CN210903286U - Uterine manipulator - Google Patents

Uterine manipulator Download PDF

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Publication number
CN210903286U
CN210903286U CN201921466621.3U CN201921466621U CN210903286U CN 210903286 U CN210903286 U CN 210903286U CN 201921466621 U CN201921466621 U CN 201921466621U CN 210903286 U CN210903286 U CN 210903286U
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CN
China
Prior art keywords
balloon
pipe
uterus
sacculus
uterus lifting
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Withdrawn - After Issue
Application number
CN201921466621.3U
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Chinese (zh)
Inventor
裴美丽
刘丹
赵娟
杨婷
杨筱凤
李洁
江玉
邹余粮
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First Affiliated Hospital of Medical College of Xian Jiaotong University
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First Affiliated Hospital of Medical College of Xian Jiaotong University
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Priority to CN201921466621.3U priority Critical patent/CN210903286U/en
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Publication of CN210903286U publication Critical patent/CN210903286U/en
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Abstract

The utility model relates to a uterus lifter. The uterus lifting rod is provided with a uterus lifting frame, the top of the uterus lifting frame is provided with a fifth balloon, four side surfaces of the uterus lifting frame are respectively provided with a first balloon, a second balloon, a third balloon and a fourth balloon, the fifth balloon is communicated with the fifth balloon through a fifth through pipe, the fourth balloon is communicated with the fourth balloon through a fourth through pipe, the third balloon is communicated with the third balloon through a third through pipe, the second balloon is communicated with the second balloon through a second through pipe, the first balloon is communicated with the first balloon through a first through pipe, the uterus lifting rod and the uterus lifting frame are of a hollow structure, the uterus lifting frame and the uterus lifting rod are respectively provided with through holes for the first through pipe, the second through pipe, the third through pipe, the fourth through pipe and the fifth through pipe to pass through, the first through pipe, the second through pipe, the fourth through pipe and the fifth through holes for the first through pipe, the second through pipe and the fourth through holes for the second through hole to pass through, the fourth through pipe and the fourth, The third three-way pipe, the fourth through pipe and the fifth through pipe are arranged in the uterus lifting frame and the uterus lifting rod through the through holes. The utility model discloses accurate uterus removes in can realizing the art, and does not contract back.

Description

Uterine manipulator
Technical Field
The utility model relates to the field of medical equipment, especially, uterus lifting device.
Background
In the surgical process of laparoscopic or robot-assisted downlink hysterectomy (including total hysterectomy, cervical cancer radical surgery, endometrial cancer radical surgery and the like), in order to cooperate with the operation of a patient, an assistant needs to accurately move the uterus to different directions. At present, the traditional uterine manipulator is clinically used, in order to ensure safe and smooth completion of an operation, an assistant must manually exert force to ensure that the uterus is jacked up towards the head end of a patient continuously in the operation process and the up-down and left-right directions of the uterus are timely adjusted along with the operation of an operator, otherwise, the damage risk of the bladder and the ureter is easy to occur due to insufficient tension near the retroperitoneal of the bladder and the uterus, or the bleeding risk in the operation is easy to increase due to insufficient tension of broad ligaments, or the ureter is easy to be damaged due to insufficient tension of tissues beside the uterus, or even partial cervical residue is caused due to. In actual clinical practice, the assistant personnel who are responsible for lifting the uterus change greatly, and the proficiency is uneven, and in addition because personnel are insufficient, there is the condition that "temporarily grab Zhuangding" and the intern is responsible for lifting the uterus from time to time, often can appear cooperating in-process and lift the uterus ware and retract, the uterus removes and is difficult to satisfy the art person's demand to lead to the art person to need constantly to disperse energy and guide the assistant to adjust the uterus ware, there is carelessness then easily to take place bad incident slightly. Therefore, there is an urgent need to develop a device that can be controlled by the operator, and can realize precise movement of the uterus during the operation without retraction.
SUMMERY OF THE UTILITY MODEL
The utility model provides a uterus lifting device which can realize the precise uterus movement in the operation and can not retract, for solving the technical problems existing in the background technology.
The technical solution of the utility model is that: the utility model relates to a uterus lifting device, including the support, lift palace pole and fornix cup, fornix cup sets up on lifting palace pole, and lift palace pole setting is on the support, and its special character lies in: it is provided with and lifts palace frame to lift palace pole and deviate from support one end, it is provided with the fifth sacculus to lift palace frame top, it is provided with first sacculus respectively to lift four sides of palace frame, the second sacculus, third sacculus and fourth sacculus, the fifth sacculus is filled the sacculus intercommunication through fifth siphunculus and fifth, the fourth sacculus is filled the sacculus intercommunication through fourth siphunculus and fourth, the third sacculus is filled the sacculus intercommunication through third pipe and third, the second sacculus is filled the sacculus intercommunication through second siphunculus and second, first sacculus is filled the sacculus intercommunication through first siphunculus and first, it is hollow structure with lifting palace frame to lift palace pole, it all is provided with on palace frame and the pole to lift palace and let first siphunculus, the second siphunculus, the third pipe, the fourth siphunculus, the through-hole that the fifth siphunculus passed, first siphunculus, the second siphunculus, the third.
Preferably, the uterine elevator further comprises a vaginal balloon surrounding the outside of the uterine elevator rod, the vaginal balloon is communicated with the sixth balloon through a sixth through pipe, the inner wall of the vaginal balloon is serrated, and a spherical hinged joint capable of enabling the uterine elevator rod to swing around is arranged at the connecting section of the uterine elevator rod and the support.
Preferably, the indentation of the inner wall of the vaginal balloon is 12 indentations.
Preferably, the first balloon, the second balloon, the third balloon and the fourth balloon are arranged on the uterus lifting frame in a centrosymmetric manner.
Preferably, the vaginal balloon is fastened on the uterine lifting rod through a fastening belt.
Preferably, the first balloon, the second balloon, the third balloon, the fourth balloon and the fifth balloon are respectively provided with marks.
Preferably, the bracket is provided with a sliding groove which can enable the uterus lifting rod to move up and down, and the sliding groove is provided with a screw which can lock the uterus lifting rod.
Preferably, the connecting part of the uterus lifting rod and the support is provided with a horizontal sliding groove for the uterus lifting rod to horizontally slide, and the screw is arranged in the horizontal sliding groove.
Preferably, a control valve is arranged between each balloon and the through pipe.
The utility model has the advantages of it is following:
1) the utility model has a special five-balloon design in the vagina, can accurately jack the uterus in the direction needing jacking according to the requirements of operators, and increases the adjusting space of the uterine elevator in the vagina in the operation;
2) the utility model is provided with the vaginal saccule in the vagina, the inner wall of the vaginal saccule is in a sawtooth shape, the uterine lifting rod can swing and adjust the position in the vaginal saccule to the periphery under the action of the spherical hinged joint, thereby not only realizing the increase of the adjusting space of the uterine lifter in the vagina in the operation, but also realizing the accurate displacement of different angles of the uterus from top to bottom and from left to right, and simultaneously protecting the vaginal wall from unnecessary damage in the accurate moving process;
3) the operator directly controls the first balloon, the second balloon, the third balloon, the fourth balloon and the fifth balloon according to different marks, so that the precise movement of the uterus in the operation is realized, and the operation is perfectly matched;
4) the utility model discloses be provided with the movable support, can liberate the manpower, no longer need be equipped with specially to help the hand to lift the palace, clinical work is busy, and the assistant can have time to handle other things as early as possible, improves work efficiency, reduces doctor-patient dispute.
Drawings
Fig. 1 is a schematic structural view of the present invention;
fig. 2 is a schematic distribution diagram of the first balloon, the second balloon, the third balloon, the fourth balloon and the fifth balloon of the present invention;
fig. 3 is a cross-sectional view of the vaginal balloon of the present invention.
The reference numbers are as follows:
1. the uterine cavity lifting device comprises a first balloon, 2, a uterine lifting rod, 3, a fastening belt, 4, a vaginal balloon, 5, a sixth communicating pipe, 6, a sixth balloon, 7, a first balloon, 8, a control valve, 9, a first communicating pipe, 10, a second balloon, 11, a spherical hinged joint, 12, a sliding groove, 13, a bracket, 14, a screw, 15, a second communicating pipe, 16, a supporting rod, 17, a third balloon, 18, a third communicating pipe, 19, a fourth communicating pipe, 20, a fourth balloon, 21, a fifth balloon, 22, a fifth communicating pipe, 23, a third balloon, 24, a uterine lifting frame, 25, a fifth balloon, 26, a second balloon, 27, a fourth balloon, 28, a cavity, 29, an inner wall of the vaginal balloon, 30 and a fornix cup.
Detailed Description
Referring to fig. 1, 2, 3, the utility model discloses a concrete implementation structure includes support 13, lifts palace pole 2 and fornix cup 30, fornix cup 30 sets up on lifting palace pole 2, lift palace pole 2 and set up on support 13, lift palace pole 2 and deviate from support 13 one end and be provided with and lift palace frame 24, it is provided with fifth sacculus 25 to lift palace frame 24 top, it is provided with first sacculus 1, second sacculus 26, third sacculus 23 and fourth sacculus 27 respectively to lift four sides of palace frame 24, first sacculus 1, second sacculus 26, third sacculus 23 and fourth sacculus 27 become central symmetry and set up and be good on lifting palace frame 24. The fifth balloon 25 is communicated with the fifth balloon 21 through a fifth through pipe 22, the fourth balloon 27 is communicated with the fourth balloon 20 through a fourth through pipe 19, the third balloon 23 is communicated with the third balloon 17 through a third through pipe 18, the second balloon 26 is communicated with the second balloon 10 through a second through pipe 15, the first balloon 1 is communicated with the first balloon 7 through a first through pipe 9, the uterus lifting rod 2 and the uterus lifting frame 24 are both of a hollow structure, the uterus lifting frame 2 and the uterus lifting rod 24 are respectively provided with a through hole for the first through pipe 9, the second through pipe 15, the third through pipe 18, the fourth through pipe 19 and the fifth through pipe 22 to pass through, the first through pipe 9, the second through pipe 15, the third through pipe 18, the fourth through pipe 19 and the fifth through pipe 22 are arranged in the uterus lifting frame 24 and the uterus lifting rod 2 through the through holes, so that the operation space can be saved, and the operation of an operator is facilitated. The first balloon 7, the second balloon 10, the third balloon 17, the fourth balloon 20 and the fifth balloon 21 are respectively provided with marks of front, left, back, right and middle, which is convenient for the operation of the operator. The control valve 8 is arranged between each air inflation bag and the through pipe, the size of the air inflation amount or the liquid filling amount can be controlled, the control valve 8 can adopt the control valve of the existing double-bag for obstetrical induced labor, the control valve is a plastic cap-like control valve arranged at the outer opening of the through pipe, the injector is connected with the plastic cap to inject liquid or gas into the bag, the injector is taken away, the injected liquid or gas cannot flow out, and the plastic cap is pulled out to automatically flow out. The utility model discloses still include vagina sacculus 4, vagina sacculus 4 is around lifting palace pole 2 outsidely, and vagina sacculus 4 fills sacculus 6 intercommunication through sixth siphunculus 5 and sixth, and the sixth fills and is provided with control valve 8 between sacculus 6 and the sixth siphunculus 5, and vagina sacculus inner wall 29 is the cockscomb structure, and the cockscomb structure of vagina sacculus inner wall 29 uses 12 sawtooth to be good, and in this embodiment, the cockscomb structure of vagina sacculus inner wall 29 is 8 cockscombs. The connecting section of the uterine manipulator rod 2 and the support 13 is provided with a spherical hinged joint 11 which can lead the uterine manipulator rod 2 to swing all around, the uterine manipulator rod 2 can swing along the saw-toothed direction in a cavity 28 of the vaginal saccule 4 through the spherical hinged joint 11, if 12 saw-toothed shapes are adopted, the uterine manipulator rod 2 can move towards 12 specific point positions, and the spherical hinged joint 11 can adopt the existing spherical hinged mode. The vaginal balloon 4 is tightly fixed on the uterine lifting rod 2 through the fixing belt 3, so that the vaginal balloon 4 is prevented from falling off from the uterine lifting rod 2. Be provided with on the support 13 and let lift the spout 12 that palace pole 2 reciprocated, be provided with on the spout 12 and can lift the screw 14 of palace pole 2 locking, can adjust the upper and lower position of lifting palace pole 2 through spout 12, lift and be provided with on the palace pole 2 and let lift the horizontal spout of 2 horizontal sliding of palace pole, horizontal spout sets up at the tip of being connected of lifting palace pole 2 and support 13, screw 14 is arranged in horizontal spout, lift palace pole 2 and pass through horizontal spout along 14 horizontal sliding of screw, can adjust the horizontal position of lifting palace pole 2.
The utility model discloses when using, anesthesia patient gets bladder lithotomy position, and piece of cloth is spread in conventional disinfection, will lift the palace frame 24 of 2 head ends of palace pole and put into the palace chamber, and vault cup 30 pushes up vagina fornix department, conveniently pushes down the bladder, and vagina department is aerifyd fixedly through vagina sacculus 4, will lift palace pole 2 through support 13 and fix to the best height and the horizontal distance that the patient needs the treatment. In the operation process, the art person is according to the demand in the art, lift the swing of palace pole 2 along the cockscomb structure direction in the cavity 28 of vagina sacculus 4 through the adjustment, accurate realization uterus is to 12 concrete position location directions removals about from top to bottom, and through lifting palace frame 24, can realize the continuation with uterus jack-up, and according to needs in the art, control first sacculus 1, second sacculus 26, third sacculus 23, the accurate uterus position of adjustment of fourth sacculus 27 and fifth sacculus 25, thereby perfect cooperation each step of operation.
The above is only the specific embodiments of the present disclosure, but the scope of the present disclosure is not limited thereto, and the scope of the present disclosure should be subject to the protection scope of the claims.

Claims (9)

1. The utility model provides a lift palace ware, includes support, lifts palace pole and fornix cup, fornix cup sets up on lifting palace pole, lift palace pole setting on the support, its characterized in that: one end of the uterus lifting rod, which is far away from the bracket, is provided with a uterus lifting frame, the top of the uterus lifting frame is provided with a fifth sacculus, the four side surfaces of the uterus lifting frame are respectively provided with a first sacculus, a second sacculus, a third sacculus and a fourth sacculus, the fifth balloon is communicated with a fifth balloon through a fifth through pipe, the fourth balloon is communicated with a fourth balloon through a fourth through pipe, the third balloon is communicated with a third balloon through a third three-way pipe, the second balloon is communicated with a second balloon through a second through pipe, the first sacculus is communicated with the first sacculus through a first through pipe, the uterus lifting rod and the uterus lifting frame are both of hollow structures, the uterus lifting frame and the uterus lifting rod are respectively provided with a through hole for the first through pipe, the second through pipe, the third through pipe, the fourth through pipe and the fifth through pipe to pass through, the first through pipe, the second through pipe, the third through pipe, the fourth through pipe and the fifth through pipe are arranged in the uterus lifting frame and the uterus lifting rod through the through holes.
2. The uterine manipulator of claim 1, wherein: the first balloon, the second balloon, the third balloon and the fourth balloon are arranged on the uterus lifting frame in a centrosymmetric manner.
3. The uterine manipulator of claim 2, wherein: the uterus lifter further comprises a vaginal balloon, the vaginal balloon surrounds the outside of the uterus lifter, the vaginal balloon is communicated with a sixth balloon through a sixth through pipe, the inner wall of the vaginal balloon is in a sawtooth shape, and a spherical hinged joint capable of enabling the uterus lifter to swing around is arranged at the connecting section of the uterus lifter and the support.
4. The uterine manipulator of claim 3, wherein: the sawtooth shape of the inner wall of the vaginal saccule is 12 sawtooth shapes.
5. The uterine manipulator of claim 4, wherein: the vaginal balloon is fastened on the uterine lifting rod through a fastening belt.
6. The uterine manipulator according to claim 1 or 2 or 3 or 4 or 5, characterized in that: and the first balloon inflation bag, the second balloon inflation bag, the third balloon inflation bag, the fourth balloon inflation bag and the fifth balloon inflation bag are respectively provided with marks.
7. The uterine manipulator of claim 6, wherein: the bracket is provided with a sliding groove which can enable the uterus lifting rod to move up and down, and the sliding groove is provided with a screw which can lock the uterus lifting rod.
8. The uterine manipulator of claim 7, wherein: the connecting portion of the uterus lifting rod and the support are provided with a horizontal sliding groove for enabling the uterus lifting rod to horizontally slide, and the screw is arranged in the horizontal sliding groove.
9. The uterine manipulator of claim 8, wherein: a control valve is arranged between each balloon and the through pipe.
CN201921466621.3U 2019-09-05 2019-09-05 Uterine manipulator Withdrawn - After Issue CN210903286U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201921466621.3U CN210903286U (en) 2019-09-05 2019-09-05 Uterine manipulator

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201921466621.3U CN210903286U (en) 2019-09-05 2019-09-05 Uterine manipulator

Publications (1)

Publication Number Publication Date
CN210903286U true CN210903286U (en) 2020-07-03

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CN201921466621.3U Withdrawn - After Issue CN210903286U (en) 2019-09-05 2019-09-05 Uterine manipulator

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110432959A (en) * 2019-09-05 2019-11-12 西安交通大学医学院第一附属医院 A kind of uterus raising device

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110432959A (en) * 2019-09-05 2019-11-12 西安交通大学医学院第一附属医院 A kind of uterus raising device
CN110432959B (en) * 2019-09-05 2024-03-08 西安交通大学医学院第一附属医院 Uterine lifting device

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