CN209713087U - A kind of uterus raising device that can oppress uterine cavity automatically - Google Patents

A kind of uterus raising device that can oppress uterine cavity automatically Download PDF

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Publication number
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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China
Prior art keywords
uterus
steering base
raising device
adjusting rod
mobile jib
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CN201920216564.7U
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郑莹
周小驰
陈思敬
徐小凤
陈琳
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West China Second University Hospital of Sichuan University
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West China Second University Hospital of Sichuan University
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Abstract

The utility model belongs to the field of medical instrument technology, the uterus raising device of uterine cavity can be oppressed automatically more particularly to one kind, including mobile jib, described mobile jib one end is for protruding into the inserting end inside uterus, the other end is to be placed in the external operating side of patient, uterus holding part is provided on the inserting end of the mobile jib, the uterus holding part, including several catch amis, there is the gripper end for matching with uterus inner wall in the catch amis, the mobile jib is also connected with bracket, and the bracket includes the clamping seat being detachably connected with operating bed.The uterus raising device of the application significantly reduces the working strength of medical staff, oppresses uterine cavity automatically, and also ensures the stability that uterus raising device exerts a force to uterine wall, avoids in surgical procedure, and exert a force risk that is unstable and causing uterus position to shake;And avoid and the large area of uterine wall is squeezed, in this way, significantly reducing the risk that intrauterine blood is squeezed into surrounding tissue.

Description

A kind of uterus raising device that can oppress uterine cavity automatically
Technical field
The utility model belongs to the field of medical instrument technology, and in particular to one kind can oppress the uterus raising device of uterine cavity automatically.
Background technique
Complete hysterectomy is a kind of modus operandi being widely applied in gynemetrics's treatment, can be with son treatment uterus muscle Tumor, Adenomyosis, ovary and uterus tumour etc., traditional mode are to cut abdominal cavity of patients to carry out panhysterectomy, such side Although formula can be realized the excision in uterus, but due to the deficiencies of wound area is big, healing time is long, surgery cost is expensive, It is gradually eliminated, instead the laparoscopically hysterectomy being widely used at present.
Laparoscopically hysterectomy sharpest edges are that wound area is small, interfere less abdominal viscera, damage is small, restores Fastly, it is able to maintain the stabilization of organismic internal environment, without apparent scar.But there is also the small equal limitations in operating space, so, in order to true The smooth of surgical procedure is protected, operation risk is reduced, needs to be adjusted the position in uterus before uterectomy, be in uterus Facilitate the position of operation, and it also requires the uterus being adjusted in place is fixed, avoids in surgical procedure, uterus shifts Etc. risks.
Currently, the fixation for uterus position, usually use uterus raising device, structure be usually include rod-shaped or software The oppression department of cryptomere and the control stick being connected with oppression department, when operation, oppression department extend into intrauterine, operation doctor by patient's vagina Raw or nurse squeezes oppression department inside patient uterine by operating lever operation oppression department, then carries out the position tune in uterus It is whole and fixed.
Although aforesaid way can be realized the adjustment to uterus position, it can also meet to a certain extent and uterus is consolidated It is fixed, but in actual operation, inventors have found that current uterus raising device is there is also there is serious deficiency, it is specific as follows to state:
It is all necessary either to the adjustment of the uterus position still fixation to uterus position in current uterus raising device Make uterus raising device oppression department compress uterine wall, and compress degree also just determine uterus raising device whether can reliably fix uterus with And uterus position is adjusted, so in current uterus raising device in use, requiring using biggish oppressive force, it is ensured that oppression department Uterine wall is compressed, and then realizes and the position in uterus is adjusted and fixed, and in further further investigation, inventors have found that Large area in this way squeezes uterus energetically, also results in serious problem, is characterized in particular in: when uterine wall is squeezed by above-mentioned When pressure, internal blood can be squeezed out uterus and enter in the tissue being connected with uterus, when there are malignant change tissues in uterus When, such as when malignant tumour, such mode of operation, although postoperative uterus is removed, but it is very big to there is its hetero-organization Infection and lesion risk.
Summary of the invention
The purpose of this utility model is that: exist for current uterus raising device structure and squeeze uterus, causes intrauterine blood stream Enter its hetero-organization and its hetero-organization is caused to there is the deficiency of pollution and lesion risk, a kind of can reduce to uterus pressure is provided Compel, and then reduces the infected uterus raising device structure with lesion risk of uterus perienchyma.
To achieve the goals above, the technical solution adopted in the utility model are as follows:
A kind of uterus raising device that can oppress uterine cavity automatically, including mobile jib, described mobile jib one end are for protruding into inside uterus Inserting end, the other end is to be placed in the external operating side of patient, uterus holding part is provided on the inserting end of the mobile jib, The uterus holding part, including several catch amis have the gripper end for matching with uterus inner wall in the catch amis, The mobile jib is also connected with bracket, and the bracket includes the clamping seat being detachably connected with operating bed.
The uterus raising device of the application, in use, uterus holding part extend into intrauterine, gripper end is wanted to be bonded with uterine wall, Uterus raising device is realized to the pushing tow in uterus and/or is lifted, and then is realized to the adjustment of uterus position and the fixation of position, when uterus position It sets when being adjusted in place, the clamping seat of bracket is fixed on operating bed, realize support of the bracket to mobile jib, and then guarantee grasping part Part in this way, significantly reducing the working strength of medical staff, and also ensures uterus raising device to uterus to the grasping state in uterus The stability of wall force, avoids in surgical procedure, and exert a force risk that is unstable and causing uterus position to shake;
Further, in the scheme of the application, uterus holding part is the grasping of each catch amis when grasping uterus End is bonded in multiple local locations with uterus inner wall, to realize that grasping of the holding part to uterus is kept away in this way Exempt to squeeze the large area of uterine wall, in this way, the risk that intrauterine blood is squeezed into surrounding tissue is significantly reduced, into And the risk of periuterine lesion tissue and infection is greatly reduced, further, due to the setting of bracket, it can be ensured that grasping part The consistency that part exerts a force to uterine wall, it is ensured that the stability in holding part grasping uterus.
Preferably, the bracket includes steering base and the adjusting rod that is connected between the steering base and clamping seat, described Mobile jib is connected with the steering base, and the distance between the steering base and the clamping seat are adjustable.
It is further preferred that the adjusting rod includes interior bar and the outer bar that is set in outside the interior bar, the interior bar and outer To be threadedly coupled between bar,
The interior bar is connect with the clamping seat, and outer bar is connect with the steering base;Alternatively, the interior bar and steering base connect It connects, the outer bar is connect with the clamping seat.
As another preferred embodiment, hydraulic cylinder or straight-line electric are provided between the adjusting rod and the clamping seat Machine keeps the distance between facility adjusting rod and the clamping seat adjustable.
As a preferred embodiment, cooperation is turned round between the adjusting rod and the steering base.
It is further preferred that the revolution between the adjusting rod and the steering base is with the revolution cooperation being combined into damping.
As another preferred embodiment, between the adjusting rod and the steering base for flexural pivot cooperate, the adjusting rod with The bulb of flexural pivot connects, and the steering base is connect with the ball seat of the flexural pivot, and the bracket further includes for adjusting described in locking The locking system that bar and steering base relatively rotate, the locking system has lockup state and unlocked state, in the locking shape When state, between the adjusting rod and the steering base be secure fit, in the unlocked state, the adjusting rod with described turn It can be relatively rotated between seat.
It is further preferred that the locking system be arranged on the steering base lock piece, the lock piece with it is described The separable cooperation of the bulb of flexural pivot.
As a preferred embodiment, described lock piece one end is protruded into the steering base, separable with the bulb of flexural pivot Cooperation, the other end are located at outside the steering base, are threadedly engaged between the lock piece and the steering base.
As another preferred embodiment, liquid/gas pressure device on the adjusting rod or steering base, the liquid/gas pressure Device matches the lock piece and the bulb of the flexural pivot for lock piece described in pushing tow.
Preferably, be additionally provided with turning-bar on the steering base, the turning-bar top be additionally provided with the first control by Button, first control button switch between lockup state and unlocked state for controlling the locking system.
Preferably, it is additionally provided with the second control button on the turning-bar top, second control button is for controlling The movement of the hydraulic cylinder or linear motor.
Preferably, each catch amis of the uterus holding part be can relatively movable cooperation, make the uterus Holding part has collapse state and unfolded state, and the uterus holding part is from collapse state to unfolded state change procedure In, the pressure side of each catch amis is mobile towards the direction being located remotely from each other, and makes the uterus holding part there are at least one to grab State is held, when the uterus holding part is the grasping state, gripper end and the uterus inner wall of the catch amis fit, The control unit acted for controlling the uterus holding part from collapse state to unfolded state is additionally provided on the mobile jib Part.
Preferably, the control unit is the hollow cylinder of both ends open, and the control unit is set in outside the mobile jib, And when the control unit is moved along the mobile jib, the uterus holding part can be controlled along the axial movement of the mobile jib It folds or is unfolded.
Preferably, when the control unit is mobile towards the uterus holding part, the palace wall holding part is gradually received It closes, when the uterus holding part is collapse state, the uterus holding part is all or part of positioned at the control In component processed;
When the control unit is mobile towards the direction far from the uterus holding part, the palace wall holding part is gradually opened up It opens.
Preferably, graduation mark is provided on the mobile jib side wall and/or the control unit lateral wall.
It as a preferred embodiment, is to be threadedly engaged between the control unit and the mobile jib.
It is further preferred that the control unit is additionally provided with assurance portion, institute far from one end of the uterus holding part Stating assurance portion is the bulge-structure for protruding from the control unit outer wall, or recessed on the control unit outer wall to be arranged in It falls into.
As another preferred embodiment, it is additionally provided on the mobile jib for driving the control unit along the mobile jib Mobile driving device.
It is further preferred that the driving device is stepper motor.
Preferably, bracket is also removably connected on the operating side of the mobile jib, the bracket is used for and operating bed phase Even.
Preferably, the catch amis slender rod piece.
Preferably, the equal length of each catch amis.
Preferably, the catch amis is at least three.
Preferably, each catch amis is uniformly distributed along the mobile jib central axis circumferencial direction, also, the uterus grasps From collapse state into unfolded state change procedure, the projection of the motion profile or motion profile of each gripper end is located at component The radial direction of the circumference.
Preferably, the uterus holding part further includes connector, and the catch amis is spindle rotationally arranged in the connection On part, the connector is removably connect with the mobile jib.
Preferably, it is additionally provided with elastic device in the connector, the elastic device is for bestowing the catch amis Elastic force makes the uterus holding part have the trend for keeping unfolded state.
Preferably, uterine wall occlusion end is additionally provided in the gripper end, uterine wall occlusion end includes end Mounting portion and occlusion portion are arranged on the end ontology for ontology,
The mounting portion is used to be connected with the gripper end,
The occlusion portion is for being engaged uterus inner wall, to realize the fixation of the end ontology and uterine wall relative position.
It preferably, is removably to connect between the uterine wall occlusion end and the gripper end.
As a preferred embodiment, the groove to be arranged on the end ontology.
It is further preferred that the groove is V-type groove.
It is further preferred that the end ontology at the recess edge is wedge angle.
As another preferred embodiment, the occlusion portion is the openable and closable tooth engaged being arranged on the end ontology.
As another preferred embodiment, the occlusion portion is several sharp protrusions being arranged on the end ontology.
It is further preferred that the sharp protrusion is less than uterus wall thickness away from the height of the end ontology.
It is further preferred that the sharp protrusion is less than the 2/3 of uterus wall thickness away from the height of the end ontology.
Preferably, the uterus holding part from collapse state into unfolded state change procedure, the end ontology by Uterus inner wall is gradually squeezed,
The sharp end of the sharp protrusion is bent upwards towards away from the end ontology pressing square.
As a preferred embodiment, the end ontology is the cambered surface of evagination towards one end of uterus inner wall, described sharp Protrusion is distributed in the cambered surface.
As another preferred embodiment, the end ontology is towards one end of uterus inner wall on the direction along occlusion track A stripes are extended to form, the sharp protrusion is arranged in side of the stripes towards uterine wall.
In conclusion by adopting the above-described technical solution, the beneficial effect of the application is:
The uterus raising device of the application, in use, uterus holding part extend into intrauterine, gripper end is wanted to be bonded with uterine wall, Uterus raising device is realized to the pushing tow in uterus and/or is lifted, and then is realized to the adjustment of uterus position and the fixation of position, when uterus position It sets when being adjusted in place, the clamping seat of bracket is fixed on operating bed, realize support of the bracket to mobile jib, and then guarantee grasping part Part in this way, significantly reducing the working strength of medical staff, and also ensures uterus raising device to uterus to the grasping state in uterus The stability of wall force, avoids in surgical procedure, and exert a force risk that is unstable and causing uterus position to shake;
Further, in the scheme of the application, uterus holding part is the grasping of each catch amis when grasping uterus End is bonded in multiple local locations with uterus inner wall, to realize that grasping of the holding part to uterus is kept away in this way Exempt to squeeze the large area of uterine wall, in this way, the risk that intrauterine blood is squeezed into surrounding tissue is significantly reduced, into And the risk of periuterine lesion tissue and infection is greatly reduced, further, due to the setting of bracket, it can be ensured that grasping part The consistency that part exerts a force to uterine wall, it is ensured that the stability in holding part grasping uterus.
Detailed description of the invention
Fig. 1 is the structural schematic diagram of uterus raising device;
Fig. 2 is the structural schematic diagram that uterine wall is engaged end one of which embodiment;
Fig. 3 is the structural schematic diagram that uterine wall is engaged end one of which embodiment
Fig. 4 is the structural schematic diagram that uterine wall is engaged end one of which embodiment;
Fig. 5 is the structural schematic diagram that uterine wall is engaged end one of which embodiment;
Fig. 6 is the broken section structural schematic diagram of connector and catch amis cooperation;
Fig. 7 is the partial schematic sectional view that control unit and mobile jib and holding part cooperate;
Fig. 8 is the structural schematic diagram of uterus raising device when driving device uses stepper motor;
Fig. 9 is the partial schematic sectional view that interior bar and outer bar cooperate;
Figure 10 is partial schematic sectional view when controlling lock piece using liquid/gas pressure device,
Marked in the figure: A- uterine wall is engaged end, the end 1- ontology, 2- mounting portion, 3- occlusion portion, 4- control unit, 5- Catch amis, 6- gripper end, 7- connector, 8- elastic device, 9- mobile jib, 10- assurance portion, 11- bracket, 12- driving device, 13- Clamping seat, 14- steering base, 15- adjusting rod, 15a- interior bar, 15b- outer bar, 16- hydraulic cylinder or linear motor, 17- bulb, 18- ball seat, 19- lock piece, 20- liquid/gas pressure device, 21- turning-bar, the first control button of 22-, the second control button of 23-, 24- oil circuit or pipeline.
Specific embodiment
Lower region is described in detail the utility model in conjunction with attached drawing.
In order to make the purpose of the utility model, technical solutions and advantages more clearly understood, below in conjunction with attached drawing and implementation Example, the present invention will be further described in detail.It should be appreciated that specific embodiment described herein is only to explain this Utility model is not used to limit the utility model.
Embodiment 1, as Figure 1-10 shows:
A kind of uterus raising device that can oppress uterine cavity automatically, including mobile jib 9, described 9 one end of mobile jib are for protruding into intrauterine The inserting end in portion, the other end are to be placed in the external operating side of patient, are provided with uterus grasping part on the inserting end of the mobile jib 9 Part, the uterus holding part, including several catch amis 5 have for grabbing with what uterus inner wall matched in the catch amis 5 End 6 is held, the mobile jib 9 is also connected with bracket 11, and the bracket 11 includes the clamping seat 13 being detachably connected with operating bed.
The uterus raising device of the present embodiment, in use, uterus holding part extend into intrauterine, gripper end 6 is wanted to paste with uterine wall It closes, realize uterus raising device to the pushing tow in uterus and/or lifts, and then realize to the adjustment of uterus position and the fixation of position, group When palace position is adjusted in place, the clamping seat 13 of bracket 11 is fixed on operating bed, realizes support of the bracket 11 to mobile jib 9, into And guarantee holding part to the grasping state in uterus, in this way, significantly reducing the working strength of medical staff, and also ensure The stability that uterus raising device exerts a force to uterine wall, avoids in surgical procedure, and exert a force risk that is unstable and causing uterus position to shake;
Further, in the scheme of the application, uterus holding part is grabbing for each catch amis 5 when grasping uterus It holds end 6 to be bonded in multiple local locations with uterus inner wall, to realize grasping of the holding part to uterus, side in this way Formula avoids the large area extruding to uterine wall, in this way, significantly reducing the wind that intrauterine blood is squeezed into surrounding tissue Danger, and then the risk of periuterine lesion tissue and infection is greatly reduced, it further, can be true due to the setting of bracket 11 Protect the consistency that holding part exerts a force to uterine wall, it is ensured that the stability in holding part grasping uterus.
As preferred embodiment, further, the bracket 11 includes steering base 14 and is connected to the steering base Adjusting rod 15 between 14 and clamping seat 13, the mobile jib 9 are connected with the steering base 14, the steering base 14 and the clamping The distance between seat 13 is adjustable.In the present embodiment, adjustable by the distance between steering base 14 and clamping seat 13, and then control The position of uterus raising device holding part processed, and then realize the adjustment to gripper end 6, it so realizes, the adjustment to uterus position, and Adjustment to gripper end 6 relative to uterus position.
It is further preferred that as shown in Figure 9, the adjusting rod 15 includes interior bar 15a and is set in outside the interior bar 15a Outer bar 15b, to be threadedly coupled between the interior bar 15a and outer bar 15b,
The interior bar 15a is connect with the clamping seat 13, and outer bar 15b is connect with the steering base 14;Alternatively, the interior bar 15a is connect with steering base 14, and the outer bar 15b is connect with the clamping seat 13.By rotating outer bar 15b, adjusting rod 15 is realized The variation of length, and then realize and the position of holding part is adjusted.
As another preferred embodiment, hydraulic cylinder is provided between the adjusting rod 15 and the clamping seat 13 Or linear motor 16, keep the distance between facility adjusting rod 15 and the clamping seat 13 adjustable.
Cooperation is turned round between the adjusting rod 15 and the steering base 14 as a preferred implementation manner,.Such side Formula rotates steering base 14 relative to 15 bars are adjusted, and then mobile jib 9 is driven to deflect, in this way, making the position of holding part It sets and changes, so, further expand the application uterus raising device in the position adjustable extent of intrauterine holding part, with And the position adjustable extent in uterus, further it is convenient to use.
It is further preferred that the revolution between the adjusting rod 15 and the steering base 14 is matched with the revolution with damping is combined into It closes.By this kind of mode, the revolution cooperation with damping, after position is adjusted in place, damping size guarantees uterus raising device in branch chapelet Gong Shi is not turned round between adjusting rod 15 and the steering base 14.
As another preferred embodiment, as shown in Figure 10, it is between the adjusting rod 15 and the steering base 14 Flexural pivot cooperation, the adjusting rod 15 are connect with the bulb 17 of flexural pivot, and the steering base 14 is connect with the ball seat 18 of the flexural pivot, institute Stating bracket 11 further includes the locking system relatively rotated for adjusting rod 15 described in locking and steering base 14, the locking system tool There are lockup state and unlocked state, is that fixation is matched in the lockup state, between the adjusting rod 15 and the steering base 14 It closes, in the unlocked state, can be relatively rotated between the adjusting rod 15 and the steering base 14.
It is further preferred that the locking system is that lock piece 19, the lock piece 19 is arranged on the steering base 14 With the separable cooperation of bulb 17 of the flexural pivot.When lock piece 19 is contacted and squeezed with bulb 17, flexural pivot is locked, mobile jib 9 are fixed, and when lock piece 19 is separated with bulb 17, can rotate bulb, realize the position adjustment of mobile jib 9.
As a preferred embodiment, described 19 one end of lock piece is protruded into the steering base 14, and the bulb 17 with flexural pivot can Isolated cooperation, the other end are located at outside the steering base 14, are threadedly engaged between the lock piece 19 and the steering base 14, It is not shown in this kind of mode attached drawing.In actual use, by rotation lock stop member 19, lockup state and unlock shape can be realized The switching of state.
As another preferred embodiment, liquid/gas pressure device 20 on the adjusting rod 15 or steering base 14 is described Liquid/gas pressure device 20 matches the lock piece 19 with the bulb 17 of the flexural pivot for lock piece 19 described in pushing tow.It is logical It crosses setting liquid/gas pressure device 20 and controls the position of lock piece 19, and then realize the switching of lockup state and unlocked state, this kind of side The operation of formula is more convenient, can substantially shorten adjustment time, as shown in Figure 10, locking member 19 is slidably disposed in steering In seat 14, liquid/gas pressure device 20 is connected by gas circuit or oil circuit 24 with steering base, hydraulic when liquid/gas pressure device 20 starts Oil or high pressure gas push 19 squeeze bulb of locking member, realize the locking of flexural pivot, when liquid/gas pressure device 20 stops, locking 19 extruding force of part is eliminated, and flexural pivot is unlocked.
As preferred embodiment, it is additionally provided with turning-bar 21 on the steering base 14, on 21 top of turning-bar It is additionally provided with the first control button 22, first control button 22 is for controlling the locking system in lockup state and unlock Switch between state.
Further, the second control button 23, second control button 23 are additionally provided on 21 top of turning-bar For controlling the movement of the hydraulic cylinder or linear motor 16.
As above-mentioned, by being arranged turning-bar 21, in actual arrangement, turning-bar 21 be arranged and facilitates manipulation in operative doctor Position easily the position of uterus raising device can be adjusted or the position in uterus is carried out so that in the course of surgery Adjustment, substantially convenient operation uses;First control button 22 is further also set on turning-bar 21 and the second control is pressed Button 23 also further facilitates adjustment of the operative doctor to uterus raising device.
As preferred embodiment, each catch amis 6 of the uterus holding part is that relatively movable can match It closes, makes the uterus holding part that there is collapse state and unfolded state, the uterus holding part is from collapse state to expansion In state change process, the pressure side of each catch amis 6 is mobile towards the direction being located remotely from each other, and deposits the uterus holding part In at least one grasping state, when the uterus holding part is the grasping state, the gripper end and son of the catch amis 6 In utero wall fits, be additionally provided on the mobile jib 9 for control the uterus holding part from collapse state to expansion shape The control unit 4 of state movement.
The uterus raising device of present embodiment controls the movement of uterus holding part by control unit 4, sets uterus holding part After intrauterine, changed from collapse state to unfolded state, realizes the grasping to uterus, and in the scheme of the application, uterus Holding part is that the gripper end of each catch amis 6 is bonded in multiple local locations with uterus inner wall when grasping uterus, thus It realizes grasping or not to uterus, in this way, the large area extruding to uterine wall is avoided, in this way, significantly The risk that intrauterine blood is squeezed into surrounding tissue is reduced, and then the wind of periuterine lesion tissue and infection is greatly reduced Danger.
As preferred embodiment, further, the control unit 4 is the hollow cylinder of both ends open, the control Component 4 processed is set in outside the mobile jib 9, and can be along the axial movement of the mobile jib 9, and the control unit 4 is along the mobile jib 9 When mobile, control the uterus holding part and fold or be unfolded.
As preferred embodiment, further, when the control unit 4 is mobile towards the uterus holding part, The palace wall holding part gradually folds, and when the uterus holding part is collapse state, the uterus holding part is whole Or it is part of in the control unit 4;The control unit 4 is mobile towards the direction far from the uterus holding part When, the palace wall holding part is gradually spread out.
In the above-described embodiment, by the moving along mobile jib 9 of control unit 4, it can be realized and holding part is unfolded The control of degree, is not only simple and efficient, but also control process is stablized.
As preferred embodiment, further, on 4 lateral wall of 9 side wall of mobile jib and/or the control unit It is provided with graduation mark.In this embodiment, on the one hand the setting of graduation mark is can have easily to know the length that uterus raising device protrudes into On the other hand degree can also measure the expansion of holding part by the relative position variation degree of mobile jib 9 and control unit 4 Degree further facilitates the use of the application uterus raising device, reduces operation risk.
As preferred embodiment, further, it is threadedly engaged between the control unit 4 and the mobile jib 9.It is logical This kind of mode is crossed, the moving along mobile jib 9 of control unit 4 can be realized in rotation-control members 4, and then realizes and holding part is unfolded The control of degree.
As preferred embodiment, further, the one end of the control unit 4 far from the uterus holding part is also Sure portion 10 is set, and the assurance portion 10 is the bulge-structure for protruding from 4 outer wall of control unit, or to be arranged in institute State the recess on 4 outer wall of control unit.The setting in assurance portion 10 facilitates medical staff's rotation control unit 4.
As another embodiment, as shown in Figure 8, it is additionally provided on the mobile jib 9 for driving the control The driving device 12 that component 4 is moved along the mobile jib 9.
It is further preferred that the driving device 12 is stepper motor.The motor shaft and control unit 4 of stepper motor are cut with scissors It connects, the motor cabinet of stepper motor is arranged on mobile jib 9.
In the above method, one end of the control unit 4 is controlled by setting stepper motor, control process is more square Just efficiently.
As preferred embodiment, bracket 11, the bracket are also removably connected on the operating side of the mobile jib 9 11 with operating bed for being connected.In which, by the way that bracket 11 is arranged, pass through bracket after uterus raising device is adjusted in place for uterus raising device It is fixed on operating bed, in this way, reducing the labor intensity of medical staff.
As preferred embodiment, 6 slender rod piece of catch amis.Slender rod piece is set by catch amis 6, on the one hand It is that can ensure that there is lesser outer dimension under collapse state, convenient for protruding into intrauterine, on the other hand, also further subtracts The small contact area of catch amis 6 and uterine wall, and then further avoid causing large area to squeeze uterine wall.
As preferred embodiment, the equal length of each catch amis 6.
As preferred embodiment, the catch amis 6 is at least three.In this way, at least three Grasping uterine wall is set, so, it is ensured that reliably grasp to sub- palace.
As preferred embodiment, each catch amis 6 is along the circumferential direction uniformly distributed, also, the uterus grasping part For part from collapse state into unfolded state change procedure, the projection of the motion profile or motion profile of each gripper end is located at should The radial direction of circumference.In this way in a circumferential direction, grasping force uniformly is bestowed to uterine wall, in this way, into one The reliability for ensuring holding part grasping uterus of step.
As preferred embodiment, as shown in Figure 7, the uterus holding part further includes connector 7, the grasping Arm 6 is spindle rotationally arranged on the connector 7, and the connector 7 is removably connect with the mobile jib 9.In this approach, The replacement uterus holding part that can be convenient is that connector 7 is removed from mobile jib 9 needing replacing.
As preferred embodiment, be additionally provided with elastic device 8 in the connector 7, the elastic device 8 for pair The catch amis 6 bestows elastic force, and the uterus holding part is made to have the trend for keeping unfolded state.
As preferred embodiment, uterine wall occlusion end A, the uterine wall occlusion are additionally provided in the gripper end End A includes end ontology 1, is arranged mounting portion 2 and occlusion portion 3 on the end ontology 1, the mounting portion 2 be used for it is described Gripper end is connected, and the occlusion portion 3 is for being engaged uterus inner wall, to realize the end ontology 1 and uterine wall relative position It is fixed.
In the present embodiment, the uterine wall of setting is engaged end A, when in use, is engaged stinging for end A by uterine wall Conjunction portion 3 is engaged uterus inner wall, and then realizes movement of the uterus raising device to intrauterine wall, that is, when palace device carries out position adjustment to uterus It is to be engaged uterus inner wall by being engaged the occlusion portion 3 of end, by adjusting uterus raising device position or fixation or when the fixation of position Uterus raising device is realized, so the pressure that catch amis 6 bestows uterine wall can be greatly reduced, is on the one hand to further decrease uterus Interior blood is flowed into surrounding tissue energy, on the other hand, additionally it is possible to reduce the intensity requirement to catch amis 6, and then can use and cut The smaller catch amis 6 of area, in this way, further under collapse state holding part size;
The further uterine wall using present embodiment is engaged end A, is carried out by the local location to intrauterine wall Occlusion, for traditional uterus raising device, is that of avoiding the extruding of large area, in this way, significantly reducing intrauterine blood first Liquid is squeezed into the risk of surrounding tissue, and then the risk of periuterine lesion tissue and infection is greatly reduced;On the other hand, it passes Uterus raising device of uniting either is adjusted to the position in uterus or the fixation to uterus position, is all to work as uterus by way of extruding From when position of uterine neck cutting, due to losing the support of position of uterine neck, uterus is easy to the opposite sliding with uterus raising device generation and deflects, sternly It is even fallen into abdominal cavity of patients when weight, intrauterine tissue fluid flows into abdominal cavity, leads to intra-abdominal contamination.
And exist in present embodiment, occlusion of the occlusion portion 3 to intrauterine wall is only to squeeze relative to traditional uterus raising device For mode, occlusion is more firm, and when uterus, which is cut from position of uterine neck, to be cut off, occlusion portion 3 can't by way of occlusion Opposite sliding occurs with uterus, in this way, realizing that uterus raising device is reliably fixed uterus, in this way, avoiding uterus falls into abdominal cavity And intrauterine tissue fluid stays the risk that intra-abdominal contamination is caused into abdominal cavity, so also substantially being mentioned using the scheme of present embodiment High operation safety;
In another aspect, for traditional uterus raising device, with the mode and uterine wall for then passing through extruding, in uterus position It sets after being adjusted in place, when progress uterus is fixed, it is also necessary to bestow certain forward thrust to uterus, be in uterus and squeezed by pushing tow State, so realize uterus fixation, such mode, also further exacerbate intrauterine blood flow into other tissue Risk, furthermore, it would be desirable to bestow certain forward thrust to uterus raising device, such requirement, to the outer wall support of uterus raising device require compared with Height, so the external module for also resulting in uterus raising device is complex, when being pressed using man-hour manually hand-held, there is also biggish work is strong Degree;And more seriously, under the thrusting action, when uterus is cut off from from uterine neck, the moment, uterus raising device can pushing tow On the one hand palace Forward is possible to cause damaging surrounding tissue, on the other hand also exacerbating uterus falls into abdominal cavity or intrauterine The risk in tissue fluid inflow abdominal cavity;
And in such a way that the uterine wall of present embodiment occlusion end A is engaged, due to being by the way of occlusion The fixation to uterus can be achieved so can substantially reduce so not needing to ensure that uterus is fixed by bestowing pushing tow pressure The requirement that jacking force is bestowed to uterus even is avoided, so, the extruding to uterine wall is not only further reduced, but also drop The low requirement to uterus raising device outside operator or device also reduces while medical staff's working strength is greatly reduced Equipment cost;Another further aspect also avoids uterus and is cut off from uterine neck the moment, the risk that uterus moves forward by thrust, into one Step reduces the risk that uterus falls into abdominal cavity or intrauterine tissue fluid flows into abdominal cavity, greatly improves operation safety.
It is as shown in FIG. 6 as preferred embodiment, be between the uterine wall occlusion end A and the gripper end Dismountable connection.In the uterus raising device scheme of the application, it is component easy to wear that uterine wall, which is engaged end A, so uterine wall is stung Closing between end A and gripper end is removably to connect, and can easily replace uterine wall occlusion end A, avoid entirely lifting palace The replacement of device reduces patient medical expense burden in this way, further reducing cost of use.
As preferred embodiment, further, as shown in Figure 2, the occlusion portion 3 is to be arranged in the end sheet Groove on body 1.Groove is set by occlusion portion 3, when in use, certain pressure is bestowed to occlusion end A, makes uterus inner wall In locally embedding to groove, the occlusion to uterine wall is realized.
It is further preferred that the groove is V-type groove.
It is further preferred that the end ontology 1 at the recess edge is wedge angle.Wedge angle is formed at this, the wedge angle is also It can be pierced into uterine wall, in this way, further improving the stability and reliability of occlusion end occlusion uterine wall.
As another embodiment, as shown in Figure 3, the occlusion portion 3 be arranged on the end ontology 1 can The tooth engaged of folding.In this manner, it may be convenient to control the folding of tooth engaged, and then control occlusion uterine wall or pine Open uterine wall.
As another embodiment, as shown in Figures 4 and 5, the occlusion portion 3 is to be arranged on the end ontology 1 Several sharp protrusions.In this embodiment, by the way that sharp protrusion is arranged, when occlusion end presses to sub- palace wall, this A little sharp protrusions are pierced into uterine walls, and then are realized and to be reliably connected with uterus.
It is further preferred that the sharp protrusion is less than uterus wall thickness away from the height of the end ontology 1.
It is further preferred that the sharp protrusion is less than the 2/3 of uterus wall thickness away from the height of the end ontology 1. By the above-mentioned means, sharp protrusion is avoided to pierce through uterine wall and increase operation risk.
As preferred embodiment, on the basis of above scheme, further, the end ontology 1 has occlusion rail Mark, when the end ontology 1 is moved along occlusion track, the end ontology 1 gradually squeezes uterus inner wall, the sharp protrusion Sharp end towards being bent upwards away from 1 pressing square of end ontology.In this embodiment, by setting sharp protrusion to Bending, when avoiding end mobile towards occlusion track opposite direction, sharp protrusion is detached from uterine wall, in this way, further improve The reliability being engaged between occlusion portion 3 and uterine wall, need to illustrate when, the uterus raising device of the application is to be directed to uterus to cut Except operation, so, in uterus raising device operating process, even there is the movement such as occlusion, piercing to uterine wall, surgeon's knot will not be given Fruit brings detrimental effect.
As shown in Figures 4 and 5 as a preferred implementation manner, one end of end ontology 1 towards the uterus inner wall is The cambered surface of evagination, the sharp protrusion are distributed in the cambered surface.
As another preferred embodiment, as shown in Figure 5, one end of end ontology 1 towards the uterus inner wall exists A stripes are extended to form along the direction of occlusion track, the sharp protrusion is arranged in the stripes one towards uterine wall Side.
Above embodiments are only to illustrate the utility model and not limit technical solution described in the utility model, to the greatest extent Pipe this specification has been carried out detailed description to the utility model referring to above-mentioned each embodiment, but the utility model not office It is limited to above-mentioned specific embodiment, therefore any pair of the utility model is modified or equivalent replacement;And all do not depart from invention Spirit and scope technical solution and its improvement, should all cover in the scope of the claims of the utility model.

Claims (10)

1. the uterus raising device that one kind can oppress uterine cavity automatically, which is characterized in that including mobile jib, described mobile jib one end is for protruding into Inserting end inside uterus, the other end are to be placed in the external operating side of patient, are provided with uterus on the inserting end of the mobile jib Holding part, the uterus holding part, including several catch amis have for matching with uterus inner wall in the catch amis Gripper end, the mobile jib is also connected with bracket, and the bracket includes the clamping seat being detachably connected with operating bed.
2. uterus raising device according to claim 1, which is characterized in that the bracket includes steering base and is connected to the steering Adjusting rod between seat and clamping seat, the mobile jib is connected with the steering base, between the steering base and the clamping seat Apart from adjustable.
3. uterus raising device according to claim 2, which is characterized in that the adjusting rod includes interior bar and is set in the interior bar Outer outer bar is threadedly coupled between the interior bar and outer bar,
The interior bar is connect with the clamping seat, and outer bar is connect with the steering base;Alternatively, the interior bar is connect with steering base, The outer bar is connect with the clamping seat.
4. uterus raising device according to claim 2, which is characterized in that be provided with liquid between the adjusting rod and the clamping seat Compressing cylinder or linear motor keep the distance between facility adjusting rod and the clamping seat adjustable.
5. according to uterus raising device described in claim 2-4 any one, which is characterized in that the adjusting rod and the steering base it Between turn round cooperation.
6. uterus raising device according to claim 5, which is characterized in that the revolution between the adjusting rod and the steering base is matched It is combined into the revolution cooperation with damping.
7. uterus raising device according to claim 5, which is characterized in that match between the adjusting rod and the steering base for flexural pivot It closes, the bulb of the adjusting rod and flexural pivot connects, and the steering base is connect with the ball seat of the flexural pivot, and the bracket further includes using The locking system that the adjusting rod described in locking and steering base relatively rotate, the locking system have lockup state and unlock shape State is secure fit between the adjusting rod and the steering base in the lockup state, in the unlocked state, institute Stating can relatively rotate between adjusting rod and the steering base.
8. uterus raising device according to claim 7, which is characterized in that the locking system is that setting is locked in the steering base Stop member, the separable cooperation of bulb of the lock piece and the flexural pivot.
9. uterus raising device according to claim 8, which is characterized in that the liquid/gas pressure on the adjusting rod or steering base Device, the liquid/gas pressure device match the lock piece and the bulb of the flexural pivot for lock piece described in pushing tow.
10. uterus raising device according to claim 8, which is characterized in that described lock piece one end is protruded into the steering base, with The separable cooperation of the bulb of flexural pivot, the other end are located at outside the steering base, are spiral shell between the lock piece and the steering base Line cooperation.
CN201920216564.7U 2019-02-20 2019-02-20 A kind of uterus raising device that can oppress uterine cavity automatically Active CN209713087U (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
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

Cited By (2)

* Cited by examiner, † Cited by third party
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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