁止所述调节杆与转向座相对转动的锁止装置,所述锁止装置具有锁止状态和解锁状态,在所述锁止状态时,所述调节杆与所述转向座之间为固定配合,在所述解锁状态时,所述调节杆与所述转向座之间可相对转动。As another preferred solution, the adjustment rod and the steering seat are connected by a ball joint, the adjustment rod is connected to the ball joint of the ball joint, and the steering seat is connected to the ball seat of the ball joint, so The bracket also includes a locking device for locking the relative rotation of the adjusting rod and the steering seat. The locking device has a locked state and an unlocked state. In the locked state, the adjusting rod and the steering seat The steering seats are in fixed fit, and in the unlocked state, the adjusting rod and the steering seats can rotate relative to each other.
进一步优选的,所述锁止装置为设置在所述转向座上锁止件,所述锁止件与所述球铰的球头可分离的配合。Further preferably, the locking device is a locking member provided on the steering seat, and the locking member is detachably engaged with the ball head of the ball joint.
作为一种优选方案,所述锁止件一端伸入所述转向座内,与球铰的球头可分离的配合,另一端位于所述转向座外,所述锁止件与所述转向座之间为螺纹配合。As a preferred solution, one end of the locking member extends into the steering seat and is detachably matched with the ball joint of the ball joint, and the other end is located outside the steering seat, and the locking member is connected to the steering seat There is a screw fit between them.
作为另一种优选方案,在所述调节杆或者转向座上的液/气压装置,所述液/气压装置用于顶推所述锁止件,使所述锁止件与所述球铰的球头相配合。As another preferred solution, the hydraulic/pneumatic device on the adjustment rod or the steering seat is used to push the locking piece, so that the locking piece and the ball joint The ball head fits.
优选的,所述转向座上还设置有转向杆,在所述转向杆顶端还设置有第一控制按钮,所述第一控制按钮用于控制所述锁止装置在锁止状态与解锁状态之间切换。Preferably, a steering rod is also provided on the steering seat, and a first control button is provided on the top of the steering rod, and the first control button is used to control the locking device between the locked state and the unlocked state. switch between.
优选的,在所述转向杆顶端还设置有第二控制按钮,所述第二控制按钮用于控制所述液压油缸或者直线电机的动作。Preferably, a second control button is further provided on the top of the steering rod, and the second control button is used to control the action of the hydraulic cylinder or the linear motor.
优选的,所述子宫抓持部件的各个所述抓持臂为可相对活动的配合,使所述子宫抓持部件具有收合状态和展开状态,所述子宫抓持部件由收合状态向展开状态变化过程中,各个抓持臂的压迫端朝相互远离的方向移动,并使所述子宫抓持部件存在至少一个抓持状态,当所述子宫抓持部件为所述抓持状态时,所述抓持臂的抓持端与子宫内壁相贴合,在所述主杆上还设置有用于控制所述子宫抓持部件由收合状态向展开状态动作的控制部件。Preferably, each of the grasping arms of the uterine grasping part is relatively movable, so that the uterine grasping part has a folded state and an unfolded state, and the uterus grasps part from the folded state to the unfolded state. During the state change process, the pressing ends of the grasping arms move away from each other, and at least one grasping state exists in the grasping part of the uterus. When the grasping part of the uterus is in the grasping state, the The grasping end of the grasping arm is attached to the inner wall of the uterus, and a control component for controlling the movement of the uterus grasping component from the retracted state to the unfolded state is also arranged on the main rod.
优选的,所述控制部件为两端敞开的中空筒体,所述控制部件套设在所述主杆外,并能够沿所述主杆的轴向移动,所述控制部件沿所述主杆移动时,控制所述子宫抓持部件收合或者展开。Preferably, the control part is a hollow cylinder with both ends open, the control part is sleeved on the outside of the main rod, and can move along the axial direction of the main rod, and the control part is When moving, the uterus grasping part is controlled to be folded or unfolded.
优选的,所述控制部件朝向所述子宫抓持部件移动时,所述宫壁抓持部件逐渐收合,当所述子宫抓持部件为收合状态时,所述子宫抓持部件全部或者其中部分位于所述控制部件内;Preferably, when the control part moves toward the uterine grasping part, the uterine wall grasping part is gradually retracted, and when the uterine grasping part is in the retracted state, all or one of the uterine grasping parts partly located within said control unit;
所述控制部件朝远离所述子宫抓持部件的方向移动时,所述宫壁抓持部件逐渐展开。When the control component moves away from the uterus grasping component, the uterine wall grasping component gradually expands.
优选的,在所述主杆侧壁和/或所述控制部件外侧壁上设置有刻度线。Preferably, scale marks are provided on the side wall of the main rod and/or the outer side wall of the control component.
作为一种优选方案,所述控制部件与所述主杆之间为螺纹配合。As a preferred solution, the control part and the main rod are screwed together.
进一步优选的,所述控制部件远离所述子宫抓持部件的一端还设置有把握部,所述把握部为凸出于所述控制部件外壁的凸起结构,或者为设置在所述控制部件外壁上的凹陷。Further preferably, the end of the control part away from the gripping part of the uterus is also provided with a grasping part, and the grasping part is a protruding structure protruding from the outer wall of the control part, or is arranged on the outer wall of the control part depressions on the
作为另一种优选方案,在所述主杆上还设置有用于驱动所述控制部件沿所述主杆移动的驱动装置。As another preferred solution, a driving device for driving the control component to move along the main rod is also provided on the main rod.
进一步优选的,所述驱动装置为步进电机。Further preferably, the driving device is a stepping motor.
优选的,所述主杆的操作端上还可拆卸的连接有支架,所述支架用于与手术床相连。Preferably, a bracket is detachably connected to the operating end of the main rod, and the bracket is used for connecting with an operating bed.
优选的,所述抓持臂细长杆件。Preferably, the gripping arm is an elongated rod.
优选的,各个所述抓持臂的长度相等。Preferably, each of the grasping arms has the same length.
优选的,所述抓持臂为至少三个。Preferably, there are at least three gripping arms.
优选的,各个所述抓持臂沿所述主杆中心轴线圆周方向均布,并且,所述子宫抓持部件由收合状态向展开状态变化过程中,各个抓持端的运动轨迹或者运动轨迹的投影位于该圆周的径向方向。Preferably, each of the grasping arms is evenly distributed along the circumferential direction of the central axis of the main rod, and, during the change of the uterine grasping part from the collapsed state to the unfolded state, the movement trajectory or movement trajectory of each grasping end The projection is in the radial direction of the circle.
优选的,所述子宫抓持部件还包括连接件,所述抓持臂可转动的设置在所述连接件上,所述连接件与所述主杆可拆卸的连接。Preferably, the uterine grasping part further includes a connecting piece, the grasping arm is rotatably arranged on the connecting piece, and the connecting piece is detachably connected to the main rod.
优选的,在所述连接件还设置有弹性装置,所述弹性装置用于对所述抓持臂施予弹性力,使所述子宫抓持部件具有保持展开状态的趋势。Preferably, an elastic device is further provided on the connecting part, and the elastic device is used to apply elastic force to the grasping arm, so that the grasping part of the uterus has a tendency to maintain an unfolded state.
优选的,所述抓持端上还设置有子宫壁咬合端头,所述子宫壁咬合端头包括端头本体,所述端头本体上设置安装部和咬合部,Preferably, the grasping end is also provided with a uterine wall occlusal end, the uterine wall occlusal end includes an end body, and the end body is provided with a mounting portion and an occlusal portion,
所述安装部用于与所述抓持端相连,The mounting part is used to connect with the gripping end,
所述咬合部用于咬合子宫内壁,以实现所述端头本体与子宫壁相对位置的固定。The occlusal portion is used to occlude the inner wall of the uterus so as to fix the relative position of the tip body and the uterine wall.
优选的,所述子宫壁咬合端头与所述抓持端之间为可拆卸的连接。Preferably, the uterine wall occlusal end is detachably connected to the grasping end.
作为一种优选方案,为设置在所述端头本体上的凹槽。As a preferred solution, it is a groove provided on the terminal body.
进一步优选的,所述凹槽为V型凹槽。Further preferably, the groove is a V-shaped groove.
进一步优选的,所述凹槽边缘处的端头本体为尖角。Further preferably, the terminal body at the edge of the groove is sharp.
作为另一种优选方案,所述咬合部为设置在所述端头本体上的可开合的咬合齿。As another preferred solution, the engaging portion is an openable engaging tooth provided on the terminal body.
作为另一种优选方案,所述咬合部为布置在所述端头本体上的若干尖锐凸起。As another preferred solution, the engaging portions are several sharp protrusions arranged on the terminal body.
进一步优选的,所述尖锐凸起背离所述端头本体的高度小于子宫壁厚度。Further preferably, the height of the sharp protrusion away from the tip body is smaller than the thickness of the uterine wall.
进一步优选的,所述尖锐凸起背离所述端头本体的高度小于子宫壁厚度的2/3。Further preferably, the height of the sharp protrusion away from the tip body is less than 2/3 of the thickness of the uterine wall.
优选的,所述子宫抓持部件由收合状态向展开状态变化过程中,所述端头本体逐渐挤压子宫内壁,Preferably, when the uterine grasping part changes from the collapsed state to the unfolded state, the end body gradually presses the inner wall of the uterus,
所述尖锐凸起的尖锐端朝背离所述端头本体压紧方向上弯曲。The sharp end of the sharp protrusion is bent away from the pressing direction of the terminal body.
作为一种优选方案,所述端头本体朝向子宫内壁的一端为外凸的弧面,所述尖锐凸起分布在该弧面上。As a preferred solution, the end of the tip body facing the inner wall of the uterus is an outwardly convex arc surface, and the sharp protrusions are distributed on the arc surface.
作为另一种优选方案,所述端头本体朝向子宫内壁的一端在沿咬合轨迹的方向上延伸形成一条状部,所述尖锐凸起布置在所述条状部朝向子宫壁的一侧。As another preferred solution, one end of the tip body facing the inner wall of the uterus extends along the bite track to form a strip, and the sharp protrusion is arranged on a side of the strip facing the uterine wall.
综上所述,由于采用了上述技术方案,本申请的有益效果是:In summary, due to the adoption of the above-mentioned technical solution, the beneficial effects of the present application are:
本申请的举宫器,使用时,子宫抓持部件伸入到子宫内,抓持端与子宫壁想贴合,实现举宫器对子宫的顶推和/或托举,进而实现对子宫位置的调整和位置的固定,当子宫位置调整到位时,将支架的卡持座固定在手术床上,实现支架对主杆的支撑,进而保证抓持部件对子宫的抓持状态,如此,大幅降低了医护人员的工作强度,而且还确保了举宫器对子宫壁施力的稳定性,避免手术过程中,施力不稳定而造成子宫位置晃动的风险;The uterine lifter of the present application, when in use, the uterine grasping part extends into the uterus, and the grasping end fits closely with the uterine wall, so that the uterine lifter can push and/or lift the uterus, and then realize the positioning of the uterus. When the position of the uterus is adjusted in place, the clamping seat of the bracket is fixed on the operating bed to realize the support of the bracket to the main rod, thereby ensuring the gripping state of the gripping parts on the uterus, thus greatly reducing the The working intensity of the medical staff, but also ensure the stability of the force applied by the uterine lifter to the uterine wall, avoiding the risk of shaking the uterus due to unstable force application during the operation;
进一步的,在本申请的方案中,子宫抓持部件在抓持子宫时,是各个抓持臂的抓持端在多个局部位置与子宫内壁贴合,从而实现抓持部件对子宫的抓持,通过这样的方式,避免了对子宫壁的大面积挤压,如此,大幅的减小了子宫内血液被挤压入周围组织的风险,进而大幅降低子宫周围组织病变和感染的风险,进一步的,由于支架的设置,能够确保抓持部件对子宫壁施力的一致性,确保了抓持部件抓持子宫的稳定性。Further, in the solution of the present application, when the uterine grasping component grasps the uterus, the grasping end of each grasping arm is attached to the inner wall of the uterus at multiple local positions, so as to realize the grasping of the uterus by the grasping component In this way, a large area of extrusion on the uterine wall is avoided, thus greatly reducing the risk of blood in the uterus being squeezed into the surrounding tissues, thereby greatly reducing the risk of lesions and infections in the surrounding tissues of the uterus, and further , due to the setting of the bracket, it can ensure the consistency of the force exerted by the grasping part on the uterine wall, and ensure the stability of the grasping part to grasp the uterus.
附图说明Description of drawings
图1为举宫器的结构示意图;Fig. 1 is the structure schematic diagram of lifter;
图2为子宫壁咬合端头其中一种实施方式的结构示意图;Fig. 2 is a structural schematic diagram of one embodiment of the occlusal end of the uterine wall;
图3为子宫壁咬合端头其中一种实施方式的结构示意图Fig. 3 is a structural schematic diagram of one embodiment of the occlusal end of the uterine wall
图4为子宫壁咬合端头其中一种实施方式的结构示意图;Fig. 4 is a structural schematic diagram of one embodiment of the occlusal end of the uterine wall;
图5为子宫壁咬合端头其中一种实施方式的结构示意图;Fig. 5 is a structural schematic diagram of one embodiment of the occlusal end of the uterine wall;
图6为连接件与抓持臂配合的局部剖视结构示意图;Fig. 6 is a partial cross-sectional structural schematic diagram of the cooperation between the connecting piece and the gripping arm;
图7为控制部件与主杆和抓持部件配合的局部剖视示意图;Fig. 7 is a partial cross-sectional schematic diagram of the cooperation of the control part with the main rod and the gripping part;
图8为驱动装置采用步进电机时举宫器的结构示意图;Fig. 8 is the structural representation of the lifter when the drive device adopts a stepping motor;
图9为内杆和外杆配合的局部剖视示意图;Figure 9 is a partial cross-sectional schematic diagram of the cooperation between the inner rod and the outer rod;
图10为采用液/气压装置控制锁止件时的局部剖视示意图,Fig. 10 is a partial cross-sectional schematic diagram when a hydraulic/pneumatic device is used to control the locking member,
图中标记:A-子宫壁咬合端头,1-端头本体,2-安装部,3-咬合部,4-控制部件,5-抓持臂,6-抓持端,7-连接件,8-弹性装置,9-主杆,10-把握部,11-支架,12-驱动装置,13-卡持座,14-转向座,15-调节杆,15a-内杆,15b-外杆,16-液压油缸或者直线电机,17-球头,18-球座,19-锁止件,20-液/气压装置,21-转向杆,22-第一控制按钮,23-第二控制按钮,24-油路或者管路。Marks in the figure: A-uterine wall occlusal end, 1-end body, 2-installation part, 3-occlusal part, 4-control part, 5-grasp arm, 6-grasp end, 7-connector, 8-elastic device, 9-main rod, 10-grasp, 11-bracket, 12-driving device, 13-holding seat, 14-steering seat, 15-adjusting rod, 15a-inner rod, 15b-outer rod, 16-hydraulic cylinder or linear motor, 17-ball head, 18-ball seat, 19-locking piece, 20-hydraulic/pneumatic device, 21-steering rod, 22-first control button, 23-second control button, 24-oil circuit or pipeline.
具体实施方式Detailed ways
下区域结合附图,对本实用新型作详细的说明。Lower area in conjunction with accompanying drawing, the utility model is described in detail.
为了使本实用新型的目的、技术方案及优点更加清楚明白,以下结合附图及实施例,对本实用新型进行进一步详细说明。应当理解,此处所描述的具体实施例仅用以解释本实用新型,并不用于限定本实用新型。In order to make the purpose, technical solution and advantages of the utility model clearer, the utility model will be further described in detail below in conjunction with the accompanying drawings and embodiments. It should be understood that the specific embodiments described here are only used to explain the utility model, and are not intended to limit the utility model.
实施例1,如图1-10所示的:Example 1, as shown in Figure 1-10:
一种能够自动压迫宫腔的举宫器,包括主杆9,所述主杆9一端为用于伸入子宫内部的伸入端,另一端为置于患者体外的操作端,在所述主杆9的伸入端上设置有子宫抓持部件,所述子宫抓持部件,包括若干抓持臂5,所述抓持臂5上具有用于与子宫内壁相配合的抓持端6,所述主杆9还连接有支架11,所述支架11包括与手术床可拆卸相连的卡持座13。A uterine lifter capable of automatically compressing the uterine cavity, comprising a main rod 9, one end of the main rod 9 is an insertion end for extending into the uterus, and the other end is an operating end placed outside the patient's body. The extension end of the rod 9 is provided with a uterine grasping part, and the uterine grasping part includes a plurality of grasping arms 5, and the grasping arms 5 have a grasping end 6 for cooperating with the inner wall of the uterus. The main pole 9 is also connected with a bracket 11, and the bracket 11 includes a holding seat 13 detachably connected with the operating bed.
本实施例的举宫器,使用时,子宫抓持部件伸入到子宫内,抓持端6与子宫壁想贴合,实现举宫器对子宫的顶推和/或托举,进而实现对子宫位置的调整和位置的固定,当子宫位置调整到位时,将支架11的卡持座13固定在手术床上,实现支架11对主杆9的支撑,进而保证抓持部件对子宫的抓持状态,如此,大幅降低了医护人员的工作强度,而且还确保了举宫器对子宫壁施力的稳定性,避免手术过程中,施力不稳定而造成子宫位置晃动的风险;The uterine lifter of this embodiment, when in use, the uterine grasping part extends into the uterus, and the grasping end 6 fits closely with the uterine wall, so that the uterus can be pushed and/or lifted by the uterine lifter, and then the uterus can be lifted. The adjustment of the position of the uterus and the fixation of the position, when the position of the uterus is adjusted in place, the clamping seat 13 of the support 11 is fixed on the operating bed, so as to realize the support of the support 11 to the main rod 9, thereby ensuring the grasping state of the uterus by the grasping parts In this way, the work intensity of the medical staff is greatly reduced, and it also ensures the stability of the force exerted by the uterine lifter on the uterine wall, avoiding the risk of the uterine position shaking caused by unstable force application during the operation;
进一步的,在本申请的方案中,子宫抓持部件在抓持子宫时,是各个抓持臂5的抓持端6在多个局部位置与子宫内壁贴合,从而实现抓持部件对子宫的抓持,通过这样的方式,避免了对子宫壁的大面积挤压,如此,大幅的减小了子宫内血液被挤压入周围组织的风险,进而大幅降低子宫周围组织病变和感染的风险,进一步的,由于支架11的设置,能够确保抓持部件对子宫壁施力的一致性,确保了抓持部件抓持子宫的稳定性。Further, in the solution of the present application, when the uterine grasping part grasps the uterus, the grasping end 6 of each grasping arm 5 is attached to the inner wall of the uterus at multiple local positions, so as to realize the gripping part on the uterus. Grasping, in this way, avoids large-scale extrusion of the uterine wall, thus greatly reducing the risk of blood in the uterus being squeezed into the surrounding tissues, thereby greatly reducing the risk of tissue lesions and infections around the uterus. Further, due to the setting of the bracket 11, the consistency of the force exerted by the grasping part on the uterine wall can be ensured, and the stability of the grasping part to grasp the uterus can be ensured.
作为优选的实施方式,进一步的,所述支架11包括转向座14和连接在所述转向座14与卡持座13之间的调节杆15,所述主杆9与所述转向座14相连,所述转向座14与所述卡持座13之间的距离可调。在本实施方式中,通过转向座14与卡持座13之间的距离可调,进而控制举宫器抓持部件的位置,进而实现对抓持端6的调整,如此实现,对子宫位置的调整,以及对抓持端6相对于子宫位置的调整。As a preferred embodiment, further, the bracket 11 includes a steering seat 14 and an adjustment rod 15 connected between the steering seat 14 and the holding seat 13, the main rod 9 is connected to the steering seat 14, The distance between the steering seat 14 and the holding seat 13 is adjustable. In this embodiment, the distance between the steering seat 14 and the holding seat 13 is adjustable, and then the position of the grasping part of the uterine lifter is controlled, and then the adjustment of the grasping end 6 is realized. In this way, the adjustment of the position of the uterus Adjustment, and the adjustment of the position of the grasping end 6 relative to the uterus.
进一步优选的,如图9所示的,所述调节杆15包括内杆15a和套设在所述内杆15a外的外杆15b,所述内杆15a与外杆15b之间为螺纹连接,Further preferably, as shown in FIG. 9, the adjusting rod 15 includes an inner rod 15a and an outer rod 15b sleeved outside the inner rod 15a, and the inner rod 15a and the outer rod 15b are threadedly connected,
所述内杆15a与所述卡持座13连接,外杆15b与所述转向座14连接;或者,所述内杆15a与转向座14连接,所述外杆15b与所述卡持座13连接。通过转动外杆15b,实现调节杆15长度的变化,进而实现对抓持部件的位置调整。The inner rod 15a is connected to the holding seat 13, and the outer rod 15b is connected to the steering seat 14; or, the inner rod 15a is connected to the steering seat 14, and the outer rod 15b is connected to the holding seat 13 connect. By turning the outer rod 15b, the length of the adjustment rod 15 can be changed, and then the position of the gripping part can be adjusted.
作为另一种优选的实施方式,所述调节杆15与所述卡持座13之间设置有液压油缸或者直线电机16,使设施调节杆15与所述卡持座13之间的距离可调。As another preferred embodiment, a hydraulic cylinder or a linear motor 16 is arranged between the adjusting rod 15 and the holding seat 13, so that the distance between the facility adjusting rod 15 and the holding seat 13 can be adjusted. .
作为一种优选实施方式,所述调节杆15与所述转向座14之间回转配合。这样的方式,使转向座14可以相对于调节15杆转动,进而带动主杆9发生偏转,如此,使抓持部件的位置发生改变,所以,进一步的扩大了本申请举宫器在子宫内的抓持部件的位置可调范围,以及子宫的位置可调范围,进一步的方便了使用。As a preferred implementation manner, the adjusting rod 15 is rotationally engaged with the steering seat 14 . In this way, the steering seat 14 can be rotated relative to the adjustment rod 15, and then the main rod 9 is driven to deflect, so that the position of the grasping part is changed, so the application of the uterine lifter in the uterus is further expanded. The adjustable range of the position of the grasping part and the adjustable range of the position of the uterus further facilitate the use.
进一步优选的,所述调节杆15与所述转向座14之间的回转配合为带阻尼的回转配合。通过该种方式,带阻尼的回转配合,当位置调整到位后,阻尼大小保证举宫器在支撑子宫时,调节杆15与所述转向座14之间不发生回转。Further preferably, the swivel fit between the adjustment rod 15 and the steering seat 14 is a swivel fit with damping. In this way, the rotation with damping fits, and when the position is adjusted in place, the damping ensures that when the uterine lifter is supporting the uterus, there will be no rotation between the adjustment rod 15 and the steering seat 14 .
作为另一种优选实施方式,如图10所示的,所述调节杆15与所述转向座14之间为球铰配合,所述调节杆15与球铰的球头17连接,所述转向座14与所述球铰的球座18连接,所述支架11还包括用于锁止所述调节杆15与转向座14相对转动的锁止装置,所述锁止装置具有锁止状态和解锁状态,在所述锁止状态时,所述调节杆15与所述转向座14之间为固定配合,在所述解锁状态时,所述调节杆15与所述转向座14之间可相对转动。As another preferred embodiment, as shown in Figure 10, the adjustment rod 15 and the steering seat 14 are fitted with a ball joint, the adjustment rod 15 is connected with the ball head 17 of the ball joint, and the steering The seat 14 is connected with the ball seat 18 of the ball joint, and the bracket 11 also includes a locking device for locking the relative rotation of the adjusting rod 15 and the steering seat 14, and the locking device has a locked state and an unlocked state. In the locked state, the adjusting rod 15 and the steering seat 14 are in a fixed fit, and in the unlocked state, the adjusting rod 15 and the steering seat 14 are relatively rotatable .
进一步优选的,所述锁止装置为设置在所述转向座14上锁止件19,所述锁止件19与所述球铰的球头17可分离的配合。当锁止件19与球头17接触并挤压时,球铰被锁定,主杆9被固定,当锁止件19与球头17分离时,可以转动球头,实现主杆9的位置调整。Further preferably, the locking device is a locking member 19 provided on the steering seat 14, and the locking member 19 is detachably matched with the ball head 17 of the ball joint. When the locking piece 19 contacts and squeezes the ball head 17, the ball joint is locked and the main rod 9 is fixed. When the locking piece 19 is separated from the ball head 17, the ball head can be rotated to realize the position adjustment of the main rod 9 .
作为一种优选方案,所述锁止件19一端伸入所述转向座14内,与球铰的球头17可分离的配合,另一端位于所述转向座14外,所述锁止件19与所述转向座14之间为螺纹配合,该种方式附图中未展示。 在实际使用中,通过旋转锁止件19,即可实现锁止状态和解锁状态的切换。As a preferred solution, one end of the locking member 19 extends into the steering seat 14 and is detachably matched with the ball joint 17 of the ball joint, and the other end is located outside the steering seat 14. The locking member 19 It is threadedly engaged with the steering seat 14, which is not shown in the accompanying drawings. In actual use, the switching between the locked state and the unlocked state can be realized by rotating the locking member 19 .
作为另一种优选方案,在所述调节杆15或者转向座14上的液/气压装置20,所述液/气压装置20用于顶推所述锁止件19,使所述锁止件19与所述球铰的球头17相配合。 通过设置液/气压装置20控制锁止件19的位置,进而实现锁止状态和解锁状态的切换,该种方式的操作更为方便,能够大幅缩短调整时间,如图10所示的,锁紧件19可滑动的设置在转向座14内,液/气压装置20通过气路或者油路24与转向座相连,当液/气压装置20启动时,液压油或者高压气体推动锁紧件19挤压球头,实现球铰的锁止,当液/气压装置20停止时,锁紧件19挤压力消除,球铰被解锁。As another preferred solution, the hydraulic/pneumatic device 20 on the adjustment rod 15 or the steering seat 14 is used to push the locking member 19, so that the locking member 19 Cooperate with the ball head 17 of the ball joint. By setting the hydraulic/pneumatic device 20 to control the position of the locking member 19, and then realize the switching between the locked state and the unlocked state, the operation of this method is more convenient, and the adjustment time can be greatly shortened. As shown in Figure 10, the locking The piece 19 is slidably arranged in the steering seat 14, and the hydraulic/pneumatic device 20 is connected with the steering seat through an air circuit or an oil circuit 24. When the hydraulic/pneumatic device 20 is activated, the hydraulic oil or high-pressure gas pushes the locking member 19 to squeeze The ball head realizes the locking of the ball joint. When the hydraulic/pneumatic device 20 stops, the pressing force of the locking member 19 is eliminated, and the ball joint is unlocked.
作为优选的实施方式,所述转向座14上还设置有转向杆21,在所述转向杆21顶端还设置有第一控制按钮22,所述第一控制按钮22用于控制所述锁止装置在锁止状态与解锁状态之间切换。As a preferred embodiment, a steering rod 21 is also arranged on the steering seat 14, and a first control button 22 is also arranged on the top of the steering rod 21, and the first control button 22 is used to control the locking device. Toggles between locked and unlocked states.
进一步的,在所述转向杆21顶端还设置有第二控制按钮23,所述第二控制按钮23用于控制所述液压油缸或者直线电机16的动作。Further, a second control button 23 is also provided on the top of the steering rod 21 , and the second control button 23 is used to control the action of the hydraulic cylinder or the linear motor 16 .
如上述的,通过设置转向杆21,实际布置中,将转向杆21设置在手术医生方便操控的位置,使得在手术过程中,能够方便的对举宫器的位置进行调整或者对子宫的位置进行调整,大幅方便的手术使用;进一步的还在转向杆21上设置第一控制按钮22和第二控制按钮23,也进一步的方便了手术医生对举宫器的调整。As mentioned above, by setting the steering rod 21, in the actual arrangement, the steering rod 21 is set at a position that is conveniently manipulated by the surgeon, so that during the operation, the position of the uterine lifter can be adjusted conveniently or the position of the uterus can be adjusted. Adjustment is greatly convenient for surgical use; further, the first control button 22 and the second control button 23 are set on the steering rod 21, which further facilitates the adjustment of the uterine lifter by the surgeon.
作为优选的实施方式,所述子宫抓持部件的各个所述抓持臂6为可相对活动的配合,使所述子宫抓持部件具有收合状态和展开状态,所述子宫抓持部件由收合状态向展开状态变化过程中,各个抓持臂6的压迫端朝相互远离的方向移动,并使所述子宫抓持部件存在至少一个抓持状态,当所述子宫抓持部件为所述抓持状态时,所述抓持臂6的抓持端与子宫内壁相贴合,在所述主杆9上还设置有用于控制所述子宫抓持部件由收合状态向展开状态动作的控制部件4。As a preferred embodiment, each of the grasping arms 6 of the uterine grasping part is relatively movable, so that the uterine grasping part has a folded state and an unfolded state, and the uterine grasping part is retracted In the process of changing from the closed state to the expanded state, the pressing ends of each grasping arm 6 move away from each other, and at least one grasping state exists in the uterine grasping part. When in the holding state, the gripping end of the gripping arm 6 is attached to the inner wall of the uterus, and a control part for controlling the movement of the gripping parts of the uterus from the retracted state to the unfolded state is also arranged on the main rod 9 4.
本实施方式的举宫器,通过控制部件4控制子宫抓持部件动作,使子宫抓持部件置于子宫内之后,由收合状态向展开状态变化,实现对子宫的抓持,而本申请的方案中,子宫抓持部件,在抓持子宫时,是各个抓持臂6的抓持端在多个局部位置与子宫内壁贴合,从而实现抓持不对子宫的抓持,通过这样的方式,避免了对子宫壁的大面积挤压,如此,大幅的减小了子宫内血液被挤压入周围组织的风险,进而大幅降低子宫周围组织病变和感染的风险。The uterine lifter of this embodiment controls the action of the uterus grasping component through the control component 4, and after the uterus grasping component is placed in the uterus, it changes from the collapsed state to the unfolded state to realize the grasping of the uterus. In the scheme, when the uterus grasping part is grasping the uterus, the grasping end of each grasping arm 6 is attached to the inner wall of the uterus at multiple local positions, so as to realize the grasping of the uterus. In this way, It avoids large-area extrusion of the uterine wall, thus greatly reducing the risk of blood in the uterus being squeezed into the surrounding tissues, thereby greatly reducing the risk of pathological changes and infection of the surrounding tissues of the uterus.
作为优选的实施方式,进一步的,所述控制部件4为两端敞开的中空筒体,所述控制部件4套设在所述主杆9外,并能够沿所述主杆9的轴向移动,所述控制部件4沿所述主杆9移动时,控制所述子宫抓持部件收合或者展开。As a preferred embodiment, further, the control part 4 is a hollow cylinder with both ends open, the control part 4 is sleeved outside the main rod 9, and can move along the axial direction of the main rod 9 , when the control part 4 moves along the main rod 9, it controls the retraction or expansion of the uterine grasping part.
作为优选的实施方式,进一步的,所述控制部件4朝向所述子宫抓持部件移动时,所述宫壁抓持部件逐渐收合,当所述子宫抓持部件为收合状态时,所述子宫抓持部件全部或者其中部分位于所述控制部件4内;所述控制部件4朝远离所述子宫抓持部件的方向移动时,所述宫壁抓持部件逐渐展开。As a preferred embodiment, further, when the control part 4 moves toward the uterus grasping part, the uterine wall grasping part is gradually retracted, and when the uterus grasping part is in a retracted state, the All or part of the uterine grasping part is located in the control part 4; when the control part 4 moves away from the uterus grasping part, the uterine wall grasping part gradually expands.
在上述实施方式中,通过控制部件4的沿主杆9的移动,即可实现对抓持部件展开程度的控制,不仅简单高效,而且控制过程稳定。In the above-mentioned embodiment, by controlling the movement of the component 4 along the main rod 9, the degree of deployment of the grasping component can be controlled, which is not only simple and efficient, but also stable in the control process.
作为优选的实施方式,进一步的,在所述主杆9侧壁和/或所述控制部件4外侧壁上设置有刻度线。在该实施方式中,刻度线的设置,一方面是可有方便的知晓举宫器伸入的长度,另一方面,还可以通过主杆9与控制部件4的相对位置变化程度来衡量抓持部件的展开程度,进一步的方便本申请举宫器的使用,减小手术风险。As a preferred embodiment, further, scale marks are provided on the side wall of the main rod 9 and/or the outer side wall of the control component 4 . In this embodiment, the setting of the scale line is convenient to know the length of the uterine lifter on the one hand, and on the other hand, the degree of relative position change between the main rod 9 and the control part 4 can also be used to measure the grasping The degree of expansion of the parts further facilitates the use of the uterine lifter of the present application and reduces the risk of surgery.
作为优选的实施方式,进一步的,所述控制部件4与所述主杆9之间为螺纹配合。通过该种方式,旋转控制部件4即可实现控制部件4沿主杆9的移动,进而实现对抓持部件展开程度的控制。As a preferred embodiment, further, the control part 4 and the main rod 9 are threaded. In this way, rotating the control component 4 can realize the movement of the control component 4 along the main rod 9 , and then realize the control of the degree of expansion of the grasping component.
作为优选的实施方式,进一步的,所述控制部件4远离所述子宫抓持部件的一端还设置有把握部10,所述把握部10为凸出于所述控制部件4外壁的凸起结构,或者为设置在所述控制部件4外壁上的凹陷。把握部10的设置,方便医护人员转动控制部件4。As a preferred embodiment, further, the end of the control part 4 away from the gripping part of the uterus is also provided with a grasping part 10, the grasping part 10 is a convex structure protruding from the outer wall of the control part 4, Or it is a depression provided on the outer wall of the control part 4 . The setting of the grasping part 10 facilitates the rotation of the control part 4 by the medical personnel.
作为另一种实施方式,如图8所示的,在所述主杆9上还设置有用于驱动所述控制部件4沿所述主杆9移动的驱动装置12。As another embodiment, as shown in FIG. 8 , a driving device 12 for driving the control component 4 to move along the main rod 9 is also provided on the main rod 9 .
进一步优选的,所述驱动装置12为步进电机。步进电机的电机轴与控制部件4铰接,步进电机的电机座设置在主杆9上。Further preferably, the driving device 12 is a stepping motor. The motor shaft of the stepping motor is hinged with the control part 4, and the motor seat of the stepping motor is arranged on the main rod 9.
在上述方式中,通过设置步进电机来控制所述控制部件4的一端,控制过程更加方便高效。In the above method, by setting a stepping motor to control one end of the control part 4, the control process is more convenient and efficient.
作为优选的实施方式,所述主杆9的操作端上还可拆卸的连接有支架11,所述支架11用于与手术床相连。该方式中,通过设置支架11,当举宫器调整到位后通过支架将举宫器固定在手术床上,如此,减小医护人员的劳动强度。As a preferred embodiment, a bracket 11 is detachably connected to the operating end of the main rod 9, and the bracket 11 is used for connecting with an operating bed. In this way, by setting the bracket 11, when the uterine lifter is adjusted in place, the uterine lifter is fixed on the operating bed through the bracket, thus reducing the labor intensity of the medical staff.
作为优选的实施方式,所述抓持臂6细长杆件。将抓持臂6设置为细长杆件,一方面是能够确保在收合状态下具有较小的外形尺寸,便于伸入子宫内,另一方面,也进一步的减小了抓持臂6与子宫壁的接触面积,进而进一步的避免对子宫壁造成大面积挤压。As a preferred embodiment, the grasping arm 6 is a slender rod. The grasping arm 6 is set as a slender rod, on the one hand, it can ensure that it has a smaller external dimension in the folded state, which is convenient to extend into the uterus; The contact area of the uterine wall can further avoid large-scale extrusion of the uterine wall.
作为优选的实施方式,各个所述抓持臂6的长度相等。As a preferred embodiment, each of the grasping arms 6 has the same length.
作为优选的实施方式,所述抓持臂6为至少三个。通过这样的方式,在至少三个位置抓持子宫壁,如此,确保对子宫可靠的抓持。As a preferred embodiment, there are at least three grasping arms 6 . In this way, the uterine wall is gripped in at least three places, thus ensuring a secure grip of the uterus.
作为优选的实施方式,各个所述抓持臂6沿圆周方向均布,并且,所述子宫抓持部件由收合状态向展开状态变化过程中,各个抓持端的运动轨迹或者运动轨迹的投影位于该圆周的径向方向。通过这样的方式在圆周方向上,均匀的对子宫壁施予抓持力,如此,进一步的确保了抓持部件抓持子宫的可靠性。As a preferred embodiment, each of the grasping arms 6 is evenly distributed along the circumferential direction, and during the change of the uterine grasping parts from the collapsed state to the unfolded state, the movement track or the projection of the movement track of each grasping end is located at The radial direction of the circle. In this manner, a grasping force is uniformly exerted on the uterine wall in the circumferential direction, thus further ensuring the reliability of the grasping part to grasp the uterus.
作为优选的实施方式,如图7所示的,所述子宫抓持部件还包括连接件7,所述抓持臂6可转动的设置在所述连接件7上,所述连接件7与所述主杆9可拆卸的连接。在该方式中,可以方便的更换子宫抓持部件,在需要更换是,从主杆9上拆下连接件7即可。As a preferred embodiment, as shown in FIG. 7, the uterine grasping part further includes a connecting piece 7, and the grasping arm 6 is rotatably arranged on the connecting piece 7, and the connecting piece 7 is connected to the connecting piece 7. The main rod 9 is detachably connected. In this manner, the uterine grasping part can be replaced conveniently, and when replacement is required, the connecting piece 7 can be removed from the main rod 9 .
作为优选的实施方式,在所述连接件7还设置有弹性装置8,所述弹性装置8用于对所述抓持臂6施予弹性力,使所述子宫抓持部件具有保持展开状态的趋势。As a preferred embodiment, the connecting piece 7 is also provided with an elastic device 8, the elastic device 8 is used to apply elastic force to the grasping arm 6, so that the grasping part of the uterus has the ability to maintain the unfolded state. trend.
作为优选的实施方式,所述抓持端上还设置有子宫壁咬合端头A,所述子宫壁咬合端头A包括端头本体1,所述端头本体1上设置安装部2和咬合部3,所述安装部2用于与所述抓持端相连,所述咬合部3用于咬合子宫内壁,以实现所述端头本体1与子宫壁相对位置的固定。As a preferred embodiment, the grasping end is also provided with a uterine wall occlusal end A, and the uterine wall occlusal end A includes an end body 1 on which a mounting portion 2 and an occlusal portion are arranged. 3. The mounting part 2 is used to connect with the grasping end, and the occlusal part 3 is used to bite the inner wall of the uterus, so as to realize the fixing of the relative position of the tip body 1 and the uterine wall.
在本实施方式中,设置的子宫壁咬合端头A,在使用时,通过子宫壁咬合端头A的咬合部3咬合子宫内壁,进而实现举宫器对子宫内壁的动作,即,当宫器对子宫进行位置调整或者位置固定时,是通过咬合端头的咬合部3咬合子宫内壁,通过调整举宫器位置或者固定举宫器来实现,所以能够大幅降低抓持臂6对子宫壁施予的压力,一方面是进一步减小子宫内血液流入到周围组织能,另一方面,还能够减小对抓持臂6的强度要求,进而可以采用截面积更小的抓持臂6,如此,进一步收合状态下抓持部件的尺寸;In this embodiment, the set uterine wall occlusal end A, when in use, occludes the uterine inner wall through the occlusal part 3 of the uterine wall occlusal end A, and then realizes the action of the uterine lifter against the uterine inner wall, that is, the uterus When adjusting or fixing the position of the uterus, the occlusal part 3 of the occlusal end occludes the inner wall of the uterus, and it is realized by adjusting the position of the uterine lifter or fixing the uterine lifter, so the force exerted by the grasping arm 6 on the uterine wall can be greatly reduced. On the one hand, it can further reduce the inflow of blood in the uterus to the surrounding tissues; on the other hand, it can also reduce the strength requirements for the grasping arm 6, and then the grasping arm 6 with a smaller cross-sectional area can be used. In this way, The size of the gripping part in the further collapsed state;
进一步的采用本实施方式的子宫壁咬合端头A,通过对子宫内壁的局部位置进行咬合,相较于传统举宫器而言,首先是避免了大面积的挤压,如此,大幅的减小了子宫内血液被挤压入周围组织的风险,进而大幅降低子宫周围组织病变和感染的风险;另一方面,传统举宫器无论是对子宫的位置调整还是对子宫位置的固定,都是通过挤压的方式,当子宫自宫颈位置切断时,由于失去宫颈位置的支撑,子宫极容易与举宫器发生相对滑动偏转,严重时甚至落入患者腹腔内,子宫内的组织液流入腹腔,导致腹腔污染。Further adopting the uterine wall occlusal end A of this embodiment, by occluding the local position of the uterine inner wall, compared with the traditional uterine lifter, it firstly avoids large-area extrusion, thus greatly reducing It reduces the risk of blood in the uterus being squeezed into the surrounding tissues, thereby greatly reducing the risk of tissue lesions and infections around the uterus; Squeezing method, when the uterus is cut off from the cervix, due to the loss of the support of the cervix, the uterus will easily slide and deflect relative to the uterine lifter, and even fall into the patient's abdominal cavity in severe cases, and the tissue fluid in the uterus will flow into the abdominal cavity, resulting in abdominal pain. Pollution.
而在本实施方式在,咬合部3对子宫内壁的咬合,相对于传统举宫器仅仅是挤压的方式而言,咬合更加稳固,当子宫切自宫颈位置被切断时,咬合部3通过咬合的方式并不会与子宫发生相对的滑移,如此,实现举宫器对子宫的可靠固定,如此,避免了子宫落入腹腔以及子宫内组织液留入腹腔造成腹腔污染的风险,所以采用本实施方式的方案,还大幅提高了手术安全性;However, in this embodiment, the occlusion of the occlusal part 3 to the inner wall of the uterus is more stable than the traditional uterine lifter that only squeezes. The method does not slip relative to the uterus, so that the uterus can be reliably fixed by the uterine lifter, so that the risk of the uterus falling into the abdominal cavity and intrauterine tissue fluid remaining in the abdominal cavity is avoided, so the risk of abdominal cavity contamination is adopted. The scheme of the method also greatly improves the safety of the operation;
再一方面,对于传统举宫器而言,由于是通过挤压的方式与子宫壁配合,在子宫位置调整到位后,进行子宫固定时,还需要对子宫施予一定的前推力,使子宫处于被顶推挤压的状态,如此实现子宫的固定,这样的方式,也进一步的加剧了子宫内血液流入其他组织的风险,而且,还需要对举宫器施予一定的前推力,这样的要求,对举宫器的外壁支撑要求较高,所以也导致了举宫器的外部组件较为复杂,采用人工手持施压时,也存在较大的工作强度;而更为严重的是,在该顶推作用下,当子宫被从宫颈处切断时,该瞬间,举宫器会顶推子宫前移,一方面是有可能造成周围组织损伤,另一方面也加剧了子宫落入腹腔或者子宫内组织液流入腹腔的风险;On the other hand, for the traditional uterine lifter, since it cooperates with the uterine wall by squeezing, after the uterus is adjusted in place, when the uterus is fixed, it is necessary to apply a certain forward thrust to the uterus so that the uterus is in the The state of being pushed and squeezed achieves the fixation of the uterus in this way, which further exacerbates the risk of blood flowing into other tissues in the uterus, and also requires a certain forward thrust on the uterine lifter, such a requirement , the requirements for the outer wall support of the palace lifter are relatively high, so the external components of the palace lifter are more complicated, and there is also a greater work intensity when using manual hand-held pressure; what is more serious is that in the top Under the action of pushing, when the uterus is cut off from the cervix, at that moment, the uterine lifter will push the uterus forward. On the one hand, it may cause damage to the surrounding tissues; Risk of inflow into the abdominal cavity;
而采用本实施方式的子宫壁咬合端头A进行咬合的方式,由于采用咬合的方式即可实现对子宫的固定,所以不需要通过施予顶推压力来确保子宫固定,如此可以大幅减小甚至避免对子宫施予顶推力的要求,所以,不仅进一步的减小了对子宫壁的挤压,而且还降低了对举宫器外部操作人员或装置的要求,大幅降低医护人员工作强度的同时,也降低了设备成本;再一方面也避免了子宫被从宫颈处切断该瞬间,子宫因推力而前移的风险,进一步的降低了子宫落入腹腔或者子宫内组织液流入腹腔的风险,大幅提高手术安全性。However, the uterine wall occlusal end A of this embodiment is used for occlusion, since the uterus can be fixed by occlusion, so it is not necessary to apply pushing pressure to ensure uterine fixation, which can greatly reduce or even It avoids the requirement of pushing the uterus, so it not only further reduces the extrusion of the uterine wall, but also reduces the requirements for the external operators or devices of the uterine lifter, and greatly reduces the working intensity of medical staff. It also reduces the cost of equipment; on the other hand, it also avoids the risk of the uterus moving forward due to the thrust at the moment when the uterus is cut off from the cervix, further reducing the risk of the uterus falling into the abdominal cavity or intrauterine tissue fluid flowing into the abdominal cavity, and greatly improving the operation efficiency. safety.
作为优选的实施方式,如图6所示的,所述子宫壁咬合端头A与所述抓持端之间为可拆卸的连接。在本申请的举宫器方案中,子宫壁咬合端头A为易磨损构件,所以子宫壁咬合端头A与抓持端之间为可拆卸的连接,能够方便的更换子宫壁咬合端头A,避免整个举宫器的更换,如此,进一步的降低了使用费用,降低患者医疗费用负担。As a preferred embodiment, as shown in FIG. 6 , the uterine wall engaging end A is detachably connected to the grasping end. In the uterine lifter solution of the present application, the uterine wall occlusal end A is an easy-to-wear component, so the uterine wall occlusal end A and the grasping end are detachably connected, and the uterine wall occlusal end A can be easily replaced , to avoid the replacement of the entire uterine lifter, so that the use cost is further reduced, and the patient's medical expense burden is reduced.
作为优选的实施方式,进一步的,如图2所示的,所述咬合部3为设置在所述端头本体1上的凹槽。将咬合部3设置为凹槽,在使用时,对咬合端头A施予一定压力,使子宫内壁的局部嵌入到凹槽内,实现对子宫壁的咬合。As a preferred embodiment, further, as shown in FIG. 2 , the engaging portion 3 is a groove provided on the terminal body 1 . The occlusal part 3 is set as a groove, and when in use, a certain pressure is applied to the occlusal end A, so that part of the inner wall of the uterus is embedded in the groove, and the occlusion of the uterine wall is realized.
进一步优选的,所述凹槽为V型凹槽。Further preferably, the groove is a V-shaped groove.
进一步优选的,所述凹槽边缘处的端头本体1为尖角。在该处形成尖角,该尖角还可以刺入到子宫壁中,如此,进一步的提高了咬合端头咬合子宫壁的稳定性和可靠性。Further preferably, the terminal body 1 at the edge of the groove is sharp. A sharp angle is formed at this place, and the sharp angle can also penetrate into the uterine wall, thus further improving the stability and reliability of the occlusal tip engaging the uterine wall.
作为另一种实施方式,如图3所示的,所述咬合部3为设置在所述端头本体1上的可开合的咬合齿。采用这样的方式,可以方便的控制咬合齿的开合,进而控制咬合子宫壁或松开子宫壁。As another embodiment, as shown in FIG. 3 , the engaging portion 3 is an openable and closable engaging tooth provided on the terminal body 1 . In this manner, the opening and closing of the occlusal teeth can be conveniently controlled, thereby controlling the occlusion of the uterine wall or the release of the uterine wall.
作为另一种实施方式,如图4和5所示的,所述咬合部3为布置在所述端头本体1上的若干尖锐凸起。在该种实施方式中,通过设置尖锐凸起,当咬合端头对子宫壁施压时,这些尖锐凸起刺入子宫壁内,进而实现与子宫的可靠连接。As another embodiment, as shown in FIGS. 4 and 5 , the engaging portion 3 is several sharp protrusions arranged on the terminal body 1 . In this embodiment, by providing sharp protrusions, when the occlusal tip exerts pressure on the uterine wall, these sharp protrusions penetrate into the uterine wall, thereby achieving a reliable connection with the uterus.
进一步优选的,所述尖锐凸起背离所述端头本体1的高度小于子宫壁厚度。Further preferably, the height of the sharp protrusion away from the tip body 1 is smaller than the thickness of the uterine wall.
进一步优选的,所述尖锐凸起背离所述端头本体1的高度小于子宫壁厚度的2/3。通过上述方式,避免尖锐凸起刺穿子宫壁而增加手术风险。Further preferably, the height of the sharp protrusion away from the tip body 1 is less than 2/3 of the thickness of the uterine wall. Through the above method, sharp protrusions are avoided from piercing the uterine wall and increasing the risk of surgery.
作为优选的实施方式,在上述方案基础上,进一步的,所述端头本体1具有咬合轨迹,当所述端头本体1沿咬合轨迹移动时,所述端头本体1逐渐挤压子宫内壁,所述尖锐凸起的尖锐端朝背离所述端头本体1压紧方向上弯曲。在该实施方式中,通过将尖锐凸起设置为弯曲状,避免端头朝咬合轨迹相反方向移动时,尖锐凸起脱离子宫壁,如此,进一步的提高了与咬合部3与子宫壁之间咬合的可靠性,需要说明的时,本申请的举宫器是针对于子宫切除手术,所以,在举宫器操作过程中,即便是对子宫壁有咬合、刺入等动作,也不会给手术结果带来不利的影响。As a preferred embodiment, on the basis of the above solution, further, the terminal body 1 has an occlusal track, and when the terminal body 1 moves along the occlusal track, the terminal body 1 gradually presses the inner wall of the uterus, The sharp end of the sharp protrusion is bent away from the pressing direction of the terminal body 1 . In this embodiment, by setting the sharp protrusion in a curved shape, it is avoided that the sharp protrusion breaks away from the uterine wall when the tip moves in the opposite direction to the occlusal track, thus further improving the engagement between the occlusal part 3 and the uterine wall When it needs to be explained, the uterine lifter of this application is aimed at hysterectomy. Therefore, during the operation of the uterine lifter, even if there are actions such as occlusal or piercing of the uterine wall, it will not give any damage to the operation. result in adverse effects.
作为一种优选实施方式,如图4和5所示的,所述端头本体1朝向子宫内壁的一端为外凸的弧面,所述尖锐凸起分布在该弧面上。As a preferred embodiment, as shown in Figures 4 and 5, the end of the tip body 1 facing the inner wall of the uterus is an outwardly convex arc, and the sharp protrusions are distributed on the arc.
作为另一种优选实施方式,如图5所示的,所述端头本体1朝向子宫内壁的一端在沿咬合轨迹的方向上延伸形成一条状部,所述尖锐凸起布置在所述条状部朝向子宫壁的一侧。As another preferred embodiment, as shown in FIG. 5 , the end of the terminal body 1 facing the inner wall of the uterus extends along the direction of the bite track to form a strip, and the sharp protrusions are arranged on the strip. The side facing the uterine wall.
以上实施例仅用以说明本实用新型而并非限制本实用新型所描述的技术方案,尽管本说明书参照上述的各个实施例对本实用新型已进行了详细的说明,但本实用新型不局限于上述具体实施方式,因此任何对本实用新型进行修改或等同替换;而一切不脱离发明的精神和范围的技术方案及其改进,其均应涵盖在本实用新型的权利要求范围当中。The above embodiments are only used to illustrate the utility model rather than limit the technical solutions described in the utility model. Although the specification has described the utility model in detail with reference to the above-mentioned embodiments, the utility model is not limited to the above-mentioned specific Therefore, any modification or equivalent replacement of the utility model; and all technical solutions and improvements that do not depart from the spirit and scope of the invention shall be covered by the claims of the utility model.
Claims (10)
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| CN201920216564.7U CN209713087U (en) | 2019-02-20 | 2019-02-20 | A uterine lifter capable of automatically compressing the uterine cavity |
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| CN201920216564.7U CN209713087U (en) | 2019-02-20 | 2019-02-20 | A uterine lifter capable of automatically compressing the uterine cavity |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109620375A (en) * | 2019-02-20 | 2019-04-16 | 四川大学华西第二医院 | A kind of uterus raising device that can oppress uterine cavity automatically |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109620375A (en) * | 2019-02-20 | 2019-04-16 | 四川大学华西第二医院 | A kind of uterus raising device that can oppress uterine cavity automatically |
| CN109620375B (en) * | 2019-02-20 | 2024-01-30 | 四川大学华西第二医院 | Uterine manipulator capable of automatically pressing uterine cavity |
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